ST. ANTHONY'S MEMORIAL HOSPITAL - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hospital_Cdm_Chg , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg ," 6 DEGREES HEALTH, INC ", AETNA , AETNA HSHS , AETNA MEDICARE , AMISH COMMUNITY DISCOUNT , BC EXCHANGE , BC MEDICARE , BCBS OF ILLINOIS PPO , BLUE CROSS BLUE SHEILD OF ILLINOIS DUAL , BLUE CROSS BLUE SHIELD  IL HMO , BLUE CROSS BLUE SHIELD IPA IL , BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV , BLUE CROSS SIHCA , CELTIC INSURANCE COMPANY , CHOICE CARE , CIGNA , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV , CONSOCIATE GROUP ," 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 , HEALTH PARTNERS MEDICARE , HEALTHLINK , HEALTHLINK CASINO QUEEN , HEALTHLINK PPO , HEALTHSCOPE , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE , ILLINOIS BREAST AND CERVICAL CANCER PROGRAM , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MERIDIAN HMO MCD , MOLINA MEDICAID , MOLINA MEDICARE , MULTIPLAN , NAPHCARE , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , SAE MEMORIAL HOSPICE , UHC CATERPILLAR , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$43,572.74 ","$3,443.37 ","$153,365.28 ","$60,517.70 ","$45,085.69 ","$39,639.09 ","$59,307.35 ","$16,944.96 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$60,517.70 ","$54,465.93 ","$45,388.28 ","$60,517.70 ","$59,900.42 ","$51,440.05 ","$60,493.49 ","$45,388.28 ","$45,388.28 ","$51,440.05 ","$51,440.05 ","$59,307.35 ","$51,440.05 ","$59,307.35 ","$46,598.63 ","$46,598.63 ","$46,598.63 ","$60,517.70 ","$54,465.93 ","$60,517.70 ","$54,465.93 ","$59,307.35 ", N/A ,"$33,950.43 ","$59,307.35 ","$25,054.33 ","$3,607.34 ","$3,443.37 ","$59,307.35 ","$54,465.93 ","$153,365.28 ","$60,517.70 ","$16,944.96 ","$54,465.93 ","$59,307.35 ","$54,465.93 ","$54,465.93 ","$59,307.35 ","$39,336.51 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$11,020.10 ","$2,620.18 ","$39,909.70 ","$15,305.70 ","$11,402.75 ","$10,025.23 ","$14,999.59 ","$4,285.60 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$15,305.70 ","$13,775.13 ","$11,479.28 ","$15,305.70 ","$15,149.58 ","$13,009.85 ","$15,299.57 ","$11,479.28 ","$11,479.28 ","$13,009.85 ","$13,009.85 ","$14,999.59 ","$13,009.85 ","$14,999.59 ","$11,785.39 ","$11,785.39 ","$11,785.39 ","$15,305.70 ","$13,775.13 ","$15,305.70 ","$13,775.13 ","$14,999.59 ", N/A ,"$8,586.50 ","$14,999.59 ","$6,336.56 ","$2,744.95 ","$2,620.18 ","$14,999.59 ","$13,775.13 ","$39,909.70 ","$15,305.70 ","$4,285.60 ","$13,775.13 ","$14,999.59 ","$13,775.13 ","$13,775.13 ","$14,999.59 ","$9,948.71 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$8,247.72 ","$2,620.18 ","$30,098.76 ","$11,455.16 ","$8,534.09 ","$7,503.13 ","$11,226.06 ","$3,207.44 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$11,455.16 ","$10,309.64 ","$8,591.37 ","$11,455.16 ","$11,338.32 ","$9,736.89 ","$11,450.57 ","$8,591.37 ","$8,591.37 ","$9,736.89 ","$9,736.89 ","$11,226.06 ","$9,736.89 ","$11,226.06 ","$8,820.47 ","$8,820.47 ","$8,820.47 ","$11,455.16 ","$10,309.64 ","$11,455.16 ","$10,309.64 ","$11,226.06 ", N/A ,"$6,426.34 ","$11,226.06 ","$4,742.44 ","$2,744.95 ","$2,620.18 ","$11,226.06 ","$10,309.64 ","$30,098.76 ","$11,455.16 ","$3,207.44 ","$10,309.64 ","$11,226.06 ","$10,309.64 ","$10,309.64 ","$11,226.06 ","$7,445.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$17,060.09 ","$2,620.18 ","$59,287.60 ","$23,694.57 ","$17,652.45 ","$15,519.94 ","$23,220.68 ","$6,634.48 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,694.57 ","$21,325.11 ","$17,770.93 ","$23,694.57 ","$23,452.89 ","$20,140.38 ","$23,685.09 ","$17,770.93 ","$17,770.93 ","$20,140.38 ","$20,140.38 ","$23,220.68 ","$20,140.38 ","$23,220.68 ","$18,244.82 ","$18,244.82 ","$18,244.82 ","$23,694.57 ","$21,325.11 ","$23,694.57 ","$21,325.11 ","$23,220.68 ", N/A ,"$13,292.65 ","$23,220.68 ","$9,809.55 ","$2,744.95 ","$2,620.18 ","$23,220.68 ","$21,325.11 ","$59,287.60 ","$23,694.57 ","$6,634.48 ","$21,325.11 ","$23,220.68 ","$21,325.11 ","$21,325.11 ","$23,220.68 ","$15,401.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,916.60 ","$1,912.01 ","$18,428.58 ","$6,828.61 ","$5,087.31 ","$4,472.74 ","$6,692.04 ","$1,912.01 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$6,828.61 ","$6,145.75 ","$5,121.46 ","$6,828.61 ","$6,758.96 ","$5,804.32 ","$6,825.88 ","$5,121.46 ","$5,121.46 ","$5,804.32 ","$5,804.32 ","$6,692.04 ","$5,804.32 ","$6,692.04 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,145.75 ","$6,828.61 ","$6,145.75 ","$6,692.04 ", N/A ,"$3,830.85 ","$6,692.04 ","$2,827.04 ","$2,744.95 ","$2,620.18 ","$6,692.04 ","$6,145.75 ","$18,428.58 ","$6,828.61 ","$1,912.01 ","$6,145.75 ","$6,692.04 ","$6,145.75 ","$6,145.75 ","$6,692.04 ","$4,438.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,$979.53 ,$705.26 ,$274.27 ,$979.53 , Inpatient Medicare +150% ,$729.75 ,$641.59 , Inpatient Medicare ,$274.27 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,$881.58 ,$734.65 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$861.99 , Inpatient Medicare +2% ,$734.65 ,$832.60 ,$832.60 ,$832.60 , Inpatient Medicare ,$832.60 , Inpatient Medicare ,$754.24 ,$754.24 ,$754.24 ,$979.53 ,$881.58 , Inpatient Medicare +150% ,$881.58 , Inpatient Medicare , N/A ,$549.52 , Inpatient Medicare ,$405.53 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$881.58 , Inpatient Medicare +100% ,"$7,677.00 ",$274.27 ,$881.58 , Inpatient Medicare ,$881.58 ,$881.58 , Inpatient Medicare ,$636.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$1,380.20 ",$993.74 ,$386.46 ,"$1,380.20 ", Inpatient Medicare +150% ,"$1,028.25 ",$904.03 , Inpatient Medicare ,$386.46 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,"$1,242.18 ","$1,035.15 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,214.58 ", Inpatient Medicare +2% ,"$1,035.15 ","$1,173.17 ","$1,173.17 ","$1,173.17 ", Inpatient Medicare ,"$1,173.17 ", Inpatient Medicare ,"$1,062.75 ","$1,062.75 ","$1,062.75 ","$1,380.20 ","$1,242.18 ", Inpatient Medicare +150% ,"$1,242.18 ", Inpatient Medicare , N/A ,$774.29 , Inpatient Medicare ,$571.40 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,242.18 ", Inpatient Medicare +100% ,"$7,677.00 ",$386.46 ,"$1,242.18 ", Inpatient Medicare ,"$1,242.18 ","$1,242.18 ", Inpatient Medicare ,$897.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,$979.53 ,$705.26 ,$274.27 ,$979.53 , Inpatient Medicare +150% ,$729.75 ,$641.59 , Inpatient Medicare ,$274.27 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,$881.58 ,$734.65 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$861.99 , Inpatient Medicare +2% ,$734.65 ,$832.60 ,$832.60 ,$832.60 , Inpatient Medicare ,$832.60 , Inpatient Medicare ,$754.24 ,$754.24 ,$754.24 ,$979.53 ,$881.58 , Inpatient Medicare +150% ,$881.58 , Inpatient Medicare , N/A ,$549.52 , Inpatient Medicare ,$405.53 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$881.58 , Inpatient Medicare +100% ,"$7,677.00 ",$274.27 ,$881.58 , Inpatient Medicare ,$881.58 ,$881.58 , Inpatient Medicare ,$636.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$950.69 ,$684.50 ,$266.19 ,$950.69 , Inpatient Medicare +150% ,$708.26 ,$622.70 , Inpatient Medicare ,$266.19 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,$855.62 ,$713.02 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$836.61 , Inpatient Medicare +2% ,$713.02 ,$808.09 ,$808.09 ,$808.09 , Inpatient Medicare ,$808.09 , Inpatient Medicare ,$732.03 ,$732.03 ,$732.03 ,$950.69 ,$855.62 , Inpatient Medicare +150% ,$855.62 , Inpatient Medicare , N/A ,$533.34 , Inpatient Medicare ,$393.59 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$855.62 , Inpatient Medicare +100% ,"$7,677.00 ",$266.19 ,$855.62 , Inpatient Medicare ,$855.62 ,$855.62 , Inpatient Medicare ,$617.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),17100001,N/A,HC DAILY INFANT SERVICE LEV 1,171,1 ,$838.42 ,$603.66 ,$234.76 ,$838.42 , Inpatient Medicare +150% ,$624.62 ,$549.17 , Inpatient Medicare ,$234.76 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,$754.58 ,$628.82 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$737.81 , Inpatient Medicare +2% ,$628.82 ,$712.66 ,$712.66 ,$712.66 , Inpatient Medicare ,$712.66 , Inpatient Medicare ,$645.58 ,$645.58 ,$645.58 ,$838.42 ,$754.58 , Inpatient Medicare +150% ,$754.58 , Inpatient Medicare , N/A ,$470.35 , Inpatient Medicare ,$347.11 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$754.58 , Inpatient Medicare +100% ,"$7,677.00 ",$234.76 ,$754.58 , Inpatient Medicare ,$754.58 ,$754.58 , Inpatient Medicare ,$544.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),17200002,N/A,HC DAILY INFANT SERVICE LEV 2,172,1 ,"$1,391.53 ","$1,001.90 ",$389.63 ,"$1,391.53 ", Inpatient Medicare +150% ,"$1,036.69 ",$911.45 , Inpatient Medicare ,$389.63 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,"$1,252.38 ","$1,043.65 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,224.55 ", Inpatient Medicare +2% ,"$1,043.65 ","$1,182.80 ","$1,182.80 ","$1,182.80 ", Inpatient Medicare ,"$1,182.80 ", Inpatient Medicare ,"$1,071.48 ","$1,071.48 ","$1,071.48 ","$1,391.53 ","$1,252.38 ", Inpatient Medicare +150% ,"$1,252.38 ", Inpatient Medicare , N/A ,$780.65 , Inpatient Medicare ,$576.09 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,252.38 ", Inpatient Medicare +100% ,"$7,677.00 ",$389.63 ,"$1,252.38 ", Inpatient Medicare ,"$1,252.38 ","$1,252.38 ", Inpatient Medicare ,$904.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$2,020.86 ","$1,455.02 ",$565.84 ,"$2,020.86 ", Inpatient Medicare +150% ,"$1,505.54 ","$1,323.66 ", Inpatient Medicare ,$565.84 ,"$8,530.00 ", Inpatient Medicare ,"$8,530.00 ", Inpatient Medicare ,"$7,677.00 ","$7,677.00 ", Inpatient Medicare ,"$7,677.00 ", Inpatient Medicare +102% ,"$1,818.77 ","$1,515.65 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,778.36 ", Inpatient Medicare +2% ,"$1,515.65 ","$1,717.73 ","$1,717.73 ","$1,717.73 ", Inpatient Medicare ,"$1,717.73 ", Inpatient Medicare ,"$1,556.06 ","$1,556.06 ","$1,556.06 ","$2,020.86 ","$1,818.77 ", Inpatient Medicare +150% ,"$1,818.77 ", Inpatient Medicare , N/A ,"$1,133.70 ", Inpatient Medicare ,$836.64 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,818.77 ", Inpatient Medicare +100% ,"$7,677.00 ",$565.84 ,"$1,818.77 ", Inpatient Medicare ,"$1,818.77 ","$1,818.77 ", Inpatient Medicare ,"$1,313.56 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ACETYLCYSTEINE 20 % SOLN,250,1 ,$30.70 ,$22.10 ,$8.60 ,$30.70 , N/A ,$22.87 ,$20.11 , N/A ,$8.60 ,$18.88 , N/A ,$18.88 , N/A ,$17.01 ,$17.01 , N/A ,$17.01 , N/A ,$27.63 ,$25.48 , N/A , N/A ,$27.02 , N/A ,$23.03 ,$23.03 ,$26.10 ,$26.10 , N/A ,$26.10 , N/A ,$24.87 ,$24.87 ,$24.87 ,$30.70 ,$27.63 , N/A ,$27.63 , N/A ,$30.70 ,$17.22 , N/A ,$12.71 , N/A , N/A , N/A ,$27.63 , N/A ,$17.01 ,$8.60 ,$27.63 , N/A ,$27.63 ,$27.63 , N/A ,$19.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ALBUTEROL (5 MG/ML) 0.5% NEBU 20 ML BOTTLE,250,1 ,$115.95 ,$83.48 ,$32.47 ,$115.95 , N/A ,$86.38 ,$75.95 , N/A ,$32.47 ,$71.31 , N/A ,$71.31 , N/A ,$64.24 ,$64.24 , N/A ,$64.24 , N/A ,$104.36 ,$96.24 , N/A , N/A ,$102.04 , N/A ,$86.96 ,$86.96 ,$98.56 ,$98.56 , N/A ,$98.56 , N/A ,$93.92 ,$93.92 ,$93.92 ,$115.95 ,$104.36 , N/A ,$104.36 , N/A ,$115.95 ,$65.05 , N/A ,$48.00 , N/A , N/A , N/A ,$104.36 , N/A ,$64.24 ,$32.47 ,$104.36 , N/A ,$104.36 ,$104.36 , N/A ,$75.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ATROPINE 1 % SOLN 5 ML BOTTLE,250,1 ,$121.85 ,$87.73 ,$34.12 ,$121.85 , N/A ,$90.78 ,$79.81 , N/A ,$34.12 ,$74.94 , N/A ,$74.94 , N/A ,$67.50 ,$67.50 , N/A ,$67.50 , N/A ,$109.67 ,$101.14 , N/A , N/A ,$107.23 , N/A ,$91.39 ,$91.39 ,$103.57 ,$103.57 , N/A ,$103.57 , N/A ,$98.70 ,$98.70 ,$98.70 ,$121.85 ,$109.67 , N/A ,$109.67 , N/A ,$121.85 ,$68.36 , N/A ,$50.45 , N/A , N/A , N/A ,$109.67 , N/A ,$67.50 ,$34.12 ,$109.67 , N/A ,$109.67 ,$109.67 , N/A ,$79.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,AZTREONAM 1 G SOLR 1 EACH VIAL,250,1 ,$530.40 ,$381.89 ,$148.51 ,$530.40 , N/A ,$395.15 ,$347.41 , N/A ,$148.51 ,$326.20 , N/A ,$326.20 , N/A ,$293.84 ,$293.84 , N/A ,$293.84 , N/A ,$477.36 ,$440.23 , N/A , N/A ,$466.75 , N/A ,$397.80 ,$397.80 ,$450.84 ,$450.84 , N/A ,$450.84 , N/A ,$429.62 ,$429.62 ,$429.62 ,$530.40 ,$477.36 , N/A ,$477.36 , N/A ,$530.40 ,$297.55 , N/A ,$219.59 , N/A , N/A , N/A ,$477.36 , N/A ,$293.84 ,$148.51 ,$477.36 , N/A ,$477.36 ,$477.36 , N/A ,$344.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,AZTREONAM 2 G SOLR 1 EACH VIAL,250,1 ,"$1,077.70 ",$775.94 ,$301.76 ,"$1,077.70 ", N/A ,$802.89 ,$705.89 , N/A ,$301.76 ,$662.79 , N/A ,$662.79 , N/A ,$597.05 ,$597.05 , N/A ,$597.05 , N/A ,$969.93 ,$894.49 , N/A , N/A ,$948.38 , N/A ,$808.28 ,$808.28 ,$916.05 ,$916.05 , N/A ,$916.05 , N/A ,$872.94 ,$872.94 ,$872.94 ,"$1,077.70 ",$969.93 , N/A ,$969.93 , N/A ,"$1,077.70 ",$604.59 , N/A ,$446.17 , N/A , N/A , N/A ,$969.93 , N/A ,$597.05 ,$301.76 ,$969.93 , N/A ,$969.93 ,$969.93 , N/A ,$700.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BENZOCAINE-MENTHOL 20-0.5 % AERO 78 G CAN,250,1 ,$11.55 ,$8.32 ,$3.23 ,$11.55 , N/A ,$8.60 ,$7.57 , N/A ,$3.23 ,$7.10 , N/A ,$7.10 , N/A ,$6.40 ,$6.40 , N/A ,$6.40 , N/A ,$10.40 ,$9.59 , N/A , N/A ,$10.16 , N/A ,$8.66 ,$8.66 ,$9.82 ,$9.82 , N/A ,$9.82 , N/A ,$9.36 ,$9.36 ,$9.36 ,$11.55 ,$10.40 , N/A ,$10.40 , N/A ,$11.55 ,$6.48 , N/A ,$4.78 , N/A , N/A , N/A ,$10.40 , N/A ,$6.40 ,$3.23 ,$10.40 , N/A ,$10.40 ,$10.40 , N/A ,$7.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BENZOCAINE-MENTHOL 20-0.5 % AERO 85 G CAN,250,1 ,$13.30 ,$9.58 ,$3.72 ,$13.30 , N/A ,$9.91 ,$8.71 , N/A ,$3.72 ,$8.18 , N/A ,$8.18 , N/A ,$7.37 ,$7.37 , N/A ,$7.37 , N/A ,$11.97 ,$11.04 , N/A , N/A ,$11.70 , N/A ,$9.98 ,$9.98 ,$11.31 ,$11.31 , N/A ,$11.31 , N/A ,$10.77 ,$10.77 ,$10.77 ,$13.30 ,$11.97 , N/A ,$11.97 , N/A ,$13.30 ,$7.46 , N/A ,$5.51 , N/A , N/A , N/A ,$11.97 , N/A ,$7.37 ,$3.72 ,$11.97 , N/A ,$11.97 ,$11.97 , N/A ,$8.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BERACTANT 25-0.9 MG/ML-% SUSP,250,1 ,"$2,311.80 ","$1,664.50 ",$647.30 ,"$2,311.80 ", N/A ,"$1,722.29 ","$1,514.23 ", N/A ,$647.30 ,"$1,421.76 ", N/A ,"$1,421.76 ", N/A ,"$1,280.74 ","$1,280.74 ", N/A ,"$1,280.74 ", N/A ,"$2,080.62 ","$1,918.79 ", N/A , N/A ,"$2,034.38 ", N/A ,"$1,733.85 ","$1,733.85 ","$1,965.03 ","$1,965.03 ", N/A ,"$1,965.03 ", N/A ,"$1,872.56 ","$1,872.56 ","$1,872.56 ","$2,311.80 ","$2,080.62 ", N/A ,"$2,080.62 ", N/A ,"$2,311.80 ","$1,296.92 ", N/A ,$957.09 , N/A , N/A , N/A ,"$2,080.62 ", N/A ,"$1,280.74 ",$647.30 ,"$2,080.62 ", N/A ,"$2,080.62 ","$2,080.62 ", N/A ,"$1,502.67 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,250,1 ,$383.40 ,$276.05 ,$107.35 ,$383.40 , N/A ,$285.63 ,$251.13 , N/A ,$107.35 ,$235.79 , N/A ,$235.79 , N/A ,$212.40 ,$212.40 , N/A ,$212.40 , N/A ,$345.06 ,$318.22 , N/A , N/A ,$337.39 , N/A ,$287.55 ,$287.55 ,$325.89 ,$325.89 , N/A ,$325.89 , N/A ,$310.55 ,$310.55 ,$310.55 ,$383.40 ,$345.06 , N/A ,$345.06 , N/A ,$383.40 ,$215.09 , N/A ,$158.73 , N/A , N/A , N/A ,$345.06 , N/A ,$212.40 ,$107.35 ,$345.06 , N/A ,$345.06 ,$345.06 , N/A ,$249.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUDESONIDE 0.5 MG/2ML SUSP,250,1 ,$22.40 ,$16.13 ,$6.27 ,$22.40 , N/A ,$16.69 ,$14.67 , N/A ,$6.27 ,$13.78 , N/A ,$13.78 , N/A ,$12.41 ,$12.41 , N/A ,$12.41 , N/A ,$20.16 ,$18.59 , N/A , N/A ,$19.71 , N/A ,$16.80 ,$16.80 ,$19.04 ,$19.04 , N/A ,$19.04 , N/A ,$18.14 ,$18.14 ,$18.14 ,$22.40 ,$20.16 , N/A ,$20.16 , N/A ,$22.40 ,$12.57 , N/A ,$9.27 , N/A , N/A , N/A ,$20.16 , N/A ,$12.41 ,$6.27 ,$20.16 , N/A ,$20.16 ,$20.16 , N/A ,$14.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN,250,1 ,$40.30 ,$29.02 ,$11.28 ,$40.30 , N/A ,$30.02 ,$26.40 , N/A ,$11.28 ,$24.78 , N/A ,$24.78 , N/A ,$22.33 ,$22.33 , N/A ,$22.33 , N/A ,$36.27 ,$33.45 , N/A , N/A ,$35.46 , N/A ,$30.23 ,$30.23 ,$34.26 ,$34.26 , N/A ,$34.26 , N/A ,$32.64 ,$32.64 ,$32.64 ,$40.30 ,$36.27 , N/A ,$36.27 , N/A ,$40.30 ,$22.61 , N/A ,$16.68 , N/A , N/A , N/A ,$36.27 , N/A ,$22.33 ,$11.28 ,$36.27 , N/A ,$36.27 ,$36.27 , N/A ,$26.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUMETANIDE 25 MG/100 ML 25 MG/100 ML SOLN,250,1 ,$49.13 ,$35.37 ,$13.76 ,$49.13 , N/A ,$36.60 ,$32.18 , N/A ,$13.76 ,$30.22 , N/A ,$30.22 , N/A ,$27.22 ,$27.22 , N/A ,$27.22 , N/A ,$44.22 ,$40.78 , N/A , N/A ,$43.23 , N/A ,$36.85 ,$36.85 ,$41.76 ,$41.76 , N/A ,$41.76 , N/A ,$39.80 ,$39.80 ,$39.80 ,$49.13 ,$44.22 , N/A ,$44.22 , N/A ,$49.13 ,$27.56 , N/A ,$20.34 , N/A , N/A , N/A ,$44.22 , N/A ,$27.22 ,$13.76 ,$44.22 , N/A ,$44.22 ,$44.22 , N/A ,$31.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN,250,1 ,$92.65 ,$66.71 ,$25.94 ,$92.65 , N/A ,$69.02 ,$60.69 , N/A ,$25.94 ,$56.98 , N/A ,$56.98 , N/A ,$51.33 ,$51.33 , N/A ,$51.33 , N/A ,$83.39 ,$76.90 , N/A , N/A ,$81.53 , N/A ,$69.49 ,$69.49 ,$78.75 ,$78.75 , N/A ,$78.75 , N/A ,$75.05 ,$75.05 ,$75.05 ,$92.65 ,$83.39 , N/A ,$83.39 , N/A ,$92.65 ,$51.98 , N/A ,$38.36 , N/A , N/A , N/A ,$83.39 , N/A ,$51.33 ,$25.94 ,$83.39 , N/A ,$83.39 ,$83.39 , N/A ,$60.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUPIVACAINE (PF) 0.75 % SOLN,250,1 ,$53.60 ,$38.59 ,$15.01 ,$53.60 , N/A ,$39.93 ,$35.11 , N/A ,$15.01 ,$32.96 , N/A ,$32.96 , N/A ,$29.69 ,$29.69 , N/A ,$29.69 , N/A ,$48.24 ,$44.49 , N/A , N/A ,$47.17 , N/A ,$40.20 ,$40.20 ,$45.56 ,$45.56 , N/A ,$45.56 , N/A ,$43.42 ,$43.42 ,$43.42 ,$53.60 ,$48.24 , N/A ,$48.24 , N/A ,$53.60 ,$30.07 , N/A ,$22.19 , N/A , N/A , N/A ,$48.24 , N/A ,$29.69 ,$15.01 ,$48.24 , N/A ,$48.24 ,$48.24 , N/A ,$34.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUPIVACAINE 0.25 % SOLN,250,1 ,$83.80 ,$60.34 ,$23.46 ,$83.80 , N/A ,$62.43 ,$54.89 , N/A ,$23.46 ,$51.54 , N/A ,$51.54 , N/A ,$46.43 ,$46.43 , N/A ,$46.43 , N/A ,$75.42 ,$69.55 , N/A , N/A ,$73.74 , N/A ,$62.85 ,$62.85 ,$71.23 ,$71.23 , N/A ,$71.23 , N/A ,$67.88 ,$67.88 ,$67.88 ,$83.80 ,$75.42 , N/A ,$75.42 , N/A ,$83.80 ,$47.01 , N/A ,$34.69 , N/A , N/A , N/A ,$75.42 , N/A ,$46.43 ,$23.46 ,$75.42 , N/A ,$75.42 ,$75.42 , N/A ,$54.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUPIVACAINE 0.75% IN DEXTROSE 8.25% (INTRATHECAL) 0.75-8.25 % SOLN,250,1 ,$34.65 ,$24.95 ,$9.70 ,$34.65 , N/A ,$25.81 ,$22.70 , N/A ,$9.70 ,$21.31 , N/A ,$21.31 , N/A ,$19.20 ,$19.20 , N/A ,$19.20 , N/A ,$31.19 ,$28.76 , N/A , N/A ,$30.49 , N/A ,$25.99 ,$25.99 ,$29.45 ,$29.45 , N/A ,$29.45 , N/A ,$28.07 ,$28.07 ,$28.07 ,$34.65 ,$31.19 , N/A ,$31.19 , N/A ,$34.65 ,$19.44 , N/A ,$14.35 , N/A , N/A , N/A ,$31.19 , N/A ,$19.20 ,$9.70 ,$31.19 , N/A ,$31.19 ,$31.19 , N/A ,$22.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 SOLN,250,1 ,$135.25 ,$97.38 ,$37.87 ,$135.25 , N/A ,$100.76 ,$88.59 , N/A ,$37.87 ,$83.18 , N/A ,$83.18 , N/A ,$74.93 ,$74.93 , N/A ,$74.93 , N/A ,$121.73 ,$112.26 , N/A , N/A ,$119.02 , N/A ,$101.44 ,$101.44 ,$114.96 ,$114.96 , N/A ,$114.96 , N/A ,$109.55 ,$109.55 ,$109.55 ,$135.25 ,$121.73 , N/A ,$121.73 , N/A ,$135.25 ,$75.88 , N/A ,$55.99 , N/A , N/A , N/A ,$121.73 , N/A ,$74.93 ,$37.87 ,$121.73 , N/A ,$121.73 ,$121.73 , N/A ,$87.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUPIVACAINE-EPINEPHRINE PF 0.5% -1:200000 SOLN,250,1 ,$145.55 ,$104.80 ,$40.75 ,$145.55 , N/A ,$108.43 ,$95.34 , N/A ,$40.75 ,$89.51 , N/A ,$89.51 , N/A ,$80.63 ,$80.63 , N/A ,$80.63 , N/A ,$131.00 ,$120.81 , N/A , N/A ,$128.08 , N/A ,$109.16 ,$109.16 ,$123.72 ,$123.72 , N/A ,$123.72 , N/A ,$117.90 ,$117.90 ,$117.90 ,$145.55 ,$131.00 , N/A ,$131.00 , N/A ,$145.55 ,$81.65 , N/A ,$60.26 , N/A , N/A , N/A ,$131.00 , N/A ,$80.63 ,$40.75 ,$131.00 , N/A ,$131.00 ,$131.00 , N/A ,$94.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % AERO 5 G BOTTLE,250,1 ,$146.40 ,$105.41 ,$40.99 ,$146.40 , N/A ,$109.07 ,$95.89 , N/A ,$40.99 ,$90.04 , N/A ,$90.04 , N/A ,$81.11 ,$81.11 , N/A ,$81.11 , N/A ,$131.76 ,$121.51 , N/A , N/A ,$128.83 , N/A ,$109.80 ,$109.80 ,$124.44 ,$124.44 , N/A ,$124.44 , N/A ,$118.58 ,$118.58 ,$118.58 ,$146.40 ,$131.76 , N/A ,$131.76 , N/A ,$146.40 ,$82.13 , N/A ,$60.61 , N/A , N/A , N/A ,$131.76 , N/A ,$81.11 ,$40.99 ,$131.76 , N/A ,$131.76 ,$131.76 , N/A ,$95.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CAFFEINE CITRATE SOLN,250,1 ,$40.75 ,$29.34 ,$11.41 ,$40.75 , N/A ,$30.36 ,$26.69 , N/A ,$11.41 ,$25.06 , N/A ,$25.06 , N/A ,$22.58 ,$22.58 , N/A ,$22.58 , N/A ,$36.68 ,$33.82 , N/A , N/A ,$35.86 , N/A ,$30.56 ,$30.56 ,$34.64 ,$34.64 , N/A ,$34.64 , N/A ,$33.01 ,$33.01 ,$33.01 ,$40.75 ,$36.68 , N/A ,$36.68 , N/A ,$40.75 ,$22.86 , N/A ,$16.87 , N/A , N/A , N/A ,$36.68 , N/A ,$22.58 ,$11.41 ,$36.68 , N/A ,$36.68 ,$36.68 , N/A ,$26.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CAFFEINE-SODIUM BENZOATE 125-125 MG/ML SOLN 2 ML VIAL,250,1 ,$378.55 ,$272.56 ,$105.99 ,$378.55 , N/A ,$282.02 ,$247.95 , N/A ,$105.99 ,$232.81 , N/A ,$232.81 , N/A ,$209.72 ,$209.72 , N/A ,$209.72 , N/A ,$340.70 ,$314.20 , N/A , N/A ,$333.12 , N/A ,$283.91 ,$283.91 ,$321.77 ,$321.77 , N/A ,$321.77 , N/A ,$306.63 ,$306.63 ,$306.63 ,$378.55 ,$340.70 , N/A ,$340.70 , N/A ,$378.55 ,$212.37 , N/A ,$156.72 , N/A , N/A , N/A ,$340.70 , N/A ,$209.72 ,$105.99 ,$340.70 , N/A ,$340.70 ,$340.70 , N/A ,$246.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,250,1 ,$154.35 ,$111.13 ,$43.22 ,$154.35 , N/A ,$114.99 ,$101.10 , N/A ,$43.22 ,$94.93 , N/A ,$94.93 , N/A ,$85.51 ,$85.51 , N/A ,$85.51 , N/A ,$138.92 ,$128.11 , N/A , N/A ,$135.83 , N/A ,$115.76 ,$115.76 ,$131.20 ,$131.20 , N/A ,$131.20 , N/A ,$125.02 ,$125.02 ,$125.02 ,$154.35 ,$138.92 , N/A ,$138.92 , N/A ,$154.35 ,$86.59 , N/A ,$63.90 , N/A , N/A , N/A ,$138.92 , N/A ,$85.51 ,$43.22 ,$138.92 , N/A ,$138.92 ,$138.92 , N/A ,$100.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CARBOPROST 250 MCG/ML SOLN,250,1 ,"$5,236.15 ","$3,770.03 ","$1,466.12 ","$5,236.15 ", N/A ,"$3,900.93 ","$3,429.68 ", N/A ,"$1,466.12 ","$3,220.23 ", N/A ,"$3,220.23 ", N/A ,"$2,900.83 ","$2,900.83 ", N/A ,"$2,900.83 ", N/A ,"$4,712.54 ","$4,346.00 ", N/A , N/A ,"$4,607.81 ", N/A ,"$3,927.11 ","$3,927.11 ","$4,450.73 ","$4,450.73 ", N/A ,"$4,450.73 ", N/A ,"$4,241.28 ","$4,241.28 ","$4,241.28 ","$5,236.15 ","$4,712.54 ", N/A ,"$4,712.54 ", N/A ,"$5,236.15 ","$2,937.48 ", N/A ,"$2,167.77 ", N/A , N/A , N/A ,"$4,712.54 ", N/A ,"$2,900.83 ","$1,466.12 ","$4,712.54 ", N/A ,"$4,712.54 ","$4,712.54 ", N/A ,"$3,403.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CHARCOAL ACTIVATED LIQD 240 ML BOTTLE,250,1 ,$81.15 ,$58.43 ,$22.72 ,$81.15 , N/A ,$60.46 ,$53.15 , N/A ,$22.72 ,$49.91 , N/A ,$49.91 , N/A ,$44.96 ,$44.96 , N/A ,$44.96 , N/A ,$73.04 ,$67.35 , N/A , N/A ,$71.41 , N/A ,$60.86 ,$60.86 ,$68.98 ,$68.98 , N/A ,$68.98 , N/A ,$65.73 ,$65.73 ,$65.73 ,$81.15 ,$73.04 , N/A ,$73.04 , N/A ,$81.15 ,$45.53 , N/A ,$33.60 , N/A , N/A , N/A ,$73.04 , N/A ,$44.96 ,$22.72 ,$73.04 , N/A ,$73.04 ,$73.04 , N/A ,$52.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CIPROFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$94.65 ,$68.15 ,$26.50 ,$94.65 , N/A ,$70.51 ,$62.00 , N/A ,$26.50 ,$58.21 , N/A ,$58.21 , N/A ,$52.44 ,$52.44 , N/A ,$52.44 , N/A ,$85.19 ,$78.56 , N/A , N/A ,$83.29 , N/A ,$70.99 ,$70.99 ,$80.45 ,$80.45 , N/A ,$80.45 , N/A ,$76.67 ,$76.67 ,$76.67 ,$94.65 ,$85.19 , N/A ,$85.19 , N/A ,$94.65 ,$53.10 , N/A ,$39.19 , N/A , N/A , N/A ,$85.19 , N/A ,$52.44 ,$26.50 ,$85.19 , N/A ,$85.19 ,$85.19 , N/A ,$61.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % SUSP 7.5 ML BOTTLE,250,1 ,$597.85 ,$430.45 ,$167.40 ,$597.85 , N/A ,$445.40 ,$391.59 , N/A ,$167.40 ,$367.68 , N/A ,$367.68 , N/A ,$331.21 ,$331.21 , N/A ,$331.21 , N/A ,$538.07 ,$496.22 , N/A , N/A ,$526.11 , N/A ,$448.39 ,$448.39 ,$508.17 ,$508.17 , N/A ,$508.17 , N/A ,$484.26 ,$484.26 ,$484.26 ,$597.85 ,$538.07 , N/A ,$538.07 , N/A ,$597.85 ,$335.39 , N/A ,$247.51 , N/A , N/A , N/A ,$538.07 , N/A ,$331.21 ,$167.40 ,$538.07 , N/A ,$538.07 ,$538.07 , N/A ,$388.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CISATRACURIUM 10 MG/5ML SOLN,250,1 ,$205.80 ,$148.18 ,$57.62 ,$205.80 , N/A ,$153.32 ,$134.80 , N/A ,$57.62 ,$126.57 , N/A ,$126.57 , N/A ,$114.01 ,$114.01 , N/A ,$114.01 , N/A ,$185.22 ,$170.81 , N/A , N/A ,$181.10 , N/A ,$154.35 ,$154.35 ,$174.93 ,$174.93 , N/A ,$174.93 , N/A ,$166.70 ,$166.70 ,$166.70 ,$205.80 ,$185.22 , N/A ,$185.22 , N/A ,$205.80 ,$115.45 , N/A ,$85.20 , N/A , N/A , N/A ,$185.22 , N/A ,$114.01 ,$57.62 ,$185.22 , N/A ,$185.22 ,$185.22 , N/A ,$133.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL,250,1 ,$39.35 ,$28.33 ,$11.02 ,$39.35 , N/A ,$29.32 ,$25.77 , N/A ,$11.02 ,$24.20 , N/A ,$24.20 , N/A ,$21.80 ,$21.80 , N/A ,$21.80 , N/A ,$35.42 ,$32.66 , N/A , N/A ,$34.63 , N/A ,$29.51 ,$29.51 ,$33.45 ,$33.45 , N/A ,$33.45 , N/A ,$31.87 ,$31.87 ,$31.87 ,$39.35 ,$35.42 , N/A ,$35.42 , N/A ,$39.35 ,$22.08 , N/A ,$16.29 , N/A , N/A , N/A ,$35.42 , N/A ,$21.80 ,$11.02 ,$35.42 , N/A ,$35.42 ,$35.42 , N/A ,$25.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 600 MG/50ML SOLN,250,1 ,$181.95 ,$131.00 ,$50.95 ,$181.95 , N/A ,$135.55 ,$119.18 , N/A ,$50.95 ,$111.90 , N/A ,$111.90 , N/A ,$100.80 ,$100.80 , N/A ,$100.80 , N/A ,$163.76 ,$151.02 , N/A , N/A ,$160.12 , N/A ,$136.46 ,$136.46 ,$154.66 ,$154.66 , N/A ,$154.66 , N/A ,$147.38 ,$147.38 ,$147.38 ,$181.95 ,$163.76 , N/A ,$163.76 , N/A ,$181.95 ,$102.07 , N/A ,$75.33 , N/A , N/A , N/A ,$163.76 , N/A ,$100.80 ,$50.95 ,$163.76 , N/A ,$163.76 ,$163.76 , N/A ,$118.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 900 MG/50ML SOLN,250,1 ,$221.75 ,$159.66 ,$62.09 ,$221.75 , N/A ,$165.20 ,$145.25 , N/A ,$62.09 ,$136.38 , N/A ,$136.38 , N/A ,$122.85 ,$122.85 , N/A ,$122.85 , N/A ,$199.58 ,$184.05 , N/A , N/A ,$195.14 , N/A ,$166.31 ,$166.31 ,$188.49 ,$188.49 , N/A ,$188.49 , N/A ,$179.62 ,$179.62 ,$179.62 ,$221.75 ,$199.58 , N/A ,$199.58 , N/A ,$221.75 ,$124.40 , N/A ,$91.80 , N/A , N/A , N/A ,$199.58 , N/A ,$122.85 ,$62.09 ,$199.58 , N/A ,$199.58 ,$199.58 , N/A ,$144.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 900 MG/6ML SOLN 6 ML VIAL,250,1 ,$20.90 ,$15.05 ,$5.85 ,$20.90 , N/A ,$15.57 ,$13.69 , N/A ,$5.85 ,$12.85 , N/A ,$12.85 , N/A ,$11.58 ,$11.58 , N/A ,$11.58 , N/A ,$18.81 ,$17.35 , N/A , N/A ,$18.39 , N/A ,$15.68 ,$15.68 ,$17.77 ,$17.77 , N/A ,$17.77 , N/A ,$16.93 ,$16.93 ,$16.93 ,$20.90 ,$18.81 , N/A ,$18.81 , N/A ,$20.90 ,$11.72 , N/A ,$8.65 , N/A , N/A , N/A ,$18.81 , N/A ,$11.58 ,$5.85 ,$18.81 , N/A ,$18.81 ,$18.81 , N/A ,$13.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,250,1 ,$658.20 ,$473.90 ,$184.30 ,$658.20 , N/A ,$490.36 ,$431.12 , N/A ,$184.30 ,$404.79 , N/A ,$404.79 , N/A ,$364.64 ,$364.64 , N/A ,$364.64 , N/A ,$592.38 ,$546.31 , N/A , N/A ,$579.22 , N/A ,$493.65 ,$493.65 ,$559.47 ,$559.47 , N/A ,$559.47 , N/A ,$533.14 ,$533.14 ,$533.14 ,$658.20 ,$592.38 , N/A ,$592.38 , N/A ,$658.20 ,$369.25 , N/A ,$272.49 , N/A , N/A , N/A ,$592.38 , N/A ,$364.64 ,$184.30 ,$592.38 , N/A ,$592.38 ,$592.38 , N/A ,$427.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,250,1 ,$33.60 ,$24.19 ,$9.41 ,$33.60 , N/A ,$25.03 ,$22.01 , N/A ,$9.41 ,$20.66 , N/A ,$20.66 , N/A ,$18.61 ,$18.61 , N/A ,$18.61 , N/A ,$30.24 ,$27.89 , N/A , N/A ,$29.57 , N/A ,$25.20 ,$25.20 ,$28.56 ,$28.56 , N/A ,$28.56 , N/A ,$27.22 ,$27.22 ,$27.22 ,$33.60 ,$30.24 , N/A ,$30.24 , N/A ,$33.60 ,$18.85 , N/A ,$13.91 , N/A , N/A , N/A ,$30.24 , N/A ,$18.61 ,$9.41 ,$30.24 , N/A ,$30.24 ,$30.24 , N/A ,$21.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DEXMEDETOMIDINE 200 MCG/2ML SOLN,250,1 ,$105.85 ,$76.21 ,$29.64 ,$105.85 , N/A ,$78.86 ,$69.33 , N/A ,$29.64 ,$65.10 , N/A ,$65.10 , N/A ,$58.64 ,$58.64 , N/A ,$58.64 , N/A ,$95.27 ,$87.86 , N/A , N/A ,$93.15 , N/A ,$79.39 ,$79.39 ,$89.97 ,$89.97 , N/A ,$89.97 , N/A ,$85.74 ,$85.74 ,$85.74 ,$105.85 ,$95.27 , N/A ,$95.27 , N/A ,$105.85 ,$59.38 , N/A ,$43.82 , N/A , N/A , N/A ,$95.27 , N/A ,$58.64 ,$29.64 ,$95.27 , N/A ,$95.27 ,$95.27 , N/A ,$68.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DEXMEDETOMIDINE 400 MCG/100ML SOLN,250,1 ,$882.00 ,$635.04 ,$246.96 ,$882.00 , N/A ,$657.09 ,$577.71 , N/A ,$246.96 ,$542.43 , N/A ,$542.43 , N/A ,$488.63 ,$488.63 , N/A ,$488.63 , N/A ,$793.80 ,$732.06 , N/A , N/A ,$776.16 , N/A ,$661.50 ,$661.50 ,$749.70 ,$749.70 , N/A ,$749.70 , N/A ,$714.42 ,$714.42 ,$714.42 ,$882.00 ,$793.80 , N/A ,$793.80 , N/A ,$882.00 ,$494.80 , N/A ,$365.15 , N/A , N/A , N/A ,$793.80 , N/A ,$488.63 ,$246.96 ,$793.80 , N/A ,$793.80 ,$793.80 , N/A ,$573.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DILTIAZEM 100 MG SOLR,250,1 ,$197.35 ,$142.09 ,$55.26 ,$197.35 , N/A ,$147.03 ,$129.26 , N/A ,$55.26 ,$121.37 , N/A ,$121.37 , N/A ,$109.33 ,$109.33 , N/A ,$109.33 , N/A ,$177.62 ,$163.80 , N/A , N/A ,$173.67 , N/A ,$148.01 ,$148.01 ,$167.75 ,$167.75 , N/A ,$167.75 , N/A ,$159.85 ,$159.85 ,$159.85 ,$197.35 ,$177.62 , N/A ,$177.62 , N/A ,$197.35 ,$110.71 , N/A ,$81.70 , N/A , N/A , N/A ,$177.62 , N/A ,$109.33 ,$55.26 ,$177.62 , N/A ,$177.62 ,$177.62 , N/A ,$128.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DILTIAZEM 50 MG/10ML SOLN,250,1 ,$57.35 ,$41.29 ,$16.06 ,$57.35 , N/A ,$42.73 ,$37.56 , N/A ,$16.06 ,$35.27 , N/A ,$35.27 , N/A ,$31.77 ,$31.77 , N/A ,$31.77 , N/A ,$51.62 ,$47.60 , N/A , N/A ,$50.47 , N/A ,$43.01 ,$43.01 ,$48.75 ,$48.75 , N/A ,$48.75 , N/A ,$46.45 ,$46.45 ,$46.45 ,$57.35 ,$51.62 , N/A ,$51.62 , N/A ,$57.35 ,$32.17 , N/A ,$23.74 , N/A , N/A , N/A ,$51.62 , N/A ,$31.77 ,$16.06 ,$51.62 , N/A ,$51.62 ,$51.62 , N/A ,$37.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DINOPROSTONE 10 MG INST,250,1 ,"$1,151.65 ",$829.19 ,$322.46 ,"$1,151.65 ", N/A ,$857.98 ,$754.33 , N/A ,$322.46 ,$708.26 , N/A ,$708.26 , N/A ,$638.01 ,$638.01 , N/A ,$638.01 , N/A ,"$1,036.49 ",$955.87 , N/A , N/A ,"$1,013.45 ", N/A ,$863.74 ,$863.74 ,$978.90 ,$978.90 , N/A ,$978.90 , N/A ,$932.84 ,$932.84 ,$932.84 ,"$1,151.65 ","$1,036.49 ", N/A ,"$1,036.49 ", N/A ,"$1,151.65 ",$646.08 , N/A ,$476.78 , N/A , N/A , N/A ,"$1,036.49 ", N/A ,$638.01 ,$322.46 ,"$1,036.49 ", N/A ,"$1,036.49 ","$1,036.49 ", N/A ,$748.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,"DIPHENHYDRAMINE 12.5 MG/5ML 20 ML, LIDOCAINE VISCOUS 2 % 20 ML, MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML 20 ML, NYSTATIN 100000 UNIT/ML 20 ML SUSPENSION",250,1 ,$7.20 ,$5.18 ,$2.02 ,$7.20 , N/A ,$5.36 ,$4.72 , N/A ,$2.02 ,$4.43 , N/A ,$4.43 , N/A ,$3.99 ,$3.99 , N/A ,$3.99 , N/A ,$6.48 ,$5.98 , N/A , N/A ,$6.34 , N/A ,$5.40 ,$5.40 ,$6.12 ,$6.12 , N/A ,$6.12 , N/A ,$5.83 ,$5.83 ,$5.83 ,$7.20 ,$6.48 , N/A ,$6.48 , N/A ,$7.20 ,$4.04 , N/A ,$2.98 , N/A , N/A , N/A ,$6.48 , N/A ,$3.99 ,$2.02 ,$6.48 , N/A ,$6.48 ,$6.48 , N/A ,$4.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DOXYCYCLINE HYCLATE 100 MG SOLR 1 EACH VIAL,250,1 ,$387.10 ,$278.71 ,$108.39 ,$387.10 , N/A ,$288.39 ,$253.55 , N/A ,$108.39 ,$238.07 , N/A ,$238.07 , N/A ,$214.45 ,$214.45 , N/A ,$214.45 , N/A ,$348.39 ,$321.29 , N/A , N/A ,$340.65 , N/A ,$290.33 ,$290.33 ,$329.04 ,$329.04 , N/A ,$329.04 , N/A ,$313.55 ,$313.55 ,$313.55 ,$387.10 ,$348.39 , N/A ,$348.39 , N/A ,$387.10 ,$217.16 , N/A ,$160.26 , N/A , N/A , N/A ,$348.39 , N/A ,$214.45 ,$108.39 ,$348.39 , N/A ,$348.39 ,$348.39 , N/A ,$251.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ENALAPRILAT 1.25 MG/ML INJ,250,1 ,$139.45 ,$100.40 ,$39.05 ,$139.45 , N/A ,$103.89 ,$91.34 , N/A ,$39.05 ,$85.76 , N/A ,$85.76 , N/A ,$77.26 ,$77.26 , N/A ,$77.26 , N/A ,$125.51 ,$115.74 , N/A , N/A ,$122.72 , N/A ,$104.59 ,$104.59 ,$118.53 ,$118.53 , N/A ,$118.53 , N/A ,$112.95 ,$112.95 ,$112.95 ,$139.45 ,$125.51 , N/A ,$125.51 , N/A ,$139.45 ,$78.23 , N/A ,$57.73 , N/A , N/A , N/A ,$125.51 , N/A ,$77.26 ,$39.05 ,$125.51 , N/A ,$125.51 ,$125.51 , N/A ,$90.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,EPHEDRINE 5 MG/ML SOLN,250,1 ,$426.30 ,$306.94 ,$119.36 ,$426.30 , N/A ,$317.59 ,$279.23 , N/A ,$119.36 ,$262.17 , N/A ,$262.17 , N/A ,$236.17 ,$236.17 , N/A ,$236.17 , N/A ,$383.67 ,$353.83 , N/A , N/A ,$375.14 , N/A ,$319.73 ,$319.73 ,$362.36 ,$362.36 , N/A ,$362.36 , N/A ,$345.30 ,$345.30 ,$345.30 ,$426.30 ,$383.67 , N/A ,$383.67 , N/A ,$426.30 ,$239.15 , N/A ,$176.49 , N/A , N/A , N/A ,$383.67 , N/A ,$236.17 ,$119.36 ,$383.67 , N/A ,$383.67 ,$383.67 , N/A ,$277.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ESMOLOL 100 MG/10ML SOLN,250,1 ,$32.35 ,$23.29 ,$9.06 ,$32.35 , N/A ,$24.10 ,$21.19 , N/A ,$9.06 ,$19.90 , N/A ,$19.90 , N/A ,$17.92 ,$17.92 , N/A ,$17.92 , N/A ,$29.12 ,$26.85 , N/A , N/A ,$28.47 , N/A ,$24.26 ,$24.26 ,$27.50 ,$27.50 , N/A ,$27.50 , N/A ,$26.20 ,$26.20 ,$26.20 ,$32.35 ,$29.12 , N/A ,$29.12 , N/A ,$32.35 ,$18.15 , N/A ,$13.39 , N/A , N/A , N/A ,$29.12 , N/A ,$17.92 ,$9.06 ,$29.12 , N/A ,$29.12 ,$29.12 , N/A ,$21.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ESMOLOL 2500 MG/250ML SOLN,250,1 ,"$6,180.15 ","$4,449.71 ","$1,730.44 ","$6,180.15 ", N/A ,"$4,604.21 ","$4,048.00 ", N/A ,"$1,730.44 ","$3,800.79 ", N/A ,"$3,800.79 ", N/A ,"$3,423.80 ","$3,423.80 ", N/A ,"$3,423.80 ", N/A ,"$5,562.14 ","$5,129.52 ", N/A , N/A ,"$5,438.53 ", N/A ,"$4,635.11 ","$4,635.11 ","$5,253.13 ","$5,253.13 ", N/A ,"$5,253.13 ", N/A ,"$5,005.92 ","$5,005.92 ","$5,005.92 ","$6,180.15 ","$5,562.14 ", N/A ,"$5,562.14 ", N/A ,"$6,180.15 ","$3,467.06 ", N/A ,"$2,558.58 ", N/A , N/A , N/A ,"$5,562.14 ", N/A ,"$3,423.80 ","$1,730.44 ","$5,562.14 ", N/A ,"$5,562.14 ","$5,562.14 ", N/A ,"$4,017.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ETOMIDATE 2 MG/ML SOLN,250,1 ,$117.60 ,$84.67 ,$32.93 ,$117.60 , N/A ,$87.61 ,$77.03 , N/A ,$32.93 ,$72.32 , N/A ,$72.32 , N/A ,$65.15 ,$65.15 , N/A ,$65.15 , N/A ,$105.84 ,$97.61 , N/A , N/A ,$103.49 , N/A ,$88.20 ,$88.20 ,$99.96 ,$99.96 , N/A ,$99.96 , N/A ,$95.26 ,$95.26 ,$95.26 ,$117.60 ,$105.84 , N/A ,$105.84 , N/A ,$117.60 ,$65.97 , N/A ,$48.69 , N/A , N/A , N/A ,$105.84 , N/A ,$65.15 ,$32.93 ,$105.84 , N/A ,$105.84 ,$105.84 , N/A ,$76.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FAMOTIDINE 200 MG/20ML SOLN,250,1 ,$9.00 ,$6.48 ,$2.52 ,$9.00 , N/A ,$6.71 ,$5.90 , N/A ,$2.52 ,$5.54 , N/A ,$5.54 , N/A ,$4.99 ,$4.99 , N/A ,$4.99 , N/A ,$8.10 ,$7.47 , N/A , N/A ,$7.92 , N/A ,$6.75 ,$6.75 ,$7.65 ,$7.65 , N/A ,$7.65 , N/A ,$7.29 ,$7.29 ,$7.29 ,$9.00 ,$8.10 , N/A ,$8.10 , N/A ,$9.00 ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$8.10 , N/A ,$4.99 ,$2.52 ,$8.10 , N/A ,$8.10 ,$8.10 , N/A ,$5.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FAT EMULSION 20 % EMUL,250,1 ,$122.50 ,$88.20 ,$34.30 ,$122.50 , N/A ,$91.26 ,$80.24 , N/A ,$34.30 ,$75.34 , N/A ,$75.34 , N/A ,$67.87 ,$67.87 , N/A ,$67.87 , N/A ,$110.25 ,$101.68 , N/A , N/A ,$107.80 , N/A ,$91.88 ,$91.88 ,$104.13 ,$104.13 , N/A ,$104.13 , N/A ,$99.23 ,$99.23 ,$99.23 ,$122.50 ,$110.25 , N/A ,$110.25 , N/A ,$122.50 ,$68.72 , N/A ,$50.72 , N/A , N/A , N/A ,$110.25 , N/A ,$67.87 ,$34.30 ,$110.25 , N/A ,$110.25 ,$110.25 , N/A ,$79.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FERRIC SUBSULFATE 259 MG/GM SOLN 8 G BOTTLE,250,1 ,$37.45 ,$26.96 ,$10.49 ,$37.45 , N/A ,$27.90 ,$24.53 , N/A ,$10.49 ,$23.03 , N/A ,$23.03 , N/A ,$20.75 ,$20.75 , N/A ,$20.75 , N/A ,$33.71 ,$31.08 , N/A , N/A ,$32.96 , N/A ,$28.09 ,$28.09 ,$31.83 ,$31.83 , N/A ,$31.83 , N/A ,$30.33 ,$30.33 ,$30.33 ,$37.45 ,$33.71 , N/A ,$33.71 , N/A ,$37.45 ,$21.01 , N/A ,$15.50 , N/A , N/A , N/A ,$33.71 , N/A ,$20.75 ,$10.49 ,$33.71 , N/A ,$33.71 ,$33.71 , N/A ,$24.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FLUMAZENIL 0.5 MG/5ML SOLN,250,1 ,$62.55 ,$45.04 ,$17.51 ,$62.55 , N/A ,$46.60 ,$40.97 , N/A ,$17.51 ,$38.47 , N/A ,$38.47 , N/A ,$34.65 ,$34.65 , N/A ,$34.65 , N/A ,$56.30 ,$51.92 , N/A , N/A ,$55.04 , N/A ,$46.91 ,$46.91 ,$53.17 ,$53.17 , N/A ,$53.17 , N/A ,$50.67 ,$50.67 ,$50.67 ,$62.55 ,$56.30 , N/A ,$56.30 , N/A ,$62.55 ,$35.09 , N/A ,$25.90 , N/A , N/A , N/A ,$56.30 , N/A ,$34.65 ,$17.51 ,$56.30 , N/A ,$56.30 ,$56.30 , N/A ,$40.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FLUORESCEIN 10 % SOLN,250,1 ,$141.15 ,$101.63 ,$39.52 ,$141.15 , N/A ,$105.16 ,$92.45 , N/A ,$39.52 ,$86.81 , N/A ,$86.81 , N/A ,$78.20 ,$78.20 , N/A ,$78.20 , N/A ,$127.04 ,$117.15 , N/A , N/A ,$124.21 , N/A ,$105.86 ,$105.86 ,$119.98 ,$119.98 , N/A ,$119.98 , N/A ,$114.33 ,$114.33 ,$114.33 ,$141.15 ,$127.04 , N/A ,$127.04 , N/A ,$141.15 ,$79.19 , N/A ,$58.44 , N/A , N/A , N/A ,$127.04 , N/A ,$78.20 ,$39.52 ,$127.04 , N/A ,$127.04 ,$127.04 , N/A ,$91.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FORMOTEROL 20 MCG/2ML NEBU,250,1 ,$44.65 ,$32.15 ,$12.50 ,$44.65 , N/A ,$33.26 ,$29.25 , N/A ,$12.50 ,$27.46 , N/A ,$27.46 , N/A ,$24.74 ,$24.74 , N/A ,$24.74 , N/A ,$40.19 ,$37.06 , N/A , N/A ,$39.29 , N/A ,$33.49 ,$33.49 ,$37.95 ,$37.95 , N/A ,$37.95 , N/A ,$36.17 ,$36.17 ,$36.17 ,$44.65 ,$40.19 , N/A ,$40.19 , N/A ,$44.65 ,$25.05 , N/A ,$18.49 , N/A , N/A , N/A ,$40.19 , N/A ,$24.74 ,$12.50 ,$40.19 , N/A ,$40.19 ,$40.19 , N/A ,$29.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,GLYCOPYRROLATE 0.4 MG/2ML SOLN,250,1 ,$352.20 ,$253.58 ,$98.62 ,$352.20 , N/A ,$262.39 ,$230.69 , N/A ,$98.62 ,$216.60 , N/A ,$216.60 , N/A ,$195.12 ,$195.12 , N/A ,$195.12 , N/A ,$316.98 ,$292.33 , N/A , N/A ,$309.94 , N/A ,$264.15 ,$264.15 ,$299.37 ,$299.37 , N/A ,$299.37 , N/A ,$285.28 ,$285.28 ,$285.28 ,$352.20 ,$316.98 , N/A ,$316.98 , N/A ,$352.20 ,$197.58 , N/A ,$145.81 , N/A , N/A , N/A ,$316.98 , N/A ,$195.12 ,$98.62 ,$316.98 , N/A ,$316.98 ,$316.98 , N/A ,$228.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,HETASTARCH 6% IN 0.9% NACL INFUSION 500 ML 6-0.9 % SOLN,250,1 ,$251.15 ,$180.83 ,$70.32 ,$251.15 , N/A ,$187.11 ,$164.50 , N/A ,$70.32 ,$154.46 , N/A ,$154.46 , N/A ,$139.14 ,$139.14 , N/A ,$139.14 , N/A ,$226.04 ,$208.45 , N/A , N/A ,$221.01 , N/A ,$188.36 ,$188.36 ,$213.48 ,$213.48 , N/A ,$213.48 , N/A ,$203.43 ,$203.43 ,$203.43 ,$251.15 ,$226.04 , N/A ,$226.04 , N/A ,$251.15 ,$140.90 , N/A ,$103.98 , N/A , N/A , N/A ,$226.04 , N/A ,$139.14 ,$70.32 ,$226.04 , N/A ,$226.04 ,$226.04 , N/A ,$163.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,HYPROMELLOSE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$63.95 ,$46.04 ,$17.91 ,$63.95 , N/A ,$47.64 ,$41.89 , N/A ,$17.91 ,$39.33 , N/A ,$39.33 , N/A ,$35.43 ,$35.43 , N/A ,$35.43 , N/A ,$57.56 ,$53.08 , N/A , N/A ,$56.28 , N/A ,$47.96 ,$47.96 ,$54.36 ,$54.36 , N/A ,$54.36 , N/A ,$51.80 ,$51.80 ,$51.80 ,$63.95 ,$57.56 , N/A ,$57.56 , N/A ,$63.95 ,$35.88 , N/A ,$26.48 , N/A , N/A , N/A ,$57.56 , N/A ,$35.43 ,$17.91 ,$57.56 , N/A ,$57.56 ,$57.56 , N/A ,$41.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,INDIGOTINDISULFONATE 8 MG/ML SOLN,250,1 ,"$2,769.73 ","$1,994.21 ",$775.52 ,"$2,769.73 ", N/A ,"$2,063.45 ","$1,814.17 ", N/A ,$775.52 ,"$1,703.38 ", N/A ,"$1,703.38 ", N/A ,"$1,534.43 ","$1,534.43 ", N/A ,"$1,534.43 ", N/A ,"$2,492.76 ","$2,298.88 ", N/A , N/A ,"$2,437.36 ", N/A ,"$2,077.30 ","$2,077.30 ","$2,354.27 ","$2,354.27 ", N/A ,"$2,354.27 ", N/A ,"$2,243.48 ","$2,243.48 ","$2,243.48 ","$2,769.73 ","$2,492.76 ", N/A ,"$2,492.76 ", N/A ,"$2,769.73 ","$1,553.82 ", N/A ,"$1,146.67 ", N/A , N/A , N/A ,"$2,492.76 ", N/A ,"$1,534.43 ",$775.52 ,"$2,492.76 ", N/A ,"$2,492.76 ","$2,492.76 ", N/A ,"$1,800.32 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,INDOCYANINE GREEN 25 MG SOLR,250,1 ,$145.50 ,$104.76 ,$40.74 ,$145.50 , N/A ,$108.40 ,$95.30 , N/A ,$40.74 ,$89.48 , N/A ,$89.48 , N/A ,$80.61 ,$80.61 , N/A ,$80.61 , N/A ,$130.95 ,$120.77 , N/A , N/A ,$128.04 , N/A ,$109.13 ,$109.13 ,$123.68 ,$123.68 , N/A ,$123.68 , N/A ,$117.86 ,$117.86 ,$117.86 ,$145.50 ,$130.95 , N/A ,$130.95 , N/A ,$145.50 ,$81.63 , N/A ,$60.24 , N/A , N/A , N/A ,$130.95 , N/A ,$80.61 ,$40.74 ,$130.95 , N/A ,$130.95 ,$130.95 , N/A ,$94.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,IPRATROPIUM 0.03 % SOLN 30 ML BOTTLE,250,1 ,$223.35 ,$160.81 ,$62.54 ,$223.35 , N/A ,$166.40 ,$146.29 , N/A ,$62.54 ,$137.36 , N/A ,$137.36 , N/A ,$123.74 ,$123.74 , N/A ,$123.74 , N/A ,$201.02 ,$185.38 , N/A , N/A ,$196.55 , N/A ,$167.51 ,$167.51 ,$189.85 ,$189.85 , N/A ,$189.85 , N/A ,$180.91 ,$180.91 ,$180.91 ,$223.35 ,$201.02 , N/A ,$201.02 , N/A ,$223.35 ,$125.30 , N/A ,$92.47 , N/A , N/A , N/A ,$201.02 , N/A ,$123.74 ,$62.54 ,$201.02 , N/A ,$201.02 ,$201.02 , N/A ,$145.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,KETAMINE 50 MG/ML SOLN,250,1 ,$37.65 ,$27.11 ,$10.54 ,$37.65 , N/A ,$28.05 ,$24.66 , N/A ,$10.54 ,$23.15 , N/A ,$23.15 , N/A ,$20.86 ,$20.86 , N/A ,$20.86 , N/A ,$33.89 ,$31.25 , N/A , N/A ,$33.13 , N/A ,$28.24 ,$28.24 ,$32.00 ,$32.00 , N/A ,$32.00 , N/A ,$30.50 ,$30.50 ,$30.50 ,$37.65 ,$33.89 , N/A ,$33.89 , N/A ,$37.65 ,$21.12 , N/A ,$15.59 , N/A , N/A , N/A ,$33.89 , N/A ,$20.86 ,$10.54 ,$33.89 , N/A ,$33.89 ,$33.89 , N/A ,$24.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LABETALOL 5 MG/ML SOLN,250,1 ,$33.75 ,$24.30 ,$9.45 ,$33.75 , N/A ,$25.14 ,$22.11 , N/A ,$9.45 ,$20.76 , N/A ,$20.76 , N/A ,$18.70 ,$18.70 , N/A ,$18.70 , N/A ,$30.38 ,$28.01 , N/A , N/A ,$29.70 , N/A ,$25.31 ,$25.31 ,$28.69 ,$28.69 , N/A ,$28.69 , N/A ,$27.34 ,$27.34 ,$27.34 ,$33.75 ,$30.38 , N/A ,$30.38 , N/A ,$33.75 ,$18.93 , N/A ,$13.97 , N/A , N/A , N/A ,$30.38 , N/A ,$18.70 ,$9.45 ,$30.38 , N/A ,$30.38 ,$30.38 , N/A ,$21.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LEVALBUTEROL 0.63 MG/3ML NEBU,250,1 ,$12.90 ,$9.29 ,$3.61 ,$12.90 , N/A ,$9.61 ,$8.45 , N/A ,$3.61 ,$7.93 , N/A ,$7.93 , N/A ,$7.15 ,$7.15 , N/A ,$7.15 , N/A ,$11.61 ,$10.71 , N/A , N/A ,$11.35 , N/A ,$9.68 ,$9.68 ,$10.97 ,$10.97 , N/A ,$10.97 , N/A ,$10.45 ,$10.45 ,$10.45 ,$12.90 ,$11.61 , N/A ,$11.61 , N/A ,$12.90 ,$7.24 , N/A ,$5.34 , N/A , N/A , N/A ,$11.61 , N/A ,$7.15 ,$3.61 ,$11.61 , N/A ,$11.61 ,$11.61 , N/A ,$8.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LEVOTHYROXINE 100 MCG SOLR,250,1 ,"$1,552.08 ","$1,117.50 ",$434.58 ,"$1,552.08 ", N/A ,"$1,156.30 ","$1,016.61 ", N/A ,$434.58 ,$954.53 , N/A ,$954.53 , N/A ,$859.85 ,$859.85 , N/A ,$859.85 , N/A ,"$1,396.87 ","$1,288.23 ", N/A , N/A ,"$1,365.83 ", N/A ,"$1,164.06 ","$1,164.06 ","$1,319.27 ","$1,319.27 ", N/A ,"$1,319.27 ", N/A ,"$1,257.18 ","$1,257.18 ","$1,257.18 ","$1,552.08 ","$1,396.87 ", N/A ,"$1,396.87 ", N/A ,"$1,552.08 ",$870.72 , N/A ,$642.56 , N/A , N/A , N/A ,"$1,396.87 ", N/A ,$859.85 ,$434.58 ,"$1,396.87 ", N/A ,"$1,396.87 ","$1,396.87 ", N/A ,"$1,008.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 1 % SOLN,250,1 ,$139.30 ,$100.30 ,$39.00 ,$139.30 , N/A ,$103.78 ,$91.24 , N/A ,$39.00 ,$85.67 , N/A ,$85.67 , N/A ,$77.17 ,$77.17 , N/A ,$77.17 , N/A ,$125.37 ,$115.62 , N/A , N/A ,$122.58 , N/A ,$104.48 ,$104.48 ,$118.41 ,$118.41 , N/A ,$118.41 , N/A ,$112.83 ,$112.83 ,$112.83 ,$139.30 ,$125.37 , N/A ,$125.37 , N/A ,$139.30 ,$78.15 , N/A ,$57.67 , N/A , N/A , N/A ,$125.37 , N/A ,$77.17 ,$39.00 ,$125.37 , N/A ,$125.37 ,$125.37 , N/A ,$90.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 1 % SOLN 2 ML VIAL,250,1 ,$32.85 ,$23.65 ,$9.20 ,$32.85 , N/A ,$24.47 ,$21.52 , N/A ,$9.20 ,$20.20 , N/A ,$20.20 , N/A ,$18.20 ,$18.20 , N/A ,$18.20 , N/A ,$29.57 ,$27.27 , N/A , N/A ,$28.91 , N/A ,$24.64 ,$24.64 ,$27.92 ,$27.92 , N/A ,$27.92 , N/A ,$26.61 ,$26.61 ,$26.61 ,$32.85 ,$29.57 , N/A ,$29.57 , N/A ,$32.85 ,$18.43 , N/A ,$13.60 , N/A , N/A , N/A ,$29.57 , N/A ,$18.20 ,$9.20 ,$29.57 , N/A ,$29.57 ,$29.57 , N/A ,$21.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 2 % SOLN,250,1 ,$45.85 ,$33.01 ,$12.84 ,$45.85 , N/A ,$34.16 ,$30.03 , N/A ,$12.84 ,$28.20 , N/A ,$28.20 , N/A ,$25.40 ,$25.40 , N/A ,$25.40 , N/A ,$41.27 ,$38.06 , N/A , N/A ,$40.35 , N/A ,$34.39 ,$34.39 ,$38.97 ,$38.97 , N/A ,$38.97 , N/A ,$37.14 ,$37.14 ,$37.14 ,$45.85 ,$41.27 , N/A ,$41.27 , N/A ,$45.85 ,$25.72 , N/A ,$18.98 , N/A , N/A , N/A ,$41.27 , N/A ,$25.40 ,$12.84 ,$41.27 , N/A ,$41.27 ,$41.27 , N/A ,$29.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 0.5 % SOLN,250,1 ,$185.00 ,$133.20 ,$51.80 ,$185.00 , N/A ,$137.83 ,$121.18 , N/A ,$51.80 ,$113.78 , N/A ,$113.78 , N/A ,$102.49 ,$102.49 , N/A ,$102.49 , N/A ,$166.50 ,$153.55 , N/A , N/A ,$162.80 , N/A ,$138.75 ,$138.75 ,$157.25 ,$157.25 , N/A ,$157.25 , N/A ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 , N/A ,$166.50 , N/A ,$185.00 ,$103.79 , N/A ,$76.59 , N/A , N/A , N/A ,$166.50 , N/A ,$102.49 ,$51.80 ,$166.50 , N/A ,$166.50 ,$166.50 , N/A ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 1 % SOLN,250,1 ,$54.55 ,$39.28 ,$15.27 ,$54.55 , N/A ,$40.64 ,$35.73 , N/A ,$15.27 ,$33.55 , N/A ,$33.55 , N/A ,$30.22 ,$30.22 , N/A ,$30.22 , N/A ,$49.10 ,$45.28 , N/A , N/A ,$48.00 , N/A ,$40.91 ,$40.91 ,$46.37 ,$46.37 , N/A ,$46.37 , N/A ,$44.19 ,$44.19 ,$44.19 ,$54.55 ,$49.10 , N/A ,$49.10 , N/A ,$54.55 ,$30.60 , N/A ,$22.58 , N/A , N/A , N/A ,$49.10 , N/A ,$30.22 ,$15.27 ,$49.10 , N/A ,$49.10 ,$49.10 , N/A ,$35.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 1 % SOLN 5 ML VIAL,250,1 ,$54.55 ,$39.28 ,$15.27 ,$54.55 , N/A ,$40.64 ,$35.73 , N/A ,$15.27 ,$33.55 , N/A ,$33.55 , N/A ,$30.22 ,$30.22 , N/A ,$30.22 , N/A ,$49.10 ,$45.28 , N/A , N/A ,$48.00 , N/A ,$40.91 ,$40.91 ,$46.37 ,$46.37 , N/A ,$46.37 , N/A ,$44.19 ,$44.19 ,$44.19 ,$54.55 ,$49.10 , N/A ,$49.10 , N/A ,$54.55 ,$30.60 , N/A ,$22.58 , N/A , N/A , N/A ,$49.10 , N/A ,$30.22 ,$15.27 ,$49.10 , N/A ,$49.10 ,$49.10 , N/A ,$35.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % GEL 5 ML TUBE,250,1 ,$16.80 ,$12.10 ,$4.70 ,$16.80 , N/A ,$12.52 ,$11.00 , N/A ,$4.70 ,$10.33 , N/A ,$10.33 , N/A ,$9.31 ,$9.31 , N/A ,$9.31 , N/A ,$15.12 ,$13.94 , N/A , N/A ,$14.78 , N/A ,$12.60 ,$12.60 ,$14.28 ,$14.28 , N/A ,$14.28 , N/A ,$13.61 ,$13.61 ,$13.61 ,$16.80 ,$15.12 , N/A ,$15.12 , N/A ,$16.80 ,$9.42 , N/A ,$6.96 , N/A , N/A , N/A ,$15.12 , N/A ,$9.31 ,$4.70 ,$15.12 , N/A ,$15.12 ,$15.12 , N/A ,$10.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % PRSY 20 ML SYRINGE,250,1 ,$22.20 ,$15.98 ,$6.22 ,$22.20 , N/A ,$16.54 ,$14.54 , N/A ,$6.22 ,$13.65 , N/A ,$13.65 , N/A ,$12.30 ,$12.30 , N/A ,$12.30 , N/A ,$19.98 ,$18.43 , N/A , N/A ,$19.54 , N/A ,$16.65 ,$16.65 ,$18.87 ,$18.87 , N/A ,$18.87 , N/A ,$17.98 ,$17.98 ,$17.98 ,$22.20 ,$19.98 , N/A ,$19.98 , N/A ,$22.20 ,$12.45 , N/A ,$9.19 , N/A , N/A , N/A ,$19.98 , N/A ,$12.30 ,$6.22 ,$19.98 , N/A ,$19.98 ,$19.98 , N/A ,$14.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % PRSY 5 ML SYRINGE,250,1 ,$14.40 ,$10.37 ,$4.03 ,$14.40 , N/A ,$10.73 ,$9.43 , N/A ,$4.03 ,$8.86 , N/A ,$8.86 , N/A ,$7.98 ,$7.98 , N/A ,$7.98 , N/A ,$12.96 ,$11.95 , N/A , N/A ,$12.67 , N/A ,$10.80 ,$10.80 ,$12.24 ,$12.24 , N/A ,$12.24 , N/A ,$11.66 ,$11.66 ,$11.66 ,$14.40 ,$12.96 , N/A ,$12.96 , N/A ,$14.40 ,$8.08 , N/A ,$5.96 , N/A , N/A , N/A ,$12.96 , N/A ,$7.98 ,$4.03 ,$12.96 , N/A ,$12.96 ,$12.96 , N/A ,$9.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % SOLN,250,1 ,$49.00 ,$35.28 ,$13.72 ,$49.00 , N/A ,$36.51 ,$32.10 , N/A ,$13.72 ,$30.14 , N/A ,$30.14 , N/A ,$27.15 ,$27.15 , N/A ,$27.15 , N/A ,$44.10 ,$40.67 , N/A , N/A ,$43.12 , N/A ,$36.75 ,$36.75 ,$41.65 ,$41.65 , N/A ,$41.65 , N/A ,$39.69 ,$39.69 ,$39.69 ,$49.00 ,$44.10 , N/A ,$44.10 , N/A ,$49.00 ,$27.49 , N/A ,$20.29 , N/A , N/A , N/A ,$44.10 , N/A ,$27.15 ,$13.72 ,$44.10 , N/A ,$44.10 ,$44.10 , N/A ,$31.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 4 % CREA 15 G TUBE,250,1 ,$60.00 ,$43.20 ,$16.80 ,$60.00 , N/A ,$44.70 ,$39.30 , N/A ,$16.80 ,$36.90 , N/A ,$36.90 , N/A ,$33.24 ,$33.24 , N/A ,$33.24 , N/A ,$54.00 ,$49.80 , N/A , N/A ,$52.80 , N/A ,$45.00 ,$45.00 ,$51.00 ,$51.00 , N/A ,$51.00 , N/A ,$48.60 ,$48.60 ,$48.60 ,$60.00 ,$54.00 , N/A ,$54.00 , N/A ,$60.00 ,$33.66 , N/A ,$24.84 , N/A , N/A , N/A ,$54.00 , N/A ,$33.24 ,$16.80 ,$54.00 , N/A ,$54.00 ,$54.00 , N/A ,$39.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 4%-EPINEPHRINE 0.18%-TETRACAINE 0.5% KIT,250,1 ,$8.35 ,$6.01 ,$2.34 ,$8.35 , N/A ,$6.22 ,$5.47 , N/A ,$2.34 ,$5.14 , N/A ,$5.14 , N/A ,$4.63 ,$4.63 , N/A ,$4.63 , N/A ,$7.52 ,$6.93 , N/A , N/A ,$7.35 , N/A ,$6.26 ,$6.26 ,$7.10 ,$7.10 , N/A ,$7.10 , N/A ,$6.76 ,$6.76 ,$6.76 ,$8.35 ,$7.52 , N/A ,$7.52 , N/A ,$8.35 ,$4.68 , N/A ,$3.46 , N/A , N/A , N/A ,$7.52 , N/A ,$4.63 ,$2.34 ,$7.52 , N/A ,$7.52 ,$7.52 , N/A ,$5.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 5 % OINT 35.44 G TUBE,250,1 ,$633.35 ,$456.01 ,$177.34 ,$633.35 , N/A ,$471.85 ,$414.84 , N/A ,$177.34 ,$389.51 , N/A ,$389.51 , N/A ,$350.88 ,$350.88 , N/A ,$350.88 , N/A ,$570.02 ,$525.68 , N/A , N/A ,$557.35 , N/A ,$475.01 ,$475.01 ,$538.35 ,$538.35 , N/A ,$538.35 , N/A ,$513.01 ,$513.01 ,$513.01 ,$633.35 ,$570.02 , N/A ,$570.02 , N/A ,$633.35 ,$355.31 , N/A ,$262.21 , N/A , N/A , N/A ,$570.02 , N/A ,$350.88 ,$177.34 ,$570.02 , N/A ,$570.02 ,$570.02 , N/A ,$411.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE IN DEXTROSE 5-7.5 % SOLN,250,1 ,$136.10 ,$97.99 ,$38.11 ,$136.10 , N/A ,$101.39 ,$89.15 , N/A ,$38.11 ,$83.70 , N/A ,$83.70 , N/A ,$75.40 ,$75.40 , N/A ,$75.40 , N/A ,$122.49 ,$112.96 , N/A , N/A ,$119.77 , N/A ,$102.08 ,$102.08 ,$115.69 ,$115.69 , N/A ,$115.69 , N/A ,$110.24 ,$110.24 ,$110.24 ,$136.10 ,$122.49 , N/A ,$122.49 , N/A ,$136.10 ,$76.35 , N/A ,$56.35 , N/A , N/A , N/A ,$122.49 , N/A ,$75.40 ,$38.11 ,$122.49 , N/A ,$122.49 ,$122.49 , N/A ,$88.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN,250,1 ,$75.75 ,$54.54 ,$21.21 ,$75.75 , N/A ,$56.43 ,$49.62 , N/A ,$21.21 ,$46.59 , N/A ,$46.59 , N/A ,$41.97 ,$41.97 , N/A ,$41.97 , N/A ,$68.18 ,$62.87 , N/A , N/A ,$66.66 , N/A ,$56.81 ,$56.81 ,$64.39 ,$64.39 , N/A ,$64.39 , N/A ,$61.36 ,$61.36 ,$61.36 ,$75.75 ,$68.18 , N/A ,$68.18 , N/A ,$75.75 ,$42.50 , N/A ,$31.36 , N/A , N/A , N/A ,$68.18 , N/A ,$41.97 ,$21.21 ,$68.18 , N/A ,$68.18 ,$68.18 , N/A ,$49.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:200000 SOLN,250,1 ,$151.45 ,$109.04 ,$42.41 ,$151.45 , N/A ,$112.83 ,$99.20 , N/A ,$42.41 ,$93.14 , N/A ,$93.14 , N/A ,$83.90 ,$83.90 , N/A ,$83.90 , N/A ,$136.31 ,$125.70 , N/A , N/A ,$133.28 , N/A ,$113.59 ,$113.59 ,$128.73 ,$128.73 , N/A ,$128.73 , N/A ,$122.67 ,$122.67 ,$122.67 ,$151.45 ,$136.31 , N/A ,$136.31 , N/A ,$151.45 ,$84.96 , N/A ,$62.70 , N/A , N/A , N/A ,$136.31 , N/A ,$83.90 ,$42.41 ,$136.31 , N/A ,$136.31 ,$136.31 , N/A ,$98.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:100000 SOLN,250,1 ,$55.90 ,$40.25 ,$15.65 ,$55.90 , N/A ,$41.65 ,$36.61 , N/A ,$15.65 ,$34.38 , N/A ,$34.38 , N/A ,$30.97 ,$30.97 , N/A ,$30.97 , N/A ,$50.31 ,$46.40 , N/A , N/A ,$49.19 , N/A ,$41.93 ,$41.93 ,$47.52 ,$47.52 , N/A ,$47.52 , N/A ,$45.28 ,$45.28 ,$45.28 ,$55.90 ,$50.31 , N/A ,$50.31 , N/A ,$55.90 ,$31.36 , N/A ,$23.14 , N/A , N/A , N/A ,$50.31 , N/A ,$30.97 ,$15.65 ,$50.31 , N/A ,$50.31 ,$50.31 , N/A ,$36.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:200000 SOLN,250,1 ,$231.05 ,$166.36 ,$64.69 ,$231.05 , N/A ,$172.13 ,$151.34 , N/A ,$64.69 ,$142.10 , N/A ,$142.10 , N/A ,$128.00 ,$128.00 , N/A ,$128.00 , N/A ,$207.95 ,$191.77 , N/A , N/A ,$203.32 , N/A ,$173.29 ,$173.29 ,$196.39 ,$196.39 , N/A ,$196.39 , N/A ,$187.15 ,$187.15 ,$187.15 ,$231.05 ,$207.95 , N/A ,$207.95 , N/A ,$231.05 ,$129.62 , N/A ,$95.65 , N/A , N/A , N/A ,$207.95 , N/A ,$128.00 ,$64.69 ,$207.95 , N/A ,$207.95 ,$207.95 , N/A ,$150.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA 30 G TUBE,250,1 ,$106.30 ,$76.54 ,$29.76 ,$106.30 , N/A ,$79.19 ,$69.63 , N/A ,$29.76 ,$65.37 , N/A ,$65.37 , N/A ,$58.89 ,$58.89 , N/A ,$58.89 , N/A ,$95.67 ,$88.23 , N/A , N/A ,$93.54 , N/A ,$79.73 ,$79.73 ,$90.36 ,$90.36 , N/A ,$90.36 , N/A ,$86.10 ,$86.10 ,$86.10 ,$106.30 ,$95.67 , N/A ,$95.67 , N/A ,$106.30 ,$59.63 , N/A ,$44.01 , N/A , N/A , N/A ,$95.67 , N/A ,$58.89 ,$29.76 ,$95.67 , N/A ,$95.67 ,$95.67 , N/A ,$69.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA 5 G TUBE,250,1 ,$19.85 ,$14.29 ,$5.56 ,$19.85 , N/A ,$14.79 ,$13.00 , N/A ,$5.56 ,$12.21 , N/A ,$12.21 , N/A ,$11.00 ,$11.00 , N/A ,$11.00 , N/A ,$17.87 ,$16.48 , N/A , N/A ,$17.47 , N/A ,$14.89 ,$14.89 ,$16.87 ,$16.87 , N/A ,$16.87 , N/A ,$16.08 ,$16.08 ,$16.08 ,$19.85 ,$17.87 , N/A ,$17.87 , N/A ,$19.85 ,$11.14 , N/A ,$8.22 , N/A , N/A , N/A ,$17.87 , N/A ,$11.00 ,$5.56 ,$17.87 , N/A ,$17.87 ,$17.87 , N/A ,$12.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,MANNITOL 20 % SOLN,250,1 ,$302.00 ,$217.44 ,$84.56 ,$302.00 , N/A ,$224.99 ,$197.81 , N/A ,$84.56 ,$185.73 , N/A ,$185.73 , N/A ,$167.31 ,$167.31 , N/A ,$167.31 , N/A ,$271.80 ,$250.66 , N/A , N/A ,$265.76 , N/A ,$226.50 ,$226.50 ,$256.70 ,$256.70 , N/A ,$256.70 , N/A ,$244.62 ,$244.62 ,$244.62 ,$302.00 ,$271.80 , N/A ,$271.80 , N/A ,$302.00 ,$169.42 , N/A ,$125.03 , N/A , N/A , N/A ,$271.80 , N/A ,$167.31 ,$84.56 ,$271.80 , N/A ,$271.80 ,$271.80 , N/A ,$196.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,METOPROLOL TARTRATE 5 MG/5ML SOLN,250,1 ,$19.15 ,$13.79 ,$5.36 ,$19.15 , N/A ,$14.27 ,$12.54 , N/A ,$5.36 ,$11.78 , N/A ,$11.78 , N/A ,$10.61 ,$10.61 , N/A ,$10.61 , N/A ,$17.24 ,$15.89 , N/A , N/A ,$16.85 , N/A ,$14.36 ,$14.36 ,$16.28 ,$16.28 , N/A ,$16.28 , N/A ,$15.51 ,$15.51 ,$15.51 ,$19.15 ,$17.24 , N/A ,$17.24 , N/A ,$19.15 ,$10.74 , N/A ,$7.93 , N/A , N/A , N/A ,$17.24 , N/A ,$10.61 ,$5.36 ,$17.24 , N/A ,$17.24 ,$17.24 , N/A ,$12.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,METRONIDAZOLE 500 MG/100ML SOLN,250,1 ,$91.00 ,$65.52 ,$25.48 ,$91.00 , N/A ,$67.80 ,$59.61 , N/A ,$25.48 ,$55.97 , N/A ,$55.97 , N/A ,$50.41 ,$50.41 , N/A ,$50.41 , N/A ,$81.90 ,$75.53 , N/A , N/A ,$80.08 , N/A ,$68.25 ,$68.25 ,$77.35 ,$77.35 , N/A ,$77.35 , N/A ,$73.71 ,$73.71 ,$73.71 ,$91.00 ,$81.90 , N/A ,$81.90 , N/A ,$91.00 ,$51.05 , N/A ,$37.67 , N/A , N/A , N/A ,$81.90 , N/A ,$50.41 ,$25.48 ,$81.90 , N/A ,$81.90 ,$81.90 , N/A ,$59.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,250,1 ,$417.90 ,$300.89 ,$117.01 ,$417.90 , N/A ,$311.34 ,$273.72 , N/A ,$117.01 ,$257.01 , N/A ,$257.01 , N/A ,$231.52 ,$231.52 , N/A ,$231.52 , N/A ,$376.11 ,$346.86 , N/A , N/A ,$367.75 , N/A ,$313.43 ,$313.43 ,$355.22 ,$355.22 , N/A ,$355.22 , N/A ,$338.50 ,$338.50 ,$338.50 ,$417.90 ,$376.11 , N/A ,$376.11 , N/A ,$417.90 ,$234.44 , N/A ,$173.01 , N/A , N/A , N/A ,$376.11 , N/A ,$231.52 ,$117.01 ,$376.11 , N/A ,$376.11 ,$376.11 , N/A ,$271.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,MULTIVITAMIN (ADULT MVI) INJ 10 ML VIAL,250,1 ,$171.05 ,$123.16 ,$47.89 ,$171.05 , N/A ,$127.43 ,$112.04 , N/A ,$47.89 ,$105.20 , N/A ,$105.20 , N/A ,$94.76 ,$94.76 , N/A ,$94.76 , N/A ,$153.95 ,$141.97 , N/A , N/A ,$150.52 , N/A ,$128.29 ,$128.29 ,$145.39 ,$145.39 , N/A ,$145.39 , N/A ,$138.55 ,$138.55 ,$138.55 ,$171.05 ,$153.95 , N/A ,$153.95 , N/A ,$171.05 ,$95.96 , N/A ,$70.81 , N/A , N/A , N/A ,$153.95 , N/A ,$94.76 ,$47.89 ,$153.95 , N/A ,$153.95 ,$153.95 , N/A ,$111.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT 14 G TUBE,250,1 ,$8.55 ,$6.16 ,$2.39 ,$8.55 , N/A ,$6.37 ,$5.60 , N/A ,$2.39 ,$5.26 , N/A ,$5.26 , N/A ,$4.74 ,$4.74 , N/A ,$4.74 , N/A ,$7.70 ,$7.10 , N/A , N/A ,$7.52 , N/A ,$6.41 ,$6.41 ,$7.27 ,$7.27 , N/A ,$7.27 , N/A ,$6.93 ,$6.93 ,$6.93 ,$8.55 ,$7.70 , N/A ,$7.70 , N/A ,$8.55 ,$4.80 , N/A ,$3.54 , N/A , N/A , N/A ,$7.70 , N/A ,$4.74 ,$2.39 ,$7.70 , N/A ,$7.70 ,$7.70 , N/A ,$5.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 5-400-10000 OINT 3.5 G TUBE,250,1 ,$113.90 ,$82.01 ,$31.89 ,$113.90 , N/A ,$84.86 ,$74.60 , N/A ,$31.89 ,$70.05 , N/A ,$70.05 , N/A ,$63.10 ,$63.10 , N/A ,$63.10 , N/A ,$102.51 ,$94.54 , N/A , N/A ,$100.23 , N/A ,$85.43 ,$85.43 ,$96.82 ,$96.82 , N/A ,$96.82 , N/A ,$92.26 ,$92.26 ,$92.26 ,$113.90 ,$102.51 , N/A ,$102.51 , N/A ,$113.90 ,$63.90 , N/A ,$47.15 , N/A , N/A , N/A ,$102.51 , N/A ,$63.10 ,$31.89 ,$102.51 , N/A ,$102.51 ,$102.51 , N/A ,$74.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5-10000-0.1 OINT 3.5 G TUBE,250,1 ,$39.75 ,$28.62 ,$11.13 ,$39.75 , N/A ,$29.61 ,$26.04 , N/A ,$11.13 ,$24.45 , N/A ,$24.45 , N/A ,$22.02 ,$22.02 , N/A ,$22.02 , N/A ,$35.78 ,$32.99 , N/A , N/A ,$34.98 , N/A ,$29.81 ,$29.81 ,$33.79 ,$33.79 , N/A ,$33.79 , N/A ,$32.20 ,$32.20 ,$32.20 ,$39.75 ,$35.78 , N/A ,$35.78 , N/A ,$39.75 ,$22.30 , N/A ,$16.46 , N/A , N/A , N/A ,$35.78 , N/A ,$22.02 ,$11.13 ,$35.78 , N/A ,$35.78 ,$35.78 , N/A ,$25.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% SOLN,250,1 ,"$1,195.60 ",$860.83 ,$334.77 ,"$1,195.60 ", N/A ,$890.72 ,$783.12 , N/A ,$334.77 ,$735.29 , N/A ,$735.29 , N/A ,$662.36 ,$662.36 , N/A ,$662.36 , N/A ,"$1,076.04 ",$992.35 , N/A , N/A ,"$1,052.13 ", N/A ,$896.70 ,$896.70 ,"$1,016.26 ","$1,016.26 ", N/A ,"$1,016.26 ", N/A ,$968.44 ,$968.44 ,$968.44 ,"$1,195.60 ","$1,076.04 ", N/A ,"$1,076.04 ", N/A ,"$1,195.60 ",$670.73 , N/A ,$494.98 , N/A , N/A , N/A ,"$1,076.04 ", N/A ,$662.36 ,$334.77 ,"$1,076.04 ", N/A ,"$1,076.04 ","$1,076.04 ", N/A ,$777.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NITROGLYCERIN 200-5 MCG/ML-% SOLN,250,1 ,$330.75 ,$238.14 ,$92.61 ,$330.75 , N/A ,$246.41 ,$216.64 , N/A ,$92.61 ,$203.41 , N/A ,$203.41 , N/A ,$183.24 ,$183.24 , N/A ,$183.24 , N/A ,$297.68 ,$274.52 , N/A , N/A ,$291.06 , N/A ,$248.06 ,$248.06 ,$281.14 ,$281.14 , N/A ,$281.14 , N/A ,$267.91 ,$267.91 ,$267.91 ,$330.75 ,$297.68 , N/A ,$297.68 , N/A ,$330.75 ,$185.55 , N/A ,$136.93 , N/A , N/A , N/A ,$297.68 , N/A ,$183.24 ,$92.61 ,$297.68 , N/A ,$297.68 ,$297.68 , N/A ,$214.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,250,1 ,"$4,410.00 ","$3,175.20 ","$1,234.80 ","$4,410.00 ", N/A ,"$3,285.45 ","$2,888.55 ", N/A ,"$1,234.80 ","$2,712.15 ", N/A ,"$2,712.15 ", N/A ,"$2,443.14 ","$2,443.14 ", N/A ,"$2,443.14 ", N/A ,"$3,969.00 ","$3,660.30 ", N/A , N/A ,"$3,880.80 ", N/A ,"$3,307.50 ","$3,307.50 ","$3,748.50 ","$3,748.50 ", N/A ,"$3,748.50 ", N/A ,"$3,572.10 ","$3,572.10 ","$3,572.10 ","$4,410.00 ","$3,969.00 ", N/A ,"$3,969.00 ", N/A ,"$4,410.00 ","$2,474.01 ", N/A ,"$1,825.74 ", N/A , N/A , N/A ,"$3,969.00 ", N/A ,"$2,443.14 ","$1,234.80 ","$3,969.00 ", N/A ,"$3,969.00 ","$3,969.00 ", N/A ,"$2,866.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL,250,1 ,$128.50 ,$92.52 ,$35.98 ,$128.50 , N/A ,$95.73 ,$84.17 , N/A ,$35.98 ,$79.03 , N/A ,$79.03 , N/A ,$71.19 ,$71.19 , N/A ,$71.19 , N/A ,$115.65 ,$106.66 , N/A , N/A ,$113.08 , N/A ,$96.38 ,$96.38 ,$109.23 ,$109.23 , N/A ,$109.23 , N/A ,$104.09 ,$104.09 ,$104.09 ,$128.50 ,$115.65 , N/A ,$115.65 , N/A ,$128.50 ,$72.09 , N/A ,$53.20 , N/A , N/A , N/A ,$115.65 , N/A ,$71.19 ,$35.98 ,$115.65 , N/A ,$115.65 ,$115.65 , N/A ,$83.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NOREPINEPHRINE 4-5 MG/250ML-% SOLN,250,1 ,$367.50 ,$264.60 ,$102.90 ,$367.50 , N/A ,$273.79 ,$240.71 , N/A ,$102.90 ,$226.01 , N/A ,$226.01 , N/A ,$203.60 ,$203.60 , N/A ,$203.60 , N/A ,$330.75 ,$305.03 , N/A , N/A ,$323.40 , N/A ,$275.63 ,$275.63 ,$312.38 ,$312.38 , N/A ,$312.38 , N/A ,$297.68 ,$297.68 ,$297.68 ,$367.50 ,$330.75 , N/A ,$330.75 , N/A ,$367.50 ,$206.17 , N/A ,$152.15 , N/A , N/A , N/A ,$330.75 , N/A ,$203.60 ,$102.90 ,$330.75 , N/A ,$330.75 ,$330.75 , N/A ,$238.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NOREPINEPHRINE 8-5 MG/250ML-% SOLN,250,1 ,$514.50 ,$370.44 ,$144.06 ,$514.50 , N/A ,$383.30 ,$337.00 , N/A ,$144.06 ,$316.42 , N/A ,$316.42 , N/A ,$285.03 ,$285.03 , N/A ,$285.03 , N/A ,$463.05 ,$427.04 , N/A , N/A ,$452.76 , N/A ,$385.88 ,$385.88 ,$437.33 ,$437.33 , N/A ,$437.33 , N/A ,$416.75 ,$416.75 ,$416.75 ,$514.50 ,$463.05 , N/A ,$463.05 , N/A ,$514.50 ,$288.63 , N/A ,$213.00 , N/A , N/A , N/A ,$463.05 , N/A ,$285.03 ,$144.06 ,$463.05 , N/A ,$463.05 ,$463.05 , N/A ,$334.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,INSULIN REGULAR 100 UNITS/100 ML NS SOLN 100 ML FLEX CONT,250,1 ,$514.50 ,$370.44 ,$144.06 ,$514.50 , N/A ,$383.30 ,$337.00 , N/A ,$144.06 ,$316.42 , N/A ,$316.42 , N/A ,$285.03 ,$285.03 , N/A ,$285.03 , N/A ,$463.05 ,$427.04 , N/A , N/A ,$452.76 , N/A ,$385.88 ,$385.88 ,$437.33 ,$437.33 , N/A ,$437.33 , N/A ,$416.75 ,$416.75 ,$416.75 ,$514.50 ,$463.05 , N/A ,$463.05 , N/A ,$514.50 ,$288.63 , N/A ,$213.00 , N/A , N/A , N/A ,$463.05 , N/A ,$285.03 ,$144.06 ,$463.05 , N/A ,$463.05 ,$463.05 , N/A ,$334.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$343.05 ,$247.00 ,$96.05 ,$343.05 , N/A ,$255.57 ,$224.70 , N/A ,$96.05 ,$210.98 , N/A ,$210.98 , N/A ,$190.05 ,$190.05 , N/A ,$190.05 , N/A ,$308.75 ,$284.73 , N/A , N/A ,$301.88 , N/A ,$257.29 ,$257.29 ,$291.59 ,$291.59 , N/A ,$291.59 , N/A ,$277.87 ,$277.87 ,$277.87 ,$343.05 ,$308.75 , N/A ,$308.75 , N/A ,$343.05 ,$192.45 , N/A ,$142.02 , N/A , N/A , N/A ,$308.75 , N/A ,$190.05 ,$96.05 ,$308.75 , N/A ,$308.75 ,$308.75 , N/A ,$222.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,OLANZAPINE 10 MG SOLR,250,1 ,$85.10 ,$61.27 ,$23.83 ,$85.10 , N/A ,$63.40 ,$55.74 , N/A ,$23.83 ,$52.34 , N/A ,$52.34 , N/A ,$47.15 ,$47.15 , N/A ,$47.15 , N/A ,$76.59 ,$70.63 , N/A , N/A ,$74.89 , N/A ,$63.83 ,$63.83 ,$72.34 ,$72.34 , N/A ,$72.34 , N/A ,$68.93 ,$68.93 ,$68.93 ,$85.10 ,$76.59 , N/A ,$76.59 , N/A ,$85.10 ,$47.74 , N/A ,$35.23 , N/A , N/A , N/A ,$76.59 , N/A ,$47.15 ,$23.83 ,$76.59 , N/A ,$76.59 ,$76.59 , N/A ,$55.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,OPHTHALMIC IRRIGATION SOLN 118 ML BOTTLE,250,1 ,$7.35 ,$5.29 ,$2.06 ,$7.35 , N/A ,$5.48 ,$4.81 , N/A ,$2.06 ,$4.52 , N/A ,$4.52 , N/A ,$4.07 ,$4.07 , N/A ,$4.07 , N/A ,$6.62 ,$6.10 , N/A , N/A ,$6.47 , N/A ,$5.51 ,$5.51 ,$6.25 ,$6.25 , N/A ,$6.25 , N/A ,$5.95 ,$5.95 ,$5.95 ,$7.35 ,$6.62 , N/A ,$6.62 , N/A ,$7.35 ,$4.12 , N/A ,$3.04 , N/A , N/A , N/A ,$6.62 , N/A ,$4.07 ,$2.06 ,$6.62 , N/A ,$6.62 ,$6.62 , N/A ,$4.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,PHENYLEPHRINE 10 % SOLN 5 ML BOTTLE,250,1 ,$96.00 ,$69.12 ,$26.88 ,$96.00 , N/A ,$71.52 ,$62.88 , N/A ,$26.88 ,$59.04 , N/A ,$59.04 , N/A ,$53.18 ,$53.18 , N/A ,$53.18 , N/A ,$86.40 ,$79.68 , N/A , N/A ,$84.48 , N/A ,$72.00 ,$72.00 ,$81.60 ,$81.60 , N/A ,$81.60 , N/A ,$77.76 ,$77.76 ,$77.76 ,$96.00 ,$86.40 , N/A ,$86.40 , N/A ,$96.00 ,$53.86 , N/A ,$39.74 , N/A , N/A , N/A ,$86.40 , N/A ,$53.18 ,$26.88 ,$86.40 , N/A ,$86.40 ,$86.40 , N/A ,$62.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,"POLYETHYLENE GLYCOL 236 G SOLR 4,000 ML BOTTLE",250,1 ,$144.00 ,$103.68 ,$40.32 ,$144.00 , N/A ,$107.28 ,$94.32 , N/A ,$40.32 ,$88.56 , N/A ,$88.56 , N/A ,$79.78 ,$79.78 , N/A ,$79.78 , N/A ,$129.60 ,$119.52 , N/A , N/A ,$126.72 , N/A ,$108.00 ,$108.00 ,$122.40 ,$122.40 , N/A ,$122.40 , N/A ,$116.64 ,$116.64 ,$116.64 ,$144.00 ,$129.60 , N/A ,$129.60 , N/A ,$144.00 ,$80.78 , N/A ,$59.62 , N/A , N/A , N/A ,$129.60 , N/A ,$79.78 ,$40.32 ,$129.60 , N/A ,$129.60 ,$129.60 , N/A ,$93.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,250,1 ,$643.90 ,$463.61 ,$180.29 ,$643.90 , N/A ,$479.71 ,$421.75 , N/A ,$180.29 ,$396.00 , N/A ,$396.00 , N/A ,$356.72 ,$356.72 , N/A ,$356.72 , N/A ,$579.51 ,$534.44 , N/A , N/A ,$566.63 , N/A ,$482.93 ,$482.93 ,$547.32 ,$547.32 , N/A ,$547.32 , N/A ,$521.56 ,$521.56 ,$521.56 ,$643.90 ,$579.51 , N/A ,$579.51 , N/A ,$643.90 ,$361.23 , N/A ,$266.57 , N/A , N/A , N/A ,$579.51 , N/A ,$356.72 ,$180.29 ,$579.51 , N/A ,$579.51 ,$579.51 , N/A ,$418.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,250,1 ,$110.65 ,$79.67 ,$30.98 ,$110.65 , N/A ,$82.43 ,$72.48 , N/A ,$30.98 ,$68.05 , N/A ,$68.05 , N/A ,$61.30 ,$61.30 , N/A ,$61.30 , N/A ,$99.59 ,$91.84 , N/A , N/A ,$97.37 , N/A ,$82.99 ,$82.99 ,$94.05 ,$94.05 , N/A ,$94.05 , N/A ,$89.63 ,$89.63 ,$89.63 ,$110.65 ,$99.59 , N/A ,$99.59 , N/A ,$110.65 ,$62.07 , N/A ,$45.81 , N/A , N/A , N/A ,$99.59 , N/A ,$61.30 ,$30.98 ,$99.59 , N/A ,$99.59 ,$99.59 , N/A ,$71.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,J0248,REMDESIVIR 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$24.96 ,$17.97 ,$5.40 ,$24.96 ,$13.78 ,$18.60 ,$16.35 ,$5.40 ,$6.99 ,$15.35 ,$5.40 ,$15.35 ,$5.40 ,$13.83 ,$13.83 ,$5.40 ,$13.83 ,$11.13 ,$22.46 ,$20.72 ,$13.78 ,$5.40 ,$21.96 ,$5.51 ,$18.72 ,$18.72 ,$21.22 ,$21.22 ,$5.40 ,$21.22 ,$5.40 ,$20.22 ,$20.22 ,$20.22 ,$24.96 ,$22.46 ,$13.78 ,$22.46 ,$5.40 ,$24.96 ,$14.00 ,$5.40 ,$10.33 ,$24.96 ,$24.96 ,$5.67 ,$22.46 ,$12.40 ,$13.83 ,$6.99 ,$22.46 ,$5.40 ,$9.09 ,$9.09 ,$5.40 ,$16.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,RIFAMPIN 600 MG SOLR,250,1 ,"$2,249.10 ","$1,619.35 ",$629.75 ,"$2,249.10 ", N/A ,"$1,675.58 ","$1,473.16 ", N/A ,$629.75 ,"$1,383.20 ", N/A ,"$1,383.20 ", N/A ,"$1,246.00 ","$1,246.00 ", N/A ,"$1,246.00 ", N/A ,"$2,024.19 ","$1,866.75 ", N/A , N/A ,"$1,979.21 ", N/A ,"$1,686.83 ","$1,686.83 ","$1,911.74 ","$1,911.74 ", N/A ,"$1,911.74 ", N/A ,"$1,821.77 ","$1,821.77 ","$1,821.77 ","$2,249.10 ","$2,024.19 ", N/A ,"$2,024.19 ", N/A ,"$2,249.10 ","$1,261.75 ", N/A ,$931.13 , N/A , N/A , N/A ,"$2,024.19 ", N/A ,"$1,246.00 ",$629.75 ,"$2,024.19 ", N/A ,"$2,024.19 ","$2,024.19 ", N/A ,"$1,461.92 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ROCURONIUM 50 MG/5ML SOLN,250,1 ,$77.20 ,$55.58 ,$21.62 ,$77.20 , N/A ,$57.51 ,$50.57 , N/A ,$21.62 ,$47.48 , N/A ,$47.48 , N/A ,$42.77 ,$42.77 , N/A ,$42.77 , N/A ,$69.48 ,$64.08 , N/A , N/A ,$67.94 , N/A ,$57.90 ,$57.90 ,$65.62 ,$65.62 , N/A ,$65.62 , N/A ,$62.53 ,$62.53 ,$62.53 ,$77.20 ,$69.48 , N/A ,$69.48 , N/A ,$77.20 ,$43.31 , N/A ,$31.96 , N/A , N/A , N/A ,$69.48 , N/A ,$42.77 ,$21.62 ,$69.48 , N/A ,$69.48 ,$69.48 , N/A ,$50.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SCOPOLAMINE 1 MG/3DAYS PT72,250,1 ,$51.15 ,$36.83 ,$14.32 ,$51.15 , N/A ,$38.11 ,$33.50 , N/A ,$14.32 ,$31.46 , N/A ,$31.46 , N/A ,$28.34 ,$28.34 , N/A ,$28.34 , N/A ,$46.04 ,$42.45 , N/A , N/A ,$45.01 , N/A ,$38.36 ,$38.36 ,$43.48 ,$43.48 , N/A ,$43.48 , N/A ,$41.43 ,$41.43 ,$41.43 ,$51.15 ,$46.04 , N/A ,$46.04 , N/A ,$51.15 ,$28.70 , N/A ,$21.18 , N/A , N/A , N/A ,$46.04 , N/A ,$28.34 ,$14.32 ,$46.04 , N/A ,$46.04 ,$46.04 , N/A ,$33.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM BICARBONATE 4.2 % SOLN,250,1 ,$158.89 ,$114.40 ,$44.49 ,$158.89 , N/A ,$118.37 ,$104.07 , N/A ,$44.49 ,$97.72 , N/A ,$97.72 , N/A ,$88.03 ,$88.03 , N/A ,$88.03 , N/A ,$143.00 ,$131.88 , N/A , N/A ,$139.82 , N/A ,$119.17 ,$119.17 ,$135.06 ,$135.06 , N/A ,$135.06 , N/A ,$128.70 ,$128.70 ,$128.70 ,$158.89 ,$143.00 , N/A ,$143.00 , N/A ,$158.89 ,$89.14 , N/A ,$65.78 , N/A , N/A , N/A ,$143.00 , N/A ,$88.03 ,$44.49 ,$143.00 , N/A ,$143.00 ,$143.00 , N/A ,$103.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN,250,1 ,$218.05 ,$157.00 ,$61.05 ,$218.05 , N/A ,$162.45 ,$142.82 , N/A ,$61.05 ,$134.10 , N/A ,$134.10 , N/A ,$120.80 ,$120.80 , N/A ,$120.80 , N/A ,$196.25 ,$180.98 , N/A , N/A ,$191.88 , N/A ,$163.54 ,$163.54 ,$185.34 ,$185.34 , N/A ,$185.34 , N/A ,$176.62 ,$176.62 ,$176.62 ,$218.05 ,$196.25 , N/A ,$196.25 , N/A ,$218.05 ,$122.33 , N/A ,$90.27 , N/A , N/A , N/A ,$196.25 , N/A ,$120.80 ,$61.05 ,$196.25 , N/A ,$196.25 ,$196.25 , N/A ,$141.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,"SODIUM CHLORIDE 0.45 % SOLN 1,000 ML FLEX CONT",250,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BARIUM SULFATE 0.1 % SUSP,250,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DEXTROSE 10 %,250,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DEXTROSE 5 % LACTATED RINGERS,250,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM HYPOCHLORITE 0.125 % SOLN 473 ML BOTTLE,250,1 ,$27.45 ,$19.76 ,$7.69 ,$27.45 , N/A ,$20.45 ,$17.98 , N/A ,$7.69 ,$16.88 , N/A ,$16.88 , N/A ,$15.21 ,$15.21 , N/A ,$15.21 , N/A ,$24.71 ,$22.78 , N/A , N/A ,$24.16 , N/A ,$20.59 ,$20.59 ,$23.33 ,$23.33 , N/A ,$23.33 , N/A ,$22.23 ,$22.23 ,$22.23 ,$27.45 ,$24.71 , N/A ,$24.71 , N/A ,$27.45 ,$15.40 , N/A ,$11.36 , N/A , N/A , N/A ,$24.71 , N/A ,$15.21 ,$7.69 ,$24.71 , N/A ,$24.71 ,$24.71 , N/A ,$17.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,250,1 ,$485.30 ,$349.42 ,$135.88 ,$485.30 , N/A ,$361.55 ,$317.87 , N/A ,$135.88 ,$298.46 , N/A ,$298.46 , N/A ,$268.86 ,$268.86 , N/A ,$268.86 , N/A ,$436.77 ,$402.80 , N/A , N/A ,$427.06 , N/A ,$363.98 ,$363.98 ,$412.51 ,$412.51 , N/A ,$412.51 , N/A ,$393.09 ,$393.09 ,$393.09 ,$485.30 ,$436.77 , N/A ,$436.77 , N/A ,$485.30 ,$272.25 , N/A ,$200.91 , N/A , N/A , N/A ,$436.77 , N/A ,$268.86 ,$135.88 ,$436.77 , N/A ,$436.77 ,$436.77 , N/A ,$315.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,STERILE WATER (BOTTLE) SOLN 250 ML BOTTLE,250,1 ,$9.82 ,$7.07 ,$2.75 ,$9.82 , N/A ,$7.32 ,$6.43 , N/A ,$2.75 ,$6.04 , N/A ,$6.04 , N/A ,$5.44 ,$5.44 , N/A ,$5.44 , N/A ,$8.84 ,$8.15 , N/A , N/A ,$8.64 , N/A ,$7.37 ,$7.37 ,$8.35 ,$8.35 , N/A ,$8.35 , N/A ,$7.95 ,$7.95 ,$7.95 ,$9.82 ,$8.84 , N/A ,$8.84 , N/A ,$9.82 ,$5.51 , N/A ,$4.07 , N/A , N/A , N/A ,$8.84 , N/A ,$5.44 ,$2.75 ,$8.84 , N/A ,$8.84 ,$8.84 , N/A ,$6.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,STERILE WATER SOLN,250,1 ,$56.15 ,$40.43 ,$15.72 ,$56.15 , N/A ,$41.83 ,$36.78 , N/A ,$15.72 ,$34.53 , N/A ,$34.53 , N/A ,$31.11 ,$31.11 , N/A ,$31.11 , N/A ,$50.54 ,$46.60 , N/A , N/A ,$49.41 , N/A ,$42.11 ,$42.11 ,$47.73 ,$47.73 , N/A ,$47.73 , N/A ,$45.48 ,$45.48 ,$45.48 ,$56.15 ,$50.54 , N/A ,$50.54 , N/A ,$56.15 ,$31.50 , N/A ,$23.25 , N/A , N/A , N/A ,$50.54 , N/A ,$31.11 ,$15.72 ,$50.54 , N/A ,$50.54 ,$50.54 , N/A ,$36.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,STERILE WATER SOLN 50 ML VIAL,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,DILTIAZEM 125 MG/25ML SOLN,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FAMOTIDINE 20 MG/2ML SOLN,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,"STERILE WATER SOLN 1,000 ML FLEX CONT",250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,STERILE WATER SOLN 10 ML VIAL,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,STERILE WATER SOLN 20 ML VIAL,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NITROGLYCERIN 5 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SUGAMMADEX 200 MG/2ML SOLN,250,1 ,"$1,696.70 ","$1,221.62 ",$475.08 ,"$1,696.70 ", N/A ,"$1,264.04 ","$1,111.34 ", N/A ,$475.08 ,"$1,043.47 ", N/A ,"$1,043.47 ", N/A ,$939.97 ,$939.97 , N/A ,$939.97 , N/A ,"$1,527.03 ","$1,408.26 ", N/A , N/A ,"$1,493.10 ", N/A ,"$1,272.53 ","$1,272.53 ","$1,442.20 ","$1,442.20 ", N/A ,"$1,442.20 ", N/A ,"$1,374.33 ","$1,374.33 ","$1,374.33 ","$1,696.70 ","$1,527.03 ", N/A ,"$1,527.03 ", N/A ,"$1,696.70 ",$951.85 , N/A ,$702.43 , N/A , N/A , N/A ,"$1,527.03 ", N/A ,$939.97 ,$475.08 ,"$1,527.03 ", N/A ,"$1,527.03 ","$1,527.03 ", N/A ,"$1,102.86 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML SOLN 10 ML VIAL,250,1 ,$115.25 ,$82.98 ,$32.27 ,$115.25 , N/A ,$85.86 ,$75.49 , N/A ,$32.27 ,$70.88 , N/A ,$70.88 , N/A ,$63.85 ,$63.85 , N/A ,$63.85 , N/A ,$103.73 ,$95.66 , N/A , N/A ,$101.42 , N/A ,$86.44 ,$86.44 ,$97.96 ,$97.96 , N/A ,$97.96 , N/A ,$93.35 ,$93.35 ,$93.35 ,$115.25 ,$103.73 , N/A ,$103.73 , N/A ,$115.25 ,$64.66 , N/A ,$47.71 , N/A , N/A , N/A ,$103.73 , N/A ,$63.85 ,$32.27 ,$103.73 , N/A ,$103.73 ,$103.73 , N/A ,$74.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TETRACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$216.00 ,$155.52 ,$60.48 ,$216.00 , N/A ,$160.92 ,$141.48 , N/A ,$60.48 ,$132.84 , N/A ,$132.84 , N/A ,$119.66 ,$119.66 , N/A ,$119.66 , N/A ,$194.40 ,$179.28 , N/A , N/A ,$190.08 , N/A ,$162.00 ,$162.00 ,$183.60 ,$183.60 , N/A ,$183.60 , N/A ,$174.96 ,$174.96 ,$174.96 ,$216.00 ,$194.40 , N/A ,$194.40 , N/A ,$216.00 ,$121.18 , N/A ,$89.42 , N/A , N/A , N/A ,$194.40 , N/A ,$119.66 ,$60.48 ,$194.40 , N/A ,$194.40 ,$194.40 , N/A ,$140.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,PHENYLEPHRINE 2.5 % SOLN 15 ML BOTTLE,250,1 ,$216.00 ,$155.52 ,$60.48 ,$216.00 , N/A ,$160.92 ,$141.48 , N/A ,$60.48 ,$132.84 , N/A ,$132.84 , N/A ,$119.66 ,$119.66 , N/A ,$119.66 , N/A ,$194.40 ,$179.28 , N/A , N/A ,$190.08 , N/A ,$162.00 ,$162.00 ,$183.60 ,$183.60 , N/A ,$183.60 , N/A ,$174.96 ,$174.96 ,$174.96 ,$216.00 ,$194.40 , N/A ,$194.40 , N/A ,$216.00 ,$121.18 , N/A ,$89.42 , N/A , N/A , N/A ,$194.40 , N/A ,$119.66 ,$60.48 ,$194.40 , N/A ,$194.40 ,$194.40 , N/A ,$140.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TETRACAINE 0.5 % SOLN 4 ML PLAS CONT,250,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$20.86 ,$18.34 , N/A ,$7.84 ,$17.22 , N/A ,$17.22 , N/A ,$15.51 ,$15.51 , N/A ,$15.51 , N/A ,$25.20 ,$23.24 , N/A , N/A ,$24.64 , N/A ,$21.00 ,$21.00 ,$23.80 ,$23.80 , N/A ,$23.80 , N/A ,$22.68 ,$22.68 ,$22.68 ,$28.00 ,$25.20 , N/A ,$25.20 , N/A ,$28.00 ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$25.20 , N/A ,$15.51 ,$7.84 ,$25.20 , N/A ,$25.20 ,$25.20 , N/A ,$18.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TPN-CLINIMIX 4.25/5 (STANDARD ELECTROLYTES),250,1 ,$996.15 ,$717.23 ,$278.92 ,$996.15 , N/A ,$742.13 ,$652.48 , N/A ,$278.92 ,$612.63 , N/A ,$612.63 , N/A ,$551.87 ,$551.87 , N/A ,$551.87 , N/A ,$896.54 ,$826.80 , N/A , N/A ,$876.61 , N/A ,$747.11 ,$747.11 ,$846.73 ,$846.73 , N/A ,$846.73 , N/A ,$806.88 ,$806.88 ,$806.88 ,$996.15 ,$896.54 , N/A ,$896.54 , N/A ,$996.15 ,$558.84 , N/A ,$412.41 , N/A , N/A , N/A ,$896.54 , N/A ,$551.87 ,$278.92 ,$896.54 , N/A ,$896.54 ,$896.54 , N/A ,$647.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,250,1 ,$735.00 ,$529.20 ,$205.80 ,$735.00 , N/A ,$547.58 ,$481.43 , N/A ,$205.80 ,$452.03 , N/A ,$452.03 , N/A ,$407.19 ,$407.19 , N/A ,$407.19 , N/A ,$661.50 ,$610.05 , N/A , N/A ,$646.80 , N/A ,$551.25 ,$551.25 ,$624.75 ,$624.75 , N/A ,$624.75 , N/A ,$595.35 ,$595.35 ,$595.35 ,$735.00 ,$661.50 , N/A ,$661.50 , N/A ,$735.00 ,$412.34 , N/A ,$304.29 , N/A , N/A , N/A ,$661.50 , N/A ,$407.19 ,$205.80 ,$661.50 , N/A ,$661.50 ,$661.50 , N/A ,$477.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TRAVOPROST (TRAVATAN Z) 0.004 % SOLN 2.5 ML BOTTLE,250,1 ,$465.60 ,$335.23 ,$130.37 ,$465.60 , N/A ,$346.87 ,$304.97 , N/A ,$130.37 ,$286.34 , N/A ,$286.34 , N/A ,$257.94 ,$257.94 , N/A ,$257.94 , N/A ,$419.04 ,$386.45 , N/A , N/A ,$409.73 , N/A ,$349.20 ,$349.20 ,$395.76 ,$395.76 , N/A ,$395.76 , N/A ,$377.14 ,$377.14 ,$377.14 ,$465.60 ,$419.04 , N/A ,$419.04 , N/A ,$465.60 ,$261.20 , N/A ,$192.76 , N/A , N/A , N/A ,$419.04 , N/A ,$257.94 ,$130.37 ,$419.04 , N/A ,$419.04 ,$419.04 , N/A ,$302.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TROPICAMIDE 1 % SOLN 15 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,ALBUTEROL (2.5 MG/3ML) 0.083% NEBU,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,AMMONIA INHA,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,BRIMONIDINE 0.2 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,CHLORHEXIDINE 0.12 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,FLUORESCEIN 1 MG STRP,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,HYDROGEN PEROXIDE 3 % SOLN 473 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SILVER-POTASSIUM NITRATE 75-25 % MISC,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SIMETHICONE 40 MG/0.6ML SUSP,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM CHLORIDE 0.9 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 3,000 ML PLAS CONT",250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,SODIUM CHLORIDE 3 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,"STERILE WATER (BOTTLE) SOLN 1,000 ML BOTTLE",250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,IPRATROPIUM 0.02 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML SOLN,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE 4 % PTCH,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,LIDOCAINE VISCOUS 2 % SOLN 15 ML CUP,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5-10000-0.1 SUSP 5 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,RACEPINEPHRINE 2.25 % 2.25 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,TRYPAN BLUE 0.06 % SOLN 0.5 ML SYRINGE,250,1 ,$177.85 ,$128.05 ,$49.80 ,$177.85 , N/A ,$132.50 ,$116.49 , N/A ,$49.80 ,$109.38 , N/A ,$109.38 , N/A ,$98.53 ,$98.53 , N/A ,$98.53 , N/A ,$160.07 ,$147.62 , N/A , N/A ,$156.51 , N/A ,$133.39 ,$133.39 ,$151.17 ,$151.17 , N/A ,$151.17 , N/A ,$144.06 ,$144.06 ,$144.06 ,$177.85 ,$160.07 , N/A ,$160.07 , N/A ,$177.85 ,$99.77 , N/A ,$73.63 , N/A , N/A , N/A ,$160.07 , N/A ,$98.53 ,$49.80 ,$160.07 , N/A ,$160.07 ,$160.07 , N/A ,$115.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,VALPROATE 100 MG/ML SOLN 5 ML VIAL,250,1 ,$98.50 ,$70.92 ,$27.58 ,$98.50 , N/A ,$73.38 ,$64.52 , N/A ,$27.58 ,$60.58 , N/A ,$60.58 , N/A ,$54.57 ,$54.57 , N/A ,$54.57 , N/A ,$88.65 ,$81.76 , N/A , N/A ,$86.68 , N/A ,$73.88 ,$73.88 ,$83.73 ,$83.73 , N/A ,$83.73 , N/A ,$79.79 ,$79.79 ,$79.79 ,$98.50 ,$88.65 , N/A ,$88.65 , N/A ,$98.50 ,$55.26 , N/A ,$40.78 , N/A , N/A , N/A ,$88.65 , N/A ,$54.57 ,$27.58 ,$88.65 , N/A ,$88.65 ,$88.65 , N/A ,$64.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,VECURONIUM 10 MG SOLR,250,1 ,$45.90 ,$33.05 ,$12.85 ,$45.90 , N/A ,$34.20 ,$30.06 , N/A ,$12.85 ,$28.23 , N/A ,$28.23 , N/A ,$25.43 ,$25.43 , N/A ,$25.43 , N/A ,$41.31 ,$38.10 , N/A , N/A ,$40.39 , N/A ,$34.43 ,$34.43 ,$39.02 ,$39.02 , N/A ,$39.02 , N/A ,$37.18 ,$37.18 ,$37.18 ,$45.90 ,$41.31 , N/A ,$41.31 , N/A ,$45.90 ,$25.75 , N/A ,$19.00 , N/A , N/A , N/A ,$41.31 , N/A ,$25.43 ,$12.85 ,$41.31 , N/A ,$41.31 ,$41.31 , N/A ,$29.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25000003,N/A,VERAPAMIL 2.5 MG/ML SOLN,250,1 ,$153.15 ,$110.27 ,$42.88 ,$153.15 , N/A ,$114.10 ,$100.31 , N/A ,$42.88 ,$94.19 , N/A ,$94.19 , N/A ,$84.85 ,$84.85 , N/A ,$84.85 , N/A ,$137.84 ,$127.11 , N/A , N/A ,$134.77 , N/A ,$114.86 ,$114.86 ,$130.18 ,$130.18 , N/A ,$130.18 , N/A ,$124.05 ,$124.05 ,$124.05 ,$153.15 ,$137.84 , N/A ,$137.84 , N/A ,$153.15 ,$85.92 , N/A ,$63.40 , N/A , N/A , N/A ,$137.84 , N/A ,$84.85 ,$42.88 ,$137.84 , N/A ,$137.84 ,$137.84 , N/A ,$99.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,DEXTROSE 10 % SOLN 500 ML FLEX CONT,258,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,DEXTROSE 10 % SOLN,258,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,DEXTROSE 10 % SOLN 250 ML FLEX CONT,258,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,DEXTROSE 25 % 250 MG/ML SOLN,258,1 ,$155.35 ,$111.85 ,$43.50 ,$155.35 , N/A ,$115.74 ,$101.75 , N/A ,$43.50 ,$95.54 , N/A ,$95.54 , N/A ,$86.06 ,$86.06 , N/A ,$86.06 , N/A ,$139.82 ,$128.94 , N/A , N/A ,$136.71 , N/A ,$116.51 ,$116.51 ,$132.05 ,$132.05 , N/A ,$132.05 , N/A ,$125.83 ,$125.83 ,$125.83 ,$155.35 ,$139.82 , N/A ,$139.82 , N/A ,$155.35 ,$87.15 , N/A ,$64.31 , N/A , N/A , N/A ,$139.82 , N/A ,$86.06 ,$43.50 ,$139.82 , N/A ,$139.82 ,$139.82 , N/A ,$100.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,DEXTROSE 50 % SOLN,258,1 ,$224.20 ,$161.42 ,$62.78 ,$224.20 , N/A ,$167.03 ,$146.85 , N/A ,$62.78 ,$137.88 , N/A ,$137.88 , N/A ,$124.21 ,$124.21 , N/A ,$124.21 , N/A ,$201.78 ,$186.09 , N/A , N/A ,$197.30 , N/A ,$168.15 ,$168.15 ,$190.57 ,$190.57 , N/A ,$190.57 , N/A ,$181.60 ,$181.60 ,$181.60 ,$224.20 ,$201.78 , N/A ,$201.78 , N/A ,$224.20 ,$125.78 , N/A ,$92.82 , N/A , N/A , N/A ,$201.78 , N/A ,$124.21 ,$62.78 ,$201.78 , N/A ,$201.78 ,$201.78 , N/A ,$145.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,DEXTROSE 50 % SOLN 50 ML VIAL,258,1 ,$34.75 ,$25.02 ,$9.73 ,$34.75 , N/A ,$25.89 ,$22.76 , N/A ,$9.73 ,$21.37 , N/A ,$21.37 , N/A ,$19.25 ,$19.25 , N/A ,$19.25 , N/A ,$31.28 ,$28.84 , N/A , N/A ,$30.58 , N/A ,$26.06 ,$26.06 ,$29.54 ,$29.54 , N/A ,$29.54 , N/A ,$28.15 ,$28.15 ,$28.15 ,$34.75 ,$31.28 , N/A ,$31.28 , N/A ,$34.75 ,$19.49 , N/A ,$14.39 , N/A , N/A , N/A ,$31.28 , N/A ,$19.25 ,$9.73 ,$31.28 , N/A ,$31.28 ,$31.28 , N/A ,$22.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),25800000,N/A,"DEXTROSE 70 % SOLN 2,000 ML FLEX CONT",258,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$547.00 ,$393.84 ,$153.16 ,$547.00 ,$510.03 ,$407.52 ,$358.29 ,$208.21 ,$153.16 ,$336.41 ,$208.21 ,$336.41 ,$208.21 ,$303.04 ,$303.04 ,$208.21 ,$303.04 ,$429.17 ,$492.30 , N/A ,$510.03 ,$208.21 ,$481.36 ,$212.38 ,$410.25 ,$410.25 ,$464.95 ,$464.95 ,$208.21 ,$464.95 ,$208.21 ,$443.07 ,$443.07 ,$443.07 ,$547.00 ,$492.30 ,$510.03 ,$492.30 ,$208.21 ,$547.00 ,$306.87 ,$208.21 ,$226.46 ,$231.63 ,$221.10 ,$217.93 ,$492.30 ,$460.43 ,$303.04 ,$153.16 ,$492.30 ,$208.21 ,$492.30 ,$492.30 ,$208.21 ,$355.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$196.00 ,$141.12 ,$42.71 ,$196.00 ,$104.61 ,$146.02 ,$128.38 ,$42.71 ,$54.88 ,$120.54 ,$42.71 ,$120.54 ,$42.71 ,$108.58 ,$108.58 ,$42.71 ,$108.58 ,$88.03 ,$176.40 , N/A ,$104.61 ,$42.71 ,$172.48 ,$43.56 ,$147.00 ,$147.00 ,$166.60 ,$166.60 ,$42.71 ,$166.60 ,$42.71 ,$158.76 ,$158.76 ,$158.76 ,$196.00 ,$176.40 ,$104.61 ,$176.40 ,$42.71 ,$196.00 ,$109.96 ,$42.71 ,$81.14 ,$196.00 ,$196.00 ,$44.70 ,$176.40 ,$94.44 ,$108.58 ,$54.88 ,$176.40 ,$42.71 ,$176.40 ,$176.40 ,$42.71 ,$127.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$619.00 ,$445.68 ,$173.32 ,$619.00 ,$510.03 ,$461.16 ,$405.45 ,$208.21 ,$173.32 ,$380.69 ,$208.21 ,$380.69 ,$208.21 ,$342.93 ,$342.93 ,$208.21 ,$342.93 ,$429.17 ,$557.10 , N/A ,$510.03 ,$208.21 ,$544.72 ,$212.38 ,$464.25 ,$464.25 ,$526.15 ,$526.15 ,$208.21 ,$526.15 ,$208.21 ,$501.39 ,$501.39 ,$501.39 ,$619.00 ,$557.10 ,$510.03 ,$557.10 ,$208.21 ,$619.00 ,$347.26 ,$208.21 ,$256.27 ,$231.63 ,$221.10 ,$217.93 ,$557.10 ,$460.43 ,$342.93 ,$173.32 ,$557.10 ,$208.21 ,$557.10 ,$557.10 ,$208.21 ,$402.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$129.00 ,$92.88 ,$36.12 ,$129.00 ,$104.61 ,$96.11 ,$84.50 ,$42.71 ,$36.12 ,$79.34 ,$42.71 ,$79.34 ,$42.71 ,$71.47 ,$71.47 ,$42.71 ,$71.47 ,$88.03 ,$116.10 , N/A ,$104.61 ,$42.71 ,$113.52 ,$43.56 ,$96.75 ,$96.75 ,$109.65 ,$109.65 ,$42.71 ,$109.65 ,$42.71 ,$104.49 ,$104.49 ,$104.49 ,$129.00 ,$116.10 ,$104.61 ,$116.10 ,$42.71 ,$129.00 ,$72.37 ,$42.71 ,$53.41 ,$129.00 ,$129.00 ,$44.70 ,$116.10 ,$94.44 ,$71.47 ,$36.12 ,$116.10 ,$42.71 ,$116.10 ,$116.10 ,$42.71 ,$83.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$91.00 ,$65.52 ,$25.48 ,$150.39 ,$91.00 ,$67.80 ,$59.61 ,$68.00 ,$25.48 ,$55.97 ,$68.00 ,$55.97 ,$68.00 ,$50.41 ,$50.41 ,$68.00 ,$50.41 ,$91.00 ,$81.90 , N/A ,$91.00 ,$68.00 ,$80.08 ,$69.36 ,$68.25 ,$68.25 ,$77.35 ,$77.35 ,$68.00 ,$77.35 ,$68.00 ,$73.71 ,$73.71 ,$73.71 ,$91.00 ,$81.90 ,$91.00 ,$81.90 ,$68.00 ,$91.00 ,$51.05 ,$68.00 ,$37.67 ,$91.00 ,$91.00 ,$71.18 ,$81.90 ,$150.39 ,$50.41 ,$25.48 ,$81.90 ,$68.00 ,$81.90 ,$81.90 ,$68.00 ,$59.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000005,96368,HC INFUS CONCURRENT,260,1 ,$137.00 ,$98.64 ,$38.36 ,$137.00 , N/A ,$102.07 ,$89.74 , N/A ,$38.36 ,$84.26 , N/A ,$84.26 , N/A ,$75.90 ,$75.90 , N/A ,$75.90 , N/A ,$123.30 , N/A , N/A , N/A ,$120.56 , N/A ,$102.75 ,$102.75 ,$116.45 ,$116.45 , N/A ,$116.45 , N/A ,$110.97 ,$110.97 ,$110.97 ,$137.00 ,$123.30 , N/A ,$123.30 , N/A ,$137.00 ,$76.86 , N/A ,$56.72 ,$137.00 ,$137.00 , N/A ,$123.30 , N/A ,$75.90 ,$38.36 ,$123.30 , N/A ,$123.30 ,$123.30 , N/A ,$89.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000006,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$547.00 ,$393.84 ,$153.16 ,$547.00 ,$510.03 ,$407.52 ,$358.29 ,$208.21 ,$153.16 ,$336.41 ,$208.21 ,$336.41 ,$208.21 ,$303.04 ,$303.04 ,$208.21 ,$303.04 ,$429.17 ,$492.30 , N/A ,$510.03 ,$208.21 ,$481.36 ,$212.38 ,$410.25 ,$410.25 ,$464.95 ,$464.95 ,$208.21 ,$464.95 ,$208.21 ,$443.07 ,$443.07 ,$443.07 ,$547.00 ,$492.30 ,$510.03 ,$492.30 ,$208.21 ,$547.00 ,$306.87 ,$208.21 ,$226.46 ,$231.63 ,$221.10 ,$217.93 ,$492.30 ,$460.43 ,$303.04 ,$153.16 ,$492.30 ,$208.21 ,$492.30 ,$492.30 ,$208.21 ,$355.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000014,M0239,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB",260,1 ,"$1,068.35 ",$769.21 ,$299.14 ,"$1,068.35 ", N/A ,$795.92 ,$699.77 , N/A ,$299.14 ,$657.04 , N/A ,$657.04 , N/A ,$591.87 ,$591.87 , N/A ,$591.87 , N/A ,$961.52 ,$886.73 , N/A , N/A ,$940.15 , N/A ,$801.26 ,$801.26 ,$908.10 ,$908.10 , N/A ,$908.10 , N/A ,$865.36 ,$865.36 ,$865.36 ,"$1,068.35 ",$961.52 , N/A ,$961.52 , N/A ,"$1,068.35 ",$599.34 , N/A ,$442.30 , N/A , N/A , N/A ,$961.52 , N/A ,$591.87 ,$299.14 ,$961.52 , N/A ,$961.52 ,$961.52 , N/A ,$694.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000015,M0243,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB ADMINISTRATION",260,1 ,"$1,069.50 ",$770.04 ,$221.10 ,"$1,069.50 ","$1,069.50 ",$796.78 ,$700.52 ,$454.08 ,$299.46 ,$657.74 ,$454.08 ,$657.74 ,$454.08 ,$592.50 ,$592.50 ,$454.08 ,$592.50 ,$935.96 ,$962.55 ,$887.69 ,"$1,069.50 ",$454.08 ,$941.16 ,$463.17 ,$802.13 ,$802.13 ,$909.08 ,$909.08 ,$454.08 ,$909.08 ,$454.08 ,$866.30 ,$866.30 ,$866.30 ,"$1,069.50 ",$962.55 ,"$1,069.50 ",$962.55 ,$454.08 ,"$1,069.50 ",$599.99 ,$454.08 ,$442.77 ,$231.63 ,$221.10 ,$475.28 ,$962.55 ,"$1,004.14 ",$592.50 ,$299.46 ,$962.55 ,$454.08 ,$962.55 ,$962.55 ,$454.08 ,$695.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000016,M0245,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB ADMINISTRATION",260,1 ,$932.25 ,$671.22 ,$221.10 ,"$1,004.14 ",$932.25 ,$694.53 ,$610.62 ,$454.08 ,$261.03 ,$573.33 ,$454.08 ,$573.33 ,$454.08 ,$516.47 ,$516.47 ,$454.08 ,$516.47 ,$932.25 ,$839.03 ,$773.77 ,$932.25 ,$454.08 ,$820.38 ,$463.17 ,$699.19 ,$699.19 ,$792.41 ,$792.41 ,$454.08 ,$792.41 ,$454.08 ,$755.12 ,$755.12 ,$755.12 ,$932.25 ,$839.03 ,$932.25 ,$839.03 ,$454.08 ,$932.25 ,$522.99 ,$454.08 ,$385.95 ,$231.63 ,$221.10 ,$475.28 ,$839.03 ,"$1,004.14 ",$516.47 ,$261.03 ,$839.03 ,$454.08 ,$839.03 ,$839.03 ,$454.08 ,$605.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000017,M0247,"HC INTRAVENOUS INFUSION, SOTROVIMAB ADMINISTRATION",260,1 ,"$1,350.00 ",$972.00 ,$221.10 ,"$1,350.00 ","$1,112.30 ","$1,005.75 ",$884.25 ,$454.08 ,$378.00 ,$830.25 ,$454.08 ,$830.25 ,$454.08 ,$747.90 ,$747.90 ,$454.08 ,$747.90 ,$935.96 ,"$1,215.00 ","$1,120.50 ","$1,112.30 ",$454.08 ,"$1,188.00 ",$463.17 ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ",$454.08 ,"$1,147.50 ",$454.08 ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ","$1,112.30 ","$1,215.00 ",$454.08 ,"$1,350.00 ",$757.35 ,$454.08 ,$558.90 ,$231.63 ,$221.10 ,$475.28 ,"$1,215.00 ","$1,004.14 ",$747.90 ,$378.00 ,"$1,215.00 ",$454.08 ,"$1,215.00 ","$1,215.00 ",$454.08 ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000013,N/A,HC PUMP BREAST,270,1 ,$411.21 ,$296.07 ,$115.14 ,$411.21 , N/A ,$306.35 ,$269.34 , N/A ,$115.14 ,$252.89 , N/A ,$252.89 , N/A ,$227.81 ,$227.81 , N/A ,$227.81 , N/A ,$370.09 ,$341.30 , N/A , N/A ,$361.86 , N/A ,$308.41 ,$308.41 ,$349.53 ,$349.53 , N/A ,$349.53 , N/A ,$333.08 ,$333.08 ,$333.08 ,$411.21 ,$370.09 , N/A ,$370.09 , N/A ,$411.21 ,$230.69 , N/A ,$170.24 , N/A , N/A , N/A ,$370.09 , N/A ,$227.81 ,$115.14 ,$370.09 , N/A ,$370.09 ,$370.09 , N/A ,$267.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000014,N/A,HC SET CYSTO IRRIGATION TUBING,270,1 ,$23.82 ,$17.15 ,$6.67 ,$23.82 , N/A ,$17.75 ,$15.60 , N/A ,$6.67 ,$14.65 , N/A ,$14.65 , N/A ,$13.20 ,$13.20 , N/A ,$13.20 , N/A ,$21.44 ,$19.77 , N/A , N/A ,$20.96 , N/A ,$17.87 ,$17.87 ,$20.25 ,$20.25 , N/A ,$20.25 , N/A ,$19.29 ,$19.29 ,$19.29 ,$23.82 ,$21.44 , N/A ,$21.44 , N/A ,$23.82 ,$13.36 , N/A ,$9.86 , N/A , N/A , N/A ,$21.44 , N/A ,$13.20 ,$6.67 ,$21.44 , N/A ,$21.44 ,$21.44 , N/A ,$15.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000015,N/A,HC SET IV EXTENSION,270,1 ,$8.95 ,$6.44 ,$2.51 ,$8.95 , N/A ,$6.67 ,$5.86 , N/A ,$2.51 ,$5.50 , N/A ,$5.50 , N/A ,$4.96 ,$4.96 , N/A ,$4.96 , N/A ,$8.06 ,$7.43 , N/A , N/A ,$7.88 , N/A ,$6.71 ,$6.71 ,$7.61 ,$7.61 , N/A ,$7.61 , N/A ,$7.25 ,$7.25 ,$7.25 ,$8.95 ,$8.06 , N/A ,$8.06 , N/A ,$8.95 ,$5.02 , N/A ,$3.71 , N/A , N/A , N/A ,$8.06 , N/A ,$4.96 ,$2.51 ,$8.06 , N/A ,$8.06 ,$8.06 , N/A ,$5.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000017,N/A,HC SYSTEM DRAINAGE,270,1 ,$73.62 ,$53.01 ,$20.61 ,$73.62 , N/A ,$54.85 ,$48.22 , N/A ,$20.61 ,$45.28 , N/A ,$45.28 , N/A ,$40.79 ,$40.79 , N/A ,$40.79 , N/A ,$66.26 ,$61.10 , N/A , N/A ,$64.79 , N/A ,$55.22 ,$55.22 ,$62.58 ,$62.58 , N/A ,$62.58 , N/A ,$59.63 ,$59.63 ,$59.63 ,$73.62 ,$66.26 , N/A ,$66.26 , N/A ,$73.62 ,$41.30 , N/A ,$30.48 , N/A , N/A , N/A ,$66.26 , N/A ,$40.79 ,$20.61 ,$66.26 , N/A ,$66.26 ,$66.26 , N/A ,$47.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000021,N/A,HC TRAY ARTHROGRAM,270,1 ,$102.21 ,$73.59 ,$28.62 ,$102.21 , N/A ,$76.15 ,$66.95 , N/A ,$28.62 ,$62.86 , N/A ,$62.86 , N/A ,$56.62 ,$56.62 , N/A ,$56.62 , N/A ,$91.99 ,$84.83 , N/A , N/A ,$89.94 , N/A ,$76.66 ,$76.66 ,$86.88 ,$86.88 , N/A ,$86.88 , N/A ,$82.79 ,$82.79 ,$82.79 ,$102.21 ,$91.99 , N/A ,$91.99 , N/A ,$102.21 ,$57.34 , N/A ,$42.31 , N/A , N/A , N/A ,$91.99 , N/A ,$56.62 ,$28.62 ,$91.99 , N/A ,$91.99 ,$91.99 , N/A ,$66.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000022,N/A,HC TRAY BIOPSY,270,1 ,$35.85 ,$25.81 ,$10.04 ,$35.85 , N/A ,$26.71 ,$23.48 , N/A ,$10.04 ,$22.05 , N/A ,$22.05 , N/A ,$19.86 ,$19.86 , N/A ,$19.86 , N/A ,$32.27 ,$29.76 , N/A , N/A ,$31.55 , N/A ,$26.89 ,$26.89 ,$30.47 ,$30.47 , N/A ,$30.47 , N/A ,$29.04 ,$29.04 ,$29.04 ,$35.85 ,$32.27 , N/A ,$32.27 , N/A ,$35.85 ,$20.11 , N/A ,$14.84 , N/A , N/A , N/A ,$32.27 , N/A ,$19.86 ,$10.04 ,$32.27 , N/A ,$32.27 ,$32.27 , N/A ,$23.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000024,N/A,HC TRAY SPINAL ANESTHESIA,272,1 ,$204.76 ,$147.43 ,$57.33 ,$204.76 , N/A ,$152.55 ,$134.12 , N/A ,$57.33 ,$125.93 , N/A ,$125.93 , N/A ,$113.44 ,$113.44 , N/A ,$113.44 , N/A ,$184.28 ,$169.95 , N/A , N/A ,$180.19 , N/A ,$153.57 ,$153.57 ,$174.05 ,$174.05 , N/A ,$174.05 , N/A ,$165.86 ,$165.86 ,$165.86 ,$204.76 ,$184.28 , N/A ,$184.28 , N/A ,$204.76 ,$114.87 , N/A ,$84.77 , N/A , N/A , N/A ,$184.28 , N/A ,$113.44 ,$57.33 ,$184.28 , N/A ,$184.28 ,$184.28 , N/A ,$133.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000047,N/A,HC PAD CARDIAC MONITOR,270,1 ,$54.88 ,$39.51 ,$15.37 ,$54.88 , N/A ,$40.89 ,$35.95 , N/A ,$15.37 ,$33.75 , N/A ,$33.75 , N/A ,$30.40 ,$30.40 , N/A ,$30.40 , N/A ,$49.39 ,$45.55 , N/A , N/A ,$48.29 , N/A ,$41.16 ,$41.16 ,$46.65 ,$46.65 , N/A ,$46.65 , N/A ,$44.45 ,$44.45 ,$44.45 ,$54.88 ,$49.39 , N/A ,$49.39 , N/A ,$54.88 ,$30.79 , N/A ,$22.72 , N/A , N/A , N/A ,$49.39 , N/A ,$30.40 ,$15.37 ,$49.39 , N/A ,$49.39 ,$49.39 , N/A ,$35.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000050,N/A,HC DEVICE THERAPEP,270,1 ,$88.65 ,$63.83 ,$24.82 ,$88.65 , N/A ,$66.04 ,$58.07 , N/A ,$24.82 ,$54.52 , N/A ,$54.52 , N/A ,$49.11 ,$49.11 , N/A ,$49.11 , N/A ,$79.79 ,$73.58 , N/A , N/A ,$78.01 , N/A ,$66.49 ,$66.49 ,$75.35 ,$75.35 , N/A ,$75.35 , N/A ,$71.81 ,$71.81 ,$71.81 ,$88.65 ,$79.79 , N/A ,$79.79 , N/A ,$88.65 ,$49.73 , N/A ,$36.70 , N/A , N/A , N/A ,$79.79 , N/A ,$49.11 ,$24.82 ,$79.79 , N/A ,$79.79 ,$79.79 , N/A ,$57.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000073,N/A,HC DETECTOR CARBON DIOXIDE,270,1 ,$94.94 ,$68.36 ,$26.58 ,$94.94 , N/A ,$70.73 ,$62.19 , N/A ,$26.58 ,$58.39 , N/A ,$58.39 , N/A ,$52.60 ,$52.60 , N/A ,$52.60 , N/A ,$85.45 ,$78.80 , N/A , N/A ,$83.55 , N/A ,$71.21 ,$71.21 ,$80.70 ,$80.70 , N/A ,$80.70 , N/A ,$76.90 ,$76.90 ,$76.90 ,$94.94 ,$85.45 , N/A ,$85.45 , N/A ,$94.94 ,$53.26 , N/A ,$39.31 , N/A , N/A , N/A ,$85.45 , N/A ,$52.60 ,$26.58 ,$85.45 , N/A ,$85.45 ,$85.45 , N/A ,$61.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000077,N/A,HC TUBING CONNECTING,270,1 ,$32.66 ,$23.52 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$20.09 , N/A ,$20.09 , N/A ,$18.09 ,$18.09 , N/A ,$18.09 , N/A ,$29.39 ,$27.11 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$26.45 ,$26.45 ,$26.45 ,$32.66 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$18.32 , N/A ,$13.52 , N/A , N/A , N/A ,$29.39 , N/A ,$18.09 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000093,N/A,HC MATTRESS WARMING,270,1 ,$193.21 ,$139.11 ,$54.10 ,$193.21 , N/A ,$143.94 ,$126.55 , N/A ,$54.10 ,$118.82 , N/A ,$118.82 , N/A ,$107.04 ,$107.04 , N/A ,$107.04 , N/A ,$173.89 ,$160.36 , N/A , N/A ,$170.02 , N/A ,$144.91 ,$144.91 ,$164.23 ,$164.23 , N/A ,$164.23 , N/A ,$156.50 ,$156.50 ,$156.50 ,$193.21 ,$173.89 , N/A ,$173.89 , N/A ,$193.21 ,$108.39 , N/A ,$79.99 , N/A , N/A , N/A ,$173.89 , N/A ,$107.04 ,$54.10 ,$173.89 , N/A ,$173.89 ,$173.89 , N/A ,$125.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000104,N/A,HC POLAR CARE CUBE,270,1 ,$180.63 ,$130.05 ,$50.58 ,$180.63 , N/A ,$134.57 ,$118.31 , N/A ,$50.58 ,$111.09 , N/A ,$111.09 , N/A ,$100.07 ,$100.07 , N/A ,$100.07 , N/A ,$162.57 ,$149.92 , N/A , N/A ,$158.95 , N/A ,$135.47 ,$135.47 ,$153.54 ,$153.54 , N/A ,$153.54 , N/A ,$146.31 ,$146.31 ,$146.31 ,$180.63 ,$162.57 , N/A ,$162.57 , N/A ,$180.63 ,$101.33 , N/A ,$74.78 , N/A , N/A , N/A ,$162.57 , N/A ,$100.07 ,$50.58 ,$162.57 , N/A ,$162.57 ,$162.57 , N/A ,$117.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000105,N/A,HC COLD PACK HALF SIZE,270,1 ,$18.82 ,$13.55 ,$5.27 ,$18.82 , N/A ,$14.02 ,$12.33 , N/A ,$5.27 ,$11.57 , N/A ,$11.57 , N/A ,$10.43 ,$10.43 , N/A ,$10.43 , N/A ,$16.94 ,$15.62 , N/A , N/A ,$16.56 , N/A ,$14.12 ,$14.12 ,$16.00 ,$16.00 , N/A ,$16.00 , N/A ,$15.24 ,$15.24 ,$15.24 ,$18.82 ,$16.94 , N/A ,$16.94 , N/A ,$18.82 ,$10.56 , N/A ,$7.79 , N/A , N/A , N/A ,$16.94 , N/A ,$10.43 ,$5.27 ,$16.94 , N/A ,$16.94 ,$16.94 , N/A ,$12.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000110,N/A,HC BASIC MATERNITY KIT,270,1 ,$41.79 ,$30.09 ,$11.70 ,$41.79 , N/A ,$31.13 ,$27.37 , N/A ,$11.70 ,$25.70 , N/A ,$25.70 , N/A ,$23.15 ,$23.15 , N/A ,$23.15 , N/A ,$37.61 ,$34.69 , N/A , N/A ,$36.78 , N/A ,$31.34 ,$31.34 ,$35.52 ,$35.52 , N/A ,$35.52 , N/A ,$33.85 ,$33.85 ,$33.85 ,$41.79 ,$37.61 , N/A ,$37.61 , N/A ,$41.79 ,$23.44 , N/A ,$17.30 , N/A , N/A , N/A ,$37.61 , N/A ,$23.15 ,$11.70 ,$37.61 , N/A ,$37.61 ,$37.61 , N/A ,$27.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000116,N/A,HC MATERNITY SURGERY KIT,270,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000117,N/A,HC NEWBORN SURGERY KIT,270,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000118,N/A,HC EPIDURAL TRAY PAINBLOCK,270,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000119,N/A,HC BIOPSY SURGERY TRAY,270,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000124,N/A,HC DISPOSABLE LENS CUFF,270,1 ,$16.50 ,$11.88 ,$4.62 ,$16.50 , N/A ,$12.29 ,$10.81 , N/A ,$4.62 ,$10.15 , N/A ,$10.15 , N/A ,$9.14 ,$9.14 , N/A ,$9.14 , N/A ,$14.85 ,$13.70 , N/A , N/A ,$14.52 , N/A ,$12.38 ,$12.38 ,$14.03 ,$14.03 , N/A ,$14.03 , N/A ,$13.37 ,$13.37 ,$13.37 ,$16.50 ,$14.85 , N/A ,$14.85 , N/A ,$16.50 ,$9.26 , N/A ,$6.83 , N/A , N/A , N/A ,$14.85 , N/A ,$9.14 ,$4.62 ,$14.85 , N/A ,$14.85 ,$14.85 , N/A ,$10.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000131,N/A,HC PRECUT SAFETY SPLINT FIBERGLASS,270,1 ,$29.16 ,$21.00 ,$8.16 ,$29.16 , N/A ,$21.72 ,$19.10 , N/A ,$8.16 ,$17.93 , N/A ,$17.93 , N/A ,$16.15 ,$16.15 , N/A ,$16.15 , N/A ,$26.24 ,$24.20 , N/A , N/A ,$25.66 , N/A ,$21.87 ,$21.87 ,$24.79 ,$24.79 , N/A ,$24.79 , N/A ,$23.62 ,$23.62 ,$23.62 ,$29.16 ,$26.24 , N/A ,$26.24 , N/A ,$29.16 ,$16.36 , N/A ,$12.07 , N/A , N/A , N/A ,$26.24 , N/A ,$16.15 ,$8.16 ,$26.24 , N/A ,$26.24 ,$26.24 , N/A ,$18.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100005,N/A,HC AIR SHIELDS WARMER,271,1 ,$38.47 ,$27.70 ,$10.77 ,$38.47 , N/A ,$28.66 ,$25.20 , N/A ,$10.77 ,$23.66 , N/A ,$23.66 , N/A ,$21.31 ,$21.31 , N/A ,$21.31 , N/A ,$34.62 ,$31.93 , N/A , N/A ,$33.85 , N/A ,$28.85 ,$28.85 ,$32.70 ,$32.70 , N/A ,$32.70 , N/A ,$31.16 ,$31.16 ,$31.16 ,$38.47 ,$34.62 , N/A ,$34.62 , N/A ,$38.47 ,$21.58 , N/A ,$15.93 , N/A , N/A , N/A ,$34.62 , N/A ,$21.31 ,$10.77 ,$34.62 , N/A ,$34.62 ,$34.62 , N/A ,$25.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$145.09 ,$104.46 ,$40.63 ,$145.09 , N/A ,$108.09 ,$95.03 , N/A ,$40.63 ,$89.23 , N/A ,$89.23 , N/A ,$80.38 ,$80.38 , N/A ,$80.38 , N/A ,$130.58 ,$120.42 , N/A , N/A ,$127.68 , N/A ,$108.82 ,$108.82 ,$123.33 ,$123.33 , N/A ,$123.33 , N/A ,$117.52 ,$117.52 ,$117.52 ,$145.09 ,$130.58 , N/A ,$130.58 , N/A ,$145.09 ,$81.40 , N/A ,$60.07 , N/A , N/A , N/A ,$130.58 , N/A ,$80.38 ,$40.63 ,$130.58 , N/A ,$130.58 ,$130.58 , N/A ,$94.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100107,N/A,HC OXYGEN HOURLY,271,1 ,$17.04 ,$12.27 ,$4.77 ,$17.04 , N/A ,$12.69 ,$11.16 , N/A ,$4.77 ,$10.48 , N/A ,$10.48 , N/A ,$9.44 ,$9.44 , N/A ,$9.44 , N/A ,$15.34 ,$14.14 , N/A , N/A ,$15.00 , N/A ,$12.78 ,$12.78 ,$14.48 ,$14.48 , N/A ,$14.48 , N/A ,$13.80 ,$13.80 ,$13.80 ,$17.04 ,$15.34 , N/A ,$15.34 , N/A ,$17.04 ,$9.56 , N/A ,$7.05 , N/A , N/A , N/A ,$15.34 , N/A ,$9.44 ,$4.77 ,$15.34 , N/A ,$15.34 ,$15.34 , N/A ,$11.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100114,N/A,HC PEAK FLOWMETER,271,1 ,$61.77 ,$44.47 ,$17.30 ,$61.77 , N/A ,$46.02 ,$40.46 , N/A ,$17.30 ,$37.99 , N/A ,$37.99 , N/A ,$34.22 ,$34.22 , N/A ,$34.22 , N/A ,$55.59 ,$51.27 , N/A , N/A ,$54.36 , N/A ,$46.33 ,$46.33 ,$52.50 ,$52.50 , N/A ,$52.50 , N/A ,$50.03 ,$50.03 ,$50.03 ,$61.77 ,$55.59 , N/A ,$55.59 , N/A ,$61.77 ,$34.65 , N/A ,$25.57 , N/A , N/A , N/A ,$55.59 , N/A ,$34.22 ,$17.30 ,$55.59 , N/A ,$55.59 ,$55.59 , N/A ,$40.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100155,N/A,HC THERABAND PER FOOT,271,1 ,$8.68 ,$6.25 ,$2.43 ,$8.68 , N/A ,$6.47 ,$5.69 , N/A ,$2.43 ,$5.34 , N/A ,$5.34 , N/A ,$4.81 ,$4.81 , N/A ,$4.81 , N/A ,$7.81 ,$7.20 , N/A , N/A ,$7.64 , N/A ,$6.51 ,$6.51 ,$7.38 ,$7.38 , N/A ,$7.38 , N/A ,$7.03 ,$7.03 ,$7.03 ,$8.68 ,$7.81 , N/A ,$7.81 , N/A ,$8.68 ,$4.87 , N/A ,$3.59 , N/A , N/A , N/A ,$7.81 , N/A ,$4.81 ,$2.43 ,$7.81 , N/A ,$7.81 ,$7.81 , N/A ,$5.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100188,N/A,HC SLING ARM,271,1 ,$37.33 ,$26.88 ,$10.45 ,$37.33 , N/A ,$27.81 ,$24.45 , N/A ,$10.45 ,$22.96 , N/A ,$22.96 , N/A ,$20.68 ,$20.68 , N/A ,$20.68 , N/A ,$33.60 ,$30.98 , N/A , N/A ,$32.85 , N/A ,$28.00 ,$28.00 ,$31.73 ,$31.73 , N/A ,$31.73 , N/A ,$30.24 ,$30.24 ,$30.24 ,$37.33 ,$33.60 , N/A ,$33.60 , N/A ,$37.33 ,$20.94 , N/A ,$15.45 , N/A , N/A , N/A ,$33.60 , N/A ,$20.68 ,$10.45 ,$33.60 , N/A ,$33.60 ,$33.60 , N/A ,$24.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100189,E0190,HC PILLOW ABDUCTION HIP,271,1 ,$182.92 ,$131.70 ,$51.22 ,$182.92 , N/A ,$136.28 ,$119.81 , N/A ,$51.22 ,$112.50 , N/A ,$112.50 , N/A ,$101.34 ,$101.34 , N/A ,$101.34 , N/A ,$164.63 ,$151.82 , N/A , N/A ,$160.97 , N/A ,$137.19 ,$137.19 ,$155.48 ,$155.48 , N/A ,$155.48 , N/A ,$148.17 ,$148.17 ,$148.17 ,$182.92 ,$164.63 , N/A ,$164.63 , N/A ,$182.92 ,$102.62 , N/A ,$75.73 , N/A , N/A , N/A ,$164.63 , N/A ,$101.34 ,$51.22 ,$164.63 , N/A ,$164.63 ,$164.63 , N/A ,$118.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100196,N/A,HC SENSOR BIS,271,1 ,$163.28 ,$117.56 ,$45.72 ,$163.28 , N/A ,$121.64 ,$106.95 , N/A ,$45.72 ,$100.42 , N/A ,$100.42 , N/A ,$90.46 ,$90.46 , N/A ,$90.46 , N/A ,$146.95 ,$135.52 , N/A , N/A ,$143.69 , N/A ,$122.46 ,$122.46 ,$138.79 ,$138.79 , N/A ,$138.79 , N/A ,$132.26 ,$132.26 ,$132.26 ,$163.28 ,$146.95 , N/A ,$146.95 , N/A ,$163.28 ,$91.60 , N/A ,$67.60 , N/A , N/A , N/A ,$146.95 , N/A ,$90.46 ,$45.72 ,$146.95 , N/A ,$146.95 ,$146.95 , N/A ,$106.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100201,N/A,HC CANNULA NASAL OXYGEN,271,1 ,$22.00 ,$15.84 ,$6.16 ,$22.00 , N/A ,$16.39 ,$14.41 , N/A ,$6.16 ,$13.53 , N/A ,$13.53 , N/A ,$12.19 ,$12.19 , N/A ,$12.19 , N/A ,$19.80 ,$18.26 , N/A , N/A ,$19.36 , N/A ,$16.50 ,$16.50 ,$18.70 ,$18.70 , N/A ,$18.70 , N/A ,$17.82 ,$17.82 ,$17.82 ,$22.00 ,$19.80 , N/A ,$19.80 , N/A ,$22.00 ,$12.34 , N/A ,$9.11 , N/A , N/A , N/A ,$19.80 , N/A ,$12.19 ,$6.16 ,$19.80 , N/A ,$19.80 ,$19.80 , N/A ,$14.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$58.83 ,$42.36 ,$16.47 ,$58.83 , N/A ,$43.83 ,$38.53 , N/A ,$16.47 ,$36.18 , N/A ,$36.18 , N/A ,$32.59 ,$32.59 , N/A ,$32.59 , N/A ,$52.95 ,$48.83 , N/A , N/A ,$51.77 , N/A ,$44.12 ,$44.12 ,$50.01 ,$50.01 , N/A ,$50.01 , N/A ,$47.65 ,$47.65 ,$47.65 ,$58.83 ,$52.95 , N/A ,$52.95 , N/A ,$58.83 ,$33.00 , N/A ,$24.36 , N/A , N/A , N/A ,$52.95 , N/A ,$32.59 ,$16.47 ,$52.95 , N/A ,$52.95 ,$52.95 , N/A ,$38.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100206,N/A,HC CUSHION CHAIR,271,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$20.86 ,$18.34 , N/A ,$7.84 ,$17.22 , N/A ,$17.22 , N/A ,$15.51 ,$15.51 , N/A ,$15.51 , N/A ,$25.20 ,$23.24 , N/A , N/A ,$24.64 , N/A ,$21.00 ,$21.00 ,$23.80 ,$23.80 , N/A ,$23.80 , N/A ,$22.68 ,$22.68 ,$22.68 ,$28.00 ,$25.20 , N/A ,$25.20 , N/A ,$28.00 ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$25.20 , N/A ,$15.51 ,$7.84 ,$25.20 , N/A ,$25.20 ,$25.20 , N/A ,$18.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100209,N/A,HC ENEMA BAG,271,1 ,$9.52 ,$6.85 ,$2.67 ,$9.52 , N/A ,$7.09 ,$6.24 , N/A ,$2.67 ,$5.85 , N/A ,$5.85 , N/A ,$5.27 ,$5.27 , N/A ,$5.27 , N/A ,$8.57 ,$7.90 , N/A , N/A ,$8.38 , N/A ,$7.14 ,$7.14 ,$8.09 ,$8.09 , N/A ,$8.09 , N/A ,$7.71 ,$7.71 ,$7.71 ,$9.52 ,$8.57 , N/A ,$8.57 , N/A ,$9.52 ,$5.34 , N/A ,$3.94 , N/A , N/A , N/A ,$8.57 , N/A ,$5.27 ,$2.67 ,$8.57 , N/A ,$8.57 ,$8.57 , N/A ,$6.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100210,N/A,HC KIT CANISTER SUCTION,271,1 ,$10.70 ,$7.70 ,$3.00 ,$10.70 , N/A ,$7.97 ,$7.01 , N/A ,$3.00 ,$6.58 , N/A ,$6.58 , N/A ,$5.93 ,$5.93 , N/A ,$5.93 , N/A ,$9.63 ,$8.88 , N/A , N/A ,$9.42 , N/A ,$8.03 ,$8.03 ,$9.10 ,$9.10 , N/A ,$9.10 , N/A ,$8.67 ,$8.67 ,$8.67 ,$10.70 ,$9.63 , N/A ,$9.63 , N/A ,$10.70 ,$6.00 , N/A ,$4.43 , N/A , N/A , N/A ,$9.63 , N/A ,$5.93 ,$3.00 ,$9.63 , N/A ,$9.63 ,$9.63 , N/A ,$6.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$222.76 ,$160.39 ,$62.37 ,$222.76 , N/A ,$165.96 ,$145.91 , N/A ,$62.37 ,$137.00 , N/A ,$137.00 , N/A ,$123.41 ,$123.41 , N/A ,$123.41 , N/A ,$200.48 ,$184.89 , N/A , N/A ,$196.03 , N/A ,$167.07 ,$167.07 ,$189.35 ,$189.35 , N/A ,$189.35 , N/A ,$180.44 ,$180.44 ,$180.44 ,$222.76 ,$200.48 , N/A ,$200.48 , N/A ,$222.76 ,$124.97 , N/A ,$92.22 , N/A , N/A , N/A ,$200.48 , N/A ,$123.41 ,$62.37 ,$200.48 , N/A ,$200.48 ,$200.48 , N/A ,$144.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100216,N/A,HC SET FLUID WARMER,271,1 ,$103.00 ,$74.16 ,$28.84 ,$103.00 , N/A ,$76.74 ,$67.47 , N/A ,$28.84 ,$63.35 , N/A ,$63.35 , N/A ,$57.06 ,$57.06 , N/A ,$57.06 , N/A ,$92.70 ,$85.49 , N/A , N/A ,$90.64 , N/A ,$77.25 ,$77.25 ,$87.55 ,$87.55 , N/A ,$87.55 , N/A ,$83.43 ,$83.43 ,$83.43 ,$103.00 ,$92.70 , N/A ,$92.70 , N/A ,$103.00 ,$57.78 , N/A ,$42.64 , N/A , N/A , N/A ,$92.70 , N/A ,$57.06 ,$28.84 ,$92.70 , N/A ,$92.70 ,$92.70 , N/A ,$66.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$27.00 ,$19.44 ,$7.56 ,$27.00 , N/A ,$20.12 ,$17.69 , N/A ,$7.56 ,$16.61 , N/A ,$16.61 , N/A ,$14.96 ,$14.96 , N/A ,$14.96 , N/A ,$24.30 ,$22.41 , N/A , N/A ,$23.76 , N/A ,$20.25 ,$20.25 ,$22.95 ,$22.95 , N/A ,$22.95 , N/A ,$21.87 ,$21.87 ,$21.87 ,$27.00 ,$24.30 , N/A ,$24.30 , N/A ,$27.00 ,$15.15 , N/A ,$11.18 , N/A , N/A , N/A ,$24.30 , N/A ,$14.96 ,$7.56 ,$24.30 , N/A ,$24.30 ,$24.30 , N/A ,$17.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100235,N/A,HC MASK OXYGEN,271,1 ,$33.01 ,$23.77 ,$9.24 ,$33.01 , N/A ,$24.59 ,$21.62 , N/A ,$9.24 ,$20.30 , N/A ,$20.30 , N/A ,$18.29 ,$18.29 , N/A ,$18.29 , N/A ,$29.71 ,$27.40 , N/A , N/A ,$29.05 , N/A ,$24.76 ,$24.76 ,$28.06 ,$28.06 , N/A ,$28.06 , N/A ,$26.74 ,$26.74 ,$26.74 ,$33.01 ,$29.71 , N/A ,$29.71 , N/A ,$33.01 ,$18.52 , N/A ,$13.67 , N/A , N/A , N/A ,$29.71 , N/A ,$18.29 ,$9.24 ,$29.71 , N/A ,$29.71 ,$29.71 , N/A ,$21.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100252,N/A,HC SITZ BATH,271,1 ,$35.95 ,$25.88 ,$10.07 ,$35.95 , N/A ,$26.78 ,$23.55 , N/A ,$10.07 ,$22.11 , N/A ,$22.11 , N/A ,$19.92 ,$19.92 , N/A ,$19.92 , N/A ,$32.36 ,$29.84 , N/A , N/A ,$31.64 , N/A ,$26.96 ,$26.96 ,$30.56 ,$30.56 , N/A ,$30.56 , N/A ,$29.12 ,$29.12 ,$29.12 ,$35.95 ,$32.36 , N/A ,$32.36 , N/A ,$35.95 ,$20.17 , N/A ,$14.88 , N/A , N/A , N/A ,$32.36 , N/A ,$19.92 ,$10.07 ,$32.36 , N/A ,$32.36 ,$32.36 , N/A ,$23.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100256,N/A,HC ELECTRODE FETAL SCALP,271,1 ,$18.63 ,$13.41 ,$5.22 ,$18.63 , N/A ,$13.88 ,$12.20 , N/A ,$5.22 ,$11.46 , N/A ,$11.46 , N/A ,$10.32 ,$10.32 , N/A ,$10.32 , N/A ,$16.77 ,$15.46 , N/A , N/A ,$16.39 , N/A ,$13.97 ,$13.97 ,$15.84 ,$15.84 , N/A ,$15.84 , N/A ,$15.09 ,$15.09 ,$15.09 ,$18.63 ,$16.77 , N/A ,$16.77 , N/A ,$18.63 ,$10.45 , N/A ,$7.71 , N/A , N/A , N/A ,$16.77 , N/A ,$10.32 ,$5.22 ,$16.77 , N/A ,$16.77 ,$16.77 , N/A ,$12.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100258,N/A,HC KIT RT OXYGEN SUPPLY,271,1 ,$98.28 ,$70.76 ,$27.52 ,$98.28 , N/A ,$73.22 ,$64.37 , N/A ,$27.52 ,$60.44 , N/A ,$60.44 , N/A ,$54.45 ,$54.45 , N/A ,$54.45 , N/A ,$88.45 ,$81.57 , N/A , N/A ,$86.49 , N/A ,$73.71 ,$73.71 ,$83.54 ,$83.54 , N/A ,$83.54 , N/A ,$79.61 ,$79.61 ,$79.61 ,$98.28 ,$88.45 , N/A ,$88.45 , N/A ,$98.28 ,$55.14 , N/A ,$40.69 , N/A , N/A , N/A ,$88.45 , N/A ,$54.45 ,$27.52 ,$88.45 , N/A ,$88.45 ,$88.45 , N/A ,$63.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100259,N/A,HC LINER SUCTION CANISTER,271,1 ,$15.80 ,$11.38 ,$4.42 ,$15.80 , N/A ,$11.77 ,$10.35 , N/A ,$4.42 ,$9.72 , N/A ,$9.72 , N/A ,$8.75 ,$8.75 , N/A ,$8.75 , N/A ,$14.22 ,$13.11 , N/A , N/A ,$13.90 , N/A ,$11.85 ,$11.85 ,$13.43 ,$13.43 , N/A ,$13.43 , N/A ,$12.80 ,$12.80 ,$12.80 ,$15.80 ,$14.22 , N/A ,$14.22 , N/A ,$15.80 ,$8.86 , N/A ,$6.54 , N/A , N/A , N/A ,$14.22 , N/A ,$8.75 ,$4.42 ,$14.22 , N/A ,$14.22 ,$14.22 , N/A ,$10.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100267,N/A,HC SLEEVE SCD FOOT,271,1 ,$36.00 ,$25.92 ,$10.08 ,$36.00 , N/A ,$26.82 ,$23.58 , N/A ,$10.08 ,$22.14 , N/A ,$22.14 , N/A ,$19.94 ,$19.94 , N/A ,$19.94 , N/A ,$32.40 ,$29.88 , N/A , N/A ,$31.68 , N/A ,$27.00 ,$27.00 ,$30.60 ,$30.60 , N/A ,$30.60 , N/A ,$29.16 ,$29.16 ,$29.16 ,$36.00 ,$32.40 , N/A ,$32.40 , N/A ,$36.00 ,$20.20 , N/A ,$14.90 , N/A , N/A , N/A ,$32.40 , N/A ,$19.94 ,$10.08 ,$32.40 , N/A ,$32.40 ,$32.40 , N/A ,$23.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100269,N/A,HC SUSPENSORY/SUPPORT SCROTAL,271,1 ,$70.74 ,$50.93 ,$19.81 ,$70.74 , N/A ,$52.70 ,$46.33 , N/A ,$19.81 ,$43.51 , N/A ,$43.51 , N/A ,$39.19 ,$39.19 , N/A ,$39.19 , N/A ,$63.67 ,$58.71 , N/A , N/A ,$62.25 , N/A ,$53.06 ,$53.06 ,$60.13 ,$60.13 , N/A ,$60.13 , N/A ,$57.30 ,$57.30 ,$57.30 ,$70.74 ,$63.67 , N/A ,$63.67 , N/A ,$70.74 ,$39.69 , N/A ,$29.29 , N/A , N/A , N/A ,$63.67 , N/A ,$39.19 ,$19.81 ,$63.67 , N/A ,$63.67 ,$63.67 , N/A ,$45.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100277,N/A,HC BAG WASTE,271,1 ,$59.96 ,$43.17 ,$16.79 ,$59.96 , N/A ,$44.67 ,$39.27 , N/A ,$16.79 ,$36.88 , N/A ,$36.88 , N/A ,$33.22 ,$33.22 , N/A ,$33.22 , N/A ,$53.96 ,$49.77 , N/A , N/A ,$52.76 , N/A ,$44.97 ,$44.97 ,$50.97 ,$50.97 , N/A ,$50.97 , N/A ,$48.57 ,$48.57 ,$48.57 ,$59.96 ,$53.96 , N/A ,$53.96 , N/A ,$59.96 ,$33.64 , N/A ,$24.82 , N/A , N/A , N/A ,$53.96 , N/A ,$33.22 ,$16.79 ,$53.96 , N/A ,$53.96 ,$53.96 , N/A ,$38.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100282,N/A,HC PACK HOT/ COLD SMALL,271,1 ,$11.03 ,$7.94 ,$3.09 ,$11.03 , N/A ,$8.22 ,$7.22 , N/A ,$3.09 ,$6.78 , N/A ,$6.78 , N/A ,$6.11 ,$6.11 , N/A ,$6.11 , N/A ,$9.93 ,$9.15 , N/A , N/A ,$9.71 , N/A ,$8.27 ,$8.27 ,$9.38 ,$9.38 , N/A ,$9.38 , N/A ,$8.93 ,$8.93 ,$8.93 ,$11.03 ,$9.93 , N/A ,$9.93 , N/A ,$11.03 ,$6.19 , N/A ,$4.57 , N/A , N/A , N/A ,$9.93 , N/A ,$6.11 ,$3.09 ,$9.93 , N/A ,$9.93 ,$9.93 , N/A ,$7.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100325,N/A,HC SPACER MDI,271,1 ,$38.20 ,$27.50 ,$10.70 ,$38.20 , N/A ,$28.46 ,$25.02 , N/A ,$10.70 ,$23.49 , N/A ,$23.49 , N/A ,$21.16 ,$21.16 , N/A ,$21.16 , N/A ,$34.38 ,$31.71 , N/A , N/A ,$33.62 , N/A ,$28.65 ,$28.65 ,$32.47 ,$32.47 , N/A ,$32.47 , N/A ,$30.94 ,$30.94 ,$30.94 ,$38.20 ,$34.38 , N/A ,$34.38 , N/A ,$38.20 ,$21.43 , N/A ,$15.81 , N/A , N/A , N/A ,$34.38 , N/A ,$21.16 ,$10.70 ,$34.38 , N/A ,$34.38 ,$34.38 , N/A ,$24.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100482,N/A,HC SHEET PATIENT TRANSFER,271,1 ,$10.95 ,$7.88 ,$3.07 ,$10.95 , N/A ,$8.16 ,$7.17 , N/A ,$3.07 ,$6.73 , N/A ,$6.73 , N/A ,$6.07 ,$6.07 , N/A ,$6.07 , N/A ,$9.86 ,$9.09 , N/A , N/A ,$9.64 , N/A ,$8.21 ,$8.21 ,$9.31 ,$9.31 , N/A ,$9.31 , N/A ,$8.87 ,$8.87 ,$8.87 ,$10.95 ,$9.86 , N/A ,$9.86 , N/A ,$10.95 ,$6.14 , N/A ,$4.53 , N/A , N/A , N/A ,$9.86 , N/A ,$6.07 ,$3.07 ,$9.86 , N/A ,$9.86 ,$9.86 , N/A ,$7.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100483,N/A,HC BOTTLE HUMIDITY,271,1 ,$16.48 ,$11.87 ,$4.61 ,$16.48 , N/A ,$12.28 ,$10.79 , N/A ,$4.61 ,$10.14 , N/A ,$10.14 , N/A ,$9.13 ,$9.13 , N/A ,$9.13 , N/A ,$14.83 ,$13.68 , N/A , N/A ,$14.50 , N/A ,$12.36 ,$12.36 ,$14.01 ,$14.01 , N/A ,$14.01 , N/A ,$13.35 ,$13.35 ,$13.35 ,$16.48 ,$14.83 , N/A ,$14.83 , N/A ,$16.48 ,$9.25 , N/A ,$6.82 , N/A , N/A , N/A ,$14.83 , N/A ,$9.13 ,$4.61 ,$14.83 , N/A ,$14.83 ,$14.83 , N/A ,$10.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100487,N/A,HC MASK VENTILATION,271,1 ,$9.62 ,$6.93 ,$2.69 ,$9.62 , N/A ,$7.17 ,$6.30 , N/A ,$2.69 ,$5.92 , N/A ,$5.92 , N/A ,$5.33 ,$5.33 , N/A ,$5.33 , N/A ,$8.66 ,$7.98 , N/A , N/A ,$8.47 , N/A ,$7.22 ,$7.22 ,$8.18 ,$8.18 , N/A ,$8.18 , N/A ,$7.79 ,$7.79 ,$7.79 ,$9.62 ,$8.66 , N/A ,$8.66 , N/A ,$9.62 ,$5.40 , N/A ,$3.98 , N/A , N/A , N/A ,$8.66 , N/A ,$5.33 ,$2.69 ,$8.66 , N/A ,$8.66 ,$8.66 , N/A ,$6.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100489,N/A,HC MASK RESPIRATOR,271,1 ,$169.85 ,$122.29 ,$47.56 ,$169.85 , N/A ,$126.54 ,$111.25 , N/A ,$47.56 ,$104.46 , N/A ,$104.46 , N/A ,$94.10 ,$94.10 , N/A ,$94.10 , N/A ,$152.87 ,$140.98 , N/A , N/A ,$149.47 , N/A ,$127.39 ,$127.39 ,$144.37 ,$144.37 , N/A ,$144.37 , N/A ,$137.58 ,$137.58 ,$137.58 ,$169.85 ,$152.87 , N/A ,$152.87 , N/A ,$169.85 ,$95.29 , N/A ,$70.32 , N/A , N/A , N/A ,$152.87 , N/A ,$94.10 ,$47.56 ,$152.87 , N/A ,$152.87 ,$152.87 , N/A ,$110.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100490,N/A,HC PAD KNEE ELASTIC,271,1 ,$531.81 ,$382.90 ,$148.91 ,$531.81 , N/A ,$396.20 ,$348.34 , N/A ,$148.91 ,$327.06 , N/A ,$327.06 , N/A ,$294.62 ,$294.62 , N/A ,$294.62 , N/A ,$478.63 ,$441.40 , N/A , N/A ,$467.99 , N/A ,$398.86 ,$398.86 ,$452.04 ,$452.04 , N/A ,$452.04 , N/A ,$430.77 ,$430.77 ,$430.77 ,$531.81 ,$478.63 , N/A ,$478.63 , N/A ,$531.81 ,$298.35 , N/A ,$220.17 , N/A , N/A , N/A ,$478.63 , N/A ,$294.62 ,$148.91 ,$478.63 , N/A ,$478.63 ,$478.63 , N/A ,$345.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100492,N/A,HC PULLEY OVERDOOR,271,1 ,$20.12 ,$14.49 ,$5.63 ,$20.12 , N/A ,$14.99 ,$13.18 , N/A ,$5.63 ,$12.37 , N/A ,$12.37 , N/A ,$11.15 ,$11.15 , N/A ,$11.15 , N/A ,$18.11 ,$16.70 , N/A , N/A ,$17.71 , N/A ,$15.09 ,$15.09 ,$17.10 ,$17.10 , N/A ,$17.10 , N/A ,$16.30 ,$16.30 ,$16.30 ,$20.12 ,$18.11 , N/A ,$18.11 , N/A ,$20.12 ,$11.29 , N/A ,$8.33 , N/A , N/A , N/A ,$18.11 , N/A ,$11.15 ,$5.63 ,$18.11 , N/A ,$18.11 ,$18.11 , N/A ,$13.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100493,N/A,HC PAD SENSOR,271,1 ,$75.45 ,$54.32 ,$21.13 ,$75.45 , N/A ,$56.21 ,$49.42 , N/A ,$21.13 ,$46.40 , N/A ,$46.40 , N/A ,$41.80 ,$41.80 , N/A ,$41.80 , N/A ,$67.91 ,$62.62 , N/A , N/A ,$66.40 , N/A ,$56.59 ,$56.59 ,$64.13 ,$64.13 , N/A ,$64.13 , N/A ,$61.11 ,$61.11 ,$61.11 ,$75.45 ,$67.91 , N/A ,$67.91 , N/A ,$75.45 ,$42.33 , N/A ,$31.24 , N/A , N/A , N/A ,$67.91 , N/A ,$41.80 ,$21.13 ,$67.91 , N/A ,$67.91 ,$67.91 , N/A ,$49.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100519,N/A,HC SYSTEM MONITR NOVII PTCH,271,1 ,$116.85 ,$84.13 ,$32.72 ,$116.85 , N/A ,$87.05 ,$76.54 , N/A ,$32.72 ,$71.86 , N/A ,$71.86 , N/A ,$64.73 ,$64.73 , N/A ,$64.73 , N/A ,$105.17 ,$96.99 , N/A , N/A ,$102.83 , N/A ,$87.64 ,$87.64 ,$99.32 ,$99.32 , N/A ,$99.32 , N/A ,$94.65 ,$94.65 ,$94.65 ,$116.85 ,$105.17 , N/A ,$105.17 , N/A ,$116.85 ,$65.55 , N/A ,$48.38 , N/A , N/A , N/A ,$105.17 , N/A ,$64.73 ,$32.72 ,$105.17 , N/A ,$105.17 ,$105.17 , N/A ,$75.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100520,N/A,HC DISPOSABLE EXPIRATORY VALVE,271,1 ,$45.63 ,$32.85 ,$12.78 ,$45.63 , N/A ,$33.99 ,$29.89 , N/A ,$12.78 ,$28.06 , N/A ,$28.06 , N/A ,$25.28 ,$25.28 , N/A ,$25.28 , N/A ,$41.07 ,$37.87 , N/A , N/A ,$40.15 , N/A ,$34.22 ,$34.22 ,$38.79 ,$38.79 , N/A ,$38.79 , N/A ,$36.96 ,$36.96 ,$36.96 ,$45.63 ,$41.07 , N/A ,$41.07 , N/A ,$45.63 ,$25.60 , N/A ,$18.89 , N/A , N/A , N/A ,$41.07 , N/A ,$25.28 ,$12.78 ,$41.07 , N/A ,$41.07 ,$41.07 , N/A ,$29.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100521,N/A,HC FLOW SENSOR,271,1 ,$62.16 ,$44.76 ,$17.40 ,$62.16 , N/A ,$46.31 ,$40.71 , N/A ,$17.40 ,$38.23 , N/A ,$38.23 , N/A ,$34.44 ,$34.44 , N/A ,$34.44 , N/A ,$55.94 ,$51.59 , N/A , N/A ,$54.70 , N/A ,$46.62 ,$46.62 ,$52.84 ,$52.84 , N/A ,$52.84 , N/A ,$50.35 ,$50.35 ,$50.35 ,$62.16 ,$55.94 , N/A ,$55.94 , N/A ,$62.16 ,$34.87 , N/A ,$25.73 , N/A , N/A , N/A ,$55.94 , N/A ,$34.44 ,$17.40 ,$55.94 , N/A ,$55.94 ,$55.94 , N/A ,$40.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100522,N/A,HC ENDOGATOR PVC TUBE CO2 CONNECTOR,272,1 ,$56.40 ,$40.61 ,$15.79 ,$56.40 , N/A ,$42.02 ,$36.94 , N/A ,$15.79 ,$34.69 , N/A ,$34.69 , N/A ,$31.25 ,$31.25 , N/A ,$31.25 , N/A ,$50.76 ,$46.81 , N/A , N/A ,$49.63 , N/A ,$42.30 ,$42.30 ,$47.94 ,$47.94 , N/A ,$47.94 , N/A ,$45.68 ,$45.68 ,$45.68 ,$56.40 ,$50.76 , N/A ,$50.76 , N/A ,$56.40 ,$31.64 , N/A ,$23.35 , N/A , N/A , N/A ,$50.76 , N/A ,$31.25 ,$15.79 ,$50.76 , N/A ,$50.76 ,$50.76 , N/A ,$36.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,EPIFILM,271,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CUFF TOURNIQUET ATS RED 18X4IN,271,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,FILTER SMOKE EVACUATOR VIROVAC VIROSAFE .1-.2UM 4 LAYER REPLACEMENT HIDDEN MALE PORT SAFE,271,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,HOLDER TUBE LF,271,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,IMPACTOR SURGICAL VERSYS STANDARD TAPER HIP FEMORAL HEAD MEDIAL LATERAL ALUMINUM POLYACETAL COPOLYMER CAP NONSTERILE,271,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,LEAD METRONIC NERVESTIMULATOR 5MM 1 X 8,271,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,STOCKINETTE ORTHOPEDIC 60X8IN 2 PLY STRAP ROLL STERILE,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CUBE POLAR CARE,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,DNU PROTECTOR MEDIUM LONG POLYMER EXTREMITY SOFCARE HEELCARE HEEL BOOT ELEVATOR DISPOSABLE,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,ELECTRODE DEFIBRILLATOR,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,PAD PINK FOAM,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SOLUTION BSS PLUS 500ML,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT DENVER NASAL LARGE,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT ENT DENVER KIT SMALL/MEDIUM,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT ORTHOPEDIC 20FTX6IN PRECUT STOCKINETTE PAD PLASTER OF PARIS FOAM SPECIALIST J-SPLINT LATEX FREE,271,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,STRAP POSITIONING 30FTX1.5IN ALISTRAP REGULAR HOOK LOOP,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG ISO PXP GLMTR,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BELT SUPPORT LARGE NONSTERILE LATEX FREE REUSABLE,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,COLLAR CERVICAL ADULT REGULAR 3IN PROCARE TRANSITIONAL 172 FOAM 13-22IN,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,OVERLAY MATTRESS 78X34X3.5IN SPR PLUS III C600LB 3.75IN STANDARD PVC VINYL INFLATE CONTROL UNIT,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,PAD CONTOUR FOAM POSITIONING CLIP-ON BASE PLATE ANTERIOR SUPPORT 2 COMPRESSION PAD LATEX FREE UNIVERSAL LATERAL POSITIONER,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,POSITIONER OR LEG KIT DISPOSABLE,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SHIELD FACE CLEAR,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SLING ORTHOPEDIC SMALL 11- IN ARM QUICK RELEASE BUCKLE OPEN FRONT PANEL DEROTATION STRAP HOOK BREATHABLE FABRIC FOAM ULTRASLING III LATEX FREE BLACK,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SLING ULTRASLING II LG,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SLING ULTRASLING II MED,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPECIMEN RETRIEVAL BAG 7.3CMX17CM,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT INTRANASL AIRWAY,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT ORTHOPEDIC 20FTX4IN PRECUT IMMOBILIZER PAD STOCKINETTE PLASTER OF PARIS FOAM SPECIALIST J-SPLINT LATEX FREE,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SYSTEM CRYO CUFF SHOULDER 32-48IN,271,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SYSTEM FECAL MANAGEMENT FLEXI-SEAL SIGNAL KIT COLLECTION BAG CATHETER SYRINGE LATEX FREE,271,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SYSTEM SMOKE EVACUATOR,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG PRESSURE INFUSION 500ML NYLON INFUSABLE LARGE BULB STOPCOCK NET INTRAVENOUS NONSTERILE,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BLANKET WARMING PEDIATRIC,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CANNISTER LIPOSUCTION IMPLOSION,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CANNISTER SET AQUILEX BEMIS HOLOGIC,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CANNULA NASAL O2 CO2 SAMPLE LINE SLEEP LAB ADULT NOMOLINE DISPOSABLE ORAL,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,COLLAR CERVICAL ADULT SHORT CONTOUR 2.25IN ATLAS ASPEN PROCARE 2 PIECE LAMINATE PAD CHIN REST LATEX FREE POLYETHYLENE FOAM 13-22IN PINK,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,COLLAR CERVICAL ADULT TALL CONTOUR 3.75IN ATLAS PROCARE 2 PIECE LAMINATE PAD CHIN REST LATEX FREE POLYETHYLENE FOAM 13-22IN GREEN,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,COLLAR CERVICAL ADULT XTALL CONTOUR 4.5IN ATLAS PROCARE 2 PIECE LAMINATE PAD CHIN REST LATEX FREE POLYETHYLENE FOAM 13-22IN YELLOW,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CUFF TOURNIQUET DUAL PORT 30,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,DRESSING STOCKINETTE ORTHO DELT-NET 1 PLY ROLL 25YDX3,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,DRESSING STOCKINETTE WHITE 4,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,DRESSING STOCKINETTE WHITE 6   NON-STERILE,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,HEEL MEDIC BASIC HEEL PROTECTOR,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,IMMOBILIZER ORTHOPEDIC UNIVERSAL STRAIGHT 20IN 30- IN KNEE MULTIPANEL MEDIAL LATERAL STAY ELASTIC STRAP TRIMMABLE PLUSH FOAM PROCARE LATEX FREE 6IN,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,IMMOBILZER KNEE 24,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,INFUSOR PRESSURE 1000ML VITAL SIGNS NET,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,INSTRUMENT ROBOTIC ENDOWRIST HOT SHEAR ACCESSORY TIP (400180),271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,MASK OXYGEN ADULT 2 ADAPTER SAMPLE LINE 7FT MICROSTREAM 10FT,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,MASK T-MAX FACE MASK,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,MATTRESS AIR 74X33IN SOFCARE C350LB VINYL OVERLAY WATERPROOF,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,PILLOW ABDUCTION HIP MEDIUM DISPOSABLE,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,PROTECTOR HEEL HEEL RAISER PRO II ULTRA-FRESH HOOK LOOP STRAP LATEX NYLON POLYESTER 11-19IN BLUE GRAY,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SENSOR ALAR NASAL PULSE OXIMETRY M1196T,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SET STRAP ANKLE DISTRACTOR ZIMMER,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SOLUTION IRRIGATION 0.9% SODIUM CHLORIDE 5000ML,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SOLUTION IRRIGATION UROMATIC VIAFLEX 1.5% GLYCINE PLASTIC CONTAINER PH 6 3000ML,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT NASAL 75MMX1MM THK25MM,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT ORTHOPEDIC UNIVERSAL 20IN 29- IN KNEE CONTACT CLOSURE ALTERNATE STRAP ALUMINUM NYLON COTTON PROCARE,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT PLASTER XFAST 5 X 30,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,STOCKINETTE 3 X 25YD,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,STOCKINETTE IMPERVIOUS LARGE,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SUPPORT SCROTAL BLK B-B LG,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SUPPORT SCROTAL WHT B-B XL,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SUSPENSORY MEDIUM,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,TOURNIQUET SURGICAL ADULT LARGE RING FINGER TOE WARNING LABEL TOURNI-COT EXSANGUINATE DIGIT STERILE LATEX FREE GREEN,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG PRESSURE INFUSION 1000CC,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG PRESSURE INFUSION 500CC,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG URIMETER DRAINAGE,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG URINE METER 350ML 2500ML,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BINDER ABDOMINAL 12IN 45-62IN,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,"CAST PAD SPECIALIST 4""",271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 3,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CAST PADDING 4,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,OXIMETER ADULT,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,PILLOW PATIENT,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,PREP CHLORAPREP 26ML,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SLING ORTHO 7IN SM 16IN ARM 2D,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SLING ORTHOPEDIC XL,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT PLASTER GREEN 4 X 15 X-FAST,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT PRTHO 15X3,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,STOCKINETTE 4X3IN,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SUPPORT ORTHOPEDIC LARGE CONTOUR ALUMINUM VINYL TRICOT FOAM FOREARM RIGHT WRIST 10IN CONTACT CLOSURE PALMAR STAY PREFORM DELUXE PROCARE 7.5-8.5IN,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SUPPORT ORTHOPEDIC XL CONTOUR ALUMINUM VINYL TRICOT FOAM FOREARM RIGHT WRIST 10IN CONTACT CLOSURE PALMAR STAY PREFORM DELUXE PROCARE 8.5+ IN,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,UNDERPAD INCONTINENCE C375- LB 36X30IN POLYMER LOW PROFILE DRY ABSORBENT LATEX FREE REUSABLE ULTRASORBS EXTRA STRONG WHITE,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG BILE,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG DRAINAGE 600ML TRU-CLOSE GRAVITY TUBE 20IN,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,BAG PRESSURE INFUSION 3000CC,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 2,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 4,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 6,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,DRESSING STOCKINETTE ORTHO DELT-NET 1 PLY ROLL 25YDX2,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,HOLDER TUBE ANCHORFAST FASTENER BARRIER PAD SECURITY CLAMP STABILIZER 5-10MM LATEX FREE ORAL ENDOTRACHEAL,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,POSITIONER FINGER TRAP,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SOLN IRR 0.9 NACL 3000ML BAG,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT 30X4IN PRECUT,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27170000,N/A,SPLINT ORTHOPEDIC 30X5IN PRECUT LIGHTWEIGHT WASHABLE FIBERGLASS SAFETYSPLINT LATEX FREE,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200002,A7041,HC PLEURAL DRAINAGE SYSTEM,272,1 ,$36.00 ,$25.92 ,$10.08 ,$36.00 , N/A ,$26.82 ,$23.58 , N/A ,$10.08 ,$22.14 , N/A ,$22.14 , N/A ,$19.94 ,$19.94 , N/A ,$19.94 , N/A ,$32.40 , N/A , N/A , N/A ,$31.68 , N/A ,$27.00 ,$27.00 ,$30.60 ,$30.60 , N/A ,$30.60 , N/A ,$29.16 ,$29.16 ,$29.16 ,$36.00 ,$32.40 , N/A ,$32.40 , N/A ,$36.00 ,$20.20 , N/A ,$14.90 , N/A , N/A , N/A ,$32.40 , N/A ,$19.94 ,$10.08 ,$32.40 , N/A ,$32.40 ,$32.40 , N/A ,$23.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200029,C1726,HC DILATOR BALLOON,272,1 ,$16.29 ,$11.73 ,$4.56 ,$16.29 , N/A ,$12.14 ,$10.67 , N/A ,$4.56 ,$10.02 , N/A ,$10.02 , N/A ,$9.02 ,$9.02 , N/A ,$9.02 , N/A ,$14.66 , N/A , N/A , N/A ,$14.34 , N/A ,$12.22 ,$12.22 ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$13.19 ,$13.19 ,$13.19 ,$16.29 ,$14.66 , N/A ,$14.66 , N/A ,$16.29 ,$9.14 , N/A ,$6.74 , N/A , N/A , N/A ,$14.66 , N/A ,$9.02 ,$4.56 ,$14.66 , N/A ,$14.66 ,$14.66 , N/A ,$10.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200054,C1751,HC KIT CATHETER,272,1 ,$329.46 ,$237.21 ,$92.25 ,$329.46 , N/A ,$245.45 ,$215.80 , N/A ,$92.25 ,$202.62 , N/A ,$202.62 , N/A ,$182.52 ,$182.52 , N/A ,$182.52 , N/A ,$296.51 , N/A , N/A , N/A ,$289.92 , N/A ,$247.10 ,$247.10 ,$280.04 ,$280.04 , N/A ,$280.04 , N/A ,$266.86 ,$266.86 ,$266.86 ,$329.46 ,$296.51 , N/A ,$296.51 , N/A ,$329.46 ,$184.83 , N/A ,$136.40 , N/A , N/A , N/A ,$296.51 , N/A ,$182.52 ,$92.25 ,$296.51 , N/A ,$296.51 ,$296.51 , N/A ,$214.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200075,C1758,HC CATHETER URETERAL,272,1 ,$139.01 ,$100.09 ,$38.92 ,$139.01 , N/A ,$103.56 ,$91.05 , N/A ,$38.92 ,$85.49 , N/A ,$85.49 , N/A ,$77.01 ,$77.01 , N/A ,$77.01 , N/A ,$125.11 , N/A , N/A , N/A ,$122.33 , N/A ,$104.26 ,$104.26 ,$118.16 ,$118.16 , N/A ,$118.16 , N/A ,$112.60 ,$112.60 ,$112.60 ,$139.01 ,$125.11 , N/A ,$125.11 , N/A ,$139.01 ,$77.98 , N/A ,$57.55 , N/A , N/A , N/A ,$125.11 , N/A ,$77.01 ,$38.92 ,$125.11 , N/A ,$125.11 ,$125.11 , N/A ,$90.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200078,C1765,HC INTERCEED ADHESION BARRIER,278,1 ,"$2,162.26 ","$1,556.83 ",$605.43 ,"$2,162.26 ", N/A ,"$1,610.88 ","$1,416.28 ", N/A ,$605.43 ,"$1,329.79 ", N/A ,"$1,329.79 ", N/A ,"$1,197.89 ","$1,197.89 ", N/A ,"$1,197.89 ", N/A ,"$1,946.03 ", N/A , N/A , N/A ,"$1,902.79 ", N/A ,"$1,621.70 ","$1,621.70 ","$1,837.92 ","$1,837.92 ", N/A ,"$1,837.92 ", N/A ,"$1,751.43 ","$1,751.43 ","$1,751.43 ","$2,162.26 ","$1,946.03 ", N/A ,"$1,946.03 ", N/A ,"$2,162.26 ","$1,213.03 ", N/A ,$895.18 , N/A , N/A , N/A ,"$1,946.03 ", N/A ,"$1,197.89 ",$605.43 ,"$1,946.03 ", N/A ,"$1,946.03 ","$1,946.03 ", N/A ,"$1,405.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200100,C1769,HC GUIDEWIRE - STIFF,272,1 ,$111.75 ,$80.46 ,$31.29 ,$111.75 , N/A ,$83.25 ,$73.20 , N/A ,$31.29 ,$68.73 , N/A ,$68.73 , N/A ,$61.91 ,$61.91 , N/A ,$61.91 , N/A ,$100.58 , N/A , N/A , N/A ,$98.34 , N/A ,$83.81 ,$83.81 ,$94.99 ,$94.99 , N/A ,$94.99 , N/A ,$90.52 ,$90.52 ,$90.52 ,$111.75 ,$100.58 , N/A ,$100.58 , N/A ,$111.75 ,$62.69 , N/A ,$46.26 , N/A , N/A , N/A ,$100.58 , N/A ,$61.91 ,$31.29 ,$100.58 , N/A ,$100.58 ,$100.58 , N/A ,$72.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200189,N/A,HC 12 FR ESOPHAGEAL STEHOSCOPE,272,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$20.86 ,$18.34 , N/A ,$7.84 ,$17.22 , N/A ,$17.22 , N/A ,$15.51 ,$15.51 , N/A ,$15.51 , N/A ,$25.20 ,$23.24 , N/A , N/A ,$24.64 , N/A ,$21.00 ,$21.00 ,$23.80 ,$23.80 , N/A ,$23.80 , N/A ,$22.68 ,$22.68 ,$22.68 ,$28.00 ,$25.20 , N/A ,$25.20 , N/A ,$28.00 ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$25.20 , N/A ,$15.51 ,$7.84 ,$25.20 , N/A ,$25.20 ,$25.20 , N/A ,$18.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200196,N/A,HC 5FR CATH,272,1 ,$37.35 ,$26.89 ,$10.46 ,$37.35 , N/A ,$27.83 ,$24.46 , N/A ,$10.46 ,$22.97 , N/A ,$22.97 , N/A ,$20.69 ,$20.69 , N/A ,$20.69 , N/A ,$33.62 ,$31.00 , N/A , N/A ,$32.87 , N/A ,$28.01 ,$28.01 ,$31.75 ,$31.75 , N/A ,$31.75 , N/A ,$30.25 ,$30.25 ,$30.25 ,$37.35 ,$33.62 , N/A ,$33.62 , N/A ,$37.35 ,$20.95 , N/A ,$15.46 , N/A , N/A , N/A ,$33.62 , N/A ,$20.69 ,$10.46 ,$33.62 , N/A ,$33.62 ,$33.62 , N/A ,$24.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200200,N/A,HC ABDOMINAL BINDERS,272,1 ,$105.50 ,$75.96 ,$29.54 ,$105.50 , N/A ,$78.60 ,$69.10 , N/A ,$29.54 ,$64.88 , N/A ,$64.88 , N/A ,$58.45 ,$58.45 , N/A ,$58.45 , N/A ,$94.95 ,$87.57 , N/A , N/A ,$92.84 , N/A ,$79.13 ,$79.13 ,$89.68 ,$89.68 , N/A ,$89.68 , N/A ,$85.46 ,$85.46 ,$85.46 ,$105.50 ,$94.95 , N/A ,$94.95 , N/A ,$105.50 ,$59.19 , N/A ,$43.68 , N/A , N/A , N/A ,$94.95 , N/A ,$58.45 ,$29.54 ,$94.95 , N/A ,$94.95 ,$94.95 , N/A ,$68.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200226,N/A,HC ADHESIVE DERMABOND,272,1 ,$59.30 ,$42.70 ,$16.60 ,$59.30 , N/A ,$44.18 ,$38.84 , N/A ,$16.60 ,$36.47 , N/A ,$36.47 , N/A ,$32.85 ,$32.85 , N/A ,$32.85 , N/A ,$53.37 ,$49.22 , N/A , N/A ,$52.18 , N/A ,$44.48 ,$44.48 ,$50.41 ,$50.41 , N/A ,$50.41 , N/A ,$48.03 ,$48.03 ,$48.03 ,$59.30 ,$53.37 , N/A ,$53.37 , N/A ,$59.30 ,$33.27 , N/A ,$24.55 , N/A , N/A , N/A ,$53.37 , N/A ,$32.85 ,$16.60 ,$53.37 , N/A ,$53.37 ,$53.37 , N/A ,$38.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200231,N/A,HC AEROCHAMBER,272,1 ,$47.62 ,$34.29 ,$13.33 ,$47.62 , N/A ,$35.48 ,$31.19 , N/A ,$13.33 ,$29.29 , N/A ,$29.29 , N/A ,$26.38 ,$26.38 , N/A ,$26.38 , N/A ,$42.86 ,$39.52 , N/A , N/A ,$41.91 , N/A ,$35.72 ,$35.72 ,$40.48 ,$40.48 , N/A ,$40.48 , N/A ,$38.57 ,$38.57 ,$38.57 ,$47.62 ,$42.86 , N/A ,$42.86 , N/A ,$47.62 ,$26.71 , N/A ,$19.71 , N/A , N/A , N/A ,$42.86 , N/A ,$26.38 ,$13.33 ,$42.86 , N/A ,$42.86 ,$42.86 , N/A ,$30.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200261,N/A,HC ARMBOARD IV,272,1 ,$30.39 ,$21.88 ,$8.51 ,$30.39 , N/A ,$22.64 ,$19.91 , N/A ,$8.51 ,$18.69 , N/A ,$18.69 , N/A ,$16.84 ,$16.84 , N/A ,$16.84 , N/A ,$27.35 ,$25.22 , N/A , N/A ,$26.74 , N/A ,$22.79 ,$22.79 ,$25.83 ,$25.83 , N/A ,$25.83 , N/A ,$24.62 ,$24.62 ,$24.62 ,$30.39 ,$27.35 , N/A ,$27.35 , N/A ,$30.39 ,$17.05 , N/A ,$12.58 , N/A , N/A , N/A ,$27.35 , N/A ,$16.84 ,$8.51 ,$27.35 , N/A ,$27.35 ,$27.35 , N/A ,$19.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200283,N/A,HC ATRIUM CHEST DRAINAGE,272,1 ,$475.09 ,$342.06 ,$133.03 ,$475.09 , N/A ,$353.94 ,$311.18 , N/A ,$133.03 ,$292.18 , N/A ,$292.18 , N/A ,$263.20 ,$263.20 , N/A ,$263.20 , N/A ,$427.58 ,$394.32 , N/A , N/A ,$418.08 , N/A ,$356.32 ,$356.32 ,$403.83 ,$403.83 , N/A ,$403.83 , N/A ,$384.82 ,$384.82 ,$384.82 ,$475.09 ,$427.58 , N/A ,$427.58 , N/A ,$475.09 ,$266.53 , N/A ,$196.69 , N/A , N/A , N/A ,$427.58 , N/A ,$263.20 ,$133.03 ,$427.58 , N/A ,$427.58 ,$427.58 , N/A ,$308.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$16.00 ,$11.52 ,$4.48 ,$16.00 , N/A ,$11.92 ,$10.48 , N/A ,$4.48 ,$9.84 , N/A ,$9.84 , N/A ,$8.86 ,$8.86 , N/A ,$8.86 , N/A ,$14.40 ,$13.28 , N/A , N/A ,$14.08 , N/A ,$12.00 ,$12.00 ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$12.96 ,$12.96 ,$12.96 ,$16.00 ,$14.40 , N/A ,$14.40 , N/A ,$16.00 ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$14.40 , N/A ,$8.86 ,$4.48 ,$14.40 , N/A ,$14.40 ,$14.40 , N/A ,$10.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200338,N/A,HC BIOPSY DEVICE NEEDLE CORE,272,1 ,$147.00 ,$105.84 ,$41.16 ,$147.00 , N/A ,$109.52 ,$96.29 , N/A ,$41.16 ,$90.41 , N/A ,$90.41 , N/A ,$81.44 ,$81.44 , N/A ,$81.44 , N/A ,$132.30 ,$122.01 , N/A , N/A ,$129.36 , N/A ,$110.25 ,$110.25 ,$124.95 ,$124.95 , N/A ,$124.95 , N/A ,$119.07 ,$119.07 ,$119.07 ,$147.00 ,$132.30 , N/A ,$132.30 , N/A ,$147.00 ,$82.47 , N/A ,$60.86 , N/A , N/A , N/A ,$132.30 , N/A ,$81.44 ,$41.16 ,$132.30 , N/A ,$132.30 ,$132.30 , N/A ,$95.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200351,N/A,HC BIOPSY GUIDE,272,1 ,$13.79 ,$9.93 ,$3.86 ,$13.79 , N/A ,$10.27 ,$9.03 , N/A ,$3.86 ,$8.48 , N/A ,$8.48 , N/A ,$7.64 ,$7.64 , N/A ,$7.64 , N/A ,$12.41 ,$11.45 , N/A , N/A ,$12.14 , N/A ,$10.34 ,$10.34 ,$11.72 ,$11.72 , N/A ,$11.72 , N/A ,$11.17 ,$11.17 ,$11.17 ,$13.79 ,$12.41 , N/A ,$12.41 , N/A ,$13.79 ,$7.74 , N/A ,$5.71 , N/A , N/A , N/A ,$12.41 , N/A ,$7.64 ,$3.86 ,$12.41 , N/A ,$12.41 ,$12.41 , N/A ,$8.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200357,N/A,HC BIS MONITOR STRIP,272,1 ,$163.28 ,$117.56 ,$45.72 ,$163.28 , N/A ,$121.64 ,$106.95 , N/A ,$45.72 ,$100.42 , N/A ,$100.42 , N/A ,$90.46 ,$90.46 , N/A ,$90.46 , N/A ,$146.95 ,$135.52 , N/A , N/A ,$143.69 , N/A ,$122.46 ,$122.46 ,$138.79 ,$138.79 , N/A ,$138.79 , N/A ,$132.26 ,$132.26 ,$132.26 ,$163.28 ,$146.95 , N/A ,$146.95 , N/A ,$163.28 ,$91.60 , N/A ,$67.60 , N/A , N/A , N/A ,$146.95 , N/A ,$90.46 ,$45.72 ,$146.95 , N/A ,$146.95 ,$146.95 , N/A ,$106.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200480,N/A,HC BLADE PATELLA REAMER,272,1 ,$509.82 ,$367.07 ,$142.75 ,$509.82 , N/A ,$379.82 ,$333.93 , N/A ,$142.75 ,$313.54 , N/A ,$313.54 , N/A ,$282.44 ,$282.44 , N/A ,$282.44 , N/A ,$458.84 ,$423.15 , N/A , N/A ,$448.64 , N/A ,$382.37 ,$382.37 ,$433.35 ,$433.35 , N/A ,$433.35 , N/A ,$412.95 ,$412.95 ,$412.95 ,$509.82 ,$458.84 , N/A ,$458.84 , N/A ,$509.82 ,$286.01 , N/A ,$211.07 , N/A , N/A , N/A ,$458.84 , N/A ,$282.44 ,$142.75 ,$458.84 , N/A ,$458.84 ,$458.84 , N/A ,$331.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200543,N/A,HC BLOOD FILTER,272,1 ,$67.65 ,$48.71 ,$18.94 ,$67.65 , N/A ,$50.40 ,$44.31 , N/A ,$18.94 ,$41.60 , N/A ,$41.60 , N/A ,$37.48 ,$37.48 , N/A ,$37.48 , N/A ,$60.89 ,$56.15 , N/A , N/A ,$59.53 , N/A ,$50.74 ,$50.74 ,$57.50 ,$57.50 , N/A ,$57.50 , N/A ,$54.80 ,$54.80 ,$54.80 ,$67.65 ,$60.89 , N/A ,$60.89 , N/A ,$67.65 ,$37.95 , N/A ,$28.01 , N/A , N/A , N/A ,$60.89 , N/A ,$37.48 ,$18.94 ,$60.89 , N/A ,$60.89 ,$60.89 , N/A ,$43.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200551,N/A,HC BONE CEMENT KIT,272,1 ,$162.42 ,$116.94 ,$45.48 ,$162.42 , N/A ,$121.00 ,$106.39 , N/A ,$45.48 ,$99.89 , N/A ,$99.89 , N/A ,$89.98 ,$89.98 , N/A ,$89.98 , N/A ,$146.18 ,$134.81 , N/A , N/A ,$142.93 , N/A ,$121.82 ,$121.82 ,$138.06 ,$138.06 , N/A ,$138.06 , N/A ,$131.56 ,$131.56 ,$131.56 ,$162.42 ,$146.18 , N/A ,$146.18 , N/A ,$162.42 ,$91.12 , N/A ,$67.24 , N/A , N/A , N/A ,$146.18 , N/A ,$89.98 ,$45.48 ,$146.18 , N/A ,$146.18 ,$146.18 , N/A ,$105.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200571,N/A,HC BREAST PUMP KIT,272,1 ,$162.35 ,$116.89 ,$45.46 ,$162.35 , N/A ,$120.95 ,$106.34 , N/A ,$45.46 ,$99.85 , N/A ,$99.85 , N/A ,$89.94 ,$89.94 , N/A ,$89.94 , N/A ,$146.12 ,$134.75 , N/A , N/A ,$142.87 , N/A ,$121.76 ,$121.76 ,$138.00 ,$138.00 , N/A ,$138.00 , N/A ,$131.50 ,$131.50 ,$131.50 ,$162.35 ,$146.12 , N/A ,$146.12 , N/A ,$162.35 ,$91.08 , N/A ,$67.21 , N/A , N/A , N/A ,$146.12 , N/A ,$89.94 ,$45.46 ,$146.12 , N/A ,$146.12 ,$146.12 , N/A ,$105.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200747,N/A,HC CATH ARGYLE THORACIC,272,1 ,$57.02 ,$41.05 ,$15.97 ,$57.02 , N/A ,$42.48 ,$37.35 , N/A ,$15.97 ,$35.07 , N/A ,$35.07 , N/A ,$31.59 ,$31.59 , N/A ,$31.59 , N/A ,$51.32 ,$47.33 , N/A , N/A ,$50.18 , N/A ,$42.77 ,$42.77 ,$48.47 ,$48.47 , N/A ,$48.47 , N/A ,$46.19 ,$46.19 ,$46.19 ,$57.02 ,$51.32 , N/A ,$51.32 , N/A ,$57.02 ,$31.99 , N/A ,$23.61 , N/A , N/A , N/A ,$51.32 , N/A ,$31.59 ,$15.97 ,$51.32 , N/A ,$51.32 ,$51.32 , N/A ,$37.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200819,N/A,HC CATH RED RUBBER,272,1 ,$157.46 ,$113.37 ,$44.09 ,$157.46 , N/A ,$117.31 ,$103.14 , N/A ,$44.09 ,$96.84 , N/A ,$96.84 , N/A ,$87.23 ,$87.23 , N/A ,$87.23 , N/A ,$141.71 ,$130.69 , N/A , N/A ,$138.56 , N/A ,$118.10 ,$118.10 ,$133.84 ,$133.84 , N/A ,$133.84 , N/A ,$127.54 ,$127.54 ,$127.54 ,$157.46 ,$141.71 , N/A ,$141.71 , N/A ,$157.46 ,$88.34 , N/A ,$65.19 , N/A , N/A , N/A ,$141.71 , N/A ,$87.23 ,$44.09 ,$141.71 , N/A ,$141.71 ,$141.71 , N/A ,$102.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200832,N/A,HC CATH TRAY WITH FOLEY,272,1 ,$100.87 ,$72.63 ,$28.24 ,$100.87 , N/A ,$75.15 ,$66.07 , N/A ,$28.24 ,$62.04 , N/A ,$62.04 , N/A ,$55.88 ,$55.88 , N/A ,$55.88 , N/A ,$90.78 ,$83.72 , N/A , N/A ,$88.77 , N/A ,$75.65 ,$75.65 ,$85.74 ,$85.74 , N/A ,$85.74 , N/A ,$81.70 ,$81.70 ,$81.70 ,$100.87 ,$90.78 , N/A ,$90.78 , N/A ,$100.87 ,$56.59 , N/A ,$41.76 , N/A , N/A , N/A ,$90.78 , N/A ,$55.88 ,$28.24 ,$90.78 , N/A ,$90.78 ,$90.78 , N/A ,$65.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200848,N/A,HC CATHETER - ARTERIAL SET,272,1 ,$79.91 ,$57.54 ,$22.37 ,$79.91 , N/A ,$59.53 ,$52.34 , N/A ,$22.37 ,$49.14 , N/A ,$49.14 , N/A ,$44.27 ,$44.27 , N/A ,$44.27 , N/A ,$71.92 ,$66.33 , N/A , N/A ,$70.32 , N/A ,$59.93 ,$59.93 ,$67.92 ,$67.92 , N/A ,$67.92 , N/A ,$64.73 ,$64.73 ,$64.73 ,$79.91 ,$71.92 , N/A ,$71.92 , N/A ,$79.91 ,$44.83 , N/A ,$33.08 , N/A , N/A , N/A ,$71.92 , N/A ,$44.27 ,$22.37 ,$71.92 , N/A ,$71.92 ,$71.92 , N/A ,$51.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200849,N/A,HC CATHETER - FOLEY,272,1 ,$29.00 ,$20.88 ,$8.12 ,$29.00 , N/A ,$21.61 ,$19.00 , N/A ,$8.12 ,$17.84 , N/A ,$17.84 , N/A ,$16.07 ,$16.07 , N/A ,$16.07 , N/A ,$26.10 ,$24.07 , N/A , N/A ,$25.52 , N/A ,$21.75 ,$21.75 ,$24.65 ,$24.65 , N/A ,$24.65 , N/A ,$23.49 ,$23.49 ,$23.49 ,$29.00 ,$26.10 , N/A ,$26.10 , N/A ,$29.00 ,$16.27 , N/A ,$12.01 , N/A , N/A , N/A ,$26.10 , N/A ,$16.07 ,$8.12 ,$26.10 , N/A ,$26.10 ,$26.10 , N/A ,$18.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200906,N/A,HC CHIBA NEEDLE,272,1 ,$12.57 ,$9.05 ,$3.52 ,$12.57 , N/A ,$9.36 ,$8.23 , N/A ,$3.52 ,$7.73 , N/A ,$7.73 , N/A ,$6.96 ,$6.96 , N/A ,$6.96 , N/A ,$11.31 ,$10.43 , N/A , N/A ,$11.06 , N/A ,$9.43 ,$9.43 ,$10.68 ,$10.68 , N/A ,$10.68 , N/A ,$10.18 ,$10.18 ,$10.18 ,$12.57 ,$11.31 , N/A ,$11.31 , N/A ,$12.57 ,$7.05 , N/A ,$5.20 , N/A , N/A , N/A ,$11.31 , N/A ,$6.96 ,$3.52 ,$11.31 , N/A ,$11.31 ,$11.31 , N/A ,$8.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200907,N/A,HC CHLORAPREP,272,1 ,$16.41 ,$11.82 ,$4.59 ,$16.41 , N/A ,$12.23 ,$10.75 , N/A ,$4.59 ,$10.09 , N/A ,$10.09 , N/A ,$9.09 ,$9.09 , N/A ,$9.09 , N/A ,$14.77 ,$13.62 , N/A , N/A ,$14.44 , N/A ,$12.31 ,$12.31 ,$13.95 ,$13.95 , N/A ,$13.95 , N/A ,$13.29 ,$13.29 ,$13.29 ,$16.41 ,$14.77 , N/A ,$14.77 , N/A ,$16.41 ,$9.21 , N/A ,$6.79 , N/A , N/A , N/A ,$14.77 , N/A ,$9.09 ,$4.59 ,$14.77 , N/A ,$14.77 ,$14.77 , N/A ,$10.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200942,N/A,HC COAXIAL GUIDING NEEDLE,272,1 ,$191.67 ,$138.00 ,$53.67 ,$191.67 , N/A ,$142.79 ,$125.54 , N/A ,$53.67 ,$117.88 , N/A ,$117.88 , N/A ,$106.19 ,$106.19 , N/A ,$106.19 , N/A ,$172.50 ,$159.09 , N/A , N/A ,$168.67 , N/A ,$143.75 ,$143.75 ,$162.92 ,$162.92 , N/A ,$162.92 , N/A ,$155.25 ,$155.25 ,$155.25 ,$191.67 ,$172.50 , N/A ,$172.50 , N/A ,$191.67 ,$107.53 , N/A ,$79.35 , N/A , N/A , N/A ,$172.50 , N/A ,$106.19 ,$53.67 ,$172.50 , N/A ,$172.50 ,$172.50 , N/A ,$124.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201009,N/A,HC CRICOTHYROTOMY CATH SET,272,1 ,"$1,576.91 ","$1,135.38 ",$441.53 ,"$1,576.91 ", N/A ,"$1,174.80 ","$1,032.88 ", N/A ,$441.53 ,$969.80 , N/A ,$969.80 , N/A ,$873.61 ,$873.61 , N/A ,$873.61 , N/A ,"$1,419.22 ","$1,308.84 ", N/A , N/A ,"$1,387.68 ", N/A ,"$1,182.68 ","$1,182.68 ","$1,340.37 ","$1,340.37 ", N/A ,"$1,340.37 ", N/A ,"$1,277.30 ","$1,277.30 ","$1,277.30 ","$1,576.91 ","$1,419.22 ", N/A ,"$1,419.22 ", N/A ,"$1,576.91 ",$884.65 , N/A ,$652.84 , N/A , N/A , N/A ,"$1,419.22 ", N/A ,$873.61 ,$441.53 ,"$1,419.22 ", N/A ,"$1,419.22 ","$1,419.22 ", N/A ,"$1,024.99 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201012,N/A,HC BONOPTY BX SET,272,1 ,$95.09 ,$68.46 ,$26.63 ,$95.09 , N/A ,$70.84 ,$62.28 , N/A ,$26.63 ,$58.48 , N/A ,$58.48 , N/A ,$52.68 ,$52.68 , N/A ,$52.68 , N/A ,$85.58 ,$78.92 , N/A , N/A ,$83.68 , N/A ,$71.32 ,$71.32 ,$80.83 ,$80.83 , N/A ,$80.83 , N/A ,$77.02 ,$77.02 ,$77.02 ,$95.09 ,$85.58 , N/A ,$85.58 , N/A ,$95.09 ,$53.35 , N/A ,$39.37 , N/A , N/A , N/A ,$85.58 , N/A ,$52.68 ,$26.63 ,$85.58 , N/A ,$85.58 ,$85.58 , N/A ,$61.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201013,N/A,HC BONOPTY ED DRILL,272,1 ,$33.08 ,$23.82 ,$9.26 ,$33.08 , N/A ,$24.64 ,$21.67 , N/A ,$9.26 ,$20.34 , N/A ,$20.34 , N/A ,$18.33 ,$18.33 , N/A ,$18.33 , N/A ,$29.77 ,$27.46 , N/A , N/A ,$29.11 , N/A ,$24.81 ,$24.81 ,$28.12 ,$28.12 , N/A ,$28.12 , N/A ,$26.79 ,$26.79 ,$26.79 ,$33.08 ,$29.77 , N/A ,$29.77 , N/A ,$33.08 ,$18.56 , N/A ,$13.70 , N/A , N/A , N/A ,$29.77 , N/A ,$18.33 ,$9.26 ,$29.77 , N/A ,$29.77 ,$29.77 , N/A ,$21.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201014,N/A,HC BONOPTY PENETRATION SET,272,1 ,$413.44 ,$297.68 ,$115.76 ,$413.44 , N/A ,$308.01 ,$270.80 , N/A ,$115.76 ,$254.27 , N/A ,$254.27 , N/A ,$229.05 ,$229.05 , N/A ,$229.05 , N/A ,$372.10 ,$343.16 , N/A , N/A ,$363.83 , N/A ,$310.08 ,$310.08 ,$351.42 ,$351.42 , N/A ,$351.42 , N/A ,$334.89 ,$334.89 ,$334.89 ,$413.44 ,$372.10 , N/A ,$372.10 , N/A ,$413.44 ,$231.94 , N/A ,$171.16 , N/A , N/A , N/A ,$372.10 , N/A ,$229.05 ,$115.76 ,$372.10 , N/A ,$372.10 ,$372.10 , N/A ,$268.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201042,N/A,HC DERMABOND,272,1 ,$32.66 ,$23.52 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$20.09 , N/A ,$20.09 , N/A ,$18.09 ,$18.09 , N/A ,$18.09 , N/A ,$29.39 ,$27.11 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$26.45 ,$26.45 ,$26.45 ,$32.66 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$18.32 , N/A ,$13.52 , N/A , N/A , N/A ,$29.39 , N/A ,$18.09 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201071,N/A,HC DILATOR BARD,272,1 ,$21.88 ,$15.75 ,$6.13 ,$21.88 , N/A ,$16.30 ,$14.33 , N/A ,$6.13 ,$13.46 , N/A ,$13.46 , N/A ,$12.12 ,$12.12 , N/A ,$12.12 , N/A ,$19.69 ,$18.16 , N/A , N/A ,$19.25 , N/A ,$16.41 ,$16.41 ,$18.60 ,$18.60 , N/A ,$18.60 , N/A ,$17.72 ,$17.72 ,$17.72 ,$21.88 ,$19.69 , N/A ,$19.69 , N/A ,$21.88 ,$12.27 , N/A ,$9.06 , N/A , N/A , N/A ,$19.69 , N/A ,$12.12 ,$6.13 ,$19.69 , N/A ,$19.69 ,$19.69 , N/A ,$14.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$61.47 ,$44.26 ,$17.21 ,$61.47 , N/A ,$45.80 ,$40.26 , N/A ,$17.21 ,$37.80 , N/A ,$37.80 , N/A ,$34.05 ,$34.05 , N/A ,$34.05 , N/A ,$55.32 ,$51.02 , N/A , N/A ,$54.09 , N/A ,$46.10 ,$46.10 ,$52.25 ,$52.25 , N/A ,$52.25 , N/A ,$49.79 ,$49.79 ,$49.79 ,$61.47 ,$55.32 , N/A ,$55.32 , N/A ,$61.47 ,$34.48 , N/A ,$25.45 , N/A , N/A , N/A ,$55.32 , N/A ,$34.05 ,$17.21 ,$55.32 , N/A ,$55.32 ,$55.32 , N/A ,$39.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201083,N/A,HC DISP. OXIMETER SENSOR,272,1 ,$129.41 ,$93.18 ,$36.23 ,$129.41 , N/A ,$96.41 ,$84.76 , N/A ,$36.23 ,$79.59 , N/A ,$79.59 , N/A ,$71.69 ,$71.69 , N/A ,$71.69 , N/A ,$116.47 ,$107.41 , N/A , N/A ,$113.88 , N/A ,$97.06 ,$97.06 ,$110.00 ,$110.00 , N/A ,$110.00 , N/A ,$104.82 ,$104.82 ,$104.82 ,$129.41 ,$116.47 , N/A ,$116.47 , N/A ,$129.41 ,$72.60 , N/A ,$53.58 , N/A , N/A , N/A ,$116.47 , N/A ,$71.69 ,$36.23 ,$116.47 , N/A ,$116.47 ,$116.47 , N/A ,$84.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201138,N/A,HC WOUND VAC DRAPE,272,1 ,$15.59 ,$11.22 ,$4.37 ,$15.59 , N/A ,$11.61 ,$10.21 , N/A ,$4.37 ,$9.59 , N/A ,$9.59 , N/A ,$8.64 ,$8.64 , N/A ,$8.64 , N/A ,$14.03 ,$12.94 , N/A , N/A ,$13.72 , N/A ,$11.69 ,$11.69 ,$13.25 ,$13.25 , N/A ,$13.25 , N/A ,$12.63 ,$12.63 ,$12.63 ,$15.59 ,$14.03 , N/A ,$14.03 , N/A ,$15.59 ,$8.75 , N/A ,$6.45 , N/A , N/A , N/A ,$14.03 , N/A ,$8.64 ,$4.37 ,$14.03 , N/A ,$14.03 ,$14.03 , N/A ,$10.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201165,N/A,HC MORGAN LENS,272,1 ,$247.54 ,$178.23 ,$69.31 ,$247.54 , N/A ,$184.42 ,$162.14 , N/A ,$69.31 ,$152.24 , N/A ,$152.24 , N/A ,$137.14 ,$137.14 , N/A ,$137.14 , N/A ,$222.79 ,$205.46 , N/A , N/A ,$217.84 , N/A ,$185.66 ,$185.66 ,$210.41 ,$210.41 , N/A ,$210.41 , N/A ,$200.51 ,$200.51 ,$200.51 ,$247.54 ,$222.79 , N/A ,$222.79 , N/A ,$247.54 ,$138.87 , N/A ,$102.48 , N/A , N/A , N/A ,$222.79 , N/A ,$137.14 ,$69.31 ,$222.79 , N/A ,$222.79 ,$222.79 , N/A ,$160.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201252,N/A,HC EPIDURAL TRAY,272,1 ,$156.20 ,$112.46 ,$43.74 ,$156.20 , N/A ,$116.37 ,$102.31 , N/A ,$43.74 ,$96.06 , N/A ,$96.06 , N/A ,$86.53 ,$86.53 , N/A ,$86.53 , N/A ,$140.58 ,$129.65 , N/A , N/A ,$137.46 , N/A ,$117.15 ,$117.15 ,$132.77 ,$132.77 , N/A ,$132.77 , N/A ,$126.52 ,$126.52 ,$126.52 ,$156.20 ,$140.58 , N/A ,$140.58 , N/A ,$156.20 ,$87.63 , N/A ,$64.67 , N/A , N/A , N/A ,$140.58 , N/A ,$86.53 ,$43.74 ,$140.58 , N/A ,$140.58 ,$140.58 , N/A ,$101.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201279,N/A,HC FECAL MANAGEMENT KIT,272,1 ,$246.00 ,$177.12 ,$68.88 ,$246.00 , N/A ,$183.27 ,$161.13 , N/A ,$68.88 ,$151.29 , N/A ,$151.29 , N/A ,$136.28 ,$136.28 , N/A ,$136.28 , N/A ,$221.40 ,$204.18 , N/A , N/A ,$216.48 , N/A ,$184.50 ,$184.50 ,$209.10 ,$209.10 , N/A ,$209.10 , N/A ,$199.26 ,$199.26 ,$199.26 ,$246.00 ,$221.40 , N/A ,$221.40 , N/A ,$246.00 ,$138.01 , N/A ,$101.84 , N/A , N/A , N/A ,$221.40 , N/A ,$136.28 ,$68.88 ,$221.40 , N/A ,$221.40 ,$221.40 , N/A ,$159.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201332,N/A,HC GASTRIC LAVAGE KIT,272,1 ,"$1,882.87 ","$1,355.67 ",$527.20 ,"$1,882.87 ", N/A ,"$1,402.74 ","$1,233.28 ", N/A ,$527.20 ,"$1,157.97 ", N/A ,"$1,157.97 ", N/A ,"$1,043.11 ","$1,043.11 ", N/A ,"$1,043.11 ", N/A ,"$1,694.58 ","$1,562.78 ", N/A , N/A ,"$1,656.93 ", N/A ,"$1,412.15 ","$1,412.15 ","$1,600.44 ","$1,600.44 ", N/A ,"$1,600.44 ", N/A ,"$1,525.12 ","$1,525.12 ","$1,525.12 ","$1,882.87 ","$1,694.58 ", N/A ,"$1,694.58 ", N/A ,"$1,882.87 ","$1,056.29 ", N/A ,$779.51 , N/A , N/A , N/A ,"$1,694.58 ", N/A ,"$1,043.11 ",$527.20 ,"$1,694.58 ", N/A ,"$1,694.58 ","$1,694.58 ", N/A ,"$1,223.87 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201339,N/A,HC GELFILM,272,1 ,$16.80 ,$12.10 ,$4.70 ,$16.80 , N/A ,$12.52 ,$11.00 , N/A ,$4.70 ,$10.33 , N/A ,$10.33 , N/A ,$9.31 ,$9.31 , N/A ,$9.31 , N/A ,$15.12 ,$13.94 , N/A , N/A ,$14.78 , N/A ,$12.60 ,$12.60 ,$14.28 ,$14.28 , N/A ,$14.28 , N/A ,$13.61 ,$13.61 ,$13.61 ,$16.80 ,$15.12 , N/A ,$15.12 , N/A ,$16.80 ,$9.42 , N/A ,$6.96 , N/A , N/A , N/A ,$15.12 , N/A ,$9.31 ,$4.70 ,$15.12 , N/A ,$15.12 ,$15.12 , N/A ,$10.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201391,N/A,HC HEEL PROTECTOR EA,272,1 ,$57.96 ,$41.73 ,$16.23 ,$57.96 , N/A ,$43.18 ,$37.96 , N/A ,$16.23 ,$35.65 , N/A ,$35.65 , N/A ,$32.11 ,$32.11 , N/A ,$32.11 , N/A ,$52.16 ,$48.11 , N/A , N/A ,$51.00 , N/A ,$43.47 ,$43.47 ,$49.27 ,$49.27 , N/A ,$49.27 , N/A ,$46.95 ,$46.95 ,$46.95 ,$57.96 ,$52.16 , N/A ,$52.16 , N/A ,$57.96 ,$32.52 , N/A ,$24.00 , N/A , N/A , N/A ,$52.16 , N/A ,$32.11 ,$16.23 ,$52.16 , N/A ,$52.16 ,$52.16 , N/A ,$37.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201404,N/A,HC HEMOVAC MINI EVACAT ONLY,272,1 ,$22.53 ,$16.22 ,$6.31 ,$22.53 , N/A ,$16.78 ,$14.76 , N/A ,$6.31 ,$13.86 , N/A ,$13.86 , N/A ,$12.48 ,$12.48 , N/A ,$12.48 , N/A ,$20.28 ,$18.70 , N/A , N/A ,$19.83 , N/A ,$16.90 ,$16.90 ,$19.15 ,$19.15 , N/A ,$19.15 , N/A ,$18.25 ,$18.25 ,$18.25 ,$22.53 ,$20.28 , N/A ,$20.28 , N/A ,$22.53 ,$12.64 , N/A ,$9.33 , N/A , N/A , N/A ,$20.28 , N/A ,$12.48 ,$6.31 ,$20.28 , N/A ,$20.28 ,$20.28 , N/A ,$14.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201419,N/A,HC HUBER NEEDLE,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201450,N/A,HC INTRODUCER KIT,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201521,N/A,HC KIT INTRODUCER,272,1 ,$25.83 ,$18.60 ,$7.23 ,$25.83 , N/A ,$19.24 ,$16.92 , N/A ,$7.23 ,$15.89 , N/A ,$15.89 , N/A ,$14.31 ,$14.31 , N/A ,$14.31 , N/A ,$23.25 ,$21.44 , N/A , N/A ,$22.73 , N/A ,$19.37 ,$19.37 ,$21.96 ,$21.96 , N/A ,$21.96 , N/A ,$20.92 ,$20.92 ,$20.92 ,$25.83 ,$23.25 , N/A ,$23.25 , N/A ,$25.83 ,$14.49 , N/A ,$10.69 , N/A , N/A , N/A ,$23.25 , N/A ,$14.31 ,$7.23 ,$23.25 , N/A ,$23.25 ,$23.25 , N/A ,$16.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201637,N/A,HC MAMMOTOME PROBE,272,1 ,$534.56 ,$384.88 ,$149.68 ,$534.56 , N/A ,$398.25 ,$350.14 , N/A ,$149.68 ,$328.75 , N/A ,$328.75 , N/A ,$296.15 ,$296.15 , N/A ,$296.15 , N/A ,$481.10 ,$443.68 , N/A , N/A ,$470.41 , N/A ,$400.92 ,$400.92 ,$454.38 ,$454.38 , N/A ,$454.38 , N/A ,$432.99 ,$432.99 ,$432.99 ,$534.56 ,$481.10 , N/A ,$481.10 , N/A ,$534.56 ,$299.89 , N/A ,$221.31 , N/A , N/A , N/A ,$481.10 , N/A ,$296.15 ,$149.68 ,$481.10 , N/A ,$481.10 ,$481.10 , N/A ,$347.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201647,N/A,HC METER URINE,272,1 ,$61.03 ,$43.94 ,$17.09 ,$61.03 , N/A ,$45.47 ,$39.97 , N/A ,$17.09 ,$37.53 , N/A ,$37.53 , N/A ,$33.81 ,$33.81 , N/A ,$33.81 , N/A ,$54.93 ,$50.65 , N/A , N/A ,$53.71 , N/A ,$45.77 ,$45.77 ,$51.88 ,$51.88 , N/A ,$51.88 , N/A ,$49.43 ,$49.43 ,$49.43 ,$61.03 ,$54.93 , N/A ,$54.93 , N/A ,$61.03 ,$34.24 , N/A ,$25.27 , N/A , N/A , N/A ,$54.93 , N/A ,$33.81 ,$17.09 ,$54.93 , N/A ,$54.93 ,$54.93 , N/A ,$39.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201737,N/A,HC NIPPLE ENHANCER,272,1 ,$12.31 ,$8.86 ,$3.45 ,$12.31 , N/A ,$9.17 ,$8.06 , N/A ,$3.45 ,$7.57 , N/A ,$7.57 , N/A ,$6.82 ,$6.82 , N/A ,$6.82 , N/A ,$11.08 ,$10.22 , N/A , N/A ,$10.83 , N/A ,$9.23 ,$9.23 ,$10.46 ,$10.46 , N/A ,$10.46 , N/A ,$9.97 ,$9.97 ,$9.97 ,$12.31 ,$11.08 , N/A ,$11.08 , N/A ,$12.31 ,$6.91 , N/A ,$5.10 , N/A , N/A , N/A ,$11.08 , N/A ,$6.82 ,$3.45 ,$11.08 , N/A ,$11.08 ,$11.08 , N/A ,$8.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201867,N/A,HC PLEURX DRAINAGE KIT,272,1 ,$78.75 ,$56.70 ,$22.05 ,$78.75 , N/A ,$58.67 ,$51.58 , N/A ,$22.05 ,$48.43 , N/A ,$48.43 , N/A ,$43.63 ,$43.63 , N/A ,$43.63 , N/A ,$70.88 ,$65.36 , N/A , N/A ,$69.30 , N/A ,$59.06 ,$59.06 ,$66.94 ,$66.94 , N/A ,$66.94 , N/A ,$63.79 ,$63.79 ,$63.79 ,$78.75 ,$70.88 , N/A ,$70.88 , N/A ,$78.75 ,$44.18 , N/A ,$32.60 , N/A , N/A , N/A ,$70.88 , N/A ,$43.63 ,$22.05 ,$70.88 , N/A ,$70.88 ,$70.88 , N/A ,$51.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201868,N/A,HC PLEURX DRAINAGE LINE SET,272,1 ,$32.66 ,$23.52 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$20.09 , N/A ,$20.09 , N/A ,$18.09 ,$18.09 , N/A ,$18.09 , N/A ,$29.39 ,$27.11 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$26.45 ,$26.45 ,$26.45 ,$32.66 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$18.32 , N/A ,$13.52 , N/A , N/A , N/A ,$29.39 , N/A ,$18.09 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201869,N/A,HC PLEURX REPLACEMENT CAP,272,1 ,$11.03 ,$7.94 ,$3.09 ,$11.03 , N/A ,$8.22 ,$7.22 , N/A ,$3.09 ,$6.78 , N/A ,$6.78 , N/A ,$6.11 ,$6.11 , N/A ,$6.11 , N/A ,$9.93 ,$9.15 , N/A , N/A ,$9.71 , N/A ,$8.27 ,$8.27 ,$9.38 ,$9.38 , N/A ,$9.38 , N/A ,$8.93 ,$8.93 ,$8.93 ,$11.03 ,$9.93 , N/A ,$9.93 , N/A ,$11.03 ,$6.19 , N/A ,$4.57 , N/A , N/A , N/A ,$9.93 , N/A ,$6.11 ,$3.09 ,$9.93 , N/A ,$9.93 ,$9.93 , N/A ,$7.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201890,N/A,HC PREP CHLORAPREP 26ML,272,1 ,$53.06 ,$38.20 ,$14.86 ,$53.06 , N/A ,$39.53 ,$34.75 , N/A ,$14.86 ,$32.63 , N/A ,$32.63 , N/A ,$29.40 ,$29.40 , N/A ,$29.40 , N/A ,$47.75 ,$44.04 , N/A , N/A ,$46.69 , N/A ,$39.80 ,$39.80 ,$45.10 ,$45.10 , N/A ,$45.10 , N/A ,$42.98 ,$42.98 ,$42.98 ,$53.06 ,$47.75 , N/A ,$47.75 , N/A ,$53.06 ,$29.77 , N/A ,$21.97 , N/A , N/A , N/A ,$47.75 , N/A ,$29.40 ,$14.86 ,$47.75 , N/A ,$47.75 ,$47.75 , N/A ,$34.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201896,N/A,HC PREVENA INCISION SYSTEM,272,1 ,"$1,560.00 ","$1,123.20 ",$436.80 ,"$1,560.00 ", N/A ,"$1,162.20 ","$1,021.80 ", N/A ,$436.80 ,$959.40 , N/A ,$959.40 , N/A ,$864.24 ,$864.24 , N/A ,$864.24 , N/A ,"$1,404.00 ","$1,294.80 ", N/A , N/A ,"$1,372.80 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,326.00 ","$1,326.00 ", N/A ,"$1,326.00 ", N/A ,"$1,263.60 ","$1,263.60 ","$1,263.60 ","$1,560.00 ","$1,404.00 ", N/A ,"$1,404.00 ", N/A ,"$1,560.00 ",$875.16 , N/A ,$645.84 , N/A , N/A , N/A ,"$1,404.00 ", N/A ,$864.24 ,$436.80 ,"$1,404.00 ", N/A ,"$1,404.00 ","$1,404.00 ", N/A ,"$1,014.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201938,N/A,HC PULSE OXIMETER PROBE DISP,272,1 ,$24.87 ,$17.91 ,$6.96 ,$24.87 , N/A ,$18.53 ,$16.29 , N/A ,$6.96 ,$15.30 , N/A ,$15.30 , N/A ,$13.78 ,$13.78 , N/A ,$13.78 , N/A ,$22.38 ,$20.64 , N/A , N/A ,$21.89 , N/A ,$18.65 ,$18.65 ,$21.14 ,$21.14 , N/A ,$21.14 , N/A ,$20.14 ,$20.14 ,$20.14 ,$24.87 ,$22.38 , N/A ,$22.38 , N/A ,$24.87 ,$13.95 , N/A ,$10.30 , N/A , N/A , N/A ,$22.38 , N/A ,$13.78 ,$6.96 ,$22.38 , N/A ,$22.38 ,$22.38 , N/A ,$16.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202002,N/A,HC SCD SLEEVE KNEE,272,1 ,$42.00 ,$30.24 ,$11.76 ,$42.00 , N/A ,$31.29 ,$27.51 , N/A ,$11.76 ,$25.83 , N/A ,$25.83 , N/A ,$23.27 ,$23.27 , N/A ,$23.27 , N/A ,$37.80 ,$34.86 , N/A , N/A ,$36.96 , N/A ,$31.50 ,$31.50 ,$35.70 ,$35.70 , N/A ,$35.70 , N/A ,$34.02 ,$34.02 ,$34.02 ,$42.00 ,$37.80 , N/A ,$37.80 , N/A ,$42.00 ,$23.56 , N/A ,$17.39 , N/A , N/A , N/A ,$37.80 , N/A ,$23.27 ,$11.76 ,$37.80 , N/A ,$37.80 ,$37.80 , N/A ,$27.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202013,N/A,HC SEALANT FLOSEAL MATRIX,272,1 ,$384.33 ,$276.72 ,$107.61 ,$384.33 , N/A ,$286.33 ,$251.74 , N/A ,$107.61 ,$236.36 , N/A ,$236.36 , N/A ,$212.92 ,$212.92 , N/A ,$212.92 , N/A ,$345.90 ,$318.99 , N/A , N/A ,$338.21 , N/A ,$288.25 ,$288.25 ,$326.68 ,$326.68 , N/A ,$326.68 , N/A ,$311.31 ,$311.31 ,$311.31 ,$384.33 ,$345.90 , N/A ,$345.90 , N/A ,$384.33 ,$215.61 , N/A ,$159.11 , N/A , N/A , N/A ,$345.90 , N/A ,$212.92 ,$107.61 ,$345.90 , N/A ,$345.90 ,$345.90 , N/A ,$249.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202018,N/A,HC SENSOR ADULT ADHESIVE,272,1 ,$457.97 ,$329.74 ,$128.23 ,$457.97 , N/A ,$341.19 ,$299.97 , N/A ,$128.23 ,$281.65 , N/A ,$281.65 , N/A ,$253.72 ,$253.72 , N/A ,$253.72 , N/A ,$412.17 ,$380.12 , N/A , N/A ,$403.01 , N/A ,$343.48 ,$343.48 ,$389.27 ,$389.27 , N/A ,$389.27 , N/A ,$370.96 ,$370.96 ,$370.96 ,$457.97 ,$412.17 , N/A ,$412.17 , N/A ,$457.97 ,$256.92 , N/A ,$189.60 , N/A , N/A , N/A ,$412.17 , N/A ,$253.72 ,$128.23 ,$412.17 , N/A ,$412.17 ,$412.17 , N/A ,$297.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202120,N/A,HC STAPLER SKIN,272,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202600,N/A,HC SUTURE,272,1 ,$27.37 ,$19.71 ,$7.66 ,$27.37 , N/A ,$20.39 ,$17.93 , N/A ,$7.66 ,$16.83 , N/A ,$16.83 , N/A ,$15.16 ,$15.16 , N/A ,$15.16 , N/A ,$24.63 ,$22.72 , N/A , N/A ,$24.09 , N/A ,$20.53 ,$20.53 ,$23.26 ,$23.26 , N/A ,$23.26 , N/A ,$22.17 ,$22.17 ,$22.17 ,$27.37 ,$24.63 , N/A ,$24.63 , N/A ,$27.37 ,$15.35 , N/A ,$11.33 , N/A , N/A , N/A ,$24.63 , N/A ,$15.16 ,$7.66 ,$24.63 , N/A ,$24.63 ,$24.63 , N/A ,$17.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202665,N/A,HC THORACENTESIS TRAY,272,1 ,$249.75 ,$179.82 ,$69.93 ,$249.75 , N/A ,$186.06 ,$163.59 , N/A ,$69.93 ,$153.60 , N/A ,$153.60 , N/A ,$138.36 ,$138.36 , N/A ,$138.36 , N/A ,$224.78 ,$207.29 , N/A , N/A ,$219.78 , N/A ,$187.31 ,$187.31 ,$212.29 ,$212.29 , N/A ,$212.29 , N/A ,$202.30 ,$202.30 ,$202.30 ,$249.75 ,$224.78 , N/A ,$224.78 , N/A ,$249.75 ,$140.11 , N/A ,$103.40 , N/A , N/A , N/A ,$224.78 , N/A ,$138.36 ,$69.93 ,$224.78 , N/A ,$224.78 ,$224.78 , N/A ,$162.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202729,N/A,HC TRANSDUCER COVER,272,1 ,$16.21 ,$11.67 ,$4.54 ,$16.21 , N/A ,$12.08 ,$10.62 , N/A ,$4.54 ,$9.97 , N/A ,$9.97 , N/A ,$8.98 ,$8.98 , N/A ,$8.98 , N/A ,$14.59 ,$13.45 , N/A , N/A ,$14.26 , N/A ,$12.16 ,$12.16 ,$13.78 ,$13.78 , N/A ,$13.78 , N/A ,$13.13 ,$13.13 ,$13.13 ,$16.21 ,$14.59 , N/A ,$14.59 , N/A ,$16.21 ,$9.09 , N/A ,$6.71 , N/A , N/A , N/A ,$14.59 , N/A ,$8.98 ,$4.54 ,$14.59 , N/A ,$14.59 ,$14.59 , N/A ,$10.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202743,N/A,HC TRAY CATH,272,1 ,$96.43 ,$69.43 ,$27.00 ,$96.43 , N/A ,$71.84 ,$63.16 , N/A ,$27.00 ,$59.30 , N/A ,$59.30 , N/A ,$53.42 ,$53.42 , N/A ,$53.42 , N/A ,$86.79 ,$80.04 , N/A , N/A ,$84.86 , N/A ,$72.32 ,$72.32 ,$81.97 ,$81.97 , N/A ,$81.97 , N/A ,$78.11 ,$78.11 ,$78.11 ,$96.43 ,$86.79 , N/A ,$86.79 , N/A ,$96.43 ,$54.10 , N/A ,$39.92 , N/A , N/A , N/A ,$86.79 , N/A ,$53.42 ,$27.00 ,$86.79 , N/A ,$86.79 ,$86.79 , N/A ,$62.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202786,N/A,HC TRAY PERI-CERV BLOCK,272,1 ,$66.14 ,$47.62 ,$18.52 ,$66.14 , N/A ,$49.27 ,$43.32 , N/A ,$18.52 ,$40.68 , N/A ,$40.68 , N/A ,$36.64 ,$36.64 , N/A ,$36.64 , N/A ,$59.53 ,$54.90 , N/A , N/A ,$58.20 , N/A ,$49.61 ,$49.61 ,$56.22 ,$56.22 , N/A ,$56.22 , N/A ,$53.57 ,$53.57 ,$53.57 ,$66.14 ,$59.53 , N/A ,$59.53 , N/A ,$66.14 ,$37.10 , N/A ,$27.38 , N/A , N/A , N/A ,$59.53 , N/A ,$36.64 ,$18.52 ,$59.53 , N/A ,$59.53 ,$59.53 , N/A ,$42.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202807,N/A,HC TRAY SPINAL,272,1 ,$141.67 ,$102.00 ,$39.67 ,$141.67 , N/A ,$105.54 ,$92.79 , N/A ,$39.67 ,$87.13 , N/A ,$87.13 , N/A ,$78.49 ,$78.49 , N/A ,$78.49 , N/A ,$127.50 ,$117.59 , N/A , N/A ,$124.67 , N/A ,$106.25 ,$106.25 ,$120.42 ,$120.42 , N/A ,$120.42 , N/A ,$114.75 ,$114.75 ,$114.75 ,$141.67 ,$127.50 , N/A ,$127.50 , N/A ,$141.67 ,$79.48 , N/A ,$58.65 , N/A , N/A , N/A ,$127.50 , N/A ,$78.49 ,$39.67 ,$127.50 , N/A ,$127.50 ,$127.50 , N/A ,$92.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202901,N/A,HC TUBES TRACH,278,1 ,$72.81 ,$52.42 ,$20.39 ,$72.81 , N/A ,$54.24 ,$47.69 , N/A ,$20.39 ,$44.78 , N/A ,$44.78 , N/A ,$40.34 ,$40.34 , N/A ,$40.34 , N/A ,$65.53 ,$60.43 , N/A , N/A ,$64.07 , N/A ,$54.61 ,$54.61 ,$61.89 ,$61.89 , N/A ,$61.89 , N/A ,$58.98 ,$58.98 ,$58.98 ,$72.81 ,$65.53 , N/A ,$65.53 , N/A ,$72.81 ,$40.85 , N/A ,$30.14 , N/A , N/A , N/A ,$65.53 , N/A ,$40.34 ,$20.39 ,$65.53 , N/A ,$65.53 ,$65.53 , N/A ,$47.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202915,N/A,HC TUBING CYSTO,272,1 ,$604.69 ,$435.38 ,$169.31 ,$604.69 , N/A ,$450.49 ,$396.07 , N/A ,$169.31 ,$371.88 , N/A ,$371.88 , N/A ,$335.00 ,$335.00 , N/A ,$335.00 , N/A ,$544.22 ,$501.89 , N/A , N/A ,$532.13 , N/A ,$453.52 ,$453.52 ,$513.99 ,$513.99 , N/A ,$513.99 , N/A ,$489.80 ,$489.80 ,$489.80 ,$604.69 ,$544.22 , N/A ,$544.22 , N/A ,$604.69 ,$339.23 , N/A ,$250.34 , N/A , N/A , N/A ,$544.22 , N/A ,$335.00 ,$169.31 ,$544.22 , N/A ,$544.22 ,$544.22 , N/A ,$393.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203051,N/A,HC NASAL PACKING,272,1 ,$37.65 ,$27.11 ,$10.54 ,$37.65 , N/A ,$28.05 ,$24.66 , N/A ,$10.54 ,$23.15 , N/A ,$23.15 , N/A ,$20.86 ,$20.86 , N/A ,$20.86 , N/A ,$33.89 ,$31.25 , N/A , N/A ,$33.13 , N/A ,$28.24 ,$28.24 ,$32.00 ,$32.00 , N/A ,$32.00 , N/A ,$30.50 ,$30.50 ,$30.50 ,$37.65 ,$33.89 , N/A ,$33.89 , N/A ,$37.65 ,$21.12 , N/A ,$15.59 , N/A , N/A , N/A ,$33.89 , N/A ,$20.86 ,$10.54 ,$33.89 , N/A ,$33.89 ,$33.89 , N/A ,$24.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203239,N/A,HC PUTTY,272,1 ,$13.52 ,$9.73 ,$3.79 ,$13.52 , N/A ,$10.07 ,$8.86 , N/A ,$3.79 ,$8.31 , N/A ,$8.31 , N/A ,$7.49 ,$7.49 , N/A ,$7.49 , N/A ,$12.17 ,$11.22 , N/A , N/A ,$11.90 , N/A ,$10.14 ,$10.14 ,$11.49 ,$11.49 , N/A ,$11.49 , N/A ,$10.95 ,$10.95 ,$10.95 ,$13.52 ,$12.17 , N/A ,$12.17 , N/A ,$13.52 ,$7.58 , N/A ,$5.60 , N/A , N/A , N/A ,$12.17 , N/A ,$7.49 ,$3.79 ,$12.17 , N/A ,$12.17 ,$12.17 , N/A ,$8.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203246,N/A,HC ERGONOMIC HAND EXERCISER,272,1 ,$34.09 ,$24.54 ,$9.55 ,$34.09 , N/A ,$25.40 ,$22.33 , N/A ,$9.55 ,$20.97 , N/A ,$20.97 , N/A ,$18.89 ,$18.89 , N/A ,$18.89 , N/A ,$30.68 ,$28.29 , N/A , N/A ,$30.00 , N/A ,$25.57 ,$25.57 ,$28.98 ,$28.98 , N/A ,$28.98 , N/A ,$27.61 ,$27.61 ,$27.61 ,$34.09 ,$30.68 , N/A ,$30.68 , N/A ,$34.09 ,$19.12 , N/A ,$14.11 , N/A , N/A , N/A ,$30.68 , N/A ,$18.89 ,$9.55 ,$30.68 , N/A ,$30.68 ,$30.68 , N/A ,$22.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203255,N/A,HC CPM PADS,272,1 ,$158.11 ,$113.84 ,$44.27 ,$158.11 , N/A ,$117.79 ,$103.56 , N/A ,$44.27 ,$97.24 , N/A ,$97.24 , N/A ,$87.59 ,$87.59 , N/A ,$87.59 , N/A ,$142.30 ,$131.23 , N/A , N/A ,$139.14 , N/A ,$118.58 ,$118.58 ,$134.39 ,$134.39 , N/A ,$134.39 , N/A ,$128.07 ,$128.07 ,$128.07 ,$158.11 ,$142.30 , N/A ,$142.30 , N/A ,$158.11 ,$88.70 , N/A ,$65.46 , N/A , N/A , N/A ,$142.30 , N/A ,$87.59 ,$44.27 ,$142.30 , N/A ,$142.30 ,$142.30 , N/A ,$102.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203271,N/A,HC WOUND VAC VERALINK CASSETTE,272,1 ,$140.25 ,$100.98 ,$39.27 ,$140.25 , N/A ,$104.49 ,$91.86 , N/A ,$39.27 ,$86.25 , N/A ,$86.25 , N/A ,$77.70 ,$77.70 , N/A ,$77.70 , N/A ,$126.23 ,$116.41 , N/A , N/A ,$123.42 , N/A ,$105.19 ,$105.19 ,$119.21 ,$119.21 , N/A ,$119.21 , N/A ,$113.60 ,$113.60 ,$113.60 ,$140.25 ,$126.23 , N/A ,$126.23 , N/A ,$140.25 ,$78.68 , N/A ,$58.06 , N/A , N/A , N/A ,$126.23 , N/A ,$77.70 ,$39.27 ,$126.23 , N/A ,$126.23 ,$126.23 , N/A ,$91.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$63.00 ,$45.36 ,$17.64 ,$63.00 , N/A ,$46.94 ,$41.27 , N/A ,$17.64 ,$38.75 , N/A ,$38.75 , N/A ,$34.90 ,$34.90 , N/A ,$34.90 , N/A ,$56.70 ,$52.29 , N/A , N/A ,$55.44 , N/A ,$47.25 ,$47.25 ,$53.55 ,$53.55 , N/A ,$53.55 , N/A ,$51.03 ,$51.03 ,$51.03 ,$63.00 ,$56.70 , N/A ,$56.70 , N/A ,$63.00 ,$35.34 , N/A ,$26.08 , N/A , N/A , N/A ,$56.70 , N/A ,$34.90 ,$17.64 ,$56.70 , N/A ,$56.70 ,$56.70 , N/A ,$40.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203509,N/A,HC CATHETER FOLEY 3W,272,1 ,$46.81 ,$33.70 ,$13.11 ,$46.81 , N/A ,$34.87 ,$30.66 , N/A ,$13.11 ,$28.79 , N/A ,$28.79 , N/A ,$25.93 ,$25.93 , N/A ,$25.93 , N/A ,$42.13 ,$38.85 , N/A , N/A ,$41.19 , N/A ,$35.11 ,$35.11 ,$39.79 ,$39.79 , N/A ,$39.79 , N/A ,$37.92 ,$37.92 ,$37.92 ,$46.81 ,$42.13 , N/A ,$42.13 , N/A ,$46.81 ,$26.26 , N/A ,$19.38 , N/A , N/A , N/A ,$42.13 , N/A ,$25.93 ,$13.11 ,$42.13 , N/A ,$42.13 ,$42.13 , N/A ,$30.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203512,A6196,HC DRESSING ALGINATE <16,623,1 ,$16.23 ,$11.69 ,$4.54 ,$16.23 , N/A ,$12.09 ,$10.63 , N/A ,$4.54 ,$9.98 , N/A ,$9.98 , N/A ,$8.99 ,$8.99 , N/A ,$8.99 , N/A ,$14.61 , N/A , N/A , N/A ,$14.28 , N/A ,$12.17 ,$12.17 ,$13.80 ,$13.80 , N/A ,$13.80 , N/A ,$13.15 ,$13.15 ,$13.15 ,$16.23 ,$14.61 , N/A ,$14.61 , N/A ,$16.23 ,$9.11 , N/A ,$6.72 , N/A , N/A , N/A ,$14.61 , N/A ,$8.99 ,$4.54 ,$14.61 , N/A ,$14.61 ,$14.61 , N/A ,$10.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203524,A6258,HC DRESSING TRANSPARENT  >16  AND  <48 SQ CM TIER 1,623,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 , N/A , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203525,A6258,HC DRESSING TRANSPARENT  >16  AND  <48 SQ CM TIER 2,623,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203531,C1751,HC CATHETER CV TRIPLE-LUMEN,272,1 ,"$1,352.31 ",$973.66 ,$378.65 ,"$1,352.31 ", N/A ,"$1,007.47 ",$885.76 , N/A ,$378.65 ,$831.67 , N/A ,$831.67 , N/A ,$749.18 ,$749.18 , N/A ,$749.18 , N/A ,"$1,217.08 ", N/A , N/A , N/A ,"$1,190.03 ", N/A ,"$1,014.23 ","$1,014.23 ","$1,149.46 ","$1,149.46 ", N/A ,"$1,149.46 ", N/A ,"$1,095.37 ","$1,095.37 ","$1,095.37 ","$1,352.31 ","$1,217.08 ", N/A ,"$1,217.08 ", N/A ,"$1,352.31 ",$758.65 , N/A ,$559.86 , N/A , N/A , N/A ,"$1,217.08 ", N/A ,$749.18 ,$378.65 ,"$1,217.08 ", N/A ,"$1,217.08 ","$1,217.08 ", N/A ,$879.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203533,C1751,HC CATHETER CV SINGLE-LUMEN,272,1 ,$345.03 ,$248.42 ,$96.61 ,$345.03 , N/A ,$257.05 ,$225.99 , N/A ,$96.61 ,$212.19 , N/A ,$212.19 , N/A ,$191.15 ,$191.15 , N/A ,$191.15 , N/A ,$310.53 , N/A , N/A , N/A ,$303.63 , N/A ,$258.77 ,$258.77 ,$293.28 ,$293.28 , N/A ,$293.28 , N/A ,$279.47 ,$279.47 ,$279.47 ,$345.03 ,$310.53 , N/A ,$310.53 , N/A ,$345.03 ,$193.56 , N/A ,$142.84 , N/A , N/A , N/A ,$310.53 , N/A ,$191.15 ,$96.61 ,$310.53 , N/A ,$310.53 ,$310.53 , N/A ,$224.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203535,N/A,HC TRAY LUMBAR PUNCTURE,272,1 ,$160.63 ,$115.65 ,$44.98 ,$160.63 , N/A ,$119.67 ,$105.21 , N/A ,$44.98 ,$98.79 , N/A ,$98.79 , N/A ,$88.99 ,$88.99 , N/A ,$88.99 , N/A ,$144.57 ,$133.32 , N/A , N/A ,$141.35 , N/A ,$120.47 ,$120.47 ,$136.54 ,$136.54 , N/A ,$136.54 , N/A ,$130.11 ,$130.11 ,$130.11 ,$160.63 ,$144.57 , N/A ,$144.57 , N/A ,$160.63 ,$90.11 , N/A ,$66.50 , N/A , N/A , N/A ,$144.57 , N/A ,$88.99 ,$44.98 ,$144.57 , N/A ,$144.57 ,$144.57 , N/A ,$104.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203544,N/A,HC CATHETER FEMORAL ARTERY,272,1 ,$119.13 ,$85.77 ,$33.36 ,$119.13 , N/A ,$88.75 ,$78.03 , N/A ,$33.36 ,$73.27 , N/A ,$73.27 , N/A ,$66.00 ,$66.00 , N/A ,$66.00 , N/A ,$107.22 ,$98.88 , N/A , N/A ,$104.83 , N/A ,$89.35 ,$89.35 ,$101.26 ,$101.26 , N/A ,$101.26 , N/A ,$96.50 ,$96.50 ,$96.50 ,$119.13 ,$107.22 , N/A ,$107.22 , N/A ,$119.13 ,$66.83 , N/A ,$49.32 , N/A , N/A , N/A ,$107.22 , N/A ,$66.00 ,$33.36 ,$107.22 , N/A ,$107.22 ,$107.22 , N/A ,$77.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203554,N/A,HC KIT ICP PRESSURE MONITOR,272,1 ,$68.76 ,$49.51 ,$19.25 ,$68.76 , N/A ,$51.23 ,$45.04 , N/A ,$19.25 ,$42.29 , N/A ,$42.29 , N/A ,$38.09 ,$38.09 , N/A ,$38.09 , N/A ,$61.88 ,$57.07 , N/A , N/A ,$60.51 , N/A ,$51.57 ,$51.57 ,$58.45 ,$58.45 , N/A ,$58.45 , N/A ,$55.70 ,$55.70 ,$55.70 ,$68.76 ,$61.88 , N/A ,$61.88 , N/A ,$68.76 ,$38.57 , N/A ,$28.47 , N/A , N/A , N/A ,$61.88 , N/A ,$38.09 ,$19.25 ,$61.88 , N/A ,$61.88 ,$61.88 , N/A ,$44.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203557,N/A,HC CATHETER INTRAUTERINE,272,1 ,$158.69 ,$114.26 ,$44.43 ,$158.69 , N/A ,$118.22 ,$103.94 , N/A ,$44.43 ,$97.59 , N/A ,$97.59 , N/A ,$87.91 ,$87.91 , N/A ,$87.91 , N/A ,$142.82 ,$131.71 , N/A , N/A ,$139.65 , N/A ,$119.02 ,$119.02 ,$134.89 ,$134.89 , N/A ,$134.89 , N/A ,$128.54 ,$128.54 ,$128.54 ,$158.69 ,$142.82 , N/A ,$142.82 , N/A ,$158.69 ,$89.03 , N/A ,$65.70 , N/A , N/A , N/A ,$142.82 , N/A ,$87.91 ,$44.43 ,$142.82 , N/A ,$142.82 ,$142.82 , N/A ,$103.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203562,N/A,HC CATHETER SUCTION,272,1 ,$6.23 ,$4.49 ,$1.74 ,$6.23 , N/A ,$4.64 ,$4.08 , N/A ,$1.74 ,$3.83 , N/A ,$3.83 , N/A ,$3.45 ,$3.45 , N/A ,$3.45 , N/A ,$5.61 ,$5.17 , N/A , N/A ,$5.48 , N/A ,$4.67 ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.30 , N/A ,$5.05 ,$5.05 ,$5.05 ,$6.23 ,$5.61 , N/A ,$5.61 , N/A ,$6.23 ,$3.50 , N/A ,$2.58 , N/A , N/A , N/A ,$5.61 , N/A ,$3.45 ,$1.74 ,$5.61 , N/A ,$5.61 ,$5.61 , N/A ,$4.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203563,N/A,HC CATHETER TROCAR,272,1 ,$143.61 ,$103.40 ,$40.21 ,$143.61 , N/A ,$106.99 ,$94.06 , N/A ,$40.21 ,$88.32 , N/A ,$88.32 , N/A ,$79.56 ,$79.56 , N/A ,$79.56 , N/A ,$129.25 ,$119.20 , N/A , N/A ,$126.38 , N/A ,$107.71 ,$107.71 ,$122.07 ,$122.07 , N/A ,$122.07 , N/A ,$116.32 ,$116.32 ,$116.32 ,$143.61 ,$129.25 , N/A ,$129.25 , N/A ,$143.61 ,$80.57 , N/A ,$59.45 , N/A , N/A , N/A ,$129.25 , N/A ,$79.56 ,$40.21 ,$129.25 , N/A ,$129.25 ,$129.25 , N/A ,$93.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203564,N/A,HC CATHETER UMBILICAL ARTERY,272,1 ,$88.21 ,$63.51 ,$24.70 ,$88.21 , N/A ,$65.72 ,$57.78 , N/A ,$24.70 ,$54.25 , N/A ,$54.25 , N/A ,$48.87 ,$48.87 , N/A ,$48.87 , N/A ,$79.39 ,$73.21 , N/A , N/A ,$77.62 , N/A ,$66.16 ,$66.16 ,$74.98 ,$74.98 , N/A ,$74.98 , N/A ,$71.45 ,$71.45 ,$71.45 ,$88.21 ,$79.39 , N/A ,$79.39 , N/A ,$88.21 ,$49.49 , N/A ,$36.52 , N/A , N/A , N/A ,$79.39 , N/A ,$48.87 ,$24.70 ,$79.39 , N/A ,$79.39 ,$79.39 , N/A ,$57.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203573,A6237,HC DRESSING COMBIDERM <16 SQ CM,623,1 ,$94.75 ,$68.22 ,$26.53 ,$94.75 , N/A ,$70.59 ,$62.06 , N/A ,$26.53 ,$58.27 , N/A ,$58.27 , N/A ,$52.49 ,$52.49 , N/A ,$52.49 , N/A ,$85.28 , N/A , N/A , N/A ,$83.38 , N/A ,$71.06 ,$71.06 ,$80.54 ,$80.54 , N/A ,$80.54 , N/A ,$76.75 ,$76.75 ,$76.75 ,$94.75 ,$85.28 , N/A ,$85.28 , N/A ,$94.75 ,$53.15 , N/A ,$39.23 , N/A , N/A , N/A ,$85.28 , N/A ,$52.49 ,$26.53 ,$85.28 , N/A ,$85.28 ,$85.28 , N/A ,$61.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203576,N/A,HC DRESSING V.A.C.,272,1 ,$477.13 ,$343.53 ,$133.60 ,$477.13 , N/A ,$355.46 ,$312.52 , N/A ,$133.60 ,$293.44 , N/A ,$293.44 , N/A ,$264.33 ,$264.33 , N/A ,$264.33 , N/A ,$429.42 ,$396.02 , N/A , N/A ,$419.87 , N/A ,$357.85 ,$357.85 ,$405.56 ,$405.56 , N/A ,$405.56 , N/A ,$386.48 ,$386.48 ,$386.48 ,$477.13 ,$429.42 , N/A ,$429.42 , N/A ,$477.13 ,$267.67 , N/A ,$197.53 , N/A , N/A , N/A ,$429.42 , N/A ,$264.33 ,$133.60 ,$429.42 , N/A ,$429.42 ,$429.42 , N/A ,$310.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203597,N/A,HC TUBING ANY,272,1 ,$179.50 ,$129.24 ,$50.26 ,$179.50 , N/A ,$133.73 ,$117.57 , N/A ,$50.26 ,$110.39 , N/A ,$110.39 , N/A ,$99.44 ,$99.44 , N/A ,$99.44 , N/A ,$161.55 ,$148.99 , N/A , N/A ,$157.96 , N/A ,$134.63 ,$134.63 ,$152.58 ,$152.58 , N/A ,$152.58 , N/A ,$145.40 ,$145.40 ,$145.40 ,$179.50 ,$161.55 , N/A ,$161.55 , N/A ,$179.50 ,$100.70 , N/A ,$74.31 , N/A , N/A , N/A ,$161.55 , N/A ,$99.44 ,$50.26 ,$161.55 , N/A ,$161.55 ,$161.55 , N/A ,$116.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203601,N/A,HC BLOCK BITE TEETH GUARD,272,1 ,$97.00 ,$69.84 ,$27.16 ,$97.00 , N/A ,$72.27 ,$63.54 , N/A ,$27.16 ,$59.66 , N/A ,$59.66 , N/A ,$53.74 ,$53.74 , N/A ,$53.74 , N/A ,$87.30 ,$80.51 , N/A , N/A ,$85.36 , N/A ,$72.75 ,$72.75 ,$82.45 ,$82.45 , N/A ,$82.45 , N/A ,$78.57 ,$78.57 ,$78.57 ,$97.00 ,$87.30 , N/A ,$87.30 , N/A ,$97.00 ,$54.42 , N/A ,$40.16 , N/A , N/A , N/A ,$87.30 , N/A ,$53.74 ,$27.16 ,$87.30 , N/A ,$87.30 ,$87.30 , N/A ,$63.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203606,N/A,HC CIRCUIT BREATHING VENTILATER,272,1 ,$17.31 ,$12.46 ,$4.85 ,$17.31 , N/A ,$12.90 ,$11.34 , N/A ,$4.85 ,$10.65 , N/A ,$10.65 , N/A ,$9.59 ,$9.59 , N/A ,$9.59 , N/A ,$15.58 ,$14.37 , N/A , N/A ,$15.23 , N/A ,$12.98 ,$12.98 ,$14.71 ,$14.71 , N/A ,$14.71 , N/A ,$14.02 ,$14.02 ,$14.02 ,$17.31 ,$15.58 , N/A ,$15.58 , N/A ,$17.31 ,$9.71 , N/A ,$7.17 , N/A , N/A , N/A ,$15.58 , N/A ,$9.59 ,$4.85 ,$15.58 , N/A ,$15.58 ,$15.58 , N/A ,$11.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203636,N/A,HC TRAY MYELOGRAM,272,1 ,$96.85 ,$69.73 ,$27.12 ,$96.85 , N/A ,$72.15 ,$63.44 , N/A ,$27.12 ,$59.56 , N/A ,$59.56 , N/A ,$53.65 ,$53.65 , N/A ,$53.65 , N/A ,$87.17 ,$80.39 , N/A , N/A ,$85.23 , N/A ,$72.64 ,$72.64 ,$82.32 ,$82.32 , N/A ,$82.32 , N/A ,$78.45 ,$78.45 ,$78.45 ,$96.85 ,$87.17 , N/A ,$87.17 , N/A ,$96.85 ,$54.33 , N/A ,$40.10 , N/A , N/A , N/A ,$87.17 , N/A ,$53.65 ,$27.12 ,$87.17 , N/A ,$87.17 ,$87.17 , N/A ,$62.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$162.42 ,$116.94 ,$45.48 ,$162.42 , N/A ,$121.00 ,$106.39 , N/A ,$45.48 ,$99.89 , N/A ,$99.89 , N/A ,$89.98 ,$89.98 , N/A ,$89.98 , N/A ,$146.18 ,$134.81 , N/A , N/A ,$142.93 , N/A ,$121.82 ,$121.82 ,$138.06 ,$138.06 , N/A ,$138.06 , N/A ,$131.56 ,$131.56 ,$131.56 ,$162.42 ,$146.18 , N/A ,$146.18 , N/A ,$162.42 ,$91.12 , N/A ,$67.24 , N/A , N/A , N/A ,$146.18 , N/A ,$89.98 ,$45.48 ,$146.18 , N/A ,$146.18 ,$146.18 , N/A ,$105.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203654,N/A,HC CATHETER SWAN GANZ,272,1 ,$309.06 ,$222.52 ,$86.54 ,$309.06 , N/A ,$230.25 ,$202.43 , N/A ,$86.54 ,$190.07 , N/A ,$190.07 , N/A ,$171.22 ,$171.22 , N/A ,$171.22 , N/A ,$278.15 ,$256.52 , N/A , N/A ,$271.97 , N/A ,$231.80 ,$231.80 ,$262.70 ,$262.70 , N/A ,$262.70 , N/A ,$250.34 ,$250.34 ,$250.34 ,$309.06 ,$278.15 , N/A ,$278.15 , N/A ,$309.06 ,$173.38 , N/A ,$127.95 , N/A , N/A , N/A ,$278.15 , N/A ,$171.22 ,$86.54 ,$278.15 , N/A ,$278.15 ,$278.15 , N/A ,$200.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203657,C1769,HC GUIDEWIRE,272,1 ,$243.29 ,$175.17 ,$68.12 ,$243.29 , N/A ,$181.25 ,$159.36 , N/A ,$68.12 ,$149.62 , N/A ,$149.62 , N/A ,$134.78 ,$134.78 , N/A ,$134.78 , N/A ,$218.96 , N/A , N/A , N/A ,$214.10 , N/A ,$182.47 ,$182.47 ,$206.80 ,$206.80 , N/A ,$206.80 , N/A ,$197.06 ,$197.06 ,$197.06 ,$243.29 ,$218.96 , N/A ,$218.96 , N/A ,$243.29 ,$136.49 , N/A ,$100.72 , N/A , N/A , N/A ,$218.96 , N/A ,$134.78 ,$68.12 ,$218.96 , N/A ,$218.96 ,$218.96 , N/A ,$158.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203658,C1769,HC GUIDEWIRE GLIDEWIRE,272,1 ,$672.14 ,$483.94 ,$188.20 ,$672.14 , N/A ,$500.74 ,$440.25 , N/A ,$188.20 ,$413.37 , N/A ,$413.37 , N/A ,$372.37 ,$372.37 , N/A ,$372.37 , N/A ,$604.93 , N/A , N/A , N/A ,$591.48 , N/A ,$504.11 ,$504.11 ,$571.32 ,$571.32 , N/A ,$571.32 , N/A ,$544.43 ,$544.43 ,$544.43 ,$672.14 ,$604.93 , N/A ,$604.93 , N/A ,$672.14 ,$377.07 , N/A ,$278.27 , N/A , N/A , N/A ,$604.93 , N/A ,$372.37 ,$188.20 ,$604.93 , N/A ,$604.93 ,$604.93 , N/A ,$436.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203689,N/A,HC COVER PROBE,272,1 ,$22.04 ,$15.87 ,$6.17 ,$22.04 , N/A ,$16.42 ,$14.44 , N/A ,$6.17 ,$13.55 , N/A ,$13.55 , N/A ,$12.21 ,$12.21 , N/A ,$12.21 , N/A ,$19.84 ,$18.29 , N/A , N/A ,$19.40 , N/A ,$16.53 ,$16.53 ,$18.73 ,$18.73 , N/A ,$18.73 , N/A ,$17.85 ,$17.85 ,$17.85 ,$22.04 ,$19.84 , N/A ,$19.84 , N/A ,$22.04 ,$12.36 , N/A ,$9.12 , N/A , N/A , N/A ,$19.84 , N/A ,$12.21 ,$6.17 ,$19.84 , N/A ,$19.84 ,$19.84 , N/A ,$14.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203691,N/A,HC TUBE GASTROSTOMY,272,1 ,$33.08 ,$23.82 ,$9.26 ,$33.08 , N/A ,$24.64 ,$21.67 , N/A ,$9.26 ,$20.34 , N/A ,$20.34 , N/A ,$18.33 ,$18.33 , N/A ,$18.33 , N/A ,$29.77 ,$27.46 , N/A , N/A ,$29.11 , N/A ,$24.81 ,$24.81 ,$28.12 ,$28.12 , N/A ,$28.12 , N/A ,$26.79 ,$26.79 ,$26.79 ,$33.08 ,$29.77 , N/A ,$29.77 , N/A ,$33.08 ,$18.56 , N/A ,$13.70 , N/A , N/A , N/A ,$29.77 , N/A ,$18.33 ,$9.26 ,$29.77 , N/A ,$29.77 ,$29.77 , N/A ,$21.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203703,C1751,HC CATHETER PICC,272,1 ,$556.00 ,$400.32 ,$155.68 ,$556.00 , N/A ,$414.22 ,$364.18 , N/A ,$155.68 ,$341.94 , N/A ,$341.94 , N/A ,$308.02 ,$308.02 , N/A ,$308.02 , N/A ,$500.40 , N/A , N/A , N/A ,$489.28 , N/A ,$417.00 ,$417.00 ,$472.60 ,$472.60 , N/A ,$472.60 , N/A ,$450.36 ,$450.36 ,$450.36 ,$556.00 ,$500.40 , N/A ,$500.40 , N/A ,$556.00 ,$311.92 , N/A ,$230.18 , N/A , N/A , N/A ,$500.40 , N/A ,$308.02 ,$155.68 ,$500.40 , N/A ,$500.40 ,$500.40 , N/A ,$361.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203719,C1729,HC CATHETER CENTESIS ONE STEP,272,1 ,$51.71 ,$37.23 ,$14.48 ,$51.71 , N/A ,$38.52 ,$33.87 , N/A ,$14.48 ,$31.80 , N/A ,$31.80 , N/A ,$28.65 ,$28.65 , N/A ,$28.65 , N/A ,$46.54 , N/A , N/A , N/A ,$45.50 , N/A ,$38.78 ,$38.78 ,$43.95 ,$43.95 , N/A ,$43.95 , N/A ,$41.89 ,$41.89 ,$41.89 ,$51.71 ,$46.54 , N/A ,$46.54 , N/A ,$51.71 ,$29.01 , N/A ,$21.41 , N/A , N/A , N/A ,$46.54 , N/A ,$28.65 ,$14.48 ,$46.54 , N/A ,$46.54 ,$46.54 , N/A ,$33.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203720,N/A,HC MARKER BREAST CORE MARK,272,1 ,$167.28 ,$120.44 ,$46.84 ,$167.28 , N/A ,$124.62 ,$109.57 , N/A ,$46.84 ,$102.88 , N/A ,$102.88 , N/A ,$92.67 ,$92.67 , N/A ,$92.67 , N/A ,$150.55 ,$138.84 , N/A , N/A ,$147.21 , N/A ,$125.46 ,$125.46 ,$142.19 ,$142.19 , N/A ,$142.19 , N/A ,$135.50 ,$135.50 ,$135.50 ,$167.28 ,$150.55 , N/A ,$150.55 , N/A ,$167.28 ,$93.84 , N/A ,$69.25 , N/A , N/A , N/A ,$150.55 , N/A ,$92.67 ,$46.84 ,$150.55 , N/A ,$150.55 ,$150.55 , N/A ,$108.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203766,N/A,HC CATHETER SELECT,272,1 ,$267.79 ,$192.81 ,$74.98 ,$267.79 , N/A ,$199.50 ,$175.40 , N/A ,$74.98 ,$164.69 , N/A ,$164.69 , N/A ,$148.36 ,$148.36 , N/A ,$148.36 , N/A ,$241.01 ,$222.27 , N/A , N/A ,$235.66 , N/A ,$200.84 ,$200.84 ,$227.62 ,$227.62 , N/A ,$227.62 , N/A ,$216.91 ,$216.91 ,$216.91 ,$267.79 ,$241.01 , N/A ,$241.01 , N/A ,$267.79 ,$150.23 , N/A ,$110.87 , N/A , N/A , N/A ,$241.01 , N/A ,$148.36 ,$74.98 ,$241.01 , N/A ,$241.01 ,$241.01 , N/A ,$174.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203827,C1894,HC INTRODUCER/SHEATH/CATH,272,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 , N/A , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203841,N/A,HC BALLOON DILATOR CERVICAL,272,1 ,$135.00 ,$97.20 ,$37.80 ,$135.00 , N/A ,$100.58 ,$88.43 , N/A ,$37.80 ,$83.03 , N/A ,$83.03 , N/A ,$74.79 ,$74.79 , N/A ,$74.79 , N/A ,$121.50 ,$112.05 , N/A , N/A ,$118.80 , N/A ,$101.25 ,$101.25 ,$114.75 ,$114.75 , N/A ,$114.75 , N/A ,$109.35 ,$109.35 ,$109.35 ,$135.00 ,$121.50 , N/A ,$121.50 , N/A ,$135.00 ,$75.74 , N/A ,$55.89 , N/A , N/A , N/A ,$121.50 , N/A ,$74.79 ,$37.80 ,$121.50 , N/A ,$121.50 ,$121.50 , N/A ,$87.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203846,N/A,HC SYSTEM VACUUM ASSIST MUSHROOM CAP,272,1 ,$90.93 ,$65.47 ,$25.46 ,$90.93 , N/A ,$67.74 ,$59.56 , N/A ,$25.46 ,$55.92 , N/A ,$55.92 , N/A ,$50.38 ,$50.38 , N/A ,$50.38 , N/A ,$81.84 ,$75.47 , N/A , N/A ,$80.02 , N/A ,$68.20 ,$68.20 ,$77.29 ,$77.29 , N/A ,$77.29 , N/A ,$73.65 ,$73.65 ,$73.65 ,$90.93 ,$81.84 , N/A ,$81.84 , N/A ,$90.93 ,$51.01 , N/A ,$37.65 , N/A , N/A , N/A ,$81.84 , N/A ,$50.38 ,$25.46 ,$81.84 , N/A ,$81.84 ,$81.84 , N/A ,$59.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203847,N/A,HC NEEDLE INTRAOSSEOUS,272,1 ,$369.08 ,$265.74 ,$103.34 ,$369.08 , N/A ,$274.96 ,$241.75 , N/A ,$103.34 ,$226.98 , N/A ,$226.98 , N/A ,$204.47 ,$204.47 , N/A ,$204.47 , N/A ,$332.17 ,$306.34 , N/A , N/A ,$324.79 , N/A ,$276.81 ,$276.81 ,$313.72 ,$313.72 , N/A ,$313.72 , N/A ,$298.95 ,$298.95 ,$298.95 ,$369.08 ,$332.17 , N/A ,$332.17 , N/A ,$369.08 ,$207.05 , N/A ,$152.80 , N/A , N/A , N/A ,$332.17 , N/A ,$204.47 ,$103.34 ,$332.17 , N/A ,$332.17 ,$332.17 , N/A ,$239.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203848,N/A,HC PACK GYNE,272,1 ,$117.34 ,$84.48 ,$32.86 ,$117.34 , N/A ,$87.42 ,$76.86 , N/A ,$32.86 ,$72.16 , N/A ,$72.16 , N/A ,$65.01 ,$65.01 , N/A ,$65.01 , N/A ,$105.61 ,$97.39 , N/A , N/A ,$103.26 , N/A ,$88.01 ,$88.01 ,$99.74 ,$99.74 , N/A ,$99.74 , N/A ,$95.05 ,$95.05 ,$95.05 ,$117.34 ,$105.61 , N/A ,$105.61 , N/A ,$117.34 ,$65.83 , N/A ,$48.58 , N/A , N/A , N/A ,$105.61 , N/A ,$65.01 ,$32.86 ,$105.61 , N/A ,$105.61 ,$105.61 , N/A ,$76.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203858,N/A,HC DRESSING WOUND SILVER ANTIMICROBIAL,272,1 ,$136.59 ,$98.34 ,$38.25 ,$136.59 , N/A ,$101.76 ,$89.47 , N/A ,$38.25 ,$84.00 , N/A ,$84.00 , N/A ,$75.67 ,$75.67 , N/A ,$75.67 , N/A ,$122.93 ,$113.37 , N/A , N/A ,$120.20 , N/A ,$102.44 ,$102.44 ,$116.10 ,$116.10 , N/A ,$116.10 , N/A ,$110.64 ,$110.64 ,$110.64 ,$136.59 ,$122.93 , N/A ,$122.93 , N/A ,$136.59 ,$76.63 , N/A ,$56.55 , N/A , N/A , N/A ,$122.93 , N/A ,$75.67 ,$38.25 ,$122.93 , N/A ,$122.93 ,$122.93 , N/A ,$88.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203860,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM SILVER,272,1 ,$293.25 ,$211.14 ,$82.11 ,$293.25 , N/A ,$218.47 ,$192.08 , N/A ,$82.11 ,$180.35 , N/A ,$180.35 , N/A ,$162.46 ,$162.46 , N/A ,$162.46 , N/A ,$263.93 ,$243.40 , N/A , N/A ,$258.06 , N/A ,$219.94 ,$219.94 ,$249.26 ,$249.26 , N/A ,$249.26 , N/A ,$237.53 ,$237.53 ,$237.53 ,$293.25 ,$263.93 , N/A ,$263.93 , N/A ,$293.25 ,$164.51 , N/A ,$121.41 , N/A , N/A , N/A ,$263.93 , N/A ,$162.46 ,$82.11 ,$263.93 , N/A ,$263.93 ,$263.93 , N/A ,$190.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203871,N/A,HC NASAL RHINO ROCKET,272,1 ,$53.32 ,$38.39 ,$14.93 ,$53.32 , N/A ,$39.72 ,$34.92 , N/A ,$14.93 ,$32.79 , N/A ,$32.79 , N/A ,$29.54 ,$29.54 , N/A ,$29.54 , N/A ,$47.99 ,$44.26 , N/A , N/A ,$46.92 , N/A ,$39.99 ,$39.99 ,$45.32 ,$45.32 , N/A ,$45.32 , N/A ,$43.19 ,$43.19 ,$43.19 ,$53.32 ,$47.99 , N/A ,$47.99 , N/A ,$53.32 ,$29.91 , N/A ,$22.07 , N/A , N/A , N/A ,$47.99 , N/A ,$29.54 ,$14.93 ,$47.99 , N/A ,$47.99 ,$47.99 , N/A ,$34.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203873,N/A,HC BAG RESUSCITATION PEDI,272,1 ,$119.19 ,$85.82 ,$33.37 ,$119.19 , N/A ,$88.80 ,$78.07 , N/A ,$33.37 ,$73.30 , N/A ,$73.30 , N/A ,$66.03 ,$66.03 , N/A ,$66.03 , N/A ,$107.27 ,$98.93 , N/A , N/A ,$104.89 , N/A ,$89.39 ,$89.39 ,$101.31 ,$101.31 , N/A ,$101.31 , N/A ,$96.54 ,$96.54 ,$96.54 ,$119.19 ,$107.27 , N/A ,$107.27 , N/A ,$119.19 ,$66.87 , N/A ,$49.34 , N/A , N/A , N/A ,$107.27 , N/A ,$66.03 ,$33.37 ,$107.27 , N/A ,$107.27 ,$107.27 , N/A ,$77.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203874,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM  LARGE,272,1 ,$660.00 ,$475.20 ,$184.80 ,$660.00 , N/A ,$491.70 ,$432.30 , N/A ,$184.80 ,$405.90 , N/A ,$405.90 , N/A ,$365.64 ,$365.64 , N/A ,$365.64 , N/A ,$594.00 ,$547.80 , N/A , N/A ,$580.80 , N/A ,$495.00 ,$495.00 ,$561.00 ,$561.00 , N/A ,$561.00 , N/A ,$534.60 ,$534.60 ,$534.60 ,$660.00 ,$594.00 , N/A ,$594.00 , N/A ,$660.00 ,$370.26 , N/A ,$273.24 , N/A , N/A , N/A ,$594.00 , N/A ,$365.64 ,$184.80 ,$594.00 , N/A ,$594.00 ,$594.00 , N/A ,$429.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203875,N/A,HC SYSTEM DRESSING WOUND VAC THERAPY,272,1 ,"$1,521.00 ","$1,095.12 ",$425.88 ,"$1,521.00 ", N/A ,"$1,133.15 ",$996.26 , N/A ,$425.88 ,$935.42 , N/A ,$935.42 , N/A ,$842.63 ,$842.63 , N/A ,$842.63 , N/A ,"$1,368.90 ","$1,262.43 ", N/A , N/A ,"$1,338.48 ", N/A ,"$1,140.75 ","$1,140.75 ","$1,292.85 ","$1,292.85 ", N/A ,"$1,292.85 ", N/A ,"$1,232.01 ","$1,232.01 ","$1,232.01 ","$1,521.00 ","$1,368.90 ", N/A ,"$1,368.90 ", N/A ,"$1,521.00 ",$853.28 , N/A ,$629.69 , N/A , N/A , N/A ,"$1,368.90 ", N/A ,$842.63 ,$425.88 ,"$1,368.90 ", N/A ,"$1,368.90 ","$1,368.90 ", N/A ,$988.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203885,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203886,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203887,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203888,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203889,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203890,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203891,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ", N/A , N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203892,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ", N/A , N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203893,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203894,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203895,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203896,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ", N/A , N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203897,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T22,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ", N/A , N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203898,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T23,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ", N/A , N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203899,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ", N/A , N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203900,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T25,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ", N/A , N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203901,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T26,272,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ", N/A , N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203902,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T27,272,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ", N/A , N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203903,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T28,272,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ", N/A , N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203904,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T29,272,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ", N/A , N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203905,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T30,272,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ", N/A , N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203906,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T31,272,1 ,"$9,900.00 ","$7,128.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$5,484.60 ","$5,484.60 ", N/A ,"$5,484.60 ", N/A ,"$8,910.00 ", N/A , N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$8,019.00 ","$8,019.00 ","$8,019.00 ","$9,900.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$4,098.60 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$5,484.60 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203922,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203923,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203924,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203925,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203926,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ", N/A , N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203927,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ", N/A , N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203928,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203929,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203930,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203931,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ", N/A , N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203932,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T22,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ", N/A , N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203933,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T23,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ", N/A , N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203934,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ", N/A , N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203935,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T25,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ", N/A , N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203936,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T26,272,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ", N/A , N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203937,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T27,272,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ", N/A , N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203938,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T28,272,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ", N/A , N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203939,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T29,272,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ", N/A , N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203940,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T30,272,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ", N/A , N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203941,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T31,272,1 ,"$9,900.00 ","$7,128.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$5,484.60 ","$5,484.60 ", N/A ,"$5,484.60 ", N/A ,"$8,910.00 ", N/A , N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$8,019.00 ","$8,019.00 ","$8,019.00 ","$9,900.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$4,098.60 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$5,484.60 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203942,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T32,272,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ", N/A , N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203943,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T1,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 , N/A , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203944,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203945,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203946,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203947,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203948,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203949,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203950,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203951,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203952,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203953,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203954,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203955,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203956,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203957,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203961,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203962,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204058,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T12,272,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ", N/A , N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204066,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T20,272,1 ,"$3,150.00 ","$2,268.00 ",$882.00 ,"$3,150.00 ", N/A ,"$2,346.75 ","$2,063.25 ", N/A ,$882.00 ,"$1,937.25 ", N/A ,"$1,937.25 ", N/A ,"$1,745.10 ","$1,745.10 ", N/A ,"$1,745.10 ", N/A ,"$2,835.00 ", N/A , N/A , N/A ,"$2,772.00 ", N/A ,"$2,362.50 ","$2,362.50 ","$2,677.50 ","$2,677.50 ", N/A ,"$2,677.50 ", N/A ,"$2,551.50 ","$2,551.50 ","$2,551.50 ","$3,150.00 ","$2,835.00 ", N/A ,"$2,835.00 ", N/A ,"$3,150.00 ","$1,767.15 ", N/A ,"$1,304.10 ", N/A , N/A , N/A ,"$2,835.00 ", N/A ,"$1,745.10 ",$882.00 ,"$2,835.00 ", N/A ,"$2,835.00 ","$2,835.00 ", N/A ,"$2,047.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204073,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T1,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204078,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T6,272,1 ,$705.00 ,$507.60 ,$197.40 ,$705.00 , N/A ,$525.23 ,$461.78 , N/A ,$197.40 ,$433.58 , N/A ,$433.58 , N/A ,$390.57 ,$390.57 , N/A ,$390.57 , N/A ,$634.50 , N/A , N/A , N/A ,$620.40 , N/A ,$528.75 ,$528.75 ,$599.25 ,$599.25 , N/A ,$599.25 , N/A ,$571.05 ,$571.05 ,$571.05 ,$705.00 ,$634.50 , N/A ,$634.50 , N/A ,$705.00 ,$395.51 , N/A ,$291.87 , N/A , N/A , N/A ,$634.50 , N/A ,$390.57 ,$197.40 ,$634.50 , N/A ,$634.50 ,$634.50 , N/A ,$458.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204090,C1753,HC CATHETER US IMAGING/IVUS T5,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204091,C1753,HC CATHETER US IMAGING/IVUS T6,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204092,C1753,HC CATHETER US IMAGING/IVUS T7,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204093,C1753,HC CATHETER US IMAGING/IVUS T8,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ", N/A , N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204094,C1753,HC CATHETER US IMAGING/IVUS T9,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ", N/A , N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204095,C1753,HC CATHETER US IMAGING/IVUS T10,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ", N/A , N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204096,C1753,HC CATHETER US IMAGING/IVUS T11,272,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ", N/A , N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204097,C1753,HC CATHETER US IMAGING/IVUS T12,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ", N/A , N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204112,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204113,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204115,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204116,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ", N/A , N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204117,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ", N/A , N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204118,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204119,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204120,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204121,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ", N/A , N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204122,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T22,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ", N/A , N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204123,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T23,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ", N/A , N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204124,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T24,272,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ", N/A , N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204125,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T25,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ", N/A , N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204126,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T26,272,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ", N/A , N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204127,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T27,272,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ", N/A , N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204131,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T31,272,1 ,"$9,900.00 ","$7,128.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$5,484.60 ","$5,484.60 ", N/A ,"$5,484.60 ", N/A ,"$8,910.00 ", N/A , N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$8,019.00 ","$8,019.00 ","$8,019.00 ","$9,900.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$4,098.60 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$5,484.60 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204166,C1760,HC DEVICE VASCULAR CLOSURE T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204167,C1760,HC DEVICE VASCULAR CLOSURE T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204168,C1760,HC DEVICE VASCULAR CLOSURE T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204169,C1760,HC DEVICE VASCULAR CLOSURE T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204170,C1760,HC DEVICE VASCULAR CLOSURE T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204171,C1760,HC DEVICE VASCULAR CLOSURE T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204172,C1760,HC DEVICE VASCULAR CLOSURE T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204173,C1760,HC DEVICE VASCULAR CLOSURE T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204174,C1760,HC DEVICE VASCULAR CLOSURE T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204175,C1760,HC DEVICE VASCULAR CLOSURE T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204177,C1760,HC DEVICE VASCULAR CLOSURE T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204201,C1769,HC GUIDEWIRE GLIDEWIRE T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204218,C1769,HC GUIDEWIRE T1,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 , N/A , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204219,C1769,HC GUIDEWIRE T2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204220,C1769,HC GUIDEWIRE T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204221,C1769,HC GUIDEWIRE T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204222,C1769,HC GUIDEWIRE T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204223,C1769,HC GUIDEWIRE T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204224,C1769,HC GUIDEWIRE T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204225,C1769,HC GUIDEWIRE T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204226,C1769,HC GUIDEWIRE T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204227,C1769,HC GUIDEWIRE T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204228,C1769,HC GUIDEWIRE T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204229,C1769,HC GUIDEWIRE T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204230,C1769,HC GUIDEWIRE T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204231,C1769,HC GUIDEWIRE T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204232,C1769,HC GUIDEWIRE T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204251,C1773,HC DEVICE RETRIEVAL INSERTABLE T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204252,C1773,HC DEVICE RETRIEVAL INSERTABLE T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204253,C1773,HC DEVICE RETRIEVAL INSERTABLE T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204254,C1773,HC DEVICE RETRIEVAL INSERTABLE T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204255,C1773,HC DEVICE RETRIEVAL INSERTABLE T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204256,C1773,HC DEVICE RETRIEVAL INSERTABLE T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204257,C1773,HC DEVICE RETRIEVAL INSERTABLE T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204258,C1773,HC DEVICE RETRIEVAL INSERTABLE T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204259,C1773,HC DEVICE RETRIEVAL INSERTABLE T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204260,C1773,HC DEVICE RETRIEVAL INSERTABLE T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204289,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204290,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204291,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204292,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204293,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204294,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204295,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204296,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204297,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204298,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204299,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T22,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204326,C1887,HC CATHETER GUIDING T2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204327,C1887,HC CATHETER GUIDING T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204328,C1887,HC CATHETER GUIDING T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204329,C1887,HC CATHETER GUIDING T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204330,C1887,HC CATHETER GUIDING T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204331,C1887,HC CATHETER GUIDING T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204332,C1887,HC CATHETER GUIDING T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204333,C1887,HC CATHETER GUIDING T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204334,C1887,HC CATHETER GUIDING T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204335,C1887,HC CATHETER GUIDING T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204336,C1887,HC CATHETER GUIDING T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204337,C1887,HC CATHETER GUIDING T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204338,C1887,HC CATHETER GUIDING T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204339,C1887,HC CATHETER GUIDING T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204340,C1887,HC CATHETER GUIDING T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ", N/A , N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204341,C1887,HC CATHETER GUIDING T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ", N/A , N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204342,C1887,HC CATHETER GUIDING T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204343,C1887,HC CATHETER GUIDING T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204370,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204371,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204372,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204373,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204374,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204406,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T1,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 , N/A , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204407,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204408,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204409,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204410,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204411,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204412,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204413,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204414,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204415,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204416,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204417,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204418,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204419,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204420,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204447,N/A,HC SUTURE T1,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204448,N/A,HC SUTURE T2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204449,N/A,HC SUTURE T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204450,N/A,HC SUTURE T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204451,N/A,HC SURGICAL STERILE SUPPLY T1,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204452,N/A,HC SURGICAL STERILE SUPPLY T2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204453,N/A,HC SURGICAL STERILE SUPPLY T3,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204454,N/A,HC SURGICAL STERILE SUPPLY T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204455,N/A,HC SURGICAL STERILE SUPPLY T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204456,N/A,HC SURGICAL STERILE SUPPLY T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204457,N/A,HC SURGICAL STERILE SUPPLY T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204458,N/A,HC SURGICAL STERILE SUPPLY T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204459,N/A,HC SURGICAL STERILE SUPPLY T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204460,N/A,HC SURGICAL STERILE SUPPLY T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204461,N/A,HC SURGICAL STERILE SUPPLY T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204462,N/A,HC SURGICAL STERILE SUPPLY T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204463,N/A,HC SURGICAL STERILE SUPPLY T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204464,N/A,HC SURGICAL STERILE SUPPLY T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204465,N/A,HC SURGICAL STERILE SUPPLY T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204466,N/A,HC SURGICAL STERILE SUPPLY T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204467,N/A,HC SURGICAL STERILE SUPPLY T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204468,N/A,HC SURGICAL STERILE SUPPLY T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204469,N/A,HC SURGICAL STERILE SUPPLY T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204470,N/A,HC SURGICAL STERILE SUPPLY T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204477,N/A,HC SURGICAL STERILE SUPPLY T27,272,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204551,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T7,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204560,C1729,HC CATHETER DRAINAGE T4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204561,C1729,HC CATHETER DRAINAGE T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204562,C1729,HC CATHETER DRAINAGE T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204563,C1729,HC CATHETER DRAINAGE T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204564,C1729,HC CATHETER DRAINAGE T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204565,C1729,HC CATHETER DRAINAGE T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204566,C1729,HC CATHETER DRAINAGE T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204567,C1729,HC CATHETER DRAINAGE T11,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204568,C1729,HC CATHETER DRAINAGE T12,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204569,C1729,HC CATHETER DRAINAGE T13,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 , N/A , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204570,C1729,HC CATHETER DRAINAGE T14,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 , N/A , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204571,C1729,HC CATHETER DRAINAGE T15,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ", N/A , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204572,C1729,HC CATHETER DRAINAGE T16,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ", N/A , N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204573,C1729,HC CATHETER DRAINAGE T17,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ", N/A , N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204575,N/A,HC LARYNGEAL MASK AIRWAY SUPREME,272,1 ,$192.47 ,$138.58 ,$53.89 ,$192.47 , N/A ,$143.39 ,$126.07 , N/A ,$53.89 ,$118.37 , N/A ,$118.37 , N/A ,$106.63 ,$106.63 , N/A ,$106.63 , N/A ,$173.22 ,$159.75 , N/A , N/A ,$169.37 , N/A ,$144.35 ,$144.35 ,$163.60 ,$163.60 , N/A ,$163.60 , N/A ,$155.90 ,$155.90 ,$155.90 ,$192.47 ,$173.22 , N/A ,$173.22 , N/A ,$192.47 ,$107.98 , N/A ,$79.68 , N/A , N/A , N/A ,$173.22 , N/A ,$106.63 ,$53.89 ,$173.22 , N/A ,$173.22 ,$173.22 , N/A ,$125.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204578,N/A,HC CONNECTOR ANESTHESIA SWIVEL,272,1 ,$1.57 ,$1.13 ,$0.44 ,$1.57 , N/A ,$1.17 ,$1.03 , N/A ,$0.44 ,$0.97 , N/A ,$0.97 , N/A ,$0.87 ,$0.87 , N/A ,$0.87 , N/A ,$1.41 ,$1.30 , N/A , N/A ,$1.38 , N/A ,$1.18 ,$1.18 ,$1.33 ,$1.33 , N/A ,$1.33 , N/A ,$1.27 ,$1.27 ,$1.27 ,$1.57 ,$1.41 , N/A ,$1.41 , N/A ,$1.57 ,$0.88 , N/A ,$0.65 , N/A , N/A , N/A ,$1.41 , N/A ,$0.87 ,$0.44 ,$1.41 , N/A ,$1.41 ,$1.41 , N/A ,$1.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204579,N/A,HC DIALYZER,272,1 ,$27.30 ,$19.66 ,$7.64 ,$27.30 , N/A ,$20.34 ,$17.88 , N/A ,$7.64 ,$16.79 , N/A ,$16.79 , N/A ,$15.12 ,$15.12 , N/A ,$15.12 , N/A ,$24.57 ,$22.66 , N/A , N/A ,$24.02 , N/A ,$20.48 ,$20.48 ,$23.21 ,$23.21 , N/A ,$23.21 , N/A ,$22.11 ,$22.11 ,$22.11 ,$27.30 ,$24.57 , N/A ,$24.57 , N/A ,$27.30 ,$15.32 , N/A ,$11.30 , N/A , N/A , N/A ,$24.57 , N/A ,$15.12 ,$7.64 ,$24.57 , N/A ,$24.57 ,$24.57 , N/A ,$17.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204582,N/A,HC FILTER IV,272,1 ,$8.58 ,$6.18 ,$2.40 ,$8.58 , N/A ,$6.39 ,$5.62 , N/A ,$2.40 ,$5.28 , N/A ,$5.28 , N/A ,$4.75 ,$4.75 , N/A ,$4.75 , N/A ,$7.72 ,$7.12 , N/A , N/A ,$7.55 , N/A ,$6.44 ,$6.44 ,$7.29 ,$7.29 , N/A ,$7.29 , N/A ,$6.95 ,$6.95 ,$6.95 ,$8.58 ,$7.72 , N/A ,$7.72 , N/A ,$8.58 ,$4.81 , N/A ,$3.55 , N/A , N/A , N/A ,$7.72 , N/A ,$4.75 ,$2.40 ,$7.72 , N/A ,$7.72 ,$7.72 , N/A ,$5.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204583,N/A,HC LARYNGOSCOPE GLIDESCOPE,272,1 ,$24.00 ,$17.28 ,$6.72 ,$24.00 , N/A ,$17.88 ,$15.72 , N/A ,$6.72 ,$14.76 , N/A ,$14.76 , N/A ,$13.30 ,$13.30 , N/A ,$13.30 , N/A ,$21.60 ,$19.92 , N/A , N/A ,$21.12 , N/A ,$18.00 ,$18.00 ,$20.40 ,$20.40 , N/A ,$20.40 , N/A ,$19.44 ,$19.44 ,$19.44 ,$24.00 ,$21.60 , N/A ,$21.60 , N/A ,$24.00 ,$13.46 , N/A ,$9.94 , N/A , N/A , N/A ,$21.60 , N/A ,$13.30 ,$6.72 ,$21.60 , N/A ,$21.60 ,$21.60 , N/A ,$15.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204590,N/A,HC PACK C-SECTION,272,1 ,$153.37 ,$110.43 ,$42.94 ,$153.37 , N/A ,$114.26 ,$100.46 , N/A ,$42.94 ,$94.32 , N/A ,$94.32 , N/A ,$84.97 ,$84.97 , N/A ,$84.97 , N/A ,$138.03 ,$127.30 , N/A , N/A ,$134.97 , N/A ,$115.03 ,$115.03 ,$130.36 ,$130.36 , N/A ,$130.36 , N/A ,$124.23 ,$124.23 ,$124.23 ,$153.37 ,$138.03 , N/A ,$138.03 , N/A ,$153.37 ,$86.04 , N/A ,$63.50 , N/A , N/A , N/A ,$138.03 , N/A ,$84.97 ,$42.94 ,$138.03 , N/A ,$138.03 ,$138.03 , N/A ,$99.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204607,N/A,HC TUBE NASOGASTRIC,272,1 ,$50.16 ,$36.12 ,$14.04 ,$50.16 , N/A ,$37.37 ,$32.85 , N/A ,$14.04 ,$30.85 , N/A ,$30.85 , N/A ,$27.79 ,$27.79 , N/A ,$27.79 , N/A ,$45.14 ,$41.63 , N/A , N/A ,$44.14 , N/A ,$37.62 ,$37.62 ,$42.64 ,$42.64 , N/A ,$42.64 , N/A ,$40.63 ,$40.63 ,$40.63 ,$50.16 ,$45.14 , N/A ,$45.14 , N/A ,$50.16 ,$28.14 , N/A ,$20.77 , N/A , N/A , N/A ,$45.14 , N/A ,$27.79 ,$14.04 ,$45.14 , N/A ,$45.14 ,$45.14 , N/A ,$32.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204616,N/A,HC TUBING SUCTION,272,1 ,$35.89 ,$25.84 ,$10.05 ,$35.89 , N/A ,$26.74 ,$23.51 , N/A ,$10.05 ,$22.07 , N/A ,$22.07 , N/A ,$19.88 ,$19.88 , N/A ,$19.88 , N/A ,$32.30 ,$29.79 , N/A , N/A ,$31.58 , N/A ,$26.92 ,$26.92 ,$30.51 ,$30.51 , N/A ,$30.51 , N/A ,$29.07 ,$29.07 ,$29.07 ,$35.89 ,$32.30 , N/A ,$32.30 , N/A ,$35.89 ,$20.13 , N/A ,$14.86 , N/A , N/A , N/A ,$32.30 , N/A ,$19.88 ,$10.05 ,$32.30 , N/A ,$32.30 ,$32.30 , N/A ,$23.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204622,N/A,HC MARKER BIOPSY SITE,272,1 ,$175.91 ,$126.66 ,$49.25 ,$175.91 , N/A ,$131.05 ,$115.22 , N/A ,$49.25 ,$108.18 , N/A ,$108.18 , N/A ,$97.45 ,$97.45 , N/A ,$97.45 , N/A ,$158.32 ,$146.01 , N/A , N/A ,$154.80 , N/A ,$131.93 ,$131.93 ,$149.52 ,$149.52 , N/A ,$149.52 , N/A ,$142.49 ,$142.49 ,$142.49 ,$175.91 ,$158.32 , N/A ,$158.32 , N/A ,$175.91 ,$98.69 , N/A ,$72.83 , N/A , N/A , N/A ,$158.32 , N/A ,$97.45 ,$49.25 ,$158.32 , N/A ,$158.32 ,$158.32 , N/A ,$114.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204623,N/A,HC NEEDLE GUIDE,272,1 ,$32.66 ,$23.52 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$20.09 , N/A ,$20.09 , N/A ,$18.09 ,$18.09 , N/A ,$18.09 , N/A ,$29.39 ,$27.11 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$26.45 ,$26.45 ,$26.45 ,$32.66 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$18.32 , N/A ,$13.52 , N/A , N/A , N/A ,$29.39 , N/A ,$18.09 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204625,N/A,HC TRAY BREAST BIOPSY,272,1 ,$41.69 ,$30.02 ,$11.67 ,$41.69 , N/A ,$31.06 ,$27.31 , N/A ,$11.67 ,$25.64 , N/A ,$25.64 , N/A ,$23.10 ,$23.10 , N/A ,$23.10 , N/A ,$37.52 ,$34.60 , N/A , N/A ,$36.69 , N/A ,$31.27 ,$31.27 ,$35.44 ,$35.44 , N/A ,$35.44 , N/A ,$33.77 ,$33.77 ,$33.77 ,$41.69 ,$37.52 , N/A ,$37.52 , N/A ,$41.69 ,$23.39 , N/A ,$17.26 , N/A , N/A , N/A ,$37.52 , N/A ,$23.10 ,$11.67 ,$37.52 , N/A ,$37.52 ,$37.52 , N/A ,$27.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204654,N/A,HC BAG RESUSCITATE INFANT,272,1 ,$33.00 ,$23.76 ,$9.24 ,$33.00 , N/A ,$24.59 ,$21.62 , N/A ,$9.24 ,$20.30 , N/A ,$20.30 , N/A ,$18.28 ,$18.28 , N/A ,$18.28 , N/A ,$29.70 ,$27.39 , N/A , N/A ,$29.04 , N/A ,$24.75 ,$24.75 ,$28.05 ,$28.05 , N/A ,$28.05 , N/A ,$26.73 ,$26.73 ,$26.73 ,$33.00 ,$29.70 , N/A ,$29.70 , N/A ,$33.00 ,$18.51 , N/A ,$13.66 , N/A , N/A , N/A ,$29.70 , N/A ,$18.28 ,$9.24 ,$29.70 , N/A ,$29.70 ,$29.70 , N/A ,$21.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204656,N/A,HC BAG RESUSCITOR,272,1 ,$90.70 ,$65.30 ,$25.40 ,$90.70 , N/A ,$67.57 ,$59.41 , N/A ,$25.40 ,$55.78 , N/A ,$55.78 , N/A ,$50.25 ,$50.25 , N/A ,$50.25 , N/A ,$81.63 ,$75.28 , N/A , N/A ,$79.82 , N/A ,$68.03 ,$68.03 ,$77.10 ,$77.10 , N/A ,$77.10 , N/A ,$73.47 ,$73.47 ,$73.47 ,$90.70 ,$81.63 , N/A ,$81.63 , N/A ,$90.70 ,$50.88 , N/A ,$37.55 , N/A , N/A , N/A ,$81.63 , N/A ,$50.25 ,$25.40 ,$81.63 , N/A ,$81.63 ,$81.63 , N/A ,$58.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204657,N/A,HC CANISTER V.A.C.,272,1 ,$387.47 ,$278.98 ,$108.49 ,$387.47 , N/A ,$288.67 ,$253.79 , N/A ,$108.49 ,$238.29 , N/A ,$238.29 , N/A ,$214.66 ,$214.66 , N/A ,$214.66 , N/A ,$348.72 ,$321.60 , N/A , N/A ,$340.97 , N/A ,$290.60 ,$290.60 ,$329.35 ,$329.35 , N/A ,$329.35 , N/A ,$313.85 ,$313.85 ,$313.85 ,$387.47 ,$348.72 , N/A ,$348.72 , N/A ,$387.47 ,$217.37 , N/A ,$160.41 , N/A , N/A , N/A ,$348.72 , N/A ,$214.66 ,$108.49 ,$348.72 , N/A ,$348.72 ,$348.72 , N/A ,$251.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204660,N/A,HC CANNULA NASAL OXYGEN,272,1 ,$23.40 ,$16.85 ,$6.55 ,$23.40 , N/A ,$17.43 ,$15.33 , N/A ,$6.55 ,$14.39 , N/A ,$14.39 , N/A ,$12.96 ,$12.96 , N/A ,$12.96 , N/A ,$21.06 ,$19.42 , N/A , N/A ,$20.59 , N/A ,$17.55 ,$17.55 ,$19.89 ,$19.89 , N/A ,$19.89 , N/A ,$18.95 ,$18.95 ,$18.95 ,$23.40 ,$21.06 , N/A ,$21.06 , N/A ,$23.40 ,$13.13 , N/A ,$9.69 , N/A , N/A , N/A ,$21.06 , N/A ,$12.96 ,$6.55 ,$21.06 , N/A ,$21.06 ,$21.06 , N/A ,$15.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204675,N/A,HC ELECTRODE ADULT,272,1 ,$7.28 ,$5.24 ,$2.04 ,$7.28 , N/A ,$5.42 ,$4.77 , N/A ,$2.04 ,$4.48 , N/A ,$4.48 , N/A ,$4.03 ,$4.03 , N/A ,$4.03 , N/A ,$6.55 ,$6.04 , N/A , N/A ,$6.41 , N/A ,$5.46 ,$5.46 ,$6.19 ,$6.19 , N/A ,$6.19 , N/A ,$5.90 ,$5.90 ,$5.90 ,$7.28 ,$6.55 , N/A ,$6.55 , N/A ,$7.28 ,$4.08 , N/A ,$3.01 , N/A , N/A , N/A ,$6.55 , N/A ,$4.03 ,$2.04 ,$6.55 , N/A ,$6.55 ,$6.55 , N/A ,$4.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204707,N/A,HC PAD DEFRIBILLATOR GEL,272,1 ,$21.36 ,$15.38 ,$5.98 ,$21.36 , N/A ,$15.91 ,$13.99 , N/A ,$5.98 ,$13.14 , N/A ,$13.14 , N/A ,$11.83 ,$11.83 , N/A ,$11.83 , N/A ,$19.22 ,$17.73 , N/A , N/A ,$18.80 , N/A ,$16.02 ,$16.02 ,$18.16 ,$18.16 , N/A ,$18.16 , N/A ,$17.30 ,$17.30 ,$17.30 ,$21.36 ,$19.22 , N/A ,$19.22 , N/A ,$21.36 ,$11.98 , N/A ,$8.84 , N/A , N/A , N/A ,$19.22 , N/A ,$11.83 ,$5.98 ,$19.22 , N/A ,$19.22 ,$19.22 , N/A ,$13.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204737,C1729,HC CATHETER DRAINAGE T18,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204738,C1729,HC CATHETER DRAINAGE T19,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204739,C1729,HC CATHETER DRAINAGE T20,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204740,C1729,HC CATHETER DRAINAGE T21,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ", N/A , N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204756,N/A,HC CLIP BREAST BIOPSY,272,1 ,$132.18 ,$95.17 ,$37.01 ,$132.18 , N/A ,$98.47 ,$86.58 , N/A ,$37.01 ,$81.29 , N/A ,$81.29 , N/A ,$73.23 ,$73.23 , N/A ,$73.23 , N/A ,$118.96 ,$109.71 , N/A , N/A ,$116.32 , N/A ,$99.14 ,$99.14 ,$112.35 ,$112.35 , N/A ,$112.35 , N/A ,$107.07 ,$107.07 ,$107.07 ,$132.18 ,$118.96 , N/A ,$118.96 , N/A ,$132.18 ,$74.15 , N/A ,$54.72 , N/A , N/A , N/A ,$118.96 , N/A ,$73.23 ,$37.01 ,$118.96 , N/A ,$118.96 ,$118.96 , N/A ,$85.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204760,N/A,HC BLANKET BAIR HUGGER,272,1 ,$39.00 ,$28.08 ,$10.92 ,$39.00 , N/A ,$29.06 ,$25.55 , N/A ,$10.92 ,$23.99 , N/A ,$23.99 , N/A ,$21.61 ,$21.61 , N/A ,$21.61 , N/A ,$35.10 ,$32.37 , N/A , N/A ,$34.32 , N/A ,$29.25 ,$29.25 ,$33.15 ,$33.15 , N/A ,$33.15 , N/A ,$31.59 ,$31.59 ,$31.59 ,$39.00 ,$35.10 , N/A ,$35.10 , N/A ,$39.00 ,$21.88 , N/A ,$16.15 , N/A , N/A , N/A ,$35.10 , N/A ,$21.61 ,$10.92 ,$35.10 , N/A ,$35.10 ,$35.10 , N/A ,$25.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$56.70 ,$40.82 ,$15.88 ,$56.70 , N/A ,$42.24 ,$37.14 , N/A ,$15.88 ,$34.87 , N/A ,$34.87 , N/A ,$31.41 ,$31.41 , N/A ,$31.41 , N/A ,$51.03 ,$47.06 , N/A , N/A ,$49.90 , N/A ,$42.53 ,$42.53 ,$48.20 ,$48.20 , N/A ,$48.20 , N/A ,$45.93 ,$45.93 ,$45.93 ,$56.70 ,$51.03 , N/A ,$51.03 , N/A ,$56.70 ,$31.81 , N/A ,$23.47 , N/A , N/A , N/A ,$51.03 , N/A ,$31.41 ,$15.88 ,$51.03 , N/A ,$51.03 ,$51.03 , N/A ,$36.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204772,N/A,HC BLADE LARYNGEAL,272,1 ,$24.34 ,$17.52 ,$6.82 ,$24.34 , N/A ,$18.13 ,$15.94 , N/A ,$6.82 ,$14.97 , N/A ,$14.97 , N/A ,$13.48 ,$13.48 , N/A ,$13.48 , N/A ,$21.91 ,$20.20 , N/A , N/A ,$21.42 , N/A ,$18.26 ,$18.26 ,$20.69 ,$20.69 , N/A ,$20.69 , N/A ,$19.72 ,$19.72 ,$19.72 ,$24.34 ,$21.91 , N/A ,$21.91 , N/A ,$24.34 ,$13.65 , N/A ,$10.08 , N/A , N/A , N/A ,$21.91 , N/A ,$13.48 ,$6.82 ,$21.91 , N/A ,$21.91 ,$21.91 , N/A ,$15.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204773,N/A,HC CAUTERY PEN HIGH TEMP,272,1 ,$74.42 ,$53.58 ,$20.84 ,$74.42 , N/A ,$55.44 ,$48.75 , N/A ,$20.84 ,$45.77 , N/A ,$45.77 , N/A ,$41.23 ,$41.23 , N/A ,$41.23 , N/A ,$66.98 ,$61.77 , N/A , N/A ,$65.49 , N/A ,$55.82 ,$55.82 ,$63.26 ,$63.26 , N/A ,$63.26 , N/A ,$60.28 ,$60.28 ,$60.28 ,$74.42 ,$66.98 , N/A ,$66.98 , N/A ,$74.42 ,$41.75 , N/A ,$30.81 , N/A , N/A , N/A ,$66.98 , N/A ,$41.23 ,$20.84 ,$66.98 , N/A ,$66.98 ,$66.98 , N/A ,$48.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204774,N/A,HC SENSOR OXIMETRY CEREBRAL,272,1 ,$27.00 ,$19.44 ,$7.56 ,$27.00 , N/A ,$20.12 ,$17.69 , N/A ,$7.56 ,$16.61 , N/A ,$16.61 , N/A ,$14.96 ,$14.96 , N/A ,$14.96 , N/A ,$24.30 ,$22.41 , N/A , N/A ,$23.76 , N/A ,$20.25 ,$20.25 ,$22.95 ,$22.95 , N/A ,$22.95 , N/A ,$21.87 ,$21.87 ,$21.87 ,$27.00 ,$24.30 , N/A ,$24.30 , N/A ,$27.00 ,$15.15 , N/A ,$11.18 , N/A , N/A , N/A ,$24.30 , N/A ,$14.96 ,$7.56 ,$24.30 , N/A ,$24.30 ,$24.30 , N/A ,$17.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204818,N/A,HC COMPRESSION COBAN 2 LAYER,272,1 ,$104.31 ,$75.10 ,$29.21 ,$104.31 , N/A ,$77.71 ,$68.32 , N/A ,$29.21 ,$64.15 , N/A ,$64.15 , N/A ,$57.79 ,$57.79 , N/A ,$57.79 , N/A ,$93.88 ,$86.58 , N/A , N/A ,$91.79 , N/A ,$78.23 ,$78.23 ,$88.66 ,$88.66 , N/A ,$88.66 , N/A ,$84.49 ,$84.49 ,$84.49 ,$104.31 ,$93.88 , N/A ,$93.88 , N/A ,$104.31 ,$58.52 , N/A ,$43.18 , N/A , N/A , N/A ,$93.88 , N/A ,$57.79 ,$29.21 ,$93.88 , N/A ,$93.88 ,$93.88 , N/A ,$67.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204819,N/A,HC COMPRESSION WRAP SETOPRESS,272,1 ,$301.56 ,$217.12 ,$84.44 ,$301.56 , N/A ,$224.66 ,$197.52 , N/A ,$84.44 ,$185.46 , N/A ,$185.46 , N/A ,$167.06 ,$167.06 , N/A ,$167.06 , N/A ,$271.40 ,$250.29 , N/A , N/A ,$265.37 , N/A ,$226.17 ,$226.17 ,$256.33 ,$256.33 , N/A ,$256.33 , N/A ,$244.26 ,$244.26 ,$244.26 ,$301.56 ,$271.40 , N/A ,$271.40 , N/A ,$301.56 ,$169.18 , N/A ,$124.85 , N/A , N/A , N/A ,$271.40 , N/A ,$167.06 ,$84.44 ,$271.40 , N/A ,$271.40 ,$271.40 , N/A ,$196.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204833,N/A,HC CANNULA NASAL ETCO2 LONG TERM,272,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204858,N/A,HC HEEL PROTECTOR WAFFLE CUSTOM,270,1 ,$235.99 ,$169.91 ,$66.08 ,$235.99 , N/A ,$175.81 ,$154.57 , N/A ,$66.08 ,$145.13 , N/A ,$145.13 , N/A ,$130.74 ,$130.74 , N/A ,$130.74 , N/A ,$212.39 ,$195.87 , N/A , N/A ,$207.67 , N/A ,$176.99 ,$176.99 ,$200.59 ,$200.59 , N/A ,$200.59 , N/A ,$191.15 ,$191.15 ,$191.15 ,$235.99 ,$212.39 , N/A ,$212.39 , N/A ,$235.99 ,$132.39 , N/A ,$97.70 , N/A , N/A , N/A ,$212.39 , N/A ,$130.74 ,$66.08 ,$212.39 , N/A ,$212.39 ,$212.39 , N/A ,$153.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204859,N/A,HC HEMOSTAT SURGICAL,272,1 ,$883.00 ,$635.76 ,$247.24 ,$883.00 , N/A ,$657.84 ,$578.37 , N/A ,$247.24 ,$543.05 , N/A ,$543.05 , N/A ,$489.18 ,$489.18 , N/A ,$489.18 , N/A ,$794.70 ,$732.89 , N/A , N/A ,$777.04 , N/A ,$662.25 ,$662.25 ,$750.55 ,$750.55 , N/A ,$750.55 , N/A ,$715.23 ,$715.23 ,$715.23 ,$883.00 ,$794.70 , N/A ,$794.70 , N/A ,$883.00 ,$495.36 , N/A ,$365.56 , N/A , N/A , N/A ,$794.70 , N/A ,$489.18 ,$247.24 ,$794.70 , N/A ,$794.70 ,$794.70 , N/A ,$573.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204860,N/A,HC HEMOSTAT MATRIX,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204865,N/A,HC INTRODUCER/SHEATH,272,1 ,$4.53 ,$3.26 ,$1.27 ,$4.53 , N/A ,$3.37 ,$2.97 , N/A ,$1.27 ,$2.79 , N/A ,$2.79 , N/A ,$2.51 ,$2.51 , N/A ,$2.51 , N/A ,$4.08 ,$3.76 , N/A , N/A ,$3.99 , N/A ,$3.40 ,$3.40 ,$3.85 ,$3.85 , N/A ,$3.85 , N/A ,$3.67 ,$3.67 ,$3.67 ,$4.53 ,$4.08 , N/A ,$4.08 , N/A ,$4.53 ,$2.54 , N/A ,$1.88 , N/A , N/A , N/A ,$4.08 , N/A ,$2.51 ,$1.27 ,$4.08 , N/A ,$4.08 ,$4.08 , N/A ,$2.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204866,N/A,HC AIRWAY INTUBATING W/OXYGEN DELIVERY,272,1 ,$145.09 ,$104.46 ,$40.63 ,$145.09 , N/A ,$108.09 ,$95.03 , N/A ,$40.63 ,$89.23 , N/A ,$89.23 , N/A ,$80.38 ,$80.38 , N/A ,$80.38 , N/A ,$130.58 ,$120.42 , N/A , N/A ,$127.68 , N/A ,$108.82 ,$108.82 ,$123.33 ,$123.33 , N/A ,$123.33 , N/A ,$117.52 ,$117.52 ,$117.52 ,$145.09 ,$130.58 , N/A ,$130.58 , N/A ,$145.09 ,$81.40 , N/A ,$60.07 , N/A , N/A , N/A ,$130.58 , N/A ,$80.38 ,$40.63 ,$130.58 , N/A ,$130.58 ,$130.58 , N/A ,$94.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204869,N/A,HC IV ANGIOCATH,272,1 ,$9.44 ,$6.80 ,$2.64 ,$9.44 , N/A ,$7.03 ,$6.18 , N/A ,$2.64 ,$5.81 , N/A ,$5.81 , N/A ,$5.23 ,$5.23 , N/A ,$5.23 , N/A ,$8.50 ,$7.84 , N/A , N/A ,$8.31 , N/A ,$7.08 ,$7.08 ,$8.02 ,$8.02 , N/A ,$8.02 , N/A ,$7.65 ,$7.65 ,$7.65 ,$9.44 ,$8.50 , N/A ,$8.50 , N/A ,$9.44 ,$5.30 , N/A ,$3.91 , N/A , N/A , N/A ,$8.50 , N/A ,$5.23 ,$2.64 ,$8.50 , N/A ,$8.50 ,$8.50 , N/A ,$6.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204887,N/A,HC KIT CATHETER FEMALE,272,1 ,$20.78 ,$14.96 ,$5.82 ,$20.78 , N/A ,$15.48 ,$13.61 , N/A ,$5.82 ,$12.78 , N/A ,$12.78 , N/A ,$11.51 ,$11.51 , N/A ,$11.51 , N/A ,$18.70 ,$17.25 , N/A , N/A ,$18.29 , N/A ,$15.59 ,$15.59 ,$17.66 ,$17.66 , N/A ,$17.66 , N/A ,$16.83 ,$16.83 ,$16.83 ,$20.78 ,$18.70 , N/A ,$18.70 , N/A ,$20.78 ,$11.66 , N/A ,$8.60 , N/A , N/A , N/A ,$18.70 , N/A ,$11.51 ,$5.82 ,$18.70 , N/A ,$18.70 ,$18.70 , N/A ,$13.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204898,N/A,HC KIT INCISION  AND  DRAINAGE,272,1 ,$49.37 ,$35.55 ,$13.82 ,$49.37 , N/A ,$36.78 ,$32.34 , N/A ,$13.82 ,$30.36 , N/A ,$30.36 , N/A ,$27.35 ,$27.35 , N/A ,$27.35 , N/A ,$44.43 ,$40.98 , N/A , N/A ,$43.45 , N/A ,$37.03 ,$37.03 ,$41.96 ,$41.96 , N/A ,$41.96 , N/A ,$39.99 ,$39.99 ,$39.99 ,$49.37 ,$44.43 , N/A ,$44.43 , N/A ,$49.37 ,$27.70 , N/A ,$20.44 , N/A , N/A , N/A ,$44.43 , N/A ,$27.35 ,$13.82 ,$44.43 , N/A ,$44.43 ,$44.43 , N/A ,$32.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204936,N/A,HC NEEDLE NERVE BLOCK ECHOGENIC,272,1 ,$119.74 ,$86.21 ,$33.53 ,$119.74 , N/A ,$89.21 ,$78.43 , N/A ,$33.53 ,$73.64 , N/A ,$73.64 , N/A ,$66.34 ,$66.34 , N/A ,$66.34 , N/A ,$107.77 ,$99.38 , N/A , N/A ,$105.37 , N/A ,$89.81 ,$89.81 ,$101.78 ,$101.78 , N/A ,$101.78 , N/A ,$96.99 ,$96.99 ,$96.99 ,$119.74 ,$107.77 , N/A ,$107.77 , N/A ,$119.74 ,$67.17 , N/A ,$49.57 , N/A , N/A , N/A ,$107.77 , N/A ,$66.34 ,$33.53 ,$107.77 , N/A ,$107.77 ,$107.77 , N/A ,$77.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204941,N/A,HC NEEDLE EPIDURAL,272,1 ,$22.53 ,$16.22 ,$6.31 ,$22.53 , N/A ,$16.78 ,$14.76 , N/A ,$6.31 ,$13.86 , N/A ,$13.86 , N/A ,$12.48 ,$12.48 , N/A ,$12.48 , N/A ,$20.28 ,$18.70 , N/A , N/A ,$19.83 , N/A ,$16.90 ,$16.90 ,$19.15 ,$19.15 , N/A ,$19.15 , N/A ,$18.25 ,$18.25 ,$18.25 ,$22.53 ,$20.28 , N/A ,$20.28 , N/A ,$22.53 ,$12.64 , N/A ,$9.33 , N/A , N/A , N/A ,$20.28 , N/A ,$12.48 ,$6.31 ,$20.28 , N/A ,$20.28 ,$20.28 , N/A ,$14.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204948,N/A,HC NEEDLE MONOPTY,272,1 ,$41.36 ,$29.78 ,$11.58 ,$41.36 , N/A ,$30.81 ,$27.09 , N/A ,$11.58 ,$25.44 , N/A ,$25.44 , N/A ,$22.91 ,$22.91 , N/A ,$22.91 , N/A ,$37.22 ,$34.33 , N/A , N/A ,$36.40 , N/A ,$31.02 ,$31.02 ,$35.16 ,$35.16 , N/A ,$35.16 , N/A ,$33.50 ,$33.50 ,$33.50 ,$41.36 ,$37.22 , N/A ,$37.22 , N/A ,$41.36 ,$23.20 , N/A ,$17.12 , N/A , N/A , N/A ,$37.22 , N/A ,$22.91 ,$11.58 ,$37.22 , N/A ,$37.22 ,$37.22 , N/A ,$26.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204949,N/A,HC HOLDER ENDOTRACH NEOBAR,272,1 ,$81.14 ,$58.42 ,$22.72 ,$81.14 , N/A ,$60.45 ,$53.15 , N/A ,$22.72 ,$49.90 , N/A ,$49.90 , N/A ,$44.95 ,$44.95 , N/A ,$44.95 , N/A ,$73.03 ,$67.35 , N/A , N/A ,$71.40 , N/A ,$60.86 ,$60.86 ,$68.97 ,$68.97 , N/A ,$68.97 , N/A ,$65.72 ,$65.72 ,$65.72 ,$81.14 ,$73.03 , N/A ,$73.03 , N/A ,$81.14 ,$45.52 , N/A ,$33.59 , N/A , N/A , N/A ,$73.03 , N/A ,$44.95 ,$22.72 ,$73.03 , N/A ,$73.03 ,$73.03 , N/A ,$52.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204965,N/A,HC OSTOMY CONE IRRIGATOR KIT,272,1 ,$15.48 ,$11.15 ,$4.33 ,$15.48 , N/A ,$11.53 ,$10.14 , N/A ,$4.33 ,$9.52 , N/A ,$9.52 , N/A ,$8.58 ,$8.58 , N/A ,$8.58 , N/A ,$13.93 ,$12.85 , N/A , N/A ,$13.62 , N/A ,$11.61 ,$11.61 ,$13.16 ,$13.16 , N/A ,$13.16 , N/A ,$12.54 ,$12.54 ,$12.54 ,$15.48 ,$13.93 , N/A ,$13.93 , N/A ,$15.48 ,$8.68 , N/A ,$6.41 , N/A , N/A , N/A ,$13.93 , N/A ,$8.58 ,$4.33 ,$13.93 , N/A ,$13.93 ,$13.93 , N/A ,$10.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204988,N/A,HC BAG INFUSION PRESSURE,272,1 ,$192.00 ,$138.24 ,$53.76 ,$192.00 , N/A ,$143.04 ,$125.76 , N/A ,$53.76 ,$118.08 , N/A ,$118.08 , N/A ,$106.37 ,$106.37 , N/A ,$106.37 , N/A ,$172.80 ,$159.36 , N/A , N/A ,$168.96 , N/A ,$144.00 ,$144.00 ,$163.20 ,$163.20 , N/A ,$163.20 , N/A ,$155.52 ,$155.52 ,$155.52 ,$192.00 ,$172.80 , N/A ,$172.80 , N/A ,$192.00 ,$107.71 , N/A ,$79.49 , N/A , N/A , N/A ,$172.80 , N/A ,$106.37 ,$53.76 ,$172.80 , N/A ,$172.80 ,$172.80 , N/A ,$124.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204996,N/A,HC PROBE TEMP SENSOR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204999,N/A,HC SENSOR PULSE OX,272,1 ,$129.41 ,$93.18 ,$36.23 ,$129.41 , N/A ,$96.41 ,$84.76 , N/A ,$36.23 ,$79.59 , N/A ,$79.59 , N/A ,$71.69 ,$71.69 , N/A ,$71.69 , N/A ,$116.47 ,$107.41 , N/A , N/A ,$113.88 , N/A ,$97.06 ,$97.06 ,$110.00 ,$110.00 , N/A ,$110.00 , N/A ,$104.82 ,$104.82 ,$104.82 ,$129.41 ,$116.47 , N/A ,$116.47 , N/A ,$129.41 ,$72.60 , N/A ,$53.58 , N/A , N/A , N/A ,$116.47 , N/A ,$71.69 ,$36.23 ,$116.47 , N/A ,$116.47 ,$116.47 , N/A ,$84.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205010,N/A,HC VALVE ANTI-REFLUX SALEM,272,1 ,$57.41 ,$41.34 ,$16.07 ,$57.41 , N/A ,$42.77 ,$37.60 , N/A ,$16.07 ,$35.31 , N/A ,$35.31 , N/A ,$31.81 ,$31.81 , N/A ,$31.81 , N/A ,$51.67 ,$47.65 , N/A , N/A ,$50.52 , N/A ,$43.06 ,$43.06 ,$48.80 ,$48.80 , N/A ,$48.80 , N/A ,$46.50 ,$46.50 ,$46.50 ,$57.41 ,$51.67 , N/A ,$51.67 , N/A ,$57.41 ,$32.21 , N/A ,$23.77 , N/A , N/A , N/A ,$51.67 , N/A ,$31.81 ,$16.07 ,$51.67 , N/A ,$51.67 ,$51.67 , N/A ,$37.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205019,N/A,HC PROTECTOR SHEEPSKIN,272,1 ,$58.00 ,$41.76 ,$16.24 ,$58.00 , N/A ,$43.21 ,$37.99 , N/A ,$16.24 ,$35.67 , N/A ,$35.67 , N/A ,$32.13 ,$32.13 , N/A ,$32.13 , N/A ,$52.20 ,$48.14 , N/A , N/A ,$51.04 , N/A ,$43.50 ,$43.50 ,$49.30 ,$49.30 , N/A ,$49.30 , N/A ,$46.98 ,$46.98 ,$46.98 ,$58.00 ,$52.20 , N/A ,$52.20 , N/A ,$58.00 ,$32.54 , N/A ,$24.01 , N/A , N/A , N/A ,$52.20 , N/A ,$32.13 ,$16.24 ,$52.20 , N/A ,$52.20 ,$52.20 , N/A ,$37.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205026,N/A,HC SPLINT CAST CONFORMABLE MEDIUM,272,1 ,$31.00 ,$22.32 ,$8.68 ,$31.00 , N/A ,$23.10 ,$20.31 , N/A ,$8.68 ,$19.07 , N/A ,$19.07 , N/A ,$17.17 ,$17.17 , N/A ,$17.17 , N/A ,$27.90 ,$25.73 , N/A , N/A ,$27.28 , N/A ,$23.25 ,$23.25 ,$26.35 ,$26.35 , N/A ,$26.35 , N/A ,$25.11 ,$25.11 ,$25.11 ,$31.00 ,$27.90 , N/A ,$27.90 , N/A ,$31.00 ,$17.39 , N/A ,$12.83 , N/A , N/A , N/A ,$27.90 , N/A ,$17.17 ,$8.68 ,$27.90 , N/A ,$27.90 ,$27.90 , N/A ,$20.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205034,N/A,HC SET INFUSION SUBCUTANEOUS,272,1 ,$62.81 ,$45.22 ,$17.59 ,$62.81 , N/A ,$46.79 ,$41.14 , N/A ,$17.59 ,$38.63 , N/A ,$38.63 , N/A ,$34.80 ,$34.80 , N/A ,$34.80 , N/A ,$56.53 ,$52.13 , N/A , N/A ,$55.27 , N/A ,$47.11 ,$47.11 ,$53.39 ,$53.39 , N/A ,$53.39 , N/A ,$50.88 ,$50.88 ,$50.88 ,$62.81 ,$56.53 , N/A ,$56.53 , N/A ,$62.81 ,$35.24 , N/A ,$26.00 , N/A , N/A , N/A ,$56.53 , N/A ,$34.80 ,$17.59 ,$56.53 , N/A ,$56.53 ,$56.53 , N/A ,$40.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205046,N/A,HC SYRINGE ATOMIZER MUCOSAL,272,1 ,$26.91 ,$19.38 ,$7.53 ,$26.91 , N/A ,$20.05 ,$17.63 , N/A ,$7.53 ,$16.55 , N/A ,$16.55 , N/A ,$14.91 ,$14.91 , N/A ,$14.91 , N/A ,$24.22 ,$22.34 , N/A , N/A ,$23.68 , N/A ,$20.18 ,$20.18 ,$22.87 ,$22.87 , N/A ,$22.87 , N/A ,$21.80 ,$21.80 ,$21.80 ,$26.91 ,$24.22 , N/A ,$24.22 , N/A ,$26.91 ,$15.10 , N/A ,$11.14 , N/A , N/A , N/A ,$24.22 , N/A ,$14.91 ,$7.53 ,$24.22 , N/A ,$24.22 ,$24.22 , N/A ,$17.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205058,N/A,HC TRAY FOLEY,272,1 ,$13.00 ,$9.36 ,$3.64 ,$13.00 , N/A ,$9.69 ,$8.52 , N/A ,$3.64 ,$8.00 , N/A ,$8.00 , N/A ,$7.20 ,$7.20 , N/A ,$7.20 , N/A ,$11.70 ,$10.79 , N/A , N/A ,$11.44 , N/A ,$9.75 ,$9.75 ,$11.05 ,$11.05 , N/A ,$11.05 , N/A ,$10.53 ,$10.53 ,$10.53 ,$13.00 ,$11.70 , N/A ,$11.70 , N/A ,$13.00 ,$7.29 , N/A ,$5.38 , N/A , N/A , N/A ,$11.70 , N/A ,$7.20 ,$3.64 ,$11.70 , N/A ,$11.70 ,$11.70 , N/A ,$8.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205059,N/A,HC TRAY HYSTEROSALPINGOGRAM,272,1 ,$97.86 ,$70.46 ,$27.40 ,$97.86 , N/A ,$72.91 ,$64.10 , N/A ,$27.40 ,$60.18 , N/A ,$60.18 , N/A ,$54.21 ,$54.21 , N/A ,$54.21 , N/A ,$88.07 ,$81.22 , N/A , N/A ,$86.12 , N/A ,$73.40 ,$73.40 ,$83.18 ,$83.18 , N/A ,$83.18 , N/A ,$79.27 ,$79.27 ,$79.27 ,$97.86 ,$88.07 , N/A ,$88.07 , N/A ,$97.86 ,$54.90 , N/A ,$40.51 , N/A , N/A , N/A ,$88.07 , N/A ,$54.21 ,$27.40 ,$88.07 , N/A ,$88.07 ,$88.07 , N/A ,$63.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205060,N/A,HC TRAY PICC LINE,272,1 ,$109.75 ,$79.02 ,$30.73 ,$109.75 , N/A ,$81.76 ,$71.89 , N/A ,$30.73 ,$67.50 , N/A ,$67.50 , N/A ,$60.80 ,$60.80 , N/A ,$60.80 , N/A ,$98.78 ,$91.09 , N/A , N/A ,$96.58 , N/A ,$82.31 ,$82.31 ,$93.29 ,$93.29 , N/A ,$93.29 , N/A ,$88.90 ,$88.90 ,$88.90 ,$109.75 ,$98.78 , N/A ,$98.78 , N/A ,$109.75 ,$61.57 , N/A ,$45.44 , N/A , N/A , N/A ,$98.78 , N/A ,$60.80 ,$30.73 ,$98.78 , N/A ,$98.78 ,$98.78 , N/A ,$71.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205074,N/A,HC TUBE TRACH,272,1 ,$372.48 ,$268.19 ,$104.29 ,$372.48 , N/A ,$277.50 ,$243.97 , N/A ,$104.29 ,$229.08 , N/A ,$229.08 , N/A ,$206.35 ,$206.35 , N/A ,$206.35 , N/A ,$335.23 ,$309.16 , N/A , N/A ,$327.78 , N/A ,$279.36 ,$279.36 ,$316.61 ,$316.61 , N/A ,$316.61 , N/A ,$301.71 ,$301.71 ,$301.71 ,$372.48 ,$335.23 , N/A ,$335.23 , N/A ,$372.48 ,$208.96 , N/A ,$154.21 , N/A , N/A , N/A ,$335.23 , N/A ,$206.35 ,$104.29 ,$335.23 , N/A ,$335.23 ,$335.23 , N/A ,$242.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205078,N/A,HC TUBE RECTAL,272,1 ,$141.94 ,$102.20 ,$39.74 ,$141.94 , N/A ,$105.75 ,$92.97 , N/A ,$39.74 ,$87.29 , N/A ,$87.29 , N/A ,$78.63 ,$78.63 , N/A ,$78.63 , N/A ,$127.75 ,$117.81 , N/A , N/A ,$124.91 , N/A ,$106.46 ,$106.46 ,$120.65 ,$120.65 , N/A ,$120.65 , N/A ,$114.97 ,$114.97 ,$114.97 ,$141.94 ,$127.75 , N/A ,$127.75 , N/A ,$141.94 ,$79.63 , N/A ,$58.76 , N/A , N/A , N/A ,$127.75 , N/A ,$78.63 ,$39.74 ,$127.75 , N/A ,$127.75 ,$127.75 , N/A ,$92.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205083,N/A,HC TUBING BLOOD WARMING,272,1 ,$179.63 ,$129.33 ,$50.30 ,$179.63 , N/A ,$133.82 ,$117.66 , N/A ,$50.30 ,$110.47 , N/A ,$110.47 , N/A ,$99.52 ,$99.52 , N/A ,$99.52 , N/A ,$161.67 ,$149.09 , N/A , N/A ,$158.07 , N/A ,$134.72 ,$134.72 ,$152.69 ,$152.69 , N/A ,$152.69 , N/A ,$145.50 ,$145.50 ,$145.50 ,$179.63 ,$161.67 , N/A ,$161.67 , N/A ,$179.63 ,$100.77 , N/A ,$74.37 , N/A , N/A , N/A ,$161.67 , N/A ,$99.52 ,$50.30 ,$161.67 , N/A ,$161.67 ,$161.67 , N/A ,$116.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205086,N/A,HC CANISTER WOUND VAC,272,1 ,$69.15 ,$49.79 ,$19.36 ,$69.15 , N/A ,$51.52 ,$45.29 , N/A ,$19.36 ,$42.53 , N/A ,$42.53 , N/A ,$38.31 ,$38.31 , N/A ,$38.31 , N/A ,$62.24 ,$57.39 , N/A , N/A ,$60.85 , N/A ,$51.86 ,$51.86 ,$58.78 ,$58.78 , N/A ,$58.78 , N/A ,$56.01 ,$56.01 ,$56.01 ,$69.15 ,$62.24 , N/A ,$62.24 , N/A ,$69.15 ,$38.79 , N/A ,$28.63 , N/A , N/A , N/A ,$62.24 , N/A ,$38.31 ,$19.36 ,$62.24 , N/A ,$62.24 ,$62.24 , N/A ,$44.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205091,N/A,HC KIT DRESSING WOUND VAC PREVENA PEEL N PLACE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205097,C1819,HC WIRE BREAST,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205111,N/A,HC DRESSING HYDROFERA BLUE,272,1 ,$18.09 ,$13.02 ,$5.07 ,$18.09 , N/A ,$13.48 ,$11.85 , N/A ,$5.07 ,$11.13 , N/A ,$11.13 , N/A ,$10.02 ,$10.02 , N/A ,$10.02 , N/A ,$16.28 ,$15.01 , N/A , N/A ,$15.92 , N/A ,$13.57 ,$13.57 ,$15.38 ,$15.38 , N/A ,$15.38 , N/A ,$14.65 ,$14.65 ,$14.65 ,$18.09 ,$16.28 , N/A ,$16.28 , N/A ,$18.09 ,$10.15 , N/A ,$7.49 , N/A , N/A , N/A ,$16.28 , N/A ,$10.02 ,$5.07 ,$16.28 , N/A ,$16.28 ,$16.28 , N/A ,$11.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205181,N/A,HC STRYKER AIR 2 MATTRESS OVERLAY,272,1 ,$111.00 ,$79.92 ,$31.08 ,$111.00 , N/A ,$82.70 ,$72.71 , N/A ,$31.08 ,$68.27 , N/A ,$68.27 , N/A ,$61.49 ,$61.49 , N/A ,$61.49 , N/A ,$99.90 ,$92.13 , N/A , N/A ,$97.68 , N/A ,$83.25 ,$83.25 ,$94.35 ,$94.35 , N/A ,$94.35 , N/A ,$89.91 ,$89.91 ,$89.91 ,$111.00 ,$99.90 , N/A ,$99.90 , N/A ,$111.00 ,$62.27 , N/A ,$45.95 , N/A , N/A , N/A ,$99.90 , N/A ,$61.49 ,$31.08 ,$99.90 , N/A ,$99.90 ,$99.90 , N/A ,$72.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205201,N/A,HC SUTURE T5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205202,N/A,HC SUTURE T6,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205203,N/A,HC SUTURE T7,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205204,N/A,HC SUTURE T8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205205,N/A,HC SUTURE T9,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205206,N/A,HC SUTURE T10,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205250,N/A,HC DEVICE FASTENER CATHETER,272,1 ,$47.87 ,$34.47 ,$13.40 ,$47.87 , N/A ,$35.66 ,$31.35 , N/A ,$13.40 ,$29.44 , N/A ,$29.44 , N/A ,$26.52 ,$26.52 , N/A ,$26.52 , N/A ,$43.08 ,$39.73 , N/A , N/A ,$42.13 , N/A ,$35.90 ,$35.90 ,$40.69 ,$40.69 , N/A ,$40.69 , N/A ,$38.77 ,$38.77 ,$38.77 ,$47.87 ,$43.08 , N/A ,$43.08 , N/A ,$47.87 ,$26.86 , N/A ,$19.82 , N/A , N/A , N/A ,$43.08 , N/A ,$26.52 ,$13.40 ,$43.08 , N/A ,$43.08 ,$43.08 , N/A ,$31.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205255,C1729,HC CATHETER MULTIPURPOSE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205267,N/A,HC SYSTEM CIRCUIT BREATHING W/NEB KIT,272,1 ,$63.60 ,$45.79 ,$17.81 ,$63.60 , N/A ,$47.38 ,$41.66 , N/A ,$17.81 ,$39.11 , N/A ,$39.11 , N/A ,$35.23 ,$35.23 , N/A ,$35.23 , N/A ,$57.24 ,$52.79 , N/A , N/A ,$55.97 , N/A ,$47.70 ,$47.70 ,$54.06 ,$54.06 , N/A ,$54.06 , N/A ,$51.52 ,$51.52 ,$51.52 ,$63.60 ,$57.24 , N/A ,$57.24 , N/A ,$63.60 ,$35.68 , N/A ,$26.33 , N/A , N/A , N/A ,$57.24 , N/A ,$35.23 ,$17.81 ,$57.24 , N/A ,$57.24 ,$57.24 , N/A ,$41.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205278,N/A,HC ADAPTER URETERAL DRAINAGE,272,1 ,$286.14 ,$206.02 ,$80.12 ,$286.14 , N/A ,$213.17 ,$187.42 , N/A ,$80.12 ,$175.98 , N/A ,$175.98 , N/A ,$158.52 ,$158.52 , N/A ,$158.52 , N/A ,$257.53 ,$237.50 , N/A , N/A ,$251.80 , N/A ,$214.61 ,$214.61 ,$243.22 ,$243.22 , N/A ,$243.22 , N/A ,$231.77 ,$231.77 ,$231.77 ,$286.14 ,$257.53 , N/A ,$257.53 , N/A ,$286.14 ,$160.52 , N/A ,$118.46 , N/A , N/A , N/A ,$257.53 , N/A ,$158.52 ,$80.12 ,$257.53 , N/A ,$257.53 ,$257.53 , N/A ,$185.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205280,N/A,HC ADAPTER VENTILATOR,272,1 ,$18.83 ,$13.56 ,$5.27 ,$18.83 , N/A ,$14.03 ,$12.33 , N/A ,$5.27 ,$11.58 , N/A ,$11.58 , N/A ,$10.43 ,$10.43 , N/A ,$10.43 , N/A ,$16.95 ,$15.63 , N/A , N/A ,$16.57 , N/A ,$14.12 ,$14.12 ,$16.01 ,$16.01 , N/A ,$16.01 , N/A ,$15.25 ,$15.25 ,$15.25 ,$18.83 ,$16.95 , N/A ,$16.95 , N/A ,$18.83 ,$10.56 , N/A ,$7.80 , N/A , N/A , N/A ,$16.95 , N/A ,$10.43 ,$5.27 ,$16.95 , N/A ,$16.95 ,$16.95 , N/A ,$12.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205281,N/A,HC ADAPTER Y,272,1 ,$68.44 ,$49.28 ,$19.16 ,$68.44 , N/A ,$50.99 ,$44.83 , N/A ,$19.16 ,$42.09 , N/A ,$42.09 , N/A ,$37.92 ,$37.92 , N/A ,$37.92 , N/A ,$61.60 ,$56.81 , N/A , N/A ,$60.23 , N/A ,$51.33 ,$51.33 ,$58.17 ,$58.17 , N/A ,$58.17 , N/A ,$55.44 ,$55.44 ,$55.44 ,$68.44 ,$61.60 , N/A ,$61.60 , N/A ,$68.44 ,$38.39 , N/A ,$28.33 , N/A , N/A , N/A ,$61.60 , N/A ,$37.92 ,$19.16 ,$61.60 , N/A ,$61.60 ,$61.60 , N/A ,$44.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205284,N/A,HC APPLICATOR SEPP,272,1 ,$12.34 ,$8.88 ,$3.46 ,$12.34 , N/A ,$9.19 ,$8.08 , N/A ,$3.46 ,$7.59 , N/A ,$7.59 , N/A ,$6.84 ,$6.84 , N/A ,$6.84 , N/A ,$11.11 ,$10.24 , N/A , N/A ,$10.86 , N/A ,$9.26 ,$9.26 ,$10.49 ,$10.49 , N/A ,$10.49 , N/A ,$10.00 ,$10.00 ,$10.00 ,$12.34 ,$11.11 , N/A ,$11.11 , N/A ,$12.34 ,$6.92 , N/A ,$5.11 , N/A , N/A , N/A ,$11.11 , N/A ,$6.84 ,$3.46 ,$11.11 , N/A ,$11.11 ,$11.11 , N/A ,$8.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205285,N/A,HC DRESSING ARTIFLEX,272,1 ,$5.51 ,$3.97 ,$1.54 ,$5.51 , N/A ,$4.11 ,$3.61 , N/A ,$1.54 ,$3.39 , N/A ,$3.39 , N/A ,$3.05 ,$3.05 , N/A ,$3.05 , N/A ,$4.96 ,$4.57 , N/A , N/A ,$4.85 , N/A ,$4.13 ,$4.13 ,$4.68 ,$4.68 , N/A ,$4.68 , N/A ,$4.46 ,$4.46 ,$4.46 ,$5.51 ,$4.96 , N/A ,$4.96 , N/A ,$5.51 ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.96 , N/A ,$3.05 ,$1.54 ,$4.96 , N/A ,$4.96 ,$4.96 , N/A ,$3.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205286,N/A,HC BAG INFUSION PRESSURE SMALL,272,1 ,$107.00 ,$77.04 ,$29.96 ,$107.00 , N/A ,$79.72 ,$70.09 , N/A ,$29.96 ,$65.81 , N/A ,$65.81 , N/A ,$59.28 ,$59.28 , N/A ,$59.28 , N/A ,$96.30 ,$88.81 , N/A , N/A ,$94.16 , N/A ,$80.25 ,$80.25 ,$90.95 ,$90.95 , N/A ,$90.95 , N/A ,$86.67 ,$86.67 ,$86.67 ,$107.00 ,$96.30 , N/A ,$96.30 , N/A ,$107.00 ,$60.03 , N/A ,$44.30 , N/A , N/A , N/A ,$96.30 , N/A ,$59.28 ,$29.96 ,$96.30 , N/A ,$96.30 ,$96.30 , N/A ,$69.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205296,C1729,HC CATHETER URETHRAL SPIRAL TIP,272,1 ,$538.75 ,$387.90 ,$150.85 ,$538.75 , N/A ,$401.37 ,$352.88 , N/A ,$150.85 ,$331.33 , N/A ,$331.33 , N/A ,$298.47 ,$298.47 , N/A ,$298.47 , N/A ,$484.88 , N/A , N/A , N/A ,$474.10 , N/A ,$404.06 ,$404.06 ,$457.94 ,$457.94 , N/A ,$457.94 , N/A ,$436.39 ,$436.39 ,$436.39 ,$538.75 ,$484.88 , N/A ,$484.88 , N/A ,$538.75 ,$302.24 , N/A ,$223.04 , N/A , N/A , N/A ,$484.88 , N/A ,$298.47 ,$150.85 ,$484.88 , N/A ,$484.88 ,$484.88 , N/A ,$350.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205297,C1758,HC CATHETER URETERAL FLEXI-TIP,272,1 ,$150.78 ,$108.56 ,$42.22 ,$150.78 , N/A ,$112.33 ,$98.76 , N/A ,$42.22 ,$92.73 , N/A ,$92.73 , N/A ,$83.53 ,$83.53 , N/A ,$83.53 , N/A ,$135.70 , N/A , N/A , N/A ,$132.69 , N/A ,$113.09 ,$113.09 ,$128.16 ,$128.16 , N/A ,$128.16 , N/A ,$122.13 ,$122.13 ,$122.13 ,$150.78 ,$135.70 , N/A ,$135.70 , N/A ,$150.78 ,$84.59 , N/A ,$62.42 , N/A , N/A , N/A ,$135.70 , N/A ,$83.53 ,$42.22 ,$135.70 , N/A ,$135.70 ,$135.70 , N/A ,$98.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205298,N/A,HC CATHETER FOLEY COUDE,272,1 ,$112.86 ,$81.26 ,$31.60 ,$112.86 , N/A ,$84.08 ,$73.92 , N/A ,$31.60 ,$69.41 , N/A ,$69.41 , N/A ,$62.52 ,$62.52 , N/A ,$62.52 , N/A ,$101.57 ,$93.67 , N/A , N/A ,$99.32 , N/A ,$84.65 ,$84.65 ,$95.93 ,$95.93 , N/A ,$95.93 , N/A ,$91.42 ,$91.42 ,$91.42 ,$112.86 ,$101.57 , N/A ,$101.57 , N/A ,$112.86 ,$63.31 , N/A ,$46.72 , N/A , N/A , N/A ,$101.57 , N/A ,$62.52 ,$31.60 ,$101.57 , N/A ,$101.57 ,$101.57 , N/A ,$73.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205299,C1726,HC CATHETER DILATION FOLLOWER,272,1 ,$291.69 ,$210.02 ,$81.67 ,$291.69 , N/A ,$217.31 ,$191.06 , N/A ,$81.67 ,$179.39 , N/A ,$179.39 , N/A ,$161.60 ,$161.60 , N/A ,$161.60 , N/A ,$262.52 , N/A , N/A , N/A ,$256.69 , N/A ,$218.77 ,$218.77 ,$247.94 ,$247.94 , N/A ,$247.94 , N/A ,$236.27 ,$236.27 ,$236.27 ,$291.69 ,$262.52 , N/A ,$262.52 , N/A ,$291.69 ,$163.64 , N/A ,$120.76 , N/A , N/A , N/A ,$262.52 , N/A ,$161.60 ,$81.67 ,$262.52 , N/A ,$262.52 ,$262.52 , N/A ,$189.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205300,N/A,HC CAUTERY PEN LOW TEMP,272,1 ,$63.70 ,$45.86 ,$17.84 ,$63.70 , N/A ,$47.46 ,$41.72 , N/A ,$17.84 ,$39.18 , N/A ,$39.18 , N/A ,$35.29 ,$35.29 , N/A ,$35.29 , N/A ,$57.33 ,$52.87 , N/A , N/A ,$56.06 , N/A ,$47.78 ,$47.78 ,$54.15 ,$54.15 , N/A ,$54.15 , N/A ,$51.60 ,$51.60 ,$51.60 ,$63.70 ,$57.33 , N/A ,$57.33 , N/A ,$63.70 ,$35.74 , N/A ,$26.37 , N/A , N/A , N/A ,$57.33 , N/A ,$35.29 ,$17.84 ,$57.33 , N/A ,$57.33 ,$57.33 , N/A ,$41.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205308,N/A,HC TUBING LUER LOCK,272,1 ,$62.00 ,$44.64 ,$17.36 ,$62.00 , N/A ,$46.19 ,$40.61 , N/A ,$17.36 ,$38.13 , N/A ,$38.13 , N/A ,$34.35 ,$34.35 , N/A ,$34.35 , N/A ,$55.80 ,$51.46 , N/A , N/A ,$54.56 , N/A ,$46.50 ,$46.50 ,$52.70 ,$52.70 , N/A ,$52.70 , N/A ,$50.22 ,$50.22 ,$50.22 ,$62.00 ,$55.80 , N/A ,$55.80 , N/A ,$62.00 ,$34.78 , N/A ,$25.67 , N/A , N/A , N/A ,$55.80 , N/A ,$34.35 ,$17.36 ,$55.80 , N/A ,$55.80 ,$55.80 , N/A ,$40.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205309,N/A,HC NEEDLE BLUNT HAWKINS,272,1 ,$95.09 ,$68.46 ,$26.63 ,$95.09 , N/A ,$70.84 ,$62.28 , N/A ,$26.63 ,$58.48 , N/A ,$58.48 , N/A ,$52.68 ,$52.68 , N/A ,$52.68 , N/A ,$85.58 ,$78.92 , N/A , N/A ,$83.68 , N/A ,$71.32 ,$71.32 ,$80.83 ,$80.83 , N/A ,$80.83 , N/A ,$77.02 ,$77.02 ,$77.02 ,$95.09 ,$85.58 , N/A ,$85.58 , N/A ,$95.09 ,$53.35 , N/A ,$39.37 , N/A , N/A , N/A ,$85.58 , N/A ,$52.68 ,$26.63 ,$85.58 , N/A ,$85.58 ,$85.58 , N/A ,$61.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205311,N/A,HC KIT HOLTER MONITOR,272,1 ,$39.72 ,$28.60 ,$11.12 ,$39.72 , N/A ,$29.59 ,$26.02 , N/A ,$11.12 ,$24.43 , N/A ,$24.43 , N/A ,$22.00 ,$22.00 , N/A ,$22.00 , N/A ,$35.75 ,$32.97 , N/A , N/A ,$34.95 , N/A ,$29.79 ,$29.79 ,$33.76 ,$33.76 , N/A ,$33.76 , N/A ,$32.17 ,$32.17 ,$32.17 ,$39.72 ,$35.75 , N/A ,$35.75 , N/A ,$39.72 ,$22.28 , N/A ,$16.44 , N/A , N/A , N/A ,$35.75 , N/A ,$22.00 ,$11.12 ,$35.75 , N/A ,$35.75 ,$35.75 , N/A ,$25.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205314,N/A,HC KIT RT APNEA MONITORING,272,1 ,$25.38 ,$18.27 ,$7.11 ,$25.38 , N/A ,$18.91 ,$16.62 , N/A ,$7.11 ,$15.61 , N/A ,$15.61 , N/A ,$14.06 ,$14.06 , N/A ,$14.06 , N/A ,$22.84 ,$21.07 , N/A , N/A ,$22.33 , N/A ,$19.04 ,$19.04 ,$21.57 ,$21.57 , N/A ,$21.57 , N/A ,$20.56 ,$20.56 ,$20.56 ,$25.38 ,$22.84 , N/A ,$22.84 , N/A ,$25.38 ,$14.24 , N/A ,$10.51 , N/A , N/A , N/A ,$22.84 , N/A ,$14.06 ,$7.11 ,$22.84 , N/A ,$22.84 ,$22.84 , N/A ,$16.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205315,N/A,HC KIT RT NONINVASIVE VENT,272,1 ,$108.16 ,$77.88 ,$30.28 ,$108.16 , N/A ,$80.58 ,$70.84 , N/A ,$30.28 ,$66.52 , N/A ,$66.52 , N/A ,$59.92 ,$59.92 , N/A ,$59.92 , N/A ,$97.34 ,$89.77 , N/A , N/A ,$95.18 , N/A ,$81.12 ,$81.12 ,$91.94 ,$91.94 , N/A ,$91.94 , N/A ,$87.61 ,$87.61 ,$87.61 ,$108.16 ,$97.34 , N/A ,$97.34 , N/A ,$108.16 ,$60.68 , N/A ,$44.78 , N/A , N/A , N/A ,$97.34 , N/A ,$59.92 ,$30.28 ,$97.34 , N/A ,$97.34 ,$97.34 , N/A ,$70.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205316,N/A,HC KIT RT VENTILATOR,272,1 ,$101.47 ,$73.06 ,$28.41 ,$101.47 , N/A ,$75.60 ,$66.46 , N/A ,$28.41 ,$62.40 , N/A ,$62.40 , N/A ,$56.21 ,$56.21 , N/A ,$56.21 , N/A ,$91.32 ,$84.22 , N/A , N/A ,$89.29 , N/A ,$76.10 ,$76.10 ,$86.25 ,$86.25 , N/A ,$86.25 , N/A ,$82.19 ,$82.19 ,$82.19 ,$101.47 ,$91.32 , N/A ,$91.32 , N/A ,$101.47 ,$56.92 , N/A ,$42.01 , N/A , N/A , N/A ,$91.32 , N/A ,$56.21 ,$28.41 ,$91.32 , N/A ,$91.32 ,$91.32 , N/A ,$65.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205319,C1819,HC NEEDLE KOPANS LOCAL,272,1 ,$81.49 ,$58.67 ,$22.82 ,$81.49 , N/A ,$60.71 ,$53.38 , N/A ,$22.82 ,$50.12 , N/A ,$50.12 , N/A ,$45.15 ,$45.15 , N/A ,$45.15 , N/A ,$73.34 ,$67.64 , N/A , N/A ,$71.71 , N/A ,$61.12 ,$61.12 ,$69.27 ,$69.27 , N/A ,$69.27 , N/A ,$66.01 ,$66.01 ,$66.01 ,$81.49 ,$73.34 , N/A ,$73.34 , N/A ,$81.49 ,$45.72 , N/A ,$33.74 , N/A , N/A , N/A ,$73.34 , N/A ,$45.15 ,$22.82 ,$73.34 , N/A ,$73.34 ,$73.34 , N/A ,$52.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205323,N/A,HC NEEDLE TEMNO,272,1 ,$189.83 ,$136.68 ,$53.15 ,$189.83 , N/A ,$141.42 ,$124.34 , N/A ,$53.15 ,$116.75 , N/A ,$116.75 , N/A ,$105.17 ,$105.17 , N/A ,$105.17 , N/A ,$170.85 ,$157.56 , N/A , N/A ,$167.05 , N/A ,$142.37 ,$142.37 ,$161.36 ,$161.36 , N/A ,$161.36 , N/A ,$153.76 ,$153.76 ,$153.76 ,$189.83 ,$170.85 , N/A ,$170.85 , N/A ,$189.83 ,$106.49 , N/A ,$78.59 , N/A , N/A , N/A ,$170.85 , N/A ,$105.17 ,$53.15 ,$170.85 , N/A ,$170.85 ,$170.85 , N/A ,$123.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205326,N/A,HC SENSOR INFANT ADHESIVE,272,1 ,$165.40 ,$119.09 ,$46.31 ,$165.40 , N/A ,$123.22 ,$108.34 , N/A ,$46.31 ,$101.72 , N/A ,$101.72 , N/A ,$91.63 ,$91.63 , N/A ,$91.63 , N/A ,$148.86 ,$137.28 , N/A , N/A ,$145.55 , N/A ,$124.05 ,$124.05 ,$140.59 ,$140.59 , N/A ,$140.59 , N/A ,$133.97 ,$133.97 ,$133.97 ,$165.40 ,$148.86 , N/A ,$148.86 , N/A ,$165.40 ,$92.79 , N/A ,$68.48 , N/A , N/A , N/A ,$148.86 , N/A ,$91.63 ,$46.31 ,$148.86 , N/A ,$148.86 ,$148.86 , N/A ,$107.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205328,N/A,HC SUTURE ETHILON,272,1 ,$73.63 ,$53.01 ,$20.62 ,$73.63 , N/A ,$54.85 ,$48.23 , N/A ,$20.62 ,$45.28 , N/A ,$45.28 , N/A ,$40.79 ,$40.79 , N/A ,$40.79 , N/A ,$66.27 ,$61.11 , N/A , N/A ,$64.79 , N/A ,$55.22 ,$55.22 ,$62.59 ,$62.59 , N/A ,$62.59 , N/A ,$59.64 ,$59.64 ,$59.64 ,$73.63 ,$66.27 , N/A ,$66.27 , N/A ,$73.63 ,$41.31 , N/A ,$30.48 , N/A , N/A , N/A ,$66.27 , N/A ,$40.79 ,$20.62 ,$66.27 , N/A ,$66.27 ,$66.27 , N/A ,$47.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205331,N/A,HC SYRINGE BRACCO CONTRAST,272,1 ,$47.83 ,$34.44 ,$13.39 ,$47.83 , N/A ,$35.63 ,$31.33 , N/A ,$13.39 ,$29.42 , N/A ,$29.42 , N/A ,$26.50 ,$26.50 , N/A ,$26.50 , N/A ,$43.05 ,$39.70 , N/A , N/A ,$42.09 , N/A ,$35.87 ,$35.87 ,$40.66 ,$40.66 , N/A ,$40.66 , N/A ,$38.74 ,$38.74 ,$38.74 ,$47.83 ,$43.05 , N/A ,$43.05 , N/A ,$47.83 ,$26.83 , N/A ,$19.80 , N/A , N/A , N/A ,$43.05 , N/A ,$26.50 ,$13.39 ,$43.05 , N/A ,$43.05 ,$43.05 , N/A ,$31.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205337,N/A,HC TUBE TRACH NASAL,272,1 ,$39.00 ,$28.08 ,$10.92 ,$39.00 , N/A ,$29.06 ,$25.55 , N/A ,$10.92 ,$23.99 , N/A ,$23.99 , N/A ,$21.61 ,$21.61 , N/A ,$21.61 , N/A ,$35.10 ,$32.37 , N/A , N/A ,$34.32 , N/A ,$29.25 ,$29.25 ,$33.15 ,$33.15 , N/A ,$33.15 , N/A ,$31.59 ,$31.59 ,$31.59 ,$39.00 ,$35.10 , N/A ,$35.10 , N/A ,$39.00 ,$21.88 , N/A ,$16.15 , N/A , N/A , N/A ,$35.10 , N/A ,$21.61 ,$10.92 ,$35.10 , N/A ,$35.10 ,$35.10 , N/A ,$25.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205342,N/A,HC DRESSING TEGADERM,272,1 ,$16.23 ,$11.69 ,$4.54 ,$16.23 , N/A ,$12.09 ,$10.63 , N/A ,$4.54 ,$9.98 , N/A ,$9.98 , N/A ,$8.99 ,$8.99 , N/A ,$8.99 , N/A ,$14.61 ,$13.47 , N/A , N/A ,$14.28 , N/A ,$12.17 ,$12.17 ,$13.80 ,$13.80 , N/A ,$13.80 , N/A ,$13.15 ,$13.15 ,$13.15 ,$16.23 ,$14.61 , N/A ,$14.61 , N/A ,$16.23 ,$9.11 , N/A ,$6.72 , N/A , N/A , N/A ,$14.61 , N/A ,$8.99 ,$4.54 ,$14.61 , N/A ,$14.61 ,$14.61 , N/A ,$10.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205343,N/A,HC DRESSING COMPRILAN,272,1 ,$15.00 ,$10.80 ,$4.20 ,$15.00 , N/A ,$11.18 ,$9.83 , N/A ,$4.20 ,$9.23 , N/A ,$9.23 , N/A ,$8.31 ,$8.31 , N/A ,$8.31 , N/A ,$13.50 ,$12.45 , N/A , N/A ,$13.20 , N/A ,$11.25 ,$11.25 ,$12.75 ,$12.75 , N/A ,$12.75 , N/A ,$12.15 ,$12.15 ,$12.15 ,$15.00 ,$13.50 , N/A ,$13.50 , N/A ,$15.00 ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$13.50 , N/A ,$8.31 ,$4.20 ,$13.50 , N/A ,$13.50 ,$13.50 , N/A ,$9.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205344,N/A,HC DRESSING MEPILEX,272,1 ,$77.68 ,$55.93 ,$21.75 ,$77.68 , N/A ,$57.87 ,$50.88 , N/A ,$21.75 ,$47.77 , N/A ,$47.77 , N/A ,$43.03 ,$43.03 , N/A ,$43.03 , N/A ,$69.91 ,$64.47 , N/A , N/A ,$68.36 , N/A ,$58.26 ,$58.26 ,$66.03 ,$66.03 , N/A ,$66.03 , N/A ,$62.92 ,$62.92 ,$62.92 ,$77.68 ,$69.91 , N/A ,$69.91 , N/A ,$77.68 ,$43.58 , N/A ,$32.16 , N/A , N/A , N/A ,$69.91 , N/A ,$43.03 ,$21.75 ,$69.91 , N/A ,$69.91 ,$69.91 , N/A ,$50.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205345,N/A,HC DRESSING GAUZE STRETCH,272,1 ,$6.27 ,$4.51 ,$1.76 ,$6.27 , N/A ,$4.67 ,$4.11 , N/A ,$1.76 ,$3.86 , N/A ,$3.86 , N/A ,$3.47 ,$3.47 , N/A ,$3.47 , N/A ,$5.64 ,$5.20 , N/A , N/A ,$5.52 , N/A ,$4.70 ,$4.70 ,$5.33 ,$5.33 , N/A ,$5.33 , N/A ,$5.08 ,$5.08 ,$5.08 ,$6.27 ,$5.64 , N/A ,$5.64 , N/A ,$6.27 ,$3.52 , N/A ,$2.60 , N/A , N/A , N/A ,$5.64 , N/A ,$3.47 ,$1.76 ,$5.64 , N/A ,$5.64 ,$5.64 , N/A ,$4.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205366,N/A,HC SENSOR NASAL PULSE OX ALAR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205374,C1751,HC KIT IV RADIAL ARTERY W/GUIDEWIRE,272,1 ,$34.00 ,$24.48 ,$9.52 ,$34.00 , N/A ,$25.33 ,$22.27 , N/A ,$9.52 ,$20.91 , N/A ,$20.91 , N/A ,$18.84 ,$18.84 , N/A ,$18.84 , N/A ,$30.60 , N/A , N/A , N/A ,$29.92 , N/A ,$25.50 ,$25.50 ,$28.90 ,$28.90 , N/A ,$28.90 , N/A ,$27.54 ,$27.54 ,$27.54 ,$34.00 ,$30.60 , N/A ,$30.60 , N/A ,$34.00 ,$19.07 , N/A ,$14.08 , N/A , N/A , N/A ,$30.60 , N/A ,$18.84 ,$9.52 ,$30.60 , N/A ,$30.60 ,$30.60 , N/A ,$22.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205378,N/A,HC MARKER BIOPSY BREAST STEREOTATIC,272,1 ,$546.00 ,$393.12 ,$152.88 ,$546.00 , N/A ,$406.77 ,$357.63 , N/A ,$152.88 ,$335.79 , N/A ,$335.79 , N/A ,$302.48 ,$302.48 , N/A ,$302.48 , N/A ,$491.40 ,$453.18 , N/A , N/A ,$480.48 , N/A ,$409.50 ,$409.50 ,$464.10 ,$464.10 , N/A ,$464.10 , N/A ,$442.26 ,$442.26 ,$442.26 ,$546.00 ,$491.40 , N/A ,$491.40 , N/A ,$546.00 ,$306.31 , N/A ,$226.04 , N/A , N/A , N/A ,$491.40 , N/A ,$302.48 ,$152.88 ,$491.40 , N/A ,$491.40 ,$491.40 , N/A ,$354.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205379,N/A,HC SYSTEM BIOPSY BREAST STEREOTATIC,272,1 ,$481.00 ,$346.32 ,$134.68 ,$481.00 , N/A ,$358.35 ,$315.06 , N/A ,$134.68 ,$295.82 , N/A ,$295.82 , N/A ,$266.47 ,$266.47 , N/A ,$266.47 , N/A ,$432.90 ,$399.23 , N/A , N/A ,$423.28 , N/A ,$360.75 ,$360.75 ,$408.85 ,$408.85 , N/A ,$408.85 , N/A ,$389.61 ,$389.61 ,$389.61 ,$481.00 ,$432.90 , N/A ,$432.90 , N/A ,$481.00 ,$269.84 , N/A ,$199.13 , N/A , N/A , N/A ,$432.90 , N/A ,$266.47 ,$134.68 ,$432.90 , N/A ,$432.90 ,$432.90 , N/A ,$312.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205380,N/A,HC FILTER BIOPSY BREAST STEREOTATIC,272,1 ,$26.00 ,$18.72 ,$7.28 ,$26.00 , N/A ,$19.37 ,$17.03 , N/A ,$7.28 ,$15.99 , N/A ,$15.99 , N/A ,$14.40 ,$14.40 , N/A ,$14.40 , N/A ,$23.40 ,$21.58 , N/A , N/A ,$22.88 , N/A ,$19.50 ,$19.50 ,$22.10 ,$22.10 , N/A ,$22.10 , N/A ,$21.06 ,$21.06 ,$21.06 ,$26.00 ,$23.40 , N/A ,$23.40 , N/A ,$26.00 ,$14.59 , N/A ,$10.76 , N/A , N/A , N/A ,$23.40 , N/A ,$14.40 ,$7.28 ,$23.40 , N/A ,$23.40 ,$23.40 , N/A ,$16.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205386,N/A,HC HANDLE LARYNGEAL BLADE,272,1 ,$70.00 ,$50.40 ,$19.60 ,$70.00 , N/A ,$52.15 ,$45.85 , N/A ,$19.60 ,$43.05 , N/A ,$43.05 , N/A ,$38.78 ,$38.78 , N/A ,$38.78 , N/A ,$63.00 ,$58.10 , N/A , N/A ,$61.60 , N/A ,$52.50 ,$52.50 ,$59.50 ,$59.50 , N/A ,$59.50 , N/A ,$56.70 ,$56.70 ,$56.70 ,$70.00 ,$63.00 , N/A ,$63.00 , N/A ,$70.00 ,$39.27 , N/A ,$28.98 , N/A , N/A , N/A ,$63.00 , N/A ,$38.78 ,$19.60 ,$63.00 , N/A ,$63.00 ,$63.00 , N/A ,$45.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205387,N/A,HC IRRIGATION SOL W/WATER/SODIUM CHLORIDE,272,1 ,$27.09 ,$19.50 ,$7.59 ,$27.09 , N/A ,$20.18 ,$17.74 , N/A ,$7.59 ,$16.66 , N/A ,$16.66 , N/A ,$15.01 ,$15.01 , N/A ,$15.01 , N/A ,$24.38 ,$22.48 , N/A , N/A ,$23.84 , N/A ,$20.32 ,$20.32 ,$23.03 ,$23.03 , N/A ,$23.03 , N/A ,$21.94 ,$21.94 ,$21.94 ,$27.09 ,$24.38 , N/A ,$24.38 , N/A ,$27.09 ,$15.20 , N/A ,$11.22 , N/A , N/A , N/A ,$24.38 , N/A ,$15.01 ,$7.59 ,$24.38 , N/A ,$24.38 ,$24.38 , N/A ,$17.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205388,N/A,HC BLADE LARYNGOSCOPE MACINTOSH,272,1 ,$148.00 ,$106.56 ,$41.44 ,$148.00 , N/A ,$110.26 ,$96.94 , N/A ,$41.44 ,$91.02 , N/A ,$91.02 , N/A ,$81.99 ,$81.99 , N/A ,$81.99 , N/A ,$133.20 ,$122.84 , N/A , N/A ,$130.24 , N/A ,$111.00 ,$111.00 ,$125.80 ,$125.80 , N/A ,$125.80 , N/A ,$119.88 ,$119.88 ,$119.88 ,$148.00 ,$133.20 , N/A ,$133.20 , N/A ,$148.00 ,$83.03 , N/A ,$61.27 , N/A , N/A , N/A ,$133.20 , N/A ,$81.99 ,$41.44 ,$133.20 , N/A ,$133.20 ,$133.20 , N/A ,$96.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205389,N/A,HC FORCEPS LIGHTED,272,1 ,$19.00 ,$13.68 ,$5.32 ,$19.00 , N/A ,$14.16 ,$12.45 , N/A ,$5.32 ,$11.69 , N/A ,$11.69 , N/A ,$10.53 ,$10.53 , N/A ,$10.53 , N/A ,$17.10 ,$15.77 , N/A , N/A ,$16.72 , N/A ,$14.25 ,$14.25 ,$16.15 ,$16.15 , N/A ,$16.15 , N/A ,$15.39 ,$15.39 ,$15.39 ,$19.00 ,$17.10 , N/A ,$17.10 , N/A ,$19.00 ,$10.66 , N/A ,$7.87 , N/A , N/A , N/A ,$17.10 , N/A ,$10.53 ,$5.32 ,$17.10 , N/A ,$17.10 ,$17.10 , N/A ,$12.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205392,N/A,HC FORCEP JAW RADIAL W/NEEDLE,272,1 ,$55.00 ,$39.60 ,$15.40 ,$55.00 , N/A ,$40.98 ,$36.03 , N/A ,$15.40 ,$33.83 , N/A ,$33.83 , N/A ,$30.47 ,$30.47 , N/A ,$30.47 , N/A ,$49.50 ,$45.65 , N/A , N/A ,$48.40 , N/A ,$41.25 ,$41.25 ,$46.75 ,$46.75 , N/A ,$46.75 , N/A ,$44.55 ,$44.55 ,$44.55 ,$55.00 ,$49.50 , N/A ,$49.50 , N/A ,$55.00 ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$49.50 , N/A ,$30.47 ,$15.40 ,$49.50 , N/A ,$49.50 ,$49.50 , N/A ,$35.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205393,N/A,HC PENCIL ELECTROSURGICAL W/SMOKE EVACUATOR,272,1 ,$75.18 ,$54.13 ,$21.05 ,$75.18 , N/A ,$56.01 ,$49.24 , N/A ,$21.05 ,$46.24 , N/A ,$46.24 , N/A ,$41.65 ,$41.65 , N/A ,$41.65 , N/A ,$67.66 ,$62.40 , N/A , N/A ,$66.16 , N/A ,$56.39 ,$56.39 ,$63.90 ,$63.90 , N/A ,$63.90 , N/A ,$60.90 ,$60.90 ,$60.90 ,$75.18 ,$67.66 , N/A ,$67.66 , N/A ,$75.18 ,$42.18 , N/A ,$31.12 , N/A , N/A , N/A ,$67.66 , N/A ,$41.65 ,$21.05 ,$67.66 , N/A ,$67.66 ,$67.66 , N/A ,$48.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205398,N/A,HC SURGICEL HEMOSTAT 2X3,272,1 ,$90.54 ,$65.19 ,$25.35 ,$90.54 , N/A ,$67.45 ,$59.30 , N/A ,$25.35 ,$55.68 , N/A ,$55.68 , N/A ,$50.16 ,$50.16 , N/A ,$50.16 , N/A ,$81.49 ,$75.15 , N/A , N/A ,$79.68 , N/A ,$67.91 ,$67.91 ,$76.96 ,$76.96 , N/A ,$76.96 , N/A ,$73.34 ,$73.34 ,$73.34 ,$90.54 ,$81.49 , N/A ,$81.49 , N/A ,$90.54 ,$50.79 , N/A ,$37.48 , N/A , N/A , N/A ,$81.49 , N/A ,$50.16 ,$25.35 ,$81.49 , N/A ,$81.49 ,$81.49 , N/A ,$58.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205407,N/A,HC PRONG NASAL INFANT CPAP,272,1 ,$23.00 ,$16.56 ,$6.44 ,$23.00 , N/A ,$17.14 ,$15.07 , N/A ,$6.44 ,$14.15 , N/A ,$14.15 , N/A ,$12.74 ,$12.74 , N/A ,$12.74 , N/A ,$20.70 ,$19.09 , N/A , N/A ,$20.24 , N/A ,$17.25 ,$17.25 ,$19.55 ,$19.55 , N/A ,$19.55 , N/A ,$18.63 ,$18.63 ,$18.63 ,$23.00 ,$20.70 , N/A ,$20.70 , N/A ,$23.00 ,$12.90 , N/A ,$9.52 , N/A , N/A , N/A ,$20.70 , N/A ,$12.74 ,$6.44 ,$20.70 , N/A ,$20.70 ,$20.70 , N/A ,$14.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205408,N/A,HC BONNET INFANT CPAP,272,1 ,$33.00 ,$23.76 ,$9.24 ,$33.00 , N/A ,$24.59 ,$21.62 , N/A ,$9.24 ,$20.30 , N/A ,$20.30 , N/A ,$18.28 ,$18.28 , N/A ,$18.28 , N/A ,$29.70 ,$27.39 , N/A , N/A ,$29.04 , N/A ,$24.75 ,$24.75 ,$28.05 ,$28.05 , N/A ,$28.05 , N/A ,$26.73 ,$26.73 ,$26.73 ,$33.00 ,$29.70 , N/A ,$29.70 , N/A ,$33.00 ,$18.51 , N/A ,$13.66 , N/A , N/A , N/A ,$29.70 , N/A ,$18.28 ,$9.24 ,$29.70 , N/A ,$29.70 ,$29.70 , N/A ,$21.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205417,N/A,HC HEADGEAR INFANT CPAP,272,1 ,$58.81 ,$42.34 ,$16.47 ,$58.81 , N/A ,$43.81 ,$38.52 , N/A ,$16.47 ,$36.17 , N/A ,$36.17 , N/A ,$32.58 ,$32.58 , N/A ,$32.58 , N/A ,$52.93 ,$48.81 , N/A , N/A ,$51.75 , N/A ,$44.11 ,$44.11 ,$49.99 ,$49.99 , N/A ,$49.99 , N/A ,$47.64 ,$47.64 ,$47.64 ,$58.81 ,$52.93 , N/A ,$52.93 , N/A ,$58.81 ,$32.99 , N/A ,$24.35 , N/A , N/A , N/A ,$52.93 , N/A ,$32.58 ,$16.47 ,$52.93 , N/A ,$52.93 ,$52.93 , N/A ,$38.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205423,N/A,HC CANISTER WOUND VAC 150ML,272,1 ,$60.84 ,$43.80 ,$17.04 ,$60.84 , N/A ,$45.33 ,$39.85 , N/A ,$17.04 ,$37.42 , N/A ,$37.42 , N/A ,$33.71 ,$33.71 , N/A ,$33.71 , N/A ,$54.76 ,$50.50 , N/A , N/A ,$53.54 , N/A ,$45.63 ,$45.63 ,$51.71 ,$51.71 , N/A ,$51.71 , N/A ,$49.28 ,$49.28 ,$49.28 ,$60.84 ,$54.76 , N/A ,$54.76 , N/A ,$60.84 ,$34.13 , N/A ,$25.19 , N/A , N/A , N/A ,$54.76 , N/A ,$33.71 ,$17.04 ,$54.76 , N/A ,$54.76 ,$54.76 , N/A ,$39.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205424,N/A,HC LIGHTED FORGEIN BODY REMOVAL FORCEPS,272,1 ,$30.55 ,$22.00 ,$8.55 ,$30.55 , N/A ,$22.76 ,$20.01 , N/A ,$8.55 ,$18.79 , N/A ,$18.79 , N/A ,$16.92 ,$16.92 , N/A ,$16.92 , N/A ,$27.50 ,$25.36 , N/A , N/A ,$26.88 , N/A ,$22.91 ,$22.91 ,$25.97 ,$25.97 , N/A ,$25.97 , N/A ,$24.75 ,$24.75 ,$24.75 ,$30.55 ,$27.50 , N/A ,$27.50 , N/A ,$30.55 ,$17.14 , N/A ,$12.65 , N/A , N/A , N/A ,$27.50 , N/A ,$16.92 ,$8.55 ,$27.50 , N/A ,$27.50 ,$27.50 , N/A ,$19.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205430,N/A,HC NEO PUFF TUBING,272,1 ,$33.93 ,$24.43 ,$9.50 ,$33.93 , N/A ,$25.28 ,$22.22 , N/A ,$9.50 ,$20.87 , N/A ,$20.87 , N/A ,$18.80 ,$18.80 , N/A ,$18.80 , N/A ,$30.54 ,$28.16 , N/A , N/A ,$29.86 , N/A ,$25.45 ,$25.45 ,$28.84 ,$28.84 , N/A ,$28.84 , N/A ,$27.48 ,$27.48 ,$27.48 ,$33.93 ,$30.54 , N/A ,$30.54 , N/A ,$33.93 ,$19.03 , N/A ,$14.05 , N/A , N/A , N/A ,$30.54 , N/A ,$18.80 ,$9.50 ,$30.54 , N/A ,$30.54 ,$30.54 , N/A ,$22.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205431,N/A,HC NEO PUFF MASK ERG,272,1 ,$32.91 ,$23.70 ,$9.21 ,$32.91 , N/A ,$24.52 ,$21.56 , N/A ,$9.21 ,$20.24 , N/A ,$20.24 , N/A ,$18.23 ,$18.23 , N/A ,$18.23 , N/A ,$29.62 ,$27.32 , N/A , N/A ,$28.96 , N/A ,$24.68 ,$24.68 ,$27.97 ,$27.97 , N/A ,$27.97 , N/A ,$26.66 ,$26.66 ,$26.66 ,$32.91 ,$29.62 , N/A ,$29.62 , N/A ,$32.91 ,$18.46 , N/A ,$13.62 , N/A , N/A , N/A ,$29.62 , N/A ,$18.23 ,$9.21 ,$29.62 , N/A ,$29.62 ,$29.62 , N/A ,$21.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205432,N/A,HC NEO PUFF MASK DISPOSABLE,272,1 ,$17.00 ,$12.24 ,$4.76 ,$17.00 , N/A ,$12.67 ,$11.14 , N/A ,$4.76 ,$10.46 , N/A ,$10.46 , N/A ,$9.42 ,$9.42 , N/A ,$9.42 , N/A ,$15.30 ,$14.11 , N/A , N/A ,$14.96 , N/A ,$12.75 ,$12.75 ,$14.45 ,$14.45 , N/A ,$14.45 , N/A ,$13.77 ,$13.77 ,$13.77 ,$17.00 ,$15.30 , N/A ,$15.30 , N/A ,$17.00 ,$9.54 , N/A ,$7.04 , N/A , N/A , N/A ,$15.30 , N/A ,$9.42 ,$4.76 ,$15.30 , N/A ,$15.30 ,$15.30 , N/A ,$11.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205433,N/A,HC CPAP BUBBLE SYSTEM,272,1 ,$226.92 ,$163.38 ,$63.54 ,$226.92 , N/A ,$169.06 ,$148.63 , N/A ,$63.54 ,$139.56 , N/A ,$139.56 , N/A ,$125.71 ,$125.71 , N/A ,$125.71 , N/A ,$204.23 ,$188.34 , N/A , N/A ,$199.69 , N/A ,$170.19 ,$170.19 ,$192.88 ,$192.88 , N/A ,$192.88 , N/A ,$183.81 ,$183.81 ,$183.81 ,$226.92 ,$204.23 , N/A ,$204.23 , N/A ,$226.92 ,$127.30 , N/A ,$93.94 , N/A , N/A , N/A ,$204.23 , N/A ,$125.71 ,$63.54 ,$204.23 , N/A ,$204.23 ,$204.23 , N/A ,$147.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205434,N/A,HC DISPOSABLE FIBEROPTIC SCOPE,272,1 ,$550.00 ,$396.00 ,$154.00 ,$550.00 , N/A ,$409.75 ,$360.25 , N/A ,$154.00 ,$338.25 , N/A ,$338.25 , N/A ,$304.70 ,$304.70 , N/A ,$304.70 , N/A ,$495.00 ,$456.50 , N/A , N/A ,$484.00 , N/A ,$412.50 ,$412.50 ,$467.50 ,$467.50 , N/A ,$467.50 , N/A ,$445.50 ,$445.50 ,$445.50 ,$550.00 ,$495.00 , N/A ,$495.00 , N/A ,$550.00 ,$308.55 , N/A ,$227.70 , N/A , N/A , N/A ,$495.00 , N/A ,$304.70 ,$154.00 ,$495.00 , N/A ,$495.00 ,$495.00 , N/A ,$357.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205436,N/A,HC THERAPY PUTTY,272,1 ,$106.62 ,$76.77 ,$29.85 ,$106.62 , N/A ,$79.43 ,$69.84 , N/A ,$29.85 ,$65.57 , N/A ,$65.57 , N/A ,$59.07 ,$59.07 , N/A ,$59.07 , N/A ,$95.96 ,$88.49 , N/A , N/A ,$93.83 , N/A ,$79.97 ,$79.97 ,$90.63 ,$90.63 , N/A ,$90.63 , N/A ,$86.36 ,$86.36 ,$86.36 ,$106.62 ,$95.96 , N/A ,$95.96 , N/A ,$106.62 ,$59.81 , N/A ,$44.14 , N/A , N/A , N/A ,$95.96 , N/A ,$59.07 ,$29.85 ,$95.96 , N/A ,$95.96 ,$95.96 , N/A ,$69.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205437,N/A,HC PUMP MODULE ADMIN SET NEEDLESS VALVES,272,1 ,$16.00 ,$11.52 ,$4.48 ,$16.00 , N/A ,$11.92 ,$10.48 , N/A ,$4.48 ,$9.84 , N/A ,$9.84 , N/A ,$8.86 ,$8.86 , N/A ,$8.86 , N/A ,$14.40 ,$13.28 , N/A , N/A ,$14.08 , N/A ,$12.00 ,$12.00 ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$12.96 ,$12.96 ,$12.96 ,$16.00 ,$14.40 , N/A ,$14.40 , N/A ,$16.00 ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$14.40 , N/A ,$8.86 ,$4.48 ,$14.40 , N/A ,$14.40 ,$14.40 , N/A ,$10.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205438,N/A,"HC 2"" TAPE ADHESIVE KINESIO",272,1 ,$24.27 ,$17.47 ,$6.80 ,$24.27 , N/A ,$18.08 ,$15.90 , N/A ,$6.80 ,$14.93 , N/A ,$14.93 , N/A ,$13.45 ,$13.45 , N/A ,$13.45 , N/A ,$21.84 ,$20.14 , N/A , N/A ,$21.36 , N/A ,$18.20 ,$18.20 ,$20.63 ,$20.63 , N/A ,$20.63 , N/A ,$19.66 ,$19.66 ,$19.66 ,$24.27 ,$21.84 , N/A ,$21.84 , N/A ,$24.27 ,$13.62 , N/A ,$10.05 , N/A , N/A , N/A ,$21.84 , N/A ,$13.45 ,$6.80 ,$21.84 , N/A ,$21.84 ,$21.84 , N/A ,$15.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205439,N/A,HC ROSIDAL SOFT FOAM PADDING BANDAGE,272,1 ,$16.59 ,$11.94 ,$4.65 ,$16.59 , N/A ,$12.36 ,$10.87 , N/A ,$4.65 ,$10.20 , N/A ,$10.20 , N/A ,$9.19 ,$9.19 , N/A ,$9.19 , N/A ,$14.93 ,$13.77 , N/A , N/A ,$14.60 , N/A ,$12.44 ,$12.44 ,$14.10 ,$14.10 , N/A ,$14.10 , N/A ,$13.44 ,$13.44 ,$13.44 ,$16.59 ,$14.93 , N/A ,$14.93 , N/A ,$16.59 ,$9.31 , N/A ,$6.87 , N/A , N/A , N/A ,$14.93 , N/A ,$9.19 ,$4.65 ,$14.93 , N/A ,$14.93 ,$14.93 , N/A ,$10.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205443,N/A,HC SENSOR PEDIATRIC ADHESIVE,272,1 ,$21.18 ,$15.25 ,$5.93 ,$21.18 , N/A ,$15.78 ,$13.87 , N/A ,$5.93 ,$13.03 , N/A ,$13.03 , N/A ,$11.73 ,$11.73 , N/A ,$11.73 , N/A ,$19.06 ,$17.58 , N/A , N/A ,$18.64 , N/A ,$15.89 ,$15.89 ,$18.00 ,$18.00 , N/A ,$18.00 , N/A ,$17.16 ,$17.16 ,$17.16 ,$21.18 ,$19.06 , N/A ,$19.06 , N/A ,$21.18 ,$11.88 , N/A ,$8.77 , N/A , N/A , N/A ,$19.06 , N/A ,$11.73 ,$5.93 ,$19.06 , N/A ,$19.06 ,$19.06 , N/A ,$13.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205445,N/A,HC CLOT BUSTER INSTRUMENT CLEANER,272,1 ,$16.76 ,$12.07 ,$4.69 ,$16.76 , N/A ,$12.49 ,$10.98 , N/A ,$4.69 ,$10.31 , N/A ,$10.31 , N/A ,$9.29 ,$9.29 , N/A ,$9.29 , N/A ,$15.08 ,$13.91 , N/A , N/A ,$14.75 , N/A ,$12.57 ,$12.57 ,$14.25 ,$14.25 , N/A ,$14.25 , N/A ,$13.58 ,$13.58 ,$13.58 ,$16.76 ,$15.08 , N/A ,$15.08 , N/A ,$16.76 ,$9.40 , N/A ,$6.94 , N/A , N/A , N/A ,$15.08 , N/A ,$9.29 ,$4.69 ,$15.08 , N/A ,$15.08 ,$15.08 , N/A ,$10.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205464,N/A,HC PACEMAKER PACK,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205491,N/A,HC ESOPHAGEAL TUBE,272,1 ,"$1,214.85 ",$874.69 ,$340.16 ,"$1,214.85 ", N/A ,$905.06 ,$795.73 , N/A ,$340.16 ,$747.13 , N/A ,$747.13 , N/A ,$673.03 ,$673.03 , N/A ,$673.03 , N/A ,"$1,093.37 ","$1,008.33 ", N/A , N/A ,"$1,069.07 ", N/A ,$911.14 ,$911.14 ,"$1,032.62 ","$1,032.62 ", N/A ,"$1,032.62 ", N/A ,$984.03 ,$984.03 ,$984.03 ,"$1,214.85 ","$1,093.37 ", N/A ,"$1,093.37 ", N/A ,"$1,214.85 ",$681.53 , N/A ,$502.95 , N/A , N/A , N/A ,"$1,093.37 ", N/A ,$673.03 ,$340.16 ,"$1,093.37 ", N/A ,"$1,093.37 ","$1,093.37 ", N/A ,$789.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205498,N/A,HC MICROBIOLOGY QUICK TEST KIT,272,1 ,$806.25 ,$580.50 ,$225.75 ,$806.25 , N/A ,$600.66 ,$528.09 , N/A ,$225.75 ,$495.84 , N/A ,$495.84 , N/A ,$446.66 ,$446.66 , N/A ,$446.66 , N/A ,$725.63 ,$669.19 , N/A , N/A ,$709.50 , N/A ,$604.69 ,$604.69 ,$685.31 ,$685.31 , N/A ,$685.31 , N/A ,$653.06 ,$653.06 ,$653.06 ,$806.25 ,$725.63 , N/A ,$725.63 , N/A ,$806.25 ,$452.31 , N/A ,$333.79 , N/A , N/A , N/A ,$725.63 , N/A ,$446.66 ,$225.75 ,$725.63 , N/A ,$725.63 ,$725.63 , N/A ,$524.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27206781,N/A,HC MARKER BREAST MAMMOTOME TITANIUM,272,1 ,$243.60 ,$175.39 ,$68.21 ,$243.60 , N/A ,$181.48 ,$159.56 , N/A ,$68.21 ,$149.81 , N/A ,$149.81 , N/A ,$134.95 ,$134.95 , N/A ,$134.95 , N/A ,$219.24 ,$202.19 , N/A , N/A ,$214.37 , N/A ,$182.70 ,$182.70 ,$207.06 ,$207.06 , N/A ,$207.06 , N/A ,$197.32 ,$197.32 ,$197.32 ,$243.60 ,$219.24 , N/A ,$219.24 , N/A ,$243.60 ,$136.66 , N/A ,$100.85 , N/A , N/A , N/A ,$219.24 , N/A ,$134.95 ,$68.21 ,$219.24 , N/A ,$219.24 ,$219.24 , N/A ,$158.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAG DRAINAGE 19OZ BARD DISPOZ-A-BAG FLIP-FLO ANTIREFLUX CHAMBER STRAP LEAK RESISTANT EXTENSION TUBE LEG STERILE LATEX FREE VINYL FABRIC 18IN DISPOSABLE,272,1 ,$15.00 ,$10.80 ,$4.20 ,$15.00 , N/A ,$11.18 ,$9.83 , N/A ,$4.20 ,$9.23 , N/A ,$9.23 , N/A ,$8.31 ,$8.31 , N/A ,$8.31 , N/A ,$13.50 ,$12.45 , N/A , N/A ,$13.20 , N/A ,$11.25 ,$11.25 ,$12.75 ,$12.75 , N/A ,$12.75 , N/A ,$12.15 ,$12.15 ,$12.15 ,$15.00 ,$13.50 , N/A ,$13.50 , N/A ,$15.00 ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$13.50 , N/A ,$8.31 ,$4.20 ,$13.50 , N/A ,$13.50 ,$13.50 , N/A ,$9.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BALLOON CRE DILATION 12-13.5-15MM,272,1 ,$598.20 ,$430.70 ,$167.50 ,$598.20 , N/A ,$445.66 ,$391.82 , N/A ,$167.50 ,$367.89 , N/A ,$367.89 , N/A ,$331.40 ,$331.40 , N/A ,$331.40 , N/A ,$538.38 ,$496.51 , N/A , N/A ,$526.42 , N/A ,$448.65 ,$448.65 ,$508.47 ,$508.47 , N/A ,$508.47 , N/A ,$484.54 ,$484.54 ,$484.54 ,$598.20 ,$538.38 , N/A ,$538.38 , N/A ,$598.20 ,$335.59 , N/A ,$247.65 , N/A , N/A , N/A ,$538.38 , N/A ,$331.40 ,$167.50 ,$538.38 , N/A ,$538.38 ,$538.38 , N/A ,$388.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE CHISEL 5INX10MM FLEXIBLE LATEX FREE,272,1 ,$849.00 ,$611.28 ,$237.72 ,$849.00 , N/A ,$632.51 ,$556.10 , N/A ,$237.72 ,$522.14 , N/A ,$522.14 , N/A ,$470.35 ,$470.35 , N/A ,$470.35 , N/A ,$764.10 ,$704.67 , N/A , N/A ,$747.12 , N/A ,$636.75 ,$636.75 ,$721.65 ,$721.65 , N/A ,$721.65 , N/A ,$687.69 ,$687.69 ,$687.69 ,$849.00 ,$764.10 , N/A ,$764.10 , N/A ,$849.00 ,$476.29 , N/A ,$351.49 , N/A , N/A , N/A ,$764.10 , N/A ,$470.35 ,$237.72 ,$764.10 , N/A ,$764.10 ,$764.10 , N/A ,$551.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE CHISEL 2.5INX8MM FLEXIBLE,272,1 ,$849.00 ,$611.28 ,$237.72 ,$849.00 , N/A ,$632.51 ,$556.10 , N/A ,$237.72 ,$522.14 , N/A ,$522.14 , N/A ,$470.35 ,$470.35 , N/A ,$470.35 , N/A ,$764.10 ,$704.67 , N/A , N/A ,$747.12 , N/A ,$636.75 ,$636.75 ,$721.65 ,$721.65 , N/A ,$721.65 , N/A ,$687.69 ,$687.69 ,$687.69 ,$849.00 ,$764.10 , N/A ,$764.10 , N/A ,$849.00 ,$476.29 , N/A ,$351.49 , N/A , N/A , N/A ,$764.10 , N/A ,$470.35 ,$237.72 ,$764.10 , N/A ,$764.10 ,$764.10 , N/A ,$551.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE MICRO UP CUT 10.5CM 6.3MM SHANK SATIN FINISH STAINLESS STEEL SURGICAL STERILE DISPOSABLE,272,1 ,$55.41 ,$39.90 ,$15.51 ,$55.41 , N/A ,$41.28 ,$36.29 , N/A ,$15.51 ,$34.08 , N/A ,$34.08 , N/A ,$30.70 ,$30.70 , N/A ,$30.70 , N/A ,$49.87 ,$45.99 , N/A , N/A ,$48.76 , N/A ,$41.56 ,$41.56 ,$47.10 ,$47.10 , N/A ,$47.10 , N/A ,$44.88 ,$44.88 ,$44.88 ,$55.41 ,$49.87 , N/A ,$49.87 , N/A ,$55.41 ,$31.09 , N/A ,$22.94 , N/A , N/A , N/A ,$49.87 , N/A ,$30.70 ,$15.51 ,$49.87 , N/A ,$49.87 ,$49.87 , N/A ,$36.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANISTER WOUND DRAINAGE INFOVAC GEL TUBE CLAMP CONNECTOR 500ML VAC ULTA,272,1 ,$100.62 ,$72.45 ,$28.17 ,$100.62 , N/A ,$74.96 ,$65.91 , N/A ,$28.17 ,$61.88 , N/A ,$61.88 , N/A ,$55.74 ,$55.74 , N/A ,$55.74 , N/A ,$90.56 ,$83.51 , N/A , N/A ,$88.55 , N/A ,$75.47 ,$75.47 ,$85.53 ,$85.53 , N/A ,$85.53 , N/A ,$81.50 ,$81.50 ,$81.50 ,$100.62 ,$90.56 , N/A ,$90.56 , N/A ,$100.62 ,$56.45 , N/A ,$41.66 , N/A , N/A , N/A ,$90.56 , N/A ,$55.74 ,$28.17 ,$90.56 , N/A ,$90.56 ,$90.56 , N/A ,$65.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUT LIGASURE HANDPIECE SHORT IMPACT,272,1 ,"$1,185.00 ",$853.20 ,$331.80 ,"$1,185.00 ", N/A ,$882.83 ,$776.18 , N/A ,$331.80 ,$728.78 , N/A ,$728.78 , N/A ,$656.49 ,$656.49 , N/A ,$656.49 , N/A ,"$1,066.50 ",$983.55 , N/A , N/A ,"$1,042.80 ", N/A ,$888.75 ,$888.75 ,"$1,007.25 ","$1,007.25 ", N/A ,"$1,007.25 ", N/A ,$959.85 ,$959.85 ,$959.85 ,"$1,185.00 ","$1,066.50 ", N/A ,"$1,066.50 ", N/A ,"$1,185.00 ",$664.79 , N/A ,$490.59 , N/A , N/A , N/A ,"$1,066.50 ", N/A ,$656.49 ,$331.80 ,"$1,066.50 ", N/A ,"$1,066.50 ","$1,066.50 ", N/A ,$770.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,COVER PROBE PULL UP 48X5IN SET OPEN END STERILE LATEX FREE,272,1 ,$23.13 ,$16.65 ,$6.48 ,$23.13 , N/A ,$17.23 ,$15.15 , N/A ,$6.48 ,$14.23 , N/A ,$14.23 , N/A ,$12.81 ,$12.81 , N/A ,$12.81 , N/A ,$20.82 ,$19.20 , N/A , N/A ,$20.35 , N/A ,$17.35 ,$17.35 ,$19.66 ,$19.66 , N/A ,$19.66 , N/A ,$18.74 ,$18.74 ,$18.74 ,$23.13 ,$20.82 , N/A ,$20.82 , N/A ,$23.13 ,$12.98 , N/A ,$9.58 , N/A , N/A , N/A ,$20.82 , N/A ,$12.81 ,$6.48 ,$20.82 , N/A ,$20.82 ,$20.82 , N/A ,$15.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET 18 X 4.5IN,272,1 ,$48.60 ,$34.99 ,$13.61 ,$48.60 , N/A ,$36.21 ,$31.83 , N/A ,$13.61 ,$29.89 , N/A ,$29.89 , N/A ,$26.92 ,$26.92 , N/A ,$26.92 , N/A ,$43.74 ,$40.34 , N/A , N/A ,$42.77 , N/A ,$36.45 ,$36.45 ,$41.31 ,$41.31 , N/A ,$41.31 , N/A ,$39.37 ,$39.37 ,$39.37 ,$48.60 ,$43.74 , N/A ,$43.74 , N/A ,$48.60 ,$27.26 , N/A ,$20.12 , N/A , N/A , N/A ,$43.74 , N/A ,$26.92 ,$13.61 ,$43.74 , N/A ,$43.74 ,$43.74 , N/A ,$31.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE PESSARY COLPASSIST VAGINAL 2 END POSITION FLAT SUTURE SURFACE MULTIDIRECTION MANIPULATION,272,1 ,"$1,100.00 ",$792.00 ,$308.00 ,"$1,100.00 ", N/A ,$819.50 ,$720.50 , N/A ,$308.00 ,$676.50 , N/A ,$676.50 , N/A ,$609.40 ,$609.40 , N/A ,$609.40 , N/A ,$990.00 ,$913.00 , N/A , N/A ,$968.00 , N/A ,$825.00 ,$825.00 ,$935.00 ,$935.00 , N/A ,$935.00 , N/A ,$891.00 ,$891.00 ,$891.00 ,"$1,100.00 ",$990.00 , N/A ,$990.00 , N/A ,"$1,100.00 ",$617.10 , N/A ,$455.40 , N/A , N/A , N/A ,$990.00 , N/A ,$609.40 ,$308.00 ,$990.00 , N/A ,$990.00 ,$990.00 , N/A ,$715.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE VACUUM EXTRACTION KIWI PROCUP RIGID STEM SOFT FLEXIBLE CUP LOW OCCIPUT ANTERIOR DISPOSABLE,272,1 ,$73.07 ,$52.61 ,$20.46 ,$73.07 , N/A ,$54.44 ,$47.86 , N/A ,$20.46 ,$44.94 , N/A ,$44.94 , N/A ,$40.48 ,$40.48 , N/A ,$40.48 , N/A ,$65.76 ,$60.65 , N/A , N/A ,$64.30 , N/A ,$54.80 ,$54.80 ,$62.11 ,$62.11 , N/A ,$62.11 , N/A ,$59.19 ,$59.19 ,$59.19 ,$73.07 ,$65.76 , N/A ,$65.76 , N/A ,$73.07 ,$40.99 , N/A ,$30.25 , N/A , N/A , N/A ,$65.76 , N/A ,$40.48 ,$20.46 ,$65.76 , N/A ,$65.76 ,$65.76 , N/A ,$47.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING TEGADERM ABSORBENT 8INX7 7/8IN,272,1 ,$28.14 ,$20.26 ,$7.88 ,$28.14 , N/A ,$20.96 ,$18.43 , N/A ,$7.88 ,$17.31 , N/A ,$17.31 , N/A ,$15.59 ,$15.59 , N/A ,$15.59 , N/A ,$25.33 ,$23.36 , N/A , N/A ,$24.76 , N/A ,$21.11 ,$21.11 ,$23.92 ,$23.92 , N/A ,$23.92 , N/A ,$22.79 ,$22.79 ,$22.79 ,$28.14 ,$25.33 , N/A ,$25.33 , N/A ,$28.14 ,$15.79 , N/A ,$11.65 , N/A , N/A , N/A ,$25.33 , N/A ,$15.59 ,$7.88 ,$25.33 , N/A ,$25.33 ,$25.33 , N/A ,$18.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING VAC GRANUFOAM LARGE 26X15CM,272,1 ,$130.02 ,$93.61 ,$36.41 ,$130.02 , N/A ,$96.86 ,$85.16 , N/A ,$36.41 ,$79.96 , N/A ,$79.96 , N/A ,$72.03 ,$72.03 , N/A ,$72.03 , N/A ,$117.02 ,$107.92 , N/A , N/A ,$114.42 , N/A ,$97.52 ,$97.52 ,$110.52 ,$110.52 , N/A ,$110.52 , N/A ,$105.32 ,$105.32 ,$105.32 ,$130.02 ,$117.02 , N/A ,$117.02 , N/A ,$130.02 ,$72.94 , N/A ,$53.83 , N/A , N/A , N/A ,$117.02 , N/A ,$72.03 ,$36.41 ,$117.02 , N/A ,$117.02 ,$117.02 , N/A ,$84.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT RICHARDS 7/64 (2.7),272,1 ,$236.64 ,$170.38 ,$66.26 ,$236.64 , N/A ,$176.30 ,$155.00 , N/A ,$66.26 ,$145.53 , N/A ,$145.53 , N/A ,$131.10 ,$131.10 , N/A ,$131.10 , N/A ,$212.98 ,$196.41 , N/A , N/A ,$208.24 , N/A ,$177.48 ,$177.48 ,$201.14 ,$201.14 , N/A ,$201.14 , N/A ,$191.68 ,$191.68 ,$191.68 ,$236.64 ,$212.98 , N/A ,$212.98 , N/A ,$236.64 ,$132.76 , N/A ,$97.97 , N/A , N/A , N/A ,$212.98 , N/A ,$131.10 ,$66.26 ,$212.98 , N/A ,$212.98 ,$212.98 , N/A ,$153.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ENDOSCOPIC INSTRUMENT 1.35-1.6MM DRILL GUIDE GUIDEWIRE DISPOSABLE FIBERTAK DX SUTURE ANCHOR,272,1 ,"$1,179.00 ",$848.88 ,$330.12 ,"$1,179.00 ", N/A ,$878.36 ,$772.25 , N/A ,$330.12 ,$725.09 , N/A ,$725.09 , N/A ,$653.17 ,$653.17 , N/A ,$653.17 , N/A ,"$1,061.10 ",$978.57 , N/A , N/A ,"$1,037.52 ", N/A ,$884.25 ,$884.25 ,"$1,002.15 ","$1,002.15 ", N/A ,"$1,002.15 ", N/A ,$954.99 ,$954.99 ,$954.99 ,"$1,179.00 ","$1,061.10 ", N/A ,"$1,061.10 ", N/A ,"$1,179.00 ",$661.42 , N/A ,$488.11 , N/A , N/A , N/A ,"$1,061.10 ", N/A ,$653.17 ,$330.12 ,"$1,061.10 ", N/A ,"$1,061.10 ","$1,061.10 ", N/A ,$766.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEUROSTIMULATOR 28CM INTERSTIM SURESCAN MRI LEAD KIT 2.16MM SPACING,272,1 ,"$13,662.00 ","$9,836.64 ","$3,825.36 ","$13,662.00 ", N/A ,"$10,178.19 ","$8,948.61 ", N/A ,"$3,825.36 ","$8,402.13 ", N/A ,"$8,402.13 ", N/A ,"$7,568.75 ","$7,568.75 ", N/A ,"$7,568.75 ", N/A ,"$12,295.80 ","$11,339.46 ", N/A , N/A ,"$12,022.56 ", N/A ,"$10,246.50 ","$10,246.50 ","$11,612.70 ","$11,612.70 ", N/A ,"$11,612.70 ", N/A ,"$11,066.22 ","$11,066.22 ","$11,066.22 ","$13,662.00 ","$12,295.80 ", N/A ,"$12,295.80 ", N/A ,"$13,662.00 ","$7,664.38 ", N/A ,"$5,656.07 ", N/A , N/A , N/A ,"$12,295.80 ", N/A ,"$7,568.75 ","$3,825.36 ","$12,295.80 ", N/A ,"$12,295.80 ","$12,295.80 ", N/A ,"$8,880.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SURGICAL .018IN STANDARD MERIT MAK GUIDEWIRE NEEDLE MINI ACCESS 40CM 10CM 5FR 21GA NITINOL PLATINUM,272,1 ,$69.75 ,$50.22 ,$19.53 ,$69.75 , N/A ,$51.96 ,$45.69 , N/A ,$19.53 ,$42.90 , N/A ,$42.90 , N/A ,$38.64 ,$38.64 , N/A ,$38.64 , N/A ,$62.78 ,$57.89 , N/A , N/A ,$61.38 , N/A ,$52.31 ,$52.31 ,$59.29 ,$59.29 , N/A ,$59.29 , N/A ,$56.50 ,$56.50 ,$56.50 ,$69.75 ,$62.78 , N/A ,$62.78 , N/A ,$69.75 ,$39.13 , N/A ,$28.88 , N/A , N/A , N/A ,$62.78 , N/A ,$38.64 ,$19.53 ,$62.78 , N/A ,$62.78 ,$62.78 , N/A ,$45.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT VANTAGE CATARACT,272,1 ,$865.20 ,$622.94 ,$242.26 ,$865.20 , N/A ,$644.57 ,$566.71 , N/A ,$242.26 ,$532.10 , N/A ,$532.10 , N/A ,$479.32 ,$479.32 , N/A ,$479.32 , N/A ,$778.68 ,$718.12 , N/A , N/A ,$761.38 , N/A ,$648.90 ,$648.90 ,$735.42 ,$735.42 , N/A ,$735.42 , N/A ,$700.81 ,$700.81 ,$700.81 ,$865.20 ,$778.68 , N/A ,$778.68 , N/A ,$865.20 ,$485.38 , N/A ,$358.19 , N/A , N/A , N/A ,$778.68 , N/A ,$479.32 ,$242.26 ,$778.68 , N/A ,$778.68 ,$778.68 , N/A ,$562.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle BOTOX 23GA,272,1 ,$211.50 ,$152.28 ,$59.22 ,$211.50 , N/A ,$157.57 ,$138.53 , N/A ,$59.22 ,$130.07 , N/A ,$130.07 , N/A ,$117.17 ,$117.17 , N/A ,$117.17 , N/A ,$190.35 ,$175.55 , N/A , N/A ,$186.12 , N/A ,$158.63 ,$158.63 ,$179.78 ,$179.78 , N/A ,$179.78 , N/A ,$171.32 ,$171.32 ,$171.32 ,$211.50 ,$190.35 , N/A ,$190.35 , N/A ,$211.50 ,$118.65 , N/A ,$87.56 , N/A , N/A , N/A ,$190.35 , N/A ,$117.17 ,$59.22 ,$190.35 , N/A ,$190.35 ,$190.35 , N/A ,$137.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE HYPO FLEXIBLE 22GA 70CM,272,1 ,$138.00 ,$99.36 ,$38.64 ,$138.00 , N/A ,$102.81 ,$90.39 , N/A ,$38.64 ,$84.87 , N/A ,$84.87 , N/A ,$76.45 ,$76.45 , N/A ,$76.45 , N/A ,$124.20 ,$114.54 , N/A , N/A ,$121.44 , N/A ,$103.50 ,$103.50 ,$117.30 ,$117.30 , N/A ,$117.30 , N/A ,$111.78 ,$111.78 ,$111.78 ,$138.00 ,$124.20 , N/A ,$124.20 , N/A ,$138.00 ,$77.42 , N/A ,$57.13 , N/A , N/A , N/A ,$124.20 , N/A ,$76.45 ,$38.64 ,$124.20 , N/A ,$124.20 ,$124.20 , N/A ,$89.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE HYPO LOC 5CM 20GA KPN BVL TI,272,1 ,$83.34 ,$60.00 ,$23.34 ,$83.34 , N/A ,$62.09 ,$54.59 , N/A ,$23.34 ,$51.25 , N/A ,$51.25 , N/A ,$46.17 ,$46.17 , N/A ,$46.17 , N/A ,$75.01 ,$69.17 , N/A , N/A ,$73.34 , N/A ,$62.51 ,$62.51 ,$70.84 ,$70.84 , N/A ,$70.84 , N/A ,$67.51 ,$67.51 ,$67.51 ,$83.34 ,$75.01 , N/A ,$75.01 , N/A ,$83.34 ,$46.75 , N/A ,$34.50 , N/A , N/A , N/A ,$75.01 , N/A ,$46.17 ,$23.34 ,$75.01 , N/A ,$75.01 ,$75.01 , N/A ,$54.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEUROSTIMULATOR IMPLANTABLE 54MMX54MM RESTORESENSOR SURESCAN ADAPTIVESTIM MRI RECHARGEABLE BATTERY 45GM,272,1 ,"$39,750.00 ","$28,620.00 ","$11,130.00 ","$39,750.00 ", N/A ,"$29,613.75 ","$26,036.25 ", N/A ,"$11,130.00 ","$24,446.25 ", N/A ,"$24,446.25 ", N/A ,"$22,021.50 ","$22,021.50 ", N/A ,"$22,021.50 ", N/A ,"$35,775.00 ","$32,992.50 ", N/A , N/A ,"$34,980.00 ", N/A ,"$29,812.50 ","$29,812.50 ","$33,787.50 ","$33,787.50 ", N/A ,"$33,787.50 ", N/A ,"$32,197.50 ","$32,197.50 ","$32,197.50 ","$39,750.00 ","$35,775.00 ", N/A ,"$35,775.00 ", N/A ,"$39,750.00 ","$22,299.75 ", N/A ,"$16,456.50 ", N/A , N/A , N/A ,"$35,775.00 ", N/A ,"$22,021.50 ","$11,130.00 ","$35,775.00 ", N/A ,"$35,775.00 ","$35,775.00 ", N/A ,"$25,837.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PORT HAND ACCESS 8MM 120MM AIRSEAL BLADELESS,272,1 ,$231.96 ,$167.01 ,$64.95 ,$231.96 , N/A ,$172.81 ,$151.93 , N/A ,$64.95 ,$142.66 , N/A ,$142.66 , N/A ,$128.51 ,$128.51 , N/A ,$128.51 , N/A ,$208.76 ,$192.53 , N/A , N/A ,$204.12 , N/A ,$173.97 ,$173.97 ,$197.17 ,$197.17 , N/A ,$197.17 , N/A ,$187.89 ,$187.89 ,$187.89 ,$231.96 ,$208.76 , N/A ,$208.76 , N/A ,$231.96 ,$130.13 , N/A ,$96.03 , N/A , N/A , N/A ,$208.76 , N/A ,$128.51 ,$64.95 ,$208.76 , N/A ,$208.76 ,$208.76 , N/A ,$150.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR EYE TRANSCORNEAL IRIS,272,1 ,$242.24 ,$174.41 ,$67.83 ,$242.24 , N/A ,$180.47 ,$158.67 , N/A ,$67.83 ,$148.98 , N/A ,$148.98 , N/A ,$134.20 ,$134.20 , N/A ,$134.20 , N/A ,$218.02 ,$201.06 , N/A , N/A ,$213.17 , N/A ,$181.68 ,$181.68 ,$205.90 ,$205.90 , N/A ,$205.90 , N/A ,$196.21 ,$196.21 ,$196.21 ,$242.24 ,$218.02 , N/A ,$218.02 , N/A ,$242.24 ,$135.90 , N/A ,$100.29 , N/A , N/A , N/A ,$218.02 , N/A ,$134.20 ,$67.83 ,$218.02 , N/A ,$218.02 ,$218.02 , N/A ,$157.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET DILATOR SHEATH COAXIAL BOSTON SCIENTIFIC,272,1 ,$101.04 ,$72.75 ,$28.29 ,$101.04 , N/A ,$75.27 ,$66.18 , N/A ,$28.29 ,$62.14 , N/A ,$62.14 , N/A ,$55.98 ,$55.98 , N/A ,$55.98 , N/A ,$90.94 ,$83.86 , N/A , N/A ,$88.92 , N/A ,$75.78 ,$75.78 ,$85.88 ,$85.88 , N/A ,$85.88 , N/A ,$81.84 ,$81.84 ,$81.84 ,$101.04 ,$90.94 , N/A ,$90.94 , N/A ,$101.04 ,$56.68 , N/A ,$41.83 , N/A , N/A , N/A ,$90.94 , N/A ,$55.98 ,$28.29 ,$90.94 , N/A ,$90.94 ,$90.94 , N/A ,$65.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TUBING AQUILEX FLUID CONTROL INFLOW,272,1 ,$250.32 ,$180.23 ,$70.09 ,$250.32 , N/A ,$186.49 ,$163.96 , N/A ,$70.09 ,$153.95 , N/A ,$153.95 , N/A ,$138.68 ,$138.68 , N/A ,$138.68 , N/A ,$225.29 ,$207.77 , N/A , N/A ,$220.28 , N/A ,$187.74 ,$187.74 ,$212.77 ,$212.77 , N/A ,$212.77 , N/A ,$202.76 ,$202.76 ,$202.76 ,$250.32 ,$225.29 , N/A ,$225.29 , N/A ,$250.32 ,$140.43 , N/A ,$103.63 , N/A , N/A , N/A ,$225.29 , N/A ,$138.68 ,$70.09 ,$225.29 , N/A ,$225.29 ,$225.29 , N/A ,$162.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TUBING AQUILEX FLUID CONTROL OUTFLOW SUCTION,272,1 ,$45.60 ,$32.83 ,$12.77 ,$45.60 , N/A ,$33.97 ,$29.87 , N/A ,$12.77 ,$28.04 , N/A ,$28.04 , N/A ,$25.26 ,$25.26 , N/A ,$25.26 , N/A ,$41.04 ,$37.85 , N/A , N/A ,$40.13 , N/A ,$34.20 ,$34.20 ,$38.76 ,$38.76 , N/A ,$38.76 , N/A ,$36.94 ,$36.94 ,$36.94 ,$45.60 ,$41.04 , N/A ,$41.04 , N/A ,$45.60 ,$25.58 , N/A ,$18.88 , N/A , N/A , N/A ,$41.04 , N/A ,$25.26 ,$12.77 ,$41.04 , N/A ,$41.04 ,$41.04 , N/A ,$29.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TUBING HOOK TRANSFILTRATION,272,1 ,$33.66 ,$24.24 ,$9.42 ,$33.66 , N/A ,$25.08 ,$22.05 , N/A ,$9.42 ,$20.70 , N/A ,$20.70 , N/A ,$18.65 ,$18.65 , N/A ,$18.65 , N/A ,$30.29 ,$27.94 , N/A , N/A ,$29.62 , N/A ,$25.25 ,$25.25 ,$28.61 ,$28.61 , N/A ,$28.61 , N/A ,$27.26 ,$27.26 ,$27.26 ,$33.66 ,$30.29 , N/A ,$30.29 , N/A ,$33.66 ,$18.88 , N/A ,$13.94 , N/A , N/A , N/A ,$30.29 , N/A ,$18.65 ,$9.42 ,$30.29 , N/A ,$30.29 ,$30.29 , N/A ,$21.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SIZER MENTOR STERILE SALINE 600ML,272,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 , N/A ,$89.40 ,$78.60 , N/A ,$33.60 ,$73.80 , N/A ,$73.80 , N/A ,$66.48 ,$66.48 , N/A ,$66.48 , N/A ,$108.00 ,$99.60 , N/A , N/A ,$105.60 , N/A ,$90.00 ,$90.00 ,$102.00 ,$102.00 , N/A ,$102.00 , N/A ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 , N/A ,$108.00 , N/A ,$120.00 ,$67.32 , N/A ,$49.68 , N/A , N/A , N/A ,$108.00 , N/A ,$66.48 ,$33.60 ,$108.00 , N/A ,$108.00 ,$108.00 , N/A ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLING ULTRASLING II XLG,272,1 ,$108.57 ,$78.17 ,$30.40 ,$108.57 , N/A ,$80.88 ,$71.11 , N/A ,$30.40 ,$66.77 , N/A ,$66.77 , N/A ,$60.15 ,$60.15 , N/A ,$60.15 , N/A ,$97.71 ,$90.11 , N/A , N/A ,$95.54 , N/A ,$81.43 ,$81.43 ,$92.28 ,$92.28 , N/A ,$92.28 , N/A ,$87.94 ,$87.94 ,$87.94 ,$108.57 ,$97.71 , N/A ,$97.71 , N/A ,$108.57 ,$60.91 , N/A ,$44.95 , N/A , N/A , N/A ,$97.71 , N/A ,$60.15 ,$30.40 ,$97.71 , N/A ,$97.71 ,$97.71 , N/A ,$70.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SNARE MED OVAL FLEX 27MM,272,1 ,$49.68 ,$35.77 ,$13.91 ,$49.68 , N/A ,$37.01 ,$32.54 , N/A ,$13.91 ,$30.55 , N/A ,$30.55 , N/A ,$27.52 ,$27.52 , N/A ,$27.52 , N/A ,$44.71 ,$41.23 , N/A , N/A ,$43.72 , N/A ,$37.26 ,$37.26 ,$42.23 ,$42.23 , N/A ,$42.23 , N/A ,$40.24 ,$40.24 ,$40.24 ,$49.68 ,$44.71 , N/A ,$44.71 , N/A ,$49.68 ,$27.87 , N/A ,$20.57 , N/A , N/A , N/A ,$44.71 , N/A ,$27.52 ,$13.91 ,$44.71 , N/A ,$44.71 ,$44.71 , N/A ,$32.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPACER PROSTATE SPACEOAR RECTUM ANTERIOR HYDROGEL RADIOTHERAPHY STERILE LATEX FREE DISPOSABLE,272,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER KIT WRIST FIXATOR 15 X 200,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ACCESSORY AMS 800,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEARS ELECTROSURGICAL 18CM 8.5MM HARMONIC WAVE STRAIGHT STERILE,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RECHARGER NEUROSTIMULATOR 30X36MM RESTORE SPINE SENSOR,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RECHARGER NEUROSTIMULATOR RESTORE EXTERNAL PATENT,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEUROSTIMULATOR 60CM OCTRODE TRIAL LEAD STERILE LATEX FREE,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,URETEROSCOPE FLEXIBLE 9.5FR 7.7FR 3.6FR LITHOVUE STANDARD INTEGRATE CAMERA HEAD MOBILE CART LASER LITHOTRIPSY DISPOSABLE,272,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER PURSESTRING 65  020242,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED 3MM AC REPAIR,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED STOP GLENOID BIGLIANI/FLATOW TRABECULAR METAL 6MM STERILE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL BLADE SPATULA 4MM PLASMABLADE 4 PEAK STERILE DISPOSABLE PINK CAUTERY HIGH INSULATE BEND SHAFT LATEX FREE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EXTRACTOR STONE 115CM 2.2FR 11MM MULTIWIRE BASKET KINK RESISTANT NGAGE KIDNEY URETER NITINOL STERILE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA 365UM,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA 365UM FLEXSHIELD HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE PIN ORTHOPEDIC 2.7MM VERSITOMIC FLEXIBLE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDLE ENDOSCOPIC GUIDEWIRE STAINLESS STEEL ASSEMBLY,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTR LG LAPAROSCOPIC FORCEPS MARYLAND BIPOLAR 8MM XI4000,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC BIPOLAR ENERGY CORD BLUE  XI4000,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC FORCEPS FENESTRATED BIPOLAR 8MM XI4000,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC MONOPOLAR ENERGY CORD GREEN XI4000,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IRRIGATOR SUCTION 8MM ENDOWRIST,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARTHROSCOPIC FIXATION FAST-FIX CURVE MENISCAL REPAIR SYSTEM STERILE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BONE CEMENT VERTECEM II POWDER MONOMER GLASS AMPOULE STERILE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER CURVED CUTTER 3.0MM X 3.5MM CS40B,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER CURVED CUTTER 3.0MM X 4.7MM CS40G,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ECHELON POWERED FLEX 35MM X 35MM,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ECHELON POWERED FLEX 45MM X 34MM,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ENDO LINEAR CUTTER 45MM ARTICULATING STANDARD,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER INT 45MM LINR CTR ARTC,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASER FIBER HOLMIUM LIGHTGUIDE SERIES 600M,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3MM DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 5MM CANNULATED TWIST AO,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 6.5MM STARTER,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL FEMUR PEG STOP,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL GREEN 330MM 4.2MM 3 FLUTE TIBIAL QUICK COUPLING CALIBRATED 100MM STERILE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL SMALL HAND,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPIC 25MM PATELLA DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPIC REAMING 29MM PATELLA DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPIC REAMING 33MM PATELLA DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPIC REAMING 36MM PATELLA DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 52MM 1MM 51MM CURVE ROUND FLUTE STAINLESS STEEL,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUT LIGASURE HANDPIECE 5MM-37CM BLUNT TIP,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES OPEN 4.0/2.5,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES OPEN 4.0/4.0,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER ARTHROSCOPIC 32MM PATELLA,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER PATELLAR 38MM,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER PATELLAR 46MM,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SURGICAL 28MM 28MM PATELLA,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SURGICAL 30MM KNEE PATELLA,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SURGICAL 31MM KNEE PATELLA,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SURGICAL 42MM KNEE PATELLA,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER WIRE 4.5IN OBWEGESER,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER INTEGRA,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 26MM PATELLA DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 27MM RECESSED PATELLA 27MM DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR BENNETT LARGE SURGICAL 64MM NONSTERILE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROD SYNTHES EX FIX LG FIXATOR 4/6MM,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCREWDRIVER CANNULATED 7IN SURGICAL,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 13CM 4MM TRICUT M4 ROTATE,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT MEDTRONIC,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OPEN FORCEPS GYRUS PKS,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE FEEDING MOSS-NASAL,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE PLATELET RICH PLASMA 5ML REGENKIT AUTOLOGOUS NEEDLE COLLECTION HOLDER SYRINGE BLOOD COLLECTION BUTTERFLY,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ABSORBABLE STRATAFIX 3-0 SH-1 L22 CM VIOLET,272,1 ,$39.95 ,$28.76 ,$11.19 ,$39.95 , N/A ,$29.76 ,$26.17 , N/A ,$11.19 ,$24.57 , N/A ,$24.57 , N/A ,$22.13 ,$22.13 , N/A ,$22.13 , N/A ,$35.96 ,$33.16 , N/A , N/A ,$35.16 , N/A ,$29.96 ,$29.96 ,$33.96 ,$33.96 , N/A ,$33.96 , N/A ,$32.36 ,$32.36 ,$32.36 ,$39.95 ,$35.96 , N/A ,$35.96 , N/A ,$39.95 ,$22.41 , N/A ,$16.54 , N/A , N/A , N/A ,$35.96 , N/A ,$22.13 ,$11.19 ,$35.96 , N/A ,$35.96 ,$35.96 , N/A ,$25.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 2 LR 3-20 3-846T,272,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A ,$22.50 ,$22.50 , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 CT-1 CR 27 JJ41G,272,1 ,$26.70 ,$19.22 ,$7.48 ,$26.70 , N/A ,$19.89 ,$17.49 , N/A ,$7.48 ,$16.42 , N/A ,$16.42 , N/A ,$14.79 ,$14.79 , N/A ,$14.79 , N/A ,$24.03 ,$22.16 , N/A , N/A ,$23.50 , N/A ,$20.03 ,$20.03 ,$22.70 ,$22.70 , N/A ,$22.70 , N/A ,$21.63 ,$21.63 ,$21.63 ,$26.70 ,$24.03 , N/A ,$24.03 , N/A ,$26.70 ,$14.98 , N/A ,$11.05 , N/A , N/A , N/A ,$24.03 , N/A ,$14.79 ,$7.48 ,$24.03 , N/A ,$24.03 ,$24.03 , N/A ,$17.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYRINGE TISSEEL BAXTER  4ML,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE SUTURING RETENTION GUARD L3 IN X W1 IN SKIN PROTECT P,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE TARGET RADIOLUCENT,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL 10GA 360D SPINE ACCESS 1-3ML STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL 2.9 MM SHORT PUSHLOCK DISPOSABLE KIT,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL ICONIX 1.4MM STERILE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRIVER EXTENDED LIVES LARGE NEEDLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SPECIMEN RETRIEVAL 120CM 3FR HOOK PRONG GRASP EXTRA STRENGTH TRICEP POLYAMIDE STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SPECIMEN RETRIEVAL 90CM 3FR TRICEP POLYAMIDE HOOK PRONG GRASP EXTRA STRENGTH STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SPECIMEN RETRIEVAL 90CM 3FR TRICEP POLYIMIDE HOOK PRONG GRASP NONRETRACT STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HEMOSTAT SURGICEL POWDER 3g,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARTHROSCOPIC FIXATION BIO-SUTURETAK MICRO DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BIOPSY 12CM 11GA AVAMAX STANDARD UNIVERSAL HANDLE STYLET PROBE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BONE BIOPSY SPINE ACCESS DIAMOND TIP END OPEN 10GA STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BONE BIOPSY SPINE ACCESS DIAMOND TIP SIDE OPEN 10GA STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BONE CEMENT BLUE WHITE VERTECEM V+ 1CC 2CC VERTEBROPLASTY STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER PROXIMATE CUTTER 100 3.8,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER PROXIMATE CUTTER 100 4.8,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ARTHREX LASSO QUICKPASS LEFT CURVED 45D,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE BOSTON SCI GEMINI 3 WIRE 0CM TIP 11MM 3FR,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE RETRIEVAL 1.8FR ULTRA-CATCH NITINOL 4 WIRE ERGONOMIC HANDLE TORQUE RESPONSIVE SHAFT NO TIP DISC,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE RETRIEVAL 120CM 12MM 2.4FR ZERO TIP URETERAL NITINOL KNOT TIPLESS,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE RETRIEVAL 90CM 16MM 3FR SEGURA HEMISPHERE PERMAFORM URETERAL POLYIMIDE ROUND EDGE 4 WIRE DETACHABLE HANDLE TIPLESS STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE RETRIEVAL 90CM 20MM 4.5FR SEGURA HEMISPHERE PERMAFORM URETERAL PTFE ROUND EDGE 4 WIRE DETACHABLE HANDLE TIPLESS STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 10MM 1MM LUHR PANFIX TWIST J SLOT PILOT MODULAR STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 11MM .6MM LUHR VITALLIUM TWIST J SLOT MODULAR,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 2.5MM CALIBRATE AO,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 285MM 3.1MM AXSOS TIBIA CALIBRATED SAMLL AO,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 30MM 3.2MM QUICK CONNECT STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3MM .52MM LUHR MICRO TWIST J SLOT MODULAR STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 5MM .6MM LUHR MICRO TWIST J SLOT MODULAR STERILE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 5MM 1MM LUHR TWIST,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR 9MM BALL,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SHAVER 3MM ELITE NEURO TIP SURGICAL,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTING WHEEL MIDAS REX METAL,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.0MM (AO) CANNULATED,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ICONIX 2.3,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT MEDTRONIC,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUMP PAIN AUTOFUSER ARROW 2ML/HR CATHETER KIT INTRODUCER NEEDLE LUER CAP BIFURCATE SET 100ML YK6 SSI DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH ARTHROSCOPIC 5/6.5 MM BIO-CORKSCREW,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR 8.75IN OBWEGESER SURGICAL,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROBOTIC DRIVER EXTENDED LIVES MEGA SUTURECUT NEEDLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AGENT HEMOSTATIC SURGIFLO 8 ML KIT,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW MAKO NARROW,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW MAKO STANDARD,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SCREWDRIVER ASNIS T10 AO FIT,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SURESHOT CURVED  4.0,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT INSTRUMENT DRILL SPEAR DISPOSABLE STERILE METAL 2.9MM PUSHLOCK,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.8MM X 200MM,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.2MM 3 FLUTED 145MM QC,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.3 PERCUTANEOUS QC 300MM,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SCORPION AR-13995N,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ARTHROSCOPIC STAINLESS STEEL 3.4MM HOOK 90D 5MM MARK 150MM,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING IRRIGATION 10FT INTRAMED ENDOVASCULAR PUMP SET,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM BONE CEMENT CLEARMIX 1 2,272,1 ,$870.00 ,$626.40 ,$243.60 ,$870.00 , N/A ,$648.15 ,$569.85 , N/A ,$243.60 ,$535.05 , N/A ,$535.05 , N/A ,$481.98 ,$481.98 , N/A ,$481.98 , N/A ,$783.00 ,$722.10 , N/A , N/A ,$765.60 , N/A ,$652.50 ,$652.50 ,$739.50 ,$739.50 , N/A ,$739.50 , N/A ,$704.70 ,$704.70 ,$704.70 ,$870.00 ,$783.00 , N/A ,$783.00 , N/A ,$870.00 ,$488.07 , N/A ,$360.18 , N/A , N/A , N/A ,$783.00 , N/A ,$481.98 ,$243.60 ,$783.00 , N/A ,$783.00 ,$783.00 , N/A ,$565.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CABLE STANDARD TROCHANTERIC TITANIUM COCR REATTACHMENT DEVICE STERILE,272,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIXATOR EXTERNAL FIXATION ELBOW CENTRAL BODY,272,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CRYO CUFF KNEE MED,272,1 ,$204.90 ,$147.53 ,$57.37 ,$204.90 , N/A ,$152.65 ,$134.21 , N/A ,$57.37 ,$126.01 , N/A ,$126.01 , N/A ,$113.51 ,$113.51 , N/A ,$113.51 , N/A ,$184.41 ,$170.07 , N/A , N/A ,$180.31 , N/A ,$153.68 ,$153.68 ,$174.17 ,$174.17 , N/A ,$174.17 , N/A ,$165.97 ,$165.97 ,$165.97 ,$204.90 ,$184.41 , N/A ,$184.41 , N/A ,$204.90 ,$114.95 , N/A ,$84.83 , N/A , N/A , N/A ,$184.41 , N/A ,$113.51 ,$57.37 ,$184.41 , N/A ,$184.41 ,$184.41 , N/A ,$133.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP SURGICAL 2.7 MM SCREWS NONSTERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING RAPID RHINO ARTHROCARE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL 10GA VETEBRAL AUGMENTATION,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL MINI 6MM J HOLE PROXIMAL CORTICAL 2MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL TWIST 100MM 2MM PROFYLE HAND DENTAL SHAFT END FIXATION MODULAR 40MM SMALL FRAGMENT SYSTEM STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL TWIST 203MM 4.3MM DISTAL CALIBRATE STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL TWIST 91MM 1.9MM VARIAX DENTAL SHAFT END 41MM NONSTERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE COAGULATING POINTED 27FR MONOPOLAR,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE MONOPOLAR 24/26FR 3MM BALL COAG (YELLOW),272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE MONOPOLAR BROWN 3MM BALL COAGULATION 27/28FR RESECTOSCOPE SHEATH STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE STORZ COAG 1 PRONG (27050L/6),272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EPIDISC XOMED 8MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILIFORM URETHRAL 12.5IN 4FR DILATION CATHETER WOVEN COUDE TIP STERILE LATEX FREE REUSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SPECIMEN RETRIEVAL 90CM 3FR 16MM URINARY TRACT 3 PRONG STONE GRASP PRECISION CONTROL RETRACT SURLOK STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE 80CM 3.2MM DRIVE SURGICAL TIBIAL NAIL SYSTEM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE INTUBATION 700MM 5MM PORTEX 2.5-11MM 15CH STRAIGHT TRACHEA POLYURETHANE EXCHANGE PEDIATRIC STERILE LATEX FREE REUSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HELIOCOIDAL RASP STRYKER 2.1,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HOLDER IMPLANT TEMPORAL PLATE SHAFT SPARES,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HOOKUP ENDOSCOPE CONNECTION GUIDE BASIN SUCTION AIR PROBE CONNECTOR DSD SSD SERIES AUTOMATE REPROCESSOR,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BIOPSY 10GA SPINE NEEDLE HYPO STYLET CEMENT PREP,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT CHECKPOINT MAKO,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET NEEDLE ASPIRATOR WIRE GRASPER ENDOSCOPIC REMOVAL ORBERA,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TUBING AIRSEAL TRI-LUMEN FILTER,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TUBING AQUILEX Y FLUID CONTROL INFLOW OUTFLOW,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEATH ACCESS 10FR 12FR UROPASS URETER 38CM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SNSR MONITR 6050 004 110 ASTV O2 TEMP CMPNS BLK,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE ENDO GIA RELOAD 45 4.1,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE ETS 30-3.5 RELOAD (TR35B),272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE ETS 35.2.5 RELOAD TR35W,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE ETS 45-3.5 RELOAD 6R45B,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE RELOAD ENDOPATH ETS 4.1MM WHITE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER PROXIMATE PPH HEMORRHOIDAL PPH03,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAYS LONE STAR RETRACTOR SHARP 5MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ENDOSUTURE DEVICE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERLINK ARTHREX SUTURETAPE 1.3MM TAPE BLACK WHITE NONABSORBABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LMTR OFF DURAGARD 375 PAGE BDG UNIT CARD,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ANTENNA MEDTRONIC NEUROSTIMULATOR,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL .25IN PATELLA STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 100MM 2MM TWIST DENTAL SHAFT END STOP 40MM STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 102MM 2MM AO SHAFT,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 105MM 2MM VARIAX STOP AO SHAFT END LOCK PLATE SYSTEM STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 125MM 3.6MM BIDRIVE END HIGH PERFORMANCE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 15MM 3.2MM DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 180MM 4.8MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 2.3MM VARIAX CORTICAL AO SHAFT END STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 250MM 2.8MM ALTA TRIFLAT TRINKLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3.8MM 3MM PRECISION NEURO,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 6MM 2MM LUHR MINI XLONG PROXIMAL J SLOT,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL RED YELLOW 3.6MM AO FIT 3.5MM VARIAX LOCK PLATE SYSTE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL STRYKER .25IN PATELLA STOP,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL STRYKER .5IN UNIVERSAL STOP,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPY FACIOTOMY CURVED,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 2MM STANDARD STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 52MM 5MM STANDARD ROUND STEEL TOOL,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 52MM 6MM STANDARD STEEL AGGRESSIVE CUTTING ROUND TOOL OTOLOGICAL STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 57MM 3MM STANDARD ROUND STAINLESS STEEL,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 57MM 4MM STANDARD ROUND STAINLESS STEEL AGGRESSIVE CUTTING,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP LOCKING ALPHATEC,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP LOCKING MUSIC,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP LOCKING PEDFUSE RETURN SPINE PEDICLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP LOCKING STRIPPED,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP HEMOSTATIC 2.8MM REPOSITIONABLE SHORT STEM SURECLIP 235CMX11MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP IRRIGATION 26.7CM MAKO,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER LINVATEC 4.2 CUDA CURVED,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTING LOOP 24FR MONOPOLAR ANGLED,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTING LOOP 27FR MONOPOLAR ANGLED,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL 100MM 2.2MM APX GRAY PNT 3MM PIN EXTFIX SYS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 130MM 3.2MM VOLAR STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 3.2MM QC,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.0MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.0MM AO,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.5MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.5MM CALIBRATED,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.5MM TRIM-IT,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 3.5MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT GRAY 4IN 1/8IN,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT HOFFMAN 3.2MM FOR 4MM PINS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT HOFFMAN 4.0MM FOR 5MM PINS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT HOFFMAN 4.5MM FOR 6MM PINS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT RAYHACK WRIGHT MEDICAL 2.0MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT RAYHACK WRIGHT MEDICAL 2.5MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT RAYHACK WRIGHT MEDICAL 2.7MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER 1.9MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER 2.3MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER 4.0 X 25MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER GOLD 125MM 2.5MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUSHER SUTURE CUTTER STERILE KNOT MENISCAL REPAIR SYSTEM ULTRA FAST-FIX STRAIGHT DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RASP SURGICAL 7.25IN MILLER 2 END,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR ALEXIS WOUND RIGID LARGE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR SCOTT RING,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRIEVER RESCUENET 30MM 7.5FR,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROD ENDOSCOPIC 4MM WISSINGER SMALL DRI-LOK CANNULA,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 8IN POTTS-SMITH 25D MIRROR FINISH REGULAR BLADE SURGICAL 7/8IN,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS OPHTHALMIC 4.6IN KNAPP STRABISMUS 25MM LIGHT CURVE ROUNDED BLADE BLUNT TIP RING HANDLE POLISHED FINISH,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCREWDRIVER SMALL HEXAGON M/DN 2.5MM SURGICAL MIS INTRAMEDULLARY NAIL,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR NELLCOR OXIMETER SPO2 ADHESIVE BANDAGE CABLE REUSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET EXTENSION 4CM 18FR MIC-KEY SECUR-LOK ENFIT SILICONE RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP 5ML GASTROSTOMY STERILE LATEX FREE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET EXTENSION 4CM 20FR MIC-KEY SECUR-LOK ENFIT SILICONE RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP 5ML GASTROSTOMY STERILE LATEX FREE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYS ATF BLOOD CNSRVT KIT; WND DRAIN CVC CBC2 STER,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM DRUG DELIVERY 2ML/HOUR ON-Q I-FLOW DEHP CUSTOM NONNARCOTIC ELASTOMERIC SYRINGE FIX FLOW 270ML STERILE LATEX FREE REUSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM FECAL MANAGEMENT DIGNISHIELD CATHETER SYRINGE TUBE CLAMP MEDIUM DELIVERY 60CC NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM INFLATION 1 STOPCOCK STERILE VBS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 12X11.5X.51MM PRECISION THK.38MM INTRAORAL STAINLESS STEEL OSCILLATE SAGITTAL AGGRESSIVE STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 90X13/21MM STABLECUT THK1.37MM CUT STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER AGGRESSIVE 3.0 ROUND FLUTED (5820-10-230),272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER ROUND DIAMOND COARSE 4.0MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT GRAFT HARVEST 7MM LONG SHORT DEPTH STOP OSCILLATE SAGITTAL BLADE THREAD FIXATION PIN DISPOSABLE STERILE STRYKER COMMAND 2 SYSTEM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT LAPAROSCOPIC CHOLANGIOGRAPHY SET ARROW PERCUTANEOUS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT TISSUE CLOSURE DUO TISSEEL PREFILL SYRINGE PLUNGER 2 JOIN PIECE 4 APPLICATION CANNULA 2ML LATEX FREE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.8 QC 165MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.9 QC 150MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.0 QC 160MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST 1.9MM VARIAX RADIUS DISTAL SHAFT END,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST 100MM 2.3MM PROFYLE DENTAL SHAFT END 40MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST 100MM 2.3MM PROFYLE STRYKER SHAFT END 40MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST 10MM 1.5MM MINI,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER RIGID SHARP DELIVERY SYSTEM HYDROMARK BREAST BIOPSY BARREL TITANIUM 15GA MAMMOTOME ELITE PROBE CORE NEEDLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER RIGID SHARP DELIVERY SYSTEM HYDROMARK BREAST BIOPSY BUTTERFLY TITANIUM 15GA MAMMOTOME ELITE PROBE CORE NEEDLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER RIGID SHARP DELIVERY SYSTEM HYDROMARK BREAST BIOPSY OPEN COIL TITANIUM 15GA MAMMOTOME ELITE PROBE CORE NEEDLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER SURGICAL CHECKPOINT KIT STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle BIOPSY TWIST TOP,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURGICAL LAMINECTOMY ST ANTHONYS MEMORIAL HOSPITAL HAZARDOUS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PASSER SURGICAL 38CM CATHETER STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN STRYKER HOFFMAN HALF SELF DRILLING 120 X 50MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,POUCH ENDO CATCH 5MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE MEDTRONIC 2.3 BALL TIP,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE NERVE STIMULATOR 2.3MM SPINE PEDICLE BALL TIP SCREW,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUMP INFUSION 2ML/HR 2 ELASTOMERIC SYRINGE CARRY CASE ON-Q PAINBUSTER STERILE LATEX FREE DISPOSABLE 100ML,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE GASTROSTOMY MIC-KEY CARDINAL 14FR 2.7CM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE IRRIGATION RIO,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE MIC KEY LOW PROFILE FEEDING 20FR 2.0CM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE MIC KEY LOW PROFILE FEEDING 20FR 2.5CM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE MIC KEY LOW PROFILE FEEDING 20FR 3.0CM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE MIC KEY LOW PROFILE FEEDING 20FR 3.5CM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,VERTEBRAL AUGMENTATION DRILL 11G,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP SURGICAL TFN-ADVANCED SCREW NONSTERILE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER SLMLN 1000UM HOLMIUM REUSE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILTER EMBOLIZATION 49MM 65CM VENA CAVA JUGULAR RADIOPAQUE PRELOAD FLUSH SIDEPORT INTRODUCER STERILE DISPOSABLE 30- MM 7FR PLATINUM HYDROPHILIC 71CM CELECT NAVALIGN,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BIOMET DFS WRIST FIX SYSTEM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET SPINAL CAVITY CREATION STERILE 15MM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE RELOAD RELIATACK ARTIC FIXATION,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AWL ORTHOPEDIC AVENUE L STARTER ANCHOR PLATE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CABLE ORTHOPEDIC HIP DALL-MILES 8,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CABLE ORTHOPEDIC STAINLESS STEEL 1.5MM LOW PROFILE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATHETER INTRAUTERINE THERMACHOICE BALLOON ABLATION UTERUS EXCESSIVE MENSTRUAL BLEEDING,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP ADJUSTABLE WIRE WITH PIN SYNTHES,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION ELBOW EXTEND RANGE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES ADJUSTABLE DISTAL RADIUS,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES LARGE MULTI-PIN  6 POSITION,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES RING TO ROD HYBRID,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR MAC STRYKER 42MM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR MEDTRONIC MEDIUM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR MEDTRONIC SMALL,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR ROD 6.35MM 5.5MM CD HORIZON SPINE TITANIUM CLOSED SIDE LOAD NONSTERILE LATEX FREE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR ROD TSRH-3DX LARGE SPINE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CROSSLINK SPINAL 60MM 6MM XIA I TITANIUM CROSS NONSTERILE LATEX FREE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH SURGICAL HOLDER PIN CUSTOM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET DISC CUTTER AXIALIF TRANS1,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER FEMORAL SCORPIO 4MM OFFSET TIBIAL JAM NUT STEM 1 AXIS KNEE SYSTEM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE INTRAMEDULLARY NAIL 85MM TFN-ADVANCE HELICAL STERILE LATEX FREE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE INTRAMEDULLARY NAIL GOLD 90MM 10.35MM TFN-ADVANCED HELICAL FEMUR PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED STERILE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ELECTROTHERAPY SINERGY COOLED RF QUICKCLAMP EPSILON STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT PROBE ELECTROTHERAPY LUMBARCOOL,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KNIFE ENDOSCOPIC STRAIGHT PEDIATRIC STERILE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MOLD CEMENT 70MM STAGEONE AGC UNIVERSAL KNEE TIBIAL SILICONE SPACER CRUCIATE SACRIFICE INTERNAL DEPTH GAUGE STERILE DISPOSABLE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PLATFORM ACCESS 4X4CM GELPOINT GELSEAL INSUFFLATION STABILIZATION BAG CAP CHANNEL TRANSANAL,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PLATFORM GELPOINT ACCESS 12MM,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PLATFORM GELPOINT ACCESS MINI,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE 20GA 145MM CURVE COLOR CODED ELECTROTHERAPY NONSTERILE REUSABLE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ELECTROTHERAPY 100MM 20GA CURVE COLOR CODED PAIN MANAGEMENT RADIOFREQUENCY NONSTERILE REUSABLE,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ELECTROTHERAPY 75MM 17GA THORACOOL 5.5 ACTIVE TIP,272,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TENSIONER SURGICAL DALL-MILES X-CHANGE HIP CABLE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM FIXATION BLACK BLUE WHITE 4.75MM SPEEDBRIDGE SWIVELOCK FIBERTAPE 2 PRELOAD LOOP DISPOSABLE PUNCH,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM FIXATION SPEEDBRIDGE JUMPSTART ACHILLES BIOCOMPOSITE STERILE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT MONITOR FORE-SIGHT SMALL 2 SENSOR BATTERY CEREBRAL OXIMETER ADULT,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEUROSTIMULATOR COMMUNICATOR HANDSET NONSTERILE LATEX FREE REUSABLE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NAIL 11MM 360MM FEMUR RIGHT GAMMA3 INTRAMEDULLARY 125D R1.5 LOCK TITANIUM STERILE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE EXTERNAL FIXATION HOFFMANN 3 DYNAMIZATION MRI SAFE,272,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP MICRO LONG CANNULATED MEDSOURCE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING PREVENA INCISIONAL MANAGMENT,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL 32MM CANNULATED IFUSE IMPLANT SYSTEM 7MM,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA 200 MICRON,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA 550UM FLEXSHIELD HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA PULSE TRACTIP,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBERTAK W SUTURE TAPE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEARS HARMONIC ACE SHEARS 36CM,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER INTERNAL 5.2MMX1.5-2.2MM 29MM 26 3D GRIP SURFACE POWER ADJUSTABLE STAPLE ECHELON CIRCULAR,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STIMULATOR NEUROMUSCULAR INTERSTIM TEST,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STIMULATOR PROGRAMMER EXTERNAL WIRELESS NERVE CHRONIC PAIN RS2 SPINAL CORD,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASER FIBER HOLUIM SLIMLINE 365 MICRO,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 12MM,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 14MM,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATHETER BAKER ADULT 16FR,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION ADJUSTABLE 4/6 MM SCHANZ SCREW LARGE EXTERNAL FIXATOR,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION ADJUSTABLE OPEN 4/6 MM SCHANZ SCREW LARGE EXTERNAL FIXATOR,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION STRAIGHT DAF,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP HOFFMANN PIN TO ROD,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT MINI CANNULATED ACCUTRAK 2 MEDSOURCE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 6.5MM 7MM SCREW HOLLOW NONSTERILE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RING RETRACTOR AMS 700 SKW DEEP SCROTAL,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM RETRACTOR UROLOGY MALE TLC,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP 5MM SELF DRILL SURGICAL VIPER 2 LATEX FREE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP 6MM SELF DRILL SPINAL VIPER 2,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP 7MM SELF DRILL SPINAL VIPER 2,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEUROSURGICAL INTERSTIM PROCEDURE SUPPLIES DISPOSABLE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT TISSUE CLOSURE DUO TISSEEL 10ML LATEX FREE,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PASSER 1 INCSN SUTURE STER DISP,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,VAC PREVENA WOUND -SMALL,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WAND ELECTROSURGICAL 3IN 1MM TOPAZ MICRODEBRIDER 0D FOOT ANKLE NARROW TIP SLIMLINE INTEGRATE FINGER SWITCH QUANTUM SYSTEM,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP RESECTOSCOPE VAPORIZING  ETHICON 0 DEGREE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DISSECTOR 21CM LIGASURE EXACT 40D 20.6MM 19.8MM 4MM CURVE JAW LOW TEMPERATURE PROFILE SURGICAL 21.6X2MM VALLEYLAB,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIXATOR FRAME AXSOS TARGET SYSTEM,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HYSTEROSCOPE MYOSURE RIGID 3MM LITE TISSUE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ACCESSORY SPHINCTER,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BIOPSY CARTICEL TRANSPORT CYLINDER CARTILAGE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHAFT SCREWDRIVER SHORT AO,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BATTERY DRIVER SMALL PACK SYSTEM 8,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BATTERY SURGICAL DRIVER LARGE SMARTLIFE SYSTEM 7,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 300MM 10MM TFN-ADVANCED TAPER LARGE QUICK COUPLING CANNULATED HELICAL BLADE SCREW PROXIMAL FEMORAL NAIL SYSTEM NONSTERILE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL STRYKER 1.5MM 105MM,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION 4 POSITION MULTIPIN NONSTERILE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION COMBINATION 4/6 MM SCHANZ SCREW LARGE FIXATOR,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE MYOSURE LITE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 6.5MM MEDIUM CONE,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CURVED NEEDLE DELIVERY FAST FIX 360 SMITH  AND  NEPHEW,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM STRAIGHT NEEDLE DELIVERY FAST FIX 360 SMITH  AND  NEPHEW,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WAND ELECTROSURGICAL 3IN 1MM TOPAZ MICRODEBRIDER 45D FOOT ANKLE NARROW TIP SLIMLINE INTEGRATE FINGER SWITCH ATLAS SYSTEM QUANTUM,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP SCREWDRIVER 3.5MM AEQUALIS REVERSED HEXAGON SHOULDER STERILE DISPOSABLE,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED LARGE AO FIT ASNIS III NONSTERILE 5.6 MM SCREW,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED QUICK RELEASE,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED QUICK RELEASE OSTEOMED 2.7MM NONSTERILE REUSABLE,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED TWIST ASNIS III NONSTERILE 6.5 MM SCREW,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA PULSE 242,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FLIPCUTTER II SHORT 10.0MM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FLIPCUTTER II SHORT 11.0MM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FLIPCUTTER II SHORT 9.0MM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEP  ROBOTIC XI BIPOLAR,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE DRILL 4MM HIP,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDLE SCREWDRIVER QUICK COUPLING NONSTERILE,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HOOKUP ENDOSCOPE LUER 190 SERIES,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HOOKUP ENDOSCOPE OLYMPUS GI ADAPTER UPPER DSD SSD,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC ASSEMBLY HARMONIC ACE CRUVED SHEARS 8MM XI4000,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC SCISSORS MONOPOLAR CURVED 8MM XI4000,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEARS HARMONIC FOCUS 9MM CURVED,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ECHELON POWERED FLEX 60MM X 34MM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ENDO LINEAR CUTTER EC60A,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER INTERNAL 5.2MMX1.5-2.2MM 22MM 25 3D GRIP SURFACE POWER ADJUSTABLE STAPLE STERILE ECHELON CIRCULAR,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 2.4MM 2MM QUICK RELEASE CANNULATED,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION 4MM OPEN SMALL EXTERNAL FIXATOR 4MM SCHANZ SCREWS,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES EXTERNAL FIXATION 4MM 2.5MM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE ELECTROSURGICAL PINK LOCK DISPOSABLE PLASMABLADE X STERILE LATEX FREE,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT MICRO ACUMED,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT PIN ZIMMER HEADLESS TROCAR,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS OPHTHALMIC 3.1IN VANNAS 6MM ANGLE BLADE SHARP POINT TIP SERRATE HANDLE POLISH FINISH 9MM CAPSULOTOMY,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SEALER AQUAMANTYS 6.0 BIPOLAR,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP 175MM QUICK COUPLING CALIBRATE SURGICAL 3.5MM CORTEX SCREW 140MM NONSTERILE,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIGHTROPE ARTHREX ACL RT,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP HARMONIC SCALPEL SHEARS ACE PLUS W/ADV HEMO 23CM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER DRILL ASIF/SYNTHES,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER GASTROSCOPE OLYMPUS A TO E RANGE LOWER SUCTION CHANNEL CONNECTOR HARNESS,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEEDLE 19CM 11GA AVAFLEX CURVE NITINOL 1 UNIVERSAL HANDLE SWIVEL LUER LOCK INJECTION TROCAR TIP STYLET,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT TEST STIMULATION MEDTRONIC,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.3 QC 200MM LONG,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAP FLUID HOLDER CONNECTION PORT SPILL RESISTANT VIROSAFE SPECIMEN C100ML 7/8IN .25IN,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN BARD PVC W/ TROCAR 1/8 10FR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN HEMOVAC WITH TUBING 1/8 TROCAR MEDIUM ROUND,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN JACKSON PRATT 15 FR.,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN PENROSE .75IN 12IN SILICONE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING 10X4IN POSTOP STERILE MEPILEX BORDER FOAM DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING 3X3IN SELF ADHERENT ANTIMICROBIAL SILVER MEPILEX BORDER AG FOAM,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING 8X4IN POSTOPERATIVE MEPILEX BORDER FOAM,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING AQUACEL AG 4X5IN,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING BIOLOGICAL 2.25X2IN PURACOL PLUS COLLAGEN ABSORBENT PRIMARY SHEET STERILE LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING SECUREMENT 4.75X4IN TEGADERM INTRAVENOUS CHLORHEXIDINE GLUCONATE ANTIMICROBIAL 1.5INX1 3/8IN STERILE LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING SQUARE 6X6IN ABSORBENT PAD SELF ADHERENT SILICONE STERILE LATEX FREE MEPILEX FOAM,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRSG WND 5X4IN RECT,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EVACUATOR BARD ELIK,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS ENDOSCOPIC 5MM REPLACEMENT VISUALIZATION SPRING GRIP FOREIGN BODY DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL ADSON STRAIGHT 4.75IN 1X2 TEETH SERRATION SPRING HANDLE MATTE FINISH NONSTERILE REUSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUARD BALL JURGAN PIN .065-5/64 3/8 DIA,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUARD PIN COVERS .045,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDLE LARYNGOSCOPE BRITEPRO SOLO LIGHTWEIGHT LOW PROFILE STERILE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDLE LARYNGOSCOPE BRITEPRO SOLO MINI SOFT LUNATE TIP ADVANCE LED LIGHTSOURCE FIBER OPTIC LOW PROFILE STERILE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDLE LARYNGOSCOPE BRITEPRO SOLO ROUND METAL 3 SPRUNG BALL ADVANCE LED LIGHT BLADE MOLD SOFT GRIP STERILE LATEX DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HEADRST PSTN SFTCH FOAM SFTCH,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INTERGUIDE TRACHEAL TUBE INTRODUCER BOUGIE 6FR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INTRODUCER TUBE 70CM 10FR LDPE CALIBRATE COUDE TIP BOUGIE PEDIATRIC ENDOTRACHEAL STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INTRODUCER TUBE 70CM 15FR LDPE CALIBRATE COUDE TIP BOUGIE ADULT ENDOTRACHEAL STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IRRIGATOR OSTOMY VISI-FLOW FLEXIBLE STOMA CONE FRONT FILL REUSABLE BAG PADDLE WHEEL FLOW INDICATOR THUMB CONTROL FLOW REGULATOR LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET POWER LOC INFUSION,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SOLN IRR WATER 2000ML,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SOLUTION INHALATION AIRLIFE WATER FLEXIBLE BAG CONTAINER 2000ML STERILE LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER SKIN PROXIMATE WIDE PXW35,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUCTION VACUM BLACK TOP,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE CHROMIC 6-0 G-1 18 796G,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LOOP VESSEL MAXI LATEX FREE YELLOW STERILE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 4 STRAIGHT ADULT LMA-UNIQUE CUFF SYRINGE 30ML DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 5 LMA UNIQUE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY LARYNGEAL 4 SILICONE LMA UNIQUE CUFF DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ASSEMBLY RESPIRATOR MEDIUM LARGE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAG RESUSITATION ADULT,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BANDAGE 4.5X2IN XL B-AID SHEER STRIP ADHES STER,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 45MM 1.6MM MICRO TAPER CARBIDE CROSS CUT FISSURE 4MM STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA HYRDODISSECTOR 22MM .5MM 30D,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP ENDOSCOPE SEALING .8MM DRILL HOLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP SYNTHES 2.5MM K WIRE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CIRCUIT BREATHING T PIECE PEEP VALVE DUCKBILL PORT RESUSCITATION 63IN INFANT NONSTERILE LATEX FREE NEOPUFF DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CURETTE DIAGNOSTIC PIPET CURET ENDOMETRIAL STENOTIC OS 3MM 2O RING THICK STYLET LARGE OPEN SUCTION DISPOSABLE STANDARD 23.97CM STERILE LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE DRUG DELIVERY 30-100UM LMA MAD NASAL ATOMIZATION CONTROL ADMINISTRATION INTRANASAL MUCOSAL 1.65IN .17IN,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING STERILE MULTIDEX GEL .5OZ,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING TRANSPARENT 4.75X4.75IN CHLORHEXIDINE GLUCONATE GEL PAD NOTCH STRIP TEGADERM 2 7/16INX1 15/16IN LATEX FREE CLEAR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING TUBE GAUZE 5/8,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING V.A.C. DRAPE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING WOUND 2X2IN DRAWTEX LEVAFIBER HYDROCONDUCTIVE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RESUSCITATOR MANUAL PEDIATRIC O2 RESERVOIR BAG TODDLER MASK PEEP VALVE LATEX FREE DISPOSABLE SPUR II 40IN SEBS,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR STRYKER SILICONE CORD,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR PEDIATRIC NELLCOR 18IN OXIMETER SPO2 ADHESIVE TEAR RESISTANT BANDAGE PVC C10-50KG STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET .75IN 20GA INFUSION 2 LUMEN PORT LOW PROFILE SMALL FOOTPRINT WING MINILOC STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET 1.5IN 20GA INFUSION 2 LUMEN PORT WING WITHOUT Y INJECTION SITE LOW PROFILE MINILOC,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET 1IN 20GA INFUSION 2 LUMEN PORT LOW PROFILE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET 1IN 20GA INFUSION 2 LUMEN PORT POWER,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET BLOOD ADMINISTRATION 180UM 15 GTT 121IN NEEDLE FREE VALVE 2 MALE LUER LOCK 2 SLIDE CLAMP DEHP FREE INTRAVENOUS STERILE LATEX FREE ALARIS 33ML DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET EXTENSION Y .47ML 5.7IN INTRAVENOUS CATHETER DEHP FREE NEEDLE FREE IV CONNECTOR MICROBORE STERILE ONE-LINK LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 4-0 TIES VIOLET,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYRINGE GLASS 5CC,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 1 STRAIGHT INFANT LMA-UNIQUE CUFF SYRINGE 4ML DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 1.5 LMA UNIQUE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 2 LMA UNIQUE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 2.5 LMA UNIQUE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 3 STRAIGHT PEDIATRIC LMA-UNIQUE CUFF SYRINGE 20ML DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE OPHTH 5MM I KNIFE 15D STD,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE OPHTHALMIC BLUE MINI-BLADE STRAIGHT GRINDLESS SHARP ALL AROUND 2 BEVEL,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER MICRO CROSS CUT FISSURE 1.2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PLAIN  6-0  G-1   18 774G,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 3-0 HS-5 DA 36,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE RETENTION BRIDGE (RSB-5),272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SILK 3-0 SH CR 18,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SILK 3-0 SH CR MULTIPACK 30 C017D,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT PROCEDURE ENDO CARRY-ON DEFENDO DISPOSABLE VALVE CONNECTOR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LOOP VESSEL MAXI RED DEVON,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE ANESTHESIA 17GA 4.5IN HUB WING DEHP FREE STERILE PERIFIX TUOHY EPIDURAL LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE EPIDURAL 20GA X 3.5 TOUHY,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE EPIDURAL CLEAR 4IN 20GA PERIFIX TUOHY BPA WING PVC FREE DEHP FREE STERILE LATEX FREE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE OPHTHALMIC 20MM 27GA ANGLE ANTERIOR CHAMBER STAINLESS STEEL,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE OPHTHALMIC 22MM 20GA 8MM ANTERIOR CHAMBER ANGLE STERILE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle TUOHY EPIDURAL  20GA X 3.5,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle TUOHY EPIDURAL 20GA X 6,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK COLD GEL 7.5 X 11,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PEN CAUTERY LOW TEMP,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ESOPHAGEAL RECTAL 91CM ADULT SENSOR CONTINUOUS MONITORING CABLE TEMPERATURE 12FR STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING ANGIOGRAPHY 1200 PSI 72IN CONTRAST INJECTION FIX FEMALE LUER CONNECTOR AIRLESS ROTATE MALE LUER .142IN .071IN,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING COLLECTION SET D  AND  C,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,VALVE SUCTION FLEXIBLE ATTACH BRONCHOSCOPE STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY BLOCK PERICERVICAL-PUDENTAL,272,1 ,$16.11 ,$11.60 ,$4.51 ,$16.11 , N/A ,$12.00 ,$10.55 , N/A ,$4.51 ,$9.91 , N/A ,$9.91 , N/A ,$8.92 ,$8.92 , N/A ,$8.92 , N/A ,$14.50 ,$13.37 , N/A , N/A ,$14.18 , N/A ,$12.08 ,$12.08 ,$13.69 ,$13.69 , N/A ,$13.69 , N/A ,$13.05 ,$13.05 ,$13.05 ,$16.11 ,$14.50 , N/A ,$14.50 , N/A ,$16.11 ,$9.04 , N/A ,$6.67 , N/A , N/A , N/A ,$14.50 , N/A ,$8.92 ,$4.51 ,$14.50 , N/A ,$14.50 ,$14.50 , N/A ,$10.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETER STLOCK 16FR 2000ML,272,1 ,$23.94 ,$17.24 ,$6.70 ,$23.94 , N/A ,$17.84 ,$15.68 , N/A ,$6.70 ,$14.72 , N/A ,$14.72 , N/A ,$13.26 ,$13.26 , N/A ,$13.26 , N/A ,$21.55 ,$19.87 , N/A , N/A ,$21.07 , N/A ,$17.96 ,$17.96 ,$20.35 ,$20.35 , N/A ,$20.35 , N/A ,$19.39 ,$19.39 ,$19.39 ,$23.94 ,$21.55 , N/A ,$21.55 , N/A ,$23.94 ,$13.43 , N/A ,$9.91 , N/A , N/A , N/A ,$21.55 , N/A ,$13.26 ,$6.70 ,$21.55 , N/A ,$21.55 ,$21.55 , N/A ,$15.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY EPIDURAL 2.5IN 20GA 24GA TUOHY MINI NEEDLE BLOCK CATHETER 8IN STELLATE GANGLION STERILE LATEX FREE,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL BALL 27FR STERILE,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER SLIMLINE 550UM 1 INCISION SLING,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HOOKUP ENDOSCOPE LEAK TESTER DSD SSD SERIES AUTOMATE REPROCESSOR,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASER FIBER HOLUIM SLIMLINE 550 MICRON,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LIGHT RETRACTOR STERILE DISPOSABLE LATERAL,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BATTERY DRIVER SMALL SMARTLIFE SYSTEM 7,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 170MM 4.5MM 1.7MM CANNULATED QUICK COUPLING NONSTERILE,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP SEAL SMITH  AND  NEPHEW,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION HOFFMANN II 5 HOLE MRI COLOR CODED 4/5/6 MM PIN,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP HOFFMANN INVERTED PIN TO ROD,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SURGICAL TRIATHLON TIBIAL ANKLE ALIGNMENT,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES LARGE MULTI-PIN ROD ATTACHMENT,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT COUNTERSINK CANNULATED 6.5/7.3 MM SCREW,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP ELECTRODE TWIZZLE GYNECARE ETHICON,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT KNEE INSTRUMENT SMITH  AND  NEPHEW,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.7 QC 160MM,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.2 CANNULATED 170MM,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.5 QC 160MM,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 5.0 QC 300MM,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE HYPO AVAFLEX VERTEBRAL AUGMENTATION 11G,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ELECTROSURGICAL BLACK 240MM 3.5MM DYONICS EFLEX ABLATOR 100- D XL SOFT TISSUE INSULATE SHAFT INTEGRATE CABLE RADIOFREQUENCY,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ELECTROSURGICAL GREEN EFLEX LIGAMENT CHISEL KNEE SHOULDER STERILE DISPOSABLE,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE NEUROMONITORING SYNTHES,272,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY EPIDURAL 2IN 20GA 24GA PERIFIX TUOHY OPEN END CATHETER NEEDLE PEDIATRIC,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DILATOR ENDOSCOPIC CRE 240CM 5.5CM 7.5FR 10-12MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EXTRACTOR SCREW CONICAL,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS ENDOSCOPIC IRRIGATION PLUG,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE ROD BALL TIP 3.0 X 950MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ACCESSORY MEDTRONIC EXTENSION DUAL LEAD SPINAL,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARTHREX BIO TENODESIS INSTRUMENT DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARTHREX DISPOSABLE 3X8 BIOTENODESIS,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARTHREX PERCUTANEOUS 3.0 SUTURTAKS,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLEEVE DRILL LCP 3.5MM 2.5MM INSERT NONSTERILE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER CIRC 33MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ETS 45MM FLEXIBLE ATS45,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ROBOTIC 45 2.5 WHITE XI4000 RELOAD,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ROBOTIC 45 3.5 BLUE XI4000 RELOAD,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ROBOTIC 45 4.3 GREEN XI4000 RELOAD,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY LARYNGEAL MASK 3 PEDIATRIC LMA FLEXIBLE STERILE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY LARYNGEAL MASK 4 ADULT LMA FLEXIBLE STERILE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY LARYNGEAL MASK 5 LMA FLEXIBLE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET DEVICE STONE RETRIEVAL 120CM 1.9FR 11MM DAKOTA OPENSURE NITINOL 3 ARM FLEXIBLE BASKET,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 10MM LUHR MINI TWIST J SLOT PILOT STERILE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 2MM LUHR MINI PROXIMAL TWIST J SLOT STERILE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 30MM 1.5MM LUHR MINI TWIST J SLOT PILOT MODULAR STOP STERILE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 5MM .8MM LUHR VITALLIUM TWIST J SLOT MODULAR,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 6MM AEQUALIS STERILE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL STRYKER 1.5MM 20MM MINI TWIST J,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPY RESECTOR ANGLED 4.5,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CABLE NEUROSTIMULATOR MULTI LEAD TRIAL,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER 26MM BONE CUTTING PATELLA,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER ARTHROSCOPIC 32MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SURGICAL 30MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE CLOSURE 5FR VASCADE VASCULAR COLLAGEN BIOABSORBABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 2.0,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 2.8MM X WRIGHT MEDICAL,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ARTHREX 2.2MM STRGHT CANNULATED MINI COMPRESSION,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT CANNULATED WRIGHT MEDICAL 2.2MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT CANNULATED WRIGHT MEDICAL 2.5MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 12MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 14MM X 2.0,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER LOW PROFILE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROBOTIC FORCEPS EXTENDED LIVES FENESTRATED BIPOLAR,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM NAVIGATION VIZADISC HIP TRACK KIT STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM NAVIGATION VIZADISC KNEE TRACK KIT STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP SCREWDRIVER 3.5MM AEQUALIS SHOULDER STERILE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE KOBYGARD,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE RAD 40 CURVED 4MM ROTATABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 11CM 4MM RADENOID CURVED,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR MIDAS REX  MC30,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT JEJUNOSTOMY 30CM 18FR SILICONE MIC RADIOPAQUE FEED TUBE INTERNAL RETENTION BALLOON TAPER DISTAL TIP STERILE LATEX FREE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT JEJUNOSTOMY 30CM 18FR SILICONE MIC SECUR-LOK LUER-SLIP RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP 3-5ML STERILE LATEX FREE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SURGICAL KIT,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT TENODESIS DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.5MM  W/STOP 12MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.0 W/STOP 12MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.2 PERCUTANEOUS QC 300MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES QC THREE-FLUTED 4.0MM X 260MM/65MM CALIBRATION,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST 115MM 1.6MM 35MM 20MM SCREW,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST 115MM 1.9MM SHAFT END STOP 35MM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACKING 8X1.8CM THK1.3CM STANDARD NASAL DISSOLVABLE PLIABLE COMPRESSIBLE SPONGE NOVAPAK CHITOSAN HYDROCHLORIDE CELLULOSE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE LITHOTRIPSY 1050MM 2.3-3.3FR,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE NERVE STIMULATOR NIM-RESPONSE 20 NIM-NEURO 20 STANDARD PRASS TIP,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE HUMERAL STRYKER T2 TEFLON,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE REAMER HOLLOW SPARE 309.250 SCREW REMOVAL,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY HUMERAL ADAPTER EXACTECH 0MM,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT MONITOR FORE-SIGHT LARGE 2 SENSOR BATTERY CEREBRAL OXIMETER ADULT,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MOLD CEMENT 70MM STAGEONE AGC UNIVERSAL KNEE FEMORAL SILICONE SPACER CRUCIATE SACRIFICE INTERNAL DEPTH GAUGE STERILE DISPOSABLE,272,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY INTRODUCER EXPRESS KYPHOPAK 10/2,272,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEUROSTIMULATOR 60CM OCTRODE PERCUTANEOUS 8 ELECTRODE LEAD,272,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SPINAL 3.5IN 18GA 27GA TUOHY ESPOCAN PENCAN PERIFIX PENCIL POINT WING LIDOCAINE METAL GLASS RADIOPAQUE CATHETER CLOSED TIP LUER LOCK 5IN 5ML LATEX FREE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE STRATAFIX MNCRL + 2-0 SH SPRL 15CM ABS KNTLS TISS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE STRATAFIX PDS PLUS 0 CT-1 SPIRAL 6IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET CLOSURE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE STRATAFIX PDS PLUS 3-0 SH SPIRAL 6IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET CLOSURE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN INCISION EXPRESS THORAX 1 CHAMBER 1 TUBE 1 WAY VALVE DRY SEAL 2L STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING AQUACEL AG HYDROFIBER 3.5 X11.8,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING AQUACEL AG HYRDOFIBER 3.5 X 10,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING MEPILEX 10 X 4,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING MEPILEX 12 X 4,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING SILVER FABRIC ANTIMICROBIAL 144X10IN INTERDRY GEL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING STERI STRIP 5X1IN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL LINDEMANN 2.2MM STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBERSTICK ARTHREX # 2 (AR-7209),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILIFORM URETHRAL 12.5IN 3FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILIFORM URETHRAL 12.5IN 4FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILIFORM URETHRAL 18IN 5FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILTER SUCTION LIPOTOWER TUBE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FOLLOWER  13.5IN 18FR PHLPS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FOLLOWER URETHRAL 13.5IN 14FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FOLLOWER URETHRAL 13.5IN 16FR PHILLIPS WOVEN DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL BABY-MIXTER PEDIATRIC 7IN CURVED,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL GEMINI 9IN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE 8MM RING TUBE ALIGNMENT SURGICAL MEDULLARY,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE PIN ORTHOPEDIC 30CM 2.4MM ACL PREDRILL STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HOOK 2MM MICRO 5 5/8IN NASAL RETRACTION 1 PRONG SHARP LATEX FREE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IMMOBILZER HAND ALM 13X10.5IN XL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSERTER DILAMEZINSERT 12MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IRRIGATOR ENDOSCOPIC 10IN PATHFINDER PLUS BULB UROLOGICAL TUBE LUER LOCK STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IRRIGATOR STRYKER SURGILAV INTERPULSE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IRRIGATOR SUCTION STRYKEFLOW 2,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET THORACENTESIS 7CM 5FR ONE STEP DRAINAGE SHOP 3 SAFETY NEEDLE VALVED CATHETER FIXED LUER THORACENTESIS PARACENTESIS CENTESIS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TUBING FLOSTEADY ARTHROSCOPY,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEATH ENDO CLEAN 4MM ESCRB2,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLEEVE CATHETERETER 60CM 9- FR REPOSITION LUER LOCK ADAPTER HEMOSTASIS VALVE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLEEVE DRILL 68MM 6MM 5MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPONGE ABSORBABLE GELFOAM SMALL GELATIN HEMOSTATIC AGENT STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPONGE SURGICEL 2 X 3,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE HEMOCLIP LARGE HEMOLOK,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE PROXIMATE CUTTER 60-3.8 RELOAD TCR55 GIA,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE TX60-3.5 RELOAD XR60B,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER SKIN SUBCUTICULAR INSORB,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERLOOP 2 AR-7234,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERLOOP 2-0 SD-2 13IN 2 ARM MULTISTRAND BLUE NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERSTICK 2-0 FIBERWIRE 2-0,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERTAPE 2MM 7   BLUE  TAPERED TO #2 FIBERWIRE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERWIRE #5 AR-7211,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FORCE FIBER 2 38IN BLUE COBRAID,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FORCE FIBER 2 HC-5 TAPER 36IN COBRAID HIGH STRENGTH BLACK WHITE NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORE-TEX CV-0 TFX-25,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORTEX CVO THX 0N07A,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LAP CHOLE SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LAPAROTOMY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LENS IRRIGATION MORGAN MEDI-FLOW POLYETHYLENE ADAPTER TUBING STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ANTICOAG CITRATE DEX BOTL 50ML,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,APPLICATOR ENDOSCOPIC SURGIFLO SEALANT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BALL JURGAN PIN 3/32 3/8 DIA,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BALLOON CERVICAL DILATATION 40CM 18FR COOK SILICONE RIPENING PREINDUCTION 80ML LABOR INDUCTION LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR ARCH 1MR ERICH ROLL WIRE INSTRUMENT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR EXTERNAL FIXATION 120MM 4MM METACARPUS PHALANX,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR EXTERNAL FIXATION 60MM 4MM METACARPUS PHALANX,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR SYNTHES CONNECTING 4.0 X  80MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR SYNTHES CONNECTING 4.0 X 100MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR SYNTHES CONNECTING 4.0 X 140MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR SYNTHES CONNECTING 4.0 X 160MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR SYNTHES CONNECTING 4.0 X 180MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BAR SYNTHES CONNECTING 4.0 X 200MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 2.7MM STAINLESS STEEL CANNULATED NONSTERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 35MM 3.2MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 65MM 1.1MM WIRE PASS STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL SHORT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE 10MM SURGICAL PARALLEL GRAFT KNIFE STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPY TOMCAT 4.0MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ARTHROSCOPY TOMCAT 5.5MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER SIDE CUTTING 2.1MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 4MM ROUND 6 FLUTE F SERIES,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 54.5MM 3.2MM ROUND STAINLESS STEEL 8 FLUTE STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 54.5MM 6MM ROUND STAINLESS STEEL 16 FLUTE STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ARTHREX GEMINI 8.25MM X 9CM (AR-6572),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA PASSPORT BUTTON 8 X 3,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA RADIOFREQUENCY 150MM 20GA 8-10MM VENOM V ACTIVE TIP 10MM STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAP PROTECTIVE STAINLESS STEEL HOFFMANN XPRESS NONSTERILE CONTINUOUS THREAD BLUNT TIP WHITE 4MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATCH ENDO POUCH,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY ELECTRODE TRIVERSE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY SUCTION 08FR,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CEMENT MIXER STRYKER BOWL (MIXEVAC),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CHECKPOINT FEMORAL MAKO SURGICAL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CHECKPOINT TIBIAL MAKO SURGICAL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP APPLIER TUMOR MARKING,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP LIGACLIP MCA MEDIUM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP LIGACLIP TITANIUM LARGE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP LIGACLIP TITANIUM SMALL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER ENDOSCOPIC AGGRESSIVE SMALL JOINT 2.5MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE CPAP MEDIUM ADULT MRI COMPATIBLE HEAD STRAP SUPERNO2VA LATEX FREE NASAL PT HT 4FT 7IN-6FT 9IN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE POSITIONING LARGE ALUMI-HAND IMMOBILIZER ALUMINUM DISPOSABLE STERILE LATEX FREE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING VAC GRANUFOAM 10X7.5CM SMALL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING VAC GRANUFOAM BLACK 18X12.5CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING VAC GRANUFOAM MEDIUM 26.2X21.1CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING VAC WHITE FOAM LARGE 7.5X10CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RF PROBE VENOM ACTIVE TIP 100MM 20 GA,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 4.75IN UNIVERSAL SERRATE WIRE SURGICAL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS OPHTHALMIC 4.5IN V MUELLER STEVENS CURVE STAINLESS STEEL MIRROR FINISH 3.2CM TENOTOMY,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR FLOW TRANSDUCER ENHANCED 22MM DISPOSABLE AESPIRE AESTIVA,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR FLOW XL TRANSDUCER DISPOSABLE 22F M,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX MONOCRYL PLUS 3-0 PS-2 SPIRAL 15CM KNOTLESS TISSUE CONTROL ANTIBACTERIAL UNDYED ABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX PDS PLUS 2-0 SH SPIRAL 6IN TAPER POINT ABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE TIGERLOOP TIGERWIRE 2 STRAIGHT 20IN BRAID MULTISTRAND NEEDLE GREEN WHITE 3IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE TIGERSTICK TIGERWIRE 2 50IN 1 END STIFFEN MONOFILAMENT BLACK WHITE 12IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE UHMWPE FORCE FIBER 2 36IN COBRAID WITHOUT TIP BLUE WHITE NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE UHMWPE FRC FBR 2 36IN C,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 54IN BRAID COATED CUSTOM UNDYED ABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 ENDOLOOP 18 EJ10G,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYRINGE LEVEEN INFLATION 10ML,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM BONE CEMENT SPATULA MIXEVAC III,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CLEARIFY VISUALIZATION,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM SINGLE ACTION PUMPING SYSTEM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIGERTAPE ARTHREX 2MM (AR-7237-7T),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP SCISSOR ENDOCUT MICROLINE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP SCISSOR METZENBAUM MICROLINE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP SCISSORS ENDOCUT MINI 13.5MM DI,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED UNCUFFED 3.0MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED UNCUFFED 3.5MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED UNCUFFED 4.0MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED UNCUFFED 4.5MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED UNCUFFED 5.0MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAP DORNOCH SPECIMEN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER CATHETER 15CM 14FR FOLEY DRAINAGE BAG URETERAL GOLDBERG,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE DERMATOME 1.25-4.25IN STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE LARYNGOSCOPE GLIDESCOPE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 11MM THK1.35MM 90MM 2 CUT SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 25.5MMX.4MM MICROPOWER MICRO100 RECIPROCATING FLAT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAV 3.5MM FRMLA END,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 2.5MM FORMULA AGGRESSIVE PLUS STRAIGHT SMALL JOINT F SERIES ARTHROSCOPIC STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 4.5MM TOMCAT ANGLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER BLACK RED 4MM RESECTOR LATEX FREE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER DUAL CUT SAGITTAL 4 IN 1,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER FORMULA ANGLED TOMCAT SHAVER 4.0MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER HOODED ABRASION 2.0,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER MINI DEBRIDER 375-647-000,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER RECIPROCATING HEAVY SAW DUTY 277-96-325,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER SAGITTAL DUAL CUT 6125-119-090,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BRUSH CLEAN WIRE 2MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER 12 FLUTED BARREL FORMULA 4.0 (0375-941-012),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER 12 FLUTED BARREL FORMULA 5.5 (0375-951-013),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR STRYKER 1608-6-147 (ROUND),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORTX CV-5 TTC-13 DA 36IN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORTX CV-7 TTC-9 24IN 2,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE MONOCRYL 2-0 SH UR-6 27I,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE NYLON 10-0 AU-5 DA 6,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PDS ENDOLOOP 18 EZ10G,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE POLYPRO 2-0 NDL DIGITEX,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT MANIFOLD LEFT HEART,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NEUROSTIMULATOR 3.5IN 14GA INTERSTIM CURVE NEEDLE CHRONIC PAIN THERAPY,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SHOULDER SUSPENSION,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LOWER EXTREMITY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER ENDOSPOT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER SURGICAL CHECKPOINT STERILE FEMORAL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE BIOPSY 14GA 10CM ANGLE MAX-CORE BARD 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR DEEP SAMPLE NOTCH LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE BIOPSY BARD MONOPTY 14GA X 10CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE BIOPSY BARD MONOPTY 18GA X 20CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE ENDOSCOPIC MACROPLASTIQUE 3.8FR URETHRAL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE EPIDURAL 14G 4,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE HYPO ENDO  220CM ASP VAR INJ,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE LOCALIZATION 7CM 20GA KOPANS MREYE BEVEL CUT LESION MODIFY SPRING HOOK HUB BREAST DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE LOCALIZATION 9CM 20GA KOPANS SPRING HOOK WIRE REINFORCE STERILE BREAST LESION DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OBTURATOR LAPAROSCOPIC 12MM WECK VISTA LONG STAPLER BLADELESS STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OBTURATOR LAPAROSCOPIC 12MM WECK VISTA STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OBTURATOR LAPAROSCOPIC 8MM BLADELESS DAVINCI,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OBTURATOR LAPAROSCOPIC 8MM LONG BLADELESS DAVINCI,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OPEN SHOULDER SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK ARTHROSCOPY BONUTTI GRAY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK CARDIAC CATHETER SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK LAP PELVIC SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK LAPAROTOMY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK LOWER EXTREMITY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK MINOR SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SHOULDER SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURG HEAD NECK ST,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURGICAL CARDIAC CATH ST ANTHONYS MEMORIAL HOSPITAL HAZARDOUS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK TUR,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PASSER SUTURELASSO SD 1.8MM 3.8MM WIRELOOP SUTURE NITINOL ARTHROSCOPY STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PATIENT POSITIONING PAD SURGYPAD 36IN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PATIENT PROTECTIVE PAD FOR KNEE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE SURGICAL BUIE 6.5IN FISTULA LIGHT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE GASTRO FEEDING 16FR KANGAROO PORT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE SHIILEY UNCUFF NEONATE SIZE 4.0,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE SHILEY UNCUFF NEONATE SIZE 3.5,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE TRACHEOSTOMY 3MM 30MM 4.8MM SHILEY NEONATE UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE PLASTICIZER STERILE LATEX FREE DISPOSABLE CLEAR,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING INSUFFLATION HIGH FLOW STRYKER (CO2),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING IRRIGATION 30IN IRRI-FLO II DELIVERY SYSTEM 12ML,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING IRRIGATION STRAIGHTSHOT XPS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING LEVEL 1 TUBING,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,UNIT AUTOTRANSFUSION BRAT SET,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,VALVE RUBBER PLASTIC CHEST DRAINAGE SEAL FLUTTER TAPER END TRANSPARENT CHAMBER BD BARD-PARKER HEIMLICH STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WIRE KIRSCHNER 1.6 X 200 FIXATION FULL THREAD,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SURGICAL 14IN UNIVERSAL AVAMAX PLUS PEEK STAINLESS STEEL PMMA INJECTOR HANDLE MALLET FORCEPS COAXIAL CEMENT TUBE 11GA 13GA,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING PREVENA CUSTOMIZABLE SYSTEM KIT,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL 19FR KNIFE COAGULATING,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL CUT LOOP 22MM STERILE ENDOSCOPE RESECTOSCOPE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ENDOSTITCH AUTOSUTURE 173016,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EXTRACTOR SURGICAL IMPACTOR KNEE TIBIA,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LASER FLEXIVA 910UM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDLE SCREWDRIVER STAINLESS STEEL MINI QUICK COUPLING,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,IRON BENDING 180MM 2.7/3.5MM RECONSTRUCTION PLATE SMALL FRAGMENT SET NONSTERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ACCESSORY AMS 700 PENILE PROSTHESIS,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER SUREFORM 60,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORE-TEX CV-0 THX-36 DA 36IN,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASER FIBER HOLMIUM LIGHTGUIDE SERIES 1000M,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ASSEMBLY LG LAPAROSCOPIC VESSEL SEALER 8MM XI4000,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BATTERY DRIVER LARGE PACK SYSTEM 8,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 500MM 6-9MM TFN-ADVANCED LARGE QUICK COUPLING CANNULATED STEP HELICAL BLADE SCREW PROXIMAL FEMORAL NAIL SYSTEM NONSTERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY LIGASURE CRVD LARGE JAW OPEN SEALER,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION 4 POSITION MULTIPIN 4/6 MM SCHANZ SCREW NONSTERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP EXTERNAL FIXATION LARGE UNIVERSAL ADJUSTABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP HOFFMANN PELVIC,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP STYRKER HOFFMAN 3 PIN 10 HOLE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES LARGE COMBINATION,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES LARGE MULTI-PIN  4 POSITION,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES LARGE OPEN ADJUSTABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES TRANSVERSE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES TUBE-TO-TUBE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR ROD 42-58MM DIAMONDBACK SPINE CROSS MIS NONSTERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR ROD LARGE CROSSBAR,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER BIT 16MM CANN,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 18MM CANNULATED METATARSAL,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL GLENOID 5 SPHERE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL GLENOID 7 SPHERE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL GLENOID 9 SPHERE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SEALER/DIVIDER LAPAROSCOPIC LIGASURE 37CM 5MM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM AUTOTRANSFUSION CASCADE AUTOLOGOUS PLATELET MEMBRANE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM FIXATION OPTIFIX 30 ABSORBABLE FASTENER ARTICULATE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT HIP FULL OSTEOTOME 58MM HEMISPHERE ACETABULAR CUP REMOVAL SYSTEM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT HIP OSTEOTOME 56MM HEMISPHERE ACETABULAR CUP REMOVAL SYSTEM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT ZIMMER 54MM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT ZIMMER 54MM LONG,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT ZIMMER 58MM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT ZIMMER 60MM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT ZIMMER LONG 52MM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE EXPLANT ZIMMER SHORT 52MM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE INTRAMEDULLARY NAIL GOLD 105MM 11MM HELICAL TROCHANTERIC TITANIUM CANNULATED STERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE INTRAMEDULLARY NAIL GOLD 95MM 11MM HELICAL TROCHANTERIC TITANIUM CANNULATED STERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SYNTHES 11.0MM TI HELICAL 110MM STERILE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT DRESSING 35CM PREVENA PLUS PEEL  AND  PLACE STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SECONDARY FIXATION  ACL/PCL,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SURGICAL TALAR-FIT LOCK STERILE TITANIUM,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PORT ENDOSCOPIC 12MM 36CM SILS CLINCH,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PORT GELPORT LAPAROSCOPIC SYSTEM 120MM INCISION,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ELECTROSURGICAL GREEN 240MM 3.5MM DYONICS EFLEX LIGAMENT CHISEL 100- D XL SOFT TISSUE INSULATE SHAFT INTEGRATE CABLE RADIOFREQUENCY,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUNNELER SURGICAL ARTHROTUNNELER TRANSOSSEOUS ROTATOR CUFF REPAIR,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,VALVULOTOME 1.8MM 6MM 9MM 98CM EXPANDABLE PROTECTIVE SHEATH CENTER HOOP T HANDLE LEMAITRE ANGIOSCOPIC GREEN,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,VESSEL SEALER EXTEND,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SURGICAL BIOPSY HAZARDOUS,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN BARD W/ TROCAR LARGE HEMOVAC 1/4,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN HEMOVAC TUBING WITH 3/16 TROCAR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING GERMICIDAL 4.34SQ IN HEXAGON PROMOGRAN PRISMA COLLAGEN OXIDIZED REGENERATED CELLULOSE SILVER OXIDIZED REGENERATED CELLULOSE ABSORBENT ANTIBACTERIAL BIODEGRADABLE MATRIX LATEX FREE STERILE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING HYDROCOLLOID MULTIDEX FILLER NONTOXIC POWDER CONTROL ODOR STERILE LATEX FREE MALTODEXTRIN ASCORBIC ACID 6GM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRSG WND 45X2CM AQCL,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILTER TRANSFUSION BLOOD MICROAGGREGATE LOW RESIDUAL VOLUME LATEX FREE PALL SQ40 40UM POLYESTER DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS BIOPSY MICROMESH TEETH STREAMLINE CATHETER NEEDLE 160CM 2.4MM RADIAL JAW 4 STAINLESS STEEL LARGE CAPACITY STERILE DISPOSABLE YELLOW 2.8MM WORK CHANNEL,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL HALSTED MOSQUITO V MUELLER 5IN STRAIGHT JAW SATIN FINISH STAINLESS STEEL NONSTERILE REUSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL V MUELLER BROWN-ADSON 4 7/8IN TISSUE MIRROR FINISH,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARGYLE EDLICH GASTRIC LAVAGE LARGE 34FR X 36,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET SEAL MYOSURE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET SPINAL 4 11/16IN 27GA 17GA BD DURASAFE PENCIL POINT EPIDURAL HIGH FLOW VARIABLE EXTENSION ADAPTER 3.5IN STERILE LATEX FREE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHIELD CORNEAL CROUCH PEDIATRIC,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHIELD CORNEAL PROTECTOR CROUCH,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLEEVE SCD CALF 17,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SNARE MEDIUM OVAL 240CM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER SKIN WIDE 35 COUNT STE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUCTION COAG 6IN 12FR CLZN HAND,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUCTION COLLECTOR JUHN TYM TRAP EAR FLUID ASPIRATOR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 0  CT-2 C/R CX27D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 0 CT-1 CR CX21D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 0 M07 18 GREEN CX41D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 2-0  SH 18 C/R CX12D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 4 0 C 1 30IN 2 ARM BRD,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND EXC 2-0 CT-2 18IN CONRE BRD 8 STRN SFTY,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND EXCEL CT-2 40IN D SPECIAL WHITE NONABSORBABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 5-0 S-24 18 DA 7731G,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 8-0   BV130-5  5 2808G,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BANDAGE FOURFLEX 10YDX4IN NONSTERILE COMPRESSION LATEX FREE KIT 4 LAYER LONG STRETCH,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BINDER ABDOMINAL 12IN 3XL 82-100IN,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA NASAL 7FT O2 ETCO2 LINE FILTER DIVIDE ADULT PROLONG 6FT NONSTERILE LATEX FREE REUSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATHETER DRAINAGE 36FR 20IN 6 EYELET HIGH TEAR STRENGTH RADIOPAQUE TUBE THORACIC SILICONE STERILE LATEX FREE STRAIGHT DISPOSABLE BLUE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY HOT TEMP,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,COAGULATOR SUCTION 6IN 10FR VALLEYLAB HANDSWITCH CORD THERMAL REDUCTION FLUID EVACUATION TUBE ENT STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DETECTOR CARBON DIOXIDE COLORIMETRIC LATEX FREE NELLCOR ENDOTRACHEAL TUBE 18MM 15MM 15MM 5MM 3CC DISPOSABLE PEDIATRIC,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DETECTOR CARBON DIOXIDE COLORIMETRIC LATEX FREE NELLCOR ENDOTRACHEAL TUBE PLACEMENT 22MM 15MM 15MM 13MM DISPOSABLE ADULT,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE SECUREMENT FIXATION LARGE 12-22FR STERILE LATEX FREE STAYFIX PERCUTANEOUS NONVASCULAR CATHETER,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING TUBE GAUZE 1,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING WOUND 4.34SQ IN HEXAGON PROMOGRAN MATRIX,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING WOUND 7.2X4IN MEPITEL NONADHERENT LATEX FREE STERILE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RESUSCITATOR MANUAL INFANT O2 BAG RESERVOIR MANOMETER MASK AIRFLOW LATEX FREE DISPOSABLE BVM GUARDIAN ACCEPTS 19/30MM PEEP VALVE 19MM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RESUSCITATOR MANUAL PEDIATRIC O2 PORT FILTER TUBE LATEX FREE DISPOSABLE AIRLIFE 6IN NONSTERILE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETAINER DRESSING 25YD 6 LARGE TUBULAR MT SPANDAGE ELASTIC NET LATEX FREE NONSTERILE HEAD THIGH SHOULDER,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR INFANT NELLCOR LOSAT 18IN C3-20KG OXIMETER SPO2 ADHESIVE TEAR RESISTANT BANDAGE PVC STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR INFANT OXISENSOR II OXIMETER ADHESIVE DIGIT STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR PEDIATRIC LNOP OXIMETER ADHESIVE SPO2 EXTRAORDINARY SHIELD RECESS PHOTODETECTOR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR PEDIATRIC MASIMOSET LNCS 18IN FINGER OXIMETER SPO2 ADHESIVE CABLE NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR PEDIATRIC OXISENSOR II 18IN OXIMETER ADHESIVE STRAP CABLE STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET BLOOD WARMING IV FLUID ADMINISTRATION INJECTION PORT LEVEL 1 HOTLINE INTRAVENOUS HL-90 DISPOSABLE 8FT STERILE LATEX FREE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET ENDOSCOPIC INSTRUMENT SCOPEVALET GUARDIAN VALVE COLOR CODED OLYMPUS STERILE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 CT-1 27 POPOFF,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 CT-1 CR 18 J740D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 CT-1 CR J840D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 CT-1 CR/8 18,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 1 CT-1 CR 18IN,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 2-0 CT-1/CR-8 J839D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 3-0 SH VIOLET CR/8,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 4-0 SH 18 DYED C/R J773D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP PULSED LAVAGE INTERPULSE HIGH FLOW,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETER STLOCK 18FR 2L FOLEY,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETERIZATION BARDEX BARD 16FR DRAINAGE BAG FOLEY ANTIREFLUX CHAMBER CONTROL FIT OUTLET TUBE SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETERIZATION COMPLETE CARE STATLOCK ADD-A-FOLEY SURESTEP DRAINAGE BAG STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETERIZATION STATLOCK 18FR 2000ML DRAINAGE BAG FOLEY CONTROL FIT OUTLET TUBE ADVANCE SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY EPIDURAL BLOCK LATEX FREE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER INSTRUMENT UROLOK SELF SEALING PORT,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER PORTEX SWIVEL,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLOCK TRAY,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BOTTLE SUCTION LUER LOCK DESIGN EVACUATED EVOLUTION PARACENTESIS THORACENTESIS NONSTERILE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BRUSH FEMORAL CANAL SUCTION IRRIGATION STERILE LATEX FREE DISPOSABLE INTERPULSE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE NUROLON 0 CT-1 8X18 C521D,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE POLYESTER ETHIBOND EXCEL 0 CTX 18IN CONTROL BRAID 8 STRAND,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 5-0  C-1 DA 368321,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 6-0 18 BV-1 8806H,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 6-0 CC-1 CC-1 30 8707H,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 7-0 BV-1 30 8703H,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE 7-0 BV-1 DA 18 8701H,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SILK 6-0 G-1 DA 18,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SILK 7-0 TG140-8 DA 18,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SILK PERMA-HAND MICROPOINT 6-0 G-6 18IN 2 ARM BRAID BLACK NONABSORBABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SILK PERMA-HAND MICROPOINT 7-0 G-7 18IN 2 ARM BRAID BLACK NONABSORBABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT DRAINAGE 20CMX7MM SILICONE FULL PERFORATION BULB EVACUATOR LOW LEVEL SUCTION FLAT 100CC STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SURGERY MATERNITY,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SURGERY NEWBORN SAE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KNIFE MYRINGOTOMY SPEAR BLADE INTEGRAL HANDLE STERILE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE CURVTEK EYE 7MM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SUTURE 12MM LARGE CURVTEK STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK CYSTO SAE SJH HFG,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK TIBURON,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACKING WOUND 2X.25IN POLYESTER SILVERSTEIN STRIP LONG STERILE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PAD ELECTROSURGICAL GROUNDING COOLED RF CORD DISPERSIVE ELECTRODE ADULT NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,POWDER MULTIDIEX WOUND DRESSING 12G,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE COVER NAVIGATOR 96   X 5,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PRONG CPAP CURVE INFANT SEPTUM CUT AWAY SOFT SILICONE LATEX FREE NASAL 3MM 4MM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE CHEST ATRIUM 24FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE CHEST ATRIUM 32FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE GASTRIC LAVAGE 34FR EASI-TUBE RADIOPAQUE ADULT NONSTERILE LATEX,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE NASOGASTRIC 36IN 8FR ENTERAL RADIOPAQUE WEIGHT TIP RIGID PORT STYLET GREEN PURPLE KANGAROO HYDROMER POLYURETHANE ADULT LATEX FREE 3GM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE NASOGASTRIC 36IN 8FR STANDARD TIP RIGID PORT RADIOPAQUE STYLET PURPLE KANGAROO ENFIT ADULT LATEX FREE 3GM,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING IRRIGATION 305CM ENDOGATOR EGP-100 DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING IRRIGATION CYSTO,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING STRYKER CO2,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY TIBIAL FIXED BEARING ZIMMER SIZE 5,272,1 ,$252.00 ,$181.44 ,$70.56 ,$252.00 , N/A ,$187.74 ,$165.06 , N/A ,$70.56 ,$154.98 , N/A ,$154.98 , N/A ,$139.61 ,$139.61 , N/A ,$139.61 , N/A ,$226.80 ,$209.16 , N/A , N/A ,$221.76 , N/A ,$189.00 ,$189.00 ,$214.20 ,$214.20 , N/A ,$214.20 , N/A ,$204.12 ,$204.12 ,$204.12 ,$252.00 ,$226.80 , N/A ,$226.80 , N/A ,$252.00 ,$141.37 , N/A ,$104.33 , N/A , N/A , N/A ,$226.80 , N/A ,$139.61 ,$70.56 ,$226.80 , N/A ,$226.80 ,$226.80 , N/A ,$163.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY TIBIAL SCORPIO 13 STANDARD KNEE PRIMARY POSTERIOR STABILIZE CRUCIATE RETAIN WAFFLE SERIES 7000,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EXTRACTOR SURGICAL TFN-ADVANCED HELICAL BLADE SCREW NONSTERILE,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHAFT SCREWDRIVER LUHR 2MM ASSEMBLY,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLING SUPRAPUBIC SUPRIS COLOPLAST,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUT LIGASURE ADVANCE MONO TIP PISTOL GRIP,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CHUCK DRILL UNIVERSAL T HANDLE,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE MYOSURE REACH,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE MYOSURE XL,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE NOVASURE ADVANCE,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCREWDRIVER SYNTHES 1.5MM CRUCIFORM BLADE,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY PROCEDURE 15MM AVAMAX VERTEBRAL BALLOON INFLATION SYRINGE NEEDLE STOPCOCK STERILE 10GA,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SURESHOT STRAIGHT 4.0,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT NOVASURE HANDLE ABLATATION ENDOMETRIUM,272,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY VERTEBRAL BALLOON,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROD EXTERNAL FIXATOR 220MM MRI SAFE,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCREWDRIVER SYNTHES 1.0MM CRUCIFORM BLADE,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET IMPL SUTUREBRIDGE LG TAPER,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT FIXATOR BIOSYMMETRIC PIP BIOMET,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUMP INFUSION PAINPUMP2 LUER LOCK TUBE PROGRAMMABLE 400ML,272,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR 12MM 120MM AIRSEAL BLADELESS,272,1 ,$245.00 ,$176.40 ,$68.60 ,$245.00 , N/A ,$182.53 ,$160.48 , N/A ,$68.60 ,$150.68 , N/A ,$150.68 , N/A ,$135.73 ,$135.73 , N/A ,$135.73 , N/A ,$220.50 ,$203.35 , N/A , N/A ,$215.60 , N/A ,$183.75 ,$183.75 ,$208.25 ,$208.25 , N/A ,$208.25 , N/A ,$198.45 ,$198.45 ,$198.45 ,$245.00 ,$220.50 , N/A ,$220.50 , N/A ,$245.00 ,$137.45 , N/A ,$101.43 , N/A , N/A , N/A ,$220.50 , N/A ,$135.73 ,$68.60 ,$220.50 , N/A ,$220.50 ,$220.50 , N/A ,$159.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 150MM 5MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TREPHINE OPHTHALMIC 8.25MM BARRON 360D CORNEA STAINLESS STEEL 16 COMPARTMENT RADIAL VACUUM SUCTION CHAMBER STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TREPHINE OPHTHALMIC 8.5MM BARRON 360D STAINLESS STEEL RADIAL VACUUM RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 100MM 12MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 100MM 5MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 150MM 12MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE TAUT SYSTEM ONE SYRINGE HIGH PRESSURE INFLATION CBDE KIT BALLOON DILATOR DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING STAMM SINU FOAM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DUOVISC VISCOELASTIC,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ENDO CLIP APPLIER LIGAMAX 10MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ENDO CLIP APPLIER LIGAMAX M/L 5MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FIBER LINK ARTHREX,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILM TRANSPARENCY BLUE 12.5MRX210MM SONY THERMAL UP-980AD UP-991AD,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL CHANDLER 7IN SPINAL PERFORATE SATIN FINISH EXTEND JAW STAINLESS STEEL NONSTERILE REUSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE PIN ORTHOPEDIC METATARSAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE PIN ORTHOPEDIC PHALANGEAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT AUTOTRANSFUSION BOWL ASSEMBLY LOW VOLUME CENTRIFUGE 135ML SMALL BRAT 2 DISPOSABLE LATEX,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT BIOPSY 15CM 11GA AVAMAX STANDARD BEVEL TIP CANNULA PROBE PRELOAD,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEATH ENDO CLEAN 4MM STRZ,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHOULDER SCOPE BON GRAY SAE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPECULUM LARGE SAWYER RECTAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPECULUM SAWYER RECTAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE PROXIMATE CUTTER 7.5 - 3.8 RELOAD TCR75,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER PROXIMATE CUTTER 60 3.8 TLC55 GIA,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER TX 30-2.5 TX30V,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER TX 60 3.5 TX60B,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER TX 60 4.8,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER TX30-3.5 TX30B,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STIMULATOR HANDHELD LOCATOR VARI-STIM III NERVE STANDARD SUBDERMIS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ARTHREX 2-0 FIBERWIRE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,APPLICATOR ENDOSCOPIC FLOSEAL STAINLESS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ASPIRATOR STERILANT TUBE SYSTEM 1,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AWL SURGICAL 14CM SHORT OBWEGESER CURVED SLIGHTLY MAXILLARY,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AWL SURGICAL 18CM OBWEGESER,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AWL SURGICAL 5.5IN STRONG CURVE OBWEGESER MANDIBULAR,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 15MM 3.2MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 20MM 3.2MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 25MM 3.2MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3.5MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 30MM 3.2MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 50MM 3.2MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 65MM 1.1MM J LATCH COUPLING NONSTERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE 360D 8MM TREPHINE RADIAL VACUUM BARRON STAINLESS STEEL SURGICAL RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR CUTTING 6MM MAKO BALL STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 52MM 7MM STANDARD ROUND STAINLESS STEEL AGGRESSIVE CUTTING STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 64MM 5MM ULTRAPOWER MEDIUM ROUND STAINLESS STEEL AGGRESSIVE CUTTING TOOL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 6MM ANSPACH FLUTE BALL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 72MM 3MM VISAO ULTRAPOWER INDIGO LONG FLUTE ROUND STAINLESS STEEL AGGRESSIVE CUT TOOL STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL ANSPACH 6MM BALL FLUTE STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CABLE ELECTROSURGICAL HF CONNECTING ELECTRICAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ARTHROSCOPIC 5.7MM CURVE BLADE EFLEX LONG HIP FLEXIBLE STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPO MERCEDES 3MMX22CM LONG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPO MERCEDES 3MMX30CM LONG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPO MERCEDES 4MMX22CM LONG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPO MERCEDES 4MMX30CM LONG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPO MERCEDES 5MMX22CM LONG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPO MERCEDES 5MMX30CM LONG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPOPLASTY HELIXED SINGLE-PORT 3.0 X 8MM X 30CM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPOSUCTION PAL MERCEDES 360 D L9.7 MM L30 CM OD5 MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA LIPOSUCTION PAL MERCEDES L9.7 MM L22 CM OD5 MM ODSEC,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA SUCTION L22 CM L8 MM OD3 MM PORT DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA SUCTION MERCEDES L22 CM OD5 MM ODSEC10 MM 3 PORT WIT,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA SUCTION PAL L15 CM L1.5 MM OD3 MM SPATULA TIP 2 HOLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA SUCTION PAL L15 CM L3 MM OD2.4 MM SLOT DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATH EPID 12IN 19GA BREVI-KATH FLPLMR RND TIP,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATHETER ARTERIAL LINE 110CM 5FR RIGHT ATRIUM VENTRICLE THERMODILUTION ASSEMBLY HTR,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATHETER EPIDURAL 12IN 19GA BREVI-KATH FLUOROPOLYMER ROUND TIP HEAVYDUTY RADIOPAQUE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CEMENT MIXER BOWL W/TIP,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CEMENT MIXING BOWL W/VACUUM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CEMENT RESTRICTOR MED UNIVERSAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP EXTERNAL FIXATION STAINLESS STEEL DYNAMIZATION ADJUSTABLE COMBINATION CLAMP NONSTERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CORD ELECTROSURGICAL BOVIE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CRYO CUFF KNEE LARGE 20-31IN,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF COMPRESSION THERAPY AIRCAST CRYO/CUFF UNIVERSAL ANKLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE ENDO STITCH V-LOC 180 2-0 8IN ABSORBABLE RELOAD GREEN CLOSURE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 2.5MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.0 QC 50MM MINI,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.1 QC  55MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.1 QC  60MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.3 QC 55MM MINI,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.5 J LATCH  75MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.5 QC  65MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.5 QC  85MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.5 QC 110MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.8 QC 80MM MINI,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH OPHTHALMIC 7.5MM BARRON VACUUM DONOR CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH OPHTHALMIC 7.75MM BARRON VACUUM DONOR CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH OPHTHALMIC 8.5MM BARRON VACUUM DONOR CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH OPHTHALMIC 9.5MM BARRON VACUUM DONOR CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH OPHTHALMIC 9MM BARRON VACUUM DONOR CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH SURGICAL 6.5MM RADIAL VACUUM BAR BARRON STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH SURGICAL 7.25MM STAINLESS STEEL ANTERIOR CHAMBER 4 GUIDE POST VACUUM BARRON CORNEAL DONOR RECIPIENT STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH SURGICAL 8.25MM STAINLESS STEEL VACUUM 4 GUIDE POST BARRON CORNEAL DONOR RECIPIENT STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH SURGICAL 8.75MM STAINLESS STEEL 4 GUIDE POST VACUUM BARRON CORNEAL DONOR RECIPIENT STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUNCH SURGICAL 8MM STAINLESS STEEL VACUUM 4 GUIDE POST BARRON STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER C LINVATEC HALL CANNULATED 11MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR ALEXIS WOUND RIGID MED,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR ALEXIS WOUND RIGID SMALL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RF GROUNDING PAD SELF-ADHESIVE NEUTRAL ELECTRODES,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROLLER OPHTHALMIC 9MM RUBENSTEIN CORNEA SILICONE SLEEVE STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 4.5IN VITAL KNAPP STRABISMUS CURVED BLUNT/BLUNT SURGICAL TUNGSTEN CARBIDE STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 4.75IN LITTLER CURVE EYED SUTURE HOLE BLADE SURGICAL STAINLESS STEEL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 5.5IN VITAL STRAIGHT SHARP AND BLUNT STELLITE CUTTING EDGE SURGICAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR TISSUE OXIMETRY,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SURGITIE 0 18IN LOOP DEL SYS ABSORB,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SUTURETAPE 40IN X 2 STRAND BLACK BLUE WHITE 1.3MM NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE TIGERLINK FIBERWIRE 2 26IN CLOSED LOOP BLACK WHITE NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CRYO CUFF ANKLE UNIVERSAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CRYO CUFF KNEE 10-19IN,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM CRYO CUFF KNEE LG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP IRRIGATOR OMNI,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TREPHINE OPHTHALMIC 6MM BARRON 360D STAINLESS STEEL RADIAL VACUUM BAR RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TREPHINE OPHTHALMIC 7.5MM BARRON 360D STAINLESS STEEL RADIAL VACUUM RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TREPHINE OPHTHALMIC 7.75MM BARRON 360D STAINLESS STEEL RADIAL VACUUM RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TREPHINE OPHTHALMIC 7MM BARRON 360D STAINLESS STEEL RADIAL VACUUM RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ACCESSORY NEUROSTIMULATOR 6.5FR PERCUTANEOUS LEAD INTRODUCER STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER TUBING IRRIGATION SE3,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADHESIVE DERMABOND PRINEO SKIN CLOSURE STRIP,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE OPHTHALMIC 9MM BARRON 360D STAINLESS STEEL RADIAL VACUUM RECIPIENT CORNEA STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 90X13MM STRYKER PERFORMANCE SERIES THK1.27MM SAGITTAL HEAVY DUTY SYSTEM 6 STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW RAYHACK THK.02IN ULNAR GENERATION II LOW PROFILE LOCK SYSTEM STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER SLATE 18CM 4.5MM DYONICS ELITE INCISOR PLUS LONG STRAIGHT HIP STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER TPS 5100-137-133,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR ROUND CARBIDE 4.0MM X 51MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR ROUND CARBIDE 7.0MM X 51MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE LAPRA-TY CLIP XC200,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT TRANSFER FILL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT TRIMANO BEACH CHAIR ARM HOLDER,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.0 QC  65MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.0 QC 100MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.0 QC 125MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.4 QC 80MM MINI,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.5 JACOBS CHUCK  95MM GOLD,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.5 QC 110MM GOLD,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.5 QC 180MM GOLD,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.7 QC 100MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.2 QC 145MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.5 JACOBS CHUCK  95MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.5 QC 110MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.5 QC 195MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.5 QC 145MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MANIPULATOR SURGICAL ADVINCULA DELINEATOR UTERINE PLASTIC 3.5CM DISPOSABLE ELECTROSURGICAL DEVICE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MANIPULATOR SURGICAL ADVINCULA DELINEATOR UTERINE PLASTIC 3CM DISPOSABLE ELECTROSURGICAL DEVICE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MANIPULATOR SURGICAL ADVINCULA DELINEATOR UTERINE PLASTIC 4CM DISPOSABLE ELECTROSURGICAL DEVICE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MARKER 17GA RIGID NEEDLE RADIOPAQUE ULTRACLIP II TISSUE BREAST BIOPSY 3MM RIBBON TITANIUM 10CM STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE ENDOSCOPIC 16GA GRASPER LAPAROSCOPIC GRANEE STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE ENDOSCOPIC INJECTION DISPOSABLE STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE EPIDURAL 6IN 14GA RX COUDE CURVE PLASTIC BEVEL RADIOPAQUE ATTACHABLE WING REMOVABLE STYLET,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE RADIOLOGY 20CM 18GA 3MM POLYMARK 1 KIT ETW PLACEMENT MARKER STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SUTURE 2 STRAIGHT FRENCH SPRING EYE ABDOMINAL STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SUTURE 2.5IN .025IN EYED KEITH STERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE W/O TROCAR SURG,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK C SECTION SAE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK EYE SAE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK HIP SAE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK LAP CHOLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK PACEMAKER SJS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURG ARSCOPE ST ANTHONYS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURG SHLDR SCOPE BON GRAY,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK TOTAL KNEE SAE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN GUIDE THREADED TIP BIOMET 2.5 X 9 INCHES,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 120MM 4MM APEX BLUNT STAINLESS STEEL 30MM EXTERNAL FIXATION SYSTEM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 150MM 4MM APEX BLUNT STAINLESS STEEL 50MM EXTERNAL FIXATION SYSTEM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 150MM 4MM APEX STAINLESS STEEL BLUNT TIP 40MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 180MM 4MM APEX STAINLESS STEEL BLUNT TIP 40MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 80MM 3MM APEX STAINLESS STEEL BLUNT TIP 10MM EXTERNAL FIXATION SYSTEM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,POSITIONER IMPLANT BIOARCH ALIGNMENT ROD,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ELECTROSURGICAL 135MM 3.5MM SERFAS ENERGY 50D SUCTION RF ABLATION SYSTEM ARTHROSCOPIC STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE SERFAS 90 S SUCTION,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE SUCTION 3IN 3FR V MUELLER BARON MATTE FINISH STERILE LATEX FREE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WRENCH SURGICAL 6MM ALLEN,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 150MM 5MM XCEL BLADELESS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR BLADELESS XCEL ENDOPATH 5MM SHORT  ETHICON,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 150MM 12MM XCEL BLADELESS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE STRATAFIX MNCRL + 2-0 SH SPRL 20CM ABS KNTLS TISS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE STRATAFIX PDS PLUS 0 CT-1 SPIRAL 70CM ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL DYED SUTURE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE SUCTION 12FT WATERBUG FLOOR QUIET EFFICIENT FLEXIBLE TUBING,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE SUTURE STRATAFIX PDS PLUS 2-0 CT-1 SPIRAL L22 CM ABSO,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN BARD SILICONE 10MM FLAT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN BLAKE 7 FLAT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN RELIAVAC KIT 1/8 3461,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRAIN RESERVOIR JP VAC/BULB SUCTION 400CC,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING COBAN 4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING MEPILEX SILVER 4 X 6,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING MEPILEX SILVER 4 X 8,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE DEFIBRILLATOR ADULT 6X4.25IN MULTIFUNCTION RADIOTRANSPARENT POUCH PADPRO A SILVER WHITE MEDTRONIC PHYSIO-CONTROL QUIK-COMBO CONNECTOR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE DEFIBRILLATOR PEDIATRIC 4.25X2.875IN MULTIFUNCTION RADIOLUCENT PAD PADPRO LEAD D 48IN NONSTERILE LATEX FREE PINK WHITE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL INSULSCAN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL NEEDLE 2IN 3MM MEGADYNE MEGAFINE STERILE PTFE DISPOSABLE EXTRA SHARP LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL NEEDLE STRAIGHT 2.13IN 3/32IN VALLEYLAB STERILE TUNGSTEN 3CM DISPOSABLE INSULATE STANDARD SHAFT MICROSURGICAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ENDOGATOR PVC CO2,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EVACUATOR BLADDER UROVAC,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EVACUATOR RELIAVAC 7080,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FILIFORM URETHRAL 12.5IN 5FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEP BIOPSY HOT 240CM 2.2MM RAD,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEP BIOPSY JUMBO 3.2,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS ENDOSCOPIC CLEAR SMALL EAR NOSE 1 MAGNIFICATION LENS 1 LIGHT SOURCE SPRING GRIP RETAIN RING FOREIGN BODY LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL FOERSTER STRAIGHT 9.75IN SERRATE SPONGE STAINLESS STEEL STERILE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS SURGICAL MICRO-LINE HALSTED 5IN ARTERY CURVE JAW DELICATE STAINLESS STEEL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GARMENT COMPRESSION LARGE FOOT FLOWTRON NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GARMENT FOOT FLOWTRON DVT HUNTLEIGH,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GRID ACCU,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUARD PROTECT GARDENT TEETH NY,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDEWIRE ANGIOGRAPHIC 260CM .035IN J CURVE FIX CORE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDEWIRE ANGIOGRAPHIC PTFE 035 X 260CM FC 3MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HANDPIECE 10FT INTERPULSE SURGILAV PLUS SET TUBE PULSED LAVAGE STERILE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HEADGEAR CPAP INFANT 3 POINT FIXATION MIDLINE ELASTIC LATEX FREE 35-40CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,HUMIDIFIER RESPIRATORY HEAT MICROCELL AUTO FILL CHAMBER MR290,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INFUSOR PRESSURE 3000ML NET BACK,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT CATHETER 5FR SOFT LOW DUROMETER NUMBER COLOR CODED GRADUATE TACTILE SLEEVE TRACH CARE 1.66MM LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT CPM OPTIFLEX CHATTANOOGA COOL QUILT KNEE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT CPM OPTIFLEX UNIVERSAL KNEE FLEECE SHEEPSKIN FOAM 23LB,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT DRAINAGE .25IN PVC Y CONNECTOR TUBE 12.5 HOLE PATTERN RELIAVAC SMALL 400ML STERILE LATEX DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SHEATH STAPLER ROBOT  ENDOWRIST INTUITIVE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SLEEVE SCD CALF 23  LARGE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SNARE 20MM ROUND 240MM 2.4MM CAPTIVATOR II STIFF BRAID WIRE HOT COLD INDICATION SMALLER LOOP ENDOSCOPIC 2.8CM DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SNARE ROUND 20MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SNARE SM HEX 240CMX13MM 2.4MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SOCK CANISTER 8IN ELBOW SPECIMEN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SOLN LUBRICANT/AIR DUFFUSER MIDAS REX MR7,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPHERES 1 PACK,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPHERES 5 PACK,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPONGE GELFOAM 100,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE HEMOCLIP LARGE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE HEMOCLIP LIGACLIP EXTRA MEDIUM/LARGE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE HEMOCLIP MEDIUM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLE HEMOCLIP SMALL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ABSORBABLE STRATAFIX MONOCRYL PLUS 3-0 SH SPIRAL L8 I,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ABSORBABLE STRATAFIX PDS 0 CT-1 9 IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE CHROIC GUT CR 1 MO-5 18IN CC03G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE CR 1 CT-1 18IN CONRE MFIL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE CR ULT 7-0 CS175-8 18IN 2 ARM MFIL BRN ABSORB,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE DACRON 9-0 C-25 40IN GREEN NONABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ENDOSUTURE DEVICE RELOAD,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 2 V- 37 30 MX69G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 5 CCS 30 MB47G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHIBOND 5 LV-37 30 MB66G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILO 9-0 TG160-6 12 DA 7760G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 10-0 BV75-4 5 2850G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 10-0 CS160-6 9000G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 10-0 TG160--6 6 DA 7757G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 10-0 TG160-6 12 DA N7756G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 9-0 2890G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON 9-0 BV100-4 5,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERWIRE #2 AR-7200,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERWIRE 3-0 T-43 TAPER 18 3/8 CIR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORTX CV-2 THX-36 36IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KNIFE OPHTHALMIC 2.4MM INTREPID ANGLE BEVEL STAB MICRO COAXIAL SLIT STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KNIFE SURGICAL SPEAR JUVENILE ROUND STAINLESS STEEL POLYPROPYLENE MYRINGOTOMY STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LINE MONITOR ADULT 2 PURPOSE 24 HOUR ETCO2 CANNULA MICROSTREAM CAPNOLINE H 8.3IN O2 THERAPY NASAL NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LINE MONITOR MICROSTREAM ADULT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 4 LMA SUPREME EVOLUTION CURVE LARYNGEAL MASK INTEGRATE DRAIN 2 SEAL FIXATION TAB LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY OROPHARYNGEAL 5 LMA SUPREME EVOLUTION CURVE LATEX FREE 2 SEAL INTEGRAL BITE BLOCK DRAIN TUBE FIXATION TAB 14FR DISPOSABLE 45- ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ASSEMBLY AUTOTRANSFUSION SYSTEM 2 LUMEN SUCTION BRAT 2,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BANDAGE UNNA-FLEX UNNA BOOT 10YDX4IN COMPRESSION LATEX 1 SELF ADHERENT ELASTIC 5YDX4IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 4MM MEDIUM ROUND DIAMOND,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 4MM OVAL CARBIDE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANISTER 150ML  PREVENA XL 150ML REPLACEMENT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANISTER WOUND DRAINAGE PREVENA REPLACEMENT 45ML INCISION MANAGEMENT SYSTEM DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ARTHREX PARTIAL THREADED,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ARTHREX TWIST 8.25MM X 9CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ARTHROSCOPIC 7MM 7CM TWIST-IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ENDOSCOPIC  7MM 72MM CL-TRC SHLDR COMP OBT THR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA RADIOFREQUENCY 145MM 20GA SURE-GRIP PLATINUM CURVE SHARP TIP DISTAL END BAND BEVEL INDICATOR RADIOPAQUE 10MM STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA RADIOFREQUENCY 20G 10CM CURVED BLUNT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA ROBOTIC 8MM REDUCER XI4000,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CARRIER DERMACERRIER 1.5 TO 1,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CATHETER EPIDURAL 36IN 19GA PERIFIX POLYAMIDE CONNECTOR THREAD ASSIST GUIDE DEHP FREE CLOSED TIP STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY ELECTRODE BALL 5MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY ELECTRODE LOOP 15MM X 12MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY PENCIL SMOKE EVACUATOR 10FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CAUTERY PENCIL SMOKE EVACUATOR CIRCUMFRENTIAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CHAMBER HUMIDIFIER AEROCHAMBER MINI 2 VALVE HOLD AC 5ML LATEX,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CIRCUIT BREATHING 6FT DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP APPLIER LARGE HEM-O-LOK 8MM XI4000,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONTAINER SPECIMEN PORT-A-CUL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONTRAST RAD ISOVUE 300 15ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET ATS BLACK 12X3.5IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET BLUE ATS 3K 3.5 X 12,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET BROWN ATS 3K 4 X 34,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET CONTOUR 30X4.5IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET CONTOUR 34X4.5IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET CONTOUR 42X4.5IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET GREEN  4 X 24,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET GREEN ATS 3K 4 X 24,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET RED 18   DUAL BLADDER,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET RED ATS 3K 4 X 18,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET RUBY ATS 3K 4 X 42,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUFF TOURNIQUET WHITE ATS 3K 2.75 X 8,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CURETTE ENDOSCOPIC WAX BILLEAU STAINLESS STEEL POLYPROPYLENE MEDIUM 3IN STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DAM DENTAL SILICONE .5IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING STOCKINETTE TAN J AND J 4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING V.A.C.TRAC PADS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RESUSCITATOR MANUAL ADULT O2 PORT FILTER TUBE LATEX FREE DISPOSABLE AIRLIFE 6IN NONSTERILE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETAINER DRESSING 25YD 10 XL TUBULAR MT SPANDAGE ELASTIC NET LATEX FREE AXILLA BACK CHEST PERINEUM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETAINER DRESSING 25YD 9 LARGE TUBULAR SPANDAGE POLYESTER ELASTIC NET LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR 6.25IN SENN 2 END SHARP STAINLESS STEEL SURGICAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR VISCERAL (FISH),272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRIEVER SUTURE STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 4.5IN STRAIGHT 2 BLUNT SUTURE SERRATE EDGE SURGICAL LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 5.75IN STRAIGHT SHARP BLUNT MIRROR FINISH SURGICAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 8IN ANGLE STAINLESS STEEL PROBE POINT MIRROR FINISH LISTER BANDAGE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SEAL BIOPSY PORT ENDO,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SEAL ROBOTIC CANNULA 12MM STAPLER XI4000,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SEAL ROBOTIC PORTS 5MM-8MM XI4000,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR BED 32X12.5IN POSEY 6 MONTH 1 RESIDENT PAD OVER MATTRESS KEEPSAFE DELUXE SITTER ELITE SITTER SELECT LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR FLOW INFINITY NEONATE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR INFANT LNOP L FOOT HAND PALM OXIMETER ADHESIVE PRETERM NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR INFANT MASIMOSET LNCS FINGER OXIMETER SPO2 ADHESIVE CABLE REPLACEABLE TAPE NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SENSOR NEUROLOGICAL BIS CONNECTOR FLEXIBLE 4 ELECTRODE POLYCARBONATE DISPOSABLE 11X1.1IN 3.7GM LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET BLOOD ADMINISTRATION THK200UM 20 GTT/ML 110IN 2 NONVENT PIERCE PIN MACROBORE TUBE FILTER DEHP FREE INTRAVENOUS NONSTERILE LATEX FREE LIFESHIELD PLUMSET CLAVE CAIR .1IN 49ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX PDS 0 CT-1 SPIRAL LATEX FREE TISSUE CONTROL ABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX PDS PLUS 0 CT-1 30CM SPIRAL VIOLET ABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX PDS PLUS 1 CT-1 12?,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX PDS PLUS 1 CT-1 45CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX PDS PLUS 2-0 CT-1 SPIRAL 12IN VIOLET ABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE STRATAFIX SPIRAL 2-0 CT-1,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SUPRAMID 4-0,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE SURGILON D-TACH 0 KV-25 18IN BRAID 5 STRAND COATED BLACK NONABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE UHMWPE FORCE FIBER 2 HC5 36IN HIGH STRENGTH WITHOUT TIP BLUE COBRAID WHITE NONABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 5-0 S-14 18IN DYED J571G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 6-0 S-29 ETHICON,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 7-0 TG140-8 18 J546G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 8-0 BV130-4 5IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 8-0 TG-140 DA 8 J548G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 8-0 TG160-6 DA 12IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL MICROPOINT 7-0,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL SABRELOC 6-0 S-14 DA 8IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VLOC 90 2-0 GS-22 .5 CIRCLE 9IN TAPER PNT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYSTEM SMOKEVAC PLUME FILTER,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TOOL DEBRIDEMENT NORSEN STAINLESS STEEL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY LOW PRESS SZ 7,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY LOW PRESS SZ 9,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED 5.5,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED SZ 3.0,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED SZ 3.5,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED SZ 4.0,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED SZ 4.5,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRACH SHILEY PED SZ 5.0,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAP POSITIONING DIGIT TRAP LARGE FINGER ATRAUMATIC HOOK GRASP STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAP WATER ANESTHETIC GAS MONITOR LATEX FREE REUSABLE HEW-PAC NONSTERILE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETER FOLEY 16FR WITH BAG,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY CATHETERIZATION COMPLETE CARE LUBRI-SIL IC STATLOCK SURESTEP 18FR FOLEY DRAINAGE BAG STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY EPIDURAL 3.5IN 17GA 20GA PERIFIX TUOHY BPA DEHP PVC CLOSED TIP CATHETER GLASS LUER LOCK LOR 5ML STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY EPIDURAL PAINBLOCK,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SPINAL 1.5IN 22GA SAFE-T PLUS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SPINAL 3.5IN 25GA PENCAN 8.25% DEXTROSE 0.75% BUPIVACAINE BPA DEHP PENCIL POINT NEEDLE PREP SPONGE FENESTRATE DRAPE THIN WALL INTRODUCER STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SPINAL 3.5IN 25GA PENCAN NEEDLE SYRINGE LIDOCAINE EPINEPHRINE DRAPE 1.25IN LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SPINAL CLEAR 3.5IN 20GA SAFE-T PLUS NEEDLE FILTER STRAW RADIOPAQUE ADULT LUMBAR PUNCTURE STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TRAY SURGERY BIOPSY,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ABSORBENT CARBON DIOXIDE PREPACK CART SOFNOLIME 2.2LB LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER DRAINAGE LUER ASPIRA DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTER UNIVERSAL DRAINAGE TUBE ASPIRA,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADAPTOR BOSTON SCI UROLOK II,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ADHESIVE DERMABOND,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE GIGLI SAW 20 INCH,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 25X9MM PRECISION THIN OFFSET STRYKER,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 25X9MM PRECISION THK.38MM THIN RECIPROCATE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 25X9X.51MM TPS MICRO OSCILLATING SAGITTAL STERILE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 29.5X7MM PRECISION THK.51MM MICRO LONG NARROW STAINLESS STEEL OSCILLATE SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 5.5MM PRECISION THK.38MM 11.5MM MICRO THIN STAINLESS STEEL OSCILLATE SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 50X3.35X1MM THK.05IN WIDE STERILE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 70X12.5MM THK1MM STAINLESS STEEL RECIPROCATE OFFSET 2 SIDE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 73.8X18.6MM THK.8MM MEDIUM NARROW STAINLESS STEEL SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 83.5X18.5MM THK1.24MM LONG WIDE STAINLESS STEEL SAGITTAL AGGRESSIVE TOOTH STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SAW 9MM PRECISION THK.51MM 31MM MEDIUM LONG STAINLESS STEEL OSCILLATE SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER AVERAGE/NARROW 18.5X7MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER MEDIUM NARROW LONG 2296-3-414,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE STRYKER TPS MEDIUM SAGITTAL 18.5MM X 9.0MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BOOT TRACTION UNIVERSAL LEG HIP FEMUR 2 PIECE 3 ELASTIC STRAP BUCK MEDIAL LATERAL STAY PROCARE ALUMINUM FOAM 21IN 6IN 21- IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BOWL BONE CEMENT POLYETHYLENE POLYACETAL SPATULA MIX STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR ROUND CARBIDE 4MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE MERSILENE 5MM / CTX,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE MONODERM QUILL 3-0 DA 3/8 CIRCLE 30CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE NUROLON 4-0 TF CR C584D,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE NYLON 10-0 9001G,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PDS 2 2-0 CT-1 18IN CONRE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE HEMO-SEAL ULTIMA 10-0 CTC-6L 4IN 2 ARM MONOFILAMENT BLUE NONABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE MICROPOINT 10-0 TG140-8 6IN 2 ARM MONOFILAMENT BLUE NONABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE PROLENE ULTIMA 10-0 CS160-6 CTC-6 4IN 2 ARM MONOFILAMENT BLUE NONABSORBABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT MIX CEMENT STRYKER W/BOWL  AND  SPATULA,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ORAL CARE Q-CARE Q4 0.12% CHG SWAB Y CONNECTOR SUCTION TOOTHBRUSH THUMB PORT STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT POSITIONING 7IN GENTLETOUCH WILSON CUSHION DRAPE COVER ARM CRADLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT PRESSURE MONITOR 48IN TRANSPAC MACRODRIP INTRAFLO 3ML/HR INTRAVENOUS DISPOSABLE TRANSDUCER 3 WAY STOPCOCK FLUSH DEVICE 12IN 3ML ADULT STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT RETROFIT ATS 2 HOSE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MANIFOLD SUCTION INTELLICART CLOG FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle BIOPSY 18GA 25CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle BIOPSY BARD MONOPTY 13GA X 7.8CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle BIOPSY BARD MONOPTY13GA X 13.8CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE NERVE STIMULATOR 2IN 22GA STIMUPLEX ULTRA 360 30D BEVEL INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE NERVE STIMULATOR 4IN 20GA STIMUPLEX ULTRA 360 30D BEVEL INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE NERVE STIMULATOR 6IN 20GA STIMUPLEX ULTRA 360 30D 1 SHOT BEVEL EXTENSION SET INSULATE STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SPINAL 5IN 20GA TUOHY CURVE PLASTIC BLUNT TIP LUER LOCK FIRM CANNULA BUFF HEEL STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SUTURE REPAIR EYELET ZONE SPECIFIC II NITINOL MENISCUS STERILE BLUE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OBTURATOR BLADELESS 8MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OBTURATOR BLADELESS 8MM LONG,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK CYSTO SAE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK HAND SAE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK HEAD AND NECK SAE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK PELVIC LAP SAE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURGICAL STANDARD T A STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK SURGICAL UNIVERSAL II,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK T  AND  A,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK TUR SAE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK UNIVERSAL II,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACKING 10X.7X.2CM XL SLIM NASAL RHINO ROCKET STERILE POLYVINYL ALCOHOL FOAM 10X2X1CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACKING 5X.7X.2CM MEDIUM NASAL SLIMLINE RHINO ROCKET STERILE POLYVINYL ALCOHOL FOAM 5X2X1CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACKING 8X.7X.2CM LARGE NASAL SLIMLINE RHINO ROCKET STERILE POLYVINYL ALCOHOL FOAM 8X2X1CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PAD POLAR CARE KNEE/SHOULDER PAD,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,POUCH URO CATCHER DRAI,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PRESSURIZER BONE CEMENT YELLOW MEDIUM FEMORAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE THERMOSET INLINE ROOM TEMPERATURE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR XCEL 12 MM 100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR XCEL 12MM BLUNTPORT HASSAN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR XCEL 5MM X 100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE 10.5IN 18FR SILICONE Y PORT GRADUATE SHAFT OPEN DISTAL END ROUND TIP GASTROSTOMY KANGAROO PURPLE WHITE 20ML STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE 10.5IN 22FR SILICONE Y PORT GRADUATE SHAFT OPEN DISTAL END ROUND TIP GASTROSTOMY KANGAROO ENFIT PURPLE WHITE 20ML STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE 16FR SIL YPRT GRAD SHFT RND TIP OPN DIST END GSTRM KNGR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE 36MM 6.5MM 4.5MM UNCUFF LOWER FLANGE ROUND TIP OBTURATOR SHILEY TRACHEOSTOMY NEONATE 4.5 STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE CHEST ARGYLE W/ TROCAR 20FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE CHEST AXIOM 28FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE ENDOSCOPIC WATER 200X173MM 230ML/MIN AUXILIARY CHANNEL FLUSH PUMP MAJ1608 STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE ENDOTRACHEAL 4MM NASAL ORAL REINFORCE PVC SILICONE STERILE DISPOSABLE HEAD NECK NEUROSURGICAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE EXTERNAL FIXATION YELLOW 15MM MONOTUBE TRIAX CARBON END CAP UNILATERAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE GASTRO FEEDING 22FR KANGAROO PORT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE RECTAL 20IN 32FR FUNNEL COLON 1 EYE RADIOPAQUE OPEN TIP GLASS RUBBER NONSTERILE LATEX DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE TRACHEOSTOMY 10 79MM 13.8MM 8.9MM SHILEY UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE TRACHEOSTOMY 4 62MM 9.4MM 5MM SHILEY UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE TRACHEOSTOMY 5 58MM 7MM SHILEY CUFF ROUND TIP OBTURATOR 1 INNER CANNULA STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE TRACHEOSTOMY 6 74MM 10.8MM 6.4MM SHILEY UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE TRACHEOSTOMY 8 79MM 12.2MM 7.6MM SHILEY UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING ASPIRATION 12FT PAL DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING INFILTRATION LIPOTOWER 1 SPIKE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING INSUFFLATION PNEUMOSURE HIGH FLOW REAL TIME PRESSURE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING IRRIGATION 16IN ENDO SMARTCAP EXTEND CO2 INPUT OLYMPUS 140/160/180GI ENDOSCOPE STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING SUCTION 12FT PSI-TEC STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,UNIT ENDOSCOPE MAINTENANCE SILICONE OIL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WIRE SPOOL 18GA PASSER 48FT STAINLESS STEEL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR SURGICAL 210MM 4.2MM NONSTERILE REUSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE SYRINGE EXTENSION TUBING 3 WAY STOPCOCK MEDIUM PRESSURE INFLATION RPRO SRVC-MERIT 35.5CM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING PICO 30 X 10CM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL CANNULATED AO COUPLING TWIST 4MM NONSTERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL STOP PATELLA TRIATHLON ALL POLY,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL TWIST 4.3MM RADIOLUCENT TARGET DEVICE TIBIAL NAIL SYSTEM STERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE NEUROSTIMULATOR 100CM INTERSTIM 2.16MM SPACING STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEP EXTENDED LIVES BIPOLAR WITH DUAL GRIP,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEP GRASPER 3 PRONG  SET,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS GRASPING 3 PRONG 115CM 2.5FR 10MM URETERAL STERILE STONE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GELFILM OPHTHALMIC ABSORBABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE 198MM 5.6-3.2MM DRILL SURGICAL,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTR LG LAPAROSCOPIC FORCEPS CADIERE 8MM XI4000,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ORTHOPEDIC TRIAL HANDLE EXTERNAL ALIGNMENT KNEE REUSABLE NONSTERILE LATEX FREE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC FORCEPS PROGRASP 8MM XI4000,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC NEEDLE DRIVER LARGE  8MM XI4000,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC RETRACTOR SMALL GRASPING 8MM XI4000,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC TIP UP FENESTRATED GRASPER,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ARTHROSCOPIC FIXATION DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SPONGE INTERCEED,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD SUREFORM 60 2.5 WHITE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD SUREFORM 60 3.5 BLUE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD SUREFORM 60 4.3 GREEN,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER WHITE 35MM ATW35,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STONECONE RETRIEVEL COIL,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORE-TEX CV-3 PH-24 DA 48IN,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE GORTX CV-5 TH-18 36IN 2,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASER FIBER HOLMIUM LIGHTGUIDE SERIES 200M,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASER FIBER HOLMIUM LIGHTGUIDE SERIES 400M,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE COMMON DUCT,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET STONE RETRIEVAL 120CM 1.9FR ESCAPE URETERAL NITINOL STANDARD 4 WIRE HOLMIUM LASER FIBER LITHOTRIPSY STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 145MM 4.2MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 150MM 3.5MM ASNIS III AO COUPLING SOLID CANNULATED NONSTERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3MM STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 6.5MM 4.5MM TRACKER NONSTERILE REUSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 7MM 3.2MM TRACKER NONSTERILE REUSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE 9MM REUSABLE HANDLE ACL PCL SURGICAL PARALLEL GRAFT STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ASSEMBLY SMARTRELEASE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CANNULA RADIOFREQUENCY 100MM 20GA SURE-GRIP PLATINUM CURVE SHARP TIP DISTAL END BAND BEVEL INDICATOR RADIOPAQUE 10MM STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,COIL SPECIMEN RETRIEVAL 115CM 10MM 3FR STONE CONE NITINOL ANTIRETROPULSION QUICK RELEASE HANDLE HOLMIUM LASER LITHOTRIPSY STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SURGICAL 28MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE FIXATION FAST-FIX STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE SPECIMEN RETRIEVAL 12/15MM 12MM INZII MONARCH GUIDEBEAD 1600ML ENDOSCOPIC LATEX FREE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 2.0X125,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT CANNULATED STRYKER,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT MEDTRONIC 2.4,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT MEDTRONIC VERTEX 2.4MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SMITH  AND  NEPHEW SHORT 4MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 4.5MM STRAIGHT,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REAMER SURGICAL 6.5MM STRAIGHT,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,REINFORCEMENT STAPLE LINE BIOABSORBABLE STERILE GORE SEAMGUARD LATEX FREE GREEN ENDO GIA 60 UNIVERSAL STRAIGHT ROTICULATOR,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROBOTIC FORCEPS EXTENDED LIVES MARYLAND BIPOLAR,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET CATHETER IRIS STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 10-0 CS160-6 12IN 2,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP 7MM 2 LEAD SPINAL,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP PHACOEMULSIFICATION 3MM INTREPID I/A BENT MICROCOAXIAL,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TIP PILOT AEQUALIS REVERSED SHOULDER CANNULATED REAMER STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AIRWAY ESOPHAGEAL 2 LMA CLASSIC REUSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 110MM 2MM XPS 60-3K,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 11CM 2MM STRAIGHT INFERIOR TURBINATE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 11CM 4MM RAD 40 360D 5000 RPM SINUS ROTATABLE OFFSET CUT SURFACE IRRIGATION TUBE CURVE SHAFT STRAIGHTSHOT M4 UNCINECTOMY ETHMOIDECTOMY STERILE LATEX FREE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 11CM 4MM RAD 60 STRAIGHTSHOT,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 13CM 3.4MM QUADCUT,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT DRESSING VAC VERAFLO CLEANSE CHOICE VERATRAC DUO 3M CAVILON LARGE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT INSTRUMENT 2 ACL 2.4MM GUIDEPIN NEEDLE SUTURE PASSER BIO-TENODESIS DISPOSABLE STERILE TITANIUM POLY L LACTIC ACID,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT JUGGERKNOT BIOMET DRILL BIT 2.9MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT JUGGERKNOT DISPOSABLE BIOMET 1.4MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT LAPAROSCOPIC CUFF IMPLANTOR Y-TEC TUNNELOR LUKE INSERTION LARGE SMALL DILATOR PERITONEOSCOPIC,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT PUSHLOCK 2.9 PERCUTANEOUS,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SURGICAL INTERPHLEX INTER PHALANGEAL STERILE SILICONE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SYRINGE INFUSION SET LUER CAP TOURNIQUET SERIES II ANGEL WING ACP 19GA DISPOSABLE LATEX FREE ALCOHOL,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.2MM QC THREE-FLUTED 330MM/100MM CALIBRATION,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TORNIER 3MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,MILL BONE BIOPSY MEDIUM COARSE BLADE 5MM LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE MEGA SUTURECUT 8MM XI4000,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OSTEOTOME 120MM GRAY FLEXIBLE SURGICAL 12MM STERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OSTEOTOME 80X8MM GRAY FLEXIBLE SURGICAL REVISION INSTRUMENT SYSTEM STERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OSTEOTOME 93MM HRIS GRAY SURGICAL 12MM STERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,OSTEOTOME GRAY FLEXIBLE BLADE SURGICAL 6MMX67MM STERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PAC DISPOSABLE HIP SMITH  AND  NEPHEW,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE LITHOTRIPSY EHL 5FR,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROTECTOR ALEXIS ORTHOPEDIC,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PUMP PAIN ACCUFUSER 275ML,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE REAMER HOLLOW SPARE 309.035 SCREW REMOVAL NONSTERILE,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBING SILASTIC LABORATORY 3/8 IN OD 3/16 IN ID 50FT,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR SURGICAL 59MM 1.6MM 4.5 CANNULATED SCREW NONSTERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL CUT LOOP EXTEND LENGTH 24FR YELLOW,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL KNIFE 24FR COLLINS STERILE DISPOSABLE YELLOW POINT UROLOGICAL RESECTOSCOPE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL ROLLER BALL 3MM STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE EMG PRASS 18MM PAIR DISPOSABLE STERILE LATEX FREE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,FORCEPS LAPAROSCOPIC 32.77CM 8MM CADIERE DA VINCI XI ENDOWRIST 30D REPOSABLE 2CM 10 USE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDEWIRE STRYKER BALL TIP STERILE 3.0 X 800MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSERTER SURGICAL BUTTON ELBOW,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSERTER SURGICAL MINI SUTURE ANCHOR SYRINGE ASSEMBLY,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ORTHOPEDIC 3.5MM OPENER CORTICAL AXSOS 3,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ACCESSORY .157MM INJEX SILICONE BUMPY FLEXIBLE COMPRESSION-FIT ANCHOR PRELOADED DISPENSER IMPLANTABLE NEUROSTIMULATOR,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT ACCESSORY MEDTRONIC,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET NEEDLE 25MM 15GA EZ-IO STAINLESS STEEL WRISTBAND 5GM STERILE LATEX FREE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET NEEDLE 45MM 15GA EZ-IO EZ-CONNECT NEEDLE VISE EZ-STABILIZER STAINLESS STEEL WRISTBAND 5GM STERILE LATEX FREE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET TRAUMA FIXATION OATS KIT,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD ECHELON 35MM WHITE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD ECHELON 60MM BLUE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD ECHELON 60MM GREEN,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ROBOTIC 45 EDWRIST INSTRUMENT XI,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE ARTHREX LASSO MICRO TFCC SMALL CURVE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KNIFE SACHSE STRAIGHT COLD,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LASSO MICRO SUTURE ARTHREX STRAIGHT,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AVITENE FLOUR,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET URETERAL SEGURA 3.0 FR W 0 DEG TIP,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 150MM 1.4MM ASNIS III 4MM SCREW NONSTERILE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 150MM 2MM ASNIS III CANNULATED 5MM SCREW STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 20MM 1.6MM LUHR MINI TWIST J SLOT PILOT MODULAR STOP STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 20MM 3.2MM ACETABULAR QUICK CONNECT STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 229MM 10MM BADGER KNEE ACORN STYLE SMOOTH SHAFT,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 230MM 3.5MM T2 AO PROXIMAL HUMERAL NAIL SYSTEM STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 285MM 3.1MM CALIBRATED,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3.5 x 180MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 30MM 2MM ORTHOLOC DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 70MM 1.9MM TWIST NOTCH STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL STRYKER 1.5MM LUHR PANFIX 17MM STOP TWIST J,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL 4.7MM EIUS MEDIUM ROUND DRUM FLUTE STERILE LATEX FREE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BURR SURGICAL GENDER SOLUTIONS STANDARD KNEE PATELLOFEMORAL MILL,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 2.8 X 60,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT CALIB 3.1 X 204MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT GAMMA3 SYSTEM STRYKER 4.2 X 300MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER 2.5 X 230MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER AO T2 4.2 X 130MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER AO T2 4.2 X 180MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER AO T2 4.2 X 230MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER AO T2 4.2 X 340MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER AO T2 5.0 X 340MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER AO T2 5.0 X230MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER T2 3.5 X 130MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER T2 4.2 X 260MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 0.76 QC  6MM MINI,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 0.76 QC  8MM MINI,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 0.76 QC 12MM MINI,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 0.76 QC 14MM MINI,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.8 QC 100MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.8 QC 110MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR MALYUGIN RING SYSTEM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RETRACTOR OBWEGESER CURVED DOWN SURGICAL,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RING MALYUGIN,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROBOTIC FORCEPS EXTENDED LIVES PROGRASP,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROD EXTERNAL FIXATION BLUE 200MM 20MM MONOTUBE TRIAX CARBON,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ROD EXTERNAL FIXATION YELLOW 200MM 15MM MONOTUBE TRIAX CARBON,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,"SET KNOT PUSHER, SUTURE CUTTER,SLOTTED CANNULA SMITH  AND  NEPHEW",272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET NEEDLE 15MM 15GA ARROW EZ-IO EZ-STABILIZER INTRAOSSEOUS VASCULAR ACCESS SYSTEM STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SET NEEDLE 25MM 15GA EZ-IO EZ-CONNECT NEEDLE VISE EZ-STABILIZER STAINLESS STEEL WRISTBAND 5GM STERILE LATEX FREE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYRINGE ACP STERILE 2 CAP BLOOD COLLECTION,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SYRINGE DOUBLE ACP ARTHREX,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP LONG 180MM SURGICAL TITANIUM 3.5MM CORTEX SCREW NONSTERILE GOLD,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TOOL 9CM MIDAS REX LEGEND 4MM BALL FLUTE DISSECTING BURR,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,AGENT HEMOSTATIC COLLAGEN PRELOAD APPLICATOR SHEET ENDOAVITENE 1MM 50X15MM 42CM 10MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR MIDAS REX 14MH30,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BUR MIDAS REX 9MH30,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT DRILL 140MM 3.2MM ALLEN BIT WRENCH STOP,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT INSTRUMENT ACL TRANSTIBIAL DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT SAFETY PEG TUBE 20FR,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KNIFE COLD ROUND,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.0 QC 140MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.4 QC 100MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT WRIGHT MEDICAL 2.5MM X 60MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SCORPION SUREFIRE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,Needle SPINAL 20GA X 6,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE SPINAL BLACK 5IN 22GA CHIBA METAL PLASTIC ATRAUMATIC BEVEL TIP REMOVABLE WING SLIDE DEPTH INDICATOR STERILE LATEX FREE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PACK BATTERY T4 POWER,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TROCAR SYNTHES 3.5MM LONG,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL 90MM 1.8MM NONSTERILE LATEX FREE REUSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL PILOT 2MM 2.7MM SCREW,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL TWIST YELLOW 122MM 2.6MM AO SHAFT END 70MM VARIAX LOCK PLATE SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRIVER 5MM ASSEMBLY HEXAGONAL SURGICAL,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRIVER EIUS HEADLESS PIN SURGICAL,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL ANGLE CUT LOOP 22FR STERILE WHITE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL ANGLE STERILE DISPOSABLE GREEN COAGULATE POINT,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE EMG 12MM 2 CHANNEL SET SUBDERMIS,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,ELECTRODE HYSTEROSCOPE WOLF FLEX-POINT ROLLER 22/24 FR,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,EXTRACTOR SURGICAL CONICAL 2.7MM 3.5MM CORTEX SCREW NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,GUIDE DRILL 1.8MM SHORT THREAD NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSERTER SURGICAL PLUG,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,INSTRUMENT ROBOTIC PERMANENT CAUTERY HOOK 8MM XI4000,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT AUTOTRANSFUSION BOWL LOW VOLUME BLOOD RECOVERY PROCESS SET FILTER 135ML 120UM BRAT 2,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER ECHELON 45 BLUE RELOAD,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER PROXIMATE CUTTER 75 3.8,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD 45MM GREY VASC,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD 60MM GREY VASC,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD ECHELON 45MM BLUE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,STAPLER RELOAD ECHELON 60MM WHITE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE FIBERSNARE FIBERWIRE 2 26IN CLOSED LOOP STIFFEN GREEN 12IN NONABSORBABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LOOP ELECTRODE VALLEYLAB,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,LOOP RESECTOSCOPE ANGLED ETHICON,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET SPECIMEN RETRIEVAL 120CM 3FR 16MM 4 WIRE PRECISION CONTROL STRONG SURLOK FLAT URINARY TRACT STERILE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET SPECIMEN RETRIEVAL 90CM 3FR 16MM 4 WIRE PRECISION CONTROL STRONG SURLOK FLAT URINARY TRACT STERILE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BASKET SPECIMEN RETRIEVAL 90CM 4.5FR 20MM 4 WIRE PRECISION CONTROL STRONG SURLOK FLAT URINARY TRACT STERILE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 204MM 3.1MM CALIBRATED 4MM LOCK SCREW NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 25MM 3.3MM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 3.5MM PILOT FPS,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 4.2MM RADIOLUCENT TARGET,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 40MM 4MM STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL 60MM 4MM STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL LARGE HAND,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BIT DRILL STRYKER .5MM FEMUR STOP,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLAMP SYNTHES LARGE DYNAMIZATION COMBO,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP HEMOSTASIS 2.6MM ROTATION HANDLE SURECLIP PLUS 235CM 16MM 2.8MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CLIP SURGICAL GAMMA3 CLOSED TUBE STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CONNECTOR ENDOSCOPE 2 WAY STOPCOCK LUER LOCK TUBE STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,CUTTER SUTURE REMOVAL MENISCAL CINCH KNOT PUSHER 2-0 FIBERWIRE ARTHROSCOPY STERILE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DEVICE CLOSURE WECK EFX (ENDO FACIAL),272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRESSING WOUND VAC VERAFLO CLEANSE CHOICE MEDIUM TUBULAR FLEXIBLE COMPLEX GEOMETRY MOISTURE RESISTANCE LATEX FREE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT 2.0MM FAST,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT QUICK RELEASE 2.8MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SET W/ PIN SMITH  AND  NEPHEW 3.2MM X 127MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RELOAD ECHELON 45MM GREEN,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,RELOAD ECHELON 45MM WHITE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCISSORS 11CM KAYE BLEPHAROPLASTY SURGICAL,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCREWDRIVER HEXAGON ECT 3.5MM SURGICAL,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SCREWDRIVER LARGE HEXAGON ECT 3.5MM SURGICAL,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TAP 70MM SURGICAL 3.5MM SCREWS,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ZIMMER PATELLA REAMER SZ 35,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ZIMMER PATELLA REAMER SZ 38,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ZIMMER PATELLA REAMER SZ 41,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ZIMMER PATELLA REAMER SZ 46,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,BLADE ZIMMER PATELLA REAMER SZ 51,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,SUTURE MILD CHROMIC 6-0 C-1 18IN 2 ARM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,KIT PEG 20FR POLYURETHANE RADIOPAQUE ENTERAL DILATOR TIP DEHP FREE KANGAROO STERILE PURPLE 2006 JCAHO TUBE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.4MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.7MM THREE FLUTED,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 3.2 QC 195MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.3 QC 180MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 4.5 QC 195MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT TRIMED 2.3MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,DRILL BIT ZIMMER W/STOP,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,NEEDLE BIOPSY 14GA 11GA 15CM AVAMAX ACCESS CANNULA COAXIAL TRANSPARENT LUER LOCK HUB CENTIMETER DEPTH MARK VERTEBRAL BODY 12CM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN FIXATION 110MM 3.2MM BONE STERILE LATEX FREE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 120MM 5MM APEX STAINLESS STEEL CONTINUOUS THREAD BLUNT TIP 30MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 150MM 5MM APEX HOFFMANN II BLUNT STAINLESS STEEL CONTINUOUS THREAD 50MM EXTERNAL FIXATION SYSTEM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 150MM 5MM APEX STAINLESS STEEL CONTINUOUS THREAD BLUNT TIP 40MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 150MM 6MM APEX BLUNT STAINLESS STEEL CONTINUOUS THREAD 50MM EXTERNAL FIXATION SYSTEM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 150MM 6MM APEX ORTHOPEDIC STAINLESS STEEL SELF DRILLING THREAD SHAFT SELF TAPPING 50MM EXTERNAL FIXATION SYSTEM STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 180MM 5MM APEX HOFFMANN II BLUNT FOOT ANKLE STAINLESS STEEL CONTINUOUS THREAD 50MM EXTERNAL FIXATION SYSTEM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 180MM 5MM APEX STAINLESS STEEL BLUNT TIP 60MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 180MM 6MM APEX ORTHOPEDIC STAINLESS STEEL SELF DRILLING THREAD SHAFT SELF TAPPING 60MM EXTERNAL FIXATION SYSTEM STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 200MM 5MM 4MM APEX CANCELLOUS STAINLESS STEEL TRANSFIXATION SELF TAP SELF DRILL CENTRAL THREAD 50MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 200MM 5MM 4MM APEX STAINLESS STEEL TRANSFIX SELF TAP SELF DRILL CENTRAL THREAD 40MM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 200MM 5MM APEX STAINLESS STEEL THREAD BLUNT TIP PREDRILL 60MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 200MM 6MM APEX HOFFMANN II STAINLESS STEEL SELF TAP SELF DRILL THREAD 70MM EXTERNAL FIXATION SYSTEM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 200MM 6MM APEX STAINLESS STEEL CONTINUOUS THREAD BLUNT TIP 70MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 250MM 5MM 4MM APEX CANCELLOUS STAINLESS STEEL TRANSFIXATION SELF TAP SELF DRILL CENTRAL THREAD 40MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 250MM 5MM 4MM APEX CANCELLOUS STAINLESS STEEL TRANSFIXATION SELF TAP SELF DRILL CENTRAL THREAD 60MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 250MM 5MM APEX HOFFMANN II BLUNT STAINLESS STEEL CONTINUOUS THREAD 50MM EXTERNAL FIXATION SYSTEM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 250MM 5MM APEX STAINLESS STEEL BLUNT TIP 70MM EXTERNAL FIXATION SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF 250MM 6MM APEX BLUNT STAINLESS STEEL CONTINUOUS THREAD 80MM EXTERNAL FIXATION SYSTEM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF HOFFMANN 50MM 5MMX180MM TITANIUM SELF-DRILLING SELF-TAPPING FOR EXTERNAL FIXATION,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PIN HALF HOFFMANN 5MMX120MM 35MM THREADS TITANIUM SELF-DRILLING SELF-TAPPING FOR EXTERNAL FIXATION,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PRASS MONOPOLAR STIMULATOR PROBE NIM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ARTHROSCOPY  ANGLED 3.5MM 90 DEGREE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE ARTHROSCOPY  HOOK 3.5MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,PROBE SERFAS CONTOUR ENDO 3.5MM,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,TUBE GASTRO FEEDING 18FR KANGAROO PORT,272,1 ,$65.19 ,$46.94 ,$18.25 ,$65.19 , N/A ,$48.57 ,$42.70 , N/A ,$18.25 ,$40.09 , N/A ,$40.09 , N/A ,$36.12 ,$36.12 , N/A ,$36.12 , N/A ,$58.67 ,$54.11 , N/A , N/A ,$57.37 , N/A ,$48.89 ,$48.89 ,$55.41 ,$55.41 , N/A ,$55.41 , N/A ,$52.80 ,$52.80 ,$52.80 ,$65.19 ,$58.67 , N/A ,$58.67 , N/A ,$65.19 ,$36.57 , N/A ,$26.99 , N/A , N/A , N/A ,$58.67 , N/A ,$36.12 ,$18.25 ,$58.67 , N/A ,$58.67 ,$58.67 , N/A ,$42.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WIRE GUIDE DEPUY 1.25 THREADED 150MM,272,1 ,$78.00 ,$56.16 ,$21.84 ,$78.00 , N/A ,$58.11 ,$51.09 , N/A ,$21.84 ,$47.97 , N/A ,$47.97 , N/A ,$43.21 ,$43.21 , N/A ,$43.21 , N/A ,$70.20 ,$64.74 , N/A , N/A ,$68.64 , N/A ,$58.50 ,$58.50 ,$66.30 ,$66.30 , N/A ,$66.30 , N/A ,$63.18 ,$63.18 ,$63.18 ,$78.00 ,$70.20 , N/A ,$70.20 , N/A ,$78.00 ,$43.76 , N/A ,$32.29 , N/A , N/A , N/A ,$70.20 , N/A ,$43.21 ,$21.84 ,$70.20 , N/A ,$70.20 ,$70.20 , N/A ,$50.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27270000,N/A,WIRE GUIDE SYNTHES 1.6 THREADED 150MM,272,1 ,$94.50 ,$68.04 ,$26.46 ,$94.50 , N/A ,$70.40 ,$61.90 , N/A ,$26.46 ,$58.12 , N/A ,$58.12 , N/A ,$52.35 ,$52.35 , N/A ,$52.35 , N/A ,$85.05 ,$78.44 , N/A , N/A ,$83.16 , N/A ,$70.88 ,$70.88 ,$80.33 ,$80.33 , N/A ,$80.33 , N/A ,$76.55 ,$76.55 ,$76.55 ,$94.50 ,$85.05 , N/A ,$85.05 , N/A ,$94.50 ,$53.01 , N/A ,$39.12 , N/A , N/A , N/A ,$85.05 , N/A ,$52.35 ,$26.46 ,$85.05 , N/A ,$85.05 ,$85.05 , N/A ,$61.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 18-20MM 6FR,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 , N/A , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER ESOPHAGEAL 6FR 14MM 180CM 6CM HIGH PERFORMANCE BALLOON DILATATION MAXFORCE TTS LATEX FREE 2.8MM WORK CHANNEL,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER ESOPHAGEAL 2.8MM 6FR 16MM 180CM 6CM HIGH PERFORMANCE BALLOON DILATATION MAXFORCE TTS DISPOSABLE ENDOSCOPY,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER ESOPHAGEAL 2.8MM 6FR 18MM 180CM 6CM HIGH PERFORMANCE BALLOON DILATATION MAXFORCE TTS DISPOSABLE ENDOSCOPY,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER URINARY TRACT 5.8FR 15FR 75CM 10CM HIGH PRESSURE KINK RESISTANT SHAFT RADIOPAQUE TAPER DISTAL END BALLOON DILATATION UROMAX ULTRA QUADRA-FOLD HYDROPLUS POLYMER LATEX FREE ACCEPTS .038IN GUIDEWIRE RADIAL DILATATION,272,1 ,$638.31 ,$459.58 ,$178.73 ,$638.31 , N/A ,$475.54 ,$418.09 , N/A ,$178.73 ,$392.56 , N/A ,$392.56 , N/A ,$353.62 ,$353.62 , N/A ,$353.62 , N/A ,$574.48 , N/A , N/A , N/A ,$561.71 , N/A ,$478.73 ,$478.73 ,$542.56 ,$542.56 , N/A ,$542.56 , N/A ,$517.03 ,$517.03 ,$517.03 ,$638.31 ,$574.48 , N/A ,$574.48 , N/A ,$638.31 ,$358.09 , N/A ,$264.26 , N/A , N/A , N/A ,$574.48 , N/A ,$353.62 ,$178.73 ,$574.48 , N/A ,$574.48 ,$574.48 , N/A ,$414.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER UROMAX BALLOON DIALATOR 4X15FR,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,BALLOON URS + INFLATION DEVICE 15FR X 10CM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,BALLOON URS + INFLATION DEVICE 15FR X 4CM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER BALLOON COMMON DUCT CAT NUM 50640,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER UROMAX BALLOON DIALATOR 10X15FR,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,DEVICE INFLATION CRE (SYRINGE),272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER BARTHOLIN GLAND,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER FOGARTY BILIARY PROBE 5 FR,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271726,C1726,CATHETER FOGARTY BILIARY PROBE 6 FR,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER URETERAL DOV 18FR 16IN 2WY F,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER DRAINAGE 24FR AXIOM STAB-PULL XRAY OPAQUE LINE EXPAND PROXIMAL END THORACIC CLOT STOP SILICONE STERILE LATEX FREE STRAIGHT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY SILCONE BACTI GUARD 12FR 2 WAY COUDE TIP 5ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY SILCONE BACTI GUARD 14FR 2 WAY COUDE TIP 5ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY SILCONE BACTI GUARD 16FR 2 WAY COUDE TIP 5ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY SILCONE BACTI GUARD 20FR 2 WAY COUDE TIP 5ML,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER THORACIC 24FR W TROCAR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER THORACIC TROCAR 12 FR X 9,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER THORACIC TROCAR 28 FR X 16,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER TROCAR CHEST 10FR 9 W/TROCAR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER TROCAR CHEST 16FR 10 W/TROCAR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER 3 WAY FOLEY 24FR 30CC,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER DRAIN 24FR 20IN ARG SENTL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER DRAIN 28FR 20IN ARG SENTL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER URETHRAL PUREWICK NATURAL RUBBER LATEX,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER T-TUBE 10FR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER URETERAL DOV 22FR 16IN FOLEY,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER URETHRAL DOVER 28FR 16IN FOLEY 2 WAY LARGE SMOOTH DRAINAGE EYE RIBBED BALLOON ULTRAMER RUBBER 5ML STERILE LATEX,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATH T-TUBE 8FR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,KIT DRUG DELIVERY ON-Q SILVERSOAKER CATHETER T PEEL NEEDLE EXPANSION ANTIMICROBIAL 1IN 3.25IN STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER SUPRAPUBIC RUTNER COOK 10FR,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,T-TUBE CATTELL 18FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY 26FR  5CC 2 WAY,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY BARD 3-WAY 22FR 30ML,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY COUDE 16FR 5ML,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY SILCONE BACTI GUARD 20 FR 3 WAY 30ML,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER MALECOT 10FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER URETERAL LBRSL 24FR SH  RND,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 20FR STANDARD FOLEY 3 WAY 2 STAGGER DRAINAGE EYE MEDIUM ROUND TIP RUBBER HYDROGEL HYDROPHILIC 30CC STERILE LATEX DISPOSABLE AMBER,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,T-TUBE CATTELL 12FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,T-TUBE CATTELL 14FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,T-TUBE CATTELL 16FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER DRAIN 36FR 20IN ARG SENTL,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271729,C1729,CATHETER DRAIN CLR 20IN 32FR ARG S,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL ACCESS OPEN END 6FR,272,1 ,$28.71 ,$20.67 ,$8.04 ,$28.71 , N/A ,$21.39 ,$18.81 , N/A ,$8.04 ,$17.66 , N/A ,$17.66 , N/A ,$15.91 ,$15.91 , N/A ,$15.91 , N/A ,$25.84 , N/A , N/A , N/A ,$25.26 , N/A ,$21.53 ,$21.53 ,$24.40 ,$24.40 , N/A ,$24.40 , N/A ,$23.26 ,$23.26 ,$23.26 ,$28.71 ,$25.84 , N/A ,$25.84 , N/A ,$28.71 ,$16.11 , N/A ,$11.89 , N/A , N/A , N/A ,$25.84 , N/A ,$15.91 ,$8.04 ,$25.84 , N/A ,$25.84 ,$25.84 , N/A ,$18.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL BARDX LBTCATHETER 22FR,272,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 , N/A , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERALRAL 6 FR PED,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL CONE TIP 8 FR,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETHRAL BARDEX LUBRICATH 20FR FOLEY 3 WAY 2 STAGGER DRAINAGE EYE LONG OPEN COUDE TIP NYLON NATURAL RUBBER HYDROPHILIC 30CC STERILE LATEX DISPOSABLE HEMATURIA,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL FLEXTP 4FR 70CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL IMGR2 5FR 65CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUDE 18FR 2-WAY,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUDE HEMATURIA 22FR 30CC,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUNCIL 16FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUNCIL 18FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUNCIL 20FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL BARD 5FR 70CM OPEN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETHRAL PUREWICK FREE FEMALE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL BARDX LBTCATHETER 24FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL BARDX LBTCATHETER 26FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL OPEN ENDED 5FR X 70CM BOSTON SCIENTIFIC,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETHRAL BARDEX LUBRICATH 18FR STANDARD FOLEY 3 WAY 2 STAGGER DRAINAGE EYE MEDIUM ROUND TIP NATURAL RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUDE 12FR 5CC,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUDE 14FR,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUDE 18FR 5CC,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER COUDE 20FR 5CC,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,CATHETER URETERAL 7FR 70CM OPEN END STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,FOLLOWER URETHRAL 35.5CM 24FR PHILLIPS DILATOR SIDEPORT FLARE THREAD DISTAL TIP,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,FOLLOWER URETHRAL 13.5IN 20FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,FOLLOWER URETHRAL 13.5IN 22FR PHILLIPS PLASTIC DILATION CATHETER WOVEN STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271758,C1758,FOLLOWER URETHRAL 13.5IN 24FR PHILLIPS PLASTIC WOVEN DILATION CATHETER STERILE LATEX FREE REUSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE 1.4 THREADED TIP NIT,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 , N/A , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 6IN .045IN STAINLESS STEEL TROCAR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE .035 X 4,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE 0.38,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ARTHREX KIRSCHNER .062 (157MM/1.6IN) TROCAR TIP,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ENDOSCOPIC .035IN 125CM 2 FLEXIBLE END TAUT SYSTEM ONE SOFTWIRE PTFE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC .062IN THREAD TROCAR DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC .78IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 4IN .035IN PARTIAL THREAD TITANIUM BIOCOMPATIBLE CORROSION RESISTANT CANNULATED SCREW SYSTEM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 4IN .045IN TITANIUM BIOCOMPATIBLE CORROSION RESISTANT CANNULATED SCREW SET,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 6IN .035IN TITANIUM BIO COMPATIBILITY CORROSION RESISTANCE CANNULATED SCREW SYSTEM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE SS ACUTRAK II .035 MICRO,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE SURGICAL 150MM 1MM CORFLO-CUBBY K TIP,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE SURTAC II 8MM SMITH  AND  NEPHEW,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,SET CATHETER 20GA 22GA ARTERY RADIOPAQUE GUIDEWIRE INTRODUCER NEEDLE WING CLIP POLYURETHANE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE DENTAL 214FT 25GA STAINLESS STEEL LIGATURE SPOOL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE GUIDE OSTEOMED 0.045,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE GUIDE TEFLON .038 X 145CM #638413,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER OLIVE TIP STRYKER,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER STRYKER 1.1 X 160MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER TRIMED,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER TRIMED 1.1,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER VARIAX FOOT SYSTEM STRYKER 1.4MMX 270MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 , N/A , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 800MM 2.5MM T2 TITANIUM BALL TIP HUMERAL NAIL SYSTEM STERILE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHO 800MM 2.2MM HUM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE VASCULAR 335CM .018IN FLEXIBLE SPRING VIPERWIRE ADVANCE PERIPHERAL STERILE LATEX FREE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 , N/A , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC KIRSCHNER,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE DRILL TIP SYNTHES 2.5 X 300MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE STRYKER,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE STRYKER 2 X 150MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE ARTHREX SUTURE PASSING,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER SYNTHES SPADE REDUCTION 2.0MM X 350MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 , N/A , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC UNIVERSAL FLUTED,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER SYNTHES SPADE REDUCTION 1.8MM X 400MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 , N/A , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE PARTIALLY THREADED .045 X 6,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ANGLED 0.35 X 150 CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE MEDSOURCE 2.0,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC .045IN 2 TROCAR TIP LASER MARK 3.5 MINI 4 STANDARD COMPRESSION FT SCREW DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 230MM 2.8MM OMEGA 3 COCR THREAD TIP STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 300MM 3.2MM ASNIS III 6.5/8MM SCREW NONSTERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 300MM 3.2MM ASNIS III CALIBRATE QUICK RELEASE FIT 6.5/8MM SCREW NONSTERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 300MM 3.2MM ASNIS III THREAD 6.5/8MM SCREW NONSTERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE SENSOR .035 X 150CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE URO GLIDEWIRE .035X150CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE UROLOGICAL 150CM .025IN GLIDEWIRE STRAIGHT TAPER HYDROPHILIC JACKET STIFF SHAFT 3CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE UROLOGICAL 150CM .025IN ZIPWIRE STRAIGHT URETERAL NITINOL HYDROPHILIC RADIOPAQUE STIFF SHAFT 3CM LATEX FREE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE VASC 145CM .038IN FLEX,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ZIPWIRE .035 X 150CM ANGLED STIFF,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ZIPWIRE .035 X 150CM STRAIGHT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ZIPWIRE BOSTON SCI.035IN X 150CM LF,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE .038IN CERTIFIED SUTURE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE EXTERNAL FIXATION 450MM 1.5MM KIRSCHNER,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE FIXATION .035IN 6IN KIRSCHNER 2 TROCAR NONSTERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE GUIDE SYNTHES 1.25 NON-THREADED 150MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE GUIDE SYNTHES 1.25 THREADED 150MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE GUIDE SYNTHES 2.5 THREAD SPADE PT 230MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE GUIDE SYNTHES 2.8 THREADED TROCAR POINT 300MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER BLUNT TROCAR WRIGHT MEDICAL 0.9 X 150MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER INTEGRA,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER STRYKER 2  X 450MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER WRIGHT MEDICAL 1.1 X 150MM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 , N/A , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER .045 X 6 TROCAR DBL END,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE VASCULAR 145CM .035IN FIX CORE FLEXIBLE 3MM RADIUS J CURVE NAMIC PTFE STERILE DISPOSABLE ANGIOGRAPHIC,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,"GUIDEWIRE, PTFE 035 X 150CM FC 3MM J",272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE 15.2CM 1.6MM KIRSCH SS 2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE 229MM 1.1MM KIRSCH SS 2,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER .035 X 6 TROCAR DBL END,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 , N/A , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE OLIVE INTEGRA,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC UNIVERSAL FLUTED STERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 , N/A , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE STRYKER T2K FOR CONDYLE SCREWS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,GUIDEWIRE ORTHOPEDIC 3MM BLUNT TIP PACKAGED STERILE,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE K STRYKER GAMMA 3 3.2X450MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27271769,C1769,WIRE KIRSCHNER STRYKER T2 3 X 285MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 , N/A , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27280160,N/A,HC DETECTOR CO2,272,1 ,$31.68 ,$22.81 ,$8.87 ,$31.68 , N/A ,$23.60 ,$20.75 , N/A ,$8.87 ,$19.48 , N/A ,$19.48 , N/A ,$17.55 ,$17.55 , N/A ,$17.55 , N/A ,$28.51 ,$26.29 , N/A , N/A ,$27.88 , N/A ,$23.76 ,$23.76 ,$26.93 ,$26.93 , N/A ,$26.93 , N/A ,$25.66 ,$25.66 ,$25.66 ,$31.68 ,$28.51 , N/A ,$28.51 , N/A ,$31.68 ,$17.77 , N/A ,$13.12 , N/A , N/A , N/A ,$28.51 , N/A ,$17.55 ,$8.87 ,$28.51 , N/A ,$28.51 ,$28.51 , N/A ,$20.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27282055,N/A,HC SPLINT TRACTION,272,1 ,$60.00 ,$43.20 ,$16.80 ,$60.00 , N/A ,$44.70 ,$39.30 , N/A ,$16.80 ,$36.90 , N/A ,$36.90 , N/A ,$33.24 ,$33.24 , N/A ,$33.24 , N/A ,$54.00 ,$49.80 , N/A , N/A ,$52.80 , N/A ,$45.00 ,$45.00 ,$51.00 ,$51.00 , N/A ,$51.00 , N/A ,$48.60 ,$48.60 ,$48.60 ,$60.00 ,$54.00 , N/A ,$54.00 , N/A ,$60.00 ,$33.66 , N/A ,$24.84 , N/A , N/A , N/A ,$54.00 , N/A ,$33.24 ,$16.80 ,$54.00 , N/A ,$54.00 ,$54.00 , N/A ,$39.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400001,A4378,HC POUCH UROSTOMY,274,1 ,$31.87 ,$22.95 ,$8.92 ,$31.87 , N/A ,$23.74 ,$20.87 , N/A ,$8.92 ,$19.60 , N/A ,$19.60 , N/A ,$17.66 ,$17.66 , N/A ,$17.66 , N/A ,$28.68 , N/A , N/A , N/A ,$28.05 , N/A ,$23.90 ,$23.90 ,$27.09 ,$27.09 , N/A ,$27.09 , N/A ,$25.81 ,$25.81 ,$25.81 ,$31.87 ,$28.68 , N/A ,$28.68 , N/A ,$31.87 ,$17.88 , N/A ,$13.19 , N/A , N/A , N/A ,$28.68 , N/A ,$17.66 ,$8.92 ,$28.68 , N/A ,$28.68 ,$28.68 , N/A ,$20.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400104,L1830,HC KNEE IMMOBILIZER,274,1 ,$209.03 ,$150.50 ,$58.53 ,$234.45 ,$209.03 ,$155.73 ,$136.91 ,$106.03 ,$58.53 ,$128.55 ,$106.03 ,$128.55 ,$106.03 ,$115.80 ,$115.80 ,$106.03 ,$115.80 ,$209.03 ,$188.13 ,$173.49 ,$209.03 ,$106.03 ,$183.95 ,$108.14 ,$156.77 ,$156.77 ,$177.68 ,$177.68 ,$106.03 ,$177.68 ,$106.03 ,$169.31 ,$169.31 ,$169.31 ,$209.03 ,$188.13 ,$209.03 ,$188.13 ,$106.03 ,$209.03 ,$117.27 ,$106.03 ,$86.54 , N/A , N/A ,$110.98 ,$188.13 ,$234.45 ,$115.80 ,$58.53 ,$188.13 ,$106.03 ,$188.13 ,$188.13 ,$106.03 ,$135.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400210,L8000,HC PROSTH BREAST BRA W/O FORM COTTON,274,1 ,$46.74 ,$33.65 ,$13.09 ,$112.03 ,$46.74 ,$34.82 ,$30.61 ,$45.81 ,$13.09 ,$28.75 ,$45.81 ,$28.75 ,$45.81 ,$25.89 ,$25.89 ,$45.81 ,$25.89 ,$46.74 ,$42.07 ,$38.79 ,$46.74 ,$45.81 ,$41.13 ,$46.72 ,$35.06 ,$35.06 ,$39.73 ,$39.73 ,$45.81 ,$39.73 ,$45.81 ,$37.86 ,$37.86 ,$37.86 ,$46.74 ,$42.07 ,$46.74 ,$42.07 ,$45.81 ,$46.74 ,$26.22 ,$45.81 ,$19.35 , N/A , N/A ,$45.81 ,$42.07 ,$112.03 ,$25.89 ,$13.09 ,$42.07 ,$45.81 ,$42.07 ,$42.07 ,$45.81 ,$30.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400211,L8000,HC PROSTH BREAST BRA W/O FORM OTHER,274,1 ,$59.18 ,$42.61 ,$16.57 ,$117.80 ,$59.18 ,$44.09 ,$38.76 ,$53.27 ,$16.57 ,$36.40 ,$53.27 ,$36.40 ,$53.27 ,$32.79 ,$32.79 ,$53.27 ,$32.79 ,$59.18 ,$53.26 ,$49.12 ,$59.18 ,$53.27 ,$52.08 ,$54.34 ,$44.39 ,$44.39 ,$50.30 ,$50.30 ,$53.27 ,$50.30 ,$53.27 ,$47.94 ,$47.94 ,$47.94 ,$59.18 ,$53.26 ,$59.18 ,$53.26 ,$53.27 ,$59.18 ,$33.20 ,$53.27 ,$24.50 , N/A , N/A ,$55.76 ,$53.26 ,$117.80 ,$32.79 ,$16.57 ,$53.26 ,$53.27 ,$53.26 ,$53.26 ,$53.27 ,$38.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400212,L8015,HC PROSTH BREAST EXTERNAL W/FORM POST MASTECTOMY,274,1 ,$160.96 ,$115.89 ,$45.07 ,$202.60 ,$160.96 ,$119.92 ,$105.43 ,$91.62 ,$45.07 ,$98.99 ,$91.62 ,$98.99 ,$91.62 ,$89.17 ,$89.17 ,$91.62 ,$89.17 ,$160.96 ,$144.86 ,$133.60 ,$160.96 ,$91.62 ,$141.64 ,$93.45 ,$120.72 ,$120.72 ,$136.82 ,$136.82 ,$91.62 ,$136.82 ,$91.62 ,$130.38 ,$130.38 ,$130.38 ,$160.96 ,$144.86 ,$160.96 ,$144.86 ,$91.62 ,$160.96 ,$90.30 ,$91.62 ,$66.64 , N/A , N/A ,$95.89 ,$144.86 ,$202.60 ,$89.17 ,$45.07 ,$144.86 ,$91.62 ,$144.86 ,$144.86 ,$91.62 ,$104.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400213,L8020,HC PROSTH BREAST MASTECTOMY FORM,274,1 ,$398.95 ,$287.24 ,$111.71 ,$667.57 ,$398.95 ,$297.22 ,$261.31 ,$301.88 ,$111.71 ,$245.35 ,$301.88 ,$245.35 ,$301.88 ,$221.02 ,$221.02 ,$301.88 ,$221.02 ,$398.95 ,$359.06 ,$331.13 ,$398.95 ,$301.88 ,$351.08 ,$307.92 ,$299.21 ,$299.21 ,$339.11 ,$339.11 ,$301.88 ,$339.11 ,$301.88 ,$323.15 ,$323.15 ,$323.15 ,$398.95 ,$359.06 ,$398.95 ,$359.06 ,$301.88 ,$398.95 ,$223.81 ,$301.88 ,$165.17 , N/A , N/A ,$315.97 ,$359.06 ,$667.57 ,$221.02 ,$111.71 ,$359.06 ,$301.88 ,$359.06 ,$359.06 ,$301.88 ,$259.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400214,L8030,HC PROSTH BREAST W/O INTEGRAL ADHESIVE,274,1 ,$525.78 ,$378.56 ,$147.22 ,$989.80 ,$525.78 ,$391.71 ,$344.39 ,$447.60 ,$147.22 ,$323.35 ,$447.60 ,$323.35 ,$447.60 ,$291.28 ,$291.28 ,$447.60 ,$291.28 ,$525.78 ,$473.20 ,$436.40 ,$525.78 ,$447.60 ,$462.69 ,$456.54 ,$394.34 ,$394.34 ,$446.91 ,$446.91 ,$447.60 ,$446.91 ,$447.60 ,$425.88 ,$425.88 ,$425.88 ,$525.78 ,$473.20 ,$525.78 ,$473.20 ,$447.60 ,$525.78 ,$294.96 ,$447.60 ,$217.67 , N/A , N/A ,$468.49 ,$473.20 ,$989.80 ,$291.28 ,$147.22 ,$473.20 ,$447.60 ,$473.20 ,$473.20 ,$447.60 ,$341.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400215,L8030,HC PROSTH BREAST W/O INTEGRAL PARTIAL,274,1 ,$290.47 ,$209.14 ,$81.33 ,$880.56 ,$290.47 ,$216.40 ,$190.26 ,$284.66 ,$81.33 ,$178.64 ,$284.66 ,$178.64 ,$284.66 ,$160.92 ,$160.92 ,$284.66 ,$160.92 ,$290.47 ,$261.42 ,$241.09 ,$290.47 ,$284.66 ,$255.61 ,$290.35 ,$217.85 ,$217.85 ,$246.90 ,$246.90 ,$284.66 ,$246.90 ,$284.66 ,$235.28 ,$235.28 ,$235.28 ,$290.47 ,$261.42 ,$290.47 ,$261.42 ,$284.66 ,$290.47 ,$162.95 ,$284.66 ,$120.25 , N/A , N/A ,$284.66 ,$261.42 ,$880.56 ,$160.92 ,$81.33 ,$261.42 ,$284.66 ,$261.42 ,$261.42 ,$284.66 ,$188.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400216,L8031,HC PROSTH BREAST W/ADHESIVE,274,1 ,$533.91 ,$384.42 ,$149.49 ,$993.57 ,$533.91 ,$397.76 ,$349.71 ,$449.30 ,$149.49 ,$328.35 ,$449.30 ,$328.35 ,$449.30 ,$295.79 ,$295.79 ,$449.30 ,$295.79 ,$533.91 ,$480.52 ,$443.15 ,$533.91 ,$449.30 ,$469.84 ,$458.29 ,$400.43 ,$400.43 ,$453.82 ,$453.82 ,$449.30 ,$453.82 ,$449.30 ,$432.47 ,$432.47 ,$432.47 ,$533.91 ,$480.52 ,$533.91 ,$480.52 ,$449.30 ,$533.91 ,$299.52 ,$449.30 ,$221.04 , N/A , N/A ,$470.28 ,$480.52 ,$993.57 ,$295.79 ,$149.49 ,$480.52 ,$449.30 ,$480.52 ,$480.52 ,$449.30 ,$347.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500049,C1721,HC ICD DEFIB DUAL CHAMBER T7,275,1 ,"$34,500.00 ","$24,840.00 ","$9,660.00 ","$34,500.00 ", N/A ,"$25,702.50 ","$22,597.50 ", N/A ,"$9,660.00 ","$21,217.50 ", N/A ,"$21,217.50 ", N/A ,"$19,113.00 ","$19,113.00 ", N/A ,"$19,113.00 ", N/A ,"$31,050.00 ","$28,635.00 ", N/A , N/A ,"$30,360.00 ", N/A ,"$25,875.00 ","$25,875.00 ","$29,325.00 ","$29,325.00 ", N/A ,"$29,325.00 ", N/A ,"$27,945.00 ","$27,945.00 ","$27,945.00 ","$34,500.00 ","$31,050.00 ", N/A ,"$31,050.00 ", N/A ,"$34,500.00 ","$19,354.50 ", N/A ,"$14,283.00 ", N/A , N/A , N/A ,"$31,050.00 ", N/A ,"$19,113.00 ","$9,660.00 ","$31,050.00 ", N/A ,"$31,050.00 ","$31,050.00 ", N/A ,"$22,425.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500069,C1722,HC ICD DEFIB SINGLE CHAMBER T5,275,1 ,"$31,500.00 ","$22,680.00 ","$8,820.00 ","$31,500.00 ", N/A ,"$23,467.50 ","$20,632.50 ", N/A ,"$8,820.00 ","$19,372.50 ", N/A ,"$19,372.50 ", N/A ,"$17,451.00 ","$17,451.00 ", N/A ,"$17,451.00 ", N/A ,"$28,350.00 ","$26,145.00 ", N/A , N/A ,"$27,720.00 ", N/A ,"$23,625.00 ","$23,625.00 ","$26,775.00 ","$26,775.00 ", N/A ,"$26,775.00 ", N/A ,"$25,515.00 ","$25,515.00 ","$25,515.00 ","$31,500.00 ","$28,350.00 ", N/A ,"$28,350.00 ", N/A ,"$31,500.00 ","$17,671.50 ", N/A ,"$13,041.00 ", N/A , N/A , N/A ,"$28,350.00 ", N/A ,"$17,451.00 ","$8,820.00 ","$28,350.00 ", N/A ,"$28,350.00 ","$28,350.00 ", N/A ,"$20,475.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500078,C1722,HC ICD DEFIB SINGLE CHAMBER T14,275,1 ,"$31,500.00 ","$22,680.00 ","$8,820.00 ","$31,500.00 ", N/A ,"$23,467.50 ","$20,632.50 ", N/A ,"$8,820.00 ","$19,372.50 ", N/A ,"$19,372.50 ", N/A ,"$17,451.00 ","$17,451.00 ", N/A ,"$17,451.00 ", N/A ,"$28,350.00 ","$26,145.00 ", N/A , N/A ,"$27,720.00 ", N/A ,"$23,625.00 ","$23,625.00 ","$26,775.00 ","$26,775.00 ", N/A ,"$26,775.00 ", N/A ,"$25,515.00 ","$25,515.00 ","$25,515.00 ","$31,500.00 ","$28,350.00 ", N/A ,"$28,350.00 ", N/A ,"$31,500.00 ","$17,671.50 ", N/A ,"$13,041.00 ", N/A , N/A , N/A ,"$28,350.00 ", N/A ,"$17,451.00 ","$8,820.00 ","$28,350.00 ", N/A ,"$28,350.00 ","$28,350.00 ", N/A ,"$20,475.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500091,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T5,275,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500092,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T6,275,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500093,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T7,275,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500094,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T8,275,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500095,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T9,275,1 ,"$9,900.00 ","$7,128.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$5,484.60 ","$5,484.60 ", N/A ,"$5,484.60 ", N/A ,"$8,910.00 ","$8,217.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$8,019.00 ","$8,019.00 ","$8,019.00 ","$9,900.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$4,098.60 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$5,484.60 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500096,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T10,275,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500097,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T11,275,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$6,826.50 ", N/A ,"$6,826.50 ", N/A ,"$6,149.40 ","$6,149.40 ", N/A ,"$6,149.40 ", N/A ,"$9,990.00 ","$9,213.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,991.00 ","$8,991.00 ","$8,991.00 ","$11,100.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,149.40 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500098,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T12,275,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500099,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T13,275,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500100,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T14,275,1 ,"$12,900.00 ","$9,288.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$7,933.50 ", N/A ,"$7,933.50 ", N/A ,"$7,146.60 ","$7,146.60 ", N/A ,"$7,146.60 ", N/A ,"$11,610.00 ","$10,707.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,449.00 ","$10,449.00 ","$10,449.00 ","$12,900.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$5,340.60 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,146.60 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500101,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T15,275,1 ,"$13,500.00 ","$9,720.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$8,302.50 ", N/A ,"$8,302.50 ", N/A ,"$7,479.00 ","$7,479.00 ", N/A ,"$7,479.00 ", N/A ,"$12,150.00 ","$11,205.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,935.00 ","$10,935.00 ","$10,935.00 ","$13,500.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$5,589.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$7,479.00 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500102,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T16,275,1 ,"$14,100.00 ","$10,152.00 ","$3,948.00 ","$14,100.00 ", N/A ,"$10,504.50 ","$9,235.50 ", N/A ,"$3,948.00 ","$8,671.50 ", N/A ,"$8,671.50 ", N/A ,"$7,811.40 ","$7,811.40 ", N/A ,"$7,811.40 ", N/A ,"$12,690.00 ","$11,703.00 ", N/A , N/A ,"$12,408.00 ", N/A ,"$10,575.00 ","$10,575.00 ","$11,985.00 ","$11,985.00 ", N/A ,"$11,985.00 ", N/A ,"$11,421.00 ","$11,421.00 ","$11,421.00 ","$14,100.00 ","$12,690.00 ", N/A ,"$12,690.00 ", N/A ,"$14,100.00 ","$7,910.10 ", N/A ,"$5,837.40 ", N/A , N/A , N/A ,"$12,690.00 ", N/A ,"$7,811.40 ","$3,948.00 ","$12,690.00 ", N/A ,"$12,690.00 ","$12,690.00 ", N/A ,"$9,165.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500103,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T17,275,1 ,"$14,700.00 ","$10,584.00 ","$4,116.00 ","$14,700.00 ", N/A ,"$10,951.50 ","$9,628.50 ", N/A ,"$4,116.00 ","$9,040.50 ", N/A ,"$9,040.50 ", N/A ,"$8,143.80 ","$8,143.80 ", N/A ,"$8,143.80 ", N/A ,"$13,230.00 ","$12,201.00 ", N/A , N/A ,"$12,936.00 ", N/A ,"$11,025.00 ","$11,025.00 ","$12,495.00 ","$12,495.00 ", N/A ,"$12,495.00 ", N/A ,"$11,907.00 ","$11,907.00 ","$11,907.00 ","$14,700.00 ","$13,230.00 ", N/A ,"$13,230.00 ", N/A ,"$14,700.00 ","$8,246.70 ", N/A ,"$6,085.80 ", N/A , N/A , N/A ,"$13,230.00 ", N/A ,"$8,143.80 ","$4,116.00 ","$13,230.00 ", N/A ,"$13,230.00 ","$13,230.00 ", N/A ,"$9,555.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500104,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T18,275,1 ,"$15,300.00 ","$11,016.00 ","$4,284.00 ","$15,300.00 ", N/A ,"$11,398.50 ","$10,021.50 ", N/A ,"$4,284.00 ","$9,409.50 ", N/A ,"$9,409.50 ", N/A ,"$8,476.20 ","$8,476.20 ", N/A ,"$8,476.20 ", N/A ,"$13,770.00 ","$12,699.00 ", N/A , N/A ,"$13,464.00 ", N/A ,"$11,475.00 ","$11,475.00 ","$13,005.00 ","$13,005.00 ", N/A ,"$13,005.00 ", N/A ,"$12,393.00 ","$12,393.00 ","$12,393.00 ","$15,300.00 ","$13,770.00 ", N/A ,"$13,770.00 ", N/A ,"$15,300.00 ","$8,583.30 ", N/A ,"$6,334.20 ", N/A , N/A , N/A ,"$13,770.00 ", N/A ,"$8,476.20 ","$4,284.00 ","$13,770.00 ", N/A ,"$13,770.00 ","$13,770.00 ", N/A ,"$9,945.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500105,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T19,275,1 ,"$15,900.00 ","$11,448.00 ","$4,452.00 ","$15,900.00 ", N/A ,"$11,845.50 ","$10,414.50 ", N/A ,"$4,452.00 ","$9,778.50 ", N/A ,"$9,778.50 ", N/A ,"$8,808.60 ","$8,808.60 ", N/A ,"$8,808.60 ", N/A ,"$14,310.00 ","$13,197.00 ", N/A , N/A ,"$13,992.00 ", N/A ,"$11,925.00 ","$11,925.00 ","$13,515.00 ","$13,515.00 ", N/A ,"$13,515.00 ", N/A ,"$12,879.00 ","$12,879.00 ","$12,879.00 ","$15,900.00 ","$14,310.00 ", N/A ,"$14,310.00 ", N/A ,"$15,900.00 ","$8,919.90 ", N/A ,"$6,582.60 ", N/A , N/A , N/A ,"$14,310.00 ", N/A ,"$8,808.60 ","$4,452.00 ","$14,310.00 ", N/A ,"$14,310.00 ","$14,310.00 ", N/A ,"$10,335.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500106,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T20,275,1 ,"$16,500.00 ","$11,880.00 ","$4,620.00 ","$16,500.00 ", N/A ,"$12,292.50 ","$10,807.50 ", N/A ,"$4,620.00 ","$10,147.50 ", N/A ,"$10,147.50 ", N/A ,"$9,141.00 ","$9,141.00 ", N/A ,"$9,141.00 ", N/A ,"$14,850.00 ","$13,695.00 ", N/A , N/A ,"$14,520.00 ", N/A ,"$12,375.00 ","$12,375.00 ","$14,025.00 ","$14,025.00 ", N/A ,"$14,025.00 ", N/A ,"$13,365.00 ","$13,365.00 ","$13,365.00 ","$16,500.00 ","$14,850.00 ", N/A ,"$14,850.00 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$6,831.00 ", N/A , N/A , N/A ,"$14,850.00 ", N/A ,"$9,141.00 ","$4,620.00 ","$14,850.00 ", N/A ,"$14,850.00 ","$14,850.00 ", N/A ,"$10,725.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500107,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T21,275,1 ,"$17,100.00 ","$12,312.00 ","$4,788.00 ","$17,100.00 ", N/A ,"$12,739.50 ","$11,200.50 ", N/A ,"$4,788.00 ","$10,516.50 ", N/A ,"$10,516.50 ", N/A ,"$9,473.40 ","$9,473.40 ", N/A ,"$9,473.40 ", N/A ,"$15,390.00 ","$14,193.00 ", N/A , N/A ,"$15,048.00 ", N/A ,"$12,825.00 ","$12,825.00 ","$14,535.00 ","$14,535.00 ", N/A ,"$14,535.00 ", N/A ,"$13,851.00 ","$13,851.00 ","$13,851.00 ","$17,100.00 ","$15,390.00 ", N/A ,"$15,390.00 ", N/A ,"$17,100.00 ","$9,593.10 ", N/A ,"$7,079.40 ", N/A , N/A , N/A ,"$15,390.00 ", N/A ,"$9,473.40 ","$4,788.00 ","$15,390.00 ", N/A ,"$15,390.00 ","$15,390.00 ", N/A ,"$11,115.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500120,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T10,275,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500121,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T11,275,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500122,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T12,275,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500123,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T13,275,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500124,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T14,275,1 ,"$9,900.00 ","$7,128.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$5,484.60 ","$5,484.60 ", N/A ,"$5,484.60 ", N/A ,"$8,910.00 ","$8,217.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$8,019.00 ","$8,019.00 ","$8,019.00 ","$9,900.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$4,098.60 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$5,484.60 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500125,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T15,275,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500189,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T19,275,1 ,"$16,500.00 ","$11,880.00 ","$4,620.00 ","$16,500.00 ", N/A ,"$12,292.50 ","$10,807.50 ", N/A ,"$4,620.00 ","$10,147.50 ", N/A ,"$10,147.50 ", N/A ,"$9,141.00 ","$9,141.00 ", N/A ,"$9,141.00 ", N/A ,"$14,850.00 ","$13,695.00 ", N/A , N/A ,"$14,520.00 ", N/A ,"$12,375.00 ","$12,375.00 ","$14,025.00 ","$14,025.00 ", N/A ,"$14,025.00 ", N/A ,"$13,365.00 ","$13,365.00 ","$13,365.00 ","$16,500.00 ","$14,850.00 ", N/A ,"$14,850.00 ", N/A ,"$16,500.00 ","$9,256.50 ", N/A ,"$6,831.00 ", N/A , N/A , N/A ,"$14,850.00 ", N/A ,"$9,141.00 ","$4,620.00 ","$14,850.00 ", N/A ,"$14,850.00 ","$14,850.00 ", N/A ,"$10,725.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500210,C1785,HC AZURE XT DR - MRI SURESCAN PACEMAKER,275,1 ,"$12,900.00 ","$9,288.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$7,933.50 ", N/A ,"$7,933.50 ", N/A ,"$7,146.60 ","$7,146.60 ", N/A ,"$7,146.60 ", N/A ,"$11,610.00 ","$10,707.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,449.00 ","$10,449.00 ","$10,449.00 ","$12,900.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$5,340.60 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,146.60 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27800553,A4648,HC TISSUE MARKER IMPLANTABLE,278,1 ,$92.99 ,$66.95 ,$26.04 ,$92.99 , N/A ,$69.28 ,$60.91 , N/A ,$26.04 ,$57.19 , N/A ,$57.19 , N/A ,$51.52 ,$51.52 , N/A ,$51.52 , N/A ,$83.69 ,$77.18 , N/A , N/A ,$81.83 , N/A ,$69.74 ,$69.74 ,$79.04 ,$79.04 , N/A ,$79.04 , N/A ,$75.32 ,$75.32 ,$75.32 ,$92.99 ,$83.69 , N/A ,$83.69 , N/A ,$92.99 ,$52.17 , N/A ,$38.50 , N/A , N/A , N/A ,$83.69 , N/A ,$51.52 ,$26.04 ,$83.69 , N/A ,$83.69 ,$83.69 , N/A ,$60.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801484,C1894,HC INTRODUCER MICROPUNCTURE SET,278,1 ,$99.24 ,$71.45 ,$27.79 ,$99.24 , N/A ,$73.93 ,$65.00 , N/A ,$27.79 ,$61.03 , N/A ,$61.03 , N/A ,$54.98 ,$54.98 , N/A ,$54.98 , N/A ,$89.32 , N/A , N/A , N/A ,$87.33 , N/A ,$74.43 ,$74.43 ,$84.35 ,$84.35 , N/A ,$84.35 , N/A ,$80.38 ,$80.38 ,$80.38 ,$99.24 ,$89.32 , N/A ,$89.32 , N/A ,$99.24 ,$55.67 , N/A ,$41.09 , N/A , N/A , N/A ,$89.32 , N/A ,$54.98 ,$27.79 ,$89.32 , N/A ,$89.32 ,$89.32 , N/A ,$64.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801599,C1764,HC RECORDER CARDIAC EVENT IMPLANT T17,278,1 ,"$10,912.00 ","$7,856.64 ","$3,055.36 ","$10,912.00 ", N/A ,"$8,129.44 ","$7,147.36 ", N/A ,"$3,055.36 ","$6,710.88 ", N/A ,"$6,710.88 ", N/A ,"$6,045.25 ","$6,045.25 ", N/A ,"$6,045.25 ", N/A ,"$9,820.80 ","$9,056.96 ", N/A , N/A ,"$9,602.56 ", N/A ,"$8,184.00 ","$8,184.00 ","$9,275.20 ","$9,275.20 ", N/A ,"$9,275.20 ", N/A ,"$8,838.72 ","$8,838.72 ","$8,838.72 ","$10,912.00 ","$9,820.80 ", N/A ,"$9,820.80 ", N/A ,"$10,912.00 ","$6,121.63 ", N/A ,"$4,517.57 ", N/A , N/A , N/A ,"$9,820.80 ", N/A ,"$6,045.25 ","$3,055.36 ","$9,820.80 ", N/A ,"$9,820.80 ","$9,820.80 ", N/A ,"$7,092.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801621,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T1,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801671,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T7,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801672,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T8,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801673,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T9,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801674,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T10,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801675,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T11,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801676,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T12,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801677,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T13,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801678,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T14,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801679,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T15,278,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801680,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T16,278,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801681,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T17,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801682,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T18,278,1 ,"$9,900.00 ","$7,128.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$6,088.50 ", N/A ,"$6,088.50 ", N/A ,"$5,484.60 ","$5,484.60 ", N/A ,"$5,484.60 ", N/A ,"$8,910.00 ","$8,217.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$8,019.00 ","$8,019.00 ","$8,019.00 ","$9,900.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$5,553.90 ", N/A ,"$4,098.60 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$5,484.60 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801683,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T19,278,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801684,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T20,278,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$6,826.50 ", N/A ,"$6,826.50 ", N/A ,"$6,149.40 ","$6,149.40 ", N/A ,"$6,149.40 ", N/A ,"$9,990.00 ","$9,213.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,991.00 ","$8,991.00 ","$8,991.00 ","$11,100.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,149.40 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801685,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T21,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801686,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T22,278,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801687,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T23,278,1 ,"$12,900.00 ","$9,288.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$7,933.50 ", N/A ,"$7,933.50 ", N/A ,"$7,146.60 ","$7,146.60 ", N/A ,"$7,146.60 ", N/A ,"$11,610.00 ","$10,707.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,449.00 ","$10,449.00 ","$10,449.00 ","$12,900.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$5,340.60 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,146.60 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801688,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T24,278,1 ,"$13,500.00 ","$9,720.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$8,302.50 ", N/A ,"$8,302.50 ", N/A ,"$7,479.00 ","$7,479.00 ", N/A ,"$7,479.00 ", N/A ,"$12,150.00 ","$11,205.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,935.00 ","$10,935.00 ","$10,935.00 ","$13,500.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$5,589.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$7,479.00 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801689,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T25,278,1 ,"$14,100.00 ","$10,152.00 ","$3,948.00 ","$14,100.00 ", N/A ,"$10,504.50 ","$9,235.50 ", N/A ,"$3,948.00 ","$8,671.50 ", N/A ,"$8,671.50 ", N/A ,"$7,811.40 ","$7,811.40 ", N/A ,"$7,811.40 ", N/A ,"$12,690.00 ","$11,703.00 ", N/A , N/A ,"$12,408.00 ", N/A ,"$10,575.00 ","$10,575.00 ","$11,985.00 ","$11,985.00 ", N/A ,"$11,985.00 ", N/A ,"$11,421.00 ","$11,421.00 ","$11,421.00 ","$14,100.00 ","$12,690.00 ", N/A ,"$12,690.00 ", N/A ,"$14,100.00 ","$7,910.10 ", N/A ,"$5,837.40 ", N/A , N/A , N/A ,"$12,690.00 ", N/A ,"$7,811.40 ","$3,948.00 ","$12,690.00 ", N/A ,"$12,690.00 ","$12,690.00 ", N/A ,"$9,165.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801690,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T26,278,1 ,"$14,700.00 ","$10,584.00 ","$4,116.00 ","$14,700.00 ", N/A ,"$10,951.50 ","$9,628.50 ", N/A ,"$4,116.00 ","$9,040.50 ", N/A ,"$9,040.50 ", N/A ,"$8,143.80 ","$8,143.80 ", N/A ,"$8,143.80 ", N/A ,"$13,230.00 ","$12,201.00 ", N/A , N/A ,"$12,936.00 ", N/A ,"$11,025.00 ","$11,025.00 ","$12,495.00 ","$12,495.00 ", N/A ,"$12,495.00 ", N/A ,"$11,907.00 ","$11,907.00 ","$11,907.00 ","$14,700.00 ","$13,230.00 ", N/A ,"$13,230.00 ", N/A ,"$14,700.00 ","$8,246.70 ", N/A ,"$6,085.80 ", N/A , N/A , N/A ,"$13,230.00 ", N/A ,"$8,143.80 ","$4,116.00 ","$13,230.00 ", N/A ,"$13,230.00 ","$13,230.00 ", N/A ,"$9,555.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801709,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T6,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801713,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T10,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801714,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T11,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801715,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T12,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801716,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T13,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801717,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T14,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801718,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T15,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801719,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T16,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801720,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T17,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801721,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T18,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801722,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T19,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801723,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T20,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801724,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T21,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801725,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T22,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801730,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T27,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801732,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T29,278,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801769,C1880,HC FILTER VENA CAVA T7,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801770,C1880,HC FILTER VENA CAVA T8,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801816,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T4,278,1 ,"$7,000.00 ","$5,040.00 ","$1,960.00 ","$7,000.00 ", N/A ,"$5,215.00 ","$4,585.00 ", N/A ,"$1,960.00 ","$4,305.00 ", N/A ,"$4,305.00 ", N/A ,"$3,878.00 ","$3,878.00 ", N/A ,"$3,878.00 ", N/A ,"$6,300.00 ","$5,810.00 ", N/A , N/A ,"$6,160.00 ", N/A ,"$5,250.00 ","$5,250.00 ","$5,950.00 ","$5,950.00 ", N/A ,"$5,950.00 ", N/A ,"$5,670.00 ","$5,670.00 ","$5,670.00 ","$7,000.00 ","$6,300.00 ", N/A ,"$6,300.00 ", N/A ,"$7,000.00 ","$3,927.00 ", N/A ,"$2,898.00 ", N/A , N/A , N/A ,"$6,300.00 ", N/A ,"$3,878.00 ","$1,960.00 ","$6,300.00 ", N/A ,"$6,300.00 ","$6,300.00 ", N/A ,"$4,550.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801972,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T6,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801973,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T7,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801974,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T8,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801975,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T9,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801976,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T10,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801987,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T1,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802016,N/A,HC IMPLANT SURGICAL T1,278,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802017,N/A,HC IMPLANT SURGICAL T2,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802018,N/A,HC IMPLANT SURGICAL T3,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802019,N/A,HC IMPLANT SURGICAL T4,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802020,N/A,HC IMPLANT SURGICAL T5,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802021,N/A,HC IMPLANT SURGICAL T6,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802022,N/A,HC IMPLANT SURGICAL T7,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802023,N/A,HC IMPLANT SURGICAL T8,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802024,N/A,HC IMPLANT SURGICAL T9,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802025,N/A,HC IMPLANT SURGICAL T10,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802026,N/A,HC IMPLANT SURGICAL T11,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802027,N/A,HC IMPLANT SURGICAL T12,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802028,N/A,HC IMPLANT SURGICAL T13,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802029,N/A,HC IMPLANT SURGICAL T14,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802030,N/A,HC IMPLANT SURGICAL T15,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802031,N/A,HC IMPLANT SURGICAL T16,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802032,N/A,HC IMPLANT SURGICAL T17,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802033,N/A,HC IMPLANT SURGICAL T18,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802034,N/A,HC IMPLANT SURGICAL T19,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802035,N/A,HC IMPLANT SURGICAL T20,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802104,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T1,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ", N/A , N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802105,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T2,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ", N/A , N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802106,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T3,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ", N/A , N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802107,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T4,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ", N/A , N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802108,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T5,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ", N/A , N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802109,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T6,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ", N/A , N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802110,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T7,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ", N/A , N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802111,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T8,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ", N/A , N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802112,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T9,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ", N/A , N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802124,C1788,HC PORT VASCULAR ACCESS,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802153,C2617,HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM T1,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802157,C2617,HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM T2,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802158,C2617,HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM T3,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 50X17X10MM AVENUE L 6D PEEK-OPTIMA LT1 TITANIUM RADIOPAQUE 2.5CC LATERAL LUMBAR INTERBODY FUSION STERILE LATEX FREE,278,1 ,"$16,050.00 ","$11,556.00 ","$4,494.00 ","$16,050.00 ", N/A ,"$11,957.25 ","$10,512.75 ", N/A ,"$4,494.00 ","$9,870.75 ", N/A ,"$9,870.75 ", N/A ,"$8,891.70 ","$8,891.70 ", N/A ,"$8,891.70 ", N/A ,"$14,445.00 ","$13,321.50 ", N/A , N/A ,"$14,124.00 ", N/A ,"$12,037.50 ","$12,037.50 ","$13,642.50 ","$13,642.50 ", N/A ,"$13,642.50 ", N/A ,"$13,000.50 ","$13,000.50 ","$13,000.50 ","$16,050.00 ","$14,445.00 ", N/A ,"$14,445.00 ", N/A ,"$16,050.00 ","$9,004.05 ", N/A ,"$6,644.70 ", N/A , N/A , N/A ,"$14,445.00 ", N/A ,"$8,891.70 ","$4,494.00 ","$14,445.00 ", N/A ,"$14,445.00 ","$14,445.00 ", N/A ,"$10,432.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 45X17X10MM AVENUE L 6D PEEK-OPTIMA LT1 TITANIUM RADIOPAQUE 2.2CC LATERAL LUMBAR INTERBODY FUSION STERILE LATEX FREE,278,1 ,"$16,050.00 ","$11,556.00 ","$4,494.00 ","$16,050.00 ", N/A ,"$11,957.25 ","$10,512.75 ", N/A ,"$4,494.00 ","$9,870.75 ", N/A ,"$9,870.75 ", N/A ,"$8,891.70 ","$8,891.70 ", N/A ,"$8,891.70 ", N/A ,"$14,445.00 ","$13,321.50 ", N/A , N/A ,"$14,124.00 ", N/A ,"$12,037.50 ","$12,037.50 ","$13,642.50 ","$13,642.50 ", N/A ,"$13,642.50 ", N/A ,"$13,000.50 ","$13,000.50 ","$13,000.50 ","$16,050.00 ","$14,445.00 ", N/A ,"$14,445.00 ", N/A ,"$16,050.00 ","$9,004.05 ", N/A ,"$6,644.70 ", N/A , N/A , N/A ,"$14,445.00 ", N/A ,"$8,891.70 ","$4,494.00 ","$14,445.00 ", N/A ,"$14,445.00 ","$14,445.00 ", N/A ,"$10,432.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILLER BONE 20CC 50CC CALCIUM SULFATE STIMULAN RAPID CURE,278,1 ,"$7,200.00 ","$5,184.00 ","$2,016.00 ","$7,200.00 ", N/A ,"$5,364.00 ","$4,716.00 ", N/A ,"$2,016.00 ","$4,428.00 ", N/A ,"$4,428.00 ", N/A ,"$3,988.80 ","$3,988.80 ", N/A ,"$3,988.80 ", N/A ,"$6,480.00 ","$5,976.00 ", N/A , N/A ,"$6,336.00 ", N/A ,"$5,400.00 ","$5,400.00 ","$6,120.00 ","$6,120.00 ", N/A ,"$6,120.00 ", N/A ,"$5,832.00 ","$5,832.00 ","$5,832.00 ","$7,200.00 ","$6,480.00 ", N/A ,"$6,480.00 ", N/A ,"$7,200.00 ","$4,039.20 ", N/A ,"$2,980.80 ", N/A , N/A , N/A ,"$6,480.00 ", N/A ,"$3,988.80 ","$2,016.00 ","$6,480.00 ", N/A ,"$6,480.00 ","$6,480.00 ", N/A ,"$4,680.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE FREEZE DRIED SPACER TRANSFORAMINAL PLIF TISSUE 9MM NONSTERILE,278,1 ,"$13,500.00 ","$9,720.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$8,302.50 ", N/A ,"$8,302.50 ", N/A ,"$7,479.00 ","$7,479.00 ", N/A ,"$7,479.00 ", N/A ,"$12,150.00 ","$11,205.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,935.00 ","$10,935.00 ","$10,935.00 ","$13,500.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$5,589.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$7,479.00 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 24X8X10MM DORADO E-LIFT CONE STRAIGHT NONSTERILE LATEX FREE,278,1 ,"$13,500.00 ","$9,720.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$8,302.50 ", N/A ,"$8,302.50 ", N/A ,"$7,479.00 ","$7,479.00 ", N/A ,"$7,479.00 ", N/A ,"$12,150.00 ","$11,205.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,935.00 ","$10,935.00 ","$10,935.00 ","$13,500.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$5,589.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$7,479.00 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 55X18X10MM COUGAR,278,1 ,"$13,500.00 ","$9,720.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$8,302.50 ", N/A ,"$8,302.50 ", N/A ,"$7,479.00 ","$7,479.00 ", N/A ,"$7,479.00 ", N/A ,"$12,150.00 ","$11,205.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,935.00 ","$10,935.00 ","$10,935.00 ","$13,500.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$5,589.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$7,479.00 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANCELLOUS CORTICAL FREEZE DRIED SPACER TRANSFORAMINAL PLIF 11MM,278,1 ,"$13,500.00 ","$9,720.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$8,302.50 ", N/A ,"$8,302.50 ", N/A ,"$7,479.00 ","$7,479.00 ", N/A ,"$7,479.00 ", N/A ,"$12,150.00 ","$11,205.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,935.00 ","$10,935.00 ","$10,935.00 ","$13,500.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$7,573.50 ", N/A ,"$5,589.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$7,479.00 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE OP-1 BONE MORPHOGENETIC PROTEIN OSTEOINDUCTIVE,278,1 ,"$15,150.00 ","$10,908.00 ","$4,242.00 ","$15,150.00 ", N/A ,"$11,286.75 ","$9,923.25 ", N/A ,"$4,242.00 ","$9,317.25 ", N/A ,"$9,317.25 ", N/A ,"$8,393.10 ","$8,393.10 ", N/A ,"$8,393.10 ", N/A ,"$13,635.00 ","$12,574.50 ", N/A , N/A ,"$13,332.00 ", N/A ,"$11,362.50 ","$11,362.50 ","$12,877.50 ","$12,877.50 ", N/A ,"$12,877.50 ", N/A ,"$12,271.50 ","$12,271.50 ","$12,271.50 ","$15,150.00 ","$13,635.00 ", N/A ,"$13,635.00 ", N/A ,"$15,150.00 ","$8,499.15 ", N/A ,"$6,272.10 ", N/A , N/A , N/A ,"$13,635.00 ", N/A ,"$8,393.10 ","$4,242.00 ","$13,635.00 ", N/A ,"$13,635.00 ","$13,635.00 ", N/A ,"$9,847.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE TRINITY EVOLUTION CANCELLOUS 15CC ALLOGRAFT FROZEN VIABLE CELL MORSELIZE,278,1 ,"$18,500.00 ","$13,320.00 ","$5,180.00 ","$18,500.00 ", N/A ,"$13,782.50 ","$12,117.50 ", N/A ,"$5,180.00 ","$11,377.50 ", N/A ,"$11,377.50 ", N/A ,"$10,249.00 ","$10,249.00 ", N/A ,"$10,249.00 ", N/A ,"$16,650.00 ","$15,355.00 ", N/A , N/A ,"$16,280.00 ", N/A ,"$13,875.00 ","$13,875.00 ","$15,725.00 ","$15,725.00 ", N/A ,"$15,725.00 ", N/A ,"$14,985.00 ","$14,985.00 ","$14,985.00 ","$18,500.00 ","$16,650.00 ", N/A ,"$16,650.00 ", N/A ,"$18,500.00 ","$10,378.50 ", N/A ,"$7,659.00 ", N/A , N/A , N/A ,"$16,650.00 ", N/A ,"$10,249.00 ","$5,180.00 ","$16,650.00 ", N/A ,"$16,650.00 ","$16,650.00 ", N/A ,"$12,025.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT INFUSE BONE MEDIUM,278,1 ,"$15,600.00 ","$11,232.00 ","$4,368.00 ","$15,600.00 ", N/A ,"$11,622.00 ","$10,218.00 ", N/A ,"$4,368.00 ","$9,594.00 ", N/A ,"$9,594.00 ", N/A ,"$8,642.40 ","$8,642.40 ", N/A ,"$8,642.40 ", N/A ,"$14,040.00 ","$12,948.00 ", N/A , N/A ,"$13,728.00 ", N/A ,"$11,700.00 ","$11,700.00 ","$13,260.00 ","$13,260.00 ", N/A ,"$13,260.00 ", N/A ,"$12,636.00 ","$12,636.00 ","$12,636.00 ","$15,600.00 ","$14,040.00 ", N/A ,"$14,040.00 ", N/A ,"$15,600.00 ","$8,751.60 ", N/A ,"$6,458.40 ", N/A , N/A , N/A ,"$14,040.00 ", N/A ,"$8,642.40 ","$4,368.00 ","$14,040.00 ", N/A ,"$14,040.00 ","$14,040.00 ", N/A ,"$10,140.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 20X16CM DERMACELL THK.75-1.5MM DERMIS ALLOGRAFT DECELLULARIZE UNMESH,278,1 ,"$24,750.00 ","$17,820.00 ","$6,930.00 ","$24,750.00 ", N/A ,"$18,438.75 ","$16,211.25 ", N/A ,"$6,930.00 ","$15,221.25 ", N/A ,"$15,221.25 ", N/A ,"$13,711.50 ","$13,711.50 ", N/A ,"$13,711.50 ", N/A ,"$22,275.00 ","$20,542.50 ", N/A , N/A ,"$21,780.00 ", N/A ,"$18,562.50 ","$18,562.50 ","$21,037.50 ","$21,037.50 ", N/A ,"$21,037.50 ", N/A ,"$20,047.50 ","$20,047.50 ","$20,047.50 ","$24,750.00 ","$22,275.00 ", N/A ,"$22,275.00 ", N/A ,"$24,750.00 ","$13,884.75 ", N/A ,"$10,246.50 ", N/A , N/A , N/A ,"$22,275.00 ", N/A ,"$13,711.50 ","$6,930.00 ","$22,275.00 ", N/A ,"$22,275.00 ","$22,275.00 ", N/A ,"$16,087.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,INSTRUMENTATION REVERSE SHOULDER SYSTEM ZIMMER 2.5 X 150MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,JACKET GRAFT WRIGHT MEDICAL 4 X 7,278,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 90MM PREBENT,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 4CM 24FR RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP GASTROSTOMY MIC-KEY SECUR-LOK SILICONE STERILE LATEX FREE 5ML,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANC 15ML 1-4MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANCELLOUS 15ML 1-10MM FREEZE DRIED CHIPS,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 300MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 30MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 45MM 5.5MM PEDFUSE LORDOTIC,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 70MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL AXIALIF 2L STABILIZATION,278,1 ,"$32,250.00 ","$23,220.00 ","$9,030.00 ","$32,250.00 ", N/A ,"$24,026.25 ","$21,123.75 ", N/A ,"$9,030.00 ","$19,833.75 ", N/A ,"$19,833.75 ", N/A ,"$17,866.50 ","$17,866.50 ", N/A ,"$17,866.50 ", N/A ,"$29,025.00 ","$26,767.50 ", N/A , N/A ,"$28,380.00 ", N/A ,"$24,187.50 ","$24,187.50 ","$27,412.50 ","$27,412.50 ", N/A ,"$27,412.50 ", N/A ,"$26,122.50 ","$26,122.50 ","$26,122.50 ","$32,250.00 ","$29,025.00 ", N/A ,"$29,025.00 ", N/A ,"$32,250.00 ","$18,092.25 ", N/A ,"$13,351.50 ", N/A , N/A , N/A ,"$29,025.00 ", N/A ,"$17,866.50 ","$9,030.00 ","$29,025.00 ", N/A ,"$29,025.00 ","$29,025.00 ", N/A ,"$20,962.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 2.5 REAMING WITH BALL TIP,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BAR TIBIAL LOCKING BIOMET,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILLER BONE VOID 1CC DEMINERALIZED BONE MATRIX ALLOFUSE PUTTY,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILLER BONE VOID OSTEOVATION CALLOS DELIVERY SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE ALLOFUSE DEMINERALIZED BONE MATRIX 1ML GEL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PROGENIX MEDTRONIC PUTTY 0.5CC MEDTRONIC,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD UNIUN STRYKER 40MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON FIXATION DOG BONE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILLER BONE VOID 5CC 1.4-2.8MM MEDIUM BTCP CHRONOS GRANULE OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE STERILE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANCELLOUS 30ML 4-10MM FREEZE DRIED CHIPS,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CORTICAL STRUT FROZEN 20CM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD 150MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD 160MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD 6.0 X 120MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD 6.0MMX 140MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 70MM 6MM TRIO THORACOLUMBAR UNION,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD UNION STRYKER 60MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD UNION STRYKER 90MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT BONE PREP QUIK-USE FEMUR POLYETHYLENE BARIUM SULFATE CEMENT STERILE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SET NEUROSURGICAL AXIALIF SPINE STABILIZATION,278,1 ,"$21,000.00 ","$15,120.00 ","$5,880.00 ","$21,000.00 ", N/A ,"$15,645.00 ","$13,755.00 ", N/A ,"$5,880.00 ","$12,915.00 ", N/A ,"$12,915.00 ", N/A ,"$11,634.00 ","$11,634.00 ", N/A ,"$11,634.00 ", N/A ,"$18,900.00 ","$17,430.00 ", N/A , N/A ,"$18,480.00 ", N/A ,"$15,750.00 ","$15,750.00 ","$17,850.00 ","$17,850.00 ", N/A ,"$17,850.00 ", N/A ,"$17,010.00 ","$17,010.00 ","$17,010.00 ","$21,000.00 ","$18,900.00 ", N/A ,"$18,900.00 ", N/A ,"$21,000.00 ","$11,781.00 ", N/A ,"$8,694.00 ", N/A , N/A , N/A ,"$18,900.00 ", N/A ,"$11,634.00 ","$5,880.00 ","$18,900.00 ", N/A ,"$18,900.00 ","$18,900.00 ", N/A ,"$13,650.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SLEEVE TIBIAL STRYKER,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD TUBE STRYKER HOFFMAN 3 MRI COMPL DISTRACTION,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X9MM OPAL BULLET NOSE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH TLIF NONSTERILE LATEX FREE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CEMENT HYDROSET 10CC,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X10-9.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X10MM OPAL BULLET NOSE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH TLIF NONSTERILE LATEX FREE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X11-10.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X12-11.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X12MM OPAL BULLET NOSE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH TLIF NONSTERILE LATEX FREE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X12MM OPAL REVOLVE BULLET NOSE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH TLIF NONSTERILE LATEX FREE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X13-12.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X14-13.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X15-14.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X16-15.2MM T-PAL 5D BULLET NOSE PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH NONSTERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X7MM OPAL BULLET NOSE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH TLIF NONSTERILE LATEX FREE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 28X10X8MM OPAL BULLET NOSE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH TLIF NONSTERILE LATEX FREE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,IMPLANT FIXATION HYPROCURE 7 TITANIUM SINUS TARSI,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPHERE GLENOID 36MM AEQUALIS REVERSED II CENTERED SHOULDER COCR 29MM BASEPLATE,278,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$6,826.50 ", N/A ,"$6,826.50 ", N/A ,"$6,149.40 ","$6,149.40 ", N/A ,"$6,149.40 ", N/A ,"$9,990.00 ","$9,213.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,991.00 ","$8,991.00 ","$8,991.00 ","$11,100.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,149.40 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 16X8CM DERMACELL THK.75-1.5MM DERMIS ALLOGRAFT DECELLULARIZE RECONSTRUCTION STERILE,278,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$6,826.50 ", N/A ,"$6,826.50 ", N/A ,"$6,149.40 ","$6,149.40 ", N/A ,"$6,149.40 ", N/A ,"$9,990.00 ","$9,213.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,991.00 ","$8,991.00 ","$8,991.00 ","$11,100.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,149.40 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,JACKET GRAFT WRIGHT MEDICAL 5 X 5CM,278,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$6,826.50 ", N/A ,"$6,826.50 ", N/A ,"$6,149.40 ","$6,149.40 ", N/A ,"$6,149.40 ", N/A ,"$9,990.00 ","$9,213.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,991.00 ","$8,991.00 ","$8,991.00 ","$11,100.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,149.40 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPHERE GLENOID 36MM AEQUALIS SHOULDER COCR REVERSE CENTER 25MM BASEPLATE,278,1 ,"$14,700.00 ","$10,584.00 ","$4,116.00 ","$14,700.00 ", N/A ,"$10,951.50 ","$9,628.50 ", N/A ,"$4,116.00 ","$9,040.50 ", N/A ,"$9,040.50 ", N/A ,"$8,143.80 ","$8,143.80 ", N/A ,"$8,143.80 ", N/A ,"$13,230.00 ","$12,201.00 ", N/A , N/A ,"$12,936.00 ", N/A ,"$11,025.00 ","$11,025.00 ","$12,495.00 ","$12,495.00 ", N/A ,"$12,495.00 ", N/A ,"$11,907.00 ","$11,907.00 ","$11,907.00 ","$14,700.00 ","$13,230.00 ", N/A ,"$13,230.00 ", N/A ,"$14,700.00 ","$8,246.70 ", N/A ,"$6,085.80 ", N/A , N/A , N/A ,"$13,230.00 ", N/A ,"$8,143.80 ","$4,116.00 ","$13,230.00 ", N/A ,"$13,230.00 ","$13,230.00 ", N/A ,"$9,555.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPHERE GLENOID 36MM AEQUALIS SHOULDER COCR REVERSE CENTER STERILE LATEX FREE,278,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COMPONENT GLENOID 48MM PEG REUNION X3 STERILE LATEX FREE TOTAL SHOULDER ARTHROPLASTY SYSTEM,278,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE TRINITY EVOLUTION CANCELLOUS 5CC ALLOGRAFT FROZEN VIABLE CELL MORSELIZE,278,1 ,"$8,700.00 ","$6,264.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$5,350.50 ", N/A ,"$5,350.50 ", N/A ,"$4,819.80 ","$4,819.80 ", N/A ,"$4,819.80 ", N/A ,"$7,830.00 ","$7,221.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$7,047.00 ","$7,047.00 ","$7,047.00 ","$8,700.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$4,880.70 ", N/A ,"$3,601.80 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$4,819.80 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPHERE GLENOID 42MM AEQUALIS SHOULDER COCR REVERSE CENTER STERILE LATEX FREE,278,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 28X10X11MM LEOPARD 5D BANANA CFRP TLIF NONSTERILE LATEX FREE,278,1 ,"$8,100.00 ","$5,832.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,981.50 ", N/A ,"$4,981.50 ", N/A ,"$4,487.40 ","$4,487.40 ", N/A ,"$4,487.40 ", N/A ,"$7,290.00 ","$6,723.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,561.00 ","$6,561.00 ","$6,561.00 ","$8,100.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$4,544.10 ", N/A ,"$3,353.40 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,487.40 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT BBTRAUMA VITOSS FOAM PACK BIOACTIVE OSTEOCONDUCTIVE SCAFFOLD 10ML,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT LIGAMENT PATELLAR HEMI FROZEN,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 5CMX5CMX1.2MM GRAFTJACKET STANDARD ACELLULAR DERMAL MATRIX REGENERATIVE NONMESH,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT HYDROSET HA INJECTABLE OSTEOCONDUCTIVE RADIOPAQUE 15CC,278,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE COUGAR LS LATERAL DEPUY 18 X 8 X 55,278,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 50X18X10MM COUGAR LS PARALLEL LATERAL NONSTERILE LATEX FREE,278,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 50X18X8MM COUGAR LS PARALLEL LATERAL NONSTERILE LATEX FREE,278,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 55X18X12MM COUGAR LS PARALLEL LATERAL NONSTERILE LATEX FREE,278,1 ,"$10,500.00 ","$7,560.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$6,457.50 ", N/A ,"$6,457.50 ", N/A ,"$5,817.00 ","$5,817.00 ", N/A ,"$5,817.00 ", N/A ,"$9,450.00 ","$8,715.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,505.00 ","$8,505.00 ","$8,505.00 ","$10,500.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$5,890.50 ", N/A ,"$4,347.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$5,817.00 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT HYDROSET HA INJECTABLE OSTEOCONDUCTIVE RADIOPAQUE 5CC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 15X12X11MM ARENA-C 6D LESS EXPOSURE SURGERY ALIF NONSTERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 15X12X6MM ARENA-C 6D LESS EXPOSURE SURGERY ALIF NONSTERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 15X12X7MM ARENA-C 6D LESS EXPOSURE SURGERY ALIF NONSTERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 15X12X8MM ARENA-C 6D LESS EXPOSURE SURGERY ALIF NONSTERILE LATEX FREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAGE SPINAL 16X6MM ANATOMIC 14MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE OS COLLAGEN 5ML OSTEOCONDUCTIVE SCAFFOLD PUTTY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE EPIFIX 6SQ CM AMNIOTIC MEMBRANE ALLOGRAFT MULTIPLE LAYER CHRONIC ACUTE WOUND HEAL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILLER BONE VOID SHEET CONFORM 25X20X5MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PUTTY GRAFTON MATRIX DBM/DBF BONE 6CC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SILASTIC TENDON 6 MM X 24CM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 10MM PEEK-OPTIMA EMINENT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 6MM PEEK-OPTIMA EMINENT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 7MM PEEK-OPTIMA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 8MM PEEK-OPTIMA,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,IMPLANT FIXATION HYPROCURE 9 TITANIUM SINUS TARSI,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,IMPLANT SPINAL 9MM EXPRESS IBFD PEEK,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT BONE GRAFT 25CC STANDARD CALCIUM SULFATE OSTEOSET RESORBABLE BEAD,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS 1.2CC,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,RESTRICTOR CEMENT LATITUDE 8-15MM ELBOW RESTRICTOR,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 45MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 50MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD DEPUY SPINE 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD ORTHOPEDIC 8MM METATARSOPHALANGEAL STABILIZATION,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 35MM 5.5MM TSRH-2D CONTOUR PEDICLE TITANIUM PREBENT PRECUT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 35MM 5.5MM VIPER 2 LORDOTIC TITANIUM MIS NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 40MM 5.5MM TSRH-3D CONTOUR PREBENT PEDICLE TITANIUM PRECUT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 40MM VIPER 2 LORDOTIC TITANIUM MIS,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 45MM 5.5MM TSRH-2D CONTOUR PEDICLE TITANIUM PRECUT PREBENT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 45MM 6MM CLICKX CURVE TITANIUM NORMALIZE SOFT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 55MM 5.5MM VIPER 2 LORDOTIC TITANIUM MIS NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 60MM 5.5MM TSR2D PRECUT BENT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 60MM 6MM PANGEA CURVE TITANIUM SOFT NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 7CM 5.5MM TSRH-3D PEDICLE TITANIUM BENT PRECUT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 80MM 5.5MM TSRH-3D CONTOUR PREBENT PRECUT PEDICLE TITANIUM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN 3 SEMI CIRCULAR CURVED 8X174,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN III VECTRAN COATED CARBON FIBER 8 X 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN III VECTRAN COATED CARBON FIBER 8 X 300MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN III VECTRAN COATED CARBON FIBER 8 X 400MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN VECTRAN COATED CARBON FIBER 8 X 200MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 150MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 200MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 250MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 300MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 350MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 3.5 CURVED 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 3.5 STRAIGHT 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,STAPLE BONE MEDIUM 4 PRONG,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BIOACTIVE VOID FILLER 1.2CC BA2X,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLER MICROVASCULAR ANASTOMOTIC 1MM (2750),278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLER MICROVASCULAR ANASTOMOTIC 3.5MM (2755/1),278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE ALLOSOURCE FIBULA SEGMENT 2.6-5.0CM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANCELLOUS BLOCK,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PUSH LOCK ARTHREX 2.9 X 15.5MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN VECTRAN COATED CARBON FIBER 11 X 250MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN VECTRAN COATED CARBON FIBER 11 X 350MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD TI MEDTRONIC  70MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SCREW KIT SQUARE DRIVE EQUINOXE EXACTECH,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN FOAM PACK BIOACTIVE 10ML,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILLER BONE VOID 5CC CALCIUM PHOSPHATE OSTEOVATIONEX INJECT FORMULA RADIOPAQUE STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER JOINT 1X1X1CM ARTELON FIRST CARPOMETACARPAL,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT BBTRAUMA VITOSS FOAM 5ML STERILE LATEX FREE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE GRACILIS TENDON FROZEN,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT TENDON TIBIALIS FROZEN,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,IMPLANT FIXATION HYPROCURE 8 TITANIUM SINUS TARSI,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN FOAM PACK BIOACTIVE 2.5ML,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLER MICROVASCULAR ANASTOMOTIC 1.5MM (2751/1),278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLER MICROVASCULAR ANASTOMOTIC 2.5MM (2753),278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLER MICROVASCULAR ANASTOMOTIC 2MM (2752),278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLER MICROVASCULAR ANASTOMOTIC 3MM (2754),278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLING EXTERNAL FIXATION 8MM HOFFMANN II ROD TO ROD MRI COLOR CODED,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLING EXTERNAL FIXATION HOFFMANN II MRI ROD TO TUBE 20 MM TUBE 8 MM ROD OR POST,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT ALLOMATRIX 3ML WRIGHT MEDICAL,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE ALLOSOURCE FIBULA SEGMENT LENGTH 5.1-10CM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT AC TIGHTROPE ARTHREX,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN VOID FILLER FOAM PACK BIOACTIVE 10CC,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COMPONENT TOE 15X3X2MM OFFSET,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,DECELLULARIZED ARTHROFLEX DERMIS LIFENET 70MM X 40MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,MATRIX TISSUE 6X6CM PRIMATRIX FETAL BOVINE DERMIS DERMAL REPAIR SCAFFOLD MESH STERILE LATEX FREE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 8MM ZERO-P STANDARD PARALLEL PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE ANTERIOR CERVICAL INTERBODY FUSION STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT TENDON ACHILLES,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SYSTEM BONE CEMENT HIVAC 7,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,AGENT HEMOSTATIC FLOSEAL MATRIX 5 ML,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 8.0 X 200MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 8.0 X 220MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 8.0 X 240MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT HEMOSTATIC FLOSEAL MATRIX 13 CM 5 ML MALLEABLE APPLICATOR,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SYSTEM IMPLANT ACHILLES SPEEDBRIDGE ARTHREX,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SFT TIS ORTHADAPT 2850D0416B MCCONKEY,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT NAIL GAMMA3 LONG STRYKER 11 X 380MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT NAIL GAMMA3 LONG STRYKER 11 X 400MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SYSTEM BALLOON DILATATION ORBERA INTRAGASTRIC PLACEMENT CATHETER ASSEMBLY NONSTERILE LATEX FREE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,IMPLANT SEMITENDONOSIS ALLOSOURCE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,JACKET GRAFT WPRESS 2CC WRIGHT MEDICAL,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT NAIL GAMMA3 LONG STRYKER 11 X 360MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TISSUE WRIGHT MEDICAL STANDARD CURE RESORB MINI BEAD 5ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CLOSURE TITANIUM XIA STRYKER,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLING STRYKER HOFFMAN 3 DELTA PIN TO ROD 4/5/6MM PINS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CROSSBAR SPINAL LARGE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,DEVICE FIXATION 5MM ABSORBATACK 20 TACK ABSORBABLE HERNIA DISPOSABLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FORCEP BIOPSY BIG OXY (G48240),278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE ALLOFUSE DEMINERALIZED BONE MATRIX 5ML PUTTY FREEZE DRIED,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANCELLOUS H1-4 MM 30 CC FINE FROZEN LATEX FREE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE TRANZGRAFT DEMINERALIZED BONE MATRIX 10ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE TRINITY EVOLUTION CANCELLOUS 1CC ALLOGRAFT FROZEN VIABLE CELL MORSELIZE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE WRIGHT MEDICAL ALLOMATRIX PUTTY 5ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD ORTHOPEDIC 10MM METATARSOPHALANGEAL STABILIZATION,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER XIA 6.0 X 480MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD TOE JOINT 4.5MM 2.2MM INTERPHLEX INTERPHALANGEAL SILICONE FLEXIBLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD TOE JOINT INTERPHLEX INTERPHALANGEAL STABILIZATION,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT 4.8MM OSTEOSET CALCIUM SULFATE PELLET INJECTOR 10ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT BBTRAUMA VITOSS FOAM PACK 1.2ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS TYPE I BOVINE COLLAGEN BTCP BIOACTIVE GLASS FOAM PACK 2.5CC BA2X STERILE LATEX FREE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,INSERT ARTICULAR 4 10MM KNEE NET MOLD UNICOMPARTMENTAL HIGH FLEXION UHMWPE STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRAY TIBIAL 43MM SCORPIO 11 POLYETHYLENE MODULAR TOTAL STABILIZE 1 AXIS KNEE SYSTEM REPROCESSED,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER HUMERAL 36MM AEQUALIS +9MM SHOULDER REVERSE STERILE LATEX FREE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRAY TIBIAL 35MM 44/66MM SCORPIO 5 KNEE 1 AXIS TOTAL STABILIZE STEM END CAP,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRAY TIBIAL 37MM 47/71MM SCORPIO 7 KNEE 1 AXIS TOTAL STABILIZE STEM END CAP,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRAY TIBIAL 37MM 51/77MM SCORPIO 9 KNEE 1 AXIS TOTAL STABILIZE STEM END CAP,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT TENDON GRAFTLINK LIFENET,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRAY TIBIAL 9MM SCORPIO KNEE LOW PROFILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ADAPTER FEMORAL TRIATHLON 4MM OFFSET KNEE TOTAL STABILIZE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ADAPTER HEAD ZIMMER SHOULDER 45D,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,DURASEAL 5ML,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SFT TIS GRCLS TEND FRZN 1 STRN IRRADIATE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 2X3CM GRAFIX CORE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,MATRIX TISSUE 4X4CM PRIMATRIX FETAL BOVINE DERMIS DERMAL REPAIR SCAFFOLD MESH STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 15X5MM CERVIOS 12.5MM PARALLEL PEEK-OPTIMA RADIOPAQUE LARGE AXIAL CANAL TEETH VERTEBRAL BODY REPLACEMENT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 15X6MM CERVIOS 12.5MM PARALLEL PEEK-OPTIMA RADIOPAQUE LARGE AXIAL CANAL TEETH VERTEBRAL BODY REPLACEMENT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 15X7MM CERVIOS 12.5MM CONVEX PEEK-OPTIMA RADIOPAQUE AXIAL CANAL VERTEBRAL BODY REPLACEMENT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 15X8MM CERVIOS 12.5MM PARALLEL PEEK-OPTIMA RADIOPAQUE LARGE AXIAL CANAL TEETH VERTEBRAL BODY REPLACEMENT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER SPINAL 15X9MM CERVIOS 12.5MM PARALLEL PEEK-OPTIMA RADIOPAQUE LARGE AXIAL CANAL TEETH VERTEBRAL BODY REPLACEMENT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPACER VERTEBRAL CR SYNTHES,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN VOID FILLER BIOACTIVE 5ML BA2X,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRAY TIBIAL 5MM SCORPIO KNEE LOW PROFILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,IMPLANT FIXATION MENISCAL ROOT REPAIR,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL KNEE 10MM SCORPIO 9 TIBIAL INSERT TOTAL STABILIZE CONSTRAIN,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CONNECTOR AXOGUARD NERVE 10MM 3MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE OSTEOFIL 10ML MOLDABLE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SKIN 4X4CM GRAFTJACKET THK.38-1.02MM REGENERATIVE TISSUE MATRIX,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 7X4CM AXIS TUTOPLAST DERMIS ALLOGRAFT DEHYDRATED,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PUTTY DBM ACCELL CONNEXUS 10CC,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT OSTEOSET MIIG 115 CALCIUM SULFATE PUTTY RESORBABLE INJECTABLE 15CC,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SYSTEM IMPLANT MPFL BIOCOMPOSITE ARTHREX,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL KNEE 8MM SCORPIO 3 TIBIAL INSERT POSTERIOR STABILIZE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ANCHOR SUTURE 3.5MM PITON KNOTLESS NITINOL BLUE WHITE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLING STRYKER HOFFMAN 3 DELTA PIN TO PIN 4/5/6MM PINS,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COUPLING STYRKER HOFFMAN 3 DELTA ROD TO ROD 5MM PINS,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE ALLOFUSE DEMINERALIZED BONE MATRIX 10ML PUTTY,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 2.5X2CM AMNIOGRAFT A AMNIOTIC MEMBRANE ALLOGRAFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT SOFT TISSUE 2X1.5CM GRAFIXPL PRIME PLACENTAL MEMBRANE ALLOGRAFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILTER VASCULAR 12FR GREENFIELD TITANIUM STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,FILTER VASCULAR 12FR VENA CAVA FEMORAL GREENFIELD TITANIUM STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,RESTRICTOR CEMENT 38MM HIP ACETABULAR TRABECULAR METAL STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BBTRAUMA FOAM 2.5ML STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN VOID FILLER FOAM PACK 5ML,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL KNEE 12MM SCORPIO 7 TIBIAL INSERT POSTERIOR STABILIZE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,KIT BONE BIOPSY 15MM MEDIUM SYNFLATE VERTEBRA BALLON 19MM 16.1MM 5ML STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL KNEE 9MM 33MM TRIATHLON PATELLA SYMMETRIC,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUSHING FEMORAL KNEE MODULAR ROTATE HINGE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CABLE/SLEEVE DALL-MILES 1.6MM SET,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CABLE/SLEEVE DALL-MILES 2MM HIP SET,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CABLE/SLEEVE ORTHOPEDIC 2MM DALL-MILES HIP VITALLIUM SET BEAD,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,COMPONENT PATELLAR MEDIUM 34MM 3 POST ARCOM KNEE ANTERIOR POSTERIOR STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE ALLOFUSE DEMINERALIZED BONE MATRIX 2.5CC PUTTY,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE CANCELLOUS POLYPROPYLENE 15CC ALLOGRAFT FREEZE DRY IRRADIATE GROUND,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT BONE DEMINERALIZED BONE MATRIX 5ML,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD 80MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD ORTHOPEDIC METATARSOPHALANGEAL STABILIZATION,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 70MM 8MM XIA TITANIUM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 90MM 6MM XIA TITANIUM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SPINAL 98MM 6MM XIA TITANIUM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD STRYKER HOFFMAN III VECTRAN COATED CARBON FIBER 8 X 500MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES 11.0 CARBON FIBER 400MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD TI MEDTRONIC 3.5 X 80,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SHEET SILASTIC 30208X6X.02IN REINF,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN FOAM PACK BIOACTIVE 1.2ML,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL SHOULDER 23MM 52MM AEQUALIS FX HEAD,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,GRAFT INFUSE BONE SMALL,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL SHOULDER 14MM 39MM AEQUALIS FX HEAD,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL SHOULDER 17MM 46MM AEQUALIS FX HEAD STERILE LATEX FREE,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL SHOULDER 18MM 48MM AEQUALIS FX HEAD,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TRIAL SHOULDER 19MM 52MM AEQUALIS FX HEAD,278,1 ,"$11,700.00 ","$8,424.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$7,195.50 ", N/A ,"$7,195.50 ", N/A ,"$6,481.80 ","$6,481.80 ", N/A ,"$6,481.80 ", N/A ,"$10,530.00 ","$9,711.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,477.00 ","$9,477.00 ","$9,477.00 ","$11,700.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$6,563.70 ", N/A ,"$4,843.80 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$6,481.80 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE VENTILATION .76MM TYTAN PEDIATRIC,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X  60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X  80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X 100MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X 120MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SIZER MENTOR ROUND MEDIUM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SIZERS BREAST MENTOR,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE EAR GOODE-T ANTIMICROBIAL VENT 1.27 MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE TRACHEOSTOMY 4.5MM 36MM 6.7MM SHILEY NEONATE UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE PLASTICIZER STERILE LATEX FREE DISPOSABLE CLEAR,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE TRACHEOSTOMY 6 76MM 10.8MM 6.4MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR STERILE LATEX FREE GREEN WHITE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE TRACHEOSTOMY FENESTRATED SHILEY 4,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE TRACHEOSTOMY FENESTRATED SHILEY 8,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE TRACHEOSTOMY PED SHILEY 5.5MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE VENTILATION 1MM 1.02MM 2.6MM REUTER BOBBIN FLUOROPLASTIC SHORT TERM RESIDENCE TIME TEMPORARY,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,VALVE EXHALATION INFINITY ID EXPIRATION EVITA V500 DISPOSABLE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE EAR DONALDSON,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE VENTILATION 1.14MM 5MM TOUMA GROMMET EAR ACTIVENT,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE VENTILATION WHITE 1.14MM 3.5MM ARMSTRONG GROMMET BEVEL EAR FLUOROPLASTIC MODIFY,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE VENTILATION WHITE 12MM 1.14MM 2.3MM REUTER BOBBIN EAR STAINLESS STEEL WIDER FLANGE HOLE WIRE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,WIRE GUIDE SYNTHES 2.5MM DRILL TIP 200MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CAP SYNTHES LOCKING CLICK X,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,CATHETER EMBOLETOMY FOGARTY 2FR AE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 2.4MM RUSH F FIX 5.7CM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,RESTRICTOR CEMENT OSTEONICS MEDIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,RESTRICTOR CEMENT OSTEONICS REVISION SMALL,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,RESTRICTOR CEMENT UNIVERSAL DISPOSABLE INSERTER,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X 140MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X 160MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X 180MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,ROD SYNTHES CARBON FIBER 4 X 200MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SPHERE NAVIGATION STEALTHSTATION 4 PACK,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE TRACHEOSTOMY 6 74MM 10.8MM SHILEY CUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR PLASTICIZER,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,WIRE GUIDE SYNTHES 3.2 X 400MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 1.2CM 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 1CM 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 2.5CM 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 2.5CM 24FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 2.7CM 16FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 2.7CM 18FR RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP GASTROSTOMY MIC-KEY SILICONE STERILE LATEX FREE 5ML,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 2CM 24FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 3.5CM 14FR RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP GASTROSTOMY MIC-KEY SILICONE STERILE LATEX FREE 5ML,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 3.5CM 16FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 3.5CM 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 3CM 16FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 3CM 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 4.5CM 14FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 4.5CM 16FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 4.5CM 20FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 4CM 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON 4CM 20FR 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 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,BUTTON SUTURE 19MM ACL PCL ARTHROSCOPIC STERILE DISPOSABLE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH A FIX 102MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH B FIX,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH C FIX 127MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH E FIX 152MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH F FIX 165MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH G FIX 178MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH H FIX 191MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 3.2MM RUSH J FIX 216MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 4.8MM RUSH A FIX 203MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,PIN ZIMMER 4.8MM RUSH B FIX 222MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SLEEVE ADAPTER V40 +0MM OFFSET UNIVERSAL TAPER HIP TITANIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SLEEVE ADAPTER V40 -2.5MM OFFSET UNIVERSAL TAPER HIP TITANIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,SLEEVE ADJUSTMENT UNITRAX HOWMEDICA 3MM C-TAPER NECK,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27870000,N/A,TUBE 4.5CM 24FR SILICONE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP GASTROSTOMY MIC-KEY SECUR-LOK,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE ARTHREX DX FIBERTAK NEEDLE,278,1 ,"$1,995.00 ","$1,436.40 ",$558.60 ,"$1,995.00 ", N/A ,"$1,486.28 ","$1,306.73 ", N/A ,$558.60 ,"$1,226.93 ", N/A ,"$1,226.93 ", N/A ,"$1,105.23 ","$1,105.23 ", N/A ,"$1,105.23 ", N/A ,"$1,795.50 ","$1,655.85 ", N/A , N/A ,"$1,755.60 ", N/A ,"$1,496.25 ","$1,496.25 ","$1,695.75 ","$1,695.75 ", N/A ,"$1,695.75 ", N/A ,"$1,615.95 ","$1,615.95 ","$1,615.95 ","$1,995.00 ","$1,795.50 ", N/A ,"$1,795.50 ", N/A ,"$1,995.00 ","$1,119.20 ", N/A ,$825.93 , N/A , N/A , N/A ,"$1,795.50 ", N/A ,"$1,105.23 ",$558.60 ,"$1,795.50 ", N/A ,"$1,795.50 ","$1,795.50 ", N/A ,"$1,296.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE HYDROSET XT HA 15CC,278,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$6,826.50 ", N/A ,"$6,826.50 ", N/A ,"$6,149.40 ","$6,149.40 ", N/A ,"$6,149.40 ", N/A ,"$9,990.00 ","$9,213.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,991.00 ","$8,991.00 ","$8,991.00 ","$11,100.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,149.40 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE REFOBACIN,278,1 ,$495.00 ,$356.40 ,$138.60 ,$495.00 , N/A ,$368.78 ,$324.23 , N/A ,$138.60 ,$304.43 , N/A ,$304.43 , N/A ,$274.23 ,$274.23 , N/A ,$274.23 , N/A ,$445.50 ,$410.85 , N/A , N/A ,$435.60 , N/A ,$371.25 ,$371.25 ,$420.75 ,$420.75 , N/A ,$420.75 , N/A ,$400.95 ,$400.95 ,$400.95 ,$495.00 ,$445.50 , N/A ,$445.50 , N/A ,$495.00 ,$277.70 , N/A ,$204.93 , N/A , N/A , N/A ,$445.50 , N/A ,$274.23 ,$138.60 ,$445.50 , N/A ,$445.50 ,$445.50 , N/A ,$321.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GRAFT BONE LIGAMENT PATELLER WHOLE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 30MM 7MM IFUSE IMPLANT SYSTEM TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS MINIMALLY INVASIVE SURGERY STERILE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 35MM 7MM IFUSE IMPLANT SYSTEM TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS MINIMALLY INVASIVE SURGERY STERILE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 40MM 7MM IFUSE IMPLANT SYSTEM TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS FUSION MINIMALLY INVASIVE SURGERY STERILE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 45MM 7MM IFUSE IMPLANT SYSTEM TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS MINIMALLY INVASIVE SURGERY STERILE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 50MM 7MM IFUSE IMPLANT TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS MINIMALLY INVASIVE SURGERY,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 55MM 7MM IFUSE IMPLANT SYSTEM SACROILIAC FUSION,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 60MM 7MM IFUSE IMPLANT SYSTEM TRIANGULAR SACROILIAC TITANIUM POROUS MINIMALLY INVASIVE SURGERY,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 65MM 7MM IFUSE IMPLANT SYSTEM TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS MINIMALLY INVASIVE SURGERY STERILE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM SPINAL FIXATION 70MM 7MM IFUSE IMPLANT SYSTEM TRIANGLE SACROILIAC TITANIUM PLASMA SPRAY POROUS MINIMALLY INVASIVE SURGERY STERILE,278,1 ,"$9,300.00 ","$6,696.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$5,719.50 ", N/A ,"$5,719.50 ", N/A ,"$5,152.20 ","$5,152.20 ", N/A ,"$5,152.20 ", N/A ,"$8,370.00 ","$7,719.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,533.00 ","$7,533.00 ","$7,533.00 ","$9,300.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$5,217.30 ", N/A ,"$3,850.20 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,152.20 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GUIDE PIN ORTHOPEDIC 3IN 1/8IN GENESIS II KNEE TROCAR STERILE DISPOSABLE,278,1 ,$75.60 ,$54.43 ,$21.17 ,$75.60 , N/A ,$56.32 ,$49.52 , N/A ,$21.17 ,$46.49 , N/A ,$46.49 , N/A ,$41.88 ,$41.88 , N/A ,$41.88 , N/A ,$68.04 ,$62.75 , N/A , N/A ,$66.53 , N/A ,$56.70 ,$56.70 ,$64.26 ,$64.26 , N/A ,$64.26 , N/A ,$61.24 ,$61.24 ,$61.24 ,$75.60 ,$68.04 , N/A ,$68.04 , N/A ,$75.60 ,$42.41 , N/A ,$31.30 , N/A , N/A , N/A ,$68.04 , N/A ,$41.88 ,$21.17 ,$68.04 , N/A ,$68.04 ,$68.04 , N/A ,$49.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL STRYKER 3/4 HEADED,278,1 ,"$3,375.00 ","$2,430.00 ",$945.00 ,"$3,375.00 ", N/A ,"$2,514.38 ","$2,210.63 ", N/A ,$945.00 ,"$2,075.63 ", N/A ,"$2,075.63 ", N/A ,"$1,869.75 ","$1,869.75 ", N/A ,"$1,869.75 ", N/A ,"$3,037.50 ","$2,801.25 ", N/A , N/A ,"$2,970.00 ", N/A ,"$2,531.25 ","$2,531.25 ","$2,868.75 ","$2,868.75 ", N/A ,"$2,868.75 ", N/A ,"$2,733.75 ","$2,733.75 ","$2,733.75 ","$3,375.00 ","$3,037.50 ", N/A ,"$3,037.50 ", N/A ,"$3,375.00 ","$1,893.38 ", N/A ,"$1,397.25 ", N/A , N/A , N/A ,"$3,037.50 ", N/A ,"$1,869.75 ",$945.00 ,"$3,037.50 ", N/A ,"$3,037.50 ","$3,037.50 ", N/A ,"$2,193.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 2MM STEINMANN 5,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP SYNTHES PROTECTIVE 4.0MM FIXATION PIN,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP SYNTHES PROTECTIVE 5.0MM FIXATION PIN,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP SYNTHES PROTECTIVE 6.0MM FIXATION PIN,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 2.4MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 2.8MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .054IN 4IN KIRSCHNER TROCAR POINT,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .7MM 102MM KIRSCHNER STAINLESS STEEL 2 END TROCAR POINT STYLE 1 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .9MM 102MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .9MM 152MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .9MM 229MM KIRSCHNER STAINLESS STEEL 1 END DIAMOND POINT STYLE 6 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.1MM 102MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.1MM 152MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.6MM 102MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.6MM 229MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT 7 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.6MM 229MM KIRSCHNER STAINLESS STEEL 2 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 4MM STEINMANN STYLE 6,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,K-WIRE .045,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 22.9MM 3.6MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 3.2MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 4.8MM STEINMANN STYLE 6,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.8MM 150MM KIRSCHNER STAINLESS STEEL TROCAR POINT NONSTERILE,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 0.6 KIRSCHNER,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 0.8 KIRSCHNER  W/TROCAR POINT 70MM,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.0MM KIRSCHNER  W/TROCAR POINT 150MM,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.25MM KIRSCHNER  W/TROCAR POINT 150MM,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.6MM KIRSCHNER 150MM W/TROCAR POINT,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 2.0 KIRSCHNER,278,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 355MM TITANIUM 22 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL STERILE,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 22 HOLE BONE TIBIA RIGHT PROXIMAL LATERAL,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL BIOMET STEMMED MAXIM INTERLOK 67MM,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE HYDROSET SUB VOID FIL CALC PHOS 10ML INJ,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE HYDROSET XT HA 10CC,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BASEPLATE GLENOID 15MM 25MM AEQUALIS REVERSED II SHOULDER HA PRESSFIT POST,278,1 ,"$7,500.00 ","$5,400.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$4,612.50 ", N/A ,"$4,612.50 ", N/A ,"$4,155.00 ","$4,155.00 ", N/A ,"$4,155.00 ", N/A ,"$6,750.00 ","$6,225.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,207.50 ", N/A ,"$3,105.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,155.00 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE CURVE 230MM STAINLESS STEEL 4.5MM SCREW 10 HOLE 4 COLUMN THREAD VARIABLE ANGLE LCP COMBI BONE CONDYLAR PERIARTICULAR RIGHT STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 147MM TITANIUM 6 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 147MM TITANIUM 6 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 173MM TITANIUM 8 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 173MM TITANIUM 8 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 199MM TITANIUM 10 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 199MM TITANIUM 10 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 225MM TITANIUM 12 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 225MM TITANIUM 12 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 251MM TITANIUM 14 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 251MM TITANIUM 14 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,874.50 ", N/A ,"$3,874.50 ", N/A ,"$3,490.20 ","$3,490.20 ", N/A ,"$3,490.20 ", N/A ,"$5,670.00 ","$5,229.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$5,103.00 ","$5,103.00 ","$5,103.00 ","$6,300.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,490.20 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE HOCKEY STICK FRAGMENT DVR BONE RIGHT WRIST STERILE,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LAG 10.5MM X 95MM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW GAMMA 3 STRYKER,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.2MM 40MM CLICKX TITANIUM SPINE PEDICLE POLYAXIAL SELF TAP 2 CORE LOCK NONSTERILE DARK BLUE TOP LOAD SYSTEM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.2MM 50MM CLICKX TITANIUM SPINE PEDICLE 2 CORE NONSTERILE SPONDYLOLISTHESIS SYSTEM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 10.5MM 105MM GAMMA3 TITANIUM LAG STERILE TROCHANTER NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 10.5MM 115MM GAMMA3 TITANIUM LAG STERILE TROCHANTER NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 10.5MM 125MM GAMMA3 TITANIUM HIP TROCHANTER LAG STERILE NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 10.5MM 130MM GAMMA3 TITANIUM HIP TROCHANTER LAG STERILE NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 10.5MM 90MM GAMMA3 TITANIUM LAG STERILE LATEX FREE DISPOSABLE TROCHANTER NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,RING SYNTHES 3/4 165MM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 7 HOLE SHAFT RT ANGLE,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 RECONST STRAIGHT 7H,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LCP 10H 188MM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CABLE SYNTHES 1.7 X 750MM W/ CRIMP,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  7 HOLE,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  8 HOLE,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX WHITE/BLACK 4.75 X 19.1MM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHERLOC ARTHROTEK BONE MULCH,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$922.50 , N/A ,$922.50 , N/A ,$831.00 ,$831.00 , N/A ,$831.00 , N/A ,"$1,350.00 ","$1,245.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,215.00 ","$1,215.00 ","$1,215.00 ","$1,500.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$831.00 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE L KLS 0.6 LP LEFT MEDIUM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 2.0MM X 12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 2.3MM X 10MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 2.3MM X 12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 2.3MM X 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 2.3MM X 8MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER RESTORATION GAP PLATE 15MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER RESTORATION GAP PLATE 20MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER RESTORATION GAP PLATE 25MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER RESTORATION GAP PLATE 6.5 X 40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE  8MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 10MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 18MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 20MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 22MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 24MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 26MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 28MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 30MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 LOCKING STARDRIVE 50MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING ARTHREX 3 X 16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 10MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 18MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 20MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 22MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 42MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 55MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 60MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 70MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON LOCKING 2.7X 16MM WRIGHT MEDICAL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON LOCKING 2.7X 20MM WRIGHT MEDICAL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 4.0 X 26MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 46MM ASNIS III STAINLESS STEEL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 25MM MICROSEAL CANCELLOUS TOTAL HIP ACETABULAR SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 30MM CANCELLOUS KNEE LOW PROFILE HEAD,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 30MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 35MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED ARTHREX 3.0 X 30MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.7MM 18MM STANDARD SMALL FRAGMENT,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 10MM LEIBINGER UNIVERSAL 2 TITANIUM MAXILLOFACIAL LOCK CROSS PIN NONSTERILE GRAY,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 8MM LEIBINGER UNIVERSAL 2 TITANIUM MANDIBULAR LOCK CROSS PIN NONSTERILE LATEX FREE GRAY,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5-4.5MM 6MM 100MM 20MM XCALIBER CORTEX SELF DRILLING STERILE EXTERNAL FIXATION SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 26MM ORTHOLOC STAINLESS STEEL FULL THREAD CORTEX SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 30MM ORTHOLOC STAINLESS STEEL FULL THREAD MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.7MM 16MM TITANIUM SPINE CERVICAL SELF TAP VARIABLE ANGLE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.7MM 18MM TITANIUM SPINE CERVICAL SELF TAP VARIABLE ANGLE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3MM 22MM TITANIUM T10 FULL THREAD SELF TAP LOCK COMPREHENSIVE FOOT SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 16MM INDUS SPINE SELF TAP NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 30MM UNIVERS REVERS 18D SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 18MM ASNIS III STAINLESS STEEL SELF TAPPING STERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX 3MM X12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 15MM 6.5MM PROFIX TIBIA,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 20MM 6.5MM PROFIX TIBIA,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 25MM 6.5MM PROFIX TIBIA,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 30MM 6.5MM PROFIX TIBIA,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 35MM 6.5MM PROFIX TIBIA,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 250 X 500MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 250 X 70MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE T KLS 0.6 LP  90* REG,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TACK WRIGHT MEDICAL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BONE SCREW ARTHREX LOW PROFILE 3MMx14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BONE SCREW ARTHREX LOW PROFILE 3MMx16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BONE SCREW ARTHREX LOW PROFILE STARDRIVE 3MMx18MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP END 5MM 11.5MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE SPACER,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK FOR SCREWS 2.7/3.5,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,FORCEPS SURGICAL SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 18MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 20MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN BONE MAKO SURGICAL 3.2MM 140MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN DRILL 3.2MM BISCEPSBUTTON DISTAL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 120MM 5MM APEX STAINLESS STEEL SELF TAP BLUNT 35MM EXTERNAL SYSTEM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 12MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL STARDRIVE RECESS BUTTRESS NONTHREAD SHAFT PROFILE CONICAL HEAD LOCK 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 140MM 3.2MM BONE STERILE LATEX FREE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 14MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL BUTTRESS NONTHREAD SHAFT LOCK CONICAL 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 150MM 5MM APEX TITANIUM SELF TAP SELF DRILL 50MM EXTERNAL SYSTEM NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 16MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL BUTTRESS NONTHREAD SHAFT LOCK CONICAL 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 18MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL STARDRIVE RECESS BUTTRESS NONTHREAD SHAFT PROFILE CONICAL HEAD LOCK 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 200MM 5MM 4MM APEX CANCELLOUS STAINLESS STEEL CENTRAL THREAD TRANSFIX 35MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 20MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL BUTTRESS NONTHREAD SHAFT CONICAL HEAD LOCK STARDRIVE 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 22MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL BUTTRESS NONTHREAD SHAFT LOCK CONICAL 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 24MM 1.8MM LCP BUTTRESS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 26MM 1.8MM LCP T8 RADIUS DISTAL STAINLESS STEEL STARDRIVE RECESS BUTTRESS NONTHREAD SHAFT PROFILE CONICAL HEAD LOCK 2.4MM SCREW NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 4MM 170MM BONE STERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 5MM 150MM CANCELLOUS APEX TITANIUM 40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 5MM SELF DRILLING SELF TAPPING 150MM APEX TITANIUM 40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION HEADED 3IN KNEE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION PIPELINE LS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION VECTRA TEMPORARY,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN HALF 180MM 6MM APEX STAINLESS STEEL SELF TAP BLUNT TIP 60MM EXTERNAL SYSTEM NONSTERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN HOLDING M/G FEMORAL COLLAPSE RESECTOR STAINLESS STEEL DISPOSABLE UNICOMPARTMENTAL HIGH FLEX KNEE INTRAMEDULLARY NAIL,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN ORTHOPEDIC 80MM 3.2MM KNEE STERILE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER BONE MAKO 110 X 4,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 3 5MM HALF SELF DRILLING 180 X 50MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 3 5MM HALF SELF DRILLING 200 X 40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 3 5MM HALF SELF DRILLING 250 X 80MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 3 APEX HALF PIN 5X120 35 THRD,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 3 APEX HALF PIN 5X200 C/THRD,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 3 APEX TRANSFIX 4X250,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 120 X 30MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 150 X 40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 150 X 50MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP W/ CALIBRATION SYNTHES 3.5MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE  6MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 26MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  10MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  18MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  20MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  22MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  24MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  26MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  28MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  30MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  32MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  34MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  35MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  36MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  38MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  45MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  50MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  55MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE  60MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 120MM 35MM APEX THREADED CANCELLOUS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 150MM 50MM APEX THREADED CANCELLOUS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 180MM 60MM APEX STAINLESS STEEL CANCELLOUS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 250MM 70MM APEX THREADED CANCELLOUS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SELF DRILLING SYNTHES 16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET END CAP MEDTRONIC,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET MEDTRONIC,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SMITH  AND  NEPHEW LOCKING 3MM X 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER .8MM  CORTICAL SELF TAP MAXILLOFACIAL 4MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 16MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 18MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 20MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 22MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 24MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 26MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 28MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 30MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 32MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 34MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 36MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 38MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 40MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 42MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 44MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 46MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 48MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 50MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 55MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 60MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 65MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 70MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 75MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 80MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 85MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 90MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0 AXSOS LOCKING 95MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONNECTOR SET MEDTRONIC,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TISSUE GRAFTON PUTTY 0.5ML,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE EXTERNAL FIXATION 450MM 2MM KIRSCHNER OLIVE,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM 16MM LPS LOCKING STARDRIVE RECESS,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LAPIDUS ASCENSION 2MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE TRANSFORMING EXTREMITIES 3MM STEP LAPIDUS REAR,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 95MM TITANIUM 2 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 95MM TITANIUM 2 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LAPIDUS 0MM STEP,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 121MM TITANIUM 4 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 121MM TITANIUM 4 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 37MM TITANIUM 2 LEVEL REFLEX BONE SPINE CERVICAL ANTERIOR,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL GAMMA STRYKER LONG LEFT 11 X 340/130DG,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL GAMMA STRYKER LONG RIGHT 11X380/125,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE SPEEDBRIDGE ARTHREX 4.75 X 19.1MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LAPIDUS WRIGHT MEDICAL,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE HYPROCURE 5 SINUS TARSI,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE CONTOUR 91MM STAINLESS STEEL 3.5MM SCREW 2 HOLE LIMIT CONTACT TAPER TIP LCP COMBI BONE HUMERUS PERIARTICULAR RIGHT PROXIMAL STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2MM MEDIUM 200MM VITALLIUM 2 CABLE GRIP DALL-MILES BONE HIP TROCHANTERIC STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 34D HEMISPHERE 2.8MM MANDIBLE LEFT 6X17 HOLE RECONSTRUCTION 2/2.3MM SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM STERILE GRAY,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 5D MEDIUM 47MM RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE FOOT RIGHT FIRST METATARSOPHALANGEAL,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GRAFT SOFT TISSUE 4X2CM STRAVIX PLACENTAL TISSUE ALLOGRAFT,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL 14MM 380MM SUPRACONDYLAR T2 INTRAMEDULLARY,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL CONDYLAR T2 SUPRA STRYKER 12 X 200MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SUPRACONDYLAR STRYKER 12 X 320MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TFNA TI CANN 11 X 170MM 130 DEG,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TFNA TI CANN 12 X 170MM 130 DEG,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM FIXATION 4.75MM SWIVELOCK C PEEK 2 PRELOAD LOOP DISPOSABLE PUNCH,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TENDON POSTERIOS TIBIALIS ALLOSOURCE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$3,136.50 ", N/A ,"$3,136.50 ", N/A ,"$2,825.40 ","$2,825.40 ", N/A ,"$2,825.40 ", N/A ,"$4,590.00 ","$4,233.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$4,131.00 ","$4,131.00 ","$4,131.00 ","$5,100.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$2,825.40 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MEDIUM TITANIUM ANCHOR VERTEBRIDGE BONE SPINE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE GLENOID EXACTECH,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL NARROW 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2XL STANDARD 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5MM VA-LCP PROX TIBIA SM BEND 4H/87MM LT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LCP CONDYLAR 6H 170MM LEFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES TI WRIST FUSION 8 HOLES/SHORT BEND,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES TI WRIST FUSION 8 HOLES/STANDARD,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES TI WRIST FUSION 9 HOLES/STRAIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BASEPLATE GLENOID SHOULDER SMALL PRESSFIT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE BONESOURCE HYDROXYAPATITE 10GM PASTE FILLER STERILE,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES 12MM TI CANN TIBIAL -EX/315MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES 12MM TI CANN TIBIAL -EX/345MM,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TI FIX 10MM X 235MM 130 DEG,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TI FIX 12MM X 235MM 130 DEG,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP PROX HUMERUS 6H  HEAD 3H SHAFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP PROX HUMERUS 6H HEAD 5H SHAFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,767.50 ", N/A ,"$2,767.50 ", N/A ,"$2,493.00 ","$2,493.00 ", N/A ,"$2,493.00 ", N/A ,"$4,050.00 ","$3,735.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,645.00 ","$3,645.00 ","$3,645.00 ","$4,500.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,493.00 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO 14MMX.8MM MAXILLOFACIAL 4 HOLE STRAIGHT BONE LUHR VITALLIUM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5CANCELLOUS BONE 35MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX  6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX  7MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX  8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX  9MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX 11MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  7MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP  9MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 11MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 CORTEX SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 18,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 20,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 22,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 24,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 26,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 28,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 30,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 32,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 34,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 36,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 38,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 40,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 45,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 50,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 55,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 28MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 32MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 34MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 36MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 38MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 22MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 24MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 26MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 28MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 30MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 32MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 34MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 36MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 38MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 40MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 42MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 44MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 46MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 48MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 14MM OSTEOLOCK TITANIUM HIP ACETABULAR CANCELLOUS HEXAGON,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 20MM OSTEOLOCK TITANIUM HIP CANCELLOUS HEX,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 20MM TRIDENT II LOW PROFILE HEXAGONAL STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 22MM OSTEOLOCK TITANIUM HIP ACETABULAR CANCELLOUS HEXAGON,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 25MM TRIDENT II LOW PROFILE HEXAGONAL STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 30MM OSTEOLOCK TITANIUM HIP CANCELLOUS HEX,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 40MM TRIDENT II LOW PROFILE HEXAGONAL STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 50MM TRIDENT II LOW PROFILE HEXAGONAL STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELL 4.0MM X 100MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELL 4.0MM X 90MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS OSTEOLOCK STRYKER 6.5 X 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS OSTEOLOCK STRYKER 6.5 X 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 1.5MM 24MM TITANIUM NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.4MM 6MM LUHR VITALLIUM MINI CORTICAL SELF TAP,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 10MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP LOW PROFILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 12MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP LOW PROFILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 14MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP LOW PROFILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 16MM LUHR VITALLIUM MINI CORTICAL MAXILLOFACIAL SELF TAPPING LOW PROFILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 8MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP LOW PROFILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 100MM AXSOS 3 CORTICAL SELF TAP,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 105MM AXSOS 3 CORTICAL SELF TAP,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 10MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 110MM AXSOS 3 CORTICAL SELF TAP,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 110MM TITANIUM CORTEX NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 120MM AXSOS 3 CORTICAL SELF TAP,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 12MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 14MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 14MM STAINLESS STEEL 2.5MM FULL THREAD CORTEX SELF TAP HEXAGONAL NONSTERILE AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 16MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),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 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 16MM STAINLESS STEEL 2.5MM FULL THREAD CORTEX SELF TAP HEXAGONAL NONSTERILE AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 18MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 20MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 20MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 22MM TITANIUM CORTICAL LOCK NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 24MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 24MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 26MM AXSOS 3 TITANIUM CORTEX NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 28MM TITANIUM CORTICAL LOCK NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 30MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 32MM TITANIUM CORTICAL LOCK NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 34MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 36MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 38MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 40MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 42MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 44MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 46MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 48MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 50MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 55MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 60MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 65MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 70MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 75MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 80MM TITANIUM CORTICAL NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 85MM AXSOS CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 90MM AXSOS TITANIUM CORTEX NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 95MM AXSOS 3 TITANIUM CORTICAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 34MM VHS HIP VARIABLE ANGLE STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 40MM SECUR-FIT X-TRA HIP ACETABULAR CANCELLOUS PRIMARY,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 44MM VHS STAINLESS STEEL HIP CORTICAL SELF TAP VARIABLE ANGLE STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 100MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS STERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 10MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 12MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 14MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 16MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 18MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 20MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLUG CABLE 4MM AXSOS STAINLESS STEEL SMALL FRAGMENT,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ROD SYNTHES 11.0 CARBON FIBER CAP,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW 3.5MM X 60MM CORTEX SELFTAPPING,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX CORTICAL 3.5 X 18 MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 85MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 90MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 95MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  45MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  55MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  65MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  70MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  75MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  85MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  90MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT  95MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT 100MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 32MM PT 110MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  25MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  35MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  45MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  55MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  65MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  70MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  75MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS F/THRD  80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP PROTECTIVE STAINLESS STEEL HOFFMANN XPRESS BLUNT TIP CONTINUOUS THREAD BLUE 50MM 5MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP STYRKER HOFFMAN 3 PROTECTIVE 3MM BROWN,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT HALF DOSE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,HOLDER PLATE ARTHREX BB TAK,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT ANCHOR SUTURE 2 KC-7 FRC FBR STRT,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,K-WIRE 2.5MM X 150MM WRIGHT MEDICAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NUT SYNTHES SPRING LOADED,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 100MM 2.5MM STEINMANN STAINLESS STEEL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 22.9MM 4MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 3.2MM IFUSE IMPLANT SYSTEM STEINMANN SACROILIAC DISPOSABLE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 3.2MM STEINMANN BLUNT DISPOSABLE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STEINMAN BIOMET,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX LOW PROF SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX LOW PROF SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX LOW PROF SELF TAP 52MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX LOW PROF SELF TAP 56MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 50MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 55MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 60MM AXSOS TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SUTURE FIBERWIRE #2 TAPE 1.3 BRAIDED FLAT,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX SELF TAP 8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE  8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE  9MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 11MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 13MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL  8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  7MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP  9MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 11MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 13MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 28MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 TI CORTEX SELF TAP 32MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 28MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 36MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 38MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTICAL SELF TAP 8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX 6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX 8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTEX FULL TH 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 32MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 34MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 36MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 38MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 42MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 44MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 46MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 48MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 55MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING  6,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING  8,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 10,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 12,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 14,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAPPING 16,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 42MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 44MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 46MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 48MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 52MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 54MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 56MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 58MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 62MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 64MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 66MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 68MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 METAPHY SEAL SELF TAP 70MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX  24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 12MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 14MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 16MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 18MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 20MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 22MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 24MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 TI CORTEX S/TAP 26MM F/T,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 LOCKING 46MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 65MM AXSOS CANCELLOUS NONSTERILE LATEX FREE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 70MM TITANIUM FULL THREAD CANCELLOUS NONSTERILE AXSOS 3,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 75MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 80MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 85MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 90MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 95MM AXSOS 3 TITANIUM FULL THREAD CANCELLOUS NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 34MM CORTICAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 36MM CORTICAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 38MM CORTICAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 40MM CORTICAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 44MM CORTICAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER .8MM  CORTICAL SELF TAP MAXILLOFACIAL 2MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER .8MM  CORTICAL SELF TAP MAXILLOFACIAL 6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 26MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 28MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 32MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 34MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 36MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 38MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 42MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 44MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 46MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 48MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 55MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 65MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 70MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 100MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 75MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 85MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 95MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 75MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 85MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 90MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 95MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 25MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 45MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  6MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  7MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  8MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP  9MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 10MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 11MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 13MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 20MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 22MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX SELF TAP 24MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ARTHREX 3.5 X 12MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ARTHREX 3.5 X 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SYNTHES 3.5 PROXIMAL TIBIA,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SYNTHES 4.5 PROXIMAL TIBIA,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER 5MM ASNIS III ORTHOPEDIC STAINLESS STEEL 7MM CANNULATED SCREW,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER 6.6MM CANNULATED ASNIS III ORTHOPEDIC STAINLESS STEEL 8IN 6.5/8MM SCREW,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER ASNIS III ORTHOPEDIC STAINLESS STEEL 4 MM CANNULATED SCREW,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER ASNIS III ORTHOPEDIC TITANIUM 5 MM SCREW,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER SCREW CANN TI STRYKER,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .035IN 3IN KIRSCHNER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.5MM 250MM X-WIRE STAINLESS STEEL HELICOIDAL,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE TROCAR 1.6 X 150MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 76MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 80MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 85MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 90MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 25MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 35MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 45MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 55MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 65MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 MALLEOLAR 70MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 100MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 105MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 110MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 30MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 35MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 40MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 45MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 50MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 55MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 60MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 65MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 70MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 6.5 CANCELLOUS 16MM PT 75MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$92.25 , N/A ,$92.25 , N/A ,$83.10 ,$83.10 , N/A ,$83.10 , N/A ,$135.00 ,$124.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$135.00 , N/A ,$83.10 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO 2T 7X6MM MAXILLOFACIAL 6 HOLE BONE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  75,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  80,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  85,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  90,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  95,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 100,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 105,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 110,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 115,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 120,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 125,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 130,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 135,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 140,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 145,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 150,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 100,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 105,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 110,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 115,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 120,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 125,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 130,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 135,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 140,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 145,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 150,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 45,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 50,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 55,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 60,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 65,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 70,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 75,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 80,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 85,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 90,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 32MM THRD 95,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 85MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 90MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 95MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 105MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 110MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 1120MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 115MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 125MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 135MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 40MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 45MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 50MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 55MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 85MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 90MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 95MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 105MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 110MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 115MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 55MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 85MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STYRKER 6.5 CANNULATED ASNIS III TI 95MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING 2.7MM X 16MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING 2.7MM X 18MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING 2.7MM X 20MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING 3.5MM X 16MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING 3.5MM X 18MM WRIGHT MEDICAL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING SMITH  AND  NEPHEW 5.0 X 30MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING SYNTHES 5.0 X 42MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW PARTIAL THREAD 6.5MM X 2,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW QUICKFIX ARTHREX MAGENTA 2MM X 10MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 3MM MAXILLOFACIAL CANNULATED SYSTEM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 45MM REUNITE TITANIUM SPINE CANNULATED RESORBABLE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 8MM 30MM TITANIUM 3.5MM FULL THREAD FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX STERILE GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 100MM 40MM ASNIS III STAINLESS STEEL LOW PROFILE LONG BONE PELVIS CANNULA TAP DESIGN STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 105MM 40MM ASNIS STAINLESS STEEL HIP FEMUR CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 110MM 40MM ASNIS III STAINLESS STEEL CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 115MM 40MM ASNIS STAINLESS STEEL CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 120MM 40MM ASNIS III STAINLESS STEEL CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 65MM 20MM ASNIS III STAINLESS STEEL HIP FEMORAL CANNULATED NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 65MM 40MM ASNIS STAINLESS STEEL HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 70MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 75MM 40MM ASNIS STAINLESS STEEL PARTIAL THREAD SMALL BONE CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 85MM 40MM ASNIS III STAINLESS STEEL FOOT CANNULATED SELF TAP SELF DRILL THREAD STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 90MM 40MM ASNIS III STAINLESS STEEL CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 95MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6MM 30MM WICHITA FULL THREAD KNEE FUSION NAIL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6MM 35MM WICHITA FULL THREAD KNEE FUSION NAIL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 100MM ASNIS III STAINLESS STEEL FULL THREAD HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 100MM ASNIS III TITANIUM CANNULATED FULL THREAD SELF DRILLING SELF TAPPING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 105MM ASNIS III STAINLESS STEEL FULL THREAD HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 105MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF DRILLING SELF TAPPING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 110MM ASNIS III STAINLESS STEEL FULL THREAD HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 110MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF DRILLING SELF TAPPING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 115MM ASNIS III STAINLESS STEEL HIP FEMUR CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 115MM ASNIS III TITANIUM FULL THREAD ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 120MM ASNIS III TITANIUM FULL THREAD HIP LOW PROFILE SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 120MM ASNIS III TITANIUM ORTHOPEDIC CANNULATED PARTIAL THREAD STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 125MM ASNIS III STAINLESS STEEL FULLY THREADED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 125MM ASNIS III TITANIUM FULL THREAD FEMUR CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 130MM ASNIS III STAINLESS STEEL FULLY THREADED CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 130MM ASNIS III TITANIUM FULL THREAD FEMUR CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 40MM ASNIS III STAINLESS STEEL FULL THREAD SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 40MM ASNIS III TITANIUM FULL THREAD CANNULATED SELF DRILLING SELF TAPPING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 45MM ASNIS III STAINLESS STEEL FULL THREAD CANNULATED SELF DRILLING SELF TAPPING,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 45MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 50MM ASNIS III STAINLESS STEEL CANNULATED,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 50MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 55MM ASNIS III STAINLESS STEEL FULL THREAD CANNULATED SELF DRILLING SELF TAPPING,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 55MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 60MM ASNIS III STAINLESS STEEL FULL THREAD SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 60MM ASNIS III TITANIUM FULL THREAD ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 65MM ASNIS III STAINLESS STEEL CANNULATED,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 65MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 70MM ASNIS III STAINLESS STEEL FULL THREAD HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 70MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 75MM ASNIS III STAINLESS STEEL FULL THREAD SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 75MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 80MM ASNIS III STAINLESS STEEL FULL THREAD CANNULATED SELF DRILLING SELF TAPPING,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 80MM ASNIS III TITANIUM FULL THREAD ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 85MM ASNIS III TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 85MM ASNIS III TITANIUM ORTHOPEDIC CANNULATED PARTIAL THREAD STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 90MM ASNIS III STAINLESS STEEL FULL THREAD LOW PROFILE FLUTE HIP CANNULA SELF DRILL REVERSE CUT TAP STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 90MM ASNIS III TITANIUM FULL THREAD ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 95MM ASNIS III STAINLESS STEEL FULL THREAD HIP CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 95MM ASNIS III TITANIUM HIP FEMUR CANNULATED FULL THREAD STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 10MM LUHR VITALLIUM MINI CRANIOMAXILLOFACIAL SELF TAPPING,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.2MM 14MM SPINE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.2MM 14MM SPINE SELF TAPPING,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.2MM 16MM SPINE SELF TAPPING,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 12MM INDUS SPINE SELF TAP NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 14MM INDUS SPINE SELF TAP NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 14MM REFLEX HYBRID TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 20MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 23MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 26MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 29MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 32MM 4.5MM AEQUALIS REVERSED SHOULDER TITANIUM SELF TAP LOCK MULTIDIRECTIONAL NONSTERILE LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIO COMPOSITE 7MM X 23MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE L KLS .70 LO TI LEFT 5 HOLE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE L KLS 0.6 LP LEFT LONG,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE L KLS 0.6 LP RIGHT LONG,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  30,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  35,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  40,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  45,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  50,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  55,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  60,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  65,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT  70,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 2T 12X9MM MANDIBLE 4 HOLE BONE LUHR PANFIX VITALLIUM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D L 16X9MM MANDIBLE 4 HOLE BONE LUHR PANFIX VITALLIUM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 6H 106MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 7H 124MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 10H 178MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 11H 196MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 12H 214MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 6.5 X 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 6.5 X 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 6.5 X 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 6.5 X 90MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 105MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 110MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 115MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 120MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 40MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 45MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 50MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 55MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BONE SCREW ARTHREX QUICKFIX TITANIUM 2MMx12MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE TOBRAMYCIN SIMPLEX,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK SYNTHES F/1.5MM  AND  2.0MM CORTEX SCREWS,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK SYNTHES F/3.5MM CORTEX  AND  4.0MM CANCELLOUS BONE SCREWS,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK SYNTHES FOR 2.7MM CORTEX SCREWS,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT INSTRUMENT 1.5MM BONE TAMP GUIDE SLEEVE RADIOLUCENCY SUPERIOR SHEAR STRENGTH TRIM-IT DRILL PIN KIRSCHNER DISPOSABLE STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT INSTRUMENT 2MM 2X100MM BONE TAMP GUIDE SLEEVE RADIOLUCENCY SUPERIOR SHEAR STRENGTH TRIM-IT DRILL PIN KIRSCHNER DISPOSABLE STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 1/8IN 2.5IN TRIATHLON FLUTED HEADLESS PARTIAL KNEE RESURFACING TIBIAL/FEMORAL PREP UPPER TRAY,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 1/8IN TRIATHLON HEADLESS NONSTERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 3.25IN 5/32IN KNOWLES STAINLESS STEEL,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 30MM UNIFLEX TITANIUM FULL THREAD BUTTRESS CROSSLOCK HEX HEAD,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 4.3MM 32MM TITANIUM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP STERILE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 4.3MM 42MM TITANIUM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP STERILE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SELF DRILLING 4.2 X 14MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER .8MM  CORTICAL SELF TAP MAXILLOFACIAL 8MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS II PART TH CANN 80MM X 40MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN 55MMS STEEL FOOT CANNULATED STERILE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 105MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 110MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 120MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 40MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 45MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 55MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 90MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 95MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN SELF TAP 85MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III THREAD  CANN 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 105MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 110MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 115MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 120MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 125MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 130MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 30MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 35MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 40MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 45MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 50MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 55MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 80MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 85MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 90MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 ASNIS III TI FULL THREAD SELF TAP 95MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 100MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 105MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 110MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 115MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 120MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 40MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 45MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 50MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 55MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 6.5 TI  ASNIS III PART THREAD SELF TAP 75MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 1 JUGGERKNOT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 2.9MM 2 JUGGERKNOT,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE SOFT JUGGERKNOT 1.4MM SINGLE LOADED BIOMET SIZE 1,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 85MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 90MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 95MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CHARLOTTE SNAP-OFF WRIGHT MEDICAL  2MM X 11MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CHARLOTTE SNAP-OFF WRIGHT MEDICAL  2MM X 12MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TIGHTROPE BUTTON ACL ARTHREX,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 2.0 SPADE POINT REDUCTION,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING 32MM GREEN,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING 34MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING 36MM GREEN,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING 38MM GREEN,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING 40MM GREEN,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 26MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 28MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 30MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 36MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 48MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 50MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 52MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 58MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 60MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 64MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 66MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 72MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 TI LOCKING W/T25 STAR 74MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING CANN 65MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING CANN 70MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 14MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 16MM,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$461.25 , N/A ,$461.25 , N/A ,$415.50 ,$415.50 , N/A ,$415.50 , N/A ,$675.00 ,$622.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$675.00 , N/A ,$415.50 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO 60X40X.8MM MANDIBLE MESH BONE LUHR VITALLIUM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,RESERVOIR SPHERICAL AMS 65ML,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO 100X60MM CRANIOMAXILLOFACIAL MESH BONE LUHR,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 277MM TITANIUM 16 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 277MM TITANIUM 16 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 303MM TITANIUM 18 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 303MM TITANIUM 18 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 329MM TITANIUM 20 HOLE AXSOS 3 BONE TIBIAL LEFT PROXIMAL LATERAL STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 329MM TITANIUM 20 HOLE AXSOS 3 BONE TIBIAL RIGHT PROXIMAL LATERAL STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT INTERNAL BRACE HAND  AND  WRIST LIG AUGMENT REPAIR,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TFNA TI CANN 11 X 340MM 130 DEG LT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TFNA TI CANN 11 X 360MM 130 DEG LT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TFNA TI CANN 11 X 420MM 130 DEG RT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TFNA TI CANN 12 X 360MM 130 DEG RT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BASEPLATE GLENOID 15MM 29MM AEQUALIS REVERSED SHOULDER HA PRESSFIT POST,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI STRAIGHT 90X7MM MANDIBLE 13 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DISTAL STRYKER NAIL GAMMA 6.28 X 25,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DISTAL STRYKER NAIL GAMMA 6.28 X 30,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DISTAL STRYKER NAIL GAMMA 6.28 X 35,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DISTAL STRYKER NAIL GAMMA 6.28 X 40,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DISTAL STRYKER NAIL GAMMA 6.28 X 50,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE LACTOSORB 20MM 8MM ORTHOPEDIC BIOABSORBABLE FULL THREAD KIT ARTHROSCOPIC GENTLE THREADS,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE LACTOSORB 25MM 7MM ACL ROUND HEAD ARTHROSCOPIC GENTLE THREADS,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 2.4 X 20MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 20MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 22MM AXSOS 3 TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 24MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 26MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 28MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 30MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 32MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 34MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 36MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 38MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 40MM TITANIUM SELF TAP LOCK NONSTERILE LATEX FREE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 42MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 44MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 46MM AXSOS 3 TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 48MM AXSOS 3 TITANIUM LOCK SELF TAP NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BUTTRESS TI THREAD EBI 5MM X 35MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 14MM AXSOS 3 TITANIUM LOCK SELF TAP NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 16MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 18MM AXSOS 3 TITANIUM LOCK SELF TAP NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO 14X4MM MAXILLOFACIAL 5 HOLE L BONE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO STRAIGHT 22MMX.8MM MANDIBLE 6 HOLE BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO STRAIGHT 30MMX.8MM MANDIBLE 8 HOLE BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO STRAIGHT 90MMX.8MM MANDIBLE 23 HOLE BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 21MM MANDIBLE 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 27MM MANDIBLE 5 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 1/3 TUBULAR 145X9X1MM STAINLESS STEEL 12 HOLE COLLAR BONE .5MM 12MM NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 37MM MANDIBLE RIGHT 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TITANIUM 2 MM SCREWS BONE NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK SYNTHES FOR 1.3MM/1.5MM SCREWS,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK SYNTHES FOR 2.0MM/2.4MM SCREWS,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,DISPOSABLE KIT FIBERTAK SUTURE ANCHOR,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT TIGHTROPE ABS OPEN ARTHREX,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PACK MICROAIRE LIPOFILTER CLINICAL,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 16MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 20MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 28MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 30MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 32MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 34MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 36MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 38MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 40MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 42MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 44MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 46MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 48MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN F/THRD 50MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 50MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 55MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 60MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 65MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 2.7MM CORTEX SCREWS 100MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 3.5MM CORTEX SCREWS GOLD/110MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 4.0MM CANCELLOUS BONE SCREWS/110MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 4.5MM CORTEX/SHAFT SCREWS 130MM/57MM TAP DEPTH,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 70MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE LATEX FREE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 75MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 80MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 85MM AXSOS 3 TITANIUM CORTEX SELF TAP LOCK NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 90MM TITANIUM SELF TAP LOCK NONSTERILE AXSOS 3,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 95MM AXSOS 3 TITANIUM LOCK SELF TAP NONSTERILE,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 25MM UNIFLEX TITANIUM FULL THREAD BUTTRESS CROSSLOCK HEX HEAD,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET 27MM 8MM HIP GAMMA INTRAMEDULLARY NAIL,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL MAKO SURGICAL,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TIGHTROPE ABS ACL ARTHREX,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 24MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 28MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 30MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 36MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 38MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 40MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 42MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 44MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 46MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 48MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 50MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 10MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 12MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 14MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 16MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 18MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 20MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 22MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 24MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 26MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 28MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 30MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 32MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 34MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 36MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 38MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 40MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 42MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 44MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 46MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 48MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 50MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 28MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 38MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 42MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 44MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 46MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 50MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN F/THRD 56MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 20MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 22MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 24MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 26MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 28MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 30MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 32MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 34MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 36MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 38MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 40MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 42MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 44MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 46MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 48MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 50MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 52MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 54MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 56MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 60MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 64MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 68MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CANN P/THRD 72MM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$369.00 , N/A ,$369.00 , N/A ,$332.40 ,$332.40 , N/A ,$332.40 , N/A ,$540.00 ,$498.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$486.00 ,$486.00 ,$486.00 ,$600.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$540.00 , N/A ,$332.40 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI T 37MM COMPRESSION MANDIBULAR FIXATION SYSTEM BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER NON LOCKING 2.5MM X 12MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP  6MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP  7MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP  8MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP  9MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP 10MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP 11MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP 12MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP 13MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.0 TI CORTEX SELF TAP 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY INNER SET,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW HERBERT ZIMMER RADIUS 20 MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE TITANIUM 20MM 8MM FEMUR TAPERED GUARDSMAN,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTFR TI 20MM 8MM 3.5MM FEM 2 HLX THRD CANN TPR TIP,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING SYNTHES 4.5 X 8MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING TRIMED 2.4X 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING 3.5MM X 44MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING STRYKER 2.7MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5 X 32MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5 X 40MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5X22MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5X28MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5X55MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS LONG HAND INNOVATIONS 2.5MM X 24MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS LONG HAND INNOVATIONS 2.5MM X 26MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS LONG HAND INNOVATIONS 2.5MM X 28MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 20MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 22MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 20MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 22MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 24MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 26MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 PEG THREADED 28MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 3.5 CORTICAL 10MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 3.5 CORTICAL 12MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 3.5 CORTICAL 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 3.5 CORTICAL 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 3.5 CORTICAL 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 3.5 CORTICAL 20MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 1.3MM 5IN,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.5MM PEG FULLY THREADED,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.7MM 14MM TITANIUM T7 FULL THREAD RADIUS DISTAL NONSTERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 25MM OMEGA PLUS STAINLESS STEEL HIP COMPRESSION STERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 27MM ZUK STAINLESS STEEL KNEE HEAD UNICOMPARTMENTAL HIGH FLEX SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 6MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 10MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 12MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 14MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 16MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 18MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 20MM VARIAX TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 24MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 26MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 34MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 36MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 38MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 42MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 46MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 48MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 50MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 60MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 65MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 70MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM MOUNTAINEER SPINE INNER NONSTERILE LATEX FREE OCCIPITOCERVICOTHORACIC SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.8MM 35MM ISKD FEMUR TIBIA LOCKING REVISION NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLUG BONE CEMENT 18.5MM SMALL INTRAMEDULLARY CANAL,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLUG BONE CEMENT 25MM MED IM CNL,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLUG BONE CEMENT 30MM LARGE INTRAMEDULLARY CANAL,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,POST HOFFMANN 30 DEG ANGLED,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX TI LOW PROFILE 3.5 X 20,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 20MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 22MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 24MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 26MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.0 SMOOTH PEG 28MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 20MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 FULLY THREADED PEG 28MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIOMET 2.5 NON-LOCKING PEG 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 37MM MANDIBLE LEFT 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 37MM MANDIBLE RIGHT COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 37MM MANDIBLE 7 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 50MM MANDIBLE 11 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 50MM MANDIBLE 9 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI STRAIGHT 37MM 4 HOLE NONCOMPRESSION 2MM SCREW MANDIBULAR FIXATION SYSTEM BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI T 22MM MANDIBLE 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN SYNTHES 1.8 TI BUTTRESS 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 22MM MANDIBLE LEFT COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 22MM MANDIBLE RIGHT COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 37MM MANDIBLE LEFT 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 22MM MANDIBLE LEFT 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 22MM MANDIBLE RIGHT COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES MINI T 2 HOLE 2.0MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TACK MEDSOURCE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE BIOMET 40GM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT FULL DOSE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT STRYKER SIMPLEX P,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT STRYKER SPEED SET,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT ZIMMER PALACOS  R 40GM GRN,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,K WIRE INTEGRA,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FIXATION 2.5MM 22MM LOCKING FULL THREAD,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FIXATION 2.5MM 24MM FULL THREAD,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FIXATION 2.5MM 30MM FULL THREAD,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FIXATION 2MM 12MM LONG SMOOTH,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FULLY THREADED 2.5MM X 12MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FULLY THREADED 2.5MM X 26MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN ADULT MAYFIELD CRANIUM SKULL DISPOSABLE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 110MM 3.2MM STERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 120MM 4MM APEX STAINLESS STEEL SELF TAP BLUNT 35MM EXTERNAL SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 140MM 3.2MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 14MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 180MM 4MM APEX BLUNT STAINLESS STEEL 50MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 18MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 20MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 22.9CM 2.4MM RUSH W LONG INTRAMEDULLARY STAINLESS STEEL NONSTERILE LATEX FREE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 24.1CM 2.4MM RUSH X LONG INTRAMEDULLARY STAINLESS STEEL NONSTERILE LATEX FREE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 25.4CM 2.4MM RUSH Y LONG INTRAMEDULLARY STAINLESS STEEL NONSTERILE LATEX FREE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 28MM 1.8MM BUTTRESS TITANIUM DISTAL RADIUS PLATE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 3.2MM 80MM STERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 3.2MM IFUSE IMPLANT SYSTEM SACROILIAC PUSH DISPOSABLE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 4MM 80MM KNEE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION FREE-LOCK SHORT HIP SUPRACONDYLAR STAINLESS STEEL POLYCARBONATE RESIN LOCK STERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTAL RADIUS BUTTRESS 30MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 12MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 24MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION SYNTHES 1.8 TI DISTRAL RADIUS BUTRESS 26MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER BONE MAKO 140 X 4,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER BONE MAKO 170 X 4,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES AXON LOCKING,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ZIMMER HEX HEAD COMPRESSION 4.7 X 44,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ZIMMER PERSONA MG 48MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE BENDING 4.5 MM 12 HOLE LC-DCP PLATES LARGE FRAGMENT SET NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SIZING 21MM LUHR STRAIGHT CRANIOFACIAL NONCOMPRESSION 2MM 4 HOLE PLATE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  6MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  7MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  8MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP  9MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 10MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 11MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 12MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 13MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 14MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 16MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 20MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 22MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 24MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 26MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 28MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 30MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 TI CORTEX SELF TAP 32MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET DEPUY 5.5MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER .8MM  CORTICAL SELF TAP MAXILLOFACIAL 5MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 1.3MM  CORTICAL SELF TAP MAXILLOFACIAL 3MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 2.3 X 18MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SYNTHES BENDING 12 HOLE FOR 3.5 LC - DCP  AND  DCP PLATES,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SYNTHES ROD,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER 4.5MM 3.5MM ORTHOPEDIC STAINLESS STEEL 3.5/4.5MM SCREW NONSTERILE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1.1MM 120MM KIRSCHNER THREAD,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 1MM 70MM KIRSCHNER DISPOSABLE,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 2MM 2.5MM 100MM KIRSCHNER STAINLESS STEEL SMOOTH,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 3.2MM 450MM KIRSCHNER STAINLESS STEEL ORTHOPEDIC STERILE GAMMA3 NAILS,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.8 SPADE POINT 350MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$138.38 , N/A ,$138.38 , N/A ,$124.65 ,$124.65 , N/A ,$124.65 , N/A ,$202.50 ,$186.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$202.50 , N/A ,$124.65 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SLIM 43MM INSPAN BONE 16MM SPINE SPINOUS PROCESS,278,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SLIM 35MM INSPAN BONE 8MM SPINE SPINOUS PROCESS,278,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 37X10MM TITANIUM INSPAN BONE SPINE NONSTERILE,278,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 43X16MM TITANIUM INSPAN BONE SPINE NONSTERILE,278,1 ,"$12,300.00 ","$8,856.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$7,564.50 ", N/A ,"$7,564.50 ", N/A ,"$6,814.20 ","$6,814.20 ", N/A ,"$6,814.20 ", N/A ,"$11,070.00 ","$10,209.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,963.00 ","$9,963.00 ","$9,963.00 ","$12,300.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$6,900.30 ", N/A ,"$5,092.20 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$6,814.20 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STRAIGHT 21MM 4 HOLE NONCOMPRESSION BONE LUHR,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  6MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  7MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  8MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP  9MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 10MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 11MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 12MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 13MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 14MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.3 TI CORTEX SELF TAP 18MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 4.5 SPHERICAL  HEAD,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 5 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 5.0 X 30MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 5.0 X 35MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 5.0 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 7.0 X 50MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 9 X 65,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY AC ROCKWOOD,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY CANCELLOUS BONE 6.5MM X 25MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 30MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 35MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 5 X 45MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 30MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 35MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 50MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 7 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 7 X 55MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 7.5 X 45MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW EXTERNAL FIXATION 100MM 5MM SCHANZ XLONG STAINLESS STEEL BLUNT TROCAR POINT LARGE EXTERNAL FIXATOR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW EXTERNAL FIXATION 125MM 5MM SCHANZ XLONG STAINLESS STEEL BLUNT TROCAR POINT LARGE EXTERNAL FIXATOR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW EXTERNAL FIXATION 250MM 5MM SCHANZ PELVIC STAINLESS STEEL BLUNT TROCAR POINT MR CONDITIONAL LARGE EXTERNAL FIXATOR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW EXTERNAL FIXATION 80MM 4MM 3MM SCHANZ STAINLESS STEEL TROCAR POINT MR CONDITIONAL 20MM LARGE EXTERNAL FIXATOR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW EXTERNAL FIXATION 80MM 4MM SCHANZ STAINLESS STEEL SPADE POINT LARGE EXTERNAL FIXATOR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW HEADED ZIMMER 48MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW HEADLESS MIS ZIMMER 48MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING ARTHREX 3.5 X 24MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING GLENOSPHERE EXACTECH,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING TRIMED 2.4X 10MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING TRIMED 2.4X 12MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING TRIMED 2.4X 14MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING TRIMED 2.4X 8MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOW PROFILE SELF TAPPING BIOMET 6.5 X 30,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOW PROFILE SELF TAPPING BIOMET 6.5 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW PEDICLE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 20MM TITANIUM DOME HIP ACETABULAR CANCELLOUS SELF TAP LOW PROFILE STERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 35MM TITANIUM DOME HIP ACETABULAR CANCELLOUS SELF TAP LOW PROFILE STERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE HGP 2 ACETABULAR ZIMMER 6.5 X 35MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.3MM 20MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.3MM 32MM TORX CORTICAL NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.7MM 12MM TITANIUM RADIUS DISTAL CROSS PIN STERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.7MM 14MM TITANIUM RADIUS DISTAL CROSS PIN STERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 5MM LEVEL ONE MAXDRIVE TITANIUM ALUMINUM VANADIUM MINI CRANIOFACIAL DRILL FREE NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 7MM LEVEL ONE MAXDRIVE TI-6AL-4V MINI CRANIOMAXILLOFACIAL DRILL FREE NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.2MM 16MM CORTICAL HEXAGONAL ANKLE FIXATION SYSTEM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM AEQUALIS SHOULDER SELF TAP LOCK REVERSE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ACUMED CORTICAL 3.5MM X 12MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ACUMED CORTICAL 3.5MM X 14MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 37MM MANDIBLE LEFT 6 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 37MM MANDIBLE RIGHT 6 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI 29MM MANDIBLE 4 HOLE STRAIGHT NONCOMPRESSION BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 21MM MANDIBLE 4 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 27MM MANDIBLE 5 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI CURVE 38MM MANDIBLE 7 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI STRAIGHT 21MM MANDIBLE 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI STRAIGHT 29MM MANDIBLE 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI T 22MM MANDIBLE 4 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI T 37MM 6 HOLE NONCOMPRESSION 2MM SCREW MANDIBULAR FIXATION SYSTEM BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 200 X 60MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 17.5MM MANDIBLE LEFT 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 17.5MM MANDIBLE RIGHT 6 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 22MM MANDIBLE RIGHT 4 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 37MM MANDIBLE LEFT 6 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI L 37MM MANDIBLE RIGHT 6 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 17.5MM MANDIBLE LEFT 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 17.5MM MANDIBLE RIGHT 4 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D MINI L 22MM MANDIBLE LEFT 4 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BONE SCREW ARTHREX LOW PROFILE HEXALOBE LOCK 3.5MMx16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CHECKPOINT TIBIAL MAKO 3.5 HEX,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,END CAP SPINAL DIAMONDBACK PEDICLE SET SCREW NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG FIXATION 30MM WRIST VOLAR THREAD LOCK TORX,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 22MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 24MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 26MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 28MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PEG VOLAR THREADED TRIMED 32MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 1.1MM ORTHOLOC 3DI SMALL TEMPORARY DISPOSABLE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 1.4MM ORTHOLOC LARGE TEMPORARY,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 203MM 3.2MM RUSH I INTRAMEDULLARY STAINLESS STEEL NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION HEADED 1IN ORTHOPEDIC,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN 35MM HALF SELF DRILLING 120 X 30MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN HALF SELF DRILLING 150 X 35MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN HALF SELF DRILLING 150 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMAN HALF SELF DRILLING 180 X 40MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 180 X 50MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ZIMMER 6.5 SELF TAP 25MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ZIMMER BONE 20MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ZIMMER BONE 30MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ZIMMER HEX HEAD COMPRESSION 4.7 X 12.7MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM AXSOS TIBIAL AIMING BLOCK LOCKING PLATE SYSTEM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 6.0 X 190,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES BLUNT TROCAR POINT 4.5 X 150MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET THREAD BUTTRESS 5.5MM ROD,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET VERTEX MEDTRONIC,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SPINE TITAN 4.0 X 12MM S/TAP SYNTHES,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SPINE TITAN SYNTHES 4.0 X 14MM S/TAP,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 1.3MM  CORTICAL SELF TAP MAXILLOFACIAL 5MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW COMPRESSION /LOCKING CAP KIT EXACTECH 4.5 X 18MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW COMPRESSION /LOCKING CAP KIT EXACTECH 4.5 X 22MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW COMPRESSION /LOCKING CAP KIT EXACTECH 4.5 X 26MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW COMPRESSION /LOCKING CAP KIT EXACTECH 4.5 X 30MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW COMPRESSION /LOCKING CAP KIT EXACTECH 4.5 X 34MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW COMPRESSION /LOCKING CAP KIT EXACTECH 4.5 X 38MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ACUMED 3.5 X 10MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ACUMED 3.5 X 18MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ACUMED 3.5 X 22MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ACUMED MEDSOURCE 3.5 X 20MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL ACUMED MEDSOURCE 3.5 X 25MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL LOCKING STRYKER 2.7 X 16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CORTICAL MEDSOURCE 3.5 X 16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 10 X 65,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 2.0 X  22MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 2.0 X 12MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 2.0 X 14MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 2.0 X 16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY 2.0 X 18MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION 2MM 285MM KIRSCHNER DRILL TIP,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 VA SELF-DRILLING 14MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 VA SELF-DRILLING 16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 VA SELF-DRILLING 18MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0MM SELF-DRILLING FIXED ANGLE 14MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 VA SELF-DRILLING 18MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5MM SELF-DRILLING FIXED ANGLE 16MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 SCHANZ 150MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 SCHANZ 170MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 SCHANZ 200,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$184.50 , N/A ,$184.50 , N/A ,$166.20 ,$166.20 , N/A ,$166.20 , N/A ,$270.00 ,$249.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$270.00 , N/A ,$166.20 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STRAIGHT 33MM MANDIBLE 6 HOLE BONE LUHR PANFIX VITALLIUM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 7.3MM CANNULATED LOCKING 75MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW HEADLESS WRIGHT MEDICAL 3.0 X 24MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE 28MM 8MM STRYKER BIOSTEON,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE HA POLY-L-LACTIDE 28MM 11MM BIOABSORBABLE BIOSTEON STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE PLLA HA 23MM 7MM ACL BIOABSORBABLE CANNULATED THREADED WEDGE BIOSTEON STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE PLLA HA 23MM 8MM WEDGE ACL BIOABSORBABLE CANNULATED THREAD BIOSTEON STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE PLLA HA 28MM 10MM ACL BIOABSORBABLE CANNULATED THREAD WEDGE BIOSTEON STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE PLLA HA 28MM 9MM ACL BIOABSORBABLE CANNULATED THREADED WEDGE BIOSTEON STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING 3.5MM X 18MM INTEGRA,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 100MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 105MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 110MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 75MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 80MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 85MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 90MM VHS HIP LAG COMPRESSION,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 95MM 25.4MM FREE-LOCK STAINLESS STEEL STANDARD THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 13MM 105MM 22MM OMEGA3 STAINLESS STEEL STANDARD HIP FEMUR LAG STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 15.8MM 80MM 25.4MM FREE-LOCK STAINLESS STEEL LARGE THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 15.8MM 90MM 25.4MM FREE-LOCK STAINLESS STEEL LARGE THREAD HIP LAG COMPRESSION STERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 14MM HPS TITANIUM HAND CANNULATED HEADLESS,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 32MM TITANIUM HAND CANNULATED HEADLESS HPS,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 38MM ORTHOPEDIC CANNULATED HEADLESS,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 40MM OSTEOMED TITANIUM HAND CANNULATED NONSTERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 42MM OSTEOMED TITANIUM CANCELLOUS CANNULATED NONSTERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3MM 1.75MM 28MM HERBERT TIVANIUM SCAPHOID STERILE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE Y 22MMX.5MM MANDIBLE 4 HOLE LARGE FRAGMENT BONE LUHR PANFIX VITALLIUM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 4H HEAD 4 HOLE SHAFT RT ANGLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 5 HOLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 6 HOLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 7 HOLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 11H 196MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 12H 214MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 14H 250MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 8H 142MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC DCP BROAD 9H 160MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LC-DCP BROAD 10 H 167MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CLOVERLEAF THIN BLADE 3 HOLES/88MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CLOVERLEAF THIN BLADE 4 HOLES/104MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES MINI 3 HOLE 2.0MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES MINI 4 HOLE 2.0MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES MINI 5 HOLE 2.0MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CABLE STRYKER D/M 1.6MM CABLE/SLEEVE SET,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CABLE/SLEEVE ORTHOPEDIC 2MM DALL-MILES HIP VITALLIUM SET,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GUIDE PIN ORTHOPEDIC VERSITOMIC SIM PACK,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT ANCHOR SUTURE BIOCORKSCREW 5.5MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT ARTHREX SWIVELOCK FOR 3.5 DX,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT ARTHROSCOPIC FIXATION 2.1MM JUGGERKNOT SOFT ANCHOR DISPOSABLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN BUTTRESS TRIMED 27MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 3IN HEADLESS,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 5 HOLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 6 HOLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 3 HOLE SHAFT RT ANGLE,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET UNIVERSAL SPINE ASPEN,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE SOFT JUGGERKNOT SINGLE LOADED BIOMET 2.9MM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$553.50 , N/A ,$553.50 , N/A ,$498.60 ,$498.60 , N/A ,$498.60 , N/A ,$810.00 ,$747.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$729.00 ,$729.00 ,$729.00 ,$900.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$810.00 , N/A ,$498.60 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI LC-DCP 4 HOLES/24MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 10MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 12MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 14MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 16MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 18MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 20MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 34MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 36MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 38MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 42MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 44MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 46MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 48MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED  2.4MM TI CANN HPS 50MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 95MM VHS STAINLESS STEEL HIP COMPRESSION LAG VARIABLE ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 12MM HPS TITANIUM HAND CANNULATED,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 22MM HPS TITANIUM HAND CANNULATED HEADLESS,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 28MM HPS TITANIUM HAND CANNULATED HEADLESS,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 13MM ZEVO TITANIUM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 13MM ZEVO TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 15MM ZEVO TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX BIO-TENODESIS 4 X 10MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX INTFR POLY L LAC ACID 23MM 8MM ACL PCL RECON,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX TENODESIS 5.5MM X 15MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI 2T 20MM MANDIBLE 4 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI 2T 25MM MANDIBLE 8 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3MM TI STRAIGHT 6 HOLES/23MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 115MM STAINLESS STEEL 6 HOLES ANGLED BONE LEFT NONSTERILE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 4 HOLE SHAFT OBL LT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 4H SHAFT OBL RT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 5 HOLE SHAFT OBL LT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 5 HOLE SHAFT RT ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 5H SHAFT OBL RT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 10 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 8 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 9 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 T 3 HOLES HEAD/ 3 HOLES SHAFT-OBLIQUE ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 T 3 HOLES HEAD/ 4H SHAFT-OBLIQUE ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 T 3 HOLES HEAD/ 5 HOLES SHAFT-OBLIQUE ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 T 3 HOLES HEAD/ 5 HOLES SHAFT-RIGHT ANGLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 T 3H HEAD 3H SHAFT RT ANG,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES BUTRESS LAT TIB  5H 101MM RIGHT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES OBL SM L,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES OBL SM R,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,DRILL BIT SYNTHES 5.0 QC 200MM SHORT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TI ELASTIC 2.5 X 440MM PINK,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PACK INSTRUMENT ACL DISPOSABLE STERILE LATEX FREE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN NAVIGATION 100MM PERCUTANEOUS REFERENCE STERILE DISPOSABLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN NAVIGATION 150MM PERCUTANEOUS REFERENCE STERILE DISPOSABLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 10 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 7 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 8 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LC-DCP 9 HOLE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 3 HOLE SHAFT OBL LT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 3H SHAFT OBL RT,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR ARTHREX MINI BIOCOMPOSITE SUTURE TAK,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP 275MM CANNULATED SURGICAL 7.3MM SCREW 130MM NONSTERILE,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR BIOABSORBABLE 10MM ARTHRORIVET SOFT TISSUE LACTOSORB ARTHROSCOPIC,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 1.4MM 2 ICONIX 1,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 2.3MM 2 ICONIX FRC,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE ICONIX 2.3 3 STRAND,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE REELX STT STRYKER 5.5MM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$645.75 , N/A ,$645.75 , N/A ,$581.70 ,$581.70 , N/A ,$581.70 , N/A ,$945.00 ,$871.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,"$1,050.00 ",$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$945.00 , N/A ,$581.70 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI STRAIGHT 6 HOLES/36MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BOWTI 20MM DEPUY,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 12MM LUHR VITALLIUM MINI CRANIOMAXILLOFACIAL SELF TAPPING PHILLIPS DRIVE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 14MM LUHR VITALLIUM MINI CRANIOMAXILLOFACIAL SELF TAP PHILLIPS DRIVE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3MM 24MM CAPTURE TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,RING SYNTHES 3/4 140MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX BIOTENODESIS 3MM X 8MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIO-TENODESIS ARTHREX 5.5 X 15MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DALL MILES BROAD 7 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DALL MILES BROAD PLATE 9 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3 TI H EXTENDED / LEFT,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI H EXT 8 HOLE LT,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI H EXT 8 HOLE RT,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI STRAIGHT  6 HOLES/29MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI T 3 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI T 4 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI LC-DCP 8 HOLES/48MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI STRAIGHT 6 HOLES/35MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI STRAIGHT 12 HOLES/72MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 135D STANDARD BARREL 123MM STAINLESS STEEL 6 HOLE COMPRESSION FREE-LOCK BONE 38.1MM 13.7MM 8.7MM FEMUR PROXIMAL STERILE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 140D STANDARD BARREL 123MM STAINLESS STEEL 6 HOLE COMPRESSION FREE-LOCK BONE 38.1MM 13.7MM 8.7MM FEMUR PROXIMAL STERILE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 RECONST STRAIGHT 6H,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LCP 9H 170MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TUBE ZIMMER 140 DEGREE 2 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TUBE ZIMMER 145 DEGREE 2 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,DRILL BIT COUNTERSINK CANNULATED 4.5 MM SCREW,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  6 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR ARTHREX FORKED EYELET SWIVELOCK DX 3.5X8.5,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE ARTHREX SWIVELOCK TIGERWIRE 4.75MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TIGHTROPE W/ DRILL PIN ARTHREX,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER TRIMED 3 HOLE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHERLOC ARTHROTEK TISSUE FIXATION 16MM,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$830.25 , N/A ,$830.25 , N/A ,$747.90 ,$747.90 , N/A ,$747.90 , N/A ,"$1,215.00 ","$1,120.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,093.50 ","$1,093.50 ","$1,093.50 ","$1,350.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$747.90 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 QRTR-TUBE  3 HOLE 23MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 5MM X 35MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING 5MM X 40MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER LOCKING FULLY THREADED 5 X 45MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE 25MM 7MM CANNULATED KUROSAKA,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE 25MM 9MM CANNULATED KUROSAKA,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE 30MM 9MM ACL FIXATION WITHOUT PIN KUROSAKA STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INTERFERENCE TITANIUM 30MM 7MM ORTHOPEDIC CANNULATED KUROSAKA,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 24MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 28MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 30MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 32MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 34MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 36MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 38MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 40MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 45MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 50MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 4 X 55MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 25MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 30MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 50MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 52.5MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 55MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 60MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 65MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 70MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 75MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 80MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 85MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 90MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MED SOURCE CORTICAL LOCKING 3.5 X 12MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MED SOURCE CORTICAL LOCKING 3.5 X 16MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 4.0 X 22MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 4.0 X 32MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 22MM 8MM ASNIS III STAINLESS STEEL PARTIAL THREAD ANKLE FOOT CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 24MM 8MM ASNIS III STAINLESS STEEL PARTIAL THREAD CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 26MM 9MM ASNIS III STAINLESS STEEL PARTIAL THREAD SELF TAP SELF DRILL CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 28MM 9.5MM ASNIS III STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 30MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP SELF TAP SELF DRILL CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 32MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP SELF TAP SELF DRILL CANNULA STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 34MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 38MM ASNIS III STAINLESS STEEL HIP SELF TAPPING SELF DRILLING CANNULATED PARTIAL THREAD STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 40MM 13.5MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 42MM 14MM ASNIS III STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 44MM 15MM ASNIS III STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 46MM 15.5MM ASNIS III STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 48MM ASNIS III STAINLESS STEEL PARTIAL THREAD FOOT ANKLE CANNULATED SELF TAP SELF DRILL STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 50MM 17MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP SELF DRILL SELF TAP CANNULATED STERILE 2.5MM HEX DRIVE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 47.5MM TITANIUM FULL THREAD LOCK STERILE T2 INTRAMEDULLARY NAIL SYSTEM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 57.5MM TITANIUM FULL THREAD LOCK STERILE T2 INTRAMEDULLARY NAIL SYSTEM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 1.5CM ADVANTIM CANCELLOUS SELF TAP STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 20MM TITANIUM LOW PROFILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6MM 56MM WASHERLOC TITANIUM ACL/PCL CANCELLOUS STERILE ARTHROSCOPIC,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 25MM T2 TITANIUM +0MM FEMUR COMPRESSION ADVANCED STERILE INTRAMEDULLARY NAIL,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE RESTORIS MAKO 20MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE RESTORIS MAKO 25MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS ARTHROTEK WASHERLOC 6.0 X 50MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS ARTHROTEK WASHERLOC 6.0 X 52MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS ARTHROTEK WASHERLOC 6.0 X 54MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 10MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 12MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 14MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 16MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 18MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 20MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 22MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 24MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 26MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 28MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 30MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 32MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 34MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 36MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 38MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 40MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 42MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 44MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 46MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 48MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 50MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 55MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.5MM 25MM PERSONA KNEE FEMALE HEX,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.7MM 12MM LEIBINGER UNIVERSAL 2 TITANIUM MANDIBULAR LOCK CROSS PIN NONSTERILE LATEX FREE GREY,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 29MM SELF TAPPING FIXATION,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 38MM SELF TAPPING,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 1.4MM 36MM ASNIS III STAINLESS STEEL PARTIAL THREAD LOW PROFILE TARSUS METATARSUS LARGE DIAMETER GUIDEWIRE REVERSE CUTTING FLUTE CANNULATED SELF DRILLING STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 16MM 8MM ASNIS III STAINLESS STEEL SELF TAPPING SELF DRILLING CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 18MM ASNIS III STAINLESS STEEL PARTIALLY THREADED IMPLANT STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 20MM 8MM ASNIS III STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLUG BIO BONE BIOMET 12.5MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLUG BONECMNT BPLG 15MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 18MM 4.5MM AEQUALIS REVERSED GLENOID TITANIUM COMPRESSION NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 20MM 4.5MM BIO-RSA AEQUALIS REVERSED GLENOID TITANIUM COMPRESSION NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 23MM 4.5MM BIO-RSA AEQUALIS REVERSED GLENOID TITANIUM COMPRESSION NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 26MM 4.5MM BIO-RSA AEQUALIS REVERSED GLENOID TITANIUM COMPRESSION NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BASEPLATE 29MM 4.5MM BIO-RSA AEQUALIS REVERSED GLENOID TITANIUM COMPRESSION NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MICRO STRAIGHT 60MMX.8MM MANDIBLE 16 HOLE BONE LUHR VITALLIUM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI STRAIGHT 60X7MM MANDIBLE 9 HOLE 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STRAIGHT 18MM MANDIBLE 6 HOLE CONDENSE BONE LUHR PANFIX VITALLIUM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0 MINI OBLIQUE 2H LT,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN SYNTHES 6.0 TRANSFIXATION 225MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D L 12X9MM MANDIBLE 4 HOLE BONE LUHR PANFIX VITALLIUM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5/4.5 SEMITUBULAR  5H,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5/4.5 SEMITUBULAR  6H,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5/4.5 SEMITUBULAR  7H,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 4H 70MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 5H 88MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES OBLIQUE 2H 19MM RIGHT,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 2 HOLES/25MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 3 HOLES/37MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 60MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 65MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 70MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP END 8MM STANDARD,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP END FULL THREAD SUPRACONDYLAR T2,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP END TIBIA LOCK INTRAMEDULLARY NAIL TITANIUM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE KYPHX HV-R W/MIXER,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GUIDEWIRE STRYKER GAMMA 3 BALL TIP 3X1000MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT FIXATION 13MM 1.1MM CONTOUR MENISCUS ARROW LOW PROFILE MENISCUS 96L/4D PLA INSERTER ARTHROSCOPIC STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 14MM 1.8MM LCP T8 BUTTRESS RADIUS DISTAL STAINLESS STEEL VARIABLE ANGLE LOCK STARDRIVE 2.4MM SCREW NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 16MM 1.8MM LCP STARDRIVE T8 VARIABLE ANGLE LOCK BUTTRESS,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 18MM 1.8MM LCP T8 BUTTRESS RADIUS DISTAL STAINLESS STEEL VARIABLE ANGLE LOCK STARDRIVE 2.4MM SCREW NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 2.5MM SHOULDER TRABECULAR METAL REVERSE SYSTEM STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 20MM 1.8MM LCP T8 BUTTRESS RADIUS DISTAL STAINLESS STEEL VARIABLE ANGLE LOCK STARDRIVE 2.4MM SCREW NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 22MM 1.8MM LCP T8 BUTTRESS RADIUS DISTAL STAINLESS STEEL VARIABLE ANGLE LOCK STARDRIVE 2.4MM SCREW NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 24MM 1.8MM LCP T8 BUTTRESS RADIUS DISTAL STAINLESS STEEL VARIABLE ANGLE LOCK STARDRIVE 2.4MM SCREW NONSTERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 8MM 1.8MM LCP STARDRIVE T8 VARIABLE ANGLE LOCK BUTTRESS,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 32MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 34MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 36MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 38MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 40MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 42MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 44MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 46MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 48MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 50MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 52MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 54MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 56MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 58MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 60MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 55MM ASNIS III STAINLESS STEEL PARTIAL THREAD PELVIS CANNULATED SELF DRILL SELF TAP LOW PROFILE STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 5MM 14MM ASNIS III STAINLESS STEEL PARTIAL THREAD LOW PROFILE REVERSE CUT FLUTE FLAT HEXAGON SMALL BONE LARGE BONE CANNULATED SELF DRILL SELF TAP DRIVER STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 60MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP CANNULATED SELF TAP SELF DRILL STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW TIBIA STRYKER T2 ADV COMP 10MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW TIBIA STRYKER T2 ADV COMP 5MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW WASHERLOC,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 10MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 12MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 14MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 16MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 18MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 20MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 22MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 24MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 30MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 LOCKING STARDRIVE 8MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 10MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 12MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 14MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 16MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 18MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 20MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 22MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 24MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 26MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 28MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 30MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 70MM ASNIS III STAINLESS STEEL PARTIAL THREAD HIP CANNULATED STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 27.5MM TITANIUM FULL THREAD LOCK STERILE T2 INTRAMEDULLARY NAIL SYSTEM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 32.5MM T2 TITANIUM FULL THREAD FOOT ANKLE LOCK STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 37.5MM T2 TITANIUM FULL THREAD FOOT ANKLE LOCK STERILE,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 42.5MM TITANIUM FULL THREAD LOCK STERILE T2 INTRAMEDULLARY NAIL SYSTEM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 1.8MM MINI QUICKANCHOR PLUS THREADER TAB NITINOL 5.4MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TIGHTROPE ARTHRES BUTTON ACL 12 X 8MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 30MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 32MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 36MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 38MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 52MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 60MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 65MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 70MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 75MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 80MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 85MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 90MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5MM VAR ANGLE LOCK SLF-TAP 95MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 34MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 40MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 48MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 50MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 55MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 LOCKING STARDRIVE 65MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 QRTR-TUBE  8 HOLE 63MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED 3.0MM X 18MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED 3.0MM X 24MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED 4.0MM X 44MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 2.4 X 12MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 2.4 X 14MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW OSTEOMED CAN LAG 4.0 X 28MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 3.0 X 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 4.0 X 100,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 47.5MM LFIT LOCK TZ,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 50MM T2 TITANIUM PARTIAL THREAD LOCK STERILE INTRAMEDULLARY NAIL,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 20MM UNIVERS REVERS SHOULDER CENTRAL,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE INSERTER,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.7MM 10MM FPS TITANIUM ANGLED FOOT LOCK DISPOSABLE SMALL FRAGMENT SYSTEM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE Y 16MM MANDIBLE 4 HOLE LARGE FRAGMENT BONE LUHR PANFIX VITALLIUM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE L KLS 0.6 LP RIGHT MEDIUM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI MEDIUM L .6MM MANDIBLE LEFT 4 HOLE LOW PROFILE 2MM SCREW BONE LEVEL ONE THREADLOCK TS TITANIUM NONSTERILE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MINI STRAIGHT 37MM MANDIBLE 4 HOLE COMPRESSION 2MM SCREW BONE LUHR VITALLIUM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1/3 TUBULAR LCP W/COLLAR 6 HOLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 QRTR-TUBE  4 HOLE 31MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 QRTR-TUBE  5 HOLE 39MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 QRTR-TUBE  6 HOLE 47MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 QRTR-TUBE  7 HOLE 55MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN SYNTHES 4.5 THRD CERCLAGE POSITIONING,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 1/3 TUBULAR 109X9X1MM STAINLESS STEEL 9 HOLE COLLAR BONE .5MM 12MM NONSTERILE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 110D MINI 22MM MANDIBLE LEFT 4 HOLE L NONCOMPRESSION 2MM SCREWS BONE LUHR VITALLIUM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5/4.5 SEMITUBULAR  4H,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 6H 106MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 7H 124MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 8H 142MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 NARROW LC-DCP 9H 151MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 10 HOLES/121MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 4 HOLES/49MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 5 HOLES/61MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 6 HOLES/73MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 7 HOLES/85MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR  WITH COLLAR 8 HOLES/97MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 10 HOLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 12 HOLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 5 HOLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 7 HOLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 8 HOLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CAP END GAMMA 3 SYSTEM STRYKER,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT ZIMMER PALACOS W/GENTAMICIN,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COUNTERSINK 2.8MM CANNULATED WRIGHT MEDICAL DART,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GRAFT BONE GRAFTON PUTTY DBM 1.0ML,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT ARTHREX MINI SUTURE TAK DISPOSABLE,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 10MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 12MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 14MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 16MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 18MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 20MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 22MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 24MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 26MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 28MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 30MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 32MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 34MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 36MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 38MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 40MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 42MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 44MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 46MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 48MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CANN PART THREADED 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 1.5MM CORTEX SCREWS 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 2.0MM CORTEX SCREWS 54MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 4.0/2.5 X 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 4.0/3.0 X 65MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 5 X 150MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 5 X 175MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SCHANZ SYNTHES 5 X 200MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SET TITANIUM 17.5MM 8MM HIP GAMMA3 STERILE LONG NAIL,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SHAFT STRYKER T2 5 X 35MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SHAFT STRYKER T2 5 X 55MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 20MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 22MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 24MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 26MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 28MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 30MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 32MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 34MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 36MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 38MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 40MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 42MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 44MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 46MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 48MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 55MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 60MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 65MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN FULL TH 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 ASNIS III CANN PART TH 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 20MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 22MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 24MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 26MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 28MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 30MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 32MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 34MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 36MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 38MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 40MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 42MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 44MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 46MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 48MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 55MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 60MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 65MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN FULL TH 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 20MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 22MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 24MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 26MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 28MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 30MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 32MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 34MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 36MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 38MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 40MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 42MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 44MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 46MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 48MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 55MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 60MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 65MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 75MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 5.0 TI ASNIS III CANN PART TH 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 40MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 60MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 65MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 75MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 85MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CONDYLE STRYKER T2 NUT,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 SCHANZ SELF DRILLING 20MM X 80,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 22MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 26MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 28MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 30MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 32MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 34MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 38MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 40MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 42MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 46MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 48MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 60MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 75MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0 VA LOCKING SELF TAP 85MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED CONICAL 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED CONICAL 80MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED CONICAL 85MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED LOCKING 30MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED LOCKING 50MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED LOCKING 60MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED LOCKING 70MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 5.0MM CANNULATED LOCKING 75MM,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$322.88 , N/A ,$322.88 , N/A ,$290.85 ,$290.85 , N/A ,$290.85 , N/A ,$472.50 ,$435.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$472.50 , N/A ,$290.85 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 T  3 HOLE 32MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 100,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 105,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 110,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 120,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 85,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 90,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW LAG STRYKER NAIL GAMMA 12 X 95,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 6.5 X 50MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW REVERSE TORQUE DEFING EXACTECH,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7.5MM 35MM TSRH OSTEOGRIP THINLINE TITANIUM SPINE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 80MM VHS STAINLESS STEEL HIP VARIABLE ANGLE LAG COMPRESSION,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.3MM 28MM QWIX TITANIUM FOREFOOT CORTICAL CANNULATED COMPRESSION SELF DRILL SELF TAP STERILE GREEN,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,RING SYNTHES 3/4 115MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIO-TENODESIS ARTHREX 4 X 10MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIO-TENODESIS ARTHREX 4.75 X 15MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BIO-TENODESIS ATHREX 5.5MM X 15MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3 12H STRAIGHT 47MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3 TI EXTENDED / RIGHT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3 TI T 3 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3 TI T 4 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.3 TI Y 3 HOLES HEAD/ 8 HOLES SHAFT/32MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI STRAIGHT  12 HOLES/59MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI LC-DCP 6 HOLES/36MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI STRAIGHT 12 HOLES/71MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI T 2 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI T 3 HOLES HEAD/ 8 HOLES SHAFT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 LCP 10H/94MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 LCP 5H/49MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 LCP 6H/58MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 LCP 7H/67MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 LCP 8H/76MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 85X11X3.4MM SS 3.5MM SCREW SM FRAG SET 6,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 7 HOLE SHAFT OBL LT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 7H SHAFT OBL RT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP T 4H HEAD 6 HOLE SHAFT RT ANGLE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 12 HOLE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 RECONST STRAIGHT 5H,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT ANCHOR ARTHREX BIO SWIVELOCK 4.75MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 1/8IN FLIGHT FX LONG SQUARE STAINLESS STEEL STERILE DISPOSABLE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP RECON  5 HOLE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR ARTHREX PUSHLOCK  BIOCOMPOSITE 2.9 X 12.5MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 2.1MM JUGGERKNOTLESS SOFT STAINLESS STEEL,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 3MM 2 KNOTLESS SUTURETAK FIBERWIRE PEEK 12.7MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 4.75MM BIO-SWIVLOCK C CLOSE EYELT VENT,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 5.5MM BIO-SWIVELOCK C CLOSED EYELET VENT 19.1MM STERILE DISPOSABLE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE ARTHREX FIBERTAK ROTATOR CUFF TAPE 3 LOAD,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE FLAT FIBERTAK FIBERWIRE ROTATOR CUFF TAPE BRAID 1.3MM BLACK BLUE WHITE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE FULL THREAD CORKSCREW TAPE BIOCOMPOSITE 4.75MM STERILE LATEX FREE DISPOSABLE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE PEEK ARTHREX,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$738.00 , N/A ,$738.00 , N/A ,$664.80 ,$664.80 , N/A ,$664.80 , N/A ,"$1,080.00 ",$996.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$664.80 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 VA LATERAL DISTAL 7H LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW DEPUY EXPEDIUM POLYAXIAL 6 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 3.5 X 14MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 6.5 X 35MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 6.5 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 6.5 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 7.5 X 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 7.5 X 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC 7.5 X 50MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW MEDTRONIC VERTEX 3.5 X 12MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 20MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 24MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 28MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 32MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6.5MM 45MM TITANIUM SPINE PEDICLE MULTIAXIAL SELF TAP NONSTERILE FIXATION SYSTEM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7.5MM 40MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7.5MM 45MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7.5MM 50MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7.5MM 50MM DIAMONDBACK SPINE PEDICLE 3 LEAD NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7.5MM 55MM DIAMONDBACK SPINE PEDICLE 3 LEAD NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BOWTI DEPUY 20MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BOWTI DEPUY 24MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELLOUS AXON TITAN 3.5 X 10MM SYNTHES,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 12MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 14MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 16MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 24MM SYNAPSE TITANIUM SPINE CANCELLOUS POLYAXIAL SELF TAP NONSTERILE LATEX FREE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 24MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 12MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 14MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 16MM SPINE NEWMAN,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 18MM SPINE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XLONG NARROW UNIVERSAL 94MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XLONG STANDARD UNIVERSAL TITANIUM LOCK VARIAX BONE LEFT DISTAL VOLAR RADIAL,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XLONG UNIVERSAL TITANIUM LOCKING WIDE VARIAX BONE LEFT DISTAL VOLAR RADIAL,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XSHORT 49MM 10 HOLE INTERMEDIATE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XSHORT 49MM 10 HOLE INTERMEDIATE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XSHORT NARROW 49MM 8 HOLE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XSHORT NARROW 49MM 8 HOLE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW 4.0X14MM ALPHATEC,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ALPHATEC 4.0 X 12MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE ACUMED,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE CONTOURED ARTHREX,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DALL MILES GRIP AND CABLE SMALL 1.6,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DORSAL STRYKER VARIAX 11 HOLE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE NARROW 42MM STAINLESS STEEL 2.4MM SCREW 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE LCP COMBI BONE RADIUS LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE NARROW 42MM STAINLESS STEEL 2.4MM SCREW 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE LCP COMBI BONE RADIUS RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE NARROW 56MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE NARROW 63MM STAINLESS STEEL 2.4MM SCREW 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE LCP COMBI BONE RADIUS RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE OLECRANON SYNTHES 2 HOLE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 56MM 11 HOLE INTERMEDIATE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 56MM 11 HOLE INTERMEDIATE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 56MMX2MM TITANIUM LOCK VARIAX BONE RADIAL LEFT DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 56MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 60MMX1.5MM TITANIUM LOCK VARIAX BONE RADIAL LEFT DISTAL DORSAL,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 60MMX1.5MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL DORSAL,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD XSHORT 49MM 10 HOLE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD XSHORT 49MM 10 HOLE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STRYKER NARROW ANATOMIC VOLAR LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI CONDYLAR 7H/39MM LT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI CONDYLAR 7H/39MM RT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 LCP VOLAR DIST RAD 5H 43MM RHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 6H HD/2H SHAFT LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 6H HD/2H SHAFT RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 6H HD/3H SHAFT LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 6H HD/3H SHAFT RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 6H HD/4H SHAFT RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 7H HD/3H SHAFT LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 VA-LCP VLR DIST RADIUS 7H HD/3H SHAFT RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM VA DIST RADIUS 2 CLMN NAR 6HH/3HS LT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM VA DIST RADIUS 2 CLMN NAR 6HH/3HS RT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 VA LATERAL DISTAL 5H LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 VA LATERAL DISTAL 5H RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 VA LATERAL DISTAL 6H LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 10IN CABLE MODIFY BONE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 45MM STAINLESS STEEL 2.4MM SCREW 6 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE LCP COMBI BONE RADIUS LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 45MM STAINLESS STEEL 2.4MM SCREW 6 HOLE HEAD 3 HOLE SHAFT ROUND EDGE LCP COMBI BONE RADIUS RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 45MM STAINLESS STEEL 2.4MM SCREW 7 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE LCP COMBI BONE RADIUS LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 73MM STAINLESS STEEL 2.7/3.5MM SCREW 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP LCP COMBI BONE OLECRANON LEFT PROXIMAL NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 79MM STAINLESS STEEL 2.7MM SCREW 3 HOLE CONTOUR SHAFT LOW PROFILE VARIABLE ANGLE LCP COMBI BONE FIBULA RIGHT DISTAL LATERAL STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 MED DIST HUM 5H LFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 POST LAT DIST HUM 3H LFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 LCP BROAD 22H 394MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 6 HOLE RIGHT DISTAL FIBULA,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LATERAL DISTAL FIBULA RIGHT 7H,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LCP VOLAR COLUMN DIST RAD 8H HEAD/3H SHAFT LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LCP VOLAR COLUMN DIST RAD 8H HEAD/3H SHAFT RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LCP VOLAR COLUMN DIST RAD 9H HEAD/3H SHAFT LEFT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LCP VOLAR COLUMN DIST RAD 9H HEAD/3H SHAFT RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LCP VOLAR COLUMN DIST RAD 9H HEAD/4H SHAFT  RIGHT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TITANIUM 4 HOLE FUSION BONE FIRST METATARSOPHALANGEAL RIGHT NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TITANIUM BONE RADIUS LEFT DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TITANIUM BONE RADIUS RIGHT DISTAL VOLAR,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE WIDE 60MMX1.5MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL DORSAL,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE HYDROSET XT HA INJECTABLE,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT HYDROSET 3CC,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP 80MM 180MM CANNULATED SURGICAL 4.5MM SCREW 3.2MM DRILL BIT,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 3.5 CANNULATED SCREW,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TAP SYNTHES 4.0 F/CANNULATED SCREWS,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI 12MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI 14MM,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,495.80 ","$1,495.80 ", N/A ,"$1,495.80 ", N/A ,"$2,430.00 ","$2,241.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,187.00 ","$2,187.00 ","$2,187.00 ","$2,700.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,495.80 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM 121MM 5 HOLE LCP COMBI HUMERUS LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW INSERTER COUPLING HELICAL BLADE TFN-ADVANCED NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW POLYAXIAL STRYKER 35MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW POLYAXIAL STRYKER 40MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 45MM FACETFUSE TITANIUM PARTIAL THREAD SPINE FIX LAG NONSTERILE GREEN MIS,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5MM 50MM FACETFUSE TITANIUM PARTIAL THREAD SPINE FIX LAG NONSTERILE GREEN MIS,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6MM 40MM PEDFUSE RETURN SPINE CANNULATED NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7MM 45MM PEDFUSE RETURN SPINE CANNULATED NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 7MM 50MM PEDFUSE RETURN SPINE CANNULATED NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 8MM 26MM PEEK SPINE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE HYPROCURE TITANIUM 6 SINUS TARSI,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE X-TAB DEPUY 7 X 35,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE XTAB VIPER 6 X 40 DEPUY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE XTAB VIPER 6 X 45 DEPUY,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE XTAB VIPER DEPUY 7 X 40,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 35MM FACETFUSE TITANIUM PARTIAL THREAD SPINE FIX LAG NONSTERILE BLUE MIS,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 45MM XIA TITANIUM SPINE POLYAXIAL NONSTERILE 2MM ROD,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LOCKING BEARING VOLAR TRI MED LEFT 5 HOLE 7 PEG,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LOCKING BEARING VOLAR TRI MED LEFT 7 HOLE 7 PEG,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LOCKING BEARING VOLAR TRIMED RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LOCKING BEARING VOLAR TRIMED RIGHT 7 HOLE 5 PEG,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG 121MM 2.7/3.5MM SCREW 5 HOLE VARIABLE ANGLE LCP BONE HUMERUS RIGHT DISTAL LATERAL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MEDIUM 82MM 2.7/3.5MM SCREW 2 HOLE VARIABLE ANGLE LCP BONE HUMERUS LEFT DISTAL LATERAL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MEDIUM 82MM STAINLESS STEEL 2.7/3.5MM SCREW 2 HOLE VARIABLE ANGLE TAPER TIP LCP COMBI BONE HUMERUS RIGHT DISTAL LATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE MEDIUM 85MM STAINLESS STEEL 2.7/3.5MM SCREW 2 HOLE VARIABLE ANGLE TAPER TIP EXTEND LCP COMBI BONE HUMERUS LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 69MM STAINLESS STEEL 2.7/3.5MM SCREW 1 HOLE VARIABLE ANGLE TAPER TIP LCP COMBI BONE HUMERUS LEFT DISTAL LATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 69MM STAINLESS STEEL 2.7/3.5MM SCREW 1 HOLE VARIABLE ANGLE TAPER TIP LCP COMBI BONE HUMERUS RIGHT DISTAL LATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 72MM STAINLESS STEEL 2.7/3.5MM SCREW 1 HOLE VARIABLE ANGLE TAPER TIP EXTEND LCP COMBI BONE HUMERUS LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 112MM STAINLESS STEEL 3.5/4MM SCREW 5 HOLE LOCK AXSOS BONE HUMERUS LEFT PROXIMAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 112MM STAINLESS STEEL 3.5/4MM SCREW 5 HOLE LOCK AXSOS BONE HUMERUS RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 150MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE HUMERUS LEFT PROXIMAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 150MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE HUMERUS RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 201MM STAINLESS STEEL 3.5/4MM SCREW 12 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 201MM STAINLESS STEEL 3.5/4MM SCREW 12 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 227MM STAINLESS STEEL 3.5/4MM SCREW 14 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 86MM STAINLESS STEEL 3.5/4MM SCREW 3 HOLE LOCK AXSOS BONE HUMERUS LEFT PROXIMAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 86MM STAINLESS STEEL 3.5/4MM SCREW 3 HOLE LOCK AXSOS BONE HUMERUS RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STYKER AXSOS 4.0 DISTAL ANTEROLATERAL TIBIA 14H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5 2 HOLE HUMERUS RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5 4 HOLE LONG HUMERUS LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5 VA HUMERUS 75MM 3H LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5 VA HUMERUS 75MM 3H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5 VA HUMERUS 88MM 4H LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5 VA HUMERUS 88MM 4H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 16 HOLE SHAFT BONE TIBIA ANTEROLATERAL DISTAL,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 17MM TITANIUM 1 LEVEL ZEVO BONE SPINE CERVICAL ANTERIOR,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 14H LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 14H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 16H LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 16H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.8 L BUTRESS TIB  6H 115MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4 HOLE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 12H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 14H LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 14H RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES BUTRESS LAT TIB 4H 86MM RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LATERAL TIBIAL HEAD BUTTRESS 4H 85MM LEFT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 1 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 1 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 2 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 2 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY HIGH FLEX,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 3 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 3 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 4 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 4 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 5 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 5 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 6 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 10MM ZUK 6 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 1 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 1 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 2 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 2 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 3 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 3 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 4 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 4 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 5 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 5 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 6 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 12MM ZUK 6 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 1 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 1 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 2 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 2 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 3 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 3 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 4 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 4 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 5 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 5 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 6 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 14MM ZUK 6 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 1 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 1 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 2 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 2 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 3 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 3 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 4 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 5 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 5 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 6 KNEE LEFT MEDIAL RIGHT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL 8MM ZUK 6 KNEE RIGHT MEDIAL LEFT LATERAL ALL POLY UNICOMPARTMENTAL HIGH FLEX STERILE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BASEPLATE GLENOID 36MM AEQUALIS SHOULDER REVERSED,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,BASEPLATE GLENOID SHOULDER REVERSED,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE HYDROSET XT HA 5CC,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT STRYKER NAIL TROCHANTERIC 11MM X 180MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 10 X 260MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 10 X 360MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 10 X 380MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 10 X 400MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 10 X 420MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 11 X 260MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 11 X 320MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 11 X 380MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 11 X 400MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 12 X 320MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 12 X 340MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 13 X 300MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL FEMORAL STRYKER T2 13 X 400MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL HUMERAL STRYKER T2 7 X 230MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL HUMERAL STRYKER T2 7 X 250MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TI FIX 11MM X 235MM 130 DEG,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL SYNTHES TI FIX 12MM X 170MM 130 DEG,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 10 X 315MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 10 X 330MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 10 X 345MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 10 X 360MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 11 X 345MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 11 X 375MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 9 X 300MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 9 X 345MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TIBIAL STRYKER T2 9 X 360MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,NAIL TROCHANTERIC STRYKER 11 X 180MM X 130 DEGREE,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM MEDIAL DISTAL HUMERUS 1 H EXTENDED SHORT RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW VIPER REDUCTION DEPUY 6 X 45MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW XIA POLYAXIAL STRYKER 4.5 X 35MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW XIA POLYAXIAL STRYKER 4.5 X 40MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW XIA POLYAXIAL STRYKER 5.5 X 35MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW XIA POLYAXIAL STRYKER 5.5 X 40MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW XIA STRYKER 6.5 X 40MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW XIA TITANIUM STRYKER 6.5 X 45MM,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SPACER ALLOGRAFT 6MM ALLOCRAFT C DEMINERALIZED BONE MATRIX ACDF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SPACER ALLOGRAFT 7MM ALLOCRAFT C DEMINERALIZED BONE MATRIX ACDF,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 5.5MM 45MM XIA TITANIUM SPINE POLYAXIAL NONSTERILE 2MM ROD,278,1 ,"$3,900.00 ","$2,808.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$2,398.50 ", N/A ,"$2,398.50 ", N/A ,"$2,160.60 ","$2,160.60 ", N/A ,"$2,160.60 ", N/A ,"$3,510.00 ","$3,237.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,159.00 ","$3,900.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,187.90 ", N/A ,"$1,614.60 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,160.60 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 9H RT 151MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 10.35MM 110MM TFN-ADVANCED TITANIUM CANNULATED STERILE GOLD PROXIMAL FEMORAL NAIL SYSTEM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 12.7MM 85MM VHS STAINLESS STEEL HIP VARIABLE ANGLE LAG COMPRESSION,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PUTTY GRAFTON MATRIX DBM/DBF BONE 3ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,RING SYNTHES 3/4 205MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ACUTRAK 2 MICRO 12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ACUTRAK 2 MINI 20.0MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ACUTRAK 2 MINI 22.0MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90D STANDARD BARREL 150MM STAINLESS STEEL 8 HOLE COMPRESSION FREE-LOCK BONE 25.4MM 13.2MM 8.7MM HIP SUPRACONDYLAR STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE ARTHREX LOW PROFILE LAPIDUS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE BIOMET NARROW SHORTLEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DORSAL NAIL RIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRA STD LEFT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRA STD RIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRAN NARROW RIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRAW WIDE LEFT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRAW WIDE RIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE FRAGMENT STRAIGHT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE HOCKEY STICK LEFT HAND INNOVATIONS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LAPIDUS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LCP DHHS SIDE SYNTHES 4 HOLE 140 DEGREE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG LOCK COLUMN FRAGMENT SPECIFIC VARIAX SMARTLOCK BONE ULNAR RADIAL RIGHT DISTAL,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG TITANIUM COLUMN SMARTLOCK BONE LEFT RADIAL DISTAL ULNAR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG TITANIUM COLUMN SMARTLOCK BONE RADIUS DISTAL VOLAR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG UNIVERSAL NARROW 73MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG UNIVERSAL STANDARD 73MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG UNIVERSAL WIDE LOCK VARIAX BONE RADIUS DISTAL VOLAR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE PIN TRIMED 3 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 40MMX1MM TITANIUM COLUMN VARIAX BONE ULNAR RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 40MMX1MM TITANIUM FRAGMENT SPECIFIC LOCK COLUMN VARIAX BONE ULNA LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT 44MMX1MM TITANIUM COLUMN FRAGMENT SPECIFIC VARIAX BONE DISTAL RADIUS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT STANDARD UNIVERSAL 53MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL VOLAR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT UNIVERSAL NARROW TITANIUM LOCK VARIAX BONE HAND RADIUS DISTAL VOLAR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SHORT WIDE UNIVERSAL 53MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL VOLAR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI CONDYLAR 7 HOLES/36MM-LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 1.5MM TI CONDYLAR 7 HOLES/36MM-RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.0MM TI Y 3 HOLES HEAD 8 HOLES SHAFT/48MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 LCP DIST RAD L/ -90 DEG 2H HEAD/3H SHAFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 LCP DIST RAD L/+90 DEG 2H HEAD/3H SHAFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 LCP DISTAL RADIUS ST/SHORT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4 LCP DISTAL RADIUS T 3H HEAD/3H SHAFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI CONDYLAR 8 HOLES/57MM - LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI CONDYLAR 8 HOLES/57MM - RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI LC-DCP 4 HOLES/31MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI LC-DCP 6 HOLES/47MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI LC-DCP 8 HOLES/63MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI T 2 HOLES HEAD/ 8 HOLES SHAFT/54MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI T 3 HOLES HEAD/ 8 HOLES SHAFT/54MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4MM TI Y PLATE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 VA LATERAL DISTAL 4H LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7 VA LATERAL DISTAL 4H RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 11H LT 177MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 11H RT 177MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 3H LT 73MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 3H RT 73MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 4H LT 86MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 4H RT 86MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 5H LT 99MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 5H RT 99MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 6H LT 112MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 6H RT 112MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 7H LT 125MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 7H RT 125MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP LAT DIST/FIB 9H LT 151MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 101X10X2MM TITANIUM 5 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 113X10X2MM TITANIUM 6 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 120MM STAINLESS STEEL 6 HOLE VARIABLE ANGLE VHS BONE FEMUR SUPRACONDYLAR STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 125X10X2MM TITANIUM 7 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 137X10X2MM TITANIUM 8 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 149X10X2MM TITANIUM 9 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 63MM MANDIBLE 6 HOLE COMPRESSION CONDENSE 2.7MM SCREW BONE LUHR VITALLIUM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 77X10X2MM TITANIUM 3 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 79MM STAINLESS STEEL 2.7MM SCREW 3 HOLE CONTOUR SHAFT LOW PROFILE VARIABLE ANGLE LCP COMBI BONE FIBULA LEFT DISTAL LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 89X10X2MM TITANIUM 4 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 14 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 RECONST STRAIGHT 10H,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 RECONST STRAIGHT 14H,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 RECONST STRAIGHT 9H,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.8 L BUTRESS TIB  5H 101MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CLOVERLEAF THIN BLADE 7 HOLES/152MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CLOVERLEAF THIN BLADE 8 HOLES/168MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES LATERAL DISTAL FIBULA RIGHT 3 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE T SYNTHES 4 HOLE 84MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE T SYNTHES 6H 116MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE T SYNTHES 8H 148MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,COMPRESSOR EXTERNAL FIXATION OPEN NONSTERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,DEVICE FIXATION 5MM SECURESTRAP,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GRAFT BONE GRAFTON PUTTY DBM 5ML,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT SYSTEM ARTHREX PROXIMAL TENODESIS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,KIT ARTHREX MINI TIGHTROPE REPAIR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN CASPER DISTRACTION 12MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 10 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 12 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SIDEPLATE BONE OMEGA PLUS 135D HIP STAINLESS STEEL 4 HOLE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SUTURE ANCHOR DEPUY GII QUICKANCHOR,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SUTURE ANCHOR MINI MITEK,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER .8MM  CORTICAL SELF TAP MAXILLOFACIAL 3MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 1.3MM  CORTICAL SELF TAP MAXILLOFACIAL 4MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 1.3MM  CORTICAL SELF TAP MAXILLOFACIAL 6MM,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE MICRO 1.3MM W_DRILL,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE QUICKANCHOR SHOULDER ARTHROSCOPIC SOFT TISSUE,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,291.50 ", N/A ,"$1,291.50 ", N/A ,"$1,163.40 ","$1,163.40 ", N/A ,"$1,163.40 ", N/A ,"$1,890.00 ","$1,743.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,701.00 ","$1,701.00 ","$1,701.00 ","$2,100.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,163.40 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM LCP-COMBI 6 HOLE 142MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE Y SYNTHES CALCANEAL 87MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 90MM STAINLESS STEEL 2.7/3.5MM SCREW 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP LCP COMBI BONE OLECRANON RIGHT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE CROSSLINK MEDTTRONIC 30MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DORSAL RADIUS STRYKER WIDE RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DORSAL RADIUS STRYKER X-LONG,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRAXX EXTRA EXTENDED LEFT HAND INNOVATIONS,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE DVRAXX EXTRA EXTENDED RIGHT HAND INNOVATIONS,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LOCKING BEARING VOLAR TRIMED 3 HOLE LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LOCKING BEARING VOLAR TRIMED 3 HOLE RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG 14 HOLE INTERMEDIATE BONE RADIUS RIGHT DISTAL VOLAR,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG 76MM 14 HOLE INTERMEDIATE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG NARROW 76MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG NARROW 76MMX2MM TITANIUM LOCK VARIAX BONE RADIUS LEFT VOLAR DISTAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG STANDARD 76MMX2MM TITANIUM LOCK VARIAX BONE RADIAL LEFT DISTAL VOLAR,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE LONG STANDARD 76MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 120MM STAINLESS STEEL 3.5/4MM SCREW 6 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 121MM STAINLESS STEEL 3.5/4MM SCREW 4 HOLE LOCK AXSOS BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 121MM STAINLESS STEEL 3.5/4MM SCREW 4 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 123MM STAINLESS STEEL 3.5/4MM SCREW 6 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 123MM STAINLESS STEEL 3.5/4MM SCREW 6 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 146MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 146MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 147MM STAINLESS STEEL 3.5/4MM SCREW 6 HOLE LOCK AXSOS BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 147MM STAINLESS STEEL 3.5/4MM SCREW 6 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 149MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 149MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 172MM STAINLESS STEEL 3.5/4MM SCREW 10 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 172MM STAINLESS STEEL 3.5/4MM SCREW 10 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 173MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 173MM STAINLESS STEEL 3.5/4MM SCREW 8 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 175MM STAINLESS STEEL 3.5/4MM SCREW 10 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 198MM STAINLESS STEEL 3.5/4MM SCREW 12 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 198MM STAINLESS STEEL 3.5/4MM SCREW 12 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 199MM STAINLESS STEEL 3.5/4MM SCREW 10 HOLE LOCK AXSOS BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 199MM STAINLESS STEEL 3.5/4MM SCREW 10 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 224MM STAINLESS STEEL 3.5/4MM SCREW 14 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 224MM STAINLESS STEEL 3.5/4MM SCREW 14 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 225MM STAINLESS STEEL 3.5/4MM SCREW 12 HOLE LOCK AXSOS BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 225MM STAINLESS STEEL 3.5/4MM SCREW 12 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 250MM STAINLESS STEEL 3.5/4MM SCREW 16 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 251MM STAINLESS STEEL 3.5/4MM SCREW 14 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 94MM STAINLESS STEEL 3.5/4MM SCREW 4 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 94MM STAINLESS STEEL 3.5/4MM SCREW 4 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL MEDIAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 95MM STAINLESS STEEL 3.5/4MM SCREW 2 HOLE LOCK AXSOS BONE TIBIAL LEFT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 95MM STAINLESS STEEL 3.5/4MM SCREW 2 HOLE LOCK AXSOS BONE TIBIAL RIGHT PROXIMAL LATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 95MM STAINLESS STEEL 3.5/4MM SCREW 4 HOLE LOCK AXSOS BONE TIBIAL LEFT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD 95MM STAINLESS STEEL 3.5/4MM SCREW 4 HOLE LOCK AXSOS BONE TIBIAL RIGHT DISTAL ANTEROLATERAL NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STANDARD XLONG 81MMX1.5MM TITANIUM LOCK VARIAX BONE RADIUS RIGHT DISTAL DORSAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE STRYKER  TIBIA DISTAL MEDIAL LEFT 120MM 6H,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.7/3.5MM 90MM 2 HOLE LCP COMBI OLECRANON LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 10 HOLE SHAFT BONE TIBIA ANTEROLATERAL DISTAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 116MM STAINLESS STEEL 2.7/3.5MM SCREW 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP LCP COMBI BONE OLECRANON LEFT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 116MM STAINLESS STEEL 2.7/3.5MM SCREW 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP LCP COMBI BONE OLECRANON RIGHT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 142MM STAINLESS STEEL 2.7/3.5MM SCREW 6 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP LCP COMBI BONE OLECRANON RIGHT NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 16 HOLE SHAFT BONE TIBIA DISTAL MEDIAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 19X16.5MM 1 LEVEL INDUS INVUE BONE SPINE CERVICAL ANTERIOR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 21X16.5MM 1 LEVEL INDUS INVUE BONE SPINE CERVICAL ANTERIOR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 37X16.5MM 2 LEVEL INDUS INVUE BONE SPINE CERVICAL ANTERIOR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 5X16MM 1 LEVEL INDUS INSET BONE SPINE CERVICAL ANTERIOR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 60X16.5MM 3 LEVEL INDUS INVUE BONE SPINE CERVICAL ANTERIOR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE 7X16MM 1 LEVEL INDUS INSET BONE SPINE CERVICAL ANTERIOR NONSTERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 10H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 10H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 12H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 12H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 4H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 4H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 6H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 6H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 8H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 3.5 PROXIMAL TIBIA 8H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 10H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 10H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 12H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 2H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 2H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 4H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 4H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 6H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 6H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 8H LEFT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 4.5 PROXIMAL TIBIA 8H RIGHT,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CALCANEAL 60MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CALCANEAL 70MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES CERVICAL  37X45MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES VECTRA ONE LEVEL 14MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES VECTRA ONE LEVEL 16MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES VECTRA ONE LEVEL 18MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES VECTRA ONE LEVEL 32MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES VECTRA ONE LEVEL 36MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TARGET SYSTEM 14 HOLE BONE TIBIA LEFT PROXIMAL LATERAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL BIOMET FIXED CRUCIATE INTERLOK 689MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL BIOMET FIXED CRUCIATE INTERLOK 79MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL BIOMET FIXED INTERLOK 71MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TIBIAL FIXED CRUCIATE BIOMET 67MM,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TITANIUM BONE RADIUS LEFT DISTAL DORSAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE TITANIUM BONE RADIUS RIGHT DISTAL DORSAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PLATE XLONG LOCKING WIDE VARIAX BONE LEFT DISTAL DORSAL RADIAL,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,CEMENT BONE HYDROSET SUBSTITUTE VOID FILLER CALCIUM PHOSPHATE 5ML,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,GRAFT SOFT TISSUE 4X4CM PRIMATRIX FETAL BOVINE DERMIS FENESTRATE SCAFFOLD,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT ARTHREX MINI SCORPION CPR,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,IMPLANT PROSTOP SUBTALAR ARTHREX,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$2,029.50 ", N/A ,"$2,029.50 ", N/A ,"$1,828.20 ","$1,828.20 ", N/A ,"$1,828.20 ", N/A ,"$2,970.00 ","$2,739.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,673.00 ","$2,673.00 ","$2,673.00 ","$3,300.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$1,828.20 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW ALPHATEC 3.5 X12MM,278,1 ,"$14,700.00 ","$10,584.00 ","$4,116.00 ","$14,700.00 ", N/A ,"$10,951.50 ","$9,628.50 ", N/A ,"$4,116.00 ","$9,040.50 ", N/A ,"$9,040.50 ", N/A ,"$8,143.80 ","$8,143.80 ", N/A ,"$8,143.80 ", N/A ,"$13,230.00 ","$12,201.00 ", N/A , N/A ,"$12,936.00 ", N/A ,"$11,025.00 ","$11,025.00 ","$12,495.00 ","$12,495.00 ", N/A ,"$12,495.00 ", N/A ,"$11,907.00 ","$11,907.00 ","$11,907.00 ","$14,700.00 ","$13,230.00 ", N/A ,"$13,230.00 ", N/A ,"$14,700.00 ","$8,246.70 ", N/A ,"$6,085.80 ", N/A , N/A , N/A ,"$13,230.00 ", N/A ,"$8,143.80 ","$4,116.00 ","$13,230.00 ", N/A ,"$13,230.00 ","$13,230.00 ", N/A ,"$9,555.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 6MM 40MM UNIFLEX STERILE,278,1 ,"$12,900.00 ","$9,288.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$7,933.50 ", N/A ,"$7,933.50 ", N/A ,"$7,146.60 ","$7,146.60 ", N/A ,"$7,146.60 ", N/A ,"$11,610.00 ","$10,707.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,449.00 ","$10,449.00 ","$10,449.00 ","$12,900.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$7,236.90 ", N/A ,"$5,340.60 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,146.60 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 72MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER BONE 4MM PART THREADED 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW EXPEDIUM DEPUY 6 X 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 22MM AXSOS STAINLESS STEEL 2.5MM FULL THREAD HEXAGON FEMUR HUMERUS CANCELLOUS PROXIMAL NONSTERILE SMALL FRAGMENT SET,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 26MM AXSOS STAINLESS STEEL 2.5MM FULL THREAD HEXAGON FEMUR HUMERUS CANCELLOUS PROXIMAL NONSTERILE SMALL FRAGMENT SET,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 28MM AXSOS STAINLESS STEEL 2.5MM FULL THREAD HEXAGON FEMUR HUMERUS CANCELLOUS PROXIMAL NONSTERILE SMALL FRAGMENT SET,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 30MM STAINLESS STEEL 2.5MM FULL THREAD FEMUR HUMERUS CANCELLOUS PROXIMAL HEXAGONAL NONSTERILE AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 32MM AXSOS STAINLESS STEEL 2.5MM FULL THREAD HEXAGON FEMUR HUMERUS CANCELLOUS PROXIMAL NONSTERILE SMALL FRAGMENT SET,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4MM 34MM STAINLESS STEEL 2.5MM FULL THREAD FEMUR HUMERUS CANCELLOUS PROXIMAL HEXAGONAL NONSTERILE AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW CANCELL 4.0MM X 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 25.4MM HIP COMPRESSION,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 11MM HEXAGONAL COMPRESSION,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 18MM LUHR VITALLIUM MINI CRANIOMAXILLOFACIAL SELF TAP PHILLIPS DRIVE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 3MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 2MM 4MM LUHR VITALLIUM MINI MAXILLOFACIAL CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM CORTICAL NONSTERILE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 34MM ECT CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 36MM ECT CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 36MM STAINLESS STEEL CORTICAL,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 38MM STAINLESS STEEL CORTICAL,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 40MM ECT CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 40MM STAINLESS STEEL CORTICAL,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 42MM ECT CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 42MM FULL THREAD HEXAGON CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 42MM STAINLESS STEEL CORTICAL,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 42MM VHS STAINLESS STEEL HIP CORTICAL SELF TAP VARIABLE ANGLE STERILE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 44MM ECT CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 46MM FULL THREAD HEXAGON CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 46MM STAINLESS STEEL CORTICAL,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW BONE 4.5MM 70MM ECT CORTICAL SELF TAP,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,FIBERWIRE ARTHREX 2-0 AR-7220,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,HOLDER PLATE 6IN .45IN HOLDING TAKS,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,K-WIRE 0.062,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 229MM 4.8MM STEINMANN STAINLESS STEEL TROCAR POINT 1 END STYLE 5 STERILE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 9IN 1/8IN STEINMANN STAINLESS STEEL SMOOTH STYLE 4,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,PIN FIXATION 9IN 2MM STEINMANN STAINLESS STEEL SMOOTH PLAIN TROCAR NONSTERILE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX 12MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 10MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 12MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 30MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 32MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 34MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 45MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 50MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 55MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 60MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 65MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SUTURE ARTHREX FIBERWARE 2 C-13 38IN BRAID TIES,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SIZING 21MM LUHR CRANIOFACIAL 2MM 4 HOLE MINI PLATE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 1.8MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.0 CORTICAL  6MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 70MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 75MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 80MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 85MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 90MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 30MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 32MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 34MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 SHAFT 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 12MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 100MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 110MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 1120M,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 115MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 75MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 80MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 85MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 90MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 3.5 CORTICAL SELF TAPPING FULL TH 95MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 45MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 50MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 55MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 60MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 65MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS FULL TH 70MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 30MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 32MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 34MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 45MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 50MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 55MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 60MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 65MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 4.0MM AXSOS CANCELLOUS PART TH 70MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,TEMPLATE SIZING 37MM LUHR 90D CRANIOFACIAL 2MM 6 HOLE REVERSIBLE L PLATE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER ASNIS III TI 4.0MM STRYKER,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER SYNTHES 10.0MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER SYNTHES 13.0MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WASHER SYNTHES 7.0MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE FIXATION .062IN 7.25IN KIRSCHNER NONSTERILE,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE KIRSCHNER 2MM X 150MM TROCAR POINT,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.6 KIRSCHNER W/5MM THREAD TROCAR 150MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 2.5MM KIRSHCNER THREADED,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 12MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 3.5 TI CORTEX S/TAP F/T 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 10,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 12,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 14,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 16,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 18,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 20,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 22,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 24,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 26,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 28,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 30,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 35,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 36,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 40,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 45,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 50,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 55,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 60,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  10,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  12,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  14,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  16,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  18,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  20,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  22,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  24,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  26,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  28,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  30,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  35,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  40,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  45,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  55,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT  60,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT 50,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CORTEX SELF TAP 48MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CORTEX SELF TAP 56MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CORTEX SELF TAP 60MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.0 CORTEX SELF TAP 70MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 30MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 32MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 34MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 42MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 44MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 46MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 48MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 50MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 52MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 56MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 58MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 60MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 62MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 64MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 66MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 68MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 70MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX 76MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 30MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 32MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 34MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 42MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 44MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 46MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 48MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX PART TH 50MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 14MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 16MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 18MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 20MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 22MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 24MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 26MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 28MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 30MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 32MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 34MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 36MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 38MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 40MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 42MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 44MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 46MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 50MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 52MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 54MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 56MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 58MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 60MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 62MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 64MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 66MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 68MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 4.5 CORTEX SELF TAPPING 70MM,278,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$46.13 , N/A ,$46.13 , N/A ,$41.55 ,$41.55 , N/A ,$41.55 , N/A ,$67.50 ,$62.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$67.50 , N/A ,$41.55 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SUTURETAPE TIGERLINK 1.3MM WH/BLK,278,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 , N/A , N/A , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM BONE CEMENT 1 2 MIX,278,1 ,$360.00 ,$259.20 ,$100.80 ,$360.00 , N/A ,$268.20 ,$235.80 , N/A ,$100.80 ,$221.40 , N/A ,$221.40 , N/A ,$199.44 ,$199.44 , N/A ,$199.44 , N/A ,$324.00 ,$298.80 , N/A , N/A ,$316.80 , N/A ,$270.00 ,$270.00 ,$306.00 ,$306.00 , N/A ,$306.00 , N/A ,$291.60 ,$291.60 ,$291.60 ,$360.00 ,$324.00 , N/A ,$324.00 , N/A ,$360.00 ,$201.96 , N/A ,$149.04 , N/A , N/A , N/A ,$324.00 , N/A ,$199.44 ,$100.80 ,$324.00 , N/A ,$324.00 ,$324.00 , N/A ,$234.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871713,C1713,SYSTEM FIXATION TIGHTROPE XP STAINLESS STEEL SYNDESMOSIS REPAIR,278,1 ,"$6,408.00 ","$4,613.76 ","$1,794.24 ","$6,408.00 ", N/A ,"$4,773.96 ","$4,197.24 ", N/A ,"$1,794.24 ","$3,940.92 ", N/A ,"$3,940.92 ", N/A ,"$3,550.03 ","$3,550.03 ", N/A ,"$3,550.03 ", N/A ,"$5,767.20 ","$5,318.64 ", N/A , N/A ,"$5,639.04 ", N/A ,"$4,806.00 ","$4,806.00 ","$5,446.80 ","$5,446.80 ", N/A ,"$5,446.80 ", N/A ,"$5,190.48 ","$5,190.48 ","$5,190.48 ","$6,408.00 ","$5,767.20 ", N/A ,"$5,767.20 ", N/A ,"$6,408.00 ","$3,594.89 ", N/A ,"$2,652.91 ", N/A , N/A , N/A ,"$5,767.20 ", N/A ,"$3,550.03 ","$1,794.24 ","$5,767.20 ", N/A ,"$5,767.20 ","$5,767.20 ", N/A ,"$4,165.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871767,C1767,GENERATOR MEDTRONIC,278,1 ,"$36,000.00 ","$25,920.00 ","$10,080.00 ","$36,000.00 ", N/A ,"$26,820.00 ","$23,580.00 ", N/A ,"$10,080.00 ","$22,140.00 ", N/A ,"$22,140.00 ", N/A ,"$19,944.00 ","$19,944.00 ", N/A ,"$19,944.00 ", N/A ,"$32,400.00 ","$29,880.00 ", N/A , N/A ,"$31,680.00 ", N/A ,"$27,000.00 ","$27,000.00 ","$30,600.00 ","$30,600.00 ", N/A ,"$30,600.00 ", N/A ,"$29,160.00 ","$29,160.00 ","$29,160.00 ","$36,000.00 ","$32,400.00 ", N/A ,"$32,400.00 ", N/A ,"$36,000.00 ","$20,196.00 ", N/A ,"$14,904.00 ", N/A , N/A , N/A ,"$32,400.00 ", N/A ,"$19,944.00 ","$10,080.00 ","$32,400.00 ", N/A ,"$32,400.00 ","$32,400.00 ", N/A ,"$23,400.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871767,C1767,NEUROSTIMULATOR IMPLANTABLE PRIMEADVANCED RESTORE IPG,278,1 ,"$29,750.00 ","$21,420.00 ","$8,330.00 ","$29,750.00 ", N/A ,"$22,163.75 ","$19,486.25 ", N/A ,"$8,330.00 ","$18,296.25 ", N/A ,"$18,296.25 ", N/A ,"$16,481.50 ","$16,481.50 ", N/A ,"$16,481.50 ", N/A ,"$26,775.00 ","$24,692.50 ", N/A , N/A ,"$26,180.00 ", N/A ,"$22,312.50 ","$22,312.50 ","$25,287.50 ","$25,287.50 ", N/A ,"$25,287.50 ", N/A ,"$24,097.50 ","$24,097.50 ","$24,097.50 ","$29,750.00 ","$26,775.00 ", N/A ,"$26,775.00 ", N/A ,"$29,750.00 ","$16,689.75 ", N/A ,"$12,316.50 ", N/A , N/A , N/A ,"$26,775.00 ", N/A ,"$16,481.50 ","$8,330.00 ","$26,775.00 ", N/A ,"$26,775.00 ","$26,775.00 ", N/A ,"$19,337.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871767,C1767,NEUROSTIMULATOR IMPLANTABLE PRIMEADVANCED SURESCAN MRI,278,1 ,"$32,250.00 ","$23,220.00 ","$9,030.00 ","$32,250.00 ", N/A ,"$24,026.25 ","$21,123.75 ", N/A ,"$9,030.00 ","$19,833.75 ", N/A ,"$19,833.75 ", N/A ,"$17,866.50 ","$17,866.50 ", N/A ,"$17,866.50 ", N/A ,"$29,025.00 ","$26,767.50 ", N/A , N/A ,"$28,380.00 ", N/A ,"$24,187.50 ","$24,187.50 ","$27,412.50 ","$27,412.50 ", N/A ,"$27,412.50 ", N/A ,"$26,122.50 ","$26,122.50 ","$26,122.50 ","$32,250.00 ","$29,025.00 ", N/A ,"$29,025.00 ", N/A ,"$32,250.00 ","$18,092.25 ", N/A ,"$13,351.50 ", N/A , N/A , N/A ,"$29,025.00 ", N/A ,"$17,866.50 ","$9,030.00 ","$29,025.00 ", N/A ,"$29,025.00 ","$29,025.00 ", N/A ,"$20,962.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871767,C1767,NEUROSTIMULATOR MEDTRONIC,278,1 ,"$27,250.00 ","$19,620.00 ","$7,630.00 ","$27,250.00 ", N/A ,"$20,301.25 ","$17,848.75 ", N/A ,"$7,630.00 ","$16,758.75 ", N/A ,"$16,758.75 ", N/A ,"$15,096.50 ","$15,096.50 ", N/A ,"$15,096.50 ", N/A ,"$24,525.00 ","$22,617.50 ", N/A , N/A ,"$23,980.00 ", N/A ,"$20,437.50 ","$20,437.50 ","$23,162.50 ","$23,162.50 ", N/A ,"$23,162.50 ", N/A ,"$22,072.50 ","$22,072.50 ","$22,072.50 ","$27,250.00 ","$24,525.00 ", N/A ,"$24,525.00 ", N/A ,"$27,250.00 ","$15,287.25 ", N/A ,"$11,281.50 ", N/A , N/A , N/A ,"$24,525.00 ", N/A ,"$15,096.50 ","$7,630.00 ","$24,525.00 ", N/A ,"$24,525.00 ","$24,525.00 ", N/A ,"$17,712.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PROSTHESIS PENILE AMS 18CM,278,1 ,"$18,500.00 ","$13,320.00 ","$5,180.00 ","$18,500.00 ", N/A ,"$13,782.50 ","$12,117.50 ", N/A ,"$5,180.00 ","$11,377.50 ", N/A ,"$11,377.50 ", N/A ,"$10,249.00 ","$10,249.00 ", N/A ,"$10,249.00 ", N/A ,"$16,650.00 ","$15,355.00 ", N/A , N/A ,"$16,280.00 ", N/A ,"$13,875.00 ","$13,875.00 ","$15,725.00 ","$15,725.00 ", N/A ,"$15,725.00 ", N/A ,"$14,985.00 ","$14,985.00 ","$14,985.00 ","$18,500.00 ","$16,650.00 ", N/A ,"$16,650.00 ", N/A ,"$18,500.00 ","$10,378.50 ", N/A ,"$7,659.00 ", N/A , N/A , N/A ,"$16,650.00 ", N/A ,"$10,249.00 ","$5,180.00 ","$16,650.00 ", N/A ,"$16,650.00 ","$16,650.00 ", N/A ,"$12,025.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PROSTHESIS PENILE AMS 15CM,278,1 ,"$18,500.00 ","$13,320.00 ","$5,180.00 ","$18,500.00 ", N/A ,"$13,782.50 ","$12,117.50 ", N/A ,"$5,180.00 ","$11,377.50 ", N/A ,"$11,377.50 ", N/A ,"$10,249.00 ","$10,249.00 ", N/A ,"$10,249.00 ", N/A ,"$16,650.00 ","$15,355.00 ", N/A , N/A ,"$16,280.00 ", N/A ,"$13,875.00 ","$13,875.00 ","$15,725.00 ","$15,725.00 ", N/A ,"$15,725.00 ", N/A ,"$14,985.00 ","$14,985.00 ","$14,985.00 ","$18,500.00 ","$16,650.00 ", N/A ,"$16,650.00 ", N/A ,"$18,500.00 ","$10,378.50 ", N/A ,"$7,659.00 ", N/A , N/A , N/A ,"$16,650.00 ", N/A ,"$10,249.00 ","$5,180.00 ","$16,650.00 ", N/A ,"$16,650.00 ","$16,650.00 ", N/A ,"$12,025.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PROSTHESIS PENILE AMS 700CX ULTREX INFLATABLE RESERVOIR TACTILE PUMP INHIBIZONE 65ML,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$3,505.50 ", N/A ,"$3,505.50 ", N/A ,"$3,157.80 ","$3,157.80 ", N/A ,"$3,157.80 ", N/A ,"$5,130.00 ","$4,731.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,617.00 ","$4,617.00 ","$4,617.00 ","$5,700.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,157.80 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PROSTHESIS PENILE AMS AMBICOR 18CM 12.5MM 2 PIECE CYLINDER PUMP PENOSCROTAL,278,1 ,"$31,000.00 ","$22,320.00 ","$8,680.00 ","$31,000.00 ", N/A ,"$23,095.00 ","$20,305.00 ", N/A ,"$8,680.00 ","$19,065.00 ", N/A ,"$19,065.00 ", N/A ,"$17,174.00 ","$17,174.00 ", N/A ,"$17,174.00 ", N/A ,"$27,900.00 ","$25,730.00 ", N/A , N/A ,"$27,280.00 ", N/A ,"$23,250.00 ","$23,250.00 ","$26,350.00 ","$26,350.00 ", N/A ,"$26,350.00 ", N/A ,"$25,110.00 ","$25,110.00 ","$25,110.00 ","$31,000.00 ","$27,900.00 ", N/A ,"$27,900.00 ", N/A ,"$31,000.00 ","$17,391.00 ", N/A ,"$12,834.00 ", N/A , N/A , N/A ,"$27,900.00 ", N/A ,"$17,174.00 ","$8,680.00 ","$27,900.00 ", N/A ,"$27,900.00 ","$27,900.00 ", N/A ,"$20,150.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,IMPLANT PENILE 14CM X 12.5MM AMBICOR AMS,278,1 ,"$31,000.00 ","$22,320.00 ","$8,680.00 ","$31,000.00 ", N/A ,"$23,095.00 ","$20,305.00 ", N/A ,"$8,680.00 ","$19,065.00 ", N/A ,"$19,065.00 ", N/A ,"$17,174.00 ","$17,174.00 ", N/A ,"$17,174.00 ", N/A ,"$27,900.00 ","$25,730.00 ", N/A , N/A ,"$27,280.00 ", N/A ,"$23,250.00 ","$23,250.00 ","$26,350.00 ","$26,350.00 ", N/A ,"$26,350.00 ", N/A ,"$25,110.00 ","$25,110.00 ","$25,110.00 ","$31,000.00 ","$27,900.00 ", N/A ,"$27,900.00 ", N/A ,"$31,000.00 ","$17,391.00 ", N/A ,"$12,834.00 ", N/A , N/A , N/A ,"$27,900.00 ", N/A ,"$17,174.00 ","$8,680.00 ","$27,900.00 ", N/A ,"$27,900.00 ","$27,900.00 ", N/A ,"$20,150.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PUMP PRECONNECTED AMS 15CM,278,1 ,"$22,250.00 ","$16,020.00 ","$6,230.00 ","$22,250.00 ", N/A ,"$16,576.25 ","$14,573.75 ", N/A ,"$6,230.00 ","$13,683.75 ", N/A ,"$13,683.75 ", N/A ,"$12,326.50 ","$12,326.50 ", N/A ,"$12,326.50 ", N/A ,"$20,025.00 ","$18,467.50 ", N/A , N/A ,"$19,580.00 ", N/A ,"$16,687.50 ","$16,687.50 ","$18,912.50 ","$18,912.50 ", N/A ,"$18,912.50 ", N/A ,"$18,022.50 ","$18,022.50 ","$18,022.50 ","$22,250.00 ","$20,025.00 ", N/A ,"$20,025.00 ", N/A ,"$22,250.00 ","$12,482.25 ", N/A ,"$9,211.50 ", N/A , N/A , N/A ,"$20,025.00 ", N/A ,"$12,326.50 ","$6,230.00 ","$20,025.00 ", N/A ,"$20,025.00 ","$20,025.00 ", N/A ,"$14,462.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PUMP MS 700 CXR AMS 14CM X 9.5MM,278,1 ,"$22,250.00 ","$16,020.00 ","$6,230.00 ","$22,250.00 ", N/A ,"$16,576.25 ","$14,573.75 ", N/A ,"$6,230.00 ","$13,683.75 ", N/A ,"$13,683.75 ", N/A ,"$12,326.50 ","$12,326.50 ", N/A ,"$12,326.50 ", N/A ,"$20,025.00 ","$18,467.50 ", N/A , N/A ,"$19,580.00 ", N/A ,"$16,687.50 ","$16,687.50 ","$18,912.50 ","$18,912.50 ", N/A ,"$18,912.50 ", N/A ,"$18,022.50 ","$18,022.50 ","$18,022.50 ","$22,250.00 ","$20,025.00 ", N/A ,"$20,025.00 ", N/A ,"$22,250.00 ","$12,482.25 ", N/A ,"$9,211.50 ", N/A , N/A , N/A ,"$20,025.00 ", N/A ,"$12,326.50 ","$6,230.00 ","$20,025.00 ", N/A ,"$20,025.00 ","$20,025.00 ", N/A ,"$14,462.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,PUMP MS AMS 700 CX 18 X 12MM,278,1 ,"$22,250.00 ","$16,020.00 ","$6,230.00 ","$22,250.00 ", N/A ,"$16,576.25 ","$14,573.75 ", N/A ,"$6,230.00 ","$13,683.75 ", N/A ,"$13,683.75 ", N/A ,"$12,326.50 ","$12,326.50 ", N/A ,"$12,326.50 ", N/A ,"$20,025.00 ","$18,467.50 ", N/A , N/A ,"$19,580.00 ", N/A ,"$16,687.50 ","$16,687.50 ","$18,912.50 ","$18,912.50 ", N/A ,"$18,912.50 ", N/A ,"$18,022.50 ","$18,022.50 ","$18,022.50 ","$22,250.00 ","$20,025.00 ", N/A ,"$20,025.00 ", N/A ,"$22,250.00 ","$12,482.25 ", N/A ,"$9,211.50 ", N/A , N/A , N/A ,"$20,025.00 ", N/A ,"$12,326.50 ","$6,230.00 ","$20,025.00 ", N/A ,"$20,025.00 ","$20,025.00 ", N/A ,"$14,462.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27871813,C1813,RESERVOIR CONCEAL AMS 100ML,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$4,243.50 ", N/A ,"$4,243.50 ", N/A ,"$3,822.60 ","$3,822.60 ", N/A ,"$3,822.60 ", N/A ,"$6,210.00 ","$5,727.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,589.00 ","$5,589.00 ","$5,589.00 ","$6,900.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$3,822.60 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$7.00 ,$5.04 ,$1.96 ,$7.00 , N/A ,$5.22 ,$4.59 , N/A ,$1.96 ,$4.31 , N/A ,$4.31 , N/A ,$3.88 ,$3.88 , N/A ,$3.88 , N/A ,$6.30 , N/A , N/A , N/A ,$6.16 , N/A ,$5.25 ,$5.25 ,$5.95 ,$5.95 , N/A ,$5.95 , N/A ,$5.67 ,$5.67 ,$5.67 ,$7.00 ,$6.30 , N/A ,$6.30 , N/A ,$7.00 ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$6.30 , N/A ,$3.88 ,$1.96 ,$6.30 , N/A ,$6.30 ,$6.30 , N/A ,$4.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000010,36415,HC VENIPUNCTURE,300,1 ,$27.00 ,$19.44 ,$1.66 ,$27.00 ,$21.43 ,$20.12 ,$17.69 ,$8.40 ,$7.56 ,$16.61 ,$8.40 ,$16.61 ,$8.40 ,$14.96 ,$14.96 ,$8.40 ,$14.96 ,$17.31 ,$24.30 , N/A ,$21.43 ,$8.40 ,$23.76 ,$8.57 ,$20.25 , N/A , N/A , N/A ,$8.40 , N/A ,$8.40 ,$21.87 ,$21.87 ,$21.87 ,$27.00 ,$24.30 ,$21.43 ,$24.30 ,$8.40 ,$3.00 ,$15.15 ,$8.40 ,$11.18 ,$1.74 ,$1.66 ,$8.82 ,$24.30 ,$19.28 ,$14.96 ,$7.56 ,$24.30 ,$8.40 ,$24.30 ,$24.30 ,$8.40 ,$17.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000016,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$140.00 ,$100.80 ,$34.25 ,$250.89 ,$140.00 ,$104.30 ,$91.70 ,$109.28 ,$39.20 ,$86.10 ,$109.28 ,$86.10 ,$109.28 ,$77.56 ,$77.56 ,$109.28 ,$77.56 ,$140.00 ,$126.00 , N/A ,$140.00 ,$109.28 ,$123.20 ,$111.47 ,$105.00 ,$105.00 ,$119.00 ,$119.00 ,$109.28 ,$119.00 ,$109.28 ,$113.40 ,$113.40 ,$113.40 ,$140.00 ,$126.00 ,$140.00 ,$126.00 ,$109.28 ,$140.00 ,$78.54 ,$109.28 ,$57.96 ,$35.88 ,$34.25 ,$114.74 ,$126.00 ,$250.89 ,$77.56 ,$39.20 ,$126.00 ,$109.28 ,$126.00 ,$126.00 ,$109.28 ,$91.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000131,G0480,HC DRUG CONFIRMATION EA PROC 1-7 CLASSES-90,301,1 ,$240.00 ,$172.80 ,$21.44 ,$257.47 ,$240.00 ,$178.80 ,$157.20 ,$112.14 ,$67.20 ,$147.60 ,$112.14 ,$147.60 ,$112.14 ,$132.96 ,$132.96 ,$112.14 ,$132.96 ,$231.15 ,$216.00 ,$199.20 ,$240.00 ,$112.14 ,$211.20 ,$114.39 ,$180.00 ,$180.00 ,$204.00 ,$204.00 ,$112.14 ,$204.00 ,$112.14 ,$194.40 ,$194.40 ,$194.40 ,$240.00 ,$216.00 ,$240.00 ,$216.00 ,$112.14 ,$240.00 ,$134.64 ,$112.14 ,$99.36 ,$22.46 ,$21.44 ,$117.75 ,$216.00 ,$257.47 ,$132.96 ,$67.20 ,$216.00 ,$112.14 ,$216.00 ,$216.00 ,$112.14 ,$156.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$205.00 ,$147.60 ,$34.25 ,$250.89 ,$205.00 ,$152.73 ,$134.28 ,$109.28 ,$57.40 ,$126.08 ,$109.28 ,$126.08 ,$109.28 ,$113.57 ,$113.57 ,$109.28 ,$113.57 ,$205.00 ,$184.50 , N/A ,$205.00 ,$109.28 ,$180.40 ,$111.47 ,$153.75 ,$153.75 ,$174.25 ,$174.25 ,$109.28 ,$174.25 ,$109.28 ,$166.05 ,$166.05 ,$166.05 ,$205.00 ,$184.50 ,$205.00 ,$184.50 ,$109.28 ,$205.00 ,$115.01 ,$109.28 ,$84.87 ,$35.88 ,$34.25 ,$114.74 ,$184.50 ,$250.89 ,$113.57 ,$57.40 ,$184.50 ,$109.28 ,$184.50 ,$184.50 ,$109.28 ,$133.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000214,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$335.85 ,$241.81 ,$34.25 ,$335.85 ,$278.76 ,$250.21 ,$219.98 ,$109.28 ,$94.04 ,$206.55 ,$109.28 ,$206.55 ,$109.28 ,$186.06 ,$186.06 ,$109.28 ,$186.06 ,$225.24 ,$302.27 , N/A ,$278.76 ,$109.28 ,$295.55 ,$111.47 ,$251.89 ,$251.89 ,$285.47 ,$285.47 ,$109.28 ,$285.47 ,$109.28 ,$272.04 ,$272.04 ,$272.04 ,$335.85 ,$302.27 ,$278.76 ,$302.27 ,$109.28 ,$335.85 ,$188.41 ,$109.28 ,$139.04 ,$35.88 ,$34.25 ,$114.74 ,$302.27 ,$250.89 ,$186.06 ,$94.04 ,$302.27 ,$109.28 ,$302.27 ,$302.27 ,$109.28 ,$218.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$50.00 ,$36.00 ,$14.00 ,$339.78 ,$50.00 ,$37.25 ,$32.75 ,$49.00 ,$14.00 ,$30.75 ,$49.00 ,$30.75 ,$49.00 ,$27.70 ,$27.70 ,$49.00 ,$27.70 ,$50.00 ,$45.00 ,$41.50 ,$50.00 ,$49.00 ,$44.00 ,$49.98 ,$37.50 ,$37.50 ,$42.50 ,$42.50 ,$49.00 ,$42.50 ,$49.00 ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 ,$50.00 ,$45.00 ,$49.00 ,$50.00 ,$28.05 ,$49.00 ,$20.70 ,$30.16 ,$28.79 ,$49.00 ,$45.00 ,$339.78 ,$27.70 ,$14.00 ,$45.00 ,$49.00 ,$45.00 ,$45.00 ,$49.00 ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$218.50 ,$157.32 ,$5.49 ,$218.50 ,$14.00 ,$162.78 ,$143.12 ,$5.49 ,$61.18 ,$134.38 ,$5.49 ,$134.38 ,$5.49 ,$121.05 ,$121.05 ,$5.49 ,$121.05 ,$11.31 ,$196.65 ,$181.36 ,$14.00 ,$5.49 ,$192.28 ,$5.60 ,$163.88 ,$163.88 ,$185.73 ,$185.73 ,$5.49 ,$185.73 ,$5.49 ,$176.99 ,$176.99 ,$176.99 ,$218.50 ,$196.65 ,$14.00 ,$196.65 ,$5.49 ,$218.50 ,$122.58 ,$5.49 ,$90.46 ,$23.84 ,$22.75 ,$5.76 ,$196.65 ,$12.60 ,$121.05 ,$61.18 ,$196.65 ,$5.49 ,$196.65 ,$196.65 ,$5.49 ,$142.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000225,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$90.85 ,$65.41 ,$5.67 ,$90.85 ,$14.48 ,$67.68 ,$59.51 ,$5.67 ,$25.44 ,$55.87 ,$5.67 ,$55.87 ,$5.67 ,$50.33 ,$50.33 ,$5.67 ,$50.33 ,$11.70 ,$81.77 ,$75.41 ,$14.48 ,$5.67 ,$79.95 ,$5.79 ,$68.14 ,$68.14 ,$77.22 ,$77.22 ,$5.67 ,$77.22 ,$5.67 ,$73.59 ,$73.59 ,$73.59 ,$90.85 ,$81.77 ,$14.48 ,$81.77 ,$5.67 ,$90.85 ,$50.97 ,$5.67 ,$37.61 ,$23.84 ,$22.75 ,$5.96 ,$81.77 ,$13.03 ,$50.33 ,$25.44 ,$81.77 ,$5.67 ,$81.77 ,$81.77 ,$5.67 ,$59.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000245,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$79.00 ,$56.88 ,$4.18 ,$79.00 ,$10.68 ,$58.86 ,$51.75 ,$4.18 ,$22.12 ,$48.59 ,$4.18 ,$48.59 ,$4.18 ,$43.77 ,$43.77 ,$4.18 ,$43.77 ,$8.63 ,$71.10 ,$65.57 ,$10.68 ,$4.18 ,$69.52 ,$4.27 ,$59.25 ,$59.25 ,$67.15 ,$67.15 ,$4.18 ,$67.15 ,$4.18 ,$63.99 ,$63.99 ,$63.99 ,$79.00 ,$71.10 ,$10.68 ,$71.10 ,$4.18 ,$79.00 ,$44.32 ,$4.18 ,$32.71 ,$5.18 ,$4.95 ,$4.39 ,$71.10 ,$9.61 ,$43.77 ,$22.12 ,$71.10 ,$4.18 ,$71.10 ,$71.10 ,$4.18 ,$51.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000246,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$166.75 ,$120.06 ,$7.18 ,$166.75 ,$18.33 ,$124.23 ,$109.22 ,$7.18 ,$46.69 ,$102.55 ,$7.18 ,$102.55 ,$7.18 ,$92.38 ,$92.38 ,$7.18 ,$92.38 ,$14.81 ,$150.08 ,$138.40 ,$18.33 ,$7.18 ,$146.74 ,$7.33 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$7.18 ,$141.74 ,$7.18 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$18.33 ,$150.08 ,$7.18 ,$166.75 ,$93.55 ,$7.18 ,$69.03 ,$23.84 ,$22.75 ,$7.55 ,$150.08 ,$16.49 ,$92.38 ,$46.69 ,$150.08 ,$7.18 ,$150.08 ,$150.08 ,$7.18 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000249,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$708.40 ,$510.05 ,$12.06 ,$708.40 ,$30.78 ,$527.76 ,$464.00 ,$12.06 ,$198.35 ,$435.67 ,$12.06 ,$435.67 ,$12.06 ,$392.45 ,$392.45 ,$12.06 ,$392.45 ,$24.87 ,$637.56 ,$500.00 ,$30.78 ,$12.06 ,$623.39 ,$12.31 ,$531.30 ,$531.30 ,$602.14 ,$602.14 ,$12.06 ,$602.14 ,$12.06 ,$573.80 ,$573.80 ,$573.80 ,$708.40 ,$637.56 ,$30.78 ,$637.56 ,$12.06 ,$708.40 ,$397.41 ,$12.06 ,$293.28 ,$23.84 ,$22.75 ,$12.67 ,$637.56 ,$27.70 ,$392.45 ,$198.35 ,$637.56 ,$12.06 ,$637.56 ,$637.56 ,$12.06 ,$460.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000250,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$149.50 ,$107.64 ,$11.81 ,$149.50 ,$30.13 ,$111.38 ,$97.92 ,$11.81 ,$41.86 ,$91.94 ,$11.81 ,$91.94 ,$11.81 ,$82.82 ,$82.82 ,$11.81 ,$82.82 ,$24.34 ,$134.55 ,$124.09 ,$30.13 ,$11.81 ,$131.56 ,$12.04 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$11.81 ,$127.08 ,$11.81 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$30.13 ,$134.55 ,$11.81 ,$149.50 ,$83.87 ,$11.81 ,$61.89 ,$23.84 ,$22.75 ,$12.40 ,$134.55 ,$27.11 ,$82.82 ,$41.86 ,$134.55 ,$11.81 ,$134.55 ,$134.55 ,$11.81 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000260,36600,HC ARTERIAL PUNCTURE,300,1 ,$29.00 ,$20.88 ,$8.12 ,$250.89 ,$29.00 ,$21.61 ,$19.00 ,$28.42 ,$8.12 ,$17.84 ,$28.42 ,$17.84 ,$28.42 ,$16.07 ,$16.07 ,$28.42 ,$16.07 ,$29.00 ,$26.10 ,$24.07 ,$29.00 ,$28.42 ,$25.52 ,$28.99 ,$21.75 ,$21.75 ,$24.65 ,$24.65 ,$28.42 ,$24.65 ,$28.42 ,$23.49 ,$23.49 ,$23.49 ,$29.00 ,$26.10 ,$29.00 ,$26.10 ,$28.42 ,$29.00 ,$16.27 ,$28.42 ,$12.01 ,$29.00 ,$29.00 ,$28.42 ,$26.10 ,$250.89 ,$16.07 ,$8.12 ,$26.10 ,$28.42 ,$26.10 ,$26.10 ,$28.42 ,$18.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30000261,N/A,HC LAB HANDLING  AND  TRANSPORT,300,1 ,$19.55 ,$14.08 ,$5.47 ,$19.55 , N/A ,$14.56 ,$12.81 , N/A ,$5.47 ,$12.02 , N/A ,$12.02 , N/A ,$10.83 ,$10.83 , N/A ,$10.83 , N/A ,$17.60 ,$16.23 , N/A , N/A ,$17.20 , N/A ,$14.66 ,$14.66 ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$15.84 ,$15.84 ,$15.84 ,$19.55 ,$17.60 , N/A ,$17.60 , N/A ,$19.55 ,$10.97 , N/A ,$8.09 , N/A , N/A , N/A ,$17.60 , N/A ,$10.83 ,$5.47 ,$17.60 , N/A ,$17.60 ,$17.60 , N/A ,$12.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30002018,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$44.85 ,$32.29 ,$7.18 ,$44.85 ,$18.33 ,$33.41 ,$29.38 ,$7.18 ,$12.56 ,$27.58 ,$7.18 ,$27.58 ,$7.18 ,$24.85 ,$24.85 ,$7.18 ,$24.85 ,$14.81 ,$40.37 ,$37.23 ,$18.33 ,$7.18 ,$39.47 ,$7.33 ,$33.64 ,$33.64 ,$38.12 ,$38.12 ,$7.18 ,$38.12 ,$7.18 ,$36.33 ,$36.33 ,$36.33 ,$44.85 ,$40.37 ,$18.33 ,$40.37 ,$7.18 ,$44.85 ,$25.16 ,$7.18 ,$18.57 ,$23.84 ,$22.75 ,$7.55 ,$40.37 ,$16.49 ,$24.85 ,$12.56 ,$40.37 ,$7.18 ,$40.37 ,$40.37 ,$7.18 ,$29.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30002020,89291,HC BX OOCYTE POLAR/EMBRYO>5 EMB -90,300,1 ,$243.80 ,$175.54 ,$25.02 ,$339.78 ,$243.80 ,$181.63 ,$159.69 ,$147.99 ,$68.26 ,$149.94 ,$147.99 ,$149.94 ,$147.99 ,$135.07 ,$135.07 ,$147.99 ,$135.07 ,$243.80 ,$219.42 ,$202.35 ,$243.80 ,$147.99 ,$214.54 ,$150.95 ,$182.85 ,$182.85 ,$207.23 ,$207.23 ,$147.99 ,$207.23 ,$147.99 ,$197.48 ,$197.48 ,$197.48 ,$243.80 ,$219.42 ,$243.80 ,$219.42 ,$147.99 ,$243.80 ,$136.77 ,$147.99 ,$100.93 ,$26.21 ,$25.02 ,$155.39 ,$219.42 ,$339.78 ,$135.07 ,$68.26 ,$219.42 ,$147.99 ,$219.42 ,$219.42 ,$147.99 ,$158.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30002021,89310,HC SPERM COUNT,300,1 ,$270.25 ,$194.58 ,$8.44 ,$270.25 ,$21.53 ,$201.34 ,$177.01 ,$8.44 ,$75.67 ,$166.20 ,$8.44 ,$166.20 ,$8.44 ,$149.72 ,$149.72 ,$8.44 ,$149.72 ,$17.39 ,$243.23 ,$224.31 ,$21.53 ,$8.44 ,$237.82 ,$8.60 ,$202.69 ,$202.69 ,$229.71 ,$229.71 ,$8.44 ,$229.71 ,$8.44 ,$218.90 ,$218.90 ,$218.90 ,$270.25 ,$243.23 ,$21.53 ,$243.23 ,$8.44 ,$270.25 ,$151.61 ,$8.44 ,$111.88 ,$23.84 ,$22.75 ,$8.86 ,$243.23 ,$19.37 ,$149.72 ,$75.67 ,$243.23 ,$8.44 ,$243.23 ,$243.23 ,$8.44 ,$175.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30002026,N/A,HC UA DRUG COLLECTION FEE,300,1 ,$82.80 ,$59.62 ,$23.18 ,$82.80 , N/A ,$61.69 ,$54.23 , N/A ,$23.18 ,$50.92 , N/A ,$50.92 , N/A ,$45.87 ,$45.87 , N/A ,$45.87 , N/A ,$74.52 ,$68.72 , N/A , N/A ,$72.86 , N/A ,$62.10 ,$62.10 ,$70.38 ,$70.38 , N/A ,$70.38 , N/A ,$67.07 ,$67.07 ,$67.07 ,$82.80 ,$74.52 , N/A ,$74.52 , N/A ,$82.80 ,$46.45 , N/A ,$34.28 , N/A , N/A , N/A ,$74.52 , N/A ,$45.87 ,$23.18 ,$74.52 , N/A ,$74.52 ,$74.52 , N/A ,$53.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30002028,N/A,HC HEALTH PROFILE PACKAGE CLIENT ONLY,300,1 ,$34.50 ,$24.84 ,$9.66 ,$34.50 , N/A ,$25.70 ,$22.60 , N/A ,$9.66 ,$21.22 , N/A ,$21.22 , N/A ,$19.11 ,$19.11 , N/A ,$19.11 , N/A ,$31.05 ,$28.64 , N/A , N/A ,$30.36 , N/A ,$25.88 ,$25.88 ,$29.33 ,$29.33 , N/A ,$29.33 , N/A ,$27.95 ,$27.95 ,$27.95 ,$34.50 ,$31.05 , N/A ,$31.05 , N/A ,$34.50 ,$19.35 , N/A ,$14.28 , N/A , N/A , N/A ,$31.05 , N/A ,$19.11 ,$9.66 ,$31.05 , N/A ,$31.05 ,$31.05 , N/A ,$22.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30002039,86999,HC TRANSFUSION UNLISTED PROCEDURE -90,300,1 ,$63.00 ,$45.36 ,$17.64 ,$63.00 ,$59.93 ,$46.94 ,$41.27 ,$23.49 ,$17.64 ,$38.75 ,$23.49 ,$38.75 ,$23.49 ,$34.90 ,$34.90 ,$23.49 ,$34.90 ,$48.42 ,$56.70 ,$52.29 ,$59.93 ,$23.49 ,$55.44 ,$23.96 ,$47.25 ,$47.25 ,$53.55 ,$53.55 ,$23.49 ,$53.55 ,$23.49 ,$51.03 ,$51.03 ,$51.03 ,$63.00 ,$56.70 ,$59.93 ,$56.70 ,$23.49 ,$63.00 ,$35.34 ,$23.49 ,$26.08 ,$30.16 ,$28.79 ,$24.67 ,$56.70 ,$53.93 ,$34.90 ,$17.64 ,$56.70 ,$23.49 ,$56.70 ,$56.70 ,$23.49 ,$40.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30040115,99001,HC SPECIMEN HAND/CONVEY OTHER,300,1 ,$66.70 ,$48.02 ,$18.68 ,$66.70 , N/A ,$49.69 ,$43.69 , N/A ,$18.68 ,$41.02 , N/A ,$41.02 , N/A ,$36.95 ,$36.95 , N/A ,$36.95 , N/A ,$60.03 ,$55.36 , N/A , N/A ,$58.70 , N/A ,$50.03 ,$50.03 ,$56.70 ,$56.70 , N/A ,$56.70 , N/A ,$54.03 ,$54.03 ,$54.03 ,$66.70 ,$60.03 , N/A ,$60.03 , N/A ,$66.70 ,$37.42 , N/A ,$27.61 , N/A , N/A , N/A ,$60.03 , N/A ,$36.95 ,$18.68 ,$60.03 , N/A ,$60.03 ,$60.03 , N/A ,$43.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$128.80 ,$92.74 ,$7.27 ,$128.80 ,$21.15 ,$95.96 ,$84.36 ,$8.29 ,$36.06 ,$79.21 ,$8.29 ,$79.21 ,$8.29 ,$71.36 ,$71.36 ,$8.29 ,$71.36 ,$17.09 ,$115.92 ,$106.90 ,$21.15 ,$8.29 ,$113.34 ,$8.46 ,$96.60 ,$96.60 ,$109.48 ,$109.48 ,$8.29 ,$109.48 ,$8.29 ,$104.33 ,$104.33 ,$104.33 ,$128.80 ,$115.92 ,$21.15 ,$115.92 ,$8.29 ,$8.46 ,$72.26 ,$8.29 ,$53.32 ,$7.61 ,$7.27 ,$8.70 ,$115.92 ,$19.04 ,$71.36 ,$36.06 ,$115.92 ,$8.29 ,$115.92 ,$115.92 ,$8.29 ,$83.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$185.15 ,$133.31 ,$6.87 ,$185.15 ,$17.53 ,$137.94 ,$121.27 ,$6.87 ,$51.84 ,$113.87 ,$6.87 ,$113.87 ,$6.87 ,$102.57 ,$102.57 ,$6.87 ,$102.57 ,$14.16 ,$166.64 ,$153.67 ,$17.53 ,$6.87 ,$162.93 ,$7.01 ,$138.86 ,$138.86 ,$157.38 ,$157.38 ,$6.87 ,$157.38 ,$6.87 ,$149.97 ,$149.97 ,$149.97 ,$185.15 ,$166.64 ,$17.53 ,$166.64 ,$6.87 ,$185.15 ,$103.87 ,$6.87 ,$76.65 ,$7.61 ,$7.27 ,$7.21 ,$166.64 ,$15.77 ,$102.57 ,$51.84 ,$166.64 ,$6.87 ,$166.64 ,$166.64 ,$6.87 ,$120.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$138.00 ,$99.36 ,$7.27 ,$138.00 ,$26.40 ,$102.81 ,$90.39 ,$10.35 ,$38.64 ,$84.87 ,$10.35 ,$84.87 ,$10.35 ,$76.45 ,$76.45 ,$10.35 ,$76.45 ,$21.33 ,$124.20 ,$114.54 ,$26.40 ,$10.35 ,$121.44 ,$10.55 ,$103.50 ,$103.50 ,$117.30 ,$117.30 ,$10.35 ,$117.30 ,$10.35 ,$111.78 ,$111.78 ,$111.78 ,$138.00 ,$124.20 ,$26.40 ,$124.20 ,$10.35 ,$10.56 ,$77.42 ,$10.35 ,$57.13 ,$7.61 ,$7.27 ,$10.87 ,$124.20 ,$23.76 ,$76.45 ,$38.64 ,$124.20 ,$10.35 ,$124.20 ,$124.20 ,$10.35 ,$89.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100106,80055,HC PRENATAL PANEL,301,1 ,$568.10 ,$409.03 ,$7.27 ,$568.10 ,$119.53 ,$423.23 ,$372.11 ,$46.85 ,$159.07 ,$349.38 ,$46.85 ,$349.38 ,$46.85 ,$314.73 ,$314.73 ,$46.85 ,$314.73 ,$96.58 ,$511.29 ,$471.52 ,$119.53 ,$46.85 ,$499.93 ,$47.79 ,$426.08 ,$426.08 ,$482.89 ,$482.89 ,$46.85 ,$482.89 ,$46.85 ,$460.16 ,$460.16 ,$460.16 ,$568.10 ,$511.29 ,$119.53 ,$511.29 ,$46.85 ,$568.10 ,$318.70 ,$46.85 ,$235.19 ,$7.61 ,$7.27 ,$49.20 ,$511.29 ,$107.57 ,$314.73 ,$159.07 ,$511.29 ,$46.85 ,$511.29 ,$511.29 ,$46.85 ,$369.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100107,80061,HC LIPID PANEL,301,1 ,$203.55 ,$146.56 ,$7.27 ,$203.55 ,$33.48 ,$151.64 ,$133.33 ,$13.12 ,$56.99 ,$125.18 ,$13.12 ,$125.18 ,$13.12 ,$112.77 ,$112.77 ,$13.12 ,$112.77 ,$27.05 ,$183.20 ,$168.95 ,$33.48 ,$13.12 ,$179.12 ,$13.39 ,$152.66 ,$152.66 ,$173.02 ,$173.02 ,$13.12 ,$173.02 ,$13.12 ,$164.88 ,$164.88 ,$164.88 ,$203.55 ,$183.20 ,$33.48 ,$183.20 ,$13.12 ,$203.55 ,$114.19 ,$13.12 ,$84.27 ,$7.61 ,$7.27 ,$13.78 ,$183.20 ,$30.13 ,$112.77 ,$56.99 ,$183.20 ,$13.12 ,$183.20 ,$183.20 ,$13.12 ,$132.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100108,80069,HC RENAL PANEL,301,1 ,$262.20 ,$188.78 ,$7.27 ,$262.20 ,$21.70 ,$195.34 ,$171.74 ,$8.51 ,$73.42 ,$161.25 ,$8.51 ,$161.25 ,$8.51 ,$145.26 ,$145.26 ,$8.51 ,$145.26 ,$17.53 ,$235.98 ,$217.63 ,$21.70 ,$8.51 ,$230.74 ,$8.67 ,$196.65 ,$196.65 ,$222.87 ,$222.87 ,$8.51 ,$222.87 ,$8.51 ,$212.38 ,$212.38 ,$212.38 ,$262.20 ,$235.98 ,$21.70 ,$235.98 ,$8.51 ,$262.20 ,$147.09 ,$8.51 ,$108.55 ,$7.61 ,$7.27 ,$8.93 ,$235.98 ,$19.53 ,$145.26 ,$73.42 ,$235.98 ,$8.51 ,$235.98 ,$235.98 ,$8.51 ,$170.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100109,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$549.70 ,$395.78 ,$7.27 ,$549.70 ,$119.08 ,$409.53 ,$360.05 ,$46.68 ,$153.92 ,$338.07 ,$46.68 ,$338.07 ,$46.68 ,$304.53 ,$304.53 ,$46.68 ,$304.53 ,$96.21 ,$494.73 ,$456.25 ,$119.08 ,$46.68 ,$483.74 ,$47.61 ,$412.28 ,$412.28 ,$467.25 ,$467.25 ,$46.68 ,$467.25 ,$46.68 ,$445.26 ,$445.26 ,$445.26 ,$549.70 ,$494.73 ,$119.08 ,$494.73 ,$46.68 ,$549.70 ,$308.38 ,$46.68 ,$227.58 ,$7.61 ,$7.27 ,$49.01 ,$494.73 ,$107.17 ,$304.53 ,$153.92 ,$494.73 ,$46.68 ,$494.73 ,$494.73 ,$46.68 ,$357.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$200.10 ,$144.07 ,$7.27 ,$200.10 ,$20.43 ,$149.07 ,$131.07 ,$8.01 ,$56.03 ,$123.06 ,$8.01 ,$123.06 ,$8.01 ,$110.86 ,$110.86 ,$8.01 ,$110.86 ,$16.50 ,$180.09 ,$166.08 ,$20.43 ,$8.01 ,$176.09 ,$8.16 ,$150.08 ,$150.08 ,$170.09 ,$170.09 ,$8.01 ,$170.09 ,$8.01 ,$162.08 ,$162.08 ,$162.08 ,$200.10 ,$180.09 ,$20.43 ,$180.09 ,$8.01 ,$200.10 ,$112.26 ,$8.01 ,$82.84 ,$7.61 ,$7.27 ,$8.41 ,$180.09 ,$18.38 ,$110.86 ,$56.03 ,$180.09 ,$8.01 ,$180.09 ,$180.09 ,$8.01 ,$130.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$193.20 ,$139.10 ,$9.15 ,$193.20 ,$36.43 ,$143.93 ,$126.55 ,$14.28 ,$54.10 ,$118.82 ,$14.28 ,$118.82 ,$14.28 ,$107.03 ,$107.03 ,$14.28 ,$107.03 ,$29.43 ,$173.88 ,$160.36 ,$36.43 ,$14.28 ,$170.02 ,$14.56 ,$144.90 ,$144.90 ,$164.22 ,$164.22 ,$14.28 ,$164.22 ,$14.28 ,$156.49 ,$156.49 ,$156.49 ,$193.20 ,$173.88 ,$36.43 ,$173.88 ,$14.28 ,$193.20 ,$108.39 ,$14.28 ,$79.98 ,$9.58 ,$9.15 ,$14.99 ,$173.88 ,$32.78 ,$107.03 ,$54.10 ,$173.88 ,$14.28 ,$173.88 ,$173.88 ,$14.28 ,$125.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100120,80162,HC DIGOXIN LEVELS,301,1 ,$177.10 ,$127.51 ,$9.15 ,$177.10 ,$33.20 ,$131.94 ,$116.00 ,$13.01 ,$49.59 ,$108.92 ,$13.01 ,$108.92 ,$13.01 ,$98.11 ,$98.11 ,$13.01 ,$98.11 ,$26.83 ,$159.39 ,$146.99 ,$33.20 ,$13.01 ,$155.85 ,$13.28 ,$132.83 ,$132.83 ,$150.54 ,$150.54 ,$13.01 ,$150.54 ,$13.01 ,$143.45 ,$143.45 ,$143.45 ,$177.10 ,$159.39 ,$33.20 ,$159.39 ,$13.01 ,$177.10 ,$99.35 ,$13.01 ,$73.32 ,$9.58 ,$9.15 ,$13.66 ,$159.39 ,$29.88 ,$98.11 ,$49.59 ,$159.39 ,$13.01 ,$159.39 ,$159.39 ,$13.01 ,$115.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100121,80164,HC VALPROIC ACID,301,1 ,$184.00 ,$132.48 ,$9.15 ,$184.00 ,$33.85 ,$137.08 ,$120.52 ,$13.27 ,$51.52 ,$113.16 ,$13.27 ,$113.16 ,$13.27 ,$101.94 ,$101.94 ,$13.27 ,$101.94 ,$27.35 ,$165.60 ,$152.72 ,$33.85 ,$13.27 ,$161.92 ,$13.53 ,$138.00 ,$138.00 ,$156.40 ,$156.40 ,$13.27 ,$156.40 ,$13.27 ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 ,$33.85 ,$165.60 ,$13.27 ,$184.00 ,$103.22 ,$13.27 ,$76.18 ,$9.58 ,$9.15 ,$13.94 ,$165.60 ,$30.47 ,$101.94 ,$51.52 ,$165.60 ,$13.27 ,$165.60 ,$165.60 ,$13.27 ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100124,80170,HC GENTAMICIN,301,1 ,$249.55 ,$179.68 ,$9.15 ,$249.55 ,$40.95 ,$185.91 ,$163.46 ,$16.05 ,$69.87 ,$153.47 ,$16.05 ,$153.47 ,$16.05 ,$138.25 ,$138.25 ,$16.05 ,$138.25 ,$33.09 ,$224.60 ,$207.13 ,$40.95 ,$16.05 ,$219.60 ,$16.38 ,$187.16 ,$187.16 ,$212.12 ,$212.12 ,$16.05 ,$212.12 ,$16.05 ,$202.14 ,$202.14 ,$202.14 ,$249.55 ,$224.60 ,$40.95 ,$224.60 ,$16.05 ,$249.55 ,$140.00 ,$16.05 ,$103.31 ,$9.58 ,$9.15 ,$16.86 ,$224.60 ,$36.86 ,$138.25 ,$69.87 ,$224.60 ,$16.05 ,$224.60 ,$224.60 ,$16.05 ,$162.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100127,80178,HC LITHIUM,301,1 ,$103.50 ,$74.52 ,$6.48 ,$103.50 ,$16.53 ,$77.11 ,$67.79 ,$6.48 ,$28.98 ,$63.65 ,$6.48 ,$63.65 ,$6.48 ,$57.34 ,$57.34 ,$6.48 ,$57.34 ,$13.35 ,$93.15 ,$85.91 ,$16.53 ,$6.48 ,$91.08 ,$6.61 ,$77.63 ,$77.63 ,$87.98 ,$87.98 ,$6.48 ,$87.98 ,$6.48 ,$83.84 ,$83.84 ,$83.84 ,$103.50 ,$93.15 ,$16.53 ,$93.15 ,$6.48 ,$103.50 ,$58.06 ,$6.48 ,$42.85 ,$9.58 ,$9.15 ,$6.80 ,$93.15 ,$14.87 ,$57.34 ,$28.98 ,$93.15 ,$6.48 ,$93.15 ,$93.15 ,$6.48 ,$67.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100129,80184,HC PHENOBARBITAL,301,1 ,$175.95 ,$126.68 ,$9.15 ,$175.95 ,$38.25 ,$131.08 ,$115.25 ,$14.99 ,$49.27 ,$108.21 ,$14.99 ,$108.21 ,$14.99 ,$97.48 ,$97.48 ,$14.99 ,$97.48 ,$30.91 ,$158.36 ,$146.04 ,$38.25 ,$14.99 ,$154.84 ,$15.30 ,$131.96 ,$131.96 ,$149.56 ,$149.56 ,$14.99 ,$149.56 ,$14.99 ,$142.52 ,$142.52 ,$142.52 ,$175.95 ,$158.36 ,$38.25 ,$158.36 ,$14.99 ,$175.95 ,$98.71 ,$14.99 ,$72.84 ,$9.58 ,$9.15 ,$15.75 ,$158.36 ,$34.43 ,$97.48 ,$49.27 ,$158.36 ,$14.99 ,$158.36 ,$158.36 ,$14.99 ,$114.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$184.00 ,$132.48 ,$9.15 ,$184.00 ,$33.13 ,$137.08 ,$120.52 ,$12.98 ,$51.52 ,$113.16 ,$12.98 ,$113.16 ,$12.98 ,$101.94 ,$101.94 ,$12.98 ,$101.94 ,$26.77 ,$165.60 ,$152.72 ,$33.13 ,$12.98 ,$161.92 ,$13.25 ,$138.00 ,$138.00 ,$156.40 ,$156.40 ,$12.98 ,$156.40 ,$12.98 ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 ,$33.13 ,$165.60 ,$12.98 ,$184.00 ,$103.22 ,$12.98 ,$76.18 ,$9.58 ,$9.15 ,$13.63 ,$165.60 ,$29.81 ,$101.94 ,$51.52 ,$165.60 ,$12.98 ,$165.60 ,$165.60 ,$12.98 ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100138,80198,HC THEOPHYLLINE,301,1 ,$182.85 ,$131.65 ,$9.15 ,$182.85 ,$35.35 ,$136.22 ,$119.77 ,$13.86 ,$51.20 ,$112.45 ,$13.86 ,$112.45 ,$13.86 ,$101.30 ,$101.30 ,$13.86 ,$101.30 ,$28.56 ,$164.57 ,$151.77 ,$35.35 ,$13.86 ,$160.91 ,$14.13 ,$137.14 ,$137.14 ,$155.42 ,$155.42 ,$13.86 ,$155.42 ,$13.86 ,$148.11 ,$148.11 ,$148.11 ,$182.85 ,$164.57 ,$35.35 ,$164.57 ,$13.86 ,$182.85 ,$102.58 ,$13.86 ,$75.70 ,$9.58 ,$9.15 ,$14.55 ,$164.57 ,$31.82 ,$101.30 ,$51.20 ,$164.57 ,$13.86 ,$164.57 ,$164.57 ,$13.86 ,$118.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100139,80200,HC TOBRAMYCIN,301,1 ,$200.10 ,$144.07 ,$9.15 ,$200.10 ,$40.33 ,$149.07 ,$131.07 ,$15.81 ,$56.03 ,$123.06 ,$15.81 ,$123.06 ,$15.81 ,$110.86 ,$110.86 ,$15.81 ,$110.86 ,$32.58 ,$180.09 ,$166.08 ,$40.33 ,$15.81 ,$176.09 ,$16.12 ,$150.08 ,$150.08 ,$170.09 ,$170.09 ,$15.81 ,$170.09 ,$15.81 ,$162.08 ,$162.08 ,$162.08 ,$200.10 ,$180.09 ,$40.33 ,$180.09 ,$15.81 ,$200.10 ,$112.26 ,$15.81 ,$82.84 ,$9.58 ,$9.15 ,$16.60 ,$180.09 ,$36.29 ,$110.86 ,$56.03 ,$180.09 ,$15.81 ,$180.09 ,$180.09 ,$15.81 ,$130.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100141,80202,HC VANCOMYCIN,301,1 ,$258.75 ,$186.30 ,$9.15 ,$258.75 ,$33.85 ,$192.77 ,$169.48 ,$13.27 ,$72.45 ,$159.13 ,$13.27 ,$159.13 ,$13.27 ,$143.35 ,$143.35 ,$13.27 ,$143.35 ,$27.35 ,$232.88 ,$214.76 ,$33.85 ,$13.27 ,$227.70 ,$13.53 ,$194.06 ,$194.06 ,$219.94 ,$219.94 ,$13.27 ,$219.94 ,$13.27 ,$209.59 ,$209.59 ,$209.59 ,$258.75 ,$232.88 ,$33.85 ,$232.88 ,$13.27 ,$258.75 ,$145.16 ,$13.27 ,$107.12 ,$9.58 ,$9.15 ,$13.94 ,$232.88 ,$30.47 ,$143.35 ,$72.45 ,$232.88 ,$13.27 ,$232.88 ,$232.88 ,$13.27 ,$168.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100157,82009,HC ACETONE SERUM,301,1 ,$79.35 ,$57.13 ,$3.54 ,$79.35 ,$11.30 ,$59.12 ,$51.97 ,$4.43 ,$22.22 ,$48.80 ,$4.43 ,$48.80 ,$4.43 ,$43.96 ,$43.96 ,$4.43 ,$43.96 ,$9.13 ,$71.42 ,$65.86 ,$11.30 ,$4.43 ,$69.83 ,$4.52 ,$59.51 ,$59.51 ,$67.45 ,$67.45 ,$4.43 ,$67.45 ,$4.43 ,$64.27 ,$64.27 ,$64.27 ,$79.35 ,$71.42 ,$11.30 ,$71.42 ,$4.43 ,$79.35 ,$44.52 ,$4.43 ,$32.85 ,$3.71 ,$3.54 ,$4.65 ,$71.42 ,$10.17 ,$43.96 ,$22.22 ,$71.42 ,$4.43 ,$71.42 ,$71.42 ,$4.43 ,$51.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100165,82040,HC ALBUMIN SERUM,301,1 ,$72.45 ,$52.16 ,$3.54 ,$72.45 ,$12.38 ,$53.98 ,$47.45 ,$4.85 ,$20.29 ,$44.56 ,$4.85 ,$44.56 ,$4.85 ,$40.14 ,$40.14 ,$4.85 ,$40.14 ,$10.00 ,$65.21 ,$60.13 ,$12.38 ,$4.85 ,$63.76 ,$4.95 ,$54.34 ,$54.34 ,$61.58 ,$61.58 ,$4.85 ,$61.58 ,$4.85 ,$58.68 ,$58.68 ,$58.68 ,$72.45 ,$65.21 ,$12.38 ,$65.21 ,$4.85 ,$72.45 ,$40.64 ,$4.85 ,$29.99 ,$3.71 ,$3.54 ,$5.10 ,$65.21 ,$11.14 ,$40.14 ,$20.29 ,$65.21 ,$4.85 ,$65.21 ,$65.21 ,$4.85 ,$47.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$167.90 ,$120.89 ,$2.85 ,$167.90 ,$14.45 ,$125.09 ,$109.97 ,$5.66 ,$47.01 ,$103.26 ,$5.66 ,$103.26 ,$5.66 ,$93.02 ,$93.02 ,$5.66 ,$93.02 ,$11.68 ,$151.11 ,$139.36 ,$14.45 ,$5.66 ,$147.75 ,$5.78 ,$125.93 ,$125.93 ,$142.72 ,$142.72 ,$5.66 ,$142.72 ,$5.66 ,$136.00 ,$136.00 ,$136.00 ,$167.90 ,$151.11 ,$14.45 ,$151.11 ,$5.66 ,$167.90 ,$94.19 ,$5.66 ,$69.51 ,$2.98 ,$2.85 ,$5.95 ,$151.11 ,$13.01 ,$93.02 ,$47.01 ,$151.11 ,$5.66 ,$151.11 ,$151.11 ,$5.66 ,$109.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100186,82140,HC AMMONIA,301,1 ,$210.45 ,$151.52 ,$7.96 ,$210.45 ,$36.43 ,$156.79 ,$137.84 ,$14.28 ,$58.93 ,$129.43 ,$14.28 ,$129.43 ,$14.28 ,$116.59 ,$116.59 ,$14.28 ,$116.59 ,$29.43 ,$189.41 ,$174.67 ,$36.43 ,$14.28 ,$185.20 ,$14.56 ,$157.84 ,$157.84 ,$178.88 ,$178.88 ,$14.28 ,$178.88 ,$14.28 ,$170.46 ,$170.46 ,$170.46 ,$210.45 ,$189.41 ,$36.43 ,$189.41 ,$14.28 ,$210.45 ,$118.06 ,$14.28 ,$87.13 ,$8.34 ,$7.96 ,$14.99 ,$189.41 ,$32.78 ,$116.59 ,$58.93 ,$189.41 ,$14.28 ,$189.41 ,$189.41 ,$14.28 ,$136.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100188,82150,HC AMYLASE,301,1 ,$111.55 ,$80.32 ,$6.35 ,$111.55 ,$16.20 ,$83.10 ,$73.07 ,$6.35 ,$31.23 ,$68.60 ,$6.35 ,$68.60 ,$6.35 ,$61.80 ,$61.80 ,$6.35 ,$61.80 ,$13.09 ,$100.40 ,$92.59 ,$16.20 ,$6.35 ,$98.16 ,$6.48 ,$83.66 ,$83.66 ,$94.82 ,$94.82 ,$6.35 ,$94.82 ,$6.35 ,$90.36 ,$90.36 ,$90.36 ,$111.55 ,$100.40 ,$16.20 ,$100.40 ,$6.35 ,$111.55 ,$62.58 ,$6.35 ,$46.18 ,$8.34 ,$7.96 ,$6.66 ,$100.40 ,$14.58 ,$61.80 ,$31.23 ,$100.40 ,$6.35 ,$100.40 ,$100.40 ,$6.35 ,$72.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$123.05 ,$88.60 ,$3.54 ,$123.05 ,$12.55 ,$91.67 ,$80.60 ,$4.92 ,$34.45 ,$75.68 ,$4.92 ,$75.68 ,$4.92 ,$68.17 ,$68.17 ,$4.92 ,$68.17 ,$10.14 ,$110.75 ,$102.13 ,$12.55 ,$4.92 ,$108.28 ,$5.02 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$4.92 ,$104.59 ,$4.92 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$12.55 ,$110.75 ,$4.92 ,$123.05 ,$69.03 ,$4.92 ,$50.94 ,$3.71 ,$3.54 ,$5.16 ,$110.75 ,$11.30 ,$68.17 ,$34.45 ,$110.75 ,$4.92 ,$110.75 ,$110.75 ,$4.92 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$105.80 ,$76.18 ,$3.54 ,$105.80 ,$12.55 ,$78.82 ,$69.30 ,$4.92 ,$29.62 ,$65.07 ,$4.92 ,$65.07 ,$4.92 ,$58.61 ,$58.61 ,$4.92 ,$58.61 ,$10.14 ,$95.22 ,$87.81 ,$12.55 ,$4.92 ,$93.10 ,$5.02 ,$79.35 ,$79.35 ,$89.93 ,$89.93 ,$4.92 ,$89.93 ,$4.92 ,$85.70 ,$85.70 ,$85.70 ,$105.80 ,$95.22 ,$12.55 ,$95.22 ,$4.92 ,$105.80 ,$59.35 ,$4.92 ,$43.80 ,$3.71 ,$3.54 ,$5.16 ,$95.22 ,$11.30 ,$58.61 ,$29.62 ,$95.22 ,$4.92 ,$95.22 ,$95.22 ,$4.92 ,$68.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100212,82306,HC VITAMIN D 25 OH,301,1 ,$128.80 ,$92.74 ,$21.44 ,$128.80 ,$74.00 ,$95.96 ,$84.36 ,$29.01 ,$36.06 ,$79.21 ,$29.01 ,$79.21 ,$29.01 ,$71.36 ,$71.36 ,$29.01 ,$71.36 ,$59.79 ,$115.92 ,$106.90 ,$74.00 ,$29.01 ,$113.34 ,$29.59 ,$96.60 ,$96.60 ,$109.48 ,$109.48 ,$29.01 ,$109.48 ,$29.01 ,$104.33 ,$104.33 ,$104.33 ,$128.80 ,$115.92 ,$74.00 ,$115.92 ,$29.01 ,$128.80 ,$72.26 ,$29.01 ,$53.32 ,$22.46 ,$21.44 ,$30.46 ,$115.92 ,$66.60 ,$71.36 ,$36.06 ,$115.92 ,$29.01 ,$115.92 ,$115.92 ,$29.01 ,$83.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100214,82310,HC CALCIUM,301,1 ,$79.35 ,$57.13 ,$3.54 ,$79.35 ,$12.90 ,$59.12 ,$51.97 ,$5.06 ,$22.22 ,$48.80 ,$5.06 ,$48.80 ,$5.06 ,$43.96 ,$43.96 ,$5.06 ,$43.96 ,$10.42 ,$71.42 ,$65.86 ,$12.90 ,$5.06 ,$69.83 ,$5.15 ,$59.51 ,$59.51 ,$67.45 ,$67.45 ,$5.06 ,$67.45 ,$5.06 ,$64.27 ,$64.27 ,$64.27 ,$79.35 ,$71.42 ,$12.90 ,$71.42 ,$5.06 ,$79.35 ,$44.52 ,$5.06 ,$32.85 ,$3.71 ,$3.54 ,$5.31 ,$71.42 ,$11.61 ,$43.96 ,$22.22 ,$71.42 ,$5.06 ,$71.42 ,$71.42 ,$5.06 ,$51.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100215,82330,HC CALCIUM IONIZED,301,1 ,$203.55 ,$146.56 ,$7.96 ,$203.55 ,$34.20 ,$151.64 ,$133.33 ,$13.41 ,$56.99 ,$125.18 ,$13.41 ,$125.18 ,$13.41 ,$112.77 ,$112.77 ,$13.41 ,$112.77 ,$27.63 ,$183.20 ,$168.95 ,$34.20 ,$13.41 ,$179.12 ,$13.67 ,$152.66 ,$152.66 ,$173.02 ,$173.02 ,$13.41 ,$173.02 ,$13.41 ,$164.88 ,$164.88 ,$164.88 ,$203.55 ,$183.20 ,$34.20 ,$183.20 ,$13.41 ,$203.55 ,$114.19 ,$13.41 ,$84.27 ,$8.34 ,$7.96 ,$14.07 ,$183.20 ,$30.78 ,$112.77 ,$56.99 ,$183.20 ,$13.41 ,$183.20 ,$183.20 ,$13.41 ,$132.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$170.20 ,$122.54 ,$5.91 ,$170.20 ,$15.08 ,$126.80 ,$111.48 ,$5.91 ,$47.66 ,$104.67 ,$5.91 ,$104.67 ,$5.91 ,$94.29 ,$94.29 ,$5.91 ,$94.29 ,$12.18 ,$153.18 ,$141.27 ,$15.08 ,$5.91 ,$149.78 ,$6.03 ,$127.65 ,$127.65 ,$144.67 ,$144.67 ,$5.91 ,$144.67 ,$5.91 ,$137.86 ,$137.86 ,$137.86 ,$170.20 ,$153.18 ,$15.08 ,$153.18 ,$5.91 ,$170.20 ,$95.48 ,$5.91 ,$70.46 ,$8.34 ,$7.96 ,$6.20 ,$153.18 ,$13.57 ,$94.29 ,$47.66 ,$153.18 ,$5.91 ,$153.18 ,$153.18 ,$5.91 ,$110.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100222,82374,HC BICARBONATE,301,1 ,$51.75 ,$37.26 ,$3.54 ,$51.75 ,$12.20 ,$38.55 ,$33.90 ,$4.78 ,$14.49 ,$31.83 ,$4.78 ,$31.83 ,$4.78 ,$28.67 ,$28.67 ,$4.78 ,$28.67 ,$9.86 ,$46.58 ,$42.95 ,$12.20 ,$4.78 ,$45.54 ,$4.88 ,$38.81 ,$38.81 ,$43.99 ,$43.99 ,$4.78 ,$43.99 ,$4.78 ,$41.92 ,$41.92 ,$41.92 ,$51.75 ,$46.58 ,$12.20 ,$46.58 ,$4.78 ,$51.75 ,$29.03 ,$4.78 ,$21.42 ,$3.71 ,$3.54 ,$5.02 ,$46.58 ,$10.98 ,$28.67 ,$14.49 ,$46.58 ,$4.78 ,$46.58 ,$46.58 ,$4.78 ,$33.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100226,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$238.05 ,$171.40 ,$7.96 ,$238.05 ,$47.40 ,$177.35 ,$155.92 ,$18.58 ,$66.65 ,$146.40 ,$18.58 ,$146.40 ,$18.58 ,$131.88 ,$131.88 ,$18.58 ,$131.88 ,$38.30 ,$214.25 ,$197.58 ,$47.40 ,$18.58 ,$209.48 ,$18.95 ,$178.54 ,$178.54 ,$202.34 ,$202.34 ,$18.58 ,$202.34 ,$18.58 ,$192.82 ,$192.82 ,$192.82 ,$238.05 ,$214.25 ,$47.40 ,$214.25 ,$18.58 ,$238.05 ,$133.55 ,$18.58 ,$98.55 ,$8.34 ,$7.96 ,$19.51 ,$214.25 ,$42.66 ,$131.88 ,$66.65 ,$214.25 ,$18.58 ,$214.25 ,$214.25 ,$18.58 ,$154.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100237,82435,HC CHLORIDE,301,1 ,$72.45 ,$52.16 ,$3.54 ,$72.45 ,$11.50 ,$53.98 ,$47.45 ,$4.51 ,$20.29 ,$44.56 ,$4.51 ,$44.56 ,$4.51 ,$40.14 ,$40.14 ,$4.51 ,$40.14 ,$9.29 ,$65.21 ,$60.13 ,$11.50 ,$4.51 ,$63.76 ,$4.60 ,$54.34 ,$54.34 ,$61.58 ,$61.58 ,$4.51 ,$61.58 ,$4.51 ,$58.68 ,$58.68 ,$58.68 ,$72.45 ,$65.21 ,$11.50 ,$65.21 ,$4.51 ,$72.45 ,$40.64 ,$4.51 ,$29.99 ,$3.71 ,$3.54 ,$4.73 ,$65.21 ,$10.35 ,$40.14 ,$20.29 ,$65.21 ,$4.51 ,$65.21 ,$65.21 ,$4.51 ,$47.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100238,82436,HC CHLORIDE URINE,301,1 ,$73.60 ,$52.99 ,$3.54 ,$73.60 ,$14.38 ,$54.83 ,$48.21 ,$5.63 ,$20.61 ,$45.26 ,$5.63 ,$45.26 ,$5.63 ,$40.77 ,$40.77 ,$5.63 ,$40.77 ,$11.62 ,$66.24 ,$61.09 ,$14.38 ,$5.63 ,$64.77 ,$5.75 ,$55.20 ,$55.20 ,$62.56 ,$62.56 ,$5.63 ,$62.56 ,$5.63 ,$59.62 ,$59.62 ,$59.62 ,$73.60 ,$66.24 ,$14.38 ,$66.24 ,$5.63 ,$73.60 ,$41.29 ,$5.63 ,$30.47 ,$3.71 ,$3.54 ,$5.92 ,$66.24 ,$12.94 ,$40.77 ,$20.61 ,$66.24 ,$5.63 ,$66.24 ,$66.24 ,$5.63 ,$47.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100240,82438,HC CHLORIDE OTHER SOURCE,301,1 ,$43.70 ,$31.46 ,$3.54 ,$43.70 ,$12.50 ,$32.56 ,$28.62 ,$4.90 ,$12.24 ,$26.88 ,$4.90 ,$26.88 ,$4.90 ,$24.21 ,$24.21 ,$4.90 ,$24.21 ,$10.10 ,$39.33 ,$36.27 ,$12.50 ,$4.90 ,$38.46 ,$5.00 ,$32.78 ,$32.78 ,$37.15 ,$37.15 ,$4.90 ,$37.15 ,$4.90 ,$35.40 ,$35.40 ,$35.40 ,$43.70 ,$39.33 ,$12.50 ,$39.33 ,$4.90 ,$43.70 ,$24.52 ,$4.90 ,$18.09 ,$3.71 ,$3.54 ,$5.14 ,$39.33 ,$11.25 ,$24.21 ,$12.24 ,$39.33 ,$4.90 ,$39.33 ,$39.33 ,$4.90 ,$28.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100241,82465,HC CHOLESTEROL,301,1 ,$72.45 ,$52.16 ,$3.54 ,$72.45 ,$10.88 ,$53.98 ,$47.45 ,$4.26 ,$20.29 ,$44.56 ,$4.26 ,$44.56 ,$4.26 ,$40.14 ,$40.14 ,$4.26 ,$40.14 ,$8.79 ,$65.21 ,$60.13 ,$10.88 ,$4.26 ,$63.76 ,$4.35 ,$54.34 ,$54.34 ,$61.58 ,$61.58 ,$4.26 ,$61.58 ,$4.26 ,$58.68 ,$58.68 ,$58.68 ,$72.45 ,$65.21 ,$10.88 ,$65.21 ,$4.26 ,$72.45 ,$40.64 ,$4.26 ,$29.99 ,$3.71 ,$3.54 ,$4.48 ,$65.21 ,$9.79 ,$40.14 ,$20.29 ,$65.21 ,$4.26 ,$65.21 ,$65.21 ,$4.26 ,$47.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100254,82533,HC CORTISOL TOTAL,301,1 ,$264.50 ,$190.44 ,$15.97 ,$264.50 ,$40.75 ,$197.05 ,$173.25 ,$15.97 ,$74.06 ,$162.67 ,$15.97 ,$162.67 ,$15.97 ,$146.53 ,$146.53 ,$15.97 ,$146.53 ,$32.93 ,$238.05 ,$219.54 ,$40.75 ,$15.97 ,$232.76 ,$16.30 ,$198.38 ,$198.38 ,$224.83 ,$224.83 ,$15.97 ,$224.83 ,$15.97 ,$214.25 ,$214.25 ,$214.25 ,$264.50 ,$238.05 ,$40.75 ,$238.05 ,$15.97 ,$264.50 ,$148.38 ,$15.97 ,$109.50 ,$19.53 ,$18.64 ,$16.78 ,$238.05 ,$36.68 ,$146.53 ,$74.06 ,$238.05 ,$15.97 ,$238.05 ,$238.05 ,$15.97 ,$171.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$112.70 ,$81.14 ,$3.54 ,$112.70 ,$16.28 ,$83.96 ,$73.82 ,$6.38 ,$31.56 ,$69.31 ,$6.38 ,$69.31 ,$6.38 ,$62.44 ,$62.44 ,$6.38 ,$62.44 ,$13.15 ,$101.43 ,$93.54 ,$16.28 ,$6.38 ,$99.18 ,$6.51 ,$84.53 ,$84.53 ,$95.80 ,$95.80 ,$6.38 ,$95.80 ,$6.38 ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 ,$16.28 ,$101.43 ,$6.38 ,$112.70 ,$63.22 ,$6.38 ,$46.66 ,$3.71 ,$3.54 ,$6.70 ,$101.43 ,$14.65 ,$62.44 ,$31.56 ,$101.43 ,$6.38 ,$101.43 ,$101.43 ,$6.38 ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$261.05 ,$187.96 ,$7.96 ,$261.05 ,$28.88 ,$194.48 ,$170.99 ,$11.32 ,$73.09 ,$160.55 ,$11.32 ,$160.55 ,$11.32 ,$144.62 ,$144.62 ,$11.32 ,$144.62 ,$23.33 ,$234.95 ,$216.67 ,$28.88 ,$11.32 ,$229.72 ,$11.54 ,$195.79 ,$195.79 ,$221.89 ,$221.89 ,$11.32 ,$221.89 ,$11.32 ,$211.45 ,$211.45 ,$211.45 ,$261.05 ,$234.95 ,$28.88 ,$234.95 ,$11.32 ,$261.05 ,$146.45 ,$11.32 ,$108.07 ,$8.34 ,$7.96 ,$11.89 ,$234.95 ,$25.99 ,$144.62 ,$73.09 ,$234.95 ,$11.32 ,$234.95 ,$234.95 ,$11.32 ,$169.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100262,82565,HC CREATININE,301,1 ,$72.45 ,$52.16 ,$3.54 ,$72.45 ,$12.80 ,$53.98 ,$47.45 ,$5.02 ,$20.29 ,$44.56 ,$5.02 ,$44.56 ,$5.02 ,$40.14 ,$40.14 ,$5.02 ,$40.14 ,$10.34 ,$65.21 ,$60.13 ,$12.80 ,$5.02 ,$63.76 ,$5.12 ,$54.34 ,$54.34 ,$61.58 ,$61.58 ,$5.02 ,$61.58 ,$5.02 ,$58.68 ,$58.68 ,$58.68 ,$72.45 ,$65.21 ,$12.80 ,$65.21 ,$5.02 ,$5.12 ,$40.64 ,$5.02 ,$29.99 ,$3.71 ,$3.54 ,$5.27 ,$65.21 ,$11.52 ,$40.14 ,$20.29 ,$65.21 ,$5.02 ,$65.21 ,$65.21 ,$5.02 ,$47.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$149.50 ,$107.64 ,$3.54 ,$149.50 ,$12.95 ,$111.38 ,$97.92 ,$5.08 ,$41.86 ,$91.94 ,$5.08 ,$91.94 ,$5.08 ,$82.82 ,$82.82 ,$5.08 ,$82.82 ,$10.46 ,$134.55 ,$124.09 ,$12.95 ,$5.08 ,$131.56 ,$5.17 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$5.08 ,$127.08 ,$5.08 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$12.95 ,$134.55 ,$5.08 ,$149.50 ,$83.87 ,$5.08 ,$61.89 ,$3.71 ,$3.54 ,$5.33 ,$134.55 ,$11.66 ,$82.82 ,$41.86 ,$134.55 ,$5.08 ,$134.55 ,$134.55 ,$5.08 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100266,82575,HC CREATININE CLEARANCE,301,1 ,$217.35 ,$156.49 ,$7.96 ,$217.35 ,$23.65 ,$161.93 ,$142.36 ,$9.27 ,$60.86 ,$133.67 ,$9.27 ,$133.67 ,$9.27 ,$120.41 ,$120.41 ,$9.27 ,$120.41 ,$19.11 ,$195.62 ,$180.40 ,$23.65 ,$9.27 ,$191.27 ,$9.46 ,$163.01 ,$163.01 ,$184.75 ,$184.75 ,$9.27 ,$184.75 ,$9.27 ,$176.05 ,$176.05 ,$176.05 ,$217.35 ,$195.62 ,$23.65 ,$195.62 ,$9.27 ,$217.35 ,$121.93 ,$9.27 ,$89.98 ,$8.34 ,$7.96 ,$9.73 ,$195.62 ,$21.29 ,$120.41 ,$60.86 ,$195.62 ,$9.27 ,$195.62 ,$195.62 ,$9.27 ,$141.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100269,82607,HC VITAMIN B12,301,1 ,$98.90 ,$71.21 ,$10.72 ,$98.90 ,$37.70 ,$73.68 ,$64.78 ,$14.78 ,$27.69 ,$60.82 ,$14.78 ,$60.82 ,$14.78 ,$54.79 ,$54.79 ,$14.78 ,$54.79 ,$30.46 ,$89.01 ,$82.09 ,$37.70 ,$14.78 ,$87.03 ,$15.07 ,$74.18 ,$74.18 ,$84.07 ,$84.07 ,$14.78 ,$84.07 ,$14.78 ,$80.11 ,$80.11 ,$80.11 ,$98.90 ,$89.01 ,$37.70 ,$89.01 ,$14.78 ,$98.90 ,$55.48 ,$14.78 ,$40.94 ,$11.23 ,$10.72 ,$15.51 ,$89.01 ,$33.93 ,$54.79 ,$27.69 ,$89.01 ,$14.78 ,$89.01 ,$89.01 ,$14.78 ,$64.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100276,82670,HC ESTRADIOL,301,1 ,$338.10 ,$243.43 ,$18.64 ,$338.10 ,$69.85 ,$251.88 ,$221.46 ,$27.38 ,$94.67 ,$207.93 ,$27.38 ,$207.93 ,$27.38 ,$187.31 ,$187.31 ,$27.38 ,$187.31 ,$56.44 ,$304.29 ,$280.62 ,$69.85 ,$27.38 ,$297.53 ,$27.93 ,$253.58 ,$253.58 ,$287.39 ,$287.39 ,$27.38 ,$287.39 ,$27.38 ,$273.86 ,$273.86 ,$273.86 ,$338.10 ,$304.29 ,$69.85 ,$304.29 ,$27.38 ,$338.10 ,$189.67 ,$27.38 ,$139.97 ,$19.53 ,$18.64 ,$28.75 ,$304.29 ,$62.87 ,$187.31 ,$94.67 ,$304.29 ,$27.38 ,$304.29 ,$304.29 ,$27.38 ,$219.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100290,82728,HC FERRITIN,301,1 ,$235.75 ,$169.74 ,$7.96 ,$235.75 ,$34.08 ,$175.63 ,$154.42 ,$13.36 ,$66.01 ,$144.99 ,$13.36 ,$144.99 ,$13.36 ,$130.61 ,$130.61 ,$13.36 ,$130.61 ,$27.53 ,$212.18 ,$195.67 ,$34.08 ,$13.36 ,$207.46 ,$13.62 ,$176.81 ,$176.81 ,$200.39 ,$200.39 ,$13.36 ,$200.39 ,$13.36 ,$190.96 ,$190.96 ,$190.96 ,$235.75 ,$212.18 ,$34.08 ,$212.18 ,$13.36 ,$235.75 ,$132.26 ,$13.36 ,$97.60 ,$8.34 ,$7.96 ,$14.02 ,$212.18 ,$30.67 ,$130.61 ,$66.01 ,$212.18 ,$13.36 ,$212.18 ,$212.18 ,$13.36 ,$153.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100291,82731,HC FETAL FIBRONECTIN,301,1 ,$652.05 ,$469.48 ,$21.44 ,$652.05 ,$161.03 ,$485.78 ,$427.09 ,$63.12 ,$182.57 ,$401.01 ,$63.12 ,$401.01 ,$63.12 ,$361.24 ,$361.24 ,$63.12 ,$361.24 ,$130.11 ,$586.85 ,$500.00 ,$161.03 ,$63.12 ,$573.80 ,$64.39 ,$489.04 ,$489.04 ,$554.24 ,$554.24 ,$63.12 ,$554.24 ,$63.12 ,$528.16 ,$528.16 ,$528.16 ,$652.05 ,$586.85 ,$161.03 ,$586.85 ,$63.12 ,$652.05 ,$365.80 ,$63.12 ,$269.95 ,$22.46 ,$21.44 ,$66.28 ,$586.85 ,$144.92 ,$361.24 ,$182.57 ,$586.85 ,$63.12 ,$586.85 ,$586.85 ,$63.12 ,$423.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100292,82746,HC FOLIC ACID SERUM,301,1 ,$179.40 ,$129.17 ,$7.96 ,$179.40 ,$36.75 ,$133.65 ,$117.51 ,$14.41 ,$50.23 ,$110.33 ,$14.41 ,$110.33 ,$14.41 ,$99.39 ,$99.39 ,$14.41 ,$99.39 ,$29.69 ,$161.46 ,$148.90 ,$36.75 ,$14.41 ,$157.87 ,$14.69 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$14.41 ,$152.49 ,$14.41 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$36.75 ,$161.46 ,$14.41 ,$179.40 ,$100.64 ,$14.41 ,$74.27 ,$8.34 ,$7.96 ,$15.13 ,$161.46 ,$33.08 ,$99.39 ,$50.23 ,$161.46 ,$14.41 ,$161.46 ,$161.46 ,$14.41 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100295,82784,HC GAMMAGLOBULIN,301,1 ,$165.60 ,$119.23 ,$7.96 ,$165.60 ,$23.25 ,$123.37 ,$108.47 ,$9.11 ,$46.37 ,$101.84 ,$9.11 ,$101.84 ,$9.11 ,$91.74 ,$91.74 ,$9.11 ,$91.74 ,$18.79 ,$149.04 ,$137.45 ,$23.25 ,$9.11 ,$145.73 ,$9.30 ,$124.20 ,$124.20 ,$140.76 ,$140.76 ,$9.11 ,$140.76 ,$9.11 ,$134.14 ,$134.14 ,$134.14 ,$165.60 ,$149.04 ,$23.25 ,$149.04 ,$9.11 ,$165.60 ,$92.90 ,$9.11 ,$68.56 ,$8.34 ,$7.96 ,$9.57 ,$149.04 ,$20.93 ,$91.74 ,$46.37 ,$149.04 ,$9.11 ,$149.04 ,$149.04 ,$9.11 ,$107.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100308,82810,HC BLOOD GAS O2 SAT ONLY,301,1 ,$474.95 ,$341.96 ,$7.96 ,$474.95 ,$24.43 ,$353.84 ,$311.09 ,$9.57 ,$132.99 ,$292.09 ,$9.57 ,$292.09 ,$9.57 ,$263.12 ,$263.12 ,$9.57 ,$263.12 ,$19.74 ,$427.46 ,$394.21 ,$24.43 ,$9.57 ,$417.96 ,$9.77 ,$356.21 ,$356.21 ,$403.71 ,$403.71 ,$9.57 ,$403.71 ,$9.57 ,$384.71 ,$384.71 ,$384.71 ,$474.95 ,$427.46 ,$24.43 ,$427.46 ,$9.57 ,$474.95 ,$266.45 ,$9.57 ,$196.63 ,$8.34 ,$7.96 ,$10.05 ,$427.46 ,$21.98 ,$263.12 ,$132.99 ,$427.46 ,$9.57 ,$427.46 ,$427.46 ,$9.57 ,$308.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$152.95 ,$110.12 ,$3.54 ,$152.95 ,$9.83 ,$113.95 ,$100.18 ,$3.85 ,$42.83 ,$94.06 ,$3.85 ,$94.06 ,$3.85 ,$84.73 ,$84.73 ,$3.85 ,$84.73 ,$7.94 ,$137.66 ,$126.95 ,$9.83 ,$3.85 ,$134.60 ,$3.93 ,$114.71 ,$114.71 ,$130.01 ,$130.01 ,$3.85 ,$130.01 ,$3.85 ,$123.89 ,$123.89 ,$123.89 ,$152.95 ,$137.66 ,$9.83 ,$137.66 ,$3.85 ,$152.95 ,$85.81 ,$3.85 ,$63.32 ,$3.71 ,$3.54 ,$4.05 ,$137.66 ,$8.84 ,$84.73 ,$42.83 ,$137.66 ,$3.85 ,$137.66 ,$137.66 ,$3.85 ,$99.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100312,82947,HC GLUCOSE,301,1 ,$89.70 ,$64.58 ,$3.54 ,$89.70 ,$9.83 ,$66.83 ,$58.75 ,$3.85 ,$25.12 ,$55.17 ,$3.85 ,$55.17 ,$3.85 ,$49.69 ,$49.69 ,$3.85 ,$49.69 ,$7.94 ,$80.73 ,$74.45 ,$9.83 ,$3.85 ,$78.94 ,$3.93 ,$67.28 ,$67.28 ,$76.25 ,$76.25 ,$3.85 ,$76.25 ,$3.85 ,$72.66 ,$72.66 ,$72.66 ,$89.70 ,$80.73 ,$9.83 ,$80.73 ,$3.85 ,$89.70 ,$50.32 ,$3.85 ,$37.14 ,$3.71 ,$3.54 ,$4.05 ,$80.73 ,$8.84 ,$49.69 ,$25.12 ,$80.73 ,$3.85 ,$80.73 ,$80.73 ,$3.85 ,$58.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100313,82950,HC GLUCOSE SCREEN,301,1 ,$120.75 ,$86.94 ,$3.54 ,$120.75 ,$11.88 ,$89.96 ,$79.09 ,$4.65 ,$33.81 ,$74.26 ,$4.65 ,$74.26 ,$4.65 ,$66.90 ,$66.90 ,$4.65 ,$66.90 ,$9.60 ,$108.68 ,$100.22 ,$11.88 ,$4.65 ,$106.26 ,$4.75 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$4.65 ,$102.64 ,$4.65 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$11.88 ,$108.68 ,$4.65 ,$120.75 ,$67.74 ,$4.65 ,$49.99 ,$3.71 ,$3.54 ,$4.89 ,$108.68 ,$10.69 ,$66.90 ,$33.81 ,$108.68 ,$4.65 ,$108.68 ,$108.68 ,$4.65 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$243.80 ,$175.54 ,$7.96 ,$243.80 ,$32.18 ,$181.63 ,$159.69 ,$12.61 ,$68.26 ,$149.94 ,$12.61 ,$149.94 ,$12.61 ,$135.07 ,$135.07 ,$12.61 ,$135.07 ,$26.00 ,$219.42 ,$202.35 ,$32.18 ,$12.61 ,$214.54 ,$12.87 ,$182.85 ,$182.85 ,$207.23 ,$207.23 ,$12.61 ,$207.23 ,$12.61 ,$197.48 ,$197.48 ,$197.48 ,$243.80 ,$219.42 ,$32.18 ,$219.42 ,$12.61 ,$243.80 ,$136.77 ,$12.61 ,$100.93 ,$8.34 ,$7.96 ,$13.24 ,$219.42 ,$28.96 ,$135.07 ,$68.26 ,$219.42 ,$12.61 ,$219.42 ,$219.42 ,$12.61 ,$158.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$59.80 ,$43.06 ,$3.84 ,$59.80 ,$9.80 ,$44.55 ,$39.17 ,$3.84 ,$16.74 ,$36.78 ,$3.84 ,$36.78 ,$3.84 ,$33.13 ,$33.13 ,$3.84 ,$33.13 ,$7.92 ,$53.82 ,$49.63 ,$9.80 ,$3.84 ,$52.62 ,$3.92 ,$44.85 ,$44.85 ,$50.83 ,$50.83 ,$3.84 ,$50.83 ,$3.84 ,$48.44 ,$48.44 ,$48.44 ,$59.80 ,$53.82 ,$9.80 ,$53.82 ,$3.84 ,$59.80 ,$33.55 ,$3.84 ,$24.76 ,$8.34 ,$7.96 ,$4.04 ,$53.82 ,$8.82 ,$33.13 ,$16.74 ,$53.82 ,$3.84 ,$53.82 ,$53.82 ,$3.84 ,$38.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100318,82962,HC GLUCOSE BY DEVICE,301,1 ,$23.00 ,$16.56 ,$3.21 ,$23.00 ,$8.20 ,$17.14 ,$15.07 ,$3.21 ,$6.44 ,$14.15 ,$3.21 ,$14.15 ,$3.21 ,$12.74 ,$12.74 ,$3.21 ,$12.74 ,$6.63 ,$20.70 ,$19.09 ,$8.20 ,$3.21 ,$20.24 ,$3.28 ,$17.25 ,$17.25 ,$19.55 ,$19.55 ,$3.21 ,$19.55 ,$3.21 ,$18.63 ,$18.63 ,$18.63 ,$23.00 ,$20.70 ,$8.20 ,$20.70 ,$3.21 ,$23.00 ,$12.90 ,$3.21 ,$9.52 ,$3.71 ,$3.54 ,$3.37 ,$20.70 ,$7.38 ,$12.74 ,$6.44 ,$20.70 ,$3.21 ,$20.70 ,$20.70 ,$3.21 ,$14.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100319,82977,HC GGT/GGTP,301,1 ,$96.60 ,$69.55 ,$3.54 ,$96.60 ,$18.00 ,$71.97 ,$63.27 ,$7.06 ,$27.05 ,$59.41 ,$7.06 ,$59.41 ,$7.06 ,$53.52 ,$53.52 ,$7.06 ,$53.52 ,$14.54 ,$86.94 ,$80.18 ,$18.00 ,$7.06 ,$85.01 ,$7.19 ,$72.45 ,$72.45 ,$82.11 ,$82.11 ,$7.06 ,$82.11 ,$7.06 ,$78.25 ,$78.25 ,$78.25 ,$96.60 ,$86.94 ,$18.00 ,$86.94 ,$7.06 ,$96.60 ,$54.19 ,$7.06 ,$39.99 ,$3.71 ,$3.54 ,$7.41 ,$86.94 ,$16.20 ,$53.52 ,$27.05 ,$86.94 ,$7.06 ,$86.94 ,$86.94 ,$7.06 ,$62.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100322,83001,HC FSH,301,1 ,$205.85 ,$148.21 ,$18.21 ,$205.85 ,$46.45 ,$153.36 ,$134.83 ,$18.21 ,$57.64 ,$126.60 ,$18.21 ,$126.60 ,$18.21 ,$114.04 ,$114.04 ,$18.21 ,$114.04 ,$37.53 ,$185.27 ,$170.86 ,$46.45 ,$18.21 ,$181.15 ,$18.57 ,$154.39 ,$154.39 ,$174.97 ,$174.97 ,$18.21 ,$174.97 ,$18.21 ,$166.74 ,$166.74 ,$166.74 ,$205.85 ,$185.27 ,$46.45 ,$185.27 ,$18.21 ,$205.85 ,$115.48 ,$18.21 ,$85.22 ,$19.53 ,$18.64 ,$19.12 ,$185.27 ,$41.81 ,$114.04 ,$57.64 ,$185.27 ,$18.21 ,$185.27 ,$185.27 ,$18.21 ,$133.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100325,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$203.55 ,$146.56 ,$18.15 ,$203.55 ,$46.30 ,$151.64 ,$133.33 ,$18.15 ,$56.99 ,$125.18 ,$18.15 ,$125.18 ,$18.15 ,$112.77 ,$112.77 ,$18.15 ,$112.77 ,$37.41 ,$183.20 ,$168.95 ,$46.30 ,$18.15 ,$179.12 ,$18.51 ,$152.66 ,$152.66 ,$173.02 ,$173.02 ,$18.15 ,$173.02 ,$18.15 ,$164.88 ,$164.88 ,$164.88 ,$203.55 ,$183.20 ,$46.30 ,$183.20 ,$18.15 ,$203.55 ,$114.19 ,$18.15 ,$84.27 ,$19.53 ,$18.64 ,$19.06 ,$183.20 ,$41.67 ,$112.77 ,$56.99 ,$183.20 ,$18.15 ,$183.20 ,$183.20 ,$18.15 ,$132.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100327,83010,HC HAPTOGLOBIN,301,1 ,$205.85 ,$148.21 ,$7.96 ,$205.85 ,$31.45 ,$153.36 ,$134.83 ,$12.33 ,$57.64 ,$126.60 ,$12.33 ,$126.60 ,$12.33 ,$114.04 ,$114.04 ,$12.33 ,$114.04 ,$25.41 ,$185.27 ,$170.86 ,$31.45 ,$12.33 ,$181.15 ,$12.57 ,$154.39 ,$154.39 ,$174.97 ,$174.97 ,$12.33 ,$174.97 ,$12.33 ,$166.74 ,$166.74 ,$166.74 ,$205.85 ,$185.27 ,$31.45 ,$185.27 ,$12.33 ,$205.85 ,$115.48 ,$12.33 ,$85.22 ,$8.34 ,$7.96 ,$12.95 ,$185.27 ,$28.31 ,$114.04 ,$57.64 ,$185.27 ,$12.33 ,$185.27 ,$185.27 ,$12.33 ,$133.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$111.55 ,$80.32 ,$7.96 ,$111.55 ,$24.28 ,$83.10 ,$73.07 ,$9.52 ,$31.23 ,$68.60 ,$9.52 ,$68.60 ,$9.52 ,$61.80 ,$61.80 ,$9.52 ,$61.80 ,$19.61 ,$100.40 ,$92.59 ,$24.28 ,$9.52 ,$98.16 ,$9.70 ,$83.66 ,$83.66 ,$94.82 ,$94.82 ,$9.52 ,$94.82 ,$9.52 ,$90.36 ,$90.36 ,$90.36 ,$111.55 ,$100.40 ,$24.28 ,$100.40 ,$9.52 ,$111.55 ,$62.58 ,$9.52 ,$46.18 ,$8.34 ,$7.96 ,$10.00 ,$100.40 ,$21.85 ,$61.80 ,$31.23 ,$100.40 ,$9.52 ,$100.40 ,$100.40 ,$9.52 ,$72.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100392,83525,HC INSULIN TOTAL,301,1 ,$126.50 ,$91.08 ,$10.72 ,$126.50 ,$28.58 ,$94.24 ,$82.86 ,$11.20 ,$35.42 ,$77.80 ,$11.20 ,$77.80 ,$11.20 ,$70.08 ,$70.08 ,$11.20 ,$70.08 ,$23.09 ,$113.85 ,$105.00 ,$28.58 ,$11.20 ,$111.32 ,$11.43 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$11.20 ,$107.53 ,$11.20 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$28.58 ,$113.85 ,$11.20 ,$126.50 ,$70.97 ,$11.20 ,$52.37 ,$11.23 ,$10.72 ,$11.76 ,$113.85 ,$25.72 ,$70.08 ,$35.42 ,$113.85 ,$11.20 ,$113.85 ,$113.85 ,$11.20 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100393,83540,HC IRON TOTAL,301,1 ,$100.05 ,$72.04 ,$3.54 ,$100.05 ,$16.18 ,$74.54 ,$65.53 ,$6.34 ,$28.01 ,$61.53 ,$6.34 ,$61.53 ,$6.34 ,$55.43 ,$55.43 ,$6.34 ,$55.43 ,$13.07 ,$90.05 ,$83.04 ,$16.18 ,$6.34 ,$88.04 ,$6.47 ,$75.04 ,$75.04 ,$85.04 ,$85.04 ,$6.34 ,$85.04 ,$6.34 ,$81.04 ,$81.04 ,$81.04 ,$100.05 ,$90.05 ,$16.18 ,$90.05 ,$6.34 ,$100.05 ,$56.13 ,$6.34 ,$41.42 ,$3.71 ,$3.54 ,$6.65 ,$90.05 ,$14.56 ,$55.43 ,$28.01 ,$90.05 ,$6.34 ,$90.05 ,$90.05 ,$6.34 ,$65.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$117.30 ,$84.46 ,$7.96 ,$117.30 ,$21.85 ,$87.39 ,$76.83 ,$8.57 ,$32.84 ,$72.14 ,$8.57 ,$72.14 ,$8.57 ,$64.98 ,$64.98 ,$8.57 ,$64.98 ,$17.65 ,$105.57 ,$97.36 ,$21.85 ,$8.57 ,$103.22 ,$8.73 ,$87.98 ,$87.98 ,$99.71 ,$99.71 ,$8.57 ,$99.71 ,$8.57 ,$95.01 ,$95.01 ,$95.01 ,$117.30 ,$105.57 ,$21.85 ,$105.57 ,$8.57 ,$117.30 ,$65.81 ,$8.57 ,$48.56 ,$8.34 ,$7.96 ,$9.00 ,$105.57 ,$19.67 ,$64.98 ,$32.84 ,$105.57 ,$8.57 ,$105.57 ,$105.57 ,$8.57 ,$76.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$172.50 ,$124.20 ,$7.96 ,$172.50 ,$28.93 ,$128.51 ,$112.99 ,$11.34 ,$48.30 ,$106.09 ,$11.34 ,$106.09 ,$11.34 ,$95.57 ,$95.57 ,$11.34 ,$95.57 ,$23.37 ,$155.25 ,$143.18 ,$28.93 ,$11.34 ,$151.80 ,$11.56 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$11.34 ,$146.63 ,$11.34 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$28.93 ,$155.25 ,$11.34 ,$172.50 ,$96.77 ,$11.34 ,$71.42 ,$8.34 ,$7.96 ,$11.91 ,$155.25 ,$26.03 ,$95.57 ,$48.30 ,$155.25 ,$11.34 ,$155.25 ,$155.25 ,$11.34 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$155.25 ,$111.78 ,$3.54 ,$155.25 ,$15.10 ,$115.66 ,$101.69 ,$5.92 ,$43.47 ,$95.48 ,$5.92 ,$95.48 ,$5.92 ,$86.01 ,$86.01 ,$5.92 ,$86.01 ,$12.20 ,$139.73 ,$128.86 ,$15.10 ,$5.92 ,$136.62 ,$6.04 ,$116.44 ,$116.44 ,$131.96 ,$131.96 ,$5.92 ,$131.96 ,$5.92 ,$125.75 ,$125.75 ,$125.75 ,$155.25 ,$139.73 ,$15.10 ,$139.73 ,$5.92 ,$155.25 ,$87.10 ,$5.92 ,$64.27 ,$3.71 ,$3.54 ,$6.21 ,$139.73 ,$13.59 ,$86.01 ,$43.47 ,$139.73 ,$5.92 ,$139.73 ,$139.73 ,$5.92 ,$100.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100409,83690,HC LIPASE,301,1 ,$112.70 ,$81.14 ,$3.54 ,$112.70 ,$17.23 ,$83.96 ,$73.82 ,$6.75 ,$31.56 ,$69.31 ,$6.75 ,$69.31 ,$6.75 ,$62.44 ,$62.44 ,$6.75 ,$62.44 ,$13.92 ,$101.43 ,$93.54 ,$17.23 ,$6.75 ,$99.18 ,$6.89 ,$84.53 ,$84.53 ,$95.80 ,$95.80 ,$6.75 ,$95.80 ,$6.75 ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 ,$17.23 ,$101.43 ,$6.75 ,$112.70 ,$63.22 ,$6.75 ,$46.66 ,$3.71 ,$3.54 ,$7.09 ,$101.43 ,$15.50 ,$62.44 ,$31.56 ,$101.43 ,$6.75 ,$101.43 ,$101.43 ,$6.75 ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100415,83718,HC CHOLESTEROL HDL,301,1 ,$156.40 ,$112.61 ,$7.96 ,$156.40 ,$20.48 ,$116.52 ,$102.44 ,$8.03 ,$43.79 ,$96.19 ,$8.03 ,$96.19 ,$8.03 ,$86.65 ,$86.65 ,$8.03 ,$86.65 ,$16.54 ,$140.76 ,$129.81 ,$20.48 ,$8.03 ,$137.63 ,$8.18 ,$117.30 ,$117.30 ,$132.94 ,$132.94 ,$8.03 ,$132.94 ,$8.03 ,$126.68 ,$126.68 ,$126.68 ,$156.40 ,$140.76 ,$20.48 ,$140.76 ,$8.03 ,$156.40 ,$87.74 ,$8.03 ,$64.75 ,$8.34 ,$7.96 ,$8.43 ,$140.76 ,$18.43 ,$86.65 ,$43.79 ,$140.76 ,$8.03 ,$140.76 ,$140.76 ,$8.03 ,$101.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100416,83721,HC CHOLESTEROL LDL,301,1 ,$131.10 ,$94.39 ,$7.96 ,$131.10 ,$26.25 ,$97.67 ,$85.87 ,$10.29 ,$36.71 ,$80.63 ,$10.29 ,$80.63 ,$10.29 ,$72.63 ,$72.63 ,$10.29 ,$72.63 ,$21.21 ,$117.99 ,$108.81 ,$26.25 ,$10.29 ,$115.37 ,$10.50 ,$98.33 ,$98.33 ,$111.44 ,$111.44 ,$10.29 ,$111.44 ,$10.29 ,$106.19 ,$106.19 ,$106.19 ,$131.10 ,$117.99 ,$26.25 ,$117.99 ,$10.29 ,$131.10 ,$73.55 ,$10.29 ,$54.28 ,$8.34 ,$7.96 ,$10.81 ,$117.99 ,$23.63 ,$72.63 ,$36.71 ,$117.99 ,$10.29 ,$117.99 ,$117.99 ,$10.29 ,$85.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100417,83735,HC MAGNESIUM,301,1 ,$78.20 ,$56.30 ,$3.54 ,$78.20 ,$16.75 ,$58.26 ,$51.22 ,$6.57 ,$21.90 ,$48.09 ,$6.57 ,$48.09 ,$6.57 ,$43.32 ,$43.32 ,$6.57 ,$43.32 ,$13.53 ,$70.38 ,$64.91 ,$16.75 ,$6.57 ,$68.82 ,$6.69 ,$58.65 ,$58.65 ,$66.47 ,$66.47 ,$6.57 ,$66.47 ,$6.57 ,$63.34 ,$63.34 ,$63.34 ,$78.20 ,$70.38 ,$16.75 ,$70.38 ,$6.57 ,$78.20 ,$43.87 ,$6.57 ,$32.37 ,$3.71 ,$3.54 ,$6.90 ,$70.38 ,$15.08 ,$43.32 ,$21.90 ,$70.38 ,$6.57 ,$70.38 ,$70.38 ,$6.57 ,$50.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$205.85 ,$148.21 ,$21.44 ,$205.85 ,$98.15 ,$153.36 ,$134.83 ,$38.47 ,$57.64 ,$126.60 ,$38.47 ,$126.60 ,$38.47 ,$114.04 ,$114.04 ,$38.47 ,$114.04 ,$79.31 ,$185.27 ,$170.86 ,$98.15 ,$38.47 ,$181.15 ,$39.25 ,$154.39 ,$154.39 ,$174.97 ,$174.97 ,$38.47 ,$174.97 ,$38.47 ,$166.74 ,$166.74 ,$166.74 ,$205.85 ,$185.27 ,$98.15 ,$185.27 ,$38.47 ,$205.85 ,$115.48 ,$38.47 ,$85.22 ,$22.46 ,$21.44 ,$40.40 ,$185.27 ,$88.34 ,$114.04 ,$57.64 ,$185.27 ,$38.47 ,$185.27 ,$185.27 ,$38.47 ,$133.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100668,83930,HC OSMOLALITY BLOOD,301,1 ,$117.30 ,$84.46 ,$3.54 ,$117.30 ,$16.53 ,$87.39 ,$76.83 ,$6.48 ,$32.84 ,$72.14 ,$6.48 ,$72.14 ,$6.48 ,$64.98 ,$64.98 ,$6.48 ,$64.98 ,$13.35 ,$105.57 ,$97.36 ,$16.53 ,$6.48 ,$103.22 ,$6.61 ,$87.98 ,$87.98 ,$99.71 ,$99.71 ,$6.48 ,$99.71 ,$6.48 ,$95.01 ,$95.01 ,$95.01 ,$117.30 ,$105.57 ,$16.53 ,$105.57 ,$6.48 ,$117.30 ,$65.81 ,$6.48 ,$48.56 ,$3.71 ,$3.54 ,$6.80 ,$105.57 ,$14.87 ,$64.98 ,$32.84 ,$105.57 ,$6.48 ,$105.57 ,$105.57 ,$6.48 ,$76.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100669,83935,HC OSMOLALITY URINE,301,1 ,$115.00 ,$82.80 ,$3.54 ,$115.00 ,$17.05 ,$85.68 ,$75.33 ,$6.68 ,$32.20 ,$70.73 ,$6.68 ,$70.73 ,$6.68 ,$63.71 ,$63.71 ,$6.68 ,$63.71 ,$13.78 ,$103.50 ,$95.45 ,$17.05 ,$6.68 ,$101.20 ,$6.82 ,$86.25 ,$86.25 ,$97.75 ,$97.75 ,$6.68 ,$97.75 ,$6.68 ,$93.15 ,$93.15 ,$93.15 ,$115.00 ,$103.50 ,$17.05 ,$103.50 ,$6.68 ,$115.00 ,$64.52 ,$6.68 ,$47.61 ,$3.71 ,$3.54 ,$7.02 ,$103.50 ,$15.35 ,$63.71 ,$32.20 ,$103.50 ,$6.68 ,$103.50 ,$103.50 ,$6.68 ,$74.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100672,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$305.90 ,$220.25 ,$18.64 ,$305.90 ,$103.20 ,$227.90 ,$200.36 ,$40.45 ,$85.65 ,$188.13 ,$40.45 ,$188.13 ,$40.45 ,$169.47 ,$169.47 ,$40.45 ,$169.47 ,$83.39 ,$275.31 ,$253.90 ,$103.20 ,$40.45 ,$269.19 ,$41.27 ,$229.43 ,$229.43 ,$260.02 ,$260.02 ,$40.45 ,$260.02 ,$40.45 ,$247.78 ,$247.78 ,$247.78 ,$305.90 ,$275.31 ,$103.20 ,$275.31 ,$40.45 ,$305.90 ,$171.61 ,$40.45 ,$126.64 ,$19.53 ,$18.64 ,$42.47 ,$275.31 ,$92.88 ,$169.47 ,$85.65 ,$275.31 ,$40.45 ,$275.31 ,$275.31 ,$40.45 ,$198.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100673,83986,HC PH BODY FLUID,301,1 ,$75.90 ,$54.65 ,$3.51 ,$75.90 ,$8.95 ,$56.55 ,$49.71 ,$3.51 ,$21.25 ,$46.68 ,$3.51 ,$46.68 ,$3.51 ,$42.05 ,$42.05 ,$3.51 ,$42.05 ,$7.23 ,$68.31 ,$63.00 ,$8.95 ,$3.51 ,$66.79 ,$3.58 ,$56.93 ,$56.93 ,$64.52 ,$64.52 ,$3.51 ,$64.52 ,$3.51 ,$61.48 ,$61.48 ,$61.48 ,$75.90 ,$68.31 ,$8.95 ,$68.31 ,$3.51 ,$75.90 ,$42.58 ,$3.51 ,$31.42 ,$3.71 ,$3.54 ,$3.68 ,$68.31 ,$8.06 ,$42.05 ,$21.25 ,$68.31 ,$3.51 ,$68.31 ,$68.31 ,$3.51 ,$49.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$102.35 ,$73.69 ,$3.54 ,$102.35 ,$12.95 ,$76.25 ,$67.04 ,$5.08 ,$28.66 ,$62.95 ,$5.08 ,$62.95 ,$5.08 ,$56.70 ,$56.70 ,$5.08 ,$56.70 ,$10.46 ,$92.12 ,$84.95 ,$12.95 ,$5.08 ,$90.07 ,$5.17 ,$76.76 ,$76.76 ,$87.00 ,$87.00 ,$5.08 ,$87.00 ,$5.08 ,$82.90 ,$82.90 ,$82.90 ,$102.35 ,$92.12 ,$12.95 ,$92.12 ,$5.08 ,$102.35 ,$57.42 ,$5.08 ,$42.37 ,$3.71 ,$3.54 ,$5.33 ,$92.12 ,$11.66 ,$56.70 ,$28.66 ,$92.12 ,$5.08 ,$92.12 ,$92.12 ,$5.08 ,$66.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100684,84100,HC PHOSPHORUS,301,1 ,$78.20 ,$56.30 ,$3.54 ,$78.20 ,$11.85 ,$58.26 ,$51.22 ,$4.65 ,$21.90 ,$48.09 ,$4.65 ,$48.09 ,$4.65 ,$43.32 ,$43.32 ,$4.65 ,$43.32 ,$9.57 ,$70.38 ,$64.91 ,$11.85 ,$4.65 ,$68.82 ,$4.73 ,$58.65 ,$58.65 ,$66.47 ,$66.47 ,$4.65 ,$66.47 ,$4.65 ,$63.34 ,$63.34 ,$63.34 ,$78.20 ,$70.38 ,$11.85 ,$70.38 ,$4.65 ,$78.20 ,$43.87 ,$4.65 ,$32.37 ,$3.71 ,$3.54 ,$4.88 ,$70.38 ,$10.67 ,$43.32 ,$21.90 ,$70.38 ,$4.65 ,$70.38 ,$70.38 ,$4.65 ,$50.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100688,84112,HC PLACENTAL ALPHA MICROGLOBULIN,301,1 ,$318.55 ,$229.36 ,$21.44 ,$318.55 ,$245.28 ,$237.32 ,$208.65 ,$96.15 ,$89.19 ,$195.91 ,$96.15 ,$195.91 ,$96.15 ,$176.48 ,$176.48 ,$96.15 ,$176.48 ,$198.18 ,$286.70 ,$264.40 ,$245.28 ,$96.15 ,$280.32 ,$98.07 ,$238.91 ,$238.91 ,$270.77 ,$270.77 ,$96.15 ,$270.77 ,$96.15 ,$258.03 ,$258.03 ,$258.03 ,$318.55 ,$286.70 ,$245.28 ,$286.70 ,$96.15 ,$318.55 ,$178.71 ,$96.15 ,$131.88 ,$22.46 ,$21.44 ,$100.96 ,$286.70 ,$220.75 ,$176.48 ,$89.19 ,$286.70 ,$96.15 ,$286.70 ,$286.70 ,$96.15 ,$207.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100691,84132,HC POTASSIUM,301,1 ,$75.90 ,$54.65 ,$3.54 ,$75.90 ,$11.90 ,$56.55 ,$49.71 ,$4.66 ,$21.25 ,$46.68 ,$4.66 ,$46.68 ,$4.66 ,$42.05 ,$42.05 ,$4.66 ,$42.05 ,$9.62 ,$68.31 ,$63.00 ,$11.90 ,$4.66 ,$66.79 ,$4.76 ,$56.93 ,$56.93 ,$64.52 ,$64.52 ,$4.66 ,$64.52 ,$4.66 ,$61.48 ,$61.48 ,$61.48 ,$75.90 ,$68.31 ,$11.90 ,$68.31 ,$4.66 ,$75.90 ,$42.58 ,$4.66 ,$31.42 ,$3.71 ,$3.54 ,$4.90 ,$68.31 ,$10.71 ,$42.05 ,$21.25 ,$68.31 ,$4.66 ,$68.31 ,$68.31 ,$4.66 ,$49.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100694,84133,HC POTASSIUM URINE,301,1 ,$80.50 ,$57.96 ,$3.54 ,$80.50 ,$11.83 ,$59.97 ,$52.73 ,$4.64 ,$22.54 ,$49.51 ,$4.64 ,$49.51 ,$4.64 ,$44.60 ,$44.60 ,$4.64 ,$44.60 ,$9.55 ,$72.45 ,$66.82 ,$11.83 ,$4.64 ,$70.84 ,$4.72 ,$60.38 ,$60.38 ,$68.43 ,$68.43 ,$4.64 ,$68.43 ,$4.64 ,$65.21 ,$65.21 ,$65.21 ,$80.50 ,$72.45 ,$11.83 ,$72.45 ,$4.64 ,$80.50 ,$45.16 ,$4.64 ,$33.33 ,$3.71 ,$3.54 ,$4.87 ,$72.45 ,$10.64 ,$44.60 ,$22.54 ,$72.45 ,$4.64 ,$72.45 ,$72.45 ,$4.64 ,$52.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100695,84134,HC PREALBUMIN,301,1 ,$148.35 ,$106.81 ,$7.96 ,$148.35 ,$36.48 ,$110.52 ,$97.17 ,$14.30 ,$41.54 ,$91.24 ,$14.30 ,$91.24 ,$14.30 ,$82.19 ,$82.19 ,$14.30 ,$82.19 ,$29.47 ,$133.52 ,$123.13 ,$36.48 ,$14.30 ,$130.55 ,$14.58 ,$111.26 ,$111.26 ,$126.10 ,$126.10 ,$14.30 ,$126.10 ,$14.30 ,$120.16 ,$120.16 ,$120.16 ,$148.35 ,$133.52 ,$36.48 ,$133.52 ,$14.30 ,$148.35 ,$83.22 ,$14.30 ,$61.42 ,$8.34 ,$7.96 ,$15.01 ,$133.52 ,$32.83 ,$82.19 ,$41.54 ,$133.52 ,$14.30 ,$133.52 ,$133.52 ,$14.30 ,$96.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100696,84144,HC PROGESTERONE,301,1 ,$232.30 ,$167.26 ,$10.72 ,$232.30 ,$52.15 ,$173.06 ,$152.16 ,$20.44 ,$65.04 ,$142.86 ,$20.44 ,$142.86 ,$20.44 ,$128.69 ,$128.69 ,$20.44 ,$128.69 ,$42.14 ,$209.07 ,$192.81 ,$52.15 ,$20.44 ,$204.42 ,$20.85 ,$174.23 ,$174.23 ,$197.46 ,$197.46 ,$20.44 ,$197.46 ,$20.44 ,$188.16 ,$188.16 ,$188.16 ,$232.30 ,$209.07 ,$52.15 ,$209.07 ,$20.44 ,$232.30 ,$130.32 ,$20.44 ,$96.17 ,$11.23 ,$10.72 ,$21.46 ,$209.07 ,$46.94 ,$128.69 ,$65.04 ,$209.07 ,$20.44 ,$209.07 ,$209.07 ,$20.44 ,$151.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100697,84146,HC PROLACTIN,301,1 ,$225.40 ,$162.29 ,$18.64 ,$225.40 ,$48.45 ,$167.92 ,$147.64 ,$18.99 ,$63.11 ,$138.62 ,$18.99 ,$138.62 ,$18.99 ,$124.87 ,$124.87 ,$18.99 ,$124.87 ,$39.15 ,$202.86 ,$187.08 ,$48.45 ,$18.99 ,$198.35 ,$19.37 ,$169.05 ,$169.05 ,$191.59 ,$191.59 ,$18.99 ,$191.59 ,$18.99 ,$182.57 ,$182.57 ,$182.57 ,$225.40 ,$202.86 ,$48.45 ,$202.86 ,$18.99 ,$225.40 ,$126.45 ,$18.99 ,$93.32 ,$19.53 ,$18.64 ,$19.94 ,$202.86 ,$43.61 ,$124.87 ,$63.11 ,$202.86 ,$18.99 ,$202.86 ,$202.86 ,$18.99 ,$146.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100698,84153,HC PSA TOTAL,301,1 ,$351.90 ,$253.37 ,$7.96 ,$351.90 ,$45.98 ,$262.17 ,$230.49 ,$18.02 ,$98.53 ,$216.42 ,$18.02 ,$216.42 ,$18.02 ,$194.95 ,$194.95 ,$18.02 ,$194.95 ,$37.15 ,$316.71 ,$292.08 ,$45.98 ,$18.02 ,$309.67 ,$18.38 ,$263.93 ,$263.93 ,$299.12 ,$299.12 ,$18.02 ,$299.12 ,$18.02 ,$285.04 ,$285.04 ,$285.04 ,$351.90 ,$316.71 ,$45.98 ,$316.71 ,$18.02 ,$351.90 ,$197.42 ,$18.02 ,$145.69 ,$8.34 ,$7.96 ,$18.92 ,$316.71 ,$41.38 ,$194.95 ,$98.53 ,$316.71 ,$18.02 ,$316.71 ,$316.71 ,$18.02 ,$228.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100700,84155,HC PROTEIN TOTAL,301,1 ,$66.70 ,$48.02 ,$3.54 ,$66.70 ,$9.18 ,$49.69 ,$43.69 ,$3.60 ,$18.68 ,$41.02 ,$3.60 ,$41.02 ,$3.60 ,$36.95 ,$36.95 ,$3.60 ,$36.95 ,$7.41 ,$60.03 ,$55.36 ,$9.18 ,$3.60 ,$58.70 ,$3.67 ,$50.03 ,$50.03 ,$56.70 ,$56.70 ,$3.60 ,$56.70 ,$3.60 ,$54.03 ,$54.03 ,$54.03 ,$66.70 ,$60.03 ,$9.18 ,$60.03 ,$3.60 ,$66.70 ,$37.42 ,$3.60 ,$27.61 ,$3.71 ,$3.54 ,$3.77 ,$60.03 ,$8.26 ,$36.95 ,$18.68 ,$60.03 ,$3.60 ,$60.03 ,$60.03 ,$3.60 ,$43.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$120.75 ,$86.94 ,$3.54 ,$120.75 ,$9.18 ,$89.96 ,$79.09 ,$3.60 ,$33.81 ,$74.26 ,$3.60 ,$74.26 ,$3.60 ,$66.90 ,$66.90 ,$3.60 ,$66.90 ,$7.41 ,$108.68 ,$100.22 ,$9.18 ,$3.60 ,$106.26 ,$3.67 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$3.60 ,$102.64 ,$3.60 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$9.18 ,$108.68 ,$3.60 ,$120.75 ,$67.74 ,$3.60 ,$49.99 ,$3.71 ,$3.54 ,$3.77 ,$108.68 ,$8.26 ,$66.90 ,$33.81 ,$108.68 ,$3.60 ,$108.68 ,$108.68 ,$3.60 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$165.60 ,$119.23 ,$3.54 ,$165.60 ,$10.00 ,$123.37 ,$108.47 ,$3.92 ,$46.37 ,$101.84 ,$3.92 ,$101.84 ,$3.92 ,$91.74 ,$91.74 ,$3.92 ,$91.74 ,$8.08 ,$149.04 ,$137.45 ,$10.00 ,$3.92 ,$145.73 ,$4.00 ,$124.20 ,$124.20 ,$140.76 ,$140.76 ,$3.92 ,$140.76 ,$3.92 ,$134.14 ,$134.14 ,$134.14 ,$165.60 ,$149.04 ,$10.00 ,$149.04 ,$3.92 ,$165.60 ,$92.90 ,$3.92 ,$68.56 ,$3.71 ,$3.54 ,$4.12 ,$149.04 ,$9.00 ,$91.74 ,$46.37 ,$149.04 ,$3.92 ,$149.04 ,$149.04 ,$3.92 ,$107.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100721,84295,HC SODIUM,301,1 ,$70.15 ,$50.51 ,$3.54 ,$70.15 ,$12.03 ,$52.26 ,$45.95 ,$4.71 ,$19.64 ,$43.14 ,$4.71 ,$43.14 ,$4.71 ,$38.86 ,$38.86 ,$4.71 ,$38.86 ,$9.72 ,$63.14 ,$58.22 ,$12.03 ,$4.71 ,$61.73 ,$4.81 ,$52.61 ,$52.61 ,$59.63 ,$59.63 ,$4.71 ,$59.63 ,$4.71 ,$56.82 ,$56.82 ,$56.82 ,$70.15 ,$63.14 ,$12.03 ,$63.14 ,$4.71 ,$70.15 ,$39.35 ,$4.71 ,$29.04 ,$3.71 ,$3.54 ,$4.95 ,$63.14 ,$10.82 ,$38.86 ,$19.64 ,$63.14 ,$4.71 ,$63.14 ,$63.14 ,$4.71 ,$45.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100724,84300,HC SODIUM URINE,301,1 ,$87.40 ,$62.93 ,$3.54 ,$87.40 ,$12.65 ,$65.11 ,$57.25 ,$4.96 ,$24.47 ,$53.75 ,$4.96 ,$53.75 ,$4.96 ,$48.42 ,$48.42 ,$4.96 ,$48.42 ,$10.22 ,$78.66 ,$72.54 ,$12.65 ,$4.96 ,$76.91 ,$5.06 ,$65.55 ,$65.55 ,$74.29 ,$74.29 ,$4.96 ,$74.29 ,$4.96 ,$70.79 ,$70.79 ,$70.79 ,$87.40 ,$78.66 ,$12.65 ,$78.66 ,$4.96 ,$87.40 ,$49.03 ,$4.96 ,$36.18 ,$3.71 ,$3.54 ,$5.20 ,$78.66 ,$11.39 ,$48.42 ,$24.47 ,$78.66 ,$4.96 ,$78.66 ,$78.66 ,$4.96 ,$56.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100730,84315,HC SPEC GRAVITY NON UR,301,1 ,$54.05 ,$38.92 ,$3.21 ,$54.05 ,$8.20 ,$40.27 ,$35.40 ,$3.21 ,$15.13 ,$33.24 ,$3.21 ,$33.24 ,$3.21 ,$29.94 ,$29.94 ,$3.21 ,$29.94 ,$6.63 ,$48.65 ,$44.86 ,$8.20 ,$3.21 ,$47.56 ,$3.28 ,$40.54 ,$40.54 ,$45.94 ,$45.94 ,$3.21 ,$45.94 ,$3.21 ,$43.78 ,$43.78 ,$43.78 ,$54.05 ,$48.65 ,$8.20 ,$48.65 ,$3.21 ,$54.05 ,$30.32 ,$3.21 ,$22.38 ,$3.71 ,$3.54 ,$3.37 ,$48.65 ,$7.38 ,$29.94 ,$15.13 ,$48.65 ,$3.21 ,$48.65 ,$48.65 ,$3.21 ,$35.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$116.15 ,$83.63 ,$6.73 ,$116.15 ,$17.18 ,$86.53 ,$76.08 ,$6.73 ,$32.52 ,$71.43 ,$6.73 ,$71.43 ,$6.73 ,$64.35 ,$64.35 ,$6.73 ,$64.35 ,$13.88 ,$104.54 ,$96.40 ,$17.18 ,$6.73 ,$102.21 ,$6.87 ,$87.11 ,$87.11 ,$98.73 ,$98.73 ,$6.73 ,$98.73 ,$6.73 ,$94.08 ,$94.08 ,$94.08 ,$116.15 ,$104.54 ,$17.18 ,$104.54 ,$6.73 ,$116.15 ,$65.16 ,$6.73 ,$48.09 ,$11.23 ,$10.72 ,$7.07 ,$104.54 ,$15.46 ,$64.35 ,$32.52 ,$104.54 ,$6.73 ,$104.54 ,$104.54 ,$6.73 ,$75.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100740,84439,HC T4 FREE,301,1 ,$141.45 ,$101.84 ,$8.84 ,$141.45 ,$22.55 ,$105.38 ,$92.65 ,$8.84 ,$39.61 ,$86.99 ,$8.84 ,$86.99 ,$8.84 ,$78.36 ,$78.36 ,$8.84 ,$78.36 ,$18.22 ,$127.31 ,$117.40 ,$22.55 ,$8.84 ,$124.48 ,$9.02 ,$106.09 ,$106.09 ,$120.23 ,$120.23 ,$8.84 ,$120.23 ,$8.84 ,$114.57 ,$114.57 ,$114.57 ,$141.45 ,$127.31 ,$22.55 ,$127.31 ,$8.84 ,$141.45 ,$79.35 ,$8.84 ,$58.56 ,$11.23 ,$10.72 ,$9.28 ,$127.31 ,$20.30 ,$78.36 ,$39.61 ,$127.31 ,$8.84 ,$127.31 ,$127.31 ,$8.84 ,$91.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$142.60 ,$102.67 ,$10.72 ,$142.60 ,$42.00 ,$106.24 ,$93.40 ,$16.46 ,$39.93 ,$87.70 ,$16.46 ,$87.70 ,$16.46 ,$79.00 ,$79.00 ,$16.46 ,$79.00 ,$33.94 ,$128.34 ,$118.36 ,$42.00 ,$16.46 ,$125.49 ,$16.80 ,$106.95 ,$106.95 ,$121.21 ,$121.21 ,$16.46 ,$121.21 ,$16.46 ,$115.51 ,$115.51 ,$115.51 ,$142.60 ,$128.34 ,$42.00 ,$128.34 ,$16.46 ,$142.60 ,$80.00 ,$16.46 ,$59.04 ,$11.23 ,$10.72 ,$17.29 ,$128.34 ,$37.80 ,$79.00 ,$39.93 ,$128.34 ,$16.46 ,$128.34 ,$128.34 ,$16.46 ,$92.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100746,84450,HC AST,301,1 ,$126.50 ,$91.08 ,$3.54 ,$126.50 ,$12.95 ,$94.24 ,$82.86 ,$5.08 ,$35.42 ,$77.80 ,$5.08 ,$77.80 ,$5.08 ,$70.08 ,$70.08 ,$5.08 ,$70.08 ,$10.46 ,$113.85 ,$105.00 ,$12.95 ,$5.08 ,$111.32 ,$5.17 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$5.08 ,$107.53 ,$5.08 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$12.95 ,$113.85 ,$5.08 ,$126.50 ,$70.97 ,$5.08 ,$52.37 ,$3.71 ,$3.54 ,$5.33 ,$113.85 ,$11.66 ,$70.08 ,$35.42 ,$113.85 ,$5.08 ,$113.85 ,$113.85 ,$5.08 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100747,84460,HC ALT,301,1 ,$126.50 ,$91.08 ,$3.54 ,$126.50 ,$13.25 ,$94.24 ,$82.86 ,$5.19 ,$35.42 ,$77.80 ,$5.19 ,$77.80 ,$5.19 ,$70.08 ,$70.08 ,$5.19 ,$70.08 ,$10.71 ,$113.85 ,$105.00 ,$13.25 ,$5.19 ,$111.32 ,$5.30 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$5.19 ,$107.53 ,$5.19 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$13.25 ,$113.85 ,$5.19 ,$126.50 ,$70.97 ,$5.19 ,$52.37 ,$3.71 ,$3.54 ,$5.46 ,$113.85 ,$11.93 ,$70.08 ,$35.42 ,$113.85 ,$5.19 ,$113.85 ,$113.85 ,$5.19 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100748,84466,HC TRANSFERRIN,301,1 ,$239.20 ,$172.22 ,$7.96 ,$239.20 ,$31.90 ,$178.20 ,$156.68 ,$12.50 ,$66.98 ,$147.11 ,$12.50 ,$147.11 ,$12.50 ,$132.52 ,$132.52 ,$12.50 ,$132.52 ,$25.78 ,$215.28 ,$198.54 ,$31.90 ,$12.50 ,$210.50 ,$12.76 ,$179.40 ,$179.40 ,$203.32 ,$203.32 ,$12.50 ,$203.32 ,$12.50 ,$193.75 ,$193.75 ,$193.75 ,$239.20 ,$215.28 ,$31.90 ,$215.28 ,$12.50 ,$239.20 ,$134.19 ,$12.50 ,$99.03 ,$8.34 ,$7.96 ,$13.13 ,$215.28 ,$28.71 ,$132.52 ,$66.98 ,$215.28 ,$12.50 ,$215.28 ,$215.28 ,$12.50 ,$155.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100750,84478,HC TRIGLYCERIDES,301,1 ,$86.25 ,$62.10 ,$3.54 ,$86.25 ,$14.35 ,$64.26 ,$56.49 ,$5.63 ,$24.15 ,$53.04 ,$5.63 ,$53.04 ,$5.63 ,$47.78 ,$47.78 ,$5.63 ,$47.78 ,$11.59 ,$77.63 ,$71.59 ,$14.35 ,$5.63 ,$75.90 ,$5.73 ,$64.69 ,$64.69 ,$73.31 ,$73.31 ,$5.63 ,$73.31 ,$5.63 ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 ,$14.35 ,$77.63 ,$5.63 ,$86.25 ,$48.39 ,$5.63 ,$35.71 ,$3.71 ,$3.54 ,$5.91 ,$77.63 ,$12.92 ,$47.78 ,$24.15 ,$77.63 ,$5.63 ,$77.63 ,$77.63 ,$5.63 ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100753,84479,HC T3 UPTAKE,301,1 ,$24.15 ,$17.39 ,$6.34 ,$24.15 ,$16.18 ,$17.99 ,$15.82 ,$6.34 ,$6.76 ,$14.85 ,$6.34 ,$14.85 ,$6.34 ,$13.38 ,$13.38 ,$6.34 ,$13.38 ,$13.07 ,$21.74 ,$20.04 ,$16.18 ,$6.34 ,$21.25 ,$6.47 ,$18.11 ,$18.11 ,$20.53 ,$20.53 ,$6.34 ,$20.53 ,$6.34 ,$19.56 ,$19.56 ,$19.56 ,$24.15 ,$21.74 ,$16.18 ,$21.74 ,$6.34 ,$24.15 ,$13.55 ,$6.34 ,$10.00 ,$11.23 ,$10.72 ,$6.65 ,$21.74 ,$14.56 ,$13.38 ,$6.76 ,$21.74 ,$6.34 ,$21.74 ,$21.74 ,$6.34 ,$15.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100754,84480,HC T3 TOTAL,301,1 ,$276.00 ,$198.72 ,$10.72 ,$276.00 ,$35.45 ,$205.62 ,$180.78 ,$13.90 ,$77.28 ,$169.74 ,$13.90 ,$169.74 ,$13.90 ,$152.90 ,$152.90 ,$13.90 ,$152.90 ,$28.64 ,$248.40 ,$229.08 ,$35.45 ,$13.90 ,$242.88 ,$14.17 ,$207.00 ,$207.00 ,$234.60 ,$234.60 ,$13.90 ,$234.60 ,$13.90 ,$223.56 ,$223.56 ,$223.56 ,$276.00 ,$248.40 ,$35.45 ,$248.40 ,$13.90 ,$276.00 ,$154.84 ,$13.90 ,$114.26 ,$11.23 ,$10.72 ,$14.59 ,$248.40 ,$31.91 ,$152.90 ,$77.28 ,$248.40 ,$13.90 ,$248.40 ,$248.40 ,$13.90 ,$179.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100755,84481,HC T3 FREE,301,1 ,$195.50 ,$140.76 ,$10.72 ,$195.50 ,$42.35 ,$145.65 ,$128.05 ,$16.60 ,$54.74 ,$120.23 ,$16.60 ,$120.23 ,$16.60 ,$108.31 ,$108.31 ,$16.60 ,$108.31 ,$34.22 ,$175.95 ,$162.27 ,$42.35 ,$16.60 ,$172.04 ,$16.93 ,$146.63 ,$146.63 ,$166.18 ,$166.18 ,$16.60 ,$166.18 ,$16.60 ,$158.36 ,$158.36 ,$158.36 ,$195.50 ,$175.95 ,$42.35 ,$175.95 ,$16.60 ,$195.50 ,$109.68 ,$16.60 ,$80.94 ,$11.23 ,$10.72 ,$17.43 ,$175.95 ,$38.12 ,$108.31 ,$54.74 ,$175.95 ,$16.60 ,$175.95 ,$175.95 ,$16.60 ,$127.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100758,84484,HC TROPONIN QN,301,1 ,$184.00 ,$132.48 ,$7.96 ,$184.00 ,$31.18 ,$137.08 ,$120.52 ,$12.22 ,$51.52 ,$113.16 ,$12.22 ,$113.16 ,$12.22 ,$101.94 ,$101.94 ,$12.22 ,$101.94 ,$25.19 ,$165.60 ,$152.72 ,$31.18 ,$12.22 ,$161.92 ,$12.47 ,$138.00 ,$138.00 ,$156.40 ,$156.40 ,$12.22 ,$156.40 ,$12.22 ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 ,$31.18 ,$165.60 ,$12.22 ,$184.00 ,$103.22 ,$12.22 ,$76.18 ,$8.34 ,$7.96 ,$12.83 ,$165.60 ,$28.06 ,$101.94 ,$51.52 ,$165.60 ,$12.22 ,$165.60 ,$165.60 ,$12.22 ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100761,84520,HC BUN,301,1 ,$92.00 ,$66.24 ,$3.54 ,$92.00 ,$9.88 ,$68.54 ,$60.26 ,$3.87 ,$25.76 ,$56.58 ,$3.87 ,$56.58 ,$3.87 ,$50.97 ,$50.97 ,$3.87 ,$50.97 ,$7.98 ,$82.80 ,$76.36 ,$9.88 ,$3.87 ,$80.96 ,$3.95 ,$69.00 ,$69.00 ,$78.20 ,$78.20 ,$3.87 ,$78.20 ,$3.87 ,$74.52 ,$74.52 ,$74.52 ,$92.00 ,$82.80 ,$9.88 ,$82.80 ,$3.87 ,$3.95 ,$51.61 ,$3.87 ,$38.09 ,$3.71 ,$3.54 ,$4.07 ,$82.80 ,$8.89 ,$50.97 ,$25.76 ,$82.80 ,$3.87 ,$82.80 ,$82.80 ,$3.87 ,$59.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100765,84550,HC URIC ACID,301,1 ,$64.40 ,$46.37 ,$3.54 ,$64.40 ,$11.30 ,$47.98 ,$42.18 ,$4.43 ,$18.03 ,$39.61 ,$4.43 ,$39.61 ,$4.43 ,$35.68 ,$35.68 ,$4.43 ,$35.68 ,$9.13 ,$57.96 ,$53.45 ,$11.30 ,$4.43 ,$56.67 ,$4.52 ,$48.30 ,$48.30 ,$54.74 ,$54.74 ,$4.43 ,$54.74 ,$4.43 ,$52.16 ,$52.16 ,$52.16 ,$64.40 ,$57.96 ,$11.30 ,$57.96 ,$4.43 ,$64.40 ,$36.13 ,$4.43 ,$26.66 ,$3.71 ,$3.54 ,$4.65 ,$57.96 ,$10.17 ,$35.68 ,$18.03 ,$57.96 ,$4.43 ,$57.96 ,$57.96 ,$4.43 ,$41.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100802,84702,HC HCG QN,301,1 ,$364.55 ,$262.48 ,$10.72 ,$364.55 ,$37.63 ,$271.59 ,$238.78 ,$14.75 ,$102.07 ,$224.20 ,$14.75 ,$224.20 ,$14.75 ,$201.96 ,$201.96 ,$14.75 ,$201.96 ,$30.40 ,$328.10 ,$302.58 ,$37.63 ,$14.75 ,$320.80 ,$15.04 ,$273.41 ,$273.41 ,$309.87 ,$309.87 ,$14.75 ,$309.87 ,$14.75 ,$295.29 ,$295.29 ,$295.29 ,$364.55 ,$328.10 ,$37.63 ,$328.10 ,$14.75 ,$364.55 ,$204.51 ,$14.75 ,$150.92 ,$11.23 ,$10.72 ,$15.48 ,$328.10 ,$33.86 ,$201.96 ,$102.07 ,$328.10 ,$14.75 ,$328.10 ,$328.10 ,$14.75 ,$236.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100808,84703,HC HCG QL,301,1 ,$149.50 ,$107.64 ,$7.37 ,$149.50 ,$18.80 ,$111.38 ,$97.92 ,$7.37 ,$41.86 ,$91.94 ,$7.37 ,$91.94 ,$7.37 ,$82.82 ,$82.82 ,$7.37 ,$82.82 ,$15.19 ,$134.55 ,$124.09 ,$18.80 ,$7.37 ,$131.56 ,$7.52 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$7.37 ,$127.08 ,$7.37 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$18.80 ,$134.55 ,$7.37 ,$149.50 ,$83.87 ,$7.37 ,$61.89 ,$8.34 ,$7.96 ,$7.74 ,$134.55 ,$16.92 ,$82.82 ,$41.86 ,$134.55 ,$7.37 ,$134.55 ,$134.55 ,$7.37 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100810,88720,HC BILICHECK TEST,301,1 ,$108.10 ,$77.83 ,$3.54 ,$108.10 ,$12.55 ,$80.53 ,$70.81 ,$4.92 ,$30.27 ,$66.48 ,$4.92 ,$66.48 ,$4.92 ,$59.89 ,$59.89 ,$4.92 ,$59.89 ,$10.14 ,$97.29 ,$89.72 ,$12.55 ,$4.92 ,$95.13 ,$5.02 ,$81.08 ,$81.08 ,$91.89 ,$91.89 ,$4.92 ,$91.89 ,$4.92 ,$87.56 ,$87.56 ,$87.56 ,$108.10 ,$97.29 ,$12.55 ,$97.29 ,$4.92 ,$108.10 ,$60.64 ,$4.92 ,$44.75 ,$3.71 ,$3.54 ,$5.16 ,$97.29 ,$11.30 ,$59.89 ,$30.27 ,$97.29 ,$4.92 ,$97.29 ,$97.29 ,$4.92 ,$70.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30100822,83701,HC VAP HRF LIPOPROTEINS,301,1 ,$150.00 ,$108.00 ,$7.96 ,$150.00 ,$84.65 ,$111.75 ,$98.25 ,$33.18 ,$42.00 ,$92.25 ,$33.18 ,$92.25 ,$33.18 ,$83.10 ,$83.10 ,$33.18 ,$83.10 ,$68.40 ,$135.00 ,$124.50 ,$84.65 ,$33.18 ,$132.00 ,$33.85 ,$112.50 ,$112.50 ,$127.50 ,$127.50 ,$33.18 ,$127.50 ,$33.18 ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 ,$84.65 ,$135.00 ,$33.18 ,$150.00 ,$84.15 ,$33.18 ,$62.10 ,$8.34 ,$7.96 ,$34.84 ,$135.00 ,$76.19 ,$83.10 ,$42.00 ,$135.00 ,$33.18 ,$135.00 ,$135.00 ,$33.18 ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$411.70 ,$296.42 ,$7.96 ,$411.70 ,$48.28 ,$306.72 ,$269.66 ,$18.92 ,$115.28 ,$253.20 ,$18.92 ,$253.20 ,$18.92 ,$228.08 ,$228.08 ,$18.92 ,$228.08 ,$39.01 ,$370.53 ,$341.71 ,$48.28 ,$18.92 ,$362.30 ,$19.31 ,$308.78 ,$308.78 ,$349.95 ,$349.95 ,$18.92 ,$349.95 ,$18.92 ,$333.48 ,$333.48 ,$333.48 ,$411.70 ,$370.53 ,$48.28 ,$370.53 ,$18.92 ,$411.70 ,$230.96 ,$18.92 ,$170.44 ,$8.34 ,$7.96 ,$19.87 ,$370.53 ,$43.45 ,$228.08 ,$115.28 ,$370.53 ,$18.92 ,$370.53 ,$370.53 ,$18.92 ,$267.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101063,83519,HC ACETYLCHOLINE RECEPTR AB TIER 1-90,301,1 ,$165.60 ,$119.23 ,$7.13 ,$165.60 ,$46.00 ,$123.37 ,$108.47 ,$18.03 ,$46.37 ,$101.84 ,$18.03 ,$101.84 ,$18.03 ,$91.74 ,$91.74 ,$18.03 ,$91.74 ,$37.17 ,$149.04 ,$137.45 ,$46.00 ,$18.03 ,$145.73 ,$18.39 ,$124.20 ,$124.20 ,$140.76 ,$140.76 ,$18.03 ,$140.76 ,$18.03 ,$134.14 ,$134.14 ,$134.14 ,$165.60 ,$149.04 ,$46.00 ,$149.04 ,$18.03 ,$165.60 ,$92.90 ,$18.03 ,$68.56 ,$7.47 ,$7.13 ,$18.93 ,$149.04 ,$41.40 ,$91.74 ,$46.37 ,$149.04 ,$18.03 ,$149.04 ,$149.04 ,$18.03 ,$107.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101064,83519,HC ACETYLCHOLINE RECEPTR AB TIER 2-90,301,1 ,$489.90 ,$352.73 ,$7.13 ,$489.90 ,$46.00 ,$364.98 ,$320.88 ,$18.03 ,$137.17 ,$301.29 ,$18.03 ,$301.29 ,$18.03 ,$271.40 ,$271.40 ,$18.03 ,$271.40 ,$37.17 ,$440.91 ,$406.62 ,$46.00 ,$18.03 ,$431.11 ,$18.39 ,$367.43 ,$367.43 ,$416.42 ,$416.42 ,$18.03 ,$416.42 ,$18.03 ,$396.82 ,$396.82 ,$396.82 ,$489.90 ,$440.91 ,$46.00 ,$440.91 ,$18.03 ,$489.90 ,$274.83 ,$18.03 ,$202.82 ,$7.47 ,$7.13 ,$18.93 ,$440.91 ,$41.40 ,$271.40 ,$137.17 ,$440.91 ,$18.03 ,$440.91 ,$440.91 ,$18.03 ,$318.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101065,83520,HC ANTI-NEURONAL CELL AB-90,301,1 ,$215.28 ,$155.00 ,$7.13 ,$215.28 ,$43.18 ,$160.38 ,$141.01 ,$16.92 ,$60.28 ,$132.40 ,$16.92 ,$132.40 ,$16.92 ,$119.27 ,$119.27 ,$16.92 ,$119.27 ,$34.89 ,$193.75 ,$178.68 ,$43.18 ,$16.92 ,$189.45 ,$17.27 ,$161.46 ,$161.46 ,$182.99 ,$182.99 ,$16.92 ,$182.99 ,$16.92 ,$174.38 ,$174.38 ,$174.38 ,$215.28 ,$193.75 ,$43.18 ,$193.75 ,$16.92 ,$215.28 ,$120.77 ,$16.92 ,$89.13 ,$7.47 ,$7.13 ,$17.77 ,$193.75 ,$38.86 ,$119.27 ,$60.28 ,$193.75 ,$16.92 ,$193.75 ,$193.75 ,$16.92 ,$139.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101083,80061,HC LIPID PANEL - 90,301,1 ,$203.55 ,$146.56 ,$7.27 ,$203.55 ,$33.48 ,$151.64 ,$133.33 ,$13.12 ,$56.99 ,$125.18 ,$13.12 ,$125.18 ,$13.12 ,$112.77 ,$112.77 ,$13.12 ,$112.77 ,$27.05 ,$183.20 ,$168.95 ,$33.48 ,$13.12 ,$179.12 ,$13.39 ,$152.66 ,$152.66 ,$173.02 ,$173.02 ,$13.12 ,$173.02 ,$13.12 ,$164.88 ,$164.88 ,$164.88 ,$203.55 ,$183.20 ,$33.48 ,$183.20 ,$13.12 ,$203.55 ,$114.19 ,$13.12 ,$84.27 ,$7.61 ,$7.27 ,$13.78 ,$183.20 ,$30.13 ,$112.77 ,$56.99 ,$183.20 ,$13.12 ,$183.20 ,$183.20 ,$13.12 ,$132.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101089,80150,HC AMIKACIN - 90,301,1 ,$123.05 ,$88.60 ,$9.15 ,$123.05 ,$37.70 ,$91.67 ,$80.60 ,$14.78 ,$34.45 ,$75.68 ,$14.78 ,$75.68 ,$14.78 ,$68.17 ,$68.17 ,$14.78 ,$68.17 ,$30.46 ,$110.75 ,$102.13 ,$37.70 ,$14.78 ,$108.28 ,$15.07 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$14.78 ,$104.59 ,$14.78 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$37.70 ,$110.75 ,$14.78 ,$123.05 ,$69.03 ,$14.78 ,$50.94 ,$9.58 ,$9.15 ,$15.51 ,$110.75 ,$33.93 ,$68.17 ,$34.45 ,$110.75 ,$14.78 ,$110.75 ,$110.75 ,$14.78 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101092,80156,HC CARBAMAZEPINE TOTAL - 90,301,1 ,$233.00 ,$167.76 ,$9.15 ,$233.00 ,$36.43 ,$173.59 ,$152.62 ,$14.28 ,$65.24 ,$143.30 ,$14.28 ,$143.30 ,$14.28 ,$129.08 ,$129.08 ,$14.28 ,$129.08 ,$29.43 ,$209.70 ,$193.39 ,$36.43 ,$14.28 ,$205.04 ,$14.56 ,$174.75 ,$174.75 ,$198.05 ,$198.05 ,$14.28 ,$198.05 ,$14.28 ,$188.73 ,$188.73 ,$188.73 ,$233.00 ,$209.70 ,$36.43 ,$209.70 ,$14.28 ,$233.00 ,$130.71 ,$14.28 ,$96.46 ,$9.58 ,$9.15 ,$14.99 ,$209.70 ,$32.78 ,$129.08 ,$65.24 ,$209.70 ,$14.28 ,$209.70 ,$209.70 ,$14.28 ,$151.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101093,80157,HC CARBAMAZEPINE FREE - 90,301,1 ,$134.55 ,$96.88 ,$9.15 ,$134.55 ,$33.13 ,$100.24 ,$88.13 ,$12.98 ,$37.67 ,$82.75 ,$12.98 ,$82.75 ,$12.98 ,$74.54 ,$74.54 ,$12.98 ,$74.54 ,$26.77 ,$121.10 ,$111.68 ,$33.13 ,$12.98 ,$118.40 ,$13.25 ,$100.91 ,$100.91 ,$114.37 ,$114.37 ,$12.98 ,$114.37 ,$12.98 ,$108.99 ,$108.99 ,$108.99 ,$134.55 ,$121.10 ,$33.13 ,$121.10 ,$12.98 ,$134.55 ,$75.48 ,$12.98 ,$55.70 ,$9.58 ,$9.15 ,$13.63 ,$121.10 ,$29.81 ,$74.54 ,$37.67 ,$121.10 ,$12.98 ,$121.10 ,$121.10 ,$12.98 ,$87.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$264.00 ,$190.08 ,$9.15 ,$264.00 ,$45.13 ,$196.68 ,$172.92 ,$17.69 ,$73.92 ,$162.36 ,$17.69 ,$162.36 ,$17.69 ,$146.26 ,$146.26 ,$17.69 ,$146.26 ,$36.46 ,$237.60 ,$219.12 ,$45.13 ,$17.69 ,$232.32 ,$18.04 ,$198.00 ,$198.00 ,$224.40 ,$224.40 ,$17.69 ,$224.40 ,$17.69 ,$213.84 ,$213.84 ,$213.84 ,$264.00 ,$237.60 ,$45.13 ,$237.60 ,$17.69 ,$264.00 ,$148.10 ,$17.69 ,$109.30 ,$9.58 ,$9.15 ,$18.57 ,$237.60 ,$40.61 ,$146.26 ,$73.92 ,$237.60 ,$17.69 ,$237.60 ,$237.60 ,$17.69 ,$171.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101095,80159,HC CLOZAPINE - 90,301,1 ,$99.00 ,$71.28 ,$9.15 ,$99.00 ,$50.38 ,$73.76 ,$64.85 ,$19.75 ,$27.72 ,$60.89 ,$19.75 ,$60.89 ,$19.75 ,$54.85 ,$54.85 ,$19.75 ,$54.85 ,$40.70 ,$89.10 ,$82.17 ,$50.38 ,$19.75 ,$87.12 ,$20.14 ,$74.25 ,$74.25 ,$84.15 ,$84.15 ,$19.75 ,$84.15 ,$19.75 ,$80.19 ,$80.19 ,$80.19 ,$99.00 ,$89.10 ,$50.38 ,$89.10 ,$19.75 ,$99.00 ,$55.54 ,$19.75 ,$40.99 ,$9.58 ,$9.15 ,$20.74 ,$89.10 ,$45.34 ,$54.85 ,$27.72 ,$89.10 ,$19.75 ,$89.10 ,$89.10 ,$19.75 ,$64.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101097,80164,HC VALPROIC ACID - 90,301,1 ,$184.00 ,$132.48 ,$9.15 ,$184.00 ,$33.85 ,$137.08 ,$120.52 ,$13.27 ,$51.52 ,$113.16 ,$13.27 ,$113.16 ,$13.27 ,$101.94 ,$101.94 ,$13.27 ,$101.94 ,$27.35 ,$165.60 ,$152.72 ,$33.85 ,$13.27 ,$161.92 ,$13.53 ,$138.00 ,$138.00 ,$156.40 ,$156.40 ,$13.27 ,$156.40 ,$13.27 ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 ,$33.85 ,$165.60 ,$13.27 ,$184.00 ,$103.22 ,$13.27 ,$76.18 ,$9.58 ,$9.15 ,$13.94 ,$165.60 ,$30.47 ,$101.94 ,$51.52 ,$165.60 ,$13.27 ,$165.60 ,$165.60 ,$13.27 ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101098,80165,HC VALPROIC ACID FREE - 90,301,1 ,$121.50 ,$87.48 ,$9.15 ,$121.50 ,$33.85 ,$90.52 ,$79.58 ,$13.27 ,$34.02 ,$74.72 ,$13.27 ,$74.72 ,$13.27 ,$67.31 ,$67.31 ,$13.27 ,$67.31 ,$27.35 ,$109.35 ,$100.85 ,$33.85 ,$13.27 ,$106.92 ,$13.53 ,$91.13 ,$91.13 ,$103.28 ,$103.28 ,$13.27 ,$103.28 ,$13.27 ,$98.42 ,$98.42 ,$98.42 ,$121.50 ,$109.35 ,$33.85 ,$109.35 ,$13.27 ,$121.50 ,$68.16 ,$13.27 ,$50.30 ,$9.58 ,$9.15 ,$13.94 ,$109.35 ,$30.47 ,$67.31 ,$34.02 ,$109.35 ,$13.27 ,$109.35 ,$109.35 ,$13.27 ,$78.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101099,80168,HC ETHOSUXIMIDE - 90,301,1 ,$133.40 ,$96.05 ,$9.15 ,$133.40 ,$40.85 ,$99.38 ,$87.38 ,$16.01 ,$37.35 ,$82.04 ,$16.01 ,$82.04 ,$16.01 ,$73.90 ,$73.90 ,$16.01 ,$73.90 ,$33.01 ,$120.06 ,$110.72 ,$40.85 ,$16.01 ,$117.39 ,$16.34 ,$100.05 ,$100.05 ,$113.39 ,$113.39 ,$16.01 ,$113.39 ,$16.01 ,$108.05 ,$108.05 ,$108.05 ,$133.40 ,$120.06 ,$40.85 ,$120.06 ,$16.01 ,$133.40 ,$74.84 ,$16.01 ,$55.23 ,$9.58 ,$9.15 ,$16.82 ,$120.06 ,$36.77 ,$73.90 ,$37.35 ,$120.06 ,$16.01 ,$120.06 ,$120.06 ,$16.01 ,$86.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101100,80169,HC EVEROLIMUS - 90,301,1 ,$140.00 ,$100.80 ,$9.15 ,$140.00 ,$34.33 ,$104.30 ,$91.70 ,$13.46 ,$39.20 ,$86.10 ,$13.46 ,$86.10 ,$13.46 ,$77.56 ,$77.56 ,$13.46 ,$77.56 ,$27.73 ,$126.00 ,$116.20 ,$34.33 ,$13.46 ,$123.20 ,$13.72 ,$105.00 ,$105.00 ,$119.00 ,$119.00 ,$13.46 ,$119.00 ,$13.46 ,$113.40 ,$113.40 ,$113.40 ,$140.00 ,$126.00 ,$34.33 ,$126.00 ,$13.46 ,$140.00 ,$78.54 ,$13.46 ,$57.96 ,$9.58 ,$9.15 ,$14.13 ,$126.00 ,$30.89 ,$77.56 ,$39.20 ,$126.00 ,$13.46 ,$126.00 ,$126.00 ,$13.46 ,$91.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101102,80171,HC GABAPENTIN PLASMA - 90,301,1 ,$94.00 ,$67.68 ,$9.15 ,$94.00 ,$54.18 ,$70.03 ,$61.57 ,$21.24 ,$26.32 ,$57.81 ,$21.24 ,$57.81 ,$21.24 ,$52.08 ,$52.08 ,$21.24 ,$52.08 ,$43.77 ,$84.60 ,$78.02 ,$54.18 ,$21.24 ,$82.72 ,$21.66 ,$70.50 ,$70.50 ,$79.90 ,$79.90 ,$21.24 ,$79.90 ,$21.24 ,$76.14 ,$76.14 ,$76.14 ,$94.00 ,$84.60 ,$54.18 ,$84.60 ,$21.24 ,$94.00 ,$52.73 ,$21.24 ,$38.92 ,$9.58 ,$9.15 ,$22.29 ,$84.60 ,$48.76 ,$52.08 ,$26.32 ,$84.60 ,$21.24 ,$84.60 ,$84.60 ,$21.24 ,$61.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101103,80173,HC HALOPERIDOL - 90,301,1 ,$289.80 ,$208.66 ,$9.15 ,$289.80 ,$39.45 ,$215.90 ,$189.82 ,$15.46 ,$81.14 ,$178.23 ,$15.46 ,$178.23 ,$15.46 ,$160.55 ,$160.55 ,$15.46 ,$160.55 ,$31.88 ,$260.82 ,$240.53 ,$39.45 ,$15.46 ,$255.02 ,$15.78 ,$217.35 ,$217.35 ,$246.33 ,$246.33 ,$15.46 ,$246.33 ,$15.46 ,$234.74 ,$234.74 ,$234.74 ,$289.80 ,$260.82 ,$39.45 ,$260.82 ,$15.46 ,$289.80 ,$162.58 ,$15.46 ,$119.98 ,$9.58 ,$9.15 ,$16.24 ,$260.82 ,$35.51 ,$160.55 ,$81.14 ,$260.82 ,$15.46 ,$260.82 ,$260.82 ,$15.46 ,$188.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101104,80175,HC LAMOTRIGINE - 90,301,1 ,$158.00 ,$113.76 ,$9.15 ,$158.00 ,$33.13 ,$117.71 ,$103.49 ,$12.98 ,$44.24 ,$97.17 ,$12.98 ,$97.17 ,$12.98 ,$87.53 ,$87.53 ,$12.98 ,$87.53 ,$26.77 ,$142.20 ,$131.14 ,$33.13 ,$12.98 ,$139.04 ,$13.25 ,$118.50 ,$118.50 ,$134.30 ,$134.30 ,$12.98 ,$134.30 ,$12.98 ,$127.98 ,$127.98 ,$127.98 ,$158.00 ,$142.20 ,$33.13 ,$142.20 ,$12.98 ,$158.00 ,$88.64 ,$12.98 ,$65.41 ,$9.58 ,$9.15 ,$13.63 ,$142.20 ,$29.81 ,$87.53 ,$44.24 ,$142.20 ,$12.98 ,$142.20 ,$142.20 ,$12.98 ,$102.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101106,80177,HC LEVETIRACETAM - 90,301,1 ,$158.00 ,$113.76 ,$9.15 ,$158.00 ,$33.13 ,$117.71 ,$103.49 ,$12.98 ,$44.24 ,$97.17 ,$12.98 ,$97.17 ,$12.98 ,$87.53 ,$87.53 ,$12.98 ,$87.53 ,$26.77 ,$142.20 ,$131.14 ,$33.13 ,$12.98 ,$139.04 ,$13.25 ,$118.50 ,$118.50 ,$134.30 ,$134.30 ,$12.98 ,$134.30 ,$12.98 ,$127.98 ,$127.98 ,$127.98 ,$158.00 ,$142.20 ,$33.13 ,$142.20 ,$12.98 ,$158.00 ,$88.64 ,$12.98 ,$65.41 ,$9.58 ,$9.15 ,$13.63 ,$142.20 ,$29.81 ,$87.53 ,$44.24 ,$142.20 ,$12.98 ,$142.20 ,$142.20 ,$12.98 ,$102.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101108,80180,HC MYCOPHENOLATE/MYCOPHENOLIC ACID - 90,301,1 ,$160.58 ,$115.62 ,$9.15 ,$160.58 ,$45.13 ,$119.63 ,$105.18 ,$17.69 ,$44.96 ,$98.76 ,$17.69 ,$98.76 ,$17.69 ,$88.96 ,$88.96 ,$17.69 ,$88.96 ,$36.46 ,$144.52 ,$133.28 ,$45.13 ,$17.69 ,$141.31 ,$18.04 ,$120.44 ,$120.44 ,$136.49 ,$136.49 ,$17.69 ,$136.49 ,$17.69 ,$130.07 ,$130.07 ,$130.07 ,$160.58 ,$144.52 ,$45.13 ,$144.52 ,$17.69 ,$160.58 ,$90.09 ,$17.69 ,$66.48 ,$9.58 ,$9.15 ,$18.57 ,$144.52 ,$40.61 ,$88.96 ,$44.96 ,$144.52 ,$17.69 ,$144.52 ,$144.52 ,$17.69 ,$104.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101109,80183,HC OXCARBAZEPINE - 90,301,1 ,$71.00 ,$51.12 ,$9.15 ,$71.00 ,$33.13 ,$52.90 ,$46.51 ,$12.98 ,$19.88 ,$43.67 ,$12.98 ,$43.67 ,$12.98 ,$39.33 ,$39.33 ,$12.98 ,$39.33 ,$26.77 ,$63.90 ,$58.93 ,$33.13 ,$12.98 ,$62.48 ,$13.25 ,$53.25 ,$53.25 ,$60.35 ,$60.35 ,$12.98 ,$60.35 ,$12.98 ,$57.51 ,$57.51 ,$57.51 ,$71.00 ,$63.90 ,$33.13 ,$63.90 ,$12.98 ,$71.00 ,$39.83 ,$12.98 ,$29.39 ,$9.58 ,$9.15 ,$13.63 ,$63.90 ,$29.81 ,$39.33 ,$19.88 ,$63.90 ,$12.98 ,$63.90 ,$63.90 ,$12.98 ,$46.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$102.35 ,$73.69 ,$9.15 ,$102.35 ,$38.25 ,$76.25 ,$67.04 ,$14.99 ,$28.66 ,$62.95 ,$14.99 ,$62.95 ,$14.99 ,$56.70 ,$56.70 ,$14.99 ,$56.70 ,$30.91 ,$92.12 ,$84.95 ,$38.25 ,$14.99 ,$90.07 ,$15.30 ,$76.76 ,$76.76 ,$87.00 ,$87.00 ,$14.99 ,$87.00 ,$14.99 ,$82.90 ,$82.90 ,$82.90 ,$102.35 ,$92.12 ,$38.25 ,$92.12 ,$14.99 ,$102.35 ,$57.42 ,$14.99 ,$42.37 ,$9.58 ,$9.15 ,$15.75 ,$92.12 ,$34.43 ,$56.70 ,$28.66 ,$92.12 ,$14.99 ,$92.12 ,$92.12 ,$14.99 ,$66.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101113,80185,HC PHENYTOIN TOTAL - 90,301,1 ,$52.90 ,$38.09 ,$9.15 ,$52.90 ,$33.13 ,$39.41 ,$34.65 ,$12.98 ,$14.81 ,$32.53 ,$12.98 ,$32.53 ,$12.98 ,$29.31 ,$29.31 ,$12.98 ,$29.31 ,$26.77 ,$47.61 ,$43.91 ,$33.13 ,$12.98 ,$46.55 ,$13.25 ,$39.68 ,$39.68 ,$44.97 ,$44.97 ,$12.98 ,$44.97 ,$12.98 ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 ,$33.13 ,$47.61 ,$12.98 ,$52.90 ,$29.68 ,$12.98 ,$21.90 ,$9.58 ,$9.15 ,$13.63 ,$47.61 ,$29.81 ,$29.31 ,$14.81 ,$47.61 ,$12.98 ,$47.61 ,$47.61 ,$12.98 ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$54.05 ,$38.92 ,$9.15 ,$54.05 ,$34.40 ,$40.27 ,$35.40 ,$13.48 ,$15.13 ,$33.24 ,$13.48 ,$33.24 ,$13.48 ,$29.94 ,$29.94 ,$13.48 ,$29.94 ,$27.80 ,$48.65 ,$44.86 ,$34.40 ,$13.48 ,$47.56 ,$13.76 ,$40.54 ,$40.54 ,$45.94 ,$45.94 ,$13.48 ,$45.94 ,$13.48 ,$43.78 ,$43.78 ,$43.78 ,$54.05 ,$48.65 ,$34.40 ,$48.65 ,$13.48 ,$54.05 ,$30.32 ,$13.48 ,$22.38 ,$9.58 ,$9.15 ,$14.16 ,$48.65 ,$30.96 ,$29.94 ,$15.13 ,$48.65 ,$13.48 ,$48.65 ,$48.65 ,$13.48 ,$35.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101115,80188,HC PRIMIDONE - 90,301,1 ,$134.55 ,$96.88 ,$9.15 ,$134.55 ,$41.48 ,$100.24 ,$88.13 ,$16.26 ,$37.67 ,$82.75 ,$16.26 ,$82.75 ,$16.26 ,$74.54 ,$74.54 ,$16.26 ,$74.54 ,$33.51 ,$121.10 ,$111.68 ,$41.48 ,$16.26 ,$118.40 ,$16.58 ,$100.91 ,$100.91 ,$114.37 ,$114.37 ,$16.26 ,$114.37 ,$16.26 ,$108.99 ,$108.99 ,$108.99 ,$134.55 ,$121.10 ,$41.48 ,$121.10 ,$16.26 ,$134.55 ,$75.48 ,$16.26 ,$55.70 ,$9.58 ,$9.15 ,$17.07 ,$121.10 ,$37.33 ,$74.54 ,$37.67 ,$121.10 ,$16.26 ,$121.10 ,$121.10 ,$16.26 ,$87.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$147.20 ,$105.98 ,$9.15 ,$147.20 ,$41.88 ,$109.66 ,$96.42 ,$16.41 ,$41.22 ,$90.53 ,$16.41 ,$90.53 ,$16.41 ,$81.55 ,$81.55 ,$16.41 ,$81.55 ,$33.84 ,$132.48 ,$122.18 ,$41.88 ,$16.41 ,$129.54 ,$16.75 ,$110.40 ,$110.40 ,$125.12 ,$125.12 ,$16.41 ,$125.12 ,$16.41 ,$119.23 ,$119.23 ,$119.23 ,$147.20 ,$132.48 ,$41.88 ,$132.48 ,$16.41 ,$147.20 ,$82.58 ,$16.41 ,$60.94 ,$9.58 ,$9.15 ,$17.24 ,$132.48 ,$37.69 ,$81.55 ,$41.22 ,$132.48 ,$16.41 ,$132.48 ,$132.48 ,$16.41 ,$95.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101117,80194,HC QUINIDINE - 90,301,1 ,$119.60 ,$86.11 ,$9.15 ,$119.60 ,$36.50 ,$89.10 ,$78.34 ,$14.31 ,$33.49 ,$73.55 ,$14.31 ,$73.55 ,$14.31 ,$66.26 ,$66.26 ,$14.31 ,$66.26 ,$29.49 ,$107.64 ,$99.27 ,$36.50 ,$14.31 ,$105.25 ,$14.59 ,$89.70 ,$89.70 ,$101.66 ,$101.66 ,$14.31 ,$101.66 ,$14.31 ,$96.88 ,$96.88 ,$96.88 ,$119.60 ,$107.64 ,$36.50 ,$107.64 ,$14.31 ,$119.60 ,$67.10 ,$14.31 ,$49.51 ,$9.58 ,$9.15 ,$15.02 ,$107.64 ,$32.85 ,$66.26 ,$33.49 ,$107.64 ,$14.31 ,$107.64 ,$107.64 ,$14.31 ,$77.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101118,80195,HC RAPAMYCIN (SIROLIMUS) - 90,301,1 ,$184.00 ,$132.48 ,$9.15 ,$184.00 ,$34.33 ,$137.08 ,$120.52 ,$13.46 ,$51.52 ,$113.16 ,$13.46 ,$113.16 ,$13.46 ,$101.94 ,$101.94 ,$13.46 ,$101.94 ,$27.73 ,$165.60 ,$152.72 ,$34.33 ,$13.46 ,$161.92 ,$13.72 ,$138.00 ,$138.00 ,$156.40 ,$156.40 ,$13.46 ,$156.40 ,$13.46 ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 ,$34.33 ,$165.60 ,$13.46 ,$184.00 ,$103.22 ,$13.46 ,$76.18 ,$9.58 ,$9.15 ,$14.13 ,$165.60 ,$30.89 ,$101.94 ,$51.52 ,$165.60 ,$13.46 ,$165.60 ,$165.60 ,$13.46 ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101119,80197,HC TACROLIMUS - 90,301,1 ,$175.95 ,$126.68 ,$9.15 ,$175.95 ,$34.33 ,$131.08 ,$115.25 ,$13.46 ,$49.27 ,$108.21 ,$13.46 ,$108.21 ,$13.46 ,$97.48 ,$97.48 ,$13.46 ,$97.48 ,$27.73 ,$158.36 ,$146.04 ,$34.33 ,$13.46 ,$154.84 ,$13.72 ,$131.96 ,$131.96 ,$149.56 ,$149.56 ,$13.46 ,$149.56 ,$13.46 ,$142.52 ,$142.52 ,$142.52 ,$175.95 ,$158.36 ,$34.33 ,$158.36 ,$13.46 ,$175.95 ,$98.71 ,$13.46 ,$72.84 ,$9.58 ,$9.15 ,$14.13 ,$158.36 ,$30.89 ,$97.48 ,$49.27 ,$158.36 ,$13.46 ,$158.36 ,$158.36 ,$13.46 ,$114.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101124,80201,HC TOPIRAMATE - 90,301,1 ,$97.75 ,$70.38 ,$9.15 ,$97.75 ,$29.80 ,$72.82 ,$64.03 ,$11.68 ,$27.37 ,$60.12 ,$11.68 ,$60.12 ,$11.68 ,$54.15 ,$54.15 ,$11.68 ,$54.15 ,$24.08 ,$87.98 ,$81.13 ,$29.80 ,$11.68 ,$86.02 ,$11.92 ,$73.31 ,$73.31 ,$83.09 ,$83.09 ,$11.68 ,$83.09 ,$11.68 ,$79.18 ,$79.18 ,$79.18 ,$97.75 ,$87.98 ,$29.80 ,$87.98 ,$11.68 ,$97.75 ,$54.84 ,$11.68 ,$40.47 ,$9.58 ,$9.15 ,$12.27 ,$87.98 ,$26.82 ,$54.15 ,$27.37 ,$87.98 ,$11.68 ,$87.98 ,$87.98 ,$11.68 ,$63.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101126,80203,HC ZONISAMIDE - 90,301,1 ,$119.00 ,$85.68 ,$9.15 ,$119.00 ,$33.13 ,$88.66 ,$77.95 ,$12.98 ,$33.32 ,$73.19 ,$12.98 ,$73.19 ,$12.98 ,$65.93 ,$65.93 ,$12.98 ,$65.93 ,$26.77 ,$107.10 ,$98.77 ,$33.13 ,$12.98 ,$104.72 ,$13.25 ,$89.25 ,$89.25 ,$101.15 ,$101.15 ,$12.98 ,$101.15 ,$12.98 ,$96.39 ,$96.39 ,$96.39 ,$119.00 ,$107.10 ,$33.13 ,$107.10 ,$12.98 ,$119.00 ,$66.76 ,$12.98 ,$49.27 ,$9.58 ,$9.15 ,$13.63 ,$107.10 ,$29.81 ,$65.93 ,$33.32 ,$107.10 ,$12.98 ,$107.10 ,$107.10 ,$12.98 ,$77.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101130,80299,HC ITRACONAZOLE HPLC - 90,301,1 ,$123.05 ,$88.60 ,$9.15 ,$123.05 ,$46.60 ,$91.67 ,$80.60 ,$18.27 ,$34.45 ,$75.68 ,$18.27 ,$75.68 ,$18.27 ,$68.17 ,$68.17 ,$18.27 ,$68.17 ,$37.65 ,$110.75 ,$102.13 ,$46.60 ,$18.27 ,$108.28 ,$18.63 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$18.27 ,$104.59 ,$18.27 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$46.60 ,$110.75 ,$18.27 ,$123.05 ,$69.03 ,$18.27 ,$50.94 ,$9.58 ,$9.15 ,$19.18 ,$110.75 ,$41.94 ,$68.17 ,$34.45 ,$110.75 ,$18.27 ,$110.75 ,$110.75 ,$18.27 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$177.10 ,$127.51 ,$9.15 ,$177.10 ,$46.60 ,$131.94 ,$116.00 ,$18.27 ,$49.59 ,$108.92 ,$18.27 ,$108.92 ,$18.27 ,$98.11 ,$98.11 ,$18.27 ,$98.11 ,$37.65 ,$159.39 ,$146.99 ,$46.60 ,$18.27 ,$155.85 ,$18.63 ,$132.83 ,$132.83 ,$150.54 ,$150.54 ,$18.27 ,$150.54 ,$18.27 ,$143.45 ,$143.45 ,$143.45 ,$177.10 ,$159.39 ,$46.60 ,$159.39 ,$18.27 ,$177.10 ,$99.35 ,$18.27 ,$73.32 ,$9.58 ,$9.15 ,$19.18 ,$159.39 ,$41.94 ,$98.11 ,$49.59 ,$159.39 ,$18.27 ,$159.39 ,$159.39 ,$18.27 ,$115.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101133,80306,HC DRUG SCREEN PRESUMPTIVE INSTRMNT ASSIST DIR OPTICAL T2,301,1 ,$87.00 ,$62.64 ,$7.96 ,$87.00 ,$42.85 ,$64.82 ,$56.99 ,$16.80 ,$24.36 ,$53.51 ,$16.80 ,$53.51 ,$16.80 ,$48.20 ,$48.20 ,$16.80 ,$48.20 ,$34.62 ,$78.30 ,$72.21 ,$42.85 ,$16.80 ,$76.56 ,$17.13 ,$65.25 ,$65.25 ,$73.95 ,$73.95 ,$16.80 ,$73.95 ,$16.80 ,$70.47 ,$70.47 ,$70.47 ,$87.00 ,$78.30 ,$42.85 ,$78.30 ,$16.80 ,$87.00 ,$48.81 ,$16.80 ,$36.02 ,$8.34 ,$7.96 ,$17.64 ,$78.30 ,$38.57 ,$48.20 ,$24.36 ,$78.30 ,$16.80 ,$78.30 ,$78.30 ,$16.80 ,$56.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101135,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2,301,1 ,$325.00 ,$234.00 ,$21.44 ,$325.00 ,$155.35 ,$242.13 ,$212.88 ,$60.90 ,$91.00 ,$199.88 ,$60.90 ,$199.88 ,$60.90 ,$180.05 ,$180.05 ,$60.90 ,$180.05 ,$125.52 ,$292.50 ,$269.75 ,$155.35 ,$60.90 ,$286.00 ,$62.11 ,$243.75 ,$243.75 ,$276.25 ,$276.25 ,$60.90 ,$276.25 ,$60.90 ,$263.25 ,$263.25 ,$263.25 ,$325.00 ,$292.50 ,$155.35 ,$292.50 ,$60.90 ,$325.00 ,$182.33 ,$60.90 ,$134.55 ,$22.46 ,$21.44 ,$63.94 ,$292.50 ,$139.82 ,$180.05 ,$91.00 ,$292.50 ,$60.90 ,$292.50 ,$292.50 ,$60.90 ,$211.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101137,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4,301,1 ,$325.00 ,$234.00 ,$21.44 ,$325.00 ,$155.35 ,$242.13 ,$212.88 ,$60.90 ,$91.00 ,$199.88 ,$60.90 ,$199.88 ,$60.90 ,$180.05 ,$180.05 ,$60.90 ,$180.05 ,$125.52 ,$292.50 ,$269.75 ,$155.35 ,$60.90 ,$286.00 ,$62.11 ,$243.75 ,$243.75 ,$276.25 ,$276.25 ,$60.90 ,$276.25 ,$60.90 ,$263.25 ,$263.25 ,$263.25 ,$325.00 ,$292.50 ,$155.35 ,$292.50 ,$60.90 ,$325.00 ,$182.33 ,$60.90 ,$134.55 ,$22.46 ,$21.44 ,$63.94 ,$292.50 ,$139.82 ,$180.05 ,$91.00 ,$292.50 ,$60.90 ,$292.50 ,$292.50 ,$60.90 ,$211.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101140,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1-90,301,1 ,$325.00 ,$234.00 ,$21.44 ,$325.00 ,$155.35 ,$242.13 ,$212.88 ,$60.90 ,$91.00 ,$199.88 ,$60.90 ,$199.88 ,$60.90 ,$180.05 ,$180.05 ,$60.90 ,$180.05 ,$125.52 ,$292.50 ,$269.75 ,$155.35 ,$60.90 ,$286.00 ,$62.11 ,$243.75 ,$243.75 ,$276.25 ,$276.25 ,$60.90 ,$276.25 ,$60.90 ,$263.25 ,$263.25 ,$263.25 ,$325.00 ,$292.50 ,$155.35 ,$292.50 ,$60.90 ,$325.00 ,$182.33 ,$60.90 ,$134.55 ,$22.46 ,$21.44 ,$63.94 ,$292.50 ,$139.82 ,$180.05 ,$91.00 ,$292.50 ,$60.90 ,$292.50 ,$292.50 ,$60.90 ,$211.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101141,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2-90,301,1 ,$50.00 ,$36.00 ,$14.00 ,$112.50 ,$50.00 ,$37.25 ,$32.75 ,$49.00 ,$14.00 ,$30.75 ,$49.00 ,$30.75 ,$49.00 ,$27.70 ,$27.70 ,$49.00 ,$27.70 ,$50.00 ,$45.00 ,$41.50 ,$50.00 ,$49.00 ,$44.00 ,$49.98 ,$37.50 ,$37.50 ,$42.50 ,$42.50 ,$49.00 ,$42.50 ,$49.00 ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 ,$50.00 ,$45.00 ,$49.00 ,$50.00 ,$28.05 ,$49.00 ,$20.70 ,$22.46 ,$21.44 ,$49.00 ,$45.00 ,$112.50 ,$27.70 ,$14.00 ,$45.00 ,$49.00 ,$45.00 ,$45.00 ,$49.00 ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101142,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T3-90,301,1 ,$96.00 ,$69.12 ,$21.44 ,$139.82 ,$96.00 ,$71.52 ,$62.88 ,$60.90 ,$26.88 ,$59.04 ,$60.90 ,$59.04 ,$60.90 ,$53.18 ,$53.18 ,$60.90 ,$53.18 ,$96.00 ,$86.40 ,$79.68 ,$96.00 ,$60.90 ,$84.48 ,$62.11 ,$72.00 ,$72.00 ,$81.60 ,$81.60 ,$60.90 ,$81.60 ,$60.90 ,$77.76 ,$77.76 ,$77.76 ,$96.00 ,$86.40 ,$96.00 ,$86.40 ,$60.90 ,$96.00 ,$53.86 ,$60.90 ,$39.74 ,$22.46 ,$21.44 ,$63.94 ,$86.40 ,$139.82 ,$53.18 ,$26.88 ,$86.40 ,$60.90 ,$86.40 ,$86.40 ,$60.90 ,$62.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101144,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T5-90,301,1 ,$460.00 ,$331.20 ,$21.44 ,$460.00 ,$155.35 ,$342.70 ,$301.30 ,$60.90 ,$128.80 ,$282.90 ,$60.90 ,$282.90 ,$60.90 ,$254.84 ,$254.84 ,$60.90 ,$254.84 ,$125.52 ,$414.00 ,$381.80 ,$155.35 ,$60.90 ,$404.80 ,$62.11 ,$345.00 ,$345.00 ,$391.00 ,$391.00 ,$60.90 ,$391.00 ,$60.90 ,$372.60 ,$372.60 ,$372.60 ,$460.00 ,$414.00 ,$155.35 ,$414.00 ,$60.90 ,$460.00 ,$258.06 ,$60.90 ,$190.44 ,$22.46 ,$21.44 ,$63.94 ,$414.00 ,$139.82 ,$254.84 ,$128.80 ,$414.00 ,$60.90 ,$414.00 ,$414.00 ,$60.90 ,$299.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101145,80320,HC ALCOHOLS - 90,301,1 ,$167.18 ,$120.37 ,$7.96 ,$167.18 , N/A ,$124.55 ,$109.50 , N/A ,$46.81 ,$102.82 , N/A ,$102.82 , N/A ,$92.62 ,$92.62 , N/A ,$92.62 , N/A ,$150.46 ,$138.76 , N/A , N/A ,$147.12 , N/A ,$125.39 ,$125.39 ,$142.10 ,$142.10 , N/A ,$142.10 , N/A ,$135.42 ,$135.42 ,$135.42 ,$167.18 ,$150.46 , N/A ,$150.46 , N/A ,$167.18 ,$93.79 , N/A ,$69.21 ,$8.34 ,$7.96 , N/A ,$150.46 , N/A ,$92.62 ,$46.81 ,$150.46 , N/A ,$150.46 ,$150.46 , N/A ,$108.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101146,80323,HC NICOTINE - 90,301,1 ,$84.00 ,$60.48 ,$21.44 ,$84.00 , N/A ,$62.58 ,$55.02 , N/A ,$23.52 ,$51.66 , N/A ,$51.66 , N/A ,$46.54 ,$46.54 , N/A ,$46.54 , N/A ,$75.60 ,$69.72 , N/A , N/A ,$73.92 , N/A ,$63.00 ,$63.00 ,$71.40 ,$71.40 , N/A ,$71.40 , N/A ,$68.04 ,$68.04 ,$68.04 ,$84.00 ,$75.60 , N/A ,$75.60 , N/A ,$84.00 ,$47.12 , N/A ,$34.78 ,$22.46 ,$21.44 , N/A ,$75.60 , N/A ,$46.54 ,$23.52 ,$75.60 , N/A ,$75.60 ,$75.60 , N/A ,$54.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101150,80346,HC BENZODIAZEPINES 1-12  -90,301,1 ,$184.00 ,$132.48 ,$21.44 ,$184.00 , N/A ,$137.08 ,$120.52 , N/A ,$51.52 ,$113.16 , N/A ,$113.16 , N/A ,$101.94 ,$101.94 , N/A ,$101.94 , N/A ,$165.60 ,$152.72 , N/A , N/A ,$161.92 , N/A ,$138.00 ,$138.00 ,$156.40 ,$156.40 , N/A ,$156.40 , N/A ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 , N/A ,$165.60 , N/A ,$184.00 ,$103.22 , N/A ,$76.18 ,$22.46 ,$21.44 , N/A ,$165.60 , N/A ,$101.94 ,$51.52 ,$165.60 , N/A ,$165.60 ,$165.60 , N/A ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$184.00 ,$132.48 ,$7.96 ,$184.00 , N/A ,$137.08 ,$120.52 , N/A ,$51.52 ,$113.16 , N/A ,$113.16 , N/A ,$101.94 ,$101.94 , N/A ,$101.94 , N/A ,$165.60 ,$152.72 , N/A , N/A ,$161.92 , N/A ,$138.00 ,$138.00 ,$156.40 ,$156.40 , N/A ,$156.40 , N/A ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 , N/A ,$165.60 , N/A ,$184.00 ,$103.22 , N/A ,$76.18 ,$8.34 ,$7.96 , N/A ,$165.60 , N/A ,$101.94 ,$51.52 ,$165.60 , N/A ,$165.60 ,$165.60 , N/A ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101152,80353,HC COCAINE QN -90,301,1 ,$229.00 ,$164.88 ,$7.96 ,$229.00 , N/A ,$170.61 ,$150.00 , N/A ,$64.12 ,$140.84 , N/A ,$140.84 , N/A ,$126.87 ,$126.87 , N/A ,$126.87 , N/A ,$206.10 ,$190.07 , N/A , N/A ,$201.52 , N/A ,$171.75 ,$171.75 ,$194.65 ,$194.65 , N/A ,$194.65 , N/A ,$185.49 ,$185.49 ,$185.49 ,$229.00 ,$206.10 , N/A ,$206.10 , N/A ,$229.00 ,$128.47 , N/A ,$94.81 ,$8.34 ,$7.96 , N/A ,$206.10 , N/A ,$126.87 ,$64.12 ,$206.10 , N/A ,$206.10 ,$206.10 , N/A ,$148.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101153,80359,HC METHYLENEDIOXYAMPHETAMINES MDA MDEA MDMA -90,301,1 ,$458.00 ,$329.76 ,$7.96 ,$458.00 , N/A ,$341.21 ,$299.99 , N/A ,$128.24 ,$281.67 , N/A ,$281.67 , N/A ,$253.73 ,$253.73 , N/A ,$253.73 , N/A ,$412.20 ,$380.14 , N/A , N/A ,$403.04 , N/A ,$343.50 ,$343.50 ,$389.30 ,$389.30 , N/A ,$389.30 , N/A ,$370.98 ,$370.98 ,$370.98 ,$458.00 ,$412.20 , N/A ,$412.20 , N/A ,$458.00 ,$256.94 , N/A ,$189.61 ,$8.34 ,$7.96 , N/A ,$412.20 , N/A ,$253.73 ,$128.24 ,$412.20 , N/A ,$412.20 ,$412.20 , N/A ,$297.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$367.00 ,$264.24 ,$21.44 ,$367.00 , N/A ,$273.42 ,$240.39 , N/A ,$102.76 ,$225.71 , N/A ,$225.71 , N/A ,$203.32 ,$203.32 , N/A ,$203.32 , N/A ,$330.30 ,$304.61 , N/A , N/A ,$322.96 , N/A ,$275.25 ,$275.25 ,$311.95 ,$311.95 , N/A ,$311.95 , N/A ,$297.27 ,$297.27 ,$297.27 ,$367.00 ,$330.30 , N/A ,$330.30 , N/A ,$367.00 ,$205.89 , N/A ,$151.94 ,$22.46 ,$21.44 , N/A ,$330.30 , N/A ,$203.32 ,$102.76 ,$330.30 , N/A ,$330.30 ,$330.30 , N/A ,$238.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101155,82010,HC ACETONE KETONES SERUM QN-90,301,1 ,$110.38 ,$79.47 ,$7.96 ,$110.38 ,$20.43 ,$82.23 ,$72.30 ,$8.01 ,$30.91 ,$67.88 ,$8.01 ,$67.88 ,$8.01 ,$61.15 ,$61.15 ,$8.01 ,$61.15 ,$16.50 ,$99.34 ,$91.62 ,$20.43 ,$8.01 ,$97.13 ,$8.16 ,$82.79 ,$82.79 ,$93.82 ,$93.82 ,$8.01 ,$93.82 ,$8.01 ,$89.41 ,$89.41 ,$89.41 ,$110.38 ,$99.34 ,$20.43 ,$99.34 ,$8.01 ,$110.38 ,$61.92 ,$8.01 ,$45.70 ,$8.34 ,$7.96 ,$8.41 ,$99.34 ,$18.38 ,$61.15 ,$30.91 ,$99.34 ,$8.01 ,$99.34 ,$99.34 ,$8.01 ,$71.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$384.10 ,$276.55 ,$7.96 ,$384.10 ,$42.18 ,$286.15 ,$251.59 ,$16.53 ,$107.55 ,$236.22 ,$16.53 ,$236.22 ,$16.53 ,$212.79 ,$212.79 ,$16.53 ,$212.79 ,$34.08 ,$345.69 ,$318.80 ,$42.18 ,$16.53 ,$338.01 ,$16.87 ,$288.08 ,$288.08 ,$326.49 ,$326.49 ,$16.53 ,$326.49 ,$16.53 ,$311.12 ,$311.12 ,$311.12 ,$384.10 ,$345.69 ,$42.18 ,$345.69 ,$16.53 ,$384.10 ,$215.48 ,$16.53 ,$159.02 ,$8.34 ,$7.96 ,$17.36 ,$345.69 ,$37.96 ,$212.79 ,$107.55 ,$345.69 ,$16.53 ,$345.69 ,$345.69 ,$16.53 ,$249.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101158,82024,HC ACTH -90,301,1 ,$351.90 ,$253.37 ,$18.64 ,$351.90 ,$96.55 ,$262.17 ,$230.49 ,$37.85 ,$98.53 ,$216.42 ,$37.85 ,$216.42 ,$37.85 ,$194.95 ,$194.95 ,$37.85 ,$194.95 ,$78.01 ,$316.71 ,$292.08 ,$96.55 ,$37.85 ,$309.67 ,$38.60 ,$263.93 ,$263.93 ,$299.12 ,$299.12 ,$37.85 ,$299.12 ,$37.85 ,$285.04 ,$285.04 ,$285.04 ,$351.90 ,$316.71 ,$96.55 ,$316.71 ,$37.85 ,$351.90 ,$197.42 ,$37.85 ,$145.69 ,$19.53 ,$18.64 ,$39.74 ,$316.71 ,$86.90 ,$194.95 ,$98.53 ,$316.71 ,$37.85 ,$316.71 ,$316.71 ,$37.85 ,$228.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101159,82040,HC ALBUMIN-90,301,1 ,$105.80 ,$76.18 ,$3.54 ,$105.80 ,$12.38 ,$78.82 ,$69.30 ,$4.85 ,$29.62 ,$65.07 ,$4.85 ,$65.07 ,$4.85 ,$58.61 ,$58.61 ,$4.85 ,$58.61 ,$10.00 ,$95.22 ,$87.81 ,$12.38 ,$4.85 ,$93.10 ,$4.95 ,$79.35 ,$79.35 ,$89.93 ,$89.93 ,$4.85 ,$89.93 ,$4.85 ,$85.70 ,$85.70 ,$85.70 ,$105.80 ,$95.22 ,$12.38 ,$95.22 ,$4.85 ,$105.80 ,$59.35 ,$4.85 ,$43.80 ,$3.71 ,$3.54 ,$5.10 ,$95.22 ,$11.14 ,$58.61 ,$29.62 ,$95.22 ,$4.85 ,$95.22 ,$95.22 ,$4.85 ,$68.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101160,82042,HC ALBUMIN OTHER SOURCE-90,301,1 ,$31.05 ,$22.36 ,$3.54 ,$31.05 ,$19.45 ,$23.13 ,$20.34 ,$7.62 ,$8.69 ,$19.10 ,$7.62 ,$19.10 ,$7.62 ,$17.20 ,$17.20 ,$7.62 ,$17.20 ,$15.72 ,$27.95 ,$25.77 ,$19.45 ,$7.62 ,$27.32 ,$7.78 ,$23.29 ,$23.29 ,$26.39 ,$26.39 ,$7.62 ,$26.39 ,$7.62 ,$25.15 ,$25.15 ,$25.15 ,$31.05 ,$27.95 ,$19.45 ,$27.95 ,$7.62 ,$31.05 ,$17.42 ,$7.62 ,$12.85 ,$3.71 ,$3.54 ,$8.01 ,$27.95 ,$17.51 ,$17.20 ,$8.69 ,$27.95 ,$7.62 ,$27.95 ,$27.95 ,$7.62 ,$20.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101161,82043,HC MICROALBUMIN URINE QN-90,301,1 ,$99.74 ,$71.81 ,$2.85 ,$99.74 ,$14.45 ,$74.31 ,$65.33 ,$5.66 ,$27.93 ,$61.34 ,$5.66 ,$61.34 ,$5.66 ,$55.26 ,$55.26 ,$5.66 ,$55.26 ,$11.68 ,$89.77 ,$82.78 ,$14.45 ,$5.66 ,$87.77 ,$5.78 ,$74.81 ,$74.81 ,$84.78 ,$84.78 ,$5.66 ,$84.78 ,$5.66 ,$80.79 ,$80.79 ,$80.79 ,$99.74 ,$89.77 ,$14.45 ,$89.77 ,$5.66 ,$99.74 ,$55.95 ,$5.66 ,$41.29 ,$2.98 ,$2.85 ,$5.95 ,$89.77 ,$13.01 ,$55.26 ,$27.93 ,$89.77 ,$5.66 ,$89.77 ,$89.77 ,$5.66 ,$64.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101162,82085,HC ALDOLASE-90,301,1 ,$94.30 ,$67.90 ,$7.96 ,$94.30 ,$24.28 ,$70.25 ,$61.77 ,$9.52 ,$26.40 ,$57.99 ,$9.52 ,$57.99 ,$9.52 ,$52.24 ,$52.24 ,$9.52 ,$52.24 ,$19.61 ,$84.87 ,$78.27 ,$24.28 ,$9.52 ,$82.98 ,$9.70 ,$70.73 ,$70.73 ,$80.16 ,$80.16 ,$9.52 ,$80.16 ,$9.52 ,$76.38 ,$76.38 ,$76.38 ,$94.30 ,$84.87 ,$24.28 ,$84.87 ,$9.52 ,$94.30 ,$52.90 ,$9.52 ,$39.04 ,$8.34 ,$7.96 ,$10.00 ,$84.87 ,$21.85 ,$52.24 ,$26.40 ,$84.87 ,$9.52 ,$84.87 ,$84.87 ,$9.52 ,$61.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101163,82088,HC ALDOSTERONE-90,301,1 ,$335.80 ,$241.78 ,$18.64 ,$335.80 ,$101.88 ,$250.17 ,$219.95 ,$39.93 ,$94.02 ,$206.52 ,$39.93 ,$206.52 ,$39.93 ,$186.03 ,$186.03 ,$39.93 ,$186.03 ,$82.32 ,$302.22 ,$278.71 ,$101.88 ,$39.93 ,$295.50 ,$40.74 ,$251.85 ,$251.85 ,$285.43 ,$285.43 ,$39.93 ,$285.43 ,$39.93 ,$272.00 ,$272.00 ,$272.00 ,$335.80 ,$302.22 ,$101.88 ,$302.22 ,$39.93 ,$335.80 ,$188.38 ,$39.93 ,$139.02 ,$19.53 ,$18.64 ,$41.93 ,$302.22 ,$91.69 ,$186.03 ,$94.02 ,$302.22 ,$39.93 ,$302.22 ,$302.22 ,$39.93 ,$218.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$192.05 ,$138.28 ,$7.96 ,$192.05 ,$33.60 ,$143.08 ,$125.79 ,$13.17 ,$53.77 ,$118.11 ,$13.17 ,$118.11 ,$13.17 ,$106.40 ,$106.40 ,$13.17 ,$106.40 ,$27.15 ,$172.85 ,$159.40 ,$33.60 ,$13.17 ,$169.00 ,$13.44 ,$144.04 ,$144.04 ,$163.24 ,$163.24 ,$13.17 ,$163.24 ,$13.17 ,$155.56 ,$155.56 ,$155.56 ,$192.05 ,$172.85 ,$33.60 ,$172.85 ,$13.17 ,$192.05 ,$107.74 ,$13.17 ,$79.51 ,$8.34 ,$7.96 ,$13.83 ,$172.85 ,$30.24 ,$106.40 ,$53.77 ,$172.85 ,$13.17 ,$172.85 ,$172.85 ,$13.17 ,$124.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$117.30 ,$84.46 ,$7.96 ,$117.30 ,$36.15 ,$87.39 ,$76.83 ,$14.17 ,$32.84 ,$72.14 ,$14.17 ,$72.14 ,$14.17 ,$64.98 ,$64.98 ,$14.17 ,$64.98 ,$29.21 ,$105.57 ,$97.36 ,$36.15 ,$14.17 ,$103.22 ,$14.45 ,$87.98 ,$87.98 ,$99.71 ,$99.71 ,$14.17 ,$99.71 ,$14.17 ,$95.01 ,$95.01 ,$95.01 ,$117.30 ,$105.57 ,$36.15 ,$105.57 ,$14.17 ,$117.30 ,$65.81 ,$14.17 ,$48.56 ,$8.34 ,$7.96 ,$14.88 ,$105.57 ,$32.54 ,$64.98 ,$32.84 ,$105.57 ,$14.17 ,$105.57 ,$105.57 ,$14.17 ,$76.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$235.75 ,$169.74 ,$7.96 ,$235.75 ,$41.93 ,$175.63 ,$154.42 ,$16.43 ,$66.01 ,$144.99 ,$16.43 ,$144.99 ,$16.43 ,$130.61 ,$130.61 ,$16.43 ,$130.61 ,$33.88 ,$212.18 ,$195.67 ,$41.93 ,$16.43 ,$207.46 ,$16.77 ,$176.81 ,$176.81 ,$200.39 ,$200.39 ,$16.43 ,$200.39 ,$16.43 ,$190.96 ,$190.96 ,$190.96 ,$235.75 ,$212.18 ,$41.93 ,$212.18 ,$16.43 ,$235.75 ,$132.26 ,$16.43 ,$97.60 ,$8.34 ,$7.96 ,$17.26 ,$212.18 ,$37.73 ,$130.61 ,$66.01 ,$212.18 ,$16.43 ,$212.18 ,$212.18 ,$16.43 ,$153.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101167,82105,HC ALPHA FETOPROTEIN SERUM SINGLE-90,301,1 ,$20.70 ,$14.90 ,$5.80 ,$37.73 ,$20.70 ,$15.42 ,$13.56 ,$16.43 ,$5.80 ,$12.73 ,$16.43 ,$12.73 ,$16.43 ,$11.47 ,$11.47 ,$16.43 ,$11.47 ,$20.70 ,$18.63 ,$17.18 ,$20.70 ,$16.43 ,$18.22 ,$16.77 ,$15.53 ,$15.53 ,$17.60 ,$17.60 ,$16.43 ,$17.60 ,$16.43 ,$16.77 ,$16.77 ,$16.77 ,$20.70 ,$18.63 ,$20.70 ,$18.63 ,$16.43 ,$20.70 ,$11.61 ,$16.43 ,$8.57 ,$8.34 ,$7.96 ,$17.26 ,$18.63 ,$37.73 ,$11.47 ,$5.80 ,$18.63 ,$16.43 ,$18.63 ,$18.63 ,$16.43 ,$13.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101169,82108,HC ALUMINUM-90,301,1 ,$208.15 ,$149.87 ,$9.71 ,$208.15 ,$63.70 ,$155.07 ,$136.34 ,$24.97 ,$58.28 ,$128.01 ,$24.97 ,$128.01 ,$24.97 ,$115.32 ,$115.32 ,$24.97 ,$115.32 ,$51.47 ,$187.34 ,$172.76 ,$63.70 ,$24.97 ,$183.17 ,$25.47 ,$156.11 ,$156.11 ,$176.93 ,$176.93 ,$24.97 ,$176.93 ,$24.97 ,$168.60 ,$168.60 ,$168.60 ,$208.15 ,$187.34 ,$63.70 ,$187.34 ,$24.97 ,$208.15 ,$116.77 ,$24.97 ,$86.17 ,$10.18 ,$9.71 ,$26.21 ,$187.34 ,$57.33 ,$115.32 ,$58.28 ,$187.34 ,$24.97 ,$187.34 ,$187.34 ,$24.97 ,$135.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$151.80 ,$109.30 ,$7.96 ,$151.80 ,$57.45 ,$113.09 ,$99.43 ,$22.52 ,$42.50 ,$93.36 ,$22.52 ,$93.36 ,$22.52 ,$84.10 ,$84.10 ,$22.52 ,$84.10 ,$46.42 ,$136.62 ,$125.99 ,$57.45 ,$22.52 ,$133.58 ,$22.97 ,$113.85 ,$113.85 ,$129.03 ,$129.03 ,$22.52 ,$129.03 ,$22.52 ,$122.96 ,$122.96 ,$122.96 ,$151.80 ,$136.62 ,$57.45 ,$136.62 ,$22.52 ,$151.80 ,$85.16 ,$22.52 ,$62.85 ,$8.34 ,$7.96 ,$23.65 ,$136.62 ,$51.71 ,$84.10 ,$42.50 ,$136.62 ,$22.52 ,$136.62 ,$136.62 ,$22.52 ,$98.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101173,82135,HC AMINOLEVULINIC ACID 24 HR UR-90,301,1 ,$148.63 ,$107.01 ,$7.96 ,$148.63 ,$41.13 ,$110.73 ,$97.35 ,$16.12 ,$41.62 ,$91.41 ,$16.12 ,$91.41 ,$16.12 ,$82.34 ,$82.34 ,$16.12 ,$82.34 ,$33.23 ,$133.77 ,$123.36 ,$41.13 ,$16.12 ,$130.79 ,$16.44 ,$111.47 ,$111.47 ,$126.34 ,$126.34 ,$16.12 ,$126.34 ,$16.12 ,$120.39 ,$120.39 ,$120.39 ,$148.63 ,$133.77 ,$41.13 ,$133.77 ,$16.12 ,$148.63 ,$83.38 ,$16.12 ,$61.53 ,$8.34 ,$7.96 ,$16.92 ,$133.77 ,$37.01 ,$82.34 ,$41.62 ,$133.77 ,$16.12 ,$133.77 ,$133.77 ,$16.12 ,$96.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$303.60 ,$218.59 ,$7.96 ,$303.60 ,$42.18 ,$226.18 ,$198.86 ,$16.53 ,$85.01 ,$186.71 ,$16.53 ,$186.71 ,$16.53 ,$168.19 ,$168.19 ,$16.53 ,$168.19 ,$34.08 ,$273.24 ,$251.99 ,$42.18 ,$16.53 ,$267.17 ,$16.87 ,$227.70 ,$227.70 ,$258.06 ,$258.06 ,$16.53 ,$258.06 ,$16.53 ,$245.92 ,$245.92 ,$245.92 ,$303.60 ,$273.24 ,$42.18 ,$273.24 ,$16.53 ,$303.60 ,$170.32 ,$16.53 ,$125.69 ,$8.34 ,$7.96 ,$17.36 ,$273.24 ,$37.96 ,$168.19 ,$85.01 ,$273.24 ,$16.53 ,$273.24 ,$273.24 ,$16.53 ,$197.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101176,82140,HC AMMONIA-90,301,1 ,$25.71 ,$18.51 ,$7.20 ,$32.78 ,$25.71 ,$19.15 ,$16.84 ,$14.28 ,$7.20 ,$15.81 ,$14.28 ,$15.81 ,$14.28 ,$14.24 ,$14.24 ,$14.28 ,$14.24 ,$25.71 ,$23.14 ,$21.34 ,$25.71 ,$14.28 ,$22.62 ,$14.56 ,$19.28 ,$19.28 ,$21.85 ,$21.85 ,$14.28 ,$21.85 ,$14.28 ,$20.83 ,$20.83 ,$20.83 ,$25.71 ,$23.14 ,$25.71 ,$23.14 ,$14.28 ,$25.71 ,$14.42 ,$14.28 ,$10.64 ,$8.34 ,$7.96 ,$14.99 ,$23.14 ,$32.78 ,$14.24 ,$7.20 ,$23.14 ,$14.28 ,$23.14 ,$23.14 ,$14.28 ,$16.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$239.20 ,$172.22 ,$18.64 ,$239.20 ,$73.20 ,$178.20 ,$156.68 ,$28.69 ,$66.98 ,$147.11 ,$28.69 ,$147.11 ,$28.69 ,$132.52 ,$132.52 ,$28.69 ,$132.52 ,$59.15 ,$215.28 ,$198.54 ,$73.20 ,$28.69 ,$210.50 ,$29.27 ,$179.40 ,$179.40 ,$203.32 ,$203.32 ,$28.69 ,$203.32 ,$28.69 ,$193.75 ,$193.75 ,$193.75 ,$239.20 ,$215.28 ,$73.20 ,$215.28 ,$28.69 ,$239.20 ,$134.19 ,$28.69 ,$99.03 ,$19.53 ,$18.64 ,$30.13 ,$215.28 ,$65.88 ,$132.52 ,$66.98 ,$215.28 ,$28.69 ,$215.28 ,$215.28 ,$28.69 ,$155.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$174.80 ,$125.86 ,$7.96 ,$174.80 ,$36.50 ,$130.23 ,$114.49 ,$14.31 ,$48.94 ,$107.50 ,$14.31 ,$107.50 ,$14.31 ,$96.84 ,$96.84 ,$14.31 ,$96.84 ,$29.49 ,$157.32 ,$145.08 ,$36.50 ,$14.31 ,$153.82 ,$14.59 ,$131.10 ,$131.10 ,$148.58 ,$148.58 ,$14.31 ,$148.58 ,$14.31 ,$141.59 ,$141.59 ,$141.59 ,$174.80 ,$157.32 ,$36.50 ,$157.32 ,$14.31 ,$174.80 ,$98.06 ,$14.31 ,$72.37 ,$8.34 ,$7.96 ,$15.02 ,$157.32 ,$32.85 ,$96.84 ,$48.94 ,$157.32 ,$14.31 ,$157.32 ,$157.32 ,$14.31 ,$113.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$13.89 ,$10.00 ,$3.89 ,$31.25 ,$13.89 ,$10.35 ,$9.10 ,$13.61 ,$3.89 ,$8.54 ,$13.61 ,$8.54 ,$13.61 ,$7.70 ,$7.70 ,$13.61 ,$7.70 ,$13.89 ,$12.50 ,$11.53 ,$13.89 ,$13.61 ,$12.22 ,$13.89 ,$10.42 ,$10.42 ,$11.81 ,$11.81 ,$13.61 ,$11.81 ,$13.61 ,$11.25 ,$11.25 ,$11.25 ,$13.89 ,$12.50 ,$13.89 ,$12.50 ,$13.61 ,$13.89 ,$7.79 ,$13.61 ,$5.75 ,$8.34 ,$7.96 ,$13.61 ,$12.50 ,$31.25 ,$7.70 ,$3.89 ,$12.50 ,$13.61 ,$12.50 ,$12.50 ,$13.61 ,$9.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101181,82175,HC ARSENIC-90,301,1 ,$155.25 ,$111.78 ,$9.71 ,$155.25 ,$47.43 ,$115.66 ,$101.69 ,$18.59 ,$43.47 ,$95.48 ,$18.59 ,$95.48 ,$18.59 ,$86.01 ,$86.01 ,$18.59 ,$86.01 ,$38.32 ,$139.73 ,$128.86 ,$47.43 ,$18.59 ,$136.62 ,$18.96 ,$116.44 ,$116.44 ,$131.96 ,$131.96 ,$18.59 ,$131.96 ,$18.59 ,$125.75 ,$125.75 ,$125.75 ,$155.25 ,$139.73 ,$47.43 ,$139.73 ,$18.59 ,$155.25 ,$87.10 ,$18.59 ,$64.27 ,$10.18 ,$9.71 ,$19.52 ,$139.73 ,$42.68 ,$86.01 ,$43.47 ,$139.73 ,$18.59 ,$139.73 ,$139.73 ,$18.59 ,$100.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101182,82180,HC VITAMIN C (ASCORBIC ACID)-90,301,1 ,$80.50 ,$57.96 ,$7.96 ,$80.50 ,$24.73 ,$59.97 ,$52.73 ,$9.69 ,$22.54 ,$49.51 ,$9.69 ,$49.51 ,$9.69 ,$44.60 ,$44.60 ,$9.69 ,$44.60 ,$19.98 ,$72.45 ,$66.82 ,$24.73 ,$9.69 ,$70.84 ,$9.89 ,$60.38 ,$60.38 ,$68.43 ,$68.43 ,$9.69 ,$68.43 ,$9.69 ,$65.21 ,$65.21 ,$65.21 ,$80.50 ,$72.45 ,$24.73 ,$72.45 ,$9.69 ,$80.50 ,$45.16 ,$9.69 ,$33.33 ,$8.34 ,$7.96 ,$10.17 ,$72.45 ,$22.25 ,$44.60 ,$22.54 ,$72.45 ,$9.69 ,$72.45 ,$72.45 ,$9.69 ,$52.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$132.25 ,$95.22 ,$15.86 ,$132.25 ,$40.45 ,$98.53 ,$86.62 ,$15.86 ,$37.03 ,$81.33 ,$15.86 ,$81.33 ,$15.86 ,$73.27 ,$73.27 ,$15.86 ,$73.27 ,$32.68 ,$119.03 ,$109.77 ,$40.45 ,$15.86 ,$116.38 ,$16.17 ,$99.19 ,$99.19 ,$112.41 ,$112.41 ,$15.86 ,$112.41 ,$15.86 ,$107.12 ,$107.12 ,$107.12 ,$132.25 ,$119.03 ,$40.45 ,$119.03 ,$15.86 ,$132.25 ,$74.19 ,$15.86 ,$54.75 ,$19.53 ,$18.64 ,$16.65 ,$119.03 ,$36.41 ,$73.27 ,$37.03 ,$119.03 ,$15.86 ,$119.03 ,$119.03 ,$15.86 ,$85.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101185,82239,HC BILE ACID TOTAL-90,301,1 ,$39.10 ,$28.15 ,$7.96 ,$39.10 ,$39.10 ,$29.13 ,$25.61 ,$16.78 ,$10.95 ,$24.05 ,$16.78 ,$24.05 ,$16.78 ,$21.66 ,$21.66 ,$16.78 ,$21.66 ,$34.58 ,$35.19 ,$32.45 ,$39.10 ,$16.78 ,$34.41 ,$17.11 ,$29.33 ,$29.33 ,$33.24 ,$33.24 ,$16.78 ,$33.24 ,$16.78 ,$31.67 ,$31.67 ,$31.67 ,$39.10 ,$35.19 ,$39.10 ,$35.19 ,$16.78 ,$39.10 ,$21.94 ,$16.78 ,$16.19 ,$8.34 ,$7.96 ,$17.62 ,$35.19 ,$38.52 ,$21.66 ,$10.95 ,$35.19 ,$16.78 ,$35.19 ,$35.19 ,$16.78 ,$25.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$123.05 ,$88.60 ,$3.54 ,$123.05 ,$12.55 ,$91.67 ,$80.60 ,$4.92 ,$34.45 ,$75.68 ,$4.92 ,$75.68 ,$4.92 ,$68.17 ,$68.17 ,$4.92 ,$68.17 ,$10.14 ,$110.75 ,$102.13 ,$12.55 ,$4.92 ,$108.28 ,$5.02 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$4.92 ,$104.59 ,$4.92 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$12.55 ,$110.75 ,$4.92 ,$123.05 ,$69.03 ,$4.92 ,$50.94 ,$3.71 ,$3.54 ,$5.16 ,$110.75 ,$11.30 ,$68.17 ,$34.45 ,$110.75 ,$4.92 ,$110.75 ,$110.75 ,$4.92 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101191,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$69.00 ,$49.68 ,$3.54 ,$69.00 ,$13.30 ,$51.41 ,$45.20 ,$5.21 ,$19.32 ,$42.44 ,$5.21 ,$42.44 ,$5.21 ,$38.23 ,$38.23 ,$5.21 ,$38.23 ,$10.75 ,$62.10 ,$57.27 ,$13.30 ,$5.21 ,$60.72 ,$5.32 ,$51.75 ,$51.75 ,$58.65 ,$58.65 ,$5.21 ,$58.65 ,$5.21 ,$55.89 ,$55.89 ,$55.89 ,$69.00 ,$62.10 ,$13.30 ,$62.10 ,$5.21 ,$69.00 ,$38.71 ,$5.21 ,$28.57 ,$3.71 ,$3.54 ,$5.48 ,$62.10 ,$11.97 ,$38.23 ,$19.32 ,$62.10 ,$5.21 ,$62.10 ,$62.10 ,$5.21 ,$44.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101196,82300,HC CADMIUM-90,301,1 ,$77.05 ,$55.48 ,$9.71 ,$77.05 ,$59.10 ,$57.40 ,$50.47 ,$23.17 ,$21.57 ,$47.39 ,$23.17 ,$47.39 ,$23.17 ,$42.69 ,$42.69 ,$23.17 ,$42.69 ,$47.75 ,$69.35 ,$63.95 ,$59.10 ,$23.17 ,$67.80 ,$23.63 ,$57.79 ,$57.79 ,$65.49 ,$65.49 ,$23.17 ,$65.49 ,$23.17 ,$62.41 ,$62.41 ,$62.41 ,$77.05 ,$69.35 ,$59.10 ,$69.35 ,$23.17 ,$77.05 ,$43.23 ,$23.17 ,$31.90 ,$10.18 ,$9.71 ,$24.32 ,$69.35 ,$53.19 ,$42.69 ,$21.57 ,$69.35 ,$23.17 ,$69.35 ,$69.35 ,$23.17 ,$50.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101197,82306,HC VITAMIN D 25 OH-90,301,1 ,$24.15 ,$17.39 ,$6.76 ,$54.34 ,$24.15 ,$17.99 ,$15.82 ,$23.67 ,$6.76 ,$14.85 ,$23.67 ,$14.85 ,$23.67 ,$13.38 ,$13.38 ,$23.67 ,$13.38 ,$24.15 ,$21.74 ,$20.04 ,$24.15 ,$23.67 ,$21.25 ,$24.14 ,$18.11 ,$18.11 ,$20.53 ,$20.53 ,$23.67 ,$20.53 ,$23.67 ,$19.56 ,$19.56 ,$19.56 ,$24.15 ,$21.74 ,$24.15 ,$21.74 ,$23.67 ,$24.15 ,$13.55 ,$23.67 ,$10.00 ,$22.46 ,$21.44 ,$23.67 ,$21.74 ,$54.34 ,$13.38 ,$6.76 ,$21.74 ,$23.67 ,$21.74 ,$21.74 ,$23.67 ,$15.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101199,82308,HC CALCITONIN-90,301,1 ,$175.95 ,$126.68 ,$18.64 ,$175.95 ,$66.98 ,$131.08 ,$115.25 ,$26.25 ,$49.27 ,$108.21 ,$26.25 ,$108.21 ,$26.25 ,$97.48 ,$97.48 ,$26.25 ,$97.48 ,$54.12 ,$158.36 ,$146.04 ,$66.98 ,$26.25 ,$154.84 ,$26.78 ,$131.96 ,$131.96 ,$149.56 ,$149.56 ,$26.25 ,$149.56 ,$26.25 ,$142.52 ,$142.52 ,$142.52 ,$175.95 ,$158.36 ,$66.98 ,$158.36 ,$26.25 ,$175.95 ,$98.71 ,$26.25 ,$72.84 ,$19.53 ,$18.64 ,$27.57 ,$158.36 ,$60.28 ,$97.48 ,$49.27 ,$158.36 ,$26.25 ,$158.36 ,$158.36 ,$26.25 ,$114.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101200,82310,HC CALCIUM-90,301,1 ,$384.10 ,$276.55 ,$3.54 ,$384.10 ,$12.90 ,$286.15 ,$251.59 ,$5.06 ,$107.55 ,$236.22 ,$5.06 ,$236.22 ,$5.06 ,$212.79 ,$212.79 ,$5.06 ,$212.79 ,$10.42 ,$345.69 ,$318.80 ,$12.90 ,$5.06 ,$338.01 ,$5.15 ,$288.08 ,$288.08 ,$326.49 ,$326.49 ,$5.06 ,$326.49 ,$5.06 ,$311.12 ,$311.12 ,$311.12 ,$384.10 ,$345.69 ,$12.90 ,$345.69 ,$5.06 ,$384.10 ,$215.48 ,$5.06 ,$159.02 ,$3.71 ,$3.54 ,$5.31 ,$345.69 ,$11.61 ,$212.79 ,$107.55 ,$345.69 ,$5.06 ,$345.69 ,$345.69 ,$5.06 ,$249.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101205,82365,HC CALCULUS ANLYS INFRARED-90,301,1 ,$186.30 ,$134.14 ,$7.96 ,$186.30 ,$32.25 ,$138.79 ,$122.03 ,$12.64 ,$52.16 ,$114.57 ,$12.64 ,$114.57 ,$12.64 ,$103.21 ,$103.21 ,$12.64 ,$103.21 ,$26.06 ,$167.67 ,$154.63 ,$32.25 ,$12.64 ,$163.94 ,$12.90 ,$139.73 ,$139.73 ,$158.36 ,$158.36 ,$12.64 ,$158.36 ,$12.64 ,$150.90 ,$150.90 ,$150.90 ,$186.30 ,$167.67 ,$32.25 ,$167.67 ,$12.64 ,$186.30 ,$104.51 ,$12.64 ,$77.13 ,$8.34 ,$7.96 ,$13.28 ,$167.67 ,$29.03 ,$103.21 ,$52.16 ,$167.67 ,$12.64 ,$167.67 ,$167.67 ,$12.64 ,$121.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$395.60 ,$284.83 ,$7.96 ,$395.60 ,$42.18 ,$294.72 ,$259.12 ,$16.53 ,$110.77 ,$243.29 ,$16.53 ,$243.29 ,$16.53 ,$219.16 ,$219.16 ,$16.53 ,$219.16 ,$34.08 ,$356.04 ,$328.35 ,$42.18 ,$16.53 ,$348.13 ,$16.87 ,$296.70 ,$296.70 ,$336.26 ,$336.26 ,$16.53 ,$336.26 ,$16.53 ,$320.44 ,$320.44 ,$320.44 ,$395.60 ,$356.04 ,$42.18 ,$356.04 ,$16.53 ,$395.60 ,$221.93 ,$16.53 ,$163.78 ,$8.34 ,$7.96 ,$17.36 ,$356.04 ,$37.96 ,$219.16 ,$110.77 ,$356.04 ,$16.53 ,$356.04 ,$356.04 ,$16.53 ,$257.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101210,82380,HC CAROTENE-90,301,1 ,$75.90 ,$54.65 ,$7.96 ,$75.90 ,$23.05 ,$56.55 ,$49.71 ,$9.04 ,$21.25 ,$46.68 ,$9.04 ,$46.68 ,$9.04 ,$42.05 ,$42.05 ,$9.04 ,$42.05 ,$18.62 ,$68.31 ,$63.00 ,$23.05 ,$9.04 ,$66.79 ,$9.21 ,$56.93 ,$56.93 ,$64.52 ,$64.52 ,$9.04 ,$64.52 ,$9.04 ,$61.48 ,$61.48 ,$61.48 ,$75.90 ,$68.31 ,$23.05 ,$68.31 ,$9.04 ,$75.90 ,$42.58 ,$9.04 ,$31.42 ,$8.34 ,$7.96 ,$9.49 ,$68.31 ,$20.75 ,$42.05 ,$21.25 ,$68.31 ,$9.04 ,$68.31 ,$68.31 ,$9.04 ,$49.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$307.05 ,$221.08 ,$18.64 ,$307.05 ,$63.13 ,$228.75 ,$201.12 ,$24.74 ,$85.97 ,$188.84 ,$24.74 ,$188.84 ,$24.74 ,$170.11 ,$170.11 ,$24.74 ,$170.11 ,$51.01 ,$276.35 ,$254.85 ,$63.13 ,$24.74 ,$270.20 ,$25.24 ,$230.29 ,$230.29 ,$260.99 ,$260.99 ,$24.74 ,$260.99 ,$24.74 ,$248.71 ,$248.71 ,$248.71 ,$307.05 ,$276.35 ,$63.13 ,$276.35 ,$24.74 ,$307.05 ,$172.26 ,$24.74 ,$127.12 ,$19.53 ,$18.64 ,$25.98 ,$276.35 ,$56.81 ,$170.11 ,$85.97 ,$276.35 ,$24.74 ,$276.35 ,$276.35 ,$24.74 ,$199.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101212,82390,HC CERULOPLASMIN-90,301,1 ,$158.70 ,$114.26 ,$7.96 ,$158.70 ,$26.85 ,$118.23 ,$103.95 ,$10.53 ,$44.44 ,$97.60 ,$10.53 ,$97.60 ,$10.53 ,$87.92 ,$87.92 ,$10.53 ,$87.92 ,$21.69 ,$142.83 ,$131.72 ,$26.85 ,$10.53 ,$139.66 ,$10.73 ,$119.03 ,$119.03 ,$134.90 ,$134.90 ,$10.53 ,$134.90 ,$10.53 ,$128.55 ,$128.55 ,$128.55 ,$158.70 ,$142.83 ,$26.85 ,$142.83 ,$10.53 ,$158.70 ,$89.03 ,$10.53 ,$65.70 ,$8.34 ,$7.96 ,$11.05 ,$142.83 ,$24.17 ,$87.92 ,$44.44 ,$142.83 ,$10.53 ,$142.83 ,$142.83 ,$10.53 ,$103.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101213,82397,HC CHEMILUMINESCENT ASSAY-90,301,1 ,$188.80 ,$135.94 ,$7.96 ,$188.80 ,$35.30 ,$140.66 ,$123.66 ,$13.84 ,$52.86 ,$116.11 ,$13.84 ,$116.11 ,$13.84 ,$104.60 ,$104.60 ,$13.84 ,$104.60 ,$28.52 ,$169.92 ,$156.70 ,$35.30 ,$13.84 ,$166.14 ,$14.11 ,$141.60 ,$141.60 ,$160.48 ,$160.48 ,$13.84 ,$160.48 ,$13.84 ,$152.93 ,$152.93 ,$152.93 ,$188.80 ,$169.92 ,$35.30 ,$169.92 ,$13.84 ,$188.80 ,$105.92 ,$13.84 ,$78.16 ,$8.34 ,$7.96 ,$14.53 ,$169.92 ,$31.77 ,$104.60 ,$52.86 ,$169.92 ,$13.84 ,$169.92 ,$169.92 ,$13.84 ,$122.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101215,82438,HC CHLORIDE OTHER SOURCE-90,301,1 ,$43.70 ,$31.46 ,$3.54 ,$43.70 ,$12.50 ,$32.56 ,$28.62 ,$4.90 ,$12.24 ,$26.88 ,$4.90 ,$26.88 ,$4.90 ,$24.21 ,$24.21 ,$4.90 ,$24.21 ,$10.10 ,$39.33 ,$36.27 ,$12.50 ,$4.90 ,$38.46 ,$5.00 ,$32.78 ,$32.78 ,$37.15 ,$37.15 ,$4.90 ,$37.15 ,$4.90 ,$35.40 ,$35.40 ,$35.40 ,$43.70 ,$39.33 ,$12.50 ,$39.33 ,$4.90 ,$43.70 ,$24.52 ,$4.90 ,$18.09 ,$3.71 ,$3.54 ,$5.14 ,$39.33 ,$11.25 ,$24.21 ,$12.24 ,$39.33 ,$4.90 ,$39.33 ,$39.33 ,$4.90 ,$28.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$166.75 ,$120.06 ,$9.71 ,$166.75 ,$50.70 ,$124.23 ,$109.22 ,$19.87 ,$46.69 ,$102.55 ,$19.87 ,$102.55 ,$19.87 ,$92.38 ,$92.38 ,$19.87 ,$92.38 ,$40.97 ,$150.08 ,$138.40 ,$50.70 ,$19.87 ,$146.74 ,$20.28 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$19.87 ,$141.74 ,$19.87 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$50.70 ,$150.08 ,$19.87 ,$166.75 ,$93.55 ,$19.87 ,$69.03 ,$10.18 ,$9.71 ,$20.86 ,$150.08 ,$45.63 ,$92.38 ,$46.69 ,$150.08 ,$19.87 ,$150.08 ,$150.08 ,$19.87 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101219,82507,HC CITRATE-90,301,1 ,$26.45 ,$19.04 ,$7.41 ,$59.51 ,$26.45 ,$19.71 ,$17.32 ,$25.92 ,$7.41 ,$16.27 ,$25.92 ,$16.27 ,$25.92 ,$14.65 ,$14.65 ,$25.92 ,$14.65 ,$26.45 ,$23.81 ,$21.95 ,$26.45 ,$25.92 ,$23.28 ,$26.44 ,$19.84 ,$19.84 ,$22.48 ,$22.48 ,$25.92 ,$22.48 ,$25.92 ,$21.42 ,$21.42 ,$21.42 ,$26.45 ,$23.81 ,$26.45 ,$23.81 ,$25.92 ,$26.45 ,$14.84 ,$25.92 ,$10.95 ,$8.34 ,$7.96 ,$25.92 ,$23.81 ,$59.51 ,$14.65 ,$7.41 ,$23.81 ,$25.92 ,$23.81 ,$23.81 ,$25.92 ,$17.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$151.80 ,$109.30 ,$12.30 ,$151.80 ,$46.70 ,$113.09 ,$99.43 ,$18.31 ,$42.50 ,$93.36 ,$18.31 ,$93.36 ,$18.31 ,$84.10 ,$84.10 ,$18.31 ,$84.10 ,$37.73 ,$136.62 ,$125.99 ,$46.70 ,$18.31 ,$133.58 ,$18.67 ,$113.85 ,$113.85 ,$129.03 ,$129.03 ,$18.31 ,$129.03 ,$18.31 ,$122.96 ,$122.96 ,$122.96 ,$151.80 ,$136.62 ,$46.70 ,$136.62 ,$18.31 ,$151.80 ,$85.16 ,$18.31 ,$62.85 ,$12.88 ,$12.30 ,$19.22 ,$136.62 ,$42.03 ,$84.10 ,$42.50 ,$136.62 ,$18.31 ,$136.62 ,$136.62 ,$18.31 ,$98.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101221,82525,HC COPPER-90,301,1 ,$142.60 ,$102.67 ,$9.71 ,$142.60 ,$31.03 ,$106.24 ,$93.40 ,$12.16 ,$39.93 ,$87.70 ,$12.16 ,$87.70 ,$12.16 ,$79.00 ,$79.00 ,$12.16 ,$79.00 ,$25.07 ,$128.34 ,$118.36 ,$31.03 ,$12.16 ,$125.49 ,$12.41 ,$106.95 ,$106.95 ,$121.21 ,$121.21 ,$12.16 ,$121.21 ,$12.16 ,$115.51 ,$115.51 ,$115.51 ,$142.60 ,$128.34 ,$31.03 ,$128.34 ,$12.16 ,$142.60 ,$80.00 ,$12.16 ,$59.04 ,$10.18 ,$9.71 ,$12.77 ,$128.34 ,$27.92 ,$79.00 ,$39.93 ,$128.34 ,$12.16 ,$128.34 ,$128.34 ,$12.16 ,$92.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101222,82530,HC CORTISOL FREE-90,301,1 ,$135.70 ,$97.70 ,$7.96 ,$135.70 ,$41.78 ,$101.10 ,$88.88 ,$16.38 ,$38.00 ,$83.46 ,$16.38 ,$83.46 ,$16.38 ,$75.18 ,$75.18 ,$16.38 ,$75.18 ,$33.75 ,$122.13 ,$112.63 ,$41.78 ,$16.38 ,$119.42 ,$16.70 ,$101.78 ,$101.78 ,$115.35 ,$115.35 ,$16.38 ,$115.35 ,$16.38 ,$109.92 ,$109.92 ,$109.92 ,$135.70 ,$122.13 ,$41.78 ,$122.13 ,$16.38 ,$135.70 ,$76.13 ,$16.38 ,$56.18 ,$8.34 ,$7.96 ,$17.20 ,$122.13 ,$37.60 ,$75.18 ,$38.00 ,$122.13 ,$16.38 ,$122.13 ,$122.13 ,$16.38 ,$88.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$24.15 ,$17.39 ,$6.76 ,$36.68 ,$24.15 ,$17.99 ,$15.82 ,$15.97 ,$6.76 ,$14.85 ,$15.97 ,$14.85 ,$15.97 ,$13.38 ,$13.38 ,$15.97 ,$13.38 ,$24.15 ,$21.74 ,$20.04 ,$24.15 ,$15.97 ,$21.25 ,$16.30 ,$18.11 ,$18.11 ,$20.53 ,$20.53 ,$15.97 ,$20.53 ,$15.97 ,$19.56 ,$19.56 ,$19.56 ,$24.15 ,$21.74 ,$24.15 ,$21.74 ,$15.97 ,$24.15 ,$13.55 ,$15.97 ,$10.00 ,$19.53 ,$18.64 ,$16.78 ,$21.74 ,$36.68 ,$13.38 ,$6.76 ,$21.74 ,$15.97 ,$21.74 ,$21.74 ,$15.97 ,$15.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$166.75 ,$120.06 ,$7.96 ,$166.75 ,$60.23 ,$124.23 ,$109.22 ,$23.61 ,$46.69 ,$102.55 ,$23.61 ,$102.55 ,$23.61 ,$92.38 ,$92.38 ,$23.61 ,$92.38 ,$48.66 ,$150.08 ,$138.40 ,$60.23 ,$23.61 ,$146.74 ,$24.08 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$23.61 ,$141.74 ,$23.61 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$60.23 ,$150.08 ,$23.61 ,$166.75 ,$93.55 ,$23.61 ,$69.03 ,$8.34 ,$7.96 ,$24.78 ,$150.08 ,$54.20 ,$92.38 ,$46.69 ,$150.08 ,$23.61 ,$150.08 ,$150.08 ,$23.61 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101225,82550,HC CREATINE KINASE (CPK) TOTAL-90,301,1 ,$52.90 ,$38.09 ,$3.54 ,$52.90 ,$16.28 ,$39.41 ,$34.65 ,$6.38 ,$14.81 ,$32.53 ,$6.38 ,$32.53 ,$6.38 ,$29.31 ,$29.31 ,$6.38 ,$29.31 ,$13.15 ,$47.61 ,$43.91 ,$16.28 ,$6.38 ,$46.55 ,$6.51 ,$39.68 ,$39.68 ,$44.97 ,$44.97 ,$6.38 ,$44.97 ,$6.38 ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 ,$16.28 ,$47.61 ,$6.38 ,$52.90 ,$29.68 ,$6.38 ,$21.90 ,$3.71 ,$3.54 ,$6.70 ,$47.61 ,$14.65 ,$29.31 ,$14.81 ,$47.61 ,$6.38 ,$47.61 ,$47.61 ,$6.38 ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$109.25 ,$78.66 ,$7.96 ,$109.25 ,$33.48 ,$81.39 ,$71.56 ,$13.12 ,$30.59 ,$67.19 ,$13.12 ,$67.19 ,$13.12 ,$60.52 ,$60.52 ,$13.12 ,$60.52 ,$27.05 ,$98.33 ,$90.68 ,$33.48 ,$13.12 ,$96.14 ,$13.39 ,$81.94 ,$81.94 ,$92.86 ,$92.86 ,$13.12 ,$92.86 ,$13.12 ,$88.49 ,$88.49 ,$88.49 ,$109.25 ,$98.33 ,$33.48 ,$98.33 ,$13.12 ,$109.25 ,$61.29 ,$13.12 ,$45.23 ,$8.34 ,$7.96 ,$13.78 ,$98.33 ,$30.13 ,$60.52 ,$30.59 ,$98.33 ,$13.12 ,$98.33 ,$98.33 ,$13.12 ,$71.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101227,82565,HC CREATININE-QW,301,1 ,$72.45 ,$52.16 ,$3.54 ,$72.45 ,$12.80 ,$53.98 ,$47.45 ,$5.02 ,$20.29 ,$44.56 ,$5.02 ,$44.56 ,$5.02 ,$40.14 ,$40.14 ,$5.02 ,$40.14 ,$10.34 ,$65.21 ,$60.13 ,$12.80 ,$5.02 ,$63.76 ,$5.12 ,$54.34 ,$54.34 ,$61.58 ,$61.58 ,$5.02 ,$61.58 ,$5.02 ,$58.68 ,$58.68 ,$58.68 ,$72.45 ,$65.21 ,$12.80 ,$65.21 ,$5.02 ,$5.12 ,$40.64 ,$5.02 ,$29.99 ,$3.71 ,$3.54 ,$5.27 ,$65.21 ,$11.52 ,$40.14 ,$20.29 ,$65.21 ,$5.02 ,$65.21 ,$65.21 ,$5.02 ,$47.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$149.50 ,$107.64 ,$3.54 ,$149.50 ,$12.95 ,$111.38 ,$97.92 ,$5.08 ,$41.86 ,$91.94 ,$5.08 ,$91.94 ,$5.08 ,$82.82 ,$82.82 ,$5.08 ,$82.82 ,$10.46 ,$134.55 ,$124.09 ,$12.95 ,$5.08 ,$131.56 ,$5.17 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$5.08 ,$127.08 ,$5.08 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$12.95 ,$134.55 ,$5.08 ,$149.50 ,$83.87 ,$5.08 ,$61.89 ,$3.71 ,$3.54 ,$5.33 ,$134.55 ,$11.66 ,$82.82 ,$41.86 ,$134.55 ,$5.08 ,$134.55 ,$134.55 ,$5.08 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101232,82585,HC CRYOFIBRINOGEN-90,301,1 ,$52.90 ,$38.09 ,$7.96 ,$52.90 ,$35.35 ,$39.41 ,$34.65 ,$13.86 ,$14.81 ,$32.53 ,$13.86 ,$32.53 ,$13.86 ,$29.31 ,$29.31 ,$13.86 ,$29.31 ,$28.56 ,$47.61 ,$43.91 ,$35.35 ,$13.86 ,$46.55 ,$14.13 ,$39.68 ,$39.68 ,$44.97 ,$44.97 ,$13.86 ,$44.97 ,$13.86 ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 ,$35.35 ,$47.61 ,$13.86 ,$52.90 ,$29.68 ,$13.86 ,$21.90 ,$8.34 ,$7.96 ,$14.55 ,$47.61 ,$31.82 ,$29.31 ,$14.81 ,$47.61 ,$13.86 ,$47.61 ,$47.61 ,$13.86 ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$52.90 ,$38.09 ,$6.34 ,$52.90 ,$16.18 ,$39.41 ,$34.65 ,$6.34 ,$14.81 ,$32.53 ,$6.34 ,$32.53 ,$6.34 ,$29.31 ,$29.31 ,$6.34 ,$29.31 ,$13.07 ,$47.61 ,$43.91 ,$16.18 ,$6.34 ,$46.55 ,$6.47 ,$39.68 ,$39.68 ,$44.97 ,$44.97 ,$6.34 ,$44.97 ,$6.34 ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 ,$16.18 ,$47.61 ,$6.34 ,$52.90 ,$29.68 ,$6.34 ,$21.90 ,$8.34 ,$7.96 ,$6.65 ,$47.61 ,$14.56 ,$29.31 ,$14.81 ,$47.61 ,$6.34 ,$47.61 ,$47.61 ,$6.34 ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101235,82607,HC VITAMIN B12-90,301,1 ,$98.90 ,$71.21 ,$10.72 ,$98.90 ,$37.70 ,$73.68 ,$64.78 ,$14.78 ,$27.69 ,$60.82 ,$14.78 ,$60.82 ,$14.78 ,$54.79 ,$54.79 ,$14.78 ,$54.79 ,$30.46 ,$89.01 ,$82.09 ,$37.70 ,$14.78 ,$87.03 ,$15.07 ,$74.18 ,$74.18 ,$84.07 ,$84.07 ,$14.78 ,$84.07 ,$14.78 ,$80.11 ,$80.11 ,$80.11 ,$98.90 ,$89.01 ,$37.70 ,$89.01 ,$14.78 ,$98.90 ,$55.48 ,$14.78 ,$40.94 ,$11.23 ,$10.72 ,$15.51 ,$89.01 ,$33.93 ,$54.79 ,$27.69 ,$89.01 ,$14.78 ,$89.01 ,$89.01 ,$14.78 ,$64.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101236,82608,HC VITAMIN B-12 BINDING CAPACITY-90,301,1 ,$23.00 ,$16.56 ,$6.44 ,$32.22 ,$23.00 ,$17.14 ,$15.07 ,$14.03 ,$6.44 ,$14.15 ,$14.03 ,$14.15 ,$14.03 ,$12.74 ,$12.74 ,$14.03 ,$12.74 ,$23.00 ,$20.70 ,$19.09 ,$23.00 ,$14.03 ,$20.24 ,$14.32 ,$17.25 ,$17.25 ,$19.55 ,$19.55 ,$14.03 ,$19.55 ,$14.03 ,$18.63 ,$18.63 ,$18.63 ,$23.00 ,$20.70 ,$23.00 ,$20.70 ,$14.03 ,$23.00 ,$12.90 ,$14.03 ,$9.52 ,$8.34 ,$7.96 ,$14.74 ,$20.70 ,$32.22 ,$12.74 ,$6.44 ,$20.70 ,$14.03 ,$20.70 ,$20.70 ,$14.03 ,$14.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101237,82626,HC DHEA-90,301,1 ,$206.13 ,$148.41 ,$7.96 ,$206.13 ,$63.18 ,$153.57 ,$135.02 ,$24.76 ,$57.72 ,$126.77 ,$24.76 ,$126.77 ,$24.76 ,$114.20 ,$114.20 ,$24.76 ,$114.20 ,$51.05 ,$185.52 ,$171.09 ,$63.18 ,$24.76 ,$181.39 ,$25.26 ,$154.60 ,$154.60 ,$175.21 ,$175.21 ,$24.76 ,$175.21 ,$24.76 ,$166.97 ,$166.97 ,$166.97 ,$206.13 ,$185.52 ,$63.18 ,$185.52 ,$24.76 ,$206.13 ,$115.64 ,$24.76 ,$85.34 ,$8.34 ,$7.96 ,$26.00 ,$185.52 ,$56.86 ,$114.20 ,$57.72 ,$185.52 ,$24.76 ,$185.52 ,$185.52 ,$24.76 ,$133.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101238,82627,HC DHEA SULFATE-90,301,1 ,$125.35 ,$90.25 ,$18.64 ,$125.35 ,$55.58 ,$93.39 ,$82.10 ,$21.79 ,$35.10 ,$77.09 ,$21.79 ,$77.09 ,$21.79 ,$69.44 ,$69.44 ,$21.79 ,$69.44 ,$44.90 ,$112.82 ,$104.04 ,$55.58 ,$21.79 ,$110.31 ,$22.22 ,$94.01 ,$94.01 ,$106.55 ,$106.55 ,$21.79 ,$106.55 ,$21.79 ,$101.53 ,$101.53 ,$101.53 ,$125.35 ,$112.82 ,$55.58 ,$112.82 ,$21.79 ,$125.35 ,$70.32 ,$21.79 ,$51.89 ,$19.53 ,$18.64 ,$22.87 ,$112.82 ,$50.02 ,$69.44 ,$35.10 ,$112.82 ,$21.79 ,$112.82 ,$112.82 ,$21.79 ,$81.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101239,82634,HC DEOXYCORTISOL-90,301,1 ,$123.05 ,$88.60 ,$18.64 ,$123.05 ,$73.20 ,$91.67 ,$80.60 ,$28.69 ,$34.45 ,$75.68 ,$28.69 ,$75.68 ,$28.69 ,$68.17 ,$68.17 ,$28.69 ,$68.17 ,$59.15 ,$110.75 ,$102.13 ,$73.20 ,$28.69 ,$108.28 ,$29.27 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$28.69 ,$104.59 ,$28.69 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$73.20 ,$110.75 ,$28.69 ,$123.05 ,$69.03 ,$28.69 ,$50.94 ,$19.53 ,$18.64 ,$30.13 ,$110.75 ,$65.88 ,$68.17 ,$34.45 ,$110.75 ,$28.69 ,$110.75 ,$110.75 ,$28.69 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$241.50 ,$173.88 ,$21.44 ,$241.50 ,$96.25 ,$179.92 ,$158.18 ,$37.73 ,$67.62 ,$148.52 ,$37.73 ,$148.52 ,$37.73 ,$133.79 ,$133.79 ,$37.73 ,$133.79 ,$77.77 ,$217.35 ,$200.45 ,$96.25 ,$37.73 ,$212.52 ,$38.48 ,$181.13 ,$181.13 ,$205.28 ,$205.28 ,$37.73 ,$205.28 ,$37.73 ,$195.62 ,$195.62 ,$195.62 ,$241.50 ,$217.35 ,$96.25 ,$217.35 ,$37.73 ,$241.50 ,$135.48 ,$37.73 ,$99.98 ,$22.46 ,$21.44 ,$39.62 ,$217.35 ,$86.63 ,$133.79 ,$67.62 ,$217.35 ,$37.73 ,$217.35 ,$217.35 ,$37.73 ,$156.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$103.50 ,$74.52 ,$7.96 ,$103.50 ,$28.83 ,$77.11 ,$67.79 ,$11.30 ,$28.98 ,$63.65 ,$11.30 ,$63.65 ,$11.30 ,$57.34 ,$57.34 ,$11.30 ,$57.34 ,$23.29 ,$93.15 ,$85.91 ,$28.83 ,$11.30 ,$91.08 ,$11.52 ,$77.63 ,$77.63 ,$87.98 ,$87.98 ,$11.30 ,$87.98 ,$11.30 ,$83.84 ,$83.84 ,$83.84 ,$103.50 ,$93.15 ,$28.83 ,$93.15 ,$11.30 ,$103.50 ,$58.06 ,$11.30 ,$42.85 ,$8.34 ,$7.96 ,$11.87 ,$93.15 ,$25.94 ,$57.34 ,$28.98 ,$93.15 ,$11.30 ,$93.15 ,$93.15 ,$11.30 ,$67.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$400.00 ,$288.00 ,$7.96 ,$400.00 ,$55.43 ,$298.00 ,$262.00 ,$21.73 ,$112.00 ,$246.00 ,$21.73 ,$246.00 ,$21.73 ,$221.60 ,$221.60 ,$21.73 ,$221.60 ,$44.78 ,$360.00 ,$332.00 ,$55.43 ,$21.73 ,$352.00 ,$22.16 ,$300.00 ,$300.00 ,$340.00 ,$340.00 ,$21.73 ,$340.00 ,$21.73 ,$324.00 ,$324.00 ,$324.00 ,$400.00 ,$360.00 ,$55.43 ,$360.00 ,$21.73 ,$400.00 ,$224.40 ,$21.73 ,$165.60 ,$8.34 ,$7.96 ,$22.81 ,$360.00 ,$49.88 ,$221.60 ,$112.00 ,$360.00 ,$21.73 ,$360.00 ,$360.00 ,$21.73 ,$260.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101243,82657,HC ENZYME ACT NONRAD SUBS LYE-90,301,1 ,$400.00 ,$288.00 ,$7.96 ,$400.00 ,$55.43 ,$298.00 ,$262.00 ,$21.73 ,$112.00 ,$246.00 ,$21.73 ,$246.00 ,$21.73 ,$221.60 ,$221.60 ,$21.73 ,$221.60 ,$44.78 ,$360.00 ,$332.00 ,$55.43 ,$21.73 ,$352.00 ,$22.16 ,$300.00 ,$300.00 ,$340.00 ,$340.00 ,$21.73 ,$340.00 ,$21.73 ,$324.00 ,$324.00 ,$324.00 ,$400.00 ,$360.00 ,$55.43 ,$360.00 ,$21.73 ,$400.00 ,$224.40 ,$21.73 ,$165.60 ,$8.34 ,$7.96 ,$22.81 ,$360.00 ,$49.88 ,$221.60 ,$112.00 ,$360.00 ,$21.73 ,$360.00 ,$360.00 ,$21.73 ,$260.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$255.30 ,$183.82 ,$7.96 ,$255.30 ,$46.98 ,$190.20 ,$167.22 ,$18.41 ,$71.48 ,$157.01 ,$18.41 ,$157.01 ,$18.41 ,$141.44 ,$141.44 ,$18.41 ,$141.44 ,$37.96 ,$229.77 ,$211.90 ,$46.98 ,$18.41 ,$224.66 ,$18.79 ,$191.48 ,$191.48 ,$217.01 ,$217.01 ,$18.41 ,$217.01 ,$18.41 ,$206.79 ,$206.79 ,$206.79 ,$255.30 ,$229.77 ,$46.98 ,$229.77 ,$18.41 ,$255.30 ,$143.22 ,$18.41 ,$105.69 ,$8.34 ,$7.96 ,$19.34 ,$229.77 ,$42.28 ,$141.44 ,$71.48 ,$229.77 ,$18.41 ,$229.77 ,$229.77 ,$18.41 ,$165.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101246,82670,HC ESTRADIOL-90,301,1 ,$338.10 ,$243.43 ,$18.64 ,$338.10 ,$69.85 ,$251.88 ,$221.46 ,$27.38 ,$94.67 ,$207.93 ,$27.38 ,$207.93 ,$27.38 ,$187.31 ,$187.31 ,$27.38 ,$187.31 ,$56.44 ,$304.29 ,$280.62 ,$69.85 ,$27.38 ,$297.53 ,$27.93 ,$253.58 ,$253.58 ,$287.39 ,$287.39 ,$27.38 ,$287.39 ,$27.38 ,$273.86 ,$273.86 ,$273.86 ,$338.10 ,$304.29 ,$69.85 ,$304.29 ,$27.38 ,$338.10 ,$189.67 ,$27.38 ,$139.97 ,$19.53 ,$18.64 ,$28.75 ,$304.29 ,$62.87 ,$187.31 ,$94.67 ,$304.29 ,$27.38 ,$304.29 ,$304.29 ,$27.38 ,$219.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101247,82670,HC ESTRADIOL FREE-90,301,1 ,$64.86 ,$46.70 ,$18.16 ,$64.86 ,$64.86 ,$48.32 ,$42.48 ,$27.38 ,$18.16 ,$39.89 ,$27.38 ,$39.89 ,$27.38 ,$35.93 ,$35.93 ,$27.38 ,$35.93 ,$56.44 ,$58.37 ,$53.83 ,$64.86 ,$27.38 ,$57.08 ,$27.93 ,$48.65 ,$48.65 ,$55.13 ,$55.13 ,$27.38 ,$55.13 ,$27.38 ,$52.54 ,$52.54 ,$52.54 ,$64.86 ,$58.37 ,$64.86 ,$58.37 ,$27.38 ,$64.86 ,$36.39 ,$27.38 ,$26.85 ,$19.53 ,$18.64 ,$28.75 ,$58.37 ,$62.87 ,$35.93 ,$18.16 ,$58.37 ,$27.38 ,$58.37 ,$58.37 ,$27.38 ,$42.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$76.36 ,$54.98 ,$18.64 ,$76.36 ,$76.36 ,$56.89 ,$50.02 ,$31.65 ,$21.38 ,$46.96 ,$31.65 ,$46.96 ,$31.65 ,$42.30 ,$42.30 ,$31.65 ,$42.30 ,$65.25 ,$68.72 ,$63.38 ,$76.36 ,$31.65 ,$67.20 ,$32.29 ,$57.27 ,$57.27 ,$64.91 ,$64.91 ,$31.65 ,$64.91 ,$31.65 ,$61.85 ,$61.85 ,$61.85 ,$76.36 ,$68.72 ,$76.36 ,$68.72 ,$31.65 ,$76.36 ,$42.84 ,$31.65 ,$31.61 ,$19.53 ,$18.64 ,$33.24 ,$68.72 ,$72.68 ,$42.30 ,$21.38 ,$68.72 ,$31.65 ,$68.72 ,$68.72 ,$31.65 ,$49.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$109.25 ,$78.66 ,$18.64 ,$109.25 ,$54.25 ,$81.39 ,$71.56 ,$21.27 ,$30.59 ,$67.19 ,$21.27 ,$67.19 ,$21.27 ,$60.52 ,$60.52 ,$21.27 ,$60.52 ,$43.83 ,$98.33 ,$90.68 ,$54.25 ,$21.27 ,$96.14 ,$21.69 ,$81.94 ,$81.94 ,$92.86 ,$92.86 ,$21.27 ,$92.86 ,$21.27 ,$88.49 ,$88.49 ,$88.49 ,$109.25 ,$98.33 ,$54.25 ,$98.33 ,$21.27 ,$109.25 ,$61.29 ,$21.27 ,$45.23 ,$19.53 ,$18.64 ,$22.33 ,$98.33 ,$48.83 ,$60.52 ,$30.59 ,$98.33 ,$21.27 ,$98.33 ,$98.33 ,$21.27 ,$71.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101250,82677,HC ESTRIOL-90,301,1 ,$134.55 ,$96.88 ,$18.64 ,$134.55 ,$60.45 ,$100.24 ,$88.13 ,$23.70 ,$37.67 ,$82.75 ,$23.70 ,$82.75 ,$23.70 ,$74.54 ,$74.54 ,$23.70 ,$74.54 ,$48.84 ,$121.10 ,$111.68 ,$60.45 ,$23.70 ,$118.40 ,$24.17 ,$100.91 ,$100.91 ,$114.37 ,$114.37 ,$23.70 ,$114.37 ,$23.70 ,$108.99 ,$108.99 ,$108.99 ,$134.55 ,$121.10 ,$60.45 ,$121.10 ,$23.70 ,$134.55 ,$75.48 ,$23.70 ,$55.70 ,$19.53 ,$18.64 ,$24.88 ,$121.10 ,$54.41 ,$74.54 ,$37.67 ,$121.10 ,$23.70 ,$121.10 ,$121.10 ,$23.70 ,$87.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101251,82679,HC ESTRONE-90,301,1 ,$128.80 ,$92.74 ,$18.64 ,$128.80 ,$62.38 ,$95.96 ,$84.36 ,$24.45 ,$36.06 ,$79.21 ,$24.45 ,$79.21 ,$24.45 ,$71.36 ,$71.36 ,$24.45 ,$71.36 ,$50.40 ,$115.92 ,$106.90 ,$62.38 ,$24.45 ,$113.34 ,$24.94 ,$96.60 ,$96.60 ,$109.48 ,$109.48 ,$24.45 ,$109.48 ,$24.45 ,$104.33 ,$104.33 ,$104.33 ,$128.80 ,$115.92 ,$62.38 ,$115.92 ,$24.45 ,$128.80 ,$72.26 ,$24.45 ,$53.32 ,$19.53 ,$18.64 ,$25.68 ,$115.92 ,$56.14 ,$71.36 ,$36.06 ,$115.92 ,$24.45 ,$115.92 ,$115.92 ,$24.45 ,$83.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101252,82693,HC ETHYLENE GLYCOL-90,301,1 ,$205.38 ,$147.87 ,$9.71 ,$205.38 ,$37.25 ,$153.01 ,$134.52 ,$14.60 ,$57.51 ,$126.31 ,$14.60 ,$126.31 ,$14.60 ,$113.78 ,$113.78 ,$14.60 ,$113.78 ,$30.10 ,$184.84 ,$170.47 ,$37.25 ,$14.60 ,$180.73 ,$14.90 ,$154.04 ,$154.04 ,$174.57 ,$174.57 ,$14.60 ,$174.57 ,$14.60 ,$166.36 ,$166.36 ,$166.36 ,$205.38 ,$184.84 ,$37.25 ,$184.84 ,$14.60 ,$205.38 ,$115.22 ,$14.60 ,$85.03 ,$10.18 ,$9.71 ,$15.34 ,$184.84 ,$33.53 ,$113.78 ,$57.51 ,$184.84 ,$14.60 ,$184.84 ,$184.84 ,$14.60 ,$133.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$41.40 ,$29.81 ,$3.54 ,$41.40 ,$12.75 ,$30.84 ,$27.12 ,$5.00 ,$11.59 ,$25.46 ,$5.00 ,$25.46 ,$5.00 ,$22.94 ,$22.94 ,$5.00 ,$22.94 ,$10.30 ,$37.26 ,$34.36 ,$12.75 ,$5.00 ,$36.43 ,$5.10 ,$31.05 ,$31.05 ,$35.19 ,$35.19 ,$5.00 ,$35.19 ,$5.00 ,$33.53 ,$33.53 ,$33.53 ,$41.40 ,$37.26 ,$12.75 ,$37.26 ,$5.00 ,$41.40 ,$23.23 ,$5.00 ,$17.14 ,$3.71 ,$3.54 ,$5.25 ,$37.26 ,$11.48 ,$22.94 ,$11.59 ,$37.26 ,$5.00 ,$37.26 ,$37.26 ,$5.00 ,$26.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101254,82710,HC FECAL FAT QN-90,301,1 ,$167.95 ,$120.92 ,$7.96 ,$167.95 ,$42.00 ,$125.12 ,$110.01 ,$16.46 ,$47.03 ,$103.29 ,$16.46 ,$103.29 ,$16.46 ,$93.04 ,$93.04 ,$16.46 ,$93.04 ,$33.94 ,$151.16 ,$139.40 ,$42.00 ,$16.46 ,$147.80 ,$16.80 ,$125.96 ,$125.96 ,$142.76 ,$142.76 ,$16.46 ,$142.76 ,$16.46 ,$136.04 ,$136.04 ,$136.04 ,$167.95 ,$151.16 ,$42.00 ,$151.16 ,$16.46 ,$167.95 ,$94.22 ,$16.46 ,$69.53 ,$8.34 ,$7.96 ,$17.29 ,$151.16 ,$37.80 ,$93.04 ,$47.03 ,$151.16 ,$16.46 ,$151.16 ,$151.16 ,$16.46 ,$109.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101256,82728,HC FERRITIN-90,301,1 ,$124.20 ,$89.42 ,$7.96 ,$124.20 ,$34.08 ,$92.53 ,$81.35 ,$13.36 ,$34.78 ,$76.38 ,$13.36 ,$76.38 ,$13.36 ,$68.81 ,$68.81 ,$13.36 ,$68.81 ,$27.53 ,$111.78 ,$103.09 ,$34.08 ,$13.36 ,$109.30 ,$13.62 ,$93.15 ,$93.15 ,$105.57 ,$105.57 ,$13.36 ,$105.57 ,$13.36 ,$100.60 ,$100.60 ,$100.60 ,$124.20 ,$111.78 ,$34.08 ,$111.78 ,$13.36 ,$124.20 ,$69.68 ,$13.36 ,$51.42 ,$8.34 ,$7.96 ,$14.02 ,$111.78 ,$30.67 ,$68.81 ,$34.78 ,$111.78 ,$13.36 ,$111.78 ,$111.78 ,$13.36 ,$80.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101257,82731,HC FETAL FIBRONECTIN-90,301,1 ,$652.05 ,$469.48 ,$21.44 ,$652.05 ,$161.03 ,$485.78 ,$427.09 ,$63.12 ,$182.57 ,$401.01 ,$63.12 ,$401.01 ,$63.12 ,$361.24 ,$361.24 ,$63.12 ,$361.24 ,$130.11 ,$586.85 ,$500.00 ,$161.03 ,$63.12 ,$573.80 ,$64.39 ,$489.04 ,$489.04 ,$554.24 ,$554.24 ,$63.12 ,$554.24 ,$63.12 ,$528.16 ,$528.16 ,$528.16 ,$652.05 ,$586.85 ,$161.03 ,$586.85 ,$63.12 ,$652.05 ,$365.80 ,$63.12 ,$269.95 ,$22.46 ,$21.44 ,$66.28 ,$586.85 ,$144.92 ,$361.24 ,$182.57 ,$586.85 ,$63.12 ,$586.85 ,$586.85 ,$63.12 ,$423.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$194.35 ,$139.93 ,$4.95 ,$194.35 ,$44.13 ,$144.79 ,$127.30 ,$17.30 ,$54.42 ,$119.53 ,$17.30 ,$119.53 ,$17.30 ,$107.67 ,$107.67 ,$17.30 ,$107.67 ,$35.65 ,$174.92 ,$161.31 ,$44.13 ,$17.30 ,$171.03 ,$17.64 ,$145.76 ,$145.76 ,$165.20 ,$165.20 ,$17.30 ,$165.20 ,$17.30 ,$157.42 ,$157.42 ,$157.42 ,$194.35 ,$174.92 ,$44.13 ,$174.92 ,$17.30 ,$194.35 ,$109.03 ,$17.30 ,$80.46 ,$5.18 ,$4.95 ,$18.16 ,$174.92 ,$39.71 ,$107.67 ,$54.42 ,$174.92 ,$17.30 ,$174.92 ,$174.92 ,$17.30 ,$126.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$165.60 ,$119.23 ,$7.96 ,$165.60 ,$23.25 ,$123.37 ,$108.47 ,$9.11 ,$46.37 ,$101.84 ,$9.11 ,$101.84 ,$9.11 ,$91.74 ,$91.74 ,$9.11 ,$91.74 ,$18.79 ,$149.04 ,$137.45 ,$23.25 ,$9.11 ,$145.73 ,$9.30 ,$124.20 ,$124.20 ,$140.76 ,$140.76 ,$9.11 ,$140.76 ,$9.11 ,$134.14 ,$134.14 ,$134.14 ,$165.60 ,$149.04 ,$23.25 ,$149.04 ,$9.11 ,$165.60 ,$92.90 ,$9.11 ,$68.56 ,$8.34 ,$7.96 ,$9.57 ,$149.04 ,$20.93 ,$91.74 ,$46.37 ,$149.04 ,$9.11 ,$149.04 ,$149.04 ,$9.11 ,$107.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101263,82785,HC GAMMAGLOBULIN IGE-90,301,1 ,$151.80 ,$109.30 ,$7.96 ,$151.80 ,$41.15 ,$113.09 ,$99.43 ,$16.13 ,$42.50 ,$93.36 ,$16.13 ,$93.36 ,$16.13 ,$84.10 ,$84.10 ,$16.13 ,$84.10 ,$33.25 ,$136.62 ,$125.99 ,$41.15 ,$16.13 ,$133.58 ,$16.45 ,$113.85 ,$113.85 ,$129.03 ,$129.03 ,$16.13 ,$129.03 ,$16.13 ,$122.96 ,$122.96 ,$122.96 ,$151.80 ,$136.62 ,$41.15 ,$136.62 ,$16.13 ,$151.80 ,$85.16 ,$16.13 ,$62.85 ,$8.34 ,$7.96 ,$16.93 ,$136.62 ,$37.04 ,$84.10 ,$42.50 ,$136.62 ,$16.13 ,$136.62 ,$136.62 ,$16.13 ,$98.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$197.80 ,$142.42 ,$7.86 ,$197.80 ,$20.05 ,$147.36 ,$129.56 ,$7.86 ,$55.38 ,$121.65 ,$7.86 ,$121.65 ,$7.86 ,$109.58 ,$109.58 ,$7.86 ,$109.58 ,$16.20 ,$178.02 ,$164.17 ,$20.05 ,$7.86 ,$174.06 ,$8.02 ,$148.35 ,$148.35 ,$168.13 ,$168.13 ,$7.86 ,$168.13 ,$7.86 ,$160.22 ,$160.22 ,$160.22 ,$197.80 ,$178.02 ,$20.05 ,$178.02 ,$7.86 ,$197.80 ,$110.97 ,$7.86 ,$81.89 ,$12.88 ,$12.30 ,$8.25 ,$178.02 ,$18.05 ,$109.58 ,$55.38 ,$178.02 ,$7.86 ,$178.02 ,$178.02 ,$7.86 ,$128.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101268,82941,HC GASTRIN-90,301,1 ,$141.45 ,$101.84 ,$17.28 ,$141.45 ,$44.08 ,$105.38 ,$92.65 ,$17.28 ,$39.61 ,$86.99 ,$17.28 ,$86.99 ,$17.28 ,$78.36 ,$78.36 ,$17.28 ,$78.36 ,$35.61 ,$127.31 ,$117.40 ,$44.08 ,$17.28 ,$124.48 ,$17.62 ,$106.09 ,$106.09 ,$120.23 ,$120.23 ,$17.28 ,$120.23 ,$17.28 ,$114.57 ,$114.57 ,$114.57 ,$141.45 ,$127.31 ,$44.08 ,$127.31 ,$17.28 ,$141.45 ,$79.35 ,$17.28 ,$58.56 ,$19.53 ,$18.64 ,$18.14 ,$127.31 ,$39.67 ,$78.36 ,$39.61 ,$127.31 ,$17.28 ,$127.31 ,$127.31 ,$17.28 ,$91.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101269,82945,HC GLUCOSE BODY FLUID-90,301,1 ,$19.55 ,$14.08 ,$3.54 ,$19.55 ,$9.83 ,$14.56 ,$12.81 ,$3.85 ,$5.47 ,$12.02 ,$3.85 ,$12.02 ,$3.85 ,$10.83 ,$10.83 ,$3.85 ,$10.83 ,$7.94 ,$17.60 ,$16.23 ,$9.83 ,$3.85 ,$17.20 ,$3.93 ,$14.66 ,$14.66 ,$16.62 ,$16.62 ,$3.85 ,$16.62 ,$3.85 ,$15.84 ,$15.84 ,$15.84 ,$19.55 ,$17.60 ,$9.83 ,$17.60 ,$3.85 ,$19.55 ,$10.97 ,$3.85 ,$8.09 ,$3.71 ,$3.54 ,$4.05 ,$17.60 ,$8.84 ,$10.83 ,$5.47 ,$17.60 ,$3.85 ,$17.60 ,$17.60 ,$3.85 ,$12.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101274,82955,HC G6PD ENZYME QN-90,301,1 ,$14.95 ,$10.76 ,$4.19 ,$21.83 ,$14.95 ,$11.14 ,$9.79 ,$9.51 ,$4.19 ,$9.19 ,$9.51 ,$9.19 ,$9.51 ,$8.28 ,$8.28 ,$9.51 ,$8.28 ,$14.95 ,$13.46 ,$12.41 ,$14.95 ,$9.51 ,$13.16 ,$9.69 ,$11.21 ,$11.21 ,$12.71 ,$12.71 ,$9.51 ,$12.71 ,$9.51 ,$12.11 ,$12.11 ,$12.11 ,$14.95 ,$13.46 ,$14.95 ,$13.46 ,$9.51 ,$14.95 ,$8.39 ,$9.51 ,$6.19 ,$8.34 ,$7.96 ,$9.99 ,$13.46 ,$21.83 ,$8.28 ,$4.19 ,$13.46 ,$9.51 ,$13.46 ,$13.46 ,$9.51 ,$9.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$123.05 ,$88.60 ,$7.96 ,$123.05 ,$41.90 ,$91.67 ,$80.60 ,$16.42 ,$34.45 ,$75.68 ,$16.42 ,$75.68 ,$16.42 ,$68.17 ,$68.17 ,$16.42 ,$68.17 ,$33.86 ,$110.75 ,$102.13 ,$41.90 ,$16.42 ,$108.28 ,$16.76 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$16.42 ,$104.59 ,$16.42 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$41.90 ,$110.75 ,$16.42 ,$123.05 ,$69.03 ,$16.42 ,$50.94 ,$8.34 ,$7.96 ,$17.25 ,$110.75 ,$37.71 ,$68.17 ,$34.45 ,$110.75 ,$16.42 ,$110.75 ,$110.75 ,$16.42 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$11.50 ,$8.28 ,$3.22 ,$25.88 ,$11.50 ,$8.57 ,$7.53 ,$11.27 ,$3.22 ,$7.07 ,$11.27 ,$7.07 ,$11.27 ,$6.37 ,$6.37 ,$11.27 ,$6.37 ,$11.50 ,$10.35 ,$9.55 ,$11.50 ,$11.27 ,$10.12 ,$11.50 ,$8.63 ,$8.63 ,$9.78 ,$9.78 ,$11.27 ,$9.78 ,$11.27 ,$9.32 ,$9.32 ,$9.32 ,$11.50 ,$10.35 ,$11.50 ,$10.35 ,$11.27 ,$11.50 ,$6.45 ,$11.27 ,$4.76 ,$11.50 ,$11.50 ,$11.27 ,$10.35 ,$25.88 ,$6.37 ,$3.22 ,$10.35 ,$11.27 ,$10.35 ,$10.35 ,$11.27 ,$7.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101280,83003,HC GROWTH HORMONE (HGH) STIM-90,301,1 ,$135.70 ,$97.70 ,$16.34 ,$135.70 ,$41.68 ,$101.10 ,$88.88 ,$16.34 ,$38.00 ,$83.46 ,$16.34 ,$83.46 ,$16.34 ,$75.18 ,$75.18 ,$16.34 ,$75.18 ,$33.67 ,$122.13 ,$112.63 ,$41.68 ,$16.34 ,$119.42 ,$16.66 ,$101.78 ,$101.78 ,$115.35 ,$115.35 ,$16.34 ,$115.35 ,$16.34 ,$109.92 ,$109.92 ,$109.92 ,$135.70 ,$122.13 ,$41.68 ,$122.13 ,$16.34 ,$135.70 ,$76.13 ,$16.34 ,$56.18 ,$19.53 ,$18.64 ,$17.15 ,$122.13 ,$37.51 ,$75.18 ,$38.00 ,$122.13 ,$16.34 ,$122.13 ,$122.13 ,$16.34 ,$88.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101282,83013,HC H PYLORI BREATH TEST-90,301,1 ,$253.00 ,$182.16 ,$21.44 ,$253.00 ,$168.40 ,$188.49 ,$165.72 ,$66.01 ,$70.84 ,$155.60 ,$66.01 ,$155.60 ,$66.01 ,$140.16 ,$140.16 ,$66.01 ,$140.16 ,$136.07 ,$227.70 ,$209.99 ,$168.40 ,$66.01 ,$222.64 ,$67.34 ,$189.75 ,$189.75 ,$215.05 ,$215.05 ,$66.01 ,$215.05 ,$66.01 ,$204.93 ,$204.93 ,$204.93 ,$253.00 ,$227.70 ,$168.40 ,$227.70 ,$66.01 ,$253.00 ,$141.93 ,$66.01 ,$104.74 ,$22.46 ,$21.44 ,$69.32 ,$227.70 ,$151.56 ,$140.16 ,$70.84 ,$227.70 ,$66.01 ,$227.70 ,$227.70 ,$66.01 ,$164.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$181.70 ,$130.82 ,$9.71 ,$181.70 ,$54.90 ,$135.37 ,$119.01 ,$21.52 ,$50.88 ,$111.75 ,$21.52 ,$111.75 ,$21.52 ,$100.66 ,$100.66 ,$21.52 ,$100.66 ,$44.36 ,$163.53 ,$150.81 ,$54.90 ,$21.52 ,$159.90 ,$21.95 ,$136.28 ,$136.28 ,$154.45 ,$154.45 ,$21.52 ,$154.45 ,$21.52 ,$147.18 ,$147.18 ,$147.18 ,$181.70 ,$163.53 ,$54.90 ,$163.53 ,$21.52 ,$181.70 ,$101.93 ,$21.52 ,$75.22 ,$10.18 ,$9.71 ,$22.60 ,$163.53 ,$49.41 ,$100.66 ,$50.88 ,$163.53 ,$21.52 ,$163.53 ,$163.53 ,$21.52 ,$118.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101284,83020,HC HGB ELECTROPHORESIS-90,301,1 ,$104.65 ,$75.35 ,$7.96 ,$104.65 ,$32.18 ,$77.96 ,$68.55 ,$12.61 ,$29.30 ,$64.36 ,$12.61 ,$64.36 ,$12.61 ,$57.98 ,$57.98 ,$12.61 ,$57.98 ,$26.00 ,$94.19 ,$86.86 ,$32.18 ,$12.61 ,$92.09 ,$12.87 ,$78.49 ,$78.49 ,$88.95 ,$88.95 ,$12.61 ,$88.95 ,$12.61 ,$84.77 ,$84.77 ,$84.77 ,$104.65 ,$94.19 ,$32.18 ,$94.19 ,$12.61 ,$104.65 ,$58.71 ,$12.61 ,$43.33 ,$8.34 ,$7.96 ,$13.24 ,$94.19 ,$28.96 ,$57.98 ,$29.30 ,$94.19 ,$12.61 ,$94.19 ,$94.19 ,$12.61 ,$68.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101285,83021,HC HEMOGLOBIN FRACT QN-90,301,1 ,$129.95 ,$93.56 ,$7.53 ,$129.95 ,$45.15 ,$96.81 ,$85.12 ,$17.70 ,$36.39 ,$79.92 ,$17.70 ,$79.92 ,$17.70 ,$71.99 ,$71.99 ,$17.70 ,$71.99 ,$36.48 ,$116.96 ,$107.86 ,$45.15 ,$17.70 ,$114.36 ,$18.05 ,$97.46 ,$97.46 ,$110.46 ,$110.46 ,$17.70 ,$110.46 ,$17.70 ,$105.26 ,$105.26 ,$105.26 ,$129.95 ,$116.96 ,$45.15 ,$116.96 ,$17.70 ,$129.95 ,$72.90 ,$17.70 ,$53.80 ,$7.89 ,$7.53 ,$18.58 ,$116.96 ,$40.64 ,$71.99 ,$36.39 ,$116.96 ,$17.70 ,$116.96 ,$116.96 ,$17.70 ,$84.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101289,83051,HC HEMOGLOBIN PLASMA-90,301,1 ,$29.90 ,$21.53 ,$7.16 ,$29.90 ,$18.28 ,$22.28 ,$19.58 ,$7.16 ,$8.37 ,$18.39 ,$7.16 ,$18.39 ,$7.16 ,$16.56 ,$16.56 ,$7.16 ,$16.56 ,$14.77 ,$26.91 ,$24.82 ,$18.28 ,$7.16 ,$26.31 ,$7.31 ,$22.43 ,$22.43 ,$25.42 ,$25.42 ,$7.16 ,$25.42 ,$7.16 ,$24.22 ,$24.22 ,$24.22 ,$29.90 ,$26.91 ,$18.28 ,$26.91 ,$7.16 ,$29.90 ,$16.77 ,$7.16 ,$12.38 ,$8.34 ,$7.96 ,$7.53 ,$26.91 ,$16.45 ,$16.56 ,$8.37 ,$26.91 ,$7.16 ,$26.91 ,$26.91 ,$7.16 ,$19.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101291,83088,HC HISTAMINE-90,301,1 ,$302.45 ,$217.76 ,$21.44 ,$302.45 ,$73.83 ,$225.33 ,$198.10 ,$28.94 ,$84.69 ,$186.01 ,$28.94 ,$186.01 ,$28.94 ,$167.56 ,$167.56 ,$28.94 ,$167.56 ,$59.65 ,$272.21 ,$251.03 ,$73.83 ,$28.94 ,$266.16 ,$29.52 ,$226.84 ,$226.84 ,$257.08 ,$257.08 ,$28.94 ,$257.08 ,$28.94 ,$244.98 ,$244.98 ,$244.98 ,$302.45 ,$272.21 ,$73.83 ,$272.21 ,$28.94 ,$302.45 ,$169.67 ,$28.94 ,$125.21 ,$22.46 ,$21.44 ,$30.39 ,$272.21 ,$66.44 ,$167.56 ,$84.69 ,$272.21 ,$28.94 ,$272.21 ,$272.21 ,$28.94 ,$196.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$31.05 ,$22.36 ,$8.69 ,$40.32 ,$31.05 ,$23.13 ,$20.34 ,$17.56 ,$8.69 ,$19.10 ,$17.56 ,$19.10 ,$17.56 ,$17.20 ,$17.20 ,$17.56 ,$17.20 ,$31.05 ,$27.95 ,$25.77 ,$31.05 ,$17.56 ,$27.32 ,$17.91 ,$23.29 ,$23.29 ,$26.39 ,$26.39 ,$17.56 ,$26.39 ,$17.56 ,$25.15 ,$25.15 ,$25.15 ,$31.05 ,$27.95 ,$31.05 ,$27.95 ,$17.56 ,$31.05 ,$17.42 ,$17.56 ,$12.85 ,$19.53 ,$18.64 ,$18.44 ,$27.95 ,$40.32 ,$17.20 ,$8.69 ,$27.95 ,$17.56 ,$27.95 ,$27.95 ,$17.56 ,$20.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$132.25 ,$95.22 ,$10.72 ,$132.25 ,$32.25 ,$98.53 ,$86.62 ,$12.64 ,$37.03 ,$81.33 ,$12.64 ,$81.33 ,$12.64 ,$73.27 ,$73.27 ,$12.64 ,$73.27 ,$26.06 ,$119.03 ,$109.77 ,$32.25 ,$12.64 ,$116.38 ,$12.90 ,$99.19 ,$99.19 ,$112.41 ,$112.41 ,$12.64 ,$112.41 ,$12.64 ,$107.12 ,$107.12 ,$107.12 ,$132.25 ,$119.03 ,$32.25 ,$119.03 ,$12.64 ,$132.25 ,$74.19 ,$12.64 ,$54.75 ,$11.23 ,$10.72 ,$13.28 ,$119.03 ,$29.03 ,$73.27 ,$37.03 ,$119.03 ,$12.64 ,$119.03 ,$119.03 ,$12.64 ,$85.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$211.60 ,$152.35 ,$18.64 ,$211.60 ,$67.93 ,$157.64 ,$138.60 ,$26.63 ,$59.25 ,$130.13 ,$26.63 ,$130.13 ,$26.63 ,$117.23 ,$117.23 ,$26.63 ,$117.23 ,$54.88 ,$190.44 ,$175.63 ,$67.93 ,$26.63 ,$186.21 ,$27.16 ,$158.70 ,$158.70 ,$179.86 ,$179.86 ,$26.63 ,$179.86 ,$26.63 ,$171.40 ,$171.40 ,$171.40 ,$211.60 ,$190.44 ,$67.93 ,$190.44 ,$26.63 ,$211.60 ,$118.71 ,$26.63 ,$87.60 ,$19.53 ,$18.64 ,$27.96 ,$190.44 ,$61.13 ,$117.23 ,$59.25 ,$190.44 ,$26.63 ,$190.44 ,$190.44 ,$26.63 ,$137.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$167.90 ,$120.89 ,$7.13 ,$167.90 ,$28.83 ,$125.09 ,$109.97 ,$11.30 ,$47.01 ,$103.26 ,$11.30 ,$103.26 ,$11.30 ,$93.02 ,$93.02 ,$11.30 ,$93.02 ,$23.29 ,$151.11 ,$139.36 ,$28.83 ,$11.30 ,$147.75 ,$11.52 ,$125.93 ,$125.93 ,$142.72 ,$142.72 ,$11.30 ,$142.72 ,$11.30 ,$136.00 ,$136.00 ,$136.00 ,$167.90 ,$151.11 ,$28.83 ,$151.11 ,$11.30 ,$167.90 ,$94.19 ,$11.30 ,$69.51 ,$7.47 ,$7.13 ,$11.87 ,$151.11 ,$25.94 ,$93.02 ,$47.01 ,$151.11 ,$11.30 ,$151.11 ,$151.11 ,$11.30 ,$109.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101300,83516,HC MLT NON INFECT QL/SQ TTG-90,301,1 ,$167.90 ,$120.89 ,$7.13 ,$167.90 ,$28.83 ,$125.09 ,$109.97 ,$11.30 ,$47.01 ,$103.26 ,$11.30 ,$103.26 ,$11.30 ,$93.02 ,$93.02 ,$11.30 ,$93.02 ,$23.29 ,$151.11 ,$139.36 ,$28.83 ,$11.30 ,$147.75 ,$11.52 ,$125.93 ,$125.93 ,$142.72 ,$142.72 ,$11.30 ,$142.72 ,$11.30 ,$136.00 ,$136.00 ,$136.00 ,$167.90 ,$151.11 ,$28.83 ,$151.11 ,$11.30 ,$167.90 ,$94.19 ,$11.30 ,$69.51 ,$7.47 ,$7.13 ,$11.87 ,$151.11 ,$25.94 ,$93.02 ,$47.01 ,$151.11 ,$11.30 ,$151.11 ,$151.11 ,$11.30 ,$109.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101302,83519,HC QN RIA-90,301,1 ,$121.90 ,$87.77 ,$7.13 ,$121.90 ,$46.00 ,$90.82 ,$79.84 ,$18.03 ,$34.13 ,$74.97 ,$18.03 ,$74.97 ,$18.03 ,$67.53 ,$67.53 ,$18.03 ,$67.53 ,$37.17 ,$109.71 ,$101.18 ,$46.00 ,$18.03 ,$107.27 ,$18.39 ,$91.43 ,$91.43 ,$103.62 ,$103.62 ,$18.03 ,$103.62 ,$18.03 ,$98.74 ,$98.74 ,$98.74 ,$121.90 ,$109.71 ,$46.00 ,$109.71 ,$18.03 ,$121.90 ,$68.39 ,$18.03 ,$50.47 ,$7.47 ,$7.13 ,$18.93 ,$109.71 ,$41.40 ,$67.53 ,$34.13 ,$109.71 ,$18.03 ,$109.71 ,$109.71 ,$18.03 ,$79.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$90.85 ,$65.41 ,$7.13 ,$90.85 ,$43.18 ,$67.68 ,$59.51 ,$16.92 ,$25.44 ,$55.87 ,$16.92 ,$55.87 ,$16.92 ,$50.33 ,$50.33 ,$16.92 ,$50.33 ,$34.89 ,$81.77 ,$75.41 ,$43.18 ,$16.92 ,$79.95 ,$17.27 ,$68.14 ,$68.14 ,$77.22 ,$77.22 ,$16.92 ,$77.22 ,$16.92 ,$73.59 ,$73.59 ,$73.59 ,$90.85 ,$81.77 ,$43.18 ,$81.77 ,$16.92 ,$90.85 ,$50.97 ,$16.92 ,$37.61 ,$7.47 ,$7.13 ,$17.77 ,$81.77 ,$38.86 ,$50.33 ,$25.44 ,$81.77 ,$16.92 ,$81.77 ,$81.77 ,$16.92 ,$59.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101305,83520,HC IMMUNOASSAY QN OTHER MBL-90,301,1 ,$284.05 ,$204.52 ,$7.13 ,$284.05 ,$43.18 ,$211.62 ,$186.05 ,$16.92 ,$79.53 ,$174.69 ,$16.92 ,$174.69 ,$16.92 ,$157.36 ,$157.36 ,$16.92 ,$157.36 ,$34.89 ,$255.65 ,$235.76 ,$43.18 ,$16.92 ,$249.96 ,$17.27 ,$213.04 ,$213.04 ,$241.44 ,$241.44 ,$16.92 ,$241.44 ,$16.92 ,$230.08 ,$230.08 ,$230.08 ,$284.05 ,$255.65 ,$43.18 ,$255.65 ,$16.92 ,$284.05 ,$159.35 ,$16.92 ,$117.60 ,$7.47 ,$7.13 ,$17.77 ,$255.65 ,$38.86 ,$157.36 ,$79.53 ,$255.65 ,$16.92 ,$255.65 ,$255.65 ,$16.92 ,$184.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101306,83520,HC IMMUNOASSAY QN ENZYME-90,301,1 ,$460.00 ,$331.20 ,$7.13 ,$460.00 ,$43.18 ,$342.70 ,$301.30 ,$16.92 ,$128.80 ,$282.90 ,$16.92 ,$282.90 ,$16.92 ,$254.84 ,$254.84 ,$16.92 ,$254.84 ,$34.89 ,$414.00 ,$381.80 ,$43.18 ,$16.92 ,$404.80 ,$17.27 ,$345.00 ,$345.00 ,$391.00 ,$391.00 ,$16.92 ,$391.00 ,$16.92 ,$372.60 ,$372.60 ,$372.60 ,$460.00 ,$414.00 ,$43.18 ,$414.00 ,$16.92 ,$460.00 ,$258.06 ,$16.92 ,$190.44 ,$7.47 ,$7.13 ,$17.77 ,$414.00 ,$38.86 ,$254.84 ,$128.80 ,$414.00 ,$16.92 ,$414.00 ,$414.00 ,$16.92 ,$299.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101307,83525,HC INSULIN TOTAL-90,301,1 ,$51.75 ,$37.26 ,$10.72 ,$51.75 ,$28.58 ,$38.55 ,$33.90 ,$11.20 ,$14.49 ,$31.83 ,$11.20 ,$31.83 ,$11.20 ,$28.67 ,$28.67 ,$11.20 ,$28.67 ,$23.09 ,$46.58 ,$42.95 ,$28.58 ,$11.20 ,$45.54 ,$11.43 ,$38.81 ,$38.81 ,$43.99 ,$43.99 ,$11.20 ,$43.99 ,$11.20 ,$41.92 ,$41.92 ,$41.92 ,$51.75 ,$46.58 ,$28.58 ,$46.58 ,$11.20 ,$51.75 ,$29.03 ,$11.20 ,$21.42 ,$11.23 ,$10.72 ,$11.76 ,$46.58 ,$25.72 ,$28.67 ,$14.49 ,$46.58 ,$11.20 ,$46.58 ,$46.58 ,$11.20 ,$33.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101308,83527,HC INSULIN FREE-90,301,1 ,$33.35 ,$24.01 ,$9.34 ,$33.35 ,$32.38 ,$24.85 ,$21.84 ,$12.69 ,$9.34 ,$20.51 ,$12.69 ,$20.51 ,$12.69 ,$18.48 ,$18.48 ,$12.69 ,$18.48 ,$26.16 ,$30.02 ,$27.68 ,$32.38 ,$12.69 ,$29.35 ,$12.95 ,$25.01 ,$25.01 ,$28.35 ,$28.35 ,$12.69 ,$28.35 ,$12.69 ,$27.01 ,$27.01 ,$27.01 ,$33.35 ,$30.02 ,$32.38 ,$30.02 ,$12.69 ,$33.35 ,$18.71 ,$12.69 ,$13.81 ,$19.53 ,$18.64 ,$13.33 ,$30.02 ,$29.14 ,$18.48 ,$9.34 ,$30.02 ,$12.69 ,$30.02 ,$30.02 ,$12.69 ,$21.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101309,83540,HC IRON TOTAL-90,301,1 ,$149.50 ,$107.64 ,$3.54 ,$149.50 ,$16.18 ,$111.38 ,$97.92 ,$6.34 ,$41.86 ,$91.94 ,$6.34 ,$91.94 ,$6.34 ,$82.82 ,$82.82 ,$6.34 ,$82.82 ,$13.07 ,$134.55 ,$124.09 ,$16.18 ,$6.34 ,$131.56 ,$6.47 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$6.34 ,$127.08 ,$6.34 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$16.18 ,$134.55 ,$6.34 ,$149.50 ,$83.87 ,$6.34 ,$61.89 ,$3.71 ,$3.54 ,$6.65 ,$134.55 ,$14.56 ,$82.82 ,$41.86 ,$134.55 ,$6.34 ,$134.55 ,$134.55 ,$6.34 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101310,83586,HC KETOSTEROIDS (17-KS)-90,301,1 ,$104.65 ,$75.35 ,$10.72 ,$104.65 ,$32.00 ,$77.96 ,$68.55 ,$12.54 ,$29.30 ,$64.36 ,$12.54 ,$64.36 ,$12.54 ,$57.98 ,$57.98 ,$12.54 ,$57.98 ,$25.86 ,$94.19 ,$86.86 ,$32.00 ,$12.54 ,$92.09 ,$12.80 ,$78.49 ,$78.49 ,$88.95 ,$88.95 ,$12.54 ,$88.95 ,$12.54 ,$84.77 ,$84.77 ,$84.77 ,$104.65 ,$94.19 ,$32.00 ,$94.19 ,$12.54 ,$104.65 ,$58.71 ,$12.54 ,$43.33 ,$11.23 ,$10.72 ,$13.17 ,$94.19 ,$28.80 ,$57.98 ,$29.30 ,$94.19 ,$12.54 ,$94.19 ,$94.19 ,$12.54 ,$68.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101311,83605,HC LACTATE/LACTIC ACID-90,301,1 ,$34.71 ,$24.99 ,$7.96 ,$34.71 ,$28.93 ,$25.86 ,$22.74 ,$11.34 ,$9.72 ,$21.35 ,$11.34 ,$21.35 ,$11.34 ,$19.23 ,$19.23 ,$11.34 ,$19.23 ,$23.37 ,$31.24 ,$28.81 ,$28.93 ,$11.34 ,$30.54 ,$11.56 ,$26.03 ,$26.03 ,$29.50 ,$29.50 ,$11.34 ,$29.50 ,$11.34 ,$28.12 ,$28.12 ,$28.12 ,$34.71 ,$31.24 ,$28.93 ,$31.24 ,$11.34 ,$34.71 ,$19.47 ,$11.34 ,$14.37 ,$8.34 ,$7.96 ,$11.91 ,$31.24 ,$26.03 ,$19.23 ,$9.72 ,$31.24 ,$11.34 ,$31.24 ,$31.24 ,$11.34 ,$22.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$155.25 ,$111.78 ,$3.54 ,$155.25 ,$15.10 ,$115.66 ,$101.69 ,$5.92 ,$43.47 ,$95.48 ,$5.92 ,$95.48 ,$5.92 ,$86.01 ,$86.01 ,$5.92 ,$86.01 ,$12.20 ,$139.73 ,$128.86 ,$15.10 ,$5.92 ,$136.62 ,$6.04 ,$116.44 ,$116.44 ,$131.96 ,$131.96 ,$5.92 ,$131.96 ,$5.92 ,$125.75 ,$125.75 ,$125.75 ,$155.25 ,$139.73 ,$15.10 ,$139.73 ,$5.92 ,$155.25 ,$87.10 ,$5.92 ,$64.27 ,$3.71 ,$3.54 ,$6.21 ,$139.73 ,$13.59 ,$86.01 ,$43.47 ,$139.73 ,$5.92 ,$139.73 ,$139.73 ,$5.92 ,$100.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$104.65 ,$75.35 ,$7.96 ,$104.65 ,$31.98 ,$77.96 ,$68.55 ,$12.53 ,$29.30 ,$64.36 ,$12.53 ,$64.36 ,$12.53 ,$57.98 ,$57.98 ,$12.53 ,$57.98 ,$25.84 ,$94.19 ,$86.86 ,$31.98 ,$12.53 ,$92.09 ,$12.79 ,$78.49 ,$78.49 ,$88.95 ,$88.95 ,$12.53 ,$88.95 ,$12.53 ,$84.77 ,$84.77 ,$84.77 ,$104.65 ,$94.19 ,$31.98 ,$94.19 ,$12.53 ,$104.65 ,$58.71 ,$12.53 ,$43.33 ,$8.34 ,$7.96 ,$13.16 ,$94.19 ,$28.78 ,$57.98 ,$29.30 ,$94.19 ,$12.53 ,$94.19 ,$94.19 ,$12.53 ,$68.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101316,83655,HC LEAD-90,301,1 ,$112.70 ,$81.14 ,$9.71 ,$112.70 ,$30.28 ,$83.96 ,$73.82 ,$11.87 ,$31.56 ,$69.31 ,$11.87 ,$69.31 ,$11.87 ,$62.44 ,$62.44 ,$11.87 ,$62.44 ,$24.46 ,$101.43 ,$93.54 ,$30.28 ,$11.87 ,$99.18 ,$12.10 ,$84.53 ,$84.53 ,$95.80 ,$95.80 ,$11.87 ,$95.80 ,$11.87 ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 ,$30.28 ,$101.43 ,$11.87 ,$112.70 ,$63.22 ,$11.87 ,$46.66 ,$10.18 ,$9.71 ,$12.47 ,$101.43 ,$27.25 ,$62.44 ,$31.56 ,$101.43 ,$11.87 ,$101.43 ,$101.43 ,$11.87 ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101319,83695,HC LIPOPROTEIN-90,301,1 ,$148.35 ,$106.81 ,$7.96 ,$148.35 ,$35.80 ,$110.52 ,$97.17 ,$14.03 ,$41.54 ,$91.24 ,$14.03 ,$91.24 ,$14.03 ,$82.19 ,$82.19 ,$14.03 ,$82.19 ,$28.93 ,$133.52 ,$123.13 ,$35.80 ,$14.03 ,$130.55 ,$14.32 ,$111.26 ,$111.26 ,$126.10 ,$126.10 ,$14.03 ,$126.10 ,$14.03 ,$120.16 ,$120.16 ,$120.16 ,$148.35 ,$133.52 ,$35.80 ,$133.52 ,$14.03 ,$148.35 ,$83.22 ,$14.03 ,$61.42 ,$8.34 ,$7.96 ,$14.74 ,$133.52 ,$32.22 ,$82.19 ,$41.54 ,$133.52 ,$14.03 ,$133.52 ,$133.52 ,$14.03 ,$96.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101322,83704,HC NMR LIPOPROFILE LIP-90,301,1 ,$72.77 ,$52.39 ,$20.38 ,$76.93 ,$72.77 ,$54.21 ,$47.66 ,$33.51 ,$20.38 ,$44.75 ,$33.51 ,$44.75 ,$33.51 ,$40.31 ,$40.31 ,$33.51 ,$40.31 ,$69.06 ,$65.49 ,$60.40 ,$72.77 ,$33.51 ,$64.04 ,$34.17 ,$54.58 ,$54.58 ,$61.85 ,$61.85 ,$33.51 ,$61.85 ,$33.51 ,$58.94 ,$58.94 ,$58.94 ,$72.77 ,$65.49 ,$72.77 ,$65.49 ,$33.51 ,$72.77 ,$40.82 ,$33.51 ,$30.13 ,$22.46 ,$21.44 ,$35.18 ,$65.49 ,$76.93 ,$40.31 ,$20.38 ,$65.49 ,$33.51 ,$65.49 ,$65.49 ,$33.51 ,$47.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101326,83735,HC MAGNESIUM-90,301,1 ,$18.40 ,$13.25 ,$3.54 ,$18.40 ,$16.75 ,$13.71 ,$12.05 ,$6.57 ,$5.15 ,$11.32 ,$6.57 ,$11.32 ,$6.57 ,$10.19 ,$10.19 ,$6.57 ,$10.19 ,$13.53 ,$16.56 ,$15.27 ,$16.75 ,$6.57 ,$16.19 ,$6.69 ,$13.80 ,$13.80 ,$15.64 ,$15.64 ,$6.57 ,$15.64 ,$6.57 ,$14.90 ,$14.90 ,$14.90 ,$18.40 ,$16.56 ,$16.75 ,$16.56 ,$6.57 ,$18.40 ,$10.32 ,$6.57 ,$7.62 ,$3.71 ,$3.54 ,$6.90 ,$16.56 ,$15.08 ,$10.19 ,$5.15 ,$16.56 ,$6.57 ,$16.56 ,$16.56 ,$6.57 ,$11.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101327,83785,HC MANGANESE-90,301,1 ,$201.25 ,$144.90 ,$9.71 ,$201.25 ,$66.63 ,$149.93 ,$131.82 ,$26.12 ,$56.35 ,$123.77 ,$26.12 ,$123.77 ,$26.12 ,$111.49 ,$111.49 ,$26.12 ,$111.49 ,$53.83 ,$181.13 ,$167.04 ,$66.63 ,$26.12 ,$177.10 ,$26.64 ,$150.94 ,$150.94 ,$171.06 ,$171.06 ,$26.12 ,$171.06 ,$26.12 ,$163.01 ,$163.01 ,$163.01 ,$201.25 ,$181.13 ,$66.63 ,$181.13 ,$26.12 ,$201.25 ,$112.90 ,$26.12 ,$83.32 ,$10.18 ,$9.71 ,$27.42 ,$181.13 ,$59.96 ,$111.49 ,$56.35 ,$181.13 ,$26.12 ,$181.13 ,$181.13 ,$26.12 ,$130.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101328,83789,HC MASS SPEC QN EACH-90,301,1 ,$232.30 ,$167.26 ,$7.96 ,$232.30 ,$60.28 ,$173.06 ,$152.16 ,$23.63 ,$65.04 ,$142.86 ,$23.63 ,$142.86 ,$23.63 ,$128.69 ,$128.69 ,$23.63 ,$128.69 ,$48.70 ,$209.07 ,$192.81 ,$60.28 ,$23.63 ,$204.42 ,$24.10 ,$174.23 ,$174.23 ,$197.46 ,$197.46 ,$23.63 ,$197.46 ,$23.63 ,$188.16 ,$188.16 ,$188.16 ,$232.30 ,$209.07 ,$60.28 ,$209.07 ,$23.63 ,$232.30 ,$130.32 ,$23.63 ,$96.17 ,$8.34 ,$7.96 ,$24.81 ,$209.07 ,$54.25 ,$128.69 ,$65.04 ,$209.07 ,$23.63 ,$209.07 ,$209.07 ,$23.63 ,$151.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101329,83825,HC MERCURY-90,301,1 ,$132.25 ,$95.22 ,$9.71 ,$132.25 ,$40.65 ,$98.53 ,$86.62 ,$15.93 ,$37.03 ,$81.33 ,$15.93 ,$81.33 ,$15.93 ,$73.27 ,$73.27 ,$15.93 ,$73.27 ,$32.85 ,$119.03 ,$109.77 ,$40.65 ,$15.93 ,$116.38 ,$16.26 ,$99.19 ,$99.19 ,$112.41 ,$112.41 ,$15.93 ,$112.41 ,$15.93 ,$107.12 ,$107.12 ,$107.12 ,$132.25 ,$119.03 ,$40.65 ,$119.03 ,$15.93 ,$132.25 ,$74.19 ,$15.93 ,$54.75 ,$10.18 ,$9.71 ,$16.73 ,$119.03 ,$36.59 ,$73.27 ,$37.03 ,$119.03 ,$15.93 ,$119.03 ,$119.03 ,$15.93 ,$85.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101330,83835,HC METANEPHRINES-90,301,1 ,$213.90 ,$154.01 ,$16.60 ,$213.90 ,$42.35 ,$159.36 ,$140.10 ,$16.60 ,$59.89 ,$131.55 ,$16.60 ,$131.55 ,$16.60 ,$118.50 ,$118.50 ,$16.60 ,$118.50 ,$34.22 ,$192.51 ,$177.54 ,$42.35 ,$16.60 ,$188.23 ,$16.93 ,$160.43 ,$160.43 ,$181.82 ,$181.82 ,$16.60 ,$181.82 ,$16.60 ,$173.26 ,$173.26 ,$173.26 ,$213.90 ,$192.51 ,$42.35 ,$192.51 ,$16.60 ,$213.90 ,$120.00 ,$16.60 ,$88.55 ,$19.53 ,$18.64 ,$17.43 ,$192.51 ,$38.12 ,$118.50 ,$59.89 ,$192.51 ,$16.60 ,$192.51 ,$192.51 ,$16.60 ,$139.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$202.40 ,$145.73 ,$7.96 ,$202.40 ,$43.00 ,$150.79 ,$132.57 ,$16.86 ,$56.67 ,$124.48 ,$16.86 ,$124.48 ,$16.86 ,$112.13 ,$112.13 ,$16.86 ,$112.13 ,$34.74 ,$182.16 ,$167.99 ,$43.00 ,$16.86 ,$178.11 ,$17.19 ,$151.80 ,$151.80 ,$172.04 ,$172.04 ,$16.86 ,$172.04 ,$16.86 ,$163.94 ,$163.94 ,$163.94 ,$202.40 ,$182.16 ,$43.00 ,$182.16 ,$16.86 ,$202.40 ,$113.55 ,$16.86 ,$83.79 ,$8.34 ,$7.96 ,$17.70 ,$182.16 ,$38.70 ,$112.13 ,$56.67 ,$182.16 ,$16.86 ,$182.16 ,$182.16 ,$16.86 ,$131.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101334,83874,HC MYOGLOBIN-90,301,1 ,$179.40 ,$129.17 ,$7.96 ,$179.40 ,$32.30 ,$133.65 ,$117.51 ,$12.66 ,$50.23 ,$110.33 ,$12.66 ,$110.33 ,$12.66 ,$99.39 ,$99.39 ,$12.66 ,$99.39 ,$26.10 ,$161.46 ,$148.90 ,$32.30 ,$12.66 ,$157.87 ,$12.92 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$12.66 ,$152.49 ,$12.66 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$32.30 ,$161.46 ,$12.66 ,$179.40 ,$100.64 ,$12.66 ,$74.27 ,$8.34 ,$7.96 ,$13.30 ,$161.46 ,$29.07 ,$99.39 ,$50.23 ,$161.46 ,$12.66 ,$161.46 ,$161.46 ,$12.66 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$185.15 ,$133.31 ,$12.30 ,$185.15 ,$34.00 ,$137.94 ,$121.27 ,$13.33 ,$51.84 ,$113.87 ,$13.33 ,$113.87 ,$13.33 ,$102.57 ,$102.57 ,$13.33 ,$102.57 ,$27.47 ,$166.64 ,$153.67 ,$34.00 ,$13.33 ,$162.93 ,$13.59 ,$138.86 ,$138.86 ,$157.38 ,$157.38 ,$13.33 ,$157.38 ,$13.33 ,$149.97 ,$149.97 ,$149.97 ,$185.15 ,$166.64 ,$34.00 ,$166.64 ,$13.33 ,$185.15 ,$103.87 ,$13.33 ,$76.65 ,$12.88 ,$12.30 ,$13.99 ,$166.64 ,$30.60 ,$102.57 ,$51.84 ,$166.64 ,$13.33 ,$166.64 ,$166.64 ,$13.33 ,$120.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$80.50 ,$57.96 ,$7.96 ,$80.50 ,$27.88 ,$59.97 ,$52.73 ,$10.93 ,$22.54 ,$49.51 ,$10.93 ,$49.51 ,$10.93 ,$44.60 ,$44.60 ,$10.93 ,$44.60 ,$22.52 ,$72.45 ,$66.82 ,$27.88 ,$10.93 ,$70.84 ,$11.14 ,$60.38 ,$60.38 ,$68.43 ,$68.43 ,$10.93 ,$68.43 ,$10.93 ,$65.21 ,$65.21 ,$65.21 ,$80.50 ,$72.45 ,$27.88 ,$72.45 ,$10.93 ,$80.50 ,$45.16 ,$10.93 ,$33.33 ,$8.34 ,$7.96 ,$11.48 ,$72.45 ,$25.09 ,$44.60 ,$22.54 ,$72.45 ,$10.93 ,$72.45 ,$72.45 ,$10.93 ,$52.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$219.65 ,$158.15 ,$7.96 ,$219.65 ,$68.48 ,$163.64 ,$143.87 ,$26.84 ,$61.50 ,$135.08 ,$26.84 ,$135.08 ,$26.84 ,$121.69 ,$121.69 ,$26.84 ,$121.69 ,$55.33 ,$197.69 ,$182.31 ,$68.48 ,$26.84 ,$193.29 ,$27.38 ,$164.74 ,$164.74 ,$186.70 ,$186.70 ,$26.84 ,$186.70 ,$26.84 ,$177.92 ,$177.92 ,$177.92 ,$219.65 ,$197.69 ,$68.48 ,$197.69 ,$26.84 ,$219.65 ,$123.22 ,$26.84 ,$90.94 ,$8.34 ,$7.96 ,$28.18 ,$197.69 ,$61.63 ,$121.69 ,$61.50 ,$197.69 ,$26.84 ,$197.69 ,$197.69 ,$26.84 ,$142.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$70.80 ,$50.98 ,$9.71 ,$70.80 ,$59.00 ,$52.75 ,$46.37 ,$23.13 ,$19.82 ,$43.54 ,$23.13 ,$43.54 ,$23.13 ,$39.22 ,$39.22 ,$23.13 ,$39.22 ,$47.67 ,$63.72 ,$58.76 ,$59.00 ,$23.13 ,$62.30 ,$23.59 ,$53.10 ,$53.10 ,$60.18 ,$60.18 ,$23.13 ,$60.18 ,$23.13 ,$57.35 ,$57.35 ,$57.35 ,$70.80 ,$63.72 ,$59.00 ,$63.72 ,$23.13 ,$70.80 ,$39.72 ,$23.13 ,$29.31 ,$10.18 ,$9.71 ,$24.28 ,$63.72 ,$53.10 ,$39.22 ,$19.82 ,$63.72 ,$23.13 ,$63.72 ,$63.72 ,$23.13 ,$46.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101345,83945,HC OXALATE-90,301,1 ,$104.65 ,$75.35 ,$7.96 ,$104.65 ,$36.13 ,$77.96 ,$68.55 ,$14.16 ,$29.30 ,$64.36 ,$14.16 ,$64.36 ,$14.16 ,$57.98 ,$57.98 ,$14.16 ,$57.98 ,$29.19 ,$94.19 ,$86.86 ,$36.13 ,$14.16 ,$92.09 ,$14.45 ,$78.49 ,$78.49 ,$88.95 ,$88.95 ,$14.16 ,$88.95 ,$14.16 ,$84.77 ,$84.77 ,$84.77 ,$104.65 ,$94.19 ,$36.13 ,$94.19 ,$14.16 ,$104.65 ,$58.71 ,$14.16 ,$43.33 ,$8.34 ,$7.96 ,$14.87 ,$94.19 ,$32.51 ,$57.98 ,$29.30 ,$94.19 ,$14.16 ,$94.19 ,$94.19 ,$14.16 ,$68.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101347,83970,HC PARATHYROID HORMONE (PTH)-90,301,1 ,$109.25 ,$78.66 ,$18.64 ,$109.25 ,$103.20 ,$81.39 ,$71.56 ,$40.45 ,$30.59 ,$67.19 ,$40.45 ,$67.19 ,$40.45 ,$60.52 ,$60.52 ,$40.45 ,$60.52 ,$83.39 ,$98.33 ,$90.68 ,$103.20 ,$40.45 ,$96.14 ,$41.27 ,$81.94 ,$81.94 ,$92.86 ,$92.86 ,$40.45 ,$92.86 ,$40.45 ,$88.49 ,$88.49 ,$88.49 ,$109.25 ,$98.33 ,$103.20 ,$98.33 ,$40.45 ,$109.25 ,$61.29 ,$40.45 ,$45.23 ,$19.53 ,$18.64 ,$42.47 ,$98.33 ,$92.88 ,$60.52 ,$30.59 ,$98.33 ,$40.45 ,$98.33 ,$98.33 ,$40.45 ,$71.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101349,83992,HC PHENCYCLIDINE (PCP)-90,301,1 ,$302.45 ,$217.76 ,$9.71 ,$302.45 , N/A ,$225.33 ,$198.10 , N/A ,$84.69 ,$186.01 , N/A ,$186.01 , N/A ,$167.56 ,$167.56 , N/A ,$167.56 , N/A ,$272.21 ,$251.03 , N/A , N/A ,$266.16 , N/A ,$226.84 ,$226.84 ,$257.08 ,$257.08 , N/A ,$257.08 , N/A ,$244.98 ,$244.98 ,$244.98 ,$302.45 ,$272.21 , N/A ,$272.21 , N/A ,$302.45 ,$169.67 , N/A ,$125.21 ,$10.18 ,$9.71 , N/A ,$272.21 , N/A ,$167.56 ,$84.69 ,$272.21 , N/A ,$272.21 ,$272.21 , N/A ,$196.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$347.30 ,$250.06 ,$7.96 ,$347.30 ,$49.08 ,$258.74 ,$227.48 ,$19.24 ,$97.24 ,$213.59 ,$19.24 ,$213.59 ,$19.24 ,$192.40 ,$192.40 ,$19.24 ,$192.40 ,$39.65 ,$312.57 ,$288.26 ,$49.08 ,$19.24 ,$305.62 ,$19.62 ,$260.48 ,$260.48 ,$295.21 ,$295.21 ,$19.24 ,$295.21 ,$19.24 ,$281.31 ,$281.31 ,$281.31 ,$347.30 ,$312.57 ,$49.08 ,$312.57 ,$19.24 ,$347.30 ,$194.84 ,$19.24 ,$143.78 ,$8.34 ,$7.96 ,$20.20 ,$312.57 ,$44.17 ,$192.40 ,$97.24 ,$312.57 ,$19.24 ,$312.57 ,$312.57 ,$19.24 ,$225.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101352,84030,HC NEWBORN SCREEN PKU-90,301,1 ,$308.20 ,$221.90 ,$3.54 ,$308.20 ,$13.75 ,$229.61 ,$201.87 ,$5.39 ,$86.30 ,$189.54 ,$5.39 ,$189.54 ,$5.39 ,$170.74 ,$170.74 ,$5.39 ,$170.74 ,$11.11 ,$277.38 ,$255.81 ,$13.75 ,$5.39 ,$271.22 ,$5.50 ,$231.15 ,$231.15 ,$261.97 ,$261.97 ,$5.39 ,$261.97 ,$5.39 ,$249.64 ,$249.64 ,$249.64 ,$308.20 ,$277.38 ,$13.75 ,$277.38 ,$5.39 ,$308.20 ,$172.90 ,$5.39 ,$127.59 ,$3.71 ,$3.54 ,$5.66 ,$277.38 ,$12.38 ,$170.74 ,$86.30 ,$277.38 ,$5.39 ,$277.38 ,$277.38 ,$5.39 ,$200.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101353,84066,HC PHOSPHATASE ACID PROSTATIC-90,301,1 ,$89.70 ,$64.58 ,$7.96 ,$89.70 ,$24.15 ,$66.83 ,$58.75 ,$9.47 ,$25.12 ,$55.17 ,$9.47 ,$55.17 ,$9.47 ,$49.69 ,$49.69 ,$9.47 ,$49.69 ,$19.51 ,$80.73 ,$74.45 ,$24.15 ,$9.47 ,$78.94 ,$9.65 ,$67.28 ,$67.28 ,$76.25 ,$76.25 ,$9.47 ,$76.25 ,$9.47 ,$72.66 ,$72.66 ,$72.66 ,$89.70 ,$80.73 ,$24.15 ,$80.73 ,$9.47 ,$89.70 ,$50.32 ,$9.47 ,$37.14 ,$8.34 ,$7.96 ,$9.94 ,$80.73 ,$21.74 ,$49.69 ,$25.12 ,$80.73 ,$9.47 ,$80.73 ,$80.73 ,$9.47 ,$58.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$42.55 ,$30.64 ,$3.54 ,$42.55 ,$12.95 ,$31.70 ,$27.87 ,$5.08 ,$11.91 ,$26.17 ,$5.08 ,$26.17 ,$5.08 ,$23.57 ,$23.57 ,$5.08 ,$23.57 ,$10.46 ,$38.30 ,$35.32 ,$12.95 ,$5.08 ,$37.44 ,$5.17 ,$31.91 ,$31.91 ,$36.17 ,$36.17 ,$5.08 ,$36.17 ,$5.08 ,$34.47 ,$34.47 ,$34.47 ,$42.55 ,$38.30 ,$12.95 ,$38.30 ,$5.08 ,$42.55 ,$23.87 ,$5.08 ,$17.62 ,$3.71 ,$3.54 ,$5.33 ,$38.30 ,$11.66 ,$23.57 ,$11.91 ,$38.30 ,$5.08 ,$38.30 ,$38.30 ,$5.08 ,$27.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$120.75 ,$86.94 ,$7.96 ,$120.75 ,$36.95 ,$89.96 ,$79.09 ,$14.48 ,$33.81 ,$74.26 ,$14.48 ,$74.26 ,$14.48 ,$66.90 ,$66.90 ,$14.48 ,$66.90 ,$29.86 ,$108.68 ,$100.22 ,$36.95 ,$14.48 ,$106.26 ,$14.78 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$14.48 ,$102.64 ,$14.48 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$36.95 ,$108.68 ,$14.48 ,$120.75 ,$67.74 ,$14.48 ,$49.99 ,$8.34 ,$7.96 ,$15.21 ,$108.68 ,$33.26 ,$66.90 ,$33.81 ,$108.68 ,$14.48 ,$108.68 ,$108.68 ,$14.48 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101359,84110,HC PORPHOBILINOGEN QN-90,301,1 ,$116.15 ,$83.63 ,$7.96 ,$116.15 ,$21.10 ,$86.53 ,$76.08 ,$8.27 ,$32.52 ,$71.43 ,$8.27 ,$71.43 ,$8.27 ,$64.35 ,$64.35 ,$8.27 ,$64.35 ,$17.05 ,$104.54 ,$96.40 ,$21.10 ,$8.27 ,$102.21 ,$8.44 ,$87.11 ,$87.11 ,$98.73 ,$98.73 ,$8.27 ,$98.73 ,$8.27 ,$94.08 ,$94.08 ,$94.08 ,$116.15 ,$104.54 ,$21.10 ,$104.54 ,$8.27 ,$116.15 ,$65.16 ,$8.27 ,$48.09 ,$8.34 ,$7.96 ,$8.68 ,$104.54 ,$18.99 ,$64.35 ,$32.52 ,$104.54 ,$8.27 ,$104.54 ,$104.54 ,$8.27 ,$75.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101361,84120,HC PORPHYRINS QN FRACT-90,301,1 ,$136.39 ,$98.20 ,$7.96 ,$136.39 ,$36.78 ,$101.61 ,$89.34 ,$14.42 ,$38.19 ,$83.88 ,$14.42 ,$83.88 ,$14.42 ,$75.56 ,$75.56 ,$14.42 ,$75.56 ,$29.71 ,$122.75 ,$113.20 ,$36.78 ,$14.42 ,$120.02 ,$14.70 ,$102.29 ,$102.29 ,$115.93 ,$115.93 ,$14.42 ,$115.93 ,$14.42 ,$110.48 ,$110.48 ,$110.48 ,$136.39 ,$122.75 ,$36.78 ,$122.75 ,$14.42 ,$136.39 ,$76.51 ,$14.42 ,$56.47 ,$8.34 ,$7.96 ,$15.14 ,$122.75 ,$33.10 ,$75.56 ,$38.19 ,$122.75 ,$14.42 ,$122.75 ,$122.75 ,$14.42 ,$88.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101366,84140,HC PREGNENOLONE-90,301,1 ,$142.60 ,$102.67 ,$18.64 ,$142.60 ,$51.68 ,$106.24 ,$93.40 ,$20.26 ,$39.93 ,$87.70 ,$20.26 ,$87.70 ,$20.26 ,$79.00 ,$79.00 ,$20.26 ,$79.00 ,$41.75 ,$128.34 ,$118.36 ,$51.68 ,$20.26 ,$125.49 ,$20.66 ,$106.95 ,$106.95 ,$121.21 ,$121.21 ,$20.26 ,$121.21 ,$20.26 ,$115.51 ,$115.51 ,$115.51 ,$142.60 ,$128.34 ,$51.68 ,$128.34 ,$20.26 ,$142.60 ,$80.00 ,$20.26 ,$59.04 ,$19.53 ,$18.64 ,$21.27 ,$128.34 ,$46.51 ,$79.00 ,$39.93 ,$128.34 ,$20.26 ,$128.34 ,$128.34 ,$20.26 ,$92.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101367,84143,HC 17-HYDROXYPREGNENOLONE-90,301,1 ,$227.70 ,$163.94 ,$18.64 ,$227.70 ,$57.03 ,$169.64 ,$149.14 ,$22.35 ,$63.76 ,$140.04 ,$22.35 ,$140.04 ,$22.35 ,$126.15 ,$126.15 ,$22.35 ,$126.15 ,$46.08 ,$204.93 ,$188.99 ,$57.03 ,$22.35 ,$200.38 ,$22.80 ,$170.78 ,$170.78 ,$193.55 ,$193.55 ,$22.35 ,$193.55 ,$22.35 ,$184.44 ,$184.44 ,$184.44 ,$227.70 ,$204.93 ,$57.03 ,$204.93 ,$22.35 ,$227.70 ,$127.74 ,$22.35 ,$94.27 ,$19.53 ,$18.64 ,$23.47 ,$204.93 ,$51.32 ,$126.15 ,$63.76 ,$204.93 ,$22.35 ,$204.93 ,$204.93 ,$22.35 ,$148.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101369,84145,HC PROCALCITONIN (PCT)-90,301,1 ,$303.60 ,$218.59 ,$18.64 ,$303.60 ,$68.05 ,$226.18 ,$198.86 ,$26.68 ,$85.01 ,$186.71 ,$26.68 ,$186.71 ,$26.68 ,$168.19 ,$168.19 ,$26.68 ,$168.19 ,$54.98 ,$273.24 ,$251.99 ,$68.05 ,$26.68 ,$267.17 ,$27.20 ,$227.70 ,$227.70 ,$258.06 ,$258.06 ,$26.68 ,$258.06 ,$26.68 ,$245.92 ,$245.92 ,$245.92 ,$303.60 ,$273.24 ,$68.05 ,$273.24 ,$26.68 ,$303.60 ,$170.32 ,$26.68 ,$125.69 ,$19.53 ,$18.64 ,$28.01 ,$273.24 ,$61.25 ,$168.19 ,$85.01 ,$273.24 ,$26.68 ,$273.24 ,$273.24 ,$26.68 ,$197.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101372,84155,HC PROTEIN TOTAL-90,301,1 ,$66.70 ,$48.02 ,$3.54 ,$66.70 ,$9.18 ,$49.69 ,$43.69 ,$3.60 ,$18.68 ,$41.02 ,$3.60 ,$41.02 ,$3.60 ,$36.95 ,$36.95 ,$3.60 ,$36.95 ,$7.41 ,$60.03 ,$55.36 ,$9.18 ,$3.60 ,$58.70 ,$3.67 ,$50.03 ,$50.03 ,$56.70 ,$56.70 ,$3.60 ,$56.70 ,$3.60 ,$54.03 ,$54.03 ,$54.03 ,$66.70 ,$60.03 ,$9.18 ,$60.03 ,$3.60 ,$66.70 ,$37.42 ,$3.60 ,$27.61 ,$3.71 ,$3.54 ,$3.77 ,$60.03 ,$8.26 ,$36.95 ,$18.68 ,$60.03 ,$3.60 ,$60.03 ,$60.03 ,$3.60 ,$43.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$120.75 ,$86.94 ,$3.54 ,$120.75 ,$9.18 ,$89.96 ,$79.09 ,$3.60 ,$33.81 ,$74.26 ,$3.60 ,$74.26 ,$3.60 ,$66.90 ,$66.90 ,$3.60 ,$66.90 ,$7.41 ,$108.68 ,$100.22 ,$9.18 ,$3.60 ,$106.26 ,$3.67 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$3.60 ,$102.64 ,$3.60 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$9.18 ,$108.68 ,$3.60 ,$120.75 ,$67.74 ,$3.60 ,$49.99 ,$3.71 ,$3.54 ,$3.77 ,$108.68 ,$8.26 ,$66.90 ,$33.81 ,$108.68 ,$3.60 ,$108.68 ,$108.68 ,$3.60 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101374,84157,HC PROTEIN TOTAL OTH SRC-90,301,1 ,$165.60 ,$119.23 ,$3.54 ,$165.60 ,$10.00 ,$123.37 ,$108.47 ,$3.92 ,$46.37 ,$101.84 ,$3.92 ,$101.84 ,$3.92 ,$91.74 ,$91.74 ,$3.92 ,$91.74 ,$8.08 ,$149.04 ,$137.45 ,$10.00 ,$3.92 ,$145.73 ,$4.00 ,$124.20 ,$124.20 ,$140.76 ,$140.76 ,$3.92 ,$140.76 ,$3.92 ,$134.14 ,$134.14 ,$134.14 ,$165.60 ,$149.04 ,$10.00 ,$149.04 ,$3.92 ,$165.60 ,$92.90 ,$3.92 ,$68.56 ,$3.71 ,$3.54 ,$4.12 ,$149.04 ,$9.00 ,$91.74 ,$46.37 ,$149.04 ,$3.92 ,$149.04 ,$149.04 ,$3.92 ,$107.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101379,84181,HC PROTEIN WESTERN BLOT-90,301,1 ,$132.25 ,$95.22 ,$7.13 ,$132.25 ,$42.58 ,$98.53 ,$86.62 ,$16.69 ,$37.03 ,$81.33 ,$16.69 ,$81.33 ,$16.69 ,$73.27 ,$73.27 ,$16.69 ,$73.27 ,$34.40 ,$119.03 ,$109.77 ,$42.58 ,$16.69 ,$116.38 ,$17.02 ,$99.19 ,$99.19 ,$112.41 ,$112.41 ,$16.69 ,$112.41 ,$16.69 ,$107.12 ,$107.12 ,$107.12 ,$132.25 ,$119.03 ,$42.58 ,$119.03 ,$16.69 ,$132.25 ,$74.19 ,$16.69 ,$54.75 ,$7.47 ,$7.13 ,$17.52 ,$119.03 ,$38.32 ,$73.27 ,$37.03 ,$119.03 ,$16.69 ,$119.03 ,$119.03 ,$16.69 ,$85.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101380,84182,HC PROTEIN WEST BLOT BAND ID-90,301,1 ,$217.06 ,$156.28 ,$12.30 ,$217.06 ,$73.03 ,$161.71 ,$142.17 ,$28.63 ,$60.78 ,$133.49 ,$28.63 ,$133.49 ,$28.63 ,$120.25 ,$120.25 ,$28.63 ,$120.25 ,$59.00 ,$195.35 ,$180.16 ,$73.03 ,$28.63 ,$191.01 ,$29.19 ,$162.80 ,$162.80 ,$184.50 ,$184.50 ,$28.63 ,$184.50 ,$28.63 ,$175.82 ,$175.82 ,$175.82 ,$217.06 ,$195.35 ,$73.03 ,$195.35 ,$28.63 ,$217.06 ,$121.77 ,$28.63 ,$89.86 ,$12.88 ,$12.30 ,$30.06 ,$195.35 ,$65.72 ,$120.25 ,$60.78 ,$195.35 ,$28.63 ,$195.35 ,$195.35 ,$28.63 ,$141.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101381,84202,HC PROTOPORPHYRIN-90,301,1 ,$25.30 ,$18.22 ,$7.08 ,$32.29 ,$25.30 ,$18.85 ,$16.57 ,$14.06 ,$7.08 ,$15.56 ,$14.06 ,$15.56 ,$14.06 ,$14.02 ,$14.02 ,$14.06 ,$14.02 ,$25.30 ,$22.77 ,$21.00 ,$25.30 ,$14.06 ,$22.26 ,$14.35 ,$18.98 ,$18.98 ,$21.51 ,$21.51 ,$14.06 ,$21.51 ,$14.06 ,$20.49 ,$20.49 ,$20.49 ,$25.30 ,$22.77 ,$25.30 ,$22.77 ,$14.06 ,$25.30 ,$14.19 ,$14.06 ,$10.47 ,$8.34 ,$7.96 ,$14.77 ,$22.77 ,$32.29 ,$14.02 ,$7.08 ,$22.77 ,$14.06 ,$22.77 ,$22.77 ,$14.06 ,$16.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101382,84206,HC PROINSULIN-90,301,1 ,$147.20 ,$105.98 ,$18.64 ,$147.20 ,$66.73 ,$109.66 ,$96.42 ,$26.16 ,$41.22 ,$90.53 ,$26.16 ,$90.53 ,$26.16 ,$81.55 ,$81.55 ,$26.16 ,$81.55 ,$53.91 ,$132.48 ,$122.18 ,$66.73 ,$26.16 ,$129.54 ,$26.68 ,$110.40 ,$110.40 ,$125.12 ,$125.12 ,$26.16 ,$125.12 ,$26.16 ,$119.23 ,$119.23 ,$119.23 ,$147.20 ,$132.48 ,$66.73 ,$132.48 ,$26.16 ,$147.20 ,$82.58 ,$26.16 ,$60.94 ,$19.53 ,$18.64 ,$27.46 ,$132.48 ,$60.05 ,$81.55 ,$41.22 ,$132.48 ,$26.16 ,$132.48 ,$132.48 ,$26.16 ,$95.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101383,84207,HC VITAMIN B6-90,301,1 ,$230.00 ,$165.60 ,$7.96 ,$230.00 ,$70.25 ,$171.35 ,$150.65 ,$27.54 ,$64.40 ,$141.45 ,$27.54 ,$141.45 ,$27.54 ,$127.42 ,$127.42 ,$27.54 ,$127.42 ,$56.76 ,$207.00 ,$190.90 ,$70.25 ,$27.54 ,$202.40 ,$28.09 ,$172.50 ,$172.50 ,$195.50 ,$195.50 ,$27.54 ,$195.50 ,$27.54 ,$186.30 ,$186.30 ,$186.30 ,$230.00 ,$207.00 ,$70.25 ,$207.00 ,$27.54 ,$230.00 ,$129.03 ,$27.54 ,$95.22 ,$8.34 ,$7.96 ,$28.92 ,$207.00 ,$63.23 ,$127.42 ,$64.40 ,$207.00 ,$27.54 ,$207.00 ,$207.00 ,$27.54 ,$149.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101384,84210,HC PYRUVATE-90,301,1 ,$20.70 ,$14.90 ,$5.80 ,$32.58 ,$20.70 ,$15.42 ,$13.56 ,$14.19 ,$5.80 ,$12.73 ,$14.19 ,$12.73 ,$14.19 ,$11.47 ,$11.47 ,$14.19 ,$11.47 ,$20.70 ,$18.63 ,$17.18 ,$20.70 ,$14.19 ,$18.22 ,$14.47 ,$15.53 ,$15.53 ,$17.60 ,$17.60 ,$14.19 ,$17.60 ,$14.19 ,$16.77 ,$16.77 ,$16.77 ,$20.70 ,$18.63 ,$20.70 ,$18.63 ,$14.19 ,$20.70 ,$11.61 ,$14.19 ,$8.57 ,$8.34 ,$7.96 ,$14.90 ,$18.63 ,$32.58 ,$11.47 ,$5.80 ,$18.63 ,$14.19 ,$18.63 ,$18.63 ,$14.19 ,$13.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101387,84244,HC RENIN-90,301,1 ,$264.50 ,$190.44 ,$18.64 ,$264.50 ,$54.98 ,$197.05 ,$173.25 ,$21.55 ,$74.06 ,$162.67 ,$21.55 ,$162.67 ,$21.55 ,$146.53 ,$146.53 ,$21.55 ,$146.53 ,$44.42 ,$238.05 ,$219.54 ,$54.98 ,$21.55 ,$232.76 ,$21.98 ,$198.38 ,$198.38 ,$224.83 ,$224.83 ,$21.55 ,$224.83 ,$21.55 ,$214.25 ,$214.25 ,$214.25 ,$264.50 ,$238.05 ,$54.98 ,$238.05 ,$21.55 ,$264.50 ,$148.38 ,$21.55 ,$109.50 ,$19.53 ,$18.64 ,$22.63 ,$238.05 ,$49.48 ,$146.53 ,$74.06 ,$238.05 ,$21.55 ,$238.05 ,$238.05 ,$21.55 ,$171.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101388,84255,HC SELENIUM-90,301,1 ,$209.30 ,$150.70 ,$7.96 ,$209.30 ,$63.83 ,$155.93 ,$137.09 ,$25.02 ,$58.60 ,$128.72 ,$25.02 ,$128.72 ,$25.02 ,$115.95 ,$115.95 ,$25.02 ,$115.95 ,$51.57 ,$188.37 ,$173.72 ,$63.83 ,$25.02 ,$184.18 ,$25.52 ,$156.98 ,$156.98 ,$177.91 ,$177.91 ,$25.02 ,$177.91 ,$25.02 ,$169.53 ,$169.53 ,$169.53 ,$209.30 ,$188.37 ,$63.83 ,$188.37 ,$25.02 ,$209.30 ,$117.42 ,$25.02 ,$86.65 ,$8.34 ,$7.96 ,$26.27 ,$188.37 ,$57.44 ,$115.95 ,$58.60 ,$188.37 ,$25.02 ,$188.37 ,$188.37 ,$25.02 ,$136.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$62.10 ,$44.71 ,$7.96 ,$62.10 ,$50.60 ,$46.26 ,$40.68 ,$19.84 ,$17.39 ,$38.19 ,$19.84 ,$38.19 ,$19.84 ,$34.40 ,$34.40 ,$19.84 ,$34.40 ,$40.88 ,$55.89 ,$51.54 ,$50.60 ,$19.84 ,$54.65 ,$20.23 ,$46.58 ,$46.58 ,$52.79 ,$52.79 ,$19.84 ,$52.79 ,$19.84 ,$50.30 ,$50.30 ,$50.30 ,$62.10 ,$55.89 ,$50.60 ,$55.89 ,$19.84 ,$62.10 ,$34.84 ,$19.84 ,$25.71 ,$8.34 ,$7.96 ,$20.82 ,$55.89 ,$45.54 ,$34.40 ,$17.39 ,$55.89 ,$19.84 ,$55.89 ,$55.89 ,$19.84 ,$40.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$74.97 ,$53.98 ,$7.96 ,$74.97 ,$54.33 ,$55.85 ,$49.11 ,$21.30 ,$20.99 ,$46.11 ,$21.30 ,$46.11 ,$21.30 ,$41.53 ,$41.53 ,$21.30 ,$41.53 ,$43.89 ,$67.47 ,$62.23 ,$54.33 ,$21.30 ,$65.97 ,$21.72 ,$56.23 ,$56.23 ,$63.72 ,$63.72 ,$21.30 ,$63.72 ,$21.30 ,$60.73 ,$60.73 ,$60.73 ,$74.97 ,$67.47 ,$54.33 ,$67.47 ,$21.30 ,$74.97 ,$42.06 ,$21.30 ,$31.04 ,$8.34 ,$7.96 ,$22.36 ,$67.47 ,$48.89 ,$41.53 ,$20.99 ,$67.47 ,$21.30 ,$67.47 ,$67.47 ,$21.30 ,$48.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$43.70 ,$31.46 ,$3.54 ,$43.70 ,$12.15 ,$32.56 ,$28.62 ,$4.76 ,$12.24 ,$26.88 ,$4.76 ,$26.88 ,$4.76 ,$24.21 ,$24.21 ,$4.76 ,$24.21 ,$9.82 ,$39.33 ,$36.27 ,$12.15 ,$4.76 ,$38.46 ,$4.86 ,$32.78 ,$32.78 ,$37.15 ,$37.15 ,$4.76 ,$37.15 ,$4.76 ,$35.40 ,$35.40 ,$35.40 ,$43.70 ,$39.33 ,$12.15 ,$39.33 ,$4.76 ,$43.70 ,$24.52 ,$4.76 ,$18.09 ,$3.71 ,$3.54 ,$5.00 ,$39.33 ,$10.94 ,$24.21 ,$12.24 ,$39.33 ,$4.76 ,$39.33 ,$39.33 ,$4.76 ,$28.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101396,84305,HC SOMATOMEDIN-90,301,1 ,$173.65 ,$125.03 ,$18.64 ,$173.65 ,$53.15 ,$129.37 ,$113.74 ,$20.83 ,$48.62 ,$106.79 ,$20.83 ,$106.79 ,$20.83 ,$96.20 ,$96.20 ,$20.83 ,$96.20 ,$42.95 ,$156.29 ,$144.13 ,$53.15 ,$20.83 ,$152.81 ,$21.26 ,$130.24 ,$130.24 ,$147.60 ,$147.60 ,$20.83 ,$147.60 ,$20.83 ,$140.66 ,$140.66 ,$140.66 ,$173.65 ,$156.29 ,$53.15 ,$156.29 ,$20.83 ,$173.65 ,$97.42 ,$20.83 ,$71.89 ,$19.53 ,$18.64 ,$21.87 ,$156.29 ,$47.84 ,$96.20 ,$48.62 ,$156.29 ,$20.83 ,$156.29 ,$156.29 ,$20.83 ,$112.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101397,84307,HC SOMATOSTATIN-90,301,1 ,$464.60 ,$334.51 ,$17.91 ,$464.60 ,$45.70 ,$346.13 ,$304.31 ,$17.91 ,$130.09 ,$285.73 ,$17.91 ,$285.73 ,$17.91 ,$257.39 ,$257.39 ,$17.91 ,$257.39 ,$36.93 ,$418.14 ,$385.62 ,$45.70 ,$17.91 ,$408.85 ,$18.28 ,$348.45 ,$348.45 ,$394.91 ,$394.91 ,$17.91 ,$394.91 ,$17.91 ,$376.33 ,$376.33 ,$376.33 ,$464.60 ,$418.14 ,$45.70 ,$418.14 ,$17.91 ,$464.60 ,$260.64 ,$17.91 ,$192.34 ,$19.53 ,$18.64 ,$18.81 ,$418.14 ,$41.13 ,$257.39 ,$130.09 ,$418.14 ,$17.91 ,$418.14 ,$418.14 ,$17.91 ,$301.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$63.25 ,$45.54 ,$7.94 ,$63.25 ,$20.25 ,$47.12 ,$41.43 ,$7.94 ,$17.71 ,$38.90 ,$7.94 ,$38.90 ,$7.94 ,$35.04 ,$35.04 ,$7.94 ,$35.04 ,$16.36 ,$56.93 ,$52.50 ,$20.25 ,$7.94 ,$55.66 ,$8.09 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$7.94 ,$53.76 ,$7.94 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$20.25 ,$56.93 ,$7.94 ,$63.25 ,$35.48 ,$7.94 ,$26.19 ,$8.34 ,$7.96 ,$8.34 ,$56.93 ,$18.23 ,$35.04 ,$17.71 ,$56.93 ,$7.94 ,$56.93 ,$56.93 ,$7.94 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101399,84311,HC SPECTROPHOTOMETRY FECAL-90,301,1 ,$288.40 ,$207.65 ,$7.94 ,$288.40 ,$20.25 ,$214.86 ,$188.90 ,$7.94 ,$80.75 ,$177.37 ,$7.94 ,$177.37 ,$7.94 ,$159.77 ,$159.77 ,$7.94 ,$159.77 ,$16.36 ,$259.56 ,$239.37 ,$20.25 ,$7.94 ,$253.79 ,$8.09 ,$216.30 ,$216.30 ,$245.14 ,$245.14 ,$7.94 ,$245.14 ,$7.94 ,$233.60 ,$233.60 ,$233.60 ,$288.40 ,$259.56 ,$20.25 ,$259.56 ,$7.94 ,$288.40 ,$161.79 ,$7.94 ,$119.40 ,$8.34 ,$7.96 ,$8.34 ,$259.56 ,$18.23 ,$159.77 ,$80.75 ,$259.56 ,$7.94 ,$259.56 ,$259.56 ,$7.94 ,$187.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$152.95 ,$110.12 ,$18.64 ,$152.95 ,$63.68 ,$113.95 ,$100.18 ,$24.96 ,$42.83 ,$94.06 ,$24.96 ,$94.06 ,$24.96 ,$84.73 ,$84.73 ,$24.96 ,$84.73 ,$51.45 ,$137.66 ,$126.95 ,$63.68 ,$24.96 ,$134.60 ,$25.46 ,$114.71 ,$114.71 ,$130.01 ,$130.01 ,$24.96 ,$130.01 ,$24.96 ,$123.89 ,$123.89 ,$123.89 ,$152.95 ,$137.66 ,$63.68 ,$137.66 ,$24.96 ,$152.95 ,$85.81 ,$24.96 ,$63.32 ,$19.53 ,$18.64 ,$26.21 ,$137.66 ,$57.31 ,$84.73 ,$42.83 ,$137.66 ,$24.96 ,$137.66 ,$137.66 ,$24.96 ,$99.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$220.80 ,$158.98 ,$18.64 ,$220.80 ,$64.53 ,$164.50 ,$144.62 ,$25.29 ,$61.82 ,$135.79 ,$25.29 ,$135.79 ,$25.29 ,$122.32 ,$122.32 ,$25.29 ,$122.32 ,$52.14 ,$198.72 ,$183.26 ,$64.53 ,$25.29 ,$194.30 ,$25.80 ,$165.60 ,$165.60 ,$187.68 ,$187.68 ,$25.29 ,$187.68 ,$25.29 ,$178.85 ,$178.85 ,$178.85 ,$220.80 ,$198.72 ,$64.53 ,$198.72 ,$25.29 ,$220.80 ,$123.87 ,$25.29 ,$91.41 ,$19.53 ,$18.64 ,$26.56 ,$198.72 ,$58.07 ,$122.32 ,$61.82 ,$198.72 ,$25.29 ,$198.72 ,$198.72 ,$25.29 ,$143.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101408,84425,HC VITAMIN B1-90,301,1 ,$172.50 ,$124.20 ,$7.96 ,$172.50 ,$53.08 ,$128.51 ,$112.99 ,$20.81 ,$48.30 ,$106.09 ,$20.81 ,$106.09 ,$20.81 ,$95.57 ,$95.57 ,$20.81 ,$95.57 ,$42.88 ,$155.25 ,$143.18 ,$53.08 ,$20.81 ,$151.80 ,$21.22 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$20.81 ,$146.63 ,$20.81 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$53.08 ,$155.25 ,$20.81 ,$172.50 ,$96.77 ,$20.81 ,$71.42 ,$8.34 ,$7.96 ,$21.84 ,$155.25 ,$47.77 ,$95.57 ,$48.30 ,$155.25 ,$20.81 ,$155.25 ,$155.25 ,$20.81 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101410,84432,HC THYROGLOBULIN-90,301,1 ,$86.25 ,$62.10 ,$15.74 ,$86.25 ,$40.15 ,$64.26 ,$56.49 ,$15.74 ,$24.15 ,$53.04 ,$15.74 ,$53.04 ,$15.74 ,$47.78 ,$47.78 ,$15.74 ,$47.78 ,$32.44 ,$77.63 ,$71.59 ,$40.15 ,$15.74 ,$75.90 ,$16.05 ,$64.69 ,$64.69 ,$73.31 ,$73.31 ,$15.74 ,$73.31 ,$15.74 ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 ,$40.15 ,$77.63 ,$15.74 ,$86.25 ,$48.39 ,$15.74 ,$35.71 ,$19.53 ,$18.64 ,$16.52 ,$77.63 ,$36.14 ,$47.78 ,$24.15 ,$77.63 ,$15.74 ,$77.63 ,$77.63 ,$15.74 ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101411,84432,HC THYROGLOBULIN FNA-90,301,1 ,$320.00 ,$230.40 ,$15.74 ,$320.00 ,$40.15 ,$238.40 ,$209.60 ,$15.74 ,$89.60 ,$196.80 ,$15.74 ,$196.80 ,$15.74 ,$177.28 ,$177.28 ,$15.74 ,$177.28 ,$32.44 ,$288.00 ,$265.60 ,$40.15 ,$15.74 ,$281.60 ,$16.05 ,$240.00 ,$240.00 ,$272.00 ,$272.00 ,$15.74 ,$272.00 ,$15.74 ,$259.20 ,$259.20 ,$259.20 ,$320.00 ,$288.00 ,$40.15 ,$288.00 ,$15.74 ,$320.00 ,$179.52 ,$15.74 ,$132.48 ,$19.53 ,$18.64 ,$16.52 ,$288.00 ,$36.14 ,$177.28 ,$89.60 ,$288.00 ,$15.74 ,$288.00 ,$288.00 ,$15.74 ,$208.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101413,84439,HC T4 FREE-90,301,1 ,$27.60 ,$19.87 ,$7.73 ,$27.60 ,$22.55 ,$20.56 ,$18.08 ,$8.84 ,$7.73 ,$16.97 ,$8.84 ,$16.97 ,$8.84 ,$15.29 ,$15.29 ,$8.84 ,$15.29 ,$18.22 ,$24.84 ,$22.91 ,$22.55 ,$8.84 ,$24.29 ,$9.02 ,$20.70 ,$20.70 ,$23.46 ,$23.46 ,$8.84 ,$23.46 ,$8.84 ,$22.36 ,$22.36 ,$22.36 ,$27.60 ,$24.84 ,$22.55 ,$24.84 ,$8.84 ,$27.60 ,$15.48 ,$8.84 ,$11.43 ,$11.23 ,$10.72 ,$9.28 ,$24.84 ,$20.30 ,$15.29 ,$7.73 ,$24.84 ,$8.84 ,$24.84 ,$24.84 ,$8.84 ,$17.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$415.15 ,$298.91 ,$18.64 ,$415.15 ,$127.15 ,$309.29 ,$271.92 ,$49.84 ,$116.24 ,$255.32 ,$49.84 ,$255.32 ,$49.84 ,$229.99 ,$229.99 ,$49.84 ,$229.99 ,$102.74 ,$373.64 ,$344.57 ,$127.15 ,$49.84 ,$365.33 ,$50.84 ,$311.36 ,$311.36 ,$352.88 ,$352.88 ,$49.84 ,$352.88 ,$49.84 ,$336.27 ,$336.27 ,$336.27 ,$415.15 ,$373.64 ,$127.15 ,$373.64 ,$49.84 ,$415.15 ,$232.90 ,$49.84 ,$171.87 ,$19.53 ,$18.64 ,$52.33 ,$373.64 ,$114.44 ,$229.99 ,$116.24 ,$373.64 ,$49.84 ,$373.64 ,$373.64 ,$49.84 ,$269.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101418,84446,HC VITAMIN E-90,301,1 ,$116.15 ,$83.63 ,$7.96 ,$116.15 ,$35.45 ,$86.53 ,$76.08 ,$13.90 ,$32.52 ,$71.43 ,$13.90 ,$71.43 ,$13.90 ,$64.35 ,$64.35 ,$13.90 ,$64.35 ,$28.64 ,$104.54 ,$96.40 ,$35.45 ,$13.90 ,$102.21 ,$14.17 ,$87.11 ,$87.11 ,$98.73 ,$98.73 ,$13.90 ,$98.73 ,$13.90 ,$94.08 ,$94.08 ,$94.08 ,$116.15 ,$104.54 ,$35.45 ,$104.54 ,$13.90 ,$116.15 ,$65.16 ,$13.90 ,$48.09 ,$8.34 ,$7.96 ,$14.59 ,$104.54 ,$31.91 ,$64.35 ,$32.52 ,$104.54 ,$13.90 ,$104.54 ,$104.54 ,$13.90 ,$75.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101419,84460,HC ALT-90,301,1 ,$126.50 ,$91.08 ,$3.54 ,$126.50 ,$13.25 ,$94.24 ,$82.86 ,$5.19 ,$35.42 ,$77.80 ,$5.19 ,$77.80 ,$5.19 ,$70.08 ,$70.08 ,$5.19 ,$70.08 ,$10.71 ,$113.85 ,$105.00 ,$13.25 ,$5.19 ,$111.32 ,$5.30 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$5.19 ,$107.53 ,$5.19 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$13.25 ,$113.85 ,$5.19 ,$126.50 ,$70.97 ,$5.19 ,$52.37 ,$3.71 ,$3.54 ,$5.46 ,$113.85 ,$11.93 ,$70.08 ,$35.42 ,$113.85 ,$5.19 ,$113.85 ,$113.85 ,$5.19 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101422,84479,HC T3 UPTAKE-90,301,1 ,$143.75 ,$103.50 ,$6.34 ,$143.75 ,$16.18 ,$107.09 ,$94.16 ,$6.34 ,$40.25 ,$88.41 ,$6.34 ,$88.41 ,$6.34 ,$79.64 ,$79.64 ,$6.34 ,$79.64 ,$13.07 ,$129.38 ,$119.31 ,$16.18 ,$6.34 ,$126.50 ,$6.47 ,$107.81 ,$107.81 ,$122.19 ,$122.19 ,$6.34 ,$122.19 ,$6.34 ,$116.44 ,$116.44 ,$116.44 ,$143.75 ,$129.38 ,$16.18 ,$129.38 ,$6.34 ,$143.75 ,$80.64 ,$6.34 ,$59.51 ,$11.23 ,$10.72 ,$6.65 ,$129.38 ,$14.56 ,$79.64 ,$40.25 ,$129.38 ,$6.34 ,$129.38 ,$129.38 ,$6.34 ,$93.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101423,84480,HC T3 TOTAL-90,301,1 ,$276.00 ,$198.72 ,$10.72 ,$276.00 ,$35.45 ,$205.62 ,$180.78 ,$13.90 ,$77.28 ,$169.74 ,$13.90 ,$169.74 ,$13.90 ,$152.90 ,$152.90 ,$13.90 ,$152.90 ,$28.64 ,$248.40 ,$229.08 ,$35.45 ,$13.90 ,$242.88 ,$14.17 ,$207.00 ,$207.00 ,$234.60 ,$234.60 ,$13.90 ,$234.60 ,$13.90 ,$223.56 ,$223.56 ,$223.56 ,$276.00 ,$248.40 ,$35.45 ,$248.40 ,$13.90 ,$276.00 ,$154.84 ,$13.90 ,$114.26 ,$11.23 ,$10.72 ,$14.59 ,$248.40 ,$31.91 ,$152.90 ,$77.28 ,$248.40 ,$13.90 ,$248.40 ,$248.40 ,$13.90 ,$179.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101425,84482,HC T3 REVERSE-90,301,1 ,$128.80 ,$92.74 ,$10.72 ,$128.80 ,$39.40 ,$95.96 ,$84.36 ,$15.44 ,$36.06 ,$79.21 ,$15.44 ,$79.21 ,$15.44 ,$71.36 ,$71.36 ,$15.44 ,$71.36 ,$31.84 ,$115.92 ,$106.90 ,$39.40 ,$15.44 ,$113.34 ,$15.76 ,$96.60 ,$96.60 ,$109.48 ,$109.48 ,$15.44 ,$109.48 ,$15.44 ,$104.33 ,$104.33 ,$104.33 ,$128.80 ,$115.92 ,$39.40 ,$115.92 ,$15.44 ,$128.80 ,$72.26 ,$15.44 ,$53.32 ,$11.23 ,$10.72 ,$16.22 ,$115.92 ,$35.46 ,$71.36 ,$36.06 ,$115.92 ,$15.44 ,$115.92 ,$115.92 ,$15.44 ,$83.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101429,84510,HC TYROSINE-90,301,1 ,$186.30 ,$134.14 ,$7.96 ,$186.30 ,$26.58 ,$138.79 ,$122.03 ,$10.42 ,$52.16 ,$114.57 ,$10.42 ,$114.57 ,$10.42 ,$103.21 ,$103.21 ,$10.42 ,$103.21 ,$21.47 ,$167.67 ,$154.63 ,$26.58 ,$10.42 ,$163.94 ,$10.62 ,$139.73 ,$139.73 ,$158.36 ,$158.36 ,$10.42 ,$158.36 ,$10.42 ,$150.90 ,$150.90 ,$150.90 ,$186.30 ,$167.67 ,$26.58 ,$167.67 ,$10.42 ,$186.30 ,$104.51 ,$10.42 ,$77.13 ,$8.34 ,$7.96 ,$10.94 ,$167.67 ,$23.92 ,$103.21 ,$52.16 ,$167.67 ,$10.42 ,$167.67 ,$167.67 ,$10.42 ,$121.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$12.65 ,$9.11 ,$3.54 ,$12.65 ,$12.65 ,$9.42 ,$8.29 ,$4.98 ,$3.54 ,$7.78 ,$4.98 ,$7.78 ,$4.98 ,$7.01 ,$7.01 ,$4.98 ,$7.01 ,$10.26 ,$11.39 ,$10.50 ,$12.65 ,$4.98 ,$11.13 ,$5.08 ,$9.49 ,$9.49 ,$10.75 ,$10.75 ,$4.98 ,$10.75 ,$4.98 ,$10.25 ,$10.25 ,$10.25 ,$12.65 ,$11.39 ,$12.65 ,$11.39 ,$4.98 ,$12.65 ,$7.10 ,$4.98 ,$5.24 ,$3.71 ,$3.54 ,$5.22 ,$11.39 ,$11.43 ,$7.01 ,$3.54 ,$11.39 ,$4.98 ,$11.39 ,$11.39 ,$4.98 ,$8.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$254.15 ,$182.99 ,$15.19 ,$254.15 ,$38.75 ,$189.34 ,$166.47 ,$15.19 ,$71.16 ,$156.30 ,$15.19 ,$156.30 ,$15.19 ,$140.80 ,$140.80 ,$15.19 ,$140.80 ,$31.31 ,$228.74 ,$210.94 ,$38.75 ,$15.19 ,$223.65 ,$15.49 ,$190.61 ,$190.61 ,$216.03 ,$216.03 ,$15.19 ,$216.03 ,$15.19 ,$205.86 ,$205.86 ,$205.86 ,$254.15 ,$228.74 ,$38.75 ,$228.74 ,$15.19 ,$254.15 ,$142.58 ,$15.19 ,$105.22 ,$19.53 ,$18.64 ,$15.95 ,$228.74 ,$34.88 ,$140.80 ,$71.16 ,$228.74 ,$15.19 ,$228.74 ,$228.74 ,$15.19 ,$165.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$228.85 ,$164.77 ,$18.64 ,$228.85 ,$88.33 ,$170.49 ,$149.90 ,$34.62 ,$64.08 ,$140.74 ,$34.62 ,$140.74 ,$34.62 ,$126.78 ,$126.78 ,$34.62 ,$126.78 ,$71.37 ,$205.97 ,$189.95 ,$88.33 ,$34.62 ,$201.39 ,$35.32 ,$171.64 ,$171.64 ,$194.52 ,$194.52 ,$34.62 ,$194.52 ,$34.62 ,$185.37 ,$185.37 ,$185.37 ,$228.85 ,$205.97 ,$88.33 ,$205.97 ,$34.62 ,$228.85 ,$128.38 ,$34.62 ,$94.74 ,$19.53 ,$18.64 ,$36.36 ,$205.97 ,$79.49 ,$126.78 ,$64.08 ,$205.97 ,$34.62 ,$205.97 ,$205.97 ,$34.62 ,$148.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101437,84588,HC VASOPRESSIN (ADH)-90,301,1 ,$166.75 ,$120.06 ,$18.64 ,$166.75 ,$84.85 ,$124.23 ,$109.22 ,$33.26 ,$46.69 ,$102.55 ,$33.26 ,$102.55 ,$33.26 ,$92.38 ,$92.38 ,$33.26 ,$92.38 ,$68.56 ,$150.08 ,$138.40 ,$84.85 ,$33.26 ,$146.74 ,$33.93 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$33.26 ,$141.74 ,$33.26 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$84.85 ,$150.08 ,$33.26 ,$166.75 ,$93.55 ,$33.26 ,$69.03 ,$19.53 ,$18.64 ,$34.93 ,$150.08 ,$76.37 ,$92.38 ,$46.69 ,$150.08 ,$33.26 ,$150.08 ,$150.08 ,$33.26 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101438,84590,HC VITAMIN A-90,301,1 ,$95.45 ,$68.72 ,$7.96 ,$95.45 ,$29.03 ,$71.11 ,$62.52 ,$11.38 ,$26.73 ,$58.70 ,$11.38 ,$58.70 ,$11.38 ,$52.88 ,$52.88 ,$11.38 ,$52.88 ,$23.45 ,$85.91 ,$79.22 ,$29.03 ,$11.38 ,$84.00 ,$11.60 ,$71.59 ,$71.59 ,$81.13 ,$81.13 ,$11.38 ,$81.13 ,$11.38 ,$77.31 ,$77.31 ,$77.31 ,$95.45 ,$85.91 ,$29.03 ,$85.91 ,$11.38 ,$95.45 ,$53.55 ,$11.38 ,$39.52 ,$8.34 ,$7.96 ,$11.95 ,$85.91 ,$26.12 ,$52.88 ,$26.73 ,$85.91 ,$11.38 ,$85.91 ,$85.91 ,$11.38 ,$62.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101439,84591,HC VITAMIN A OTHER-90,301,1 ,$182.50 ,$131.40 ,$9.15 ,$182.50 ,$42.65 ,$135.96 ,$119.54 ,$16.72 ,$51.10 ,$112.24 ,$16.72 ,$112.24 ,$16.72 ,$101.11 ,$101.11 ,$16.72 ,$101.11 ,$34.46 ,$164.25 ,$151.48 ,$42.65 ,$16.72 ,$160.60 ,$17.05 ,$136.88 ,$136.88 ,$155.13 ,$155.13 ,$16.72 ,$155.13 ,$16.72 ,$147.83 ,$147.83 ,$147.83 ,$182.50 ,$164.25 ,$42.65 ,$164.25 ,$16.72 ,$182.50 ,$102.38 ,$16.72 ,$75.56 ,$9.58 ,$9.15 ,$17.55 ,$164.25 ,$38.39 ,$101.11 ,$51.10 ,$164.25 ,$16.72 ,$164.25 ,$164.25 ,$16.72 ,$118.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101440,84597,HC VITAMIN K-90,301,1 ,$119.60 ,$86.11 ,$7.96 ,$119.60 ,$34.30 ,$89.10 ,$78.34 ,$13.45 ,$33.49 ,$73.55 ,$13.45 ,$73.55 ,$13.45 ,$66.26 ,$66.26 ,$13.45 ,$66.26 ,$27.71 ,$107.64 ,$99.27 ,$34.30 ,$13.45 ,$105.25 ,$13.71 ,$89.70 ,$89.70 ,$101.66 ,$101.66 ,$13.45 ,$101.66 ,$13.45 ,$96.88 ,$96.88 ,$96.88 ,$119.60 ,$107.64 ,$34.30 ,$107.64 ,$13.45 ,$119.60 ,$67.10 ,$13.45 ,$49.51 ,$8.34 ,$7.96 ,$14.12 ,$107.64 ,$30.87 ,$66.26 ,$33.49 ,$107.64 ,$13.45 ,$107.64 ,$107.64 ,$13.45 ,$77.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101442,84630,HC ZINC-90,301,1 ,$135.70 ,$97.70 ,$9.71 ,$135.70 ,$28.48 ,$101.10 ,$88.88 ,$11.16 ,$38.00 ,$83.46 ,$11.16 ,$83.46 ,$11.16 ,$75.18 ,$75.18 ,$11.16 ,$75.18 ,$23.01 ,$122.13 ,$112.63 ,$28.48 ,$11.16 ,$119.42 ,$11.39 ,$101.78 ,$101.78 ,$115.35 ,$115.35 ,$11.16 ,$115.35 ,$11.16 ,$109.92 ,$109.92 ,$109.92 ,$135.70 ,$122.13 ,$28.48 ,$122.13 ,$11.16 ,$135.70 ,$76.13 ,$11.16 ,$56.18 ,$10.18 ,$9.71 ,$11.72 ,$122.13 ,$25.63 ,$75.18 ,$38.00 ,$122.13 ,$11.16 ,$122.13 ,$122.13 ,$11.16 ,$88.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101443,84681,HC C PEPTIDE-90,301,1 ,$232.30 ,$167.26 ,$7.96 ,$232.30 ,$52.03 ,$173.06 ,$152.16 ,$20.39 ,$65.04 ,$142.86 ,$20.39 ,$142.86 ,$20.39 ,$128.69 ,$128.69 ,$20.39 ,$128.69 ,$42.04 ,$209.07 ,$192.81 ,$52.03 ,$20.39 ,$204.42 ,$20.81 ,$174.23 ,$174.23 ,$197.46 ,$197.46 ,$20.39 ,$197.46 ,$20.39 ,$188.16 ,$188.16 ,$188.16 ,$232.30 ,$209.07 ,$52.03 ,$209.07 ,$20.39 ,$232.30 ,$130.32 ,$20.39 ,$96.17 ,$8.34 ,$7.96 ,$21.41 ,$209.07 ,$46.82 ,$128.69 ,$65.04 ,$209.07 ,$20.39 ,$209.07 ,$209.07 ,$20.39 ,$151.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101444,84702,HC HCG QN-90,301,1 ,$364.55 ,$262.48 ,$10.72 ,$364.55 ,$37.63 ,$271.59 ,$238.78 ,$14.75 ,$102.07 ,$224.20 ,$14.75 ,$224.20 ,$14.75 ,$201.96 ,$201.96 ,$14.75 ,$201.96 ,$30.40 ,$328.10 ,$302.58 ,$37.63 ,$14.75 ,$320.80 ,$15.04 ,$273.41 ,$273.41 ,$309.87 ,$309.87 ,$14.75 ,$309.87 ,$14.75 ,$295.29 ,$295.29 ,$295.29 ,$364.55 ,$328.10 ,$37.63 ,$328.10 ,$14.75 ,$364.55 ,$204.51 ,$14.75 ,$150.92 ,$11.23 ,$10.72 ,$15.48 ,$328.10 ,$33.86 ,$201.96 ,$102.07 ,$328.10 ,$14.75 ,$328.10 ,$328.10 ,$14.75 ,$236.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101455,G0480,HC DRUG SCRN DEFNT 1-7 CLS T1-90,301,1 ,$240.00 ,$172.80 ,$21.44 ,$257.47 ,$240.00 ,$178.80 ,$157.20 ,$112.14 ,$67.20 ,$147.60 ,$112.14 ,$147.60 ,$112.14 ,$132.96 ,$132.96 ,$112.14 ,$132.96 ,$231.15 ,$216.00 ,$199.20 ,$240.00 ,$112.14 ,$211.20 ,$114.39 ,$180.00 ,$180.00 ,$204.00 ,$204.00 ,$112.14 ,$204.00 ,$112.14 ,$194.40 ,$194.40 ,$194.40 ,$240.00 ,$216.00 ,$240.00 ,$216.00 ,$112.14 ,$240.00 ,$134.64 ,$112.14 ,$99.36 ,$22.46 ,$21.44 ,$117.75 ,$216.00 ,$257.47 ,$132.96 ,$67.20 ,$216.00 ,$112.14 ,$216.00 ,$216.00 ,$112.14 ,$156.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$186.30 ,$134.14 ,$7.96 ,$186.30 ,$53.03 ,$138.79 ,$122.03 ,$20.79 ,$52.16 ,$114.57 ,$20.79 ,$114.57 ,$20.79 ,$103.21 ,$103.21 ,$20.79 ,$103.21 ,$42.84 ,$167.67 ,$154.63 ,$53.03 ,$20.79 ,$163.94 ,$21.20 ,$139.73 ,$139.73 ,$158.36 ,$158.36 ,$20.79 ,$158.36 ,$20.79 ,$150.90 ,$150.90 ,$150.90 ,$186.30 ,$167.67 ,$53.03 ,$167.67 ,$20.79 ,$186.30 ,$104.51 ,$20.79 ,$77.13 ,$8.34 ,$7.96 ,$21.82 ,$167.67 ,$47.72 ,$103.21 ,$52.16 ,$167.67 ,$20.79 ,$167.67 ,$167.67 ,$20.79 ,$121.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101473,80339,HC ANTIEPILIPTICS NOS 1-3 -90,301,1 ,$137.00 ,$98.64 ,$21.44 ,$137.00 , N/A ,$102.07 ,$89.74 , N/A ,$38.36 ,$84.26 , N/A ,$84.26 , N/A ,$75.90 ,$75.90 , N/A ,$75.90 , N/A ,$123.30 ,$113.71 , N/A , N/A ,$120.56 , N/A ,$102.75 ,$102.75 ,$116.45 ,$116.45 , N/A ,$116.45 , N/A ,$110.97 ,$110.97 ,$110.97 ,$137.00 ,$123.30 , N/A ,$123.30 , N/A ,$137.00 ,$76.86 , N/A ,$56.72 ,$22.46 ,$21.44 , N/A ,$123.30 , N/A ,$75.90 ,$38.36 ,$123.30 , N/A ,$123.30 ,$123.30 , N/A ,$89.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101474,80360,HC METHYLPHENIDATE -90,301,1 ,$56.00 ,$40.32 ,$7.96 ,$56.00 , N/A ,$41.72 ,$36.68 , N/A ,$15.68 ,$34.44 , N/A ,$34.44 , N/A ,$31.02 ,$31.02 , N/A ,$31.02 , N/A ,$50.40 ,$46.48 , N/A , N/A ,$49.28 , N/A ,$42.00 ,$42.00 ,$47.60 ,$47.60 , N/A ,$47.60 , N/A ,$45.36 ,$45.36 ,$45.36 ,$56.00 ,$50.40 , N/A ,$50.40 , N/A ,$56.00 ,$31.42 , N/A ,$23.18 ,$8.34 ,$7.96 , N/A ,$50.40 , N/A ,$31.02 ,$15.68 ,$50.40 , N/A ,$50.40 ,$50.40 , N/A ,$36.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101476,82610,HC CYSTATIN C -90,301,1 ,$123.05 ,$88.60 ,$7.96 ,$123.05 ,$46.30 ,$91.67 ,$80.60 ,$18.15 ,$34.45 ,$75.68 ,$18.15 ,$75.68 ,$18.15 ,$68.17 ,$68.17 ,$18.15 ,$68.17 ,$37.41 ,$110.75 ,$102.13 ,$46.30 ,$18.15 ,$108.28 ,$18.51 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$18.15 ,$104.59 ,$18.15 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$46.30 ,$110.75 ,$18.15 ,$123.05 ,$69.03 ,$18.15 ,$50.94 ,$8.34 ,$7.96 ,$19.06 ,$110.75 ,$41.67 ,$68.17 ,$34.45 ,$110.75 ,$18.15 ,$110.75 ,$110.75 ,$18.15 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101477,83519,HC QN RIA MUSK-90,301,1 ,"$2,634.65 ","$1,896.95 ",$7.13 ,"$2,634.65 ",$46.00 ,"$1,962.81 ","$1,725.70 ",$18.03 ,$737.70 ,"$1,620.31 ",$18.03 ,"$1,620.31 ",$18.03 ,"$1,459.60 ","$1,459.60 ",$18.03 ,"$1,459.60 ",$37.17 ,"$2,371.19 ",$500.00 ,$46.00 ,$18.03 ,"$2,318.49 ",$18.39 ,"$1,975.99 ","$1,975.99 ","$2,239.45 ","$2,239.45 ",$18.03 ,"$2,239.45 ",$18.03 ,"$2,134.07 ","$2,134.07 ","$2,134.07 ","$2,634.65 ","$2,371.19 ",$46.00 ,"$2,371.19 ",$18.03 ,"$2,634.65 ","$1,478.04 ",$18.03 ,"$1,090.75 ",$7.47 ,$7.13 ,$18.93 ,"$2,371.19 ",$41.40 ,"$1,459.60 ",$737.70 ,"$2,371.19 ",$18.03 ,"$2,371.19 ","$2,371.19 ",$18.03 ,"$1,712.52 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101479,82803,HC BLOOD GAS PH PO2  AND /OR PCO2,301,1 ,$342.70 ,$246.74 ,$7.96 ,$342.70 ,$65.18 ,$255.31 ,$224.47 ,$25.55 ,$95.96 ,$210.76 ,$25.55 ,$210.76 ,$25.55 ,$189.86 ,$189.86 ,$25.55 ,$189.86 ,$52.66 ,$308.43 ,$284.44 ,$65.18 ,$25.55 ,$301.58 ,$26.06 ,$257.03 ,$257.03 ,$291.30 ,$291.30 ,$25.55 ,$291.30 ,$25.55 ,$277.59 ,$277.59 ,$277.59 ,$342.70 ,$308.43 ,$65.18 ,$308.43 ,$25.55 ,$342.70 ,$192.25 ,$25.55 ,$141.88 ,$8.34 ,$7.96 ,$26.82 ,$308.43 ,$58.66 ,$189.86 ,$95.96 ,$308.43 ,$25.55 ,$308.43 ,$308.43 ,$25.55 ,$222.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101480,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$466.90 ,$336.17 ,$7.96 ,$466.90 ,$196.93 ,$347.84 ,$305.82 ,$77.19 ,$130.73 ,$287.14 ,$77.19 ,$287.14 ,$77.19 ,$258.66 ,$258.66 ,$77.19 ,$258.66 ,$159.12 ,$420.21 ,$387.53 ,$196.93 ,$77.19 ,$410.87 ,$78.74 ,$350.18 ,$350.18 ,$396.87 ,$396.87 ,$77.19 ,$396.87 ,$77.19 ,$378.19 ,$378.19 ,$378.19 ,$466.90 ,$420.21 ,$196.93 ,$420.21 ,$77.19 ,$466.90 ,$261.93 ,$77.19 ,$193.30 ,$8.34 ,$7.96 ,$81.06 ,$420.21 ,$177.23 ,$258.66 ,$130.73 ,$420.21 ,$77.19 ,$420.21 ,$420.21 ,$77.19 ,$303.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101496,82679,HC ESTRONE/ESTROGEN -90,301,1 ,$342.22 ,$246.40 ,$18.64 ,$342.22 ,$62.38 ,$254.95 ,$224.15 ,$24.45 ,$95.82 ,$210.47 ,$24.45 ,$210.47 ,$24.45 ,$189.59 ,$189.59 ,$24.45 ,$189.59 ,$50.40 ,$308.00 ,$284.04 ,$62.38 ,$24.45 ,$301.15 ,$24.94 ,$256.67 ,$256.67 ,$290.89 ,$290.89 ,$24.45 ,$290.89 ,$24.45 ,$277.20 ,$277.20 ,$277.20 ,$342.22 ,$308.00 ,$62.38 ,$308.00 ,$24.45 ,$342.22 ,$191.99 ,$24.45 ,$141.68 ,$19.53 ,$18.64 ,$25.68 ,$308.00 ,$56.14 ,$189.59 ,$95.82 ,$308.00 ,$24.45 ,$308.00 ,$308.00 ,$24.45 ,$222.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101498,80354,HC FENTANYL -90,301,1 ,$47.00 ,$33.84 ,$7.96 ,$47.00 , N/A ,$35.02 ,$30.79 , N/A ,$13.16 ,$28.91 , N/A ,$28.91 , N/A ,$26.04 ,$26.04 , N/A ,$26.04 , N/A ,$42.30 ,$39.01 , N/A , N/A ,$41.36 , N/A ,$35.25 ,$35.25 ,$39.95 ,$39.95 , N/A ,$39.95 , N/A ,$38.07 ,$38.07 ,$38.07 ,$47.00 ,$42.30 , N/A ,$42.30 , N/A ,$47.00 ,$26.37 , N/A ,$19.46 ,$8.34 ,$7.96 , N/A ,$42.30 , N/A ,$26.04 ,$13.16 ,$42.30 , N/A ,$42.30 ,$42.30 , N/A ,$30.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101500,82943,HC GLUCAGON-90,301,1 ,$102.35 ,$73.69 ,$14.00 ,$102.35 ,$35.73 ,$76.25 ,$67.04 ,$14.00 ,$28.66 ,$62.95 ,$14.00 ,$62.95 ,$14.00 ,$56.70 ,$56.70 ,$14.00 ,$56.70 ,$28.87 ,$92.12 ,$84.95 ,$35.73 ,$14.00 ,$90.07 ,$14.29 ,$76.76 ,$76.76 ,$87.00 ,$87.00 ,$14.00 ,$87.00 ,$14.00 ,$82.90 ,$82.90 ,$82.90 ,$102.35 ,$92.12 ,$35.73 ,$92.12 ,$14.00 ,$102.35 ,$57.42 ,$14.00 ,$42.37 ,$19.53 ,$18.64 ,$14.70 ,$92.12 ,$32.15 ,$56.70 ,$28.66 ,$92.12 ,$14.00 ,$92.12 ,$92.12 ,$14.00 ,$66.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101509,82330,HC CALCIUM IONIZED STAT -90,301,1 ,$28.75 ,$20.70 ,$7.96 ,$30.78 ,$28.75 ,$21.42 ,$18.83 ,$13.41 ,$8.05 ,$17.68 ,$13.41 ,$17.68 ,$13.41 ,$15.93 ,$15.93 ,$13.41 ,$15.93 ,$27.63 ,$25.88 ,$23.86 ,$28.75 ,$13.41 ,$25.30 ,$13.67 ,$21.56 ,$21.56 ,$24.44 ,$24.44 ,$13.41 ,$24.44 ,$13.41 ,$23.29 ,$23.29 ,$23.29 ,$28.75 ,$25.88 ,$28.75 ,$25.88 ,$13.41 ,$28.75 ,$16.13 ,$13.41 ,$11.90 ,$8.34 ,$7.96 ,$14.07 ,$25.88 ,$30.78 ,$15.93 ,$8.05 ,$25.88 ,$13.41 ,$25.88 ,$25.88 ,$13.41 ,$18.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101511,80345,HC BARBITURATE -90,301,1 ,$229.00 ,$164.88 ,$7.96 ,$229.00 , N/A ,$170.61 ,$150.00 , N/A ,$64.12 ,$140.84 , N/A ,$140.84 , N/A ,$126.87 ,$126.87 , N/A ,$126.87 , N/A ,$206.10 ,$190.07 , N/A , N/A ,$201.52 , N/A ,$171.75 ,$171.75 ,$194.65 ,$194.65 , N/A ,$194.65 , N/A ,$185.49 ,$185.49 ,$185.49 ,$229.00 ,$206.10 , N/A ,$206.10 , N/A ,$229.00 ,$128.47 , N/A ,$94.81 ,$8.34 ,$7.96 , N/A ,$206.10 , N/A ,$126.87 ,$64.12 ,$206.10 , N/A ,$206.10 ,$206.10 , N/A ,$148.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101512,80324,HC AMPHETAMINE 1-2 -90,301,1 ,$229.00 ,$164.88 ,$21.44 ,$229.00 , N/A ,$170.61 ,$150.00 , N/A ,$64.12 ,$140.84 , N/A ,$140.84 , N/A ,$126.87 ,$126.87 , N/A ,$126.87 , N/A ,$206.10 ,$190.07 , N/A , N/A ,$201.52 , N/A ,$171.75 ,$171.75 ,$194.65 ,$194.65 , N/A ,$194.65 , N/A ,$185.49 ,$185.49 ,$185.49 ,$229.00 ,$206.10 , N/A ,$206.10 , N/A ,$229.00 ,$128.47 , N/A ,$94.81 ,$22.46 ,$21.44 , N/A ,$206.10 , N/A ,$126.87 ,$64.12 ,$206.10 , N/A ,$206.10 ,$206.10 , N/A ,$148.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101513,80365,HC OXYCODONE -90,301,1 ,$252.00 ,$181.44 ,$7.96 ,$252.00 , N/A ,$187.74 ,$165.06 , N/A ,$70.56 ,$154.98 , N/A ,$154.98 , N/A ,$139.61 ,$139.61 , N/A ,$139.61 , N/A ,$226.80 ,$209.16 , N/A , N/A ,$221.76 , N/A ,$189.00 ,$189.00 ,$214.20 ,$214.20 , N/A ,$214.20 , N/A ,$204.12 ,$204.12 ,$204.12 ,$252.00 ,$226.80 , N/A ,$226.80 , N/A ,$252.00 ,$141.37 , N/A ,$104.33 ,$8.34 ,$7.96 , N/A ,$226.80 , N/A ,$139.61 ,$70.56 ,$226.80 , N/A ,$226.80 ,$226.80 , N/A ,$163.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101516,80321,HC ALCOHOL BIOMARKERS 1-2 - 90,301,1 ,$165.52 ,$119.17 ,$21.44 ,$165.52 , N/A ,$123.31 ,$108.42 , N/A ,$46.35 ,$101.79 , N/A ,$101.79 , N/A ,$91.70 ,$91.70 , N/A ,$91.70 , N/A ,$148.97 ,$137.38 , N/A , N/A ,$145.66 , N/A ,$124.14 ,$124.14 ,$140.69 ,$140.69 , N/A ,$140.69 , N/A ,$134.07 ,$134.07 ,$134.07 ,$165.52 ,$148.97 , N/A ,$148.97 , N/A ,$165.52 ,$92.86 , N/A ,$68.53 ,$22.46 ,$21.44 , N/A ,$148.97 , N/A ,$91.70 ,$46.35 ,$148.97 , N/A ,$148.97 ,$148.97 , N/A ,$107.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101520,80356,HC HEROIN METABOLITE-90,301,1 ,$229.00 ,$164.88 ,$7.96 ,$229.00 , N/A ,$170.61 ,$150.00 , N/A ,$64.12 ,$140.84 , N/A ,$140.84 , N/A ,$126.87 ,$126.87 , N/A ,$126.87 , N/A ,$206.10 ,$190.07 , N/A , N/A ,$201.52 , N/A ,$171.75 ,$171.75 ,$194.65 ,$194.65 , N/A ,$194.65 , N/A ,$185.49 ,$185.49 ,$185.49 ,$229.00 ,$206.10 , N/A ,$206.10 , N/A ,$229.00 ,$128.47 , N/A ,$94.81 ,$8.34 ,$7.96 , N/A ,$206.10 , N/A ,$126.87 ,$64.12 ,$206.10 , N/A ,$206.10 ,$206.10 , N/A ,$148.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101525,82465,HC CHOLESTEROL -90,301,1 ,$72.88 ,$52.47 ,$3.54 ,$72.88 ,$10.88 ,$54.30 ,$47.74 ,$4.26 ,$20.41 ,$44.82 ,$4.26 ,$44.82 ,$4.26 ,$40.38 ,$40.38 ,$4.26 ,$40.38 ,$8.79 ,$65.59 ,$60.49 ,$10.88 ,$4.26 ,$64.13 ,$4.35 ,$54.66 ,$54.66 ,$61.95 ,$61.95 ,$4.26 ,$61.95 ,$4.26 ,$59.03 ,$59.03 ,$59.03 ,$72.88 ,$65.59 ,$10.88 ,$65.59 ,$4.26 ,$72.88 ,$40.89 ,$4.26 ,$30.17 ,$3.71 ,$3.54 ,$4.48 ,$65.59 ,$9.79 ,$40.38 ,$20.41 ,$65.59 ,$4.26 ,$65.59 ,$65.59 ,$4.26 ,$47.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101527,84450,HC AST -90,301,1 ,$126.50 ,$91.08 ,$3.54 ,$126.50 ,$12.95 ,$94.24 ,$82.86 ,$5.08 ,$35.42 ,$77.80 ,$5.08 ,$77.80 ,$5.08 ,$70.08 ,$70.08 ,$5.08 ,$70.08 ,$10.46 ,$113.85 ,$105.00 ,$12.95 ,$5.08 ,$111.32 ,$5.17 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$5.08 ,$107.53 ,$5.08 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$12.95 ,$113.85 ,$5.08 ,$126.50 ,$70.97 ,$5.08 ,$52.37 ,$3.71 ,$3.54 ,$5.33 ,$113.85 ,$11.66 ,$70.08 ,$35.42 ,$113.85 ,$5.08 ,$113.85 ,$113.85 ,$5.08 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101529,82725,HC FATTY ACIDS NONESTERIFIED-90,301,1 ,$27.60 ,$19.87 ,$7.73 ,$42.23 ,$27.60 ,$20.56 ,$18.08 ,$18.39 ,$7.73 ,$16.97 ,$18.39 ,$16.97 ,$18.39 ,$15.29 ,$15.29 ,$18.39 ,$15.29 ,$27.60 ,$24.84 ,$22.91 ,$27.60 ,$18.39 ,$24.29 ,$18.77 ,$20.70 ,$20.70 ,$23.46 ,$23.46 ,$18.39 ,$23.46 ,$18.39 ,$22.36 ,$22.36 ,$22.36 ,$27.60 ,$24.84 ,$27.60 ,$24.84 ,$18.39 ,$27.60 ,$15.48 ,$18.39 ,$11.43 ,$8.34 ,$7.96 ,$19.32 ,$24.84 ,$42.23 ,$15.29 ,$7.73 ,$24.84 ,$18.39 ,$24.84 ,$24.84 ,$18.39 ,$17.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101534,80377,HC PANEL HYPOGLYCEMIC QL-90,301,1 ,$315.00 ,$226.80 ,$21.44 ,$315.00 , N/A ,$234.68 ,$206.33 , N/A ,$88.20 ,$193.73 , N/A ,$193.73 , N/A ,$174.51 ,$174.51 , N/A ,$174.51 , N/A ,$283.50 ,$261.45 , N/A , N/A ,$277.20 , N/A ,$236.25 ,$236.25 ,$267.75 ,$267.75 , N/A ,$267.75 , N/A ,$255.15 ,$255.15 ,$255.15 ,$315.00 ,$283.50 , N/A ,$283.50 , N/A ,$315.00 ,$176.72 , N/A ,$130.41 ,$22.46 ,$21.44 , N/A ,$283.50 , N/A ,$174.51 ,$88.20 ,$283.50 , N/A ,$283.50 ,$283.50 , N/A ,$204.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101536,84443,HC THYROID STIMULATING HORM-90,301,1 ,$416.76 ,$300.07 ,$10.72 ,$416.76 ,$42.00 ,$310.49 ,$272.98 ,$16.46 ,$116.69 ,$256.31 ,$16.46 ,$256.31 ,$16.46 ,$230.89 ,$230.89 ,$16.46 ,$230.89 ,$33.94 ,$375.08 ,$345.91 ,$42.00 ,$16.46 ,$366.75 ,$16.80 ,$312.57 ,$312.57 ,$354.25 ,$354.25 ,$16.46 ,$354.25 ,$16.46 ,$337.58 ,$337.58 ,$337.58 ,$416.76 ,$375.08 ,$42.00 ,$375.08 ,$16.46 ,$416.76 ,$233.80 ,$16.46 ,$172.54 ,$11.23 ,$10.72 ,$17.29 ,$375.08 ,$37.80 ,$230.89 ,$116.69 ,$375.08 ,$16.46 ,$375.08 ,$375.08 ,$16.46 ,$270.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101539,82248,HC BILIRUBIN DIRECT-90,301,1 ,$105.80 ,$76.18 ,$3.54 ,$105.80 ,$12.55 ,$78.82 ,$69.30 ,$4.92 ,$29.62 ,$65.07 ,$4.92 ,$65.07 ,$4.92 ,$58.61 ,$58.61 ,$4.92 ,$58.61 ,$10.14 ,$95.22 ,$87.81 ,$12.55 ,$4.92 ,$93.10 ,$5.02 ,$79.35 ,$79.35 ,$89.93 ,$89.93 ,$4.92 ,$89.93 ,$4.92 ,$85.70 ,$85.70 ,$85.70 ,$105.80 ,$95.22 ,$12.55 ,$95.22 ,$4.92 ,$105.80 ,$59.35 ,$4.92 ,$43.80 ,$3.71 ,$3.54 ,$5.16 ,$95.22 ,$11.30 ,$58.61 ,$29.62 ,$95.22 ,$4.92 ,$95.22 ,$95.22 ,$4.92 ,$68.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101541,83700,HC LIPOPROTEIN BLOOD ELECTROPHORETIC SEPARATION  AND  QUANTIFICAION-90,301,1 ,$109.56 ,$78.88 ,$7.96 ,$109.56 ,$28.15 ,$81.62 ,$71.76 ,$11.03 ,$30.68 ,$67.38 ,$11.03 ,$67.38 ,$11.03 ,$60.70 ,$60.70 ,$11.03 ,$60.70 ,$22.75 ,$98.60 ,$90.93 ,$28.15 ,$11.03 ,$96.41 ,$11.26 ,$82.17 ,$82.17 ,$93.13 ,$93.13 ,$11.03 ,$93.13 ,$11.03 ,$88.74 ,$88.74 ,$88.74 ,$109.56 ,$98.60 ,$28.15 ,$98.60 ,$11.03 ,$109.56 ,$61.46 ,$11.03 ,$45.36 ,$8.34 ,$7.96 ,$11.58 ,$98.60 ,$25.34 ,$60.70 ,$30.68 ,$98.60 ,$11.03 ,$98.60 ,$98.60 ,$11.03 ,$71.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101542,80047,HC BASIC METABOLIC PANEL IONIZED CALCIUM,301,1 ,$234.60 ,$168.91 ,$7.27 ,$234.60 ,$34.33 ,$174.78 ,$153.66 ,$13.46 ,$65.69 ,$144.28 ,$13.46 ,$144.28 ,$13.46 ,$129.97 ,$129.97 ,$13.46 ,$129.97 ,$27.73 ,$211.14 ,$194.72 ,$34.33 ,$13.46 ,$206.45 ,$13.72 ,$175.95 ,$175.95 ,$199.41 ,$199.41 ,$13.46 ,$199.41 ,$13.46 ,$190.03 ,$190.03 ,$190.03 ,$234.60 ,$211.14 ,$34.33 ,$211.14 ,$13.46 ,$234.60 ,$131.61 ,$13.46 ,$97.12 ,$7.61 ,$7.27 ,$14.13 ,$211.14 ,$30.89 ,$129.97 ,$65.69 ,$211.14 ,$13.46 ,$211.14 ,$211.14 ,$13.46 ,$152.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101553,80299,HC THERAPEUTIC DRUG OTHER,301,1 ,$123.05 ,$88.60 ,$9.15 ,$123.05 ,$46.60 ,$91.67 ,$80.60 ,$18.27 ,$34.45 ,$75.68 ,$18.27 ,$75.68 ,$18.27 ,$68.17 ,$68.17 ,$18.27 ,$68.17 ,$37.65 ,$110.75 ,$102.13 ,$46.60 ,$18.27 ,$108.28 ,$18.63 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$18.27 ,$104.59 ,$18.27 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$46.60 ,$110.75 ,$18.27 ,$123.05 ,$69.03 ,$18.27 ,$50.94 ,$9.58 ,$9.15 ,$19.18 ,$110.75 ,$41.94 ,$68.17 ,$34.45 ,$110.75 ,$18.27 ,$110.75 ,$110.75 ,$18.27 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101554,80306,HC DRUG SCREEN PRESUMPTIVE INSTRMNT ASSIST DIR OPTICAL -90,301,1 ,$100.00 ,$72.00 ,$7.96 ,$100.00 ,$42.85 ,$74.50 ,$65.50 ,$16.80 ,$28.00 ,$61.50 ,$16.80 ,$61.50 ,$16.80 ,$55.40 ,$55.40 ,$16.80 ,$55.40 ,$34.62 ,$90.00 ,$83.00 ,$42.85 ,$16.80 ,$88.00 ,$17.13 ,$75.00 ,$75.00 ,$85.00 ,$85.00 ,$16.80 ,$85.00 ,$16.80 ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 ,$42.85 ,$90.00 ,$16.80 ,$100.00 ,$56.10 ,$16.80 ,$41.40 ,$8.34 ,$7.96 ,$17.64 ,$90.00 ,$38.57 ,$55.40 ,$28.00 ,$90.00 ,$16.80 ,$90.00 ,$90.00 ,$16.80 ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101555,81479,HC IDH GENE MUTATION ASSAY - 90,301,1 ,$247.25 ,$178.02 ,$28.27 ,$247.25 , N/A ,$184.20 ,$161.95 , N/A ,$69.23 ,$152.06 , N/A ,$152.06 , N/A ,$136.98 ,$136.98 , N/A ,$136.98 , N/A ,$222.53 ,$205.22 , N/A , N/A ,$217.58 , N/A ,$185.44 ,$185.44 ,$210.16 ,$210.16 , N/A ,$210.16 , N/A ,$200.27 ,$200.27 ,$200.27 ,$247.25 ,$222.53 , N/A ,$222.53 , N/A ,$247.25 ,$138.71 , N/A ,$102.36 ,$29.61 ,$28.27 , N/A ,$222.53 , N/A ,$136.98 ,$69.23 ,$222.53 , N/A ,$222.53 ,$222.53 , N/A ,$160.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101556,82042,HC ALBUMIN OTHER SOURCE,301,1 ,$70.15 ,$50.51 ,$3.54 ,$70.15 ,$19.45 ,$52.26 ,$45.95 ,$7.62 ,$19.64 ,$43.14 ,$7.62 ,$43.14 ,$7.62 ,$38.86 ,$38.86 ,$7.62 ,$38.86 ,$15.72 ,$63.14 ,$58.22 ,$19.45 ,$7.62 ,$61.73 ,$7.78 ,$52.61 ,$52.61 ,$59.63 ,$59.63 ,$7.62 ,$59.63 ,$7.62 ,$56.82 ,$56.82 ,$56.82 ,$70.15 ,$63.14 ,$19.45 ,$63.14 ,$7.62 ,$70.15 ,$39.35 ,$7.62 ,$29.04 ,$3.71 ,$3.54 ,$8.01 ,$63.14 ,$17.51 ,$38.86 ,$19.64 ,$63.14 ,$7.62 ,$63.14 ,$63.14 ,$7.62 ,$45.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101557,82075,HC ALCOHOL BREATH -90,301,1 ,$94.30 ,$67.90 ,$7.96 ,$94.30 ,$75.00 ,$70.25 ,$61.77 ,$29.40 ,$26.40 ,$57.99 ,$29.40 ,$57.99 ,$29.40 ,$52.24 ,$52.24 ,$29.40 ,$52.24 ,$60.60 ,$84.87 ,$78.27 ,$75.00 ,$29.40 ,$82.98 ,$29.99 ,$70.73 ,$70.73 ,$80.16 ,$80.16 ,$29.40 ,$80.16 ,$29.40 ,$76.38 ,$76.38 ,$76.38 ,$94.30 ,$84.87 ,$75.00 ,$84.87 ,$29.40 ,$94.30 ,$52.90 ,$29.40 ,$39.04 ,$8.34 ,$7.96 ,$30.87 ,$84.87 ,$67.50 ,$52.24 ,$26.40 ,$84.87 ,$29.40 ,$84.87 ,$84.87 ,$29.40 ,$61.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101560,82172,HC APOLIPOPROTEIN SERUM,301,1 ,$138.00 ,$99.36 ,$7.96 ,$138.00 ,$52.73 ,$102.81 ,$90.39 ,$20.67 ,$38.64 ,$84.87 ,$20.67 ,$84.87 ,$20.67 ,$76.45 ,$76.45 ,$20.67 ,$76.45 ,$42.60 ,$124.20 ,$114.54 ,$52.73 ,$20.67 ,$121.44 ,$21.08 ,$103.50 ,$103.50 ,$117.30 ,$117.30 ,$20.67 ,$117.30 ,$20.67 ,$111.78 ,$111.78 ,$111.78 ,$138.00 ,$124.20 ,$52.73 ,$124.20 ,$20.67 ,$138.00 ,$77.42 ,$20.67 ,$57.13 ,$8.34 ,$7.96 ,$21.70 ,$124.20 ,$47.45 ,$76.45 ,$38.64 ,$124.20 ,$20.67 ,$124.20 ,$124.20 ,$20.67 ,$89.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101561,82247,HC BILIRUBIN TOTAL,301,1 ,$123.05 ,$88.60 ,$3.54 ,$123.05 ,$12.55 ,$91.67 ,$80.60 ,$4.92 ,$34.45 ,$75.68 ,$4.92 ,$75.68 ,$4.92 ,$68.17 ,$68.17 ,$4.92 ,$68.17 ,$10.14 ,$110.75 ,$102.13 ,$12.55 ,$4.92 ,$108.28 ,$5.02 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$4.92 ,$104.59 ,$4.92 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$12.55 ,$110.75 ,$4.92 ,$123.05 ,$69.03 ,$4.92 ,$50.94 ,$3.71 ,$3.54 ,$5.16 ,$110.75 ,$11.30 ,$68.17 ,$34.45 ,$110.75 ,$4.92 ,$110.75 ,$110.75 ,$4.92 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101563,82274,HC OCCULT BLOOD FECAL HGB-QW,301,1 ,$133.40 ,$96.05 ,$7.96 ,$133.40 ,$39.80 ,$99.38 ,$87.38 ,$15.60 ,$37.35 ,$82.04 ,$15.60 ,$82.04 ,$15.60 ,$73.90 ,$73.90 ,$15.60 ,$73.90 ,$32.16 ,$120.06 ,$110.72 ,$39.80 ,$15.60 ,$117.39 ,$15.92 ,$100.05 ,$100.05 ,$113.39 ,$113.39 ,$15.60 ,$113.39 ,$15.60 ,$108.05 ,$108.05 ,$108.05 ,$133.40 ,$120.06 ,$39.80 ,$120.06 ,$15.60 ,$133.40 ,$74.84 ,$15.60 ,$55.23 ,$8.34 ,$7.96 ,$16.39 ,$120.06 ,$35.82 ,$73.90 ,$37.35 ,$120.06 ,$15.60 ,$120.06 ,$120.06 ,$15.60 ,$86.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101570,82465,HC CHOLESTEROL,301,1 ,$72.45 ,$52.16 ,$3.54 ,$72.45 ,$10.88 ,$53.98 ,$47.45 ,$4.26 ,$20.29 ,$44.56 ,$4.26 ,$44.56 ,$4.26 ,$40.14 ,$40.14 ,$4.26 ,$40.14 ,$8.79 ,$65.21 ,$60.13 ,$10.88 ,$4.26 ,$63.76 ,$4.35 ,$54.34 ,$54.34 ,$61.58 ,$61.58 ,$4.26 ,$61.58 ,$4.26 ,$58.68 ,$58.68 ,$58.68 ,$72.45 ,$65.21 ,$10.88 ,$65.21 ,$4.26 ,$72.45 ,$40.64 ,$4.26 ,$29.99 ,$3.71 ,$3.54 ,$4.48 ,$65.21 ,$9.79 ,$40.14 ,$20.29 ,$65.21 ,$4.26 ,$65.21 ,$65.21 ,$4.26 ,$47.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101572,82570,HC CREATININE OTH SOURCE,301,1 ,$149.50 ,$107.64 ,$3.54 ,$149.50 ,$12.95 ,$111.38 ,$97.92 ,$5.08 ,$41.86 ,$91.94 ,$5.08 ,$91.94 ,$5.08 ,$82.82 ,$82.82 ,$5.08 ,$82.82 ,$10.46 ,$134.55 ,$124.09 ,$12.95 ,$5.08 ,$131.56 ,$5.17 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$5.08 ,$127.08 ,$5.08 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$12.95 ,$134.55 ,$5.08 ,$149.50 ,$83.87 ,$5.08 ,$61.89 ,$3.71 ,$3.54 ,$5.33 ,$134.55 ,$11.66 ,$82.82 ,$41.86 ,$134.55 ,$5.08 ,$134.55 ,$134.55 ,$5.08 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101580,82785,HC GAMMAGLOBULIN IGE,301,1 ,$201.25 ,$144.90 ,$7.96 ,$201.25 ,$41.15 ,$149.93 ,$131.82 ,$16.13 ,$56.35 ,$123.77 ,$16.13 ,$123.77 ,$16.13 ,$111.49 ,$111.49 ,$16.13 ,$111.49 ,$33.25 ,$181.13 ,$167.04 ,$41.15 ,$16.13 ,$177.10 ,$16.45 ,$150.94 ,$150.94 ,$171.06 ,$171.06 ,$16.13 ,$171.06 ,$16.13 ,$163.01 ,$163.01 ,$163.01 ,$201.25 ,$181.13 ,$41.15 ,$181.13 ,$16.13 ,$201.25 ,$112.90 ,$16.13 ,$83.32 ,$8.34 ,$7.96 ,$16.93 ,$181.13 ,$37.04 ,$111.49 ,$56.35 ,$181.13 ,$16.13 ,$181.13 ,$181.13 ,$16.13 ,$130.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101583,82960,HC G6PD SCREEN -90,301,1 ,$115.00 ,$82.80 ,$5.93 ,$115.00 ,$15.13 ,$85.68 ,$75.33 ,$5.93 ,$32.20 ,$70.73 ,$5.93 ,$70.73 ,$5.93 ,$63.71 ,$63.71 ,$5.93 ,$63.71 ,$12.22 ,$103.50 ,$95.45 ,$15.13 ,$5.93 ,$101.20 ,$6.05 ,$86.25 ,$86.25 ,$97.75 ,$97.75 ,$5.93 ,$97.75 ,$5.93 ,$93.15 ,$93.15 ,$93.15 ,$115.00 ,$103.50 ,$15.13 ,$103.50 ,$5.93 ,$115.00 ,$64.52 ,$5.93 ,$47.61 ,$8.34 ,$7.96 ,$6.22 ,$103.50 ,$13.61 ,$63.71 ,$32.20 ,$103.50 ,$5.93 ,$103.50 ,$103.50 ,$5.93 ,$74.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101589,83036,HC GLYCOSYLATED HGB -90,301,1 ,$111.55 ,$80.32 ,$7.96 ,$111.55 ,$24.28 ,$83.10 ,$73.07 ,$9.52 ,$31.23 ,$68.60 ,$9.52 ,$68.60 ,$9.52 ,$61.80 ,$61.80 ,$9.52 ,$61.80 ,$19.61 ,$100.40 ,$92.59 ,$24.28 ,$9.52 ,$98.16 ,$9.70 ,$83.66 ,$83.66 ,$94.82 ,$94.82 ,$9.52 ,$94.82 ,$9.52 ,$90.36 ,$90.36 ,$90.36 ,$111.55 ,$100.40 ,$24.28 ,$100.40 ,$9.52 ,$111.55 ,$62.58 ,$9.52 ,$46.18 ,$8.34 ,$7.96 ,$10.00 ,$100.40 ,$21.85 ,$61.80 ,$31.23 ,$100.40 ,$9.52 ,$100.40 ,$100.40 ,$9.52 ,$72.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101591,83090,HC HOMOCYSTEINE,301,1 ,$205.85 ,$148.21 ,$17.56 ,$205.85 ,$44.80 ,$153.36 ,$134.83 ,$17.56 ,$57.64 ,$126.60 ,$17.56 ,$126.60 ,$17.56 ,$114.04 ,$114.04 ,$17.56 ,$114.04 ,$36.20 ,$185.27 ,$170.86 ,$44.80 ,$17.56 ,$181.15 ,$17.91 ,$154.39 ,$154.39 ,$174.97 ,$174.97 ,$17.56 ,$174.97 ,$17.56 ,$166.74 ,$166.74 ,$166.74 ,$205.85 ,$185.27 ,$44.80 ,$185.27 ,$17.56 ,$205.85 ,$115.48 ,$17.56 ,$85.22 ,$19.53 ,$18.64 ,$18.44 ,$185.27 ,$40.32 ,$114.04 ,$57.64 ,$185.27 ,$17.56 ,$185.27 ,$185.27 ,$17.56 ,$133.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101595,83690,HC LIPASE,301,1 ,$112.70 ,$81.14 ,$3.54 ,$112.70 ,$17.23 ,$83.96 ,$73.82 ,$6.75 ,$31.56 ,$69.31 ,$6.75 ,$69.31 ,$6.75 ,$62.44 ,$62.44 ,$6.75 ,$62.44 ,$13.92 ,$101.43 ,$93.54 ,$17.23 ,$6.75 ,$99.18 ,$6.89 ,$84.53 ,$84.53 ,$95.80 ,$95.80 ,$6.75 ,$95.80 ,$6.75 ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 ,$17.23 ,$101.43 ,$6.75 ,$112.70 ,$63.22 ,$6.75 ,$46.66 ,$3.71 ,$3.54 ,$7.09 ,$101.43 ,$15.50 ,$62.44 ,$31.56 ,$101.43 ,$6.75 ,$101.43 ,$101.43 ,$6.75 ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101602,84105,HC PHOSPHORUS UR,301,1 ,$108.10 ,$77.83 ,$3.54 ,$108.10 ,$14.45 ,$80.53 ,$70.81 ,$5.66 ,$30.27 ,$66.48 ,$5.66 ,$66.48 ,$5.66 ,$59.89 ,$59.89 ,$5.66 ,$59.89 ,$11.68 ,$97.29 ,$89.72 ,$14.45 ,$5.66 ,$95.13 ,$5.78 ,$81.08 ,$81.08 ,$91.89 ,$91.89 ,$5.66 ,$91.89 ,$5.66 ,$87.56 ,$87.56 ,$87.56 ,$108.10 ,$97.29 ,$14.45 ,$97.29 ,$5.66 ,$108.10 ,$60.64 ,$5.66 ,$44.75 ,$3.71 ,$3.54 ,$5.95 ,$97.29 ,$13.01 ,$59.89 ,$30.27 ,$97.29 ,$5.66 ,$97.29 ,$97.29 ,$5.66 ,$70.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101607,84145,HC PROCALCITONIN (PCT),301,1 ,$16.27 ,$11.71 ,$4.56 ,$36.61 ,$16.27 ,$12.12 ,$10.66 ,$15.94 ,$4.56 ,$10.01 ,$15.94 ,$10.01 ,$15.94 ,$9.01 ,$9.01 ,$15.94 ,$9.01 ,$16.27 ,$14.64 ,$13.50 ,$16.27 ,$15.94 ,$14.32 ,$16.27 ,$12.20 ,$12.20 ,$13.83 ,$13.83 ,$15.94 ,$13.83 ,$15.94 ,$13.18 ,$13.18 ,$13.18 ,$16.27 ,$14.64 ,$16.27 ,$14.64 ,$15.94 ,$16.27 ,$9.13 ,$15.94 ,$6.74 ,$16.27 ,$16.27 ,$15.94 ,$14.64 ,$36.61 ,$9.01 ,$4.56 ,$14.64 ,$15.94 ,$14.64 ,$14.64 ,$15.94 ,$10.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101609,84153,HC PSA TOTAL,301,1 ,$351.90 ,$253.37 ,$7.96 ,$351.90 ,$45.98 ,$262.17 ,$230.49 ,$18.02 ,$98.53 ,$216.42 ,$18.02 ,$216.42 ,$18.02 ,$194.95 ,$194.95 ,$18.02 ,$194.95 ,$37.15 ,$316.71 ,$292.08 ,$45.98 ,$18.02 ,$309.67 ,$18.38 ,$263.93 ,$263.93 ,$299.12 ,$299.12 ,$18.02 ,$299.12 ,$18.02 ,$285.04 ,$285.04 ,$285.04 ,$351.90 ,$316.71 ,$45.98 ,$316.71 ,$18.02 ,$351.90 ,$197.42 ,$18.02 ,$145.69 ,$8.34 ,$7.96 ,$18.92 ,$316.71 ,$41.38 ,$194.95 ,$98.53 ,$316.71 ,$18.02 ,$316.71 ,$316.71 ,$18.02 ,$228.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101610,84154,HC PSA FREE,301,1 ,$289.80 ,$208.66 ,$7.96 ,$289.80 ,$45.98 ,$215.90 ,$189.82 ,$18.02 ,$81.14 ,$178.23 ,$18.02 ,$178.23 ,$18.02 ,$160.55 ,$160.55 ,$18.02 ,$160.55 ,$37.15 ,$260.82 ,$240.53 ,$45.98 ,$18.02 ,$255.02 ,$18.38 ,$217.35 ,$217.35 ,$246.33 ,$246.33 ,$18.02 ,$246.33 ,$18.02 ,$234.74 ,$234.74 ,$234.74 ,$289.80 ,$260.82 ,$45.98 ,$260.82 ,$18.02 ,$289.80 ,$162.58 ,$18.02 ,$119.98 ,$8.34 ,$7.96 ,$18.92 ,$260.82 ,$41.38 ,$160.55 ,$81.14 ,$260.82 ,$18.02 ,$260.82 ,$260.82 ,$18.02 ,$188.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101611,84155,HC PROTEIN TOTAL,301,1 ,$66.70 ,$48.02 ,$3.54 ,$66.70 ,$9.18 ,$49.69 ,$43.69 ,$3.60 ,$18.68 ,$41.02 ,$3.60 ,$41.02 ,$3.60 ,$36.95 ,$36.95 ,$3.60 ,$36.95 ,$7.41 ,$60.03 ,$55.36 ,$9.18 ,$3.60 ,$58.70 ,$3.67 ,$50.03 ,$50.03 ,$56.70 ,$56.70 ,$3.60 ,$56.70 ,$3.60 ,$54.03 ,$54.03 ,$54.03 ,$66.70 ,$60.03 ,$9.18 ,$60.03 ,$3.60 ,$66.70 ,$37.42 ,$3.60 ,$27.61 ,$3.71 ,$3.54 ,$3.77 ,$60.03 ,$8.26 ,$36.95 ,$18.68 ,$60.03 ,$3.60 ,$60.03 ,$60.03 ,$3.60 ,$43.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101612,84156,HC PROTEIN TOTAL URINE,301,1 ,$120.75 ,$86.94 ,$3.54 ,$120.75 ,$9.18 ,$89.96 ,$79.09 ,$3.60 ,$33.81 ,$74.26 ,$3.60 ,$74.26 ,$3.60 ,$66.90 ,$66.90 ,$3.60 ,$66.90 ,$7.41 ,$108.68 ,$100.22 ,$9.18 ,$3.60 ,$106.26 ,$3.67 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$3.60 ,$102.64 ,$3.60 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$9.18 ,$108.68 ,$3.60 ,$120.75 ,$67.74 ,$3.60 ,$49.99 ,$3.71 ,$3.54 ,$3.77 ,$108.68 ,$8.26 ,$66.90 ,$33.81 ,$108.68 ,$3.60 ,$108.68 ,$108.68 ,$3.60 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101614,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$187.45 ,$134.96 ,$7.96 ,$187.45 ,$26.85 ,$139.65 ,$122.78 ,$10.53 ,$52.49 ,$115.28 ,$10.53 ,$115.28 ,$10.53 ,$103.85 ,$103.85 ,$10.53 ,$103.85 ,$21.69 ,$168.71 ,$155.58 ,$26.85 ,$10.53 ,$164.96 ,$10.73 ,$140.59 ,$140.59 ,$159.33 ,$159.33 ,$10.53 ,$159.33 ,$10.53 ,$151.83 ,$151.83 ,$151.83 ,$187.45 ,$168.71 ,$26.85 ,$168.71 ,$10.53 ,$187.45 ,$105.16 ,$10.53 ,$77.60 ,$8.34 ,$7.96 ,$11.05 ,$168.71 ,$24.17 ,$103.85 ,$52.49 ,$168.71 ,$10.53 ,$168.71 ,$168.71 ,$10.53 ,$121.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101615,84166,HC PROTEIN EP OTH FLUID,301,1 ,$147.20 ,$105.98 ,$7.96 ,$147.20 ,$44.58 ,$109.66 ,$96.42 ,$17.47 ,$41.22 ,$90.53 ,$17.47 ,$90.53 ,$17.47 ,$81.55 ,$81.55 ,$17.47 ,$81.55 ,$36.02 ,$132.48 ,$122.18 ,$44.58 ,$17.47 ,$129.54 ,$17.83 ,$110.40 ,$110.40 ,$125.12 ,$125.12 ,$17.47 ,$125.12 ,$17.47 ,$119.23 ,$119.23 ,$119.23 ,$147.20 ,$132.48 ,$44.58 ,$132.48 ,$17.47 ,$147.20 ,$82.58 ,$17.47 ,$60.94 ,$8.34 ,$7.96 ,$18.35 ,$132.48 ,$40.12 ,$81.55 ,$41.22 ,$132.48 ,$17.47 ,$132.48 ,$132.48 ,$17.47 ,$95.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101616,84270,HC SEX HORMONE BIND GLOB,301,1 ,$85.10 ,$61.27 ,$7.96 ,$85.10 ,$54.33 ,$63.40 ,$55.74 ,$21.30 ,$23.83 ,$52.34 ,$21.30 ,$52.34 ,$21.30 ,$47.15 ,$47.15 ,$21.30 ,$47.15 ,$43.89 ,$76.59 ,$70.63 ,$54.33 ,$21.30 ,$74.89 ,$21.72 ,$63.83 ,$63.83 ,$72.34 ,$72.34 ,$21.30 ,$72.34 ,$21.30 ,$68.93 ,$68.93 ,$68.93 ,$85.10 ,$76.59 ,$54.33 ,$76.59 ,$21.30 ,$85.10 ,$47.74 ,$21.30 ,$35.23 ,$8.34 ,$7.96 ,$22.36 ,$76.59 ,$48.89 ,$47.15 ,$23.83 ,$76.59 ,$21.30 ,$76.59 ,$76.59 ,$21.30 ,$55.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101623,84478,HC TRIGLYCERIDES,301,1 ,$86.25 ,$62.10 ,$3.54 ,$86.25 ,$14.35 ,$64.26 ,$56.49 ,$5.63 ,$24.15 ,$53.04 ,$5.63 ,$53.04 ,$5.63 ,$47.78 ,$47.78 ,$5.63 ,$47.78 ,$11.59 ,$77.63 ,$71.59 ,$14.35 ,$5.63 ,$75.90 ,$5.73 ,$64.69 ,$64.69 ,$73.31 ,$73.31 ,$5.63 ,$73.31 ,$5.63 ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 ,$14.35 ,$77.63 ,$5.63 ,$86.25 ,$48.39 ,$5.63 ,$35.71 ,$3.71 ,$3.54 ,$5.91 ,$77.63 ,$12.92 ,$47.78 ,$24.15 ,$77.63 ,$5.63 ,$77.63 ,$77.63 ,$5.63 ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101627,84540,HC UREA URINE,301,1 ,$125.35 ,$90.25 ,$3.54 ,$125.35 ,$13.90 ,$93.39 ,$82.10 ,$5.45 ,$35.10 ,$77.09 ,$5.45 ,$77.09 ,$5.45 ,$69.44 ,$69.44 ,$5.45 ,$69.44 ,$11.23 ,$112.82 ,$104.04 ,$13.90 ,$5.45 ,$110.31 ,$5.56 ,$94.01 ,$94.01 ,$106.55 ,$106.55 ,$5.45 ,$106.55 ,$5.45 ,$101.53 ,$101.53 ,$101.53 ,$125.35 ,$112.82 ,$13.90 ,$112.82 ,$5.45 ,$125.35 ,$70.32 ,$5.45 ,$51.89 ,$3.71 ,$3.54 ,$5.72 ,$112.82 ,$12.51 ,$69.44 ,$35.10 ,$112.82 ,$5.45 ,$112.82 ,$112.82 ,$5.45 ,$81.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101628,84560,HC URIC ACID OTH SRC,301,1 ,$78.20 ,$56.30 ,$3.54 ,$78.20 ,$12.70 ,$58.26 ,$51.22 ,$4.98 ,$21.90 ,$48.09 ,$4.98 ,$48.09 ,$4.98 ,$43.32 ,$43.32 ,$4.98 ,$43.32 ,$10.26 ,$70.38 ,$64.91 ,$12.70 ,$4.98 ,$68.82 ,$5.08 ,$58.65 ,$58.65 ,$66.47 ,$66.47 ,$4.98 ,$66.47 ,$4.98 ,$63.34 ,$63.34 ,$63.34 ,$78.20 ,$70.38 ,$12.70 ,$70.38 ,$4.98 ,$78.20 ,$43.87 ,$4.98 ,$32.37 ,$3.71 ,$3.54 ,$5.22 ,$70.38 ,$11.43 ,$43.32 ,$21.90 ,$70.38 ,$4.98 ,$70.38 ,$70.38 ,$4.98 ,$50.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101631,G0328,HC OCCULT BLOOD FECAL SCREEN,301,1 ,$89.75 ,$64.62 ,$7.96 ,$89.75 ,$45.13 ,$66.86 ,$58.79 ,$17.69 ,$25.13 ,$55.20 ,$17.69 ,$55.20 ,$17.69 ,$49.72 ,$49.72 ,$17.69 ,$49.72 ,$36.46 ,$80.78 ,$74.49 ,$45.13 ,$17.69 ,$78.98 ,$18.04 ,$67.31 ,$67.31 ,$76.29 ,$76.29 ,$17.69 ,$76.29 ,$17.69 ,$72.70 ,$72.70 ,$72.70 ,$89.75 ,$80.78 ,$45.13 ,$80.78 ,$17.69 ,$89.75 ,$50.35 ,$17.69 ,$37.16 ,$8.34 ,$7.96 ,$18.57 ,$80.78 ,$40.61 ,$49.72 ,$25.13 ,$80.78 ,$17.69 ,$80.78 ,$80.78 ,$17.69 ,$58.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101632,G0328,HC OCCULT BLOOD FECAL SCRN - AMB-QW,301,1 ,$89.75 ,$64.62 ,$7.96 ,$89.75 ,$45.13 ,$66.86 ,$58.79 ,$17.69 ,$25.13 ,$55.20 ,$17.69 ,$55.20 ,$17.69 ,$49.72 ,$49.72 ,$17.69 ,$49.72 ,$36.46 ,$80.78 ,$74.49 ,$45.13 ,$17.69 ,$78.98 ,$18.04 ,$67.31 ,$67.31 ,$76.29 ,$76.29 ,$17.69 ,$76.29 ,$17.69 ,$72.70 ,$72.70 ,$72.70 ,$89.75 ,$80.78 ,$45.13 ,$80.78 ,$17.69 ,$89.75 ,$50.35 ,$17.69 ,$37.16 ,$8.34 ,$7.96 ,$18.57 ,$80.78 ,$40.61 ,$49.72 ,$25.13 ,$80.78 ,$17.69 ,$80.78 ,$80.78 ,$17.69 ,$58.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101633,83070,HC HEMOSIDERIN QL - 90,301,1 ,$52.90 ,$38.09 ,$4.65 ,$52.90 ,$11.88 ,$39.41 ,$34.65 ,$4.65 ,$14.81 ,$32.53 ,$4.65 ,$32.53 ,$4.65 ,$29.31 ,$29.31 ,$4.65 ,$29.31 ,$9.60 ,$47.61 ,$43.91 ,$11.88 ,$4.65 ,$46.55 ,$4.75 ,$39.68 ,$39.68 ,$44.97 ,$44.97 ,$4.65 ,$44.97 ,$4.65 ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 ,$11.88 ,$47.61 ,$4.65 ,$52.90 ,$29.68 ,$4.65 ,$21.90 ,$8.34 ,$7.96 ,$4.89 ,$47.61 ,$10.69 ,$29.31 ,$14.81 ,$47.61 ,$4.65 ,$47.61 ,$47.61 ,$4.65 ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101634,80348,HC BUPRENORPHINE -90,301,1 ,$76.00 ,$54.72 ,$7.96 ,$76.00 , N/A ,$56.62 ,$49.78 , N/A ,$21.28 ,$46.74 , N/A ,$46.74 , N/A ,$42.10 ,$42.10 , N/A ,$42.10 , N/A ,$68.40 ,$63.08 , N/A , N/A ,$66.88 , N/A ,$57.00 ,$57.00 ,$64.60 ,$64.60 , N/A ,$64.60 , N/A ,$61.56 ,$61.56 ,$61.56 ,$76.00 ,$68.40 , N/A ,$68.40 , N/A ,$76.00 ,$42.64 , N/A ,$31.46 ,$8.34 ,$7.96 , N/A ,$68.40 , N/A ,$42.10 ,$21.28 ,$68.40 , N/A ,$68.40 ,$68.40 , N/A ,$49.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101636,83735,HC MAGNESIUM,301,1 ,$78.20 ,$56.30 ,$3.54 ,$78.20 ,$16.75 ,$58.26 ,$51.22 ,$6.57 ,$21.90 ,$48.09 ,$6.57 ,$48.09 ,$6.57 ,$43.32 ,$43.32 ,$6.57 ,$43.32 ,$13.53 ,$70.38 ,$64.91 ,$16.75 ,$6.57 ,$68.82 ,$6.69 ,$58.65 ,$58.65 ,$66.47 ,$66.47 ,$6.57 ,$66.47 ,$6.57 ,$63.34 ,$63.34 ,$63.34 ,$78.20 ,$70.38 ,$16.75 ,$70.38 ,$6.57 ,$78.20 ,$43.87 ,$6.57 ,$32.37 ,$3.71 ,$3.54 ,$6.90 ,$70.38 ,$15.08 ,$43.32 ,$21.90 ,$70.38 ,$6.57 ,$70.38 ,$70.38 ,$6.57 ,$50.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101642,84999,HC OSMOLALITY FECAL-90,301,1 ,$825.70 ,$594.50 ,$7.96 ,$825.70 , N/A ,$615.15 ,$540.83 , N/A ,$231.20 ,$507.81 , N/A ,$507.81 , N/A ,$457.44 ,$457.44 , N/A ,$457.44 , N/A ,$743.13 ,$500.00 , N/A , N/A ,$726.62 , N/A ,$619.28 ,$619.28 ,$701.85 ,$701.85 , N/A ,$701.85 , N/A ,$668.82 ,$668.82 ,$668.82 ,$825.70 ,$743.13 , N/A ,$743.13 , N/A ,$825.70 ,$463.22 , N/A ,$341.84 ,$8.34 ,$7.96 , N/A ,$743.13 , N/A ,$457.44 ,$231.20 ,$743.13 , N/A ,$743.13 ,$743.13 , N/A ,$536.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101643,81596,HC CHRONIC HEP C VIRUS ASSAYS-90,301,1 ,$611.80 ,$440.50 ,$28.27 ,$611.80 ,$180.48 ,$455.79 ,$400.73 ,$70.75 ,$171.30 ,$376.26 ,$70.75 ,$376.26 ,$70.75 ,$338.94 ,$338.94 ,$70.75 ,$338.94 ,$145.82 ,$550.62 ,$500.00 ,$180.48 ,$70.75 ,$538.38 ,$72.16 ,$458.85 ,$458.85 ,$520.03 ,$520.03 ,$70.75 ,$520.03 ,$70.75 ,$495.56 ,$495.56 ,$495.56 ,$611.80 ,$550.62 ,$180.48 ,$550.62 ,$70.75 ,$611.80 ,$343.22 ,$70.75 ,$253.29 ,$29.61 ,$28.27 ,$74.28 ,$550.62 ,$162.43 ,$338.94 ,$171.30 ,$550.62 ,$70.75 ,$550.62 ,$550.62 ,$70.75 ,$397.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101651,84150,HC PROSTAGLANDIN-90,301,1 ,$879.75 ,$633.42 ,$18.64 ,$879.75 ,$104.43 ,$655.41 ,$576.24 ,$40.93 ,$246.33 ,$541.05 ,$40.93 ,$541.05 ,$40.93 ,$487.38 ,$487.38 ,$40.93 ,$487.38 ,$84.38 ,$791.78 ,$500.00 ,$104.43 ,$40.93 ,$774.18 ,$41.76 ,$659.81 ,$659.81 ,$747.79 ,$747.79 ,$40.93 ,$747.79 ,$40.93 ,$712.60 ,$712.60 ,$712.60 ,$879.75 ,$791.78 ,$104.43 ,$791.78 ,$40.93 ,$879.75 ,$493.54 ,$40.93 ,$364.22 ,$19.53 ,$18.64 ,$42.98 ,$791.78 ,$93.98 ,$487.38 ,$246.33 ,$791.78 ,$40.93 ,$791.78 ,$791.78 ,$40.93 ,$571.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101652,83698,HC LIPOPROTEIN ASSOC PHOSPHOLIPASE A2-90,301,1 ,$100.00 ,$72.00 ,$21.44 ,$104.20 ,$100.00 ,$74.50 ,$65.50 ,$45.38 ,$28.00 ,$61.50 ,$45.38 ,$61.50 ,$45.38 ,$55.40 ,$55.40 ,$45.38 ,$55.40 ,$93.55 ,$90.00 ,$83.00 ,$100.00 ,$45.38 ,$88.00 ,$46.30 ,$75.00 ,$75.00 ,$85.00 ,$85.00 ,$45.38 ,$85.00 ,$45.38 ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 ,$100.00 ,$90.00 ,$45.38 ,$100.00 ,$56.10 ,$45.38 ,$41.40 ,$22.46 ,$21.44 ,$47.66 ,$90.00 ,$104.20 ,$55.40 ,$28.00 ,$90.00 ,$45.38 ,$90.00 ,$90.00 ,$45.38 ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101653,82642,HC DIHYDROTESTOSTERONE-90,301,1 ,$139.11 ,$100.16 ,$10.72 ,$139.11 ,$73.20 ,$103.64 ,$91.12 ,$28.69 ,$38.95 ,$85.55 ,$28.69 ,$85.55 ,$28.69 ,$77.07 ,$77.07 ,$28.69 ,$77.07 ,$59.15 ,$125.20 ,$115.46 ,$73.20 ,$28.69 ,$122.42 ,$29.27 ,$104.33 ,$104.33 ,$118.24 ,$118.24 ,$28.69 ,$118.24 ,$28.69 ,$112.68 ,$112.68 ,$112.68 ,$139.11 ,$125.20 ,$73.20 ,$125.20 ,$28.69 ,$139.11 ,$78.04 ,$28.69 ,$57.59 ,$11.23 ,$10.72 ,$30.13 ,$125.20 ,$65.88 ,$77.07 ,$38.95 ,$125.20 ,$28.69 ,$125.20 ,$125.20 ,$28.69 ,$90.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101663,83631,HC LACTOFERRIN FECAL QN-90,301,1 ,$215.64 ,$155.26 ,$7.96 ,$215.64 ,$49.08 ,$160.65 ,$141.24 ,$19.24 ,$60.38 ,$132.62 ,$19.24 ,$132.62 ,$19.24 ,$119.46 ,$119.46 ,$19.24 ,$119.46 ,$39.65 ,$194.08 ,$178.98 ,$49.08 ,$19.24 ,$189.76 ,$19.62 ,$161.73 ,$161.73 ,$183.29 ,$183.29 ,$19.24 ,$183.29 ,$19.24 ,$174.67 ,$174.67 ,$174.67 ,$215.64 ,$194.08 ,$49.08 ,$194.08 ,$19.24 ,$215.64 ,$120.97 ,$19.24 ,$89.28 ,$8.34 ,$7.96 ,$20.20 ,$194.08 ,$44.17 ,$119.46 ,$60.38 ,$194.08 ,$19.24 ,$194.08 ,$194.08 ,$19.24 ,$140.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101669,81500,HC ONCOLOGY OVARIAN BIOCHEMICAL ASSAY CA-125/HE4 -90,301,1 ,"$1,101.70 ",$793.22 ,$28.27 ,"$1,101.70 ",$651.25 ,$820.77 ,$721.61 ,$255.29 ,$308.48 ,$677.55 ,$255.29 ,$677.55 ,$255.29 ,$610.34 ,$610.34 ,$255.29 ,$610.34 ,$526.21 ,$991.53 ,$500.00 ,$651.25 ,$255.29 ,$969.50 ,$260.40 ,$826.28 ,$826.28 ,$936.45 ,$936.45 ,$255.29 ,$936.45 ,$255.29 ,$892.38 ,$892.38 ,$892.38 ,"$1,101.70 ",$991.53 ,$651.25 ,$991.53 ,$255.29 ,"$1,101.70 ",$618.05 ,$255.29 ,$456.10 ,$29.61 ,$28.27 ,$268.06 ,$991.53 ,$586.13 ,$610.34 ,$308.48 ,$991.53 ,$255.29 ,$991.53 ,$991.53 ,$255.29 ,$716.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101671,80299,HC VORICONAZOLE-90,301,1 ,$264.50 ,$190.44 ,$9.15 ,$264.50 ,$46.60 ,$197.05 ,$173.25 ,$18.27 ,$74.06 ,$162.67 ,$18.27 ,$162.67 ,$18.27 ,$146.53 ,$146.53 ,$18.27 ,$146.53 ,$37.65 ,$238.05 ,$219.54 ,$46.60 ,$18.27 ,$232.76 ,$18.63 ,$198.38 ,$198.38 ,$224.83 ,$224.83 ,$18.27 ,$224.83 ,$18.27 ,$214.25 ,$214.25 ,$214.25 ,$264.50 ,$238.05 ,$46.60 ,$238.05 ,$18.27 ,$264.50 ,$148.38 ,$18.27 ,$109.50 ,$9.58 ,$9.15 ,$19.18 ,$238.05 ,$41.94 ,$146.53 ,$74.06 ,$238.05 ,$18.27 ,$238.05 ,$238.05 ,$18.27 ,$171.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101674,82978,HC GLUTATHIONE-90,301,1 ,$189.00 ,$136.08 ,$7.96 ,$189.00 ,$38.63 ,$140.81 ,$123.80 ,$15.14 ,$52.92 ,$116.24 ,$15.14 ,$116.24 ,$15.14 ,$104.71 ,$104.71 ,$15.14 ,$104.71 ,$31.21 ,$170.10 ,$156.87 ,$38.63 ,$15.14 ,$166.32 ,$15.44 ,$141.75 ,$141.75 ,$160.65 ,$160.65 ,$15.14 ,$160.65 ,$15.14 ,$153.09 ,$153.09 ,$153.09 ,$189.00 ,$170.10 ,$38.63 ,$170.10 ,$15.14 ,$189.00 ,$106.03 ,$15.14 ,$78.25 ,$8.34 ,$7.96 ,$15.90 ,$170.10 ,$34.76 ,$104.71 ,$52.92 ,$170.10 ,$15.14 ,$170.10 ,$170.10 ,$15.14 ,$122.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101675,83050,HC METHEMOGLOBIN-90,301,1 ,$19.55 ,$14.08 ,$5.47 ,$19.55 ,$19.55 ,$14.56 ,$12.81 ,$8.04 ,$5.47 ,$12.02 ,$8.04 ,$12.02 ,$8.04 ,$10.83 ,$10.83 ,$8.04 ,$10.83 ,$16.56 ,$17.60 ,$16.23 ,$19.55 ,$8.04 ,$17.20 ,$8.19 ,$14.66 ,$14.66 ,$16.62 ,$16.62 ,$8.04 ,$16.62 ,$8.04 ,$15.84 ,$15.84 ,$15.84 ,$19.55 ,$17.60 ,$19.55 ,$17.60 ,$8.04 ,$19.55 ,$10.97 ,$8.04 ,$8.09 ,$8.34 ,$7.96 ,$8.44 ,$17.60 ,$18.45 ,$10.83 ,$5.47 ,$17.60 ,$8.04 ,$17.60 ,$17.60 ,$8.04 ,$12.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101676,82375,HC CARBON MONOXIDE-90,301,1 ,$24.15 ,$17.39 ,$6.76 ,$27.72 ,$24.15 ,$17.99 ,$15.82 ,$12.07 ,$6.76 ,$14.85 ,$12.07 ,$14.85 ,$12.07 ,$13.38 ,$13.38 ,$12.07 ,$13.38 ,$24.15 ,$21.74 ,$20.04 ,$24.15 ,$12.07 ,$21.25 ,$12.32 ,$18.11 ,$18.11 ,$20.53 ,$20.53 ,$12.07 ,$20.53 ,$12.07 ,$19.56 ,$19.56 ,$19.56 ,$24.15 ,$21.74 ,$24.15 ,$21.74 ,$12.07 ,$24.15 ,$13.55 ,$12.07 ,$10.00 ,$8.34 ,$7.96 ,$12.68 ,$21.74 ,$27.72 ,$13.38 ,$6.76 ,$21.74 ,$12.07 ,$21.74 ,$21.74 ,$12.07 ,$15.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101678,83516,HC FLUOR AB SCR AQUAPORIN 4-90,301,1 ,"$1,163.80 ",$837.94 ,$7.13 ,"$1,163.80 ",$28.83 ,$867.03 ,$762.29 ,$11.30 ,$325.86 ,$715.74 ,$11.30 ,$715.74 ,$11.30 ,$644.75 ,$644.75 ,$11.30 ,$644.75 ,$23.29 ,"$1,047.42 ",$500.00 ,$28.83 ,$11.30 ,"$1,024.14 ",$11.52 ,$872.85 ,$872.85 ,$989.23 ,$989.23 ,$11.30 ,$989.23 ,$11.30 ,$942.68 ,$942.68 ,$942.68 ,"$1,163.80 ","$1,047.42 ",$28.83 ,"$1,047.42 ",$11.30 ,"$1,163.80 ",$652.89 ,$11.30 ,$481.81 ,$7.47 ,$7.13 ,$11.87 ,"$1,047.42 ",$25.94 ,$644.75 ,$325.86 ,"$1,047.42 ",$11.30 ,"$1,047.42 ","$1,047.42 ",$11.30 ,$756.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101679,83500,HC HYDROXYPROLINE FREE-90,301,1 ,$149.50 ,$107.64 ,$18.64 ,$149.50 ,$56.63 ,$111.38 ,$97.92 ,$22.20 ,$41.86 ,$91.94 ,$22.20 ,$91.94 ,$22.20 ,$82.82 ,$82.82 ,$22.20 ,$82.82 ,$45.75 ,$134.55 ,$124.09 ,$56.63 ,$22.20 ,$131.56 ,$22.64 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$22.20 ,$127.08 ,$22.20 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$56.63 ,$134.55 ,$22.20 ,$149.50 ,$83.87 ,$22.20 ,$61.89 ,$19.53 ,$18.64 ,$23.30 ,$134.55 ,$50.96 ,$82.82 ,$41.86 ,$134.55 ,$22.20 ,$134.55 ,$134.55 ,$22.20 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101682,82963,HC GLUCOSIDASE BETA ASSAY-90,301,1 ,"$1,015.45 ",$731.12 ,$7.96 ,"$1,015.45 ",$53.70 ,$756.51 ,$665.12 ,$21.05 ,$284.33 ,$624.50 ,$21.05 ,$624.50 ,$21.05 ,$562.56 ,$562.56 ,$21.05 ,$562.56 ,$43.39 ,$913.91 ,$500.00 ,$53.70 ,$21.05 ,$893.60 ,$21.47 ,$761.59 ,$761.59 ,$863.13 ,$863.13 ,$21.05 ,$863.13 ,$21.05 ,$822.51 ,$822.51 ,$822.51 ,"$1,015.45 ",$913.91 ,$53.70 ,$913.91 ,$21.05 ,"$1,015.45 ",$569.67 ,$21.05 ,$420.40 ,$8.34 ,$7.96 ,$22.10 ,$913.91 ,$48.33 ,$562.56 ,$284.33 ,$913.91 ,$21.05 ,$913.91 ,$913.91 ,$21.05 ,$660.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101685,80235,HC LACOSAMIDE -90,301,1 ,$134.00 ,$96.48 ,$9.15 ,$134.00 ,$67.78 ,$99.83 ,$87.77 ,$26.57 ,$37.52 ,$82.41 ,$26.57 ,$82.41 ,$26.57 ,$74.24 ,$74.24 ,$26.57 ,$74.24 ,$54.76 ,$120.60 ,$111.22 ,$67.78 ,$26.57 ,$117.92 ,$27.10 ,$100.50 ,$100.50 ,$113.90 ,$113.90 ,$26.57 ,$113.90 ,$26.57 ,$108.54 ,$108.54 ,$108.54 ,$134.00 ,$120.60 ,$67.78 ,$120.60 ,$26.57 ,$134.00 ,$75.17 ,$26.57 ,$55.48 ,$9.58 ,$9.15 ,$27.90 ,$120.60 ,$61.00 ,$74.24 ,$37.52 ,$120.60 ,$26.57 ,$120.60 ,$120.60 ,$26.57 ,$87.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101686,83721,HC CHOLESTEROL LDL -90,301,1 ,$14.95 ,$10.76 ,$4.19 ,$23.63 ,$14.95 ,$11.14 ,$9.79 ,$10.29 ,$4.19 ,$9.19 ,$10.29 ,$9.19 ,$10.29 ,$8.28 ,$8.28 ,$10.29 ,$8.28 ,$14.95 ,$13.46 ,$12.41 ,$14.95 ,$10.29 ,$13.16 ,$10.50 ,$11.21 ,$11.21 ,$12.71 ,$12.71 ,$10.29 ,$12.71 ,$10.29 ,$12.11 ,$12.11 ,$12.11 ,$14.95 ,$13.46 ,$14.95 ,$13.46 ,$10.29 ,$14.95 ,$8.39 ,$10.29 ,$6.19 ,$8.34 ,$7.96 ,$10.81 ,$13.46 ,$23.63 ,$8.28 ,$4.19 ,$13.46 ,$10.29 ,$13.46 ,$13.46 ,$10.29 ,$9.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101696,80338,HC ANTIDEPRESSANT NOS-90,301,1 ,$331.00 ,$238.32 ,$7.96 ,$331.00 , N/A ,$246.60 ,$216.81 , N/A ,$92.68 ,$203.57 , N/A ,$203.57 , N/A ,$183.37 ,$183.37 , N/A ,$183.37 , N/A ,$297.90 ,$274.73 , N/A , N/A ,$291.28 , N/A ,$248.25 ,$248.25 ,$281.35 ,$281.35 , N/A ,$281.35 , N/A ,$268.11 ,$268.11 ,$268.11 ,$331.00 ,$297.90 , N/A ,$297.90 , N/A ,$331.00 ,$185.69 , N/A ,$137.03 ,$8.34 ,$7.96 , N/A ,$297.90 , N/A ,$183.37 ,$92.68 ,$297.90 , N/A ,$297.90 ,$297.90 , N/A ,$215.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101705,80145,HC DRUG ASSAY ADALIMUMAB -90,301,1 ,$366.66 ,$264.00 ,$9.15 ,$366.66 ,$96.43 ,$273.16 ,$240.16 ,$37.80 ,$102.66 ,$225.50 ,$37.80 ,$225.50 ,$37.80 ,$203.13 ,$203.13 ,$37.80 ,$203.13 ,$77.91 ,$329.99 ,$304.33 ,$96.43 ,$37.80 ,$322.66 ,$38.55 ,$275.00 ,$275.00 ,$311.66 ,$311.66 ,$37.80 ,$311.66 ,$37.80 ,$296.99 ,$296.99 ,$296.99 ,$366.66 ,$329.99 ,$96.43 ,$329.99 ,$37.80 ,$366.66 ,$205.70 ,$37.80 ,$151.80 ,$9.58 ,$9.15 ,$39.69 ,$329.99 ,$86.78 ,$203.13 ,$102.66 ,$329.99 ,$37.80 ,$329.99 ,$329.99 ,$37.80 ,$238.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101706,80230,HC DRUG ASSAY INFLIXIMAB-90,301,1 ,$367.00 ,$264.24 ,$9.15 ,$367.00 ,$96.43 ,$273.42 ,$240.39 ,$37.80 ,$102.76 ,$225.71 ,$37.80 ,$225.71 ,$37.80 ,$203.32 ,$203.32 ,$37.80 ,$203.32 ,$77.91 ,$330.30 ,$304.61 ,$96.43 ,$37.80 ,$322.96 ,$38.55 ,$275.25 ,$275.25 ,$311.95 ,$311.95 ,$37.80 ,$311.95 ,$37.80 ,$297.27 ,$297.27 ,$297.27 ,$367.00 ,$330.30 ,$96.43 ,$330.30 ,$37.80 ,$367.00 ,$205.89 ,$37.80 ,$151.94 ,$9.58 ,$9.15 ,$39.69 ,$330.30 ,$86.78 ,$203.32 ,$102.76 ,$330.30 ,$37.80 ,$330.30 ,$330.30 ,$37.80 ,$238.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101709,80285,HC VORICONAZOLE - 90,301,1 ,$297.58 ,$214.26 ,$9.15 ,$297.58 ,$67.78 ,$221.70 ,$194.91 ,$26.57 ,$83.32 ,$183.01 ,$26.57 ,$183.01 ,$26.57 ,$164.86 ,$164.86 ,$26.57 ,$164.86 ,$54.76 ,$267.82 ,$246.99 ,$67.78 ,$26.57 ,$261.87 ,$27.10 ,$223.19 ,$223.19 ,$252.94 ,$252.94 ,$26.57 ,$252.94 ,$26.57 ,$241.04 ,$241.04 ,$241.04 ,$297.58 ,$267.82 ,$67.78 ,$267.82 ,$26.57 ,$297.58 ,$166.94 ,$26.57 ,$123.20 ,$9.58 ,$9.15 ,$27.90 ,$267.82 ,$61.00 ,$164.86 ,$83.32 ,$267.82 ,$26.57 ,$267.82 ,$267.82 ,$26.57 ,$193.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101710,83864,HC MUCOPOLYSACCHARIDE QUANT - 90,301,1 ,$327.75 ,$235.98 ,$7.96 ,$327.75 ,$71.25 ,$244.17 ,$214.68 ,$27.93 ,$91.77 ,$201.57 ,$27.93 ,$201.57 ,$27.93 ,$181.57 ,$181.57 ,$27.93 ,$181.57 ,$57.57 ,$294.98 ,$272.03 ,$71.25 ,$27.93 ,$288.42 ,$28.49 ,$245.81 ,$245.81 ,$278.59 ,$278.59 ,$27.93 ,$278.59 ,$27.93 ,$265.48 ,$265.48 ,$265.48 ,$327.75 ,$294.98 ,$71.25 ,$294.98 ,$27.93 ,$327.75 ,$183.87 ,$27.93 ,$135.69 ,$8.34 ,$7.96 ,$29.33 ,$294.98 ,$64.13 ,$181.57 ,$91.77 ,$294.98 ,$27.93 ,$294.98 ,$294.98 ,$27.93 ,$213.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101711,84377,HC OLIGOSACCHARIDE SCREEN URINE - 90,301,1 ,$121.90 ,$87.77 ,$3.54 ,$121.90 ,$13.75 ,$90.82 ,$79.84 ,$5.39 ,$34.13 ,$74.97 ,$5.39 ,$74.97 ,$5.39 ,$67.53 ,$67.53 ,$5.39 ,$67.53 ,$11.11 ,$109.71 ,$101.18 ,$13.75 ,$5.39 ,$107.27 ,$5.50 ,$91.43 ,$91.43 ,$103.62 ,$103.62 ,$5.39 ,$103.62 ,$5.39 ,$98.74 ,$98.74 ,$98.74 ,$121.90 ,$109.71 ,$13.75 ,$109.71 ,$5.39 ,$121.90 ,$68.39 ,$5.39 ,$50.47 ,$3.71 ,$3.54 ,$5.66 ,$109.71 ,$12.38 ,$67.53 ,$34.13 ,$109.71 ,$5.39 ,$109.71 ,$109.71 ,$5.39 ,$79.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101712,84445,HC ASSAY OF TSI GLOBULINS,301,1 ,"$1,622.65 ","$1,168.31 ",$18.64 ,"$1,622.65 ",$127.15 ,"$1,208.87 ","$1,062.84 ",$49.84 ,$454.34 ,$997.93 ,$49.84 ,$997.93 ,$49.84 ,$898.95 ,$898.95 ,$49.84 ,$898.95 ,$102.74 ,"$1,460.39 ",$500.00 ,$127.15 ,$49.84 ,"$1,427.93 ",$50.84 ,"$1,216.99 ","$1,216.99 ","$1,379.25 ","$1,379.25 ",$49.84 ,"$1,379.25 ",$49.84 ,"$1,314.35 ","$1,314.35 ","$1,314.35 ","$1,622.65 ","$1,460.39 ",$127.15 ,"$1,460.39 ",$49.84 ,"$1,622.65 ",$910.31 ,$49.84 ,$671.78 ,$19.53 ,$18.64 ,$52.33 ,"$1,460.39 ",$114.44 ,$898.95 ,$454.34 ,"$1,460.39 ",$49.84 ,"$1,460.39 ","$1,460.39 ",$49.84 ,"$1,054.72 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101716,80187,HC POSACONAZOLE -90,301,1 ,$306.00 ,$220.32 ,$9.15 ,$306.00 ,$67.78 ,$227.97 ,$200.43 ,$26.57 ,$85.68 ,$188.19 ,$26.57 ,$188.19 ,$26.57 ,$169.52 ,$169.52 ,$26.57 ,$169.52 ,$54.76 ,$275.40 ,$253.98 ,$67.78 ,$26.57 ,$269.28 ,$27.10 ,$229.50 ,$229.50 ,$260.10 ,$260.10 ,$26.57 ,$260.10 ,$26.57 ,$247.86 ,$247.86 ,$247.86 ,$306.00 ,$275.40 ,$67.78 ,$275.40 ,$26.57 ,$306.00 ,$171.67 ,$26.57 ,$126.68 ,$9.58 ,$9.15 ,$27.90 ,$275.40 ,$61.00 ,$169.52 ,$85.68 ,$275.40 ,$26.57 ,$275.40 ,$275.40 ,$26.57 ,$198.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101720,80307,HC CORD BLOOD DRUG SCREEN,301,1 ,$325.00 ,$234.00 ,$21.44 ,$325.00 ,$155.35 ,$242.13 ,$212.88 ,$60.90 ,$91.00 ,$199.88 ,$60.90 ,$199.88 ,$60.90 ,$180.05 ,$180.05 ,$60.90 ,$180.05 ,$125.52 ,$292.50 ,$269.75 ,$155.35 ,$60.90 ,$286.00 ,$62.11 ,$243.75 ,$243.75 ,$276.25 ,$276.25 ,$60.90 ,$276.25 ,$60.90 ,$263.25 ,$263.25 ,$263.25 ,$325.00 ,$292.50 ,$155.35 ,$292.50 ,$60.90 ,$325.00 ,$182.33 ,$60.90 ,$134.55 ,$22.46 ,$21.44 ,$63.94 ,$292.50 ,$139.82 ,$180.05 ,$91.00 ,$292.50 ,$60.90 ,$292.50 ,$292.50 ,$60.90 ,$211.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101722,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN-90,301,1 ,$531.30 ,$382.54 ,$7.96 ,$531.30 ,$60.23 ,$395.82 ,$348.00 ,$23.61 ,$148.76 ,$326.75 ,$23.61 ,$326.75 ,$23.61 ,$294.34 ,$294.34 ,$23.61 ,$294.34 ,$48.66 ,$478.17 ,$440.98 ,$60.23 ,$23.61 ,$467.54 ,$24.08 ,$398.48 ,$398.48 ,$451.61 ,$451.61 ,$23.61 ,$451.61 ,$23.61 ,$430.35 ,$430.35 ,$430.35 ,$531.30 ,$478.17 ,$60.23 ,$478.17 ,$23.61 ,$531.30 ,$298.06 ,$23.61 ,$219.96 ,$8.34 ,$7.96 ,$24.78 ,$478.17 ,$54.20 ,$294.34 ,$148.76 ,$478.17 ,$23.61 ,$478.17 ,$478.17 ,$23.61 ,$345.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101723,82397,HC ANTIMULLERIAN ASSAY-90,301,1 ,$460.00 ,$331.20 ,$7.96 ,$460.00 ,$35.30 ,$342.70 ,$301.30 ,$13.84 ,$128.80 ,$282.90 ,$13.84 ,$282.90 ,$13.84 ,$254.84 ,$254.84 ,$13.84 ,$254.84 ,$28.52 ,$414.00 ,$381.80 ,$35.30 ,$13.84 ,$404.80 ,$14.11 ,$345.00 ,$345.00 ,$391.00 ,$391.00 ,$13.84 ,$391.00 ,$13.84 ,$372.60 ,$372.60 ,$372.60 ,$460.00 ,$414.00 ,$35.30 ,$414.00 ,$13.84 ,$460.00 ,$258.06 ,$13.84 ,$190.44 ,$8.34 ,$7.96 ,$14.53 ,$414.00 ,$31.77 ,$254.84 ,$128.80 ,$414.00 ,$13.84 ,$414.00 ,$414.00 ,$13.84 ,$299.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101725,80354,HC FENTANYL URINE - 90,301,1 ,$216.00 ,$155.52 ,$7.96 ,$216.00 , N/A ,$160.92 ,$141.48 , N/A ,$60.48 ,$132.84 , N/A ,$132.84 , N/A ,$119.66 ,$119.66 , N/A ,$119.66 , N/A ,$194.40 ,$179.28 , N/A , N/A ,$190.08 , N/A ,$162.00 ,$162.00 ,$183.60 ,$183.60 , N/A ,$183.60 , N/A ,$174.96 ,$174.96 ,$174.96 ,$216.00 ,$194.40 , N/A ,$194.40 , N/A ,$216.00 ,$121.18 , N/A ,$89.42 ,$8.34 ,$7.96 , N/A ,$194.40 , N/A ,$119.66 ,$60.48 ,$194.40 , N/A ,$194.40 ,$194.40 , N/A ,$140.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101739,80280,HC DRUG ASSAY VEDOLIZUMAB-90,301,1 ,$376.31 ,$270.94 ,$9.15 ,$376.31 ,$96.43 ,$280.35 ,$246.48 ,$37.80 ,$105.37 ,$231.43 ,$37.80 ,$231.43 ,$37.80 ,$208.48 ,$208.48 ,$37.80 ,$208.48 ,$77.91 ,$338.68 ,$312.34 ,$96.43 ,$37.80 ,$331.15 ,$38.55 ,$282.23 ,$282.23 ,$319.86 ,$319.86 ,$37.80 ,$319.86 ,$37.80 ,$304.81 ,$304.81 ,$304.81 ,$376.31 ,$338.68 ,$96.43 ,$338.68 ,$37.80 ,$376.31 ,$211.11 ,$37.80 ,$155.79 ,$9.58 ,$9.15 ,$39.69 ,$338.68 ,$86.78 ,$208.48 ,$105.37 ,$338.68 ,$37.80 ,$338.68 ,$338.68 ,$37.80 ,$244.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101740,82271,HC OCCULT BLOOD GASTRIC-90,301,1 ,$7.41 ,$5.34 ,$2.07 ,$11.97 ,$7.41 ,$5.52 ,$4.85 ,$5.21 ,$2.07 ,$4.56 ,$5.21 ,$4.56 ,$5.21 ,$4.11 ,$4.11 ,$5.21 ,$4.11 ,$7.41 ,$6.67 ,$6.15 ,$7.41 ,$5.21 ,$6.52 ,$5.32 ,$5.56 ,$5.56 ,$6.30 ,$6.30 ,$5.21 ,$6.30 ,$5.21 ,$6.00 ,$6.00 ,$6.00 ,$7.41 ,$6.67 ,$7.41 ,$6.67 ,$5.21 ,$7.41 ,$4.16 ,$5.21 ,$3.07 ,$3.71 ,$3.54 ,$5.48 ,$6.67 ,$11.97 ,$4.11 ,$2.07 ,$6.67 ,$5.21 ,$6.67 ,$6.67 ,$5.21 ,$4.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101743,82777,HC GALECTIN-3 - 90,301,1 ,$126.50 ,$91.08 ,$7.96 ,$126.50 ,$110.63 ,$94.24 ,$82.86 ,$43.36 ,$35.42 ,$77.80 ,$43.36 ,$77.80 ,$43.36 ,$70.08 ,$70.08 ,$43.36 ,$70.08 ,$89.39 ,$113.85 ,$105.00 ,$110.63 ,$43.36 ,$111.32 ,$44.24 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$43.36 ,$107.53 ,$43.36 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$110.63 ,$113.85 ,$43.36 ,$126.50 ,$70.97 ,$43.36 ,$52.37 ,$8.34 ,$7.96 ,$45.53 ,$113.85 ,$99.56 ,$70.08 ,$35.42 ,$113.85 ,$43.36 ,$113.85 ,$113.85 ,$43.36 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101744,83876,HC MYELOPEROXIDASE (MPO)-90,301,1 ,$60.95 ,$43.88 ,$17.07 ,$114.44 ,$60.95 ,$45.41 ,$39.92 ,$49.84 ,$17.07 ,$37.48 ,$49.84 ,$37.48 ,$49.84 ,$33.77 ,$33.77 ,$49.84 ,$33.77 ,$60.95 ,$54.86 ,$50.59 ,$60.95 ,$49.84 ,$53.64 ,$50.84 ,$45.71 ,$45.71 ,$51.81 ,$51.81 ,$49.84 ,$51.81 ,$49.84 ,$49.37 ,$49.37 ,$49.37 ,$60.95 ,$54.86 ,$60.95 ,$54.86 ,$49.84 ,$60.95 ,$34.19 ,$49.84 ,$25.23 ,$22.46 ,$21.44 ,$52.33 ,$54.86 ,$114.44 ,$33.77 ,$17.07 ,$54.86 ,$49.84 ,$54.86 ,$54.86 ,$49.84 ,$39.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101750,80189,HC ITRACONAZOLE - 90,301,1 ,$447.20 ,$321.98 ,$9.15 ,$447.20 ,$67.78 ,$333.16 ,$292.92 ,$26.57 ,$125.22 ,$275.03 ,$26.57 ,$275.03 ,$26.57 ,$247.75 ,$247.75 ,$26.57 ,$247.75 ,$54.76 ,$402.48 ,$371.18 ,$67.78 ,$26.57 ,$393.54 ,$27.10 ,$335.40 ,$335.40 ,$380.12 ,$380.12 ,$26.57 ,$380.12 ,$26.57 ,$362.23 ,$362.23 ,$362.23 ,$447.20 ,$402.48 ,$67.78 ,$402.48 ,$26.57 ,$447.20 ,$250.88 ,$26.57 ,$185.14 ,$9.58 ,$9.15 ,$27.90 ,$402.48 ,$61.00 ,$247.75 ,$125.22 ,$402.48 ,$26.57 ,$402.48 ,$402.48 ,$26.57 ,$290.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101751,83519,HC ACETYLCHOLINE RECEPTR AB TIER 3-90,301,1 ,"$1,992.38 ","$1,434.51 ",$7.13 ,"$1,992.38 ",$46.00 ,"$1,484.32 ","$1,305.01 ",$18.03 ,$557.87 ,"$1,225.31 ",$18.03 ,"$1,225.31 ",$18.03 ,"$1,103.78 ","$1,103.78 ",$18.03 ,"$1,103.78 ",$37.17 ,"$1,793.14 ",$500.00 ,$46.00 ,$18.03 ,"$1,753.29 ",$18.39 ,"$1,494.29 ","$1,494.29 ","$1,693.52 ","$1,693.52 ",$18.03 ,"$1,693.52 ",$18.03 ,"$1,613.83 ","$1,613.83 ","$1,613.83 ","$1,992.38 ","$1,793.14 ",$46.00 ,"$1,793.14 ",$18.03 ,"$1,992.38 ","$1,117.73 ",$18.03 ,$824.85 ,$7.47 ,$7.13 ,$18.93 ,"$1,793.14 ",$41.40 ,"$1,103.78 ",$557.87 ,"$1,793.14 ",$18.03 ,"$1,793.14 ","$1,793.14 ",$18.03 ,"$1,295.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101753,80305,HC DRUG SCREEN PRESUM DIRECT OPTICAL-90,301,1 ,$126.00 ,$90.72 ,$7.96 ,$126.00 ,$31.50 ,$93.87 ,$82.53 ,$12.35 ,$35.28 ,$77.49 ,$12.35 ,$77.49 ,$12.35 ,$69.80 ,$69.80 ,$12.35 ,$69.80 ,$25.45 ,$113.40 ,$104.58 ,$31.50 ,$12.35 ,$110.88 ,$12.59 ,$94.50 ,$94.50 ,$107.10 ,$107.10 ,$12.35 ,$107.10 ,$12.35 ,$102.06 ,$102.06 ,$102.06 ,$126.00 ,$113.40 ,$31.50 ,$113.40 ,$12.35 ,$126.00 ,$70.69 ,$12.35 ,$52.16 ,$8.34 ,$7.96 ,$12.97 ,$113.40 ,$28.35 ,$69.80 ,$35.28 ,$113.40 ,$12.35 ,$113.40 ,$113.40 ,$12.35 ,$81.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101760,80362,HC OPIOIDS  AND  OPIATE ANALOGS 1/2-90,301,1 ,$41.40 ,$29.81 ,$11.59 ,$41.40 , N/A ,$30.84 ,$27.12 , N/A ,$11.59 ,$25.46 , N/A ,$25.46 , N/A ,$22.94 ,$22.94 , N/A ,$22.94 , N/A ,$37.26 ,$34.36 , N/A , N/A ,$36.43 , N/A ,$31.05 ,$31.05 ,$35.19 ,$35.19 , N/A ,$35.19 , N/A ,$33.53 ,$33.53 ,$33.53 ,$41.40 ,$37.26 , N/A ,$37.26 , N/A ,$41.40 ,$23.23 , N/A ,$17.14 ,$22.46 ,$21.44 , N/A ,$37.26 , N/A ,$22.94 ,$11.59 ,$37.26 , N/A ,$37.26 ,$37.26 , N/A ,$26.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101762,82951,HC GLUCOSE TOLERANCE-90,301,1 ,$44.40 ,$31.97 ,$7.96 ,$44.40 ,$32.18 ,$33.08 ,$29.08 ,$12.61 ,$12.43 ,$27.31 ,$12.61 ,$27.31 ,$12.61 ,$24.60 ,$24.60 ,$12.61 ,$24.60 ,$26.00 ,$39.96 ,$36.85 ,$32.18 ,$12.61 ,$39.07 ,$12.87 ,$33.30 ,$33.30 ,$37.74 ,$37.74 ,$12.61 ,$37.74 ,$12.61 ,$35.96 ,$35.96 ,$35.96 ,$44.40 ,$39.96 ,$32.18 ,$39.96 ,$12.61 ,$44.40 ,$24.91 ,$12.61 ,$18.38 ,$8.34 ,$7.96 ,$13.24 ,$39.96 ,$28.96 ,$24.60 ,$12.43 ,$39.96 ,$12.61 ,$39.96 ,$39.96 ,$12.61 ,$28.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101763,82952,HC GLUCOSE TOLERANCE ADDL SPEC-90,301,1 ,$13.52 ,$9.73 ,$3.79 ,$13.52 ,$9.80 ,$10.07 ,$8.86 ,$3.84 ,$3.79 ,$8.31 ,$3.84 ,$8.31 ,$3.84 ,$7.49 ,$7.49 ,$3.84 ,$7.49 ,$7.92 ,$12.17 ,$11.22 ,$9.80 ,$3.84 ,$11.90 ,$3.92 ,$10.14 ,$10.14 ,$11.49 ,$11.49 ,$3.84 ,$11.49 ,$3.84 ,$10.95 ,$10.95 ,$10.95 ,$13.52 ,$12.17 ,$9.80 ,$12.17 ,$3.84 ,$13.52 ,$7.58 ,$3.84 ,$5.60 ,$8.34 ,$7.96 ,$4.04 ,$12.17 ,$8.82 ,$7.49 ,$3.79 ,$12.17 ,$3.84 ,$12.17 ,$12.17 ,$3.84 ,$8.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101767,80347,HC DRUG SCREENING BENZODIAZEPINES 13 OR MORE-90,301,1 ,$48.16 ,$34.68 ,$13.48 ,$48.16 , N/A ,$35.88 ,$31.54 , N/A ,$13.48 ,$29.62 , N/A ,$29.62 , N/A ,$26.68 ,$26.68 , N/A ,$26.68 , N/A ,$43.34 ,$39.97 , N/A , N/A ,$42.38 , N/A ,$36.12 ,$36.12 ,$40.94 ,$40.94 , N/A ,$40.94 , N/A ,$39.01 ,$39.01 ,$39.01 ,$48.16 ,$43.34 , N/A ,$43.34 , N/A ,$48.16 ,$27.02 , N/A ,$19.94 ,$22.46 ,$21.44 , N/A ,$43.34 , N/A ,$26.68 ,$13.48 ,$43.34 , N/A ,$43.34 ,$43.34 , N/A ,$31.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101770,83521,HC IMMUNOGLOBULIN LIGHT CHAINS- 90,301,1 ,$157.78 ,$113.60 ,$7.96 ,$157.78 ,$43.18 ,$117.55 ,$103.35 ,$16.92 ,$44.18 ,$97.03 ,$16.92 ,$97.03 ,$16.92 ,$87.41 ,$87.41 ,$16.92 ,$87.41 ,$34.89 ,$142.00 ,$130.96 ,$43.18 ,$16.92 ,$138.85 ,$17.27 ,$118.34 ,$118.34 ,$134.11 ,$134.11 ,$16.92 ,$134.11 ,$16.92 ,$127.80 ,$127.80 ,$127.80 ,$157.78 ,$142.00 ,$43.18 ,$142.00 ,$16.92 ,$157.78 ,$88.51 ,$16.92 ,$65.32 ,$8.34 ,$7.96 ,$17.77 ,$142.00 ,$38.86 ,$87.41 ,$44.18 ,$142.00 ,$16.92 ,$142.00 ,$142.00 ,$16.92 ,$102.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101771,82653,HC EL-1 FECAL QUANTITATIVE-90,301,1 ,$126.50 ,$91.08 ,$7.96 ,$126.50 ,$57.43 ,$94.24 ,$82.86 ,$22.51 ,$35.42 ,$77.80 ,$22.51 ,$77.80 ,$22.51 ,$70.08 ,$70.08 ,$22.51 ,$70.08 ,$46.40 ,$113.85 ,$105.00 ,$57.43 ,$22.51 ,$111.32 ,$22.96 ,$94.88 ,$94.88 ,$107.53 ,$107.53 ,$22.51 ,$107.53 ,$22.51 ,$102.47 ,$102.47 ,$102.47 ,$126.50 ,$113.85 ,$57.43 ,$113.85 ,$22.51 ,$126.50 ,$70.97 ,$22.51 ,$52.37 ,$8.34 ,$7.96 ,$23.64 ,$113.85 ,$51.68 ,$70.08 ,$35.42 ,$113.85 ,$22.51 ,$113.85 ,$113.85 ,$22.51 ,$82.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101776,80051,HC ELECTROLYTE PANEL- 90,301,1 ,$185.15 ,$133.31 ,$6.87 ,$185.15 ,$17.53 ,$137.94 ,$121.27 ,$6.87 ,$51.84 ,$113.87 ,$6.87 ,$113.87 ,$6.87 ,$102.57 ,$102.57 ,$6.87 ,$102.57 ,$14.16 ,$166.64 ,$153.67 ,$17.53 ,$6.87 ,$162.93 ,$7.01 ,$138.86 ,$138.86 ,$157.38 ,$157.38 ,$6.87 ,$157.38 ,$6.87 ,$149.97 ,$149.97 ,$149.97 ,$185.15 ,$166.64 ,$17.53 ,$166.64 ,$6.87 ,$185.15 ,$103.87 ,$6.87 ,$76.65 ,$7.61 ,$7.27 ,$7.21 ,$166.64 ,$15.77 ,$102.57 ,$51.84 ,$166.64 ,$6.87 ,$166.64 ,$166.64 ,$6.87 ,$120.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101779,80324,HC DRUG SCREEN AMPHETAMINES 1/2-90,301,1 ,$45.88 ,$33.03 ,$12.85 ,$45.88 , N/A ,$34.18 ,$30.05 , N/A ,$12.85 ,$28.22 , N/A ,$28.22 , N/A ,$25.42 ,$25.42 , N/A ,$25.42 , N/A ,$41.29 ,$38.08 , N/A , N/A ,$40.37 , N/A ,$34.41 ,$34.41 ,$39.00 ,$39.00 , N/A ,$39.00 , N/A ,$37.16 ,$37.16 ,$37.16 ,$45.88 ,$41.29 , N/A ,$41.29 , N/A ,$45.88 ,$25.74 , N/A ,$18.99 ,$22.46 ,$21.44 , N/A ,$41.29 , N/A ,$25.42 ,$12.85 ,$41.29 , N/A ,$41.29 ,$41.29 , N/A ,$29.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101780,80361,HC DRUG SCREENING OPIATES 1 OR MORE-90,301,1 ,$45.88 ,$33.03 ,$12.85 ,$45.88 , N/A ,$34.18 ,$30.05 , N/A ,$12.85 ,$28.22 , N/A ,$28.22 , N/A ,$25.42 ,$25.42 , N/A ,$25.42 , N/A ,$41.29 ,$38.08 , N/A , N/A ,$40.37 , N/A ,$34.41 ,$34.41 ,$39.00 ,$39.00 , N/A ,$39.00 , N/A ,$37.16 ,$37.16 ,$37.16 ,$45.88 ,$41.29 , N/A ,$41.29 , N/A ,$45.88 ,$25.74 , N/A ,$18.99 ,$22.46 ,$21.44 , N/A ,$41.29 , N/A ,$25.42 ,$12.85 ,$41.29 , N/A ,$41.29 ,$41.29 , N/A ,$29.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101781,80349,HC DRUG SCREENING CANNABINOIDS NATURAL-90,301,1 ,$45.88 ,$33.03 ,$7.96 ,$45.88 , N/A ,$34.18 ,$30.05 , N/A ,$12.85 ,$28.22 , N/A ,$28.22 , N/A ,$25.42 ,$25.42 , N/A ,$25.42 , N/A ,$41.29 ,$38.08 , N/A , N/A ,$40.37 , N/A ,$34.41 ,$34.41 ,$39.00 ,$39.00 , N/A ,$39.00 , N/A ,$37.16 ,$37.16 ,$37.16 ,$45.88 ,$41.29 , N/A ,$41.29 , N/A ,$45.88 ,$25.74 , N/A ,$18.99 ,$8.34 ,$7.96 , N/A ,$41.29 , N/A ,$25.42 ,$12.85 ,$41.29 , N/A ,$41.29 ,$41.29 , N/A ,$29.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101795,83498,HC ASSAY OF HYDROXYPROGESTERONE 17-D-90,301,1 ,$28.86 ,$20.78 ,$8.08 ,$61.13 ,$28.86 ,$21.50 ,$18.90 ,$26.63 ,$8.08 ,$17.75 ,$26.63 ,$17.75 ,$26.63 ,$15.99 ,$15.99 ,$26.63 ,$15.99 ,$28.86 ,$25.97 ,$23.95 ,$28.86 ,$26.63 ,$25.40 ,$27.16 ,$21.65 ,$21.65 ,$24.53 ,$24.53 ,$26.63 ,$24.53 ,$26.63 ,$23.38 ,$23.38 ,$23.38 ,$28.86 ,$25.97 ,$28.86 ,$25.97 ,$26.63 ,$28.86 ,$16.19 ,$26.63 ,$11.95 ,$19.53 ,$18.64 ,$27.96 ,$25.97 ,$61.13 ,$15.99 ,$8.08 ,$25.97 ,$26.63 ,$25.97 ,$25.97 ,$26.63 ,$18.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101796,82777,HC GALECTIN-3-90,301,1 ,$230.00 ,$165.60 ,$7.96 ,$230.00 ,$110.63 ,$171.35 ,$150.65 ,$43.36 ,$64.40 ,$141.45 ,$43.36 ,$141.45 ,$43.36 ,$127.42 ,$127.42 ,$43.36 ,$127.42 ,$89.39 ,$207.00 ,$190.90 ,$110.63 ,$43.36 ,$202.40 ,$44.24 ,$172.50 ,$172.50 ,$195.50 ,$195.50 ,$43.36 ,$195.50 ,$43.36 ,$186.30 ,$186.30 ,$186.30 ,$230.00 ,$207.00 ,$110.63 ,$207.00 ,$43.36 ,$230.00 ,$129.03 ,$43.36 ,$95.22 ,$8.34 ,$7.96 ,$45.53 ,$207.00 ,$99.56 ,$127.42 ,$64.40 ,$207.00 ,$43.36 ,$207.00 ,$207.00 ,$43.36 ,$149.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101797,80167,HC DRUG ASSAY FELBAMATE-90,301,1 ,$37.60 ,$27.07 ,$9.15 ,$41.94 ,$37.60 ,$28.01 ,$24.63 ,$18.27 ,$10.53 ,$23.12 ,$18.27 ,$23.12 ,$18.27 ,$20.83 ,$20.83 ,$18.27 ,$20.83 ,$37.60 ,$33.84 ,$31.21 ,$37.60 ,$18.27 ,$33.09 ,$18.63 ,$28.20 ,$28.20 ,$31.96 ,$31.96 ,$18.27 ,$31.96 ,$18.27 ,$30.46 ,$30.46 ,$30.46 ,$37.60 ,$33.84 ,$37.60 ,$33.84 ,$18.27 ,$37.60 ,$21.09 ,$18.27 ,$15.57 ,$9.58 ,$9.15 ,$19.18 ,$33.84 ,$41.94 ,$20.83 ,$10.53 ,$33.84 ,$18.27 ,$33.84 ,$33.84 ,$18.27 ,$24.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101806,80348,HC DRUG SCREENING BUPRENORPHINE-90,301,1 ,$257.04 ,$185.07 ,$7.96 ,$257.04 , N/A ,$191.49 ,$168.36 , N/A ,$71.97 ,$158.08 , N/A ,$158.08 , N/A ,$142.40 ,$142.40 , N/A ,$142.40 , N/A ,$231.34 ,$213.34 , N/A , N/A ,$226.20 , N/A ,$192.78 ,$192.78 ,$218.48 ,$218.48 , N/A ,$218.48 , N/A ,$208.20 ,$208.20 ,$208.20 ,$257.04 ,$231.34 , N/A ,$231.34 , N/A ,$257.04 ,$144.20 , N/A ,$106.41 ,$8.34 ,$7.96 , N/A ,$231.34 , N/A ,$142.40 ,$71.97 ,$231.34 , N/A ,$231.34 ,$231.34 , N/A ,$167.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101807,80175,HC DRUG SCREEN QUAN LAMOTRIGINE-90,301,1 ,$16.00 ,$11.52 ,$4.48 ,$29.81 ,$16.00 ,$11.92 ,$10.48 ,$12.98 ,$4.48 ,$9.84 ,$12.98 ,$9.84 ,$12.98 ,$8.86 ,$8.86 ,$12.98 ,$8.86 ,$16.00 ,$14.40 ,$13.28 ,$16.00 ,$12.98 ,$14.08 ,$13.25 ,$12.00 ,$12.00 ,$13.60 ,$13.60 ,$12.98 ,$13.60 ,$12.98 ,$12.96 ,$12.96 ,$12.96 ,$16.00 ,$14.40 ,$16.00 ,$14.40 ,$12.98 ,$16.00 ,$8.98 ,$12.98 ,$6.62 ,$9.58 ,$9.15 ,$13.63 ,$14.40 ,$29.81 ,$8.86 ,$4.48 ,$14.40 ,$12.98 ,$14.40 ,$14.40 ,$12.98 ,$10.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101821,82542,HC BETA-AMYLOID AD-DETECT-90,301,1 ,$252.00 ,$181.44 ,$7.96 ,$252.00 ,$60.23 ,$187.74 ,$165.06 ,$23.61 ,$70.56 ,$154.98 ,$23.61 ,$154.98 ,$23.61 ,$139.61 ,$139.61 ,$23.61 ,$139.61 ,$48.66 ,$226.80 ,$209.16 ,$60.23 ,$23.61 ,$221.76 ,$24.08 ,$189.00 ,$189.00 ,$214.20 ,$214.20 ,$23.61 ,$214.20 ,$23.61 ,$204.12 ,$204.12 ,$204.12 ,$252.00 ,$226.80 ,$60.23 ,$226.80 ,$23.61 ,$252.00 ,$141.37 ,$23.61 ,$104.33 ,$8.34 ,$7.96 ,$24.78 ,$226.80 ,$54.20 ,$139.61 ,$70.56 ,$226.80 ,$23.61 ,$226.80 ,$226.80 ,$23.61 ,$163.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101825,80181,HC FLECAINIDE - 90,301,1 ,$129.50 ,$93.24 ,$9.15 ,$129.50 ,$46.60 ,$96.48 ,$84.82 ,$18.27 ,$36.26 ,$79.64 ,$18.27 ,$79.64 ,$18.27 ,$71.74 ,$71.74 ,$18.27 ,$71.74 ,$37.65 ,$116.55 ,$107.49 ,$46.60 ,$18.27 ,$113.96 ,$18.63 ,$97.13 ,$97.13 ,$110.08 ,$110.08 ,$18.27 ,$110.08 ,$18.27 ,$104.90 ,$104.90 ,$104.90 ,$129.50 ,$116.55 ,$46.60 ,$116.55 ,$18.27 ,$129.50 ,$72.65 ,$18.27 ,$53.61 ,$9.58 ,$9.15 ,$19.18 ,$116.55 ,$41.94 ,$71.74 ,$36.26 ,$116.55 ,$18.27 ,$116.55 ,$116.55 ,$18.27 ,$84.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101851,82575,HC CREATININE CLEARANCE - 90,301,1 ,$217.35 ,$156.49 ,$7.96 ,$217.35 ,$23.65 ,$161.93 ,$142.36 ,$9.27 ,$60.86 ,$133.67 ,$9.27 ,$133.67 ,$9.27 ,$120.41 ,$120.41 ,$9.27 ,$120.41 ,$19.11 ,$195.62 ,$180.40 ,$23.65 ,$9.27 ,$191.27 ,$9.46 ,$163.01 ,$163.01 ,$184.75 ,$184.75 ,$9.27 ,$184.75 ,$9.27 ,$176.05 ,$176.05 ,$176.05 ,$217.35 ,$195.62 ,$23.65 ,$195.62 ,$9.27 ,$217.35 ,$121.93 ,$9.27 ,$89.98 ,$8.34 ,$7.96 ,$9.73 ,$195.62 ,$21.29 ,$120.41 ,$60.86 ,$195.62 ,$9.27 ,$195.62 ,$195.62 ,$9.27 ,$141.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30101852,83718,HC CHOLESTEROL HDL - 90,301,1 ,$156.40 ,$112.61 ,$7.96 ,$156.40 ,$20.48 ,$116.52 ,$102.44 ,$8.03 ,$43.79 ,$96.19 ,$8.03 ,$96.19 ,$8.03 ,$86.65 ,$86.65 ,$8.03 ,$86.65 ,$16.54 ,$140.76 ,$129.81 ,$20.48 ,$8.03 ,$137.63 ,$8.18 ,$117.30 ,$117.30 ,$132.94 ,$132.94 ,$8.03 ,$132.94 ,$8.03 ,$126.68 ,$126.68 ,$126.68 ,$156.40 ,$140.76 ,$20.48 ,$140.76 ,$8.03 ,$156.40 ,$87.74 ,$8.03 ,$64.75 ,$8.34 ,$7.96 ,$8.43 ,$140.76 ,$18.43 ,$86.65 ,$43.79 ,$140.76 ,$8.03 ,$140.76 ,$140.76 ,$8.03 ,$101.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$198.65 ,$143.03 ,$5.08 ,$198.65 ,$12.95 ,$147.99 ,$130.12 ,$5.08 ,$55.62 ,$122.17 ,$5.08 ,$122.17 ,$5.08 ,$110.05 ,$110.05 ,$5.08 ,$110.05 ,$10.46 ,$178.79 ,$164.88 ,$12.95 ,$5.08 ,$174.81 ,$5.17 ,$148.99 ,$148.99 ,$168.85 ,$168.85 ,$5.08 ,$168.85 ,$5.08 ,$160.91 ,$160.91 ,$160.91 ,$198.65 ,$178.79 ,$12.95 ,$178.79 ,$5.08 ,$198.65 ,$111.44 ,$5.08 ,$82.24 ,$7.47 ,$7.13 ,$5.33 ,$178.79 ,$11.66 ,$110.05 ,$55.62 ,$178.79 ,$5.08 ,$178.79 ,$178.79 ,$5.08 ,$129.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200191,86403,HC PARTICLE AGG SCREEN,302,1 ,$182.52 ,$131.41 ,$7.13 ,$182.52 ,$28.85 ,$135.98 ,$119.55 ,$11.31 ,$51.11 ,$112.25 ,$11.31 ,$112.25 ,$11.31 ,$101.12 ,$101.12 ,$11.31 ,$101.12 ,$23.31 ,$164.27 ,$151.49 ,$28.85 ,$11.31 ,$160.62 ,$11.53 ,$136.89 ,$136.89 ,$155.14 ,$155.14 ,$11.31 ,$155.14 ,$11.31 ,$147.84 ,$147.84 ,$147.84 ,$182.52 ,$164.27 ,$28.85 ,$164.27 ,$11.31 ,$182.52 ,$102.39 ,$11.31 ,$75.56 ,$7.47 ,$7.13 ,$11.88 ,$164.27 ,$25.97 ,$101.12 ,$51.11 ,$164.27 ,$11.31 ,$164.27 ,$164.27 ,$11.31 ,$118.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200201,86592,HC SYPHILIS VDRL RPR QL,302,1 ,$118.99 ,$85.67 ,$4.18 ,$118.99 ,$10.68 ,$88.65 ,$77.94 ,$4.18 ,$33.32 ,$73.18 ,$4.18 ,$73.18 ,$4.18 ,$65.92 ,$65.92 ,$4.18 ,$65.92 ,$8.63 ,$107.09 ,$98.76 ,$10.68 ,$4.18 ,$104.71 ,$4.27 ,$89.24 ,$89.24 ,$101.14 ,$101.14 ,$4.18 ,$101.14 ,$4.18 ,$96.38 ,$96.38 ,$96.38 ,$118.99 ,$107.09 ,$10.68 ,$107.09 ,$4.18 ,$118.99 ,$66.75 ,$4.18 ,$49.26 ,$7.47 ,$7.13 ,$4.39 ,$107.09 ,$9.61 ,$65.92 ,$33.32 ,$107.09 ,$4.18 ,$107.09 ,$107.09 ,$4.18 ,$77.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200288,86762,HC RUBELLA AB,302,1 ,$141.17 ,$101.64 ,$7.13 ,$141.17 ,$35.98 ,$105.17 ,$92.47 ,$14.10 ,$39.53 ,$86.82 ,$14.10 ,$86.82 ,$14.10 ,$78.21 ,$78.21 ,$14.10 ,$78.21 ,$29.07 ,$127.05 ,$117.17 ,$35.98 ,$14.10 ,$124.23 ,$14.39 ,$105.88 ,$105.88 ,$119.99 ,$119.99 ,$14.10 ,$119.99 ,$14.10 ,$114.35 ,$114.35 ,$114.35 ,$141.17 ,$127.05 ,$35.98 ,$127.05 ,$14.10 ,$141.17 ,$79.20 ,$14.10 ,$58.44 ,$7.47 ,$7.13 ,$14.81 ,$127.05 ,$32.38 ,$78.21 ,$39.53 ,$127.05 ,$14.10 ,$127.05 ,$127.05 ,$14.10 ,$91.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200506,86060,HC ASO,302,1 ,$230.92 ,$166.26 ,$7.13 ,$230.92 ,$18.25 ,$172.04 ,$151.25 ,$7.15 ,$64.66 ,$142.02 ,$7.15 ,$142.02 ,$7.15 ,$127.93 ,$127.93 ,$7.15 ,$127.93 ,$14.75 ,$207.83 ,$191.66 ,$18.25 ,$7.15 ,$203.21 ,$7.30 ,$173.19 ,$173.19 ,$196.28 ,$196.28 ,$7.15 ,$196.28 ,$7.15 ,$187.05 ,$187.05 ,$187.05 ,$230.92 ,$207.83 ,$18.25 ,$207.83 ,$7.15 ,$230.92 ,$129.55 ,$7.15 ,$95.60 ,$7.47 ,$7.13 ,$7.52 ,$207.83 ,$16.43 ,$127.93 ,$64.66 ,$207.83 ,$7.15 ,$207.83 ,$207.83 ,$7.15 ,$150.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200507,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$151.26 ,$108.91 ,$7.13 ,$151.26 ,$32.38 ,$112.69 ,$99.08 ,$12.69 ,$42.35 ,$93.02 ,$12.69 ,$93.02 ,$12.69 ,$83.80 ,$83.80 ,$12.69 ,$83.80 ,$26.16 ,$136.13 ,$125.55 ,$32.38 ,$12.69 ,$133.11 ,$12.95 ,$113.45 ,$113.45 ,$128.57 ,$128.57 ,$12.69 ,$128.57 ,$12.69 ,$122.52 ,$122.52 ,$122.52 ,$151.26 ,$136.13 ,$32.38 ,$136.13 ,$12.69 ,$151.26 ,$84.86 ,$12.69 ,$62.62 ,$7.47 ,$7.13 ,$13.33 ,$136.13 ,$29.14 ,$83.80 ,$42.35 ,$136.13 ,$12.69 ,$136.13 ,$136.13 ,$12.69 ,$98.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200523,86431,HC RHEUMATOID FACTOR QN,302,1 ,$217.81 ,$156.82 ,$5.56 ,$217.81 ,$14.18 ,$162.27 ,$142.67 ,$5.56 ,$60.99 ,$133.95 ,$5.56 ,$133.95 ,$5.56 ,$120.67 ,$120.67 ,$5.56 ,$120.67 ,$11.45 ,$196.03 ,$180.78 ,$14.18 ,$5.56 ,$191.67 ,$5.66 ,$163.36 ,$163.36 ,$185.14 ,$185.14 ,$5.56 ,$185.14 ,$5.56 ,$176.43 ,$176.43 ,$176.43 ,$217.81 ,$196.03 ,$14.18 ,$196.03 ,$5.56 ,$217.81 ,$122.19 ,$5.56 ,$90.17 ,$7.47 ,$7.13 ,$5.83 ,$196.03 ,$12.76 ,$120.67 ,$60.99 ,$196.03 ,$5.56 ,$196.03 ,$196.03 ,$5.56 ,$141.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200542,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$285.37 ,$205.47 ,$7.13 ,$285.37 ,$34.28 ,$212.60 ,$186.92 ,$13.44 ,$79.90 ,$175.50 ,$13.44 ,$175.50 ,$13.44 ,$158.10 ,$158.10 ,$13.44 ,$158.10 ,$27.69 ,$256.83 ,$236.86 ,$34.28 ,$13.44 ,$251.13 ,$13.70 ,$214.03 ,$214.03 ,$242.56 ,$242.56 ,$13.44 ,$242.56 ,$13.44 ,$231.15 ,$231.15 ,$231.15 ,$285.37 ,$256.83 ,$34.28 ,$256.83 ,$13.44 ,$285.37 ,$160.09 ,$13.44 ,$118.14 ,$7.47 ,$7.13 ,$14.11 ,$256.83 ,$30.85 ,$158.10 ,$79.90 ,$256.83 ,$13.44 ,$256.83 ,$256.83 ,$13.44 ,$185.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200544,86705,HC HEP B CORE IGM,302,1 ,$99.83 ,$71.88 ,$7.13 ,$99.83 ,$29.43 ,$74.37 ,$65.39 ,$11.53 ,$27.95 ,$61.40 ,$11.53 ,$61.40 ,$11.53 ,$55.31 ,$55.31 ,$11.53 ,$55.31 ,$23.78 ,$89.85 ,$82.86 ,$29.43 ,$11.53 ,$87.85 ,$11.77 ,$74.87 ,$74.87 ,$84.86 ,$84.86 ,$11.53 ,$84.86 ,$11.53 ,$80.86 ,$80.86 ,$80.86 ,$99.83 ,$89.85 ,$29.43 ,$89.85 ,$11.53 ,$99.83 ,$56.00 ,$11.53 ,$41.33 ,$7.47 ,$7.13 ,$12.11 ,$89.85 ,$26.48 ,$55.31 ,$27.95 ,$89.85 ,$11.53 ,$89.85 ,$89.85 ,$11.53 ,$64.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200545,86706,HC HEP B SURFACE AB,302,1 ,$250.08 ,$180.06 ,$7.13 ,$250.08 ,$26.85 ,$186.31 ,$163.80 ,$10.53 ,$70.02 ,$153.80 ,$10.53 ,$153.80 ,$10.53 ,$138.54 ,$138.54 ,$10.53 ,$138.54 ,$21.69 ,$225.07 ,$207.57 ,$26.85 ,$10.53 ,$220.07 ,$10.73 ,$187.56 ,$187.56 ,$212.57 ,$212.57 ,$10.53 ,$212.57 ,$10.53 ,$202.56 ,$202.56 ,$202.56 ,$250.08 ,$225.07 ,$26.85 ,$225.07 ,$10.53 ,$250.08 ,$140.29 ,$10.53 ,$103.53 ,$7.47 ,$7.13 ,$11.05 ,$225.07 ,$24.17 ,$138.54 ,$70.02 ,$225.07 ,$10.53 ,$225.07 ,$225.07 ,$10.53 ,$162.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200548,86709,HC HEP A AB IGM,302,1 ,$192.60 ,$138.67 ,$7.13 ,$192.60 ,$28.15 ,$143.49 ,$126.15 ,$11.03 ,$53.93 ,$118.45 ,$11.03 ,$118.45 ,$11.03 ,$106.70 ,$106.70 ,$11.03 ,$106.70 ,$22.75 ,$173.34 ,$159.86 ,$28.15 ,$11.03 ,$169.49 ,$11.26 ,$144.45 ,$144.45 ,$163.71 ,$163.71 ,$11.03 ,$163.71 ,$11.03 ,$156.01 ,$156.01 ,$156.01 ,$192.60 ,$173.34 ,$28.15 ,$173.34 ,$11.03 ,$192.60 ,$108.05 ,$11.03 ,$79.74 ,$7.47 ,$7.13 ,$11.58 ,$173.34 ,$25.34 ,$106.70 ,$53.93 ,$173.34 ,$11.03 ,$173.34 ,$173.34 ,$11.03 ,$125.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200559,86850,HC AB SCREEN,302,1 ,$86.00 ,$61.92 ,$7.13 ,$108.34 ,$86.00 ,$64.07 ,$56.33 ,$47.19 ,$24.08 ,$52.89 ,$47.19 ,$52.89 ,$47.19 ,$47.64 ,$47.64 ,$47.19 ,$47.64 ,$86.00 ,$77.40 ,$71.38 ,$86.00 ,$47.19 ,$75.68 ,$48.13 ,$64.50 ,$64.50 ,$73.10 ,$73.10 ,$47.19 ,$73.10 ,$47.19 ,$69.66 ,$69.66 ,$69.66 ,$86.00 ,$77.40 ,$86.00 ,$77.40 ,$47.19 ,$86.00 ,$48.25 ,$47.19 ,$35.60 ,$7.47 ,$7.13 ,$49.55 ,$77.40 ,$108.34 ,$47.64 ,$24.08 ,$77.40 ,$47.19 ,$77.40 ,$77.40 ,$47.19 ,$55.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200561,86870,HC RBC AB ID PANEL,302,1 ,$283.00 ,$203.76 ,$7.13 ,$700.33 ,$283.00 ,$210.84 ,$185.37 ,$277.34 ,$79.24 ,$174.05 ,$277.34 ,$174.05 ,$277.34 ,$156.78 ,$156.78 ,$277.34 ,$156.78 ,$283.00 ,$254.70 ,$234.89 ,$283.00 ,$277.34 ,$249.04 ,$282.89 ,$212.25 ,$212.25 ,$240.55 ,$240.55 ,$277.34 ,$240.55 ,$277.34 ,$229.23 ,$229.23 ,$229.23 ,$283.00 ,$254.70 ,$283.00 ,$254.70 ,$277.34 ,$283.00 ,$158.76 ,$277.34 ,$117.16 ,$7.47 ,$7.13 ,$277.34 ,$254.70 ,$700.33 ,$156.78 ,$79.24 ,$254.70 ,$277.34 ,$254.70 ,$254.70 ,$277.34 ,$183.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200562,86880,HC COOMBS DIRECT,302,1 ,$80.00 ,$57.60 ,$7.13 ,$124.20 ,$80.00 ,$59.60 ,$52.40 ,$54.10 ,$22.40 ,$49.20 ,$54.10 ,$49.20 ,$54.10 ,$44.32 ,$44.32 ,$54.10 ,$44.32 ,$80.00 ,$72.00 ,$66.40 ,$80.00 ,$54.10 ,$70.40 ,$55.17 ,$60.00 ,$60.00 ,$68.00 ,$68.00 ,$54.10 ,$68.00 ,$54.10 ,$64.80 ,$64.80 ,$64.80 ,$80.00 ,$72.00 ,$80.00 ,$72.00 ,$54.10 ,$80.00 ,$44.88 ,$54.10 ,$33.12 ,$7.47 ,$7.13 ,$56.80 ,$72.00 ,$124.20 ,$44.32 ,$22.40 ,$72.00 ,$54.10 ,$72.00 ,$72.00 ,$54.10 ,$52.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200563,86885,HC INDIRECT COOMBS,302,1 ,$67.00 ,$48.24 ,$7.13 ,$339.78 ,$67.00 ,$49.92 ,$43.89 ,$65.66 ,$18.76 ,$41.21 ,$65.66 ,$41.21 ,$65.66 ,$37.12 ,$37.12 ,$65.66 ,$37.12 ,$67.00 ,$60.30 ,$55.61 ,$67.00 ,$65.66 ,$58.96 ,$66.97 ,$50.25 ,$50.25 ,$56.95 ,$56.95 ,$65.66 ,$56.95 ,$65.66 ,$54.27 ,$54.27 ,$54.27 ,$67.00 ,$60.30 ,$67.00 ,$60.30 ,$65.66 ,$67.00 ,$37.59 ,$65.66 ,$27.74 ,$7.47 ,$7.13 ,$65.66 ,$60.30 ,$339.78 ,$37.12 ,$18.76 ,$60.30 ,$65.66 ,$60.30 ,$60.30 ,$65.66 ,$43.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200565,86900,HC BLOOD TYPING ABO,302,1 ,$44.00 ,$31.68 ,$4.42 ,$250.89 ,$44.00 ,$32.78 ,$28.82 ,$43.12 ,$12.32 ,$27.06 ,$43.12 ,$27.06 ,$43.12 ,$24.38 ,$24.38 ,$43.12 ,$24.38 ,$44.00 ,$39.60 ,$36.52 ,$44.00 ,$43.12 ,$38.72 ,$43.98 ,$33.00 ,$33.00 ,$37.40 ,$37.40 ,$43.12 ,$37.40 ,$43.12 ,$35.64 ,$35.64 ,$35.64 ,$44.00 ,$39.60 ,$44.00 ,$39.60 ,$43.12 ,$44.00 ,$24.68 ,$43.12 ,$18.22 ,$4.63 ,$4.42 ,$43.12 ,$39.60 ,$250.89 ,$24.38 ,$12.32 ,$39.60 ,$43.12 ,$39.60 ,$39.60 ,$43.12 ,$28.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200566,86901,HC BLOOD TYPING RH,302,1 ,$45.00 ,$32.40 ,$4.42 ,$73.38 ,$45.00 ,$33.53 ,$29.48 ,$31.96 ,$12.60 ,$27.68 ,$31.96 ,$27.68 ,$31.96 ,$24.93 ,$24.93 ,$31.96 ,$24.93 ,$45.00 ,$40.50 ,$37.35 ,$45.00 ,$31.96 ,$39.60 ,$32.59 ,$33.75 ,$33.75 ,$38.25 ,$38.25 ,$31.96 ,$38.25 ,$31.96 ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 ,$45.00 ,$40.50 ,$31.96 ,$45.00 ,$25.25 ,$31.96 ,$18.63 ,$4.63 ,$4.42 ,$33.56 ,$40.50 ,$73.38 ,$24.93 ,$12.60 ,$40.50 ,$31.96 ,$40.50 ,$40.50 ,$31.96 ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$111.00 ,$79.92 ,$4.42 ,$700.33 ,$111.00 ,$82.70 ,$72.71 ,$108.78 ,$31.08 ,$68.27 ,$108.78 ,$68.27 ,$108.78 ,$61.49 ,$61.49 ,$108.78 ,$61.49 ,$111.00 ,$99.90 ,$92.13 ,$111.00 ,$108.78 ,$97.68 ,$110.96 ,$83.25 ,$83.25 ,$94.35 ,$94.35 ,$108.78 ,$94.35 ,$108.78 ,$89.91 ,$89.91 ,$89.91 ,$111.00 ,$99.90 ,$111.00 ,$99.90 ,$108.78 ,$111.00 ,$62.27 ,$108.78 ,$45.95 ,$4.63 ,$4.42 ,$108.78 ,$99.90 ,$700.33 ,$61.49 ,$31.08 ,$99.90 ,$108.78 ,$99.90 ,$99.90 ,$108.78 ,$72.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$71.00 ,$51.12 ,$4.42 ,$700.33 ,$71.00 ,$52.90 ,$46.51 ,$69.58 ,$19.88 ,$43.67 ,$69.58 ,$43.67 ,$69.58 ,$39.33 ,$39.33 ,$69.58 ,$39.33 ,$71.00 ,$63.90 ,$58.93 ,$71.00 ,$69.58 ,$62.48 ,$70.97 ,$53.25 ,$53.25 ,$60.35 ,$60.35 ,$69.58 ,$60.35 ,$69.58 ,$57.51 ,$57.51 ,$57.51 ,$71.00 ,$63.90 ,$71.00 ,$63.90 ,$69.58 ,$71.00 ,$39.83 ,$69.58 ,$29.39 ,$4.63 ,$4.42 ,$69.58 ,$63.90 ,$700.33 ,$39.33 ,$19.88 ,$63.90 ,$69.58 ,$63.90 ,$63.90 ,$69.58 ,$46.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$111.00 ,$79.92 ,$4.42 ,$339.78 ,$111.00 ,$82.70 ,$72.71 ,$108.78 ,$31.08 ,$68.27 ,$108.78 ,$68.27 ,$108.78 ,$61.49 ,$61.49 ,$108.78 ,$61.49 ,$111.00 ,$99.90 ,$92.13 ,$111.00 ,$108.78 ,$97.68 ,$110.96 ,$83.25 ,$83.25 ,$94.35 ,$94.35 ,$108.78 ,$94.35 ,$108.78 ,$89.91 ,$89.91 ,$89.91 ,$111.00 ,$99.90 ,$111.00 ,$99.90 ,$108.78 ,$111.00 ,$62.27 ,$108.78 ,$45.95 ,$4.63 ,$4.42 ,$108.78 ,$99.90 ,$339.78 ,$61.49 ,$31.08 ,$99.90 ,$108.78 ,$99.90 ,$99.90 ,$108.78 ,$72.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200570,86921,HC CROSSMATCH INCUBATION,302,1 ,$57.00 ,$41.04 ,$4.42 ,$339.78 ,$57.00 ,$42.47 ,$37.34 ,$55.86 ,$15.96 ,$35.06 ,$55.86 ,$35.06 ,$55.86 ,$31.58 ,$31.58 ,$55.86 ,$31.58 ,$57.00 ,$51.30 ,$47.31 ,$57.00 ,$55.86 ,$50.16 ,$56.98 ,$42.75 ,$42.75 ,$48.45 ,$48.45 ,$55.86 ,$48.45 ,$55.86 ,$46.17 ,$46.17 ,$46.17 ,$57.00 ,$51.30 ,$57.00 ,$51.30 ,$55.86 ,$57.00 ,$31.98 ,$55.86 ,$23.60 ,$4.63 ,$4.42 ,$55.86 ,$51.30 ,$339.78 ,$31.58 ,$15.96 ,$51.30 ,$55.86 ,$51.30 ,$51.30 ,$55.86 ,$37.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200571,86922,HC CROSSMATCH AHG,302,1 ,$103.00 ,$74.16 ,$28.79 ,$339.78 ,$103.00 ,$76.74 ,$67.47 ,$100.94 ,$28.84 ,$63.35 ,$100.94 ,$63.35 ,$100.94 ,$57.06 ,$57.06 ,$100.94 ,$57.06 ,$103.00 ,$92.70 ,$85.49 ,$103.00 ,$100.94 ,$90.64 ,$102.96 ,$77.25 ,$77.25 ,$87.55 ,$87.55 ,$100.94 ,$87.55 ,$100.94 ,$83.43 ,$83.43 ,$83.43 ,$103.00 ,$92.70 ,$103.00 ,$92.70 ,$100.94 ,$103.00 ,$57.78 ,$100.94 ,$42.64 ,$30.16 ,$28.79 ,$100.94 ,$92.70 ,$339.78 ,$57.06 ,$28.84 ,$92.70 ,$100.94 ,$92.70 ,$92.70 ,$100.94 ,$66.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200839,86003,HC ALLERGEN IGE QN EA - 90,302,1 ,$287.79 ,$207.21 ,$5.12 ,$287.79 ,$13.05 ,$214.40 ,$188.50 ,$5.12 ,$80.58 ,$176.99 ,$5.12 ,$176.99 ,$5.12 ,$159.44 ,$159.44 ,$5.12 ,$159.44 ,$10.54 ,$259.01 ,$238.87 ,$13.05 ,$5.12 ,$253.26 ,$5.21 ,$215.84 ,$215.84 ,$244.62 ,$244.62 ,$5.12 ,$244.62 ,$5.12 ,$233.11 ,$233.11 ,$233.11 ,$287.79 ,$259.01 ,$13.05 ,$259.01 ,$5.12 ,$287.79 ,$161.45 ,$5.12 ,$119.15 ,$7.47 ,$7.13 ,$5.37 ,$259.01 ,$11.75 ,$159.44 ,$80.58 ,$259.01 ,$5.12 ,$259.01 ,$259.01 ,$5.12 ,$187.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200843,86000,HC AGGLUTININS FEBRILE EA AG-90,302,1 ,$100.84 ,$72.60 ,$6.84 ,$100.84 ,$17.45 ,$75.13 ,$66.05 ,$6.84 ,$28.24 ,$62.02 ,$6.84 ,$62.02 ,$6.84 ,$55.87 ,$55.87 ,$6.84 ,$55.87 ,$14.10 ,$90.76 ,$83.70 ,$17.45 ,$6.84 ,$88.74 ,$6.98 ,$75.63 ,$75.63 ,$85.71 ,$85.71 ,$6.84 ,$85.71 ,$6.84 ,$81.68 ,$81.68 ,$81.68 ,$100.84 ,$90.76 ,$17.45 ,$90.76 ,$6.84 ,$100.84 ,$56.57 ,$6.84 ,$41.75 ,$7.47 ,$7.13 ,$7.18 ,$90.76 ,$15.71 ,$55.87 ,$28.24 ,$90.76 ,$6.84 ,$90.76 ,$90.76 ,$6.84 ,$65.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200844,86001,HC RAST ALLERGEN IGG QN SQ EA-90,302,1 ,$58.42 ,$42.06 ,$7.13 ,$58.42 ,$19.55 ,$43.52 ,$38.27 ,$7.66 ,$16.36 ,$35.93 ,$7.66 ,$35.93 ,$7.66 ,$32.36 ,$32.36 ,$7.66 ,$32.36 ,$15.80 ,$52.58 ,$48.49 ,$19.55 ,$7.66 ,$51.41 ,$7.82 ,$43.82 ,$43.82 ,$49.66 ,$49.66 ,$7.66 ,$49.66 ,$7.66 ,$47.32 ,$47.32 ,$47.32 ,$58.42 ,$52.58 ,$19.55 ,$52.58 ,$7.66 ,$58.42 ,$32.77 ,$7.66 ,$24.19 ,$7.47 ,$7.13 ,$8.05 ,$52.58 ,$17.60 ,$32.36 ,$16.36 ,$52.58 ,$7.66 ,$52.58 ,$52.58 ,$7.66 ,$37.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$28.23 ,$20.33 ,$5.12 ,$28.23 ,$13.05 ,$21.03 ,$18.49 ,$5.12 ,$7.90 ,$17.36 ,$5.12 ,$17.36 ,$5.12 ,$15.64 ,$15.64 ,$5.12 ,$15.64 ,$10.54 ,$25.41 ,$23.43 ,$13.05 ,$5.12 ,$24.84 ,$5.21 ,$21.17 ,$21.17 ,$24.00 ,$24.00 ,$5.12 ,$24.00 ,$5.12 ,$22.87 ,$22.87 ,$22.87 ,$28.23 ,$25.41 ,$13.05 ,$25.41 ,$5.12 ,$28.23 ,$15.84 ,$5.12 ,$11.69 ,$7.47 ,$7.13 ,$5.37 ,$25.41 ,$11.75 ,$15.64 ,$7.90 ,$25.41 ,$5.12 ,$25.41 ,$25.41 ,$5.12 ,$18.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200847,86021,HC LEUKO AB ID-90,302,1 ,$107.90 ,$77.69 ,$7.13 ,$107.90 ,$37.63 ,$80.39 ,$70.67 ,$14.75 ,$30.21 ,$66.36 ,$14.75 ,$66.36 ,$14.75 ,$59.78 ,$59.78 ,$14.75 ,$59.78 ,$30.40 ,$97.11 ,$89.56 ,$37.63 ,$14.75 ,$94.95 ,$15.04 ,$80.93 ,$80.93 ,$91.72 ,$91.72 ,$14.75 ,$91.72 ,$14.75 ,$87.40 ,$87.40 ,$87.40 ,$107.90 ,$97.11 ,$37.63 ,$97.11 ,$14.75 ,$107.90 ,$60.53 ,$14.75 ,$44.67 ,$7.47 ,$7.13 ,$15.48 ,$97.11 ,$33.86 ,$59.78 ,$30.21 ,$97.11 ,$14.75 ,$97.11 ,$97.11 ,$14.75 ,$70.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200848,86021,HC LEUKO AB ID ANTIBODY TITER-90,302,1 ,$241.34 ,$173.76 ,$7.13 ,$241.34 ,$37.63 ,$179.80 ,$158.08 ,$14.75 ,$67.58 ,$148.42 ,$14.75 ,$148.42 ,$14.75 ,$133.70 ,$133.70 ,$14.75 ,$133.70 ,$30.40 ,$217.21 ,$200.31 ,$37.63 ,$14.75 ,$212.38 ,$15.04 ,$181.01 ,$181.01 ,$205.14 ,$205.14 ,$14.75 ,$205.14 ,$14.75 ,$195.49 ,$195.49 ,$195.49 ,$241.34 ,$217.21 ,$37.63 ,$217.21 ,$14.75 ,$241.34 ,$135.39 ,$14.75 ,$99.91 ,$7.47 ,$7.13 ,$15.48 ,$217.21 ,$33.86 ,$133.70 ,$67.58 ,$217.21 ,$14.75 ,$217.21 ,$217.21 ,$14.75 ,$156.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200851,86022,HC PLATELET AB ID-90,302,1 ,$131.09 ,$94.38 ,$7.13 ,$131.09 ,$45.93 ,$97.66 ,$85.86 ,$18.00 ,$36.71 ,$80.62 ,$18.00 ,$80.62 ,$18.00 ,$72.62 ,$72.62 ,$18.00 ,$72.62 ,$37.11 ,$117.98 ,$108.80 ,$45.93 ,$18.00 ,$115.36 ,$18.37 ,$98.32 ,$98.32 ,$111.43 ,$111.43 ,$18.00 ,$111.43 ,$18.00 ,$106.18 ,$106.18 ,$106.18 ,$131.09 ,$117.98 ,$45.93 ,$117.98 ,$18.00 ,$131.09 ,$73.54 ,$18.00 ,$54.27 ,$7.47 ,$7.13 ,$18.90 ,$117.98 ,$41.33 ,$72.62 ,$36.71 ,$117.98 ,$18.00 ,$117.98 ,$117.98 ,$18.00 ,$85.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200852,86022,HC PLATE AB SEROTONIN RELEASE-90,302,1 ,$131.09 ,$94.38 ,$7.13 ,$131.09 ,$45.93 ,$97.66 ,$85.86 ,$18.00 ,$36.71 ,$80.62 ,$18.00 ,$80.62 ,$18.00 ,$72.62 ,$72.62 ,$18.00 ,$72.62 ,$37.11 ,$117.98 ,$108.80 ,$45.93 ,$18.00 ,$115.36 ,$18.37 ,$98.32 ,$98.32 ,$111.43 ,$111.43 ,$18.00 ,$111.43 ,$18.00 ,$106.18 ,$106.18 ,$106.18 ,$131.09 ,$117.98 ,$45.93 ,$117.98 ,$18.00 ,$131.09 ,$73.54 ,$18.00 ,$54.27 ,$7.47 ,$7.13 ,$18.90 ,$117.98 ,$41.33 ,$72.62 ,$36.71 ,$117.98 ,$18.00 ,$117.98 ,$117.98 ,$18.00 ,$85.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200858,86038,HC ANA SCREEN-90,302,1 ,$7.06 ,$5.08 ,$1.98 ,$15.89 ,$7.06 ,$5.26 ,$4.62 ,$6.92 ,$1.98 ,$4.34 ,$6.92 ,$4.34 ,$6.92 ,$3.91 ,$3.91 ,$6.92 ,$3.91 ,$7.06 ,$6.35 ,$5.86 ,$7.06 ,$6.92 ,$6.21 ,$7.06 ,$5.30 ,$5.30 ,$6.00 ,$6.00 ,$6.92 ,$6.00 ,$6.92 ,$5.72 ,$5.72 ,$5.72 ,$7.06 ,$6.35 ,$7.06 ,$6.35 ,$6.92 ,$7.06 ,$3.96 ,$6.92 ,$2.92 ,$7.06 ,$7.06 ,$6.92 ,$6.35 ,$15.89 ,$3.91 ,$1.98 ,$6.35 ,$6.92 ,$6.35 ,$6.35 ,$6.92 ,$4.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200859,86039,HC ANA TITER-90,302,1 ,$239.99 ,$172.79 ,$7.13 ,$239.99 ,$27.90 ,$178.79 ,$157.19 ,$10.94 ,$67.20 ,$147.59 ,$10.94 ,$147.59 ,$10.94 ,$132.95 ,$132.95 ,$10.94 ,$132.95 ,$22.54 ,$215.99 ,$199.19 ,$27.90 ,$10.94 ,$211.19 ,$11.15 ,$179.99 ,$179.99 ,$203.99 ,$203.99 ,$10.94 ,$203.99 ,$10.94 ,$194.39 ,$194.39 ,$194.39 ,$239.99 ,$215.99 ,$27.90 ,$215.99 ,$10.94 ,$239.99 ,$134.63 ,$10.94 ,$99.36 ,$7.47 ,$7.13 ,$11.49 ,$215.99 ,$25.11 ,$132.95 ,$67.20 ,$215.99 ,$10.94 ,$215.99 ,$215.99 ,$10.94 ,$155.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200861,86140,HC C-REACTIVE PROTEIN-90,302,1 ,$179.49 ,$129.23 ,$5.08 ,$179.49 ,$12.95 ,$133.72 ,$117.57 ,$5.08 ,$50.26 ,$110.39 ,$5.08 ,$110.39 ,$5.08 ,$99.44 ,$99.44 ,$5.08 ,$99.44 ,$10.46 ,$161.54 ,$148.98 ,$12.95 ,$5.08 ,$157.95 ,$5.17 ,$134.62 ,$134.62 ,$152.57 ,$152.57 ,$5.08 ,$152.57 ,$5.08 ,$145.39 ,$145.39 ,$145.39 ,$179.49 ,$161.54 ,$12.95 ,$161.54 ,$5.08 ,$179.49 ,$100.69 ,$5.08 ,$74.31 ,$7.47 ,$7.13 ,$5.33 ,$161.54 ,$11.66 ,$99.44 ,$50.26 ,$161.54 ,$5.08 ,$161.54 ,$161.54 ,$5.08 ,$116.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200862,86140,HC C-REACTIVE PROTEIN,302,1 ,$179.49 ,$129.23 ,$5.08 ,$179.49 ,$12.95 ,$133.72 ,$117.57 ,$5.08 ,$50.26 ,$110.39 ,$5.08 ,$110.39 ,$5.08 ,$99.44 ,$99.44 ,$5.08 ,$99.44 ,$10.46 ,$161.54 ,$148.98 ,$12.95 ,$5.08 ,$157.95 ,$5.17 ,$134.62 ,$134.62 ,$152.57 ,$152.57 ,$5.08 ,$152.57 ,$5.08 ,$145.39 ,$145.39 ,$145.39 ,$179.49 ,$161.54 ,$12.95 ,$161.54 ,$5.08 ,$179.49 ,$100.69 ,$5.08 ,$74.31 ,$7.47 ,$7.13 ,$5.33 ,$161.54 ,$11.66 ,$99.44 ,$50.26 ,$161.54 ,$5.08 ,$161.54 ,$161.54 ,$5.08 ,$116.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200863,86141,HC C-REACTIVE PROTEIN (HS)-90,302,1 ,$151.26 ,$108.91 ,$7.13 ,$151.26 ,$32.38 ,$112.69 ,$99.08 ,$12.69 ,$42.35 ,$93.02 ,$12.69 ,$93.02 ,$12.69 ,$83.80 ,$83.80 ,$12.69 ,$83.80 ,$26.16 ,$136.13 ,$125.55 ,$32.38 ,$12.69 ,$133.11 ,$12.95 ,$113.45 ,$113.45 ,$128.57 ,$128.57 ,$12.69 ,$128.57 ,$12.69 ,$122.52 ,$122.52 ,$122.52 ,$151.26 ,$136.13 ,$32.38 ,$136.13 ,$12.69 ,$151.26 ,$84.86 ,$12.69 ,$62.62 ,$7.47 ,$7.13 ,$13.33 ,$136.13 ,$29.14 ,$83.80 ,$42.35 ,$136.13 ,$12.69 ,$136.13 ,$136.13 ,$12.69 ,$98.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$182.52 ,$131.41 ,$7.96 ,$182.52 ,$63.63 ,$135.98 ,$119.55 ,$24.94 ,$51.11 ,$112.25 ,$24.94 ,$112.25 ,$24.94 ,$101.12 ,$101.12 ,$24.94 ,$101.12 ,$51.41 ,$164.27 ,$151.49 ,$63.63 ,$24.94 ,$160.62 ,$25.44 ,$136.89 ,$136.89 ,$155.14 ,$155.14 ,$24.94 ,$155.14 ,$24.94 ,$147.84 ,$147.84 ,$147.84 ,$182.52 ,$164.27 ,$63.63 ,$164.27 ,$24.94 ,$182.52 ,$102.39 ,$24.94 ,$75.56 ,$8.34 ,$7.96 ,$26.19 ,$164.27 ,$57.26 ,$101.12 ,$51.11 ,$164.27 ,$24.94 ,$164.27 ,$164.27 ,$24.94 ,$118.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$228.90 ,$164.81 ,$12.30 ,$228.90 ,$63.63 ,$170.53 ,$149.93 ,$24.94 ,$64.09 ,$140.77 ,$24.94 ,$140.77 ,$24.94 ,$126.81 ,$126.81 ,$24.94 ,$126.81 ,$51.41 ,$206.01 ,$189.99 ,$63.63 ,$24.94 ,$201.43 ,$25.44 ,$171.68 ,$171.68 ,$194.57 ,$194.57 ,$24.94 ,$194.57 ,$24.94 ,$185.41 ,$185.41 ,$185.41 ,$228.90 ,$206.01 ,$63.63 ,$206.01 ,$24.94 ,$228.90 ,$128.41 ,$24.94 ,$94.76 ,$12.88 ,$12.30 ,$26.19 ,$206.01 ,$57.26 ,$126.81 ,$64.09 ,$206.01 ,$24.94 ,$206.01 ,$206.01 ,$24.94 ,$148.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$69.58 ,$50.10 ,$7.96 ,$69.58 ,$40.18 ,$51.84 ,$45.57 ,$15.75 ,$19.48 ,$42.79 ,$15.75 ,$42.79 ,$15.75 ,$38.55 ,$38.55 ,$15.75 ,$38.55 ,$32.46 ,$62.62 ,$57.75 ,$40.18 ,$15.75 ,$61.23 ,$16.06 ,$52.19 ,$52.19 ,$59.14 ,$59.14 ,$15.75 ,$59.14 ,$15.75 ,$56.36 ,$56.36 ,$56.36 ,$69.58 ,$62.62 ,$40.18 ,$62.62 ,$15.75 ,$69.58 ,$39.03 ,$15.75 ,$28.81 ,$8.34 ,$7.96 ,$16.53 ,$62.62 ,$36.16 ,$38.55 ,$19.48 ,$62.62 ,$15.75 ,$62.62 ,$62.62 ,$15.75 ,$45.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$164.36 ,$118.34 ,$7.13 ,$164.36 ,$20.15 ,$122.45 ,$107.66 ,$7.90 ,$46.02 ,$101.08 ,$7.90 ,$101.08 ,$7.90 ,$91.06 ,$91.06 ,$7.90 ,$91.06 ,$16.28 ,$147.92 ,$136.42 ,$20.15 ,$7.90 ,$144.64 ,$8.06 ,$123.27 ,$123.27 ,$139.71 ,$139.71 ,$7.90 ,$139.71 ,$7.90 ,$133.13 ,$133.13 ,$133.13 ,$164.36 ,$147.92 ,$20.15 ,$147.92 ,$7.90 ,$164.36 ,$92.21 ,$7.90 ,$68.05 ,$7.47 ,$7.13 ,$8.29 ,$147.92 ,$18.14 ,$91.06 ,$46.02 ,$147.92 ,$7.90 ,$147.92 ,$147.92 ,$7.90 ,$106.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$85.71 ,$61.71 ,$7.13 ,$85.71 ,$30.00 ,$63.85 ,$56.14 ,$11.76 ,$24.00 ,$52.71 ,$11.76 ,$52.71 ,$11.76 ,$47.48 ,$47.48 ,$11.76 ,$47.48 ,$24.24 ,$77.14 ,$71.14 ,$30.00 ,$11.76 ,$75.42 ,$12.00 ,$64.28 ,$64.28 ,$72.85 ,$72.85 ,$11.76 ,$72.85 ,$11.76 ,$69.43 ,$69.43 ,$69.43 ,$85.71 ,$77.14 ,$30.00 ,$77.14 ,$11.76 ,$85.71 ,$48.08 ,$11.76 ,$35.48 ,$7.47 ,$7.13 ,$12.35 ,$77.14 ,$27.00 ,$47.48 ,$24.00 ,$77.14 ,$11.76 ,$77.14 ,$77.14 ,$11.76 ,$55.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200870,86161,HC C1 ESTERASE INHIBITOR-90,302,1 ,$149.00 ,$107.28 ,$7.13 ,$149.00 ,$30.00 ,$111.01 ,$97.60 ,$11.76 ,$41.72 ,$91.64 ,$11.76 ,$91.64 ,$11.76 ,$82.55 ,$82.55 ,$11.76 ,$82.55 ,$24.24 ,$134.10 ,$123.67 ,$30.00 ,$11.76 ,$131.12 ,$12.00 ,$111.75 ,$111.75 ,$126.65 ,$126.65 ,$11.76 ,$126.65 ,$11.76 ,$120.69 ,$120.69 ,$120.69 ,$149.00 ,$134.10 ,$30.00 ,$134.10 ,$11.76 ,$149.00 ,$83.59 ,$11.76 ,$61.69 ,$7.47 ,$7.13 ,$12.35 ,$134.10 ,$27.00 ,$82.55 ,$41.72 ,$134.10 ,$11.76 ,$134.10 ,$134.10 ,$11.76 ,$96.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$176.47 ,$127.06 ,$7.13 ,$176.47 ,$50.80 ,$131.47 ,$115.59 ,$19.91 ,$49.41 ,$108.53 ,$19.91 ,$108.53 ,$19.91 ,$97.76 ,$97.76 ,$19.91 ,$97.76 ,$41.05 ,$158.82 ,$146.47 ,$50.80 ,$19.91 ,$155.29 ,$20.32 ,$132.35 ,$132.35 ,$150.00 ,$150.00 ,$19.91 ,$150.00 ,$19.91 ,$142.94 ,$142.94 ,$142.94 ,$176.47 ,$158.82 ,$50.80 ,$158.82 ,$19.91 ,$176.47 ,$99.00 ,$19.91 ,$73.06 ,$7.47 ,$7.13 ,$20.91 ,$158.82 ,$45.72 ,$97.76 ,$49.41 ,$158.82 ,$19.91 ,$158.82 ,$158.82 ,$19.91 ,$114.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200873,86200,HC CCP AB-90,302,1 ,$294.45 ,$212.00 ,$7.13 ,$294.45 ,$32.38 ,$219.37 ,$192.86 ,$12.69 ,$82.45 ,$181.09 ,$12.69 ,$181.09 ,$12.69 ,$163.13 ,$163.13 ,$12.69 ,$163.13 ,$26.16 ,$265.01 ,$244.39 ,$32.38 ,$12.69 ,$259.12 ,$12.95 ,$220.84 ,$220.84 ,$250.28 ,$250.28 ,$12.69 ,$250.28 ,$12.69 ,$238.50 ,$238.50 ,$238.50 ,$294.45 ,$265.01 ,$32.38 ,$265.01 ,$12.69 ,$294.45 ,$165.19 ,$12.69 ,$121.90 ,$7.47 ,$7.13 ,$13.33 ,$265.01 ,$29.14 ,$163.13 ,$82.45 ,$265.01 ,$12.69 ,$265.01 ,$265.01 ,$12.69 ,$191.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$58.49 ,$42.11 ,$7.13 ,$58.49 ,$33.13 ,$43.58 ,$38.31 ,$12.98 ,$16.38 ,$35.97 ,$12.98 ,$35.97 ,$12.98 ,$32.40 ,$32.40 ,$12.98 ,$32.40 ,$26.77 ,$52.64 ,$48.55 ,$33.13 ,$12.98 ,$51.47 ,$13.25 ,$43.87 ,$43.87 ,$49.72 ,$49.72 ,$12.98 ,$49.72 ,$12.98 ,$47.38 ,$47.38 ,$47.38 ,$58.49 ,$52.64 ,$33.13 ,$52.64 ,$12.98 ,$58.49 ,$32.81 ,$12.98 ,$24.21 ,$7.47 ,$7.13 ,$13.63 ,$52.64 ,$29.81 ,$32.40 ,$16.38 ,$52.64 ,$12.98 ,$52.64 ,$52.64 ,$12.98 ,$38.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200875,86225,HC DNA DOUBLE STRAND AB-90,302,1 ,$47.39 ,$34.12 ,$7.13 ,$47.39 ,$34.35 ,$35.31 ,$31.04 ,$13.47 ,$13.27 ,$29.14 ,$13.47 ,$29.14 ,$13.47 ,$26.25 ,$26.25 ,$13.47 ,$26.25 ,$27.75 ,$42.65 ,$39.33 ,$34.35 ,$13.47 ,$41.70 ,$13.73 ,$35.54 ,$35.54 ,$40.28 ,$40.28 ,$13.47 ,$40.28 ,$13.47 ,$38.39 ,$38.39 ,$38.39 ,$47.39 ,$42.65 ,$34.35 ,$42.65 ,$13.47 ,$47.39 ,$26.59 ,$13.47 ,$19.62 ,$7.47 ,$7.13 ,$14.14 ,$42.65 ,$30.92 ,$26.25 ,$13.27 ,$42.65 ,$13.47 ,$42.65 ,$42.65 ,$13.47 ,$30.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200877,86235,HC ENA AB-90,302,1 ,$155.29 ,$111.81 ,$12.30 ,$155.29 ,$44.83 ,$115.69 ,$101.72 ,$17.57 ,$43.48 ,$95.50 ,$17.57 ,$95.50 ,$17.57 ,$86.03 ,$86.03 ,$17.57 ,$86.03 ,$36.22 ,$139.76 ,$128.89 ,$44.83 ,$17.57 ,$136.66 ,$17.92 ,$116.47 ,$116.47 ,$132.00 ,$132.00 ,$17.57 ,$132.00 ,$17.57 ,$125.78 ,$125.78 ,$125.78 ,$155.29 ,$139.76 ,$44.83 ,$139.76 ,$17.57 ,$155.29 ,$87.12 ,$17.57 ,$64.29 ,$12.88 ,$12.30 ,$18.45 ,$139.76 ,$40.34 ,$86.03 ,$43.48 ,$139.76 ,$17.57 ,$139.76 ,$139.76 ,$17.57 ,$100.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200878,86255,HC FLUOR AB SCR-90,302,1 ,$180.38 ,$129.87 ,$11.81 ,$180.38 ,$30.13 ,$134.38 ,$118.15 ,$11.81 ,$50.51 ,$110.93 ,$11.81 ,$110.93 ,$11.81 ,$99.93 ,$99.93 ,$11.81 ,$99.93 ,$24.34 ,$162.34 ,$149.72 ,$30.13 ,$11.81 ,$158.73 ,$12.04 ,$135.29 ,$135.29 ,$153.32 ,$153.32 ,$11.81 ,$153.32 ,$11.81 ,$146.11 ,$146.11 ,$146.11 ,$180.38 ,$162.34 ,$30.13 ,$162.34 ,$11.81 ,$180.38 ,$101.19 ,$11.81 ,$74.68 ,$12.88 ,$12.30 ,$12.40 ,$162.34 ,$27.11 ,$99.93 ,$50.51 ,$162.34 ,$11.81 ,$162.34 ,$162.34 ,$11.81 ,$117.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200879,86256,HC FLUOR AB TITER-90,302,1 ,$159.32 ,$114.71 ,$11.81 ,$159.32 ,$30.13 ,$118.69 ,$104.35 ,$11.81 ,$44.61 ,$97.98 ,$11.81 ,$97.98 ,$11.81 ,$88.26 ,$88.26 ,$11.81 ,$88.26 ,$24.34 ,$143.39 ,$132.24 ,$30.13 ,$11.81 ,$140.20 ,$12.04 ,$119.49 ,$119.49 ,$135.42 ,$135.42 ,$11.81 ,$135.42 ,$11.81 ,$129.05 ,$129.05 ,$129.05 ,$159.32 ,$143.39 ,$30.13 ,$143.39 ,$11.81 ,$159.32 ,$89.38 ,$11.81 ,$65.96 ,$12.88 ,$12.30 ,$12.40 ,$143.39 ,$27.11 ,$88.26 ,$44.61 ,$143.39 ,$11.81 ,$143.39 ,$143.39 ,$11.81 ,$103.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$202.68 ,$145.93 ,$18.90 ,$202.68 ,$52.03 ,$151.00 ,$132.76 ,$20.39 ,$56.75 ,$124.65 ,$20.39 ,$124.65 ,$20.39 ,$112.28 ,$112.28 ,$20.39 ,$112.28 ,$42.04 ,$182.41 ,$168.22 ,$52.03 ,$20.39 ,$178.36 ,$20.81 ,$152.01 ,$152.01 ,$172.28 ,$172.28 ,$20.39 ,$172.28 ,$20.39 ,$164.17 ,$164.17 ,$164.17 ,$202.68 ,$182.41 ,$52.03 ,$182.41 ,$20.39 ,$202.68 ,$113.70 ,$20.39 ,$83.91 ,$19.80 ,$18.90 ,$21.41 ,$182.41 ,$46.82 ,$112.28 ,$56.75 ,$182.41 ,$20.39 ,$182.41 ,$182.41 ,$20.39 ,$131.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200881,86301,HC TUMOR AG CA 19-9  -90,302,1 ,$173.44 ,$124.88 ,$18.90 ,$173.44 ,$52.03 ,$129.21 ,$113.60 ,$20.39 ,$48.56 ,$106.67 ,$20.39 ,$106.67 ,$20.39 ,$96.09 ,$96.09 ,$20.39 ,$96.09 ,$42.04 ,$156.10 ,$143.96 ,$52.03 ,$20.39 ,$152.63 ,$20.81 ,$130.08 ,$130.08 ,$147.42 ,$147.42 ,$20.39 ,$147.42 ,$20.39 ,$140.49 ,$140.49 ,$140.49 ,$173.44 ,$156.10 ,$52.03 ,$156.10 ,$20.39 ,$173.44 ,$97.30 ,$20.39 ,$71.80 ,$19.80 ,$18.90 ,$21.41 ,$156.10 ,$46.82 ,$96.09 ,$48.56 ,$156.10 ,$20.39 ,$156.10 ,$156.10 ,$20.39 ,$112.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200882,86304,HC TUMOR AG CA 125 -90,302,1 ,$213.78 ,$153.92 ,$18.90 ,$213.78 ,$52.03 ,$159.27 ,$140.03 ,$20.39 ,$59.86 ,$131.47 ,$20.39 ,$131.47 ,$20.39 ,$118.43 ,$118.43 ,$20.39 ,$118.43 ,$42.04 ,$192.40 ,$177.44 ,$52.03 ,$20.39 ,$188.13 ,$20.81 ,$160.34 ,$160.34 ,$181.71 ,$181.71 ,$20.39 ,$181.71 ,$20.39 ,$173.16 ,$173.16 ,$173.16 ,$213.78 ,$192.40 ,$52.03 ,$192.40 ,$20.39 ,$213.78 ,$119.93 ,$20.39 ,$88.50 ,$19.80 ,$18.90 ,$21.41 ,$192.40 ,$46.82 ,$118.43 ,$59.86 ,$192.40 ,$20.39 ,$192.40 ,$192.40 ,$20.39 ,$138.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200883,86305,HC HE4 OVARIAN CANCER-90,302,1 ,$172.43 ,$124.15 ,$18.90 ,$172.43 ,$52.03 ,$128.46 ,$112.94 ,$20.39 ,$48.28 ,$106.04 ,$20.39 ,$106.04 ,$20.39 ,$95.53 ,$95.53 ,$20.39 ,$95.53 ,$42.04 ,$155.19 ,$143.12 ,$52.03 ,$20.39 ,$151.74 ,$20.81 ,$129.32 ,$129.32 ,$146.57 ,$146.57 ,$20.39 ,$146.57 ,$20.39 ,$139.67 ,$139.67 ,$139.67 ,$172.43 ,$155.19 ,$52.03 ,$155.19 ,$20.39 ,$172.43 ,$96.73 ,$20.39 ,$71.39 ,$19.80 ,$18.90 ,$21.41 ,$155.19 ,$46.82 ,$95.53 ,$48.28 ,$155.19 ,$20.39 ,$155.19 ,$155.19 ,$20.39 ,$112.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$152.26 ,$109.63 ,$11.24 ,$152.26 ,$28.68 ,$113.43 ,$99.73 ,$11.24 ,$42.63 ,$93.64 ,$11.24 ,$93.64 ,$11.24 ,$84.35 ,$84.35 ,$11.24 ,$84.35 ,$23.17 ,$137.03 ,$126.38 ,$28.68 ,$11.24 ,$133.99 ,$11.47 ,$114.20 ,$114.20 ,$129.42 ,$129.42 ,$11.24 ,$129.42 ,$11.24 ,$123.33 ,$123.33 ,$123.33 ,$152.26 ,$137.03 ,$28.68 ,$137.03 ,$11.24 ,$152.26 ,$85.42 ,$11.24 ,$63.04 ,$12.88 ,$12.30 ,$11.80 ,$137.03 ,$25.81 ,$84.35 ,$42.63 ,$137.03 ,$11.24 ,$137.03 ,$137.03 ,$11.24 ,$98.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200888,86638,HC Q FEVER AB-90,302,1 ,$115.96 ,$83.49 ,$11.88 ,$115.96 ,$30.30 ,$86.39 ,$75.95 ,$11.88 ,$32.47 ,$71.32 ,$11.88 ,$71.32 ,$11.88 ,$64.24 ,$64.24 ,$11.88 ,$64.24 ,$24.48 ,$104.36 ,$96.25 ,$30.30 ,$11.88 ,$102.04 ,$12.11 ,$86.97 ,$86.97 ,$98.57 ,$98.57 ,$11.88 ,$98.57 ,$11.88 ,$93.93 ,$93.93 ,$93.93 ,$115.96 ,$104.36 ,$30.30 ,$104.36 ,$11.88 ,$115.96 ,$65.05 ,$11.88 ,$48.01 ,$12.88 ,$12.30 ,$12.48 ,$104.36 ,$27.27 ,$64.24 ,$32.47 ,$104.36 ,$11.88 ,$104.36 ,$104.36 ,$11.88 ,$75.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200890,86644,HC CMV AB-90,302,1 ,$102.85 ,$74.05 ,$12.30 ,$102.85 ,$35.98 ,$76.62 ,$67.37 ,$14.10 ,$28.80 ,$63.25 ,$14.10 ,$63.25 ,$14.10 ,$56.98 ,$56.98 ,$14.10 ,$56.98 ,$29.07 ,$92.57 ,$85.37 ,$35.98 ,$14.10 ,$90.51 ,$14.39 ,$77.14 ,$77.14 ,$87.42 ,$87.42 ,$14.10 ,$87.42 ,$14.10 ,$83.31 ,$83.31 ,$83.31 ,$102.85 ,$92.57 ,$35.98 ,$92.57 ,$14.10 ,$102.85 ,$57.70 ,$14.10 ,$42.58 ,$12.88 ,$12.30 ,$14.81 ,$92.57 ,$32.38 ,$56.98 ,$28.80 ,$92.57 ,$14.10 ,$92.57 ,$92.57 ,$14.10 ,$66.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200891,86645,HC CMV AB IGM-90,302,1 ,$121.00 ,$87.12 ,$12.30 ,$121.00 ,$42.13 ,$90.15 ,$79.26 ,$16.51 ,$33.88 ,$74.42 ,$16.51 ,$74.42 ,$16.51 ,$67.03 ,$67.03 ,$16.51 ,$67.03 ,$34.04 ,$108.90 ,$100.43 ,$42.13 ,$16.51 ,$106.48 ,$16.85 ,$90.75 ,$90.75 ,$102.85 ,$102.85 ,$16.51 ,$102.85 ,$16.51 ,$98.01 ,$98.01 ,$98.01 ,$121.00 ,$108.90 ,$42.13 ,$108.90 ,$16.51 ,$121.00 ,$67.88 ,$16.51 ,$50.09 ,$12.88 ,$12.30 ,$17.34 ,$108.90 ,$37.91 ,$67.03 ,$33.88 ,$108.90 ,$16.51 ,$108.90 ,$108.90 ,$16.51 ,$78.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200892,86648,HC DIPTHERIA-90,302,1 ,$202.68 ,$145.93 ,$12.30 ,$202.68 ,$38.03 ,$151.00 ,$132.76 ,$14.91 ,$56.75 ,$124.65 ,$14.91 ,$124.65 ,$14.91 ,$112.28 ,$112.28 ,$14.91 ,$112.28 ,$30.72 ,$182.41 ,$168.22 ,$38.03 ,$14.91 ,$178.36 ,$15.20 ,$152.01 ,$152.01 ,$172.28 ,$172.28 ,$14.91 ,$172.28 ,$14.91 ,$164.17 ,$164.17 ,$164.17 ,$202.68 ,$182.41 ,$38.03 ,$182.41 ,$14.91 ,$202.68 ,$113.70 ,$14.91 ,$83.91 ,$12.88 ,$12.30 ,$15.65 ,$182.41 ,$34.22 ,$112.28 ,$56.75 ,$182.41 ,$14.91 ,$182.41 ,$182.41 ,$14.91 ,$131.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$55.46 ,$39.93 ,$12.30 ,$55.46 ,$32.58 ,$41.32 ,$36.33 ,$12.77 ,$15.53 ,$34.11 ,$12.77 ,$34.11 ,$12.77 ,$30.72 ,$30.72 ,$12.77 ,$30.72 ,$26.32 ,$49.91 ,$46.03 ,$32.58 ,$12.77 ,$48.80 ,$13.02 ,$41.60 ,$41.60 ,$47.14 ,$47.14 ,$12.77 ,$47.14 ,$12.77 ,$44.92 ,$44.92 ,$44.92 ,$55.46 ,$49.91 ,$32.58 ,$49.91 ,$12.77 ,$55.46 ,$31.11 ,$12.77 ,$22.96 ,$12.88 ,$12.30 ,$13.41 ,$49.91 ,$29.32 ,$30.72 ,$15.53 ,$49.91 ,$12.77 ,$49.91 ,$49.91 ,$12.77 ,$36.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$155.29 ,$111.81 ,$12.30 ,$155.29 ,$38.23 ,$115.69 ,$101.72 ,$14.98 ,$43.48 ,$95.50 ,$14.98 ,$95.50 ,$14.98 ,$86.03 ,$86.03 ,$14.98 ,$86.03 ,$30.89 ,$139.76 ,$128.89 ,$38.23 ,$14.98 ,$136.66 ,$15.29 ,$116.47 ,$116.47 ,$132.00 ,$132.00 ,$14.98 ,$132.00 ,$14.98 ,$125.78 ,$125.78 ,$125.78 ,$155.29 ,$139.76 ,$38.23 ,$139.76 ,$14.98 ,$155.29 ,$87.12 ,$14.98 ,$64.29 ,$12.88 ,$12.30 ,$15.73 ,$139.76 ,$34.40 ,$86.03 ,$43.48 ,$139.76 ,$14.98 ,$139.76 ,$139.76 ,$14.98 ,$100.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$188.57 ,$135.77 ,$12.30 ,$188.57 ,$45.35 ,$140.48 ,$123.51 ,$17.78 ,$52.80 ,$115.97 ,$17.78 ,$115.97 ,$17.78 ,$104.47 ,$104.47 ,$17.78 ,$104.47 ,$36.64 ,$169.71 ,$156.51 ,$45.35 ,$17.78 ,$165.94 ,$18.13 ,$141.43 ,$141.43 ,$160.28 ,$160.28 ,$17.78 ,$160.28 ,$17.78 ,$152.74 ,$152.74 ,$152.74 ,$188.57 ,$169.71 ,$45.35 ,$169.71 ,$17.78 ,$188.57 ,$105.79 ,$17.78 ,$78.07 ,$12.88 ,$12.30 ,$18.67 ,$169.71 ,$40.82 ,$104.47 ,$52.80 ,$169.71 ,$17.78 ,$169.71 ,$169.71 ,$17.78 ,$122.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200901,86666,HC EHRLICHIA AB-90,302,1 ,$101.85 ,$73.33 ,$9.98 ,$101.85 ,$25.45 ,$75.88 ,$66.71 ,$9.98 ,$28.52 ,$62.64 ,$9.98 ,$62.64 ,$9.98 ,$56.42 ,$56.42 ,$9.98 ,$56.42 ,$20.56 ,$91.67 ,$84.54 ,$25.45 ,$9.98 ,$89.63 ,$10.17 ,$76.39 ,$76.39 ,$86.57 ,$86.57 ,$9.98 ,$86.57 ,$9.98 ,$82.50 ,$82.50 ,$82.50 ,$101.85 ,$91.67 ,$25.45 ,$91.67 ,$9.98 ,$101.85 ,$57.14 ,$9.98 ,$42.17 ,$12.88 ,$12.30 ,$10.48 ,$91.67 ,$22.91 ,$56.42 ,$28.52 ,$91.67 ,$9.98 ,$91.67 ,$91.67 ,$9.98 ,$66.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$37.06 ,$26.68 ,$7.13 ,$37.06 ,$30.63 ,$27.61 ,$24.27 ,$12.00 ,$10.38 ,$22.79 ,$12.00 ,$22.79 ,$12.00 ,$20.53 ,$20.53 ,$12.00 ,$20.53 ,$24.75 ,$33.35 ,$30.76 ,$30.63 ,$12.00 ,$32.61 ,$12.25 ,$27.80 ,$27.80 ,$31.50 ,$31.50 ,$12.00 ,$31.50 ,$12.00 ,$30.02 ,$30.02 ,$30.02 ,$37.06 ,$33.35 ,$30.63 ,$33.35 ,$12.00 ,$37.06 ,$20.79 ,$12.00 ,$15.34 ,$7.47 ,$7.13 ,$12.60 ,$33.35 ,$27.56 ,$20.53 ,$10.38 ,$33.35 ,$12.00 ,$33.35 ,$33.35 ,$12.00 ,$24.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200906,86682,HC HELMINTH ANTIBODY-90,302,1 ,$125.04 ,$90.03 ,$7.13 ,$125.04 ,$32.53 ,$93.15 ,$81.90 ,$12.75 ,$35.01 ,$76.90 ,$12.75 ,$76.90 ,$12.75 ,$69.27 ,$69.27 ,$12.75 ,$69.27 ,$26.28 ,$112.54 ,$103.78 ,$32.53 ,$12.75 ,$110.04 ,$13.00 ,$93.78 ,$93.78 ,$106.28 ,$106.28 ,$12.75 ,$106.28 ,$12.75 ,$101.28 ,$101.28 ,$101.28 ,$125.04 ,$112.54 ,$32.53 ,$112.54 ,$12.75 ,$125.04 ,$70.15 ,$12.75 ,$51.77 ,$7.47 ,$7.13 ,$13.39 ,$112.54 ,$29.27 ,$69.27 ,$35.01 ,$112.54 ,$12.75 ,$112.54 ,$112.54 ,$12.75 ,$81.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200907,86684,HC HAEMOPHILUS INFLUENZA AB-90,302,1 ,$219.83 ,$158.28 ,$7.13 ,$219.83 ,$39.60 ,$163.77 ,$143.99 ,$15.52 ,$61.55 ,$135.20 ,$15.52 ,$135.20 ,$15.52 ,$121.79 ,$121.79 ,$15.52 ,$121.79 ,$32.00 ,$197.85 ,$182.46 ,$39.60 ,$15.52 ,$193.45 ,$15.84 ,$164.87 ,$164.87 ,$186.86 ,$186.86 ,$15.52 ,$186.86 ,$15.52 ,$178.06 ,$178.06 ,$178.06 ,$219.83 ,$197.85 ,$39.60 ,$197.85 ,$15.52 ,$219.83 ,$123.32 ,$15.52 ,$91.01 ,$7.47 ,$7.13 ,$16.30 ,$197.85 ,$35.64 ,$121.79 ,$61.55 ,$197.85 ,$15.52 ,$197.85 ,$197.85 ,$15.52 ,$142.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$108.90 ,$78.41 ,$12.30 ,$108.90 ,$32.98 ,$81.13 ,$71.33 ,$12.93 ,$30.49 ,$66.97 ,$12.93 ,$66.97 ,$12.93 ,$60.33 ,$60.33 ,$12.93 ,$60.33 ,$26.64 ,$98.01 ,$90.39 ,$32.98 ,$12.93 ,$95.83 ,$13.18 ,$81.68 ,$81.68 ,$92.57 ,$92.57 ,$12.93 ,$92.57 ,$12.93 ,$88.21 ,$88.21 ,$88.21 ,$108.90 ,$98.01 ,$32.98 ,$98.01 ,$12.93 ,$108.90 ,$61.09 ,$12.93 ,$45.08 ,$12.88 ,$12.30 ,$13.57 ,$98.01 ,$29.68 ,$60.33 ,$30.49 ,$98.01 ,$12.93 ,$98.01 ,$98.01 ,$12.93 ,$70.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$160.33 ,$115.44 ,$7.13 ,$160.33 ,$48.38 ,$119.45 ,$105.02 ,$18.96 ,$44.89 ,$98.60 ,$18.96 ,$98.60 ,$18.96 ,$88.82 ,$88.82 ,$18.96 ,$88.82 ,$39.09 ,$144.30 ,$133.07 ,$48.38 ,$18.96 ,$141.09 ,$19.35 ,$120.25 ,$120.25 ,$136.28 ,$136.28 ,$18.96 ,$136.28 ,$18.96 ,$129.87 ,$129.87 ,$129.87 ,$160.33 ,$144.30 ,$48.38 ,$144.30 ,$18.96 ,$160.33 ,$89.95 ,$18.96 ,$66.38 ,$7.47 ,$7.13 ,$19.91 ,$144.30 ,$43.54 ,$88.82 ,$44.89 ,$144.30 ,$18.96 ,$144.30 ,$144.30 ,$18.96 ,$104.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$89.75 ,$64.62 ,$12.30 ,$89.75 ,$34.48 ,$66.86 ,$58.79 ,$13.51 ,$25.13 ,$55.20 ,$13.51 ,$55.20 ,$13.51 ,$49.72 ,$49.72 ,$13.51 ,$49.72 ,$27.86 ,$80.78 ,$74.49 ,$34.48 ,$13.51 ,$78.98 ,$13.79 ,$67.31 ,$67.31 ,$76.29 ,$76.29 ,$13.51 ,$76.29 ,$13.51 ,$72.70 ,$72.70 ,$72.70 ,$89.75 ,$80.78 ,$34.48 ,$80.78 ,$13.51 ,$89.75 ,$50.35 ,$13.51 ,$37.16 ,$12.88 ,$12.30 ,$14.19 ,$80.78 ,$31.03 ,$49.72 ,$25.13 ,$80.78 ,$13.51 ,$80.78 ,$80.78 ,$13.51 ,$58.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200915,86701,HC HIV-1 AB-90,302,1 ,$191.59 ,$137.94 ,$7.13 ,$191.59 ,$22.23 ,$142.73 ,$125.49 ,$8.71 ,$53.65 ,$117.83 ,$8.71 ,$117.83 ,$8.71 ,$106.14 ,$106.14 ,$8.71 ,$106.14 ,$17.96 ,$172.43 ,$159.02 ,$22.23 ,$8.71 ,$168.60 ,$8.89 ,$143.69 ,$143.69 ,$162.85 ,$162.85 ,$8.71 ,$162.85 ,$8.71 ,$155.19 ,$155.19 ,$155.19 ,$191.59 ,$172.43 ,$22.23 ,$172.43 ,$8.71 ,$191.59 ,$107.48 ,$8.71 ,$79.32 ,$7.47 ,$7.13 ,$9.14 ,$172.43 ,$20.00 ,$106.14 ,$53.65 ,$172.43 ,$8.71 ,$172.43 ,$172.43 ,$8.71 ,$124.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200918,86702,HC HIV-2 AB-90,302,1 ,$191.59 ,$137.94 ,$7.13 ,$191.59 ,$33.80 ,$142.73 ,$125.49 ,$13.25 ,$53.65 ,$117.83 ,$13.25 ,$117.83 ,$13.25 ,$106.14 ,$106.14 ,$13.25 ,$106.14 ,$27.31 ,$172.43 ,$159.02 ,$33.80 ,$13.25 ,$168.60 ,$13.51 ,$143.69 ,$143.69 ,$162.85 ,$162.85 ,$13.25 ,$162.85 ,$13.25 ,$155.19 ,$155.19 ,$155.19 ,$191.59 ,$172.43 ,$33.80 ,$172.43 ,$13.25 ,$191.59 ,$107.48 ,$13.25 ,$79.32 ,$7.47 ,$7.13 ,$13.92 ,$172.43 ,$30.42 ,$106.14 ,$53.65 ,$172.43 ,$13.25 ,$172.43 ,$172.43 ,$13.25 ,$124.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200919,86704,HC HEP CORE AB-90,302,1 ,$97.81 ,$70.42 ,$7.13 ,$97.81 ,$30.13 ,$72.87 ,$64.07 ,$11.81 ,$27.39 ,$60.15 ,$11.81 ,$60.15 ,$11.81 ,$54.19 ,$54.19 ,$11.81 ,$54.19 ,$24.34 ,$88.03 ,$81.18 ,$30.13 ,$11.81 ,$86.07 ,$12.04 ,$73.36 ,$73.36 ,$83.14 ,$83.14 ,$11.81 ,$83.14 ,$11.81 ,$79.23 ,$79.23 ,$79.23 ,$97.81 ,$88.03 ,$30.13 ,$88.03 ,$11.81 ,$97.81 ,$54.87 ,$11.81 ,$40.49 ,$7.47 ,$7.13 ,$12.40 ,$88.03 ,$27.11 ,$54.19 ,$27.39 ,$88.03 ,$11.81 ,$88.03 ,$88.03 ,$11.81 ,$63.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200921,86706,HC HEP B SURFACE AB-90,302,1 ,$32.49 ,$23.39 ,$7.13 ,$32.49 ,$26.85 ,$24.21 ,$21.28 ,$10.53 ,$9.10 ,$19.98 ,$10.53 ,$19.98 ,$10.53 ,$18.00 ,$18.00 ,$10.53 ,$18.00 ,$21.69 ,$29.24 ,$26.97 ,$26.85 ,$10.53 ,$28.59 ,$10.73 ,$24.37 ,$24.37 ,$27.62 ,$27.62 ,$10.53 ,$27.62 ,$10.53 ,$26.32 ,$26.32 ,$26.32 ,$32.49 ,$29.24 ,$26.85 ,$29.24 ,$10.53 ,$32.49 ,$18.23 ,$10.53 ,$13.45 ,$7.47 ,$7.13 ,$11.05 ,$29.24 ,$24.17 ,$18.00 ,$9.10 ,$29.24 ,$10.53 ,$29.24 ,$29.24 ,$10.53 ,$21.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200923,86707,HC HEP B E AB-90,302,1 ,$82.69 ,$59.54 ,$7.13 ,$82.69 ,$28.93 ,$61.60 ,$54.16 ,$11.34 ,$23.15 ,$50.85 ,$11.34 ,$50.85 ,$11.34 ,$45.81 ,$45.81 ,$11.34 ,$45.81 ,$23.37 ,$74.42 ,$68.63 ,$28.93 ,$11.34 ,$72.77 ,$11.56 ,$62.02 ,$62.02 ,$70.29 ,$70.29 ,$11.34 ,$70.29 ,$11.34 ,$66.98 ,$66.98 ,$66.98 ,$82.69 ,$74.42 ,$28.93 ,$74.42 ,$11.34 ,$82.69 ,$46.39 ,$11.34 ,$34.23 ,$7.47 ,$7.13 ,$11.91 ,$74.42 ,$26.03 ,$45.81 ,$23.15 ,$74.42 ,$11.34 ,$74.42 ,$74.42 ,$11.34 ,$53.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$87.73 ,$63.17 ,$7.13 ,$87.73 ,$30.98 ,$65.36 ,$57.46 ,$12.14 ,$24.56 ,$53.95 ,$12.14 ,$53.95 ,$12.14 ,$48.60 ,$48.60 ,$12.14 ,$48.60 ,$25.03 ,$78.96 ,$72.82 ,$30.98 ,$12.14 ,$77.20 ,$12.39 ,$65.80 ,$65.80 ,$74.57 ,$74.57 ,$12.14 ,$74.57 ,$12.14 ,$71.06 ,$71.06 ,$71.06 ,$87.73 ,$78.96 ,$30.98 ,$78.96 ,$12.14 ,$87.73 ,$49.22 ,$12.14 ,$36.32 ,$7.47 ,$7.13 ,$12.75 ,$78.96 ,$27.88 ,$48.60 ,$24.56 ,$78.96 ,$12.14 ,$78.96 ,$78.96 ,$12.14 ,$57.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200926,86710,HC INFLUENZA AB-90,302,1 ,$97.81 ,$70.42 ,$7.13 ,$97.81 ,$33.88 ,$72.87 ,$64.07 ,$13.28 ,$27.39 ,$60.15 ,$13.28 ,$60.15 ,$13.28 ,$54.19 ,$54.19 ,$13.28 ,$54.19 ,$27.37 ,$88.03 ,$81.18 ,$33.88 ,$13.28 ,$86.07 ,$13.54 ,$73.36 ,$73.36 ,$83.14 ,$83.14 ,$13.28 ,$83.14 ,$13.28 ,$79.23 ,$79.23 ,$79.23 ,$97.81 ,$88.03 ,$33.88 ,$88.03 ,$13.28 ,$97.81 ,$54.87 ,$13.28 ,$40.49 ,$7.47 ,$7.13 ,$13.95 ,$88.03 ,$30.49 ,$54.19 ,$27.39 ,$88.03 ,$13.28 ,$88.03 ,$88.03 ,$13.28 ,$63.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200931,86735,HC MUMPS AB-90,302,1 ,$14.46 ,$10.41 ,$4.05 ,$29.36 ,$14.46 ,$10.77 ,$9.47 ,$12.79 ,$4.05 ,$8.89 ,$12.79 ,$8.89 ,$12.79 ,$8.01 ,$8.01 ,$12.79 ,$8.01 ,$14.46 ,$13.01 ,$12.00 ,$14.46 ,$12.79 ,$12.72 ,$13.04 ,$10.85 ,$10.85 ,$12.29 ,$12.29 ,$12.79 ,$12.29 ,$12.79 ,$11.71 ,$11.71 ,$11.71 ,$14.46 ,$13.01 ,$14.46 ,$13.01 ,$12.79 ,$14.46 ,$8.11 ,$12.79 ,$5.99 ,$7.47 ,$7.13 ,$13.43 ,$13.01 ,$29.36 ,$8.01 ,$4.05 ,$13.01 ,$12.79 ,$13.01 ,$13.01 ,$12.79 ,$9.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$209.74 ,$151.01 ,$12.30 ,$209.74 ,$33.10 ,$156.26 ,$137.38 ,$12.98 ,$58.73 ,$128.99 ,$12.98 ,$128.99 ,$12.98 ,$116.20 ,$116.20 ,$12.98 ,$116.20 ,$26.74 ,$188.77 ,$174.08 ,$33.10 ,$12.98 ,$184.57 ,$13.23 ,$157.31 ,$157.31 ,$178.28 ,$178.28 ,$12.98 ,$178.28 ,$12.98 ,$169.89 ,$169.89 ,$169.89 ,$209.74 ,$188.77 ,$33.10 ,$188.77 ,$12.98 ,$209.74 ,$117.66 ,$12.98 ,$86.83 ,$12.88 ,$12.30 ,$13.62 ,$188.77 ,$29.79 ,$116.20 ,$58.73 ,$188.77 ,$12.98 ,$188.77 ,$188.77 ,$12.98 ,$136.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200933,86738,HC MYCOPLASMA AB IFA-90,302,1 ,$209.74 ,$151.01 ,$12.30 ,$209.74 ,$33.10 ,$156.26 ,$137.38 ,$12.98 ,$58.73 ,$128.99 ,$12.98 ,$128.99 ,$12.98 ,$116.20 ,$116.20 ,$12.98 ,$116.20 ,$26.74 ,$188.77 ,$174.08 ,$33.10 ,$12.98 ,$184.57 ,$13.23 ,$157.31 ,$157.31 ,$178.28 ,$178.28 ,$12.98 ,$178.28 ,$12.98 ,$169.89 ,$169.89 ,$169.89 ,$209.74 ,$188.77 ,$33.10 ,$188.77 ,$12.98 ,$209.74 ,$117.66 ,$12.98 ,$86.83 ,$12.88 ,$12.30 ,$13.62 ,$188.77 ,$29.79 ,$116.20 ,$58.73 ,$188.77 ,$12.98 ,$188.77 ,$188.77 ,$12.98 ,$136.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$186.55 ,$134.32 ,$12.30 ,$186.55 ,$37.58 ,$138.98 ,$122.19 ,$14.73 ,$52.23 ,$114.73 ,$14.73 ,$114.73 ,$14.73 ,$103.35 ,$103.35 ,$14.73 ,$103.35 ,$30.36 ,$167.90 ,$154.84 ,$37.58 ,$14.73 ,$164.16 ,$15.02 ,$139.91 ,$139.91 ,$158.57 ,$158.57 ,$14.73 ,$158.57 ,$14.73 ,$151.11 ,$151.11 ,$151.11 ,$186.55 ,$167.90 ,$37.58 ,$167.90 ,$14.73 ,$186.55 ,$104.65 ,$14.73 ,$77.23 ,$12.88 ,$12.30 ,$15.46 ,$167.90 ,$33.82 ,$103.35 ,$52.23 ,$167.90 ,$14.73 ,$167.90 ,$167.90 ,$14.73 ,$121.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200937,86753,HC PROTOZOA AB-90,302,1 ,$118.99 ,$85.67 ,$7.13 ,$118.99 ,$30.98 ,$88.65 ,$77.94 ,$12.14 ,$33.32 ,$73.18 ,$12.14 ,$73.18 ,$12.14 ,$65.92 ,$65.92 ,$12.14 ,$65.92 ,$25.03 ,$107.09 ,$98.76 ,$30.98 ,$12.14 ,$104.71 ,$12.39 ,$89.24 ,$89.24 ,$101.14 ,$101.14 ,$12.14 ,$101.14 ,$12.14 ,$96.38 ,$96.38 ,$96.38 ,$118.99 ,$107.09 ,$30.98 ,$107.09 ,$12.14 ,$118.99 ,$66.75 ,$12.14 ,$49.26 ,$7.47 ,$7.13 ,$12.75 ,$107.09 ,$27.88 ,$65.92 ,$33.32 ,$107.09 ,$12.14 ,$107.09 ,$107.09 ,$12.14 ,$77.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200939,86757,HC RICKETTSIA AB-90,302,1 ,$79.66 ,$57.36 ,$12.30 ,$79.66 ,$48.38 ,$59.35 ,$52.18 ,$18.96 ,$22.30 ,$48.99 ,$18.96 ,$48.99 ,$18.96 ,$44.13 ,$44.13 ,$18.96 ,$44.13 ,$39.09 ,$71.69 ,$66.12 ,$48.38 ,$18.96 ,$70.10 ,$19.35 ,$59.75 ,$59.75 ,$67.71 ,$67.71 ,$18.96 ,$67.71 ,$18.96 ,$64.52 ,$64.52 ,$64.52 ,$79.66 ,$71.69 ,$48.38 ,$71.69 ,$18.96 ,$79.66 ,$44.69 ,$18.96 ,$32.98 ,$12.88 ,$12.30 ,$19.91 ,$71.69 ,$43.54 ,$44.13 ,$22.30 ,$71.69 ,$18.96 ,$71.69 ,$71.69 ,$18.96 ,$51.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200940,86762,HC RUBELLA AB-90,302,1 ,$118.00 ,$84.96 ,$7.13 ,$118.00 ,$35.98 ,$87.91 ,$77.29 ,$14.10 ,$33.04 ,$72.57 ,$14.10 ,$72.57 ,$14.10 ,$65.37 ,$65.37 ,$14.10 ,$65.37 ,$29.07 ,$106.20 ,$97.94 ,$35.98 ,$14.10 ,$103.84 ,$14.39 ,$88.50 ,$88.50 ,$100.30 ,$100.30 ,$14.10 ,$100.30 ,$14.10 ,$95.58 ,$95.58 ,$95.58 ,$118.00 ,$106.20 ,$35.98 ,$106.20 ,$14.10 ,$118.00 ,$66.20 ,$14.10 ,$48.85 ,$7.47 ,$7.13 ,$14.81 ,$106.20 ,$32.38 ,$65.37 ,$33.04 ,$106.20 ,$14.10 ,$106.20 ,$106.20 ,$14.10 ,$76.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200941,86765,HC RUBEOLA AB-90,302,1 ,$92.77 ,$66.79 ,$7.13 ,$92.77 ,$32.20 ,$69.11 ,$60.76 ,$12.62 ,$25.98 ,$57.05 ,$12.62 ,$57.05 ,$12.62 ,$51.39 ,$51.39 ,$12.62 ,$51.39 ,$26.02 ,$83.49 ,$77.00 ,$32.20 ,$12.62 ,$81.64 ,$12.88 ,$69.58 ,$69.58 ,$78.85 ,$78.85 ,$12.62 ,$78.85 ,$12.62 ,$75.14 ,$75.14 ,$75.14 ,$92.77 ,$83.49 ,$32.20 ,$83.49 ,$12.62 ,$92.77 ,$52.04 ,$12.62 ,$38.41 ,$7.47 ,$7.13 ,$13.25 ,$83.49 ,$28.98 ,$51.39 ,$25.98 ,$83.49 ,$12.62 ,$83.49 ,$83.49 ,$12.62 ,$60.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200943,86774,HC TETANUS AB-90,302,1 ,$105.88 ,$76.23 ,$12.30 ,$105.88 ,$37.00 ,$78.88 ,$69.35 ,$14.50 ,$29.65 ,$65.12 ,$14.50 ,$65.12 ,$14.50 ,$58.66 ,$58.66 ,$14.50 ,$58.66 ,$29.90 ,$95.29 ,$87.88 ,$37.00 ,$14.50 ,$93.17 ,$14.80 ,$79.41 ,$79.41 ,$90.00 ,$90.00 ,$14.50 ,$90.00 ,$14.50 ,$85.76 ,$85.76 ,$85.76 ,$105.88 ,$95.29 ,$37.00 ,$95.29 ,$14.50 ,$105.88 ,$59.40 ,$14.50 ,$43.83 ,$12.88 ,$12.30 ,$15.23 ,$95.29 ,$33.30 ,$58.66 ,$29.65 ,$95.29 ,$14.50 ,$95.29 ,$95.29 ,$14.50 ,$68.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200944,86777,HC TOXOPLASMA AB-90,302,1 ,$102.85 ,$74.05 ,$12.30 ,$102.85 ,$35.98 ,$76.62 ,$67.37 ,$14.10 ,$28.80 ,$63.25 ,$14.10 ,$63.25 ,$14.10 ,$56.98 ,$56.98 ,$14.10 ,$56.98 ,$29.07 ,$92.57 ,$85.37 ,$35.98 ,$14.10 ,$90.51 ,$14.39 ,$77.14 ,$77.14 ,$87.42 ,$87.42 ,$14.10 ,$87.42 ,$14.10 ,$83.31 ,$83.31 ,$83.31 ,$102.85 ,$92.57 ,$35.98 ,$92.57 ,$14.10 ,$102.85 ,$57.70 ,$14.10 ,$42.58 ,$12.88 ,$12.30 ,$14.81 ,$92.57 ,$32.38 ,$56.98 ,$28.80 ,$92.57 ,$14.10 ,$92.57 ,$92.57 ,$14.10 ,$66.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$102.85 ,$74.05 ,$12.30 ,$102.85 ,$36.03 ,$76.62 ,$67.37 ,$14.12 ,$28.80 ,$63.25 ,$14.12 ,$63.25 ,$14.12 ,$56.98 ,$56.98 ,$14.12 ,$56.98 ,$29.11 ,$92.57 ,$85.37 ,$36.03 ,$14.12 ,$90.51 ,$14.41 ,$77.14 ,$77.14 ,$87.42 ,$87.42 ,$14.12 ,$87.42 ,$14.12 ,$83.31 ,$83.31 ,$83.31 ,$102.85 ,$92.57 ,$36.03 ,$92.57 ,$14.12 ,$102.85 ,$57.70 ,$14.12 ,$42.58 ,$12.88 ,$12.30 ,$14.83 ,$92.57 ,$32.42 ,$56.98 ,$28.80 ,$92.57 ,$14.12 ,$92.57 ,$92.57 ,$14.12 ,$66.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$117.98 ,$84.95 ,$12.30 ,$117.98 ,$33.10 ,$87.90 ,$77.28 ,$12.98 ,$33.03 ,$72.56 ,$12.98 ,$72.56 ,$12.98 ,$65.36 ,$65.36 ,$12.98 ,$65.36 ,$26.74 ,$106.18 ,$97.92 ,$33.10 ,$12.98 ,$103.82 ,$13.23 ,$88.49 ,$88.49 ,$100.28 ,$100.28 ,$12.98 ,$100.28 ,$12.98 ,$95.56 ,$95.56 ,$95.56 ,$117.98 ,$106.18 ,$33.10 ,$106.18 ,$12.98 ,$117.98 ,$66.19 ,$12.98 ,$48.84 ,$12.88 ,$12.30 ,$13.62 ,$106.18 ,$29.79 ,$65.36 ,$33.03 ,$106.18 ,$12.98 ,$106.18 ,$106.18 ,$12.98 ,$76.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$92.77 ,$66.79 ,$7.13 ,$92.77 ,$32.20 ,$69.11 ,$60.76 ,$12.62 ,$25.98 ,$57.05 ,$12.62 ,$57.05 ,$12.62 ,$51.39 ,$51.39 ,$12.62 ,$51.39 ,$26.02 ,$83.49 ,$77.00 ,$32.20 ,$12.62 ,$81.64 ,$12.88 ,$69.58 ,$69.58 ,$78.85 ,$78.85 ,$12.62 ,$78.85 ,$12.62 ,$75.14 ,$75.14 ,$75.14 ,$92.77 ,$83.49 ,$32.20 ,$83.49 ,$12.62 ,$92.77 ,$52.04 ,$12.62 ,$38.41 ,$7.47 ,$7.13 ,$13.25 ,$83.49 ,$28.98 ,$51.39 ,$25.98 ,$83.49 ,$12.62 ,$83.49 ,$83.49 ,$12.62 ,$60.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200949,86788,HC WEST NILE VIRUS AB IGM-90,302,1 ,$252.09 ,$181.50 ,$12.30 ,$252.09 ,$42.13 ,$187.81 ,$165.12 ,$16.51 ,$70.59 ,$155.04 ,$16.51 ,$155.04 ,$16.51 ,$139.66 ,$139.66 ,$16.51 ,$139.66 ,$34.04 ,$226.88 ,$209.23 ,$42.13 ,$16.51 ,$221.84 ,$16.85 ,$189.07 ,$189.07 ,$214.28 ,$214.28 ,$16.51 ,$214.28 ,$16.51 ,$204.19 ,$204.19 ,$204.19 ,$252.09 ,$226.88 ,$42.13 ,$226.88 ,$16.51 ,$252.09 ,$141.42 ,$16.51 ,$104.37 ,$12.88 ,$12.30 ,$17.34 ,$226.88 ,$37.91 ,$139.66 ,$70.59 ,$226.88 ,$16.51 ,$226.88 ,$226.88 ,$16.51 ,$163.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200950,86789,HC WEST NILE AB-90,302,1 ,$252.09 ,$181.50 ,$12.30 ,$252.09 ,$35.98 ,$187.81 ,$165.12 ,$14.10 ,$70.59 ,$155.04 ,$14.10 ,$155.04 ,$14.10 ,$139.66 ,$139.66 ,$14.10 ,$139.66 ,$29.07 ,$226.88 ,$209.23 ,$35.98 ,$14.10 ,$221.84 ,$14.39 ,$189.07 ,$189.07 ,$214.28 ,$214.28 ,$14.10 ,$214.28 ,$14.10 ,$204.19 ,$204.19 ,$204.19 ,$252.09 ,$226.88 ,$35.98 ,$226.88 ,$14.10 ,$252.09 ,$141.42 ,$14.10 ,$104.37 ,$12.88 ,$12.30 ,$14.81 ,$226.88 ,$32.38 ,$139.66 ,$70.59 ,$226.88 ,$14.10 ,$226.88 ,$226.88 ,$14.10 ,$163.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200951,86790,HC VIRUS AB NOT SPECIFIED-90,302,1 ,$197.64 ,$142.30 ,$7.13 ,$197.64 ,$32.20 ,$147.24 ,$129.45 ,$12.62 ,$55.34 ,$121.55 ,$12.62 ,$121.55 ,$12.62 ,$109.49 ,$109.49 ,$12.62 ,$109.49 ,$26.02 ,$177.88 ,$164.04 ,$32.20 ,$12.62 ,$173.92 ,$12.88 ,$148.23 ,$148.23 ,$167.99 ,$167.99 ,$12.62 ,$167.99 ,$12.62 ,$160.09 ,$160.09 ,$160.09 ,$197.64 ,$177.88 ,$32.20 ,$177.88 ,$12.62 ,$197.64 ,$110.88 ,$12.62 ,$81.82 ,$7.47 ,$7.13 ,$13.25 ,$177.88 ,$28.98 ,$109.49 ,$55.34 ,$177.88 ,$12.62 ,$177.88 ,$177.88 ,$12.62 ,$128.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$113.95 ,$82.04 ,$15.59 ,$113.95 ,$39.78 ,$84.89 ,$74.64 ,$15.59 ,$31.91 ,$70.08 ,$15.59 ,$70.08 ,$15.59 ,$63.13 ,$63.13 ,$15.59 ,$63.13 ,$32.14 ,$102.56 ,$94.58 ,$39.78 ,$15.59 ,$100.28 ,$15.91 ,$85.46 ,$85.46 ,$96.86 ,$96.86 ,$15.59 ,$96.86 ,$15.59 ,$92.30 ,$92.30 ,$92.30 ,$113.95 ,$102.56 ,$39.78 ,$102.56 ,$15.59 ,$113.95 ,$63.93 ,$15.59 ,$47.18 ,$19.53 ,$18.64 ,$16.38 ,$102.56 ,$35.80 ,$63.13 ,$31.91 ,$102.56 ,$15.59 ,$102.56 ,$102.56 ,$15.59 ,$74.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200954,86803,HC HEP C AB-90,302,1 ,$12.10 ,$8.71 ,$3.39 ,$27.23 ,$12.10 ,$9.01 ,$7.93 ,$11.86 ,$3.39 ,$7.44 ,$11.86 ,$7.44 ,$11.86 ,$6.70 ,$6.70 ,$11.86 ,$6.70 ,$12.10 ,$10.89 ,$10.04 ,$12.10 ,$11.86 ,$10.65 ,$12.09 ,$9.08 ,$9.08 ,$10.29 ,$10.29 ,$11.86 ,$10.29 ,$11.86 ,$9.80 ,$9.80 ,$9.80 ,$12.10 ,$10.89 ,$12.10 ,$10.89 ,$11.86 ,$12.10 ,$6.79 ,$11.86 ,$5.01 ,$12.10 ,$12.10 ,$11.86 ,$10.89 ,$27.23 ,$6.70 ,$3.39 ,$10.89 ,$11.86 ,$10.89 ,$10.89 ,$11.86 ,$7.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200955,86803,HC HEP C AB,302,1 ,$248.06 ,$178.60 ,$12.30 ,$248.06 ,$35.68 ,$184.80 ,$162.48 ,$13.98 ,$69.46 ,$152.56 ,$13.98 ,$152.56 ,$13.98 ,$137.43 ,$137.43 ,$13.98 ,$137.43 ,$28.83 ,$223.25 ,$205.89 ,$35.68 ,$13.98 ,$218.29 ,$14.27 ,$186.05 ,$186.05 ,$210.85 ,$210.85 ,$13.98 ,$210.85 ,$13.98 ,$200.93 ,$200.93 ,$200.93 ,$248.06 ,$223.25 ,$35.68 ,$223.25 ,$13.98 ,$248.06 ,$139.16 ,$13.98 ,$102.70 ,$12.88 ,$12.30 ,$14.68 ,$223.25 ,$32.11 ,$137.43 ,$69.46 ,$223.25 ,$13.98 ,$223.25 ,$223.25 ,$13.98 ,$161.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$362.01 ,$260.65 ,$25.29 ,$362.01 ,$64.53 ,$269.70 ,$237.12 ,$25.29 ,$101.36 ,$222.64 ,$25.29 ,$222.64 ,$25.29 ,$200.55 ,$200.55 ,$25.29 ,$200.55 ,$52.14 ,$325.81 ,$300.47 ,$64.53 ,$25.29 ,$318.57 ,$25.80 ,$271.51 ,$271.51 ,$307.71 ,$307.71 ,$25.29 ,$307.71 ,$25.29 ,$293.23 ,$293.23 ,$293.23 ,$362.01 ,$325.81 ,$64.53 ,$325.81 ,$25.29 ,$362.01 ,$203.09 ,$25.29 ,$149.87 ,$30.16 ,$28.79 ,$26.56 ,$325.81 ,$58.07 ,$200.55 ,$101.36 ,$325.81 ,$25.29 ,$325.81 ,$325.81 ,$25.29 ,$235.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200966,86850,HC AB SCREEN-90,302,1 ,$100.00 ,$72.00 ,$7.13 ,$108.34 ,$100.00 ,$74.50 ,$65.50 ,$47.19 ,$28.00 ,$61.50 ,$47.19 ,$61.50 ,$47.19 ,$55.40 ,$55.40 ,$47.19 ,$55.40 ,$97.27 ,$90.00 ,$83.00 ,$100.00 ,$47.19 ,$88.00 ,$48.13 ,$75.00 ,$75.00 ,$85.00 ,$85.00 ,$47.19 ,$85.00 ,$47.19 ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 ,$100.00 ,$90.00 ,$47.19 ,$100.00 ,$56.10 ,$47.19 ,$41.40 ,$7.47 ,$7.13 ,$49.55 ,$90.00 ,$108.34 ,$55.40 ,$28.00 ,$90.00 ,$47.19 ,$90.00 ,$90.00 ,$47.19 ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200970,86860,HC ELUTION-90,302,1 ,$225.00 ,$162.00 ,$7.13 ,$339.78 ,$225.00 ,$167.63 ,$147.38 ,$147.99 ,$63.00 ,$138.38 ,$147.99 ,$138.38 ,$147.99 ,$124.65 ,$124.65 ,$147.99 ,$124.65 ,$225.00 ,$202.50 ,$186.75 ,$225.00 ,$147.99 ,$198.00 ,$150.95 ,$168.75 ,$168.75 ,$191.25 ,$191.25 ,$147.99 ,$191.25 ,$147.99 ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 ,$225.00 ,$202.50 ,$147.99 ,$225.00 ,$126.23 ,$147.99 ,$93.15 ,$7.47 ,$7.13 ,$155.39 ,$202.50 ,$339.78 ,$124.65 ,$63.00 ,$202.50 ,$147.99 ,$202.50 ,$202.50 ,$147.99 ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200974,86870,HC RBC AB ID PANEL-90,302,1 ,$75.00 ,$54.00 ,$7.13 ,$700.33 ,$75.00 ,$55.88 ,$49.13 ,$73.50 ,$21.00 ,$46.13 ,$73.50 ,$46.13 ,$73.50 ,$41.55 ,$41.55 ,$73.50 ,$41.55 ,$75.00 ,$67.50 ,$62.25 ,$75.00 ,$73.50 ,$66.00 ,$74.97 ,$56.25 ,$56.25 ,$63.75 ,$63.75 ,$73.50 ,$63.75 ,$73.50 ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 ,$75.00 ,$67.50 ,$73.50 ,$75.00 ,$42.08 ,$73.50 ,$31.05 ,$7.47 ,$7.13 ,$73.50 ,$67.50 ,$700.33 ,$41.55 ,$21.00 ,$67.50 ,$73.50 ,$67.50 ,$67.50 ,$73.50 ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200976,86880,HC COOMBS DIRECT-90,302,1 ,$75.00 ,$54.00 ,$7.13 ,$124.20 ,$75.00 ,$55.88 ,$49.13 ,$54.10 ,$21.00 ,$46.13 ,$54.10 ,$46.13 ,$54.10 ,$41.55 ,$41.55 ,$54.10 ,$41.55 ,$75.00 ,$67.50 ,$62.25 ,$75.00 ,$54.10 ,$66.00 ,$55.17 ,$56.25 ,$56.25 ,$63.75 ,$63.75 ,$54.10 ,$63.75 ,$54.10 ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 ,$75.00 ,$67.50 ,$54.10 ,$75.00 ,$42.08 ,$54.10 ,$31.05 ,$7.47 ,$7.13 ,$56.80 ,$67.50 ,$124.20 ,$41.55 ,$21.00 ,$67.50 ,$54.10 ,$67.50 ,$67.50 ,$54.10 ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200981,86900,HC BLOOD TYPING ABO-90,302,1 ,$38.00 ,$27.36 ,$4.42 ,$250.89 ,$38.00 ,$28.31 ,$24.89 ,$37.24 ,$10.64 ,$23.37 ,$37.24 ,$23.37 ,$37.24 ,$21.05 ,$21.05 ,$37.24 ,$21.05 ,$38.00 ,$34.20 ,$31.54 ,$38.00 ,$37.24 ,$33.44 ,$37.98 ,$28.50 ,$28.50 ,$32.30 ,$32.30 ,$37.24 ,$32.30 ,$37.24 ,$30.78 ,$30.78 ,$30.78 ,$38.00 ,$34.20 ,$38.00 ,$34.20 ,$37.24 ,$38.00 ,$21.32 ,$37.24 ,$15.73 ,$4.63 ,$4.42 ,$37.24 ,$34.20 ,$250.89 ,$21.05 ,$10.64 ,$34.20 ,$37.24 ,$34.20 ,$34.20 ,$37.24 ,$24.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200983,86901,HC BLOOD TYPING RH-90,302,1 ,$38.00 ,$27.36 ,$4.42 ,$73.38 ,$38.00 ,$28.31 ,$24.89 ,$31.96 ,$10.64 ,$23.37 ,$31.96 ,$23.37 ,$31.96 ,$21.05 ,$21.05 ,$31.96 ,$21.05 ,$38.00 ,$34.20 ,$31.54 ,$38.00 ,$31.96 ,$33.44 ,$32.59 ,$28.50 ,$28.50 ,$32.30 ,$32.30 ,$31.96 ,$32.30 ,$31.96 ,$30.78 ,$30.78 ,$30.78 ,$38.00 ,$34.20 ,$38.00 ,$34.20 ,$31.96 ,$38.00 ,$21.32 ,$31.96 ,$15.73 ,$4.63 ,$4.42 ,$33.56 ,$34.20 ,$73.38 ,$21.05 ,$10.64 ,$34.20 ,$31.96 ,$34.20 ,$34.20 ,$31.96 ,$24.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30200998,86906,HC RH PHENOTYPE COMPLETE-90,302,1 ,$172.00 ,$123.84 ,$4.42 ,$172.00 ,$81.53 ,$128.14 ,$112.66 ,$31.96 ,$48.16 ,$105.78 ,$31.96 ,$105.78 ,$31.96 ,$95.29 ,$95.29 ,$31.96 ,$95.29 ,$65.88 ,$154.80 ,$142.76 ,$81.53 ,$31.96 ,$151.36 ,$32.59 ,$129.00 ,$129.00 ,$146.20 ,$146.20 ,$31.96 ,$146.20 ,$31.96 ,$139.32 ,$139.32 ,$139.32 ,$172.00 ,$154.80 ,$81.53 ,$154.80 ,$31.96 ,$172.00 ,$96.49 ,$31.96 ,$71.21 ,$4.63 ,$4.42 ,$33.56 ,$154.80 ,$73.38 ,$95.29 ,$48.16 ,$154.80 ,$31.96 ,$154.80 ,$154.80 ,$31.96 ,$111.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201003,86970,HC RBC PRETREAT CHEM-90,302,1 ,$138.00 ,$99.36 ,$28.79 ,$138.00 ,$81.53 ,$102.81 ,$90.39 ,$31.96 ,$38.64 ,$84.87 ,$31.96 ,$84.87 ,$31.96 ,$76.45 ,$76.45 ,$31.96 ,$76.45 ,$65.88 ,$124.20 ,$114.54 ,$81.53 ,$31.96 ,$121.44 ,$32.59 ,$103.50 ,$103.50 ,$117.30 ,$117.30 ,$31.96 ,$117.30 ,$31.96 ,$111.78 ,$111.78 ,$111.78 ,$138.00 ,$124.20 ,$81.53 ,$124.20 ,$31.96 ,$138.00 ,$77.42 ,$31.96 ,$57.13 ,$30.16 ,$28.79 ,$33.56 ,$124.20 ,$73.38 ,$76.45 ,$38.64 ,$124.20 ,$31.96 ,$124.20 ,$124.20 ,$31.96 ,$89.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201005,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$50.00 ,$36.00 ,$14.00 ,$700.33 ,$50.00 ,$37.25 ,$32.75 ,$49.00 ,$14.00 ,$30.75 ,$49.00 ,$30.75 ,$49.00 ,$27.70 ,$27.70 ,$49.00 ,$27.70 ,$50.00 ,$45.00 ,$41.50 ,$50.00 ,$49.00 ,$44.00 ,$49.98 ,$37.50 ,$37.50 ,$42.50 ,$42.50 ,$49.00 ,$42.50 ,$49.00 ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 ,$50.00 ,$45.00 ,$49.00 ,$50.00 ,$28.05 ,$49.00 ,$20.70 ,$30.16 ,$28.79 ,$49.00 ,$45.00 ,$700.33 ,$27.70 ,$14.00 ,$45.00 ,$49.00 ,$45.00 ,$45.00 ,$49.00 ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201007,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$113.00 ,$81.36 ,$28.79 ,$339.78 ,$113.00 ,$84.19 ,$74.02 ,$110.74 ,$31.64 ,$69.50 ,$110.74 ,$69.50 ,$110.74 ,$62.60 ,$62.60 ,$110.74 ,$62.60 ,$113.00 ,$101.70 ,$93.79 ,$113.00 ,$110.74 ,$99.44 ,$112.95 ,$84.75 ,$84.75 ,$96.05 ,$96.05 ,$110.74 ,$96.05 ,$110.74 ,$91.53 ,$91.53 ,$91.53 ,$113.00 ,$101.70 ,$113.00 ,$101.70 ,$110.74 ,$113.00 ,$63.39 ,$110.74 ,$46.78 ,$30.16 ,$28.79 ,$110.74 ,$101.70 ,$339.78 ,$62.60 ,$31.64 ,$101.70 ,$110.74 ,$101.70 ,$101.70 ,$110.74 ,$73.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201020,86978,HC RBC PRETREAT ABSOR-90,302,1 ,$138.00 ,$99.36 ,$4.42 ,$138.00 ,$81.53 ,$102.81 ,$90.39 ,$31.96 ,$38.64 ,$84.87 ,$31.96 ,$84.87 ,$31.96 ,$76.45 ,$76.45 ,$31.96 ,$76.45 ,$65.88 ,$124.20 ,$114.54 ,$81.53 ,$31.96 ,$121.44 ,$32.59 ,$103.50 ,$103.50 ,$117.30 ,$117.30 ,$31.96 ,$117.30 ,$31.96 ,$111.78 ,$111.78 ,$111.78 ,$138.00 ,$124.20 ,$81.53 ,$124.20 ,$31.96 ,$138.00 ,$77.42 ,$31.96 ,$57.13 ,$4.63 ,$4.42 ,$33.56 ,$124.20 ,$73.38 ,$76.45 ,$38.64 ,$124.20 ,$31.96 ,$124.20 ,$124.20 ,$31.96 ,$89.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201022,87801,HC INFECT MLT  ORG AMP-90,302,1 ,$517.50 ,$372.60 ,$5.69 ,$517.50 ,$175.50 ,$385.54 ,$338.96 ,$68.80 ,$144.90 ,$318.26 ,$68.80 ,$318.26 ,$68.80 ,$286.70 ,$286.70 ,$68.80 ,$286.70 ,$141.80 ,$465.75 ,$429.53 ,$175.50 ,$68.80 ,$455.40 ,$70.17 ,$388.13 ,$388.13 ,$439.88 ,$439.88 ,$68.80 ,$439.88 ,$68.80 ,$419.18 ,$419.18 ,$419.18 ,$517.50 ,$465.75 ,$175.50 ,$465.75 ,$68.80 ,$517.50 ,$290.32 ,$68.80 ,$214.25 ,$5.96 ,$5.69 ,$72.24 ,$465.75 ,$157.95 ,$286.70 ,$144.90 ,$465.75 ,$68.80 ,$465.75 ,$465.75 ,$68.80 ,$336.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$149.24 ,$107.45 ,$7.96 ,$149.24 ,$52.03 ,$111.18 ,$97.75 ,$20.39 ,$41.79 ,$91.78 ,$20.39 ,$91.78 ,$20.39 ,$82.68 ,$82.68 ,$20.39 ,$82.68 ,$42.04 ,$134.32 ,$123.87 ,$52.03 ,$20.39 ,$131.33 ,$20.81 ,$111.93 ,$111.93 ,$126.85 ,$126.85 ,$20.39 ,$126.85 ,$20.39 ,$120.88 ,$120.88 ,$120.88 ,$149.24 ,$134.32 ,$52.03 ,$134.32 ,$20.39 ,$149.24 ,$83.72 ,$20.39 ,$61.79 ,$8.34 ,$7.96 ,$21.41 ,$134.32 ,$46.82 ,$82.68 ,$41.79 ,$134.32 ,$20.39 ,$134.32 ,$134.32 ,$20.39 ,$97.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201026,86317,HC INFECTIOUS AB QN-90,302,1 ,$72.00 ,$51.84 ,$12.30 ,$72.00 ,$37.48 ,$53.64 ,$47.16 ,$14.69 ,$20.16 ,$44.28 ,$14.69 ,$44.28 ,$14.69 ,$39.89 ,$39.89 ,$14.69 ,$39.89 ,$30.28 ,$64.80 ,$59.76 ,$37.48 ,$14.69 ,$63.36 ,$14.98 ,$54.00 ,$54.00 ,$61.20 ,$61.20 ,$14.69 ,$61.20 ,$14.69 ,$58.32 ,$58.32 ,$58.32 ,$72.00 ,$64.80 ,$37.48 ,$64.80 ,$14.69 ,$72.00 ,$40.39 ,$14.69 ,$29.81 ,$12.88 ,$12.30 ,$15.43 ,$64.80 ,$33.73 ,$39.89 ,$20.16 ,$64.80 ,$14.69 ,$64.80 ,$64.80 ,$14.69 ,$46.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201028,86329,HC IMMUNODIFFUSION NOS-90,302,1 ,$115.96 ,$83.49 ,$12.30 ,$115.96 ,$35.13 ,$86.39 ,$75.95 ,$13.77 ,$32.47 ,$71.32 ,$13.77 ,$71.32 ,$13.77 ,$64.24 ,$64.24 ,$13.77 ,$64.24 ,$28.38 ,$104.36 ,$96.25 ,$35.13 ,$13.77 ,$102.04 ,$14.04 ,$86.97 ,$86.97 ,$98.57 ,$98.57 ,$13.77 ,$98.57 ,$13.77 ,$93.93 ,$93.93 ,$93.93 ,$115.96 ,$104.36 ,$35.13 ,$104.36 ,$13.77 ,$115.96 ,$65.05 ,$13.77 ,$48.01 ,$12.88 ,$12.30 ,$14.45 ,$104.36 ,$31.61 ,$64.24 ,$32.47 ,$104.36 ,$13.77 ,$104.36 ,$104.36 ,$13.77 ,$75.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201030,86332,HC IMMUNE COMPLEX ASSAY-90,302,1 ,$570.00 ,$410.40 ,$12.30 ,$570.00 ,$60.93 ,$424.65 ,$373.35 ,$23.88 ,$159.60 ,$350.55 ,$23.88 ,$350.55 ,$23.88 ,$315.78 ,$315.78 ,$23.88 ,$315.78 ,$49.23 ,$513.00 ,$473.10 ,$60.93 ,$23.88 ,$501.60 ,$24.36 ,$427.50 ,$427.50 ,$484.50 ,$484.50 ,$23.88 ,$484.50 ,$23.88 ,$461.70 ,$461.70 ,$461.70 ,$570.00 ,$513.00 ,$60.93 ,$513.00 ,$23.88 ,$570.00 ,$319.77 ,$23.88 ,$235.98 ,$12.88 ,$12.30 ,$25.08 ,$513.00 ,$54.83 ,$315.78 ,$159.60 ,$513.00 ,$23.88 ,$513.00 ,$513.00 ,$23.88 ,$370.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$249.07 ,$179.33 ,$12.30 ,$249.07 ,$55.85 ,$185.56 ,$163.14 ,$21.89 ,$69.74 ,$153.18 ,$21.89 ,$153.18 ,$21.89 ,$137.98 ,$137.98 ,$21.89 ,$137.98 ,$45.13 ,$224.16 ,$206.73 ,$55.85 ,$21.89 ,$219.18 ,$22.33 ,$186.80 ,$186.80 ,$211.71 ,$211.71 ,$21.89 ,$211.71 ,$21.89 ,$201.75 ,$201.75 ,$201.75 ,$249.07 ,$224.16 ,$55.85 ,$224.16 ,$21.89 ,$249.07 ,$139.73 ,$21.89 ,$103.12 ,$12.88 ,$12.30 ,$22.99 ,$224.16 ,$50.27 ,$137.98 ,$69.74 ,$224.16 ,$21.89 ,$224.16 ,$224.16 ,$21.89 ,$161.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201032,86335,HC IMMUNOFIX ELECTRO OTH-90,302,1 ,$228.90 ,$164.81 ,$12.30 ,$228.90 ,$73.38 ,$170.53 ,$149.93 ,$28.76 ,$64.09 ,$140.77 ,$28.76 ,$140.77 ,$28.76 ,$126.81 ,$126.81 ,$28.76 ,$126.81 ,$59.29 ,$206.01 ,$189.99 ,$73.38 ,$28.76 ,$201.43 ,$29.34 ,$171.68 ,$171.68 ,$194.57 ,$194.57 ,$28.76 ,$194.57 ,$28.76 ,$185.41 ,$185.41 ,$185.41 ,$228.90 ,$206.01 ,$73.38 ,$206.01 ,$28.76 ,$228.90 ,$128.41 ,$28.76 ,$94.76 ,$12.88 ,$12.30 ,$30.20 ,$206.01 ,$66.04 ,$126.81 ,$64.09 ,$206.01 ,$28.76 ,$206.01 ,$206.01 ,$28.76 ,$148.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201033,86336,HC INHIBIN A-90,302,1 ,$134.11 ,$96.56 ,$7.96 ,$134.11 ,$38.98 ,$99.91 ,$87.84 ,$15.28 ,$37.55 ,$82.48 ,$15.28 ,$82.48 ,$15.28 ,$74.30 ,$74.30 ,$15.28 ,$74.30 ,$31.49 ,$120.70 ,$111.31 ,$38.98 ,$15.28 ,$118.02 ,$15.58 ,$100.58 ,$100.58 ,$113.99 ,$113.99 ,$15.28 ,$113.99 ,$15.28 ,$108.63 ,$108.63 ,$108.63 ,$134.11 ,$120.70 ,$38.98 ,$120.70 ,$15.28 ,$134.11 ,$75.24 ,$15.28 ,$55.52 ,$8.34 ,$7.96 ,$16.04 ,$120.70 ,$35.08 ,$74.30 ,$37.55 ,$120.70 ,$15.28 ,$120.70 ,$120.70 ,$15.28 ,$87.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201034,86337,HC INSULIN AB-90,302,1 ,$239.99 ,$172.79 ,$18.64 ,$239.99 ,$53.53 ,$178.79 ,$157.19 ,$20.98 ,$67.20 ,$147.59 ,$20.98 ,$147.59 ,$20.98 ,$132.95 ,$132.95 ,$20.98 ,$132.95 ,$43.25 ,$215.99 ,$199.19 ,$53.53 ,$20.98 ,$211.19 ,$21.40 ,$179.99 ,$179.99 ,$203.99 ,$203.99 ,$20.98 ,$203.99 ,$20.98 ,$194.39 ,$194.39 ,$194.39 ,$239.99 ,$215.99 ,$53.53 ,$215.99 ,$20.98 ,$239.99 ,$134.63 ,$20.98 ,$99.36 ,$19.53 ,$18.64 ,$22.03 ,$215.99 ,$48.17 ,$132.95 ,$67.20 ,$215.99 ,$20.98 ,$215.99 ,$215.99 ,$20.98 ,$155.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$107.90 ,$77.69 ,$14.78 ,$107.90 ,$37.70 ,$80.39 ,$70.67 ,$14.78 ,$30.21 ,$66.36 ,$14.78 ,$66.36 ,$14.78 ,$59.78 ,$59.78 ,$14.78 ,$59.78 ,$30.46 ,$97.11 ,$89.56 ,$37.70 ,$14.78 ,$94.95 ,$15.07 ,$80.93 ,$80.93 ,$91.72 ,$91.72 ,$14.78 ,$91.72 ,$14.78 ,$87.40 ,$87.40 ,$87.40 ,$107.90 ,$97.11 ,$37.70 ,$97.11 ,$14.78 ,$107.90 ,$60.53 ,$14.78 ,$44.67 ,$19.53 ,$18.64 ,$15.51 ,$97.11 ,$33.93 ,$59.78 ,$30.21 ,$97.11 ,$14.78 ,$97.11 ,$97.11 ,$14.78 ,$70.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201036,86341,HC ISLET CELL AB-90,302,1 ,$141.17 ,$101.64 ,$12.30 ,$141.17 ,$58.93 ,$105.17 ,$92.47 ,$23.10 ,$39.53 ,$86.82 ,$23.10 ,$86.82 ,$23.10 ,$78.21 ,$78.21 ,$23.10 ,$78.21 ,$47.61 ,$127.05 ,$117.17 ,$58.93 ,$23.10 ,$124.23 ,$23.56 ,$105.88 ,$105.88 ,$119.99 ,$119.99 ,$23.10 ,$119.99 ,$23.10 ,$114.35 ,$114.35 ,$114.35 ,$141.17 ,$127.05 ,$58.93 ,$127.05 ,$23.10 ,$141.17 ,$79.20 ,$23.10 ,$58.44 ,$12.88 ,$12.30 ,$24.25 ,$127.05 ,$53.03 ,$78.21 ,$39.53 ,$127.05 ,$23.10 ,$127.05 ,$127.05 ,$23.10 ,$91.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201037,86343,HC LEUKOCYTE HISTAMINE RELEASE-90,302,1 ,$201.67 ,$145.20 ,$12.21 ,$201.67 ,$31.15 ,$150.24 ,$132.09 ,$12.21 ,$56.47 ,$124.03 ,$12.21 ,$124.03 ,$12.21 ,$111.73 ,$111.73 ,$12.21 ,$111.73 ,$25.17 ,$181.50 ,$167.39 ,$31.15 ,$12.21 ,$177.47 ,$12.46 ,$151.25 ,$151.25 ,$171.42 ,$171.42 ,$12.21 ,$171.42 ,$12.21 ,$163.35 ,$163.35 ,$163.35 ,$201.67 ,$181.50 ,$31.15 ,$181.50 ,$12.21 ,$201.67 ,$113.14 ,$12.21 ,$83.49 ,$12.88 ,$12.30 ,$12.82 ,$181.50 ,$28.04 ,$111.73 ,$56.47 ,$181.50 ,$12.21 ,$181.50 ,$181.50 ,$12.21 ,$131.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201039,86353,HC LYMPHOCYTE TRANFORM MITOGENS-90,302,1 ,$460.28 ,$331.40 ,$12.30 ,$460.28 ,$122.58 ,$342.91 ,$301.48 ,$48.05 ,$128.88 ,$283.07 ,$48.05 ,$283.07 ,$48.05 ,$255.00 ,$255.00 ,$48.05 ,$255.00 ,$99.04 ,$414.25 ,$382.03 ,$122.58 ,$48.05 ,$405.05 ,$49.01 ,$345.21 ,$345.21 ,$391.24 ,$391.24 ,$48.05 ,$391.24 ,$48.05 ,$372.83 ,$372.83 ,$372.83 ,$460.28 ,$414.25 ,$122.58 ,$414.25 ,$48.05 ,$460.28 ,$258.22 ,$48.05 ,$190.56 ,$12.88 ,$12.30 ,$50.45 ,$414.25 ,$110.32 ,$255.00 ,$128.88 ,$414.25 ,$48.05 ,$414.25 ,$414.25 ,$48.05 ,$299.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$168.40 ,$121.25 ,$12.30 ,$168.40 ,$94.33 ,$125.46 ,$110.30 ,$36.98 ,$47.15 ,$103.57 ,$36.98 ,$103.57 ,$36.98 ,$93.29 ,$93.29 ,$36.98 ,$93.29 ,$76.21 ,$151.56 ,$139.77 ,$94.33 ,$36.98 ,$148.19 ,$37.71 ,$126.30 ,$126.30 ,$143.14 ,$143.14 ,$36.98 ,$143.14 ,$36.98 ,$136.40 ,$136.40 ,$136.40 ,$168.40 ,$151.56 ,$94.33 ,$151.56 ,$36.98 ,$168.40 ,$94.47 ,$36.98 ,$69.72 ,$12.88 ,$12.30 ,$38.83 ,$151.56 ,$84.89 ,$93.29 ,$47.15 ,$151.56 ,$36.98 ,$151.56 ,$151.56 ,$36.98 ,$109.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201041,86356,HC MOL ANTIGEN QN EA-90,302,1 ,$312.60 ,$225.07 ,$12.30 ,$312.60 ,$66.95 ,$232.89 ,$204.75 ,$26.24 ,$87.53 ,$192.25 ,$26.24 ,$192.25 ,$26.24 ,$173.18 ,$173.18 ,$26.24 ,$173.18 ,$54.10 ,$281.34 ,$259.46 ,$66.95 ,$26.24 ,$275.09 ,$26.77 ,$234.45 ,$234.45 ,$265.71 ,$265.71 ,$26.24 ,$265.71 ,$26.24 ,$253.21 ,$253.21 ,$253.21 ,$312.60 ,$281.34 ,$66.95 ,$281.34 ,$26.24 ,$312.60 ,$175.37 ,$26.24 ,$129.42 ,$12.88 ,$12.30 ,$27.56 ,$281.34 ,$60.26 ,$173.18 ,$87.53 ,$281.34 ,$26.24 ,$281.34 ,$281.34 ,$26.24 ,$203.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201042,86357,HC CD8 TOTAL COUNT-90,302,1 ,$195.50 ,$140.76 ,$12.30 ,$195.50 ,$94.33 ,$145.65 ,$128.05 ,$36.98 ,$54.74 ,$120.23 ,$36.98 ,$120.23 ,$36.98 ,$108.31 ,$108.31 ,$36.98 ,$108.31 ,$76.21 ,$175.95 ,$162.27 ,$94.33 ,$36.98 ,$172.04 ,$37.71 ,$146.63 ,$146.63 ,$166.18 ,$166.18 ,$36.98 ,$166.18 ,$36.98 ,$158.36 ,$158.36 ,$158.36 ,$195.50 ,$175.95 ,$94.33 ,$175.95 ,$36.98 ,$195.50 ,$109.68 ,$36.98 ,$80.94 ,$12.88 ,$12.30 ,$38.83 ,$175.95 ,$84.89 ,$108.31 ,$54.74 ,$175.95 ,$36.98 ,$175.95 ,$175.95 ,$36.98 ,$127.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$168.40 ,$121.25 ,$12.30 ,$168.40 ,$94.33 ,$125.46 ,$110.30 ,$36.98 ,$47.15 ,$103.57 ,$36.98 ,$103.57 ,$36.98 ,$93.29 ,$93.29 ,$36.98 ,$93.29 ,$76.21 ,$151.56 ,$139.77 ,$94.33 ,$36.98 ,$148.19 ,$37.71 ,$126.30 ,$126.30 ,$143.14 ,$143.14 ,$36.98 ,$143.14 ,$36.98 ,$136.40 ,$136.40 ,$136.40 ,$168.40 ,$151.56 ,$94.33 ,$151.56 ,$36.98 ,$168.40 ,$94.47 ,$36.98 ,$69.72 ,$12.88 ,$12.30 ,$38.83 ,$151.56 ,$84.89 ,$93.29 ,$47.15 ,$151.56 ,$36.98 ,$151.56 ,$151.56 ,$36.98 ,$109.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$231.93 ,$166.99 ,$12.30 ,$231.93 ,$117.45 ,$172.79 ,$151.91 ,$46.04 ,$64.94 ,$142.64 ,$46.04 ,$142.64 ,$46.04 ,$128.49 ,$128.49 ,$46.04 ,$128.49 ,$94.90 ,$208.74 ,$192.50 ,$117.45 ,$46.04 ,$204.10 ,$46.96 ,$173.95 ,$173.95 ,$197.14 ,$197.14 ,$46.04 ,$197.14 ,$46.04 ,$187.86 ,$187.86 ,$187.86 ,$231.93 ,$208.74 ,$117.45 ,$208.74 ,$46.04 ,$231.93 ,$130.11 ,$46.04 ,$96.02 ,$12.88 ,$12.30 ,$48.34 ,$208.74 ,$105.71 ,$128.49 ,$64.94 ,$208.74 ,$46.04 ,$208.74 ,$208.74 ,$46.04 ,$150.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201046,86361,HC T CELLS CD4 COUNT-90,302,1 ,$36.30 ,$26.14 ,$10.16 ,$60.26 ,$36.30 ,$27.04 ,$23.78 ,$26.24 ,$10.16 ,$22.32 ,$26.24 ,$22.32 ,$26.24 ,$20.11 ,$20.11 ,$26.24 ,$20.11 ,$36.30 ,$32.67 ,$30.13 ,$36.30 ,$26.24 ,$31.94 ,$26.77 ,$27.23 ,$27.23 ,$30.86 ,$30.86 ,$26.24 ,$30.86 ,$26.24 ,$29.40 ,$29.40 ,$29.40 ,$36.30 ,$32.67 ,$36.30 ,$32.67 ,$26.24 ,$36.30 ,$20.36 ,$26.24 ,$15.03 ,$12.88 ,$12.30 ,$27.56 ,$32.67 ,$60.26 ,$20.11 ,$10.16 ,$32.67 ,$26.24 ,$32.67 ,$32.67 ,$26.24 ,$23.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201047,86376,HC MICROSOMAL AB-90,302,1 ,$104.87 ,$75.51 ,$14.26 ,$104.87 ,$36.38 ,$78.13 ,$68.69 ,$14.26 ,$29.36 ,$64.50 ,$14.26 ,$64.50 ,$14.26 ,$58.10 ,$58.10 ,$14.26 ,$58.10 ,$29.39 ,$94.38 ,$87.04 ,$36.38 ,$14.26 ,$92.29 ,$14.54 ,$78.65 ,$78.65 ,$89.14 ,$89.14 ,$14.26 ,$89.14 ,$14.26 ,$84.94 ,$84.94 ,$84.94 ,$104.87 ,$94.38 ,$36.38 ,$94.38 ,$14.26 ,$104.87 ,$58.83 ,$14.26 ,$43.42 ,$19.53 ,$18.64 ,$14.97 ,$94.38 ,$32.74 ,$58.10 ,$29.36 ,$94.38 ,$14.26 ,$94.38 ,$94.38 ,$14.26 ,$68.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201048,86382,HC NEUTRALIZATION TEST VIRAL-90,302,1 ,$177.50 ,$127.80 ,$12.30 ,$177.50 ,$42.28 ,$132.24 ,$116.26 ,$16.57 ,$49.70 ,$109.16 ,$16.57 ,$109.16 ,$16.57 ,$98.34 ,$98.34 ,$16.57 ,$98.34 ,$34.16 ,$159.75 ,$147.33 ,$42.28 ,$16.57 ,$156.20 ,$16.90 ,$133.13 ,$133.13 ,$150.88 ,$150.88 ,$16.57 ,$150.88 ,$16.57 ,$143.78 ,$143.78 ,$143.78 ,$177.50 ,$159.75 ,$42.28 ,$159.75 ,$16.57 ,$177.50 ,$99.58 ,$16.57 ,$73.49 ,$12.88 ,$12.30 ,$17.40 ,$159.75 ,$38.05 ,$98.34 ,$49.70 ,$159.75 ,$16.57 ,$159.75 ,$159.75 ,$16.57 ,$115.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201049,86403,HC PARTICLE AGG SCREEN-90,302,1 ,$25.21 ,$18.15 ,$7.06 ,$25.97 ,$25.21 ,$18.78 ,$16.51 ,$11.31 ,$7.06 ,$15.50 ,$11.31 ,$15.50 ,$11.31 ,$13.97 ,$13.97 ,$11.31 ,$13.97 ,$23.31 ,$22.69 ,$20.92 ,$25.21 ,$11.31 ,$22.18 ,$11.53 ,$18.91 ,$18.91 ,$21.43 ,$21.43 ,$11.31 ,$21.43 ,$11.31 ,$20.42 ,$20.42 ,$20.42 ,$25.21 ,$22.69 ,$25.21 ,$22.69 ,$11.31 ,$25.21 ,$14.14 ,$11.31 ,$10.44 ,$7.47 ,$7.13 ,$11.88 ,$22.69 ,$25.97 ,$13.97 ,$7.06 ,$22.69 ,$11.31 ,$22.69 ,$22.69 ,$11.31 ,$16.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201051,86406,HC PARTICLE AGGLUT TITER-90,302,1 ,$69.07 ,$49.73 ,$7.13 ,$69.07 ,$26.60 ,$51.46 ,$45.24 ,$10.43 ,$19.34 ,$42.48 ,$10.43 ,$42.48 ,$10.43 ,$38.26 ,$38.26 ,$10.43 ,$38.26 ,$21.49 ,$62.16 ,$57.33 ,$26.60 ,$10.43 ,$60.78 ,$10.63 ,$51.80 ,$51.80 ,$58.71 ,$58.71 ,$10.43 ,$58.71 ,$10.43 ,$55.95 ,$55.95 ,$55.95 ,$69.07 ,$62.16 ,$26.60 ,$62.16 ,$10.43 ,$69.07 ,$38.75 ,$10.43 ,$28.60 ,$7.47 ,$7.13 ,$10.95 ,$62.16 ,$23.94 ,$38.26 ,$19.34 ,$62.16 ,$10.43 ,$62.16 ,$62.16 ,$10.43 ,$44.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201052,86431,HC RHEUMATOID FACTOR QN-90,302,1 ,$217.81 ,$156.82 ,$5.56 ,$217.81 ,$14.18 ,$162.27 ,$142.67 ,$5.56 ,$60.99 ,$133.95 ,$5.56 ,$133.95 ,$5.56 ,$120.67 ,$120.67 ,$5.56 ,$120.67 ,$11.45 ,$196.03 ,$180.78 ,$14.18 ,$5.56 ,$191.67 ,$5.66 ,$163.36 ,$163.36 ,$185.14 ,$185.14 ,$5.56 ,$185.14 ,$5.56 ,$176.43 ,$176.43 ,$176.43 ,$217.81 ,$196.03 ,$14.18 ,$196.03 ,$5.56 ,$217.81 ,$122.19 ,$5.56 ,$90.17 ,$7.47 ,$7.13 ,$5.83 ,$196.03 ,$12.76 ,$120.67 ,$60.99 ,$196.03 ,$5.56 ,$196.03 ,$196.03 ,$5.56 ,$141.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201053,86480,HC TB QUANTIFERON GOLD-90,302,1 ,$78.65 ,$56.63 ,$12.30 ,$139.46 ,$78.65 ,$58.59 ,$51.52 ,$60.74 ,$22.02 ,$48.37 ,$60.74 ,$48.37 ,$60.74 ,$43.57 ,$43.57 ,$60.74 ,$43.57 ,$78.65 ,$70.79 ,$65.28 ,$78.65 ,$60.74 ,$69.21 ,$61.96 ,$58.99 ,$58.99 ,$66.85 ,$66.85 ,$60.74 ,$66.85 ,$60.74 ,$63.71 ,$63.71 ,$63.71 ,$78.65 ,$70.79 ,$78.65 ,$70.79 ,$60.74 ,$78.65 ,$44.12 ,$60.74 ,$32.56 ,$12.88 ,$12.30 ,$63.78 ,$70.79 ,$139.46 ,$43.57 ,$22.02 ,$70.79 ,$60.74 ,$70.79 ,$70.79 ,$60.74 ,$51.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$137.14 ,$98.74 ,$4.18 ,$137.14 ,$10.68 ,$102.17 ,$89.83 ,$4.18 ,$38.40 ,$84.34 ,$4.18 ,$84.34 ,$4.18 ,$75.98 ,$75.98 ,$4.18 ,$75.98 ,$8.63 ,$123.43 ,$113.83 ,$10.68 ,$4.18 ,$120.68 ,$4.27 ,$102.86 ,$102.86 ,$116.57 ,$116.57 ,$4.18 ,$116.57 ,$4.18 ,$111.08 ,$111.08 ,$111.08 ,$137.14 ,$123.43 ,$10.68 ,$123.43 ,$4.18 ,$137.14 ,$76.94 ,$4.18 ,$56.78 ,$7.47 ,$7.13 ,$4.39 ,$123.43 ,$9.61 ,$75.98 ,$38.40 ,$123.43 ,$4.18 ,$123.43 ,$123.43 ,$4.18 ,$89.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$91.76 ,$66.07 ,$12.30 ,$91.76 ,$32.18 ,$68.36 ,$60.10 ,$12.61 ,$25.69 ,$56.43 ,$12.61 ,$56.43 ,$12.61 ,$50.84 ,$50.84 ,$12.61 ,$50.84 ,$26.00 ,$82.58 ,$76.16 ,$32.18 ,$12.61 ,$80.75 ,$12.87 ,$68.82 ,$68.82 ,$78.00 ,$78.00 ,$12.61 ,$78.00 ,$12.61 ,$74.33 ,$74.33 ,$74.33 ,$91.76 ,$82.58 ,$32.18 ,$82.58 ,$12.61 ,$91.76 ,$51.48 ,$12.61 ,$37.99 ,$12.88 ,$12.30 ,$13.24 ,$82.58 ,$28.96 ,$50.84 ,$25.69 ,$82.58 ,$12.61 ,$82.58 ,$82.58 ,$12.61 ,$59.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$210.75 ,$151.74 ,$12.30 ,$210.75 ,$37.63 ,$157.01 ,$138.04 ,$14.75 ,$59.01 ,$129.61 ,$14.75 ,$129.61 ,$14.75 ,$116.76 ,$116.76 ,$14.75 ,$116.76 ,$30.40 ,$189.68 ,$174.92 ,$37.63 ,$14.75 ,$185.46 ,$15.04 ,$158.06 ,$158.06 ,$179.14 ,$179.14 ,$14.75 ,$179.14 ,$14.75 ,$170.71 ,$170.71 ,$170.71 ,$210.75 ,$189.68 ,$37.63 ,$189.68 ,$14.75 ,$210.75 ,$118.23 ,$14.75 ,$87.25 ,$12.88 ,$12.30 ,$15.48 ,$189.68 ,$33.86 ,$116.76 ,$59.01 ,$189.68 ,$14.75 ,$189.68 ,$189.68 ,$14.75 ,$136.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201057,86609,HC BACTERIUM AB NOS-90,302,1 ,$38.64 ,$27.82 ,$10.82 ,$38.64 ,$32.20 ,$28.79 ,$25.31 ,$12.62 ,$10.82 ,$23.76 ,$12.62 ,$23.76 ,$12.62 ,$21.41 ,$21.41 ,$12.62 ,$21.41 ,$26.02 ,$34.78 ,$32.07 ,$32.20 ,$12.62 ,$34.00 ,$12.88 ,$28.98 ,$28.98 ,$32.84 ,$32.84 ,$12.62 ,$32.84 ,$12.62 ,$31.30 ,$31.30 ,$31.30 ,$38.64 ,$34.78 ,$32.20 ,$34.78 ,$12.62 ,$38.64 ,$21.68 ,$12.62 ,$16.00 ,$19.80 ,$18.90 ,$13.25 ,$34.78 ,$28.98 ,$21.41 ,$10.82 ,$34.78 ,$12.62 ,$34.78 ,$34.78 ,$12.62 ,$25.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$83.70 ,$60.26 ,$9.98 ,$83.70 ,$25.45 ,$62.36 ,$54.82 ,$9.98 ,$23.44 ,$51.48 ,$9.98 ,$51.48 ,$9.98 ,$46.37 ,$46.37 ,$9.98 ,$46.37 ,$20.56 ,$75.33 ,$69.47 ,$25.45 ,$9.98 ,$73.66 ,$10.17 ,$62.78 ,$62.78 ,$71.15 ,$71.15 ,$9.98 ,$71.15 ,$9.98 ,$67.80 ,$67.80 ,$67.80 ,$83.70 ,$75.33 ,$25.45 ,$75.33 ,$9.98 ,$83.70 ,$46.96 ,$9.98 ,$34.65 ,$12.88 ,$12.30 ,$10.48 ,$75.33 ,$22.91 ,$46.37 ,$23.44 ,$75.33 ,$9.98 ,$75.33 ,$75.33 ,$9.98 ,$54.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$82.69 ,$59.54 ,$12.30 ,$82.69 ,$32.25 ,$61.60 ,$54.16 ,$12.64 ,$23.15 ,$50.85 ,$12.64 ,$50.85 ,$12.64 ,$45.81 ,$45.81 ,$12.64 ,$45.81 ,$26.06 ,$74.42 ,$68.63 ,$32.25 ,$12.64 ,$72.77 ,$12.90 ,$62.02 ,$62.02 ,$70.29 ,$70.29 ,$12.64 ,$70.29 ,$12.64 ,$66.98 ,$66.98 ,$66.98 ,$82.69 ,$74.42 ,$32.25 ,$74.42 ,$12.64 ,$82.69 ,$46.39 ,$12.64 ,$34.23 ,$12.88 ,$12.30 ,$13.28 ,$74.42 ,$29.03 ,$45.81 ,$23.15 ,$74.42 ,$12.64 ,$74.42 ,$74.42 ,$12.64 ,$53.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201061,86615,HC BORDETELLA AB-90,302,1 ,$141.17 ,$101.64 ,$12.30 ,$141.17 ,$32.98 ,$105.17 ,$92.47 ,$12.93 ,$39.53 ,$86.82 ,$12.93 ,$86.82 ,$12.93 ,$78.21 ,$78.21 ,$12.93 ,$78.21 ,$26.64 ,$127.05 ,$117.17 ,$32.98 ,$12.93 ,$124.23 ,$13.18 ,$105.88 ,$105.88 ,$119.99 ,$119.99 ,$12.93 ,$119.99 ,$12.93 ,$114.35 ,$114.35 ,$114.35 ,$141.17 ,$127.05 ,$32.98 ,$127.05 ,$12.93 ,$141.17 ,$79.20 ,$12.93 ,$58.44 ,$12.88 ,$12.30 ,$13.57 ,$127.05 ,$29.68 ,$78.21 ,$39.53 ,$127.05 ,$12.93 ,$127.05 ,$127.05 ,$12.93 ,$91.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$202.68 ,$145.93 ,$12.30 ,$202.68 ,$38.73 ,$151.00 ,$132.76 ,$15.18 ,$56.75 ,$124.65 ,$15.18 ,$124.65 ,$15.18 ,$112.28 ,$112.28 ,$15.18 ,$112.28 ,$31.29 ,$182.41 ,$168.22 ,$38.73 ,$15.18 ,$178.36 ,$15.48 ,$152.01 ,$152.01 ,$172.28 ,$172.28 ,$15.18 ,$172.28 ,$15.18 ,$164.17 ,$164.17 ,$164.17 ,$202.68 ,$182.41 ,$38.73 ,$182.41 ,$15.18 ,$202.68 ,$113.70 ,$15.18 ,$83.91 ,$12.88 ,$12.30 ,$15.93 ,$182.41 ,$34.85 ,$112.28 ,$56.75 ,$182.41 ,$15.18 ,$182.41 ,$182.41 ,$15.18 ,$131.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201063,86618,HC LYME AB-90,302,1 ,$177.47 ,$127.78 ,$12.30 ,$177.47 ,$42.58 ,$132.22 ,$116.24 ,$16.69 ,$49.69 ,$109.14 ,$16.69 ,$109.14 ,$16.69 ,$98.32 ,$98.32 ,$16.69 ,$98.32 ,$34.40 ,$159.72 ,$147.30 ,$42.58 ,$16.69 ,$156.17 ,$17.02 ,$133.10 ,$133.10 ,$150.85 ,$150.85 ,$16.69 ,$150.85 ,$16.69 ,$143.75 ,$143.75 ,$143.75 ,$177.47 ,$159.72 ,$42.58 ,$159.72 ,$16.69 ,$177.47 ,$99.56 ,$16.69 ,$73.47 ,$12.88 ,$12.30 ,$17.52 ,$159.72 ,$38.32 ,$98.32 ,$49.69 ,$159.72 ,$16.69 ,$159.72 ,$159.72 ,$16.69 ,$115.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201066,86628,HC CANDIDA AB-90,302,1 ,$59.49 ,$42.83 ,$5.69 ,$59.49 ,$30.03 ,$44.32 ,$38.97 ,$11.77 ,$16.66 ,$36.59 ,$11.77 ,$36.59 ,$11.77 ,$32.96 ,$32.96 ,$11.77 ,$32.96 ,$24.26 ,$53.54 ,$49.38 ,$30.03 ,$11.77 ,$52.35 ,$12.00 ,$44.62 ,$44.62 ,$50.57 ,$50.57 ,$11.77 ,$50.57 ,$11.77 ,$48.19 ,$48.19 ,$48.19 ,$59.49 ,$53.54 ,$30.03 ,$53.54 ,$11.77 ,$59.49 ,$33.37 ,$11.77 ,$24.63 ,$5.96 ,$5.69 ,$12.36 ,$53.54 ,$27.02 ,$32.96 ,$16.66 ,$53.54 ,$11.77 ,$53.54 ,$53.54 ,$11.77 ,$38.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201074,86695,HC HERPES SIMPLEX AB I W/O TITER-90,302,1 ,$93.78 ,$67.52 ,$12.30 ,$93.78 ,$32.98 ,$69.87 ,$61.43 ,$12.93 ,$26.26 ,$57.67 ,$12.93 ,$57.67 ,$12.93 ,$51.95 ,$51.95 ,$12.93 ,$51.95 ,$26.64 ,$84.40 ,$77.84 ,$32.98 ,$12.93 ,$82.53 ,$13.18 ,$70.34 ,$70.34 ,$79.71 ,$79.71 ,$12.93 ,$79.71 ,$12.93 ,$75.96 ,$75.96 ,$75.96 ,$93.78 ,$84.40 ,$32.98 ,$84.40 ,$12.93 ,$93.78 ,$52.61 ,$12.93 ,$38.82 ,$12.88 ,$12.30 ,$13.57 ,$84.40 ,$29.68 ,$51.95 ,$26.26 ,$84.40 ,$12.93 ,$84.40 ,$84.40 ,$12.93 ,$60.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201075,86696,HC HERPES SIMPLEX AB II W/O TITER-90,302,1 ,$139.16 ,$100.20 ,$7.13 ,$139.16 ,$48.38 ,$103.67 ,$91.15 ,$18.96 ,$38.96 ,$85.58 ,$18.96 ,$85.58 ,$18.96 ,$77.09 ,$77.09 ,$18.96 ,$77.09 ,$39.09 ,$125.24 ,$115.50 ,$48.38 ,$18.96 ,$122.46 ,$19.35 ,$104.37 ,$104.37 ,$118.29 ,$118.29 ,$18.96 ,$118.29 ,$18.96 ,$112.72 ,$112.72 ,$112.72 ,$139.16 ,$125.24 ,$48.38 ,$125.24 ,$18.96 ,$139.16 ,$78.07 ,$18.96 ,$57.61 ,$7.47 ,$7.13 ,$19.91 ,$125.24 ,$43.54 ,$77.09 ,$38.96 ,$125.24 ,$18.96 ,$125.24 ,$125.24 ,$18.96 ,$90.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201079,86711,HC AB JOHN CUNNINGHAM VIRUS-90,302,1 ,"$2,657.07 ","$1,913.09 ",$7.13 ,"$2,657.07 ",$42.23 ,"$1,979.52 ","$1,740.38 ",$16.55 ,$743.98 ,"$1,634.10 ",$16.55 ,"$1,634.10 ",$16.55 ,"$1,472.02 ","$1,472.02 ",$16.55 ,"$1,472.02 ",$34.12 ,"$2,391.36 ",$500.00 ,$42.23 ,$16.55 ,"$2,338.22 ",$16.89 ,"$1,992.80 ","$1,992.80 ","$2,258.51 ","$2,258.51 ",$16.55 ,"$2,258.51 ",$16.55 ,"$2,152.23 ","$2,152.23 ","$2,152.23 ","$2,657.07 ","$2,391.36 ",$42.23 ,"$2,391.36 ",$16.55 ,"$2,657.07 ","$1,490.62 ",$16.55 ,"$1,100.03 ",$7.47 ,$7.13 ,$17.38 ,"$2,391.36 ",$38.00 ,"$1,472.02 ",$743.98 ,"$2,391.36 ",$16.55 ,"$2,391.36 ","$2,391.36 ",$16.55 ,"$1,727.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201088,86008,HC ALLERGEN IGE QN/SEMI-QN RECOMB/COMP EA-90,302,1 ,$11.09 ,$7.98 ,$3.11 ,$24.95 ,$11.09 ,$8.26 ,$7.26 ,$10.87 ,$3.11 ,$6.82 ,$10.87 ,$6.82 ,$10.87 ,$6.14 ,$6.14 ,$10.87 ,$6.14 ,$11.09 ,$9.98 ,$9.20 ,$11.09 ,$10.87 ,$9.76 ,$11.08 ,$8.32 ,$8.32 ,$9.43 ,$9.43 ,$10.87 ,$9.43 ,$10.87 ,$8.98 ,$8.98 ,$8.98 ,$11.09 ,$9.98 ,$11.09 ,$9.98 ,$10.87 ,$11.09 ,$6.22 ,$10.87 ,$4.59 ,$7.47 ,$7.13 ,$10.87 ,$9.98 ,$24.95 ,$6.14 ,$3.11 ,$9.98 ,$10.87 ,$9.98 ,$9.98 ,$10.87 ,$7.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201091,86794,HC ZIKA VIRUS AB IGM-90,302,1 ,$261.00 ,$187.92 ,$7.13 ,$261.00 ,$42.13 ,$194.45 ,$170.96 ,$16.51 ,$73.08 ,$160.52 ,$16.51 ,$160.52 ,$16.51 ,$144.59 ,$144.59 ,$16.51 ,$144.59 ,$34.04 ,$234.90 ,$216.63 ,$42.13 ,$16.51 ,$229.68 ,$16.85 ,$195.75 ,$195.75 ,$221.85 ,$221.85 ,$16.51 ,$221.85 ,$16.51 ,$211.41 ,$211.41 ,$211.41 ,$261.00 ,$234.90 ,$42.13 ,$234.90 ,$16.51 ,$261.00 ,$146.42 ,$16.51 ,$108.05 ,$7.47 ,$7.13 ,$17.34 ,$234.90 ,$37.91 ,$144.59 ,$73.08 ,$234.90 ,$16.51 ,$234.90 ,$234.90 ,$16.51 ,$169.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201092,86593,HC SYPHILIS VDRL RPR QN-90,302,1 ,$3.04 ,$2.19 ,$0.85 ,$6.84 ,$3.04 ,$2.26 ,$1.99 ,$2.98 ,$0.85 ,$1.87 ,$2.98 ,$1.87 ,$2.98 ,$1.68 ,$1.68 ,$2.98 ,$1.68 ,$3.04 ,$2.74 ,$2.52 ,$3.04 ,$2.98 ,$2.68 ,$3.04 ,$2.28 ,$2.28 ,$2.58 ,$2.58 ,$2.98 ,$2.58 ,$2.98 ,$2.46 ,$2.46 ,$2.46 ,$3.04 ,$2.74 ,$3.04 ,$2.74 ,$2.98 ,$3.04 ,$1.71 ,$2.98 ,$1.26 ,$3.04 ,$3.04 ,$2.98 ,$2.74 ,$6.84 ,$1.68 ,$0.85 ,$2.74 ,$2.98 ,$2.74 ,$2.74 ,$2.98 ,$1.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201094,86038,HC ANA SCREEN,302,1 ,$208.73 ,$150.29 ,$7.13 ,$208.73 ,$30.23 ,$155.50 ,$136.72 ,$11.85 ,$58.44 ,$128.37 ,$11.85 ,$128.37 ,$11.85 ,$115.64 ,$115.64 ,$11.85 ,$115.64 ,$24.42 ,$187.86 ,$173.25 ,$30.23 ,$11.85 ,$183.68 ,$12.08 ,$156.55 ,$156.55 ,$177.42 ,$177.42 ,$11.85 ,$177.42 ,$11.85 ,$169.07 ,$169.07 ,$169.07 ,$208.73 ,$187.86 ,$30.23 ,$187.86 ,$11.85 ,$208.73 ,$117.10 ,$11.85 ,$86.41 ,$7.47 ,$7.13 ,$12.44 ,$187.86 ,$27.20 ,$115.64 ,$58.44 ,$187.86 ,$11.85 ,$187.86 ,$187.86 ,$11.85 ,$135.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201098,86225,HC DNA DOUBLE STRAND AB,302,1 ,$253.10 ,$182.23 ,$7.13 ,$253.10 ,$34.35 ,$188.56 ,$165.78 ,$13.47 ,$70.87 ,$155.66 ,$13.47 ,$155.66 ,$13.47 ,$140.22 ,$140.22 ,$13.47 ,$140.22 ,$27.75 ,$227.79 ,$210.07 ,$34.35 ,$13.47 ,$222.73 ,$13.73 ,$189.83 ,$189.83 ,$215.14 ,$215.14 ,$13.47 ,$215.14 ,$13.47 ,$205.01 ,$205.01 ,$205.01 ,$253.10 ,$227.79 ,$34.35 ,$227.79 ,$13.47 ,$253.10 ,$141.99 ,$13.47 ,$104.78 ,$7.47 ,$7.13 ,$14.14 ,$227.79 ,$30.92 ,$140.22 ,$70.87 ,$227.79 ,$13.47 ,$227.79 ,$227.79 ,$13.47 ,$164.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201099,86235,HC ENA AB,302,1 ,$155.29 ,$111.81 ,$12.30 ,$155.29 ,$44.83 ,$115.69 ,$101.72 ,$17.57 ,$43.48 ,$95.50 ,$17.57 ,$95.50 ,$17.57 ,$86.03 ,$86.03 ,$17.57 ,$86.03 ,$36.22 ,$139.76 ,$128.89 ,$44.83 ,$17.57 ,$136.66 ,$17.92 ,$116.47 ,$116.47 ,$132.00 ,$132.00 ,$17.57 ,$132.00 ,$17.57 ,$125.78 ,$125.78 ,$125.78 ,$155.29 ,$139.76 ,$44.83 ,$139.76 ,$17.57 ,$155.29 ,$87.12 ,$17.57 ,$64.29 ,$12.88 ,$12.30 ,$18.45 ,$139.76 ,$40.34 ,$86.03 ,$43.48 ,$139.76 ,$17.57 ,$139.76 ,$139.76 ,$17.57 ,$100.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201100,86300,HC TUMOR AG CA 15-3 (27.29),302,1 ,$202.68 ,$145.93 ,$18.90 ,$202.68 ,$52.03 ,$151.00 ,$132.76 ,$20.39 ,$56.75 ,$124.65 ,$20.39 ,$124.65 ,$20.39 ,$112.28 ,$112.28 ,$20.39 ,$112.28 ,$42.04 ,$182.41 ,$168.22 ,$52.03 ,$20.39 ,$178.36 ,$20.81 ,$152.01 ,$152.01 ,$172.28 ,$172.28 ,$20.39 ,$172.28 ,$20.39 ,$164.17 ,$164.17 ,$164.17 ,$202.68 ,$182.41 ,$52.03 ,$182.41 ,$20.39 ,$202.68 ,$113.70 ,$20.39 ,$83.91 ,$19.80 ,$18.90 ,$21.41 ,$182.41 ,$46.82 ,$112.28 ,$56.75 ,$182.41 ,$20.39 ,$182.41 ,$182.41 ,$20.39 ,$131.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201101,86304,HC TUMOR AG CA 125,302,1 ,$100.84 ,$72.60 ,$18.90 ,$100.84 ,$52.03 ,$75.13 ,$66.05 ,$20.39 ,$28.24 ,$62.02 ,$20.39 ,$62.02 ,$20.39 ,$55.87 ,$55.87 ,$20.39 ,$55.87 ,$42.04 ,$90.76 ,$83.70 ,$52.03 ,$20.39 ,$88.74 ,$20.81 ,$75.63 ,$75.63 ,$85.71 ,$85.71 ,$20.39 ,$85.71 ,$20.39 ,$81.68 ,$81.68 ,$81.68 ,$100.84 ,$90.76 ,$52.03 ,$90.76 ,$20.39 ,$100.84 ,$56.57 ,$20.39 ,$41.75 ,$19.80 ,$18.90 ,$21.41 ,$90.76 ,$46.82 ,$55.87 ,$28.24 ,$90.76 ,$20.39 ,$90.76 ,$90.76 ,$20.39 ,$65.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201102,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$249.07 ,$179.33 ,$12.30 ,$249.07 ,$55.85 ,$185.56 ,$163.14 ,$21.89 ,$69.74 ,$153.18 ,$21.89 ,$153.18 ,$21.89 ,$137.98 ,$137.98 ,$21.89 ,$137.98 ,$45.13 ,$224.16 ,$206.73 ,$55.85 ,$21.89 ,$219.18 ,$22.33 ,$186.80 ,$186.80 ,$211.71 ,$211.71 ,$21.89 ,$211.71 ,$21.89 ,$201.75 ,$201.75 ,$201.75 ,$249.07 ,$224.16 ,$55.85 ,$224.16 ,$21.89 ,$249.07 ,$139.73 ,$21.89 ,$103.12 ,$12.88 ,$12.30 ,$22.99 ,$224.16 ,$50.27 ,$137.98 ,$69.74 ,$224.16 ,$21.89 ,$224.16 ,$224.16 ,$21.89 ,$161.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201103,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$249.07 ,$179.33 ,$12.30 ,$249.07 ,$73.38 ,$185.56 ,$163.14 ,$28.76 ,$69.74 ,$153.18 ,$28.76 ,$153.18 ,$28.76 ,$137.98 ,$137.98 ,$28.76 ,$137.98 ,$59.29 ,$224.16 ,$206.73 ,$73.38 ,$28.76 ,$219.18 ,$29.34 ,$186.80 ,$186.80 ,$211.71 ,$211.71 ,$28.76 ,$211.71 ,$28.76 ,$201.75 ,$201.75 ,$201.75 ,$249.07 ,$224.16 ,$73.38 ,$224.16 ,$28.76 ,$249.07 ,$139.73 ,$28.76 ,$103.12 ,$12.88 ,$12.30 ,$30.20 ,$224.16 ,$66.04 ,$137.98 ,$69.74 ,$224.16 ,$28.76 ,$224.16 ,$224.16 ,$28.76 ,$161.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201106,86376,HC MICROSOMAL AB,302,1 ,$199.66 ,$143.76 ,$14.26 ,$199.66 ,$36.38 ,$148.75 ,$130.78 ,$14.26 ,$55.90 ,$122.79 ,$14.26 ,$122.79 ,$14.26 ,$110.61 ,$110.61 ,$14.26 ,$110.61 ,$29.39 ,$179.69 ,$165.72 ,$36.38 ,$14.26 ,$175.70 ,$14.54 ,$149.75 ,$149.75 ,$169.71 ,$169.71 ,$14.26 ,$169.71 ,$14.26 ,$161.72 ,$161.72 ,$161.72 ,$199.66 ,$179.69 ,$36.38 ,$179.69 ,$14.26 ,$199.66 ,$112.01 ,$14.26 ,$82.66 ,$19.53 ,$18.64 ,$14.97 ,$179.69 ,$32.74 ,$110.61 ,$55.90 ,$179.69 ,$14.26 ,$179.69 ,$179.69 ,$14.26 ,$129.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201109,86480,HC TB QUANTIFERON GOLD,302,1 ,$312.60 ,$225.07 ,$12.30 ,$312.60 ,$154.95 ,$232.89 ,$204.75 ,$60.74 ,$87.53 ,$192.25 ,$60.74 ,$192.25 ,$60.74 ,$173.18 ,$173.18 ,$60.74 ,$173.18 ,$125.20 ,$281.34 ,$259.46 ,$154.95 ,$60.74 ,$275.09 ,$61.96 ,$234.45 ,$234.45 ,$265.71 ,$265.71 ,$60.74 ,$265.71 ,$60.74 ,$253.21 ,$253.21 ,$253.21 ,$312.60 ,$281.34 ,$154.95 ,$281.34 ,$60.74 ,$312.60 ,$175.37 ,$60.74 ,$129.42 ,$12.88 ,$12.30 ,$63.78 ,$281.34 ,$139.46 ,$173.18 ,$87.53 ,$281.34 ,$60.74 ,$281.34 ,$281.34 ,$60.74 ,$203.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201112,86606,HC ASPERGILLUS AB,302,1 ,$107.90 ,$77.69 ,$12.30 ,$107.90 ,$37.63 ,$80.39 ,$70.67 ,$14.75 ,$30.21 ,$66.36 ,$14.75 ,$66.36 ,$14.75 ,$59.78 ,$59.78 ,$14.75 ,$59.78 ,$30.40 ,$97.11 ,$89.56 ,$37.63 ,$14.75 ,$94.95 ,$15.04 ,$80.93 ,$80.93 ,$91.72 ,$91.72 ,$14.75 ,$91.72 ,$14.75 ,$87.40 ,$87.40 ,$87.40 ,$107.90 ,$97.11 ,$37.63 ,$97.11 ,$14.75 ,$107.90 ,$60.53 ,$14.75 ,$44.67 ,$12.88 ,$12.30 ,$15.48 ,$97.11 ,$33.86 ,$59.78 ,$30.21 ,$97.11 ,$14.75 ,$97.11 ,$97.11 ,$14.75 ,$70.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201113,86612,HC BLASTOMYCES AB,302,1 ,$92.77 ,$66.79 ,$12.30 ,$92.77 ,$32.25 ,$69.11 ,$60.76 ,$12.64 ,$25.98 ,$57.05 ,$12.64 ,$57.05 ,$12.64 ,$51.39 ,$51.39 ,$12.64 ,$51.39 ,$26.06 ,$83.49 ,$77.00 ,$32.25 ,$12.64 ,$81.64 ,$12.90 ,$69.58 ,$69.58 ,$78.85 ,$78.85 ,$12.64 ,$78.85 ,$12.64 ,$75.14 ,$75.14 ,$75.14 ,$92.77 ,$83.49 ,$32.25 ,$83.49 ,$12.64 ,$92.77 ,$52.04 ,$12.64 ,$38.41 ,$12.88 ,$12.30 ,$13.28 ,$83.49 ,$29.03 ,$51.39 ,$25.98 ,$83.49 ,$12.64 ,$83.49 ,$83.49 ,$12.64 ,$60.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201114,86618,HC LYME AB,302,1 ,$154.28 ,$111.08 ,$12.30 ,$154.28 ,$42.58 ,$114.94 ,$101.05 ,$16.69 ,$43.20 ,$94.88 ,$16.69 ,$94.88 ,$16.69 ,$85.47 ,$85.47 ,$16.69 ,$85.47 ,$34.40 ,$138.85 ,$128.05 ,$42.58 ,$16.69 ,$135.77 ,$17.02 ,$115.71 ,$115.71 ,$131.14 ,$131.14 ,$16.69 ,$131.14 ,$16.69 ,$124.97 ,$124.97 ,$124.97 ,$154.28 ,$138.85 ,$42.58 ,$138.85 ,$16.69 ,$154.28 ,$86.55 ,$16.69 ,$63.87 ,$12.88 ,$12.30 ,$17.52 ,$138.85 ,$38.32 ,$85.47 ,$43.20 ,$138.85 ,$16.69 ,$138.85 ,$138.85 ,$16.69 ,$100.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201115,86635,HC COCCIDIOIDES AB,302,1 ,$82.69 ,$59.54 ,$11.24 ,$82.69 ,$28.68 ,$61.60 ,$54.16 ,$11.24 ,$23.15 ,$50.85 ,$11.24 ,$50.85 ,$11.24 ,$45.81 ,$45.81 ,$11.24 ,$45.81 ,$23.17 ,$74.42 ,$68.63 ,$28.68 ,$11.24 ,$72.77 ,$11.47 ,$62.02 ,$62.02 ,$70.29 ,$70.29 ,$11.24 ,$70.29 ,$11.24 ,$66.98 ,$66.98 ,$66.98 ,$82.69 ,$74.42 ,$28.68 ,$74.42 ,$11.24 ,$82.69 ,$46.39 ,$11.24 ,$34.23 ,$12.88 ,$12.30 ,$11.80 ,$74.42 ,$25.81 ,$45.81 ,$23.15 ,$74.42 ,$11.24 ,$74.42 ,$74.42 ,$11.24 ,$53.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201117,86644,HC CMV AB,302,1 ,$179.49 ,$129.23 ,$12.30 ,$179.49 ,$35.98 ,$133.72 ,$117.57 ,$14.10 ,$50.26 ,$110.39 ,$14.10 ,$110.39 ,$14.10 ,$99.44 ,$99.44 ,$14.10 ,$99.44 ,$29.07 ,$161.54 ,$148.98 ,$35.98 ,$14.10 ,$157.95 ,$14.39 ,$134.62 ,$134.62 ,$152.57 ,$152.57 ,$14.10 ,$152.57 ,$14.10 ,$145.39 ,$145.39 ,$145.39 ,$179.49 ,$161.54 ,$35.98 ,$161.54 ,$14.10 ,$179.49 ,$100.69 ,$14.10 ,$74.31 ,$12.88 ,$12.30 ,$14.81 ,$161.54 ,$32.38 ,$99.44 ,$50.26 ,$161.54 ,$14.10 ,$161.54 ,$161.54 ,$14.10 ,$116.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201118,86645,HC CMV AB IGM,302,1 ,$144.20 ,$103.82 ,$12.30 ,$144.20 ,$42.13 ,$107.43 ,$94.45 ,$16.51 ,$40.38 ,$88.68 ,$16.51 ,$88.68 ,$16.51 ,$79.89 ,$79.89 ,$16.51 ,$79.89 ,$34.04 ,$129.78 ,$119.69 ,$42.13 ,$16.51 ,$126.90 ,$16.85 ,$108.15 ,$108.15 ,$122.57 ,$122.57 ,$16.51 ,$122.57 ,$16.51 ,$116.80 ,$116.80 ,$116.80 ,$144.20 ,$129.78 ,$42.13 ,$129.78 ,$16.51 ,$144.20 ,$80.90 ,$16.51 ,$59.70 ,$12.88 ,$12.30 ,$17.34 ,$129.78 ,$37.91 ,$79.89 ,$40.38 ,$129.78 ,$16.51 ,$129.78 ,$129.78 ,$16.51 ,$93.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201119,86677,HC H PYLORI AB,302,1 ,$104.87 ,$75.51 ,$12.30 ,$104.87 ,$42.13 ,$78.13 ,$68.69 ,$16.51 ,$29.36 ,$64.50 ,$16.51 ,$64.50 ,$16.51 ,$58.10 ,$58.10 ,$16.51 ,$58.10 ,$34.04 ,$94.38 ,$87.04 ,$42.13 ,$16.51 ,$92.29 ,$16.85 ,$78.65 ,$78.65 ,$89.14 ,$89.14 ,$16.51 ,$89.14 ,$16.51 ,$84.94 ,$84.94 ,$84.94 ,$104.87 ,$94.38 ,$42.13 ,$94.38 ,$16.51 ,$104.87 ,$58.83 ,$16.51 ,$43.42 ,$12.88 ,$12.30 ,$17.34 ,$94.38 ,$37.91 ,$58.10 ,$29.36 ,$94.38 ,$16.51 ,$94.38 ,$94.38 ,$16.51 ,$68.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201122,86705,HC HEP B CORE IGM,302,1 ,$99.83 ,$71.88 ,$7.13 ,$99.83 ,$29.43 ,$74.37 ,$65.39 ,$11.53 ,$27.95 ,$61.40 ,$11.53 ,$61.40 ,$11.53 ,$55.31 ,$55.31 ,$11.53 ,$55.31 ,$23.78 ,$89.85 ,$82.86 ,$29.43 ,$11.53 ,$87.85 ,$11.77 ,$74.87 ,$74.87 ,$84.86 ,$84.86 ,$11.53 ,$84.86 ,$11.53 ,$80.86 ,$80.86 ,$80.86 ,$99.83 ,$89.85 ,$29.43 ,$89.85 ,$11.53 ,$99.83 ,$56.00 ,$11.53 ,$41.33 ,$7.47 ,$7.13 ,$12.11 ,$89.85 ,$26.48 ,$55.31 ,$27.95 ,$89.85 ,$11.53 ,$89.85 ,$89.85 ,$11.53 ,$64.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201125,86709,HC HEP A AB (HAAB) IGM,302,1 ,$192.60 ,$138.67 ,$7.13 ,$192.60 ,$28.15 ,$143.49 ,$126.15 ,$11.03 ,$53.93 ,$118.45 ,$11.03 ,$118.45 ,$11.03 ,$106.70 ,$106.70 ,$11.03 ,$106.70 ,$22.75 ,$173.34 ,$159.86 ,$28.15 ,$11.03 ,$169.49 ,$11.26 ,$144.45 ,$144.45 ,$163.71 ,$163.71 ,$11.03 ,$163.71 ,$11.03 ,$156.01 ,$156.01 ,$156.01 ,$192.60 ,$173.34 ,$28.15 ,$173.34 ,$11.03 ,$192.60 ,$108.05 ,$11.03 ,$79.74 ,$7.47 ,$7.13 ,$11.58 ,$173.34 ,$25.34 ,$106.70 ,$53.93 ,$173.34 ,$11.03 ,$173.34 ,$173.34 ,$11.03 ,$125.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201126,86735,HC MUMPS AB,302,1 ,$107.90 ,$77.69 ,$7.13 ,$107.90 ,$32.63 ,$80.39 ,$70.67 ,$12.79 ,$30.21 ,$66.36 ,$12.79 ,$66.36 ,$12.79 ,$59.78 ,$59.78 ,$12.79 ,$59.78 ,$26.36 ,$97.11 ,$89.56 ,$32.63 ,$12.79 ,$94.95 ,$13.04 ,$80.93 ,$80.93 ,$91.72 ,$91.72 ,$12.79 ,$91.72 ,$12.79 ,$87.40 ,$87.40 ,$87.40 ,$107.90 ,$97.11 ,$32.63 ,$97.11 ,$12.79 ,$107.90 ,$60.53 ,$12.79 ,$44.67 ,$7.47 ,$7.13 ,$13.43 ,$97.11 ,$29.36 ,$59.78 ,$30.21 ,$97.11 ,$12.79 ,$97.11 ,$97.11 ,$12.79 ,$70.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201127,86762,HC RUBELLA AB,302,1 ,$141.17 ,$101.64 ,$7.13 ,$141.17 ,$35.98 ,$105.17 ,$92.47 ,$14.10 ,$39.53 ,$86.82 ,$14.10 ,$86.82 ,$14.10 ,$78.21 ,$78.21 ,$14.10 ,$78.21 ,$29.07 ,$127.05 ,$117.17 ,$35.98 ,$14.10 ,$124.23 ,$14.39 ,$105.88 ,$105.88 ,$119.99 ,$119.99 ,$14.10 ,$119.99 ,$14.10 ,$114.35 ,$114.35 ,$114.35 ,$141.17 ,$127.05 ,$35.98 ,$127.05 ,$14.10 ,$141.17 ,$79.20 ,$14.10 ,$58.44 ,$7.47 ,$7.13 ,$14.81 ,$127.05 ,$32.38 ,$78.21 ,$39.53 ,$127.05 ,$14.10 ,$127.05 ,$127.05 ,$14.10 ,$91.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201128,86765,HC RUBEOLA AB,302,1 ,$153.27 ,$110.35 ,$7.13 ,$153.27 ,$32.20 ,$114.19 ,$100.39 ,$12.62 ,$42.92 ,$94.26 ,$12.62 ,$94.26 ,$12.62 ,$84.91 ,$84.91 ,$12.62 ,$84.91 ,$26.02 ,$137.94 ,$127.21 ,$32.20 ,$12.62 ,$134.88 ,$12.88 ,$114.95 ,$114.95 ,$130.28 ,$130.28 ,$12.62 ,$130.28 ,$12.62 ,$124.15 ,$124.15 ,$124.15 ,$153.27 ,$137.94 ,$32.20 ,$137.94 ,$12.62 ,$153.27 ,$85.98 ,$12.62 ,$63.45 ,$7.47 ,$7.13 ,$13.25 ,$137.94 ,$28.98 ,$84.91 ,$42.92 ,$137.94 ,$12.62 ,$137.94 ,$137.94 ,$12.62 ,$99.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201129,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$3.47 ,$2.50 ,$0.97 ,$7.81 ,$3.47 ,$2.59 ,$2.27 ,$3.40 ,$0.97 ,$2.13 ,$3.40 ,$2.13 ,$3.40 ,$1.92 ,$1.92 ,$3.40 ,$1.92 ,$3.47 ,$3.12 ,$2.88 ,$3.47 ,$3.40 ,$3.05 ,$3.47 ,$2.60 ,$2.60 ,$2.95 ,$2.95 ,$3.40 ,$2.95 ,$3.40 ,$2.81 ,$2.81 ,$2.81 ,$3.47 ,$3.12 ,$3.47 ,$3.12 ,$3.40 ,$3.47 ,$1.95 ,$3.40 ,$1.44 ,$3.47 ,$3.47 ,$3.40 ,$3.12 ,$7.81 ,$1.92 ,$0.97 ,$3.12 ,$3.40 ,$3.12 ,$3.12 ,$3.40 ,$2.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201130,86787,HC VARICELLA ZOSTER AB,302,1 ,$184.53 ,$132.86 ,$7.13 ,$184.53 ,$32.20 ,$137.47 ,$120.87 ,$12.62 ,$51.67 ,$113.49 ,$12.62 ,$113.49 ,$12.62 ,$102.23 ,$102.23 ,$12.62 ,$102.23 ,$26.02 ,$166.08 ,$153.16 ,$32.20 ,$12.62 ,$162.39 ,$12.88 ,$138.40 ,$138.40 ,$156.85 ,$156.85 ,$12.62 ,$156.85 ,$12.62 ,$149.47 ,$149.47 ,$149.47 ,$184.53 ,$166.08 ,$32.20 ,$166.08 ,$12.62 ,$184.53 ,$103.52 ,$12.62 ,$76.40 ,$7.47 ,$7.13 ,$13.25 ,$166.08 ,$28.98 ,$102.23 ,$51.67 ,$166.08 ,$12.62 ,$166.08 ,$166.08 ,$12.62 ,$119.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201131,86800,HC THYROGLOBULIN AB,302,1 ,$226.88 ,$163.35 ,$15.59 ,$226.88 ,$39.78 ,$169.03 ,$148.61 ,$15.59 ,$63.53 ,$139.53 ,$15.59 ,$139.53 ,$15.59 ,$125.69 ,$125.69 ,$15.59 ,$125.69 ,$32.14 ,$204.19 ,$188.31 ,$39.78 ,$15.59 ,$199.65 ,$15.91 ,$170.16 ,$170.16 ,$192.85 ,$192.85 ,$15.59 ,$192.85 ,$15.59 ,$183.77 ,$183.77 ,$183.77 ,$226.88 ,$204.19 ,$39.78 ,$204.19 ,$15.59 ,$226.88 ,$127.28 ,$15.59 ,$93.93 ,$19.53 ,$18.64 ,$16.38 ,$204.19 ,$35.80 ,$125.69 ,$63.53 ,$204.19 ,$15.59 ,$204.19 ,$204.19 ,$15.59 ,$147.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201134,86902,HC RBC AG SCR RGT SERUM T1-90,302,1 ,$100.00 ,$72.00 ,$4.42 ,$700.33 ,$100.00 ,$74.50 ,$65.50 ,$98.00 ,$28.00 ,$61.50 ,$98.00 ,$61.50 ,$98.00 ,$55.40 ,$55.40 ,$98.00 ,$55.40 ,$100.00 ,$90.00 ,$83.00 ,$100.00 ,$98.00 ,$88.00 ,$99.96 ,$75.00 ,$75.00 ,$85.00 ,$85.00 ,$98.00 ,$85.00 ,$98.00 ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 ,$100.00 ,$90.00 ,$98.00 ,$100.00 ,$56.10 ,$98.00 ,$41.40 ,$4.63 ,$4.42 ,$98.00 ,$90.00 ,$700.33 ,$55.40 ,$28.00 ,$90.00 ,$98.00 ,$90.00 ,$90.00 ,$98.00 ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201135,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$175.00 ,$126.00 ,$4.42 ,$700.33 ,$175.00 ,$130.38 ,$114.63 ,$171.50 ,$49.00 ,$107.63 ,$171.50 ,$107.63 ,$171.50 ,$96.95 ,$96.95 ,$171.50 ,$96.95 ,$175.00 ,$157.50 ,$145.25 ,$175.00 ,$171.50 ,$154.00 ,$174.93 ,$131.25 ,$131.25 ,$148.75 ,$148.75 ,$171.50 ,$148.75 ,$171.50 ,$141.75 ,$141.75 ,$141.75 ,$175.00 ,$157.50 ,$175.00 ,$157.50 ,$171.50 ,$175.00 ,$98.18 ,$171.50 ,$72.45 ,$4.63 ,$4.42 ,$171.50 ,$157.50 ,$700.33 ,$96.95 ,$49.00 ,$157.50 ,$171.50 ,$157.50 ,$157.50 ,$171.50 ,$113.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201136,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$225.00 ,$162.00 ,$4.42 ,$700.33 ,$225.00 ,$167.63 ,$147.38 ,$220.50 ,$63.00 ,$138.38 ,$220.50 ,$138.38 ,$220.50 ,$124.65 ,$124.65 ,$220.50 ,$124.65 ,$225.00 ,$202.50 ,$186.75 ,$225.00 ,$220.50 ,$198.00 ,$224.91 ,$168.75 ,$168.75 ,$191.25 ,$191.25 ,$220.50 ,$191.25 ,$220.50 ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 ,$225.00 ,$202.50 ,$220.50 ,$225.00 ,$126.23 ,$220.50 ,$93.15 ,$4.63 ,$4.42 ,$220.50 ,$202.50 ,$700.33 ,$124.65 ,$63.00 ,$202.50 ,$220.50 ,$202.50 ,$202.50 ,$220.50 ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201137,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$275.00 ,$198.00 ,$4.42 ,$700.33 ,$275.00 ,$204.88 ,$180.13 ,$269.50 ,$77.00 ,$169.13 ,$269.50 ,$169.13 ,$269.50 ,$152.35 ,$152.35 ,$269.50 ,$152.35 ,$275.00 ,$247.50 ,$228.25 ,$275.00 ,$269.50 ,$242.00 ,$274.89 ,$206.25 ,$206.25 ,$233.75 ,$233.75 ,$269.50 ,$233.75 ,$269.50 ,$222.75 ,$222.75 ,$222.75 ,$275.00 ,$247.50 ,$275.00 ,$247.50 ,$269.50 ,$275.00 ,$154.28 ,$269.50 ,$113.85 ,$4.63 ,$4.42 ,$269.50 ,$247.50 ,$700.33 ,$152.35 ,$77.00 ,$247.50 ,$269.50 ,$247.50 ,$247.50 ,$269.50 ,$178.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201138,86905,HC RBC AG TYPING NON ABO/RH T1-90,302,1 ,$100.00 ,$72.00 ,$4.42 ,$700.33 ,$100.00 ,$74.50 ,$65.50 ,$98.00 ,$28.00 ,$61.50 ,$98.00 ,$61.50 ,$98.00 ,$55.40 ,$55.40 ,$98.00 ,$55.40 ,$100.00 ,$90.00 ,$83.00 ,$100.00 ,$98.00 ,$88.00 ,$99.96 ,$75.00 ,$75.00 ,$85.00 ,$85.00 ,$98.00 ,$85.00 ,$98.00 ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 ,$100.00 ,$90.00 ,$98.00 ,$100.00 ,$56.10 ,$98.00 ,$41.40 ,$4.63 ,$4.42 ,$98.00 ,$90.00 ,$700.33 ,$55.40 ,$28.00 ,$90.00 ,$98.00 ,$90.00 ,$90.00 ,$98.00 ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201139,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$175.00 ,$126.00 ,$4.42 ,$700.33 ,$175.00 ,$130.38 ,$114.63 ,$171.50 ,$49.00 ,$107.63 ,$171.50 ,$107.63 ,$171.50 ,$96.95 ,$96.95 ,$171.50 ,$96.95 ,$175.00 ,$157.50 ,$145.25 ,$175.00 ,$171.50 ,$154.00 ,$174.93 ,$131.25 ,$131.25 ,$148.75 ,$148.75 ,$171.50 ,$148.75 ,$171.50 ,$141.75 ,$141.75 ,$141.75 ,$175.00 ,$157.50 ,$175.00 ,$157.50 ,$171.50 ,$175.00 ,$98.18 ,$171.50 ,$72.45 ,$4.63 ,$4.42 ,$171.50 ,$157.50 ,$700.33 ,$96.95 ,$49.00 ,$157.50 ,$171.50 ,$157.50 ,$157.50 ,$171.50 ,$113.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201140,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$225.00 ,$162.00 ,$4.42 ,$700.33 ,$225.00 ,$167.63 ,$147.38 ,$220.50 ,$63.00 ,$138.38 ,$220.50 ,$138.38 ,$220.50 ,$124.65 ,$124.65 ,$220.50 ,$124.65 ,$225.00 ,$202.50 ,$186.75 ,$225.00 ,$220.50 ,$198.00 ,$224.91 ,$168.75 ,$168.75 ,$191.25 ,$191.25 ,$220.50 ,$191.25 ,$220.50 ,$182.25 ,$182.25 ,$182.25 ,$225.00 ,$202.50 ,$225.00 ,$202.50 ,$220.50 ,$225.00 ,$126.23 ,$220.50 ,$93.15 ,$4.63 ,$4.42 ,$220.50 ,$202.50 ,$700.33 ,$124.65 ,$63.00 ,$202.50 ,$220.50 ,$202.50 ,$202.50 ,$220.50 ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201141,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$275.00 ,$198.00 ,$4.42 ,$700.33 ,$275.00 ,$204.88 ,$180.13 ,$269.50 ,$77.00 ,$169.13 ,$269.50 ,$169.13 ,$269.50 ,$152.35 ,$152.35 ,$269.50 ,$152.35 ,$275.00 ,$247.50 ,$228.25 ,$275.00 ,$269.50 ,$242.00 ,$274.89 ,$206.25 ,$206.25 ,$233.75 ,$233.75 ,$269.50 ,$233.75 ,$269.50 ,$222.75 ,$222.75 ,$222.75 ,$275.00 ,$247.50 ,$275.00 ,$247.50 ,$269.50 ,$275.00 ,$154.28 ,$269.50 ,$113.85 ,$4.63 ,$4.42 ,$269.50 ,$247.50 ,$700.33 ,$152.35 ,$77.00 ,$247.50 ,$269.50 ,$247.50 ,$247.50 ,$269.50 ,$178.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201142,86039,HC ANA TITER,302,1 ,$208.73 ,$150.29 ,$7.13 ,$208.73 ,$27.90 ,$155.50 ,$136.72 ,$10.94 ,$58.44 ,$128.37 ,$10.94 ,$128.37 ,$10.94 ,$115.64 ,$115.64 ,$10.94 ,$115.64 ,$22.54 ,$187.86 ,$173.25 ,$27.90 ,$10.94 ,$183.68 ,$11.15 ,$156.55 ,$156.55 ,$177.42 ,$177.42 ,$10.94 ,$177.42 ,$10.94 ,$169.07 ,$169.07 ,$169.07 ,$208.73 ,$187.86 ,$27.90 ,$187.86 ,$10.94 ,$208.73 ,$117.10 ,$10.94 ,$86.41 ,$7.47 ,$7.13 ,$11.49 ,$187.86 ,$25.11 ,$115.64 ,$58.44 ,$187.86 ,$10.94 ,$187.86 ,$187.86 ,$10.94 ,$135.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201144,86160,HC COMPLEMENT AG EA,302,1 ,$222.85 ,$160.45 ,$7.13 ,$222.85 ,$30.00 ,$166.02 ,$145.97 ,$11.76 ,$62.40 ,$137.05 ,$11.76 ,$137.05 ,$11.76 ,$123.46 ,$123.46 ,$11.76 ,$123.46 ,$24.24 ,$200.57 ,$184.97 ,$30.00 ,$11.76 ,$196.11 ,$12.00 ,$167.14 ,$167.14 ,$189.42 ,$189.42 ,$11.76 ,$189.42 ,$11.76 ,$180.51 ,$180.51 ,$180.51 ,$222.85 ,$200.57 ,$30.00 ,$200.57 ,$11.76 ,$222.85 ,$125.02 ,$11.76 ,$92.26 ,$7.47 ,$7.13 ,$12.35 ,$200.57 ,$27.00 ,$123.46 ,$62.40 ,$200.57 ,$11.76 ,$200.57 ,$200.57 ,$11.76 ,$144.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201146,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$160.33 ,$115.44 ,$12.30 ,$160.33 ,$33.10 ,$119.45 ,$105.02 ,$12.98 ,$44.89 ,$98.60 ,$12.98 ,$98.60 ,$12.98 ,$88.82 ,$88.82 ,$12.98 ,$88.82 ,$26.74 ,$144.30 ,$133.07 ,$33.10 ,$12.98 ,$141.09 ,$13.23 ,$120.25 ,$120.25 ,$136.28 ,$136.28 ,$12.98 ,$136.28 ,$12.98 ,$129.87 ,$129.87 ,$129.87 ,$160.33 ,$144.30 ,$33.10 ,$144.30 ,$12.98 ,$160.33 ,$89.95 ,$12.98 ,$66.38 ,$12.88 ,$12.30 ,$13.62 ,$144.30 ,$29.79 ,$88.82 ,$44.89 ,$144.30 ,$12.98 ,$144.30 ,$144.30 ,$12.98 ,$104.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201147,86870,HC RBC AB ID PANEL SERUM-90,302,1 ,$50.00 ,$36.00 ,$7.13 ,$700.33 ,$50.00 ,$37.25 ,$32.75 ,$49.00 ,$14.00 ,$30.75 ,$49.00 ,$30.75 ,$49.00 ,$27.70 ,$27.70 ,$49.00 ,$27.70 ,$50.00 ,$45.00 ,$41.50 ,$50.00 ,$49.00 ,$44.00 ,$49.98 ,$37.50 ,$37.50 ,$42.50 ,$42.50 ,$49.00 ,$42.50 ,$49.00 ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 ,$50.00 ,$45.00 ,$49.00 ,$50.00 ,$28.05 ,$49.00 ,$20.70 ,$7.47 ,$7.13 ,$49.00 ,$45.00 ,$700.33 ,$27.70 ,$14.00 ,$45.00 ,$49.00 ,$45.00 ,$45.00 ,$49.00 ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201152,86255,HC FLUOR AB SCR AQUAPORIN-90,302,1 ,$110.00 ,$79.20 ,$11.81 ,$110.00 ,$30.13 ,$81.95 ,$72.05 ,$11.81 ,$30.80 ,$67.65 ,$11.81 ,$67.65 ,$11.81 ,$60.94 ,$60.94 ,$11.81 ,$60.94 ,$24.34 ,$99.00 ,$91.30 ,$30.13 ,$11.81 ,$96.80 ,$12.04 ,$82.50 ,$82.50 ,$93.50 ,$93.50 ,$11.81 ,$93.50 ,$11.81 ,$89.10 ,$89.10 ,$89.10 ,$110.00 ,$99.00 ,$30.13 ,$99.00 ,$11.81 ,$110.00 ,$61.71 ,$11.81 ,$45.54 ,$12.88 ,$12.30 ,$12.40 ,$99.00 ,$27.11 ,$60.94 ,$30.80 ,$99.00 ,$11.81 ,$99.00 ,$99.00 ,$11.81 ,$71.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201163,87427,HC SHIGA-LIKE TOXIN -90,302,1 ,$128.80 ,$92.74 ,$7.13 ,$128.80 ,$29.95 ,$95.96 ,$84.36 ,$11.74 ,$36.06 ,$79.21 ,$11.74 ,$79.21 ,$11.74 ,$71.36 ,$71.36 ,$11.74 ,$71.36 ,$24.20 ,$115.92 ,$106.90 ,$29.95 ,$11.74 ,$113.34 ,$11.98 ,$96.60 ,$96.60 ,$109.48 ,$109.48 ,$11.74 ,$109.48 ,$11.74 ,$104.33 ,$104.33 ,$104.33 ,$128.80 ,$115.92 ,$29.95 ,$115.92 ,$11.74 ,$128.80 ,$72.26 ,$11.74 ,$53.32 ,$7.47 ,$7.13 ,$12.33 ,$115.92 ,$26.96 ,$71.36 ,$36.06 ,$115.92 ,$11.74 ,$115.92 ,$115.92 ,$11.74 ,$83.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201164,86008,HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA-90,302,1 ,$92.77 ,$66.79 ,$7.13 ,$92.77 ,$44.83 ,$69.11 ,$60.76 ,$17.57 ,$25.98 ,$57.05 ,$17.57 ,$57.05 ,$17.57 ,$51.39 ,$51.39 ,$17.57 ,$51.39 ,$36.22 ,$83.49 ,$77.00 ,$44.83 ,$17.57 ,$81.64 ,$17.92 ,$69.58 ,$69.58 ,$78.85 ,$78.85 ,$17.57 ,$78.85 ,$17.57 ,$75.14 ,$75.14 ,$75.14 ,$92.77 ,$83.49 ,$44.83 ,$83.49 ,$17.57 ,$92.77 ,$52.04 ,$17.57 ,$38.41 ,$7.47 ,$7.13 ,$18.45 ,$83.49 ,$40.34 ,$51.39 ,$25.98 ,$83.49 ,$17.57 ,$83.49 ,$83.49 ,$17.57 ,$60.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201166,86780,HC ANTIBODY TREPONEMA PALLIDUM-90,302,1 ,$117.98 ,$84.95 ,$12.30 ,$117.98 ,$33.10 ,$87.90 ,$77.28 ,$12.98 ,$33.03 ,$72.56 ,$12.98 ,$72.56 ,$12.98 ,$65.36 ,$65.36 ,$12.98 ,$65.36 ,$26.74 ,$106.18 ,$97.92 ,$33.10 ,$12.98 ,$103.82 ,$13.23 ,$88.49 ,$88.49 ,$100.28 ,$100.28 ,$12.98 ,$100.28 ,$12.98 ,$95.56 ,$95.56 ,$95.56 ,$117.98 ,$106.18 ,$33.10 ,$106.18 ,$12.98 ,$117.98 ,$66.19 ,$12.98 ,$48.84 ,$12.88 ,$12.30 ,$13.62 ,$106.18 ,$29.79 ,$65.36 ,$33.03 ,$106.18 ,$12.98 ,$106.18 ,$106.18 ,$12.98 ,$76.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201189,86015,HC ACTIN SMOOTH MUSC ANTIBODY- 90,302,1 ,$14.52 ,$10.45 ,$4.07 ,$27.11 ,$14.52 ,$10.82 ,$9.51 ,$11.81 ,$4.07 ,$8.93 ,$11.81 ,$8.93 ,$11.81 ,$8.04 ,$8.04 ,$11.81 ,$8.04 ,$14.52 ,$13.07 ,$12.05 ,$14.52 ,$11.81 ,$12.78 ,$12.04 ,$10.89 ,$10.89 ,$12.34 ,$12.34 ,$11.81 ,$12.34 ,$11.81 ,$11.76 ,$11.76 ,$11.76 ,$14.52 ,$13.07 ,$14.52 ,$13.07 ,$11.81 ,$14.52 ,$8.15 ,$11.81 ,$6.01 ,$7.47 ,$7.13 ,$12.40 ,$13.07 ,$27.11 ,$8.04 ,$4.07 ,$13.07 ,$11.81 ,$13.07 ,$13.07 ,$11.81 ,$9.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201190,86036,HC ANTINEUTROPHIL CYTO ANTB SCREEN- 90,302,1 ,$28.74 ,$20.69 ,$7.13 ,$28.74 ,$28.74 ,$21.41 ,$18.82 ,$11.81 ,$8.05 ,$17.68 ,$11.81 ,$17.68 ,$11.81 ,$15.92 ,$15.92 ,$11.81 ,$15.92 ,$24.34 ,$25.87 ,$23.85 ,$28.74 ,$11.81 ,$25.29 ,$12.04 ,$21.56 ,$21.56 ,$24.43 ,$24.43 ,$11.81 ,$24.43 ,$11.81 ,$23.28 ,$23.28 ,$23.28 ,$28.74 ,$25.87 ,$28.74 ,$25.87 ,$11.81 ,$28.74 ,$16.12 ,$11.81 ,$11.90 ,$7.47 ,$7.13 ,$12.40 ,$25.87 ,$27.11 ,$15.92 ,$8.05 ,$25.87 ,$11.81 ,$25.87 ,$25.87 ,$11.81 ,$18.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201191,86037,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY TITER- 90,302,1 ,$106.46 ,$76.65 ,$7.13 ,$106.46 ,$30.13 ,$79.31 ,$69.73 ,$11.81 ,$29.81 ,$65.47 ,$11.81 ,$65.47 ,$11.81 ,$58.98 ,$58.98 ,$11.81 ,$58.98 ,$24.34 ,$95.81 ,$88.36 ,$30.13 ,$11.81 ,$93.68 ,$12.04 ,$79.85 ,$79.85 ,$90.49 ,$90.49 ,$11.81 ,$90.49 ,$11.81 ,$86.23 ,$86.23 ,$86.23 ,$106.46 ,$95.81 ,$30.13 ,$95.81 ,$11.81 ,$106.46 ,$59.72 ,$11.81 ,$44.07 ,$7.47 ,$7.13 ,$12.40 ,$95.81 ,$27.11 ,$58.98 ,$29.81 ,$95.81 ,$11.81 ,$95.81 ,$95.81 ,$11.81 ,$69.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201192,86364,HC TISS TRANSGLUTAMINASE EA IMMUNO- 90,302,1 ,$50.42 ,$36.30 ,$7.13 ,$50.42 ,$28.83 ,$37.56 ,$33.03 ,$11.30 ,$14.12 ,$31.01 ,$11.30 ,$31.01 ,$11.30 ,$27.93 ,$27.93 ,$11.30 ,$27.93 ,$23.29 ,$45.38 ,$41.85 ,$28.83 ,$11.30 ,$44.37 ,$11.52 ,$37.82 ,$37.82 ,$42.86 ,$42.86 ,$11.30 ,$42.86 ,$11.30 ,$40.84 ,$40.84 ,$40.84 ,$50.42 ,$45.38 ,$28.83 ,$45.38 ,$11.30 ,$50.42 ,$28.29 ,$11.30 ,$20.87 ,$7.47 ,$7.13 ,$11.87 ,$45.38 ,$25.94 ,$27.93 ,$14.12 ,$45.38 ,$11.30 ,$45.38 ,$45.38 ,$11.30 ,$32.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201193,86231,HC EMA EACH IG CLASS- 90,302,1 ,$24.20 ,$17.42 ,$6.78 ,$27.20 ,$24.20 ,$18.03 ,$15.85 ,$11.85 ,$6.78 ,$14.88 ,$11.85 ,$14.88 ,$11.85 ,$13.41 ,$13.41 ,$11.85 ,$13.41 ,$24.20 ,$21.78 ,$20.09 ,$24.20 ,$11.85 ,$21.30 ,$12.08 ,$18.15 ,$18.15 ,$20.57 ,$20.57 ,$11.85 ,$20.57 ,$11.85 ,$19.60 ,$19.60 ,$19.60 ,$24.20 ,$21.78 ,$24.20 ,$21.78 ,$11.85 ,$24.20 ,$13.58 ,$11.85 ,$10.02 ,$7.47 ,$7.13 ,$12.44 ,$21.78 ,$27.20 ,$13.41 ,$6.78 ,$21.78 ,$11.85 ,$21.78 ,$21.78 ,$11.85 ,$15.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201194,86258,HC GLIADIN ANTIBODY EA- 90,302,1 ,$32.27 ,$23.23 ,$7.13 ,$32.27 ,$30.13 ,$24.04 ,$21.14 ,$11.81 ,$9.04 ,$19.85 ,$11.81 ,$19.85 ,$11.81 ,$17.88 ,$17.88 ,$11.81 ,$17.88 ,$24.34 ,$29.04 ,$26.78 ,$30.13 ,$11.81 ,$28.40 ,$12.04 ,$24.20 ,$24.20 ,$27.43 ,$27.43 ,$11.81 ,$27.43 ,$11.81 ,$26.14 ,$26.14 ,$26.14 ,$32.27 ,$29.04 ,$30.13 ,$29.04 ,$11.81 ,$32.27 ,$18.10 ,$11.81 ,$13.36 ,$7.47 ,$7.13 ,$12.40 ,$29.04 ,$27.11 ,$17.88 ,$9.04 ,$29.04 ,$11.81 ,$29.04 ,$29.04 ,$11.81 ,$20.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201195,86381,HC MITOCHONDRIAL ANTIBODY- 90,302,1 ,$12.67 ,$9.12 ,$3.55 ,$28.51 ,$12.67 ,$9.44 ,$8.30 ,$12.42 ,$3.55 ,$7.79 ,$12.42 ,$7.79 ,$12.42 ,$7.02 ,$7.02 ,$12.42 ,$7.02 ,$12.67 ,$11.40 ,$10.52 ,$12.67 ,$12.42 ,$11.15 ,$12.66 ,$9.50 ,$9.50 ,$10.77 ,$10.77 ,$12.42 ,$10.77 ,$12.42 ,$10.26 ,$10.26 ,$10.26 ,$12.67 ,$11.40 ,$12.67 ,$11.40 ,$12.42 ,$12.67 ,$7.11 ,$12.42 ,$5.25 ,$7.47 ,$7.13 ,$12.42 ,$11.40 ,$28.51 ,$7.02 ,$3.55 ,$11.40 ,$12.42 ,$11.40 ,$11.40 ,$12.42 ,$8.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201201,86596,HC VOLTAGE GTG CALCIUM CHNL- 90,302,1 ,$140.00 ,$100.80 ,$7.13 ,$140.00 ,$30.13 ,$104.30 ,$91.70 ,$11.81 ,$39.20 ,$86.10 ,$11.81 ,$86.10 ,$11.81 ,$77.56 ,$77.56 ,$11.81 ,$77.56 ,$24.34 ,$126.00 ,$116.20 ,$30.13 ,$11.81 ,$123.20 ,$12.04 ,$105.00 ,$105.00 ,$119.00 ,$119.00 ,$11.81 ,$119.00 ,$11.81 ,$113.40 ,$113.40 ,$113.40 ,$140.00 ,$126.00 ,$30.13 ,$126.00 ,$11.81 ,$140.00 ,$78.54 ,$11.81 ,$57.96 ,$7.47 ,$7.13 ,$12.40 ,$126.00 ,$27.11 ,$77.56 ,$39.20 ,$126.00 ,$11.81 ,$126.00 ,$126.00 ,$11.81 ,$91.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201202,86052,HC AQUAPORIN 4- 90,302,1 ,$525.00 ,$378.00 ,$7.13 ,$525.00 ,$30.13 ,$391.13 ,$343.88 ,$11.81 ,$147.00 ,$322.88 ,$11.81 ,$322.88 ,$11.81 ,$290.85 ,$290.85 ,$11.81 ,$290.85 ,$24.34 ,$472.50 ,$435.75 ,$30.13 ,$11.81 ,$462.00 ,$12.04 ,$393.75 ,$393.75 ,$446.25 ,$446.25 ,$11.81 ,$446.25 ,$11.81 ,$425.25 ,$425.25 ,$425.25 ,$525.00 ,$472.50 ,$30.13 ,$472.50 ,$11.81 ,$525.00 ,$294.53 ,$11.81 ,$217.35 ,$7.47 ,$7.13 ,$12.40 ,$472.50 ,$27.11 ,$290.85 ,$147.00 ,$472.50 ,$11.81 ,$472.50 ,$472.50 ,$11.81 ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201204,86001,HC ALLERGEN SPECIFIC IGG-90,302,1 ,$25.24 ,$18.17 ,$7.07 ,$25.24 ,$19.55 ,$18.80 ,$16.53 ,$7.66 ,$7.07 ,$15.52 ,$7.66 ,$15.52 ,$7.66 ,$13.98 ,$13.98 ,$7.66 ,$13.98 ,$15.80 ,$22.72 ,$20.95 ,$19.55 ,$7.66 ,$22.21 ,$7.82 ,$18.93 ,$18.93 ,$21.45 ,$21.45 ,$7.66 ,$21.45 ,$7.66 ,$20.44 ,$20.44 ,$20.44 ,$25.24 ,$22.72 ,$19.55 ,$22.72 ,$7.66 ,$25.24 ,$14.16 ,$7.66 ,$10.45 ,$7.47 ,$7.13 ,$8.05 ,$22.72 ,$17.60 ,$13.98 ,$7.07 ,$22.72 ,$7.66 ,$22.72 ,$22.72 ,$7.66 ,$16.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201206,86225,HC DNA ANTIBODY NATIVE/DOUBLE STRANDED-90,302,1 ,$12.00 ,$8.64 ,$3.36 ,$27.00 ,$12.00 ,$8.94 ,$7.86 ,$11.76 ,$3.36 ,$7.38 ,$11.76 ,$7.38 ,$11.76 ,$6.65 ,$6.65 ,$11.76 ,$6.65 ,$12.00 ,$10.80 ,$9.96 ,$12.00 ,$11.76 ,$10.56 ,$12.00 ,$9.00 ,$9.00 ,$10.20 ,$10.20 ,$11.76 ,$10.20 ,$11.76 ,$9.72 ,$9.72 ,$9.72 ,$12.00 ,$10.80 ,$12.00 ,$10.80 ,$11.76 ,$12.00 ,$6.73 ,$11.76 ,$4.97 ,$7.47 ,$7.13 ,$11.76 ,$10.80 ,$27.00 ,$6.65 ,$3.36 ,$10.80 ,$11.76 ,$10.80 ,$10.80 ,$11.76 ,$7.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201207,86160,HC COMPLEMENT ANTIGEN EACH COMPONENT-90,302,1 ,$143.40 ,$103.25 ,$7.13 ,$143.40 ,$30.00 ,$106.83 ,$93.93 ,$11.76 ,$40.15 ,$88.19 ,$11.76 ,$88.19 ,$11.76 ,$79.44 ,$79.44 ,$11.76 ,$79.44 ,$24.24 ,$129.06 ,$119.02 ,$30.00 ,$11.76 ,$126.19 ,$12.00 ,$107.55 ,$107.55 ,$121.89 ,$121.89 ,$11.76 ,$121.89 ,$11.76 ,$116.15 ,$116.15 ,$116.15 ,$143.40 ,$129.06 ,$30.00 ,$129.06 ,$11.76 ,$143.40 ,$80.45 ,$11.76 ,$59.37 ,$7.47 ,$7.13 ,$12.35 ,$129.06 ,$27.00 ,$79.44 ,$40.15 ,$129.06 ,$11.76 ,$129.06 ,$129.06 ,$11.76 ,$93.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201208,86617,HC LYME DISEASE ANTIBODY-90,302,1 ,$35.28 ,$25.40 ,$9.88 ,$35.28 ,$35.28 ,$26.28 ,$23.11 ,$15.18 ,$9.88 ,$21.70 ,$15.18 ,$21.70 ,$15.18 ,$19.55 ,$19.55 ,$15.18 ,$19.55 ,$31.29 ,$31.75 ,$29.28 ,$35.28 ,$15.18 ,$31.05 ,$15.48 ,$26.46 ,$26.46 ,$29.99 ,$29.99 ,$15.18 ,$29.99 ,$15.18 ,$28.58 ,$28.58 ,$28.58 ,$35.28 ,$31.75 ,$35.28 ,$31.75 ,$15.18 ,$35.28 ,$19.79 ,$15.18 ,$14.61 ,$12.88 ,$12.30 ,$15.93 ,$31.75 ,$34.85 ,$19.55 ,$9.88 ,$31.75 ,$15.18 ,$31.75 ,$31.75 ,$15.18 ,$22.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201210,86481,HC TB AG RESPONSE T-CELL SUSP-90,302,1 ,$96.00 ,$69.12 ,$12.30 ,$216.00 ,$96.00 ,$71.52 ,$62.88 ,$94.08 ,$26.88 ,$59.04 ,$94.08 ,$59.04 ,$94.08 ,$53.18 ,$53.18 ,$94.08 ,$53.18 ,$96.00 ,$86.40 ,$79.68 ,$96.00 ,$94.08 ,$84.48 ,$95.96 ,$72.00 ,$72.00 ,$81.60 ,$81.60 ,$94.08 ,$81.60 ,$94.08 ,$77.76 ,$77.76 ,$77.76 ,$96.00 ,$86.40 ,$96.00 ,$86.40 ,$94.08 ,$96.00 ,$53.86 ,$94.08 ,$39.74 ,$12.88 ,$12.30 ,$94.08 ,$86.40 ,$216.00 ,$53.18 ,$26.88 ,$86.40 ,$94.08 ,$86.40 ,$86.40 ,$94.08 ,$62.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201215,86360,HC T CELLS ABSOLUTE COUNT/RATION-90,302,1 ,$50.00 ,$36.00 ,$12.30 ,$105.71 ,$50.00 ,$37.25 ,$32.75 ,$46.04 ,$14.00 ,$30.75 ,$46.04 ,$30.75 ,$46.04 ,$27.70 ,$27.70 ,$46.04 ,$27.70 ,$50.00 ,$45.00 ,$41.50 ,$50.00 ,$46.04 ,$44.00 ,$46.96 ,$37.50 ,$37.50 ,$42.50 ,$42.50 ,$46.04 ,$42.50 ,$46.04 ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 ,$50.00 ,$45.00 ,$46.04 ,$50.00 ,$28.05 ,$46.04 ,$20.70 ,$12.88 ,$12.30 ,$48.34 ,$45.00 ,$105.71 ,$27.70 ,$14.00 ,$45.00 ,$46.04 ,$45.00 ,$45.00 ,$46.04 ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201219,86606,HC ASPERGILLUS ANTIBODY-90,302,1 ,$9.91 ,$7.14 ,$2.77 ,$22.30 ,$9.91 ,$7.38 ,$6.49 ,$9.71 ,$2.77 ,$6.09 ,$9.71 ,$6.09 ,$9.71 ,$5.49 ,$5.49 ,$9.71 ,$5.49 ,$9.91 ,$8.92 ,$8.23 ,$9.91 ,$9.71 ,$8.72 ,$9.91 ,$7.43 ,$7.43 ,$8.42 ,$8.42 ,$9.71 ,$8.42 ,$9.71 ,$8.03 ,$8.03 ,$8.03 ,$9.91 ,$8.92 ,$9.91 ,$8.92 ,$9.71 ,$9.91 ,$5.56 ,$9.71 ,$4.10 ,$9.91 ,$9.91 ,$9.71 ,$8.92 ,$22.30 ,$5.49 ,$2.77 ,$8.92 ,$9.71 ,$8.92 ,$8.92 ,$9.71 ,$6.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201220,86635,HC COCCIDIOIDES ANTIBODY-90,302,1 ,$47.00 ,$33.84 ,$11.24 ,$47.00 ,$28.68 ,$35.02 ,$30.79 ,$11.24 ,$13.16 ,$28.91 ,$11.24 ,$28.91 ,$11.24 ,$26.04 ,$26.04 ,$11.24 ,$26.04 ,$23.17 ,$42.30 ,$39.01 ,$28.68 ,$11.24 ,$41.36 ,$11.47 ,$35.25 ,$35.25 ,$39.95 ,$39.95 ,$11.24 ,$39.95 ,$11.24 ,$38.07 ,$38.07 ,$38.07 ,$47.00 ,$42.30 ,$28.68 ,$42.30 ,$11.24 ,$47.00 ,$26.37 ,$11.24 ,$19.46 ,$12.88 ,$12.30 ,$11.80 ,$42.30 ,$25.81 ,$26.04 ,$13.16 ,$42.30 ,$11.24 ,$42.30 ,$42.30 ,$11.24 ,$30.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201221,86698,HC HISTOPLASMA ANTIBODY-90,302,1 ,$25.00 ,$18.00 ,$7.00 ,$31.03 ,$25.00 ,$18.63 ,$16.38 ,$13.51 ,$7.00 ,$15.38 ,$13.51 ,$15.38 ,$13.51 ,$13.85 ,$13.85 ,$13.51 ,$13.85 ,$25.00 ,$22.50 ,$20.75 ,$25.00 ,$13.51 ,$22.00 ,$13.79 ,$18.75 ,$18.75 ,$21.25 ,$21.25 ,$13.51 ,$21.25 ,$13.51 ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 ,$25.00 ,$22.50 ,$13.51 ,$25.00 ,$14.03 ,$13.51 ,$10.35 ,$12.88 ,$12.30 ,$14.19 ,$22.50 ,$31.03 ,$13.85 ,$7.00 ,$22.50 ,$13.51 ,$22.50 ,$22.50 ,$13.51 ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201222,86617,HC LYME DISEASE ANTIBODY - 90,302,1 ,$35.28 ,$25.40 ,$9.88 ,$35.28 ,$35.28 ,$26.28 ,$23.11 ,$15.18 ,$9.88 ,$21.70 ,$15.18 ,$21.70 ,$15.18 ,$19.55 ,$19.55 ,$15.18 ,$19.55 ,$31.29 ,$31.75 ,$29.28 ,$35.28 ,$15.18 ,$31.05 ,$15.48 ,$26.46 ,$26.46 ,$29.99 ,$29.99 ,$15.18 ,$29.99 ,$15.18 ,$28.58 ,$28.58 ,$28.58 ,$35.28 ,$31.75 ,$35.28 ,$31.75 ,$15.18 ,$35.28 ,$19.79 ,$15.18 ,$14.61 ,$12.88 ,$12.30 ,$15.93 ,$31.75 ,$34.85 ,$19.55 ,$9.88 ,$31.75 ,$15.18 ,$31.75 ,$31.75 ,$15.18 ,$22.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201228,86664,HC EPSTEIN-BARR NUCLEAR ANTIGEN-90,302,1 ,$19.50 ,$14.04 ,$5.46 ,$34.40 ,$19.50 ,$14.53 ,$12.77 ,$14.98 ,$5.46 ,$11.99 ,$14.98 ,$11.99 ,$14.98 ,$10.80 ,$10.80 ,$14.98 ,$10.80 ,$19.50 ,$17.55 ,$16.19 ,$19.50 ,$14.98 ,$17.16 ,$15.29 ,$14.63 ,$14.63 ,$16.58 ,$16.58 ,$14.98 ,$16.58 ,$14.98 ,$15.80 ,$15.80 ,$15.80 ,$19.50 ,$17.55 ,$19.50 ,$17.55 ,$14.98 ,$19.50 ,$10.94 ,$14.98 ,$8.07 ,$12.88 ,$12.30 ,$15.73 ,$17.55 ,$34.40 ,$10.80 ,$5.46 ,$17.55 ,$14.98 ,$17.55 ,$17.55 ,$14.98 ,$12.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201229,86612,HC BLASTOMYCES ANTIBODY-90,302,1 ,$31.64 ,$22.78 ,$8.86 ,$31.64 ,$31.64 ,$23.57 ,$20.72 ,$12.64 ,$8.86 ,$19.46 ,$12.64 ,$19.46 ,$12.64 ,$17.53 ,$17.53 ,$12.64 ,$17.53 ,$26.06 ,$28.48 ,$26.26 ,$31.64 ,$12.64 ,$27.84 ,$12.90 ,$23.73 ,$23.73 ,$26.89 ,$26.89 ,$12.64 ,$26.89 ,$12.64 ,$25.63 ,$25.63 ,$25.63 ,$31.64 ,$28.48 ,$31.64 ,$28.48 ,$12.64 ,$31.64 ,$17.75 ,$12.64 ,$13.10 ,$12.88 ,$12.30 ,$13.28 ,$28.48 ,$29.03 ,$17.53 ,$8.86 ,$28.48 ,$12.64 ,$28.48 ,$28.48 ,$12.64 ,$20.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201235,86665,HC EPSTEIN-BARR CAPSID VCA-90,302,1 ,$68.00 ,$48.96 ,$12.30 ,$68.00 ,$45.35 ,$50.66 ,$44.54 ,$17.78 ,$19.04 ,$41.82 ,$17.78 ,$41.82 ,$17.78 ,$37.67 ,$37.67 ,$17.78 ,$37.67 ,$36.64 ,$61.20 ,$56.44 ,$45.35 ,$17.78 ,$59.84 ,$18.13 ,$51.00 ,$51.00 ,$57.80 ,$57.80 ,$17.78 ,$57.80 ,$17.78 ,$55.08 ,$55.08 ,$55.08 ,$68.00 ,$61.20 ,$45.35 ,$61.20 ,$17.78 ,$68.00 ,$38.15 ,$17.78 ,$28.15 ,$12.88 ,$12.30 ,$18.67 ,$61.20 ,$40.82 ,$37.67 ,$19.04 ,$61.20 ,$17.78 ,$61.20 ,$61.20 ,$17.78 ,$44.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201240,86362,HC MOG-IGG1 ANTB CBA IMFLUOR ASSAY EACH-90,302,1 ,"$1,179.28 ",$849.08 ,$7.13 ,"$1,179.28 ",$30.13 ,$878.56 ,$772.43 ,$11.81 ,$330.20 ,$725.26 ,$11.81 ,$725.26 ,$11.81 ,$653.32 ,$653.32 ,$11.81 ,$653.32 ,$24.34 ,"$1,061.35 ",$500.00 ,$30.13 ,$11.81 ,"$1,037.77 ",$12.04 ,$884.46 ,$884.46 ,"$1,002.39 ","$1,002.39 ",$11.81 ,"$1,002.39 ",$11.81 ,$955.22 ,$955.22 ,$955.22 ,"$1,179.28 ","$1,061.35 ",$30.13 ,"$1,061.35 ",$11.81 ,"$1,179.28 ",$661.58 ,$11.81 ,$488.22 ,$7.47 ,$7.13 ,$12.40 ,"$1,061.35 ",$27.11 ,$653.32 ,$330.20 ,"$1,061.35 ",$11.81 ,"$1,061.35 ","$1,061.35 ",$11.81 ,$766.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30201241,86325,HC IMMUNOELECTROPHORESIS OTHER FLUIDS-90,302,1 ,$79.53 ,$57.26 ,$7.96 ,$79.53 ,$57.83 ,$59.25 ,$52.09 ,$22.67 ,$22.27 ,$48.91 ,$22.67 ,$48.91 ,$22.67 ,$44.06 ,$44.06 ,$22.67 ,$44.06 ,$46.72 ,$71.58 ,$66.01 ,$57.83 ,$22.67 ,$69.99 ,$23.12 ,$59.65 ,$59.65 ,$67.60 ,$67.60 ,$22.67 ,$67.60 ,$22.67 ,$64.42 ,$64.42 ,$64.42 ,$79.53 ,$71.58 ,$57.83 ,$71.58 ,$22.67 ,$79.53 ,$44.62 ,$22.67 ,$32.93 ,$8.34 ,$7.96 ,$23.80 ,$71.58 ,$52.04 ,$44.06 ,$22.27 ,$71.58 ,$22.67 ,$71.58 ,$71.58 ,$22.67 ,$51.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$25.00 ,$18.00 ,$3.72 ,$25.00 ,$9.50 ,$18.63 ,$16.38 ,$3.72 ,$7.00 ,$15.38 ,$3.72 ,$15.38 ,$3.72 ,$13.85 ,$13.85 ,$3.72 ,$13.85 ,$7.68 ,$22.50 ,$20.75 ,$9.50 ,$3.72 ,$22.00 ,$3.80 ,$18.75 ,$18.75 ,$21.25 ,$21.25 ,$3.72 ,$21.25 ,$3.72 ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 ,$9.50 ,$22.50 ,$3.72 ,$25.00 ,$14.03 ,$3.72 ,$10.35 ,$5.18 ,$4.95 ,$3.91 ,$22.50 ,$8.55 ,$13.85 ,$7.00 ,$22.50 ,$3.72 ,$22.50 ,$22.50 ,$3.72 ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500104,85014,HC HEMATOCRIT,305,1 ,$18.00 ,$12.96 ,$2.32 ,$18.00 ,$5.93 ,$13.41 ,$11.79 ,$2.32 ,$5.04 ,$11.07 ,$2.32 ,$11.07 ,$2.32 ,$9.97 ,$9.97 ,$2.32 ,$9.97 ,$4.79 ,$16.20 ,$14.94 ,$5.93 ,$2.32 ,$15.84 ,$2.37 ,$13.50 ,$13.50 ,$15.30 ,$15.30 ,$2.32 ,$15.30 ,$2.32 ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 ,$5.93 ,$16.20 ,$2.32 ,$2.37 ,$10.10 ,$2.32 ,$7.45 ,$5.18 ,$4.95 ,$2.44 ,$16.20 ,$5.33 ,$9.97 ,$5.04 ,$16.20 ,$2.32 ,$16.20 ,$16.20 ,$2.32 ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500106,85018,HC HGB,305,1 ,$18.00 ,$12.96 ,$2.32 ,$18.00 ,$5.93 ,$13.41 ,$11.79 ,$2.32 ,$5.04 ,$11.07 ,$2.32 ,$11.07 ,$2.32 ,$9.97 ,$9.97 ,$2.32 ,$9.97 ,$4.79 ,$16.20 ,$14.94 ,$5.93 ,$2.32 ,$15.84 ,$2.37 ,$13.50 ,$13.50 ,$15.30 ,$15.30 ,$2.32 ,$15.30 ,$2.32 ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 ,$5.93 ,$16.20 ,$2.32 ,$2.37 ,$10.10 ,$2.32 ,$7.45 ,$5.18 ,$4.95 ,$2.44 ,$16.20 ,$5.33 ,$9.97 ,$5.04 ,$16.20 ,$2.32 ,$16.20 ,$16.20 ,$2.32 ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$40.00 ,$28.80 ,$4.95 ,$40.00 ,$19.43 ,$29.80 ,$26.20 ,$7.61 ,$11.20 ,$24.60 ,$7.61 ,$24.60 ,$7.61 ,$22.16 ,$22.16 ,$7.61 ,$22.16 ,$15.70 ,$36.00 ,$33.20 ,$19.43 ,$7.61 ,$35.20 ,$7.77 ,$30.00 ,$30.00 ,$34.00 ,$34.00 ,$7.61 ,$34.00 ,$7.61 ,$32.40 ,$32.40 ,$32.40 ,$40.00 ,$36.00 ,$19.43 ,$36.00 ,$7.61 ,$7.77 ,$22.44 ,$7.61 ,$16.56 ,$5.18 ,$4.95 ,$8.00 ,$36.00 ,$17.48 ,$22.16 ,$11.20 ,$36.00 ,$7.61 ,$36.00 ,$36.00 ,$7.61 ,$26.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500108,85027,HC CBC W/O DIFF,305,1 ,$33.00 ,$23.76 ,$4.95 ,$33.00 ,$16.18 ,$24.59 ,$21.62 ,$6.34 ,$9.24 ,$20.30 ,$6.34 ,$20.30 ,$6.34 ,$18.28 ,$18.28 ,$6.34 ,$18.28 ,$13.07 ,$29.70 ,$27.39 ,$16.18 ,$6.34 ,$29.04 ,$6.47 ,$24.75 ,$24.75 ,$28.05 ,$28.05 ,$6.34 ,$28.05 ,$6.34 ,$26.73 ,$26.73 ,$26.73 ,$33.00 ,$29.70 ,$16.18 ,$29.70 ,$6.34 ,$6.47 ,$18.51 ,$6.34 ,$13.66 ,$5.18 ,$4.95 ,$6.65 ,$29.70 ,$14.56 ,$18.28 ,$9.24 ,$29.70 ,$6.34 ,$29.70 ,$29.70 ,$6.34 ,$21.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$42.00 ,$30.24 ,$2.49 ,$42.00 ,$6.35 ,$31.29 ,$27.51 ,$2.49 ,$11.76 ,$25.83 ,$2.49 ,$25.83 ,$2.49 ,$23.27 ,$23.27 ,$2.49 ,$23.27 ,$5.13 ,$37.80 ,$34.86 ,$6.35 ,$2.49 ,$36.96 ,$2.54 ,$31.50 ,$31.50 ,$35.70 ,$35.70 ,$2.49 ,$35.70 ,$2.49 ,$34.02 ,$34.02 ,$34.02 ,$42.00 ,$37.80 ,$6.35 ,$37.80 ,$2.49 ,$42.00 ,$23.56 ,$2.49 ,$17.39 ,$5.18 ,$4.95 ,$2.62 ,$37.80 ,$5.72 ,$23.27 ,$11.76 ,$37.80 ,$2.49 ,$37.80 ,$37.80 ,$2.49 ,$27.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$69.00 ,$49.68 ,$4.39 ,$69.00 ,$11.20 ,$51.41 ,$45.20 ,$4.39 ,$19.32 ,$42.44 ,$4.39 ,$42.44 ,$4.39 ,$38.23 ,$38.23 ,$4.39 ,$38.23 ,$9.05 ,$62.10 ,$57.27 ,$11.20 ,$4.39 ,$60.72 ,$4.48 ,$51.75 ,$51.75 ,$58.65 ,$58.65 ,$4.39 ,$58.65 ,$4.39 ,$55.89 ,$55.89 ,$55.89 ,$69.00 ,$62.10 ,$11.20 ,$62.10 ,$4.39 ,$69.00 ,$38.71 ,$4.39 ,$28.57 ,$5.18 ,$4.95 ,$4.61 ,$62.10 ,$10.08 ,$38.23 ,$19.32 ,$62.10 ,$4.39 ,$62.10 ,$62.10 ,$4.39 ,$44.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500168,85347,HC ACTIVATED CLOTTING TIME,305,1 ,$113.00 ,$81.36 ,$2.89 ,$113.00 ,$10.70 ,$84.19 ,$74.02 ,$4.19 ,$31.64 ,$69.50 ,$4.19 ,$69.50 ,$4.19 ,$62.60 ,$62.60 ,$4.19 ,$62.60 ,$8.65 ,$101.70 ,$93.79 ,$10.70 ,$4.19 ,$99.44 ,$4.28 ,$84.75 ,$84.75 ,$96.05 ,$96.05 ,$4.19 ,$96.05 ,$4.19 ,$91.53 ,$91.53 ,$91.53 ,$113.00 ,$101.70 ,$10.70 ,$101.70 ,$4.19 ,$113.00 ,$63.39 ,$4.19 ,$46.78 ,$3.03 ,$2.89 ,$4.40 ,$101.70 ,$9.63 ,$62.60 ,$31.64 ,$101.70 ,$4.19 ,$101.70 ,$101.70 ,$4.19 ,$73.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500175,85379,HC D DIMER QN,305,1 ,$84.00 ,$60.48 ,$8.58 ,$84.00 ,$25.45 ,$62.58 ,$55.02 ,$9.98 ,$23.52 ,$51.66 ,$9.98 ,$51.66 ,$9.98 ,$46.54 ,$46.54 ,$9.98 ,$46.54 ,$20.56 ,$75.60 ,$69.72 ,$25.45 ,$9.98 ,$73.92 ,$10.17 ,$63.00 ,$63.00 ,$71.40 ,$71.40 ,$9.98 ,$71.40 ,$9.98 ,$68.04 ,$68.04 ,$68.04 ,$84.00 ,$75.60 ,$25.45 ,$75.60 ,$9.98 ,$84.00 ,$47.12 ,$9.98 ,$34.78 ,$8.99 ,$8.58 ,$10.48 ,$75.60 ,$22.91 ,$46.54 ,$23.52 ,$75.60 ,$9.98 ,$75.60 ,$75.60 ,$9.98 ,$54.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500176,85384,HC FIBRINOGEN,305,1 ,$93.00 ,$66.96 ,$2.89 ,$93.00 ,$24.30 ,$69.29 ,$60.92 ,$9.53 ,$26.04 ,$57.20 ,$9.53 ,$57.20 ,$9.53 ,$51.52 ,$51.52 ,$9.53 ,$51.52 ,$19.63 ,$83.70 ,$77.19 ,$24.30 ,$9.53 ,$81.84 ,$9.71 ,$69.75 ,$69.75 ,$79.05 ,$79.05 ,$9.53 ,$79.05 ,$9.53 ,$75.33 ,$75.33 ,$75.33 ,$93.00 ,$83.70 ,$24.30 ,$83.70 ,$9.53 ,$93.00 ,$52.17 ,$9.53 ,$38.50 ,$3.03 ,$2.89 ,$10.01 ,$83.70 ,$21.87 ,$51.52 ,$26.04 ,$83.70 ,$9.53 ,$83.70 ,$83.70 ,$9.53 ,$60.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500185,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$242.00 ,$174.24 ,$7.53 ,$242.00 ,$19.33 ,$180.29 ,$158.51 ,$7.58 ,$67.76 ,$148.83 ,$7.58 ,$148.83 ,$7.58 ,$134.07 ,$134.07 ,$7.58 ,$134.07 ,$15.61 ,$217.80 ,$200.86 ,$19.33 ,$7.58 ,$212.96 ,$7.72 ,$181.50 ,$181.50 ,$205.70 ,$205.70 ,$7.58 ,$205.70 ,$7.58 ,$196.02 ,$196.02 ,$196.02 ,$242.00 ,$217.80 ,$19.33 ,$217.80 ,$7.58 ,$242.00 ,$135.76 ,$7.58 ,$100.19 ,$7.89 ,$7.53 ,$7.96 ,$217.80 ,$17.39 ,$134.07 ,$67.76 ,$217.80 ,$7.58 ,$217.80 ,$217.80 ,$7.58 ,$157.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500187,85520,HC HEPARIN ASSAY,305,1 ,$245.00 ,$176.40 ,$8.58 ,$245.00 ,$32.73 ,$182.53 ,$160.48 ,$12.83 ,$68.60 ,$150.68 ,$12.83 ,$150.68 ,$12.83 ,$135.73 ,$135.73 ,$12.83 ,$135.73 ,$26.44 ,$220.50 ,$203.35 ,$32.73 ,$12.83 ,$215.60 ,$13.08 ,$183.75 ,$183.75 ,$208.25 ,$208.25 ,$12.83 ,$208.25 ,$12.83 ,$198.45 ,$198.45 ,$198.45 ,$245.00 ,$220.50 ,$32.73 ,$220.50 ,$12.83 ,$245.00 ,$137.45 ,$12.83 ,$101.43 ,$8.99 ,$8.58 ,$13.47 ,$220.50 ,$29.45 ,$135.73 ,$68.60 ,$220.50 ,$12.83 ,$220.50 ,$220.50 ,$12.83 ,$159.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$26.00 ,$18.72 ,$2.89 ,$26.00 ,$10.73 ,$19.37 ,$17.03 ,$4.20 ,$7.28 ,$15.99 ,$4.20 ,$15.99 ,$4.20 ,$14.40 ,$14.40 ,$4.20 ,$14.40 ,$8.67 ,$23.40 ,$21.58 ,$10.73 ,$4.20 ,$22.88 ,$4.29 ,$19.50 ,$19.50 ,$22.10 ,$22.10 ,$4.20 ,$22.10 ,$4.20 ,$21.06 ,$21.06 ,$21.06 ,$26.00 ,$23.40 ,$10.73 ,$23.40 ,$4.20 ,$26.00 ,$14.59 ,$4.20 ,$10.76 ,$3.03 ,$2.89 ,$4.41 ,$23.40 ,$9.65 ,$14.40 ,$7.28 ,$23.40 ,$4.20 ,$23.40 ,$23.40 ,$4.20 ,$16.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500205,85652,HC SED RATE AUTO,305,1 ,$43.00 ,$30.96 ,$2.65 ,$43.00 ,$6.75 ,$32.04 ,$28.17 ,$2.65 ,$12.04 ,$26.45 ,$2.65 ,$26.45 ,$2.65 ,$23.82 ,$23.82 ,$2.65 ,$23.82 ,$5.45 ,$38.70 ,$35.69 ,$6.75 ,$2.65 ,$37.84 ,$2.69 ,$32.25 ,$32.25 ,$36.55 ,$36.55 ,$2.65 ,$36.55 ,$2.65 ,$34.83 ,$34.83 ,$34.83 ,$43.00 ,$38.70 ,$6.75 ,$38.70 ,$2.65 ,$43.00 ,$24.12 ,$2.65 ,$17.80 ,$5.18 ,$4.95 ,$2.78 ,$38.70 ,$6.08 ,$23.82 ,$12.04 ,$38.70 ,$2.65 ,$38.70 ,$38.70 ,$2.65 ,$27.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500211,85730,HC PTT,305,1 ,$42.00 ,$30.24 ,$2.89 ,$42.00 ,$15.03 ,$31.29 ,$27.51 ,$5.89 ,$11.76 ,$25.83 ,$5.89 ,$25.83 ,$5.89 ,$23.27 ,$23.27 ,$5.89 ,$23.27 ,$12.14 ,$37.80 ,$34.86 ,$15.03 ,$5.89 ,$36.96 ,$6.01 ,$31.50 ,$31.50 ,$35.70 ,$35.70 ,$5.89 ,$35.70 ,$5.89 ,$34.02 ,$34.02 ,$34.02 ,$42.00 ,$37.80 ,$15.03 ,$37.80 ,$5.89 ,$42.00 ,$23.56 ,$5.89 ,$17.39 ,$3.03 ,$2.89 ,$6.18 ,$37.80 ,$13.52 ,$23.27 ,$11.76 ,$37.80 ,$5.89 ,$37.80 ,$37.80 ,$5.89 ,$27.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500234,85014,HC HEMATOCRIT-90,305,1 ,$38.00 ,$27.36 ,$2.32 ,$38.00 ,$5.93 ,$28.31 ,$24.89 ,$2.32 ,$10.64 ,$23.37 ,$2.32 ,$23.37 ,$2.32 ,$21.05 ,$21.05 ,$2.32 ,$21.05 ,$4.79 ,$34.20 ,$31.54 ,$5.93 ,$2.32 ,$33.44 ,$2.37 ,$28.50 ,$28.50 ,$32.30 ,$32.30 ,$2.32 ,$32.30 ,$2.32 ,$30.78 ,$30.78 ,$30.78 ,$38.00 ,$34.20 ,$5.93 ,$34.20 ,$2.32 ,$2.37 ,$21.32 ,$2.32 ,$15.73 ,$5.18 ,$4.95 ,$2.44 ,$34.20 ,$5.33 ,$21.05 ,$10.64 ,$34.20 ,$2.32 ,$34.20 ,$34.20 ,$2.32 ,$24.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500238,85018,HC HGB-90,305,1 ,$38.00 ,$27.36 ,$2.32 ,$38.00 ,$5.93 ,$28.31 ,$24.89 ,$2.32 ,$10.64 ,$23.37 ,$2.32 ,$23.37 ,$2.32 ,$21.05 ,$21.05 ,$2.32 ,$21.05 ,$4.79 ,$34.20 ,$31.54 ,$5.93 ,$2.32 ,$33.44 ,$2.37 ,$28.50 ,$28.50 ,$32.30 ,$32.30 ,$2.32 ,$32.30 ,$2.32 ,$30.78 ,$30.78 ,$30.78 ,$38.00 ,$34.20 ,$5.93 ,$34.20 ,$2.32 ,$2.37 ,$21.32 ,$2.32 ,$15.73 ,$5.18 ,$4.95 ,$2.44 ,$34.20 ,$5.33 ,$21.05 ,$10.64 ,$34.20 ,$2.32 ,$34.20 ,$34.20 ,$2.32 ,$24.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$29.00 ,$20.88 ,$2.96 ,$29.00 ,$7.55 ,$21.61 ,$19.00 ,$2.96 ,$8.12 ,$17.84 ,$2.96 ,$17.84 ,$2.96 ,$16.07 ,$16.07 ,$2.96 ,$16.07 ,$6.10 ,$26.10 ,$24.07 ,$7.55 ,$2.96 ,$25.52 ,$3.02 ,$21.75 ,$21.75 ,$24.65 ,$24.65 ,$2.96 ,$24.65 ,$2.96 ,$23.49 ,$23.49 ,$23.49 ,$29.00 ,$26.10 ,$7.55 ,$26.10 ,$2.96 ,$29.00 ,$16.27 ,$2.96 ,$12.01 ,$5.18 ,$4.95 ,$3.11 ,$26.10 ,$6.80 ,$16.07 ,$8.12 ,$26.10 ,$2.96 ,$26.10 ,$26.10 ,$2.96 ,$18.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500250,85220,HC FACTOR V CLOTTING FACTOR-90,305,1 ,$95.00 ,$68.40 ,$8.58 ,$95.00 ,$44.13 ,$70.78 ,$62.23 ,$17.30 ,$26.60 ,$58.43 ,$17.30 ,$58.43 ,$17.30 ,$52.63 ,$52.63 ,$17.30 ,$52.63 ,$35.65 ,$85.50 ,$78.85 ,$44.13 ,$17.30 ,$83.60 ,$17.64 ,$71.25 ,$71.25 ,$80.75 ,$80.75 ,$17.30 ,$80.75 ,$17.30 ,$76.95 ,$76.95 ,$76.95 ,$95.00 ,$85.50 ,$44.13 ,$85.50 ,$17.30 ,$95.00 ,$53.30 ,$17.30 ,$39.33 ,$8.99 ,$8.58 ,$18.16 ,$85.50 ,$39.71 ,$52.63 ,$26.60 ,$85.50 ,$17.30 ,$85.50 ,$85.50 ,$17.30 ,$61.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500251,85230,HC FACTOR VII PROCONVERTIN-90,305,1 ,$96.00 ,$69.12 ,$8.58 ,$96.00 ,$44.75 ,$71.52 ,$62.88 ,$17.54 ,$26.88 ,$59.04 ,$17.54 ,$59.04 ,$17.54 ,$53.18 ,$53.18 ,$17.54 ,$53.18 ,$36.16 ,$86.40 ,$79.68 ,$44.75 ,$17.54 ,$84.48 ,$17.89 ,$72.00 ,$72.00 ,$81.60 ,$81.60 ,$17.54 ,$81.60 ,$17.54 ,$77.76 ,$77.76 ,$77.76 ,$96.00 ,$86.40 ,$44.75 ,$86.40 ,$17.54 ,$96.00 ,$53.86 ,$17.54 ,$39.74 ,$8.99 ,$8.58 ,$18.42 ,$86.40 ,$40.28 ,$53.18 ,$26.88 ,$86.40 ,$17.54 ,$86.40 ,$86.40 ,$17.54 ,$62.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500252,85240,HC FACTOR VIII AHG 1 STAGE-90,305,1 ,$148.00 ,$106.56 ,$8.58 ,$148.00 ,$44.75 ,$110.26 ,$96.94 ,$17.54 ,$41.44 ,$91.02 ,$17.54 ,$91.02 ,$17.54 ,$81.99 ,$81.99 ,$17.54 ,$81.99 ,$36.16 ,$133.20 ,$122.84 ,$44.75 ,$17.54 ,$130.24 ,$17.89 ,$111.00 ,$111.00 ,$125.80 ,$125.80 ,$17.54 ,$125.80 ,$17.54 ,$119.88 ,$119.88 ,$119.88 ,$148.00 ,$133.20 ,$44.75 ,$133.20 ,$17.54 ,$148.00 ,$83.03 ,$17.54 ,$61.27 ,$8.99 ,$8.58 ,$18.42 ,$133.20 ,$40.28 ,$81.99 ,$41.44 ,$133.20 ,$17.54 ,$133.20 ,$133.20 ,$17.54 ,$96.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500253,85245,HC FACTOR VIII VW RISTOCTN-90,305,1 ,$123.00 ,$88.56 ,$8.58 ,$123.00 ,$57.35 ,$91.64 ,$80.57 ,$22.48 ,$34.44 ,$75.65 ,$22.48 ,$75.65 ,$22.48 ,$68.14 ,$68.14 ,$22.48 ,$68.14 ,$46.34 ,$110.70 ,$102.09 ,$57.35 ,$22.48 ,$108.24 ,$22.93 ,$92.25 ,$92.25 ,$104.55 ,$104.55 ,$22.48 ,$104.55 ,$22.48 ,$99.63 ,$99.63 ,$99.63 ,$123.00 ,$110.70 ,$57.35 ,$110.70 ,$22.48 ,$123.00 ,$69.00 ,$22.48 ,$50.92 ,$8.99 ,$8.58 ,$23.61 ,$110.70 ,$51.62 ,$68.14 ,$34.44 ,$110.70 ,$22.48 ,$110.70 ,$110.70 ,$22.48 ,$79.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500254,85246,HC FACTOR VIII VW ANTIGEN-90,305,1 ,$123.00 ,$88.56 ,$8.58 ,$123.00 ,$57.35 ,$91.64 ,$80.57 ,$22.48 ,$34.44 ,$75.65 ,$22.48 ,$75.65 ,$22.48 ,$68.14 ,$68.14 ,$22.48 ,$68.14 ,$46.34 ,$110.70 ,$102.09 ,$57.35 ,$22.48 ,$108.24 ,$22.93 ,$92.25 ,$92.25 ,$104.55 ,$104.55 ,$22.48 ,$104.55 ,$22.48 ,$99.63 ,$99.63 ,$99.63 ,$123.00 ,$110.70 ,$57.35 ,$110.70 ,$22.48 ,$123.00 ,$69.00 ,$22.48 ,$50.92 ,$8.99 ,$8.58 ,$23.61 ,$110.70 ,$51.62 ,$68.14 ,$34.44 ,$110.70 ,$22.48 ,$110.70 ,$110.70 ,$22.48 ,$79.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500255,85247,HC FACTOR VIII VW MULTIM ANALY-90,305,1 ,$122.00 ,$87.84 ,$8.58 ,$122.00 ,$57.35 ,$90.89 ,$79.91 ,$22.48 ,$34.16 ,$75.03 ,$22.48 ,$75.03 ,$22.48 ,$67.59 ,$67.59 ,$22.48 ,$67.59 ,$46.34 ,$109.80 ,$101.26 ,$57.35 ,$22.48 ,$107.36 ,$22.93 ,$91.50 ,$91.50 ,$103.70 ,$103.70 ,$22.48 ,$103.70 ,$22.48 ,$98.82 ,$98.82 ,$98.82 ,$122.00 ,$109.80 ,$57.35 ,$109.80 ,$22.48 ,$122.00 ,$68.44 ,$22.48 ,$50.51 ,$8.99 ,$8.58 ,$23.61 ,$109.80 ,$51.62 ,$67.59 ,$34.16 ,$109.80 ,$22.48 ,$109.80 ,$109.80 ,$22.48 ,$79.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500256,85250,HC FACTOR IX (PTC OR CHRISTMAS)-90,305,1 ,$102.00 ,$73.44 ,$8.58 ,$102.00 ,$47.60 ,$75.99 ,$66.81 ,$18.66 ,$28.56 ,$62.73 ,$18.66 ,$62.73 ,$18.66 ,$56.51 ,$56.51 ,$18.66 ,$56.51 ,$38.46 ,$91.80 ,$84.66 ,$47.60 ,$18.66 ,$89.76 ,$19.03 ,$76.50 ,$76.50 ,$86.70 ,$86.70 ,$18.66 ,$86.70 ,$18.66 ,$82.62 ,$82.62 ,$82.62 ,$102.00 ,$91.80 ,$47.60 ,$91.80 ,$18.66 ,$102.00 ,$57.22 ,$18.66 ,$42.23 ,$8.99 ,$8.58 ,$19.59 ,$91.80 ,$42.84 ,$56.51 ,$28.56 ,$91.80 ,$18.66 ,$91.80 ,$91.80 ,$18.66 ,$66.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500257,85260,HC FACTOR X (STUART-POWER)-90,305,1 ,$96.00 ,$69.12 ,$8.58 ,$96.00 ,$44.75 ,$71.52 ,$62.88 ,$17.54 ,$26.88 ,$59.04 ,$17.54 ,$59.04 ,$17.54 ,$53.18 ,$53.18 ,$17.54 ,$53.18 ,$36.16 ,$86.40 ,$79.68 ,$44.75 ,$17.54 ,$84.48 ,$17.89 ,$72.00 ,$72.00 ,$81.60 ,$81.60 ,$17.54 ,$81.60 ,$17.54 ,$77.76 ,$77.76 ,$77.76 ,$96.00 ,$86.40 ,$44.75 ,$86.40 ,$17.54 ,$96.00 ,$53.86 ,$17.54 ,$39.74 ,$8.99 ,$8.58 ,$18.42 ,$86.40 ,$40.28 ,$53.18 ,$26.88 ,$86.40 ,$17.54 ,$86.40 ,$86.40 ,$17.54 ,$62.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500258,85270,HC FACTOR XI (PTA)-90,305,1 ,$96.00 ,$69.12 ,$8.58 ,$96.00 ,$44.75 ,$71.52 ,$62.88 ,$17.54 ,$26.88 ,$59.04 ,$17.54 ,$59.04 ,$17.54 ,$53.18 ,$53.18 ,$17.54 ,$53.18 ,$36.16 ,$86.40 ,$79.68 ,$44.75 ,$17.54 ,$84.48 ,$17.89 ,$72.00 ,$72.00 ,$81.60 ,$81.60 ,$17.54 ,$81.60 ,$17.54 ,$77.76 ,$77.76 ,$77.76 ,$96.00 ,$86.40 ,$44.75 ,$86.40 ,$17.54 ,$96.00 ,$53.86 ,$17.54 ,$39.74 ,$8.99 ,$8.58 ,$18.42 ,$86.40 ,$40.28 ,$53.18 ,$26.88 ,$86.40 ,$17.54 ,$86.40 ,$86.40 ,$17.54 ,$62.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500259,85280,HC FACTOR XII HAGEMAN-90,305,1 ,$104.00 ,$74.88 ,$8.58 ,$104.00 ,$48.38 ,$77.48 ,$68.12 ,$18.96 ,$29.12 ,$63.96 ,$18.96 ,$63.96 ,$18.96 ,$57.62 ,$57.62 ,$18.96 ,$57.62 ,$39.09 ,$93.60 ,$86.32 ,$48.38 ,$18.96 ,$91.52 ,$19.35 ,$78.00 ,$78.00 ,$88.40 ,$88.40 ,$18.96 ,$88.40 ,$18.96 ,$84.24 ,$84.24 ,$84.24 ,$104.00 ,$93.60 ,$48.38 ,$93.60 ,$18.96 ,$104.00 ,$58.34 ,$18.96 ,$43.06 ,$8.99 ,$8.58 ,$19.91 ,$93.60 ,$43.54 ,$57.62 ,$29.12 ,$93.60 ,$18.96 ,$93.60 ,$93.60 ,$18.96 ,$67.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 ,$29.63 ,$22.35 ,$19.65 ,$11.61 ,$8.40 ,$18.45 ,$11.61 ,$18.45 ,$11.61 ,$16.62 ,$16.62 ,$11.61 ,$16.62 ,$23.94 ,$27.00 ,$24.90 ,$29.63 ,$11.61 ,$26.40 ,$11.85 ,$22.50 ,$22.50 ,$25.50 ,$25.50 ,$11.61 ,$25.50 ,$11.61 ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 ,$29.63 ,$27.00 ,$11.61 ,$30.00 ,$16.83 ,$11.61 ,$12.42 ,$8.99 ,$8.58 ,$12.19 ,$27.00 ,$26.66 ,$16.62 ,$8.40 ,$27.00 ,$11.61 ,$27.00 ,$27.00 ,$11.61 ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$58.00 ,$41.76 ,$8.58 ,$58.00 ,$27.03 ,$43.21 ,$37.99 ,$10.59 ,$16.24 ,$35.67 ,$10.59 ,$35.67 ,$10.59 ,$32.13 ,$32.13 ,$10.59 ,$32.13 ,$21.84 ,$52.20 ,$48.14 ,$27.03 ,$10.59 ,$51.04 ,$10.81 ,$43.50 ,$43.50 ,$49.30 ,$49.30 ,$10.59 ,$49.30 ,$10.59 ,$46.98 ,$46.98 ,$46.98 ,$58.00 ,$52.20 ,$27.03 ,$52.20 ,$10.59 ,$58.00 ,$32.54 ,$10.59 ,$24.01 ,$8.99 ,$8.58 ,$11.12 ,$52.20 ,$24.32 ,$32.13 ,$16.24 ,$52.20 ,$10.59 ,$52.20 ,$52.20 ,$10.59 ,$37.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500263,85302,HC PROTEIN C AG-90,305,1 ,$65.00 ,$46.80 ,$8.58 ,$65.00 ,$30.03 ,$48.43 ,$42.58 ,$11.77 ,$18.20 ,$39.98 ,$11.77 ,$39.98 ,$11.77 ,$36.01 ,$36.01 ,$11.77 ,$36.01 ,$24.26 ,$58.50 ,$53.95 ,$30.03 ,$11.77 ,$57.20 ,$12.00 ,$48.75 ,$48.75 ,$55.25 ,$55.25 ,$11.77 ,$55.25 ,$11.77 ,$52.65 ,$52.65 ,$52.65 ,$65.00 ,$58.50 ,$30.03 ,$58.50 ,$11.77 ,$65.00 ,$36.47 ,$11.77 ,$26.91 ,$8.99 ,$8.58 ,$12.36 ,$58.50 ,$27.02 ,$36.01 ,$18.20 ,$58.50 ,$11.77 ,$58.50 ,$58.50 ,$11.77 ,$42.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$66.00 ,$47.52 ,$8.58 ,$66.00 ,$34.60 ,$49.17 ,$43.23 ,$13.56 ,$18.48 ,$40.59 ,$13.56 ,$40.59 ,$13.56 ,$36.56 ,$36.56 ,$13.56 ,$36.56 ,$27.96 ,$59.40 ,$54.78 ,$34.60 ,$13.56 ,$58.08 ,$13.84 ,$49.50 ,$49.50 ,$56.10 ,$56.10 ,$13.56 ,$56.10 ,$13.56 ,$53.46 ,$53.46 ,$53.46 ,$66.00 ,$59.40 ,$34.60 ,$59.40 ,$13.56 ,$66.00 ,$37.03 ,$13.56 ,$27.32 ,$8.99 ,$8.58 ,$14.24 ,$59.40 ,$31.14 ,$36.56 ,$18.48 ,$59.40 ,$13.56 ,$59.40 ,$59.40 ,$13.56 ,$42.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$62.00 ,$44.64 ,$8.58 ,$62.00 ,$29.03 ,$46.19 ,$40.61 ,$11.38 ,$17.36 ,$38.13 ,$11.38 ,$38.13 ,$11.38 ,$34.35 ,$34.35 ,$11.38 ,$34.35 ,$23.45 ,$55.80 ,$51.46 ,$29.03 ,$11.38 ,$54.56 ,$11.60 ,$46.50 ,$46.50 ,$52.70 ,$52.70 ,$11.38 ,$52.70 ,$11.38 ,$50.22 ,$50.22 ,$50.22 ,$62.00 ,$55.80 ,$29.03 ,$55.80 ,$11.38 ,$62.00 ,$34.78 ,$11.38 ,$25.67 ,$8.99 ,$8.58 ,$11.95 ,$55.80 ,$26.12 ,$34.35 ,$17.36 ,$55.80 ,$11.38 ,$55.80 ,$55.80 ,$11.38 ,$40.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500266,85306,HC PROTEIN S FREE-90,305,1 ,$82.00 ,$59.04 ,$8.58 ,$82.00 ,$38.30 ,$61.09 ,$53.71 ,$15.01 ,$22.96 ,$50.43 ,$15.01 ,$50.43 ,$15.01 ,$45.43 ,$45.43 ,$15.01 ,$45.43 ,$30.95 ,$73.80 ,$68.06 ,$38.30 ,$15.01 ,$72.16 ,$15.32 ,$61.50 ,$61.50 ,$69.70 ,$69.70 ,$15.01 ,$69.70 ,$15.01 ,$66.42 ,$66.42 ,$66.42 ,$82.00 ,$73.80 ,$38.30 ,$73.80 ,$15.01 ,$82.00 ,$46.00 ,$15.01 ,$33.95 ,$8.99 ,$8.58 ,$15.77 ,$73.80 ,$34.47 ,$45.43 ,$22.96 ,$73.80 ,$15.01 ,$73.80 ,$73.80 ,$15.01 ,$53.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$82.00 ,$59.04 ,$7.96 ,$82.00 ,$38.30 ,$61.09 ,$53.71 ,$15.01 ,$22.96 ,$50.43 ,$15.01 ,$50.43 ,$15.01 ,$45.43 ,$45.43 ,$15.01 ,$45.43 ,$30.95 ,$73.80 ,$68.06 ,$38.30 ,$15.01 ,$72.16 ,$15.32 ,$61.50 ,$61.50 ,$69.70 ,$69.70 ,$15.01 ,$69.70 ,$15.01 ,$66.42 ,$66.42 ,$66.42 ,$82.00 ,$73.80 ,$38.30 ,$73.80 ,$15.01 ,$82.00 ,$46.00 ,$15.01 ,$33.95 ,$8.34 ,$7.96 ,$15.77 ,$73.80 ,$34.47 ,$45.43 ,$22.96 ,$73.80 ,$15.01 ,$73.80 ,$73.80 ,$15.01 ,$53.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500276,85397,HC COAGUL/FIBRINOLYSIS CLOT ACT-90,305,1 ,$370.24 ,$266.57 ,$8.58 ,$370.24 ,$77.15 ,$275.83 ,$242.51 ,$30.24 ,$103.67 ,$227.70 ,$30.24 ,$227.70 ,$30.24 ,$205.11 ,$205.11 ,$30.24 ,$205.11 ,$62.34 ,$333.22 ,$307.30 ,$77.15 ,$30.24 ,$325.81 ,$30.85 ,$277.68 ,$277.68 ,$314.70 ,$314.70 ,$30.24 ,$314.70 ,$30.24 ,$299.89 ,$299.89 ,$299.89 ,$370.24 ,$333.22 ,$77.15 ,$333.22 ,$30.24 ,$370.24 ,$207.70 ,$30.24 ,$153.28 ,$8.99 ,$8.58 ,$31.75 ,$333.22 ,$69.44 ,$205.11 ,$103.67 ,$333.22 ,$30.24 ,$333.22 ,$333.22 ,$30.24 ,$240.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500282,85461,HC FETAL HGB ROSETTE,305,1 ,$60.00 ,$43.20 ,$4.95 ,$60.00 ,$23.40 ,$44.70 ,$39.30 ,$9.17 ,$16.80 ,$36.90 ,$9.17 ,$36.90 ,$9.17 ,$33.24 ,$33.24 ,$9.17 ,$33.24 ,$18.91 ,$54.00 ,$49.80 ,$23.40 ,$9.17 ,$52.80 ,$9.36 ,$45.00 ,$45.00 ,$51.00 ,$51.00 ,$9.17 ,$51.00 ,$9.17 ,$48.60 ,$48.60 ,$48.60 ,$60.00 ,$54.00 ,$23.40 ,$54.00 ,$9.17 ,$60.00 ,$33.66 ,$9.17 ,$24.84 ,$5.18 ,$4.95 ,$9.63 ,$54.00 ,$21.06 ,$33.24 ,$16.80 ,$54.00 ,$9.17 ,$54.00 ,$54.00 ,$9.17 ,$39.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$84.00 ,$60.48 ,$8.58 ,$84.00 ,$44.95 ,$62.58 ,$55.02 ,$17.62 ,$23.52 ,$51.66 ,$17.62 ,$51.66 ,$17.62 ,$46.54 ,$46.54 ,$17.62 ,$46.54 ,$36.32 ,$75.60 ,$69.72 ,$44.95 ,$17.62 ,$73.92 ,$17.97 ,$63.00 ,$63.00 ,$71.40 ,$71.40 ,$17.62 ,$71.40 ,$17.62 ,$68.04 ,$68.04 ,$68.04 ,$84.00 ,$75.60 ,$44.95 ,$75.60 ,$17.62 ,$84.00 ,$47.12 ,$17.62 ,$34.78 ,$8.99 ,$8.58 ,$18.50 ,$75.60 ,$40.46 ,$46.54 ,$23.52 ,$75.60 ,$17.62 ,$75.60 ,$75.60 ,$17.62 ,$54.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$84.00 ,$60.48 ,$8.58 ,$84.00 ,$44.95 ,$62.58 ,$55.02 ,$17.62 ,$23.52 ,$51.66 ,$17.62 ,$51.66 ,$17.62 ,$46.54 ,$46.54 ,$17.62 ,$46.54 ,$36.32 ,$75.60 ,$69.72 ,$44.95 ,$17.62 ,$73.92 ,$17.97 ,$63.00 ,$63.00 ,$71.40 ,$71.40 ,$17.62 ,$71.40 ,$17.62 ,$68.04 ,$68.04 ,$68.04 ,$84.00 ,$75.60 ,$44.95 ,$75.60 ,$17.62 ,$84.00 ,$47.12 ,$17.62 ,$34.78 ,$8.99 ,$8.58 ,$18.50 ,$75.60 ,$40.46 ,$46.54 ,$23.52 ,$75.60 ,$17.62 ,$75.60 ,$75.60 ,$17.62 ,$54.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$45.00 ,$32.40 ,$8.58 ,$45.00 ,$23.95 ,$33.53 ,$29.48 ,$9.39 ,$12.60 ,$27.68 ,$9.39 ,$27.68 ,$9.39 ,$24.93 ,$24.93 ,$9.39 ,$24.93 ,$19.35 ,$40.50 ,$37.35 ,$23.95 ,$9.39 ,$39.60 ,$9.57 ,$33.75 ,$33.75 ,$38.25 ,$38.25 ,$9.39 ,$38.25 ,$9.39 ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 ,$23.95 ,$40.50 ,$9.39 ,$45.00 ,$25.25 ,$9.39 ,$18.63 ,$8.99 ,$8.58 ,$9.86 ,$40.50 ,$21.56 ,$24.93 ,$12.60 ,$40.50 ,$9.39 ,$40.50 ,$40.50 ,$9.39 ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500301,85660,HC SICKLE CELL RBC-90,305,1 ,$92.68 ,$66.73 ,$4.95 ,$92.68 ,$13.78 ,$69.05 ,$60.71 ,$5.40 ,$25.95 ,$57.00 ,$5.40 ,$57.00 ,$5.40 ,$51.34 ,$51.34 ,$5.40 ,$51.34 ,$11.13 ,$83.41 ,$76.92 ,$13.78 ,$5.40 ,$81.56 ,$5.51 ,$69.51 ,$69.51 ,$78.78 ,$78.78 ,$5.40 ,$78.78 ,$5.40 ,$75.07 ,$75.07 ,$75.07 ,$92.68 ,$83.41 ,$13.78 ,$83.41 ,$5.40 ,$92.68 ,$51.99 ,$5.40 ,$38.37 ,$5.18 ,$4.95 ,$5.67 ,$83.41 ,$12.40 ,$51.34 ,$25.95 ,$83.41 ,$5.40 ,$83.41 ,$83.41 ,$5.40 ,$60.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$38.00 ,$27.36 ,$2.89 ,$38.00 ,$14.43 ,$28.31 ,$24.89 ,$5.65 ,$10.64 ,$23.37 ,$5.65 ,$23.37 ,$5.65 ,$21.05 ,$21.05 ,$5.65 ,$21.05 ,$11.66 ,$34.20 ,$31.54 ,$14.43 ,$5.65 ,$33.44 ,$5.77 ,$28.50 ,$28.50 ,$32.30 ,$32.30 ,$5.65 ,$32.30 ,$5.65 ,$30.78 ,$30.78 ,$30.78 ,$38.00 ,$34.20 ,$14.43 ,$34.20 ,$5.65 ,$38.00 ,$21.32 ,$5.65 ,$15.73 ,$3.03 ,$2.89 ,$5.94 ,$34.20 ,$12.98 ,$21.05 ,$10.64 ,$34.20 ,$5.65 ,$34.20 ,$34.20 ,$5.65 ,$24.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500305,85730,HC PTT-90,305,1 ,$42.00 ,$30.24 ,$2.89 ,$42.00 ,$15.03 ,$31.29 ,$27.51 ,$5.89 ,$11.76 ,$25.83 ,$5.89 ,$25.83 ,$5.89 ,$23.27 ,$23.27 ,$5.89 ,$23.27 ,$12.14 ,$37.80 ,$34.86 ,$15.03 ,$5.89 ,$36.96 ,$6.01 ,$31.50 ,$31.50 ,$35.70 ,$35.70 ,$5.89 ,$35.70 ,$5.89 ,$34.02 ,$34.02 ,$34.02 ,$42.00 ,$37.80 ,$15.03 ,$37.80 ,$5.89 ,$42.00 ,$23.56 ,$5.89 ,$17.39 ,$3.03 ,$2.89 ,$6.18 ,$37.80 ,$13.52 ,$23.27 ,$11.76 ,$37.80 ,$5.89 ,$37.80 ,$37.80 ,$5.89 ,$27.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500341,85046,HC BLOOD COUNT RETICULOCYTES AUTO,305,1 ,$56.00 ,$40.32 ,$4.95 ,$56.00 ,$13.93 ,$41.72 ,$36.68 ,$5.46 ,$15.68 ,$34.44 ,$5.46 ,$34.44 ,$5.46 ,$31.02 ,$31.02 ,$5.46 ,$31.02 ,$11.25 ,$50.40 ,$46.48 ,$13.93 ,$5.46 ,$49.28 ,$5.57 ,$42.00 ,$42.00 ,$47.60 ,$47.60 ,$5.46 ,$47.60 ,$5.46 ,$45.36 ,$45.36 ,$45.36 ,$56.00 ,$50.40 ,$13.93 ,$50.40 ,$5.46 ,$56.00 ,$31.42 ,$5.46 ,$23.18 ,$5.18 ,$4.95 ,$5.73 ,$50.40 ,$12.53 ,$31.02 ,$15.68 ,$50.40 ,$5.46 ,$50.40 ,$50.40 ,$5.46 ,$36.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500829,85300,HC ANTITHROMBIN III ACT,305,1 ,$164.00 ,$118.08 ,$8.58 ,$164.00 ,$29.63 ,$122.18 ,$107.42 ,$11.61 ,$45.92 ,$100.86 ,$11.61 ,$100.86 ,$11.61 ,$90.86 ,$90.86 ,$11.61 ,$90.86 ,$23.94 ,$147.60 ,$136.12 ,$29.63 ,$11.61 ,$144.32 ,$11.85 ,$123.00 ,$123.00 ,$139.40 ,$139.40 ,$11.61 ,$139.40 ,$11.61 ,$132.84 ,$132.84 ,$132.84 ,$164.00 ,$147.60 ,$29.63 ,$147.60 ,$11.61 ,$164.00 ,$92.00 ,$11.61 ,$67.90 ,$8.99 ,$8.58 ,$12.19 ,$147.60 ,$26.66 ,$90.86 ,$45.92 ,$147.60 ,$11.61 ,$147.60 ,$147.60 ,$11.61 ,$106.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500830,85362,HC FDP/FSP AGGLUT SQ,305,1 ,$75.00 ,$54.00 ,$2.89 ,$75.00 ,$17.23 ,$55.88 ,$49.13 ,$6.75 ,$21.00 ,$46.13 ,$6.75 ,$46.13 ,$6.75 ,$41.55 ,$41.55 ,$6.75 ,$41.55 ,$13.92 ,$67.50 ,$62.25 ,$17.23 ,$6.75 ,$66.00 ,$6.89 ,$56.25 ,$56.25 ,$63.75 ,$63.75 ,$6.75 ,$63.75 ,$6.75 ,$60.75 ,$60.75 ,$60.75 ,$75.00 ,$67.50 ,$17.23 ,$67.50 ,$6.75 ,$75.00 ,$42.08 ,$6.75 ,$31.05 ,$3.03 ,$2.89 ,$7.09 ,$67.50 ,$15.50 ,$41.55 ,$21.00 ,$67.50 ,$6.75 ,$67.50 ,$67.50 ,$6.75 ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500833,85520,HC HEPARIN ASSAY,305,1 ,$245.00 ,$176.40 ,$8.58 ,$245.00 ,$32.73 ,$182.53 ,$160.48 ,$12.83 ,$68.60 ,$150.68 ,$12.83 ,$150.68 ,$12.83 ,$135.73 ,$135.73 ,$12.83 ,$135.73 ,$26.44 ,$220.50 ,$203.35 ,$32.73 ,$12.83 ,$215.60 ,$13.08 ,$183.75 ,$183.75 ,$208.25 ,$208.25 ,$12.83 ,$208.25 ,$12.83 ,$198.45 ,$198.45 ,$198.45 ,$245.00 ,$220.50 ,$32.73 ,$220.50 ,$12.83 ,$245.00 ,$137.45 ,$12.83 ,$101.43 ,$8.99 ,$8.58 ,$13.47 ,$220.50 ,$29.45 ,$135.73 ,$68.60 ,$220.50 ,$12.83 ,$220.50 ,$220.50 ,$12.83 ,$159.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30500837,85610,HC PROTHROMBIN TIME (PT)-QW,305,1 ,$26.00 ,$18.72 ,$2.89 ,$26.00 ,$10.73 ,$19.37 ,$17.03 ,$4.20 ,$7.28 ,$15.99 ,$4.20 ,$15.99 ,$4.20 ,$14.40 ,$14.40 ,$4.20 ,$14.40 ,$8.67 ,$23.40 ,$21.58 ,$10.73 ,$4.20 ,$22.88 ,$4.29 ,$19.50 ,$19.50 ,$22.10 ,$22.10 ,$4.20 ,$22.10 ,$4.20 ,$21.06 ,$21.06 ,$21.06 ,$26.00 ,$23.40 ,$10.73 ,$23.40 ,$4.20 ,$26.00 ,$14.59 ,$4.20 ,$10.76 ,$3.03 ,$2.89 ,$4.41 ,$23.40 ,$9.65 ,$14.40 ,$7.28 ,$23.40 ,$4.20 ,$23.40 ,$23.40 ,$4.20 ,$16.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30530231,85675,HC THROMBIN TIME TITER-90,305,1 ,$8.00 ,$5.76 ,$2.24 ,$15.41 ,$8.00 ,$5.96 ,$5.24 ,$6.71 ,$2.24 ,$4.92 ,$6.71 ,$4.92 ,$6.71 ,$4.43 ,$4.43 ,$6.71 ,$4.43 ,$8.00 ,$7.20 ,$6.64 ,$8.00 ,$6.71 ,$7.04 ,$6.85 ,$6.00 ,$6.00 ,$6.80 ,$6.80 ,$6.71 ,$6.80 ,$6.71 ,$6.48 ,$6.48 ,$6.48 ,$8.00 ,$7.20 ,$8.00 ,$7.20 ,$6.71 ,$8.00 ,$4.49 ,$6.71 ,$3.31 ,$3.03 ,$2.89 ,$7.05 ,$7.20 ,$15.41 ,$4.43 ,$2.24 ,$7.20 ,$6.71 ,$7.20 ,$7.20 ,$6.71 ,$5.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$50.60 ,$36.43 ,$5.69 ,$50.60 ,$16.70 ,$37.70 ,$33.14 ,$6.55 ,$14.17 ,$31.12 ,$6.55 ,$31.12 ,$6.55 ,$28.03 ,$28.03 ,$6.55 ,$28.03 ,$13.49 ,$45.54 ,$42.00 ,$16.70 ,$6.55 ,$44.53 ,$6.67 ,$37.95 ,$37.95 ,$43.01 ,$43.01 ,$6.55 ,$43.01 ,$6.55 ,$40.99 ,$40.99 ,$40.99 ,$50.60 ,$45.54 ,$16.70 ,$45.54 ,$6.55 ,$50.60 ,$28.39 ,$6.55 ,$20.95 ,$5.96 ,$5.69 ,$6.87 ,$45.54 ,$15.03 ,$28.03 ,$14.17 ,$45.54 ,$6.55 ,$45.54 ,$45.54 ,$6.55 ,$32.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600102,87040,HC BLOOD CULTURE,306,1 ,$92.00 ,$66.24 ,$10.11 ,$92.00 ,$25.80 ,$68.54 ,$60.26 ,$10.11 ,$25.76 ,$56.58 ,$10.11 ,$56.58 ,$10.11 ,$50.97 ,$50.97 ,$10.11 ,$50.97 ,$20.85 ,$82.80 ,$76.36 ,$25.80 ,$10.11 ,$80.96 ,$10.32 ,$69.00 ,$69.00 ,$78.20 ,$78.20 ,$10.11 ,$78.20 ,$10.11 ,$74.52 ,$74.52 ,$74.52 ,$92.00 ,$82.80 ,$25.80 ,$82.80 ,$10.11 ,$92.00 ,$51.61 ,$10.11 ,$38.09 ,$19.80 ,$18.90 ,$10.62 ,$82.80 ,$23.22 ,$50.97 ,$25.76 ,$82.80 ,$10.11 ,$82.80 ,$82.80 ,$10.11 ,$59.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600109,87070,HC BODY FLUID CULTURE,306,1 ,$136.85 ,$98.53 ,$5.69 ,$136.85 ,$21.55 ,$101.95 ,$89.64 ,$8.45 ,$38.32 ,$84.16 ,$8.45 ,$84.16 ,$8.45 ,$75.81 ,$75.81 ,$8.45 ,$75.81 ,$17.41 ,$123.17 ,$113.59 ,$21.55 ,$8.45 ,$120.43 ,$8.61 ,$102.64 ,$102.64 ,$116.32 ,$116.32 ,$8.45 ,$116.32 ,$8.45 ,$110.85 ,$110.85 ,$110.85 ,$136.85 ,$123.17 ,$21.55 ,$123.17 ,$8.45 ,$136.85 ,$76.77 ,$8.45 ,$56.66 ,$5.96 ,$5.69 ,$8.87 ,$123.17 ,$19.40 ,$75.81 ,$38.32 ,$123.17 ,$8.45 ,$123.17 ,$123.17 ,$8.45 ,$88.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600119,87075,HC CULTURE ANAEROBIC,306,1 ,$265.65 ,$191.27 ,$5.69 ,$265.65 ,$23.68 ,$197.91 ,$174.00 ,$9.28 ,$74.38 ,$163.37 ,$9.28 ,$163.37 ,$9.28 ,$147.17 ,$147.17 ,$9.28 ,$147.17 ,$19.13 ,$239.09 ,$220.49 ,$23.68 ,$9.28 ,$233.77 ,$9.47 ,$199.24 ,$199.24 ,$225.80 ,$225.80 ,$9.28 ,$225.80 ,$9.28 ,$215.18 ,$215.18 ,$215.18 ,$265.65 ,$239.09 ,$23.68 ,$239.09 ,$9.28 ,$265.65 ,$149.03 ,$9.28 ,$109.98 ,$5.96 ,$5.69 ,$9.74 ,$239.09 ,$21.31 ,$147.17 ,$74.38 ,$239.09 ,$9.28 ,$239.09 ,$239.09 ,$9.28 ,$172.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600125,87081,HC CULTURE SCR (GRP B STREP),306,1 ,$75.90 ,$54.65 ,$5.69 ,$75.90 ,$16.58 ,$56.55 ,$49.71 ,$6.50 ,$21.25 ,$46.68 ,$6.50 ,$46.68 ,$6.50 ,$42.05 ,$42.05 ,$6.50 ,$42.05 ,$13.39 ,$68.31 ,$63.00 ,$16.58 ,$6.50 ,$66.79 ,$6.62 ,$56.93 ,$56.93 ,$64.52 ,$64.52 ,$6.50 ,$64.52 ,$6.50 ,$61.48 ,$61.48 ,$61.48 ,$75.90 ,$68.31 ,$16.58 ,$68.31 ,$6.50 ,$75.90 ,$42.58 ,$6.50 ,$31.42 ,$5.96 ,$5.69 ,$6.82 ,$68.31 ,$14.92 ,$42.05 ,$21.25 ,$68.31 ,$6.50 ,$68.31 ,$68.31 ,$6.50 ,$49.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600134,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$123.05 ,$88.60 ,$5.69 ,$123.05 ,$20.18 ,$91.67 ,$80.60 ,$7.91 ,$34.45 ,$75.68 ,$7.91 ,$75.68 ,$7.91 ,$68.17 ,$68.17 ,$7.91 ,$68.17 ,$16.30 ,$110.75 ,$102.13 ,$20.18 ,$7.91 ,$108.28 ,$8.07 ,$92.29 ,$92.29 ,$104.59 ,$104.59 ,$7.91 ,$104.59 ,$7.91 ,$99.67 ,$99.67 ,$99.67 ,$123.05 ,$110.75 ,$20.18 ,$110.75 ,$7.91 ,$123.05 ,$69.03 ,$7.91 ,$50.94 ,$5.96 ,$5.69 ,$8.30 ,$110.75 ,$18.16 ,$68.17 ,$34.45 ,$110.75 ,$7.91 ,$110.75 ,$110.75 ,$7.91 ,$79.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600135,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$48.30 ,$34.78 ,$5.69 ,$48.30 ,$20.23 ,$35.98 ,$31.64 ,$7.93 ,$13.52 ,$29.70 ,$7.93 ,$29.70 ,$7.93 ,$26.76 ,$26.76 ,$7.93 ,$26.76 ,$16.34 ,$43.47 ,$40.09 ,$20.23 ,$7.93 ,$42.50 ,$8.08 ,$36.23 ,$36.23 ,$41.06 ,$41.06 ,$7.93 ,$41.06 ,$7.93 ,$39.12 ,$39.12 ,$39.12 ,$48.30 ,$43.47 ,$20.23 ,$43.47 ,$7.93 ,$48.30 ,$27.10 ,$7.93 ,$20.00 ,$5.96 ,$5.69 ,$8.32 ,$43.47 ,$18.20 ,$26.76 ,$13.52 ,$43.47 ,$7.93 ,$43.47 ,$43.47 ,$7.93 ,$31.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600160,87150,HC ID NUCLEAR ACID PROBE,306,1 ,$63.25 ,$45.54 ,$5.69 ,$78.95 ,$63.25 ,$47.12 ,$41.43 ,$34.39 ,$17.71 ,$38.90 ,$34.39 ,$38.90 ,$34.39 ,$35.04 ,$35.04 ,$34.39 ,$35.04 ,$63.25 ,$56.93 ,$52.50 ,$63.25 ,$34.39 ,$55.66 ,$35.07 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$34.39 ,$53.76 ,$34.39 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$63.25 ,$56.93 ,$34.39 ,$63.25 ,$35.48 ,$34.39 ,$26.19 ,$5.96 ,$5.69 ,$36.10 ,$56.93 ,$78.95 ,$35.04 ,$17.71 ,$56.93 ,$34.39 ,$56.93 ,$56.93 ,$34.39 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600161,87168,HC EXAM ARTHROPOD,306,1 ,$119.60 ,$86.11 ,$4.18 ,$119.60 ,$10.68 ,$89.10 ,$78.34 ,$4.18 ,$33.49 ,$73.55 ,$4.18 ,$73.55 ,$4.18 ,$66.26 ,$66.26 ,$4.18 ,$66.26 ,$8.63 ,$107.64 ,$99.27 ,$10.68 ,$4.18 ,$105.25 ,$4.27 ,$89.70 ,$89.70 ,$101.66 ,$101.66 ,$4.18 ,$101.66 ,$4.18 ,$96.88 ,$96.88 ,$96.88 ,$119.60 ,$107.64 ,$10.68 ,$107.64 ,$4.18 ,$119.60 ,$67.10 ,$4.18 ,$49.51 ,$5.96 ,$5.69 ,$4.39 ,$107.64 ,$9.61 ,$66.26 ,$33.49 ,$107.64 ,$4.18 ,$107.64 ,$107.64 ,$4.18 ,$77.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600163,87172,HC PINWORM EXAM,306,1 ,$62.10 ,$44.71 ,$4.18 ,$62.10 ,$10.68 ,$46.26 ,$40.68 ,$4.18 ,$17.39 ,$38.19 ,$4.18 ,$38.19 ,$4.18 ,$34.40 ,$34.40 ,$4.18 ,$34.40 ,$8.63 ,$55.89 ,$51.54 ,$10.68 ,$4.18 ,$54.65 ,$4.27 ,$46.58 ,$46.58 ,$52.79 ,$52.79 ,$4.18 ,$52.79 ,$4.18 ,$50.30 ,$50.30 ,$50.30 ,$62.10 ,$55.89 ,$10.68 ,$55.89 ,$4.18 ,$62.10 ,$34.84 ,$4.18 ,$25.71 ,$5.96 ,$5.69 ,$4.39 ,$55.89 ,$9.61 ,$34.40 ,$17.39 ,$55.89 ,$4.18 ,$55.89 ,$55.89 ,$4.18 ,$40.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600166,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$25.30 ,$18.22 ,$4.65 ,$25.30 ,$11.88 ,$18.85 ,$16.57 ,$4.65 ,$7.08 ,$15.56 ,$4.65 ,$15.56 ,$4.65 ,$14.02 ,$14.02 ,$4.65 ,$14.02 ,$9.60 ,$22.77 ,$21.00 ,$11.88 ,$4.65 ,$22.26 ,$4.75 ,$18.98 ,$18.98 ,$21.51 ,$21.51 ,$4.65 ,$21.51 ,$4.65 ,$20.49 ,$20.49 ,$20.49 ,$25.30 ,$22.77 ,$11.88 ,$22.77 ,$4.65 ,$25.30 ,$14.19 ,$4.65 ,$10.47 ,$5.96 ,$5.69 ,$4.89 ,$22.77 ,$10.69 ,$14.02 ,$7.08 ,$22.77 ,$4.65 ,$22.77 ,$22.77 ,$4.65 ,$16.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600172,87186,HC SENSITIVITY MIC,306,1 ,$62.10 ,$44.71 ,$5.69 ,$62.10 ,$21.63 ,$46.26 ,$40.68 ,$8.48 ,$17.39 ,$38.19 ,$8.48 ,$38.19 ,$8.48 ,$34.40 ,$34.40 ,$8.48 ,$34.40 ,$17.47 ,$55.89 ,$51.54 ,$21.63 ,$8.48 ,$54.65 ,$8.64 ,$46.58 ,$46.58 ,$52.79 ,$52.79 ,$8.48 ,$52.79 ,$8.48 ,$50.30 ,$50.30 ,$50.30 ,$62.10 ,$55.89 ,$21.63 ,$55.89 ,$8.48 ,$62.10 ,$34.84 ,$8.48 ,$25.71 ,$5.96 ,$5.69 ,$8.90 ,$55.89 ,$19.46 ,$34.40 ,$17.39 ,$55.89 ,$8.48 ,$55.89 ,$55.89 ,$8.48 ,$40.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$49.45 ,$35.60 ,$4.18 ,$49.45 ,$10.68 ,$36.84 ,$32.39 ,$4.18 ,$13.85 ,$30.41 ,$4.18 ,$30.41 ,$4.18 ,$27.40 ,$27.40 ,$4.18 ,$27.40 ,$8.63 ,$44.51 ,$41.04 ,$10.68 ,$4.18 ,$43.52 ,$4.27 ,$37.09 ,$37.09 ,$42.03 ,$42.03 ,$4.18 ,$42.03 ,$4.18 ,$40.05 ,$40.05 ,$40.05 ,$49.45 ,$44.51 ,$10.68 ,$44.51 ,$4.18 ,$49.45 ,$27.74 ,$4.18 ,$20.47 ,$5.96 ,$5.69 ,$4.39 ,$44.51 ,$9.61 ,$27.40 ,$13.85 ,$44.51 ,$4.18 ,$44.51 ,$44.51 ,$4.18 ,$32.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600183,87210,HC SMEAR WET MOUNT,306,1 ,$85.10 ,$61.27 ,$5.69 ,$85.10 ,$14.55 ,$63.40 ,$55.74 ,$5.70 ,$23.83 ,$52.34 ,$5.70 ,$52.34 ,$5.70 ,$47.15 ,$47.15 ,$5.70 ,$47.15 ,$11.76 ,$76.59 ,$70.63 ,$14.55 ,$5.70 ,$74.89 ,$5.82 ,$63.83 ,$63.83 ,$72.34 ,$72.34 ,$5.70 ,$72.34 ,$5.70 ,$68.93 ,$68.93 ,$68.93 ,$85.10 ,$76.59 ,$14.55 ,$76.59 ,$5.70 ,$85.10 ,$47.74 ,$5.70 ,$35.23 ,$5.96 ,$5.69 ,$5.99 ,$76.59 ,$13.10 ,$47.15 ,$23.83 ,$76.59 ,$5.70 ,$76.59 ,$76.59 ,$5.70 ,$55.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$46.00 ,$33.12 ,$7.13 ,$46.00 ,$29.95 ,$34.27 ,$30.13 ,$11.74 ,$12.88 ,$28.29 ,$11.74 ,$28.29 ,$11.74 ,$25.48 ,$25.48 ,$11.74 ,$25.48 ,$24.20 ,$41.40 ,$38.18 ,$29.95 ,$11.74 ,$40.48 ,$11.98 ,$34.50 ,$34.50 ,$39.10 ,$39.10 ,$11.74 ,$39.10 ,$11.74 ,$37.26 ,$37.26 ,$37.26 ,$46.00 ,$41.40 ,$29.95 ,$41.40 ,$11.74 ,$46.00 ,$25.81 ,$11.74 ,$19.04 ,$7.47 ,$7.13 ,$12.33 ,$41.40 ,$26.96 ,$25.48 ,$12.88 ,$41.40 ,$11.74 ,$41.40 ,$41.40 ,$11.74 ,$29.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600217,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$127.65 ,$91.91 ,$7.13 ,$127.65 ,$35.95 ,$95.10 ,$83.61 ,$14.09 ,$35.74 ,$78.50 ,$14.09 ,$78.50 ,$14.09 ,$70.72 ,$70.72 ,$14.09 ,$70.72 ,$29.05 ,$114.89 ,$105.95 ,$35.95 ,$14.09 ,$112.33 ,$14.38 ,$95.74 ,$95.74 ,$108.50 ,$108.50 ,$14.09 ,$108.50 ,$14.09 ,$103.40 ,$103.40 ,$103.40 ,$127.65 ,$114.89 ,$35.95 ,$114.89 ,$14.09 ,$127.65 ,$71.61 ,$14.09 ,$52.85 ,$7.47 ,$7.13 ,$14.80 ,$114.89 ,$32.36 ,$70.72 ,$35.74 ,$114.89 ,$14.09 ,$114.89 ,$114.89 ,$14.09 ,$82.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$48.75 ,$35.10 ,$12.30 ,$48.75 ,$35.33 ,$36.32 ,$31.93 ,$13.85 ,$13.65 ,$29.98 ,$13.85 ,$29.98 ,$13.85 ,$27.01 ,$27.01 ,$13.85 ,$27.01 ,$28.54 ,$43.88 ,$40.46 ,$35.33 ,$13.85 ,$42.90 ,$14.12 ,$36.56 ,$36.56 ,$41.44 ,$41.44 ,$13.85 ,$41.44 ,$13.85 ,$39.49 ,$39.49 ,$39.49 ,$48.75 ,$43.88 ,$35.33 ,$43.88 ,$13.85 ,$48.75 ,$27.35 ,$13.85 ,$20.18 ,$12.88 ,$12.30 ,$14.54 ,$43.88 ,$31.79 ,$27.01 ,$13.65 ,$43.88 ,$13.85 ,$43.88 ,$43.88 ,$13.85 ,$31.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600226,87420,HC RSV AG QL,306,1 ,$47.99 ,$34.55 ,$13.44 ,$47.99 ,$34.78 ,$35.75 ,$31.43 ,$13.63 ,$13.44 ,$29.51 ,$13.63 ,$29.51 ,$13.63 ,$26.59 ,$26.59 ,$13.63 ,$26.59 ,$28.10 ,$43.19 ,$39.83 ,$34.78 ,$13.63 ,$42.23 ,$13.91 ,$35.99 ,$35.99 ,$40.79 ,$40.79 ,$13.63 ,$40.79 ,$13.63 ,$38.87 ,$38.87 ,$38.87 ,$47.99 ,$43.19 ,$34.78 ,$43.19 ,$13.63 ,$47.99 ,$26.92 ,$13.63 ,$19.87 ,$19.80 ,$18.90 ,$14.32 ,$43.19 ,$31.30 ,$26.59 ,$13.44 ,$43.19 ,$13.63 ,$43.19 ,$43.19 ,$13.63 ,$31.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600228,87430,HC RAPID STREP,306,1 ,$65.55 ,$47.20 ,$7.13 ,$65.55 ,$42.03 ,$48.83 ,$42.94 ,$16.47 ,$18.35 ,$40.31 ,$16.47 ,$40.31 ,$16.47 ,$36.31 ,$36.31 ,$16.47 ,$36.31 ,$33.96 ,$59.00 ,$54.41 ,$42.03 ,$16.47 ,$57.68 ,$16.81 ,$49.16 ,$49.16 ,$55.72 ,$55.72 ,$16.47 ,$55.72 ,$16.47 ,$53.10 ,$53.10 ,$53.10 ,$65.55 ,$59.00 ,$42.03 ,$59.00 ,$16.47 ,$65.55 ,$36.77 ,$16.47 ,$27.14 ,$7.47 ,$7.13 ,$17.30 ,$59.00 ,$37.82 ,$36.31 ,$18.35 ,$59.00 ,$16.47 ,$59.00 ,$59.00 ,$16.47 ,$42.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$239.20 ,$172.22 ,$7.13 ,$239.20 ,$93.18 ,$178.20 ,$156.68 ,$36.52 ,$66.98 ,$147.11 ,$36.52 ,$147.11 ,$36.52 ,$132.52 ,$132.52 ,$36.52 ,$132.52 ,$75.29 ,$215.28 ,$198.54 ,$93.18 ,$36.52 ,$210.50 ,$37.26 ,$179.40 ,$179.40 ,$203.32 ,$203.32 ,$36.52 ,$203.32 ,$36.52 ,$193.75 ,$193.75 ,$193.75 ,$239.20 ,$215.28 ,$93.18 ,$215.28 ,$36.52 ,$239.20 ,$134.19 ,$36.52 ,$99.03 ,$7.47 ,$7.13 ,$38.35 ,$215.28 ,$83.86 ,$132.52 ,$66.98 ,$215.28 ,$36.52 ,$215.28 ,$215.28 ,$36.52 ,$155.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600252,87624,HC HPV AMP,306,1 ,$157.55 ,$113.44 ,$18.90 ,$157.55 ,$87.73 ,$117.37 ,$103.20 ,$34.39 ,$44.11 ,$96.89 ,$34.39 ,$96.89 ,$34.39 ,$87.28 ,$87.28 ,$34.39 ,$87.28 ,$70.88 ,$141.80 ,$130.77 ,$87.73 ,$34.39 ,$138.64 ,$35.07 ,$118.16 ,$118.16 ,$133.92 ,$133.92 ,$34.39 ,$133.92 ,$34.39 ,$127.62 ,$127.62 ,$127.62 ,$157.55 ,$141.80 ,$87.73 ,$141.80 ,$34.39 ,$35.09 ,$88.39 ,$34.39 ,$65.23 ,$19.80 ,$18.90 ,$36.10 ,$141.80 ,$78.95 ,$87.28 ,$44.11 ,$141.80 ,$34.39 ,$141.80 ,$141.80 ,$34.39 ,$102.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600255,87641,HC MRSA AMP,306,1 ,$196.65 ,$141.59 ,$18.90 ,$196.65 ,$87.73 ,$146.50 ,$128.81 ,$34.39 ,$55.06 ,$120.94 ,$34.39 ,$120.94 ,$34.39 ,$108.94 ,$108.94 ,$34.39 ,$108.94 ,$70.88 ,$176.99 ,$163.22 ,$87.73 ,$34.39 ,$173.05 ,$35.07 ,$147.49 ,$147.49 ,$167.15 ,$167.15 ,$34.39 ,$167.15 ,$34.39 ,$159.29 ,$159.29 ,$159.29 ,$196.65 ,$176.99 ,$87.73 ,$176.99 ,$34.39 ,$196.65 ,$110.32 ,$34.39 ,$81.41 ,$19.80 ,$18.90 ,$36.10 ,$176.99 ,$78.95 ,$108.94 ,$55.06 ,$176.99 ,$34.39 ,$176.99 ,$176.99 ,$34.39 ,$127.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600257,87653,HC INFECT AMP (GRP B STREP),306,1 ,$89.70 ,$64.58 ,$18.90 ,$89.70 ,$87.73 ,$66.83 ,$58.75 ,$34.39 ,$25.12 ,$55.17 ,$34.39 ,$55.17 ,$34.39 ,$49.69 ,$49.69 ,$34.39 ,$49.69 ,$70.88 ,$80.73 ,$74.45 ,$87.73 ,$34.39 ,$78.94 ,$35.07 ,$67.28 ,$67.28 ,$76.25 ,$76.25 ,$34.39 ,$76.25 ,$34.39 ,$72.66 ,$72.66 ,$72.66 ,$89.70 ,$80.73 ,$87.73 ,$80.73 ,$34.39 ,$89.70 ,$50.32 ,$34.39 ,$37.14 ,$19.80 ,$18.90 ,$36.10 ,$80.73 ,$78.95 ,$49.69 ,$25.12 ,$80.73 ,$34.39 ,$80.73 ,$80.73 ,$34.39 ,$58.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600269,87807,HC QL RSV,306,1 ,$148.35 ,$106.81 ,$5.69 ,$148.35 ,$32.75 ,$110.52 ,$97.17 ,$12.84 ,$41.54 ,$91.24 ,$12.84 ,$91.24 ,$12.84 ,$82.19 ,$82.19 ,$12.84 ,$82.19 ,$26.46 ,$133.52 ,$123.13 ,$32.75 ,$12.84 ,$130.55 ,$13.09 ,$111.26 ,$111.26 ,$126.10 ,$126.10 ,$12.84 ,$126.10 ,$12.84 ,$120.16 ,$120.16 ,$120.16 ,$148.35 ,$133.52 ,$32.75 ,$133.52 ,$12.84 ,$148.35 ,$83.22 ,$12.84 ,$61.42 ,$5.96 ,$5.69 ,$13.48 ,$133.52 ,$29.48 ,$82.19 ,$41.54 ,$133.52 ,$12.84 ,$133.52 ,$133.52 ,$12.84 ,$96.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600283,87804,HC QL INFLUENZA A/B,306,1 ,$71.30 ,$51.34 ,$5.69 ,$71.30 ,$41.38 ,$53.12 ,$46.70 ,$16.22 ,$19.96 ,$43.85 ,$16.22 ,$43.85 ,$16.22 ,$39.50 ,$39.50 ,$16.22 ,$39.50 ,$33.43 ,$64.17 ,$59.18 ,$41.38 ,$16.22 ,$62.74 ,$16.54 ,$53.48 ,$53.48 ,$60.61 ,$60.61 ,$16.22 ,$60.61 ,$16.22 ,$57.75 ,$57.75 ,$57.75 ,$71.30 ,$64.17 ,$41.38 ,$64.17 ,$16.22 ,$71.30 ,$40.00 ,$16.22 ,$29.52 ,$5.96 ,$5.69 ,$17.03 ,$64.17 ,$37.24 ,$39.50 ,$19.96 ,$64.17 ,$16.22 ,$64.17 ,$64.17 ,$16.22 ,$46.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600314,87340,HC EIA QL HEPATITIS B AG,306,1 ,$141.45 ,$101.84 ,$7.13 ,$141.45 ,$25.83 ,$105.38 ,$92.65 ,$10.12 ,$39.61 ,$86.99 ,$10.12 ,$86.99 ,$10.12 ,$78.36 ,$78.36 ,$10.12 ,$78.36 ,$20.87 ,$127.31 ,$117.40 ,$25.83 ,$10.12 ,$124.48 ,$10.33 ,$106.09 ,$106.09 ,$120.23 ,$120.23 ,$10.12 ,$120.23 ,$10.12 ,$114.57 ,$114.57 ,$114.57 ,$141.45 ,$127.31 ,$25.83 ,$127.31 ,$10.12 ,$141.45 ,$79.35 ,$10.12 ,$58.56 ,$7.47 ,$7.13 ,$10.63 ,$127.31 ,$23.24 ,$78.36 ,$39.61 ,$127.31 ,$10.12 ,$127.31 ,$127.31 ,$10.12 ,$91.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600316,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB,306,1 ,$148.35 ,$106.81 ,$7.13 ,$148.35 ,$60.20 ,$110.52 ,$97.17 ,$23.60 ,$41.54 ,$91.24 ,$23.60 ,$91.24 ,$23.60 ,$82.19 ,$82.19 ,$23.60 ,$82.19 ,$48.64 ,$133.52 ,$123.13 ,$60.20 ,$23.60 ,$130.55 ,$24.07 ,$111.26 ,$111.26 ,$126.10 ,$126.10 ,$23.60 ,$126.10 ,$23.60 ,$120.16 ,$120.16 ,$120.16 ,$148.35 ,$133.52 ,$60.20 ,$133.52 ,$23.60 ,$148.35 ,$83.22 ,$23.60 ,$61.42 ,$7.47 ,$7.13 ,$24.77 ,$133.52 ,$54.18 ,$82.19 ,$41.54 ,$133.52 ,$23.60 ,$133.52 ,$133.52 ,$23.60 ,$96.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600318,87449,HC EIA QL MLT AG INF,306,1 ,$41.40 ,$29.81 ,$7.13 ,$41.40 ,$29.95 ,$30.84 ,$27.12 ,$11.74 ,$11.59 ,$25.46 ,$11.74 ,$25.46 ,$11.74 ,$22.94 ,$22.94 ,$11.74 ,$22.94 ,$24.20 ,$37.26 ,$34.36 ,$29.95 ,$11.74 ,$36.43 ,$11.98 ,$31.05 ,$31.05 ,$35.19 ,$35.19 ,$11.74 ,$35.19 ,$11.74 ,$33.53 ,$33.53 ,$33.53 ,$41.40 ,$37.26 ,$29.95 ,$37.26 ,$11.74 ,$41.40 ,$23.23 ,$11.74 ,$17.14 ,$7.47 ,$7.13 ,$12.33 ,$37.26 ,$26.96 ,$22.94 ,$11.59 ,$37.26 ,$11.74 ,$37.26 ,$37.26 ,$11.74 ,$26.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$121.06 ,$87.16 ,$18.90 ,$121.06 ,$87.73 ,$90.19 ,$79.29 ,$34.39 ,$33.90 ,$74.45 ,$34.39 ,$74.45 ,$34.39 ,$67.07 ,$67.07 ,$34.39 ,$67.07 ,$70.88 ,$108.95 ,$100.48 ,$87.73 ,$34.39 ,$106.53 ,$35.07 ,$90.80 ,$90.80 ,$102.90 ,$102.90 ,$34.39 ,$102.90 ,$34.39 ,$98.06 ,$98.06 ,$98.06 ,$121.06 ,$108.95 ,$87.73 ,$108.95 ,$34.39 ,$121.06 ,$67.91 ,$34.39 ,$50.12 ,$19.80 ,$18.90 ,$36.10 ,$108.95 ,$78.95 ,$67.07 ,$33.90 ,$108.95 ,$34.39 ,$108.95 ,$108.95 ,$34.39 ,$78.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600333,87808,HC TRICHOMONAS VAGINITIS OPTICAL,306,1 ,$85.10 ,$61.27 ,$5.69 ,$85.10 ,$38.23 ,$63.40 ,$55.74 ,$14.98 ,$23.83 ,$52.34 ,$14.98 ,$52.34 ,$14.98 ,$47.15 ,$47.15 ,$14.98 ,$47.15 ,$30.89 ,$76.59 ,$70.63 ,$38.23 ,$14.98 ,$74.89 ,$15.29 ,$63.83 ,$63.83 ,$72.34 ,$72.34 ,$14.98 ,$72.34 ,$14.98 ,$68.93 ,$68.93 ,$68.93 ,$85.10 ,$76.59 ,$38.23 ,$76.59 ,$14.98 ,$85.10 ,$47.74 ,$14.98 ,$35.23 ,$5.96 ,$5.69 ,$15.73 ,$76.59 ,$34.40 ,$47.15 ,$23.83 ,$76.59 ,$14.98 ,$76.59 ,$76.59 ,$14.98 ,$55.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600336,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$750.95 ,$540.68 ,$18.90 ,$937.76 ,$750.95 ,$559.46 ,$491.87 ,$408.44 ,$210.27 ,$461.83 ,$408.44 ,$461.83 ,$408.44 ,$416.03 ,$416.03 ,$408.44 ,$416.03 ,$750.95 ,$675.86 ,$500.00 ,$750.95 ,$408.44 ,$660.84 ,$416.62 ,$563.21 ,$563.21 ,$638.31 ,$638.31 ,$408.44 ,$638.31 ,$408.44 ,$608.27 ,$608.27 ,$608.27 ,$750.95 ,$675.86 ,$750.95 ,$675.86 ,$408.44 ,$750.95 ,$421.28 ,$408.44 ,$310.89 ,$19.80 ,$18.90 ,$428.87 ,$675.86 ,$937.76 ,$416.03 ,$210.27 ,$675.86 ,$408.44 ,$675.86 ,$675.86 ,$408.44 ,$488.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600338,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$63.25 ,$45.54 ,$17.71 ,$78.95 ,$63.25 ,$47.12 ,$41.43 ,$34.39 ,$17.71 ,$38.90 ,$34.39 ,$38.90 ,$34.39 ,$35.04 ,$35.04 ,$34.39 ,$35.04 ,$63.25 ,$56.93 ,$52.50 ,$63.25 ,$34.39 ,$55.66 ,$35.07 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$34.39 ,$53.76 ,$34.39 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$63.25 ,$56.93 ,$34.39 ,$63.25 ,$35.48 ,$34.39 ,$26.19 ,$19.80 ,$18.90 ,$36.10 ,$56.93 ,$78.95 ,$35.04 ,$17.71 ,$56.93 ,$34.39 ,$56.93 ,$56.93 ,$34.39 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600339,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,$750.95 ,$540.68 ,$18.90 ,$937.76 ,$750.95 ,$559.46 ,$491.87 ,$408.44 ,$210.27 ,$461.83 ,$408.44 ,$461.83 ,$408.44 ,$416.03 ,$416.03 ,$408.44 ,$416.03 ,$750.95 ,$675.86 ,$500.00 ,$750.95 ,$408.44 ,$660.84 ,$416.62 ,$563.21 ,$563.21 ,$638.31 ,$638.31 ,$408.44 ,$638.31 ,$408.44 ,$608.27 ,$608.27 ,$608.27 ,$750.95 ,$675.86 ,$750.95 ,$675.86 ,$408.44 ,$750.95 ,$421.28 ,$408.44 ,$310.89 ,$19.80 ,$18.90 ,$428.87 ,$675.86 ,$937.76 ,$416.03 ,$210.27 ,$675.86 ,$408.44 ,$675.86 ,$675.86 ,$408.44 ,$488.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600348,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,$801.55 ,$577.12 ,$18.90 ,$937.76 ,$801.55 ,$597.15 ,$525.02 ,$408.44 ,$224.43 ,$492.95 ,$408.44 ,$492.95 ,$408.44 ,$444.06 ,$444.06 ,$408.44 ,$444.06 ,$801.55 ,$721.40 ,$500.00 ,$801.55 ,$408.44 ,$705.36 ,$416.62 ,$601.16 ,$601.16 ,$681.32 ,$681.32 ,$408.44 ,$681.32 ,$408.44 ,$649.26 ,$649.26 ,$649.26 ,$801.55 ,$721.40 ,$801.55 ,$721.40 ,$408.44 ,$801.55 ,$449.67 ,$408.44 ,$331.84 ,$19.80 ,$18.90 ,$428.87 ,$721.40 ,$937.76 ,$444.06 ,$224.43 ,$721.40 ,$408.44 ,$721.40 ,$721.40 ,$408.44 ,$521.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600353,87015,HC CONCENTRATION INFECTIOUS AGENT-90,306,1 ,$34.50 ,$24.84 ,$5.69 ,$34.50 ,$16.70 ,$25.70 ,$22.60 ,$6.55 ,$9.66 ,$21.22 ,$6.55 ,$21.22 ,$6.55 ,$19.11 ,$19.11 ,$6.55 ,$19.11 ,$13.49 ,$31.05 ,$28.64 ,$16.70 ,$6.55 ,$30.36 ,$6.67 ,$25.88 ,$25.88 ,$29.33 ,$29.33 ,$6.55 ,$29.33 ,$6.55 ,$27.95 ,$27.95 ,$27.95 ,$34.50 ,$31.05 ,$16.70 ,$31.05 ,$6.55 ,$34.50 ,$19.35 ,$6.55 ,$14.28 ,$5.96 ,$5.69 ,$6.87 ,$31.05 ,$15.03 ,$19.11 ,$9.66 ,$31.05 ,$6.55 ,$31.05 ,$31.05 ,$6.55 ,$22.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600356,87077,HC CULTURE AEROBIC ID ADDL-90,306,1 ,$22.66 ,$16.32 ,$5.69 ,$22.66 ,$20.20 ,$16.88 ,$14.84 ,$7.92 ,$6.34 ,$13.94 ,$7.92 ,$13.94 ,$7.92 ,$12.55 ,$12.55 ,$7.92 ,$12.55 ,$16.32 ,$20.39 ,$18.81 ,$20.20 ,$7.92 ,$19.94 ,$8.08 ,$17.00 ,$17.00 ,$19.26 ,$19.26 ,$7.92 ,$19.26 ,$7.92 ,$18.35 ,$18.35 ,$18.35 ,$22.66 ,$20.39 ,$20.20 ,$20.39 ,$7.92 ,$22.66 ,$12.71 ,$7.92 ,$9.38 ,$5.96 ,$5.69 ,$8.31 ,$20.39 ,$18.18 ,$12.55 ,$6.34 ,$20.39 ,$7.92 ,$20.39 ,$20.39 ,$7.92 ,$14.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600357,87077,HC CULTURE AEROBIC ID ADDL T1,306,1 ,$13.80 ,$9.94 ,$3.86 ,$18.18 ,$13.80 ,$10.28 ,$9.04 ,$7.92 ,$3.86 ,$8.49 ,$7.92 ,$8.49 ,$7.92 ,$7.65 ,$7.65 ,$7.92 ,$7.65 ,$13.80 ,$12.42 ,$11.45 ,$13.80 ,$7.92 ,$12.14 ,$8.08 ,$10.35 ,$10.35 ,$11.73 ,$11.73 ,$7.92 ,$11.73 ,$7.92 ,$11.18 ,$11.18 ,$11.18 ,$13.80 ,$12.42 ,$13.80 ,$12.42 ,$7.92 ,$13.80 ,$7.74 ,$7.92 ,$5.71 ,$5.96 ,$5.69 ,$8.31 ,$12.42 ,$18.18 ,$7.65 ,$3.86 ,$12.42 ,$7.92 ,$12.42 ,$12.42 ,$7.92 ,$8.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600359,87081,HC CULTURE SCR PRESUMP PATHOGENS-90,306,1 ,$172.50 ,$124.20 ,$5.69 ,$172.50 ,$16.58 ,$128.51 ,$112.99 ,$6.50 ,$48.30 ,$106.09 ,$6.50 ,$106.09 ,$6.50 ,$95.57 ,$95.57 ,$6.50 ,$95.57 ,$13.39 ,$155.25 ,$143.18 ,$16.58 ,$6.50 ,$151.80 ,$6.62 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$6.50 ,$146.63 ,$6.50 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$16.58 ,$155.25 ,$6.50 ,$172.50 ,$96.77 ,$6.50 ,$71.42 ,$5.96 ,$5.69 ,$6.82 ,$155.25 ,$14.92 ,$95.57 ,$48.30 ,$155.25 ,$6.50 ,$155.25 ,$155.25 ,$6.50 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$75.90 ,$54.65 ,$5.69 ,$75.90 ,$16.58 ,$56.55 ,$49.71 ,$6.50 ,$21.25 ,$46.68 ,$6.50 ,$46.68 ,$6.50 ,$42.05 ,$42.05 ,$6.50 ,$42.05 ,$13.39 ,$68.31 ,$63.00 ,$16.58 ,$6.50 ,$66.79 ,$6.62 ,$56.93 ,$56.93 ,$64.52 ,$64.52 ,$6.50 ,$64.52 ,$6.50 ,$61.48 ,$61.48 ,$61.48 ,$75.90 ,$68.31 ,$16.58 ,$68.31 ,$6.50 ,$75.90 ,$42.58 ,$6.50 ,$31.42 ,$5.96 ,$5.69 ,$6.82 ,$68.31 ,$14.92 ,$42.05 ,$21.25 ,$68.31 ,$6.50 ,$68.31 ,$68.31 ,$6.50 ,$49.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600363,87103,HC CULTURE FUNGUS BLOOD-90,306,1 ,$28.75 ,$20.70 ,$8.05 ,$46.04 ,$28.75 ,$21.42 ,$18.83 ,$20.05 ,$8.05 ,$17.68 ,$20.05 ,$17.68 ,$20.05 ,$15.93 ,$15.93 ,$20.05 ,$15.93 ,$28.75 ,$25.88 ,$23.86 ,$28.75 ,$20.05 ,$25.30 ,$20.45 ,$21.56 ,$21.56 ,$24.44 ,$24.44 ,$20.05 ,$24.44 ,$20.05 ,$23.29 ,$23.29 ,$23.29 ,$28.75 ,$25.88 ,$28.75 ,$25.88 ,$20.05 ,$28.75 ,$16.13 ,$20.05 ,$11.90 ,$19.80 ,$18.90 ,$21.05 ,$25.88 ,$46.04 ,$15.93 ,$8.05 ,$25.88 ,$20.05 ,$25.88 ,$25.88 ,$20.05 ,$18.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600364,87106,HC CULTURE FUNGUS ID YEAST-90,306,1 ,$35.60 ,$25.63 ,$5.69 ,$35.60 ,$25.80 ,$26.52 ,$23.32 ,$10.11 ,$9.97 ,$21.89 ,$10.11 ,$21.89 ,$10.11 ,$19.72 ,$19.72 ,$10.11 ,$19.72 ,$20.85 ,$32.04 ,$29.55 ,$25.80 ,$10.11 ,$31.33 ,$10.32 ,$26.70 ,$26.70 ,$30.26 ,$30.26 ,$10.11 ,$30.26 ,$10.11 ,$28.84 ,$28.84 ,$28.84 ,$35.60 ,$32.04 ,$25.80 ,$32.04 ,$10.11 ,$35.60 ,$19.97 ,$10.11 ,$14.74 ,$5.96 ,$5.69 ,$10.62 ,$32.04 ,$23.22 ,$19.72 ,$9.97 ,$32.04 ,$10.11 ,$32.04 ,$32.04 ,$10.11 ,$23.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600366,87109,HC CULTURE MYCOPLASMA-90,306,1 ,$135.00 ,$97.20 ,$15.08 ,$135.00 ,$38.48 ,$100.58 ,$88.43 ,$15.08 ,$37.80 ,$83.03 ,$15.08 ,$83.03 ,$15.08 ,$74.79 ,$74.79 ,$15.08 ,$74.79 ,$31.09 ,$121.50 ,$112.05 ,$38.48 ,$15.08 ,$118.80 ,$15.39 ,$101.25 ,$101.25 ,$114.75 ,$114.75 ,$15.08 ,$114.75 ,$15.08 ,$109.35 ,$109.35 ,$109.35 ,$135.00 ,$121.50 ,$38.48 ,$121.50 ,$15.08 ,$135.00 ,$75.74 ,$15.08 ,$55.89 ,$19.80 ,$18.90 ,$15.84 ,$121.50 ,$34.63 ,$74.79 ,$37.80 ,$121.50 ,$15.08 ,$121.50 ,$121.50 ,$15.08 ,$87.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$100.05 ,$72.04 ,$10.58 ,$100.05 ,$27.00 ,$74.54 ,$65.53 ,$10.58 ,$28.01 ,$61.53 ,$10.58 ,$61.53 ,$10.58 ,$55.43 ,$55.43 ,$10.58 ,$55.43 ,$21.82 ,$90.05 ,$83.04 ,$27.00 ,$10.58 ,$88.04 ,$10.80 ,$75.04 ,$75.04 ,$85.04 ,$85.04 ,$10.58 ,$85.04 ,$10.58 ,$81.04 ,$81.04 ,$81.04 ,$100.05 ,$90.05 ,$27.00 ,$90.05 ,$10.58 ,$100.05 ,$56.13 ,$10.58 ,$41.42 ,$19.80 ,$18.90 ,$11.11 ,$90.05 ,$24.30 ,$55.43 ,$28.01 ,$90.05 ,$10.58 ,$90.05 ,$90.05 ,$10.58 ,$65.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600369,87118,HC CULTURE MYCOBACTERIA ID-90,306,1 ,$120.75 ,$86.94 ,$14.32 ,$120.75 ,$36.53 ,$89.96 ,$79.09 ,$14.32 ,$33.81 ,$74.26 ,$14.32 ,$74.26 ,$14.32 ,$66.90 ,$66.90 ,$14.32 ,$66.90 ,$29.51 ,$108.68 ,$100.22 ,$36.53 ,$14.32 ,$106.26 ,$14.60 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$14.32 ,$102.64 ,$14.32 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$36.53 ,$108.68 ,$14.32 ,$120.75 ,$67.74 ,$14.32 ,$49.99 ,$19.80 ,$18.90 ,$15.03 ,$108.68 ,$32.87 ,$66.90 ,$33.81 ,$108.68 ,$14.32 ,$108.68 ,$108.68 ,$14.32 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$10.35 ,$7.45 ,$2.90 ,$12.53 ,$10.35 ,$7.71 ,$6.78 ,$5.46 ,$2.90 ,$6.37 ,$5.46 ,$6.37 ,$5.46 ,$5.73 ,$5.73 ,$5.46 ,$5.73 ,$10.35 ,$9.32 ,$8.59 ,$10.35 ,$5.46 ,$9.11 ,$5.57 ,$7.76 ,$7.76 ,$8.80 ,$8.80 ,$5.46 ,$8.80 ,$5.46 ,$8.38 ,$8.38 ,$8.38 ,$10.35 ,$9.32 ,$10.35 ,$9.32 ,$5.46 ,$10.35 ,$5.81 ,$5.46 ,$4.28 ,$10.35 ,$10.35 ,$5.73 ,$9.32 ,$12.53 ,$5.73 ,$2.90 ,$9.32 ,$5.46 ,$9.32 ,$9.32 ,$5.46 ,$6.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600375,87149,HC CULTURE TYPING ID NUCLEIC ACID-90,306,1 ,$377.20 ,$271.58 ,$5.69 ,$377.20 ,$50.13 ,$281.01 ,$247.07 ,$19.65 ,$105.62 ,$231.98 ,$19.65 ,$231.98 ,$19.65 ,$208.97 ,$208.97 ,$19.65 ,$208.97 ,$40.50 ,$339.48 ,$313.08 ,$50.13 ,$19.65 ,$331.94 ,$20.04 ,$282.90 ,$282.90 ,$320.62 ,$320.62 ,$19.65 ,$320.62 ,$19.65 ,$305.53 ,$305.53 ,$305.53 ,$377.20 ,$339.48 ,$50.13 ,$339.48 ,$19.65 ,$377.20 ,$211.61 ,$19.65 ,$156.16 ,$5.96 ,$5.69 ,$20.63 ,$339.48 ,$45.11 ,$208.97 ,$105.62 ,$339.48 ,$19.65 ,$339.48 ,$339.48 ,$19.65 ,$245.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$113.85 ,$81.97 ,$5.69 ,$113.85 ,$22.25 ,$84.82 ,$74.57 ,$8.72 ,$31.88 ,$70.02 ,$8.72 ,$70.02 ,$8.72 ,$63.07 ,$63.07 ,$8.72 ,$63.07 ,$17.98 ,$102.47 ,$94.50 ,$22.25 ,$8.72 ,$100.19 ,$8.90 ,$85.39 ,$85.39 ,$96.77 ,$96.77 ,$8.72 ,$96.77 ,$8.72 ,$92.22 ,$92.22 ,$92.22 ,$113.85 ,$102.47 ,$22.25 ,$102.47 ,$8.72 ,$113.85 ,$63.87 ,$8.72 ,$47.13 ,$5.96 ,$5.69 ,$9.16 ,$102.47 ,$20.03 ,$63.07 ,$31.88 ,$102.47 ,$8.72 ,$102.47 ,$102.47 ,$8.72 ,$74.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600382,87184,HC SENSITIVITY DISK KB-90,306,1 ,$107.64 ,$77.50 ,$5.69 ,$107.64 ,$18.70 ,$80.19 ,$70.50 ,$7.33 ,$30.14 ,$66.20 ,$7.33 ,$66.20 ,$7.33 ,$59.63 ,$59.63 ,$7.33 ,$59.63 ,$15.11 ,$96.88 ,$89.34 ,$18.70 ,$7.33 ,$94.72 ,$7.48 ,$80.73 ,$80.73 ,$91.49 ,$91.49 ,$7.33 ,$91.49 ,$7.33 ,$87.19 ,$87.19 ,$87.19 ,$107.64 ,$96.88 ,$18.70 ,$96.88 ,$7.33 ,$107.64 ,$60.39 ,$7.33 ,$44.56 ,$5.96 ,$5.69 ,$7.69 ,$96.88 ,$16.83 ,$59.63 ,$30.14 ,$96.88 ,$7.33 ,$96.88 ,$96.88 ,$7.33 ,$69.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600389,87186,HC SENSITIVITY MIC EA AD PLATE-90,306,1 ,$144.92 ,$104.34 ,$5.69 ,$144.92 ,$21.63 ,$107.97 ,$94.92 ,$8.48 ,$40.58 ,$89.13 ,$8.48 ,$89.13 ,$8.48 ,$80.29 ,$80.29 ,$8.48 ,$80.29 ,$17.47 ,$130.43 ,$120.28 ,$21.63 ,$8.48 ,$127.53 ,$8.64 ,$108.69 ,$108.69 ,$123.18 ,$123.18 ,$8.48 ,$123.18 ,$8.48 ,$117.39 ,$117.39 ,$117.39 ,$144.92 ,$130.43 ,$21.63 ,$130.43 ,$8.48 ,$144.92 ,$81.30 ,$8.48 ,$60.00 ,$5.96 ,$5.69 ,$8.90 ,$130.43 ,$19.46 ,$80.29 ,$40.58 ,$130.43 ,$8.48 ,$130.43 ,$130.43 ,$8.48 ,$94.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$192.05 ,$138.28 ,$5.28 ,$192.05 ,$13.48 ,$143.08 ,$125.79 ,$5.28 ,$53.77 ,$118.11 ,$5.28 ,$118.11 ,$5.28 ,$106.40 ,$106.40 ,$5.28 ,$106.40 ,$10.89 ,$172.85 ,$159.40 ,$13.48 ,$5.28 ,$169.00 ,$5.39 ,$144.04 ,$144.04 ,$163.24 ,$163.24 ,$5.28 ,$163.24 ,$5.28 ,$155.56 ,$155.56 ,$155.56 ,$192.05 ,$172.85 ,$13.48 ,$172.85 ,$5.28 ,$192.05 ,$107.74 ,$5.28 ,$79.51 ,$5.96 ,$5.69 ,$5.55 ,$172.85 ,$12.13 ,$106.40 ,$53.77 ,$172.85 ,$5.28 ,$172.85 ,$172.85 ,$5.28 ,$124.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$42.09 ,$30.30 ,$5.69 ,$42.09 ,$14.98 ,$31.36 ,$27.57 ,$5.87 ,$11.79 ,$25.89 ,$5.87 ,$25.89 ,$5.87 ,$23.32 ,$23.32 ,$5.87 ,$23.32 ,$12.10 ,$37.88 ,$34.93 ,$14.98 ,$5.87 ,$37.04 ,$5.99 ,$31.57 ,$31.57 ,$35.78 ,$35.78 ,$5.87 ,$35.78 ,$5.87 ,$34.09 ,$34.09 ,$34.09 ,$42.09 ,$37.88 ,$14.98 ,$37.88 ,$5.87 ,$42.09 ,$23.61 ,$5.87 ,$17.43 ,$5.96 ,$5.69 ,$6.16 ,$37.88 ,$13.48 ,$23.32 ,$11.79 ,$37.88 ,$5.87 ,$37.88 ,$37.88 ,$5.87 ,$27.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600402,87252,HC CULTURE VIRUS ID TISSUE-90,306,1 ,$246.10 ,$177.19 ,$18.90 ,$246.10 ,$65.18 ,$183.34 ,$161.20 ,$25.55 ,$68.91 ,$151.35 ,$25.55 ,$151.35 ,$25.55 ,$136.34 ,$136.34 ,$25.55 ,$136.34 ,$52.66 ,$221.49 ,$204.26 ,$65.18 ,$25.55 ,$216.57 ,$26.06 ,$184.58 ,$184.58 ,$209.19 ,$209.19 ,$25.55 ,$209.19 ,$25.55 ,$199.34 ,$199.34 ,$199.34 ,$246.10 ,$221.49 ,$65.18 ,$221.49 ,$25.55 ,$246.10 ,$138.06 ,$25.55 ,$101.89 ,$19.80 ,$18.90 ,$26.82 ,$221.49 ,$58.66 ,$136.34 ,$68.91 ,$221.49 ,$25.55 ,$221.49 ,$221.49 ,$25.55 ,$159.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$120.75 ,$86.94 ,$18.90 ,$120.75 ,$48.90 ,$89.96 ,$79.09 ,$19.17 ,$33.81 ,$74.26 ,$19.17 ,$74.26 ,$19.17 ,$66.90 ,$66.90 ,$19.17 ,$66.90 ,$39.51 ,$108.68 ,$100.22 ,$48.90 ,$19.17 ,$106.26 ,$19.55 ,$90.56 ,$90.56 ,$102.64 ,$102.64 ,$19.17 ,$102.64 ,$19.17 ,$97.81 ,$97.81 ,$97.81 ,$120.75 ,$108.68 ,$48.90 ,$108.68 ,$19.17 ,$120.75 ,$67.74 ,$19.17 ,$49.99 ,$19.80 ,$18.90 ,$20.13 ,$108.68 ,$44.01 ,$66.90 ,$33.81 ,$108.68 ,$19.17 ,$108.68 ,$108.68 ,$19.17 ,$78.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600415,87305,HC EIA QL ASPERGILLUS AG-90,306,1 ,$184.00 ,$132.48 ,$5.69 ,$184.00 ,$29.95 ,$137.08 ,$120.52 ,$11.74 ,$51.52 ,$113.16 ,$11.74 ,$113.16 ,$11.74 ,$101.94 ,$101.94 ,$11.74 ,$101.94 ,$24.20 ,$165.60 ,$152.72 ,$29.95 ,$11.74 ,$161.92 ,$11.98 ,$138.00 ,$138.00 ,$156.40 ,$156.40 ,$11.74 ,$156.40 ,$11.74 ,$149.04 ,$149.04 ,$149.04 ,$184.00 ,$165.60 ,$29.95 ,$165.60 ,$11.74 ,$184.00 ,$103.22 ,$11.74 ,$76.18 ,$5.96 ,$5.69 ,$12.33 ,$165.60 ,$26.96 ,$101.94 ,$51.52 ,$165.60 ,$11.74 ,$165.60 ,$165.60 ,$11.74 ,$119.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600418,87328,HC EIA QL CRYPTOSPORIDIUM AG-90,306,1 ,$118.07 ,$85.01 ,$7.13 ,$118.07 ,$34.55 ,$87.96 ,$77.34 ,$13.54 ,$33.06 ,$72.61 ,$13.54 ,$72.61 ,$13.54 ,$65.41 ,$65.41 ,$13.54 ,$65.41 ,$27.92 ,$106.26 ,$98.00 ,$34.55 ,$13.54 ,$103.90 ,$13.82 ,$88.55 ,$88.55 ,$100.36 ,$100.36 ,$13.54 ,$100.36 ,$13.54 ,$95.64 ,$95.64 ,$95.64 ,$118.07 ,$106.26 ,$34.55 ,$106.26 ,$13.54 ,$118.07 ,$66.24 ,$13.54 ,$48.88 ,$7.47 ,$7.13 ,$14.22 ,$106.26 ,$31.10 ,$65.41 ,$33.06 ,$106.26 ,$13.54 ,$106.26 ,$106.26 ,$13.54 ,$76.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600421,87340,HC EIA QL HEPATITIS B AG-90,306,1 ,$35.64 ,$25.66 ,$7.13 ,$35.64 ,$25.83 ,$26.55 ,$23.34 ,$10.12 ,$9.98 ,$21.92 ,$10.12 ,$21.92 ,$10.12 ,$19.74 ,$19.74 ,$10.12 ,$19.74 ,$20.87 ,$32.08 ,$29.58 ,$25.83 ,$10.12 ,$31.36 ,$10.33 ,$26.73 ,$26.73 ,$30.29 ,$30.29 ,$10.12 ,$30.29 ,$10.12 ,$28.87 ,$28.87 ,$28.87 ,$35.64 ,$32.08 ,$25.83 ,$32.08 ,$10.12 ,$35.64 ,$19.99 ,$10.12 ,$14.76 ,$7.47 ,$7.13 ,$10.63 ,$32.08 ,$23.24 ,$19.74 ,$9.98 ,$32.08 ,$10.12 ,$32.08 ,$32.08 ,$10.12 ,$23.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$71.30 ,$51.34 ,$7.13 ,$71.30 ,$28.83 ,$53.12 ,$46.70 ,$11.30 ,$19.96 ,$43.85 ,$11.30 ,$43.85 ,$11.30 ,$39.50 ,$39.50 ,$11.30 ,$39.50 ,$23.29 ,$64.17 ,$59.18 ,$28.83 ,$11.30 ,$62.74 ,$11.52 ,$53.48 ,$53.48 ,$60.61 ,$60.61 ,$11.30 ,$60.61 ,$11.30 ,$57.75 ,$57.75 ,$57.75 ,$71.30 ,$64.17 ,$28.83 ,$64.17 ,$11.30 ,$71.30 ,$40.00 ,$11.30 ,$29.52 ,$7.47 ,$7.13 ,$11.87 ,$64.17 ,$25.94 ,$39.50 ,$19.96 ,$64.17 ,$11.30 ,$64.17 ,$64.17 ,$11.30 ,$46.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$163.30 ,$117.58 ,$7.13 ,$163.30 ,$33.13 ,$121.66 ,$106.96 ,$12.98 ,$45.72 ,$100.43 ,$12.98 ,$100.43 ,$12.98 ,$90.47 ,$90.47 ,$12.98 ,$90.47 ,$26.77 ,$146.97 ,$135.54 ,$33.13 ,$12.98 ,$143.70 ,$13.25 ,$122.48 ,$122.48 ,$138.81 ,$138.81 ,$12.98 ,$138.81 ,$12.98 ,$132.27 ,$132.27 ,$132.27 ,$163.30 ,$146.97 ,$33.13 ,$146.97 ,$12.98 ,$163.30 ,$91.61 ,$12.98 ,$67.61 ,$7.47 ,$7.13 ,$13.63 ,$146.97 ,$29.81 ,$90.47 ,$45.72 ,$146.97 ,$12.98 ,$146.97 ,$146.97 ,$12.98 ,$106.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$73.60 ,$52.99 ,$7.13 ,$73.60 ,$29.95 ,$54.83 ,$48.21 ,$11.74 ,$20.61 ,$45.26 ,$11.74 ,$45.26 ,$11.74 ,$40.77 ,$40.77 ,$11.74 ,$40.77 ,$24.20 ,$66.24 ,$61.09 ,$29.95 ,$11.74 ,$64.77 ,$11.98 ,$55.20 ,$55.20 ,$62.56 ,$62.56 ,$11.74 ,$62.56 ,$11.74 ,$59.62 ,$59.62 ,$59.62 ,$73.60 ,$66.24 ,$29.95 ,$66.24 ,$11.74 ,$73.60 ,$41.29 ,$11.74 ,$30.47 ,$7.47 ,$7.13 ,$12.33 ,$66.24 ,$26.96 ,$40.77 ,$20.61 ,$66.24 ,$11.74 ,$66.24 ,$66.24 ,$11.74 ,$47.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600433,87450,HC EIA QL SGL AG-90,306,1 ,$129.17 ,$93.00 ,$36.17 ,$129.17 , N/A ,$96.23 ,$84.61 , N/A ,$36.17 ,$79.44 , N/A ,$79.44 , N/A ,$71.56 ,$71.56 , N/A ,$71.56 , N/A ,$116.25 ,$107.21 , N/A , N/A ,$113.67 , N/A ,$96.88 ,$96.88 ,$109.79 ,$109.79 , N/A ,$109.79 , N/A ,$104.63 ,$104.63 ,$104.63 ,$129.17 ,$116.25 , N/A ,$116.25 , N/A ,$129.17 ,$72.46 , N/A ,$53.48 , N/A , N/A , N/A ,$116.25 , N/A ,$71.56 ,$36.17 ,$116.25 , N/A ,$116.25 ,$116.25 , N/A ,$83.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600437,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$63.25 ,$45.54 ,$17.71 ,$78.95 ,$63.25 ,$47.12 ,$41.43 ,$34.39 ,$17.71 ,$38.90 ,$34.39 ,$38.90 ,$34.39 ,$35.04 ,$35.04 ,$34.39 ,$35.04 ,$63.25 ,$56.93 ,$52.50 ,$63.25 ,$34.39 ,$55.66 ,$35.07 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$34.39 ,$53.76 ,$34.39 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$63.25 ,$56.93 ,$34.39 ,$63.25 ,$35.48 ,$34.39 ,$26.19 ,$19.80 ,$18.90 ,$36.10 ,$56.93 ,$78.95 ,$35.04 ,$17.71 ,$56.93 ,$34.39 ,$56.93 ,$56.93 ,$34.39 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$55.20 ,$39.74 ,$7.13 ,$78.95 ,$55.20 ,$41.12 ,$36.16 ,$34.39 ,$15.46 ,$33.95 ,$34.39 ,$33.95 ,$34.39 ,$30.58 ,$30.58 ,$34.39 ,$30.58 ,$55.20 ,$49.68 ,$45.82 ,$55.20 ,$34.39 ,$48.58 ,$35.07 ,$41.40 ,$41.40 ,$46.92 ,$46.92 ,$34.39 ,$46.92 ,$34.39 ,$44.71 ,$44.71 ,$44.71 ,$55.20 ,$49.68 ,$55.20 ,$49.68 ,$34.39 ,$55.20 ,$30.97 ,$34.39 ,$22.85 ,$7.47 ,$7.13 ,$36.10 ,$49.68 ,$78.95 ,$30.58 ,$15.46 ,$49.68 ,$34.39 ,$49.68 ,$49.68 ,$34.39 ,$35.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600440,87493,HC CLOSTRIDUM DIFFICILE-90,306,1 ,$239.20 ,$172.22 ,$7.13 ,$239.20 ,$93.18 ,$178.20 ,$156.68 ,$36.52 ,$66.98 ,$147.11 ,$36.52 ,$147.11 ,$36.52 ,$132.52 ,$132.52 ,$36.52 ,$132.52 ,$75.29 ,$215.28 ,$198.54 ,$93.18 ,$36.52 ,$210.50 ,$37.26 ,$179.40 ,$179.40 ,$203.32 ,$203.32 ,$36.52 ,$203.32 ,$36.52 ,$193.75 ,$193.75 ,$193.75 ,$239.20 ,$215.28 ,$93.18 ,$215.28 ,$36.52 ,$239.20 ,$134.19 ,$36.52 ,$99.03 ,$7.47 ,$7.13 ,$38.35 ,$215.28 ,$83.86 ,$132.52 ,$66.98 ,$215.28 ,$36.52 ,$215.28 ,$215.28 ,$36.52 ,$155.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$188.60 ,$135.79 ,$18.90 ,$188.60 ,$87.73 ,$140.51 ,$123.53 ,$34.39 ,$52.81 ,$115.99 ,$34.39 ,$115.99 ,$34.39 ,$104.48 ,$104.48 ,$34.39 ,$104.48 ,$70.88 ,$169.74 ,$156.54 ,$87.73 ,$34.39 ,$165.97 ,$35.07 ,$141.45 ,$141.45 ,$160.31 ,$160.31 ,$34.39 ,$160.31 ,$34.39 ,$152.77 ,$152.77 ,$152.77 ,$188.60 ,$169.74 ,$87.73 ,$169.74 ,$34.39 ,$188.60 ,$105.80 ,$34.39 ,$78.08 ,$19.80 ,$18.90 ,$36.10 ,$169.74 ,$78.95 ,$104.48 ,$52.81 ,$169.74 ,$34.39 ,$169.74 ,$169.74 ,$34.39 ,$122.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600443,87497,HC CMV QN-90,306,1 ,$264.50 ,$190.44 ,$18.90 ,$264.50 ,$107.10 ,$197.05 ,$173.25 ,$41.98 ,$74.06 ,$162.67 ,$41.98 ,$162.67 ,$41.98 ,$146.53 ,$146.53 ,$41.98 ,$146.53 ,$86.54 ,$238.05 ,$219.54 ,$107.10 ,$41.98 ,$232.76 ,$42.83 ,$198.38 ,$198.38 ,$224.83 ,$224.83 ,$41.98 ,$224.83 ,$41.98 ,$214.25 ,$214.25 ,$214.25 ,$264.50 ,$238.05 ,$107.10 ,$238.05 ,$41.98 ,$264.50 ,$148.38 ,$41.98 ,$109.50 ,$19.80 ,$18.90 ,$44.08 ,$238.05 ,$96.39 ,$146.53 ,$74.06 ,$238.05 ,$41.98 ,$238.05 ,$238.05 ,$41.98 ,$171.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600448,87517,HC HEPATITIS B QN-90,306,1 ,$161.00 ,$115.92 ,$18.90 ,$161.00 ,$107.10 ,$119.95 ,$105.46 ,$41.98 ,$45.08 ,$99.02 ,$41.98 ,$99.02 ,$41.98 ,$89.19 ,$89.19 ,$41.98 ,$89.19 ,$86.54 ,$144.90 ,$133.63 ,$107.10 ,$41.98 ,$141.68 ,$42.83 ,$120.75 ,$120.75 ,$136.85 ,$136.85 ,$41.98 ,$136.85 ,$41.98 ,$130.41 ,$130.41 ,$130.41 ,$161.00 ,$144.90 ,$107.10 ,$144.90 ,$41.98 ,$161.00 ,$90.32 ,$41.98 ,$66.65 ,$19.80 ,$18.90 ,$44.08 ,$144.90 ,$96.39 ,$89.19 ,$45.08 ,$144.90 ,$41.98 ,$144.90 ,$144.90 ,$41.98 ,$104.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600449,87521,HC HEPATITIS C PROBE AND RVRS TRNSC-90,306,1 ,$230.00 ,$165.60 ,$18.90 ,$230.00 ,$87.73 ,$171.35 ,$150.65 ,$34.39 ,$64.40 ,$141.45 ,$34.39 ,$141.45 ,$34.39 ,$127.42 ,$127.42 ,$34.39 ,$127.42 ,$70.88 ,$207.00 ,$190.90 ,$87.73 ,$34.39 ,$202.40 ,$35.07 ,$172.50 ,$172.50 ,$195.50 ,$195.50 ,$34.39 ,$195.50 ,$34.39 ,$186.30 ,$186.30 ,$186.30 ,$230.00 ,$207.00 ,$87.73 ,$207.00 ,$34.39 ,$230.00 ,$129.03 ,$34.39 ,$95.22 ,$19.80 ,$18.90 ,$36.10 ,$207.00 ,$78.95 ,$127.42 ,$64.40 ,$207.00 ,$34.39 ,$207.00 ,$207.00 ,$34.39 ,$149.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600451,87522,HC HEPATITIS C QN-90,306,1 ,$231.15 ,$166.43 ,$18.90 ,$231.15 ,$107.10 ,$172.21 ,$151.40 ,$41.98 ,$64.72 ,$142.16 ,$41.98 ,$142.16 ,$41.98 ,$128.06 ,$128.06 ,$41.98 ,$128.06 ,$86.54 ,$208.04 ,$191.85 ,$107.10 ,$41.98 ,$203.41 ,$42.83 ,$173.36 ,$173.36 ,$196.48 ,$196.48 ,$41.98 ,$196.48 ,$41.98 ,$187.23 ,$187.23 ,$187.23 ,$231.15 ,$208.04 ,$107.10 ,$208.04 ,$41.98 ,$231.15 ,$129.68 ,$41.98 ,$95.70 ,$19.80 ,$18.90 ,$44.08 ,$208.04 ,$96.39 ,$128.06 ,$64.72 ,$208.04 ,$41.98 ,$208.04 ,$208.04 ,$41.98 ,$150.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$334.65 ,$240.95 ,$18.90 ,$334.65 ,$87.73 ,$249.31 ,$219.20 ,$34.39 ,$93.70 ,$205.81 ,$34.39 ,$205.81 ,$34.39 ,$185.40 ,$185.40 ,$34.39 ,$185.40 ,$70.88 ,$301.19 ,$277.76 ,$87.73 ,$34.39 ,$294.49 ,$35.07 ,$250.99 ,$250.99 ,$284.45 ,$284.45 ,$34.39 ,$284.45 ,$34.39 ,$271.07 ,$271.07 ,$271.07 ,$334.65 ,$301.19 ,$87.73 ,$301.19 ,$34.39 ,$334.65 ,$187.74 ,$34.39 ,$138.55 ,$19.80 ,$18.90 ,$36.10 ,$301.19 ,$78.95 ,$185.40 ,$93.70 ,$301.19 ,$34.39 ,$301.19 ,$301.19 ,$34.39 ,$217.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600454,87530,HC HSV QUANT-90,306,1 ,$207.63 ,$149.49 ,$18.90 ,$207.63 ,$107.10 ,$154.68 ,$136.00 ,$41.98 ,$58.14 ,$127.69 ,$41.98 ,$127.69 ,$41.98 ,$115.03 ,$115.03 ,$41.98 ,$115.03 ,$86.54 ,$186.87 ,$172.33 ,$107.10 ,$41.98 ,$182.71 ,$42.83 ,$155.72 ,$155.72 ,$176.49 ,$176.49 ,$41.98 ,$176.49 ,$41.98 ,$168.18 ,$168.18 ,$168.18 ,$207.63 ,$186.87 ,$107.10 ,$186.87 ,$41.98 ,$207.63 ,$116.48 ,$41.98 ,$85.96 ,$19.80 ,$18.90 ,$44.08 ,$186.87 ,$96.39 ,$115.03 ,$58.14 ,$186.87 ,$41.98 ,$186.87 ,$186.87 ,$41.98 ,$134.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600455,87532,HC INFECT AMP (HHSV6) MENI-90,306,1 ,$255.76 ,$184.15 ,$18.90 ,$255.76 ,$87.73 ,$190.54 ,$167.52 ,$34.39 ,$71.61 ,$157.29 ,$34.39 ,$157.29 ,$34.39 ,$141.69 ,$141.69 ,$34.39 ,$141.69 ,$70.88 ,$230.18 ,$212.28 ,$87.73 ,$34.39 ,$225.07 ,$35.07 ,$191.82 ,$191.82 ,$217.40 ,$217.40 ,$34.39 ,$217.40 ,$34.39 ,$207.17 ,$207.17 ,$207.17 ,$255.76 ,$230.18 ,$87.73 ,$230.18 ,$34.39 ,$255.76 ,$143.48 ,$34.39 ,$105.88 ,$19.80 ,$18.90 ,$36.10 ,$230.18 ,$78.95 ,$141.69 ,$71.61 ,$230.18 ,$34.39 ,$230.18 ,$230.18 ,$34.39 ,$166.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600457,87535,HC PROBE HIV-1 RNA QUAL TMA-90,306,1 ,$575.00 ,$414.00 ,$18.90 ,$575.00 ,$87.73 ,$428.38 ,$376.63 ,$34.39 ,$161.00 ,$353.63 ,$34.39 ,$353.63 ,$34.39 ,$318.55 ,$318.55 ,$34.39 ,$318.55 ,$70.88 ,$517.50 ,$477.25 ,$87.73 ,$34.39 ,$506.00 ,$35.07 ,$431.25 ,$431.25 ,$488.75 ,$488.75 ,$34.39 ,$488.75 ,$34.39 ,$465.75 ,$465.75 ,$465.75 ,$575.00 ,$517.50 ,$87.73 ,$517.50 ,$34.39 ,$575.00 ,$322.58 ,$34.39 ,$238.05 ,$19.80 ,$18.90 ,$36.10 ,$517.50 ,$78.95 ,$318.55 ,$161.00 ,$517.50 ,$34.39 ,$517.50 ,$517.50 ,$34.39 ,$373.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600458,87536,HC HIV-1 QN-90,306,1 ,$149.50 ,$107.64 ,$18.90 ,$191.48 ,$149.50 ,$111.38 ,$97.92 ,$83.40 ,$41.86 ,$91.94 ,$83.40 ,$91.94 ,$83.40 ,$82.82 ,$82.82 ,$83.40 ,$82.82 ,$149.50 ,$134.55 ,$124.09 ,$149.50 ,$83.40 ,$131.56 ,$85.06 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$83.40 ,$127.08 ,$83.40 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$149.50 ,$134.55 ,$83.40 ,$149.50 ,$83.87 ,$83.40 ,$61.89 ,$19.80 ,$18.90 ,$87.57 ,$134.55 ,$191.48 ,$82.82 ,$41.86 ,$134.55 ,$83.40 ,$134.55 ,$134.55 ,$83.40 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600459,87556,HC MTB COMPLEX PCR-90,306,1 ,$125.04 ,$90.03 ,$18.90 ,$125.04 ,$104.20 ,$93.15 ,$81.90 ,$40.85 ,$35.01 ,$76.90 ,$40.85 ,$76.90 ,$40.85 ,$69.27 ,$69.27 ,$40.85 ,$69.27 ,$84.19 ,$112.54 ,$103.78 ,$104.20 ,$40.85 ,$110.04 ,$41.66 ,$93.78 ,$93.78 ,$106.28 ,$106.28 ,$40.85 ,$106.28 ,$40.85 ,$101.28 ,$101.28 ,$101.28 ,$125.04 ,$112.54 ,$104.20 ,$112.54 ,$40.85 ,$125.04 ,$70.15 ,$40.85 ,$51.77 ,$19.80 ,$18.90 ,$42.88 ,$112.54 ,$93.78 ,$69.27 ,$35.01 ,$112.54 ,$40.85 ,$112.54 ,$112.54 ,$40.85 ,$81.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600462,87624,HC HPV AMP HIGH RISK ALL OTHERS-90,306,1 ,$157.55 ,$113.44 ,$18.90 ,$157.55 ,$87.73 ,$117.37 ,$103.20 ,$34.39 ,$44.11 ,$96.89 ,$34.39 ,$96.89 ,$34.39 ,$87.28 ,$87.28 ,$34.39 ,$87.28 ,$70.88 ,$141.80 ,$130.77 ,$87.73 ,$34.39 ,$138.64 ,$35.07 ,$118.16 ,$118.16 ,$133.92 ,$133.92 ,$34.39 ,$133.92 ,$34.39 ,$127.62 ,$127.62 ,$127.62 ,$157.55 ,$141.80 ,$87.73 ,$141.80 ,$34.39 ,$35.09 ,$88.39 ,$34.39 ,$65.23 ,$19.80 ,$18.90 ,$36.10 ,$141.80 ,$78.95 ,$87.28 ,$44.11 ,$141.80 ,$34.39 ,$141.80 ,$141.80 ,$34.39 ,$102.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600469,87661,HC TRICHOMONAS VAG AMP PROBE-90,306,1 ,$207.00 ,$149.04 ,$18.90 ,$207.00 ,$87.73 ,$154.22 ,$135.59 ,$34.39 ,$57.96 ,$127.31 ,$34.39 ,$127.31 ,$34.39 ,$114.68 ,$114.68 ,$34.39 ,$114.68 ,$70.88 ,$186.30 ,$171.81 ,$87.73 ,$34.39 ,$182.16 ,$35.07 ,$155.25 ,$155.25 ,$175.95 ,$175.95 ,$34.39 ,$175.95 ,$34.39 ,$167.67 ,$167.67 ,$167.67 ,$207.00 ,$186.30 ,$87.73 ,$186.30 ,$34.39 ,$207.00 ,$116.13 ,$34.39 ,$85.70 ,$19.80 ,$18.90 ,$36.10 ,$186.30 ,$78.95 ,$114.68 ,$57.96 ,$186.30 ,$34.39 ,$186.30 ,$186.30 ,$34.39 ,$134.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600471,87798,HC INFECT AMP-90,306,1 ,$216.20 ,$155.66 ,$18.90 ,$216.20 ,$87.73 ,$161.07 ,$141.61 ,$34.39 ,$60.54 ,$132.96 ,$34.39 ,$132.96 ,$34.39 ,$119.77 ,$119.77 ,$34.39 ,$119.77 ,$70.88 ,$194.58 ,$179.45 ,$87.73 ,$34.39 ,$190.26 ,$35.07 ,$162.15 ,$162.15 ,$183.77 ,$183.77 ,$34.39 ,$183.77 ,$34.39 ,$175.12 ,$175.12 ,$175.12 ,$216.20 ,$194.58 ,$87.73 ,$194.58 ,$34.39 ,$216.20 ,$121.29 ,$34.39 ,$89.51 ,$19.80 ,$18.90 ,$36.10 ,$194.58 ,$78.95 ,$119.77 ,$60.54 ,$194.58 ,$34.39 ,$194.58 ,$194.58 ,$34.39 ,$140.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600476,87798,HC INFECT AMP T1,306,1 ,$63.25 ,$45.54 ,$17.71 ,$78.95 ,$63.25 ,$47.12 ,$41.43 ,$34.39 ,$17.71 ,$38.90 ,$34.39 ,$38.90 ,$34.39 ,$35.04 ,$35.04 ,$34.39 ,$35.04 ,$63.25 ,$56.93 ,$52.50 ,$63.25 ,$34.39 ,$55.66 ,$35.07 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$34.39 ,$53.76 ,$34.39 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$63.25 ,$56.93 ,$34.39 ,$63.25 ,$35.48 ,$34.39 ,$26.19 ,$19.80 ,$18.90 ,$36.10 ,$56.93 ,$78.95 ,$35.04 ,$17.71 ,$56.93 ,$34.39 ,$56.93 ,$56.93 ,$34.39 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600478,87799,HC INFECT AGENT QN-90,306,1 ,$231.15 ,$166.43 ,$18.90 ,$231.15 ,$107.10 ,$172.21 ,$151.40 ,$41.98 ,$64.72 ,$142.16 ,$41.98 ,$142.16 ,$41.98 ,$128.06 ,$128.06 ,$41.98 ,$128.06 ,$86.54 ,$208.04 ,$191.85 ,$107.10 ,$41.98 ,$203.41 ,$42.83 ,$173.36 ,$173.36 ,$196.48 ,$196.48 ,$41.98 ,$196.48 ,$41.98 ,$187.23 ,$187.23 ,$187.23 ,$231.15 ,$208.04 ,$107.10 ,$208.04 ,$41.98 ,$231.15 ,$129.68 ,$41.98 ,$95.70 ,$19.80 ,$18.90 ,$44.08 ,$208.04 ,$96.39 ,$128.06 ,$64.72 ,$208.04 ,$41.98 ,$208.04 ,$208.04 ,$41.98 ,$150.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600480,87899,HC INFECT AGENT DETECT OPTICAL-90,306,1 ,$94.30 ,$67.90 ,$5.69 ,$94.30 ,$40.18 ,$70.25 ,$61.77 ,$15.75 ,$26.40 ,$57.99 ,$15.75 ,$57.99 ,$15.75 ,$52.24 ,$52.24 ,$15.75 ,$52.24 ,$32.46 ,$84.87 ,$78.27 ,$40.18 ,$15.75 ,$82.98 ,$16.06 ,$70.73 ,$70.73 ,$80.16 ,$80.16 ,$15.75 ,$80.16 ,$15.75 ,$76.38 ,$76.38 ,$76.38 ,$94.30 ,$84.87 ,$40.18 ,$84.87 ,$15.75 ,$94.30 ,$52.90 ,$15.75 ,$39.04 ,$5.96 ,$5.69 ,$16.53 ,$84.87 ,$36.16 ,$52.24 ,$26.40 ,$84.87 ,$15.75 ,$84.87 ,$84.87 ,$15.75 ,$61.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600481,87900,HC PHENOTYPE INFCT AGT DRG SUS-90,306,1 ,$449.65 ,$323.75 ,$18.90 ,$449.65 ,$325.88 ,$334.99 ,$294.52 ,$127.74 ,$125.90 ,$276.53 ,$127.74 ,$276.53 ,$127.74 ,$249.11 ,$249.11 ,$127.74 ,$249.11 ,$263.31 ,$404.69 ,$373.21 ,$325.88 ,$127.74 ,$395.69 ,$130.30 ,$337.24 ,$337.24 ,$382.20 ,$382.20 ,$127.74 ,$382.20 ,$127.74 ,$364.22 ,$364.22 ,$364.22 ,$449.65 ,$404.69 ,$325.88 ,$404.69 ,$127.74 ,$449.65 ,$252.25 ,$127.74 ,$186.16 ,$19.80 ,$18.90 ,$134.13 ,$404.69 ,$293.29 ,$249.11 ,$125.90 ,$404.69 ,$127.74 ,$404.69 ,$404.69 ,$127.74 ,$292.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600482,87901,HC GENOTYPE HIV 1-90,306,1 ,$887.80 ,$639.22 ,$18.90 ,$887.80 ,$643.63 ,$661.41 ,$581.51 ,$252.30 ,$248.58 ,$546.00 ,$252.30 ,$546.00 ,$252.30 ,$491.84 ,$491.84 ,$252.30 ,$491.84 ,$520.05 ,$799.02 ,$500.00 ,$643.63 ,$252.30 ,$781.26 ,$257.35 ,$665.85 ,$665.85 ,$754.63 ,$754.63 ,$252.30 ,$754.63 ,$252.30 ,$719.12 ,$719.12 ,$719.12 ,$887.80 ,$799.02 ,$643.63 ,$799.02 ,$252.30 ,$887.80 ,$498.06 ,$252.30 ,$367.55 ,$19.80 ,$18.90 ,$264.91 ,$799.02 ,$579.26 ,$491.84 ,$248.58 ,$799.02 ,$252.30 ,$799.02 ,$799.02 ,$252.30 ,$577.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600483,87902,HC GENTOYPE HEP C-90,306,1 ,$729.10 ,$524.95 ,$18.90 ,$729.10 ,$643.63 ,$543.18 ,$477.56 ,$252.30 ,$204.15 ,$448.40 ,$252.30 ,$448.40 ,$252.30 ,$403.92 ,$403.92 ,$252.30 ,$403.92 ,$520.05 ,$656.19 ,$500.00 ,$643.63 ,$252.30 ,$641.61 ,$257.35 ,$546.83 ,$546.83 ,$619.74 ,$619.74 ,$252.30 ,$619.74 ,$252.30 ,$590.57 ,$590.57 ,$590.57 ,$729.10 ,$656.19 ,$643.63 ,$656.19 ,$252.30 ,$729.10 ,$409.03 ,$252.30 ,$301.85 ,$19.80 ,$18.90 ,$264.91 ,$656.19 ,$579.26 ,$403.92 ,$204.15 ,$656.19 ,$252.30 ,$656.19 ,$656.19 ,$252.30 ,$473.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600486,87906,HC GENOTYPE DNA/RNA HIV1-90,306,1 ,"$1,543.30 ","$1,111.18 ",$12.30 ,"$1,543.30 ",$321.83 ,"$1,149.76 ","$1,010.86 ",$126.16 ,$432.12 ,$949.13 ,$126.16 ,$949.13 ,$126.16 ,$854.99 ,$854.99 ,$126.16 ,$854.99 ,$260.03 ,"$1,388.97 ",$500.00 ,$321.83 ,$126.16 ,"$1,358.10 ",$128.67 ,"$1,157.48 ","$1,157.48 ","$1,311.81 ","$1,311.81 ",$126.16 ,"$1,311.81 ",$126.16 ,"$1,250.07 ","$1,250.07 ","$1,250.07 ","$1,543.30 ","$1,388.97 ",$321.83 ,"$1,388.97 ",$126.16 ,"$1,543.30 ",$865.79 ,$126.16 ,$638.93 ,$12.88 ,$12.30 ,$132.47 ,"$1,388.97 ",$289.64 ,$854.99 ,$432.12 ,"$1,388.97 ",$126.16 ,"$1,388.97 ","$1,388.97 ",$126.16 ,"$1,003.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600487,87999,HC TROFILE CORECEPT TROPSM ASY-90,306,1 ,$22.66 ,$16.32 ,$5.69 ,$22.66 , N/A ,$16.88 ,$14.84 , N/A ,$6.34 ,$13.94 , N/A ,$13.94 , N/A ,$12.55 ,$12.55 , N/A ,$12.55 , N/A ,$20.39 ,$18.81 , N/A , N/A ,$19.94 , N/A ,$17.00 ,$17.00 ,$19.26 ,$19.26 , N/A ,$19.26 , N/A ,$18.35 ,$18.35 ,$18.35 ,$22.66 ,$20.39 , N/A ,$20.39 , N/A ,$22.66 ,$12.71 , N/A ,$9.38 ,$5.96 ,$5.69 , N/A ,$20.39 , N/A ,$12.55 ,$6.34 ,$20.39 , N/A ,$20.39 ,$20.39 , N/A ,$14.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600503,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB-90,306,1 ,$526.47 ,$379.06 ,$7.13 ,$526.47 ,$60.20 ,$392.22 ,$344.84 ,$23.60 ,$147.41 ,$323.78 ,$23.60 ,$323.78 ,$23.60 ,$291.66 ,$291.66 ,$23.60 ,$291.66 ,$48.64 ,$473.82 ,$436.97 ,$60.20 ,$23.60 ,$463.29 ,$24.07 ,$394.85 ,$394.85 ,$447.50 ,$447.50 ,$23.60 ,$447.50 ,$23.60 ,$426.44 ,$426.44 ,$426.44 ,$526.47 ,$473.82 ,$60.20 ,$473.82 ,$23.60 ,$526.47 ,$295.35 ,$23.60 ,$217.96 ,$7.47 ,$7.13 ,$24.77 ,$473.82 ,$54.18 ,$291.66 ,$147.41 ,$473.82 ,$23.60 ,$473.82 ,$473.82 ,$23.60 ,$342.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600504,87046,HC STOOL CULTURE ADD ISO-90,306,1 ,$108.10 ,$77.83 ,$5.69 ,$108.10 ,$23.60 ,$80.53 ,$70.81 ,$9.25 ,$30.27 ,$66.48 ,$9.25 ,$66.48 ,$9.25 ,$59.89 ,$59.89 ,$9.25 ,$59.89 ,$19.07 ,$97.29 ,$89.72 ,$23.60 ,$9.25 ,$95.13 ,$9.44 ,$81.08 ,$81.08 ,$91.89 ,$91.89 ,$9.25 ,$91.89 ,$9.25 ,$87.56 ,$87.56 ,$87.56 ,$108.10 ,$97.29 ,$23.60 ,$97.29 ,$9.25 ,$108.10 ,$60.64 ,$9.25 ,$44.75 ,$5.96 ,$5.69 ,$9.71 ,$97.29 ,$21.24 ,$59.89 ,$30.27 ,$97.29 ,$9.25 ,$97.29 ,$97.29 ,$9.25 ,$70.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600505,87329,HC EIA QL GIARDIA AG-90,306,1 ,$122.13 ,$87.93 ,$7.13 ,$122.13 ,$29.95 ,$90.99 ,$80.00 ,$11.74 ,$34.20 ,$75.11 ,$11.74 ,$75.11 ,$11.74 ,$67.66 ,$67.66 ,$11.74 ,$67.66 ,$24.20 ,$109.92 ,$101.37 ,$29.95 ,$11.74 ,$107.47 ,$11.98 ,$91.60 ,$91.60 ,$103.81 ,$103.81 ,$11.74 ,$103.81 ,$11.74 ,$98.93 ,$98.93 ,$98.93 ,$122.13 ,$109.92 ,$29.95 ,$109.92 ,$11.74 ,$122.13 ,$68.51 ,$11.74 ,$50.56 ,$7.47 ,$7.13 ,$12.33 ,$109.92 ,$26.96 ,$67.66 ,$34.20 ,$109.92 ,$11.74 ,$109.92 ,$109.92 ,$11.74 ,$79.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600507,87541,HC INFECT AGT LEGIONELLA PNEUMOPHILA PROBE-90,306,1 ,$207.00 ,$149.04 ,$18.90 ,$207.00 ,$87.73 ,$154.22 ,$135.59 ,$34.39 ,$57.96 ,$127.31 ,$34.39 ,$127.31 ,$34.39 ,$114.68 ,$114.68 ,$34.39 ,$114.68 ,$70.88 ,$186.30 ,$171.81 ,$87.73 ,$34.39 ,$182.16 ,$35.07 ,$155.25 ,$155.25 ,$175.95 ,$175.95 ,$34.39 ,$175.95 ,$34.39 ,$167.67 ,$167.67 ,$167.67 ,$207.00 ,$186.30 ,$87.73 ,$186.30 ,$34.39 ,$207.00 ,$116.13 ,$34.39 ,$85.70 ,$19.80 ,$18.90 ,$36.10 ,$186.30 ,$78.95 ,$114.68 ,$57.96 ,$186.30 ,$34.39 ,$186.30 ,$186.30 ,$34.39 ,$134.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600513,87533,HC HHV-6 DNA QUANT-90,306,1 ,$632.50 ,$455.40 ,$18.90 ,$632.50 ,$104.40 ,$471.21 ,$414.29 ,$40.92 ,$177.10 ,$388.99 ,$40.92 ,$388.99 ,$40.92 ,$350.41 ,$350.41 ,$40.92 ,$350.41 ,$84.36 ,$569.25 ,$500.00 ,$104.40 ,$40.92 ,$556.60 ,$41.75 ,$474.38 ,$474.38 ,$537.63 ,$537.63 ,$40.92 ,$537.63 ,$40.92 ,$512.33 ,$512.33 ,$512.33 ,$632.50 ,$569.25 ,$104.40 ,$569.25 ,$40.92 ,$632.50 ,$354.83 ,$40.92 ,$261.86 ,$19.80 ,$18.90 ,$42.97 ,$569.25 ,$93.96 ,$350.41 ,$177.10 ,$569.25 ,$40.92 ,$569.25 ,$569.25 ,$40.92 ,$411.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600515,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$50.60 ,$36.43 ,$5.69 ,$50.60 ,$16.70 ,$37.70 ,$33.14 ,$6.55 ,$14.17 ,$31.12 ,$6.55 ,$31.12 ,$6.55 ,$28.03 ,$28.03 ,$6.55 ,$28.03 ,$13.49 ,$45.54 ,$42.00 ,$16.70 ,$6.55 ,$44.53 ,$6.67 ,$37.95 ,$37.95 ,$43.01 ,$43.01 ,$6.55 ,$43.01 ,$6.55 ,$40.99 ,$40.99 ,$40.99 ,$50.60 ,$45.54 ,$16.70 ,$45.54 ,$6.55 ,$50.60 ,$28.39 ,$6.55 ,$20.95 ,$5.96 ,$5.69 ,$6.87 ,$45.54 ,$15.03 ,$28.03 ,$14.17 ,$45.54 ,$6.55 ,$45.54 ,$45.54 ,$6.55 ,$32.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600523,87076,HC CULTURE ANAEROBIC ID,306,1 ,$109.25 ,$78.66 ,$5.69 ,$109.25 ,$20.20 ,$81.39 ,$71.56 ,$7.92 ,$30.59 ,$67.19 ,$7.92 ,$67.19 ,$7.92 ,$60.52 ,$60.52 ,$7.92 ,$60.52 ,$16.32 ,$98.33 ,$90.68 ,$20.20 ,$7.92 ,$96.14 ,$8.08 ,$81.94 ,$81.94 ,$92.86 ,$92.86 ,$7.92 ,$92.86 ,$7.92 ,$88.49 ,$88.49 ,$88.49 ,$109.25 ,$98.33 ,$20.20 ,$98.33 ,$7.92 ,$109.25 ,$61.29 ,$7.92 ,$45.23 ,$5.96 ,$5.69 ,$8.31 ,$98.33 ,$18.18 ,$60.52 ,$30.59 ,$98.33 ,$7.92 ,$98.33 ,$98.33 ,$7.92 ,$71.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600524,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$13.80 ,$9.94 ,$3.86 ,$18.18 ,$13.80 ,$10.28 ,$9.04 ,$7.92 ,$3.86 ,$8.49 ,$7.92 ,$8.49 ,$7.92 ,$7.65 ,$7.65 ,$7.92 ,$7.65 ,$13.80 ,$12.42 ,$11.45 ,$13.80 ,$7.92 ,$12.14 ,$8.08 ,$10.35 ,$10.35 ,$11.73 ,$11.73 ,$7.92 ,$11.73 ,$7.92 ,$11.18 ,$11.18 ,$11.18 ,$13.80 ,$12.42 ,$13.80 ,$12.42 ,$7.92 ,$13.80 ,$7.74 ,$7.92 ,$5.71 ,$5.96 ,$5.69 ,$8.31 ,$12.42 ,$18.18 ,$7.65 ,$3.86 ,$12.42 ,$7.92 ,$12.42 ,$12.42 ,$7.92 ,$8.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600529,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL -90,306,1 ,$34.50 ,$24.84 ,$5.69 ,$34.50 ,$19.28 ,$25.70 ,$22.60 ,$7.56 ,$9.66 ,$21.22 ,$7.56 ,$21.22 ,$7.56 ,$19.11 ,$19.11 ,$7.56 ,$19.11 ,$15.57 ,$31.05 ,$28.64 ,$19.28 ,$7.56 ,$30.36 ,$7.70 ,$25.88 ,$25.88 ,$29.33 ,$29.33 ,$7.56 ,$29.33 ,$7.56 ,$27.95 ,$27.95 ,$27.95 ,$34.50 ,$31.05 ,$19.28 ,$31.05 ,$7.56 ,$34.50 ,$19.35 ,$7.56 ,$14.28 ,$5.96 ,$5.69 ,$7.94 ,$31.05 ,$17.35 ,$19.11 ,$9.66 ,$31.05 ,$7.56 ,$31.05 ,$31.05 ,$7.56 ,$22.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600530,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$41.40 ,$29.81 ,$5.69 ,$41.40 ,$19.28 ,$30.84 ,$27.12 ,$7.56 ,$11.59 ,$25.46 ,$7.56 ,$25.46 ,$7.56 ,$22.94 ,$22.94 ,$7.56 ,$22.94 ,$15.57 ,$37.26 ,$34.36 ,$19.28 ,$7.56 ,$36.43 ,$7.70 ,$31.05 ,$31.05 ,$35.19 ,$35.19 ,$7.56 ,$35.19 ,$7.56 ,$33.53 ,$33.53 ,$33.53 ,$41.40 ,$37.26 ,$19.28 ,$37.26 ,$7.56 ,$41.40 ,$23.23 ,$7.56 ,$17.14 ,$5.96 ,$5.69 ,$7.94 ,$37.26 ,$17.35 ,$22.94 ,$11.59 ,$37.26 ,$7.56 ,$37.26 ,$37.26 ,$7.56 ,$26.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600531,87102,HC CULTURE FUNGUS OTHER,306,1 ,$155.25 ,$111.78 ,$5.69 ,$155.25 ,$21.03 ,$115.66 ,$101.69 ,$8.24 ,$43.47 ,$95.48 ,$8.24 ,$95.48 ,$8.24 ,$86.01 ,$86.01 ,$8.24 ,$86.01 ,$16.99 ,$139.73 ,$128.86 ,$21.03 ,$8.24 ,$136.62 ,$8.41 ,$116.44 ,$116.44 ,$131.96 ,$131.96 ,$8.24 ,$131.96 ,$8.24 ,$125.75 ,$125.75 ,$125.75 ,$155.25 ,$139.73 ,$21.03 ,$139.73 ,$8.24 ,$155.25 ,$87.10 ,$8.24 ,$64.27 ,$5.96 ,$5.69 ,$8.65 ,$139.73 ,$18.92 ,$86.01 ,$43.47 ,$139.73 ,$8.24 ,$139.73 ,$139.73 ,$8.24 ,$100.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600532,87103,HC CULTURE FUNGUS BLOOD,306,1 ,$104.65 ,$75.35 ,$18.90 ,$104.65 ,$51.15 ,$77.96 ,$68.55 ,$20.05 ,$29.30 ,$64.36 ,$20.05 ,$64.36 ,$20.05 ,$57.98 ,$57.98 ,$20.05 ,$57.98 ,$41.33 ,$94.19 ,$86.86 ,$51.15 ,$20.05 ,$92.09 ,$20.45 ,$78.49 ,$78.49 ,$88.95 ,$88.95 ,$20.05 ,$88.95 ,$20.05 ,$84.77 ,$84.77 ,$84.77 ,$104.65 ,$94.19 ,$51.15 ,$94.19 ,$20.05 ,$104.65 ,$58.71 ,$20.05 ,$43.33 ,$19.80 ,$18.90 ,$21.05 ,$94.19 ,$46.04 ,$57.98 ,$29.30 ,$94.19 ,$20.05 ,$94.19 ,$94.19 ,$20.05 ,$68.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600533,87106,HC CULTURE FUNGUS ID YEAST,306,1 ,$94.30 ,$67.90 ,$5.69 ,$94.30 ,$25.80 ,$70.25 ,$61.77 ,$10.11 ,$26.40 ,$57.99 ,$10.11 ,$57.99 ,$10.11 ,$52.24 ,$52.24 ,$10.11 ,$52.24 ,$20.85 ,$84.87 ,$78.27 ,$25.80 ,$10.11 ,$82.98 ,$10.32 ,$70.73 ,$70.73 ,$80.16 ,$80.16 ,$10.11 ,$80.16 ,$10.11 ,$76.38 ,$76.38 ,$76.38 ,$94.30 ,$84.87 ,$25.80 ,$84.87 ,$10.11 ,$94.30 ,$52.90 ,$10.11 ,$39.04 ,$5.96 ,$5.69 ,$10.62 ,$84.87 ,$23.22 ,$52.24 ,$26.40 ,$84.87 ,$10.11 ,$84.87 ,$84.87 ,$10.11 ,$61.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600534,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$34.50 ,$24.84 ,$9.66 ,$34.50 ,$25.80 ,$25.70 ,$22.60 ,$10.11 ,$9.66 ,$21.22 ,$10.11 ,$21.22 ,$10.11 ,$19.11 ,$19.11 ,$10.11 ,$19.11 ,$20.85 ,$31.05 ,$28.64 ,$25.80 ,$10.11 ,$30.36 ,$10.32 ,$25.88 ,$25.88 ,$29.33 ,$29.33 ,$10.11 ,$29.33 ,$10.11 ,$27.95 ,$27.95 ,$27.95 ,$34.50 ,$31.05 ,$25.80 ,$31.05 ,$10.11 ,$34.50 ,$19.35 ,$10.11 ,$14.28 ,$19.80 ,$18.90 ,$10.62 ,$31.05 ,$23.22 ,$19.11 ,$9.66 ,$31.05 ,$10.11 ,$31.05 ,$31.05 ,$10.11 ,$22.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600535,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$116.15 ,$83.63 ,$10.58 ,$116.15 ,$27.00 ,$86.53 ,$76.08 ,$10.58 ,$32.52 ,$71.43 ,$10.58 ,$71.43 ,$10.58 ,$64.35 ,$64.35 ,$10.58 ,$64.35 ,$21.82 ,$104.54 ,$96.40 ,$27.00 ,$10.58 ,$102.21 ,$10.80 ,$87.11 ,$87.11 ,$98.73 ,$98.73 ,$10.58 ,$98.73 ,$10.58 ,$94.08 ,$94.08 ,$94.08 ,$116.15 ,$104.54 ,$27.00 ,$104.54 ,$10.58 ,$116.15 ,$65.16 ,$10.58 ,$48.09 ,$19.80 ,$18.90 ,$11.11 ,$104.54 ,$24.30 ,$64.35 ,$32.52 ,$104.54 ,$10.58 ,$104.54 ,$104.54 ,$10.58 ,$75.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600536,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$17.87 ,$12.87 ,$5.00 ,$17.87 ,$12.95 ,$13.31 ,$11.70 ,$5.08 ,$5.00 ,$10.99 ,$5.08 ,$10.99 ,$5.08 ,$9.90 ,$9.90 ,$5.08 ,$9.90 ,$10.46 ,$16.08 ,$14.83 ,$12.95 ,$5.08 ,$15.73 ,$5.17 ,$13.40 ,$13.40 ,$15.19 ,$15.19 ,$5.08 ,$15.19 ,$5.08 ,$14.47 ,$14.47 ,$14.47 ,$17.87 ,$16.08 ,$12.95 ,$16.08 ,$5.08 ,$17.87 ,$10.03 ,$5.08 ,$7.40 ,$5.96 ,$5.69 ,$5.33 ,$16.08 ,$11.66 ,$9.90 ,$5.00 ,$16.08 ,$5.08 ,$16.08 ,$16.08 ,$5.08 ,$11.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600537,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$377.20 ,$271.58 ,$5.69 ,$377.20 ,$50.13 ,$281.01 ,$247.07 ,$19.65 ,$105.62 ,$231.98 ,$19.65 ,$231.98 ,$19.65 ,$208.97 ,$208.97 ,$19.65 ,$208.97 ,$40.50 ,$339.48 ,$313.08 ,$50.13 ,$19.65 ,$331.94 ,$20.04 ,$282.90 ,$282.90 ,$320.62 ,$320.62 ,$19.65 ,$320.62 ,$19.65 ,$305.53 ,$305.53 ,$305.53 ,$377.20 ,$339.48 ,$50.13 ,$339.48 ,$19.65 ,$377.20 ,$211.61 ,$19.65 ,$156.16 ,$5.96 ,$5.69 ,$20.63 ,$339.48 ,$45.11 ,$208.97 ,$105.62 ,$339.48 ,$19.65 ,$339.48 ,$339.48 ,$19.65 ,$245.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600539,87153,HC ID NUCLEAR ACID SEQ METH ID,306,1 ,"$1,329.40 ",$957.17 ,$18.90 ,"$1,329.40 ",$288.40 ,$990.40 ,$870.76 ,$113.05 ,$372.23 ,$817.58 ,$113.05 ,$817.58 ,$113.05 ,$736.49 ,$736.49 ,$113.05 ,$736.49 ,$233.03 ,"$1,196.46 ",$500.00 ,$288.40 ,$113.05 ,"$1,169.87 ",$115.32 ,$997.05 ,$997.05 ,"$1,129.99 ","$1,129.99 ",$113.05 ,"$1,129.99 ",$113.05 ,"$1,076.81 ","$1,076.81 ","$1,076.81 ","$1,329.40 ","$1,196.46 ",$288.40 ,"$1,196.46 ",$113.05 ,"$1,329.40 ",$745.79 ,$113.05 ,$550.37 ,$19.80 ,$18.90 ,$118.71 ,"$1,196.46 ",$259.56 ,$736.49 ,$372.23 ,"$1,196.46 ",$113.05 ,"$1,196.46 ","$1,196.46 ",$113.05 ,$864.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600544,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$25.30 ,$18.22 ,$4.65 ,$25.30 ,$11.88 ,$18.85 ,$16.57 ,$4.65 ,$7.08 ,$15.56 ,$4.65 ,$15.56 ,$4.65 ,$14.02 ,$14.02 ,$4.65 ,$14.02 ,$9.60 ,$22.77 ,$21.00 ,$11.88 ,$4.65 ,$22.26 ,$4.75 ,$18.98 ,$18.98 ,$21.51 ,$21.51 ,$4.65 ,$21.51 ,$4.65 ,$20.49 ,$20.49 ,$20.49 ,$25.30 ,$22.77 ,$11.88 ,$22.77 ,$4.65 ,$25.30 ,$14.19 ,$4.65 ,$10.47 ,$5.96 ,$5.69 ,$4.89 ,$22.77 ,$10.69 ,$14.02 ,$7.08 ,$22.77 ,$4.65 ,$22.77 ,$22.77 ,$4.65 ,$16.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600546,87185,HC BETA LACTAMASE,306,1 ,$28.50 ,$20.52 ,$4.65 ,$28.50 ,$11.88 ,$21.23 ,$18.67 ,$4.65 ,$7.98 ,$17.53 ,$4.65 ,$17.53 ,$4.65 ,$15.79 ,$15.79 ,$4.65 ,$15.79 ,$9.60 ,$25.65 ,$23.66 ,$11.88 ,$4.65 ,$25.08 ,$4.75 ,$21.38 ,$21.38 ,$24.23 ,$24.23 ,$4.65 ,$24.23 ,$4.65 ,$23.09 ,$23.09 ,$23.09 ,$28.50 ,$25.65 ,$11.88 ,$25.65 ,$4.65 ,$28.50 ,$15.99 ,$4.65 ,$11.80 ,$5.96 ,$5.69 ,$4.89 ,$25.65 ,$10.69 ,$15.79 ,$7.98 ,$25.65 ,$4.65 ,$25.65 ,$25.65 ,$4.65 ,$18.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600547,87186,HC SENSITIVITY MIC,306,1 ,$62.10 ,$44.71 ,$5.69 ,$62.10 ,$21.63 ,$46.26 ,$40.68 ,$8.48 ,$17.39 ,$38.19 ,$8.48 ,$38.19 ,$8.48 ,$34.40 ,$34.40 ,$8.48 ,$34.40 ,$17.47 ,$55.89 ,$51.54 ,$21.63 ,$8.48 ,$54.65 ,$8.64 ,$46.58 ,$46.58 ,$52.79 ,$52.79 ,$8.48 ,$52.79 ,$8.48 ,$50.30 ,$50.30 ,$50.30 ,$62.10 ,$55.89 ,$21.63 ,$55.89 ,$8.48 ,$62.10 ,$34.84 ,$8.48 ,$25.71 ,$5.96 ,$5.69 ,$8.90 ,$55.89 ,$19.46 ,$34.40 ,$17.39 ,$55.89 ,$8.48 ,$55.89 ,$55.89 ,$8.48 ,$40.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600549,87188,HC MACROTUBE DIL METH EA AGNT,306,1 ,$86.25 ,$62.10 ,$5.69 ,$86.25 ,$16.60 ,$64.26 ,$56.49 ,$6.51 ,$24.15 ,$53.04 ,$6.51 ,$53.04 ,$6.51 ,$47.78 ,$47.78 ,$6.51 ,$47.78 ,$13.41 ,$77.63 ,$71.59 ,$16.60 ,$6.51 ,$75.90 ,$6.63 ,$64.69 ,$64.69 ,$73.31 ,$73.31 ,$6.51 ,$73.31 ,$6.51 ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 ,$16.60 ,$77.63 ,$6.51 ,$86.25 ,$48.39 ,$6.51 ,$35.71 ,$5.96 ,$5.69 ,$6.83 ,$77.63 ,$14.94 ,$47.78 ,$24.15 ,$77.63 ,$6.51 ,$77.63 ,$77.63 ,$6.51 ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600551,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$49.45 ,$35.60 ,$4.18 ,$49.45 ,$10.68 ,$36.84 ,$32.39 ,$4.18 ,$13.85 ,$30.41 ,$4.18 ,$30.41 ,$4.18 ,$27.40 ,$27.40 ,$4.18 ,$27.40 ,$8.63 ,$44.51 ,$41.04 ,$10.68 ,$4.18 ,$43.52 ,$4.27 ,$37.09 ,$37.09 ,$42.03 ,$42.03 ,$4.18 ,$42.03 ,$4.18 ,$40.05 ,$40.05 ,$40.05 ,$49.45 ,$44.51 ,$10.68 ,$44.51 ,$4.18 ,$49.45 ,$27.74 ,$4.18 ,$20.47 ,$5.96 ,$5.69 ,$4.39 ,$44.51 ,$9.61 ,$27.40 ,$13.85 ,$44.51 ,$4.18 ,$44.51 ,$44.51 ,$4.18 ,$32.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600552,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$63.25 ,$45.54 ,$5.28 ,$63.25 ,$13.48 ,$47.12 ,$41.43 ,$5.28 ,$17.71 ,$38.90 ,$5.28 ,$38.90 ,$5.28 ,$35.04 ,$35.04 ,$5.28 ,$35.04 ,$10.89 ,$56.93 ,$52.50 ,$13.48 ,$5.28 ,$55.66 ,$5.39 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$5.28 ,$53.76 ,$5.28 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$13.48 ,$56.93 ,$5.28 ,$63.25 ,$35.48 ,$5.28 ,$26.19 ,$5.96 ,$5.69 ,$5.55 ,$56.93 ,$12.13 ,$35.04 ,$17.71 ,$56.93 ,$5.28 ,$56.93 ,$56.93 ,$5.28 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600553,87207,HC SPECIAL STAIN INCL BODIES/PARASITES,306,1 ,$63.25 ,$45.54 ,$5.69 ,$63.25 ,$14.98 ,$47.12 ,$41.43 ,$5.87 ,$17.71 ,$38.90 ,$5.87 ,$38.90 ,$5.87 ,$35.04 ,$35.04 ,$5.87 ,$35.04 ,$12.10 ,$56.93 ,$52.50 ,$14.98 ,$5.87 ,$55.66 ,$5.99 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$5.87 ,$53.76 ,$5.87 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$14.98 ,$56.93 ,$5.87 ,$63.25 ,$35.48 ,$5.87 ,$26.19 ,$5.96 ,$5.69 ,$6.16 ,$56.93 ,$13.48 ,$35.04 ,$17.71 ,$56.93 ,$5.87 ,$56.93 ,$56.93 ,$5.87 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600554,87254,HC VIRUS ISOL SHELL ID,306,1 ,$105.80 ,$76.18 ,$18.90 ,$105.80 ,$48.90 ,$78.82 ,$69.30 ,$19.17 ,$29.62 ,$65.07 ,$19.17 ,$65.07 ,$19.17 ,$58.61 ,$58.61 ,$19.17 ,$58.61 ,$39.51 ,$95.22 ,$87.81 ,$48.90 ,$19.17 ,$93.10 ,$19.55 ,$79.35 ,$79.35 ,$89.93 ,$89.93 ,$19.17 ,$89.93 ,$19.17 ,$85.70 ,$85.70 ,$85.70 ,$105.80 ,$95.22 ,$48.90 ,$95.22 ,$19.17 ,$105.80 ,$59.35 ,$19.17 ,$43.80 ,$19.80 ,$18.90 ,$20.13 ,$95.22 ,$44.01 ,$58.61 ,$29.62 ,$95.22 ,$19.17 ,$95.22 ,$95.22 ,$19.17 ,$68.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$18.40 ,$13.25 ,$5.15 ,$41.40 ,$18.40 ,$13.71 ,$12.05 ,$18.03 ,$5.15 ,$11.32 ,$18.03 ,$11.32 ,$18.03 ,$10.19 ,$10.19 ,$18.03 ,$10.19 ,$18.40 ,$16.56 ,$15.27 ,$18.40 ,$18.03 ,$16.19 ,$18.39 ,$13.80 ,$13.80 ,$15.64 ,$15.64 ,$18.03 ,$15.64 ,$18.03 ,$14.90 ,$14.90 ,$14.90 ,$18.40 ,$16.56 ,$18.40 ,$16.56 ,$18.03 ,$18.40 ,$10.32 ,$18.03 ,$7.62 ,$18.40 ,$18.40 ,$18.03 ,$16.56 ,$41.40 ,$10.19 ,$5.15 ,$16.56 ,$18.03 ,$16.56 ,$16.56 ,$18.03 ,$11.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600564,87430,HC RAPID STREP -QW,306,1 ,$65.55 ,$47.20 ,$7.13 ,$65.55 ,$42.03 ,$48.83 ,$42.94 ,$16.47 ,$18.35 ,$40.31 ,$16.47 ,$40.31 ,$16.47 ,$36.31 ,$36.31 ,$16.47 ,$36.31 ,$33.96 ,$59.00 ,$54.41 ,$42.03 ,$16.47 ,$57.68 ,$16.81 ,$49.16 ,$49.16 ,$55.72 ,$55.72 ,$16.47 ,$55.72 ,$16.47 ,$53.10 ,$53.10 ,$53.10 ,$65.55 ,$59.00 ,$42.03 ,$59.00 ,$16.47 ,$65.55 ,$36.77 ,$16.47 ,$27.14 ,$7.47 ,$7.13 ,$17.30 ,$59.00 ,$37.82 ,$36.31 ,$18.35 ,$59.00 ,$16.47 ,$59.00 ,$59.00 ,$16.47 ,$42.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600570,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$140.30 ,$101.02 ,$7.13 ,$140.30 ,$87.73 ,$104.52 ,$91.90 ,$34.39 ,$39.28 ,$86.28 ,$34.39 ,$86.28 ,$34.39 ,$77.73 ,$77.73 ,$34.39 ,$77.73 ,$70.88 ,$126.27 ,$116.45 ,$87.73 ,$34.39 ,$123.46 ,$35.07 ,$105.23 ,$105.23 ,$119.26 ,$119.26 ,$34.39 ,$119.26 ,$34.39 ,$113.64 ,$113.64 ,$113.64 ,$140.30 ,$126.27 ,$87.73 ,$126.27 ,$34.39 ,$140.30 ,$78.71 ,$34.39 ,$58.08 ,$7.47 ,$7.13 ,$36.10 ,$126.27 ,$78.95 ,$77.73 ,$39.28 ,$126.27 ,$34.39 ,$126.27 ,$126.27 ,$34.39 ,$91.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600575,87591,HC NEISSERIA AMP,306,1 ,$135.70 ,$97.70 ,$18.90 ,$135.70 ,$87.73 ,$101.10 ,$88.88 ,$34.39 ,$38.00 ,$83.46 ,$34.39 ,$83.46 ,$34.39 ,$75.18 ,$75.18 ,$34.39 ,$75.18 ,$70.88 ,$122.13 ,$112.63 ,$87.73 ,$34.39 ,$119.42 ,$35.07 ,$101.78 ,$101.78 ,$115.35 ,$115.35 ,$34.39 ,$115.35 ,$34.39 ,$109.92 ,$109.92 ,$109.92 ,$135.70 ,$122.13 ,$87.73 ,$122.13 ,$34.39 ,$135.70 ,$76.13 ,$34.39 ,$56.18 ,$19.80 ,$18.90 ,$36.10 ,$122.13 ,$78.95 ,$75.18 ,$38.00 ,$122.13 ,$34.39 ,$122.13 ,$122.13 ,$34.39 ,$88.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600584,87905,HC IF AGT ENZYMATIC ACT/OTH VIRUS,306,1 ,$87.40 ,$62.93 ,$11.98 ,$87.40 ,$30.55 ,$65.11 ,$57.25 ,$11.98 ,$24.47 ,$53.75 ,$11.98 ,$53.75 ,$11.98 ,$48.42 ,$48.42 ,$11.98 ,$48.42 ,$24.68 ,$78.66 ,$72.54 ,$30.55 ,$11.98 ,$76.91 ,$12.21 ,$65.55 ,$65.55 ,$74.29 ,$74.29 ,$11.98 ,$74.29 ,$11.98 ,$70.79 ,$70.79 ,$70.79 ,$87.40 ,$78.66 ,$30.55 ,$78.66 ,$11.98 ,$87.40 ,$49.03 ,$11.98 ,$36.18 ,$19.80 ,$18.90 ,$12.57 ,$78.66 ,$27.50 ,$48.42 ,$24.47 ,$78.66 ,$11.98 ,$78.66 ,$78.66 ,$11.98 ,$56.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600586,87147,HC CULTURE TYPE SEROLOGIC-91,306,1 ,$17.87 ,$12.87 ,$5.00 ,$17.87 ,$12.95 ,$13.31 ,$11.70 ,$5.08 ,$5.00 ,$10.99 ,$5.08 ,$10.99 ,$5.08 ,$9.90 ,$9.90 ,$5.08 ,$9.90 ,$10.46 ,$16.08 ,$14.83 ,$12.95 ,$5.08 ,$15.73 ,$5.17 ,$13.40 ,$13.40 ,$15.19 ,$15.19 ,$5.08 ,$15.19 ,$5.08 ,$14.47 ,$14.47 ,$14.47 ,$17.87 ,$16.08 ,$12.95 ,$16.08 ,$5.08 ,$17.87 ,$10.03 ,$5.08 ,$7.40 ,$5.96 ,$5.69 ,$5.33 ,$16.08 ,$11.66 ,$9.90 ,$5.00 ,$16.08 ,$5.08 ,$16.08 ,$16.08 ,$5.08 ,$11.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600592,87486,HC CHLAMYDIA PNEUM AMP PROBE-90,306,1 ,$63.25 ,$45.54 ,$17.71 ,$78.95 ,$63.25 ,$47.12 ,$41.43 ,$34.39 ,$17.71 ,$38.90 ,$34.39 ,$38.90 ,$34.39 ,$35.04 ,$35.04 ,$34.39 ,$35.04 ,$63.25 ,$56.93 ,$52.50 ,$63.25 ,$34.39 ,$55.66 ,$35.07 ,$47.44 ,$47.44 ,$53.76 ,$53.76 ,$34.39 ,$53.76 ,$34.39 ,$51.23 ,$51.23 ,$51.23 ,$63.25 ,$56.93 ,$63.25 ,$56.93 ,$34.39 ,$63.25 ,$35.48 ,$34.39 ,$26.19 ,$19.80 ,$18.90 ,$36.10 ,$56.93 ,$78.95 ,$35.04 ,$17.71 ,$56.93 ,$34.39 ,$56.93 ,$56.93 ,$34.39 ,$41.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600606,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE-90,306,1 ,$230.00 ,$165.60 ,$18.90 ,$230.00 ,$87.73 ,$171.35 ,$150.65 ,$34.39 ,$64.40 ,$141.45 ,$34.39 ,$141.45 ,$34.39 ,$127.42 ,$127.42 ,$34.39 ,$127.42 ,$70.88 ,$207.00 ,$190.90 ,$87.73 ,$34.39 ,$202.40 ,$35.07 ,$172.50 ,$172.50 ,$195.50 ,$195.50 ,$34.39 ,$195.50 ,$34.39 ,$186.30 ,$186.30 ,$186.30 ,$230.00 ,$207.00 ,$87.73 ,$207.00 ,$34.39 ,$230.00 ,$129.03 ,$34.39 ,$95.22 ,$19.80 ,$18.90 ,$36.10 ,$207.00 ,$78.95 ,$127.42 ,$64.40 ,$207.00 ,$34.39 ,$207.00 ,$207.00 ,$34.39 ,$149.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600607,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$54.05 ,$38.92 ,$15.13 ,$78.95 ,$54.05 ,$40.27 ,$35.40 ,$34.39 ,$15.13 ,$33.24 ,$34.39 ,$33.24 ,$34.39 ,$29.94 ,$29.94 ,$34.39 ,$29.94 ,$54.05 ,$48.65 ,$44.86 ,$54.05 ,$34.39 ,$47.56 ,$35.07 ,$40.54 ,$40.54 ,$45.94 ,$45.94 ,$34.39 ,$45.94 ,$34.39 ,$43.78 ,$43.78 ,$43.78 ,$54.05 ,$48.65 ,$54.05 ,$48.65 ,$34.39 ,$54.05 ,$30.32 ,$34.39 ,$22.38 ,$19.80 ,$18.90 ,$36.10 ,$48.65 ,$78.95 ,$29.94 ,$15.13 ,$48.65 ,$34.39 ,$48.65 ,$48.65 ,$34.39 ,$35.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600608,87045,HC STOOL CULTURE -90,306,1 ,$227.70 ,$163.94 ,$5.69 ,$227.70 ,$23.60 ,$169.64 ,$149.14 ,$9.25 ,$63.76 ,$140.04 ,$9.25 ,$140.04 ,$9.25 ,$126.15 ,$126.15 ,$9.25 ,$126.15 ,$19.07 ,$204.93 ,$188.99 ,$23.60 ,$9.25 ,$200.38 ,$9.44 ,$170.78 ,$170.78 ,$193.55 ,$193.55 ,$9.25 ,$193.55 ,$9.25 ,$184.44 ,$184.44 ,$184.44 ,$227.70 ,$204.93 ,$23.60 ,$204.93 ,$9.25 ,$227.70 ,$127.74 ,$9.25 ,$94.27 ,$5.96 ,$5.69 ,$9.71 ,$204.93 ,$21.24 ,$126.15 ,$63.76 ,$204.93 ,$9.25 ,$204.93 ,$204.93 ,$9.25 ,$148.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600609,87529,HC HERPES SIMPLEX AMP,306,1 ,$334.65 ,$240.95 ,$18.90 ,$334.65 ,$87.73 ,$249.31 ,$219.20 ,$34.39 ,$93.70 ,$205.81 ,$34.39 ,$205.81 ,$34.39 ,$185.40 ,$185.40 ,$34.39 ,$185.40 ,$70.88 ,$301.19 ,$277.76 ,$87.73 ,$34.39 ,$294.49 ,$35.07 ,$250.99 ,$250.99 ,$284.45 ,$284.45 ,$34.39 ,$284.45 ,$34.39 ,$271.07 ,$271.07 ,$271.07 ,$334.65 ,$301.19 ,$87.73 ,$301.19 ,$34.39 ,$334.65 ,$187.74 ,$34.39 ,$138.55 ,$19.80 ,$18.90 ,$36.10 ,$301.19 ,$78.95 ,$185.40 ,$93.70 ,$301.19 ,$34.39 ,$301.19 ,$301.19 ,$34.39 ,$217.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600613,87205,HC URINE FOR EOSINOPHILS-90,306,1 ,$49.45 ,$35.60 ,$4.18 ,$49.45 ,$10.68 ,$36.84 ,$32.39 ,$4.18 ,$13.85 ,$30.41 ,$4.18 ,$30.41 ,$4.18 ,$27.40 ,$27.40 ,$4.18 ,$27.40 ,$8.63 ,$44.51 ,$41.04 ,$10.68 ,$4.18 ,$43.52 ,$4.27 ,$37.09 ,$37.09 ,$42.03 ,$42.03 ,$4.18 ,$42.03 ,$4.18 ,$40.05 ,$40.05 ,$40.05 ,$49.45 ,$44.51 ,$10.68 ,$44.51 ,$4.18 ,$49.45 ,$27.74 ,$4.18 ,$20.47 ,$5.96 ,$5.69 ,$4.39 ,$44.51 ,$9.61 ,$27.40 ,$13.85 ,$44.51 ,$4.18 ,$44.51 ,$44.51 ,$4.18 ,$32.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600615,87169,HC PARASITE ID-90,306,1 ,$25.30 ,$18.22 ,$4.22 ,$25.30 ,$10.78 ,$18.85 ,$16.57 ,$4.22 ,$7.08 ,$15.56 ,$4.22 ,$15.56 ,$4.22 ,$14.02 ,$14.02 ,$4.22 ,$14.02 ,$8.71 ,$22.77 ,$21.00 ,$10.78 ,$4.22 ,$22.26 ,$4.31 ,$18.98 ,$18.98 ,$21.51 ,$21.51 ,$4.22 ,$21.51 ,$4.22 ,$20.49 ,$20.49 ,$20.49 ,$25.30 ,$22.77 ,$10.78 ,$22.77 ,$4.22 ,$25.30 ,$14.19 ,$4.22 ,$10.47 ,$5.96 ,$5.69 ,$4.44 ,$22.77 ,$9.70 ,$14.02 ,$7.08 ,$22.77 ,$4.22 ,$22.77 ,$22.77 ,$4.22 ,$16.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600621,87551,HC MYCOBACTERIA DAN AMP PROBE-90,306,1 ,$207.00 ,$149.04 ,$18.90 ,$207.00 ,$120.60 ,$154.22 ,$135.59 ,$47.28 ,$57.96 ,$127.31 ,$47.28 ,$127.31 ,$47.28 ,$114.68 ,$114.68 ,$47.28 ,$114.68 ,$97.44 ,$186.30 ,$171.81 ,$120.60 ,$47.28 ,$182.16 ,$48.22 ,$155.25 ,$155.25 ,$175.95 ,$175.95 ,$47.28 ,$175.95 ,$47.28 ,$167.67 ,$167.67 ,$167.67 ,$207.00 ,$186.30 ,$120.60 ,$186.30 ,$47.28 ,$207.00 ,$116.13 ,$47.28 ,$85.70 ,$19.80 ,$18.90 ,$49.64 ,$186.30 ,$108.54 ,$114.68 ,$57.96 ,$186.30 ,$47.28 ,$186.30 ,$186.30 ,$47.28 ,$134.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$526.70 ,$379.22 ,$18.90 ,$526.70 ,$128.28 ,$392.39 ,$344.99 ,$50.28 ,$147.48 ,$323.92 ,$50.28 ,$323.92 ,$50.28 ,$291.79 ,$291.79 ,$50.28 ,$291.79 ,$103.65 ,$474.03 ,$437.16 ,$128.28 ,$50.28 ,$463.50 ,$51.29 ,$395.03 ,$395.03 ,$447.70 ,$447.70 ,$50.28 ,$447.70 ,$50.28 ,$426.63 ,$426.63 ,$426.63 ,$526.70 ,$474.03 ,$128.28 ,$474.03 ,$50.28 ,$51.31 ,$295.48 ,$50.28 ,$218.05 ,$19.80 ,$18.90 ,$52.80 ,$474.03 ,$115.45 ,$291.79 ,$147.48 ,$474.03 ,$50.28 ,$474.03 ,$474.03 ,$50.28 ,$342.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600625,87172,HC PINWORM- 90,306,1 ,$8.02 ,$5.77 ,$2.25 ,$9.61 ,$8.02 ,$5.97 ,$5.25 ,$4.18 ,$2.25 ,$4.93 ,$4.18 ,$4.93 ,$4.18 ,$4.44 ,$4.44 ,$4.18 ,$4.44 ,$8.02 ,$7.22 ,$6.66 ,$8.02 ,$4.18 ,$7.06 ,$4.27 ,$6.02 ,$6.02 ,$6.82 ,$6.82 ,$4.18 ,$6.82 ,$4.18 ,$6.50 ,$6.50 ,$6.50 ,$8.02 ,$7.22 ,$8.02 ,$7.22 ,$4.18 ,$8.02 ,$4.50 ,$4.18 ,$3.32 ,$5.96 ,$5.69 ,$4.39 ,$7.22 ,$9.61 ,$4.44 ,$2.25 ,$7.22 ,$4.18 ,$7.22 ,$7.22 ,$4.18 ,$5.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600630,87481,HC CANDIDA SPECIES DNA/RNA AMPLIFIED PROBE TECH,306,1 ,$21.85 ,$15.73 ,$6.12 ,$49.16 ,$21.85 ,$16.28 ,$14.31 ,$21.41 ,$6.12 ,$13.44 ,$21.41 ,$13.44 ,$21.41 ,$12.10 ,$12.10 ,$21.41 ,$12.10 ,$21.85 ,$19.67 ,$18.14 ,$21.85 ,$21.41 ,$19.23 ,$21.84 ,$16.39 ,$16.39 ,$18.57 ,$18.57 ,$21.41 ,$18.57 ,$21.41 ,$17.70 ,$17.70 ,$17.70 ,$21.85 ,$19.67 ,$21.85 ,$19.67 ,$21.41 ,$21.85 ,$12.26 ,$21.41 ,$9.05 ,$7.47 ,$7.13 ,$21.41 ,$19.67 ,$49.16 ,$12.10 ,$6.12 ,$19.67 ,$21.41 ,$19.67 ,$19.67 ,$21.41 ,$14.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600631,87563,HC IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,306,1 ,$41.40 ,$29.81 ,$11.59 ,$78.95 ,$41.40 ,$30.84 ,$27.12 ,$34.39 ,$11.59 ,$25.46 ,$34.39 ,$25.46 ,$34.39 ,$22.94 ,$22.94 ,$34.39 ,$22.94 ,$41.40 ,$37.26 ,$34.36 ,$41.40 ,$34.39 ,$36.43 ,$35.07 ,$31.05 ,$31.05 ,$35.19 ,$35.19 ,$34.39 ,$35.19 ,$34.39 ,$33.53 ,$33.53 ,$33.53 ,$41.40 ,$37.26 ,$41.40 ,$37.26 ,$34.39 ,$41.40 ,$23.23 ,$34.39 ,$17.14 ,$19.80 ,$18.90 ,$36.10 ,$37.26 ,$78.95 ,$22.94 ,$11.59 ,$37.26 ,$34.39 ,$37.26 ,$37.26 ,$34.39 ,$26.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600632,87801,HC IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,306,1 ,$31.05 ,$22.36 ,$5.69 ,$69.86 ,$31.05 ,$23.13 ,$20.34 ,$30.43 ,$8.69 ,$19.10 ,$30.43 ,$19.10 ,$30.43 ,$17.20 ,$17.20 ,$30.43 ,$17.20 ,$31.05 ,$27.95 ,$25.77 ,$31.05 ,$30.43 ,$27.32 ,$31.04 ,$23.29 ,$23.29 ,$26.39 ,$26.39 ,$30.43 ,$26.39 ,$30.43 ,$25.15 ,$25.15 ,$25.15 ,$31.05 ,$27.95 ,$31.05 ,$27.95 ,$30.43 ,$31.05 ,$17.42 ,$30.43 ,$12.85 ,$5.96 ,$5.69 ,$30.43 ,$27.95 ,$69.86 ,$17.20 ,$8.69 ,$27.95 ,$30.43 ,$27.95 ,$27.95 ,$30.43 ,$20.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600633,87168,HC TICK AND OTHER ANTROPODS- 90,306,1 ,$25.30 ,$18.22 ,$4.18 ,$25.30 ,$10.68 ,$18.85 ,$16.57 ,$4.18 ,$7.08 ,$15.56 ,$4.18 ,$15.56 ,$4.18 ,$14.02 ,$14.02 ,$4.18 ,$14.02 ,$8.63 ,$22.77 ,$21.00 ,$10.68 ,$4.18 ,$22.26 ,$4.27 ,$18.98 ,$18.98 ,$21.51 ,$21.51 ,$4.18 ,$21.51 ,$4.18 ,$20.49 ,$20.49 ,$20.49 ,$25.30 ,$22.77 ,$10.68 ,$22.77 ,$4.18 ,$25.30 ,$14.19 ,$4.18 ,$10.47 ,$5.96 ,$5.69 ,$4.39 ,$22.77 ,$9.61 ,$14.02 ,$7.08 ,$22.77 ,$4.18 ,$22.77 ,$22.77 ,$4.18 ,$16.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$143.75 ,$103.50 ,$5.69 ,$143.75 ,$103.45 ,$107.09 ,$94.16 ,$40.55 ,$40.25 ,$88.41 ,$40.55 ,$88.41 ,$40.55 ,$79.64 ,$79.64 ,$40.55 ,$79.64 ,$83.59 ,$129.38 ,$119.31 ,$103.45 ,$40.55 ,$126.50 ,$41.37 ,$107.81 ,$107.81 ,$122.19 ,$122.19 ,$40.55 ,$122.19 ,$40.55 ,$116.44 ,$116.44 ,$116.44 ,$143.75 ,$129.38 ,$103.45 ,$129.38 ,$40.55 ,$143.75 ,$80.64 ,$40.55 ,$59.51 ,$5.96 ,$5.69 ,$42.58 ,$129.38 ,$93.11 ,$79.64 ,$40.25 ,$129.38 ,$40.55 ,$129.38 ,$129.38 ,$40.55 ,$93.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$526.70 ,$379.22 ,$18.90 ,$526.70 ,$128.28 ,$392.39 ,$344.99 ,$50.28 ,$147.48 ,$323.92 ,$50.28 ,$323.92 ,$50.28 ,$291.79 ,$291.79 ,$50.28 ,$291.79 ,$103.65 ,$474.03 ,$437.16 ,$128.28 ,$50.28 ,$463.50 ,$51.29 ,$395.03 ,$395.03 ,$447.70 ,$447.70 ,$50.28 ,$447.70 ,$50.28 ,$426.63 ,$426.63 ,$426.63 ,$526.70 ,$474.03 ,$128.28 ,$474.03 ,$50.28 ,$51.31 ,$295.48 ,$50.28 ,$218.05 ,$19.80 ,$18.90 ,$52.80 ,$474.03 ,$115.45 ,$291.79 ,$147.48 ,$474.03 ,$50.28 ,$474.03 ,$474.03 ,$50.28 ,$342.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600638,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION - 90,306,1 ,$98.90 ,$71.21 ,$18.90 ,$115.45 ,$98.90 ,$73.68 ,$64.78 ,$50.28 ,$27.69 ,$60.82 ,$50.28 ,$60.82 ,$50.28 ,$54.79 ,$54.79 ,$50.28 ,$54.79 ,$98.90 ,$89.01 ,$82.09 ,$98.90 ,$50.28 ,$87.03 ,$51.29 ,$74.18 ,$74.18 ,$84.07 ,$84.07 ,$50.28 ,$84.07 ,$50.28 ,$80.11 ,$80.11 ,$80.11 ,$98.90 ,$89.01 ,$98.90 ,$89.01 ,$50.28 ,$51.31 ,$55.48 ,$50.28 ,$40.94 ,$19.80 ,$18.90 ,$52.80 ,$89.01 ,$115.45 ,$54.79 ,$27.69 ,$89.01 ,$50.28 ,$89.01 ,$89.01 ,$50.28 ,$64.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600642,81513,HC APTIMA BV MAAA SPEC CD,306,1 ,$382.64 ,$275.50 ,$28.27 ,$382.64 ,$356.58 ,$285.07 ,$250.63 ,$139.78 ,$107.14 ,$235.32 ,$139.78 ,$235.32 ,$139.78 ,$211.98 ,$211.98 ,$139.78 ,$211.98 ,$288.11 ,$344.38 ,$317.59 ,$356.58 ,$139.78 ,$336.72 ,$142.57 ,$286.98 ,$286.98 ,$325.24 ,$325.24 ,$139.78 ,$325.24 ,$139.78 ,$309.94 ,$309.94 ,$309.94 ,$382.64 ,$344.38 ,$356.58 ,$344.38 ,$139.78 ,$382.64 ,$214.66 ,$139.78 ,$158.41 ,$29.61 ,$28.27 ,$146.76 ,$344.38 ,$320.92 ,$211.98 ,$107.14 ,$344.38 ,$139.78 ,$344.38 ,$344.38 ,$139.78 ,$248.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600649,87449,HC NOS EACH ORGANISM AG IA-90,306,1 ,$352.80 ,$254.02 ,$7.13 ,$352.80 ,$29.95 ,$262.84 ,$231.08 ,$11.74 ,$98.78 ,$216.97 ,$11.74 ,$216.97 ,$11.74 ,$195.45 ,$195.45 ,$11.74 ,$195.45 ,$24.20 ,$317.52 ,$292.82 ,$29.95 ,$11.74 ,$310.46 ,$11.98 ,$264.60 ,$264.60 ,$299.88 ,$299.88 ,$11.74 ,$299.88 ,$11.74 ,$285.77 ,$285.77 ,$285.77 ,$352.80 ,$317.52 ,$29.95 ,$317.52 ,$11.74 ,$352.80 ,$197.92 ,$11.74 ,$146.06 ,$7.47 ,$7.13 ,$12.33 ,$317.52 ,$26.96 ,$195.45 ,$98.78 ,$317.52 ,$11.74 ,$317.52 ,$317.52 ,$11.74 ,$229.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600652,87324,HC CLOSTRIDIUM AG IA-90,306,1 ,$149.76 ,$107.83 ,$7.13 ,$149.76 ,$29.95 ,$111.57 ,$98.09 ,$11.74 ,$41.93 ,$92.10 ,$11.74 ,$92.10 ,$11.74 ,$82.97 ,$82.97 ,$11.74 ,$82.97 ,$24.20 ,$134.78 ,$124.30 ,$29.95 ,$11.74 ,$131.79 ,$11.98 ,$112.32 ,$112.32 ,$127.30 ,$127.30 ,$11.74 ,$127.30 ,$11.74 ,$121.31 ,$121.31 ,$121.31 ,$149.76 ,$134.78 ,$29.95 ,$134.78 ,$11.74 ,$149.76 ,$84.02 ,$11.74 ,$62.00 ,$7.47 ,$7.13 ,$12.33 ,$134.78 ,$26.96 ,$82.97 ,$41.93 ,$134.78 ,$11.74 ,$134.78 ,$134.78 ,$11.74 ,$97.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600653,87389,HC HIV-1 AG W/HIB-1 AND -2 AB AG IA-90,306,1 ,$22.50 ,$16.20 ,$6.30 ,$50.63 ,$22.50 ,$16.76 ,$14.74 ,$22.05 ,$6.30 ,$13.84 ,$22.05 ,$13.84 ,$22.05 ,$12.47 ,$12.47 ,$22.05 ,$12.47 ,$22.50 ,$20.25 ,$18.68 ,$22.50 ,$22.05 ,$19.80 ,$22.49 ,$16.88 ,$16.88 ,$19.13 ,$19.13 ,$22.05 ,$19.13 ,$22.05 ,$18.23 ,$18.23 ,$18.23 ,$22.50 ,$20.25 ,$22.50 ,$20.25 ,$22.05 ,$22.50 ,$12.62 ,$22.05 ,$9.32 ,$7.47 ,$7.13 ,$22.05 ,$20.25 ,$50.63 ,$12.47 ,$6.30 ,$20.25 ,$22.05 ,$20.25 ,$20.25 ,$22.05 ,$14.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600657,87015,HC CONCENTRATION INFECTIOUS AGENTS-90,306,1 ,$70.00 ,$50.40 ,$5.69 ,$70.00 ,$16.70 ,$52.15 ,$45.85 ,$6.55 ,$19.60 ,$43.05 ,$6.55 ,$43.05 ,$6.55 ,$38.78 ,$38.78 ,$6.55 ,$38.78 ,$13.49 ,$63.00 ,$58.10 ,$16.70 ,$6.55 ,$61.60 ,$6.67 ,$52.50 ,$52.50 ,$59.50 ,$59.50 ,$6.55 ,$59.50 ,$6.55 ,$56.70 ,$56.70 ,$56.70 ,$70.00 ,$63.00 ,$16.70 ,$63.00 ,$6.55 ,$70.00 ,$39.27 ,$6.55 ,$28.98 ,$5.96 ,$5.69 ,$6.87 ,$63.00 ,$15.03 ,$38.78 ,$19.60 ,$63.00 ,$6.55 ,$63.00 ,$63.00 ,$6.55 ,$45.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600658,87103,HC BLOOD FUNGUS CULTURE - 90,306,1 ,$188.00 ,$135.36 ,$18.90 ,$188.00 ,$51.15 ,$140.06 ,$123.14 ,$20.05 ,$52.64 ,$115.62 ,$20.05 ,$115.62 ,$20.05 ,$104.15 ,$104.15 ,$20.05 ,$104.15 ,$41.33 ,$169.20 ,$156.04 ,$51.15 ,$20.05 ,$165.44 ,$20.45 ,$141.00 ,$141.00 ,$159.80 ,$159.80 ,$20.05 ,$159.80 ,$20.05 ,$152.28 ,$152.28 ,$152.28 ,$188.00 ,$169.20 ,$51.15 ,$169.20 ,$20.05 ,$188.00 ,$105.47 ,$20.05 ,$77.83 ,$19.80 ,$18.90 ,$21.05 ,$169.20 ,$46.04 ,$104.15 ,$52.64 ,$169.20 ,$20.05 ,$169.20 ,$169.20 ,$20.05 ,$122.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30600662,87593,HC INFECT AMP ORTHOPOXVIRUS/MONKEYPOX DNA-90,306,1 ,$113.00 ,$81.36 ,$18.90 ,$113.00 , N/A ,$84.19 ,$74.02 , N/A ,$31.64 ,$69.50 , N/A ,$69.50 , N/A ,$62.60 ,$62.60 , N/A ,$62.60 , N/A ,$101.70 ,$93.79 , N/A , N/A ,$99.44 , N/A ,$84.75 ,$84.75 ,$96.05 ,$96.05 , N/A ,$96.05 , N/A ,$91.53 ,$91.53 ,$91.53 ,$113.00 ,$101.70 , N/A ,$101.70 , N/A ,$113.00 ,$63.39 , N/A ,$46.78 ,$19.80 ,$18.90 , N/A ,$101.70 , N/A ,$62.60 ,$31.64 ,$101.70 , N/A ,$101.70 ,$101.70 , N/A ,$73.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$526.70 ,$379.22 ,$18.90 ,$526.70 ,$128.28 ,$392.39 ,$344.99 ,$50.28 ,$147.48 ,$323.92 ,$50.28 ,$323.92 ,$50.28 ,$291.79 ,$291.79 ,$50.28 ,$291.79 ,$103.65 ,$474.03 ,$437.16 ,$128.28 ,$50.28 ,$463.50 ,$51.29 ,$395.03 ,$395.03 ,$447.70 ,$447.70 ,$50.28 ,$447.70 ,$50.28 ,$426.63 ,$426.63 ,$426.63 ,$526.70 ,$474.03 ,$128.28 ,$474.03 ,$50.28 ,$51.31 ,$295.48 ,$50.28 ,$218.05 ,$19.80 ,$18.90 ,$52.80 ,$474.03 ,$115.45 ,$291.79 ,$147.48 ,$474.03 ,$50.28 ,$474.03 ,$474.03 ,$50.28 ,$342.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682012,87635,HC COVID-19 LAB TEST,306,1 ,$457.70 ,$329.54 ,$18.90 ,$457.70 ,$128.28 ,$340.99 ,$299.79 ,$50.28 ,$128.16 ,$281.49 ,$50.28 ,$281.49 ,$50.28 ,$253.57 ,$253.57 ,$50.28 ,$253.57 ,$103.65 ,$411.93 ,$379.89 ,$128.28 ,$50.28 ,$402.78 ,$51.29 ,$343.28 ,$343.28 ,$389.05 ,$389.05 ,$50.28 ,$389.05 ,$50.28 ,$370.74 ,$370.74 ,$370.74 ,$457.70 ,$411.93 ,$128.28 ,$411.93 ,$50.28 ,$51.31 ,$256.77 ,$50.28 ,$189.49 ,$19.80 ,$18.90 ,$52.80 ,$411.93 ,$115.45 ,$253.57 ,$128.16 ,$411.93 ,$50.28 ,$411.93 ,$411.93 ,$50.28 ,$297.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682013,87635,HC COVID-19 LAB TEST,306,1 ,$86.25 ,$62.10 ,$18.90 ,$115.45 ,$86.25 ,$64.26 ,$56.49 ,$50.28 ,$24.15 ,$53.04 ,$50.28 ,$53.04 ,$50.28 ,$47.78 ,$47.78 ,$50.28 ,$47.78 ,$86.25 ,$77.63 ,$71.59 ,$86.25 ,$50.28 ,$75.90 ,$51.29 ,$64.69 ,$64.69 ,$73.31 ,$73.31 ,$50.28 ,$73.31 ,$50.28 ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 ,$86.25 ,$77.63 ,$50.28 ,$51.31 ,$48.39 ,$50.28 ,$35.71 ,$19.80 ,$18.90 ,$52.80 ,$77.63 ,$115.45 ,$47.78 ,$24.15 ,$77.63 ,$50.28 ,$77.63 ,$77.63 ,$50.28 ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$262.18 ,$188.77 ,$7.13 ,$262.18 ,$105.33 ,$195.32 ,$171.73 ,$41.29 ,$73.41 ,$161.24 ,$41.29 ,$161.24 ,$41.29 ,$145.25 ,$145.25 ,$41.29 ,$145.25 ,$85.10 ,$235.96 ,$217.61 ,$105.33 ,$41.29 ,$230.72 ,$42.11 ,$196.64 ,$196.64 ,$222.85 ,$222.85 ,$41.29 ,$222.85 ,$41.29 ,$212.37 ,$212.37 ,$212.37 ,$262.18 ,$235.96 ,$105.33 ,$235.96 ,$41.29 ,$262.18 ,$147.08 ,$41.29 ,$108.54 ,$7.47 ,$7.13 ,$43.36 ,$235.96 ,$94.79 ,$145.25 ,$73.41 ,$235.96 ,$41.29 ,$235.96 ,$235.96 ,$41.29 ,$170.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682022,87102,HC CULTURE FUNGUS OTHER-90,306,1 ,$34.50 ,$24.84 ,$5.69 ,$34.50 ,$21.03 ,$25.70 ,$22.60 ,$8.24 ,$9.66 ,$21.22 ,$8.24 ,$21.22 ,$8.24 ,$19.11 ,$19.11 ,$8.24 ,$19.11 ,$16.99 ,$31.05 ,$28.64 ,$21.03 ,$8.24 ,$30.36 ,$8.41 ,$25.88 ,$25.88 ,$29.33 ,$29.33 ,$8.24 ,$29.33 ,$8.24 ,$27.95 ,$27.95 ,$27.95 ,$34.50 ,$31.05 ,$21.03 ,$31.05 ,$8.24 ,$34.50 ,$19.35 ,$8.24 ,$14.28 ,$5.96 ,$5.69 ,$8.65 ,$31.05 ,$18.92 ,$19.11 ,$9.66 ,$31.05 ,$8.24 ,$31.05 ,$31.05 ,$8.24 ,$22.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$98.90 ,$71.21 ,$18.90 ,$115.45 ,$98.90 ,$73.68 ,$64.78 ,$50.28 ,$27.69 ,$60.82 ,$50.28 ,$60.82 ,$50.28 ,$54.79 ,$54.79 ,$50.28 ,$54.79 ,$98.90 ,$89.01 ,$82.09 ,$98.90 ,$50.28 ,$87.03 ,$51.29 ,$74.18 ,$74.18 ,$84.07 ,$84.07 ,$50.28 ,$84.07 ,$50.28 ,$80.11 ,$80.11 ,$80.11 ,$98.90 ,$89.01 ,$98.90 ,$89.01 ,$50.28 ,$51.31 ,$55.48 ,$50.28 ,$40.94 ,$19.80 ,$18.90 ,$52.80 ,$89.01 ,$115.45 ,$54.79 ,$27.69 ,$89.01 ,$50.28 ,$89.01 ,$89.01 ,$50.28 ,$64.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$98.90 ,$71.21 ,$18.90 ,$115.45 ,$98.90 ,$73.68 ,$64.78 ,$50.28 ,$27.69 ,$60.82 ,$50.28 ,$60.82 ,$50.28 ,$54.79 ,$54.79 ,$50.28 ,$54.79 ,$98.90 ,$89.01 ,$82.09 ,$98.90 ,$50.28 ,$87.03 ,$51.29 ,$74.18 ,$74.18 ,$84.07 ,$84.07 ,$50.28 ,$84.07 ,$50.28 ,$80.11 ,$80.11 ,$80.11 ,$98.90 ,$89.01 ,$98.90 ,$89.01 ,$50.28 ,$51.31 ,$55.48 ,$50.28 ,$40.94 ,$19.80 ,$18.90 ,$52.80 ,$89.01 ,$115.45 ,$54.79 ,$27.69 ,$89.01 ,$50.28 ,$89.01 ,$89.01 ,$50.28 ,$64.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30682028,87102,HC FUNGUS ISOLATION CULTURE-90,306,1 ,$354.20 ,$255.02 ,$5.69 ,$354.20 ,$21.03 ,$263.88 ,$232.00 ,$8.24 ,$99.18 ,$217.83 ,$8.24 ,$217.83 ,$8.24 ,$196.23 ,$196.23 ,$8.24 ,$196.23 ,$16.99 ,$318.78 ,$293.99 ,$21.03 ,$8.24 ,$311.70 ,$8.41 ,$265.65 ,$265.65 ,$301.07 ,$301.07 ,$8.24 ,$301.07 ,$8.24 ,$286.90 ,$286.90 ,$286.90 ,$354.20 ,$318.78 ,$21.03 ,$318.78 ,$8.24 ,$354.20 ,$198.71 ,$8.24 ,$146.64 ,$5.96 ,$5.69 ,$8.65 ,$318.78 ,$18.92 ,$196.23 ,$99.18 ,$318.78 ,$8.24 ,$318.78 ,$318.78 ,$8.24 ,$230.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30700121,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$88.55 ,$63.76 ,$2.85 ,$88.55 ,$7.93 ,$65.97 ,$58.00 ,$3.11 ,$24.79 ,$54.46 ,$3.11 ,$54.46 ,$3.11 ,$49.06 ,$49.06 ,$3.11 ,$49.06 ,$6.40 ,$79.70 ,$73.50 ,$7.93 ,$3.11 ,$77.92 ,$3.17 ,$66.41 ,$66.41 ,$75.27 ,$75.27 ,$3.11 ,$75.27 ,$3.11 ,$71.73 ,$71.73 ,$71.73 ,$88.55 ,$79.70 ,$7.93 ,$79.70 ,$3.11 ,$3.17 ,$49.68 ,$3.11 ,$36.66 ,$2.98 ,$2.85 ,$3.26 ,$79.70 ,$7.13 ,$49.06 ,$24.79 ,$79.70 ,$3.11 ,$79.70 ,$79.70 ,$3.11 ,$57.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30700125,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$54.05 ,$38.92 ,$1.80 ,$54.05 ,$5.63 ,$40.27 ,$35.40 ,$2.20 ,$15.13 ,$33.24 ,$2.20 ,$33.24 ,$2.20 ,$29.94 ,$29.94 ,$2.20 ,$29.94 ,$4.55 ,$48.65 ,$44.86 ,$5.63 ,$2.20 ,$47.56 ,$2.25 ,$40.54 ,$40.54 ,$45.94 ,$45.94 ,$2.20 ,$45.94 ,$2.20 ,$43.78 ,$43.78 ,$43.78 ,$54.05 ,$48.65 ,$5.63 ,$48.65 ,$2.20 ,$54.05 ,$30.32 ,$2.20 ,$22.38 ,$1.88 ,$1.80 ,$2.31 ,$48.65 ,$5.06 ,$29.94 ,$15.13 ,$48.65 ,$2.20 ,$48.65 ,$48.65 ,$2.20 ,$35.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30700127,81005,HC URINALYSIS QL/SEMI QN -90,307,1 ,$51.75 ,$37.26 ,$2.13 ,$51.75 ,$5.43 ,$38.55 ,$33.90 ,$2.13 ,$14.49 ,$31.83 ,$2.13 ,$31.83 ,$2.13 ,$28.67 ,$28.67 ,$2.13 ,$28.67 ,$4.38 ,$46.58 ,$42.95 ,$5.43 ,$2.13 ,$45.54 ,$2.17 ,$38.81 ,$38.81 ,$43.99 ,$43.99 ,$2.13 ,$43.99 ,$2.13 ,$41.92 ,$41.92 ,$41.92 ,$51.75 ,$46.58 ,$5.43 ,$46.58 ,$2.13 ,$51.75 ,$29.03 ,$2.13 ,$21.42 ,$2.98 ,$2.85 ,$2.23 ,$46.58 ,$4.88 ,$28.67 ,$14.49 ,$46.58 ,$2.13 ,$46.58 ,$46.58 ,$2.13 ,$33.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30700128,81025,HC URINE PREGNANCY TEST,307,1 ,$125.35 ,$90.25 ,$2.85 ,$125.35 ,$21.53 ,$93.39 ,$82.10 ,$8.44 ,$35.10 ,$77.09 ,$8.44 ,$77.09 ,$8.44 ,$69.44 ,$69.44 ,$8.44 ,$69.44 ,$17.39 ,$112.82 ,$104.04 ,$21.53 ,$8.44 ,$110.31 ,$8.60 ,$94.01 ,$94.01 ,$106.55 ,$106.55 ,$8.44 ,$106.55 ,$8.44 ,$101.53 ,$101.53 ,$101.53 ,$125.35 ,$112.82 ,$21.53 ,$112.82 ,$8.44 ,$8.61 ,$70.32 ,$8.44 ,$51.89 ,$2.98 ,$2.85 ,$8.86 ,$112.82 ,$19.37 ,$69.44 ,$35.10 ,$112.82 ,$8.44 ,$112.82 ,$112.82 ,$8.44 ,$81.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30700129,81025,HC URINE PREGNANCY TEST,307,1 ,$125.35 ,$90.25 ,$2.85 ,$125.35 ,$21.53 ,$93.39 ,$82.10 ,$8.44 ,$35.10 ,$77.09 ,$8.44 ,$77.09 ,$8.44 ,$69.44 ,$69.44 ,$8.44 ,$69.44 ,$17.39 ,$112.82 ,$104.04 ,$21.53 ,$8.44 ,$110.31 ,$8.60 ,$94.01 ,$94.01 ,$106.55 ,$106.55 ,$8.44 ,$106.55 ,$8.44 ,$101.53 ,$101.53 ,$101.53 ,$125.35 ,$112.82 ,$21.53 ,$112.82 ,$8.44 ,$8.61 ,$70.32 ,$8.44 ,$51.89 ,$2.98 ,$2.85 ,$8.86 ,$112.82 ,$19.37 ,$69.44 ,$35.10 ,$112.82 ,$8.44 ,$112.82 ,$112.82 ,$8.44 ,$81.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),30700133,81002,HC URINALYSIS NON AUTO W/O MICRO-QW,307,1 ,$51.75 ,$37.26 ,$1.80 ,$51.75 ,$8.70 ,$38.55 ,$33.90 ,$3.41 ,$14.49 ,$31.83 ,$3.41 ,$31.83 ,$3.41 ,$28.67 ,$28.67 ,$3.41 ,$28.67 ,$7.03 ,$46.58 ,$42.95 ,$8.70 ,$3.41 ,$45.54 ,$3.48 ,$38.81 ,$38.81 ,$43.99 ,$43.99 ,$3.41 ,$43.99 ,$3.41 ,$41.92 ,$41.92 ,$41.92 ,$51.75 ,$46.58 ,$8.70 ,$46.58 ,$3.41 ,$51.75 ,$29.03 ,$3.41 ,$21.42 ,$1.88 ,$1.80 ,$3.58 ,$46.58 ,$7.83 ,$28.67 ,$14.49 ,$46.58 ,$3.41 ,$46.58 ,$46.58 ,$3.41 ,$33.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000125,80500,HC CLINAL PATH CONSULT LTD -90,310,1 ,$143.98 ,$103.67 ,$40.31 ,$143.98 , N/A ,$107.27 ,$94.31 , N/A ,$40.31 ,$88.55 , N/A ,$88.55 , N/A ,$79.76 ,$79.76 , N/A ,$79.76 , N/A ,$129.58 ,$119.50 , N/A , N/A ,$126.70 , N/A ,$107.99 ,$107.99 ,$122.38 ,$122.38 , N/A ,$122.38 , N/A ,$116.62 ,$116.62 ,$116.62 ,$143.98 ,$129.58 , N/A ,$129.58 , N/A ,$143.98 ,$80.77 , N/A ,$59.61 , N/A , N/A , N/A ,$129.58 , N/A ,$79.76 ,$40.31 ,$129.58 , N/A ,$129.58 ,$129.58 , N/A ,$93.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000127,80500,HC CLINAL PATH CONSULT LTD,310,1 ,"$1,060.30 ",$763.42 ,$296.88 ,"$1,060.30 ", N/A ,$789.92 ,$694.50 , N/A ,$296.88 ,$652.08 , N/A ,$652.08 , N/A ,$587.41 ,$587.41 , N/A ,$587.41 , N/A ,$954.27 ,$500.00 , N/A , N/A ,$933.06 , N/A ,$795.23 ,$795.23 ,$901.26 ,$901.26 , N/A ,$901.26 , N/A ,$858.84 ,$858.84 ,$858.84 ,"$1,060.30 ",$954.27 , N/A ,$954.27 , N/A ,"$1,060.30 ",$594.83 , N/A ,$438.96 , N/A , N/A , N/A ,$954.27 , N/A ,$587.41 ,$296.88 ,$954.27 , N/A ,$954.27 ,$954.27 , N/A ,$689.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000128,81162,HC BRCA1  AND  BRCA2 FULL SEQ/DUPE/DEL ANALYSIS -90,310,1 ,"$5,015.15 ","$3,610.91 ",$261.09 ,"$5,015.15 ","$4,562.20 ","$3,736.29 ","$3,284.92 ","$1,788.38 ","$1,404.24 ","$3,084.32 ","$1,788.38 ","$3,084.32 ","$1,788.38 ","$2,778.39 ","$2,778.39 ","$1,788.38 ","$2,778.39 ","$3,686.26 ","$4,513.64 ",$500.00 ,"$4,562.20 ","$1,788.38 ","$4,413.33 ","$1,824.15 ","$3,761.36 ","$3,761.36 ","$4,262.88 ","$4,262.88 ","$1,788.38 ","$4,262.88 ","$1,788.38 ","$4,062.27 ","$4,062.27 ","$4,062.27 ","$5,015.15 ","$4,513.64 ","$4,562.20 ","$4,513.64 ","$1,788.38 ","$5,015.15 ","$2,813.50 ","$1,788.38 ","$2,076.27 ",$273.53 ,$261.09 ,"$1,877.80 ","$4,513.64 ","$4,105.98 ","$2,778.39 ","$1,404.24 ","$4,513.64 ","$1,788.38 ","$4,513.64 ","$4,513.64 ","$1,788.38 ","$3,259.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$987.25 ,$710.82 ,$92.00 ,$987.25 ,$409.90 ,$735.50 ,$646.65 ,$160.68 ,$276.43 ,$607.16 ,$160.68 ,$607.16 ,$160.68 ,$546.94 ,$546.94 ,$160.68 ,$546.94 ,$331.20 ,$888.53 ,$500.00 ,$409.90 ,$160.68 ,$868.78 ,$163.90 ,$740.44 ,$740.44 ,$839.16 ,$839.16 ,$160.68 ,$839.16 ,$160.68 ,$799.67 ,$799.67 ,$799.67 ,$987.25 ,$888.53 ,$409.90 ,$888.53 ,$160.68 ,$987.25 ,$553.85 ,$160.68 ,$408.72 ,$96.38 ,$92.00 ,$168.72 ,$888.53 ,$368.91 ,$546.94 ,$276.43 ,$888.53 ,$160.68 ,$888.53 ,$888.53 ,$160.68 ,$641.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$568.10 ,$409.03 ,$92.00 ,$568.10 ,$362.10 ,$423.23 ,$372.11 ,$141.94 ,$159.07 ,$349.38 ,$141.94 ,$349.38 ,$141.94 ,$314.73 ,$314.73 ,$141.94 ,$314.73 ,$292.58 ,$511.29 ,$471.52 ,$362.10 ,$141.94 ,$499.93 ,$144.79 ,$426.08 ,$426.08 ,$482.89 ,$482.89 ,$141.94 ,$482.89 ,$141.94 ,$460.16 ,$460.16 ,$460.16 ,$568.10 ,$511.29 ,$362.10 ,$511.29 ,$141.94 ,$568.10 ,$318.70 ,$141.94 ,$235.19 ,$96.38 ,$92.00 ,$149.04 ,$511.29 ,$325.89 ,$314.73 ,$159.07 ,$511.29 ,$141.94 ,$511.29 ,$511.29 ,$141.94 ,$369.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000132,81207,HC BCR/ABL1 GENE MINOR BP MONITOR -90,310,1 ,$172.50 ,$124.20 ,$48.30 ,$325.89 ,$172.50 ,$128.51 ,$112.99 ,$141.94 ,$48.30 ,$106.09 ,$141.94 ,$106.09 ,$141.94 ,$95.57 ,$95.57 ,$141.94 ,$95.57 ,$172.50 ,$155.25 ,$143.18 ,$172.50 ,$141.94 ,$151.80 ,$144.79 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$141.94 ,$146.63 ,$141.94 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$172.50 ,$155.25 ,$141.94 ,$172.50 ,$96.77 ,$141.94 ,$71.42 ,$96.38 ,$92.00 ,$149.04 ,$155.25 ,$325.89 ,$95.57 ,$48.30 ,$155.25 ,$141.94 ,$155.25 ,$155.25 ,$141.94 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000133,81208,HC BCR/ABL1 GENE OTH BP QL/QN-90,310,1 ,$696.90 ,$501.77 ,$92.00 ,$696.90 ,$536.55 ,$519.19 ,$456.47 ,$210.33 ,$195.13 ,$428.59 ,$210.33 ,$428.59 ,$210.33 ,$386.08 ,$386.08 ,$210.33 ,$386.08 ,$433.53 ,$627.21 ,$500.00 ,$536.55 ,$210.33 ,$613.27 ,$214.53 ,$522.68 ,$522.68 ,$592.37 ,$592.37 ,$210.33 ,$592.37 ,$210.33 ,$564.49 ,$564.49 ,$564.49 ,$696.90 ,$627.21 ,$536.55 ,$627.21 ,$210.33 ,$696.90 ,$390.96 ,$210.33 ,$288.52 ,$96.38 ,$92.00 ,$220.84 ,$627.21 ,$482.90 ,$386.08 ,$195.13 ,$627.21 ,$210.33 ,$627.21 ,$627.21 ,$210.33 ,$452.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,"$1,332.85 ",$959.65 ,$28.27 ,"$1,332.85 ","$1,332.85 ",$992.97 ,$873.02 ,$545.47 ,$373.20 ,$819.70 ,$545.47 ,$819.70 ,$545.47 ,$738.40 ,$738.40 ,$545.47 ,$738.40 ,"$1,124.33 ","$1,199.57 ",$500.00 ,"$1,332.85 ",$545.47 ,"$1,172.91 ",$556.38 ,$999.64 ,$999.64 ,"$1,132.92 ","$1,132.92 ",$545.47 ,"$1,132.92 ",$545.47 ,"$1,079.61 ","$1,079.61 ","$1,079.61 ","$1,332.85 ","$1,199.57 ","$1,332.85 ","$1,199.57 ",$545.47 ,"$1,332.85 ",$747.73 ,$545.47 ,$551.80 ,$29.61 ,$28.27 ,$572.74 ,"$1,199.57 ","$1,252.35 ",$738.40 ,$373.20 ,"$1,199.57 ",$545.47 ,"$1,199.57 ","$1,199.57 ",$545.47 ,$866.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000139,81229,HC CYTOGENOMIC MICROARRY ASSAY-90,310,1 ,"$4,563.20 ","$3,285.50 ",$261.09 ,"$4,563.20 ","$2,900.00 ","$3,399.58 ","$2,988.90 ","$1,136.80 ","$1,277.70 ","$2,806.37 ","$1,136.80 ","$2,806.37 ","$1,136.80 ","$2,528.01 ","$2,528.01 ","$1,136.80 ","$2,528.01 ","$2,343.20 ","$4,106.88 ",$500.00 ,"$2,900.00 ","$1,136.80 ","$4,015.62 ","$1,159.54 ","$3,422.40 ","$3,422.40 ","$3,878.72 ","$3,878.72 ","$1,136.80 ","$3,878.72 ","$1,136.80 ","$3,696.19 ","$3,696.19 ","$3,696.19 ","$4,563.20 ","$4,106.88 ","$2,900.00 ","$4,106.88 ","$1,136.80 ","$4,563.20 ","$2,559.96 ","$1,136.80 ","$1,889.16 ",$273.53 ,$261.09 ,"$1,193.64 ","$4,106.88 ","$2,610.00 ","$2,528.01 ","$1,277.70 ","$4,106.88 ","$1,136.80 ","$4,106.88 ","$4,106.88 ","$1,136.80 ","$2,966.08 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000140,81225,HC CYP2C19 GENE ANYL COMMON VARIANTS-90,310,1 ,$690.00 ,$496.80 ,$92.00 ,$690.00 ,$690.00 ,$514.05 ,$451.95 ,$285.53 ,$193.20 ,$424.35 ,$285.53 ,$424.35 ,$285.53 ,$382.26 ,$382.26 ,$285.53 ,$382.26 ,$588.55 ,$621.00 ,$500.00 ,$690.00 ,$285.53 ,$607.20 ,$291.25 ,$517.50 ,$517.50 ,$586.50 ,$586.50 ,$285.53 ,$586.50 ,$285.53 ,$558.90 ,$558.90 ,$558.90 ,$690.00 ,$621.00 ,$690.00 ,$621.00 ,$285.53 ,$690.00 ,$387.09 ,$285.53 ,$285.66 ,$96.38 ,$92.00 ,$299.81 ,$621.00 ,$655.56 ,$382.26 ,$193.20 ,$621.00 ,$285.53 ,$621.00 ,$621.00 ,$285.53 ,$448.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$465.75 ,$335.34 ,$28.27 ,$465.75 ,$164.23 ,$346.98 ,$305.07 ,$64.38 ,$130.41 ,$286.44 ,$64.38 ,$286.44 ,$64.38 ,$258.03 ,$258.03 ,$64.38 ,$258.03 ,$132.69 ,$419.18 ,$386.57 ,$164.23 ,$64.38 ,$409.86 ,$65.66 ,$349.31 ,$349.31 ,$395.89 ,$395.89 ,$64.38 ,$395.89 ,$64.38 ,$377.26 ,$377.26 ,$377.26 ,$465.75 ,$419.18 ,$164.23 ,$419.18 ,$64.38 ,$465.75 ,$261.29 ,$64.38 ,$192.82 ,$29.61 ,$28.27 ,$67.59 ,$419.18 ,$147.80 ,$258.03 ,$130.41 ,$419.18 ,$64.38 ,$419.18 ,$419.18 ,$64.38 ,$302.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$538.20 ,$387.50 ,$28.27 ,$538.20 ,$183.43 ,$400.96 ,$352.52 ,$71.90 ,$150.70 ,$330.99 ,$71.90 ,$330.99 ,$71.90 ,$298.16 ,$298.16 ,$71.90 ,$298.16 ,$148.21 ,$484.38 ,$446.71 ,$183.43 ,$71.90 ,$473.62 ,$73.34 ,$403.65 ,$403.65 ,$457.47 ,$457.47 ,$71.90 ,$457.47 ,$71.90 ,$435.94 ,$435.94 ,$435.94 ,$538.20 ,$484.38 ,$183.43 ,$484.38 ,$71.90 ,$538.20 ,$301.93 ,$71.90 ,$222.81 ,$29.61 ,$28.27 ,$75.50 ,$484.38 ,$165.08 ,$298.16 ,$150.70 ,$484.38 ,$71.90 ,$484.38 ,$484.38 ,$71.90 ,$349.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000148,81245,HC FLT3 GENE ANALYSIS INT TANDEM DUP VARIANTS -90,310,1 ,$613.72 ,$441.88 ,$92.00 ,$613.72 ,$413.78 ,$457.22 ,$401.99 ,$162.20 ,$171.84 ,$377.44 ,$162.20 ,$377.44 ,$162.20 ,$340.00 ,$340.00 ,$162.20 ,$340.00 ,$334.33 ,$552.35 ,$500.00 ,$413.78 ,$162.20 ,$540.07 ,$165.44 ,$460.29 ,$460.29 ,$521.66 ,$521.66 ,$162.20 ,$521.66 ,$162.20 ,$497.11 ,$497.11 ,$497.11 ,$613.72 ,$552.35 ,$413.78 ,$552.35 ,$162.20 ,$613.72 ,$344.30 ,$162.20 ,$254.08 ,$96.38 ,$92.00 ,$170.31 ,$552.35 ,$372.40 ,$340.00 ,$171.84 ,$552.35 ,$162.20 ,$552.35 ,$552.35 ,$162.20 ,$398.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,$534.75 ,$385.02 ,$28.27 ,$534.75 ,$163.40 ,$398.39 ,$350.26 ,$64.05 ,$149.73 ,$328.87 ,$64.05 ,$328.87 ,$64.05 ,$296.25 ,$296.25 ,$64.05 ,$296.25 ,$132.03 ,$481.28 ,$443.84 ,$163.40 ,$64.05 ,$470.58 ,$65.34 ,$401.06 ,$401.06 ,$454.54 ,$454.54 ,$64.05 ,$454.54 ,$64.05 ,$433.15 ,$433.15 ,$433.15 ,$534.75 ,$481.28 ,$163.40 ,$481.28 ,$64.05 ,$534.75 ,$299.99 ,$64.05 ,$221.39 ,$29.61 ,$28.27 ,$67.26 ,$481.28 ,$147.06 ,$296.25 ,$149.73 ,$481.28 ,$64.05 ,$481.28 ,$481.28 ,$64.05 ,$347.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000150,81257,HC HBA1/HBA2 GENE ANALYSIS COM DELETE OR VARIANTS -90,310,1 ,$793.50 ,$571.32 ,$28.27 ,$793.50 , N/A ,$591.16 ,$519.74 , N/A ,$222.18 ,$488.00 , N/A ,$488.00 , N/A ,$439.60 ,$439.60 , N/A ,$439.60 , N/A ,$714.15 ,$500.00 , N/A , N/A ,$698.28 , N/A ,$595.13 ,$595.13 ,$674.48 ,$674.48 , N/A ,$674.48 , N/A ,$642.74 ,$642.74 ,$642.74 ,$793.50 ,$714.15 , N/A ,$714.15 , N/A ,$793.50 ,$445.15 , N/A ,$328.51 ,$29.61 ,$28.27 , N/A ,$714.15 , N/A ,$439.60 ,$222.18 ,$714.15 , N/A ,$714.15 ,$714.15 , N/A ,$515.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,"$1,222.00 ",$879.84 ,$28.27 ,"$1,222.00 ",$229.15 ,$910.39 ,$800.41 ,$89.83 ,$342.16 ,$751.53 ,$89.83 ,$751.53 ,$89.83 ,$676.99 ,$676.99 ,$89.83 ,$676.99 ,$185.15 ,"$1,099.80 ",$500.00 ,$229.15 ,$89.83 ,"$1,075.36 ",$91.62 ,$916.50 ,$916.50 ,"$1,038.70 ","$1,038.70 ",$89.83 ,"$1,038.70 ",$89.83 ,$989.82 ,$989.82 ,$989.82 ,"$1,222.00 ","$1,099.80 ",$229.15 ,"$1,099.80 ",$89.83 ,"$1,222.00 ",$685.54 ,$89.83 ,$505.91 ,$29.61 ,$28.27 ,$94.32 ,"$1,099.80 ",$206.24 ,$676.99 ,$342.16 ,"$1,099.80 ",$89.83 ,"$1,099.80 ","$1,099.80 ",$89.83 ,$794.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$197.80 ,$142.42 ,$28.27 ,$197.80 ,$163.35 ,$147.36 ,$129.56 ,$64.03 ,$55.38 ,$121.65 ,$64.03 ,$121.65 ,$64.03 ,$109.58 ,$109.58 ,$64.03 ,$109.58 ,$131.99 ,$178.02 ,$164.17 ,$163.35 ,$64.03 ,$174.06 ,$65.32 ,$148.35 ,$148.35 ,$168.13 ,$168.13 ,$64.03 ,$168.13 ,$64.03 ,$160.22 ,$160.22 ,$160.22 ,$197.80 ,$178.02 ,$163.35 ,$178.02 ,$64.03 ,$197.80 ,$110.97 ,$64.03 ,$81.89 ,$29.61 ,$28.27 ,$67.24 ,$178.02 ,$147.02 ,$109.58 ,$55.38 ,$178.02 ,$64.03 ,$178.02 ,$178.02 ,$64.03 ,$128.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000162,81299,HC MLH2 GENE FAMILIAL VARIANT-90,310,1 ,"$3,967.50 ","$2,856.60 ",$92.00 ,"$3,967.50 ",$770.00 ,"$2,955.79 ","$2,598.71 ",$301.84 ,"$1,110.90 ","$2,440.01 ",$301.84 ,"$2,440.01 ",$301.84 ,"$2,198.00 ","$2,198.00 ",$301.84 ,"$2,198.00 ",$622.16 ,"$3,570.75 ",$500.00 ,$770.00 ,$301.84 ,"$3,491.40 ",$307.88 ,"$2,975.63 ","$2,975.63 ","$3,372.38 ","$3,372.38 ",$301.84 ,"$3,372.38 ",$301.84 ,"$3,213.68 ","$3,213.68 ","$3,213.68 ","$3,967.50 ","$3,570.75 ",$770.00 ,"$3,570.75 ",$301.84 ,"$3,967.50 ","$2,225.77 ",$301.84 ,"$1,642.55 ",$96.38 ,$92.00 ,$316.93 ,"$3,570.75 ",$693.00 ,"$2,198.00 ","$1,110.90 ","$3,570.75 ",$301.84 ,"$3,570.75 ","$3,570.75 ",$301.84 ,"$2,578.88 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000166,81310,HC NPM1 GENE EXON 12 VARIANT-90,310,1 ,$761.25 ,$548.10 ,$92.00 ,$761.25 ,$616.30 ,$567.13 ,$498.62 ,$241.59 ,$213.15 ,$468.17 ,$241.59 ,$468.17 ,$241.59 ,$421.73 ,$421.73 ,$241.59 ,$421.73 ,$497.97 ,$685.13 ,$500.00 ,$616.30 ,$241.59 ,$669.90 ,$246.42 ,$570.94 ,$570.94 ,$647.06 ,$647.06 ,$241.59 ,$647.06 ,$241.59 ,$616.61 ,$616.61 ,$616.61 ,$761.25 ,$685.13 ,$616.30 ,$685.13 ,$241.59 ,$761.25 ,$427.06 ,$241.59 ,$315.16 ,$96.38 ,$92.00 ,$253.67 ,$685.13 ,$554.67 ,$421.73 ,$213.15 ,$685.13 ,$241.59 ,$685.13 ,$685.13 ,$241.59 ,$494.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000171,81332,HC SERPINA 1 GENE ANALYSIS-90,310,1 ,$356.50 ,$256.68 ,$28.27 ,$356.50 ,$109.13 ,$265.59 ,$233.51 ,$42.78 ,$99.82 ,$219.25 ,$42.78 ,$219.25 ,$42.78 ,$197.50 ,$197.50 ,$42.78 ,$197.50 ,$88.17 ,$320.85 ,$295.90 ,$109.13 ,$42.78 ,$313.72 ,$43.63 ,$267.38 ,$267.38 ,$303.03 ,$303.03 ,$42.78 ,$303.03 ,$42.78 ,$288.77 ,$288.77 ,$288.77 ,$356.50 ,$320.85 ,$109.13 ,$320.85 ,$42.78 ,$356.50 ,$200.00 ,$42.78 ,$147.59 ,$29.61 ,$28.27 ,$44.91 ,$320.85 ,$98.21 ,$197.50 ,$99.82 ,$320.85 ,$42.78 ,$320.85 ,$320.85 ,$42.78 ,$231.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000176,81374,HC HLA CLS I TYPNG LW ANTGN EA-90,310,1 ,$340.00 ,$244.80 ,$28.27 ,$340.00 ,$185.83 ,$253.30 ,$222.70 ,$72.84 ,$95.20 ,$209.10 ,$72.84 ,$209.10 ,$72.84 ,$188.36 ,$188.36 ,$72.84 ,$188.36 ,$150.15 ,$306.00 ,$282.20 ,$185.83 ,$72.84 ,$299.20 ,$74.30 ,$255.00 ,$255.00 ,$289.00 ,$289.00 ,$72.84 ,$289.00 ,$72.84 ,$275.40 ,$275.40 ,$275.40 ,$340.00 ,$306.00 ,$185.83 ,$306.00 ,$72.84 ,$340.00 ,$190.74 ,$72.84 ,$140.76 ,$29.61 ,$28.27 ,$76.49 ,$306.00 ,$167.24 ,$188.36 ,$95.20 ,$306.00 ,$72.84 ,$306.00 ,$306.00 ,$72.84 ,$221.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000179,81381,HC HLA 1 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$391.00 ,$281.52 ,$28.27 ,$391.00 ,$391.00 ,$291.30 ,$256.11 ,$166.50 ,$109.48 ,$240.47 ,$166.50 ,$240.47 ,$166.50 ,$216.61 ,$216.61 ,$166.50 ,$216.61 ,$343.20 ,$351.90 ,$324.53 ,$391.00 ,$166.50 ,$344.08 ,$169.83 ,$293.25 ,$293.25 ,$332.35 ,$332.35 ,$166.50 ,$332.35 ,$166.50 ,$316.71 ,$316.71 ,$316.71 ,$391.00 ,$351.90 ,$391.00 ,$351.90 ,$166.50 ,$391.00 ,$219.35 ,$166.50 ,$161.87 ,$29.61 ,$28.27 ,$174.83 ,$351.90 ,$382.28 ,$216.61 ,$109.48 ,$351.90 ,$166.50 ,$351.90 ,$351.90 ,$166.50 ,$254.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000181,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$796.95 ,$573.80 ,$28.27 ,$796.95 ,$159.90 ,$593.73 ,$522.00 ,$62.68 ,$223.15 ,$490.12 ,$62.68 ,$490.12 ,$62.68 ,$441.51 ,$441.51 ,$62.68 ,$441.51 ,$129.20 ,$717.26 ,$500.00 ,$159.90 ,$62.68 ,$701.32 ,$63.94 ,$597.71 ,$597.71 ,$677.41 ,$677.41 ,$62.68 ,$677.41 ,$62.68 ,$645.53 ,$645.53 ,$645.53 ,$796.95 ,$717.26 ,$159.90 ,$717.26 ,$62.68 ,$796.95 ,$447.09 ,$62.68 ,$329.94 ,$29.61 ,$28.27 ,$65.82 ,$717.26 ,$143.91 ,$441.51 ,$223.15 ,$717.26 ,$62.68 ,$717.26 ,$717.26 ,$62.68 ,$518.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,"$1,522.60 ","$1,096.27 ",$28.27 ,"$1,522.60 ", N/A ,"$1,134.34 ",$997.30 , N/A ,$426.33 ,$936.40 , N/A ,$936.40 , N/A ,$843.52 ,$843.52 , N/A ,$843.52 , N/A ,"$1,370.34 ",$500.00 , N/A , N/A ,"$1,339.89 ", N/A ,"$1,141.95 ","$1,141.95 ","$1,294.21 ","$1,294.21 ", N/A ,"$1,294.21 ", N/A ,"$1,233.31 ","$1,233.31 ","$1,233.31 ","$1,522.60 ","$1,370.34 ", N/A ,"$1,370.34 ", N/A ,"$1,522.60 ",$854.18 , N/A ,$630.36 ,$29.61 ,$28.27 , N/A ,"$1,370.34 ", N/A ,$843.52 ,$426.33 ,"$1,370.34 ", N/A ,"$1,370.34 ","$1,370.34 ", N/A ,$989.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,"$1,224.75 ",$881.82 ,$28.27 ,"$1,224.75 ", N/A ,$912.44 ,$802.21 , N/A ,$342.93 ,$753.22 , N/A ,$753.22 , N/A ,$678.51 ,$678.51 , N/A ,$678.51 , N/A ,"$1,102.28 ",$500.00 , N/A , N/A ,"$1,077.78 ", N/A ,$918.56 ,$918.56 ,"$1,041.04 ","$1,041.04 ", N/A ,"$1,041.04 ", N/A ,$992.05 ,$992.05 ,$992.05 ,"$1,224.75 ","$1,102.28 ", N/A ,"$1,102.28 ", N/A ,"$1,224.75 ",$687.08 , N/A ,$507.05 ,$29.61 ,$28.27 , N/A ,"$1,102.28 ", N/A ,$678.51 ,$342.93 ,"$1,102.28 ", N/A ,"$1,102.28 ","$1,102.28 ", N/A ,$796.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000186,81404,HC MOLECULAR PATH PROC LEVEL 5-90,310,1 ,"$1,093.00 ",$786.96 ,$28.27 ,"$1,093.00 ", N/A ,$814.29 ,$715.92 , N/A ,$306.04 ,$672.20 , N/A ,$672.20 , N/A ,$605.52 ,$605.52 , N/A ,$605.52 , N/A ,$983.70 ,$500.00 , N/A , N/A ,$961.84 , N/A ,$819.75 ,$819.75 ,$929.05 ,$929.05 , N/A ,$929.05 , N/A ,$885.33 ,$885.33 ,$885.33 ,"$1,093.00 ",$983.70 , N/A ,$983.70 , N/A ,"$1,093.00 ",$613.17 , N/A ,$452.50 ,$29.61 ,$28.27 , N/A ,$983.70 , N/A ,$605.52 ,$306.04 ,$983.70 , N/A ,$983.70 ,$983.70 , N/A ,$710.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000190,81408,HC MOLECULAR PATH PROC LEVEL 9-90,310,1 ,"$5,223.30 ","$3,760.78 ",$92.00 ,"$5,223.30 ", N/A ,"$3,891.36 ","$3,421.26 ", N/A ,"$1,462.52 ","$3,212.33 ", N/A ,"$3,212.33 ", N/A ,"$2,893.71 ","$2,893.71 ", N/A ,"$2,893.71 ", N/A ,"$4,700.97 ",$500.00 , N/A , N/A ,"$4,596.50 ", N/A ,"$3,917.48 ","$3,917.48 ","$4,439.81 ","$4,439.81 ", N/A ,"$4,439.81 ", N/A ,"$4,230.87 ","$4,230.87 ","$4,230.87 ","$5,223.30 ","$4,700.97 ", N/A ,"$4,700.97 ", N/A ,"$5,223.30 ","$2,930.27 ", N/A ,"$2,162.45 ",$96.38 ,$92.00 , N/A ,"$4,700.97 ", N/A ,"$2,893.71 ","$1,462.52 ","$4,700.97 ", N/A ,"$4,700.97 ","$4,700.97 ", N/A ,"$3,395.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000194,81511,HC FETAL CONGENTIAL ABNORM 4 ANALYTES-90,310,1 ,$344.87 ,$248.31 ,$28.27 ,$345.38 ,$344.87 ,$256.93 ,$225.89 ,$150.43 ,$96.56 ,$212.10 ,$150.43 ,$212.10 ,$150.43 ,$191.06 ,$191.06 ,$150.43 ,$191.06 ,$310.07 ,$310.38 ,$286.24 ,$344.87 ,$150.43 ,$303.49 ,$153.44 ,$258.65 ,$258.65 ,$293.14 ,$293.14 ,$150.43 ,$293.14 ,$150.43 ,$279.34 ,$279.34 ,$279.34 ,$344.87 ,$310.38 ,$344.87 ,$310.38 ,$150.43 ,$344.87 ,$193.47 ,$150.43 ,$142.78 ,$29.61 ,$28.27 ,$157.96 ,$310.38 ,$345.38 ,$191.06 ,$96.56 ,$310.38 ,$150.43 ,$310.38 ,$310.38 ,$150.43 ,$224.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000206,81246,HC FLT3 GENE ANALYSIS TYROSINE KINASE VARIANTS,310,1 ,$384.00 ,$276.48 ,$28.27 ,$384.00 ,$207.50 ,$286.08 ,$251.52 ,$81.34 ,$107.52 ,$236.16 ,$81.34 ,$236.16 ,$81.34 ,$212.74 ,$212.74 ,$81.34 ,$212.74 ,$167.66 ,$345.60 ,$318.72 ,$207.50 ,$81.34 ,$337.92 ,$82.97 ,$288.00 ,$288.00 ,$326.40 ,$326.40 ,$81.34 ,$326.40 ,$81.34 ,$311.04 ,$311.04 ,$311.04 ,$384.00 ,$345.60 ,$207.50 ,$345.60 ,$81.34 ,$384.00 ,$215.42 ,$81.34 ,$158.98 ,$29.61 ,$28.27 ,$85.41 ,$345.60 ,$186.75 ,$212.74 ,$107.52 ,$345.60 ,$81.34 ,$345.60 ,$345.60 ,$81.34 ,$249.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000224,81335,HC TPMT GENE ANALYSIS COMMON VARIANTS-90,310,1 ,$680.63 ,$490.05 ,$92.00 ,$680.63 ,$437.03 ,$507.07 ,$445.81 ,$171.31 ,$190.58 ,$418.59 ,$171.31 ,$418.59 ,$171.31 ,$377.07 ,$377.07 ,$171.31 ,$377.07 ,$353.12 ,$612.57 ,$500.00 ,$437.03 ,$171.31 ,$598.95 ,$174.74 ,$510.47 ,$510.47 ,$578.54 ,$578.54 ,$171.31 ,$578.54 ,$171.31 ,$551.31 ,$551.31 ,$551.31 ,$680.63 ,$612.57 ,$437.03 ,$612.57 ,$171.31 ,$680.63 ,$381.83 ,$171.31 ,$281.78 ,$96.38 ,$92.00 ,$179.88 ,$612.57 ,$393.32 ,$377.07 ,$190.58 ,$612.57 ,$171.31 ,$612.57 ,$612.57 ,$171.31 ,$442.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000230,81218,HC CEBPA GENE ANALYSIS FULL SEQUENCE-90,310,1 ,$852.29 ,$613.65 ,$92.00 ,$852.29 ,$604.75 ,$634.96 ,$558.25 ,$237.06 ,$238.64 ,$524.16 ,$237.06 ,$524.16 ,$237.06 ,$472.17 ,$472.17 ,$237.06 ,$472.17 ,$488.64 ,$767.06 ,$500.00 ,$604.75 ,$237.06 ,$750.02 ,$241.81 ,$639.22 ,$639.22 ,$724.45 ,$724.45 ,$237.06 ,$724.45 ,$237.06 ,$690.35 ,$690.35 ,$690.35 ,$852.29 ,$767.06 ,$604.75 ,$767.06 ,$237.06 ,$852.29 ,$478.13 ,$237.06 ,$352.85 ,$96.38 ,$92.00 ,$248.92 ,$767.06 ,$544.28 ,$472.17 ,$238.64 ,$767.06 ,$237.06 ,$767.06 ,$767.06 ,$237.06 ,$553.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000242,81329,HC SMN1 GENE DOSAGE/DELETION ANALYSIS-90,310,1 ,"$1,169.55 ",$842.08 ,$28.27 ,"$1,169.55 ",$342.50 ,$871.31 ,$766.06 ,$134.26 ,$327.47 ,$719.27 ,$134.26 ,$719.27 ,$134.26 ,$647.93 ,$647.93 ,$134.26 ,$647.93 ,$276.74 ,"$1,052.60 ",$500.00 ,$342.50 ,$134.26 ,"$1,029.20 ",$136.95 ,$877.16 ,$877.16 ,$994.12 ,$994.12 ,$134.26 ,$994.12 ,$134.26 ,$947.34 ,$947.34 ,$947.34 ,"$1,169.55 ","$1,052.60 ",$342.50 ,"$1,052.60 ",$134.26 ,"$1,169.55 ",$656.12 ,$134.26 ,$484.19 ,$29.61 ,$28.27 ,$140.97 ,"$1,052.60 ",$308.25 ,$647.93 ,$327.47 ,"$1,052.60 ",$134.26 ,"$1,052.60 ","$1,052.60 ",$134.26 ,$760.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000245,81271,HC HTT GENE ANALYSIS DETECT ABNORMAL ALLELES-90,310,1 ,$577.30 ,$415.66 ,$28.27 ,$577.30 ,$342.50 ,$430.09 ,$378.13 ,$134.26 ,$161.64 ,$355.04 ,$134.26 ,$355.04 ,$134.26 ,$319.82 ,$319.82 ,$134.26 ,$319.82 ,$276.74 ,$519.57 ,$479.16 ,$342.50 ,$134.26 ,$508.02 ,$136.95 ,$432.98 ,$432.98 ,$490.71 ,$490.71 ,$134.26 ,$490.71 ,$134.26 ,$467.61 ,$467.61 ,$467.61 ,$577.30 ,$519.57 ,$342.50 ,$519.57 ,$134.26 ,$577.30 ,$323.87 ,$134.26 ,$239.00 ,$29.61 ,$28.27 ,$140.97 ,$519.57 ,$308.25 ,$319.82 ,$161.64 ,$519.57 ,$134.26 ,$519.57 ,$519.57 ,$134.26 ,$375.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000253,81420,HC FETAL CHROMOSOME ANEUPLOIDY -90,310,1 ,"$1,520.30 ","$1,094.62 ",$261.09 ,"$1,707.86 ","$1,520.30 ","$1,132.62 ",$995.80 ,$743.87 ,$425.68 ,$934.98 ,$743.87 ,$934.98 ,$743.87 ,$842.25 ,$842.25 ,$743.87 ,$842.25 ,"$1,520.30 ","$1,368.27 ",$500.00 ,"$1,520.30 ",$743.87 ,"$1,337.86 ",$758.75 ,"$1,140.23 ","$1,140.23 ","$1,292.26 ","$1,292.26 ",$743.87 ,"$1,292.26 ",$743.87 ,"$1,231.44 ","$1,231.44 ","$1,231.44 ","$1,520.30 ","$1,368.27 ","$1,520.30 ","$1,368.27 ",$743.87 ,"$1,520.30 ",$852.89 ,$743.87 ,$629.40 ,$273.53 ,$261.09 ,$781.06 ,"$1,368.27 ","$1,707.86 ",$842.25 ,$425.68 ,"$1,368.27 ",$743.87 ,"$1,368.27 ","$1,368.27 ",$743.87 ,$988.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000257,81512,HC FETAL CONGENITAL ABNORMAL ASSAY 5 ANALYTES-90,310,1 ,$230.00 ,$165.60 ,$28.27 ,$230.00 ,$173.80 ,$171.35 ,$150.65 ,$68.13 ,$64.40 ,$141.45 ,$68.13 ,$141.45 ,$68.13 ,$127.42 ,$127.42 ,$68.13 ,$127.42 ,$140.43 ,$207.00 ,$190.90 ,$173.80 ,$68.13 ,$202.40 ,$69.49 ,$172.50 ,$172.50 ,$195.50 ,$195.50 ,$68.13 ,$195.50 ,$68.13 ,$186.30 ,$186.30 ,$186.30 ,$230.00 ,$207.00 ,$173.80 ,$207.00 ,$68.13 ,$230.00 ,$129.03 ,$68.13 ,$95.22 ,$29.61 ,$28.27 ,$71.54 ,$207.00 ,$156.42 ,$127.42 ,$64.40 ,$207.00 ,$68.13 ,$207.00 ,$207.00 ,$68.13 ,$149.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000259,81265,HC SHORT TANDEM REPEAT MARKERS SPECIMEN ANAL-90,310,1 ,$690.00 ,$496.80 ,$92.00 ,$690.00 ,$582.68 ,$514.05 ,$451.95 ,$228.41 ,$193.20 ,$424.35 ,$228.41 ,$424.35 ,$228.41 ,$382.26 ,$382.26 ,$228.41 ,$382.26 ,$470.80 ,$621.00 ,$500.00 ,$582.68 ,$228.41 ,$607.20 ,$232.98 ,$517.50 ,$517.50 ,$586.50 ,$586.50 ,$228.41 ,$586.50 ,$228.41 ,$558.90 ,$558.90 ,$558.90 ,$690.00 ,$621.00 ,$582.68 ,$621.00 ,$228.41 ,$690.00 ,$387.09 ,$228.41 ,$285.66 ,$96.38 ,$92.00 ,$239.83 ,$621.00 ,$524.41 ,$382.26 ,$193.20 ,$621.00 ,$228.41 ,$621.00 ,$621.00 ,$228.41 ,$448.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000264,81432,HC INHERITED BREAST CANCER GENOMIC SEQ ANALYSIS >10 GENES-90,310,1 ,"$1,940.00 ","$1,396.80 ",$28.27 ,"$1,940.00 ","$1,697.63 ","$1,445.30 ","$1,270.70 ",$665.47 ,$543.20 ,"$1,193.10 ",$665.47 ,"$1,193.10 ",$665.47 ,"$1,074.76 ","$1,074.76 ",$665.47 ,"$1,074.76 ","$1,371.68 ","$1,746.00 ",$500.00 ,"$1,697.63 ",$665.47 ,"$1,707.20 ",$678.78 ,"$1,455.00 ","$1,455.00 ","$1,649.00 ","$1,649.00 ",$665.47 ,"$1,649.00 ",$665.47 ,"$1,571.40 ","$1,571.40 ","$1,571.40 ","$1,940.00 ","$1,746.00 ","$1,697.63 ","$1,746.00 ",$665.47 ,"$1,940.00 ","$1,088.34 ",$665.47 ,$803.16 ,$29.61 ,$28.27 ,$698.74 ,"$1,746.00 ","$1,527.86 ","$1,074.76 ",$543.20 ,"$1,746.00 ",$665.47 ,"$1,746.00 ","$1,746.00 ",$665.47 ,"$1,261.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000275,81209,HC BLM GENE ANALYSIS 2281DEL6INS7 VARIANT-90,310,1 ,$156.40 ,$112.61 ,$28.27 ,$156.40 ,$98.28 ,$116.52 ,$102.44 ,$38.52 ,$43.79 ,$96.19 ,$38.52 ,$96.19 ,$38.52 ,$86.65 ,$86.65 ,$38.52 ,$86.65 ,$79.41 ,$140.76 ,$129.81 ,$98.28 ,$38.52 ,$137.63 ,$39.30 ,$117.30 ,$117.30 ,$132.94 ,$132.94 ,$38.52 ,$132.94 ,$38.52 ,$126.68 ,$126.68 ,$126.68 ,$156.40 ,$140.76 ,$98.28 ,$140.76 ,$38.52 ,$156.40 ,$87.74 ,$38.52 ,$64.75 ,$29.61 ,$28.27 ,$40.45 ,$140.76 ,$88.45 ,$86.65 ,$43.79 ,$140.76 ,$38.52 ,$140.76 ,$140.76 ,$38.52 ,$101.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000280,81403,HC MOLECULAR PATHOLOGY PROC LEVEL 4-90,310,1 ,$660.10 ,$475.27 ,$28.27 ,$660.10 , N/A ,$491.77 ,$432.37 , N/A ,$184.83 ,$405.96 , N/A ,$405.96 , N/A ,$365.70 ,$365.70 , N/A ,$365.70 , N/A ,$594.09 ,$500.00 , N/A , N/A ,$580.89 , N/A ,$495.08 ,$495.08 ,$561.09 ,$561.09 , N/A ,$561.09 , N/A ,$534.68 ,$534.68 ,$534.68 ,$660.10 ,$594.09 , N/A ,$594.09 , N/A ,$660.10 ,$370.32 , N/A ,$273.28 ,$29.61 ,$28.27 , N/A ,$594.09 , N/A ,$365.70 ,$184.83 ,$594.09 , N/A ,$594.09 ,$594.09 , N/A ,$429.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000282,81220,HC CYSTIC FIBROSIS GENE ANALYSIS COMMON VARIANTS - 90,310,1 ,$149.50 ,$107.64 ,$28.27 ,$336.38 ,$149.50 ,$111.38 ,$97.92 ,$146.51 ,$41.86 ,$91.94 ,$146.51 ,$91.94 ,$146.51 ,$82.82 ,$82.82 ,$146.51 ,$82.82 ,$149.50 ,$134.55 ,$124.09 ,$149.50 ,$146.51 ,$131.56 ,$149.44 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$146.51 ,$127.08 ,$146.51 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$149.50 ,$134.55 ,$146.51 ,$149.50 ,$83.87 ,$146.51 ,$61.89 ,$29.61 ,$28.27 ,$146.51 ,$134.55 ,$336.38 ,$82.82 ,$41.86 ,$134.55 ,$146.51 ,$134.55 ,$134.55 ,$146.51 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000283,81220,HC CFTR GENE ANALYSIS-90,310,1 ,$149.50 ,$107.64 ,$28.27 ,$336.38 ,$149.50 ,$111.38 ,$97.92 ,$146.51 ,$41.86 ,$91.94 ,$146.51 ,$91.94 ,$146.51 ,$82.82 ,$82.82 ,$146.51 ,$82.82 ,$149.50 ,$134.55 ,$124.09 ,$149.50 ,$146.51 ,$131.56 ,$149.44 ,$112.13 ,$112.13 ,$127.08 ,$127.08 ,$146.51 ,$127.08 ,$146.51 ,$121.10 ,$121.10 ,$121.10 ,$149.50 ,$134.55 ,$149.50 ,$134.55 ,$146.51 ,$149.50 ,$83.87 ,$146.51 ,$61.89 ,$29.61 ,$28.27 ,$146.51 ,$134.55 ,$336.38 ,$82.82 ,$41.86 ,$134.55 ,$146.51 ,$134.55 ,$134.55 ,$146.51 ,$97.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000290,81433,HC HEREDITARY BREAST CA-RELATED DUP/DEL ANALYSIS-90,310,1 ,"$1,200.00 ",$864.00 ,$28.27 ,"$1,200.00 ","$1,097.33 ",$894.00 ,$786.00 ,$430.15 ,$336.00 ,$738.00 ,$430.15 ,$738.00 ,$430.15 ,$664.80 ,$664.80 ,$430.15 ,$664.80 ,$886.64 ,"$1,080.00 ",$500.00 ,"$1,097.33 ",$430.15 ,"$1,056.00 ",$438.76 ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ",$430.15 ,"$1,020.00 ",$430.15 ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ","$1,097.33 ","$1,080.00 ",$430.15 ,"$1,200.00 ",$673.20 ,$430.15 ,$496.80 ,$29.61 ,$28.27 ,$451.66 ,"$1,080.00 ",$987.59 ,$664.80 ,$336.00 ,"$1,080.00 ",$430.15 ,"$1,080.00 ","$1,080.00 ",$430.15 ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31000307,81221,HC CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS - 90,310,1 ,$150.00 ,$108.00 ,$28.27 ,$218.75 ,$150.00 ,$111.75 ,$98.25 ,$95.28 ,$42.00 ,$92.25 ,$95.28 ,$92.25 ,$95.28 ,$83.10 ,$83.10 ,$95.28 ,$83.10 ,$150.00 ,$135.00 ,$124.50 ,$150.00 ,$95.28 ,$132.00 ,$97.18 ,$112.50 ,$112.50 ,$127.50 ,$127.50 ,$95.28 ,$127.50 ,$95.28 ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 ,$150.00 ,$135.00 ,$95.28 ,$150.00 ,$84.15 ,$95.28 ,$62.10 ,$29.61 ,$28.27 ,$100.04 ,$135.00 ,$218.75 ,$83.10 ,$42.00 ,$135.00 ,$95.28 ,$135.00 ,$135.00 ,$95.28 ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100101,88104,HC CYTOPATH FLD SMEAR,311,1 ,$158.70 ,$114.26 ,$22.75 ,$158.70 ,$81.53 ,$118.23 ,$103.95 ,$31.96 ,$44.44 ,$97.60 ,$31.96 ,$97.60 ,$31.96 ,$87.92 ,$87.92 ,$31.96 ,$87.92 ,$65.88 ,$142.83 ,$131.72 ,$81.53 ,$31.96 ,$139.66 ,$32.59 ,$119.03 ,$119.03 ,$134.90 ,$134.90 ,$31.96 ,$134.90 ,$31.96 ,$128.55 ,$128.55 ,$128.55 ,$158.70 ,$142.83 ,$81.53 ,$142.83 ,$31.96 ,$158.70 ,$89.03 ,$31.96 ,$65.70 ,$23.84 ,$22.75 ,$33.56 ,$142.83 ,$73.38 ,$87.92 ,$44.44 ,$142.83 ,$31.96 ,$142.83 ,$142.83 ,$31.96 ,$103.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100102,88108,HC CYTOPATH CONCENTRATION,311,1 ,$192.05 ,$138.28 ,$22.75 ,$192.05 ,$81.53 ,$143.08 ,$125.79 ,$31.96 ,$53.77 ,$118.11 ,$31.96 ,$118.11 ,$31.96 ,$106.40 ,$106.40 ,$31.96 ,$106.40 ,$65.88 ,$172.85 ,$159.40 ,$81.53 ,$31.96 ,$169.00 ,$32.59 ,$144.04 ,$144.04 ,$163.24 ,$163.24 ,$31.96 ,$163.24 ,$31.96 ,$155.56 ,$155.56 ,$155.56 ,$192.05 ,$172.85 ,$81.53 ,$172.85 ,$31.96 ,$192.05 ,$107.74 ,$31.96 ,$79.51 ,$23.84 ,$22.75 ,$33.56 ,$172.85 ,$73.38 ,$106.40 ,$53.77 ,$172.85 ,$31.96 ,$172.85 ,$172.85 ,$31.96 ,$124.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$221.95 ,$159.80 ,$25.02 ,$221.95 ,$120.38 ,$165.35 ,$145.38 ,$47.19 ,$62.15 ,$136.50 ,$47.19 ,$136.50 ,$47.19 ,$122.96 ,$122.96 ,$47.19 ,$122.96 ,$97.27 ,$199.76 ,$184.22 ,$120.38 ,$47.19 ,$195.32 ,$48.13 ,$166.46 ,$166.46 ,$188.66 ,$188.66 ,$47.19 ,$188.66 ,$47.19 ,$179.78 ,$179.78 ,$179.78 ,$221.95 ,$199.76 ,$120.38 ,$199.76 ,$47.19 ,$221.95 ,$124.51 ,$47.19 ,$91.89 ,$26.21 ,$25.02 ,$49.55 ,$199.76 ,$108.34 ,$122.96 ,$62.15 ,$199.76 ,$47.19 ,$199.76 ,$199.76 ,$47.19 ,$144.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100110,88160,HC CYTOPATH SMEAR NON GYN,311,1 ,$64.40 ,$46.37 ,$18.03 ,$64.40 ,$59.93 ,$47.98 ,$42.18 ,$23.49 ,$18.03 ,$39.61 ,$23.49 ,$39.61 ,$23.49 ,$35.68 ,$35.68 ,$23.49 ,$35.68 ,$48.42 ,$57.96 ,$53.45 ,$59.93 ,$23.49 ,$56.67 ,$23.96 ,$48.30 ,$48.30 ,$54.74 ,$54.74 ,$23.49 ,$54.74 ,$23.49 ,$52.16 ,$52.16 ,$52.16 ,$64.40 ,$57.96 ,$59.93 ,$57.96 ,$23.49 ,$64.40 ,$36.13 ,$23.49 ,$26.66 ,$23.84 ,$22.75 ,$24.67 ,$57.96 ,$53.93 ,$35.68 ,$18.03 ,$57.96 ,$23.49 ,$57.96 ,$57.96 ,$23.49 ,$41.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$56.35 ,$40.57 ,$15.78 ,$339.78 ,$56.35 ,$41.98 ,$36.91 ,$55.22 ,$15.78 ,$34.66 ,$55.22 ,$34.66 ,$55.22 ,$31.22 ,$31.22 ,$55.22 ,$31.22 ,$56.35 ,$50.72 ,$46.77 ,$56.35 ,$55.22 ,$49.59 ,$56.33 ,$42.26 ,$42.26 ,$47.90 ,$47.90 ,$55.22 ,$47.90 ,$55.22 ,$45.64 ,$45.64 ,$45.64 ,$56.35 ,$50.72 ,$56.35 ,$50.72 ,$55.22 ,$22.01 ,$31.61 ,$55.22 ,$23.33 ,$23.84 ,$22.75 ,$55.22 ,$50.72 ,$339.78 ,$31.22 ,$15.78 ,$50.72 ,$55.22 ,$50.72 ,$50.72 ,$55.22 ,$36.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100115,88173,HC FINE NEEDLE INTERP,311,1 ,$509.45 ,$366.80 ,$22.75 ,$509.45 ,$120.38 ,$379.54 ,$333.69 ,$47.19 ,$142.65 ,$313.31 ,$47.19 ,$313.31 ,$47.19 ,$282.24 ,$282.24 ,$47.19 ,$282.24 ,$97.27 ,$458.51 ,$422.84 ,$120.38 ,$47.19 ,$448.32 ,$48.13 ,$382.09 ,$382.09 ,$433.03 ,$433.03 ,$47.19 ,$433.03 ,$47.19 ,$412.65 ,$412.65 ,$412.65 ,$509.45 ,$458.51 ,$120.38 ,$458.51 ,$47.19 ,$98.55 ,$285.80 ,$47.19 ,$210.91 ,$23.84 ,$22.75 ,$49.55 ,$458.51 ,$108.34 ,$282.24 ,$142.65 ,$458.51 ,$47.19 ,$458.51 ,$458.51 ,$47.19 ,$331.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100116,88177,HC FINE NEEDLE EVAL ADDL,311,1 ,$56.35 ,$40.57 ,$8.40 ,$56.35 , N/A ,$41.98 ,$36.91 , N/A ,$15.78 ,$34.66 , N/A ,$34.66 , N/A ,$31.22 ,$31.22 , N/A ,$31.22 , N/A ,$50.72 ,$46.77 , N/A , N/A ,$49.59 , N/A ,$42.26 ,$42.26 ,$47.90 ,$47.90 , N/A ,$47.90 , N/A ,$45.64 ,$45.64 ,$45.64 ,$56.35 ,$50.72 , N/A ,$50.72 , N/A ,$8.40 ,$31.61 , N/A ,$23.33 ,$23.84 ,$22.75 , N/A ,$50.72 , N/A ,$31.22 ,$15.78 ,$50.72 , N/A ,$50.72 ,$50.72 , N/A ,$36.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100242,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$215.05 ,$154.84 ,$16.50 ,$215.05 ,$66.53 ,$160.21 ,$140.86 ,$26.08 ,$60.21 ,$132.26 ,$26.08 ,$132.26 ,$26.08 ,$119.14 ,$119.14 ,$26.08 ,$119.14 ,$53.75 ,$193.55 ,$178.49 ,$66.53 ,$26.08 ,$189.24 ,$26.60 ,$161.29 ,$161.29 ,$182.79 ,$182.79 ,$26.08 ,$182.79 ,$26.08 ,$174.19 ,$174.19 ,$174.19 ,$215.05 ,$193.55 ,$66.53 ,$193.55 ,$26.08 ,$20.26 ,$120.64 ,$26.08 ,$89.03 ,$17.28 ,$16.50 ,$27.38 ,$193.55 ,$59.87 ,$119.14 ,$60.21 ,$193.55 ,$26.08 ,$193.55 ,$193.55 ,$26.08 ,$139.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$226.55 ,$163.12 ,$25.02 ,$700.33 ,$226.55 ,$168.78 ,$148.39 ,$222.02 ,$63.43 ,$139.33 ,$222.02 ,$139.33 ,$222.02 ,$125.51 ,$125.51 ,$222.02 ,$125.51 ,$226.55 ,$203.90 ,$188.04 ,$226.55 ,$222.02 ,$199.36 ,$226.46 ,$169.91 ,$169.91 ,$192.57 ,$192.57 ,$222.02 ,$192.57 ,$222.02 ,$183.51 ,$183.51 ,$183.51 ,$226.55 ,$203.90 ,$226.55 ,$203.90 ,$222.02 ,$226.55 ,$127.09 ,$222.02 ,$93.79 ,$26.21 ,$25.02 ,$222.02 ,$203.90 ,$700.33 ,$125.51 ,$63.43 ,$203.90 ,$222.02 ,$203.90 ,$203.90 ,$222.02 ,$147.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$86.25 ,$62.10 ,$24.15 ,$86.25 , N/A ,$64.26 ,$56.49 , N/A ,$24.15 ,$53.04 , N/A ,$53.04 , N/A ,$47.78 ,$47.78 , N/A ,$47.78 , N/A ,$77.63 ,$71.59 , N/A , N/A ,$75.90 , N/A ,$64.69 ,$64.69 ,$73.31 ,$73.31 , N/A ,$73.31 , N/A ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 , N/A ,$77.63 , N/A ,$86.25 ,$48.39 , N/A ,$35.71 ,$26.21 ,$25.02 , N/A ,$77.63 , N/A ,$47.78 ,$24.15 ,$77.63 , N/A ,$77.63 ,$77.63 , N/A ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100251,88230,HC TISSUE CULT NONNEO LYMPHOCYTE-90,311,1 ,$641.70 ,$462.02 ,$25.02 ,$641.70 ,$291.23 ,$478.07 ,$420.31 ,$114.16 ,$179.68 ,$394.65 ,$114.16 ,$394.65 ,$114.16 ,$355.50 ,$355.50 ,$114.16 ,$355.50 ,$235.31 ,$577.53 ,$500.00 ,$291.23 ,$114.16 ,$564.70 ,$116.44 ,$481.28 ,$481.28 ,$545.45 ,$545.45 ,$114.16 ,$545.45 ,$114.16 ,$519.78 ,$519.78 ,$519.78 ,$641.70 ,$577.53 ,$291.23 ,$577.53 ,$114.16 ,$641.70 ,$359.99 ,$114.16 ,$265.66 ,$26.21 ,$25.02 ,$119.86 ,$577.53 ,$262.10 ,$355.50 ,$179.68 ,$577.53 ,$114.16 ,$577.53 ,$577.53 ,$114.16 ,$417.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100252,88233,HC TISSUE CULT SKIN/OTH SOLID-90,311,1 ,$895.14 ,$644.50 ,$25.02 ,$895.14 ,$351.83 ,$666.88 ,$586.32 ,$137.92 ,$250.64 ,$550.51 ,$137.92 ,$550.51 ,$137.92 ,$495.91 ,$495.91 ,$137.92 ,$495.91 ,$284.27 ,$805.63 ,$500.00 ,$351.83 ,$137.92 ,$787.72 ,$140.67 ,$671.36 ,$671.36 ,$760.87 ,$760.87 ,$137.92 ,$760.87 ,$137.92 ,$725.06 ,$725.06 ,$725.06 ,$895.14 ,$805.63 ,$351.83 ,$805.63 ,$137.92 ,$895.14 ,$502.17 ,$137.92 ,$370.59 ,$26.21 ,$25.02 ,$144.81 ,$805.63 ,$316.64 ,$495.91 ,$250.64 ,$805.63 ,$137.92 ,$805.63 ,$805.63 ,$137.92 ,$581.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100255,88237,HC TISSUE CULT BONE/BLD-90,311,1 ,$730.18 ,$525.73 ,$25.02 ,$730.18 ,$359.38 ,$543.98 ,$478.27 ,$140.87 ,$204.45 ,$449.06 ,$140.87 ,$449.06 ,$140.87 ,$404.52 ,$404.52 ,$140.87 ,$404.52 ,$290.38 ,$657.16 ,$500.00 ,$359.38 ,$140.87 ,$642.56 ,$143.70 ,$547.64 ,$547.64 ,$620.65 ,$620.65 ,$140.87 ,$620.65 ,$140.87 ,$591.45 ,$591.45 ,$591.45 ,$730.18 ,$657.16 ,$359.38 ,$657.16 ,$140.87 ,$730.18 ,$409.63 ,$140.87 ,$302.29 ,$26.21 ,$25.02 ,$147.92 ,$657.16 ,$323.44 ,$404.52 ,$204.45 ,$657.16 ,$140.87 ,$657.16 ,$657.16 ,$140.87 ,$474.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100256,88239,HC TISSUE CULT TUMOR-90,311,1 ,"$1,951.55 ","$1,405.12 ",$25.02 ,"$1,951.55 ",$368.80 ,"$1,453.90 ","$1,278.27 ",$144.57 ,$546.43 ,"$1,200.20 ",$144.57 ,"$1,200.20 ",$144.57 ,"$1,081.16 ","$1,081.16 ",$144.57 ,"$1,081.16 ",$297.99 ,"$1,756.40 ",$500.00 ,$368.80 ,$144.57 ,"$1,717.36 ",$147.46 ,"$1,463.66 ","$1,463.66 ","$1,658.82 ","$1,658.82 ",$144.57 ,"$1,658.82 ",$144.57 ,"$1,580.76 ","$1,580.76 ","$1,580.76 ","$1,951.55 ","$1,756.40 ",$368.80 ,"$1,756.40 ",$144.57 ,"$1,951.55 ","$1,094.82 ",$144.57 ,$807.94 ,$26.21 ,$25.02 ,$151.80 ,"$1,756.40 ",$331.92 ,"$1,081.16 ",$546.43 ,"$1,756.40 ",$144.57 ,"$1,756.40 ","$1,756.40 ",$144.57 ,"$1,268.51 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100257,88262,HC CHROM COUNT 15-20/2-90,311,1 ,$968.25 ,$697.14 ,$28.27 ,$968.25 ,$313.73 ,$721.35 ,$634.20 ,$122.98 ,$271.11 ,$595.47 ,$122.98 ,$595.47 ,$122.98 ,$536.41 ,$536.41 ,$122.98 ,$536.41 ,$253.49 ,$871.43 ,$500.00 ,$313.73 ,$122.98 ,$852.06 ,$125.44 ,$726.19 ,$726.19 ,$823.01 ,$823.01 ,$122.98 ,$823.01 ,$122.98 ,$784.28 ,$784.28 ,$784.28 ,$968.25 ,$871.43 ,$313.73 ,$871.43 ,$122.98 ,$968.25 ,$543.19 ,$122.98 ,$400.86 ,$29.61 ,$28.27 ,$129.12 ,$871.43 ,$282.35 ,$536.41 ,$271.11 ,$871.43 ,$122.98 ,$871.43 ,$871.43 ,$122.98 ,$629.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100258,88264,HC CHROM ANLYS ANALYZE 20-90,311,1 ,$802.56 ,$577.84 ,$28.27 ,$802.56 ,$361.53 ,$597.91 ,$525.68 ,$141.72 ,$224.72 ,$493.57 ,$141.72 ,$493.57 ,$141.72 ,$444.62 ,$444.62 ,$141.72 ,$444.62 ,$292.11 ,$722.30 ,$500.00 ,$361.53 ,$141.72 ,$706.25 ,$144.55 ,$601.92 ,$601.92 ,$682.18 ,$682.18 ,$141.72 ,$682.18 ,$141.72 ,$650.07 ,$650.07 ,$650.07 ,$802.56 ,$722.30 ,$361.53 ,$722.30 ,$141.72 ,$802.56 ,$450.24 ,$141.72 ,$332.26 ,$29.61 ,$28.27 ,$148.80 ,$722.30 ,$325.37 ,$444.62 ,$224.72 ,$722.30 ,$141.72 ,$722.30 ,$722.30 ,$141.72 ,$521.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100261,88271,HC MCG DNA PROBE(FISH)-90,311,1 ,$193.20 ,$139.10 ,$20.99 ,$193.20 ,$53.55 ,$143.93 ,$126.55 ,$20.99 ,$54.10 ,$118.82 ,$20.99 ,$118.82 ,$20.99 ,$107.03 ,$107.03 ,$20.99 ,$107.03 ,$43.27 ,$173.88 ,$160.36 ,$53.55 ,$20.99 ,$170.02 ,$21.41 ,$144.90 ,$144.90 ,$164.22 ,$164.22 ,$20.99 ,$164.22 ,$20.99 ,$156.49 ,$156.49 ,$156.49 ,$193.20 ,$173.88 ,$53.55 ,$173.88 ,$20.99 ,$193.20 ,$108.39 ,$20.99 ,$79.98 ,$29.61 ,$28.27 ,$22.04 ,$173.88 ,$48.20 ,$107.03 ,$54.10 ,$173.88 ,$20.99 ,$173.88 ,$173.88 ,$20.99 ,$125.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100270,88275,HC MCG INTERPH INSITU FISH 100-90,311,1 ,$289.80 ,$208.66 ,$28.27 ,$289.80 ,$127.98 ,$215.90 ,$189.82 ,$50.17 ,$81.14 ,$178.23 ,$50.17 ,$178.23 ,$50.17 ,$160.55 ,$160.55 ,$50.17 ,$160.55 ,$103.40 ,$260.82 ,$240.53 ,$127.98 ,$50.17 ,$255.02 ,$51.17 ,$217.35 ,$217.35 ,$246.33 ,$246.33 ,$50.17 ,$246.33 ,$50.17 ,$234.74 ,$234.74 ,$234.74 ,$289.80 ,$260.82 ,$127.98 ,$260.82 ,$50.17 ,$289.80 ,$162.58 ,$50.17 ,$119.98 ,$29.61 ,$28.27 ,$52.67 ,$260.82 ,$115.18 ,$160.55 ,$81.14 ,$260.82 ,$50.17 ,$260.82 ,$260.82 ,$50.17 ,$188.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100274,88289,HC CHROM ADDL HIGH RES-90,311,1 ,$158.70 ,$114.26 ,$28.27 ,$158.70 ,$86.08 ,$118.23 ,$103.95 ,$33.74 ,$44.44 ,$97.60 ,$33.74 ,$97.60 ,$33.74 ,$87.92 ,$87.92 ,$33.74 ,$87.92 ,$69.55 ,$142.83 ,$131.72 ,$86.08 ,$33.74 ,$139.66 ,$34.42 ,$119.03 ,$119.03 ,$134.90 ,$134.90 ,$33.74 ,$134.90 ,$33.74 ,$128.55 ,$128.55 ,$128.55 ,$158.70 ,$142.83 ,$86.08 ,$142.83 ,$33.74 ,$158.70 ,$89.03 ,$33.74 ,$65.70 ,$29.61 ,$28.27 ,$35.43 ,$142.83 ,$77.47 ,$87.92 ,$44.44 ,$142.83 ,$33.74 ,$142.83 ,$142.83 ,$33.74 ,$103.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100275,88291,HC INTERPRETATION-90,311,1 ,$90.85 ,$65.41 ,$25.44 ,$90.85 , N/A ,$67.68 ,$59.51 , N/A ,$25.44 ,$55.87 , N/A ,$55.87 , N/A ,$50.33 ,$50.33 , N/A ,$50.33 , N/A ,$81.77 ,$75.41 , N/A , N/A ,$79.95 , N/A ,$68.14 ,$68.14 ,$77.22 ,$77.22 , N/A ,$77.22 , N/A ,$73.59 ,$73.59 ,$73.59 ,$90.85 ,$81.77 , N/A ,$81.77 , N/A ,$90.85 ,$50.97 , N/A ,$37.61 ,$29.61 ,$28.27 , N/A ,$81.77 , N/A ,$50.33 ,$25.44 ,$81.77 , N/A ,$81.77 ,$81.77 , N/A ,$59.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100280,G0145,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$248.40 ,$178.85 ,$16.50 ,$248.40 ,$66.23 ,$185.06 ,$162.70 ,$25.96 ,$69.55 ,$152.77 ,$25.96 ,$152.77 ,$25.96 ,$137.61 ,$137.61 ,$25.96 ,$137.61 ,$53.51 ,$223.56 ,$206.17 ,$66.23 ,$25.96 ,$218.59 ,$26.48 ,$186.30 ,$186.30 ,$211.14 ,$211.14 ,$25.96 ,$211.14 ,$25.96 ,$201.20 ,$201.20 ,$201.20 ,$248.40 ,$223.56 ,$66.23 ,$223.56 ,$25.96 ,$248.40 ,$139.35 ,$25.96 ,$102.84 ,$17.28 ,$16.50 ,$27.25 ,$223.56 ,$59.60 ,$137.61 ,$69.55 ,$223.56 ,$25.96 ,$223.56 ,$223.56 ,$25.96 ,$161.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100294,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$226.55 ,$163.12 ,$25.02 ,$700.33 ,$226.55 ,$168.78 ,$148.39 ,$222.02 ,$63.43 ,$139.33 ,$222.02 ,$139.33 ,$222.02 ,$125.51 ,$125.51 ,$222.02 ,$125.51 ,$226.55 ,$203.90 ,$188.04 ,$226.55 ,$222.02 ,$199.36 ,$226.46 ,$169.91 ,$169.91 ,$192.57 ,$192.57 ,$222.02 ,$192.57 ,$222.02 ,$183.51 ,$183.51 ,$183.51 ,$226.55 ,$203.90 ,$226.55 ,$203.90 ,$222.02 ,$226.55 ,$127.09 ,$222.02 ,$93.79 ,$26.21 ,$25.02 ,$222.02 ,$203.90 ,$700.33 ,$125.51 ,$63.43 ,$203.90 ,$222.02 ,$203.90 ,$203.90 ,$222.02 ,$147.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100295,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$86.25 ,$62.10 ,$24.15 ,$86.25 , N/A ,$64.26 ,$56.49 , N/A ,$24.15 ,$53.04 , N/A ,$53.04 , N/A ,$47.78 ,$47.78 , N/A ,$47.78 , N/A ,$77.63 ,$71.59 , N/A , N/A ,$75.90 , N/A ,$64.69 ,$64.69 ,$73.31 ,$73.31 , N/A ,$73.31 , N/A ,$69.86 ,$69.86 ,$69.86 ,$86.25 ,$77.63 , N/A ,$77.63 , N/A ,$86.25 ,$48.39 , N/A ,$35.71 ,$26.21 ,$25.02 , N/A ,$77.63 , N/A ,$47.78 ,$24.15 ,$77.63 , N/A ,$77.63 ,$77.63 , N/A ,$56.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100300,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$95.00 ,$68.40 ,$22.75 ,$95.00 ,$59.93 ,$70.78 ,$62.23 ,$23.49 ,$26.60 ,$58.43 ,$23.49 ,$58.43 ,$23.49 ,$52.63 ,$52.63 ,$23.49 ,$52.63 ,$48.42 ,$85.50 ,$78.85 ,$59.93 ,$23.49 ,$83.60 ,$23.96 ,$71.25 ,$71.25 ,$80.75 ,$80.75 ,$23.49 ,$80.75 ,$23.49 ,$76.95 ,$76.95 ,$76.95 ,$95.00 ,$85.50 ,$59.93 ,$85.50 ,$23.49 ,$95.00 ,$53.30 ,$23.49 ,$39.33 ,$23.84 ,$22.75 ,$24.67 ,$85.50 ,$53.93 ,$52.63 ,$26.60 ,$85.50 ,$23.49 ,$85.50 ,$85.50 ,$23.49 ,$61.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100312,88189,HC FLOW CYTO INT >16 MARKERS-90,311,1 ,$761.30 ,$548.14 ,$22.75 ,$761.30 , N/A ,$567.17 ,$498.65 , N/A ,$213.16 ,$468.20 , N/A ,$468.20 , N/A ,$421.76 ,$421.76 , N/A ,$421.76 , N/A ,$685.17 ,$500.00 , N/A , N/A ,$669.94 , N/A ,$570.98 ,$570.98 ,$647.11 ,$647.11 , N/A ,$647.11 , N/A ,$616.65 ,$616.65 ,$616.65 ,$761.30 ,$685.17 , N/A ,$685.17 , N/A ,$761.30 ,$427.09 , N/A ,$315.18 ,$23.84 ,$22.75 , N/A ,$685.17 , N/A ,$421.76 ,$213.16 ,$685.17 , N/A ,$685.17 ,$685.17 , N/A ,$494.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31100314,88142,HC THINPREP PAP,311,1 ,$138.78 ,$99.92 ,$16.50 ,$138.78 ,$50.65 ,$103.39 ,$90.90 ,$19.85 ,$38.86 ,$85.35 ,$19.85 ,$85.35 ,$19.85 ,$76.88 ,$76.88 ,$19.85 ,$76.88 ,$40.93 ,$124.90 ,$115.19 ,$50.65 ,$19.85 ,$122.13 ,$20.26 ,$104.09 ,$104.09 ,$117.96 ,$117.96 ,$19.85 ,$117.96 ,$19.85 ,$112.41 ,$112.41 ,$112.41 ,$138.78 ,$124.90 ,$50.65 ,$124.90 ,$19.85 ,$20.26 ,$77.86 ,$19.85 ,$57.45 ,$17.28 ,$16.50 ,$20.84 ,$124.90 ,$45.59 ,$76.88 ,$38.86 ,$124.90 ,$19.85 ,$124.90 ,$124.90 ,$19.85 ,$90.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$143.75 ,$103.50 ,$22.75 ,$143.75 ,$59.93 ,$107.09 ,$94.16 ,$23.49 ,$40.25 ,$88.41 ,$23.49 ,$88.41 ,$23.49 ,$79.64 ,$79.64 ,$23.49 ,$79.64 ,$48.42 ,$129.38 ,$119.31 ,$59.93 ,$23.49 ,$126.50 ,$23.96 ,$107.81 ,$107.81 ,$122.19 ,$122.19 ,$23.49 ,$122.19 ,$23.49 ,$116.44 ,$116.44 ,$116.44 ,$143.75 ,$129.38 ,$59.93 ,$129.38 ,$23.49 ,$143.75 ,$80.64 ,$23.49 ,$59.51 ,$23.84 ,$22.75 ,$24.67 ,$129.38 ,$53.93 ,$79.64 ,$40.25 ,$129.38 ,$23.49 ,$129.38 ,$129.38 ,$23.49 ,$93.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200102,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$194.35 ,$139.93 ,$22.75 ,$194.35 ,$59.93 ,$144.79 ,$127.30 ,$23.49 ,$54.42 ,$119.53 ,$23.49 ,$119.53 ,$23.49 ,$107.67 ,$107.67 ,$23.49 ,$107.67 ,$48.42 ,$174.92 ,$161.31 ,$59.93 ,$23.49 ,$171.03 ,$23.96 ,$145.76 ,$145.76 ,$165.20 ,$165.20 ,$23.49 ,$165.20 ,$23.49 ,$157.42 ,$157.42 ,$157.42 ,$194.35 ,$174.92 ,$59.93 ,$174.92 ,$23.49 ,$194.35 ,$109.03 ,$23.49 ,$80.46 ,$23.84 ,$22.75 ,$24.67 ,$174.92 ,$53.93 ,$107.67 ,$54.42 ,$174.92 ,$23.49 ,$174.92 ,$174.92 ,$23.49 ,$126.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200103,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$345.00 ,$248.40 ,$22.75 ,$345.00 ,$120.38 ,$257.03 ,$225.98 ,$47.19 ,$96.60 ,$212.18 ,$47.19 ,$212.18 ,$47.19 ,$191.13 ,$191.13 ,$47.19 ,$191.13 ,$97.27 ,$310.50 ,$286.35 ,$120.38 ,$47.19 ,$303.60 ,$48.13 ,$258.75 ,$258.75 ,$293.25 ,$293.25 ,$47.19 ,$293.25 ,$47.19 ,$279.45 ,$279.45 ,$279.45 ,$345.00 ,$310.50 ,$120.38 ,$310.50 ,$47.19 ,$345.00 ,$193.55 ,$47.19 ,$142.83 ,$23.84 ,$22.75 ,$49.55 ,$310.50 ,$108.34 ,$191.13 ,$96.60 ,$310.50 ,$47.19 ,$310.50 ,$310.50 ,$47.19 ,$224.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200108,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$345.00 ,$248.40 ,$22.75 ,$345.00 ,$120.38 ,$257.03 ,$225.98 ,$47.19 ,$96.60 ,$212.18 ,$47.19 ,$212.18 ,$47.19 ,$191.13 ,$191.13 ,$47.19 ,$191.13 ,$97.27 ,$310.50 ,$286.35 ,$120.38 ,$47.19 ,$303.60 ,$48.13 ,$258.75 ,$258.75 ,$293.25 ,$293.25 ,$47.19 ,$293.25 ,$47.19 ,$279.45 ,$279.45 ,$279.45 ,$345.00 ,$310.50 ,$120.38 ,$310.50 ,$47.19 ,$36.72 ,$193.55 ,$47.19 ,$142.83 ,$23.84 ,$22.75 ,$49.55 ,$310.50 ,$108.34 ,$191.13 ,$96.60 ,$310.50 ,$47.19 ,$310.50 ,$310.50 ,$47.19 ,$224.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200110,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,"$1,060.30 ",$763.42 ,$25.02 ,"$1,060.30 ",$778.14 ,$789.92 ,$694.50 ,$305.03 ,$296.88 ,$652.08 ,$305.03 ,$652.08 ,$305.03 ,$587.41 ,$587.41 ,$305.03 ,$587.41 ,$628.74 ,$954.27 ,$500.00 ,$778.14 ,$305.03 ,$933.06 ,$311.14 ,$795.23 ,$795.23 ,$901.26 ,$901.26 ,$305.03 ,$901.26 ,$305.03 ,$858.84 ,$858.84 ,$858.84 ,"$1,060.30 ",$954.27 ,$778.14 ,$954.27 ,$305.03 ,$220.02 ,$594.83 ,$305.03 ,$438.96 ,$26.21 ,$25.02 ,$320.28 ,$954.27 ,$700.33 ,$587.41 ,$296.88 ,$954.27 ,$305.03 ,$954.27 ,$954.27 ,$305.03 ,$689.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200113,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,"$1,699.70 ","$1,223.78 ",$25.02 ,"$1,699.70 ","$1,699.70 ","$1,266.28 ","$1,113.30 ",$730.80 ,$475.92 ,"$1,045.32 ",$730.80 ,"$1,045.32 ",$730.80 ,$941.63 ,$941.63 ,$730.80 ,$941.63 ,"$1,506.34 ","$1,529.73 ",$500.00 ,"$1,699.70 ",$730.80 ,"$1,495.74 ",$745.41 ,"$1,274.78 ","$1,274.78 ","$1,444.75 ","$1,444.75 ",$730.80 ,"$1,444.75 ",$730.80 ,"$1,376.76 ","$1,376.76 ","$1,376.76 ","$1,699.70 ","$1,529.73 ","$1,699.70 ","$1,529.73 ",$730.80 ,"$1,699.70 ",$953.53 ,$730.80 ,$703.68 ,$26.21 ,$25.02 ,$767.34 ,"$1,529.73 ","$1,677.86 ",$941.63 ,$475.92 ,"$1,529.73 ",$730.80 ,"$1,529.73 ","$1,529.73 ",$730.80 ,"$1,104.81 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200116,88311,HC DECALCIFICATION,312,1 ,$129.95 ,$93.56 ,$22.75 ,$129.95 , N/A ,$96.81 ,$85.12 , N/A ,$36.39 ,$79.92 , N/A ,$79.92 , N/A ,$71.99 ,$71.99 , N/A ,$71.99 , N/A ,$116.96 ,$107.86 , N/A , N/A ,$114.36 , N/A ,$97.46 ,$97.46 ,$110.46 ,$110.46 , N/A ,$110.46 , N/A ,$105.26 ,$105.26 ,$105.26 ,$129.95 ,$116.96 , N/A ,$116.96 , N/A ,$129.95 ,$72.90 , N/A ,$53.80 ,$23.84 ,$22.75 , N/A ,$116.96 , N/A ,$71.99 ,$36.39 ,$116.96 , N/A ,$116.96 ,$116.96 , N/A ,$84.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200123,88312,HC SPECIAL STAIN I,312,1 ,$248.40 ,$178.85 ,$22.75 ,$248.40 ,$120.38 ,$185.06 ,$162.70 ,$47.19 ,$69.55 ,$152.77 ,$47.19 ,$152.77 ,$47.19 ,$137.61 ,$137.61 ,$47.19 ,$137.61 ,$97.27 ,$223.56 ,$206.17 ,$120.38 ,$47.19 ,$218.59 ,$48.13 ,$186.30 ,$186.30 ,$211.14 ,$211.14 ,$47.19 ,$211.14 ,$47.19 ,$201.20 ,$201.20 ,$201.20 ,$248.40 ,$223.56 ,$120.38 ,$223.56 ,$47.19 ,$248.40 ,$139.35 ,$47.19 ,$102.84 ,$23.84 ,$22.75 ,$49.55 ,$223.56 ,$108.34 ,$137.61 ,$69.55 ,$223.56 ,$47.19 ,$223.56 ,$223.56 ,$47.19 ,$161.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200125,88313,HC SPECIAL STAIN II,312,1 ,$248.40 ,$178.85 ,$22.75 ,$248.40 ,$81.53 ,$185.06 ,$162.70 ,$31.96 ,$69.55 ,$152.77 ,$31.96 ,$152.77 ,$31.96 ,$137.61 ,$137.61 ,$31.96 ,$137.61 ,$65.88 ,$223.56 ,$206.17 ,$81.53 ,$31.96 ,$218.59 ,$32.59 ,$186.30 ,$186.30 ,$211.14 ,$211.14 ,$31.96 ,$211.14 ,$31.96 ,$201.20 ,$201.20 ,$201.20 ,$248.40 ,$223.56 ,$81.53 ,$223.56 ,$31.96 ,$248.40 ,$139.35 ,$31.96 ,$102.84 ,$23.84 ,$22.75 ,$33.56 ,$223.56 ,$73.38 ,$137.61 ,$69.55 ,$223.56 ,$31.96 ,$223.56 ,$223.56 ,$31.96 ,$161.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200159,88321,HC CONSULT REFERRED SLIDES,312,1 ,$161.00 ,$115.92 ,$22.75 ,$161.00 ,$81.53 ,$119.95 ,$105.46 ,$31.96 ,$45.08 ,$99.02 ,$31.96 ,$99.02 ,$31.96 ,$89.19 ,$89.19 ,$31.96 ,$89.19 ,$65.88 ,$144.90 ,$133.63 ,$81.53 ,$31.96 ,$141.68 ,$32.59 ,$120.75 ,$120.75 ,$136.85 ,$136.85 ,$31.96 ,$136.85 ,$31.96 ,$130.41 ,$130.41 ,$130.41 ,$161.00 ,$144.90 ,$81.53 ,$144.90 ,$31.96 ,$161.00 ,$90.32 ,$31.96 ,$66.65 ,$23.84 ,$22.75 ,$33.56 ,$144.90 ,$73.38 ,$89.19 ,$45.08 ,$144.90 ,$31.96 ,$144.90 ,$144.90 ,$31.96 ,$104.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200172,88329,HC CONSULT PATH SURGERY,312,1 ,$169.05 ,$121.72 ,$22.75 ,$169.05 ,$81.53 ,$125.94 ,$110.73 ,$31.96 ,$47.33 ,$103.97 ,$31.96 ,$103.97 ,$31.96 ,$93.65 ,$93.65 ,$31.96 ,$93.65 ,$65.88 ,$152.15 ,$140.31 ,$81.53 ,$31.96 ,$148.76 ,$32.59 ,$126.79 ,$126.79 ,$143.69 ,$143.69 ,$31.96 ,$143.69 ,$31.96 ,$136.93 ,$136.93 ,$136.93 ,$169.05 ,$152.15 ,$81.53 ,$152.15 ,$31.96 ,$169.05 ,$94.84 ,$31.96 ,$69.99 ,$23.84 ,$22.75 ,$33.56 ,$152.15 ,$73.38 ,$93.65 ,$47.33 ,$152.15 ,$31.96 ,$152.15 ,$152.15 ,$31.96 ,$109.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,"$1,060.30 ",$763.42 ,$22.75 ,"$1,060.30 ",$377.53 ,$789.92 ,$694.50 ,$147.99 ,$296.88 ,$652.08 ,$147.99 ,$652.08 ,$147.99 ,$587.41 ,$587.41 ,$147.99 ,$587.41 ,$305.05 ,$954.27 ,$500.00 ,$377.53 ,$147.99 ,$933.06 ,$150.95 ,$795.23 ,$795.23 ,$901.26 ,$901.26 ,$147.99 ,$901.26 ,$147.99 ,$858.84 ,$858.84 ,$858.84 ,"$1,060.30 ",$954.27 ,$377.53 ,$954.27 ,$147.99 ,$43.37 ,$594.83 ,$147.99 ,$438.96 ,$23.84 ,$22.75 ,$155.39 ,$954.27 ,$339.78 ,$587.41 ,$296.88 ,$954.27 ,$147.99 ,$954.27 ,$954.27 ,$147.99 ,$689.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$141.45 ,$101.84 ,$22.75 ,$141.45 , N/A ,$105.38 ,$92.65 , N/A ,$39.61 ,$86.99 , N/A ,$86.99 , N/A ,$78.36 ,$78.36 , N/A ,$78.36 , N/A ,$127.31 ,$117.40 , N/A , N/A ,$124.48 , N/A ,$106.09 ,$106.09 ,$120.23 ,$120.23 , N/A ,$120.23 , N/A ,$114.57 ,$114.57 ,$114.57 ,$141.45 ,$127.31 , N/A ,$127.31 , N/A ,$26.21 ,$79.35 , N/A ,$58.56 ,$23.84 ,$22.75 , N/A ,$127.31 , N/A ,$78.36 ,$39.61 ,$127.31 , N/A ,$127.31 ,$127.31 , N/A ,$91.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200175,88333,HC CONSULT PATH SURG CYTO INIT,312,1 ,"$1,614.60 ","$1,162.51 ",$22.75 ,"$1,677.86 ","$1,614.60 ","$1,202.88 ","$1,057.56 ",$730.80 ,$452.09 ,$992.98 ,$730.80 ,$992.98 ,$730.80 ,$894.49 ,$894.49 ,$730.80 ,$894.49 ,"$1,506.34 ","$1,453.14 ",$500.00 ,"$1,614.60 ",$730.80 ,"$1,420.85 ",$745.41 ,"$1,210.95 ","$1,210.95 ","$1,372.41 ","$1,372.41 ",$730.80 ,"$1,372.41 ",$730.80 ,"$1,307.83 ","$1,307.83 ","$1,307.83 ","$1,614.60 ","$1,453.14 ","$1,614.60 ","$1,453.14 ",$730.80 ,"$1,614.60 ",$905.79 ,$730.80 ,$668.44 ,$23.84 ,$22.75 ,$767.34 ,"$1,453.14 ","$1,677.86 ",$894.49 ,$452.09 ,"$1,453.14 ",$730.80 ,"$1,453.14 ","$1,453.14 ",$730.80 ,"$1,049.49 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200176,88334,HC CONSULT PATH SURG EA ADDL,312,1 ,$258.75 ,$186.30 ,$22.75 ,$258.75 , N/A ,$192.77 ,$169.48 , N/A ,$72.45 ,$159.13 , N/A ,$159.13 , N/A ,$143.35 ,$143.35 , N/A ,$143.35 , N/A ,$232.88 ,$214.76 , N/A , N/A ,$227.70 , N/A ,$194.06 ,$194.06 ,$219.94 ,$219.94 , N/A ,$219.94 , N/A ,$209.59 ,$209.59 ,$209.59 ,$258.75 ,$232.88 , N/A ,$232.88 , N/A ,$258.75 ,$145.16 , N/A ,$107.12 ,$23.84 ,$22.75 , N/A ,$232.88 , N/A ,$143.35 ,$72.45 ,$232.88 , N/A ,$232.88 ,$232.88 , N/A ,$168.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200220,88342,HC IMMUNOHISTOCHEM AB-INITIAL,312,1 ,$963.70 ,$693.86 ,$22.75 ,$963.70 ,$377.53 ,$717.96 ,$631.22 ,$147.99 ,$269.84 ,$592.68 ,$147.99 ,$592.68 ,$147.99 ,$533.89 ,$533.89 ,$147.99 ,$533.89 ,$305.05 ,$867.33 ,$500.00 ,$377.53 ,$147.99 ,$848.06 ,$150.95 ,$722.78 ,$722.78 ,$819.15 ,$819.15 ,$147.99 ,$819.15 ,$147.99 ,$780.60 ,$780.60 ,$780.60 ,$963.70 ,$867.33 ,$377.53 ,$867.33 ,$147.99 ,$69.27 ,$540.64 ,$147.99 ,$398.97 ,$23.84 ,$22.75 ,$155.39 ,$867.33 ,$339.78 ,$533.89 ,$269.84 ,$867.33 ,$147.99 ,$867.33 ,$867.33 ,$147.99 ,$626.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200249,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$801.55 ,$577.12 ,$22.75 ,$801.55 ,$778.14 ,$597.15 ,$525.02 ,$305.03 ,$224.43 ,$492.95 ,$305.03 ,$492.95 ,$305.03 ,$444.06 ,$444.06 ,$305.03 ,$444.06 ,$628.74 ,$721.40 ,$500.00 ,$778.14 ,$305.03 ,$705.36 ,$311.14 ,$601.16 ,$601.16 ,$681.32 ,$681.32 ,$305.03 ,$681.32 ,$305.03 ,$649.26 ,$649.26 ,$649.26 ,$801.55 ,$721.40 ,$778.14 ,$721.40 ,$305.03 ,$801.55 ,$449.67 ,$305.03 ,$331.84 ,$23.84 ,$22.75 ,$320.28 ,$721.40 ,$700.33 ,$444.06 ,$224.43 ,$721.40 ,$305.03 ,$721.40 ,$721.40 ,$305.03 ,$521.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200253,88305,HC CELLIENT CELL BLOCK,312,1 ,$345.00 ,$248.40 ,$22.75 ,$345.00 ,$120.38 ,$257.03 ,$225.98 ,$47.19 ,$96.60 ,$212.18 ,$47.19 ,$212.18 ,$47.19 ,$191.13 ,$191.13 ,$47.19 ,$191.13 ,$97.27 ,$310.50 ,$286.35 ,$120.38 ,$47.19 ,$303.60 ,$48.13 ,$258.75 ,$258.75 ,$293.25 ,$293.25 ,$47.19 ,$293.25 ,$47.19 ,$279.45 ,$279.45 ,$279.45 ,$345.00 ,$310.50 ,$120.38 ,$310.50 ,$47.19 ,$36.72 ,$193.55 ,$47.19 ,$142.83 ,$23.84 ,$22.75 ,$49.55 ,$310.50 ,$108.34 ,$191.13 ,$96.60 ,$310.50 ,$47.19 ,$310.50 ,$310.50 ,$47.19 ,$224.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200256,88313,HC SPECIAL STAIN II-90,312,1 ,$404.80 ,$291.46 ,$22.75 ,$404.80 ,$81.53 ,$301.58 ,$265.14 ,$31.96 ,$113.34 ,$248.95 ,$31.96 ,$248.95 ,$31.96 ,$224.26 ,$224.26 ,$31.96 ,$224.26 ,$65.88 ,$364.32 ,$335.98 ,$81.53 ,$31.96 ,$356.22 ,$32.59 ,$303.60 ,$303.60 ,$344.08 ,$344.08 ,$31.96 ,$344.08 ,$31.96 ,$327.89 ,$327.89 ,$327.89 ,$404.80 ,$364.32 ,$81.53 ,$364.32 ,$31.96 ,$404.80 ,$227.09 ,$31.96 ,$167.59 ,$23.84 ,$22.75 ,$33.56 ,$364.32 ,$73.38 ,$224.26 ,$113.34 ,$364.32 ,$31.96 ,$364.32 ,$364.32 ,$31.96 ,$263.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200266,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,"$1,060.30 ",$763.42 ,$22.75 ,"$1,060.30 ", N/A ,$789.92 ,$694.50 , N/A ,$296.88 ,$652.08 , N/A ,$652.08 , N/A ,$587.41 ,$587.41 , N/A ,$587.41 , N/A ,$954.27 ,$500.00 , N/A , N/A ,$933.06 , N/A ,$795.23 ,$795.23 ,$901.26 ,$901.26 , N/A ,$901.26 , N/A ,$858.84 ,$858.84 ,$858.84 ,"$1,060.30 ",$954.27 , N/A ,$954.27 , N/A ,$61.26 ,$594.83 , N/A ,$438.96 ,$23.84 ,$22.75 , N/A ,$954.27 , N/A ,$587.41 ,$296.88 ,$954.27 , N/A ,$954.27 ,$954.27 , N/A ,$689.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200270,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$963.70 ,$693.86 ,$22.75 ,$963.70 ,$377.53 ,$717.96 ,$631.22 ,$147.99 ,$269.84 ,$592.68 ,$147.99 ,$592.68 ,$147.99 ,$533.89 ,$533.89 ,$147.99 ,$533.89 ,$305.05 ,$867.33 ,$500.00 ,$377.53 ,$147.99 ,$848.06 ,$150.95 ,$722.78 ,$722.78 ,$819.15 ,$819.15 ,$147.99 ,$819.15 ,$147.99 ,$780.60 ,$780.60 ,$780.60 ,$963.70 ,$867.33 ,$377.53 ,$867.33 ,$147.99 ,$69.27 ,$540.64 ,$147.99 ,$398.97 ,$23.84 ,$22.75 ,$155.39 ,$867.33 ,$339.78 ,$533.89 ,$269.84 ,$867.33 ,$147.99 ,$867.33 ,$867.33 ,$147.99 ,$626.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200272,88346,HC IF DIRECT-90,312,1 ,$273.70 ,$197.06 ,$22.75 ,$700.33 ,$273.70 ,$203.91 ,$179.27 ,$268.23 ,$76.64 ,$168.33 ,$268.23 ,$168.33 ,$268.23 ,$151.63 ,$151.63 ,$268.23 ,$151.63 ,$273.70 ,$246.33 ,$227.17 ,$273.70 ,$268.23 ,$240.86 ,$273.59 ,$205.28 ,$205.28 ,$232.65 ,$232.65 ,$268.23 ,$232.65 ,$268.23 ,$221.70 ,$221.70 ,$221.70 ,$273.70 ,$246.33 ,$273.70 ,$246.33 ,$268.23 ,$273.70 ,$153.55 ,$268.23 ,$113.31 ,$23.84 ,$22.75 ,$268.23 ,$246.33 ,$700.33 ,$151.63 ,$76.64 ,$246.33 ,$268.23 ,$246.33 ,$246.33 ,$268.23 ,$177.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200274,88350,HC IMMUNOFLUOR PER SPEC EA ADDN SINGLE STAIN-90,312,1 ,$273.70 ,$197.06 ,$22.75 ,$273.70 , N/A ,$203.91 ,$179.27 , N/A ,$76.64 ,$168.33 , N/A ,$168.33 , N/A ,$151.63 ,$151.63 , N/A ,$151.63 , N/A ,$246.33 ,$227.17 , N/A , N/A ,$240.86 , N/A ,$205.28 ,$205.28 ,$232.65 ,$232.65 , N/A ,$232.65 , N/A ,$221.70 ,$221.70 ,$221.70 ,$273.70 ,$246.33 , N/A ,$246.33 , N/A ,$273.70 ,$153.55 , N/A ,$113.31 ,$23.84 ,$22.75 , N/A ,$246.33 , N/A ,$151.63 ,$76.64 ,$246.33 , N/A ,$246.33 ,$246.33 , N/A ,$177.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200275,88360,HC MORPHO ANLYS TUMOR MAN-90,312,1 ,$748.65 ,$539.03 ,$25.02 ,$748.65 ,$377.53 ,$557.74 ,$490.37 ,$147.99 ,$209.62 ,$460.42 ,$147.99 ,$460.42 ,$147.99 ,$414.75 ,$414.75 ,$147.99 ,$414.75 ,$305.05 ,$673.79 ,$500.00 ,$377.53 ,$147.99 ,$658.81 ,$150.95 ,$561.49 ,$561.49 ,$636.35 ,$636.35 ,$147.99 ,$636.35 ,$147.99 ,$606.41 ,$606.41 ,$606.41 ,$748.65 ,$673.79 ,$377.53 ,$673.79 ,$147.99 ,$81.17 ,$419.99 ,$147.99 ,$309.94 ,$26.21 ,$25.02 ,$155.39 ,$673.79 ,$339.78 ,$414.75 ,$209.62 ,$673.79 ,$147.99 ,$673.79 ,$673.79 ,$147.99 ,$486.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200287,88387,HC TISSUE EXAM MOLECULAR STUDY,312,1 ,$202.40 ,$145.73 ,$22.75 ,$202.40 , N/A ,$150.79 ,$132.57 , N/A ,$56.67 ,$124.48 , N/A ,$124.48 , N/A ,$112.13 ,$112.13 , N/A ,$112.13 , N/A ,$182.16 ,$167.99 , N/A , N/A ,$178.11 , N/A ,$151.80 ,$151.80 ,$172.04 ,$172.04 , N/A ,$172.04 , N/A ,$163.94 ,$163.94 ,$163.94 ,$202.40 ,$182.16 , N/A ,$182.16 , N/A ,$202.40 ,$113.55 , N/A ,$83.79 ,$23.84 ,$22.75 , N/A ,$182.16 , N/A ,$112.13 ,$56.67 ,$182.16 , N/A ,$182.16 ,$182.16 , N/A ,$131.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200288,88388,HC TISSUE EXAM MOLECULR ST ADD ON,312,1 ,$231.15 ,$166.43 ,$22.75 ,$231.15 , N/A ,$172.21 ,$151.40 , N/A ,$64.72 ,$142.16 , N/A ,$142.16 , N/A ,$128.06 ,$128.06 , N/A ,$128.06 , N/A ,$208.04 ,$191.85 , N/A , N/A ,$203.41 , N/A ,$173.36 ,$173.36 ,$196.48 ,$196.48 , N/A ,$196.48 , N/A ,$187.23 ,$187.23 ,$187.23 ,$231.15 ,$208.04 , N/A ,$208.04 , N/A ,$231.15 ,$129.68 , N/A ,$95.70 ,$23.84 ,$22.75 , N/A ,$208.04 , N/A ,$128.06 ,$64.72 ,$208.04 , N/A ,$208.04 ,$208.04 , N/A ,$150.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),31200317,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$14.95 ,$10.76 ,$4.19 ,$108.34 ,$14.95 ,$11.14 ,$9.79 ,$14.65 ,$4.19 ,$9.19 ,$14.65 ,$9.19 ,$14.65 ,$8.28 ,$8.28 ,$14.65 ,$8.28 ,$14.95 ,$13.46 ,$12.41 ,$14.95 ,$14.65 ,$13.16 ,$14.94 ,$11.21 ,$11.21 ,$12.71 ,$12.71 ,$14.65 ,$12.71 ,$14.65 ,$12.11 ,$12.11 ,$12.11 ,$14.95 ,$13.46 ,$14.95 ,$13.46 ,$14.65 ,$14.95 ,$8.39 ,$14.65 ,$6.19 ,$14.95 ,$14.95 ,$14.65 ,$13.46 ,$108.34 ,$8.28 ,$4.19 ,$13.46 ,$14.65 ,$13.46 ,$13.46 ,$14.65 ,$9.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000003,22510,HC VERTEBROPLASTY INJ PERC THOR,320,1 ,"$7,901.00 ","$5,688.72 ",$800.00 ,"$7,901.00 ","$7,349.48 ","$5,886.25 ","$5,175.16 ","$3,000.34 ","$2,212.28 ","$4,859.12 ","$3,000.34 ","$4,859.12 ","$3,000.34 ","$4,377.15 ","$4,377.15 ","$3,000.34 ","$4,377.15 ","$6,184.31 ","$7,110.90 ",$800.00 ,"$7,349.48 ","$3,000.34 ","$6,952.88 ","$3,060.34 ","$5,925.75 ","$5,925.75 ","$6,715.85 ","$6,715.85 ","$3,000.34 ","$6,715.85 ","$3,000.34 ","$6,399.81 ","$6,399.81 ","$6,399.81 ","$7,901.00 ","$7,110.90 ","$7,349.48 ","$7,110.90 ","$3,000.34 ","$7,901.00 ","$4,432.46 ","$3,000.34 ","$3,271.01 ","$3,630.03 ","$3,465.03 ","$3,140.41 ","$7,110.90 ","$6,634.82 ","$4,377.15 ","$2,212.28 ","$7,110.90 ","$3,000.34 ","$7,110.90 ","$7,110.90 ","$3,000.34 ","$5,135.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000005,22512,HC VERTEBROPLASTY INJ PERC ADDL,320,1 ,"$1,608.00 ","$1,157.76 ",$450.24 ,"$1,608.00 ", N/A ,"$1,197.96 ","$1,053.24 ", N/A ,$450.24 ,$988.92 , N/A ,$988.92 , N/A ,$890.83 ,$890.83 , N/A ,$890.83 , N/A ,"$1,447.20 ",$800.00 , N/A , N/A ,"$1,415.04 ", N/A ,"$1,206.00 ","$1,206.00 ","$1,366.80 ","$1,366.80 ", N/A ,"$1,366.80 ", N/A ,"$1,302.48 ","$1,302.48 ","$1,302.48 ","$1,608.00 ","$1,447.20 ", N/A ,"$1,447.20 ", N/A ,"$1,608.00 ",$902.09 , N/A ,$665.71 ,"$1,608.00 ","$1,608.00 ", N/A ,"$1,447.20 ", N/A ,$890.83 ,$450.24 ,"$1,447.20 ", N/A ,"$1,447.20 ","$1,447.20 ", N/A ,"$1,045.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$390.28 ,$281.00 ,$109.28 ,$390.28 , N/A ,$290.76 ,$255.63 , N/A ,$109.28 ,$240.02 , N/A ,$240.02 , N/A ,$216.22 ,$216.22 , N/A ,$216.22 , N/A ,$351.25 ,$323.93 , N/A , N/A ,$343.45 , N/A ,$292.71 ,$292.71 ,$331.74 ,$331.74 , N/A ,$331.74 , N/A ,$316.13 ,$316.13 ,$316.13 ,$390.28 ,$351.25 , N/A ,$351.25 , N/A ,$390.28 ,$218.95 , N/A ,$161.58 , N/A , N/A , N/A ,$351.25 , N/A ,$216.22 ,$109.28 ,$351.25 , N/A ,$351.25 ,$351.25 , N/A ,$253.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000010,24220,HC ARTHROGRAM INJ ELBOW,320,1 ,$390.28 ,$281.00 ,$109.28 ,$390.28 , N/A ,$290.76 ,$255.63 , N/A ,$109.28 ,$240.02 , N/A ,$240.02 , N/A ,$216.22 ,$216.22 , N/A ,$216.22 , N/A ,$351.25 ,$323.93 , N/A , N/A ,$343.45 , N/A ,$292.71 ,$292.71 ,$331.74 ,$331.74 , N/A ,$331.74 , N/A ,$316.13 ,$316.13 ,$316.13 ,$390.28 ,$351.25 , N/A ,$351.25 , N/A ,$390.28 ,$218.95 , N/A ,$161.58 , N/A , N/A , N/A ,$351.25 , N/A ,$216.22 ,$109.28 ,$351.25 , N/A ,$351.25 ,$351.25 , N/A ,$253.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$581.57 ,$418.73 ,$162.84 ,$581.57 , N/A ,$433.27 ,$380.93 , N/A ,$162.84 ,$357.67 , N/A ,$357.67 , N/A ,$322.19 ,$322.19 , N/A ,$322.19 , N/A ,$523.41 ,$482.70 , N/A , N/A ,$511.78 , N/A ,$436.18 ,$436.18 ,$494.33 ,$494.33 , N/A ,$494.33 , N/A ,$471.07 ,$471.07 ,$471.07 ,$581.57 ,$523.41 , N/A ,$523.41 , N/A ,$581.57 ,$326.26 , N/A ,$240.77 ,$257.03 ,$245.34 , N/A ,$523.41 , N/A ,$322.19 ,$162.84 ,$523.41 , N/A ,$523.41 ,$523.41 , N/A ,$378.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$545.29 ,$392.61 ,$152.68 ,$545.29 , N/A ,$406.24 ,$357.17 , N/A ,$152.68 ,$335.35 , N/A ,$335.35 , N/A ,$302.09 ,$302.09 , N/A ,$302.09 , N/A ,$490.76 ,$452.59 , N/A , N/A ,$479.86 , N/A ,$408.97 ,$408.97 ,$463.50 ,$463.50 , N/A ,$463.50 , N/A ,$441.68 ,$441.68 ,$441.68 ,$545.29 ,$490.76 , N/A ,$490.76 , N/A ,$545.29 ,$305.91 , N/A ,$225.75 ,$257.03 ,$245.34 , N/A ,$490.76 , N/A ,$302.09 ,$152.68 ,$490.76 , N/A ,$490.76 ,$490.76 , N/A ,$354.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 , N/A , N/A , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000016,27648,HC ARTHROGRAM INJ ANKLE,320,1 ,$255.06 ,$183.64 ,$71.42 ,$255.06 , N/A ,$190.02 ,$167.06 , N/A ,$71.42 ,$156.86 , N/A ,$156.86 , N/A ,$141.30 ,$141.30 , N/A ,$141.30 , N/A ,$229.55 ,$211.70 , N/A , N/A ,$224.45 , N/A ,$191.30 ,$191.30 ,$216.80 ,$216.80 , N/A ,$216.80 , N/A ,$206.60 ,$206.60 ,$206.60 ,$255.06 ,$229.55 , N/A ,$229.55 , N/A ,$255.06 ,$143.09 , N/A ,$105.59 ,$255.06 ,$245.34 , N/A ,$229.55 , N/A ,$141.30 ,$71.42 ,$229.55 , N/A ,$229.55 ,$229.55 , N/A ,$165.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000018,32550,HC INSERT CATH PLEURAL INDWELL W/,320,1 ,"$6,690.00 ","$4,816.80 ",$488.89 ,"$7,894.78 ","$6,690.00 ","$4,984.05 ","$4,381.95 ","$3,570.10 ","$1,873.20 ","$4,114.35 ","$3,570.10 ","$4,114.35 ","$3,570.10 ","$3,706.26 ","$3,706.26 ","$3,570.10 ","$3,706.26 ","$6,690.00 ","$6,021.00 ",$800.00 ,"$6,690.00 ","$3,570.10 ","$5,887.20 ","$3,641.50 ","$5,017.50 ","$5,017.50 ","$5,686.50 ","$5,686.50 ","$3,570.10 ","$5,686.50 ","$3,570.10 ","$5,418.90 ","$5,418.90 ","$5,418.90 ","$6,690.00 ","$6,021.00 ","$6,690.00 ","$6,021.00 ","$3,570.10 ","$6,690.00 ","$3,753.09 ","$3,570.10 ","$2,769.66 ",$512.17 ,$488.89 ,"$3,736.77 ","$6,021.00 ","$7,894.78 ","$3,706.26 ","$1,873.20 ","$6,021.00 ","$3,570.10 ","$6,021.00 ","$6,021.00 ","$3,570.10 ","$4,348.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,"$4,676.00 ","$3,366.72 ",$488.89 ,"$4,676.00 ","$3,673.55 ","$3,483.62 ","$3,062.78 ","$1,499.68 ","$1,309.28 ","$2,875.74 ","$1,499.68 ","$2,875.74 ","$1,499.68 ","$2,590.50 ","$2,590.50 ","$1,499.68 ","$2,590.50 ","$3,091.16 ","$4,208.40 ",$800.00 ,"$3,673.55 ","$1,499.68 ","$4,114.88 ","$1,529.68 ","$3,507.00 ","$3,507.00 ","$3,974.60 ","$3,974.60 ","$1,499.68 ","$3,974.60 ","$1,499.68 ","$3,787.56 ","$3,787.56 ","$3,787.56 ","$4,676.00 ","$4,208.40 ","$3,673.55 ","$4,208.40 ","$1,499.68 ","$4,676.00 ","$2,623.24 ","$1,499.68 ","$1,935.86 ",$512.17 ,$488.89 ,"$1,569.70 ","$4,208.40 ","$3,316.34 ","$2,590.50 ","$1,309.28 ","$4,208.40 ","$1,499.68 ","$4,208.40 ","$4,208.40 ","$1,499.68 ","$3,039.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000020,32552,HC REMOVAL TUNNELED PLEURAL CATH,320,1 ,"$1,892.00 ","$1,362.24 ",$488.89 ,"$1,892.00 ","$1,428.34 ","$1,409.54 ","$1,239.26 ",$583.10 ,$529.76 ,"$1,163.58 ",$583.10 ,"$1,163.58 ",$583.10 ,"$1,048.17 ","$1,048.17 ",$583.10 ,"$1,048.17 ","$1,201.89 ","$1,702.80 ",$800.00 ,"$1,428.34 ",$583.10 ,"$1,664.96 ",$594.76 ,"$1,419.00 ","$1,419.00 ","$1,608.20 ","$1,608.20 ",$583.10 ,"$1,608.20 ",$583.10 ,"$1,532.52 ","$1,532.52 ","$1,532.52 ","$1,892.00 ","$1,702.80 ","$1,428.34 ","$1,702.80 ",$583.10 ,"$1,892.00 ","$1,061.41 ",$583.10 ,$783.29 ,$512.17 ,$488.89 ,$610.32 ,"$1,702.80 ","$1,289.45 ","$1,048.17 ",$529.76 ,"$1,702.80 ",$583.10 ,"$1,702.80 ","$1,702.80 ",$583.10 ,"$1,229.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000026,36000,HC IV START > 3YR OLD,320,1 ,$318.00 ,$228.96 ,$89.04 ,$318.00 , N/A ,$236.91 ,$208.29 , N/A ,$89.04 ,$195.57 , N/A ,$195.57 , N/A ,$176.17 ,$176.17 , N/A ,$176.17 , N/A ,$286.20 ,$263.94 , N/A , N/A ,$279.84 , N/A ,$238.50 ,$238.50 ,$270.30 ,$270.30 , N/A ,$270.30 , N/A ,$257.58 ,$257.58 ,$257.58 ,$318.00 ,$286.20 , N/A ,$286.20 , N/A ,$318.00 ,$178.40 , N/A ,$131.65 ,$206.51 ,$197.13 , N/A ,$286.20 , N/A ,$176.17 ,$89.04 ,$286.20 , N/A ,$286.20 ,$286.20 , N/A ,$206.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000026,36000,HC IV START > 3YR OLD,320,1 ,$478.00 ,$344.16 ,$133.84 ,$478.00 , N/A ,$356.11 ,$313.09 , N/A ,$133.84 ,$293.97 , N/A ,$293.97 , N/A ,$264.81 ,$264.81 , N/A ,$264.81 , N/A ,$430.20 ,$396.74 , N/A , N/A ,$420.64 , N/A ,$358.50 ,$358.50 ,$406.30 ,$406.30 , N/A ,$406.30 , N/A ,$387.18 ,$387.18 ,$387.18 ,$478.00 ,$430.20 , N/A ,$430.20 , N/A ,$478.00 ,$268.16 , N/A ,$197.89 ,$206.51 ,$197.13 , N/A ,$430.20 , N/A ,$264.81 ,$133.84 ,$430.20 , N/A ,$430.20 ,$430.20 , N/A ,$310.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000028,36005,HC VENOGRAM INJECTION 36005,320,1 ,"$1,242.00 ",$894.24 ,$245.34 ,"$1,242.00 ", N/A ,$925.29 ,$813.51 , N/A ,$347.76 ,$763.83 , N/A ,$763.83 , N/A ,$688.07 ,$688.07 , N/A ,$688.07 , N/A ,"$1,117.80 ",$800.00 , N/A , N/A ,"$1,092.96 ", N/A ,$931.50 ,$931.50 ,"$1,055.70 ","$1,055.70 ", N/A ,"$1,055.70 ", N/A ,"$1,006.02 ","$1,006.02 ","$1,006.02 ","$1,242.00 ","$1,117.80 ", N/A ,"$1,117.80 ", N/A ,"$1,242.00 ",$696.76 , N/A ,$514.19 ,$257.03 ,$245.34 , N/A ,"$1,117.80 ", N/A ,$688.07 ,$347.76 ,"$1,117.80 ", N/A ,"$1,117.80 ","$1,117.80 ", N/A ,$807.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000028,36005,HC VENOGRAM INJECTION 36005,320,1 ,"$1,864.00 ","$1,342.08 ",$368.01 ,"$1,864.00 ", N/A ,"$1,388.68 ","$1,220.92 ", N/A ,$521.92 ,"$1,146.36 ", N/A ,"$1,146.36 ", N/A ,"$1,032.66 ","$1,032.66 ", N/A ,"$1,032.66 ", N/A ,"$1,677.60 ",$800.00 , N/A , N/A ,"$1,640.32 ", N/A ,"$1,398.00 ","$1,398.00 ","$1,584.40 ","$1,584.40 ", N/A ,"$1,584.40 ", N/A ,"$1,509.84 ","$1,509.84 ","$1,509.84 ","$1,864.00 ","$1,677.60 ", N/A ,"$1,677.60 ", N/A ,"$1,864.00 ","$1,045.70 ", N/A ,$771.70 ,$385.54 ,$368.01 , N/A ,"$1,677.60 ", N/A ,"$1,032.66 ",$521.92 ,"$1,677.60 ", N/A ,"$1,677.60 ","$1,677.60 ", N/A ,"$1,211.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 , N/A , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 ,$10.00 ,$10.00 , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$509.01 ,$366.49 ,$142.52 ,$509.01 ,$509.01 ,$379.21 ,$333.40 ,$208.21 ,$142.52 ,$313.04 ,$208.21 ,$313.04 ,$208.21 ,$281.99 ,$281.99 ,$208.21 ,$281.99 ,$429.17 ,$458.11 ,$422.48 ,$509.01 ,$208.21 ,$447.93 ,$212.38 ,$381.76 ,$381.76 ,$432.66 ,$432.66 ,$208.21 ,$432.66 ,$208.21 ,$412.30 ,$412.30 ,$412.30 ,$509.01 ,$458.11 ,$509.01 ,$458.11 ,$208.21 ,$509.01 ,$285.55 ,$208.21 ,$210.73 ,$509.01 ,$509.01 ,$217.93 ,$458.11 ,$460.43 ,$281.99 ,$142.52 ,$458.11 ,$208.21 ,$458.11 ,$458.11 ,$208.21 ,$330.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000031,36598,HC CONTRAST INJ CENTRAL VENOUS CATH W/FLUORO,320,1 ,$509.01 ,$366.49 ,$142.52 ,$509.01 ,$509.01 ,$379.21 ,$333.40 ,$208.21 ,$142.52 ,$313.04 ,$208.21 ,$313.04 ,$208.21 ,$281.99 ,$281.99 ,$208.21 ,$281.99 ,$429.17 ,$458.11 ,$422.48 ,$509.01 ,$208.21 ,$447.93 ,$212.38 ,$381.76 ,$381.76 ,$432.66 ,$432.66 ,$208.21 ,$432.66 ,$208.21 ,$412.30 ,$412.30 ,$412.30 ,$509.01 ,$458.11 ,$509.01 ,$458.11 ,$208.21 ,$509.01 ,$285.55 ,$208.21 ,$210.73 ,$509.01 ,$509.01 ,$217.93 ,$458.11 ,$460.43 ,$281.99 ,$142.52 ,$458.11 ,$208.21 ,$458.11 ,$458.11 ,$208.21 ,$330.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$284.00 ,$204.48 ,$79.52 ,$841.58 ,$284.00 ,$211.58 ,$186.02 ,$278.32 ,$79.52 ,$174.66 ,$278.32 ,$174.66 ,$278.32 ,$157.34 ,$157.34 ,$278.32 ,$157.34 ,$284.00 ,$255.60 ,$235.72 ,$284.00 ,$278.32 ,$249.92 ,$283.89 ,$213.00 ,$213.00 ,$241.40 ,$241.40 ,$278.32 ,$241.40 ,$278.32 ,$230.04 ,$230.04 ,$230.04 ,$284.00 ,$255.60 ,$284.00 ,$255.60 ,$278.32 ,$284.00 ,$159.32 ,$278.32 ,$117.58 ,$284.00 ,$284.00 ,$278.32 ,$255.60 ,$841.58 ,$157.34 ,$79.52 ,$255.60 ,$278.32 ,$255.60 ,$255.60 ,$278.32 ,$184.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000036,43761,HC REPOSITION G-TUBE,320,1 ,$798.42 ,$574.86 ,$84.39 ,$798.42 ,$530.52 ,$594.82 ,$522.97 ,$216.58 ,$223.56 ,$491.03 ,$216.58 ,$491.03 ,$216.58 ,$442.32 ,$442.32 ,$216.58 ,$442.32 ,$446.41 ,$718.58 ,$662.69 ,$530.52 ,$216.58 ,$702.61 ,$220.91 ,$598.82 ,$598.82 ,$678.66 ,$678.66 ,$216.58 ,$678.66 ,$216.58 ,$646.72 ,$646.72 ,$646.72 ,$798.42 ,$718.58 ,$530.52 ,$718.58 ,$216.58 ,$798.42 ,$447.91 ,$216.58 ,$330.55 ,$88.41 ,$84.39 ,$226.69 ,$718.58 ,$478.93 ,$442.32 ,$223.56 ,$718.58 ,$216.58 ,$718.58 ,$718.58 ,$216.58 ,$518.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000044,47535,HC REVISE/REINSERT TUBE TRNSHEPAT,320,1 ,"$6,146.00 ","$4,425.12 ",$800.00 ,"$7,894.78 ","$6,146.00 ","$4,578.77 ","$4,025.63 ","$3,570.10 ","$1,720.88 ","$3,779.79 ","$3,570.10 ","$3,779.79 ","$3,570.10 ","$3,404.88 ","$3,404.88 ","$3,570.10 ","$3,404.88 ","$6,146.00 ","$5,531.40 ",$800.00 ,"$6,146.00 ","$3,570.10 ","$5,408.48 ","$3,641.50 ","$4,609.50 ","$4,609.50 ","$5,224.10 ","$5,224.10 ","$3,570.10 ","$5,224.10 ","$3,570.10 ","$4,978.26 ","$4,978.26 ","$4,978.26 ","$6,146.00 ","$5,531.40 ","$6,146.00 ","$5,531.40 ","$3,570.10 ","$6,146.00 ","$3,447.91 ","$3,570.10 ","$2,544.44 ","$1,246.39 ","$1,189.73 ","$3,736.77 ","$5,531.40 ","$7,894.78 ","$3,404.88 ","$1,720.88 ","$5,531.40 ","$3,570.10 ","$5,531.40 ","$5,531.40 ","$3,570.10 ","$3,994.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000051,49406,HC DRN ABSC RETROPERITONEAL PERC,320,1 ,"$4,043.00 ","$2,910.96 ",$488.89 ,"$4,043.00 ","$3,702.44 ","$3,012.04 ","$2,648.17 ","$1,511.47 ","$1,132.04 ","$2,486.45 ","$1,511.47 ","$2,486.45 ","$1,511.47 ","$2,239.82 ","$2,239.82 ","$1,511.47 ","$2,239.82 ","$3,115.46 ","$3,638.70 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,557.84 ","$1,541.71 ","$3,032.25 ","$3,032.25 ","$3,436.55 ","$3,436.55 ","$1,511.47 ","$3,436.55 ","$1,511.47 ","$3,274.83 ","$3,274.83 ","$3,274.83 ","$4,043.00 ","$3,638.70 ","$3,702.44 ","$3,638.70 ","$1,511.47 ","$4,043.00 ","$2,268.12 ","$1,511.47 ","$1,673.80 ",$512.17 ,$488.89 ,"$1,582.04 ","$3,638.70 ","$3,342.42 ","$2,239.82 ","$1,132.04 ","$3,638.70 ","$1,511.47 ","$3,638.70 ","$3,638.70 ","$1,511.47 ","$2,627.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000053,49423,HC EXCHG CATH ABSC/CYST DRAIN,320,1 ,"$1,847.00 ","$1,329.84 ",$488.89 ,"$3,881.92 ","$1,847.00 ","$1,376.02 ","$1,209.79 ","$1,755.44 ",$517.16 ,"$1,135.91 ","$1,755.44 ","$1,135.91 ","$1,755.44 ","$1,023.24 ","$1,023.24 ","$1,755.44 ","$1,023.24 ","$1,847.00 ","$1,662.30 ",$800.00 ,"$1,847.00 ","$1,755.44 ","$1,625.36 ","$1,790.56 ","$1,385.25 ","$1,385.25 ","$1,569.95 ","$1,569.95 ","$1,755.44 ","$1,569.95 ","$1,755.44 ","$1,496.07 ","$1,496.07 ","$1,496.07 ","$1,847.00 ","$1,662.30 ","$1,847.00 ","$1,662.30 ","$1,755.44 ","$1,847.00 ","$1,036.17 ","$1,755.44 ",$764.66 ,$512.17 ,$488.89 ,"$1,810.06 ","$1,662.30 ","$3,881.92 ","$1,023.24 ",$517.16 ,"$1,662.30 ","$1,755.44 ","$1,662.30 ","$1,662.30 ","$1,755.44 ","$1,200.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000054,49424,HC INJ CONTRAST ABSC/CYST,320,1 ,"$1,531.50 ","$1,102.68 ",$245.34 ,"$1,531.50 ", N/A ,"$1,140.97 ","$1,003.13 ", N/A ,$428.82 ,$941.87 , N/A ,$941.87 , N/A ,$848.45 ,$848.45 , N/A ,$848.45 , N/A ,"$1,378.35 ",$800.00 , N/A , N/A ,"$1,347.72 ", N/A ,"$1,148.63 ","$1,148.63 ","$1,301.78 ","$1,301.78 ", N/A ,"$1,301.78 ", N/A ,"$1,240.52 ","$1,240.52 ","$1,240.52 ","$1,531.50 ","$1,378.35 ", N/A ,"$1,378.35 ", N/A ,"$1,531.50 ",$859.17 , N/A ,$634.04 ,$257.03 ,$245.34 , N/A ,"$1,378.35 ", N/A ,$848.45 ,$428.82 ,"$1,378.35 ", N/A ,"$1,378.35 ","$1,378.35 ", N/A ,$995.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,"$1,830.00 ","$1,317.60 ",$425.54 ,"$1,840.02 ","$1,830.00 ","$1,363.35 ","$1,198.65 ",$832.08 ,$512.40 ,"$1,125.45 ",$832.08 ,"$1,125.45 ",$832.08 ,"$1,013.82 ","$1,013.82 ",$832.08 ,"$1,013.82 ","$1,715.08 ","$1,647.00 ",$800.00 ,"$1,830.00 ",$832.08 ,"$1,610.40 ",$848.72 ,"$1,372.50 ","$1,372.50 ","$1,555.50 ","$1,555.50 ",$832.08 ,"$1,555.50 ",$832.08 ,"$1,482.30 ","$1,482.30 ","$1,482.30 ","$1,830.00 ","$1,647.00 ","$1,830.00 ","$1,647.00 ",$832.08 ,"$1,830.00 ","$1,026.63 ",$832.08 ,$757.62 ,$445.81 ,$425.54 ,$870.93 ,"$1,647.00 ","$1,840.02 ","$1,013.82 ",$512.40 ,"$1,647.00 ",$832.08 ,"$1,647.00 ","$1,647.00 ",$832.08 ,"$1,189.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000061,49451,HC RPLC DUODEN/JEJUN TB FLUORO,320,1 ,"$2,393.19 ","$1,723.10 ",$425.54 ,"$2,393.19 ","$2,038.21 ","$1,782.93 ","$1,567.54 ",$832.08 ,$670.09 ,"$1,471.81 ",$832.08 ,"$1,471.81 ",$832.08 ,"$1,325.83 ","$1,325.83 ",$832.08 ,"$1,325.83 ","$1,715.08 ","$2,153.87 ",$800.00 ,"$2,038.21 ",$832.08 ,"$2,106.01 ",$848.72 ,"$1,794.89 ","$1,794.89 ","$2,034.21 ","$2,034.21 ",$832.08 ,"$2,034.21 ",$832.08 ,"$1,938.48 ","$1,938.48 ","$1,938.48 ","$2,393.19 ","$2,153.87 ","$2,038.21 ","$2,153.87 ",$832.08 ,"$2,393.19 ","$1,342.58 ",$832.08 ,$990.78 ,$445.81 ,$425.54 ,$870.93 ,"$2,153.87 ","$1,840.02 ","$1,325.83 ",$670.09 ,"$2,153.87 ",$832.08 ,"$2,153.87 ","$2,153.87 ",$832.08 ,"$1,555.57 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000062,49452,HC RPLC GASTRO-JEJUN TB FLUORO,361,1 ,"$2,184.00 ","$1,572.48 ",$425.54 ,"$2,184.00 ","$2,038.21 ","$1,627.08 ","$1,430.52 ",$832.08 ,$611.52 ,"$1,343.16 ",$832.08 ,"$1,343.16 ",$832.08 ,"$1,209.94 ","$1,209.94 ",$832.08 ,"$1,209.94 ","$1,715.08 ","$1,965.60 ","$1,812.72 ","$2,038.21 ",$832.08 ,"$1,921.92 ",$848.72 ,"$1,638.00 ","$1,638.00 ","$1,856.40 ","$1,856.40 ",$832.08 ,"$1,856.40 ",$832.08 ,"$1,769.04 ","$1,769.04 ","$1,769.04 ","$2,184.00 ","$1,965.60 ","$2,038.21 ","$1,965.60 ",$832.08 ,"$2,184.00 ","$1,225.22 ",$832.08 ,$904.18 ,$445.81 ,$425.54 ,$870.93 ,"$1,965.60 ","$1,840.02 ","$1,209.94 ",$611.52 ,"$1,965.60 ",$832.08 ,"$1,965.60 ","$1,965.60 ",$832.08 ,"$1,419.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$706.00 ,$508.32 ,$197.68 ,$706.00 ,$576.57 ,$525.97 ,$462.43 ,$235.38 ,$197.68 ,$434.19 ,$235.38 ,$434.19 ,$235.38 ,$391.12 ,$391.12 ,$235.38 ,$391.12 ,$485.16 ,$635.40 ,$585.98 ,$576.57 ,$235.38 ,$621.28 ,$240.08 ,$529.50 ,$529.50 ,$600.10 ,$600.10 ,$235.38 ,$600.10 ,$235.38 ,$571.86 ,$571.86 ,$571.86 ,$706.00 ,$635.40 ,$576.57 ,$635.40 ,$235.38 ,$706.00 ,$396.07 ,$235.38 ,$292.28 ,$257.03 ,$245.34 ,$246.36 ,$635.40 ,$520.50 ,$391.12 ,$197.68 ,$635.40 ,$235.38 ,$635.40 ,$635.40 ,$235.38 ,$458.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000066,49405,HC DRN ABSC PERIRENAL  PERC,320,1 ,"$2,924.00 ","$2,105.28 ",$488.89 ,"$3,342.42 ","$2,924.00 ","$2,178.38 ","$1,915.22 ","$1,511.47 ",$818.72 ,"$1,798.26 ","$1,511.47 ","$1,798.26 ","$1,511.47 ","$1,619.90 ","$1,619.90 ","$1,511.47 ","$1,619.90 ","$2,924.00 ","$2,631.60 ",$800.00 ,"$2,924.00 ","$1,511.47 ","$2,573.12 ","$1,541.71 ","$2,193.00 ","$2,193.00 ","$2,485.40 ","$2,485.40 ","$1,511.47 ","$2,485.40 ","$1,511.47 ","$2,368.44 ","$2,368.44 ","$2,368.44 ","$2,924.00 ","$2,631.60 ","$2,924.00 ","$2,631.60 ","$1,511.47 ","$2,924.00 ","$1,640.36 ","$1,511.47 ","$1,210.54 ",$512.17 ,$488.89 ,"$1,582.04 ","$2,631.60 ","$3,342.42 ","$1,619.90 ",$818.72 ,"$2,631.60 ","$1,511.47 ","$2,631.60 ","$2,631.60 ","$1,511.47 ","$1,900.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000071,50387,HC CHANGE EXT/INT URET STENT,320,1 ,"$3,213.00 ","$2,313.36 ",$767.08 ,"$4,134.43 ","$3,213.00 ","$2,393.69 ","$2,104.52 ","$1,869.63 ",$899.64 ,"$1,976.00 ","$1,869.63 ","$1,976.00 ","$1,869.63 ","$1,780.00 ","$1,780.00 ","$1,869.63 ","$1,780.00 ","$3,213.00 ","$2,891.70 ",$800.00 ,"$3,213.00 ","$1,869.63 ","$2,827.44 ","$1,907.03 ","$2,409.75 ","$2,409.75 ","$2,731.05 ","$2,731.05 ","$1,869.63 ","$2,731.05 ","$1,869.63 ","$2,602.53 ","$2,602.53 ","$2,602.53 ","$3,213.00 ","$2,891.70 ","$3,213.00 ","$2,891.70 ","$1,869.63 ","$3,213.00 ","$1,802.49 ","$1,869.63 ","$1,330.18 ",$803.61 ,$767.08 ,"$1,956.91 ","$2,891.70 ","$4,134.43 ","$1,780.00 ",$899.64 ,"$2,891.70 ","$1,869.63 ","$2,891.70 ","$2,891.70 ","$1,869.63 ","$2,088.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000072,50389,HC REM NEPHRO TUBE FLUORO,320,1 ,"$1,291.00 ",$929.52 ,$361.48 ,"$1,393.85 ","$1,291.00 ",$961.80 ,$845.61 ,$630.32 ,$361.48 ,$793.97 ,$630.32 ,$793.97 ,$630.32 ,$715.21 ,$715.21 ,$630.32 ,$715.21 ,"$1,291.00 ","$1,161.90 ",$800.00 ,"$1,291.00 ",$630.32 ,"$1,136.08 ",$642.92 ,$968.25 ,$968.25 ,"$1,097.35 ","$1,097.35 ",$630.32 ,"$1,097.35 ",$630.32 ,"$1,045.71 ","$1,045.71 ","$1,045.71 ","$1,291.00 ","$1,161.90 ","$1,291.00 ","$1,161.90 ",$630.32 ,"$1,291.00 ",$724.25 ,$630.32 ,$534.47 ,$803.61 ,$767.08 ,$659.74 ,"$1,161.90 ","$1,393.85 ",$715.21 ,$361.48 ,"$1,161.90 ",$630.32 ,"$1,161.90 ","$1,161.90 ",$630.32 ,$839.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000077,50693,HC INTRO GUIDE RENAL PELVIS URET DIL,320,1 ,"$6,331.00 ","$4,558.32 ",$800.00 ,"$7,144.05 ","$6,331.00 ","$4,716.60 ","$4,146.81 ","$3,230.61 ","$1,772.68 ","$3,893.57 ","$3,230.61 ","$3,893.57 ","$3,230.61 ","$3,507.37 ","$3,507.37 ","$3,230.61 ","$3,507.37 ","$6,331.00 ","$5,697.90 ",$800.00 ,"$6,331.00 ","$3,230.61 ","$5,571.28 ","$3,295.22 ","$4,748.25 ","$4,748.25 ","$5,381.35 ","$5,381.35 ","$3,230.61 ","$5,381.35 ","$3,230.61 ","$5,128.11 ","$5,128.11 ","$5,128.11 ","$6,331.00 ","$5,697.90 ","$6,331.00 ","$5,697.90 ","$3,230.61 ","$6,331.00 ","$3,551.69 ","$3,230.61 ","$2,621.03 ","$1,709.38 ","$1,631.68 ","$3,381.43 ","$5,697.90 ","$7,144.05 ","$3,507.37 ","$1,772.68 ","$5,697.90 ","$3,230.61 ","$5,697.90 ","$5,697.90 ","$3,230.61 ","$4,115.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000079,50435,HC CHANGE NEPHROSTOMY TUBE,320,1 ,"$5,012.00 ","$3,608.64 ",$767.08 ,"$5,012.00 ","$4,579.76 ","$3,733.94 ","$3,282.86 ","$1,869.63 ","$1,403.36 ","$3,082.38 ","$1,869.63 ","$3,082.38 ","$1,869.63 ","$2,776.65 ","$2,776.65 ","$1,869.63 ","$2,776.65 ","$3,853.70 ","$4,510.80 ",$800.00 ,"$4,579.76 ","$1,869.63 ","$4,410.56 ","$1,907.03 ","$3,759.00 ","$3,759.00 ","$4,260.20 ","$4,260.20 ","$1,869.63 ","$4,260.20 ","$1,869.63 ","$4,059.72 ","$4,059.72 ","$4,059.72 ","$5,012.00 ","$4,510.80 ","$4,579.76 ","$4,510.80 ","$1,869.63 ","$5,012.00 ","$2,811.73 ","$1,869.63 ","$2,074.97 ",$803.61 ,$767.08 ,"$1,956.91 ","$4,510.80 ","$4,134.43 ","$2,776.65 ","$1,403.36 ","$4,510.80 ","$1,869.63 ","$4,510.80 ","$4,510.80 ","$1,869.63 ","$3,257.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000079,50435,HC CHANGE NEPHROSTOMY TUBE,320,1 ,"$7,518.00 ","$5,412.96 ",$800.00 ,"$7,518.00 ","$4,579.76 ","$5,600.91 ","$4,924.29 ","$1,869.63 ","$2,105.04 ","$4,623.57 ","$1,869.63 ","$4,623.57 ","$1,869.63 ","$4,164.97 ","$4,164.97 ","$1,869.63 ","$4,164.97 ","$3,853.70 ","$6,766.20 ",$800.00 ,"$4,579.76 ","$1,869.63 ","$6,615.84 ","$1,907.03 ","$5,638.50 ","$5,638.50 ","$6,390.30 ","$6,390.30 ","$1,869.63 ","$6,390.30 ","$1,869.63 ","$6,089.58 ","$6,089.58 ","$6,089.58 ","$7,518.00 ","$6,766.20 ","$4,579.76 ","$6,766.20 ","$1,869.63 ","$7,518.00 ","$4,217.60 ","$1,869.63 ","$3,112.45 ","$1,205.41 ","$1,150.62 ","$1,956.91 ","$6,766.20 ","$4,134.43 ","$4,164.97 ","$2,105.04 ","$6,766.20 ","$1,869.63 ","$6,766.20 ","$6,766.20 ","$1,869.63 ","$4,886.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000083,50690,HC INJ ILEAL CONDUIT,320,1 ,$281.44 ,$202.64 ,$78.80 ,$281.44 , N/A ,$209.67 ,$184.34 , N/A ,$78.80 ,$173.09 , N/A ,$173.09 , N/A ,$155.92 ,$155.92 , N/A ,$155.92 , N/A ,$253.30 ,$233.60 , N/A , N/A ,$247.67 , N/A ,$211.08 ,$211.08 ,$239.22 ,$239.22 , N/A ,$239.22 , N/A ,$227.97 ,$227.97 ,$227.97 ,$281.44 ,$253.30 , N/A ,$253.30 , N/A ,$281.44 ,$157.89 , N/A ,$116.52 ,$257.03 ,$245.34 , N/A ,$253.30 , N/A ,$155.92 ,$78.80 ,$253.30 , N/A ,$253.30 ,$253.30 , N/A ,$182.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000085,51600,HC INJ CYSTOGRAM,320,1 ,$709.10 ,$510.55 ,$198.55 ,$709.10 , N/A ,$528.28 ,$464.46 , N/A ,$198.55 ,$436.10 , N/A ,$436.10 , N/A ,$392.84 ,$392.84 , N/A ,$392.84 , N/A ,$638.19 ,$588.55 , N/A , N/A ,$624.01 , N/A ,$531.83 ,$531.83 ,$602.74 ,$602.74 , N/A ,$602.74 , N/A ,$574.37 ,$574.37 ,$574.37 ,$709.10 ,$638.19 , N/A ,$638.19 , N/A ,$709.10 ,$397.81 , N/A ,$293.57 ,$257.03 ,$245.34 , N/A ,$638.19 , N/A ,$392.84 ,$198.55 ,$638.19 , N/A ,$638.19 ,$638.19 , N/A ,$460.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000086,51610,HC INJ URETHROCYSTOGRAM RETRO,320,1 ,$326.52 ,$235.09 ,$91.43 ,$326.52 , N/A ,$243.26 ,$213.87 , N/A ,$91.43 ,$200.81 , N/A ,$200.81 , N/A ,$180.89 ,$180.89 , N/A ,$180.89 , N/A ,$293.87 ,$271.01 , N/A , N/A ,$287.34 , N/A ,$244.89 ,$244.89 ,$277.54 ,$277.54 , N/A ,$277.54 , N/A ,$264.48 ,$264.48 ,$264.48 ,$326.52 ,$293.87 , N/A ,$293.87 , N/A ,$326.52 ,$183.18 , N/A ,$135.18 ,$257.03 ,$245.34 , N/A ,$293.87 , N/A ,$180.89 ,$91.43 ,$293.87 , N/A ,$293.87 ,$293.87 , N/A ,$212.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000087,58340,HC CATH/INTRO SALINE/CONTRAST SIS,320,1 ,$672.82 ,$484.43 ,$188.39 ,$672.82 , N/A ,$501.25 ,$440.70 , N/A ,$188.39 ,$413.78 , N/A ,$413.78 , N/A ,$372.74 ,$372.74 , N/A ,$372.74 , N/A ,$605.54 ,$558.44 , N/A , N/A ,$592.08 , N/A ,$504.62 ,$504.62 ,$571.90 ,$571.90 , N/A ,$571.90 , N/A ,$544.98 ,$544.98 ,$544.98 ,$672.82 ,$605.54 , N/A ,$605.54 , N/A ,$672.82 ,$377.45 , N/A ,$278.55 ,$257.03 ,$245.34 , N/A ,$605.54 , N/A ,$372.74 ,$188.39 ,$605.54 , N/A ,$605.54 ,$605.54 , N/A ,$437.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$650.49 ,$468.35 ,$39.33 ,$650.49 ,$214.51 ,$484.62 ,$426.07 ,$87.57 ,$182.14 ,$400.05 ,$87.57 ,$400.05 ,$87.57 ,$360.37 ,$360.37 ,$87.57 ,$360.37 ,$180.50 ,$585.44 ,$539.91 ,$214.51 ,$87.57 ,$572.43 ,$89.33 ,$487.87 ,$487.87 ,$552.92 ,$552.92 ,$87.57 ,$552.92 ,$87.57 ,$526.90 ,$526.90 ,$526.90 ,$650.49 ,$585.44 ,$214.51 ,$585.44 ,$87.57 ,$650.49 ,$364.92 ,$87.57 ,$269.30 ,$41.21 ,$39.33 ,$91.66 ,$585.44 ,$193.65 ,$360.37 ,$182.14 ,$585.44 ,$87.57 ,$585.44 ,$585.44 ,$87.57 ,$422.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$978.37 ,$704.43 ,$39.33 ,$978.37 ,$263.89 ,$728.89 ,$640.83 ,$107.73 ,$273.94 ,$601.70 ,$107.73 ,$601.70 ,$107.73 ,$542.02 ,$542.02 ,$107.73 ,$542.02 ,$222.05 ,$880.53 ,$800.00 ,$263.89 ,$107.73 ,$860.97 ,$109.89 ,$733.78 ,$733.78 ,$831.61 ,$831.61 ,$107.73 ,$831.61 ,$107.73 ,$792.48 ,$792.48 ,$792.48 ,$978.37 ,$880.53 ,$263.89 ,$880.53 ,$107.73 ,$978.37 ,$548.87 ,$107.73 ,$405.05 ,$41.21 ,$39.33 ,$112.76 ,$880.53 ,$238.23 ,$542.02 ,$273.94 ,$880.53 ,$107.73 ,$880.53 ,$880.53 ,$107.73 ,$635.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$319.66 ,$230.16 ,$39.33 ,$319.66 ,$214.51 ,$238.15 ,$209.38 ,$87.57 ,$89.50 ,$196.59 ,$87.57 ,$196.59 ,$87.57 ,$177.09 ,$177.09 ,$87.57 ,$177.09 ,$180.50 ,$287.69 ,$265.32 ,$214.51 ,$87.57 ,$281.30 ,$89.33 ,$239.75 ,$239.75 ,$271.71 ,$271.71 ,$87.57 ,$271.71 ,$87.57 ,$258.92 ,$258.92 ,$258.92 ,$319.66 ,$287.69 ,$214.51 ,$287.69 ,$87.57 ,$319.66 ,$179.33 ,$87.57 ,$132.34 ,$41.21 ,$39.33 ,$91.66 ,$287.69 ,$193.65 ,$177.09 ,$89.50 ,$287.69 ,$87.57 ,$287.69 ,$287.69 ,$87.57 ,$207.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$930.37 ,$669.87 ,$39.33 ,$930.37 ,$263.89 ,$693.13 ,$609.39 ,$107.73 ,$260.50 ,$572.18 ,$107.73 ,$572.18 ,$107.73 ,$515.43 ,$515.43 ,$107.73 ,$515.43 ,$222.05 ,$837.33 ,$772.21 ,$263.89 ,$107.73 ,$818.73 ,$109.89 ,$697.78 ,$697.78 ,$790.81 ,$790.81 ,$107.73 ,$790.81 ,$107.73 ,$753.60 ,$753.60 ,$753.60 ,$930.37 ,$837.33 ,$263.89 ,$837.33 ,$107.73 ,$930.37 ,$521.94 ,$107.73 ,$385.17 ,$41.21 ,$39.33 ,$112.76 ,$837.33 ,$238.23 ,$515.43 ,$260.50 ,$837.33 ,$107.73 ,$837.33 ,$837.33 ,$107.73 ,$604.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$673.01 ,$484.57 ,$39.33 ,$673.01 ,$214.51 ,$501.39 ,$440.82 ,$87.57 ,$188.44 ,$413.90 ,$87.57 ,$413.90 ,$87.57 ,$372.85 ,$372.85 ,$87.57 ,$372.85 ,$180.50 ,$605.71 ,$558.60 ,$214.51 ,$87.57 ,$592.25 ,$89.33 ,$504.76 ,$504.76 ,$572.06 ,$572.06 ,$87.57 ,$572.06 ,$87.57 ,$545.14 ,$545.14 ,$545.14 ,$673.01 ,$605.71 ,$214.51 ,$605.71 ,$87.57 ,$673.01 ,$377.56 ,$87.57 ,$278.63 ,$41.21 ,$39.33 ,$91.66 ,$605.71 ,$193.65 ,$372.85 ,$188.44 ,$605.71 ,$87.57 ,$605.71 ,$605.71 ,$87.57 ,$437.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$724.08 ,$521.34 ,$39.33 ,$724.08 ,$263.89 ,$539.44 ,$474.27 ,$107.73 ,$202.74 ,$445.31 ,$107.73 ,$445.31 ,$107.73 ,$401.14 ,$401.14 ,$107.73 ,$401.14 ,$222.05 ,$651.67 ,$600.99 ,$263.89 ,$107.73 ,$637.19 ,$109.89 ,$543.06 ,$543.06 ,$615.47 ,$615.47 ,$107.73 ,$615.47 ,$107.73 ,$586.50 ,$586.50 ,$586.50 ,$724.08 ,$651.67 ,$263.89 ,$651.67 ,$107.73 ,$724.08 ,$406.21 ,$107.73 ,$299.77 ,$41.21 ,$39.33 ,$112.76 ,$651.67 ,$238.23 ,$401.14 ,$202.74 ,$651.67 ,$107.73 ,$651.67 ,$651.67 ,$107.73 ,$470.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$271.66 ,$195.60 ,$39.33 ,$271.66 ,$214.51 ,$202.39 ,$177.94 ,$87.57 ,$76.06 ,$167.07 ,$87.57 ,$167.07 ,$87.57 ,$150.50 ,$150.50 ,$87.57 ,$150.50 ,$180.50 ,$244.49 ,$225.48 ,$214.51 ,$87.57 ,$239.06 ,$89.33 ,$203.75 ,$203.75 ,$230.91 ,$230.91 ,$87.57 ,$230.91 ,$87.57 ,$220.04 ,$220.04 ,$220.04 ,$271.66 ,$244.49 ,$214.51 ,$244.49 ,$87.57 ,$271.66 ,$152.40 ,$87.57 ,$112.47 ,$41.21 ,$39.33 ,$91.66 ,$244.49 ,$193.65 ,$150.50 ,$76.06 ,$244.49 ,$87.57 ,$244.49 ,$244.49 ,$87.57 ,$176.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$780.24 ,$561.77 ,$39.33 ,$780.24 ,$214.51 ,$581.28 ,$511.06 ,$87.57 ,$218.47 ,$479.85 ,$87.57 ,$479.85 ,$87.57 ,$432.25 ,$432.25 ,$87.57 ,$432.25 ,$180.50 ,$702.22 ,$647.60 ,$214.51 ,$87.57 ,$686.61 ,$89.33 ,$585.18 ,$585.18 ,$663.20 ,$663.20 ,$87.57 ,$663.20 ,$87.57 ,$631.99 ,$631.99 ,$631.99 ,$780.24 ,$702.22 ,$214.51 ,$702.22 ,$87.57 ,$780.24 ,$437.71 ,$87.57 ,$323.02 ,$41.21 ,$39.33 ,$91.66 ,$702.22 ,$193.65 ,$432.25 ,$218.47 ,$702.22 ,$87.57 ,$702.22 ,$702.22 ,$87.57 ,$507.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$412.59 ,$297.06 ,$39.33 ,$412.59 ,$263.89 ,$307.38 ,$270.25 ,$107.73 ,$115.53 ,$253.74 ,$107.73 ,$253.74 ,$107.73 ,$228.57 ,$228.57 ,$107.73 ,$228.57 ,$222.05 ,$371.33 ,$342.45 ,$263.89 ,$107.73 ,$363.08 ,$109.89 ,$309.44 ,$309.44 ,$350.70 ,$350.70 ,$107.73 ,$350.70 ,$107.73 ,$334.20 ,$334.20 ,$334.20 ,$412.59 ,$371.33 ,$263.89 ,$371.33 ,$107.73 ,$412.59 ,$231.46 ,$107.73 ,$170.81 ,$41.21 ,$39.33 ,$112.76 ,$371.33 ,$238.23 ,$228.57 ,$115.53 ,$371.33 ,$107.73 ,$371.33 ,$371.33 ,$107.73 ,$268.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$920.16 ,$662.52 ,$39.33 ,$920.16 ,$263.89 ,$685.52 ,$602.70 ,$107.73 ,$257.64 ,$565.90 ,$107.73 ,$565.90 ,$107.73 ,$509.77 ,$509.77 ,$107.73 ,$509.77 ,$222.05 ,$828.14 ,$763.73 ,$263.89 ,$107.73 ,$809.74 ,$109.89 ,$690.12 ,$690.12 ,$782.14 ,$782.14 ,$107.73 ,$782.14 ,$107.73 ,$745.33 ,$745.33 ,$745.33 ,$920.16 ,$828.14 ,$263.89 ,$828.14 ,$107.73 ,$920.16 ,$516.21 ,$107.73 ,$380.95 ,$41.21 ,$39.33 ,$112.76 ,$828.14 ,$238.23 ,$509.77 ,$257.64 ,$828.14 ,$107.73 ,$828.14 ,$828.14 ,$107.73 ,$598.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$691.40 ,$497.81 ,$39.33 ,$691.40 ,$214.51 ,$515.09 ,$452.87 ,$87.57 ,$193.59 ,$425.21 ,$87.57 ,$425.21 ,$87.57 ,$383.04 ,$383.04 ,$87.57 ,$383.04 ,$180.50 ,$622.26 ,$573.86 ,$214.51 ,$87.57 ,$608.43 ,$89.33 ,$518.55 ,$518.55 ,$587.69 ,$587.69 ,$87.57 ,$587.69 ,$87.57 ,$560.03 ,$560.03 ,$560.03 ,$691.40 ,$622.26 ,$214.51 ,$622.26 ,$87.57 ,$691.40 ,$387.88 ,$87.57 ,$286.24 ,$41.21 ,$39.33 ,$91.66 ,$622.26 ,$193.65 ,$383.04 ,$193.59 ,$622.26 ,$87.57 ,$622.26 ,$622.26 ,$87.57 ,$449.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000114,70336,HC MRI TMJ,320,1 ,"$3,200.45 ","$2,304.32 ",$165.24 ,"$3,200.45 ",$576.57 ,"$2,384.34 ","$2,096.29 ",$235.38 ,$896.13 ,"$1,968.28 ",$235.38 ,"$1,968.28 ",$235.38 ,"$1,773.05 ","$1,773.05 ",$235.38 ,"$1,773.05 ",$485.16 ,"$2,880.41 ",$800.00 ,$576.57 ,$235.38 ,"$2,816.40 ",$240.08 ,"$2,400.34 ","$2,400.34 ","$2,720.38 ","$2,720.38 ",$235.38 ,"$2,720.38 ",$235.38 ,"$2,592.36 ","$2,592.36 ","$2,592.36 ","$3,200.45 ","$2,880.41 ",$576.57 ,"$2,880.41 ",$235.38 ,"$3,200.45 ","$1,795.45 ",$235.38 ,"$1,324.99 ",$173.11 ,$165.24 ,$246.36 ,"$2,880.41 ",$520.50 ,"$1,773.05 ",$896.13 ,"$2,880.41 ",$235.38 ,"$2,880.41 ","$2,880.41 ",$235.38 ,"$2,080.29 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000115,70355,HC XRAY PAN MANDIBLE/MAXLA,320,1 ,$376.85 ,$271.33 ,$39.33 ,$376.85 ,$214.51 ,$280.75 ,$246.84 ,$87.57 ,$105.52 ,$231.76 ,$87.57 ,$231.76 ,$87.57 ,$208.77 ,$208.77 ,$87.57 ,$208.77 ,$180.50 ,$339.17 ,$312.79 ,$214.51 ,$87.57 ,$331.63 ,$89.33 ,$282.64 ,$282.64 ,$320.32 ,$320.32 ,$87.57 ,$320.32 ,$87.57 ,$305.25 ,$305.25 ,$305.25 ,$376.85 ,$339.17 ,$214.51 ,$339.17 ,$87.57 ,$376.85 ,$211.41 ,$87.57 ,$156.02 ,$41.21 ,$39.33 ,$91.66 ,$339.17 ,$193.65 ,$208.77 ,$105.52 ,$339.17 ,$87.57 ,$339.17 ,$339.17 ,$87.57 ,$244.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$534.22 ,$384.64 ,$39.33 ,$534.22 ,$214.51 ,$397.99 ,$349.91 ,$87.57 ,$149.58 ,$328.55 ,$87.57 ,$328.55 ,$87.57 ,$295.96 ,$295.96 ,$87.57 ,$295.96 ,$180.50 ,$480.80 ,$443.40 ,$214.51 ,$87.57 ,$470.11 ,$89.33 ,$400.67 ,$400.67 ,$454.09 ,$454.09 ,$87.57 ,$454.09 ,$87.57 ,$432.72 ,$432.72 ,$432.72 ,$534.22 ,$480.80 ,$214.51 ,$480.80 ,$87.57 ,$534.22 ,$299.70 ,$87.57 ,$221.17 ,$41.21 ,$39.33 ,$91.66 ,$480.80 ,$193.65 ,$295.96 ,$149.58 ,$480.80 ,$87.57 ,$480.80 ,$480.80 ,$87.57 ,$347.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000121,71045,HC XR CHEST 1V,320,1 ,$390.00 ,$280.80 ,$18.51 ,$390.00 ,$214.51 ,$290.55 ,$255.45 ,$87.57 ,$109.20 ,$239.85 ,$87.57 ,$239.85 ,$87.57 ,$216.06 ,$216.06 ,$87.57 ,$216.06 ,$180.50 ,$351.00 ,$323.70 ,$214.51 ,$87.57 ,$343.20 ,$89.33 ,$292.50 ,$292.50 ,$331.50 ,$331.50 ,$87.57 ,$331.50 ,$87.57 ,$315.90 ,$315.90 ,$315.90 ,$390.00 ,$351.00 ,$214.51 ,$351.00 ,$87.57 ,$18.51 ,$218.79 ,$87.57 ,$161.46 ,$41.21 ,$39.33 ,$91.66 ,$351.00 ,$193.65 ,$216.06 ,$109.20 ,$351.00 ,$87.57 ,$351.00 ,$351.00 ,$87.57 ,$253.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000127,71046,HC XR CHEST 2V,320,1 ,$524.00 ,$377.28 ,$24.81 ,$524.00 ,$214.51 ,$390.38 ,$343.22 ,$87.57 ,$146.72 ,$322.26 ,$87.57 ,$322.26 ,$87.57 ,$290.30 ,$290.30 ,$87.57 ,$290.30 ,$180.50 ,$471.60 ,$434.92 ,$214.51 ,$87.57 ,$461.12 ,$89.33 ,$393.00 ,$393.00 ,$445.40 ,$445.40 ,$87.57 ,$445.40 ,$87.57 ,$424.44 ,$424.44 ,$424.44 ,$524.00 ,$471.60 ,$214.51 ,$471.60 ,$87.57 ,$24.81 ,$293.96 ,$87.57 ,$216.94 ,$41.21 ,$39.33 ,$91.66 ,$471.60 ,$193.65 ,$290.30 ,$146.72 ,$471.60 ,$87.57 ,$471.60 ,$471.60 ,$87.57 ,$340.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$537.00 ,$386.64 ,$39.33 ,$537.00 ,$214.51 ,$400.07 ,$351.74 ,$87.57 ,$150.36 ,$330.26 ,$87.57 ,$330.26 ,$87.57 ,$297.50 ,$297.50 ,$87.57 ,$297.50 ,$180.50 ,$483.30 ,$445.71 ,$214.51 ,$87.57 ,$472.56 ,$89.33 ,$402.75 ,$402.75 ,$456.45 ,$456.45 ,$87.57 ,$456.45 ,$87.57 ,$434.97 ,$434.97 ,$434.97 ,$537.00 ,$483.30 ,$214.51 ,$483.30 ,$87.57 ,$537.00 ,$301.26 ,$87.57 ,$222.32 ,$41.21 ,$39.33 ,$91.66 ,$483.30 ,$193.65 ,$297.50 ,$150.36 ,$483.30 ,$87.57 ,$483.30 ,$483.30 ,$87.57 ,$349.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000133,71048,HC XR CHEST 4+V,320,1 ,$551.00 ,$396.72 ,$39.33 ,$551.00 ,$263.89 ,$410.50 ,$360.91 ,$107.73 ,$154.28 ,$338.87 ,$107.73 ,$338.87 ,$107.73 ,$305.25 ,$305.25 ,$107.73 ,$305.25 ,$222.05 ,$495.90 ,$457.33 ,$263.89 ,$107.73 ,$484.88 ,$109.89 ,$413.25 ,$413.25 ,$468.35 ,$468.35 ,$107.73 ,$468.35 ,$107.73 ,$446.31 ,$446.31 ,$446.31 ,$551.00 ,$495.90 ,$263.89 ,$495.90 ,$107.73 ,$551.00 ,$309.11 ,$107.73 ,$228.11 ,$41.21 ,$39.33 ,$112.76 ,$495.90 ,$238.23 ,$305.25 ,$154.28 ,$495.90 ,$107.73 ,$495.90 ,$495.90 ,$107.73 ,$358.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$524.00 ,$377.28 ,$24.81 ,$524.00 ,$214.51 ,$390.38 ,$343.22 ,$87.57 ,$146.72 ,$322.26 ,$87.57 ,$322.26 ,$87.57 ,$290.30 ,$290.30 ,$87.57 ,$290.30 ,$180.50 ,$471.60 ,$434.92 ,$214.51 ,$87.57 ,$461.12 ,$89.33 ,$393.00 ,$393.00 ,$445.40 ,$445.40 ,$87.57 ,$445.40 ,$87.57 ,$424.44 ,$424.44 ,$424.44 ,$524.00 ,$471.60 ,$214.51 ,$471.60 ,$87.57 ,$24.81 ,$293.96 ,$87.57 ,$216.94 ,$41.21 ,$39.33 ,$91.66 ,$471.60 ,$193.65 ,$290.30 ,$146.72 ,$471.60 ,$87.57 ,$471.60 ,$471.60 ,$87.57 ,$340.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000137,71100,HC XR RIBS 2V UNI,320,1 ,$628.08 ,$452.22 ,$39.33 ,$628.08 ,$214.51 ,$467.92 ,$411.39 ,$87.57 ,$175.86 ,$386.27 ,$87.57 ,$386.27 ,$87.57 ,$347.96 ,$347.96 ,$87.57 ,$347.96 ,$180.50 ,$565.27 ,$521.31 ,$214.51 ,$87.57 ,$552.71 ,$89.33 ,$471.06 ,$471.06 ,$533.87 ,$533.87 ,$87.57 ,$533.87 ,$87.57 ,$508.74 ,$508.74 ,$508.74 ,$628.08 ,$565.27 ,$214.51 ,$565.27 ,$87.57 ,$628.08 ,$352.35 ,$87.57 ,$260.03 ,$41.21 ,$39.33 ,$91.66 ,$565.27 ,$193.65 ,$347.96 ,$175.86 ,$565.27 ,$87.57 ,$565.27 ,$565.27 ,$87.57 ,$408.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$750.63 ,$540.45 ,$39.33 ,$750.63 ,$263.89 ,$559.22 ,$491.66 ,$107.73 ,$210.18 ,$461.64 ,$107.73 ,$461.64 ,$107.73 ,$415.85 ,$415.85 ,$107.73 ,$415.85 ,$222.05 ,$675.57 ,$623.02 ,$263.89 ,$107.73 ,$660.55 ,$109.89 ,$562.97 ,$562.97 ,$638.04 ,$638.04 ,$107.73 ,$638.04 ,$107.73 ,$608.01 ,$608.01 ,$608.01 ,$750.63 ,$675.57 ,$263.89 ,$675.57 ,$107.73 ,$750.63 ,$421.10 ,$107.73 ,$310.76 ,$41.21 ,$39.33 ,$112.76 ,$675.57 ,$238.23 ,$415.85 ,$210.18 ,$675.57 ,$107.73 ,$675.57 ,$675.57 ,$107.73 ,$487.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000139,71110,HC XR RIBS 3 V BIL,320,1 ,"$1,042.71 ",$750.75 ,$39.33 ,"$1,042.71 ",$263.89 ,$776.82 ,$682.98 ,$107.73 ,$291.96 ,$641.27 ,$107.73 ,$641.27 ,$107.73 ,$577.66 ,$577.66 ,$107.73 ,$577.66 ,$222.05 ,$938.44 ,$800.00 ,$263.89 ,$107.73 ,$917.58 ,$109.89 ,$782.03 ,$782.03 ,$886.30 ,$886.30 ,$107.73 ,$886.30 ,$107.73 ,$844.60 ,$844.60 ,$844.60 ,"$1,042.71 ",$938.44 ,$263.89 ,$938.44 ,$107.73 ,"$1,042.71 ",$584.96 ,$107.73 ,$431.68 ,$41.21 ,$39.33 ,$112.76 ,$938.44 ,$238.23 ,$577.66 ,$291.96 ,$938.44 ,$107.73 ,$938.44 ,$938.44 ,$107.73 ,$677.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,"$1,083.56 ",$780.16 ,$39.33 ,"$1,083.56 ",$263.89 ,$807.25 ,$709.73 ,$107.73 ,$303.40 ,$666.39 ,$107.73 ,$666.39 ,$107.73 ,$600.29 ,$600.29 ,$107.73 ,$600.29 ,$222.05 ,$975.20 ,$800.00 ,$263.89 ,$107.73 ,$953.53 ,$109.89 ,$812.67 ,$812.67 ,$921.03 ,$921.03 ,$107.73 ,$921.03 ,$107.73 ,$877.68 ,$877.68 ,$877.68 ,"$1,083.56 ",$975.20 ,$263.89 ,$975.20 ,$107.73 ,"$1,083.56 ",$607.88 ,$107.73 ,$448.59 ,$41.21 ,$39.33 ,$112.76 ,$975.20 ,$238.23 ,$600.29 ,$303.40 ,$975.20 ,$107.73 ,$975.20 ,$975.20 ,$107.73 ,$704.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000141,71120,HC XR STERNUM 2+V,320,1 ,$667.91 ,$480.90 ,$39.33 ,$667.91 ,$214.51 ,$497.59 ,$437.48 ,$87.57 ,$187.01 ,$410.76 ,$87.57 ,$410.76 ,$87.57 ,$370.02 ,$370.02 ,$87.57 ,$370.02 ,$180.50 ,$601.12 ,$554.37 ,$214.51 ,$87.57 ,$587.76 ,$89.33 ,$500.93 ,$500.93 ,$567.72 ,$567.72 ,$87.57 ,$567.72 ,$87.57 ,$541.01 ,$541.01 ,$541.01 ,$667.91 ,$601.12 ,$214.51 ,$601.12 ,$87.57 ,$667.91 ,$374.70 ,$87.57 ,$276.51 ,$41.21 ,$39.33 ,$91.66 ,$601.12 ,$193.65 ,$370.02 ,$187.01 ,$601.12 ,$87.57 ,$601.12 ,$601.12 ,$87.57 ,$434.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$413.61 ,$297.80 ,$39.33 ,$413.61 ,$214.51 ,$308.14 ,$270.91 ,$87.57 ,$115.81 ,$254.37 ,$87.57 ,$254.37 ,$87.57 ,$229.14 ,$229.14 ,$87.57 ,$229.14 ,$180.50 ,$372.25 ,$343.30 ,$214.51 ,$87.57 ,$363.98 ,$89.33 ,$310.21 ,$310.21 ,$351.57 ,$351.57 ,$87.57 ,$351.57 ,$87.57 ,$335.02 ,$335.02 ,$335.02 ,$413.61 ,$372.25 ,$214.51 ,$372.25 ,$87.57 ,$413.61 ,$232.04 ,$87.57 ,$171.23 ,$41.21 ,$39.33 ,$91.66 ,$372.25 ,$193.65 ,$229.14 ,$115.81 ,$372.25 ,$87.57 ,$372.25 ,$372.25 ,$87.57 ,$268.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$2,812.87 ","$2,025.27 ",$98.12 ,"$2,812.87 ",$263.89 ,"$2,095.59 ","$1,842.43 ",$107.73 ,$787.60 ,"$1,729.92 ",$107.73 ,"$1,729.92 ",$107.73 ,"$1,558.33 ","$1,558.33 ",$107.73 ,"$1,558.33 ",$222.05 ,"$2,531.58 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,475.33 ",$109.89 ,"$2,109.65 ","$2,109.65 ","$2,390.94 ","$2,390.94 ",$107.73 ,"$2,390.94 ",$107.73 ,"$2,278.42 ","$2,278.42 ","$2,278.42 ","$2,812.87 ","$2,531.58 ",$263.89 ,"$2,531.58 ",$107.73 ,"$2,812.87 ","$1,578.02 ",$107.73 ,"$1,164.53 ",$102.80 ,$98.12 ,$112.76 ,"$2,531.58 ",$238.23 ,"$1,558.33 ",$787.60 ,"$2,531.58 ",$107.73 ,"$2,531.58 ","$2,531.58 ",$107.73 ,"$1,828.37 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$3,233.96 ","$2,328.45 ",$98.12 ,"$3,233.96 ",$445.27 ,"$2,409.30 ","$2,118.24 ",$181.77 ,$905.51 ,"$1,988.89 ",$181.77 ,"$1,988.89 ",$181.77 ,"$1,791.61 ","$1,791.61 ",$181.77 ,"$1,791.61 ",$374.67 ,"$2,910.56 ","$2,000.00 ",$445.27 ,$181.77 ,"$2,845.88 ",$185.41 ,"$2,425.47 ","$2,425.47 ","$2,748.87 ","$2,748.87 ",$181.77 ,"$2,748.87 ",$181.77 ,"$2,619.51 ","$2,619.51 ","$2,619.51 ","$3,233.96 ","$2,910.56 ",$445.27 ,"$2,910.56 ",$181.77 ,"$3,233.96 ","$1,814.25 ",$181.77 ,"$1,338.86 ",$102.80 ,$98.12 ,$190.26 ,"$2,910.56 ",$401.97 ,"$1,791.61 ",$905.51 ,"$2,910.56 ",$181.77 ,"$2,910.56 ","$2,910.56 ",$181.77 ,"$2,102.07 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$4,384.59 ","$3,156.90 ",$98.12 ,"$4,384.59 ",$445.27 ,"$3,266.52 ","$2,871.91 ",$181.77 ,"$1,227.69 ","$2,696.52 ",$181.77 ,"$2,696.52 ",$181.77 ,"$2,429.06 ","$2,429.06 ",$181.77 ,"$2,429.06 ",$374.67 ,"$3,946.13 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,858.44 ",$185.41 ,"$3,288.44 ","$3,288.44 ","$3,726.90 ","$3,726.90 ",$181.77 ,"$3,726.90 ",$181.77 ,"$3,551.52 ","$3,551.52 ","$3,551.52 ","$4,384.59 ","$3,946.13 ",$445.27 ,"$3,946.13 ",$181.77 ,"$4,384.59 ","$2,459.76 ",$181.77 ,"$1,815.22 ",$102.80 ,$98.12 ,$190.26 ,"$3,946.13 ",$401.97 ,"$2,429.06 ","$1,227.69 ","$3,946.13 ",$181.77 ,"$3,946.13 ","$3,946.13 ",$181.77 ,"$2,849.98 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$5,619.43 ","$4,045.99 ",$181.77 ,"$5,619.43 ",$445.27 ,"$4,186.48 ","$3,680.73 ",$181.77 ,"$1,573.44 ","$3,455.95 ",$181.77 ,"$3,455.95 ",$181.77 ,"$3,113.16 ","$3,113.16 ",$181.77 ,"$3,113.16 ",$374.67 ,"$5,057.49 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,945.10 ",$185.41 ,"$4,214.57 ","$4,214.57 ","$4,776.52 ","$4,776.52 ",$181.77 ,"$4,776.52 ",$181.77 ,"$4,551.74 ","$4,551.74 ","$4,551.74 ","$5,619.43 ","$5,057.49 ",$445.27 ,"$5,057.49 ",$181.77 ,"$5,619.43 ","$3,152.50 ",$181.77 ,"$2,326.44 ",$232.32 ,$221.76 ,$190.26 ,"$5,057.49 ",$401.97 ,"$3,113.16 ","$1,573.44 ","$5,057.49 ",$181.77 ,"$5,057.49 ","$5,057.49 ",$181.77 ,"$3,652.63 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000151,71550,HC MRI CHEST W/O CON,610,1 ,"$3,723.70 ","$2,681.06 ",$235.38 ,"$3,723.70 ",$576.57 ,"$2,774.16 ","$2,439.02 ",$235.38 ,"$1,042.64 ","$2,290.08 ",$235.38 ,"$2,290.08 ",$235.38 ,"$2,062.93 ","$2,062.93 ",$235.38 ,"$2,062.93 ",$485.16 ,"$3,351.33 ","$2,500.00 ",$576.57 ,$235.38 ,"$3,276.86 ",$240.08 ,"$2,792.78 ","$2,792.78 ","$3,165.15 ","$3,165.15 ",$235.38 ,"$3,165.15 ",$235.38 ,"$3,016.20 ","$3,016.20 ","$3,016.20 ","$3,723.70 ","$3,351.33 ",$576.57 ,"$3,351.33 ",$235.38 ,"$3,723.70 ","$2,089.00 ",$235.38 ,"$1,541.61 ",$352.58 ,$336.56 ,$246.36 ,"$3,351.33 ",$520.50 ,"$2,062.93 ","$1,042.64 ","$3,351.33 ",$235.38 ,"$3,351.33 ","$3,351.33 ",$235.38 ,"$2,420.41 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$4,341.25 ","$3,125.70 ",$336.56 ,"$4,341.25 ","$1,828.94 ","$3,234.23 ","$2,843.52 ",$746.64 ,"$1,215.55 ","$2,669.87 ",$746.64 ,"$2,669.87 ",$746.64 ,"$2,405.05 ","$2,405.05 ",$746.64 ,"$2,405.05 ","$1,538.98 ","$3,907.13 ","$2,500.00 ","$1,828.94 ",$746.64 ,"$3,820.30 ",$761.58 ,"$3,255.94 ","$3,255.94 ","$3,690.06 ","$3,690.06 ",$746.64 ,"$3,690.06 ",$746.64 ,"$3,516.41 ","$3,516.41 ","$3,516.41 ","$4,341.25 ","$3,907.13 ","$1,828.94 ","$3,907.13 ",$746.64 ,"$4,341.25 ","$2,435.44 ",$746.64 ,"$1,797.28 ",$352.58 ,$336.56 ,$781.50 ,"$3,907.13 ","$1,651.09 ","$2,405.05 ","$1,215.55 ","$3,907.13 ",$746.64 ,"$3,907.13 ","$3,907.13 ",$746.64 ,"$2,821.81 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$4,489.60 ","$3,232.51 ",$336.56 ,"$4,489.60 ",$909.67 ,"$3,344.75 ","$2,940.69 ",$371.36 ,"$1,257.09 ","$2,761.10 ",$371.36 ,"$2,761.10 ",$371.36 ,"$2,487.24 ","$2,487.24 ",$371.36 ,"$2,487.24 ",$765.45 ,"$4,040.64 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,950.85 ",$378.79 ,"$3,367.20 ","$3,367.20 ","$3,816.16 ","$3,816.16 ",$371.36 ,"$3,816.16 ",$371.36 ,"$3,636.58 ","$3,636.58 ","$3,636.58 ","$4,489.60 ","$4,040.64 ",$909.67 ,"$4,040.64 ",$371.36 ,"$4,489.60 ","$2,518.67 ",$371.36 ,"$1,858.69 ",$352.58 ,$336.56 ,$388.70 ,"$4,040.64 ",$821.21 ,"$2,487.24 ","$1,257.09 ","$4,040.64 ",$371.36 ,"$4,040.64 ","$4,040.64 ",$371.36 ,"$2,918.24 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$620.93 ,$447.07 ,$39.33 ,$620.93 ,$214.51 ,$462.59 ,$406.71 ,$87.57 ,$173.86 ,$381.87 ,$87.57 ,$381.87 ,$87.57 ,$344.00 ,$344.00 ,$87.57 ,$344.00 ,$180.50 ,$558.84 ,$515.37 ,$214.51 ,$87.57 ,$546.42 ,$89.33 ,$465.70 ,$465.70 ,$527.79 ,$527.79 ,$87.57 ,$527.79 ,$87.57 ,$502.95 ,$502.95 ,$502.95 ,$620.93 ,$558.84 ,$214.51 ,$558.84 ,$87.57 ,$620.93 ,$348.34 ,$87.57 ,$257.07 ,$41.21 ,$39.33 ,$91.66 ,$558.84 ,$193.65 ,$344.00 ,$173.86 ,$558.84 ,$87.57 ,$558.84 ,$558.84 ,$87.57 ,$403.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000161,72020,HC XR L-SPINE 1V,320,1 ,$620.93 ,$447.07 ,$39.33 ,$620.93 ,$214.51 ,$462.59 ,$406.71 ,$87.57 ,$173.86 ,$381.87 ,$87.57 ,$381.87 ,$87.57 ,$344.00 ,$344.00 ,$87.57 ,$344.00 ,$180.50 ,$558.84 ,$515.37 ,$214.51 ,$87.57 ,$546.42 ,$89.33 ,$465.70 ,$465.70 ,$527.79 ,$527.79 ,$87.57 ,$527.79 ,$87.57 ,$502.95 ,$502.95 ,$502.95 ,$620.93 ,$558.84 ,$214.51 ,$558.84 ,$87.57 ,$620.93 ,$348.34 ,$87.57 ,$257.07 ,$41.21 ,$39.33 ,$91.66 ,$558.84 ,$193.65 ,$344.00 ,$173.86 ,$558.84 ,$87.57 ,$558.84 ,$558.84 ,$87.57 ,$403.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$746.54 ,$537.51 ,$39.33 ,$746.54 ,$214.51 ,$556.17 ,$488.98 ,$87.57 ,$209.03 ,$459.12 ,$87.57 ,$459.12 ,$87.57 ,$413.58 ,$413.58 ,$87.57 ,$413.58 ,$180.50 ,$671.89 ,$619.63 ,$214.51 ,$87.57 ,$656.96 ,$89.33 ,$559.91 ,$559.91 ,$634.56 ,$634.56 ,$87.57 ,$634.56 ,$87.57 ,$604.70 ,$604.70 ,$604.70 ,$746.54 ,$671.89 ,$214.51 ,$671.89 ,$87.57 ,$746.54 ,$418.81 ,$87.57 ,$309.07 ,$41.21 ,$39.33 ,$91.66 ,$671.89 ,$193.65 ,$413.58 ,$209.03 ,$671.89 ,$87.57 ,$671.89 ,$671.89 ,$87.57 ,$485.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$873.18 ,$628.69 ,$39.33 ,$873.18 ,$263.89 ,$650.52 ,$571.93 ,$107.73 ,$244.49 ,$537.01 ,$107.73 ,$537.01 ,$107.73 ,$483.74 ,$483.74 ,$107.73 ,$483.74 ,$222.05 ,$785.86 ,$724.74 ,$263.89 ,$107.73 ,$768.40 ,$109.89 ,$654.89 ,$654.89 ,$742.20 ,$742.20 ,$107.73 ,$742.20 ,$107.73 ,$707.28 ,$707.28 ,$707.28 ,$873.18 ,$785.86 ,$263.89 ,$785.86 ,$107.73 ,$873.18 ,$489.85 ,$107.73 ,$361.50 ,$41.21 ,$39.33 ,$112.76 ,$785.86 ,$238.23 ,$483.74 ,$244.49 ,$785.86 ,$107.73 ,$785.86 ,$785.86 ,$107.73 ,$567.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,"$1,338.88 ",$963.99 ,$39.33 ,"$1,338.88 ",$263.89 ,$997.47 ,$876.97 ,$107.73 ,$374.89 ,$823.41 ,$107.73 ,$823.41 ,$107.73 ,$741.74 ,$741.74 ,$107.73 ,$741.74 ,$222.05 ,"$1,204.99 ",$800.00 ,$263.89 ,$107.73 ,"$1,178.21 ",$109.89 ,"$1,004.16 ","$1,004.16 ","$1,138.05 ","$1,138.05 ",$107.73 ,"$1,138.05 ",$107.73 ,"$1,084.49 ","$1,084.49 ","$1,084.49 ","$1,338.88 ","$1,204.99 ",$263.89 ,"$1,204.99 ",$107.73 ,"$1,338.88 ",$751.11 ,$107.73 ,$554.30 ,$41.21 ,$39.33 ,$112.76 ,"$1,204.99 ",$238.23 ,$741.74 ,$374.89 ,"$1,204.99 ",$107.73 ,"$1,204.99 ","$1,204.99 ",$107.73 ,$870.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000172,72070,HC XR T-SPINE 2V,320,1 ,$393.19 ,$283.10 ,$39.33 ,$393.19 ,$263.89 ,$292.93 ,$257.54 ,$107.73 ,$110.09 ,$241.81 ,$107.73 ,$241.81 ,$107.73 ,$217.83 ,$217.83 ,$107.73 ,$217.83 ,$222.05 ,$353.87 ,$326.35 ,$263.89 ,$107.73 ,$346.01 ,$109.89 ,$294.89 ,$294.89 ,$334.21 ,$334.21 ,$107.73 ,$334.21 ,$107.73 ,$318.48 ,$318.48 ,$318.48 ,$393.19 ,$353.87 ,$263.89 ,$353.87 ,$107.73 ,$393.19 ,$220.58 ,$107.73 ,$162.78 ,$41.21 ,$39.33 ,$112.76 ,$353.87 ,$238.23 ,$217.83 ,$110.09 ,$353.87 ,$107.73 ,$353.87 ,$353.87 ,$107.73 ,$255.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000174,72072,HC XR T-SPINE 3V,320,1 ,$916.07 ,$659.57 ,$39.33 ,$916.07 ,$263.89 ,$682.47 ,$600.03 ,$107.73 ,$256.50 ,$563.38 ,$107.73 ,$563.38 ,$107.73 ,$507.50 ,$507.50 ,$107.73 ,$507.50 ,$222.05 ,$824.46 ,$760.34 ,$263.89 ,$107.73 ,$806.14 ,$109.89 ,$687.05 ,$687.05 ,$778.66 ,$778.66 ,$107.73 ,$778.66 ,$107.73 ,$742.02 ,$742.02 ,$742.02 ,$916.07 ,$824.46 ,$263.89 ,$824.46 ,$107.73 ,$916.07 ,$513.92 ,$107.73 ,$379.25 ,$41.21 ,$39.33 ,$112.76 ,$824.46 ,$238.23 ,$507.50 ,$256.50 ,$824.46 ,$107.73 ,$824.46 ,$824.46 ,$107.73 ,$595.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$757.78 ,$545.60 ,$39.33 ,$757.78 ,$263.89 ,$564.55 ,$496.35 ,$107.73 ,$212.18 ,$466.03 ,$107.73 ,$466.03 ,$107.73 ,$419.81 ,$419.81 ,$107.73 ,$419.81 ,$222.05 ,$682.00 ,$628.96 ,$263.89 ,$107.73 ,$666.85 ,$109.89 ,$568.34 ,$568.34 ,$644.11 ,$644.11 ,$107.73 ,$644.11 ,$107.73 ,$613.80 ,$613.80 ,$613.80 ,$757.78 ,$682.00 ,$263.89 ,$682.00 ,$107.73 ,$757.78 ,$425.11 ,$107.73 ,$313.72 ,$41.21 ,$39.33 ,$112.76 ,$682.00 ,$238.23 ,$419.81 ,$212.18 ,$682.00 ,$107.73 ,$682.00 ,$682.00 ,$107.73 ,$492.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000181,72110,HC XR L-SPINE 4+V,320,1 ,"$1,084.58 ",$780.90 ,$39.33 ,"$1,084.58 ",$263.89 ,$808.01 ,$710.40 ,$107.73 ,$303.68 ,$667.02 ,$107.73 ,$667.02 ,$107.73 ,$600.86 ,$600.86 ,$107.73 ,$600.86 ,$222.05 ,$976.12 ,$800.00 ,$263.89 ,$107.73 ,$954.43 ,$109.89 ,$813.44 ,$813.44 ,$921.89 ,$921.89 ,$107.73 ,$921.89 ,$107.73 ,$878.51 ,$878.51 ,$878.51 ,"$1,084.58 ",$976.12 ,$263.89 ,$976.12 ,$107.73 ,"$1,084.58 ",$608.45 ,$107.73 ,$449.02 ,$41.21 ,$39.33 ,$112.76 ,$976.12 ,$238.23 ,$600.86 ,$303.68 ,$976.12 ,$107.73 ,$976.12 ,$976.12 ,$107.73 ,$704.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000183,72120,HC XR L-SPINE BENDING ONLY MIN 4V,320,1 ,$708.76 ,$510.31 ,$39.33 ,$708.76 ,$263.89 ,$528.03 ,$464.24 ,$107.73 ,$198.45 ,$435.89 ,$107.73 ,$435.89 ,$107.73 ,$392.65 ,$392.65 ,$107.73 ,$392.65 ,$222.05 ,$637.88 ,$588.27 ,$263.89 ,$107.73 ,$623.71 ,$109.89 ,$531.57 ,$531.57 ,$602.45 ,$602.45 ,$107.73 ,$602.45 ,$107.73 ,$574.10 ,$574.10 ,$574.10 ,$708.76 ,$637.88 ,$263.89 ,$637.88 ,$107.73 ,$708.76 ,$397.61 ,$107.73 ,$293.43 ,$41.21 ,$39.33 ,$112.76 ,$637.88 ,$238.23 ,$392.65 ,$198.45 ,$637.88 ,$107.73 ,$637.88 ,$637.88 ,$107.73 ,$460.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,"$1,261.26 ",$908.11 ,$39.33 ,"$1,261.26 ",$263.89 ,$939.64 ,$826.13 ,$107.73 ,$353.15 ,$775.67 ,$107.73 ,$775.67 ,$107.73 ,$698.74 ,$698.74 ,$107.73 ,$698.74 ,$222.05 ,"$1,135.13 ",$800.00 ,$263.89 ,$107.73 ,"$1,109.91 ",$109.89 ,$945.95 ,$945.95 ,"$1,072.07 ","$1,072.07 ",$107.73 ,"$1,072.07 ",$107.73 ,"$1,021.62 ","$1,021.62 ","$1,021.62 ","$1,261.26 ","$1,135.13 ",$263.89 ,"$1,135.13 ",$107.73 ,"$1,261.26 ",$707.57 ,$107.73 ,$522.16 ,$41.21 ,$39.33 ,$112.76 ,"$1,135.13 ",$238.23 ,$698.74 ,$353.15 ,"$1,135.13 ",$107.73 ,"$1,135.13 ","$1,135.13 ",$107.73 ,$819.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000186,72170,HC XR PELVIS 1-2V,320,1 ,$485.10 ,$349.27 ,$39.33 ,$485.10 ,$263.89 ,$361.40 ,$317.74 ,$107.73 ,$135.83 ,$298.34 ,$107.73 ,$298.34 ,$107.73 ,$268.75 ,$268.75 ,$107.73 ,$268.75 ,$222.05 ,$436.59 ,$402.63 ,$263.89 ,$107.73 ,$426.89 ,$109.89 ,$363.83 ,$363.83 ,$412.34 ,$412.34 ,$107.73 ,$412.34 ,$107.73 ,$392.93 ,$392.93 ,$392.93 ,$485.10 ,$436.59 ,$263.89 ,$436.59 ,$107.73 ,$485.10 ,$272.14 ,$107.73 ,$200.83 ,$41.21 ,$39.33 ,$112.76 ,$436.59 ,$238.23 ,$268.75 ,$135.83 ,$436.59 ,$107.73 ,$436.59 ,$436.59 ,$107.73 ,$315.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$592.33 ,$426.48 ,$39.33 ,$592.33 ,$263.89 ,$441.29 ,$387.98 ,$107.73 ,$165.85 ,$364.28 ,$107.73 ,$364.28 ,$107.73 ,$328.15 ,$328.15 ,$107.73 ,$328.15 ,$222.05 ,$533.10 ,$491.63 ,$263.89 ,$107.73 ,$521.25 ,$109.89 ,$444.25 ,$444.25 ,$503.48 ,$503.48 ,$107.73 ,$503.48 ,$107.73 ,$479.79 ,$479.79 ,$479.79 ,$592.33 ,$533.10 ,$263.89 ,$533.10 ,$107.73 ,$592.33 ,$332.30 ,$107.73 ,$245.22 ,$41.21 ,$39.33 ,$112.76 ,$533.10 ,$238.23 ,$328.15 ,$165.85 ,$533.10 ,$107.73 ,$533.10 ,$533.10 ,$107.73 ,$385.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$669.95 ,$482.36 ,$39.33 ,$669.95 ,$263.89 ,$499.11 ,$438.82 ,$107.73 ,$187.59 ,$412.02 ,$107.73 ,$412.02 ,$107.73 ,$371.15 ,$371.15 ,$107.73 ,$371.15 ,$222.05 ,$602.96 ,$556.06 ,$263.89 ,$107.73 ,$589.56 ,$109.89 ,$502.46 ,$502.46 ,$569.46 ,$569.46 ,$107.73 ,$569.46 ,$107.73 ,$542.66 ,$542.66 ,$542.66 ,$669.95 ,$602.96 ,$263.89 ,$602.96 ,$107.73 ,$669.95 ,$375.84 ,$107.73 ,$277.36 ,$41.21 ,$39.33 ,$112.76 ,$602.96 ,$238.23 ,$371.15 ,$187.59 ,$602.96 ,$107.73 ,$602.96 ,$602.96 ,$107.73 ,$435.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$642.37 ,$462.51 ,$39.33 ,$642.37 ,$214.51 ,$478.57 ,$420.75 ,$87.57 ,$179.86 ,$395.06 ,$87.57 ,$395.06 ,$87.57 ,$355.87 ,$355.87 ,$87.57 ,$355.87 ,$180.50 ,$578.13 ,$533.17 ,$214.51 ,$87.57 ,$565.29 ,$89.33 ,$481.78 ,$481.78 ,$546.01 ,$546.01 ,$87.57 ,$546.01 ,$87.57 ,$520.32 ,$520.32 ,$520.32 ,$642.37 ,$578.13 ,$214.51 ,$578.13 ,$87.57 ,$642.37 ,$360.37 ,$87.57 ,$265.94 ,$41.21 ,$39.33 ,$91.66 ,$578.13 ,$193.65 ,$355.87 ,$179.86 ,$578.13 ,$87.57 ,$578.13 ,$578.13 ,$87.57 ,$417.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000194,62302,HC XR MYELOGRAM C-SPINE,320,1 ,"$2,136.00 ","$1,537.92 ",$427.99 ,"$2,136.00 ","$1,828.94 ","$1,591.32 ","$1,399.08 ",$746.64 ,$598.08 ,"$1,313.64 ",$746.64 ,"$1,313.64 ",$746.64 ,"$1,183.34 ","$1,183.34 ",$746.64 ,"$1,183.34 ","$1,538.98 ","$1,922.40 ",$800.00 ,"$1,828.94 ",$746.64 ,"$1,879.68 ",$761.58 ,"$1,602.00 ","$1,602.00 ","$1,815.60 ","$1,815.60 ",$746.64 ,"$1,815.60 ",$746.64 ,"$1,730.16 ","$1,730.16 ","$1,730.16 ","$2,136.00 ","$1,922.40 ","$1,828.94 ","$1,922.40 ",$746.64 ,"$2,136.00 ","$1,198.30 ",$746.64 ,$884.30 ,$448.37 ,$427.99 ,$781.50 ,"$1,922.40 ","$1,651.09 ","$1,183.34 ",$598.08 ,"$1,922.40 ",$746.64 ,"$1,922.40 ","$1,922.40 ",$746.64 ,"$1,388.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000195,62303,HC XR MYELOGRAM T-SPINE,320,1 ,"$2,038.00 ","$1,467.36 ",$427.99 ,"$2,038.00 ","$1,828.94 ","$1,518.31 ","$1,334.89 ",$746.64 ,$570.64 ,"$1,253.37 ",$746.64 ,"$1,253.37 ",$746.64 ,"$1,129.05 ","$1,129.05 ",$746.64 ,"$1,129.05 ","$1,538.98 ","$1,834.20 ",$800.00 ,"$1,828.94 ",$746.64 ,"$1,793.44 ",$761.58 ,"$1,528.50 ","$1,528.50 ","$1,732.30 ","$1,732.30 ",$746.64 ,"$1,732.30 ",$746.64 ,"$1,650.78 ","$1,650.78 ","$1,650.78 ","$2,038.00 ","$1,834.20 ","$1,828.94 ","$1,834.20 ",$746.64 ,"$2,038.00 ","$1,143.32 ",$746.64 ,$843.73 ,$448.37 ,$427.99 ,$781.50 ,"$1,834.20 ","$1,651.09 ","$1,129.05 ",$570.64 ,"$1,834.20 ",$746.64 ,"$1,834.20 ","$1,834.20 ",$746.64 ,"$1,324.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000196,62304,HC XR MYELOGRAM L-SPINE,320,1 ,"$2,386.00 ","$1,717.92 ",$427.99 ,"$2,386.00 ","$1,828.94 ","$1,777.57 ","$1,562.83 ",$746.64 ,$668.08 ,"$1,467.39 ",$746.64 ,"$1,467.39 ",$746.64 ,"$1,321.84 ","$1,321.84 ",$746.64 ,"$1,321.84 ","$1,538.98 ","$2,147.40 ",$800.00 ,"$1,828.94 ",$746.64 ,"$2,099.68 ",$761.58 ,"$1,789.50 ","$1,789.50 ","$2,028.10 ","$2,028.10 ",$746.64 ,"$2,028.10 ",$746.64 ,"$1,932.66 ","$1,932.66 ","$1,932.66 ","$2,386.00 ","$2,147.40 ","$1,828.94 ","$2,147.40 ",$746.64 ,"$2,386.00 ","$1,338.55 ",$746.64 ,$987.80 ,$448.37 ,$427.99 ,$781.50 ,"$2,147.40 ","$1,651.09 ","$1,321.84 ",$668.08 ,"$2,147.40 ",$746.64 ,"$2,147.40 ","$2,147.40 ",$746.64 ,"$1,550.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000197,62305,HC XR MYELOGRAM >2 REGIONS,320,1 ,"$3,196.00 ","$2,301.12 ",$427.99 ,"$3,196.00 ","$1,828.94 ","$2,381.02 ","$2,093.38 ",$746.64 ,$894.88 ,"$1,965.54 ",$746.64 ,"$1,965.54 ",$746.64 ,"$1,770.58 ","$1,770.58 ",$746.64 ,"$1,770.58 ","$1,538.98 ","$2,876.40 ",$800.00 ,"$1,828.94 ",$746.64 ,"$2,812.48 ",$761.58 ,"$2,397.00 ","$2,397.00 ","$2,716.60 ","$2,716.60 ",$746.64 ,"$2,716.60 ",$746.64 ,"$2,588.76 ","$2,588.76 ","$2,588.76 ","$3,196.00 ","$2,876.40 ","$1,828.94 ","$2,876.40 ",$746.64 ,"$3,196.00 ","$1,792.96 ",$746.64 ,"$1,323.14 ",$448.37 ,$427.99 ,$781.50 ,"$2,876.40 ","$1,651.09 ","$1,770.58 ",$894.88 ,"$2,876.40 ",$746.64 ,"$2,876.40 ","$2,876.40 ",$746.64 ,"$2,077.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000200,72295,HC XR DISKOGRAM L-SPINE,320,1 ,"$3,571.36 ","$2,571.38 ",$224.12 ,"$4,006.58 ","$3,571.36 ","$2,660.66 ","$2,339.24 ","$1,811.81 ",$999.98 ,"$2,196.39 ","$1,811.81 ","$2,196.39 ","$1,811.81 ","$1,978.53 ","$1,978.53 ","$1,811.81 ","$1,978.53 ","$3,571.36 ","$3,214.22 ",$800.00 ,"$3,571.36 ","$1,811.81 ","$3,142.80 ","$1,848.05 ","$2,678.52 ","$2,678.52 ","$3,035.66 ","$3,035.66 ","$1,811.81 ","$3,035.66 ","$1,811.81 ","$2,892.80 ","$2,892.80 ","$2,892.80 ","$3,571.36 ","$3,214.22 ","$3,571.36 ","$3,214.22 ","$1,811.81 ","$3,571.36 ","$2,003.53 ","$1,811.81 ","$1,478.54 ",$234.80 ,$224.12 ,"$1,896.40 ","$3,214.22 ","$4,006.58 ","$1,978.53 ",$999.98 ,"$3,214.22 ","$1,811.81 ","$3,214.22 ","$3,214.22 ","$1,811.81 ","$2,321.38 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000201,73000,HC XRAY CLAVICLE,320,1 ,$434.04 ,$312.51 ,$39.33 ,$434.04 ,$214.51 ,$323.36 ,$284.30 ,$87.57 ,$121.53 ,$266.93 ,$87.57 ,$266.93 ,$87.57 ,$240.46 ,$240.46 ,$87.57 ,$240.46 ,$180.50 ,$390.64 ,$360.25 ,$214.51 ,$87.57 ,$381.96 ,$89.33 ,$325.53 ,$325.53 ,$368.93 ,$368.93 ,$87.57 ,$368.93 ,$87.57 ,$351.57 ,$351.57 ,$351.57 ,$434.04 ,$390.64 ,$214.51 ,$390.64 ,$87.57 ,$434.04 ,$243.50 ,$87.57 ,$179.69 ,$41.21 ,$39.33 ,$91.66 ,$390.64 ,$193.65 ,$240.46 ,$121.53 ,$390.64 ,$87.57 ,$390.64 ,$390.64 ,$87.57 ,$282.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000201,73000,HC XRAY CLAVICLE,320,1 ,$650.54 ,$468.39 ,$59.00 ,$650.54 ,$214.51 ,$484.65 ,$426.10 ,$87.57 ,$182.15 ,$400.08 ,$87.57 ,$400.08 ,$87.57 ,$360.40 ,$360.40 ,$87.57 ,$360.40 ,$180.50 ,$585.49 ,$539.95 ,$214.51 ,$87.57 ,$572.48 ,$89.33 ,$487.91 ,$487.91 ,$552.96 ,$552.96 ,$87.57 ,$552.96 ,$87.57 ,$526.94 ,$526.94 ,$526.94 ,$650.54 ,$585.49 ,$214.51 ,$585.49 ,$87.57 ,$650.54 ,$364.95 ,$87.57 ,$269.32 ,$61.81 ,$59.00 ,$91.66 ,$585.49 ,$193.65 ,$360.40 ,$182.15 ,$585.49 ,$87.57 ,$585.49 ,$585.49 ,$87.57 ,$422.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000204,73010,HC XRAY SCAPULA,320,1 ,$586.21 ,$422.07 ,$39.33 ,$586.21 ,$263.89 ,$436.73 ,$383.97 ,$107.73 ,$164.14 ,$360.52 ,$107.73 ,$360.52 ,$107.73 ,$324.76 ,$324.76 ,$107.73 ,$324.76 ,$222.05 ,$527.59 ,$486.55 ,$263.89 ,$107.73 ,$515.86 ,$109.89 ,$439.66 ,$439.66 ,$498.28 ,$498.28 ,$107.73 ,$498.28 ,$107.73 ,$474.83 ,$474.83 ,$474.83 ,$586.21 ,$527.59 ,$263.89 ,$527.59 ,$107.73 ,$586.21 ,$328.86 ,$107.73 ,$242.69 ,$41.21 ,$39.33 ,$112.76 ,$527.59 ,$238.23 ,$324.76 ,$164.14 ,$527.59 ,$107.73 ,$527.59 ,$527.59 ,$107.73 ,$381.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$312.51 ,$225.01 ,$39.33 ,$312.51 ,$214.51 ,$232.82 ,$204.69 ,$87.57 ,$87.50 ,$192.19 ,$87.57 ,$192.19 ,$87.57 ,$173.13 ,$173.13 ,$87.57 ,$173.13 ,$180.50 ,$281.26 ,$259.38 ,$214.51 ,$87.57 ,$275.01 ,$89.33 ,$234.38 ,$234.38 ,$265.63 ,$265.63 ,$87.57 ,$265.63 ,$87.57 ,$253.13 ,$253.13 ,$253.13 ,$312.51 ,$281.26 ,$214.51 ,$281.26 ,$87.57 ,$312.51 ,$175.32 ,$87.57 ,$129.38 ,$41.21 ,$39.33 ,$91.66 ,$281.26 ,$193.65 ,$173.13 ,$87.50 ,$281.26 ,$87.57 ,$281.26 ,$281.26 ,$87.57 ,$203.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$503.48 ,$362.51 ,$59.00 ,$503.48 ,$214.51 ,$375.09 ,$329.78 ,$87.57 ,$140.97 ,$309.64 ,$87.57 ,$309.64 ,$87.57 ,$278.93 ,$278.93 ,$87.57 ,$278.93 ,$180.50 ,$453.13 ,$417.89 ,$214.51 ,$87.57 ,$443.06 ,$89.33 ,$377.61 ,$377.61 ,$427.96 ,$427.96 ,$87.57 ,$427.96 ,$87.57 ,$407.82 ,$407.82 ,$407.82 ,$503.48 ,$453.13 ,$214.51 ,$453.13 ,$87.57 ,$503.48 ,$282.45 ,$87.57 ,$208.44 ,$61.81 ,$59.00 ,$91.66 ,$453.13 ,$193.65 ,$278.93 ,$140.97 ,$453.13 ,$87.57 ,$453.13 ,$453.13 ,$87.57 ,$327.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$703.65 ,$506.63 ,$39.33 ,$703.65 ,$214.51 ,$524.22 ,$460.89 ,$87.57 ,$197.02 ,$432.74 ,$87.57 ,$432.74 ,$87.57 ,$389.82 ,$389.82 ,$87.57 ,$389.82 ,$180.50 ,$633.29 ,$584.03 ,$214.51 ,$87.57 ,$619.21 ,$89.33 ,$527.74 ,$527.74 ,$598.10 ,$598.10 ,$87.57 ,$598.10 ,$87.57 ,$569.96 ,$569.96 ,$569.96 ,$703.65 ,$633.29 ,$214.51 ,$633.29 ,$87.57 ,$703.65 ,$394.75 ,$87.57 ,$291.31 ,$41.21 ,$39.33 ,$91.66 ,$633.29 ,$193.65 ,$389.82 ,$197.02 ,$633.29 ,$87.57 ,$633.29 ,$633.29 ,$87.57 ,$457.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,"$1,277.60 ",$919.87 ,$59.00 ,"$1,277.60 ",$214.51 ,$951.81 ,$836.83 ,$87.57 ,$357.73 ,$785.72 ,$87.57 ,$785.72 ,$87.57 ,$707.79 ,$707.79 ,$87.57 ,$707.79 ,$180.50 ,"$1,149.84 ",$800.00 ,$214.51 ,$87.57 ,"$1,124.29 ",$89.33 ,$958.20 ,$958.20 ,"$1,085.96 ","$1,085.96 ",$87.57 ,"$1,085.96 ",$87.57 ,"$1,034.86 ","$1,034.86 ","$1,034.86 ","$1,277.60 ","$1,149.84 ",$214.51 ,"$1,149.84 ",$87.57 ,"$1,277.60 ",$716.73 ,$87.57 ,$528.93 ,$61.81 ,$59.00 ,$91.66 ,"$1,149.84 ",$193.65 ,$707.79 ,$357.73 ,"$1,149.84 ",$87.57 ,"$1,149.84 ","$1,149.84 ",$87.57 ,$830.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,"$1,075.20 ",$774.14 ,$224.12 ,"$1,075.20 ",$909.67 ,$801.02 ,$704.26 ,$371.36 ,$301.06 ,$661.25 ,$371.36 ,$661.25 ,$371.36 ,$595.66 ,$595.66 ,$371.36 ,$595.66 ,$765.45 ,$967.68 ,$800.00 ,$909.67 ,$371.36 ,$946.18 ,$378.79 ,$806.40 ,$806.40 ,$913.92 ,$913.92 ,$371.36 ,$913.92 ,$371.36 ,$870.91 ,$870.91 ,$870.91 ,"$1,075.20 ",$967.68 ,$909.67 ,$967.68 ,$371.36 ,"$1,075.20 ",$603.19 ,$371.36 ,$445.13 ,$234.80 ,$224.12 ,$388.70 ,$967.68 ,$821.21 ,$595.66 ,$301.06 ,$967.68 ,$371.36 ,$967.68 ,$967.68 ,$371.36 ,$698.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$682.20 ,$491.18 ,$39.33 ,$682.20 ,$214.51 ,$508.24 ,$446.84 ,$87.57 ,$191.02 ,$419.55 ,$87.57 ,$419.55 ,$87.57 ,$377.94 ,$377.94 ,$87.57 ,$377.94 ,$180.50 ,$613.98 ,$566.23 ,$214.51 ,$87.57 ,$600.34 ,$89.33 ,$511.65 ,$511.65 ,$579.87 ,$579.87 ,$87.57 ,$579.87 ,$87.57 ,$552.58 ,$552.58 ,$552.58 ,$682.20 ,$613.98 ,$214.51 ,$613.98 ,$87.57 ,$682.20 ,$382.71 ,$87.57 ,$282.43 ,$41.21 ,$39.33 ,$91.66 ,$613.98 ,$193.65 ,$377.94 ,$191.02 ,$613.98 ,$87.57 ,$613.98 ,$613.98 ,$87.57 ,$443.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$617.86 ,$444.86 ,$39.33 ,$617.86 ,$214.51 ,$460.31 ,$404.70 ,$87.57 ,$173.00 ,$379.98 ,$87.57 ,$379.98 ,$87.57 ,$342.29 ,$342.29 ,$87.57 ,$342.29 ,$180.50 ,$556.07 ,$512.82 ,$214.51 ,$87.57 ,$543.72 ,$89.33 ,$463.40 ,$463.40 ,$525.18 ,$525.18 ,$87.57 ,$525.18 ,$87.57 ,$500.47 ,$500.47 ,$500.47 ,$617.86 ,$556.07 ,$214.51 ,$556.07 ,$87.57 ,$617.86 ,$346.62 ,$87.57 ,$255.79 ,$41.21 ,$39.33 ,$91.66 ,$556.07 ,$193.65 ,$342.29 ,$173.00 ,$556.07 ,$87.57 ,$556.07 ,$556.07 ,$87.57 ,$401.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$926.29 ,$666.93 ,$39.33 ,$926.29 ,$214.51 ,$690.09 ,$606.72 ,$87.57 ,$259.36 ,$569.67 ,$87.57 ,$569.67 ,$87.57 ,$513.16 ,$513.16 ,$87.57 ,$513.16 ,$180.50 ,$833.66 ,$768.82 ,$214.51 ,$87.57 ,$815.14 ,$89.33 ,$694.72 ,$694.72 ,$787.35 ,$787.35 ,$87.57 ,$787.35 ,$87.57 ,$750.29 ,$750.29 ,$750.29 ,$926.29 ,$833.66 ,$214.51 ,$833.66 ,$87.57 ,$926.29 ,$519.65 ,$87.57 ,$383.48 ,$41.21 ,$39.33 ,$91.66 ,$833.66 ,$193.65 ,$513.16 ,$259.36 ,$833.66 ,$87.57 ,$833.66 ,$833.66 ,$87.57 ,$602.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$413.61 ,$297.80 ,$39.33 ,$413.61 ,$214.51 ,$308.14 ,$270.91 ,$87.57 ,$115.81 ,$254.37 ,$87.57 ,$254.37 ,$87.57 ,$229.14 ,$229.14 ,$87.57 ,$229.14 ,$180.50 ,$372.25 ,$343.30 ,$214.51 ,$87.57 ,$363.98 ,$89.33 ,$310.21 ,$310.21 ,$351.57 ,$351.57 ,$87.57 ,$351.57 ,$87.57 ,$335.02 ,$335.02 ,$335.02 ,$413.61 ,$372.25 ,$214.51 ,$372.25 ,$87.57 ,$413.61 ,$232.04 ,$87.57 ,$171.23 ,$41.21 ,$39.33 ,$91.66 ,$372.25 ,$193.65 ,$229.14 ,$115.81 ,$372.25 ,$87.57 ,$372.25 ,$372.25 ,$87.57 ,$268.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$618.89 ,$445.60 ,$59.00 ,$618.89 ,$214.51 ,$461.07 ,$405.37 ,$87.57 ,$173.29 ,$380.62 ,$87.57 ,$380.62 ,$87.57 ,$342.87 ,$342.87 ,$87.57 ,$342.87 ,$180.50 ,$557.00 ,$513.68 ,$214.51 ,$87.57 ,$544.62 ,$89.33 ,$464.17 ,$464.17 ,$526.06 ,$526.06 ,$87.57 ,$526.06 ,$87.57 ,$501.30 ,$501.30 ,$501.30 ,$618.89 ,$557.00 ,$214.51 ,$557.00 ,$87.57 ,$618.89 ,$347.20 ,$87.57 ,$256.22 ,$61.81 ,$59.00 ,$91.66 ,$557.00 ,$193.65 ,$342.87 ,$173.29 ,$557.00 ,$87.57 ,$557.00 ,$557.00 ,$87.57 ,$402.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$597.44 ,$430.16 ,$39.33 ,$597.44 ,$214.51 ,$445.09 ,$391.32 ,$87.57 ,$167.28 ,$367.43 ,$87.57 ,$367.43 ,$87.57 ,$330.98 ,$330.98 ,$87.57 ,$330.98 ,$180.50 ,$537.70 ,$495.88 ,$214.51 ,$87.57 ,$525.75 ,$89.33 ,$448.08 ,$448.08 ,$507.82 ,$507.82 ,$87.57 ,$507.82 ,$87.57 ,$483.93 ,$483.93 ,$483.93 ,$597.44 ,$537.70 ,$214.51 ,$537.70 ,$87.57 ,$597.44 ,$335.16 ,$87.57 ,$247.34 ,$41.21 ,$39.33 ,$91.66 ,$537.70 ,$193.65 ,$330.98 ,$167.28 ,$537.70 ,$87.57 ,$537.70 ,$537.70 ,$87.57 ,$388.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$895.65 ,$644.87 ,$59.00 ,$895.65 ,$214.51 ,$667.26 ,$586.65 ,$87.57 ,$250.78 ,$550.82 ,$87.57 ,$550.82 ,$87.57 ,$496.19 ,$496.19 ,$87.57 ,$496.19 ,$180.50 ,$806.09 ,$743.39 ,$214.51 ,$87.57 ,$788.17 ,$89.33 ,$671.74 ,$671.74 ,$761.30 ,$761.30 ,$87.57 ,$761.30 ,$87.57 ,$725.48 ,$725.48 ,$725.48 ,$895.65 ,$806.09 ,$214.51 ,$806.09 ,$87.57 ,$895.65 ,$502.46 ,$87.57 ,$370.80 ,$61.81 ,$59.00 ,$91.66 ,$806.09 ,$193.65 ,$496.19 ,$250.78 ,$806.09 ,$87.57 ,$806.09 ,$806.09 ,$87.57 ,$582.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000222,73085,HC XRAY ELBOW ARTHRO,320,1 ,$595.87 ,$429.03 ,$166.84 ,$821.21 ,$595.87 ,$443.92 ,$390.29 ,$371.36 ,$166.84 ,$366.46 ,$371.36 ,$366.46 ,$371.36 ,$330.11 ,$330.11 ,$371.36 ,$330.11 ,$595.87 ,$536.28 ,$494.57 ,$595.87 ,$371.36 ,$524.37 ,$378.79 ,$446.90 ,$446.90 ,$506.49 ,$506.49 ,$371.36 ,$506.49 ,$371.36 ,$482.65 ,$482.65 ,$482.65 ,$595.87 ,$536.28 ,$595.87 ,$536.28 ,$371.36 ,$595.87 ,$334.28 ,$371.36 ,$246.69 ,$234.80 ,$224.12 ,$388.70 ,$536.28 ,$821.21 ,$330.11 ,$166.84 ,$536.28 ,$371.36 ,$536.28 ,$536.28 ,$371.36 ,$387.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$471.82 ,$339.71 ,$39.33 ,$471.82 ,$214.51 ,$351.51 ,$309.04 ,$87.57 ,$132.11 ,$290.17 ,$87.57 ,$290.17 ,$87.57 ,$261.39 ,$261.39 ,$87.57 ,$261.39 ,$180.50 ,$424.64 ,$391.61 ,$214.51 ,$87.57 ,$415.20 ,$89.33 ,$353.87 ,$353.87 ,$401.05 ,$401.05 ,$87.57 ,$401.05 ,$87.57 ,$382.17 ,$382.17 ,$382.17 ,$471.82 ,$424.64 ,$214.51 ,$424.64 ,$87.57 ,$471.82 ,$264.69 ,$87.57 ,$195.33 ,$41.21 ,$39.33 ,$91.66 ,$424.64 ,$193.65 ,$261.39 ,$132.11 ,$424.64 ,$87.57 ,$424.64 ,$424.64 ,$87.57 ,$306.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$708.76 ,$510.31 ,$59.00 ,$708.76 ,$214.51 ,$528.03 ,$464.24 ,$87.57 ,$198.45 ,$435.89 ,$87.57 ,$435.89 ,$87.57 ,$392.65 ,$392.65 ,$87.57 ,$392.65 ,$180.50 ,$637.88 ,$588.27 ,$214.51 ,$87.57 ,$623.71 ,$89.33 ,$531.57 ,$531.57 ,$602.45 ,$602.45 ,$87.57 ,$602.45 ,$87.57 ,$574.10 ,$574.10 ,$574.10 ,$708.76 ,$637.88 ,$214.51 ,$637.88 ,$87.57 ,$708.76 ,$397.61 ,$87.57 ,$293.43 ,$61.81 ,$59.00 ,$91.66 ,$637.88 ,$193.65 ,$392.65 ,$198.45 ,$637.88 ,$87.57 ,$637.88 ,$637.88 ,$87.57 ,$460.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$299.23 ,$215.45 ,$39.33 ,$299.23 ,$263.89 ,$222.93 ,$196.00 ,$107.73 ,$83.78 ,$184.03 ,$107.73 ,$184.03 ,$107.73 ,$165.77 ,$165.77 ,$107.73 ,$165.77 ,$222.05 ,$269.31 ,$248.36 ,$263.89 ,$107.73 ,$263.32 ,$109.89 ,$224.42 ,$224.42 ,$254.35 ,$254.35 ,$107.73 ,$254.35 ,$107.73 ,$242.38 ,$242.38 ,$242.38 ,$299.23 ,$269.31 ,$263.89 ,$269.31 ,$107.73 ,$299.23 ,$167.87 ,$107.73 ,$123.88 ,$41.21 ,$39.33 ,$112.76 ,$269.31 ,$238.23 ,$165.77 ,$83.78 ,$269.31 ,$107.73 ,$269.31 ,$269.31 ,$107.73 ,$194.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$449.36 ,$323.54 ,$59.00 ,$449.36 ,$263.89 ,$334.77 ,$294.33 ,$107.73 ,$125.82 ,$276.36 ,$107.73 ,$276.36 ,$107.73 ,$248.95 ,$248.95 ,$107.73 ,$248.95 ,$222.05 ,$404.42 ,$372.97 ,$263.89 ,$107.73 ,$395.44 ,$109.89 ,$337.02 ,$337.02 ,$381.96 ,$381.96 ,$107.73 ,$381.96 ,$107.73 ,$363.98 ,$363.98 ,$363.98 ,$449.36 ,$404.42 ,$263.89 ,$404.42 ,$107.73 ,$449.36 ,$252.09 ,$107.73 ,$186.04 ,$61.81 ,$59.00 ,$112.76 ,$404.42 ,$238.23 ,$248.95 ,$125.82 ,$404.42 ,$107.73 ,$404.42 ,$404.42 ,$107.73 ,$292.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$401.36 ,$288.98 ,$39.33 ,$401.36 ,$214.51 ,$299.01 ,$262.89 ,$87.57 ,$112.38 ,$246.84 ,$87.57 ,$246.84 ,$87.57 ,$222.35 ,$222.35 ,$87.57 ,$222.35 ,$180.50 ,$361.22 ,$333.13 ,$214.51 ,$87.57 ,$353.20 ,$89.33 ,$301.02 ,$301.02 ,$341.16 ,$341.16 ,$87.57 ,$341.16 ,$87.57 ,$325.10 ,$325.10 ,$325.10 ,$401.36 ,$361.22 ,$214.51 ,$361.22 ,$87.57 ,$401.36 ,$225.16 ,$87.57 ,$166.16 ,$41.21 ,$39.33 ,$91.66 ,$361.22 ,$193.65 ,$222.35 ,$112.38 ,$361.22 ,$87.57 ,$361.22 ,$361.22 ,$87.57 ,$260.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$602.55 ,$433.84 ,$59.00 ,$602.55 ,$214.51 ,$448.90 ,$394.67 ,$87.57 ,$168.71 ,$370.57 ,$87.57 ,$370.57 ,$87.57 ,$333.81 ,$333.81 ,$87.57 ,$333.81 ,$180.50 ,$542.30 ,$500.12 ,$214.51 ,$87.57 ,$530.24 ,$89.33 ,$451.91 ,$451.91 ,$512.17 ,$512.17 ,$87.57 ,$512.17 ,$87.57 ,$488.07 ,$488.07 ,$488.07 ,$602.55 ,$542.30 ,$214.51 ,$542.30 ,$87.57 ,$602.55 ,$338.03 ,$87.57 ,$249.46 ,$61.81 ,$59.00 ,$91.66 ,$542.30 ,$193.65 ,$333.81 ,$168.71 ,$542.30 ,$87.57 ,$542.30 ,$542.30 ,$87.57 ,$391.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$617.86 ,$444.86 ,$39.33 ,$617.86 ,$214.51 ,$460.31 ,$404.70 ,$87.57 ,$173.00 ,$379.98 ,$87.57 ,$379.98 ,$87.57 ,$342.29 ,$342.29 ,$87.57 ,$342.29 ,$180.50 ,$556.07 ,$512.82 ,$214.51 ,$87.57 ,$543.72 ,$89.33 ,$463.40 ,$463.40 ,$525.18 ,$525.18 ,$87.57 ,$525.18 ,$87.57 ,$500.47 ,$500.47 ,$500.47 ,$617.86 ,$556.07 ,$214.51 ,$556.07 ,$87.57 ,$617.86 ,$346.62 ,$87.57 ,$255.79 ,$41.21 ,$39.33 ,$91.66 ,$556.07 ,$193.65 ,$342.29 ,$173.00 ,$556.07 ,$87.57 ,$556.07 ,$556.07 ,$87.57 ,$401.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$926.29 ,$666.93 ,$59.00 ,$926.29 ,$214.51 ,$690.09 ,$606.72 ,$87.57 ,$259.36 ,$569.67 ,$87.57 ,$569.67 ,$87.57 ,$513.16 ,$513.16 ,$87.57 ,$513.16 ,$180.50 ,$833.66 ,$768.82 ,$214.51 ,$87.57 ,$815.14 ,$89.33 ,$694.72 ,$694.72 ,$787.35 ,$787.35 ,$87.57 ,$787.35 ,$87.57 ,$750.29 ,$750.29 ,$750.29 ,$926.29 ,$833.66 ,$214.51 ,$833.66 ,$87.57 ,$926.29 ,$519.65 ,$87.57 ,$383.48 ,$61.81 ,$59.00 ,$91.66 ,$833.66 ,$193.65 ,$513.16 ,$259.36 ,$833.66 ,$87.57 ,$833.66 ,$833.66 ,$87.57 ,$602.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,$660.76 ,$475.75 ,$185.01 ,$821.21 ,$660.76 ,$492.27 ,$432.80 ,$371.36 ,$185.01 ,$406.37 ,$371.36 ,$406.37 ,$371.36 ,$366.06 ,$366.06 ,$371.36 ,$366.06 ,$660.76 ,$594.68 ,$548.43 ,$660.76 ,$371.36 ,$581.47 ,$378.79 ,$495.57 ,$495.57 ,$561.65 ,$561.65 ,$371.36 ,$561.65 ,$371.36 ,$535.22 ,$535.22 ,$535.22 ,$660.76 ,$594.68 ,$660.76 ,$594.68 ,$371.36 ,$660.76 ,$370.69 ,$371.36 ,$273.55 ,$234.80 ,$224.12 ,$388.70 ,$594.68 ,$821.21 ,$366.06 ,$185.01 ,$594.68 ,$371.36 ,$594.68 ,$594.68 ,$371.36 ,$429.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$299.23 ,$215.45 ,$39.33 ,$299.23 ,$263.89 ,$222.93 ,$196.00 ,$107.73 ,$83.78 ,$184.03 ,$107.73 ,$184.03 ,$107.73 ,$165.77 ,$165.77 ,$107.73 ,$165.77 ,$222.05 ,$269.31 ,$248.36 ,$263.89 ,$107.73 ,$263.32 ,$109.89 ,$224.42 ,$224.42 ,$254.35 ,$254.35 ,$107.73 ,$254.35 ,$107.73 ,$242.38 ,$242.38 ,$242.38 ,$299.23 ,$269.31 ,$263.89 ,$269.31 ,$107.73 ,$299.23 ,$167.87 ,$107.73 ,$123.88 ,$41.21 ,$39.33 ,$112.76 ,$269.31 ,$238.23 ,$165.77 ,$83.78 ,$269.31 ,$107.73 ,$269.31 ,$269.31 ,$107.73 ,$194.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$449.36 ,$323.54 ,$59.00 ,$449.36 ,$263.89 ,$334.77 ,$294.33 ,$107.73 ,$125.82 ,$276.36 ,$107.73 ,$276.36 ,$107.73 ,$248.95 ,$248.95 ,$107.73 ,$248.95 ,$222.05 ,$404.42 ,$372.97 ,$263.89 ,$107.73 ,$395.44 ,$109.89 ,$337.02 ,$337.02 ,$381.96 ,$381.96 ,$107.73 ,$381.96 ,$107.73 ,$363.98 ,$363.98 ,$363.98 ,$449.36 ,$404.42 ,$263.89 ,$404.42 ,$107.73 ,$449.36 ,$252.09 ,$107.73 ,$186.04 ,$61.81 ,$59.00 ,$112.76 ,$404.42 ,$238.23 ,$248.95 ,$125.82 ,$404.42 ,$107.73 ,$404.42 ,$404.42 ,$107.73 ,$292.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$617.86 ,$444.86 ,$39.33 ,$617.86 ,$214.51 ,$460.31 ,$404.70 ,$87.57 ,$173.00 ,$379.98 ,$87.57 ,$379.98 ,$87.57 ,$342.29 ,$342.29 ,$87.57 ,$342.29 ,$180.50 ,$556.07 ,$512.82 ,$214.51 ,$87.57 ,$543.72 ,$89.33 ,$463.40 ,$463.40 ,$525.18 ,$525.18 ,$87.57 ,$525.18 ,$87.57 ,$500.47 ,$500.47 ,$500.47 ,$617.86 ,$556.07 ,$214.51 ,$556.07 ,$87.57 ,$617.86 ,$346.62 ,$87.57 ,$255.79 ,$41.21 ,$39.33 ,$91.66 ,$556.07 ,$193.65 ,$342.29 ,$173.00 ,$556.07 ,$87.57 ,$556.07 ,$556.07 ,$87.57 ,$401.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$926.29 ,$666.93 ,$59.00 ,$926.29 ,$214.51 ,$690.09 ,$606.72 ,$87.57 ,$259.36 ,$569.67 ,$87.57 ,$569.67 ,$87.57 ,$513.16 ,$513.16 ,$87.57 ,$513.16 ,$180.50 ,$833.66 ,$768.82 ,$214.51 ,$87.57 ,$815.14 ,$89.33 ,$694.72 ,$694.72 ,$787.35 ,$787.35 ,$87.57 ,$787.35 ,$87.57 ,$750.29 ,$750.29 ,$750.29 ,$926.29 ,$833.66 ,$214.51 ,$833.66 ,$87.57 ,$926.29 ,$519.65 ,$87.57 ,$383.48 ,$61.81 ,$59.00 ,$91.66 ,$833.66 ,$193.65 ,$513.16 ,$259.36 ,$833.66 ,$87.57 ,$833.66 ,$833.66 ,$87.57 ,$602.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$413.61 ,$297.80 ,$39.33 ,$413.61 ,$214.51 ,$308.14 ,$270.91 ,$87.57 ,$115.81 ,$254.37 ,$87.57 ,$254.37 ,$87.57 ,$229.14 ,$229.14 ,$87.57 ,$229.14 ,$180.50 ,$372.25 ,$343.30 ,$214.51 ,$87.57 ,$363.98 ,$89.33 ,$310.21 ,$310.21 ,$351.57 ,$351.57 ,$87.57 ,$351.57 ,$87.57 ,$335.02 ,$335.02 ,$335.02 ,$413.61 ,$372.25 ,$214.51 ,$372.25 ,$87.57 ,$413.61 ,$232.04 ,$87.57 ,$171.23 ,$41.21 ,$39.33 ,$91.66 ,$372.25 ,$193.65 ,$229.14 ,$115.81 ,$372.25 ,$87.57 ,$372.25 ,$372.25 ,$87.57 ,$268.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$1,075.20 ",$774.14 ,$224.12 ,"$1,075.20 ",$909.67 ,$801.02 ,$704.26 ,$371.36 ,$301.06 ,$661.25 ,$371.36 ,$661.25 ,$371.36 ,$595.66 ,$595.66 ,$371.36 ,$595.66 ,$765.45 ,$967.68 ,$800.00 ,$909.67 ,$371.36 ,$946.18 ,$378.79 ,$806.40 ,$806.40 ,$913.92 ,$913.92 ,$371.36 ,$913.92 ,$371.36 ,$870.91 ,$870.91 ,$870.91 ,"$1,075.20 ",$967.68 ,$909.67 ,$967.68 ,$371.36 ,"$1,075.20 ",$603.19 ,$371.36 ,$445.13 ,$234.80 ,$224.12 ,$388.70 ,$967.68 ,$821.21 ,$595.66 ,$301.06 ,$967.68 ,$371.36 ,$967.68 ,$967.68 ,$371.36 ,$698.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$317.61 ,$228.68 ,$39.33 ,$317.61 ,$214.51 ,$236.62 ,$208.03 ,$87.57 ,$88.93 ,$195.33 ,$87.57 ,$195.33 ,$87.57 ,$175.96 ,$175.96 ,$87.57 ,$175.96 ,$180.50 ,$285.85 ,$263.62 ,$214.51 ,$87.57 ,$279.50 ,$89.33 ,$238.21 ,$238.21 ,$269.97 ,$269.97 ,$87.57 ,$269.97 ,$87.57 ,$257.26 ,$257.26 ,$257.26 ,$317.61 ,$285.85 ,$214.51 ,$285.85 ,$87.57 ,$317.61 ,$178.18 ,$87.57 ,$131.49 ,$41.21 ,$39.33 ,$91.66 ,$285.85 ,$193.65 ,$175.96 ,$88.93 ,$285.85 ,$87.57 ,$285.85 ,$285.85 ,$87.57 ,$206.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$477.95 ,$344.12 ,$59.00 ,$477.95 ,$214.51 ,$356.07 ,$313.06 ,$87.57 ,$133.83 ,$293.94 ,$87.57 ,$293.94 ,$87.57 ,$264.78 ,$264.78 ,$87.57 ,$264.78 ,$180.50 ,$430.16 ,$396.70 ,$214.51 ,$87.57 ,$420.60 ,$89.33 ,$358.46 ,$358.46 ,$406.26 ,$406.26 ,$87.57 ,$406.26 ,$87.57 ,$387.14 ,$387.14 ,$387.14 ,$477.95 ,$430.16 ,$214.51 ,$430.16 ,$87.57 ,$477.95 ,$268.13 ,$87.57 ,$197.87 ,$61.81 ,$59.00 ,$91.66 ,$430.16 ,$193.65 ,$264.78 ,$133.83 ,$430.16 ,$87.57 ,$430.16 ,$430.16 ,$87.57 ,$310.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000263,73562,HC XRAY KNEE (3 V),320,1 ,$597.44 ,$430.16 ,$39.33 ,$597.44 ,$214.51 ,$445.09 ,$391.32 ,$87.57 ,$167.28 ,$367.43 ,$87.57 ,$367.43 ,$87.57 ,$330.98 ,$330.98 ,$87.57 ,$330.98 ,$180.50 ,$537.70 ,$495.88 ,$214.51 ,$87.57 ,$525.75 ,$89.33 ,$448.08 ,$448.08 ,$507.82 ,$507.82 ,$87.57 ,$507.82 ,$87.57 ,$483.93 ,$483.93 ,$483.93 ,$597.44 ,$537.70 ,$214.51 ,$537.70 ,$87.57 ,$597.44 ,$335.16 ,$87.57 ,$247.34 ,$41.21 ,$39.33 ,$91.66 ,$537.70 ,$193.65 ,$330.98 ,$167.28 ,$537.70 ,$87.57 ,$537.70 ,$537.70 ,$87.57 ,$388.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000263,73562,HC XRAY KNEE (3 V),320,1 ,$895.65 ,$644.87 ,$59.00 ,$895.65 ,$214.51 ,$667.26 ,$586.65 ,$87.57 ,$250.78 ,$550.82 ,$87.57 ,$550.82 ,$87.57 ,$496.19 ,$496.19 ,$87.57 ,$496.19 ,$180.50 ,$806.09 ,$743.39 ,$214.51 ,$87.57 ,$788.17 ,$89.33 ,$671.74 ,$671.74 ,$761.30 ,$761.30 ,$87.57 ,$761.30 ,$87.57 ,$725.48 ,$725.48 ,$725.48 ,$895.65 ,$806.09 ,$214.51 ,$806.09 ,$87.57 ,$895.65 ,$502.46 ,$87.57 ,$370.80 ,$61.81 ,$59.00 ,$91.66 ,$806.09 ,$193.65 ,$496.19 ,$250.78 ,$806.09 ,$87.57 ,$806.09 ,$806.09 ,$87.57 ,$582.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$617.86 ,$444.86 ,$39.33 ,$617.86 ,$263.89 ,$460.31 ,$404.70 ,$107.73 ,$173.00 ,$379.98 ,$107.73 ,$379.98 ,$107.73 ,$342.29 ,$342.29 ,$107.73 ,$342.29 ,$222.05 ,$556.07 ,$512.82 ,$263.89 ,$107.73 ,$543.72 ,$109.89 ,$463.40 ,$463.40 ,$525.18 ,$525.18 ,$107.73 ,$525.18 ,$107.73 ,$500.47 ,$500.47 ,$500.47 ,$617.86 ,$556.07 ,$263.89 ,$556.07 ,$107.73 ,$617.86 ,$346.62 ,$107.73 ,$255.79 ,$41.21 ,$39.33 ,$112.76 ,$556.07 ,$238.23 ,$342.29 ,$173.00 ,$556.07 ,$107.73 ,$556.07 ,$556.07 ,$107.73 ,$401.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$926.29 ,$666.93 ,$59.00 ,$926.29 ,$263.89 ,$690.09 ,$606.72 ,$107.73 ,$259.36 ,$569.67 ,$107.73 ,$569.67 ,$107.73 ,$513.16 ,$513.16 ,$107.73 ,$513.16 ,$222.05 ,$833.66 ,$768.82 ,$263.89 ,$107.73 ,$815.14 ,$109.89 ,$694.72 ,$694.72 ,$787.35 ,$787.35 ,$107.73 ,$787.35 ,$107.73 ,$750.29 ,$750.29 ,$750.29 ,$926.29 ,$833.66 ,$263.89 ,$833.66 ,$107.73 ,$926.29 ,$519.65 ,$107.73 ,$383.48 ,$61.81 ,$59.00 ,$112.76 ,$833.66 ,$238.23 ,$513.16 ,$259.36 ,$833.66 ,$107.73 ,$833.66 ,$833.66 ,$107.73 ,$602.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000267,73565,HC XR KNEE STAND,320,1 ,$373.78 ,$269.12 ,$39.33 ,$373.78 ,$214.51 ,$278.47 ,$244.83 ,$87.57 ,$104.66 ,$229.87 ,$87.57 ,$229.87 ,$87.57 ,$207.07 ,$207.07 ,$87.57 ,$207.07 ,$180.50 ,$336.40 ,$310.24 ,$214.51 ,$87.57 ,$328.93 ,$89.33 ,$280.34 ,$280.34 ,$317.71 ,$317.71 ,$87.57 ,$317.71 ,$87.57 ,$302.76 ,$302.76 ,$302.76 ,$373.78 ,$336.40 ,$214.51 ,$336.40 ,$87.57 ,$373.78 ,$209.69 ,$87.57 ,$154.74 ,$41.21 ,$39.33 ,$91.66 ,$336.40 ,$193.65 ,$207.07 ,$104.66 ,$336.40 ,$87.57 ,$336.40 ,$336.40 ,$87.57 ,$242.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,$934.46 ,$672.81 ,$224.12 ,$934.46 ,$909.67 ,$696.17 ,$612.07 ,$371.36 ,$261.65 ,$574.69 ,$371.36 ,$574.69 ,$371.36 ,$517.69 ,$517.69 ,$371.36 ,$517.69 ,$765.45 ,$841.01 ,$775.60 ,$909.67 ,$371.36 ,$822.32 ,$378.79 ,$700.85 ,$700.85 ,$794.29 ,$794.29 ,$371.36 ,$794.29 ,$371.36 ,$756.91 ,$756.91 ,$756.91 ,$934.46 ,$841.01 ,$909.67 ,$841.01 ,$371.36 ,$934.46 ,$524.23 ,$371.36 ,$386.87 ,$234.80 ,$224.12 ,$388.70 ,$841.01 ,$821.21 ,$517.69 ,$261.65 ,$841.01 ,$371.36 ,$841.01 ,$841.01 ,$371.36 ,$607.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$499.40 ,$359.57 ,$39.33 ,$499.40 ,$214.51 ,$372.05 ,$327.11 ,$87.57 ,$139.83 ,$307.13 ,$87.57 ,$307.13 ,$87.57 ,$276.67 ,$276.67 ,$87.57 ,$276.67 ,$180.50 ,$449.46 ,$414.50 ,$214.51 ,$87.57 ,$439.47 ,$89.33 ,$374.55 ,$374.55 ,$424.49 ,$424.49 ,$87.57 ,$424.49 ,$87.57 ,$404.51 ,$404.51 ,$404.51 ,$499.40 ,$449.46 ,$214.51 ,$449.46 ,$87.57 ,$499.40 ,$280.16 ,$87.57 ,$206.75 ,$41.21 ,$39.33 ,$91.66 ,$449.46 ,$193.65 ,$276.67 ,$139.83 ,$449.46 ,$87.57 ,$449.46 ,$449.46 ,$87.57 ,$324.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$747.56 ,$538.24 ,$59.00 ,$747.56 ,$214.51 ,$556.93 ,$489.65 ,$87.57 ,$209.32 ,$459.75 ,$87.57 ,$459.75 ,$87.57 ,$414.15 ,$414.15 ,$87.57 ,$414.15 ,$180.50 ,$672.80 ,$620.47 ,$214.51 ,$87.57 ,$657.85 ,$89.33 ,$560.67 ,$560.67 ,$635.43 ,$635.43 ,$87.57 ,$635.43 ,$87.57 ,$605.52 ,$605.52 ,$605.52 ,$747.56 ,$672.80 ,$214.51 ,$672.80 ,$87.57 ,$747.56 ,$419.38 ,$87.57 ,$309.49 ,$61.81 ,$59.00 ,$91.66 ,$672.80 ,$193.65 ,$414.15 ,$209.32 ,$672.80 ,$87.57 ,$672.80 ,$672.80 ,$87.57 ,$485.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$332.93 ,$239.71 ,$39.33 ,$332.93 ,$214.51 ,$248.03 ,$218.07 ,$87.57 ,$93.22 ,$204.75 ,$87.57 ,$204.75 ,$87.57 ,$184.44 ,$184.44 ,$87.57 ,$184.44 ,$180.50 ,$299.64 ,$276.33 ,$214.51 ,$87.57 ,$292.98 ,$89.33 ,$249.70 ,$249.70 ,$282.99 ,$282.99 ,$87.57 ,$282.99 ,$87.57 ,$269.67 ,$269.67 ,$269.67 ,$332.93 ,$299.64 ,$214.51 ,$299.64 ,$87.57 ,$332.93 ,$186.77 ,$87.57 ,$137.83 ,$41.21 ,$39.33 ,$91.66 ,$299.64 ,$193.65 ,$184.44 ,$93.22 ,$299.64 ,$87.57 ,$299.64 ,$299.64 ,$87.57 ,$216.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$499.40 ,$359.57 ,$59.00 ,$499.40 ,$214.51 ,$372.05 ,$327.11 ,$87.57 ,$139.83 ,$307.13 ,$87.57 ,$307.13 ,$87.57 ,$276.67 ,$276.67 ,$87.57 ,$276.67 ,$180.50 ,$449.46 ,$414.50 ,$214.51 ,$87.57 ,$439.47 ,$89.33 ,$374.55 ,$374.55 ,$424.49 ,$424.49 ,$87.57 ,$424.49 ,$87.57 ,$404.51 ,$404.51 ,$404.51 ,$499.40 ,$449.46 ,$214.51 ,$449.46 ,$87.57 ,$499.40 ,$280.16 ,$87.57 ,$206.75 ,$61.81 ,$59.00 ,$91.66 ,$449.46 ,$193.65 ,$276.67 ,$139.83 ,$449.46 ,$87.57 ,$449.46 ,$449.46 ,$87.57 ,$324.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$413.61 ,$297.80 ,$39.33 ,$413.61 ,$214.51 ,$308.14 ,$270.91 ,$87.57 ,$115.81 ,$254.37 ,$87.57 ,$254.37 ,$87.57 ,$229.14 ,$229.14 ,$87.57 ,$229.14 ,$180.50 ,$372.25 ,$343.30 ,$214.51 ,$87.57 ,$363.98 ,$89.33 ,$310.21 ,$310.21 ,$351.57 ,$351.57 ,$87.57 ,$351.57 ,$87.57 ,$335.02 ,$335.02 ,$335.02 ,$413.61 ,$372.25 ,$214.51 ,$372.25 ,$87.57 ,$413.61 ,$232.04 ,$87.57 ,$171.23 ,$41.21 ,$39.33 ,$91.66 ,$372.25 ,$193.65 ,$229.14 ,$115.81 ,$372.25 ,$87.57 ,$372.25 ,$372.25 ,$87.57 ,$268.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$618.89 ,$445.60 ,$59.00 ,$618.89 ,$214.51 ,$461.07 ,$405.37 ,$87.57 ,$173.29 ,$380.62 ,$87.57 ,$380.62 ,$87.57 ,$342.87 ,$342.87 ,$87.57 ,$342.87 ,$180.50 ,$557.00 ,$513.68 ,$214.51 ,$87.57 ,$544.62 ,$89.33 ,$464.17 ,$464.17 ,$526.06 ,$526.06 ,$87.57 ,$526.06 ,$87.57 ,$501.30 ,$501.30 ,$501.30 ,$618.89 ,$557.00 ,$214.51 ,$557.00 ,$87.57 ,$618.89 ,$347.20 ,$87.57 ,$256.22 ,$61.81 ,$59.00 ,$91.66 ,$557.00 ,$193.65 ,$342.87 ,$173.29 ,$557.00 ,$87.57 ,$557.00 ,$557.00 ,$87.57 ,$402.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$522.89 ,$376.48 ,$39.33 ,$522.89 ,$214.51 ,$389.55 ,$342.49 ,$87.57 ,$146.41 ,$321.58 ,$87.57 ,$321.58 ,$87.57 ,$289.68 ,$289.68 ,$87.57 ,$289.68 ,$180.50 ,$470.60 ,$434.00 ,$214.51 ,$87.57 ,$460.14 ,$89.33 ,$392.17 ,$392.17 ,$444.46 ,$444.46 ,$87.57 ,$444.46 ,$87.57 ,$423.54 ,$423.54 ,$423.54 ,$522.89 ,$470.60 ,$214.51 ,$470.60 ,$87.57 ,$522.89 ,$293.34 ,$87.57 ,$216.48 ,$41.21 ,$39.33 ,$91.66 ,$470.60 ,$193.65 ,$289.68 ,$146.41 ,$470.60 ,$87.57 ,$470.60 ,$470.60 ,$87.57 ,$339.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$784.33 ,$564.72 ,$59.00 ,$784.33 ,$214.51 ,$584.33 ,$513.74 ,$87.57 ,$219.61 ,$482.36 ,$87.57 ,$482.36 ,$87.57 ,$434.52 ,$434.52 ,$87.57 ,$434.52 ,$180.50 ,$705.90 ,$650.99 ,$214.51 ,$87.57 ,$690.21 ,$89.33 ,$588.25 ,$588.25 ,$666.68 ,$666.68 ,$87.57 ,$666.68 ,$87.57 ,$635.31 ,$635.31 ,$635.31 ,$784.33 ,$705.90 ,$214.51 ,$705.90 ,$87.57 ,$784.33 ,$440.01 ,$87.57 ,$324.71 ,$61.81 ,$59.00 ,$91.66 ,$705.90 ,$193.65 ,$434.52 ,$219.61 ,$705.90 ,$87.57 ,$705.90 ,$705.90 ,$87.57 ,$509.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000278,73615,HC XRAY ARTHRO ANKLE,320,1 ,$567.82 ,$408.83 ,$158.99 ,$821.21 ,$567.82 ,$423.03 ,$371.92 ,$371.36 ,$158.99 ,$349.21 ,$371.36 ,$349.21 ,$371.36 ,$314.57 ,$314.57 ,$371.36 ,$314.57 ,$567.82 ,$511.04 ,$471.29 ,$567.82 ,$371.36 ,$499.68 ,$378.79 ,$425.87 ,$425.87 ,$482.65 ,$482.65 ,$371.36 ,$482.65 ,$371.36 ,$459.93 ,$459.93 ,$459.93 ,$567.82 ,$511.04 ,$567.82 ,$511.04 ,$371.36 ,$567.82 ,$318.55 ,$371.36 ,$235.08 ,$234.80 ,$224.12 ,$388.70 ,$511.04 ,$821.21 ,$314.57 ,$158.99 ,$511.04 ,$371.36 ,$511.04 ,$511.04 ,$371.36 ,$369.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000279,73620,HC XRAY FOOT (2 V),320,1 ,$377.87 ,$272.07 ,$39.33 ,$377.87 ,$214.51 ,$281.51 ,$247.50 ,$87.57 ,$105.80 ,$232.39 ,$87.57 ,$232.39 ,$87.57 ,$209.34 ,$209.34 ,$87.57 ,$209.34 ,$180.50 ,$340.08 ,$313.63 ,$214.51 ,$87.57 ,$332.53 ,$89.33 ,$283.40 ,$283.40 ,$321.19 ,$321.19 ,$87.57 ,$321.19 ,$87.57 ,$306.07 ,$306.07 ,$306.07 ,$377.87 ,$340.08 ,$214.51 ,$340.08 ,$87.57 ,$377.87 ,$211.99 ,$87.57 ,$156.44 ,$41.21 ,$39.33 ,$91.66 ,$340.08 ,$193.65 ,$209.34 ,$105.80 ,$340.08 ,$87.57 ,$340.08 ,$340.08 ,$87.57 ,$245.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000279,73620,HC XRAY FOOT (2 V),320,1 ,$566.80 ,$408.10 ,$59.00 ,$566.80 ,$214.51 ,$422.27 ,$371.25 ,$87.57 ,$158.70 ,$348.58 ,$87.57 ,$348.58 ,$87.57 ,$314.01 ,$314.01 ,$87.57 ,$314.01 ,$180.50 ,$510.12 ,$470.44 ,$214.51 ,$87.57 ,$498.78 ,$89.33 ,$425.10 ,$425.10 ,$481.78 ,$481.78 ,$87.57 ,$481.78 ,$87.57 ,$459.11 ,$459.11 ,$459.11 ,$566.80 ,$510.12 ,$214.51 ,$510.12 ,$87.57 ,$566.80 ,$317.97 ,$87.57 ,$234.66 ,$61.81 ,$59.00 ,$91.66 ,$510.12 ,$193.65 ,$314.01 ,$158.70 ,$510.12 ,$87.57 ,$510.12 ,$510.12 ,$87.57 ,$368.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$597.44 ,$430.16 ,$39.33 ,$597.44 ,$214.51 ,$445.09 ,$391.32 ,$87.57 ,$167.28 ,$367.43 ,$87.57 ,$367.43 ,$87.57 ,$330.98 ,$330.98 ,$87.57 ,$330.98 ,$180.50 ,$537.70 ,$495.88 ,$214.51 ,$87.57 ,$525.75 ,$89.33 ,$448.08 ,$448.08 ,$507.82 ,$507.82 ,$87.57 ,$507.82 ,$87.57 ,$483.93 ,$483.93 ,$483.93 ,$597.44 ,$537.70 ,$214.51 ,$537.70 ,$87.57 ,$597.44 ,$335.16 ,$87.57 ,$247.34 ,$41.21 ,$39.33 ,$91.66 ,$537.70 ,$193.65 ,$330.98 ,$167.28 ,$537.70 ,$87.57 ,$537.70 ,$537.70 ,$87.57 ,$388.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$895.65 ,$644.87 ,$59.00 ,$895.65 ,$214.51 ,$667.26 ,$586.65 ,$87.57 ,$250.78 ,$550.82 ,$87.57 ,$550.82 ,$87.57 ,$496.19 ,$496.19 ,$87.57 ,$496.19 ,$180.50 ,$806.09 ,$743.39 ,$214.51 ,$87.57 ,$788.17 ,$89.33 ,$671.74 ,$671.74 ,$761.30 ,$761.30 ,$87.57 ,$761.30 ,$87.57 ,$725.48 ,$725.48 ,$725.48 ,$895.65 ,$806.09 ,$214.51 ,$806.09 ,$87.57 ,$895.65 ,$502.46 ,$87.57 ,$370.80 ,$61.81 ,$59.00 ,$91.66 ,$806.09 ,$193.65 ,$496.19 ,$250.78 ,$806.09 ,$87.57 ,$806.09 ,$806.09 ,$87.57 ,$582.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$413.61 ,$297.80 ,$39.33 ,$413.61 ,$214.51 ,$308.14 ,$270.91 ,$87.57 ,$115.81 ,$254.37 ,$87.57 ,$254.37 ,$87.57 ,$229.14 ,$229.14 ,$87.57 ,$229.14 ,$180.50 ,$372.25 ,$343.30 ,$214.51 ,$87.57 ,$363.98 ,$89.33 ,$310.21 ,$310.21 ,$351.57 ,$351.57 ,$87.57 ,$351.57 ,$87.57 ,$335.02 ,$335.02 ,$335.02 ,$413.61 ,$372.25 ,$214.51 ,$372.25 ,$87.57 ,$413.61 ,$232.04 ,$87.57 ,$171.23 ,$41.21 ,$39.33 ,$91.66 ,$372.25 ,$193.65 ,$229.14 ,$115.81 ,$372.25 ,$87.57 ,$372.25 ,$372.25 ,$87.57 ,$268.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$618.89 ,$445.60 ,$59.00 ,$618.89 ,$214.51 ,$461.07 ,$405.37 ,$87.57 ,$173.29 ,$380.62 ,$87.57 ,$380.62 ,$87.57 ,$342.87 ,$342.87 ,$87.57 ,$342.87 ,$180.50 ,$557.00 ,$513.68 ,$214.51 ,$87.57 ,$544.62 ,$89.33 ,$464.17 ,$464.17 ,$526.06 ,$526.06 ,$87.57 ,$526.06 ,$87.57 ,$501.30 ,$501.30 ,$501.30 ,$618.89 ,$557.00 ,$214.51 ,$557.00 ,$87.57 ,$618.89 ,$347.20 ,$87.57 ,$256.22 ,$61.81 ,$59.00 ,$91.66 ,$557.00 ,$193.65 ,$342.87 ,$173.29 ,$557.00 ,$87.57 ,$557.00 ,$557.00 ,$87.57 ,$402.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$401.36 ,$288.98 ,$39.33 ,$401.36 ,$214.51 ,$299.01 ,$262.89 ,$87.57 ,$112.38 ,$246.84 ,$87.57 ,$246.84 ,$87.57 ,$222.35 ,$222.35 ,$87.57 ,$222.35 ,$180.50 ,$361.22 ,$333.13 ,$214.51 ,$87.57 ,$353.20 ,$89.33 ,$301.02 ,$301.02 ,$341.16 ,$341.16 ,$87.57 ,$341.16 ,$87.57 ,$325.10 ,$325.10 ,$325.10 ,$401.36 ,$361.22 ,$214.51 ,$361.22 ,$87.57 ,$401.36 ,$225.16 ,$87.57 ,$166.16 ,$41.21 ,$39.33 ,$91.66 ,$361.22 ,$193.65 ,$222.35 ,$112.38 ,$361.22 ,$87.57 ,$361.22 ,$361.22 ,$87.57 ,$260.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$576.32 ,$414.95 ,$39.33 ,$576.32 ,$214.51 ,$429.36 ,$377.49 ,$87.57 ,$161.37 ,$354.44 ,$87.57 ,$354.44 ,$87.57 ,$319.28 ,$319.28 ,$87.57 ,$319.28 ,$180.50 ,$518.69 ,$478.35 ,$214.51 ,$87.57 ,$507.16 ,$89.33 ,$432.24 ,$432.24 ,$489.87 ,$489.87 ,$87.57 ,$489.87 ,$87.57 ,$466.82 ,$466.82 ,$466.82 ,$576.32 ,$518.69 ,$214.51 ,$518.69 ,$87.57 ,$576.32 ,$323.32 ,$87.57 ,$238.60 ,$41.21 ,$39.33 ,$91.66 ,$518.69 ,$193.65 ,$319.28 ,$161.37 ,$518.69 ,$87.57 ,$518.69 ,$518.69 ,$87.57 ,$374.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000294,74019,HC XRAY ABDOMEN AP  AND  LAT (2 V OR 3 V),320,1 ,$608.39 ,$438.04 ,$39.33 ,$608.39 ,$263.89 ,$453.25 ,$398.50 ,$107.73 ,$170.35 ,$374.16 ,$107.73 ,$374.16 ,$107.73 ,$337.05 ,$337.05 ,$107.73 ,$337.05 ,$222.05 ,$547.55 ,$504.96 ,$263.89 ,$107.73 ,$535.38 ,$109.89 ,$456.29 ,$456.29 ,$517.13 ,$517.13 ,$107.73 ,$517.13 ,$107.73 ,$492.80 ,$492.80 ,$492.80 ,$608.39 ,$547.55 ,$263.89 ,$547.55 ,$107.73 ,$608.39 ,$341.31 ,$107.73 ,$251.87 ,$41.21 ,$39.33 ,$112.76 ,$547.55 ,$238.23 ,$337.05 ,$170.35 ,$547.55 ,$107.73 ,$547.55 ,$547.55 ,$107.73 ,$395.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,"$1,223.79 ",$881.13 ,$39.33 ,"$1,223.79 ",$263.89 ,$911.72 ,$801.58 ,$107.73 ,$342.66 ,$752.63 ,$107.73 ,$752.63 ,$107.73 ,$677.98 ,$677.98 ,$107.73 ,$677.98 ,$222.05 ,"$1,101.41 ",$800.00 ,$263.89 ,$107.73 ,"$1,076.94 ",$109.89 ,$917.84 ,$917.84 ,"$1,040.22 ","$1,040.22 ",$107.73 ,"$1,040.22 ",$107.73 ,$991.27 ,$991.27 ,$991.27 ,"$1,223.79 ","$1,101.41 ",$263.89 ,"$1,101.41 ",$107.73 ,"$1,223.79 ",$686.55 ,$107.73 ,$506.65 ,$41.21 ,$39.33 ,$112.76 ,"$1,101.41 ",$238.23 ,$677.98 ,$342.66 ,"$1,101.41 ",$107.73 ,"$1,101.41 ","$1,101.41 ",$107.73 ,$795.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$913.08 ,$657.42 ,$39.33 ,$913.08 ,$445.27 ,$680.24 ,$598.07 ,$181.77 ,$255.66 ,$561.54 ,$181.77 ,$561.54 ,$181.77 ,$505.85 ,$505.85 ,$181.77 ,$505.85 ,$374.67 ,$821.77 ,$757.86 ,$445.27 ,$181.77 ,$803.51 ,$185.41 ,$684.81 ,$684.81 ,$776.12 ,$776.12 ,$181.77 ,$776.12 ,$181.77 ,$739.59 ,$739.59 ,$739.59 ,$913.08 ,$821.77 ,$445.27 ,$821.77 ,$181.77 ,$913.08 ,$512.24 ,$181.77 ,$378.02 ,$41.21 ,$39.33 ,$190.26 ,$821.77 ,$401.97 ,$505.85 ,$255.66 ,$821.77 ,$181.77 ,$821.77 ,$821.77 ,$181.77 ,$593.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,"$1,280.92 ",$922.26 ,$86.49 ,"$1,280.92 ",$445.27 ,$954.29 ,$839.00 ,$181.77 ,$358.66 ,$787.77 ,$181.77 ,$787.77 ,$181.77 ,$709.63 ,$709.63 ,$181.77 ,$709.63 ,$374.67 ,"$1,152.83 ",$800.00 ,$445.27 ,$181.77 ,"$1,127.21 ",$185.41 ,$960.69 ,$960.69 ,"$1,088.78 ","$1,088.78 ",$181.77 ,"$1,088.78 ",$181.77 ,"$1,037.55 ","$1,037.55 ","$1,037.55 ","$1,280.92 ","$1,152.83 ",$445.27 ,"$1,152.83 ",$181.77 ,"$1,280.92 ",$718.60 ,$181.77 ,$530.30 ,$90.61 ,$86.49 ,$190.26 ,"$1,152.83 ",$401.97 ,$709.63 ,$358.66 ,"$1,152.83 ",$181.77 ,"$1,152.83 ","$1,152.83 ",$181.77 ,$832.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,"$1,667.81 ","$1,200.82 ",$86.49 ,"$1,667.81 ",$445.27 ,"$1,242.52 ","$1,092.42 ",$181.77 ,$466.99 ,"$1,025.70 ",$181.77 ,"$1,025.70 ",$181.77 ,$923.97 ,$923.97 ,$181.77 ,$923.97 ,$374.67 ,"$1,501.03 ",$800.00 ,$445.27 ,$181.77 ,"$1,467.67 ",$185.41 ,"$1,250.86 ","$1,250.86 ","$1,417.64 ","$1,417.64 ",$181.77 ,"$1,417.64 ",$181.77 ,"$1,350.93 ","$1,350.93 ","$1,350.93 ","$1,667.81 ","$1,501.03 ",$445.27 ,"$1,501.03 ",$181.77 ,"$1,667.81 ",$935.64 ,$181.77 ,$690.47 ,$90.61 ,$86.49 ,$190.26 ,"$1,501.03 ",$401.97 ,$923.97 ,$466.99 ,"$1,501.03 ",$181.77 ,"$1,501.03 ","$1,501.03 ",$181.77 ,"$1,084.08 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,"$2,391.46 ","$1,721.85 ",$86.49 ,"$2,391.46 ",$445.27 ,"$1,781.64 ","$1,566.41 ",$181.77 ,$669.61 ,"$1,470.75 ",$181.77 ,"$1,470.75 ",$181.77 ,"$1,324.87 ","$1,324.87 ",$181.77 ,"$1,324.87 ",$374.67 ,"$2,152.31 ",$800.00 ,$445.27 ,$181.77 ,"$2,104.48 ",$185.41 ,"$1,793.60 ","$1,793.60 ","$2,032.74 ","$2,032.74 ",$181.77 ,"$2,032.74 ",$181.77 ,"$1,937.08 ","$1,937.08 ","$1,937.08 ","$2,391.46 ","$2,152.31 ",$445.27 ,"$2,152.31 ",$181.77 ,"$2,391.46 ","$1,341.61 ",$181.77 ,$990.06 ,$90.61 ,$86.49 ,$190.26 ,"$2,152.31 ",$401.97 ,"$1,324.87 ",$669.61 ,"$2,152.31 ",$181.77 ,"$2,152.31 ","$2,152.31 ",$181.77 ,"$1,554.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000307,74246,HC XRAY ESOPHAGUS/UGI W AIR,320,1 ,$674.54 ,$485.67 ,$86.49 ,$674.54 ,$445.27 ,$502.53 ,$441.82 ,$181.77 ,$188.87 ,$414.84 ,$181.77 ,$414.84 ,$181.77 ,$373.70 ,$373.70 ,$181.77 ,$373.70 ,$374.67 ,$607.09 ,$559.87 ,$445.27 ,$181.77 ,$593.60 ,$185.41 ,$505.91 ,$505.91 ,$573.36 ,$573.36 ,$181.77 ,$573.36 ,$181.77 ,$546.38 ,$546.38 ,$546.38 ,$674.54 ,$607.09 ,$445.27 ,$607.09 ,$181.77 ,$674.54 ,$378.42 ,$181.77 ,$279.26 ,$90.61 ,$86.49 ,$190.26 ,$607.09 ,$401.97 ,$373.70 ,$188.87 ,$607.09 ,$181.77 ,$607.09 ,$607.09 ,$181.77 ,$438.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$969.21 ,$697.83 ,$86.49 ,$969.21 ,$445.27 ,$722.06 ,$634.83 ,$181.77 ,$271.38 ,$596.06 ,$181.77 ,$596.06 ,$181.77 ,$536.94 ,$536.94 ,$181.77 ,$536.94 ,$374.67 ,$872.29 ,$800.00 ,$445.27 ,$181.77 ,$852.90 ,$185.41 ,$726.91 ,$726.91 ,$823.83 ,$823.83 ,$181.77 ,$823.83 ,$181.77 ,$785.06 ,$785.06 ,$785.06 ,$969.21 ,$872.29 ,$445.27 ,$872.29 ,$181.77 ,$969.21 ,$543.73 ,$181.77 ,$401.25 ,$90.61 ,$86.49 ,$190.26 ,$872.29 ,$401.97 ,$536.94 ,$271.38 ,$872.29 ,$181.77 ,$872.29 ,$872.29 ,$181.77 ,$629.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000312,74018,HC SITZ MARKER STUDY,320,1 ,$576.32 ,$414.95 ,$39.33 ,$576.32 ,$214.51 ,$429.36 ,$377.49 ,$87.57 ,$161.37 ,$354.44 ,$87.57 ,$354.44 ,$87.57 ,$319.28 ,$319.28 ,$87.57 ,$319.28 ,$180.50 ,$518.69 ,$478.35 ,$214.51 ,$87.57 ,$507.16 ,$89.33 ,$432.24 ,$432.24 ,$489.87 ,$489.87 ,$87.57 ,$489.87 ,$87.57 ,$466.82 ,$466.82 ,$466.82 ,$576.32 ,$518.69 ,$214.51 ,$518.69 ,$87.57 ,$576.32 ,$323.32 ,$87.57 ,$238.60 ,$41.21 ,$39.33 ,$91.66 ,$518.69 ,$193.65 ,$319.28 ,$161.37 ,$518.69 ,$87.57 ,$518.69 ,$518.69 ,$87.57 ,$374.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000315,74270,HC XRAY COLON BARIUM,320,1 ,"$1,437.28 ","$1,034.84 ",$86.49 ,"$1,437.28 ",$445.27 ,"$1,070.77 ",$941.42 ,$181.77 ,$402.44 ,$883.93 ,$181.77 ,$883.93 ,$181.77 ,$796.25 ,$796.25 ,$181.77 ,$796.25 ,$374.67 ,"$1,293.55 ",$800.00 ,$445.27 ,$181.77 ,"$1,264.81 ",$185.41 ,"$1,077.96 ","$1,077.96 ","$1,221.69 ","$1,221.69 ",$181.77 ,"$1,221.69 ",$181.77 ,"$1,164.20 ","$1,164.20 ","$1,164.20 ","$1,437.28 ","$1,293.55 ",$445.27 ,"$1,293.55 ",$181.77 ,"$1,437.28 ",$806.31 ,$181.77 ,$595.03 ,$90.61 ,$86.49 ,$190.26 ,"$1,293.55 ",$401.97 ,$796.25 ,$402.44 ,"$1,293.55 ",$181.77 ,"$1,293.55 ","$1,293.55 ",$181.77 ,$934.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,"$1,437.28 ","$1,034.84 ",$86.49 ,"$1,437.28 ",$445.27 ,"$1,070.77 ",$941.42 ,$181.77 ,$402.44 ,$883.93 ,$181.77 ,$883.93 ,$181.77 ,$796.25 ,$796.25 ,$181.77 ,$796.25 ,$374.67 ,"$1,293.55 ",$800.00 ,$445.27 ,$181.77 ,"$1,264.81 ",$185.41 ,"$1,077.96 ","$1,077.96 ","$1,221.69 ","$1,221.69 ",$181.77 ,"$1,221.69 ",$181.77 ,"$1,164.20 ","$1,164.20 ","$1,164.20 ","$1,437.28 ","$1,293.55 ",$445.27 ,"$1,293.55 ",$181.77 ,"$1,437.28 ",$806.31 ,$181.77 ,$595.03 ,$90.61 ,$86.49 ,$190.26 ,"$1,293.55 ",$401.97 ,$796.25 ,$402.44 ,"$1,293.55 ",$181.77 ,"$1,293.55 ","$1,293.55 ",$181.77 ,$934.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,"$1,437.28 ","$1,034.84 ",$86.49 ,"$1,437.28 ",$445.27 ,"$1,070.77 ",$941.42 ,$181.77 ,$402.44 ,$883.93 ,$181.77 ,$883.93 ,$181.77 ,$796.25 ,$796.25 ,$181.77 ,$796.25 ,$374.67 ,"$1,293.55 ",$800.00 ,$445.27 ,$181.77 ,"$1,264.81 ",$185.41 ,"$1,077.96 ","$1,077.96 ","$1,221.69 ","$1,221.69 ",$181.77 ,"$1,221.69 ",$181.77 ,"$1,164.20 ","$1,164.20 ","$1,164.20 ","$1,437.28 ","$1,293.55 ",$445.27 ,"$1,293.55 ",$181.77 ,"$1,437.28 ",$806.31 ,$181.77 ,$595.03 ,$90.61 ,$86.49 ,$190.26 ,"$1,293.55 ",$401.97 ,$796.25 ,$402.44 ,"$1,293.55 ",$181.77 ,"$1,293.55 ","$1,293.55 ",$181.77 ,$934.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,"$1,577.60 ","$1,135.87 ",$86.49 ,"$1,577.60 ",$445.27 ,"$1,175.31 ","$1,033.33 ",$181.77 ,$441.73 ,$970.22 ,$181.77 ,$970.22 ,$181.77 ,$873.99 ,$873.99 ,$181.77 ,$873.99 ,$374.67 ,"$1,419.84 ",$800.00 ,$445.27 ,$181.77 ,"$1,388.29 ",$185.41 ,"$1,183.20 ","$1,183.20 ","$1,340.96 ","$1,340.96 ",$181.77 ,"$1,340.96 ",$181.77 ,"$1,277.86 ","$1,277.86 ","$1,277.86 ","$1,577.60 ","$1,419.84 ",$445.27 ,"$1,419.84 ",$181.77 ,"$1,577.60 ",$885.03 ,$181.77 ,$653.13 ,$90.61 ,$86.49 ,$190.26 ,"$1,419.84 ",$401.97 ,$873.99 ,$441.73 ,"$1,419.84 ",$181.77 ,"$1,419.84 ","$1,419.84 ",$181.77 ,"$1,025.44 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,"$1,421.24 ","$1,023.29 ",$224.12 ,"$1,421.24 ", N/A ,"$1,058.82 ",$930.91 , N/A ,$397.95 ,$874.06 , N/A ,$874.06 , N/A ,$787.37 ,$787.37 , N/A ,$787.37 , N/A ,"$1,279.12 ",$800.00 , N/A , N/A ,"$1,250.69 ", N/A ,"$1,065.93 ","$1,065.93 ","$1,208.05 ","$1,208.05 ", N/A ,"$1,208.05 ", N/A ,"$1,151.20 ","$1,151.20 ","$1,151.20 ","$1,421.24 ","$1,279.12 ", N/A ,"$1,279.12 ", N/A ,"$1,421.24 ",$797.32 , N/A ,$588.39 ,$234.80 ,$224.12 , N/A ,"$1,279.12 ", N/A ,$787.37 ,$397.95 ,"$1,279.12 ", N/A ,"$1,279.12 ","$1,279.12 ", N/A ,$923.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,"$4,183.15 ","$3,011.87 ",$86.49 ,"$7,894.78 ","$4,183.15 ","$3,116.45 ","$2,739.96 ","$3,570.10 ","$1,171.28 ","$2,572.64 ","$3,570.10 ","$2,572.64 ","$3,570.10 ","$2,317.47 ","$2,317.47 ","$3,570.10 ","$2,317.47 ","$4,183.15 ","$3,764.84 ",$800.00 ,"$4,183.15 ","$3,570.10 ","$3,681.17 ","$3,641.50 ","$3,137.36 ","$3,137.36 ","$3,555.68 ","$3,555.68 ","$3,570.10 ","$3,555.68 ","$3,570.10 ","$3,388.35 ","$3,388.35 ","$3,388.35 ","$4,183.15 ","$3,764.84 ","$4,183.15 ","$3,764.84 ","$3,570.10 ","$4,183.15 ","$2,346.75 ","$3,570.10 ","$1,731.82 ",$90.61 ,$86.49 ,"$3,736.77 ","$3,764.84 ","$7,894.78 ","$2,317.47 ","$1,171.28 ","$3,764.84 ","$3,570.10 ","$3,764.84 ","$3,764.84 ","$3,570.10 ","$2,719.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000331,74340,HC INTRODUCTION LONG GI TUBE,320,1 ,$905.07 ,$651.65 ,$224.12 ,$905.07 , N/A ,$674.28 ,$592.82 , N/A ,$253.42 ,$556.62 , N/A ,$556.62 , N/A ,$501.41 ,$501.41 , N/A ,$501.41 , N/A ,$814.56 ,$751.21 , N/A , N/A ,$796.46 , N/A ,$678.80 ,$678.80 ,$769.31 ,$769.31 , N/A ,$769.31 , N/A ,$733.11 ,$733.11 ,$733.11 ,$905.07 ,$814.56 , N/A ,$814.56 , N/A ,$905.07 ,$507.74 , N/A ,$374.70 ,$234.80 ,$224.12 , N/A ,$814.56 , N/A ,$501.41 ,$253.42 ,$814.56 , N/A ,$814.56 ,$814.56 , N/A ,$588.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,"$1,316.00 ",$947.52 ,$245.34 ,"$1,316.00 ",$909.67 ,$980.42 ,$861.98 ,$371.36 ,$368.48 ,$809.34 ,$371.36 ,$809.34 ,$371.36 ,$729.06 ,$729.06 ,$371.36 ,$729.06 ,$765.45 ,"$1,184.40 ",$800.00 ,$909.67 ,$371.36 ,"$1,158.08 ",$378.79 ,$987.00 ,$987.00 ,"$1,118.60 ","$1,118.60 ",$371.36 ,"$1,118.60 ",$371.36 ,"$1,065.96 ","$1,065.96 ","$1,065.96 ","$1,316.00 ","$1,184.40 ",$909.67 ,"$1,184.40 ",$371.36 ,"$1,316.00 ",$738.28 ,$371.36 ,$544.82 ,$257.03 ,$245.34 ,$388.70 ,"$1,184.40 ",$821.21 ,$729.06 ,$368.48 ,"$1,184.40 ",$371.36 ,"$1,184.40 ","$1,184.40 ",$371.36 ,$855.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000340,74425,HC XRAY UROGRAM ANTEGRADE,320,1 ,"$1,045.39 ",$752.68 ,$224.12 ,"$1,045.39 ",$909.67 ,$778.82 ,$684.73 ,$371.36 ,$292.71 ,$642.91 ,$371.36 ,$642.91 ,$371.36 ,$579.15 ,$579.15 ,$371.36 ,$579.15 ,$765.45 ,$940.85 ,$800.00 ,$909.67 ,$371.36 ,$919.94 ,$378.79 ,$784.04 ,$784.04 ,$888.58 ,$888.58 ,$371.36 ,$888.58 ,$371.36 ,$846.77 ,$846.77 ,$846.77 ,"$1,045.39 ",$940.85 ,$909.67 ,$940.85 ,$371.36 ,"$1,045.39 ",$586.46 ,$371.36 ,$432.79 ,$234.80 ,$224.12 ,$388.70 ,$940.85 ,$821.21 ,$579.15 ,$292.71 ,$940.85 ,$371.36 ,$940.85 ,$940.85 ,$371.36 ,$679.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$6,180.73 ","$4,450.13 ",$245.34 ,"$6,180.73 ","$1,543.99 ","$4,604.64 ","$4,048.38 ",$630.32 ,"$1,730.60 ","$3,801.15 ",$630.32 ,"$3,801.15 ",$630.32 ,"$3,424.12 ","$3,424.12 ",$630.32 ,"$3,424.12 ","$1,299.21 ","$5,562.66 ",$800.00 ,"$1,543.99 ",$630.32 ,"$5,439.04 ",$642.92 ,"$4,635.55 ","$4,635.55 ","$5,253.62 ","$5,253.62 ",$630.32 ,"$5,253.62 ",$630.32 ,"$5,006.39 ","$5,006.39 ","$5,006.39 ","$6,180.73 ","$5,562.66 ","$1,543.99 ","$5,562.66 ",$630.32 ,"$6,180.73 ","$3,467.39 ",$630.32 ,"$2,558.82 ",$257.03 ,$245.34 ,$659.74 ,"$5,562.66 ","$1,393.85 ","$3,424.12 ","$1,730.60 ","$5,562.66 ",$630.32 ,"$5,562.66 ","$5,562.66 ",$630.32 ,"$4,017.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$9,270.00 ","$6,674.40 ",$368.01 ,"$9,270.00 ","$1,543.99 ","$6,906.15 ","$6,071.85 ",$630.32 ,"$2,595.60 ","$5,701.05 ",$630.32 ,"$5,701.05 ",$630.32 ,"$5,135.58 ","$5,135.58 ",$630.32 ,"$5,135.58 ","$1,299.21 ","$8,343.00 ",$800.00 ,"$1,543.99 ",$630.32 ,"$8,157.60 ",$642.92 ,"$6,952.50 ","$6,952.50 ","$7,879.50 ","$7,879.50 ",$630.32 ,"$7,879.50 ",$630.32 ,"$7,508.70 ","$7,508.70 ","$7,508.70 ","$9,270.00 ","$8,343.00 ","$1,543.99 ","$8,343.00 ",$630.32 ,"$9,270.00 ","$5,200.47 ",$630.32 ,"$3,837.78 ",$385.54 ,$368.01 ,$659.74 ,"$8,343.00 ","$1,393.85 ","$5,135.58 ","$2,595.60 ","$8,343.00 ",$630.32 ,"$8,343.00 ","$8,343.00 ",$630.32 ,"$6,025.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,$856.96 ,$617.01 ,$224.12 ,$856.96 ,$856.96 ,$638.44 ,$561.31 ,$371.36 ,$239.95 ,$527.03 ,$371.36 ,$527.03 ,$371.36 ,$474.76 ,$474.76 ,$371.36 ,$474.76 ,$765.45 ,$771.26 ,$711.28 ,$856.96 ,$371.36 ,$754.12 ,$378.79 ,$642.72 ,$642.72 ,$728.42 ,$728.42 ,$371.36 ,$728.42 ,$371.36 ,$694.14 ,$694.14 ,$694.14 ,$856.96 ,$771.26 ,$856.96 ,$771.26 ,$371.36 ,$856.96 ,$480.75 ,$371.36 ,$354.78 ,$234.80 ,$224.12 ,$388.70 ,$771.26 ,$821.21 ,$474.76 ,$239.95 ,$771.26 ,$371.36 ,$771.26 ,$771.26 ,$371.36 ,$557.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,$922.11 ,$663.92 ,$224.12 ,$922.11 ,$576.57 ,$686.97 ,$603.98 ,$235.38 ,$258.19 ,$567.10 ,$235.38 ,$567.10 ,$235.38 ,$510.85 ,$510.85 ,$235.38 ,$510.85 ,$485.16 ,$829.90 ,$765.35 ,$576.57 ,$235.38 ,$811.46 ,$240.08 ,$691.58 ,$691.58 ,$783.79 ,$783.79 ,$235.38 ,$783.79 ,$235.38 ,$746.91 ,$746.91 ,$746.91 ,$922.11 ,$829.90 ,$576.57 ,$829.90 ,$235.38 ,$922.11 ,$517.30 ,$235.38 ,$381.75 ,$234.80 ,$224.12 ,$246.36 ,$829.90 ,$520.50 ,$510.85 ,$258.19 ,$829.90 ,$235.38 ,$829.90 ,$829.90 ,$235.38 ,$599.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,"$1,583.62 ","$1,140.21 ",$224.12 ,"$1,583.62 ",$576.57 ,"$1,179.80 ","$1,037.27 ",$235.38 ,$443.41 ,$973.93 ,$235.38 ,$973.93 ,$235.38 ,$877.33 ,$877.33 ,$235.38 ,$877.33 ,$485.16 ,"$1,425.26 ",$800.00 ,$576.57 ,$235.38 ,"$1,393.59 ",$240.08 ,"$1,187.72 ","$1,187.72 ","$1,346.08 ","$1,346.08 ",$235.38 ,"$1,346.08 ",$235.38 ,"$1,282.73 ","$1,282.73 ","$1,282.73 ","$1,583.62 ","$1,425.26 ",$576.57 ,"$1,425.26 ",$235.38 ,"$1,583.62 ",$888.41 ,$235.38 ,$655.62 ,$234.80 ,$224.12 ,$246.36 ,"$1,425.26 ",$520.50 ,$877.33 ,$443.41 ,"$1,425.26 ",$235.38 ,"$1,425.26 ","$1,425.26 ",$235.38 ,"$1,029.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000349,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT,320,1 ,"$4,251.00 ","$3,060.72 ",$767.08 ,"$4,251.00 ","$4,251.00 ","$3,167.00 ","$2,784.41 ","$1,869.63 ","$1,190.28 ","$2,614.37 ","$1,869.63 ","$2,614.37 ","$1,869.63 ","$2,355.05 ","$2,355.05 ","$1,869.63 ","$2,355.05 ","$3,853.70 ","$3,825.90 ",$800.00 ,"$4,251.00 ","$1,869.63 ","$3,740.88 ","$1,907.03 ","$3,188.25 ","$3,188.25 ","$3,613.35 ","$3,613.35 ","$1,869.63 ","$3,613.35 ","$1,869.63 ","$3,443.31 ","$3,443.31 ","$3,443.31 ","$4,251.00 ","$3,825.90 ","$4,251.00 ","$3,825.90 ","$1,869.63 ","$4,251.00 ","$2,384.81 ","$1,869.63 ","$1,759.91 ",$803.61 ,$767.08 ,"$1,956.91 ","$3,825.90 ","$4,134.43 ","$2,355.05 ","$1,190.28 ","$3,825.90 ","$1,869.63 ","$3,825.90 ","$3,825.90 ","$1,869.63 ","$2,763.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000349,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT,320,1 ,"$6,376.00 ","$4,590.72 ",$800.00 ,"$7,144.05 ","$6,376.00 ","$4,750.12 ","$4,176.28 ","$3,230.61 ","$1,785.28 ","$3,921.24 ","$3,230.61 ","$3,921.24 ","$3,230.61 ","$3,532.30 ","$3,532.30 ","$3,230.61 ","$3,532.30 ","$6,376.00 ","$5,738.40 ",$800.00 ,"$6,376.00 ","$3,230.61 ","$5,610.88 ","$3,295.22 ","$4,782.00 ","$4,782.00 ","$5,419.60 ","$5,419.60 ","$3,230.61 ","$5,419.60 ","$3,230.61 ","$5,164.56 ","$5,164.56 ","$5,164.56 ","$6,376.00 ","$5,738.40 ","$6,376.00 ","$5,738.40 ","$3,230.61 ","$6,376.00 ","$3,576.94 ","$3,230.61 ","$2,639.66 ","$1,205.41 ","$1,150.62 ","$3,381.43 ","$5,738.40 ","$7,144.05 ","$3,532.30 ","$1,785.28 ","$5,738.40 ","$3,230.61 ","$5,738.40 ","$5,738.40 ","$3,230.61 ","$4,144.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000352,74485,"HC DILITATN NEPHRO,URETER,URETHRA",320,1 ,"$3,752.57 ","$2,701.85 ",$224.12 ,"$4,134.43 ","$3,752.57 ","$2,795.66 ","$2,457.93 ","$1,869.63 ","$1,050.72 ","$2,307.83 ","$1,869.63 ","$2,307.83 ","$1,869.63 ","$2,078.92 ","$2,078.92 ","$1,869.63 ","$2,078.92 ","$3,752.57 ","$3,377.31 ",$800.00 ,"$3,752.57 ","$1,869.63 ","$3,302.26 ","$1,907.03 ","$2,814.43 ","$2,814.43 ","$3,189.68 ","$3,189.68 ","$1,869.63 ","$3,189.68 ","$1,869.63 ","$3,039.58 ","$3,039.58 ","$3,039.58 ","$3,752.57 ","$3,377.31 ","$3,752.57 ","$3,377.31 ","$1,869.63 ","$3,752.57 ","$2,105.19 ","$1,869.63 ","$1,553.56 ",$234.80 ,$224.12 ,"$1,956.91 ","$3,377.31 ","$4,134.43 ","$2,078.92 ","$1,050.72 ","$3,377.31 ","$1,869.63 ","$3,377.31 ","$3,377.31 ","$1,869.63 ","$2,439.17 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000354,74740,HC XRAY HYSTEROSALPINGOGRAP,320,1 ,"$1,456.32 ","$1,048.55 ",$224.12 ,"$1,456.32 ",$576.57 ,"$1,084.96 ",$953.89 ,$235.38 ,$407.77 ,$895.64 ,$235.38 ,$895.64 ,$235.38 ,$806.80 ,$806.80 ,$235.38 ,$806.80 ,$485.16 ,"$1,310.69 ",$800.00 ,$576.57 ,$235.38 ,"$1,281.56 ",$240.08 ,"$1,092.24 ","$1,092.24 ","$1,237.87 ","$1,237.87 ",$235.38 ,"$1,237.87 ",$235.38 ,"$1,179.62 ","$1,179.62 ","$1,179.62 ","$1,456.32 ","$1,310.69 ",$576.57 ,"$1,310.69 ",$235.38 ,"$1,456.32 ",$817.00 ,$235.38 ,$602.92 ,$234.80 ,$224.12 ,$246.36 ,"$1,310.69 ",$520.50 ,$806.80 ,$407.77 ,"$1,310.69 ",$235.38 ,"$1,310.69 ","$1,310.69 ",$235.38 ,$946.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000355,75605,HC THORACIC AORTA,320,1 ,"$6,099.38 ","$4,391.55 ",$224.12 ,"$11,456.26 ","$6,099.38 ","$4,544.04 ","$3,995.09 ","$5,180.64 ","$1,707.83 ","$3,751.12 ","$5,180.64 ","$3,751.12 ","$5,180.64 ","$3,379.06 ","$3,379.06 ","$5,180.64 ","$3,379.06 ","$6,099.38 ","$5,489.44 ",$800.00 ,"$6,099.38 ","$5,180.64 ","$5,367.45 ","$5,284.26 ","$4,574.54 ","$4,574.54 ","$5,184.47 ","$5,184.47 ","$5,180.64 ","$5,184.47 ","$5,180.64 ","$4,940.50 ","$4,940.50 ","$4,940.50 ","$6,099.38 ","$5,489.44 ","$6,099.38 ","$5,489.44 ","$5,180.64 ","$6,099.38 ","$3,421.75 ","$5,180.64 ","$2,525.14 ",$234.80 ,$224.12 ,"$5,422.50 ","$5,489.44 ","$11,456.26 ","$3,379.06 ","$1,707.83 ","$5,489.44 ","$5,180.64 ","$5,489.44 ","$5,489.44 ","$5,180.64 ","$3,964.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000356,75625,HC ABDOMINAL AORTAGRAM 75625,320,1 ,"$6,303.86 ","$4,538.78 ",$224.12 ,"$6,639.97 ","$6,303.86 ","$4,696.38 ","$4,129.03 ","$3,002.66 ","$1,765.08 ","$3,876.87 ","$3,002.66 ","$3,876.87 ","$3,002.66 ","$3,492.34 ","$3,492.34 ","$3,002.66 ","$3,492.34 ","$6,189.11 ","$5,673.47 ",$800.00 ,"$6,303.86 ","$3,002.66 ","$5,547.40 ","$3,062.72 ","$4,727.90 ","$4,727.90 ","$5,358.28 ","$5,358.28 ","$3,002.66 ","$5,358.28 ","$3,002.66 ","$5,106.13 ","$5,106.13 ","$5,106.13 ","$6,303.86 ","$5,673.47 ","$6,303.86 ","$5,673.47 ","$3,002.66 ","$6,303.86 ","$3,536.47 ","$3,002.66 ","$2,609.80 ",$234.80 ,$224.12 ,"$3,142.84 ","$5,673.47 ","$6,639.97 ","$3,492.34 ","$1,765.08 ","$5,673.47 ","$3,002.66 ","$5,673.47 ","$5,673.47 ","$3,002.66 ","$4,097.51 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000357,75630,HC AORTA WITH RUNOFF 75630,320,1 ,"$7,078.93 ","$5,096.83 ",$224.12 ,"$7,078.93 ","$7,078.93 ","$5,273.80 ","$4,636.70 ","$3,002.66 ","$1,982.10 ","$4,353.54 ","$3,002.66 ","$4,353.54 ","$3,002.66 ","$3,921.73 ","$3,921.73 ","$3,002.66 ","$3,921.73 ","$6,189.11 ","$6,371.04 ",$800.00 ,"$7,078.93 ","$3,002.66 ","$6,229.46 ","$3,062.72 ","$5,309.20 ","$5,309.20 ","$6,017.09 ","$6,017.09 ","$3,002.66 ","$6,017.09 ","$3,002.66 ","$5,733.93 ","$5,733.93 ","$5,733.93 ","$7,078.93 ","$6,371.04 ","$7,078.93 ","$6,371.04 ","$3,002.66 ","$7,078.93 ","$3,971.28 ","$3,002.66 ","$2,930.68 ",$234.80 ,$224.12 ,"$3,142.84 ","$6,371.04 ","$6,639.97 ","$3,921.73 ","$1,982.10 ","$6,371.04 ","$3,002.66 ","$6,371.04 ","$6,371.04 ","$3,002.66 ","$4,601.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000371,75710,HC ANGIO EXTREMITY UNI 75710,320,1 ,"$6,081.79 ","$4,378.89 ",$224.12 ,"$6,639.97 ","$6,081.79 ","$4,530.93 ","$3,983.57 ","$3,002.66 ","$1,702.90 ","$3,740.30 ","$3,002.66 ","$3,740.30 ","$3,002.66 ","$3,369.31 ","$3,369.31 ","$3,002.66 ","$3,369.31 ","$6,081.79 ","$5,473.61 ",$800.00 ,"$6,081.79 ","$3,002.66 ","$5,351.98 ","$3,062.72 ","$4,561.34 ","$4,561.34 ","$5,169.52 ","$5,169.52 ","$3,002.66 ","$5,169.52 ","$3,002.66 ","$4,926.25 ","$4,926.25 ","$4,926.25 ","$6,081.79 ","$5,473.61 ","$6,081.79 ","$5,473.61 ","$3,002.66 ","$6,081.79 ","$3,411.88 ","$3,002.66 ","$2,517.86 ",$234.80 ,$224.12 ,"$3,142.84 ","$5,473.61 ","$6,639.97 ","$3,369.31 ","$1,702.90 ","$5,473.61 ","$3,002.66 ","$5,473.61 ","$5,473.61 ","$3,002.66 ","$3,953.16 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000373,75716,HC ANGIO EXTREMITY BILAT 75716,320,1 ,"$6,796.39 ","$4,893.40 ",$224.12 ,"$6,796.39 ","$6,796.39 ","$5,063.31 ","$4,451.64 ","$3,002.66 ","$1,902.99 ","$4,179.78 ","$3,002.66 ","$4,179.78 ","$3,002.66 ","$3,765.20 ","$3,765.20 ","$3,002.66 ","$3,765.20 ","$6,189.11 ","$6,116.75 ",$800.00 ,"$6,796.39 ","$3,002.66 ","$5,980.82 ","$3,062.72 ","$5,097.29 ","$5,097.29 ","$5,776.93 ","$5,776.93 ","$3,002.66 ","$5,776.93 ","$3,002.66 ","$5,505.08 ","$5,505.08 ","$5,505.08 ","$6,796.39 ","$6,116.75 ","$6,796.39 ","$6,116.75 ","$3,002.66 ","$6,796.39 ","$3,812.77 ","$3,002.66 ","$2,813.71 ",$234.80 ,$224.12 ,"$3,142.84 ","$6,116.75 ","$6,639.97 ","$3,765.20 ","$1,902.99 ","$6,116.75 ","$3,002.66 ","$6,116.75 ","$6,116.75 ","$3,002.66 ","$4,417.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000375,36251,HC ANGIO SEL RENAL UNILA 36251,320,1 ,"$4,442.61 ","$3,198.68 ",$800.00 ,"$6,639.97 ","$4,442.61 ","$3,309.74 ","$2,909.91 ","$3,002.66 ","$1,243.93 ","$2,732.21 ","$3,002.66 ","$2,732.21 ","$3,002.66 ","$2,461.21 ","$2,461.21 ","$3,002.66 ","$2,461.21 ","$4,442.61 ","$3,998.35 ",$800.00 ,"$4,442.61 ","$3,002.66 ","$3,909.50 ","$3,062.72 ","$3,331.96 ","$3,331.96 ","$3,776.22 ","$3,776.22 ","$3,002.66 ","$3,776.22 ","$3,002.66 ","$3,598.51 ","$3,598.51 ","$3,598.51 ","$4,442.61 ","$3,998.35 ","$4,442.61 ","$3,998.35 ","$3,002.66 ","$4,442.61 ","$2,492.30 ","$3,002.66 ","$1,839.24 ","$1,981.07 ","$1,891.02 ","$3,142.84 ","$3,998.35 ","$6,639.97 ","$2,461.21 ","$1,243.93 ","$3,998.35 ","$3,002.66 ","$3,998.35 ","$3,998.35 ","$3,002.66 ","$2,887.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000376,36252,HC ANGIO SEL RENAL BILAT 36252,320,1 ,"$6,217.01 ","$4,476.25 ",$800.00 ,"$6,639.97 ","$6,217.01 ","$4,631.67 ","$4,072.14 ","$3,002.66 ","$1,740.76 ","$3,823.46 ","$3,002.66 ","$3,823.46 ","$3,002.66 ","$3,444.22 ","$3,444.22 ","$3,002.66 ","$3,444.22 ","$6,189.11 ","$5,595.31 ",$800.00 ,"$6,217.01 ","$3,002.66 ","$5,470.97 ","$3,062.72 ","$4,662.76 ","$4,662.76 ","$5,284.46 ","$5,284.46 ","$3,002.66 ","$5,284.46 ","$3,002.66 ","$5,035.78 ","$5,035.78 ","$5,035.78 ","$6,217.01 ","$5,595.31 ","$6,217.01 ","$5,595.31 ","$3,002.66 ","$6,217.01 ","$3,487.74 ","$3,002.66 ","$2,573.84 ","$1,981.07 ","$1,891.02 ","$3,142.84 ","$5,595.31 ","$6,639.97 ","$3,444.22 ","$1,740.76 ","$5,595.31 ","$3,002.66 ","$5,595.31 ","$5,595.31 ","$3,002.66 ","$4,041.06 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000378,75726,"HC ANGIO VISERAL, SEL, OR SUPRASEL 75726",320,1 ,"$7,221.85 ","$5,199.73 ",$224.12 ,"$11,456.26 ","$7,221.85 ","$5,380.28 ","$4,730.31 ","$5,180.64 ","$2,022.12 ","$4,441.44 ","$5,180.64 ","$4,441.44 ","$5,180.64 ","$4,000.90 ","$4,000.90 ","$5,180.64 ","$4,000.90 ","$7,221.85 ","$6,499.67 ",$800.00 ,"$7,221.85 ","$5,180.64 ","$6,355.23 ","$5,284.26 ","$5,416.39 ","$5,416.39 ","$6,138.57 ","$6,138.57 ","$5,180.64 ","$6,138.57 ","$5,180.64 ","$5,849.70 ","$5,849.70 ","$5,849.70 ","$7,221.85 ","$6,499.67 ","$7,221.85 ","$6,499.67 ","$5,180.64 ","$7,221.85 ","$4,051.46 ","$5,180.64 ","$2,989.85 ",$234.80 ,$224.12 ,"$5,422.50 ","$6,499.67 ","$11,456.26 ","$4,000.90 ","$2,022.12 ","$6,499.67 ","$5,180.64 ","$6,499.67 ","$6,499.67 ","$5,180.64 ","$4,694.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000384,75736,HC ANGIO PELVIC SELECT,320,1 ,"$6,264.28 ","$4,510.28 ",$224.12 ,"$11,456.26 ","$6,264.28 ","$4,666.89 ","$4,103.10 ","$5,180.64 ","$1,754.00 ","$3,852.53 ","$5,180.64 ","$3,852.53 ","$5,180.64 ","$3,470.41 ","$3,470.41 ","$5,180.64 ","$3,470.41 ","$6,264.28 ","$5,637.85 ",$800.00 ,"$6,264.28 ","$5,180.64 ","$5,512.57 ","$5,284.26 ","$4,698.21 ","$4,698.21 ","$5,324.64 ","$5,324.64 ","$5,180.64 ","$5,324.64 ","$5,180.64 ","$5,074.07 ","$5,074.07 ","$5,074.07 ","$6,264.28 ","$5,637.85 ","$6,264.28 ","$5,637.85 ","$5,180.64 ","$6,264.28 ","$3,514.26 ","$5,180.64 ","$2,593.41 ",$234.80 ,$224.12 ,"$5,422.50 ","$5,637.85 ","$11,456.26 ","$3,470.41 ","$1,754.00 ","$5,637.85 ","$5,180.64 ","$5,637.85 ","$5,637.85 ","$5,180.64 ","$4,071.78 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000389,75774,HC ANGIO EA VESSEL ADDL 75774,320,1 ,"$2,907.87 ","$2,093.67 ",$224.12 ,"$2,907.87 ", N/A ,"$2,166.36 ","$1,904.65 ", N/A ,$814.20 ,"$1,788.34 ", N/A ,"$1,788.34 ", N/A ,"$1,610.96 ","$1,610.96 ", N/A ,"$1,610.96 ", N/A ,"$2,617.08 ",$800.00 , N/A , N/A ,"$2,558.93 ", N/A ,"$2,180.90 ","$2,180.90 ","$2,471.69 ","$2,471.69 ", N/A ,"$2,471.69 ", N/A ,"$2,355.37 ","$2,355.37 ","$2,355.37 ","$2,907.87 ","$2,617.08 ", N/A ,"$2,617.08 ", N/A ,"$2,907.87 ","$1,631.32 ", N/A ,"$1,203.86 ",$234.80 ,$224.12 , N/A ,"$2,617.08 ", N/A ,"$1,610.96 ",$814.20 ,"$2,617.08 ", N/A ,"$2,617.08 ","$2,617.08 ", N/A ,"$1,890.12 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000395,75820,HC VENOGRAM EXTREMITY UNI 75820,320,1 ,"$2,340.59 ","$1,685.22 ",$224.12 ,"$3,316.34 ","$2,340.59 ","$1,743.74 ","$1,533.09 ","$1,499.68 ",$655.37 ,"$1,439.46 ","$1,499.68 ","$1,439.46 ","$1,499.68 ","$1,296.69 ","$1,296.69 ","$1,499.68 ","$1,296.69 ","$2,340.59 ","$2,106.53 ",$800.00 ,"$2,340.59 ","$1,499.68 ","$2,059.72 ","$1,529.68 ","$1,755.44 ","$1,755.44 ","$1,989.50 ","$1,989.50 ","$1,499.68 ","$1,989.50 ","$1,499.68 ","$1,895.88 ","$1,895.88 ","$1,895.88 ","$2,340.59 ","$2,106.53 ","$2,340.59 ","$2,106.53 ","$1,499.68 ","$2,340.59 ","$1,313.07 ","$1,499.68 ",$969.00 ,$234.80 ,$224.12 ,"$1,569.70 ","$2,106.53 ","$3,316.34 ","$1,296.69 ",$655.37 ,"$2,106.53 ","$1,499.68 ","$2,106.53 ","$2,106.53 ","$1,499.68 ","$1,521.38 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000397,75822,HC VENOGRAM EXTREMITY BILAT,320,1 ,"$2,872.69 ","$2,068.34 ",$224.12 ,"$3,316.34 ","$2,872.69 ","$2,140.15 ","$1,881.61 ","$1,499.68 ",$804.35 ,"$1,766.70 ","$1,499.68 ","$1,766.70 ","$1,499.68 ","$1,591.47 ","$1,591.47 ","$1,499.68 ","$1,591.47 ","$2,872.69 ","$2,585.42 ",$800.00 ,"$2,872.69 ","$1,499.68 ","$2,527.97 ","$1,529.68 ","$2,154.52 ","$2,154.52 ","$2,441.79 ","$2,441.79 ","$1,499.68 ","$2,441.79 ","$1,499.68 ","$2,326.88 ","$2,326.88 ","$2,326.88 ","$2,872.69 ","$2,585.42 ","$2,872.69 ","$2,585.42 ","$1,499.68 ","$2,872.69 ","$1,611.58 ","$1,499.68 ","$1,189.29 ",$234.80 ,$224.12 ,"$1,569.70 ","$2,585.42 ","$3,316.34 ","$1,591.47 ",$804.35 ,"$2,585.42 ","$1,499.68 ","$2,585.42 ","$2,585.42 ","$1,499.68 ","$1,867.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000398,75825,HC VENOGRAPHY CAVAL INFERIOR,320,1 ,"$4,484.38 ","$3,228.75 ",$224.12 ,"$6,639.97 ","$4,484.38 ","$3,340.86 ","$2,937.27 ","$3,002.66 ","$1,255.63 ","$2,757.89 ","$3,002.66 ","$2,757.89 ","$3,002.66 ","$2,484.35 ","$2,484.35 ","$3,002.66 ","$2,484.35 ","$4,484.38 ","$4,035.94 ",$800.00 ,"$4,484.38 ","$3,002.66 ","$3,946.25 ","$3,062.72 ","$3,363.29 ","$3,363.29 ","$3,811.72 ","$3,811.72 ","$3,002.66 ","$3,811.72 ","$3,002.66 ","$3,632.35 ","$3,632.35 ","$3,632.35 ","$4,484.38 ","$4,035.94 ","$4,484.38 ","$4,035.94 ","$3,002.66 ","$4,484.38 ","$2,515.74 ","$3,002.66 ","$1,856.53 ",$234.80 ,$224.12 ,"$3,142.84 ","$4,035.94 ","$6,639.97 ","$2,484.35 ","$1,255.63 ","$4,035.94 ","$3,002.66 ","$4,035.94 ","$4,035.94 ","$3,002.66 ","$2,914.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000399,75827,HC VENOGRAPHY CAVAL SUPERIOR,320,1 ,"$3,033.20 ","$2,183.90 ",$224.12 ,"$3,316.34 ","$3,033.20 ","$2,259.73 ","$1,986.75 ","$1,499.68 ",$849.30 ,"$1,865.42 ","$1,499.68 ","$1,865.42 ","$1,499.68 ","$1,680.39 ","$1,680.39 ","$1,499.68 ","$1,680.39 ","$3,033.20 ","$2,729.88 ",$800.00 ,"$3,033.20 ","$1,499.68 ","$2,669.22 ","$1,529.68 ","$2,274.90 ","$2,274.90 ","$2,578.22 ","$2,578.22 ","$1,499.68 ","$2,578.22 ","$1,499.68 ","$2,456.89 ","$2,456.89 ","$2,456.89 ","$3,033.20 ","$2,729.88 ","$3,033.20 ","$2,729.88 ","$1,499.68 ","$3,033.20 ","$1,701.63 ","$1,499.68 ","$1,255.74 ",$234.80 ,$224.12 ,"$1,569.70 ","$2,729.88 ","$3,316.34 ","$1,680.39 ",$849.30 ,"$2,729.88 ","$1,499.68 ","$2,729.88 ","$2,729.88 ","$1,499.68 ","$1,971.58 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000411,75889,HC VENOGRAM HEPATIC W/HEMO,320,1 ,"$5,738.78 ","$4,131.92 ",$224.12 ,"$6,639.97 ","$5,738.78 ","$4,275.39 ","$3,758.90 ","$3,002.66 ","$1,606.86 ","$3,529.35 ","$3,002.66 ","$3,529.35 ","$3,002.66 ","$3,179.28 ","$3,179.28 ","$3,002.66 ","$3,179.28 ","$5,738.78 ","$5,164.90 ",$800.00 ,"$5,738.78 ","$3,002.66 ","$5,050.13 ","$3,062.72 ","$4,304.09 ","$4,304.09 ","$4,877.96 ","$4,877.96 ","$3,002.66 ","$4,877.96 ","$3,002.66 ","$4,648.41 ","$4,648.41 ","$4,648.41 ","$5,738.78 ","$5,164.90 ","$5,738.78 ","$5,164.90 ","$3,002.66 ","$5,738.78 ","$3,219.46 ","$3,002.66 ","$2,375.85 ",$234.80 ,$224.12 ,"$3,142.84 ","$5,164.90 ","$6,639.97 ","$3,179.28 ","$1,606.86 ","$5,164.90 ","$3,002.66 ","$5,164.90 ","$5,164.90 ","$3,002.66 ","$3,730.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000413,75893,HC VENOGRAM SAMPLING CATH,320,1 ,"$4,658.09 ","$3,353.82 ",$224.12 ,"$11,456.26 ","$4,658.09 ","$3,470.28 ","$3,051.05 ","$4,564.93 ","$1,304.27 ","$2,864.73 ","$4,564.93 ","$2,864.73 ","$4,564.93 ","$2,580.58 ","$2,580.58 ","$4,564.93 ","$2,580.58 ","$4,658.09 ","$4,192.28 ",$800.00 ,"$4,658.09 ","$4,564.93 ","$4,099.12 ","$4,656.22 ","$3,493.57 ","$3,493.57 ","$3,959.38 ","$3,959.38 ","$4,564.93 ","$3,959.38 ","$4,564.93 ","$3,773.05 ","$3,773.05 ","$3,773.05 ","$4,658.09 ","$4,192.28 ","$4,658.09 ","$4,192.28 ","$4,564.93 ","$4,658.09 ","$2,613.19 ","$4,564.93 ","$1,928.45 ",$234.80 ,$224.12 ,"$4,564.93 ","$4,192.28 ","$11,456.26 ","$2,580.58 ","$1,304.27 ","$4,192.28 ","$4,564.93 ","$4,192.28 ","$4,192.28 ","$4,564.93 ","$3,027.76 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000414,75894,HC TRANSCATH EMBOLIZATION 75894,320,1 ,"$9,234.08 ","$6,648.54 ",$224.12 ,"$9,234.08 ", N/A ,"$6,879.39 ","$6,048.32 ", N/A ,"$2,585.54 ","$5,678.96 ", N/A ,"$5,678.96 ", N/A ,"$5,115.68 ","$5,115.68 ", N/A ,"$5,115.68 ", N/A ,"$8,310.67 ",$800.00 , N/A , N/A ,"$8,125.99 ", N/A ,"$6,925.56 ","$6,925.56 ","$7,848.97 ","$7,848.97 ", N/A ,"$7,848.97 ", N/A ,"$7,479.60 ","$7,479.60 ","$7,479.60 ","$9,234.08 ","$8,310.67 ", N/A ,"$8,310.67 ", N/A ,"$9,234.08 ","$5,180.32 ", N/A ,"$3,822.91 ",$234.80 ,$224.12 , N/A ,"$8,310.67 ", N/A ,"$5,115.68 ","$2,585.54 ","$8,310.67 ", N/A ,"$8,310.67 ","$8,310.67 ", N/A ,"$6,002.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000421,75901,HC REMOVE PERICATH OBST CV CATH,320,1 ,"$1,450.09 ","$1,044.06 ",$224.12 ,"$1,450.09 ", N/A ,"$1,080.32 ",$949.81 , N/A ,$406.03 ,$891.81 , N/A ,$891.81 , N/A ,$803.35 ,$803.35 , N/A ,$803.35 , N/A ,"$1,305.08 ",$800.00 , N/A , N/A ,"$1,276.08 ", N/A ,"$1,087.57 ","$1,087.57 ","$1,232.58 ","$1,232.58 ", N/A ,"$1,232.58 ", N/A ,"$1,174.57 ","$1,174.57 ","$1,174.57 ","$1,450.09 ","$1,305.08 ", N/A ,"$1,305.08 ", N/A ,"$1,450.09 ",$813.50 , N/A ,$600.34 ,$234.80 ,$224.12 , N/A ,"$1,305.08 ", N/A ,$803.35 ,$406.03 ,"$1,305.08 ", N/A ,"$1,305.08 ","$1,305.08 ", N/A ,$942.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000435,75970,HC TRANSCATH BX,320,1 ,"$6,072.86 ","$4,372.46 ",$224.12 ,"$6,072.86 ", N/A ,"$4,524.28 ","$3,977.72 ", N/A ,"$1,700.40 ","$3,734.81 ", N/A ,"$3,734.81 ", N/A ,"$3,364.36 ","$3,364.36 ", N/A ,"$3,364.36 ", N/A ,"$5,465.57 ",$800.00 , N/A , N/A ,"$5,344.12 ", N/A ,"$4,554.65 ","$4,554.65 ","$5,161.93 ","$5,161.93 ", N/A ,"$5,161.93 ", N/A ,"$4,919.02 ","$4,919.02 ","$4,919.02 ","$6,072.86 ","$5,465.57 ", N/A ,"$5,465.57 ", N/A ,"$6,072.86 ","$3,406.87 ", N/A ,"$2,514.16 ",$234.80 ,$224.12 , N/A ,"$5,465.57 ", N/A ,"$3,364.36 ","$1,700.40 ","$5,465.57 ", N/A ,"$5,465.57 ","$5,465.57 ", N/A ,"$3,947.36 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000440,75984,HC CHANGE PERC DRAINAGE TUBE OR CATH,320,1 ,"$2,089.77 ","$1,504.63 ",$224.12 ,"$2,089.77 ", N/A ,"$1,556.88 ","$1,368.80 ", N/A ,$585.14 ,"$1,285.21 ", N/A ,"$1,285.21 ", N/A ,"$1,157.73 ","$1,157.73 ", N/A ,"$1,157.73 ", N/A ,"$1,880.79 ",$800.00 , N/A , N/A ,"$1,839.00 ", N/A ,"$1,567.33 ","$1,567.33 ","$1,776.30 ","$1,776.30 ", N/A ,"$1,776.30 ", N/A ,"$1,692.71 ","$1,692.71 ","$1,692.71 ","$2,089.77 ","$1,880.79 ", N/A ,"$1,880.79 ", N/A ,"$2,089.77 ","$1,172.36 ", N/A ,$865.16 ,$234.80 ,$224.12 , N/A ,"$1,880.79 ", N/A ,"$1,157.73 ",$585.14 ,"$1,880.79 ", N/A ,"$1,880.79 ","$1,880.79 ", N/A ,"$1,358.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$4,043.00 ","$2,910.96 ",$488.89 ,"$4,043.00 ","$3,702.44 ","$3,012.04 ","$2,648.17 ","$1,511.47 ","$1,132.04 ","$2,486.45 ","$1,511.47 ","$2,486.45 ","$1,511.47 ","$2,239.82 ","$2,239.82 ","$1,511.47 ","$2,239.82 ","$3,115.46 ","$3,638.70 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,557.84 ","$1,541.71 ","$3,032.25 ","$3,032.25 ","$3,436.55 ","$3,436.55 ","$1,511.47 ","$3,436.55 ","$1,511.47 ","$3,274.83 ","$3,274.83 ","$3,274.83 ","$4,043.00 ","$3,638.70 ","$3,702.44 ","$3,638.70 ","$1,511.47 ","$4,043.00 ","$2,268.12 ","$1,511.47 ","$1,673.80 ",$512.17 ,$488.89 ,"$1,582.04 ","$3,638.70 ","$3,342.42 ","$2,239.82 ","$1,132.04 ","$3,638.70 ","$1,511.47 ","$3,638.70 ","$3,638.70 ","$1,511.47 ","$2,627.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,"$2,341.35 ","$1,685.77 ",$224.12 ,"$2,341.35 ", N/A ,"$1,744.31 ","$1,533.58 ", N/A ,$655.58 ,"$1,439.93 ", N/A ,"$1,439.93 ", N/A ,"$1,297.11 ","$1,297.11 ", N/A ,"$1,297.11 ", N/A ,"$2,107.22 ",$800.00 , N/A , N/A ,"$2,060.39 ", N/A ,"$1,756.01 ","$1,756.01 ","$1,990.15 ","$1,990.15 ", N/A ,"$1,990.15 ", N/A ,"$1,896.49 ","$1,896.49 ","$1,896.49 ","$2,341.35 ","$2,107.22 ", N/A ,"$2,107.22 ", N/A ,"$2,341.35 ","$1,313.50 ", N/A ,$969.32 ,$234.80 ,$224.12 , N/A ,"$2,107.22 ", N/A ,"$1,297.11 ",$655.58 ,"$2,107.22 ", N/A ,"$2,107.22 ","$2,107.22 ", N/A ,"$1,521.88 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,"$1,038.92 ",$748.02 ,$39.33 ,"$1,038.92 ",$576.57 ,$774.00 ,$680.49 ,$235.38 ,$290.90 ,$638.94 ,$235.38 ,$638.94 ,$235.38 ,$575.56 ,$575.56 ,$235.38 ,$575.56 ,$485.16 ,$935.03 ,$800.00 ,$576.57 ,$235.38 ,$914.25 ,$240.08 ,$779.19 ,$779.19 ,$883.08 ,$883.08 ,$235.38 ,$883.08 ,$235.38 ,$841.53 ,$841.53 ,$841.53 ,"$1,038.92 ",$935.03 ,$576.57 ,$935.03 ,$235.38 ,"$1,038.92 ",$582.83 ,$235.38 ,$430.11 ,$41.21 ,$39.33 ,$246.36 ,$935.03 ,$520.50 ,$575.56 ,$290.90 ,$935.03 ,$235.38 ,$935.03 ,$935.03 ,$235.38 ,$675.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000464,76010,HC BABYGRAM,320,1 ,$422.97 ,$304.54 ,$39.33 ,$422.97 ,$214.51 ,$315.11 ,$277.05 ,$87.57 ,$118.43 ,$260.13 ,$87.57 ,$260.13 ,$87.57 ,$234.33 ,$234.33 ,$87.57 ,$234.33 ,$180.50 ,$380.67 ,$351.07 ,$214.51 ,$87.57 ,$372.21 ,$89.33 ,$317.23 ,$317.23 ,$359.52 ,$359.52 ,$87.57 ,$359.52 ,$87.57 ,$342.61 ,$342.61 ,$342.61 ,$422.97 ,$380.67 ,$214.51 ,$380.67 ,$87.57 ,$422.97 ,$237.29 ,$87.57 ,$175.11 ,$41.21 ,$39.33 ,$91.66 ,$380.67 ,$193.65 ,$234.33 ,$118.43 ,$380.67 ,$87.57 ,$380.67 ,$380.67 ,$87.57 ,$274.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,"$1,372.13 ",$987.93 ,$224.12 ,"$1,372.13 ","$1,242.25 ","$1,022.24 ",$898.75 ,$507.13 ,$384.20 ,$843.86 ,$507.13 ,$843.86 ,$507.13 ,$760.16 ,$760.16 ,$507.13 ,$760.16 ,"$1,045.30 ","$1,234.92 ",$800.00 ,"$1,242.25 ",$507.13 ,"$1,207.47 ",$517.27 ,"$1,029.10 ","$1,029.10 ","$1,166.31 ","$1,166.31 ",$507.13 ,"$1,166.31 ",$507.13 ,"$1,111.43 ","$1,111.43 ","$1,111.43 ","$1,372.13 ","$1,234.92 ","$1,242.25 ","$1,234.92 ",$507.13 ,"$1,372.13 ",$769.76 ,$507.13 ,$568.06 ,$234.80 ,$224.12 ,$530.81 ,"$1,234.92 ","$1,121.45 ",$760.16 ,$384.20 ,"$1,234.92 ",$507.13 ,"$1,234.92 ","$1,234.92 ",$507.13 ,$891.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$841.00 ,$605.52 ,$28.66 ,"$1,121.45 ",$841.00 ,$626.55 ,$550.86 ,$507.13 ,$235.48 ,$517.22 ,$507.13 ,$517.22 ,$507.13 ,$465.91 ,$465.91 ,$507.13 ,$465.91 ,$841.00 ,$756.90 ,$698.03 ,$841.00 ,$507.13 ,$740.08 ,$517.27 ,$630.75 ,$630.75 ,$714.85 ,$714.85 ,$507.13 ,$714.85 ,$507.13 ,$681.21 ,$681.21 ,$681.21 ,$841.00 ,$756.90 ,$841.00 ,$756.90 ,$507.13 ,$28.66 ,$471.80 ,$507.13 ,$348.17 ,$41.21 ,$39.33 ,$530.81 ,$756.90 ,"$1,121.45 ",$465.91 ,$235.48 ,$756.90 ,$507.13 ,$756.90 ,$756.90 ,$507.13 ,$546.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,$295.73 ,$212.93 ,$82.80 ,$295.73 , N/A ,$220.32 ,$193.70 , N/A ,$82.80 ,$181.87 , N/A ,$181.87 , N/A ,$163.83 ,$163.83 , N/A ,$163.83 , N/A ,$266.16 ,$245.46 , N/A , N/A ,$260.24 , N/A ,$221.80 ,$221.80 ,$251.37 ,$251.37 , N/A ,$251.37 , N/A ,$239.54 ,$239.54 ,$239.54 ,$295.73 ,$266.16 , N/A ,$266.16 , N/A ,$295.73 ,$165.90 , N/A ,$122.43 ,$234.80 ,$224.12 , N/A ,$266.16 , N/A ,$163.83 ,$82.80 ,$266.16 , N/A ,$266.16 ,$266.16 , N/A ,$192.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$828.93 ,$596.83 ,$224.12 ,$828.93 , N/A ,$617.55 ,$542.95 , N/A ,$232.10 ,$509.79 , N/A ,$509.79 , N/A ,$459.23 ,$459.23 , N/A ,$459.23 , N/A ,$746.04 ,$688.01 , N/A , N/A ,$729.46 , N/A ,$621.70 ,$621.70 ,$704.59 ,$704.59 , N/A ,$704.59 , N/A ,$671.43 ,$671.43 ,$671.43 ,$828.93 ,$746.04 , N/A ,$746.04 , N/A ,$828.93 ,$465.03 , N/A ,$343.18 ,$234.80 ,$224.12 , N/A ,$746.04 , N/A ,$459.23 ,$232.10 ,$746.04 , N/A ,$746.04 ,$746.04 , N/A ,$538.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,"$1,474.27 ","$1,061.47 ",$224.12 ,"$1,474.27 ", N/A ,"$1,098.33 ",$965.65 , N/A ,$412.80 ,$906.68 , N/A ,$906.68 , N/A ,$816.75 ,$816.75 , N/A ,$816.75 , N/A ,"$1,326.84 ",$800.00 , N/A , N/A ,"$1,297.36 ", N/A ,"$1,105.70 ","$1,105.70 ","$1,253.13 ","$1,253.13 ", N/A ,"$1,253.13 ", N/A ,"$1,194.16 ","$1,194.16 ","$1,194.16 ","$1,474.27 ","$1,326.84 ", N/A ,"$1,326.84 ", N/A ,"$1,474.27 ",$827.07 , N/A ,$610.35 ,$234.80 ,$224.12 , N/A ,"$1,326.84 ", N/A ,$816.75 ,$412.80 ,"$1,326.84 ", N/A ,"$1,326.84 ","$1,326.84 ", N/A ,$958.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$1,004.00 ",$722.88 ,$84.39 ,"$1,446.52 ","$1,004.00 ",$747.98 ,$657.62 ,$654.13 ,$281.12 ,$617.46 ,$654.13 ,$617.46 ,$654.13 ,$556.22 ,$556.22 ,$654.13 ,$556.22 ,"$1,004.00 ",$903.60 ,$800.00 ,"$1,004.00 ",$654.13 ,$883.52 ,$667.21 ,$753.00 ,$753.00 ,$853.40 ,$853.40 ,$654.13 ,$853.40 ,$654.13 ,$813.24 ,$813.24 ,$813.24 ,"$1,004.00 ",$903.60 ,"$1,004.00 ",$903.60 ,$654.13 ,$279.00 ,$563.24 ,$654.13 ,$415.66 ,$88.41 ,$84.39 ,$684.67 ,$903.60 ,"$1,446.52 ",$556.22 ,$281.12 ,$903.60 ,$654.13 ,$903.60 ,$903.60 ,$654.13 ,$652.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$1,507.00 ","$1,085.04 ",$126.59 ,"$1,507.00 ","$1,507.00 ","$1,122.72 ",$987.09 ,$654.13 ,$421.96 ,$926.81 ,$654.13 ,$926.81 ,$654.13 ,$834.88 ,$834.88 ,$654.13 ,$834.88 ,"$1,348.30 ","$1,356.30 ",$800.00 ,"$1,507.00 ",$654.13 ,"$1,326.16 ",$667.21 ,"$1,130.25 ","$1,130.25 ","$1,280.95 ","$1,280.95 ",$654.13 ,"$1,280.95 ",$654.13 ,"$1,220.67 ","$1,220.67 ","$1,220.67 ","$1,507.00 ","$1,356.30 ","$1,507.00 ","$1,356.30 ",$654.13 ,$279.00 ,$845.43 ,$654.13 ,$623.90 ,$132.62 ,$126.59 ,$684.67 ,"$1,356.30 ","$1,446.52 ",$834.88 ,$421.96 ,"$1,356.30 ",$654.13 ,"$1,356.30 ","$1,356.30 ",$654.13 ,$979.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$3,906.00 ","$2,812.32 ",$539.22 ,"$3,906.00 ","$3,702.44 ","$2,909.97 ","$2,558.43 ","$1,511.47 ","$1,093.68 ","$2,402.19 ","$1,511.47 ","$2,402.19 ","$1,511.47 ","$2,163.92 ","$2,163.92 ","$1,511.47 ","$2,163.92 ","$3,115.46 ","$3,515.40 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,437.28 ","$1,541.71 ","$2,929.50 ","$2,929.50 ","$3,320.10 ","$3,320.10 ","$1,511.47 ","$3,320.10 ","$1,511.47 ","$3,163.86 ","$3,163.86 ","$3,163.86 ","$3,906.00 ","$3,515.40 ","$3,702.44 ","$3,515.40 ","$1,511.47 ",$539.22 ,"$2,191.27 ","$1,511.47 ","$1,617.08 ",$912.65 ,$871.16 ,"$1,582.04 ","$3,515.40 ","$3,342.42 ","$2,163.92 ","$1,093.68 ","$3,515.40 ","$1,511.47 ","$3,515.40 ","$3,515.40 ","$1,511.47 ","$2,538.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$5,859.00 ","$4,218.48 ",$539.22 ,"$5,859.00 ","$5,859.00 ","$4,364.96 ","$3,837.65 ","$2,603.79 ","$1,640.52 ","$3,603.29 ","$2,603.79 ","$3,603.29 ","$2,603.79 ","$3,245.89 ","$3,245.89 ","$2,603.79 ","$3,245.89 ","$5,366.96 ","$5,273.10 ",$800.00 ,"$5,859.00 ","$2,603.79 ","$5,155.92 ","$2,655.87 ","$4,394.25 ","$4,394.25 ","$4,980.15 ","$4,980.15 ","$2,603.79 ","$4,980.15 ","$2,603.79 ","$4,745.79 ","$4,745.79 ","$4,745.79 ","$5,859.00 ","$5,273.10 ","$5,859.00 ","$5,273.10 ","$2,603.79 ",$539.22 ,"$3,286.90 ","$2,603.79 ","$2,425.63 ","$1,368.96 ","$1,306.74 ","$2,725.35 ","$5,273.10 ","$5,757.93 ","$3,245.89 ","$1,640.52 ","$5,273.10 ","$2,603.79 ","$5,273.10 ","$5,273.10 ","$2,603.79 ","$3,808.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,$875.00 ,$630.00 ,$84.39 ,"$3,342.42 ",$875.00 ,$651.88 ,$573.13 ,$857.50 ,$245.00 ,$538.13 ,$857.50 ,$538.13 ,$857.50 ,$484.75 ,$484.75 ,$857.50 ,$484.75 ,$875.00 ,$787.50 ,$726.25 ,$875.00 ,$857.50 ,$770.00 ,$874.65 ,$656.25 ,$656.25 ,$743.75 ,$743.75 ,$857.50 ,$743.75 ,$857.50 ,$708.75 ,$708.75 ,$708.75 ,$875.00 ,$787.50 ,$875.00 ,$787.50 ,$857.50 ,$258.08 ,$490.88 ,$857.50 ,$362.25 ,$88.41 ,$84.39 ,$857.50 ,$787.50 ,"$3,342.42 ",$484.75 ,$245.00 ,$787.50 ,$857.50 ,$787.50 ,$787.50 ,$857.50 ,$568.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,313.00 ",$945.36 ,$126.59 ,"$3,342.42 ","$1,313.00 ",$978.19 ,$860.02 ,"$1,286.74 ",$367.64 ,$807.50 ,"$1,286.74 ",$807.50 ,"$1,286.74 ",$727.40 ,$727.40 ,"$1,286.74 ",$727.40 ,"$1,313.00 ","$1,181.70 ",$800.00 ,"$1,313.00 ","$1,286.74 ","$1,155.44 ","$1,312.47 ",$984.75 ,$984.75 ,"$1,116.05 ","$1,116.05 ","$1,286.74 ","$1,116.05 ","$1,286.74 ","$1,063.53 ","$1,063.53 ","$1,063.53 ","$1,313.00 ","$1,181.70 ","$1,313.00 ","$1,181.70 ","$1,286.74 ",$258.08 ,$736.59 ,"$1,286.74 ",$543.58 ,$132.62 ,$126.59 ,"$1,286.74 ","$1,181.70 ","$3,342.42 ",$727.40 ,$367.64 ,"$1,181.70 ","$1,286.74 ","$1,181.70 ","$1,181.70 ","$1,286.74 ",$853.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$744.50 ,$536.04 ,$39.33 ,$744.50 ,$263.89 ,$554.65 ,$487.65 ,$107.73 ,$208.46 ,$457.87 ,$107.73 ,$457.87 ,$107.73 ,$412.45 ,$412.45 ,$107.73 ,$412.45 ,$222.05 ,$670.05 ,$617.94 ,$263.89 ,$107.73 ,$655.16 ,$109.89 ,$558.38 ,$558.38 ,$632.83 ,$632.83 ,$107.73 ,$632.83 ,$107.73 ,$603.05 ,$603.05 ,$603.05 ,$744.50 ,$670.05 ,$263.89 ,$670.05 ,$107.73 ,$744.50 ,$417.66 ,$107.73 ,$308.22 ,$41.21 ,$39.33 ,$112.76 ,$670.05 ,$238.23 ,$412.45 ,$208.46 ,$670.05 ,$107.73 ,$670.05 ,$670.05 ,$107.73 ,$483.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,127.47 ",$811.78 ,$39.33 ,"$1,127.47 ",$263.89 ,$839.97 ,$738.49 ,$107.73 ,$315.69 ,$693.39 ,$107.73 ,$693.39 ,$107.73 ,$624.62 ,$624.62 ,$107.73 ,$624.62 ,$222.05 ,"$1,014.72 ",$800.00 ,$263.89 ,$107.73 ,$992.17 ,$109.89 ,$845.60 ,$845.60 ,$958.35 ,$958.35 ,$107.73 ,$958.35 ,$107.73 ,$913.25 ,$913.25 ,$913.25 ,"$1,127.47 ","$1,014.72 ",$263.89 ,"$1,014.72 ",$107.73 ,"$1,127.47 ",$632.51 ,$107.73 ,$466.77 ,$41.21 ,$39.33 ,$112.76 ,"$1,014.72 ",$238.23 ,$624.62 ,$315.69 ,"$1,014.72 ",$107.73 ,"$1,014.72 ","$1,014.72 ",$107.73 ,$732.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$955.90 ,$688.25 ,$39.33 ,$955.90 ,$263.89 ,$712.15 ,$626.11 ,$107.73 ,$267.65 ,$587.88 ,$107.73 ,$587.88 ,$107.73 ,$529.57 ,$529.57 ,$107.73 ,$529.57 ,$222.05 ,$860.31 ,$793.40 ,$263.89 ,$107.73 ,$841.19 ,$109.89 ,$716.93 ,$716.93 ,$812.52 ,$812.52 ,$107.73 ,$812.52 ,$107.73 ,$774.28 ,$774.28 ,$774.28 ,$955.90 ,$860.31 ,$263.89 ,$860.31 ,$107.73 ,$955.90 ,$536.26 ,$107.73 ,$395.74 ,$41.21 ,$39.33 ,$112.76 ,$860.31 ,$238.23 ,$529.57 ,$267.65 ,$860.31 ,$107.73 ,$860.31 ,$860.31 ,$107.73 ,$621.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000496,77080,HC BONE DENSITY DXA,320,1 ,$869.09 ,$625.74 ,$62.12 ,$869.09 ,$263.89 ,$647.47 ,$569.25 ,$107.73 ,$243.35 ,$534.49 ,$107.73 ,$534.49 ,$107.73 ,$481.48 ,$481.48 ,$107.73 ,$481.48 ,$222.05 ,$782.18 ,$721.34 ,$263.89 ,$107.73 ,$764.80 ,$109.89 ,$651.82 ,$651.82 ,$738.73 ,$738.73 ,$107.73 ,$738.73 ,$107.73 ,$703.96 ,$703.96 ,$703.96 ,$869.09 ,$782.18 ,$263.89 ,$782.18 ,$107.73 ,$869.09 ,$487.56 ,$107.73 ,$359.80 ,$65.08 ,$62.12 ,$112.76 ,$782.18 ,$238.23 ,$481.48 ,$243.35 ,$782.18 ,$107.73 ,$782.18 ,$782.18 ,$107.73 ,$564.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000497,77081,HC BONE DENSITY PERIPHERAL,320,1 ,$630.12 ,$453.69 ,$62.12 ,$630.12 ,$214.51 ,$469.44 ,$412.73 ,$87.57 ,$176.43 ,$387.52 ,$87.57 ,$387.52 ,$87.57 ,$349.09 ,$349.09 ,$87.57 ,$349.09 ,$180.50 ,$567.11 ,$523.00 ,$214.51 ,$87.57 ,$554.51 ,$89.33 ,$472.59 ,$472.59 ,$535.60 ,$535.60 ,$87.57 ,$535.60 ,$87.57 ,$510.40 ,$510.40 ,$510.40 ,$630.12 ,$567.11 ,$214.51 ,$567.11 ,$87.57 ,$630.12 ,$353.50 ,$87.57 ,$260.87 ,$65.08 ,$62.12 ,$91.66 ,$567.11 ,$193.65 ,$349.09 ,$176.43 ,$567.11 ,$87.57 ,$567.11 ,$567.11 ,$87.57 ,$409.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000499,0238T,HC TRNLUM PERIP ATHRC ILIAC ARTY 0238T,320,1 ,"$48,724.00 ","$35,081.28 ",$800.00 ,"$48,724.00 ","$42,412.08 ","$36,299.38 ","$31,914.22 ","$17,314.23 ","$13,642.72 ","$29,965.26 ","$17,314.23 ","$29,965.26 ","$17,314.23 ","$26,993.10 ","$26,993.10 ","$17,314.23 ","$26,993.10 ","$35,688.17 ","$43,851.60 ",$800.00 ,"$42,412.08 ","$17,314.23 ","$42,877.12 ","$17,660.51 ","$36,543.00 ","$36,543.00 ","$41,415.40 ","$41,415.40 ","$17,314.23 ","$41,415.40 ","$17,314.23 ","$39,466.44 ","$39,466.44 ","$39,466.44 ","$48,724.00 ","$43,851.60 ","$42,412.08 ","$43,851.60 ","$17,314.23 ","$48,724.00 ","$27,334.16 ","$17,314.23 ","$20,171.74 ","$3,663.58 ","$3,497.06 ","$18,122.54 ","$43,851.60 ","$38,288.00 ","$26,993.10 ","$13,642.72 ","$43,851.60 ","$17,314.23 ","$43,851.60 ","$43,851.60 ","$17,314.23 ","$31,670.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,"$1,038.92 ",$748.02 ,$39.33 ,"$1,038.92 ",$576.57 ,$774.00 ,$680.49 ,$235.38 ,$290.90 ,$638.94 ,$235.38 ,$638.94 ,$235.38 ,$575.56 ,$575.56 ,$235.38 ,$575.56 ,$485.16 ,$935.03 ,$800.00 ,$576.57 ,$235.38 ,$914.25 ,$240.08 ,$779.19 ,$779.19 ,$883.08 ,$883.08 ,$235.38 ,$883.08 ,$235.38 ,$841.53 ,$841.53 ,$841.53 ,"$1,038.92 ",$935.03 ,$576.57 ,$935.03 ,$235.38 ,"$1,038.92 ",$582.83 ,$235.38 ,$430.11 ,$41.21 ,$39.33 ,$246.36 ,$935.03 ,$520.50 ,$575.56 ,$290.90 ,$935.03 ,$235.38 ,$935.03 ,$935.03 ,$235.38 ,$675.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000503,20501,HC INJ TRACT SINOGRAM DIAG,320,1 ,$792.00 ,$570.24 ,$221.76 ,$792.00 , N/A ,$590.04 ,$518.76 , N/A ,$221.76 ,$487.08 , N/A ,$487.08 , N/A ,$438.77 ,$438.77 , N/A ,$438.77 , N/A ,$712.80 ,$657.36 , N/A , N/A ,$696.96 , N/A ,$594.00 ,$594.00 ,$673.20 ,$673.20 , N/A ,$673.20 , N/A ,$641.52 ,$641.52 ,$641.52 ,$792.00 ,$712.80 , N/A ,$712.80 , N/A ,$792.00 ,$444.31 , N/A ,$327.89 ,$257.03 ,$245.34 , N/A ,$712.80 , N/A ,$438.77 ,$221.76 ,$712.80 , N/A ,$712.80 ,$712.80 , N/A ,$514.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$670.00 ,$482.40 ,$187.60 ,$670.00 ,$670.00 ,$499.15 ,$438.85 ,$274.06 ,$187.60 ,$412.05 ,$274.06 ,$412.05 ,$274.06 ,$371.18 ,$371.18 ,$274.06 ,$371.18 ,$564.88 ,$603.00 ,$556.10 ,$670.00 ,$274.06 ,$589.60 ,$279.54 ,$502.50 ,$502.50 ,$569.50 ,$569.50 ,$274.06 ,$569.50 ,$274.06 ,$542.70 ,$542.70 ,$542.70 ,$670.00 ,$603.00 ,$670.00 ,$603.00 ,$274.06 ,$670.00 ,$375.87 ,$274.06 ,$277.38 ,$239.66 ,$228.76 ,$286.85 ,$603.00 ,$606.03 ,$371.18 ,$187.60 ,$603.00 ,$274.06 ,$603.00 ,$603.00 ,$274.06 ,$435.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$921.00 ,$663.12 ,$228.76 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$239.66 ,$228.76 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000506,20553,HC INJ TRIGGER PT 3+ MUSC GROUP,320,1 ,$921.00 ,$663.12 ,$228.76 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$239.66 ,$228.76 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000509,77072,HC BONE AGE STUDIES,320,1 ,$727.14 ,$523.54 ,$39.33 ,$727.14 ,$263.89 ,$541.72 ,$476.28 ,$107.73 ,$203.60 ,$447.19 ,$107.73 ,$447.19 ,$107.73 ,$402.84 ,$402.84 ,$107.73 ,$402.84 ,$222.05 ,$654.43 ,$603.53 ,$263.89 ,$107.73 ,$639.88 ,$109.89 ,$545.36 ,$545.36 ,$618.07 ,$618.07 ,$107.73 ,$618.07 ,$107.73 ,$588.98 ,$588.98 ,$588.98 ,$727.14 ,$654.43 ,$263.89 ,$654.43 ,$107.73 ,$727.14 ,$407.93 ,$107.73 ,$301.04 ,$41.21 ,$39.33 ,$112.76 ,$654.43 ,$238.23 ,$402.84 ,$203.60 ,$654.43 ,$107.73 ,$654.43 ,$654.43 ,$107.73 ,$472.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000515,G0278,HC ILIAC ARTERY ANGIO W CATH G0278,320,1 ,"$7,763.84 ","$5,589.96 ",$800.00 ,"$7,763.84 ", N/A ,"$5,784.06 ","$5,085.32 ", N/A ,"$2,173.88 ","$4,774.76 ", N/A ,"$4,774.76 ", N/A ,"$4,301.17 ","$4,301.17 ", N/A ,"$4,301.17 ", N/A ,"$6,987.46 ",$800.00 , N/A , N/A ,"$6,832.18 ", N/A ,"$5,822.88 ","$5,822.88 ","$6,599.26 ","$6,599.26 ", N/A ,"$6,599.26 ", N/A ,"$6,288.71 ","$6,288.71 ","$6,288.71 ","$7,763.84 ","$6,987.46 ", N/A ,"$6,987.46 ", N/A ,"$7,763.84 ","$4,355.51 ", N/A ,"$3,214.23 ", N/A , N/A , N/A ,"$6,987.46 ", N/A ,"$4,301.17 ","$2,173.88 ","$6,987.46 ", N/A ,"$6,987.46 ","$6,987.46 ", N/A ,"$5,046.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000530,32554,HC THORACENTESIS W/O IMAGING 32554,320,1 ,"$1,731.00 ","$1,246.32 ",$484.68 ,"$1,731.00 ","$1,428.34 ","$1,289.60 ","$1,133.81 ",$583.10 ,$484.68 ,"$1,064.57 ",$583.10 ,"$1,064.57 ",$583.10 ,$958.97 ,$958.97 ,$583.10 ,$958.97 ,"$1,201.89 ","$1,557.90 ",$800.00 ,"$1,428.34 ",$583.10 ,"$1,523.28 ",$594.76 ,"$1,298.25 ","$1,298.25 ","$1,471.35 ","$1,471.35 ",$583.10 ,"$1,471.35 ",$583.10 ,"$1,402.11 ","$1,402.11 ","$1,402.11 ","$1,731.00 ","$1,557.90 ","$1,428.34 ","$1,557.90 ",$583.10 ,"$1,731.00 ",$971.09 ,$583.10 ,$716.63 ,$512.17 ,$488.89 ,$610.32 ,"$1,557.90 ","$1,289.45 ",$958.97 ,$484.68 ,"$1,557.90 ",$583.10 ,"$1,557.90 ","$1,557.90 ",$583.10 ,"$1,125.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,"$1,905.00 ","$1,371.60 ",$488.89 ,"$1,905.00 ","$1,428.34 ","$1,419.23 ","$1,247.78 ",$583.10 ,$533.40 ,"$1,171.58 ",$583.10 ,"$1,171.58 ",$583.10 ,"$1,055.37 ","$1,055.37 ",$583.10 ,"$1,055.37 ","$1,201.89 ","$1,714.50 ",$800.00 ,"$1,428.34 ",$583.10 ,"$1,676.40 ",$594.76 ,"$1,428.75 ","$1,428.75 ","$1,619.25 ","$1,619.25 ",$583.10 ,"$1,619.25 ",$583.10 ,"$1,543.05 ","$1,543.05 ","$1,543.05 ","$1,905.00 ","$1,714.50 ","$1,428.34 ","$1,714.50 ",$583.10 ,"$1,905.00 ","$1,068.71 ",$583.10 ,$788.67 ,$512.17 ,$488.89 ,$610.32 ,"$1,714.50 ","$1,289.45 ","$1,055.37 ",$533.40 ,"$1,714.50 ",$583.10 ,"$1,714.50 ","$1,714.50 ",$583.10 ,"$1,238.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000532,32556,HC PLEURAL DRAINAGE W/O IMAGING 32556,450,1 ,"$2,137.00 ","$1,538.64 ",$598.36 ,"$3,881.92 ","$2,137.00 ","$1,592.07 ","$1,399.74 ","$1,755.44 ",$598.36 ,"$1,314.26 ","$1,755.44 ","$1,314.26 ","$1,755.44 ","$1,183.90 ","$1,183.90 ","$1,755.44 ","$1,183.90 ","$2,137.00 ","$1,923.30 ","$1,773.71 ","$2,137.00 ","$1,755.44 ","$1,880.56 ","$1,790.56 ","$1,602.75 ","$1,602.75 ","$1,816.45 ","$1,816.45 ","$1,755.44 ","$1,816.45 ","$1,755.44 ","$1,730.97 ","$1,730.97 ","$1,730.97 ","$2,137.00 ","$1,923.30 ","$2,137.00 ","$1,923.30 ","$1,755.44 ","$2,137.00 ","$1,198.86 ","$1,755.44 ",$884.72 , N/A , N/A ,"$1,837.39 ","$1,923.30 ","$3,881.92 ","$1,183.90 ",$598.36 ,"$1,923.30 ","$1,755.44 ","$1,923.30 ","$1,923.30 ","$1,755.44 ","$1,389.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000533,32557,HC PLEURAL DRAINAGE W/IMAGING 32557,320,1 ,"$3,347.00 ","$2,409.84 ",$488.89 ,"$3,347.00 ","$3,347.00 ","$2,493.52 ","$2,192.29 ","$1,499.68 ",$937.16 ,"$2,058.41 ","$1,499.68 ","$2,058.41 ","$1,499.68 ","$1,854.24 ","$1,854.24 ","$1,499.68 ","$1,854.24 ","$3,091.16 ","$3,012.30 ",$800.00 ,"$3,347.00 ","$1,499.68 ","$2,945.36 ","$1,529.68 ","$2,510.25 ","$2,510.25 ","$2,844.95 ","$2,844.95 ","$1,499.68 ","$2,844.95 ","$1,499.68 ","$2,711.07 ","$2,711.07 ","$2,711.07 ","$3,347.00 ","$3,012.30 ","$3,347.00 ","$3,012.30 ","$1,499.68 ","$3,347.00 ","$1,877.67 ","$1,499.68 ","$1,385.66 ",$512.17 ,$488.89 ,"$1,569.70 ","$3,012.30 ","$3,316.34 ","$1,854.24 ",$937.16 ,"$3,012.30 ","$1,499.68 ","$3,012.30 ","$3,012.30 ","$1,499.68 ","$2,175.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000542,20551,HC INJ TENDON ORIGIN,320,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 ,$671.31 ,$558.75 ,$491.25 ,$274.06 ,$210.00 ,$461.25 ,$274.06 ,$461.25 ,$274.06 ,$415.50 ,$415.50 ,$274.06 ,$415.50 ,$564.88 ,$675.00 ,$622.50 ,$671.31 ,$274.06 ,$660.00 ,$279.54 ,$562.50 ,$562.50 ,$637.50 ,$637.50 ,$274.06 ,$637.50 ,$274.06 ,$607.50 ,$607.50 ,$607.50 ,$750.00 ,$675.00 ,$671.31 ,$675.00 ,$274.06 ,$750.00 ,$420.75 ,$274.06 ,$310.50 ,$239.66 ,$228.76 ,$286.85 ,$675.00 ,$606.03 ,$415.50 ,$210.00 ,$675.00 ,$274.06 ,$675.00 ,$675.00 ,$274.06 ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$341.10 ,$245.59 ,$39.33 ,$341.10 ,$263.89 ,$254.12 ,$223.42 ,$107.73 ,$95.51 ,$209.78 ,$107.73 ,$209.78 ,$107.73 ,$188.97 ,$188.97 ,$107.73 ,$188.97 ,$222.05 ,$306.99 ,$283.11 ,$263.89 ,$107.73 ,$300.17 ,$109.89 ,$255.83 ,$255.83 ,$289.94 ,$289.94 ,$107.73 ,$289.94 ,$107.73 ,$276.29 ,$276.29 ,$276.29 ,$341.10 ,$306.99 ,$263.89 ,$306.99 ,$107.73 ,$341.10 ,$191.36 ,$107.73 ,$141.22 ,$41.21 ,$39.33 ,$112.76 ,$306.99 ,$238.23 ,$188.97 ,$95.51 ,$306.99 ,$107.73 ,$306.99 ,$306.99 ,$107.73 ,$221.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000552,70100,HC XR MANDIBLE <3V,320,1 ,$525.95 ,$378.68 ,$39.33 ,$525.95 ,$214.51 ,$391.83 ,$344.50 ,$87.57 ,$147.27 ,$323.46 ,$87.57 ,$323.46 ,$87.57 ,$291.38 ,$291.38 ,$87.57 ,$291.38 ,$180.50 ,$473.36 ,$436.54 ,$214.51 ,$87.57 ,$462.84 ,$89.33 ,$394.46 ,$394.46 ,$447.06 ,$447.06 ,$87.57 ,$447.06 ,$87.57 ,$426.02 ,$426.02 ,$426.02 ,$525.95 ,$473.36 ,$214.51 ,$473.36 ,$87.57 ,$525.95 ,$295.06 ,$87.57 ,$217.74 ,$41.21 ,$39.33 ,$91.66 ,$473.36 ,$193.65 ,$291.38 ,$147.27 ,$473.36 ,$87.57 ,$473.36 ,$473.36 ,$87.57 ,$341.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000561,49405,HC ABSCESS DRAIN KIDN/LIV/SPLN/LUNG VISERAL 49405,320,1 ,"$2,924.00 ","$2,105.28 ",$488.89 ,"$3,342.42 ","$2,924.00 ","$2,178.38 ","$1,915.22 ","$1,511.47 ",$818.72 ,"$1,798.26 ","$1,511.47 ","$1,798.26 ","$1,511.47 ","$1,619.90 ","$1,619.90 ","$1,511.47 ","$1,619.90 ","$2,924.00 ","$2,631.60 ",$800.00 ,"$2,924.00 ","$1,511.47 ","$2,573.12 ","$1,541.71 ","$2,193.00 ","$2,193.00 ","$2,485.40 ","$2,485.40 ","$1,511.47 ","$2,485.40 ","$1,511.47 ","$2,368.44 ","$2,368.44 ","$2,368.44 ","$2,924.00 ","$2,631.60 ","$2,924.00 ","$2,631.60 ","$1,511.47 ","$2,924.00 ","$1,640.36 ","$1,511.47 ","$1,210.54 ",$512.17 ,$488.89 ,"$1,582.04 ","$2,631.60 ","$3,342.42 ","$1,619.90 ",$818.72 ,"$2,631.60 ","$1,511.47 ","$2,631.60 ","$2,631.60 ","$1,511.47 ","$1,900.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000562,49406,HC ABSCESS DRAIN PERI/ RETROPER PERC 49406,320,1 ,"$4,043.00 ","$2,910.96 ",$488.89 ,"$4,043.00 ","$3,702.44 ","$3,012.04 ","$2,648.17 ","$1,511.47 ","$1,132.04 ","$2,486.45 ","$1,511.47 ","$2,486.45 ","$1,511.47 ","$2,239.82 ","$2,239.82 ","$1,511.47 ","$2,239.82 ","$3,115.46 ","$3,638.70 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,557.84 ","$1,541.71 ","$3,032.25 ","$3,032.25 ","$3,436.55 ","$3,436.55 ","$1,511.47 ","$3,436.55 ","$1,511.47 ","$3,274.83 ","$3,274.83 ","$3,274.83 ","$4,043.00 ","$3,638.70 ","$3,702.44 ","$3,638.70 ","$1,511.47 ","$4,043.00 ","$2,268.12 ","$1,511.47 ","$1,673.80 ",$512.17 ,$488.89 ,"$1,582.04 ","$3,638.70 ","$3,342.42 ","$2,239.82 ","$1,132.04 ","$3,638.70 ","$1,511.47 ","$3,638.70 ","$3,638.70 ","$1,511.47 ","$2,627.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$525.95 ,$378.68 ,$39.33 ,$525.95 ,$214.51 ,$391.83 ,$344.50 ,$87.57 ,$147.27 ,$323.46 ,$87.57 ,$323.46 ,$87.57 ,$291.38 ,$291.38 ,$87.57 ,$291.38 ,$180.50 ,$473.36 ,$436.54 ,$214.51 ,$87.57 ,$462.84 ,$89.33 ,$394.46 ,$394.46 ,$447.06 ,$447.06 ,$87.57 ,$447.06 ,$87.57 ,$426.02 ,$426.02 ,$426.02 ,$525.95 ,$473.36 ,$214.51 ,$473.36 ,$87.57 ,$525.95 ,$295.06 ,$87.57 ,$217.74 ,$41.21 ,$39.33 ,$91.66 ,$473.36 ,$193.65 ,$291.38 ,$147.27 ,$473.36 ,$87.57 ,$473.36 ,$473.36 ,$87.57 ,$341.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$298.21 ,$214.71 ,$39.33 ,$298.21 ,$214.51 ,$222.17 ,$195.33 ,$87.57 ,$83.50 ,$183.40 ,$87.57 ,$183.40 ,$87.57 ,$165.21 ,$165.21 ,$87.57 ,$165.21 ,$180.50 ,$268.39 ,$247.51 ,$214.51 ,$87.57 ,$262.42 ,$89.33 ,$223.66 ,$223.66 ,$253.48 ,$253.48 ,$87.57 ,$253.48 ,$87.57 ,$241.55 ,$241.55 ,$241.55 ,$298.21 ,$268.39 ,$214.51 ,$268.39 ,$87.57 ,$298.21 ,$167.30 ,$87.57 ,$123.46 ,$41.21 ,$39.33 ,$91.66 ,$268.39 ,$193.65 ,$165.21 ,$83.50 ,$268.39 ,$87.57 ,$268.39 ,$268.39 ,$87.57 ,$193.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$492.25 ,$354.42 ,$39.33 ,$492.25 ,$263.89 ,$366.73 ,$322.42 ,$107.73 ,$137.83 ,$302.73 ,$107.73 ,$302.73 ,$107.73 ,$272.71 ,$272.71 ,$107.73 ,$272.71 ,$222.05 ,$443.03 ,$408.57 ,$263.89 ,$107.73 ,$433.18 ,$109.89 ,$369.19 ,$369.19 ,$418.41 ,$418.41 ,$107.73 ,$418.41 ,$107.73 ,$398.72 ,$398.72 ,$398.72 ,$492.25 ,$443.03 ,$263.89 ,$443.03 ,$107.73 ,$492.25 ,$276.15 ,$107.73 ,$203.79 ,$41.21 ,$39.33 ,$112.76 ,$443.03 ,$238.23 ,$272.71 ,$137.83 ,$443.03 ,$107.73 ,$443.03 ,$443.03 ,$107.73 ,$319.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000572,72083,HC XR SPINE/CERV SCOLIOSIS 4-5VW,320,1 ,$872.16 ,$627.96 ,$39.33 ,$872.16 ,$263.89 ,$649.76 ,$571.26 ,$107.73 ,$244.20 ,$536.38 ,$107.73 ,$536.38 ,$107.73 ,$483.18 ,$483.18 ,$107.73 ,$483.18 ,$222.05 ,$784.94 ,$723.89 ,$263.89 ,$107.73 ,$767.50 ,$109.89 ,$654.12 ,$654.12 ,$741.34 ,$741.34 ,$107.73 ,$741.34 ,$107.73 ,$706.45 ,$706.45 ,$706.45 ,$872.16 ,$784.94 ,$263.89 ,$784.94 ,$107.73 ,$872.16 ,$489.28 ,$107.73 ,$361.07 ,$41.21 ,$39.33 ,$112.76 ,$784.94 ,$238.23 ,$483.18 ,$244.20 ,$784.94 ,$107.73 ,$784.94 ,$784.94 ,$107.73 ,$566.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$298.21 ,$214.71 ,$39.33 ,$298.21 ,$214.51 ,$222.17 ,$195.33 ,$87.57 ,$83.50 ,$183.40 ,$87.57 ,$183.40 ,$87.57 ,$165.21 ,$165.21 ,$87.57 ,$165.21 ,$180.50 ,$268.39 ,$247.51 ,$214.51 ,$87.57 ,$262.42 ,$89.33 ,$223.66 ,$223.66 ,$253.48 ,$253.48 ,$87.57 ,$253.48 ,$87.57 ,$241.55 ,$241.55 ,$241.55 ,$298.21 ,$268.39 ,$214.51 ,$268.39 ,$87.57 ,$298.21 ,$167.30 ,$87.57 ,$123.46 ,$41.21 ,$39.33 ,$91.66 ,$268.39 ,$193.65 ,$165.21 ,$83.50 ,$268.39 ,$87.57 ,$268.39 ,$268.39 ,$87.57 ,$193.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$298.21 ,$214.71 ,$39.33 ,$298.21 ,$214.51 ,$222.17 ,$195.33 ,$87.57 ,$83.50 ,$183.40 ,$87.57 ,$183.40 ,$87.57 ,$165.21 ,$165.21 ,$87.57 ,$165.21 ,$180.50 ,$268.39 ,$247.51 ,$214.51 ,$87.57 ,$262.42 ,$89.33 ,$223.66 ,$223.66 ,$253.48 ,$253.48 ,$87.57 ,$253.48 ,$87.57 ,$241.55 ,$241.55 ,$241.55 ,$298.21 ,$268.39 ,$214.51 ,$268.39 ,$87.57 ,$298.21 ,$167.30 ,$87.57 ,$123.46 ,$41.21 ,$39.33 ,$91.66 ,$268.39 ,$193.65 ,$165.21 ,$83.50 ,$268.39 ,$87.57 ,$268.39 ,$268.39 ,$87.57 ,$193.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000576,73503,HC XR HIP W/PELVIS UNI 4+VWS,320,1 ,$345.19 ,$248.54 ,$39.33 ,$345.19 ,$263.89 ,$257.17 ,$226.10 ,$107.73 ,$96.65 ,$212.29 ,$107.73 ,$212.29 ,$107.73 ,$191.24 ,$191.24 ,$107.73 ,$191.24 ,$222.05 ,$310.67 ,$286.51 ,$263.89 ,$107.73 ,$303.77 ,$109.89 ,$258.89 ,$258.89 ,$293.41 ,$293.41 ,$107.73 ,$293.41 ,$107.73 ,$279.60 ,$279.60 ,$279.60 ,$345.19 ,$310.67 ,$263.89 ,$310.67 ,$107.73 ,$345.19 ,$193.65 ,$107.73 ,$142.91 ,$41.21 ,$39.33 ,$112.76 ,$310.67 ,$238.23 ,$191.24 ,$96.65 ,$310.67 ,$107.73 ,$310.67 ,$310.67 ,$107.73 ,$224.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$554.55 ,$399.28 ,$39.33 ,$554.55 ,$263.89 ,$413.14 ,$363.23 ,$107.73 ,$155.27 ,$341.05 ,$107.73 ,$341.05 ,$107.73 ,$307.22 ,$307.22 ,$107.73 ,$307.22 ,$222.05 ,$499.10 ,$460.28 ,$263.89 ,$107.73 ,$488.00 ,$109.89 ,$415.91 ,$415.91 ,$471.37 ,$471.37 ,$107.73 ,$471.37 ,$107.73 ,$449.19 ,$449.19 ,$449.19 ,$554.55 ,$499.10 ,$263.89 ,$499.10 ,$107.73 ,$554.55 ,$311.10 ,$107.73 ,$229.58 ,$41.21 ,$39.33 ,$112.76 ,$499.10 ,$238.23 ,$307.22 ,$155.27 ,$499.10 ,$107.73 ,$499.10 ,$499.10 ,$107.73 ,$360.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$554.55 ,$399.28 ,$39.33 ,$554.55 ,$263.89 ,$413.14 ,$363.23 ,$107.73 ,$155.27 ,$341.05 ,$107.73 ,$341.05 ,$107.73 ,$307.22 ,$307.22 ,$107.73 ,$307.22 ,$222.05 ,$499.10 ,$460.28 ,$263.89 ,$107.73 ,$488.00 ,$109.89 ,$415.91 ,$415.91 ,$471.37 ,$471.37 ,$107.73 ,$471.37 ,$107.73 ,$449.19 ,$449.19 ,$449.19 ,$554.55 ,$499.10 ,$263.89 ,$499.10 ,$107.73 ,$554.55 ,$311.10 ,$107.73 ,$229.58 ,$41.21 ,$39.33 ,$112.76 ,$499.10 ,$238.23 ,$307.22 ,$155.27 ,$499.10 ,$107.73 ,$499.10 ,$499.10 ,$107.73 ,$360.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$554.55 ,$399.28 ,$39.33 ,$554.55 ,$263.89 ,$413.14 ,$363.23 ,$107.73 ,$155.27 ,$341.05 ,$107.73 ,$341.05 ,$107.73 ,$307.22 ,$307.22 ,$107.73 ,$307.22 ,$222.05 ,$499.10 ,$460.28 ,$263.89 ,$107.73 ,$488.00 ,$109.89 ,$415.91 ,$415.91 ,$471.37 ,$471.37 ,$107.73 ,$471.37 ,$107.73 ,$449.19 ,$449.19 ,$449.19 ,$554.55 ,$499.10 ,$263.89 ,$499.10 ,$107.73 ,$554.55 ,$311.10 ,$107.73 ,$229.58 ,$41.21 ,$39.33 ,$112.76 ,$499.10 ,$238.23 ,$307.22 ,$155.27 ,$499.10 ,$107.73 ,$499.10 ,$499.10 ,$107.73 ,$360.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$298.21 ,$214.71 ,$39.33 ,$298.21 ,$214.51 ,$222.17 ,$195.33 ,$87.57 ,$83.50 ,$183.40 ,$87.57 ,$183.40 ,$87.57 ,$165.21 ,$165.21 ,$87.57 ,$165.21 ,$180.50 ,$268.39 ,$247.51 ,$214.51 ,$87.57 ,$262.42 ,$89.33 ,$223.66 ,$223.66 ,$253.48 ,$253.48 ,$87.57 ,$253.48 ,$87.57 ,$241.55 ,$241.55 ,$241.55 ,$298.21 ,$268.39 ,$214.51 ,$268.39 ,$87.57 ,$298.21 ,$167.30 ,$87.57 ,$123.46 ,$41.21 ,$39.33 ,$91.66 ,$268.39 ,$193.65 ,$165.21 ,$83.50 ,$268.39 ,$87.57 ,$268.39 ,$268.39 ,$87.57 ,$193.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$447.31 ,$322.06 ,$59.00 ,$447.31 ,$214.51 ,$333.25 ,$292.99 ,$87.57 ,$125.25 ,$275.10 ,$87.57 ,$275.10 ,$87.57 ,$247.81 ,$247.81 ,$87.57 ,$247.81 ,$180.50 ,$402.58 ,$371.27 ,$214.51 ,$87.57 ,$393.63 ,$89.33 ,$335.48 ,$335.48 ,$380.21 ,$380.21 ,$87.57 ,$380.21 ,$87.57 ,$362.32 ,$362.32 ,$362.32 ,$447.31 ,$402.58 ,$214.51 ,$402.58 ,$87.57 ,$447.31 ,$250.94 ,$87.57 ,$185.19 ,$61.81 ,$59.00 ,$91.66 ,$402.58 ,$193.65 ,$247.81 ,$125.25 ,$402.58 ,$87.57 ,$402.58 ,$402.58 ,$87.57 ,$290.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$298.21 ,$214.71 ,$39.33 ,$298.21 ,$214.51 ,$222.17 ,$195.33 ,$87.57 ,$83.50 ,$183.40 ,$87.57 ,$183.40 ,$87.57 ,$165.21 ,$165.21 ,$87.57 ,$165.21 ,$180.50 ,$268.39 ,$247.51 ,$214.51 ,$87.57 ,$262.42 ,$89.33 ,$223.66 ,$223.66 ,$253.48 ,$253.48 ,$87.57 ,$253.48 ,$87.57 ,$241.55 ,$241.55 ,$241.55 ,$298.21 ,$268.39 ,$214.51 ,$268.39 ,$87.57 ,$298.21 ,$167.30 ,$87.57 ,$123.46 ,$41.21 ,$39.33 ,$91.66 ,$268.39 ,$193.65 ,$165.21 ,$83.50 ,$268.39 ,$87.57 ,$268.39 ,$268.39 ,$87.57 ,$193.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$447.31 ,$322.06 ,$59.00 ,$447.31 ,$214.51 ,$333.25 ,$292.99 ,$87.57 ,$125.25 ,$275.10 ,$87.57 ,$275.10 ,$87.57 ,$247.81 ,$247.81 ,$87.57 ,$247.81 ,$180.50 ,$402.58 ,$371.27 ,$214.51 ,$87.57 ,$393.63 ,$89.33 ,$335.48 ,$335.48 ,$380.21 ,$380.21 ,$87.57 ,$380.21 ,$87.57 ,$362.32 ,$362.32 ,$362.32 ,$447.31 ,$402.58 ,$214.51 ,$402.58 ,$87.57 ,$447.31 ,$250.94 ,$87.57 ,$185.19 ,$61.81 ,$59.00 ,$91.66 ,$402.58 ,$193.65 ,$247.81 ,$125.25 ,$402.58 ,$87.57 ,$402.58 ,$402.58 ,$87.57 ,$290.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000584,72240,HC XR MYELOGRAPHY C-SPINE,320,1 ,"$2,238.88 ","$1,611.99 ",$224.12 ,"$2,238.88 ","$1,828.94 ","$1,667.97 ","$1,466.47 ",$746.64 ,$626.89 ,"$1,376.91 ",$746.64 ,"$1,376.91 ",$746.64 ,"$1,240.34 ","$1,240.34 ",$746.64 ,"$1,240.34 ","$1,538.98 ","$2,014.99 ",$800.00 ,"$1,828.94 ",$746.64 ,"$1,970.21 ",$761.58 ,"$1,679.16 ","$1,679.16 ","$1,903.05 ","$1,903.05 ",$746.64 ,"$1,903.05 ",$746.64 ,"$1,813.49 ","$1,813.49 ","$1,813.49 ","$2,238.88 ","$2,014.99 ","$1,828.94 ","$2,014.99 ",$746.64 ,"$2,238.88 ","$1,256.01 ",$746.64 ,$926.90 ,$234.80 ,$224.12 ,$781.50 ,"$2,014.99 ","$1,651.09 ","$1,240.34 ",$626.89 ,"$2,014.99 ",$746.64 ,"$2,014.99 ","$2,014.99 ",$746.64 ,"$1,455.27 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000586,72265,HC XR MYELOGRAPHY L-SPINE,320,1 ,"$2,238.88 ","$1,611.99 ",$224.12 ,"$2,238.88 ","$1,828.94 ","$1,667.97 ","$1,466.47 ",$746.64 ,$626.89 ,"$1,376.91 ",$746.64 ,"$1,376.91 ",$746.64 ,"$1,240.34 ","$1,240.34 ",$746.64 ,"$1,240.34 ","$1,538.98 ","$2,014.99 ",$800.00 ,"$1,828.94 ",$746.64 ,"$1,970.21 ",$761.58 ,"$1,679.16 ","$1,679.16 ","$1,903.05 ","$1,903.05 ",$746.64 ,"$1,903.05 ",$746.64 ,"$1,813.49 ","$1,813.49 ","$1,813.49 ","$2,238.88 ","$2,014.99 ","$1,828.94 ","$2,014.99 ",$746.64 ,"$2,238.88 ","$1,256.01 ",$746.64 ,$926.90 ,$234.80 ,$224.12 ,$781.50 ,"$2,014.99 ","$1,651.09 ","$1,240.34 ",$626.89 ,"$2,014.99 ",$746.64 ,"$2,014.99 ","$2,014.99 ",$746.64 ,"$1,455.27 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000589,74019,HC XR ABDOMEN 2V,320,1 ,$608.39 ,$438.04 ,$39.33 ,$608.39 ,$263.89 ,$453.25 ,$398.50 ,$107.73 ,$170.35 ,$374.16 ,$107.73 ,$374.16 ,$107.73 ,$337.05 ,$337.05 ,$107.73 ,$337.05 ,$222.05 ,$547.55 ,$504.96 ,$263.89 ,$107.73 ,$535.38 ,$109.89 ,$456.29 ,$456.29 ,$517.13 ,$517.13 ,$107.73 ,$517.13 ,$107.73 ,$492.80 ,$492.80 ,$492.80 ,$608.39 ,$547.55 ,$263.89 ,$547.55 ,$107.73 ,$608.39 ,$341.31 ,$107.73 ,$251.87 ,$41.21 ,$39.33 ,$112.76 ,$547.55 ,$238.23 ,$337.05 ,$170.35 ,$547.55 ,$107.73 ,$547.55 ,$547.55 ,$107.73 ,$395.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000595,76000,HC FLUOROSCOPY >1HR,320,1 ,"$1,038.92 ",$748.02 ,$39.33 ,"$1,038.92 ",$576.57 ,$774.00 ,$680.49 ,$235.38 ,$290.90 ,$638.94 ,$235.38 ,$638.94 ,$235.38 ,$575.56 ,$575.56 ,$235.38 ,$575.56 ,$485.16 ,$935.03 ,$800.00 ,$576.57 ,$235.38 ,$914.25 ,$240.08 ,$779.19 ,$779.19 ,$883.08 ,$883.08 ,$235.38 ,$883.08 ,$235.38 ,$841.53 ,$841.53 ,$841.53 ,"$1,038.92 ",$935.03 ,$576.57 ,$935.03 ,$235.38 ,"$1,038.92 ",$582.83 ,$235.38 ,$430.11 ,$41.21 ,$39.33 ,$246.36 ,$935.03 ,$520.50 ,$575.56 ,$290.90 ,$935.03 ,$235.38 ,$935.03 ,$935.03 ,$235.38 ,$675.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000609,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT-BIL,320,1 ,"$6,376.00 ","$4,590.72 ",$800.00 ,"$7,144.05 ","$6,376.00 ","$4,750.12 ","$4,176.28 ","$3,230.61 ","$1,785.28 ","$3,921.24 ","$3,230.61 ","$3,921.24 ","$3,230.61 ","$3,532.30 ","$3,532.30 ","$3,230.61 ","$3,532.30 ","$6,376.00 ","$5,738.40 ",$800.00 ,"$6,376.00 ","$3,230.61 ","$5,610.88 ","$3,295.22 ","$4,782.00 ","$4,782.00 ","$5,419.60 ","$5,419.60 ","$3,230.61 ","$5,419.60 ","$3,230.61 ","$5,164.56 ","$5,164.56 ","$5,164.56 ","$6,376.00 ","$5,738.40 ","$6,376.00 ","$5,738.40 ","$3,230.61 ","$6,376.00 ","$3,576.94 ","$3,230.61 ","$2,639.66 ","$1,205.41 ","$1,150.62 ","$3,381.43 ","$5,738.40 ","$7,144.05 ","$3,532.30 ","$1,785.28 ","$5,738.40 ","$3,230.61 ","$5,738.40 ","$5,738.40 ","$3,230.61 ","$4,144.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,667.81 ","$1,200.82 ",$39.33 ,"$1,667.81 ", N/A ,"$1,242.52 ","$1,092.42 ", N/A ,$466.99 ,"$1,025.70 ", N/A ,"$1,025.70 ", N/A ,$923.97 ,$923.97 , N/A ,$923.97 , N/A ,"$1,501.03 ",$800.00 , N/A , N/A ,"$1,467.67 ", N/A ,"$1,250.86 ","$1,250.86 ","$1,417.64 ","$1,417.64 ", N/A ,"$1,417.64 ", N/A ,"$1,350.93 ","$1,350.93 ","$1,350.93 ","$1,667.81 ","$1,501.03 ", N/A ,"$1,501.03 ", N/A ,"$1,667.81 ",$935.64 , N/A ,$690.47 ,$41.21 ,$39.33 , N/A ,"$1,501.03 ", N/A ,$923.97 ,$466.99 ,"$1,501.03 ", N/A ,"$1,501.03 ","$1,501.03 ", N/A ,"$1,084.08 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$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 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500002,96401,HC CHEMO SQ/IM NON ANTI-NEOPLAST,335,1 ,$166.75 ,$120.06 ,$46.69 ,$166.75 ,$166.59 ,$124.23 ,$109.22 ,$68.00 ,$46.69 ,$102.55 ,$68.00 ,$102.55 ,$68.00 ,$92.38 ,$92.38 ,$68.00 ,$92.38 ,$140.18 ,$150.08 ,$138.40 ,$166.59 ,$68.00 ,$146.74 ,$69.36 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$68.00 ,$141.74 ,$68.00 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$166.59 ,$150.08 ,$68.00 ,$166.75 ,$93.55 ,$68.00 ,$69.03 , N/A , N/A ,$71.18 ,$150.08 ,$150.39 ,$92.38 ,$46.69 ,$150.08 ,$68.00 ,$150.08 ,$150.08 ,$68.00 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500003,96409,HC CHEMO IV PUSH SINGLE/INIT,335,1 ,$333.50 ,$240.12 ,$93.38 ,$460.43 ,$333.50 ,$248.46 ,$218.44 ,$208.21 ,$93.38 ,$205.10 ,$208.21 ,$205.10 ,$208.21 ,$184.76 ,$184.76 ,$208.21 ,$184.76 ,$333.50 ,$300.15 ,$276.81 ,$333.50 ,$208.21 ,$293.48 ,$212.38 ,$250.13 ,$250.13 ,$283.48 ,$283.48 ,$208.21 ,$283.48 ,$208.21 ,$270.14 ,$270.14 ,$270.14 ,$333.50 ,$300.15 ,$333.50 ,$300.15 ,$208.21 ,$333.50 ,$187.09 ,$208.21 ,$138.07 , N/A , N/A ,$217.93 ,$300.15 ,$460.43 ,$184.76 ,$93.38 ,$300.15 ,$208.21 ,$300.15 ,$300.15 ,$208.21 ,$216.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500004,96411,HC CHEMO IV PUSH ADDL DRUG,335,1 ,$333.50 ,$240.12 ,$68.00 ,$333.50 ,$166.59 ,$248.46 ,$218.44 ,$68.00 ,$93.38 ,$205.10 ,$68.00 ,$205.10 ,$68.00 ,$184.76 ,$184.76 ,$68.00 ,$184.76 ,$140.18 ,$300.15 ,$276.81 ,$166.59 ,$68.00 ,$293.48 ,$69.36 ,$250.13 ,$250.13 ,$283.48 ,$283.48 ,$68.00 ,$283.48 ,$68.00 ,$270.14 ,$270.14 ,$270.14 ,$333.50 ,$300.15 ,$166.59 ,$300.15 ,$68.00 ,$333.50 ,$187.09 ,$68.00 ,$138.07 , N/A , N/A ,$71.18 ,$300.15 ,$150.39 ,$184.76 ,$93.38 ,$300.15 ,$68.00 ,$300.15 ,$300.15 ,$68.00 ,$216.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$515.20 ,$370.94 ,$144.26 ,$741.39 ,$515.20 ,$383.82 ,$337.46 ,$335.27 ,$144.26 ,$316.85 ,$335.27 ,$316.85 ,$335.27 ,$285.42 ,$285.42 ,$335.27 ,$285.42 ,$515.20 ,$463.68 ,$427.62 ,$515.20 ,$335.27 ,$453.38 ,$341.97 ,$386.40 ,$386.40 ,$437.92 ,$437.92 ,$335.27 ,$437.92 ,$335.27 ,$417.31 ,$417.31 ,$417.31 ,$515.20 ,$463.68 ,$515.20 ,$463.68 ,$335.27 ,$515.20 ,$289.03 ,$335.27 ,$213.29 ,$231.63 ,$221.10 ,$350.92 ,$463.68 ,$741.39 ,$285.42 ,$144.26 ,$463.68 ,$335.27 ,$463.68 ,$463.68 ,$335.27 ,$334.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$166.75 ,$120.06 ,$46.69 ,$166.75 ,$166.59 ,$124.23 ,$109.22 ,$68.00 ,$46.69 ,$102.55 ,$68.00 ,$102.55 ,$68.00 ,$92.38 ,$92.38 ,$68.00 ,$92.38 ,$140.18 ,$150.08 ,$138.40 ,$166.59 ,$68.00 ,$146.74 ,$69.36 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$68.00 ,$141.74 ,$68.00 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$166.59 ,$150.08 ,$68.00 ,$166.75 ,$93.55 ,$68.00 ,$69.03 ,$166.75 ,$166.75 ,$71.18 ,$150.08 ,$150.39 ,$92.38 ,$46.69 ,$150.08 ,$68.00 ,$150.08 ,$150.08 ,$68.00 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500008,96417,HC CHEMO IV INFUSION EA ADDL <1H,335,1 ,$250.70 ,$180.50 ,$68.00 ,$250.70 ,$166.59 ,$186.77 ,$164.21 ,$68.00 ,$70.20 ,$154.18 ,$68.00 ,$154.18 ,$68.00 ,$138.89 ,$138.89 ,$68.00 ,$138.89 ,$140.18 ,$225.63 ,$208.08 ,$166.59 ,$68.00 ,$220.62 ,$69.36 ,$188.03 ,$188.03 ,$213.10 ,$213.10 ,$68.00 ,$213.10 ,$68.00 ,$203.07 ,$203.07 ,$203.07 ,$250.70 ,$225.63 ,$166.59 ,$225.63 ,$68.00 ,$250.70 ,$140.64 ,$68.00 ,$103.79 ,$231.63 ,$221.10 ,$71.18 ,$225.63 ,$150.39 ,$138.89 ,$70.20 ,$225.63 ,$68.00 ,$225.63 ,$225.63 ,$68.00 ,$162.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$166.75 ,$120.06 ,$46.69 ,$166.75 ,$166.59 ,$124.23 ,$109.22 ,$68.00 ,$46.69 ,$102.55 ,$68.00 ,$102.55 ,$68.00 ,$92.38 ,$92.38 ,$68.00 ,$92.38 ,$140.18 ,$150.08 ,$138.40 ,$166.59 ,$68.00 ,$146.74 ,$69.36 ,$125.06 ,$125.06 ,$141.74 ,$141.74 ,$68.00 ,$141.74 ,$68.00 ,$135.07 ,$135.07 ,$135.07 ,$166.75 ,$150.08 ,$166.59 ,$150.08 ,$68.00 ,$166.75 ,$93.55 ,$68.00 ,$69.03 , N/A , N/A ,$71.18 ,$150.08 ,$150.39 ,$92.38 ,$46.69 ,$150.08 ,$68.00 ,$150.08 ,$150.08 ,$68.00 ,$108.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$1,853.34 ","$1,334.40 ",$297.40 ,"$1,853.34 ",$959.66 ,"$1,380.74 ","$1,213.94 ",$391.77 ,$518.94 ,"$1,139.80 ",$391.77 ,"$1,139.80 ",$391.77 ,"$1,026.75 ","$1,026.75 ",$391.77 ,"$1,026.75 ",$807.52 ,"$1,668.01 ","$1,538.27 ",$959.66 ,$391.77 ,"$1,630.94 ",$399.61 ,"$1,390.01 ","$1,390.01 ","$1,575.34 ","$1,575.34 ",$391.77 ,"$1,575.34 ",$391.77 ,"$1,501.21 ","$1,501.21 ","$1,501.21 ","$1,853.34 ","$1,668.01 ",$959.66 ,"$1,668.01 ",$391.77 ,"$1,853.34 ","$1,039.72 ",$391.77 ,$767.28 ,$311.56 ,$297.40 ,$410.06 ,"$1,668.01 ",$866.35 ,"$1,026.75 ",$518.94 ,"$1,668.01 ",$391.77 ,"$1,668.01 ","$1,668.01 ",$391.77 ,"$1,204.67 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000007,78018,HC NM THYROID CA METS WHOLE BODY,340,1 ,"$1,798.22 ","$1,294.72 ",$297.40 ,"$1,798.22 ","$1,245.63 ","$1,339.67 ","$1,177.83 ",$508.51 ,$503.50 ,"$1,105.91 ",$508.51 ,"$1,105.91 ",$508.51 ,$996.21 ,$996.21 ,$508.51 ,$996.21 ,"$1,048.15 ","$1,618.40 ","$1,492.52 ","$1,245.63 ",$508.51 ,"$1,582.43 ",$518.68 ,"$1,348.67 ","$1,348.67 ","$1,528.49 ","$1,528.49 ",$508.51 ,"$1,528.49 ",$508.51 ,"$1,456.56 ","$1,456.56 ","$1,456.56 ","$1,798.22 ","$1,618.40 ","$1,245.63 ","$1,618.40 ",$508.51 ,"$1,798.22 ","$1,008.80 ",$508.51 ,$744.46 ,$311.56 ,$297.40 ,$532.25 ,"$1,618.40 ","$1,124.50 ",$996.21 ,$503.50 ,"$1,618.40 ",$508.51 ,"$1,618.40 ","$1,618.40 ",$508.51 ,"$1,168.84 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$2,061.91 ","$1,484.58 ",$297.40 ,"$2,061.91 ","$1,245.63 ","$1,536.12 ","$1,350.55 ",$508.51 ,$577.33 ,"$1,268.07 ",$508.51 ,"$1,268.07 ",$508.51 ,"$1,142.30 ","$1,142.30 ",$508.51 ,"$1,142.30 ","$1,048.15 ","$1,855.72 ","$1,711.39 ","$1,245.63 ",$508.51 ,"$1,814.48 ",$518.68 ,"$1,546.43 ","$1,546.43 ","$1,752.62 ","$1,752.62 ",$508.51 ,"$1,752.62 ",$508.51 ,"$1,670.15 ","$1,670.15 ","$1,670.15 ","$2,061.91 ","$1,855.72 ","$1,245.63 ","$1,855.72 ",$508.51 ,"$2,061.91 ","$1,156.73 ",$508.51 ,$853.63 ,$311.56 ,$297.40 ,$532.25 ,"$1,855.72 ","$1,124.50 ","$1,142.30 ",$577.33 ,"$1,855.72 ",$508.51 ,"$1,855.72 ","$1,855.72 ",$508.51 ,"$1,340.24 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$1,074.18 ",$773.41 ,$265.42 ,"$1,074.18 ",$959.66 ,$800.26 ,$703.59 ,$391.77 ,$300.77 ,$660.62 ,$391.77 ,$660.62 ,$391.77 ,$595.10 ,$595.10 ,$391.77 ,$595.10 ,$807.52 ,$966.76 ,$891.57 ,$959.66 ,$391.77 ,$945.28 ,$399.61 ,$805.64 ,$805.64 ,$913.05 ,$913.05 ,$391.77 ,$913.05 ,$391.77 ,$870.09 ,$870.09 ,$870.09 ,"$1,074.18 ",$966.76 ,$959.66 ,$966.76 ,$391.77 ,"$1,074.18 ",$602.62 ,$391.77 ,$444.71 ,$278.06 ,$265.42 ,$410.06 ,$966.76 ,$866.35 ,$595.10 ,$300.77 ,$966.76 ,$391.77 ,$966.76 ,$966.76 ,$391.77 ,$698.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$1,793.90 ","$1,291.61 ",$297.40 ,"$1,793.90 ",$959.66 ,"$1,336.46 ","$1,175.00 ",$391.77 ,$502.29 ,"$1,103.25 ",$391.77 ,"$1,103.25 ",$391.77 ,$993.82 ,$993.82 ,$391.77 ,$993.82 ,$807.52 ,"$1,614.51 ","$1,488.94 ",$959.66 ,$391.77 ,"$1,578.63 ",$399.61 ,"$1,345.43 ","$1,345.43 ","$1,524.82 ","$1,524.82 ",$391.77 ,"$1,524.82 ",$391.77 ,"$1,453.06 ","$1,453.06 ","$1,453.06 ","$1,793.90 ","$1,614.51 ",$959.66 ,"$1,614.51 ",$391.77 ,"$1,793.90 ","$1,006.38 ",$391.77 ,$742.67 ,$311.56 ,$297.40 ,$410.06 ,"$1,614.51 ",$866.35 ,$993.82 ,$502.29 ,"$1,614.51 ",$391.77 ,"$1,614.51 ","$1,614.51 ",$391.77 ,"$1,166.04 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$1,997.07 ","$1,437.89 ",$297.40 ,"$1,997.07 ",$959.66 ,"$1,487.82 ","$1,308.08 ",$391.77 ,$559.18 ,"$1,228.20 ",$391.77 ,"$1,228.20 ",$391.77 ,"$1,106.38 ","$1,106.38 ",$391.77 ,"$1,106.38 ",$807.52 ,"$1,797.36 ","$1,657.57 ",$959.66 ,$391.77 ,"$1,757.42 ",$399.61 ,"$1,497.80 ","$1,497.80 ","$1,697.51 ","$1,697.51 ",$391.77 ,"$1,697.51 ",$391.77 ,"$1,617.63 ","$1,617.63 ","$1,617.63 ","$1,997.07 ","$1,797.36 ",$959.66 ,"$1,797.36 ",$391.77 ,"$1,997.07 ","$1,120.36 ",$391.77 ,$826.79 ,$311.56 ,$297.40 ,$410.06 ,"$1,797.36 ",$866.35 ,"$1,106.38 ",$559.18 ,"$1,797.36 ",$391.77 ,"$1,797.36 ","$1,797.36 ",$391.77 ,"$1,298.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000027,78278,HC GI BLEED SCAN,340,1 ,"$1,001.78 ",$721.28 ,$280.50 ,"$1,001.78 ",$959.66 ,$746.33 ,$656.17 ,$391.77 ,$280.50 ,$616.09 ,$391.77 ,$616.09 ,$391.77 ,$554.99 ,$554.99 ,$391.77 ,$554.99 ,$807.52 ,$901.60 ,$831.48 ,$959.66 ,$391.77 ,$881.57 ,$399.61 ,$751.34 ,$751.34 ,$851.51 ,$851.51 ,$391.77 ,$851.51 ,$391.77 ,$811.44 ,$811.44 ,$811.44 ,"$1,001.78 ",$901.60 ,$959.66 ,$901.60 ,$391.77 ,"$1,001.78 ",$562.00 ,$391.77 ,$414.74 ,$311.56 ,$297.40 ,$410.06 ,$901.60 ,$866.35 ,$554.99 ,$280.50 ,$901.60 ,$391.77 ,$901.60 ,$901.60 ,$391.77 ,$651.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,207.10 ",$869.11 ,$265.42 ,"$1,207.10 ",$959.66 ,$899.29 ,$790.65 ,$391.77 ,$337.99 ,$742.37 ,$391.77 ,$742.37 ,$391.77 ,$668.73 ,$668.73 ,$391.77 ,$668.73 ,$807.52 ,"$1,086.39 ","$1,001.89 ",$959.66 ,$391.77 ,"$1,062.25 ",$399.61 ,$905.33 ,$905.33 ,"$1,026.04 ","$1,026.04 ",$391.77 ,"$1,026.04 ",$391.77 ,$977.75 ,$977.75 ,$977.75 ,"$1,207.10 ","$1,086.39 ",$959.66 ,"$1,086.39 ",$391.77 ,"$1,207.10 ",$677.18 ,$391.77 ,$499.74 ,$278.06 ,$265.42 ,$410.06 ,"$1,086.39 ",$866.35 ,$668.73 ,$337.99 ,"$1,086.39 ",$391.77 ,"$1,086.39 ","$1,086.39 ",$391.77 ,$784.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,228.71 ",$884.67 ,$265.42 ,"$1,228.71 ",$959.66 ,$915.39 ,$804.81 ,$391.77 ,$344.04 ,$755.66 ,$391.77 ,$755.66 ,$391.77 ,$680.71 ,$680.71 ,$391.77 ,$680.71 ,$807.52 ,"$1,105.84 ","$1,019.83 ",$959.66 ,$391.77 ,"$1,081.26 ",$399.61 ,$921.53 ,$921.53 ,"$1,044.40 ","$1,044.40 ",$391.77 ,"$1,044.40 ",$391.77 ,$995.26 ,$995.26 ,$995.26 ,"$1,228.71 ","$1,105.84 ",$959.66 ,"$1,105.84 ",$391.77 ,"$1,228.71 ",$689.31 ,$391.77 ,$508.69 ,$278.06 ,$265.42 ,$410.06 ,"$1,105.84 ",$866.35 ,$680.71 ,$344.04 ,"$1,105.84 ",$391.77 ,"$1,105.84 ","$1,105.84 ",$391.77 ,$798.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,459.98 ","$1,051.19 ",$265.42 ,"$1,459.98 ",$959.66 ,"$1,087.69 ",$956.29 ,$391.77 ,$408.79 ,$897.89 ,$391.77 ,$897.89 ,$391.77 ,$808.83 ,$808.83 ,$391.77 ,$808.83 ,$807.52 ,"$1,313.98 ","$1,211.78 ",$959.66 ,$391.77 ,"$1,284.78 ",$399.61 ,"$1,094.99 ","$1,094.99 ","$1,240.98 ","$1,240.98 ",$391.77 ,"$1,240.98 ",$391.77 ,"$1,182.58 ","$1,182.58 ","$1,182.58 ","$1,459.98 ","$1,313.98 ",$959.66 ,"$1,313.98 ",$391.77 ,"$1,459.98 ",$819.05 ,$391.77 ,$604.43 ,$278.06 ,$265.42 ,$410.06 ,"$1,313.98 ",$866.35 ,$808.83 ,$408.79 ,"$1,313.98 ",$391.77 ,"$1,313.98 ","$1,313.98 ",$391.77 ,$948.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,646.93 ","$1,185.79 ",$265.42 ,"$1,646.93 ",$959.66 ,"$1,226.96 ","$1,078.74 ",$391.77 ,$461.14 ,"$1,012.86 ",$391.77 ,"$1,012.86 ",$391.77 ,$912.40 ,$912.40 ,$391.77 ,$912.40 ,$807.52 ,"$1,482.24 ","$1,366.95 ",$959.66 ,$391.77 ,"$1,449.30 ",$399.61 ,"$1,235.20 ","$1,235.20 ","$1,399.89 ","$1,399.89 ",$391.77 ,"$1,399.89 ",$391.77 ,"$1,334.01 ","$1,334.01 ","$1,334.01 ","$1,646.93 ","$1,482.24 ",$959.66 ,"$1,482.24 ",$391.77 ,"$1,646.93 ",$923.93 ,$391.77 ,$681.83 ,$278.06 ,$265.42 ,$410.06 ,"$1,482.24 ",$866.35 ,$912.40 ,$461.14 ,"$1,482.24 ",$391.77 ,"$1,482.24 ","$1,482.24 ",$391.77 ,"$1,070.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000032,78315,HC BONE SCAN FLOW WHOLE BODY STATICS,340,1 ,"$1,918.18 ","$1,381.09 ",$265.42 ,"$1,918.18 ",$959.66 ,"$1,429.04 ","$1,256.41 ",$391.77 ,$537.09 ,"$1,179.68 ",$391.77 ,"$1,179.68 ",$391.77 ,"$1,062.67 ","$1,062.67 ",$391.77 ,"$1,062.67 ",$807.52 ,"$1,726.36 ","$1,592.09 ",$959.66 ,$391.77 ,"$1,688.00 ",$399.61 ,"$1,438.64 ","$1,438.64 ","$1,630.45 ","$1,630.45 ",$391.77 ,"$1,630.45 ",$391.77 ,"$1,553.73 ","$1,553.73 ","$1,553.73 ","$1,918.18 ","$1,726.36 ",$959.66 ,"$1,726.36 ",$391.77 ,"$1,918.18 ","$1,076.10 ",$391.77 ,$794.13 ,$278.06 ,$265.42 ,$410.06 ,"$1,726.36 ",$866.35 ,"$1,062.67 ",$537.09 ,"$1,726.36 ",$391.77 ,"$1,726.36 ","$1,726.36 ",$391.77 ,"$1,246.82 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,732.30 ","$1,247.26 ",$132.71 ,"$1,732.30 ",$479.83 ,"$1,290.56 ","$1,134.66 ",$195.88 ,$485.04 ,"$1,065.36 ",$195.88 ,"$1,065.36 ",$195.88 ,$959.69 ,$959.69 ,$195.88 ,$959.69 ,$403.76 ,"$1,559.07 ","$1,437.81 ",$479.83 ,$195.88 ,"$1,524.42 ",$199.80 ,"$1,299.23 ","$1,299.23 ","$1,472.46 ","$1,472.46 ",$195.88 ,"$1,472.46 ",$195.88 ,"$1,403.16 ","$1,403.16 ","$1,403.16 ","$1,732.30 ","$1,559.07 ",$479.83 ,"$1,559.07 ",$195.88 ,"$1,732.30 ",$971.82 ,$195.88 ,$717.17 ,$139.03 ,$132.71 ,$205.04 ,"$1,559.07 ",$433.17 ,$959.69 ,$485.04 ,"$1,559.07 ",$195.88 ,"$1,559.07 ","$1,559.07 ",$195.88 ,"$1,126.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,918.18 ","$1,381.09 ",$265.42 ,"$1,918.18 ",$959.66 ,"$1,429.04 ","$1,256.41 ",$391.77 ,$537.09 ,"$1,179.68 ",$391.77 ,"$1,179.68 ",$391.77 ,"$1,062.67 ","$1,062.67 ",$391.77 ,"$1,062.67 ",$807.52 ,"$1,726.36 ","$1,592.09 ",$959.66 ,$391.77 ,"$1,688.00 ",$399.61 ,"$1,438.64 ","$1,438.64 ","$1,630.45 ","$1,630.45 ",$391.77 ,"$1,630.45 ",$391.77 ,"$1,553.73 ","$1,553.73 ","$1,553.73 ","$1,918.18 ","$1,726.36 ",$959.66 ,"$1,726.36 ",$391.77 ,"$1,918.18 ","$1,076.10 ",$391.77 ,$794.13 ,$278.06 ,$265.42 ,$410.06 ,"$1,726.36 ",$866.35 ,"$1,062.67 ",$537.09 ,"$1,726.36 ",$391.77 ,"$1,726.36 ","$1,726.36 ",$391.77 ,"$1,246.82 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$3,551.06 ","$2,556.76 ",$297.40 ,"$3,551.06 ","$3,277.08 ","$2,645.54 ","$2,325.94 ","$1,337.83 ",$994.30 ,"$2,183.90 ","$1,337.83 ","$2,183.90 ","$1,337.83 ","$1,967.29 ","$1,967.29 ","$1,337.83 ","$1,967.29 ","$2,757.54 ","$3,195.95 ","$2,947.38 ","$3,277.08 ","$1,337.83 ","$3,124.93 ","$1,364.58 ","$2,663.30 ","$2,663.30 ","$3,018.40 ","$3,018.40 ","$1,337.83 ","$3,018.40 ","$1,337.83 ","$2,876.36 ","$2,876.36 ","$2,876.36 ","$3,551.06 ","$3,195.95 ","$3,277.08 ","$3,195.95 ","$1,337.83 ","$3,551.06 ","$1,992.14 ","$1,337.83 ","$1,470.14 ",$311.56 ,$297.40 ,"$1,400.28 ","$3,195.95 ","$2,958.42 ","$1,967.29 ",$994.30 ,"$3,195.95 ","$1,337.83 ","$3,195.95 ","$3,195.95 ","$1,337.83 ","$2,308.19 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$7,099.96 ","$5,111.97 ",$651.15 ,"$7,099.96 ","$3,277.08 ","$5,289.47 ","$4,650.47 ","$1,337.83 ","$1,987.99 ","$4,366.48 ","$1,337.83 ","$4,366.48 ","$1,337.83 ","$3,933.38 ","$3,933.38 ","$1,337.83 ","$3,933.38 ","$2,757.54 ","$6,389.96 ","$5,892.97 ","$3,277.08 ","$1,337.83 ","$6,247.96 ","$1,364.58 ","$5,324.97 ","$5,324.97 ","$6,034.97 ","$6,034.97 ","$1,337.83 ","$6,034.97 ","$1,337.83 ","$5,750.97 ","$5,750.97 ","$5,750.97 ","$7,099.96 ","$6,389.96 ","$3,277.08 ","$6,389.96 ","$1,337.83 ","$7,099.96 ","$3,983.08 ","$1,337.83 ","$2,939.38 ",$682.15 ,$651.15 ,"$1,400.28 ","$6,389.96 ","$2,958.42 ","$3,933.38 ","$1,987.99 ","$6,389.96 ","$1,337.83 ","$6,389.96 ","$6,389.96 ","$1,337.83 ","$4,614.97 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,486.61 ","$1,790.36 ",$265.42 ,"$2,486.61 ",$959.66 ,"$1,852.52 ","$1,628.73 ",$391.77 ,$696.25 ,"$1,529.27 ",$391.77 ,"$1,529.27 ",$391.77 ,"$1,377.58 ","$1,377.58 ",$391.77 ,"$1,377.58 ",$807.52 ,"$2,237.95 ","$2,063.89 ",$959.66 ,$391.77 ,"$2,188.22 ",$399.61 ,"$1,864.96 ","$1,864.96 ","$2,113.62 ","$2,113.62 ",$391.77 ,"$2,113.62 ",$391.77 ,"$2,014.15 ","$2,014.15 ","$2,014.15 ","$2,486.61 ","$2,237.95 ",$959.66 ,"$2,237.95 ",$391.77 ,"$2,486.61 ","$1,394.99 ",$391.77 ,"$1,029.46 ",$278.06 ,$265.42 ,$410.06 ,"$2,237.95 ",$866.35 ,"$1,377.58 ",$696.25 ,"$2,237.95 ",$391.77 ,"$2,237.95 ","$2,237.95 ",$391.77 ,"$1,616.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000047,78580,HC LUNG PERFUS,340,1 ,"$1,055.81 ",$760.18 ,$295.63 ,"$1,055.81 ",$959.66 ,$786.58 ,$691.56 ,$391.77 ,$295.63 ,$649.32 ,$391.77 ,$649.32 ,$391.77 ,$584.92 ,$584.92 ,$391.77 ,$584.92 ,$807.52 ,$950.23 ,$876.32 ,$959.66 ,$391.77 ,$929.11 ,$399.61 ,$791.86 ,$791.86 ,$897.44 ,$897.44 ,$391.77 ,$897.44 ,$391.77 ,$855.21 ,$855.21 ,$855.21 ,"$1,055.81 ",$950.23 ,$959.66 ,$950.23 ,$391.77 ,"$1,055.81 ",$592.31 ,$391.77 ,$437.11 ,$311.56 ,$297.40 ,$410.06 ,$950.23 ,$866.35 ,$584.92 ,$295.63 ,$950.23 ,$391.77 ,$950.23 ,$950.23 ,$391.77 ,$686.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$1,641.53 ","$1,181.90 ",$297.40 ,"$1,641.53 ","$1,245.63 ","$1,222.94 ","$1,075.20 ",$508.51 ,$459.63 ,"$1,009.54 ",$508.51 ,"$1,009.54 ",$508.51 ,$909.41 ,$909.41 ,$508.51 ,$909.41 ,"$1,048.15 ","$1,477.38 ","$1,362.47 ","$1,245.63 ",$508.51 ,"$1,444.55 ",$518.68 ,"$1,231.15 ","$1,231.15 ","$1,395.30 ","$1,395.30 ",$508.51 ,"$1,395.30 ",$508.51 ,"$1,329.64 ","$1,329.64 ","$1,329.64 ","$1,641.53 ","$1,477.38 ","$1,245.63 ","$1,477.38 ",$508.51 ,"$1,641.53 ",$920.90 ,$508.51 ,$679.59 ,$311.56 ,$297.40 ,$532.25 ,"$1,477.38 ","$1,124.50 ",$909.41 ,$459.63 ,"$1,477.38 ",$508.51 ,"$1,477.38 ","$1,477.38 ",$508.51 ,"$1,066.99 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000058,78650,HC CSF LEAK DETECTION,340,1 ,"$3,823.39 ","$2,752.84 ",$265.42 ,"$3,823.39 ","$3,277.08 ","$2,848.43 ","$2,504.32 ","$1,337.83 ","$1,070.55 ","$2,351.38 ","$1,337.83 ","$2,351.38 ","$1,337.83 ","$2,118.16 ","$2,118.16 ","$1,337.83 ","$2,118.16 ","$2,757.54 ","$3,441.05 ","$3,173.41 ","$3,277.08 ","$1,337.83 ","$3,364.58 ","$1,364.58 ","$2,867.54 ","$2,867.54 ","$3,249.88 ","$3,249.88 ","$1,337.83 ","$3,249.88 ","$1,337.83 ","$3,096.95 ","$3,096.95 ","$3,096.95 ","$3,823.39 ","$3,441.05 ","$3,277.08 ","$3,441.05 ","$1,337.83 ","$3,823.39 ","$2,144.92 ","$1,337.83 ","$1,582.88 ",$278.06 ,$265.42 ,"$1,400.28 ","$3,441.05 ","$2,958.42 ","$2,118.16 ","$1,070.55 ","$3,441.05 ","$1,337.83 ","$3,441.05 ","$3,441.05 ","$1,337.83 ","$2,485.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000060,78700,HC KIDNEY SCAN,340,1 ,"$1,159.55 ",$834.88 ,$265.42 ,"$1,159.55 ",$959.66 ,$863.86 ,$759.51 ,$391.77 ,$324.67 ,$713.12 ,$391.77 ,$713.12 ,$391.77 ,$642.39 ,$642.39 ,$391.77 ,$642.39 ,$807.52 ,"$1,043.60 ",$962.43 ,$959.66 ,$391.77 ,"$1,020.40 ",$399.61 ,$869.66 ,$869.66 ,$985.62 ,$985.62 ,$391.77 ,$985.62 ,$391.77 ,$939.24 ,$939.24 ,$939.24 ,"$1,159.55 ","$1,043.60 ",$959.66 ,"$1,043.60 ",$391.77 ,"$1,159.55 ",$650.51 ,$391.77 ,$480.05 ,$278.06 ,$265.42 ,$410.06 ,"$1,043.60 ",$866.35 ,$642.39 ,$324.67 ,"$1,043.60 ",$391.77 ,"$1,043.60 ","$1,043.60 ",$391.77 ,$753.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000062,78707,HC KIDNEY SCAN W/FLOW AND FUNCTION,340,1 ,"$1,095.79 ",$788.97 ,$265.42 ,"$1,124.50 ","$1,095.79 ",$816.36 ,$717.74 ,$508.51 ,$306.82 ,$673.91 ,$508.51 ,$673.91 ,$508.51 ,$607.07 ,$607.07 ,$508.51 ,$607.07 ,"$1,048.15 ",$986.21 ,$909.51 ,"$1,095.79 ",$508.51 ,$964.30 ,$518.68 ,$821.84 ,$821.84 ,$931.42 ,$931.42 ,$508.51 ,$931.42 ,$508.51 ,$887.59 ,$887.59 ,$887.59 ,"$1,095.79 ",$986.21 ,"$1,095.79 ",$986.21 ,$508.51 ,"$1,095.79 ",$614.74 ,$508.51 ,$453.66 ,$278.06 ,$265.42 ,$532.25 ,$986.21 ,"$1,124.50 ",$607.07 ,$306.82 ,$986.21 ,$508.51 ,$986.21 ,$986.21 ,$508.51 ,$712.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$1,512.93 ","$1,089.31 ",$265.42 ,"$1,512.93 ","$1,245.63 ","$1,127.13 ",$990.97 ,$508.51 ,$423.62 ,$930.45 ,$508.51 ,$930.45 ,$508.51 ,$838.16 ,$838.16 ,$508.51 ,$838.16 ,"$1,048.15 ","$1,361.64 ","$1,255.73 ","$1,245.63 ",$508.51 ,"$1,331.38 ",$518.68 ,"$1,134.70 ","$1,134.70 ","$1,285.99 ","$1,285.99 ",$508.51 ,"$1,285.99 ",$508.51 ,"$1,225.47 ","$1,225.47 ","$1,225.47 ","$1,512.93 ","$1,361.64 ","$1,245.63 ","$1,361.64 ",$508.51 ,"$1,512.93 ",$848.75 ,$508.51 ,$626.35 ,$278.06 ,$265.42 ,$532.25 ,"$1,361.64 ","$1,124.50 ",$838.16 ,$423.62 ,"$1,361.64 ",$508.51 ,"$1,361.64 ","$1,361.64 ",$508.51 ,$983.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000065,78709,HC KIDNEY W AND W/O PHARM INTERVEN,340,1 ,"$1,493.48 ","$1,075.31 ",$265.42 ,"$1,493.48 ","$1,245.63 ","$1,112.64 ",$978.23 ,$508.51 ,$418.17 ,$918.49 ,$508.51 ,$918.49 ,$508.51 ,$827.39 ,$827.39 ,$508.51 ,$827.39 ,"$1,048.15 ","$1,344.13 ","$1,239.59 ","$1,245.63 ",$508.51 ,"$1,314.26 ",$518.68 ,"$1,120.11 ","$1,120.11 ","$1,269.46 ","$1,269.46 ",$508.51 ,"$1,269.46 ",$508.51 ,"$1,209.72 ","$1,209.72 ","$1,209.72 ","$1,493.48 ","$1,344.13 ","$1,245.63 ","$1,344.13 ",$508.51 ,"$1,493.48 ",$837.84 ,$508.51 ,$618.30 ,$278.06 ,$265.42 ,$532.25 ,"$1,344.13 ","$1,124.50 ",$827.39 ,$418.17 ,"$1,344.13 ",$508.51 ,"$1,344.13 ","$1,344.13 ",$508.51 ,$970.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,"$1,099.03 ",$791.30 ,$297.40 ,"$1,099.03 ",$959.66 ,$818.78 ,$719.86 ,$391.77 ,$307.73 ,$675.90 ,$391.77 ,$675.90 ,$391.77 ,$608.86 ,$608.86 ,$391.77 ,$608.86 ,$807.52 ,$989.13 ,$912.19 ,$959.66 ,$391.77 ,$967.15 ,$399.61 ,$824.27 ,$824.27 ,$934.18 ,$934.18 ,$391.77 ,$934.18 ,$391.77 ,$890.21 ,$890.21 ,$890.21 ,"$1,099.03 ",$989.13 ,$959.66 ,$989.13 ,$391.77 ,"$1,099.03 ",$616.56 ,$391.77 ,$455.00 ,$311.56 ,$297.40 ,$410.06 ,$989.13 ,$866.35 ,$608.86 ,$307.73 ,$989.13 ,$391.77 ,$989.13 ,$989.13 ,$391.77 ,$714.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000069,78801,HC TUMOR LOCAL MULTIPLE,340,1 ,"$1,408.10 ","$1,013.83 ",$297.40 ,"$1,408.10 ",$959.66 ,"$1,049.03 ",$922.31 ,$391.77 ,$394.27 ,$865.98 ,$391.77 ,$865.98 ,$391.77 ,$780.09 ,$780.09 ,$391.77 ,$780.09 ,$807.52 ,"$1,267.29 ","$1,168.72 ",$959.66 ,$391.77 ,"$1,239.13 ",$399.61 ,"$1,056.08 ","$1,056.08 ","$1,196.89 ","$1,196.89 ",$391.77 ,"$1,196.89 ",$391.77 ,"$1,140.56 ","$1,140.56 ","$1,140.56 ","$1,408.10 ","$1,267.29 ",$959.66 ,"$1,267.29 ",$391.77 ,"$1,408.10 ",$789.94 ,$391.77 ,$582.95 ,$311.56 ,$297.40 ,$410.06 ,"$1,267.29 ",$866.35 ,$780.09 ,$394.27 ,"$1,267.29 ",$391.77 ,"$1,267.29 ","$1,267.29 ",$391.77 ,$915.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000070,78802,HC TUMOR IMAGE-WHOLE BODY-1 DAY,340,1 ,"$2,664.92 ","$1,918.74 ",$651.15 ,"$2,958.42 ","$2,664.92 ","$1,985.37 ","$1,745.52 ","$1,337.83 ",$746.18 ,"$1,638.93 ","$1,337.83 ","$1,638.93 ","$1,337.83 ","$1,476.37 ","$1,476.37 ","$1,337.83 ","$1,476.37 ","$2,664.92 ","$2,398.43 ","$2,211.88 ","$2,664.92 ","$1,337.83 ","$2,345.13 ","$1,364.58 ","$1,998.69 ","$1,998.69 ","$2,265.18 ","$2,265.18 ","$1,337.83 ","$2,265.18 ","$1,337.83 ","$2,158.59 ","$2,158.59 ","$2,158.59 ","$2,664.92 ","$2,398.43 ","$2,664.92 ","$2,398.43 ","$1,337.83 ","$2,664.92 ","$1,495.02 ","$1,337.83 ","$1,103.28 ",$682.15 ,$651.15 ,"$1,400.28 ","$2,398.43 ","$2,958.42 ","$1,476.37 ",$746.18 ,"$2,398.43 ","$1,337.83 ","$2,398.43 ","$2,398.43 ","$1,337.83 ","$1,732.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$2,314.78 ","$1,666.64 ",$648.14 ,"$2,958.42 ","$2,314.78 ","$1,724.51 ","$1,516.18 ","$1,337.83 ",$648.14 ,"$1,423.59 ","$1,337.83 ","$1,423.59 ","$1,337.83 ","$1,282.39 ","$1,282.39 ","$1,337.83 ","$1,282.39 ","$2,314.78 ","$2,083.30 ","$1,921.27 ","$2,314.78 ","$1,337.83 ","$2,037.01 ","$1,364.58 ","$1,736.09 ","$1,736.09 ","$1,967.56 ","$1,967.56 ","$1,337.83 ","$1,967.56 ","$1,337.83 ","$1,874.97 ","$1,874.97 ","$1,874.97 ","$2,314.78 ","$2,083.30 ","$2,314.78 ","$2,083.30 ","$1,337.83 ","$2,314.78 ","$1,298.59 ","$1,337.83 ",$958.32 ,$682.15 ,$651.15 ,"$1,400.28 ","$2,083.30 ","$2,958.42 ","$1,282.39 ",$648.14 ,"$2,083.30 ","$1,337.83 ","$2,083.30 ","$2,083.30 ","$1,337.83 ","$1,504.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000072,78803,HC TUMOR IMAGING (SPECT) MIBG,340,1 ,"$2,314.78 ","$1,666.64 ",$648.14 ,"$2,958.42 ","$2,314.78 ","$1,724.51 ","$1,516.18 ","$1,337.83 ",$648.14 ,"$1,423.59 ","$1,337.83 ","$1,423.59 ","$1,337.83 ","$1,282.39 ","$1,282.39 ","$1,337.83 ","$1,282.39 ","$2,314.78 ","$2,083.30 ","$1,921.27 ","$2,314.78 ","$1,337.83 ","$2,037.01 ","$1,364.58 ","$1,736.09 ","$1,736.09 ","$1,967.56 ","$1,967.56 ","$1,337.83 ","$1,967.56 ","$1,337.83 ","$1,874.97 ","$1,874.97 ","$1,874.97 ","$2,314.78 ","$2,083.30 ","$2,314.78 ","$2,083.30 ","$1,337.83 ","$2,314.78 ","$1,298.59 ","$1,337.83 ",$958.32 ,$682.15 ,$651.15 ,"$1,400.28 ","$2,083.30 ","$2,958.42 ","$1,282.39 ",$648.14 ,"$2,083.30 ","$1,337.83 ","$2,083.30 ","$2,083.30 ","$1,337.83 ","$1,504.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000073,78803,HC TUMOR IMAGING (SPECT) GALLIUM,340,1 ,"$2,314.78 ","$1,666.64 ",$648.14 ,"$2,958.42 ","$2,314.78 ","$1,724.51 ","$1,516.18 ","$1,337.83 ",$648.14 ,"$1,423.59 ","$1,337.83 ","$1,423.59 ","$1,337.83 ","$1,282.39 ","$1,282.39 ","$1,337.83 ","$1,282.39 ","$2,314.78 ","$2,083.30 ","$1,921.27 ","$2,314.78 ","$1,337.83 ","$2,037.01 ","$1,364.58 ","$1,736.09 ","$1,736.09 ","$1,967.56 ","$1,967.56 ","$1,337.83 ","$1,967.56 ","$1,337.83 ","$1,874.97 ","$1,874.97 ","$1,874.97 ","$2,314.78 ","$2,083.30 ","$2,314.78 ","$2,083.30 ","$1,337.83 ","$2,314.78 ","$1,298.59 ","$1,337.83 ",$958.32 ,$682.15 ,$651.15 ,"$1,400.28 ","$2,083.30 ","$2,958.42 ","$1,282.39 ",$648.14 ,"$2,083.30 ","$1,337.83 ","$2,083.30 ","$2,083.30 ","$1,337.83 ","$1,504.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000074,78803,HC TUMOR IMAGING (SPECT) NON GATED,340,1 ,"$2,314.78 ","$1,666.64 ",$648.14 ,"$2,958.42 ","$2,314.78 ","$1,724.51 ","$1,516.18 ","$1,337.83 ",$648.14 ,"$1,423.59 ","$1,337.83 ","$1,423.59 ","$1,337.83 ","$1,282.39 ","$1,282.39 ","$1,337.83 ","$1,282.39 ","$2,314.78 ","$2,083.30 ","$1,921.27 ","$2,314.78 ","$1,337.83 ","$2,037.01 ","$1,364.58 ","$1,736.09 ","$1,736.09 ","$1,967.56 ","$1,967.56 ","$1,337.83 ","$1,967.56 ","$1,337.83 ","$1,874.97 ","$1,874.97 ","$1,874.97 ","$2,314.78 ","$2,083.30 ","$2,314.78 ","$2,083.30 ","$1,337.83 ","$2,314.78 ","$1,298.59 ","$1,337.83 ",$958.32 ,$682.15 ,$651.15 ,"$1,400.28 ","$2,083.30 ","$2,958.42 ","$1,282.39 ",$648.14 ,"$2,083.30 ","$1,337.83 ","$2,083.30 ","$2,083.30 ","$1,337.83 ","$1,504.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000075,78803,HC TUMOR IMAGING (SPECT) OCTREO,340,1 ,"$3,460.28 ","$2,491.40 ",$651.15 ,"$3,460.28 ","$3,277.08 ","$2,577.91 ","$2,266.48 ","$1,337.83 ",$968.88 ,"$2,128.07 ","$1,337.83 ","$2,128.07 ","$1,337.83 ","$1,917.00 ","$1,917.00 ","$1,337.83 ","$1,917.00 ","$2,757.54 ","$3,114.25 ","$2,872.03 ","$3,277.08 ","$1,337.83 ","$3,045.05 ","$1,364.58 ","$2,595.21 ","$2,595.21 ","$2,941.24 ","$2,941.24 ","$1,337.83 ","$2,941.24 ","$1,337.83 ","$2,802.83 ","$2,802.83 ","$2,802.83 ","$3,460.28 ","$3,114.25 ","$3,277.08 ","$3,114.25 ","$1,337.83 ","$3,460.28 ","$1,941.22 ","$1,337.83 ","$1,432.56 ",$682.15 ,$651.15 ,"$1,400.28 ","$3,114.25 ","$2,958.42 ","$1,917.00 ",$968.88 ,"$3,114.25 ","$1,337.83 ","$3,114.25 ","$3,114.25 ","$1,337.83 ","$2,249.18 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000076,78803,HC TUMOR IMAGING (SPECT) PARATHYROID,340,1 ,"$2,314.78 ","$1,666.64 ",$648.14 ,"$2,958.42 ","$2,314.78 ","$1,724.51 ","$1,516.18 ","$1,337.83 ",$648.14 ,"$1,423.59 ","$1,337.83 ","$1,423.59 ","$1,337.83 ","$1,282.39 ","$1,282.39 ","$1,337.83 ","$1,282.39 ","$2,314.78 ","$2,083.30 ","$1,921.27 ","$2,314.78 ","$1,337.83 ","$2,037.01 ","$1,364.58 ","$1,736.09 ","$1,736.09 ","$1,967.56 ","$1,967.56 ","$1,337.83 ","$1,967.56 ","$1,337.83 ","$1,874.97 ","$1,874.97 ","$1,874.97 ","$2,314.78 ","$2,083.30 ","$2,314.78 ","$2,083.30 ","$1,337.83 ","$2,314.78 ","$1,298.59 ","$1,337.83 ",$958.32 ,$682.15 ,$651.15 ,"$1,400.28 ","$2,083.30 ","$2,958.42 ","$1,282.39 ",$648.14 ,"$2,083.30 ","$1,337.83 ","$2,083.30 ","$2,083.30 ","$1,337.83 ","$1,504.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000077,78804,HC TUMOR/INF-WHOLE BODY-MULT DAY,340,1 ,"$3,822.31 ","$2,752.06 ",$651.15 ,"$3,822.31 ","$3,277.08 ","$2,847.62 ","$2,503.61 ","$1,337.83 ","$1,070.25 ","$2,350.72 ","$1,337.83 ","$2,350.72 ","$1,337.83 ","$2,117.56 ","$2,117.56 ","$1,337.83 ","$2,117.56 ","$2,757.54 ","$3,440.08 ","$3,172.52 ","$3,277.08 ","$1,337.83 ","$3,363.63 ","$1,364.58 ","$2,866.73 ","$2,866.73 ","$3,248.96 ","$3,248.96 ","$1,337.83 ","$3,248.96 ","$1,337.83 ","$3,096.07 ","$3,096.07 ","$3,096.07 ","$3,822.31 ","$3,440.08 ","$3,277.08 ","$3,440.08 ","$1,337.83 ","$3,822.31 ","$2,144.32 ","$1,337.83 ","$1,582.44 ",$682.15 ,$651.15 ,"$1,400.28 ","$3,440.08 ","$2,958.42 ","$2,117.56 ","$1,070.25 ","$3,440.08 ","$1,337.83 ","$3,440.08 ","$3,440.08 ","$1,337.83 ","$2,484.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000081,79005,HC NM RADIOPAHARM THRPY ORAL,340,1 ,"$1,264.38 ",$910.35 ,$215.99 ,"$1,264.38 ",$616.59 ,$941.96 ,$828.17 ,$251.71 ,$354.03 ,$777.59 ,$251.71 ,$777.59 ,$251.71 ,$700.47 ,$700.47 ,$251.71 ,$700.47 ,$518.84 ,"$1,137.94 ","$1,049.44 ",$616.59 ,$251.71 ,"$1,112.65 ",$256.75 ,$948.29 ,$948.29 ,"$1,074.72 ","$1,074.72 ",$251.71 ,"$1,074.72 ",$251.71 ,"$1,024.15 ","$1,024.15 ","$1,024.15 ","$1,264.38 ","$1,137.94 ",$616.59 ,"$1,137.94 ",$251.71 ,"$1,264.38 ",$709.32 ,$251.71 ,$523.45 ,$226.27 ,$215.99 ,$263.46 ,"$1,137.94 ",$556.64 ,$700.47 ,$354.03 ,"$1,137.94 ",$251.71 ,"$1,137.94 ","$1,137.94 ",$251.71 ,$821.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,"$1,778.77 ","$1,280.71 ",$297.40 ,"$1,778.77 ",$959.66 ,"$1,325.18 ","$1,165.09 ",$391.77 ,$498.06 ,"$1,093.94 ",$391.77 ,"$1,093.94 ",$391.77 ,$985.44 ,$985.44 ,$391.77 ,$985.44 ,$807.52 ,"$1,600.89 ","$1,476.38 ",$959.66 ,$391.77 ,"$1,565.32 ",$399.61 ,"$1,334.08 ","$1,334.08 ","$1,511.95 ","$1,511.95 ",$391.77 ,"$1,511.95 ",$391.77 ,"$1,440.80 ","$1,440.80 ","$1,440.80 ","$1,778.77 ","$1,600.89 ",$959.66 ,"$1,600.89 ",$391.77 ,"$1,778.77 ",$997.89 ,$391.77 ,$736.41 ,$311.56 ,$297.40 ,$410.06 ,"$1,600.89 ",$866.35 ,$985.44 ,$498.06 ,"$1,600.89 ",$391.77 ,"$1,600.89 ","$1,600.89 ",$391.77 ,"$1,156.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000091,78598,HC NM PULM VENT AND PERF DIFF W/IMG,340,1 ,"$2,253.18 ","$1,622.29 ",$297.40 ,"$2,253.18 ","$1,245.63 ","$1,678.62 ","$1,475.83 ",$508.51 ,$630.89 ,"$1,385.71 ",$508.51 ,"$1,385.71 ",$508.51 ,"$1,248.26 ","$1,248.26 ",$508.51 ,"$1,248.26 ","$1,048.15 ","$2,027.86 ","$1,870.14 ","$1,245.63 ",$508.51 ,"$1,982.80 ",$518.68 ,"$1,689.89 ","$1,689.89 ","$1,915.20 ","$1,915.20 ",$508.51 ,"$1,915.20 ",$508.51 ,"$1,825.08 ","$1,825.08 ","$1,825.08 ","$2,253.18 ","$2,027.86 ","$1,245.63 ","$2,027.86 ",$508.51 ,"$2,253.18 ","$1,264.03 ",$508.51 ,$932.82 ,$311.56 ,$297.40 ,$532.25 ,"$2,027.86 ","$1,124.50 ","$1,248.26 ",$630.89 ,"$2,027.86 ",$508.51 ,"$2,027.86 ","$2,027.86 ",$508.51 ,"$1,464.57 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$1,891.16 ","$1,361.64 ",$297.40 ,"$1,891.16 ","$1,245.63 ","$1,408.91 ","$1,238.71 ",$508.51 ,$529.52 ,"$1,163.06 ",$508.51 ,"$1,163.06 ",$508.51 ,"$1,047.70 ","$1,047.70 ",$508.51 ,"$1,047.70 ","$1,048.15 ","$1,702.04 ","$1,569.66 ","$1,245.63 ",$508.51 ,"$1,664.22 ",$518.68 ,"$1,418.37 ","$1,418.37 ","$1,607.49 ","$1,607.49 ",$508.51 ,"$1,607.49 ",$508.51 ,"$1,531.84 ","$1,531.84 ","$1,531.84 ","$1,891.16 ","$1,702.04 ","$1,245.63 ","$1,702.04 ",$508.51 ,"$1,891.16 ","$1,060.94 ",$508.51 ,$782.94 ,$311.56 ,$297.40 ,$532.25 ,"$1,702.04 ","$1,124.50 ","$1,047.70 ",$529.52 ,"$1,702.04 ",$508.51 ,"$1,702.04 ","$1,702.04 ",$508.51 ,"$1,229.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$2,646.55 ","$1,905.52 ",$265.42 ,"$2,646.55 ",$959.66 ,"$1,971.68 ","$1,733.49 ",$391.77 ,$741.03 ,"$1,627.63 ",$391.77 ,"$1,627.63 ",$391.77 ,"$1,466.19 ","$1,466.19 ",$391.77 ,"$1,466.19 ",$807.52 ,"$2,381.90 ","$2,196.64 ",$959.66 ,$391.77 ,"$2,328.96 ",$399.61 ,"$1,984.91 ","$1,984.91 ","$2,249.57 ","$2,249.57 ",$391.77 ,"$2,249.57 ",$391.77 ,"$2,143.71 ","$2,143.71 ","$2,143.71 ","$2,646.55 ","$2,381.90 ",$959.66 ,"$2,381.90 ",$391.77 ,"$2,646.55 ","$1,484.71 ",$391.77 ,"$1,095.67 ",$278.06 ,$265.42 ,$410.06 ,"$2,381.90 ",$866.35 ,"$1,466.19 ",$741.03 ,"$2,381.90 ",$391.77 ,"$2,381.90 ","$2,381.90 ",$391.77 ,"$1,720.26 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34100033,78831,HC TUMOR LOCAL SPECT MULT AREA 1 DAY OR SGL AREA W/MULT DAYS,341,1 ,"$3,822.31 ","$2,752.06 ",$651.15 ,"$3,822.31 ","$3,277.08 ","$2,847.62 ","$2,503.61 ","$1,337.83 ","$1,070.25 ","$2,350.72 ","$1,337.83 ","$2,350.72 ","$1,337.83 ","$2,117.56 ","$2,117.56 ","$1,337.83 ","$2,117.56 ","$2,757.54 ","$3,440.08 ","$3,172.52 ","$3,277.08 ","$1,337.83 ","$3,363.63 ","$1,364.58 ","$2,866.73 ","$2,866.73 ","$3,248.96 ","$3,248.96 ","$1,337.83 ","$3,248.96 ","$1,337.83 ","$3,096.07 ","$3,096.07 ","$3,096.07 ","$3,822.31 ","$3,440.08 ","$3,277.08 ","$3,440.08 ","$1,337.83 ","$3,822.31 ","$2,144.32 ","$1,337.83 ","$1,582.44 ",$682.15 ,$651.15 ,"$1,400.28 ","$3,440.08 ","$2,958.42 ","$2,117.56 ","$1,070.25 ","$3,440.08 ","$1,337.83 ","$3,440.08 ","$3,440.08 ","$1,337.83 ","$2,484.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34100034,78830,HC TUMOR IMAGING SPECT W/CT SGL AREA 1 DAY,341,1 ,"$3,822.31 ","$2,752.06 ",$651.15 ,"$3,822.31 ","$3,277.08 ","$2,847.62 ","$2,503.61 ","$1,337.83 ","$1,070.25 ","$2,350.72 ","$1,337.83 ","$2,350.72 ","$1,337.83 ","$2,117.56 ","$2,117.56 ","$1,337.83 ","$2,117.56 ","$2,757.54 ","$3,440.08 ","$3,172.52 ","$3,277.08 ","$1,337.83 ","$3,363.63 ","$1,364.58 ","$2,866.73 ","$2,866.73 ","$3,248.96 ","$3,248.96 ","$1,337.83 ","$3,248.96 ","$1,337.83 ","$3,096.07 ","$3,096.07 ","$3,096.07 ","$3,822.31 ","$3,440.08 ","$3,277.08 ","$3,440.08 ","$1,337.83 ","$3,822.31 ","$2,144.32 ","$1,337.83 ","$1,582.44 ",$682.15 ,$651.15 ,"$1,400.28 ","$3,440.08 ","$2,958.42 ","$2,117.56 ","$1,070.25 ","$3,440.08 ","$1,337.83 ","$3,440.08 ","$3,440.08 ","$1,337.83 ","$2,484.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,$813.00 ,$585.36 ,$227.64 ,$813.00 , N/A ,$605.69 ,$532.52 , N/A ,$227.64 ,$500.00 , N/A ,$500.00 , N/A ,$450.40 ,$450.40 , N/A ,$450.40 , N/A ,$731.70 , N/A , N/A , N/A ,$715.44 , N/A ,$609.75 ,$609.75 ,$691.05 ,$691.05 , N/A ,$691.05 , N/A ,$658.53 ,$658.53 ,$658.53 ,$813.00 ,$731.70 , N/A ,$731.70 , N/A ,$813.00 ,$456.09 , N/A ,$336.58 , N/A , N/A , N/A ,$731.70 , N/A ,$450.40 ,$227.64 ,$731.70 , N/A ,$743.46 ,$743.46 , N/A ,$528.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$189.00 ,$136.08 ,$33.54 ,$189.00 , N/A ,$140.81 ,$123.80 , N/A ,$52.92 ,$116.24 , N/A ,$116.24 , N/A ,$104.71 ,$104.71 , N/A ,$104.71 , N/A ,$170.10 , N/A , N/A , N/A ,$166.32 , N/A ,$141.75 ,$141.75 ,$160.65 ,$160.65 , N/A ,$160.65 , N/A ,$153.09 ,$153.09 ,$153.09 ,$189.00 ,$170.10 , N/A ,$170.10 , N/A ,$189.00 ,$106.03 , N/A ,$78.25 , N/A , N/A , N/A ,$170.10 , N/A ,$104.71 ,$52.92 ,$170.10 , N/A ,$33.54 ,$33.54 , N/A ,$122.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$175.00 ,$126.00 ,$49.00 ,$175.00 , N/A ,$130.38 ,$114.63 , N/A ,$49.00 ,$107.63 , N/A ,$107.63 , N/A ,$96.95 ,$96.95 , N/A ,$96.95 , N/A ,$157.50 , N/A , N/A , N/A ,$154.00 , N/A ,$131.25 ,$131.25 ,$148.75 ,$148.75 , N/A ,$148.75 , N/A ,$141.75 ,$141.75 ,$141.75 ,$175.00 ,$157.50 , N/A ,$157.50 , N/A ,$175.00 ,$98.18 , N/A ,$72.45 , N/A , N/A , N/A ,$157.50 , N/A ,$96.95 ,$49.00 ,$157.50 , N/A ,$175.00 ,$175.00 , N/A ,$113.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$2.71 ,$1.95 ,$0.76 ,$2.71 , N/A ,$2.02 ,$1.78 , N/A ,$0.76 ,$1.67 , N/A ,$1.67 , N/A ,$1.50 ,$1.50 , N/A ,$1.50 , N/A ,$2.44 , N/A , N/A , N/A ,$2.38 , N/A ,$2.03 ,$2.03 ,$2.30 ,$2.30 , N/A ,$2.30 , N/A ,$2.20 ,$2.20 ,$2.20 ,$2.71 ,$2.44 , N/A ,$2.44 , N/A ,$2.71 ,$1.52 , N/A ,$1.12 , N/A , N/A , N/A ,$2.44 , N/A ,$1.50 ,$0.76 ,$2.44 , N/A ,$2.71 ,$2.71 , N/A ,$1.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$239.00 ,$172.08 ,$66.92 ,$239.00 , N/A ,$178.06 ,$156.55 , N/A ,$66.92 ,$146.99 , N/A ,$146.99 , N/A ,$132.41 ,$132.41 , N/A ,$132.41 , N/A ,$215.10 , N/A , N/A , N/A ,$210.32 , N/A ,$179.25 ,$179.25 ,$203.15 ,$203.15 , N/A ,$203.15 , N/A ,$193.59 ,$193.59 ,$193.59 ,$239.00 ,$215.10 , N/A ,$215.10 , N/A ,$239.00 ,$134.08 , N/A ,$98.95 , N/A , N/A , N/A ,$215.10 , N/A ,$132.41 ,$66.92 ,$215.10 , N/A ,$182.84 ,$182.84 , N/A ,$155.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300011,A9517,HC DIAGNUCLIDE I131 CAPS PER MCI,343,1 ,$39.00 ,$28.08 ,$10.92 ,$53.39 ,$39.00 ,$29.06 ,$25.55 ,$23.26 ,$10.92 ,$23.99 ,$23.26 ,$23.99 ,$23.26 ,$21.61 ,$21.61 ,$23.26 ,$21.61 ,$39.00 ,$35.10 ,$32.37 ,$39.00 ,$23.26 ,$34.32 ,$23.72 ,$29.25 ,$29.25 ,$33.15 ,$33.15 ,$23.26 ,$33.15 ,$23.26 ,$31.59 ,$31.59 ,$31.59 ,$39.00 ,$35.10 ,$39.00 ,$35.10 ,$23.26 ,$39.00 ,$21.88 ,$23.26 ,$16.15 ,$39.00 ,$39.00 ,$24.42 ,$35.10 ,$53.39 ,$21.61 ,$10.92 ,$35.10 ,$23.26 ,$39.00 ,$39.00 ,$23.26 ,$25.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$275.00 ,$198.00 ,$77.00 ,$275.00 , N/A ,$204.88 ,$180.13 , N/A ,$77.00 ,$169.13 , N/A ,$169.13 , N/A ,$152.35 ,$152.35 , N/A ,$152.35 , N/A ,$247.50 , N/A , N/A , N/A ,$242.00 , N/A ,$206.25 ,$206.25 ,$233.75 ,$233.75 , N/A ,$233.75 , N/A ,$222.75 ,$222.75 ,$222.75 ,$275.00 ,$247.50 , N/A ,$247.50 , N/A ,$275.00 ,$154.28 , N/A ,$113.85 , N/A , N/A , N/A ,$247.50 , N/A ,$152.35 ,$77.00 ,$247.50 , N/A ,$187.21 ,$187.21 , N/A ,$178.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$240.00 ,$172.80 ,$50.89 ,$240.00 , N/A ,$178.80 ,$157.20 , N/A ,$67.20 ,$147.60 , N/A ,$147.60 , N/A ,$132.96 ,$132.96 , N/A ,$132.96 , N/A ,$216.00 , N/A , N/A , N/A ,$211.20 , N/A ,$180.00 ,$180.00 ,$204.00 ,$204.00 , N/A ,$204.00 , N/A ,$194.40 ,$194.40 ,$194.40 ,$240.00 ,$216.00 , N/A ,$216.00 , N/A ,$240.00 ,$134.64 , N/A ,$99.36 , N/A , N/A , N/A ,$216.00 , N/A ,$132.96 ,$67.20 ,$216.00 , N/A ,$50.89 ,$50.89 , N/A ,$156.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$159.00 ,$114.48 ,$44.52 ,$159.00 , N/A ,$118.46 ,$104.15 , N/A ,$44.52 ,$97.79 , N/A ,$97.79 , N/A ,$88.09 ,$88.09 , N/A ,$88.09 , N/A ,$143.10 , N/A , N/A , N/A ,$139.92 , N/A ,$119.25 ,$119.25 ,$135.15 ,$135.15 , N/A ,$135.15 , N/A ,$128.79 ,$128.79 ,$128.79 ,$159.00 ,$143.10 , N/A ,$143.10 , N/A ,$159.00 ,$89.20 , N/A ,$65.83 , N/A , N/A , N/A ,$143.10 , N/A ,$88.09 ,$44.52 ,$143.10 , N/A ,$54.80 ,$54.80 , N/A ,$103.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$350.00 ,$252.00 ,$98.00 ,$350.00 , N/A ,$260.75 ,$229.25 , N/A ,$98.00 ,$215.25 , N/A ,$215.25 , N/A ,$193.90 ,$193.90 , N/A ,$193.90 , N/A ,$315.00 , N/A , N/A , N/A ,$308.00 , N/A ,$262.50 ,$262.50 ,$297.50 ,$297.50 , N/A ,$297.50 , N/A ,$283.50 ,$283.50 ,$283.50 ,$350.00 ,$315.00 , N/A ,$315.00 , N/A ,$350.00 ,$196.35 , N/A ,$144.90 , N/A , N/A , N/A ,$315.00 , N/A ,$193.90 ,$98.00 ,$315.00 , N/A ,$350.00 ,$350.00 , N/A ,$227.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$1,633.00 ","$1,175.76 ",$457.24 ,"$1,633.00 ", N/A ,"$1,216.59 ","$1,069.62 ", N/A ,$457.24 ,"$1,004.30 ", N/A ,"$1,004.30 ", N/A ,$904.68 ,$904.68 , N/A ,$904.68 , N/A ,"$1,469.70 ", N/A , N/A , N/A ,"$1,437.04 ", N/A ,"$1,224.75 ","$1,224.75 ","$1,388.05 ","$1,388.05 ", N/A ,"$1,388.05 ", N/A ,"$1,322.73 ","$1,322.73 ","$1,322.73 ","$1,633.00 ","$1,469.70 ", N/A ,"$1,469.70 ", N/A ,"$1,633.00 ",$916.11 , N/A ,$676.06 , N/A , N/A , N/A ,"$1,469.70 ", N/A ,$904.68 ,$457.24 ,"$1,469.70 ", N/A ,$599.96 ,$599.96 , N/A ,"$1,061.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300033,A9558,HC DIAGNUCLIDE XE133 10 MCI,343,1 ,$143.00 ,$102.96 ,$40.04 ,$143.00 , N/A ,$106.54 ,$93.67 , N/A ,$40.04 ,$87.95 , N/A ,$87.95 , N/A ,$79.22 ,$79.22 , N/A ,$79.22 , N/A ,$128.70 , N/A , N/A , N/A ,$125.84 , N/A ,$107.25 ,$107.25 ,$121.55 ,$121.55 , N/A ,$121.55 , N/A ,$115.83 ,$115.83 ,$115.83 ,$143.00 ,$128.70 , N/A ,$128.70 , N/A ,$143.00 ,$80.22 , N/A ,$59.20 , N/A , N/A , N/A ,$128.70 , N/A ,$79.22 ,$40.04 ,$128.70 , N/A ,$143.00 ,$143.00 , N/A ,$92.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$308.00 ,$221.76 ,$86.24 ,$308.00 , N/A ,$229.46 ,$201.74 , N/A ,$86.24 ,$189.42 , N/A ,$189.42 , N/A ,$170.63 ,$170.63 , N/A ,$170.63 , N/A ,$277.20 , N/A , N/A , N/A ,$271.04 , N/A ,$231.00 ,$231.00 ,$261.80 ,$261.80 , N/A ,$261.80 , N/A ,$249.48 ,$249.48 ,$249.48 ,$308.00 ,$277.20 , N/A ,$277.20 , N/A ,$308.00 ,$172.79 , N/A ,$127.51 , N/A , N/A , N/A ,$277.20 , N/A ,$170.63 ,$86.24 ,$277.20 , N/A ,$172.21 ,$172.21 , N/A ,$200.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300038,A9572,HC DIAGNUCLIDE OCTREOTIDE PER DOSE UP TO 6MCI,343,1 ,"$6,845.00 ","$4,928.40 ","$1,916.60 ","$6,845.00 ", N/A ,"$5,099.53 ","$4,483.48 ", N/A ,"$1,916.60 ","$4,209.68 ", N/A ,"$4,209.68 ", N/A ,"$3,792.13 ","$3,792.13 ", N/A ,"$3,792.13 ", N/A ,"$6,160.50 ", N/A , N/A , N/A ,"$6,023.60 ", N/A ,"$5,133.75 ","$5,133.75 ","$5,818.25 ","$5,818.25 ", N/A ,"$5,818.25 ", N/A ,"$5,544.45 ","$5,544.45 ","$5,544.45 ","$6,845.00 ","$6,160.50 ", N/A ,"$6,160.50 ", N/A ,"$6,845.00 ","$3,840.05 ", N/A ,"$2,833.83 ", N/A , N/A , N/A ,"$6,160.50 ", N/A ,"$3,792.13 ","$1,916.60 ","$6,160.50 ", N/A ,"$6,845.00 ","$6,845.00 ", N/A ,"$4,449.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$202.04 ,$145.47 ,$56.57 ,$202.04 , N/A ,$150.52 ,$132.34 , N/A ,$56.57 ,$124.25 , N/A ,$124.25 , N/A ,$111.93 ,$111.93 , N/A ,$111.93 , N/A ,$181.84 ,$167.69 , N/A , N/A ,$177.80 , N/A ,$151.53 ,$151.53 ,$171.73 ,$171.73 , N/A ,$171.73 , N/A ,$163.65 ,$163.65 ,$163.65 ,$202.04 ,$181.84 , N/A ,$181.84 , N/A ,$202.04 ,$113.34 , N/A ,$83.64 ,$101.06 ,$96.46 , N/A ,$181.84 , N/A ,$111.93 ,$56.57 ,$181.84 , N/A ,$202.04 ,$202.04 , N/A ,$131.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$202.04 ,$145.47 ,$56.57 ,$202.04 , N/A ,$150.52 ,$132.34 , N/A ,$56.57 ,$124.25 , N/A ,$124.25 , N/A ,$111.93 ,$111.93 , N/A ,$111.93 , N/A ,$181.84 ,$167.69 , N/A , N/A ,$177.80 , N/A ,$151.53 ,$151.53 ,$171.73 ,$171.73 , N/A ,$171.73 , N/A ,$163.65 ,$163.65 ,$163.65 ,$202.04 ,$181.84 , N/A ,$181.84 , N/A ,$202.04 ,$113.34 , N/A ,$83.64 ,$101.06 ,$96.46 , N/A ,$181.84 , N/A ,$111.93 ,$56.57 ,$181.84 , N/A ,$202.04 ,$202.04 , N/A ,$131.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300049,A9509,HC DIAGNUCLIDE I123 CAP PER MILLICURIE,343,1 ,"$1,011.00 ",$727.92 ,$283.08 ,"$1,011.00 ", N/A ,$753.20 ,$662.21 , N/A ,$283.08 ,$621.77 , N/A ,$621.77 , N/A ,$560.09 ,$560.09 , N/A ,$560.09 , N/A ,$909.90 , N/A , N/A , N/A ,$889.68 , N/A ,$758.25 ,$758.25 ,$859.35 ,$859.35 , N/A ,$859.35 , N/A ,$818.91 ,$818.91 ,$818.91 ,"$1,011.00 ",$909.90 , N/A ,$909.90 , N/A ,"$1,011.00 ",$567.17 , N/A ,$418.55 , N/A , N/A , N/A ,$909.90 , N/A ,$560.09 ,$283.08 ,$909.90 , N/A ,$309.77 ,$309.77 , N/A ,$657.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300057,A9569,HC TC99M EXAMETAZIME CERETEC DX PER DOSE,343,1 ,"$2,576.00 ","$1,854.72 ",$721.28 ,"$2,576.00 ", N/A ,"$1,919.12 ","$1,687.28 ", N/A ,$721.28 ,"$1,584.24 ", N/A ,"$1,584.24 ", N/A ,"$1,427.10 ","$1,427.10 ", N/A ,"$1,427.10 ", N/A ,"$2,318.40 ", N/A , N/A , N/A ,"$2,266.88 ", N/A ,"$1,932.00 ","$1,932.00 ","$2,189.60 ","$2,189.60 ", N/A ,"$2,189.60 ", N/A ,"$2,086.56 ","$2,086.56 ","$2,086.56 ","$2,576.00 ","$2,318.40 ", N/A ,"$2,318.40 ", N/A ,"$2,576.00 ","$1,445.14 ", N/A ,"$1,066.46 ", N/A , N/A , N/A ,"$2,318.40 ", N/A ,"$1,427.10 ",$721.28 ,"$2,318.40 ", N/A ,"$2,576.00 ","$2,576.00 ", N/A ,"$1,674.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,$813.00 ,$585.36 ,$227.64 ,$813.00 , N/A ,$605.69 ,$532.52 , N/A ,$227.64 ,$500.00 , N/A ,$500.00 , N/A ,$450.40 ,$450.40 , N/A ,$450.40 , N/A ,$731.70 , N/A , N/A , N/A ,$715.44 , N/A ,$609.75 ,$609.75 ,$691.05 ,$691.05 , N/A ,$691.05 , N/A ,$658.53 ,$658.53 ,$658.53 ,$813.00 ,$731.70 , N/A ,$731.70 , N/A ,$813.00 ,$456.09 , N/A ,$336.58 , N/A , N/A , N/A ,$731.70 , N/A ,$450.40 ,$227.64 ,$731.70 , N/A ,$743.46 ,$743.46 , N/A ,$528.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300060,A9520,HC DIAGNUCLIDE TC-99 TILMANOCEPT DIAG UP TO 0.5 MCI,343,1 ,"$1,193.00 ",$858.96 ,$334.04 ,"$1,193.00 ", N/A ,$888.79 ,$781.42 , N/A ,$334.04 ,$733.70 , N/A ,$733.70 , N/A ,$660.92 ,$660.92 , N/A ,$660.92 , N/A ,"$1,073.70 ", N/A , N/A , N/A ,"$1,049.84 ", N/A ,$894.75 ,$894.75 ,"$1,014.05 ","$1,014.05 ", N/A ,"$1,014.05 ", N/A ,$966.33 ,$966.33 ,$966.33 ,"$1,193.00 ","$1,073.70 ", N/A ,"$1,073.70 ", N/A ,"$1,193.00 ",$669.27 , N/A ,$493.90 , N/A , N/A , N/A ,"$1,073.70 ", N/A ,$660.92 ,$334.04 ,"$1,073.70 ", N/A , N/A , N/A , N/A ,$775.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300064,A9570,HC DIAGNUCLIDE INDIUM IN-111 WBC DIAG PER STUDY,343,1 ,"$2,812.00 ","$2,024.64 ",$787.36 ,"$2,812.00 ", N/A ,"$2,094.94 ","$1,841.86 ", N/A ,$787.36 ,"$1,729.38 ", N/A ,"$1,729.38 ", N/A ,"$1,557.85 ","$1,557.85 ", N/A ,"$1,557.85 ", N/A ,"$2,530.80 ", N/A , N/A , N/A ,"$2,474.56 ", N/A ,"$2,109.00 ","$2,109.00 ","$2,390.20 ","$2,390.20 ", N/A ,"$2,390.20 ", N/A ,"$2,277.72 ","$2,277.72 ","$2,277.72 ","$2,812.00 ","$2,530.80 ", N/A ,"$2,530.80 ", N/A ,"$2,812.00 ","$1,577.53 ", N/A ,"$1,164.17 ", N/A , N/A , N/A ,"$2,530.80 ", N/A ,"$1,557.85 ",$787.36 ,"$2,530.80 ", N/A ,"$2,812.00 ","$2,812.00 ", N/A ,"$1,827.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),34300072,A9595,"HC PIFLUFOLASTAT F-18, DIAGNOSTIC, 1 MILLICURIE",343,1 ,"$1,579.00 ","$1,136.88 ",$442.12 ,"$1,579.00 ","$1,450.88 ","$1,176.36 ","$1,034.25 ",$568.74 ,$442.12 ,$971.09 ,$568.74 ,$971.09 ,$568.74 ,$874.77 ,$874.77 ,$568.74 ,$874.77 ,"$1,172.31 ","$1,421.10 ", N/A ,"$1,450.88 ",$568.74 ,"$1,389.52 ",$580.12 ,"$1,184.25 ","$1,184.25 ","$1,342.15 ","$1,342.15 ",$568.74 ,"$1,342.15 ",$568.74 ,"$1,278.99 ","$1,278.99 ","$1,278.99 ","$1,579.00 ","$1,421.10 ","$1,450.88 ","$1,421.10 ",$568.74 ,"$1,579.00 ",$885.82 ,$568.74 ,$653.71 , N/A , N/A ,$597.18 ,"$1,421.10 ","$1,305.79 ",$874.77 ,$442.12 ,"$1,421.10 ",$568.74 ,$920.75 ,$920.75 ,$568.74 ,"$1,026.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000006,21550,HC BX TISSUE NECK/THORAX,350,1 ,"$4,204.00 ","$3,026.88 ",$455.42 ,"$4,204.00 ","$3,702.44 ","$3,131.98 ","$2,753.62 ","$1,511.47 ","$1,177.12 ","$2,585.46 ","$1,511.47 ","$2,585.46 ","$1,511.47 ","$2,329.02 ","$2,329.02 ","$1,511.47 ","$2,329.02 ","$3,115.46 ","$3,783.60 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,699.52 ","$1,541.71 ","$3,153.00 ","$3,153.00 ","$3,573.40 ","$3,573.40 ","$1,511.47 ","$3,573.40 ","$1,511.47 ","$3,405.24 ","$3,405.24 ","$3,405.24 ","$4,204.00 ","$3,783.60 ","$3,702.44 ","$3,783.60 ","$1,511.47 ","$4,204.00 ","$2,358.44 ","$1,511.47 ","$1,740.46 ",$477.10 ,$455.42 ,"$1,582.04 ","$3,783.60 ","$3,342.42 ","$2,329.02 ","$1,177.12 ","$3,783.60 ","$1,511.47 ","$3,783.60 ","$3,783.60 ","$1,511.47 ","$2,732.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000013,32400,HC BX PLEURA NEEDLE PERC,361,1 ,"$1,060.00 ",$763.20 ,$296.80 ,"$3,342.42 ","$1,060.00 ",$789.70 ,$694.30 ,"$1,038.80 ",$296.80 ,$651.90 ,"$1,038.80 ",$651.90 ,"$1,038.80 ",$587.24 ,$587.24 ,"$1,038.80 ",$587.24 ,"$1,060.00 ",$954.00 ,$879.80 ,"$1,060.00 ","$1,038.80 ",$932.80 ,"$1,059.58 ",$795.00 ,$795.00 ,$901.00 ,$901.00 ,"$1,038.80 ",$901.00 ,"$1,038.80 ",$858.60 ,$858.60 ,$858.60 ,"$1,060.00 ",$954.00 ,"$1,060.00 ",$954.00 ,"$1,038.80 ","$1,060.00 ",$594.66 ,"$1,038.80 ",$438.84 ,$512.17 ,$488.89 ,"$1,038.80 ",$954.00 ,"$3,342.42 ",$587.24 ,$296.80 ,$954.00 ,"$1,038.80 ",$954.00 ,$954.00 ,"$1,038.80 ",$689.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000018,47000,HC BX LIVER NEEDLE PERC,350,1 ,"$1,216.00 ",$875.52 ,$340.48 ,"$3,342.42 ","$1,216.00 ",$905.92 ,$796.48 ,"$1,191.68 ",$340.48 ,$747.84 ,"$1,191.68 ",$747.84 ,"$1,191.68 ",$673.66 ,$673.66 ,"$1,191.68 ",$673.66 ,"$1,216.00 ","$1,094.40 ",$800.00 ,"$1,216.00 ","$1,191.68 ","$1,070.08 ","$1,215.51 ",$912.00 ,$912.00 ,"$1,033.60 ","$1,033.60 ","$1,191.68 ","$1,033.60 ","$1,191.68 ",$984.96 ,$984.96 ,$984.96 ,"$1,216.00 ","$1,094.40 ","$1,216.00 ","$1,094.40 ","$1,191.68 ","$1,216.00 ",$682.18 ,"$1,191.68 ",$503.42 ,$512.17 ,$488.89 ,"$1,191.68 ","$1,094.40 ","$3,342.42 ",$673.66 ,$340.48 ,"$1,094.40 ","$1,191.68 ","$1,094.40 ","$1,094.40 ","$1,191.68 ",$790.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000020,49405,HC PERC DRN ABSC/HEM/CYST VISCERAL,350,1 ,"$2,924.00 ","$2,105.28 ",$488.89 ,"$3,342.42 ","$2,924.00 ","$2,178.38 ","$1,915.22 ","$1,511.47 ",$818.72 ,"$1,798.26 ","$1,511.47 ","$1,798.26 ","$1,511.47 ","$1,619.90 ","$1,619.90 ","$1,511.47 ","$1,619.90 ","$2,924.00 ","$2,631.60 ",$800.00 ,"$2,924.00 ","$1,511.47 ","$2,573.12 ","$1,541.71 ","$2,193.00 ","$2,193.00 ","$2,485.40 ","$2,485.40 ","$1,511.47 ","$2,485.40 ","$1,511.47 ","$2,368.44 ","$2,368.44 ","$2,368.44 ","$2,924.00 ","$2,631.60 ","$2,924.00 ","$2,631.60 ","$1,511.47 ","$2,924.00 ","$1,640.36 ","$1,511.47 ","$1,210.54 ",$512.17 ,$488.89 ,"$1,582.04 ","$2,631.60 ","$3,342.42 ","$1,619.90 ",$818.72 ,"$2,631.60 ","$1,511.47 ","$2,631.60 ","$2,631.60 ","$1,511.47 ","$1,900.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000023,48102,HC BX PANCREAS NEEDLE PERC,350,1 ,"$2,239.00 ","$1,612.08 ",$488.89 ,"$3,342.42 ","$2,239.00 ","$1,668.06 ","$1,466.55 ","$1,511.47 ",$626.92 ,"$1,376.99 ","$1,511.47 ","$1,376.99 ","$1,511.47 ","$1,240.41 ","$1,240.41 ","$1,511.47 ","$1,240.41 ","$2,239.00 ","$2,015.10 ",$800.00 ,"$2,239.00 ","$1,511.47 ","$1,970.32 ","$1,541.71 ","$1,679.25 ","$1,679.25 ","$1,903.15 ","$1,903.15 ","$1,511.47 ","$1,903.15 ","$1,511.47 ","$1,813.59 ","$1,813.59 ","$1,813.59 ","$2,239.00 ","$2,015.10 ","$2,239.00 ","$2,015.10 ","$1,511.47 ","$2,239.00 ","$1,256.08 ","$1,511.47 ",$926.95 ,$512.17 ,$488.89 ,"$1,582.04 ","$2,015.10 ","$3,342.42 ","$1,240.41 ",$626.92 ,"$2,015.10 ","$1,511.47 ","$2,015.10 ","$2,015.10 ","$1,511.47 ","$1,455.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$2,475.00 ","$1,782.00 ",$429.87 ,"$3,342.42 ","$2,475.00 ","$1,843.88 ","$1,621.13 ","$1,511.47 ",$693.00 ,"$1,522.13 ","$1,511.47 ","$1,522.13 ","$1,511.47 ","$1,371.15 ","$1,371.15 ","$1,511.47 ","$1,371.15 ","$2,475.00 ","$2,227.50 ",$800.00 ,"$2,475.00 ","$1,511.47 ","$2,178.00 ","$1,541.71 ","$1,856.25 ","$1,856.25 ","$2,103.75 ","$2,103.75 ","$1,511.47 ","$2,103.75 ","$1,511.47 ","$2,004.75 ","$2,004.75 ","$2,004.75 ","$2,475.00 ","$2,227.50 ","$2,475.00 ","$2,227.50 ","$1,511.47 ","$2,475.00 ","$1,388.48 ","$1,511.47 ","$1,024.65 ",$450.34 ,$429.87 ,"$1,582.04 ","$2,227.50 ","$3,342.42 ","$1,371.15 ",$693.00 ,"$2,227.50 ","$1,511.47 ","$2,227.50 ","$2,227.50 ","$1,511.47 ","$1,608.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$1,461.00 ","$1,051.92 ",$409.08 ,"$3,342.42 ","$1,461.00 ","$1,088.45 ",$956.96 ,"$1,431.78 ",$409.08 ,$898.52 ,"$1,431.78 ",$898.52 ,"$1,431.78 ",$809.39 ,$809.39 ,"$1,431.78 ",$809.39 ,"$1,461.00 ","$1,314.90 ",$800.00 ,"$1,461.00 ","$1,431.78 ","$1,285.68 ","$1,460.42 ","$1,095.75 ","$1,095.75 ","$1,241.85 ","$1,241.85 ","$1,431.78 ","$1,241.85 ","$1,431.78 ","$1,183.41 ","$1,183.41 ","$1,183.41 ","$1,461.00 ","$1,314.90 ","$1,461.00 ","$1,314.90 ","$1,431.78 ","$1,461.00 ",$819.62 ,"$1,431.78 ",$604.85 ,$450.34 ,$429.87 ,"$1,431.78 ","$1,314.90 ","$3,342.42 ",$809.39 ,$409.08 ,"$1,314.90 ","$1,431.78 ","$1,314.90 ","$1,314.90 ","$1,431.78 ",$949.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$2,192.00 ","$1,578.24 ",$613.76 ,"$3,342.42 ","$2,192.00 ","$1,633.04 ","$1,435.76 ","$1,511.47 ",$613.76 ,"$1,348.08 ","$1,511.47 ","$1,348.08 ","$1,511.47 ","$1,214.37 ","$1,214.37 ","$1,511.47 ","$1,214.37 ","$2,192.00 ","$1,972.80 ",$800.00 ,"$2,192.00 ","$1,511.47 ","$1,928.96 ","$1,541.71 ","$1,644.00 ","$1,644.00 ","$1,863.20 ","$1,863.20 ","$1,511.47 ","$1,863.20 ","$1,511.47 ","$1,775.52 ","$1,775.52 ","$1,775.52 ","$2,192.00 ","$1,972.80 ","$2,192.00 ","$1,972.80 ","$1,511.47 ","$2,192.00 ","$1,229.71 ","$1,511.47 ",$907.49 ,$675.51 ,$644.81 ,"$1,582.04 ","$1,972.80 ","$3,342.42 ","$1,214.37 ",$613.76 ,"$1,972.80 ","$1,511.47 ","$1,972.80 ","$1,972.80 ","$1,511.47 ","$1,424.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000027,50390,HC RENAL CYST/PELVIS ASP/INJ,350,1 ,"$1,986.00 ","$1,429.92 ",$429.87 ,"$1,986.00 ","$1,602.33 ","$1,479.57 ","$1,300.83 ",$654.13 ,$556.08 ,"$1,221.39 ",$654.13 ,"$1,221.39 ",$654.13 ,"$1,100.24 ","$1,100.24 ",$654.13 ,"$1,100.24 ","$1,348.30 ","$1,787.40 ",$800.00 ,"$1,602.33 ",$654.13 ,"$1,747.68 ",$667.21 ,"$1,489.50 ","$1,489.50 ","$1,688.10 ","$1,688.10 ",$654.13 ,"$1,688.10 ",$654.13 ,"$1,608.66 ","$1,608.66 ","$1,608.66 ","$1,986.00 ","$1,787.40 ","$1,602.33 ","$1,787.40 ",$654.13 ,"$1,986.00 ","$1,114.15 ",$654.13 ,$822.20 ,$450.34 ,$429.87 ,$684.67 ,"$1,787.40 ","$1,446.52 ","$1,100.24 ",$556.08 ,"$1,787.40 ",$654.13 ,"$1,787.40 ","$1,787.40 ",$654.13 ,"$1,290.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000027,50390,HC RENAL CYST/PELVIS ASP/INJ,350,1 ,"$2,979.00 ","$2,144.88 ",$644.81 ,"$2,979.00 ","$2,403.49 ","$2,219.36 ","$1,951.25 ",$981.20 ,$834.12 ,"$1,832.09 ",$981.20 ,"$1,832.09 ",$981.20 ,"$1,650.37 ","$1,650.37 ",$981.20 ,"$1,650.37 ","$2,022.45 ","$2,681.10 ",$800.00 ,"$2,403.49 ",$981.20 ,"$2,621.52 ","$1,000.82 ","$2,234.25 ","$2,234.25 ","$2,532.15 ","$2,532.15 ",$981.20 ,"$2,532.15 ",$981.20 ,"$2,412.99 ","$2,412.99 ","$2,412.99 ","$2,979.00 ","$2,681.10 ","$2,403.49 ","$2,681.10 ",$981.20 ,"$2,979.00 ","$1,671.22 ",$981.20 ,"$1,233.31 ",$675.51 ,$644.81 ,"$1,027.00 ","$2,681.10 ","$2,169.78 ","$1,650.37 ",$834.12 ,"$2,681.10 ",$981.20 ,"$2,681.10 ","$2,681.10 ",$981.20 ,"$1,936.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000028,60100,HC BX THYROID NEEDLE PERC,350,1 ,"$1,495.00 ","$1,076.40 ",$418.60 ,"$1,495.00 ","$1,495.00 ","$1,113.78 ",$979.23 ,$654.13 ,$418.60 ,$919.43 ,$654.13 ,$919.43 ,$654.13 ,$828.23 ,$828.23 ,$654.13 ,$828.23 ,"$1,348.30 ","$1,345.50 ",$800.00 ,"$1,495.00 ",$654.13 ,"$1,315.60 ",$667.21 ,"$1,121.25 ","$1,121.25 ","$1,270.75 ","$1,270.75 ",$654.13 ,"$1,270.75 ",$654.13 ,"$1,210.95 ","$1,210.95 ","$1,210.95 ","$1,495.00 ","$1,345.50 ","$1,495.00 ","$1,345.50 ",$654.13 ,"$1,495.00 ",$838.70 ,$654.13 ,$618.93 ,$450.34 ,$429.87 ,$684.67 ,"$1,345.50 ","$1,446.52 ",$828.23 ,$418.60 ,"$1,345.50 ",$654.13 ,"$1,345.50 ","$1,345.50 ",$654.13 ,$971.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000032,64430,HC INJ ANEST AGENT PUDENDAL NERVE,350,1 ,"$1,994.00 ","$1,435.68 ",$310.79 ,"$1,994.00 ","$1,994.00 ","$1,485.53 ","$1,306.07 ",$858.96 ,$558.32 ,"$1,226.31 ",$858.96 ,"$1,226.31 ",$858.96 ,"$1,104.68 ","$1,104.68 ",$858.96 ,"$1,104.68 ","$1,770.49 ","$1,794.60 ",$800.00 ,"$1,994.00 ",$858.96 ,"$1,754.72 ",$876.14 ,"$1,495.50 ","$1,495.50 ","$1,694.90 ","$1,694.90 ",$858.96 ,"$1,694.90 ",$858.96 ,"$1,615.14 ","$1,615.14 ","$1,615.14 ","$1,994.00 ","$1,794.60 ","$1,994.00 ","$1,794.60 ",$858.96 ,"$1,994.00 ","$1,118.63 ",$858.96 ,$825.52 ,$325.59 ,$310.79 ,$899.06 ,"$1,794.60 ","$1,899.47 ","$1,104.68 ",$558.32 ,"$1,794.60 ",$858.96 ,"$1,794.60 ","$1,794.60 ",$858.96 ,"$1,296.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,409.33 ","$1,734.72 ",$107.73 ,"$2,409.33 ",$263.89 ,"$1,794.95 ","$1,578.11 ",$107.73 ,$674.61 ,"$1,481.74 ",$107.73 ,"$1,481.74 ",$107.73 ,"$1,334.77 ","$1,334.77 ",$107.73 ,"$1,334.77 ",$222.05 ,"$2,168.40 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,120.21 ",$109.89 ,"$1,807.00 ","$1,807.00 ","$2,047.93 ","$2,047.93 ",$107.73 ,"$2,047.93 ",$107.73 ,"$1,951.56 ","$1,951.56 ","$1,951.56 ","$2,409.33 ","$2,168.40 ",$263.89 ,"$2,168.40 ",$107.73 ,"$2,409.33 ","$1,351.63 ",$107.73 ,$997.46 ,$211.56 ,$201.95 ,$112.76 ,"$2,168.40 ",$238.23 ,"$1,334.77 ",$674.61 ,"$2,168.40 ",$107.73 ,"$2,168.40 ","$2,168.40 ",$107.73 ,"$1,566.06 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$3,325.12 ","$2,394.09 ",$181.77 ,"$3,325.12 ",$445.27 ,"$2,477.21 ","$2,177.95 ",$181.77 ,$931.03 ,"$2,044.95 ",$181.77 ,"$2,044.95 ",$181.77 ,"$1,842.12 ","$1,842.12 ",$181.77 ,"$1,842.12 ",$374.67 ,"$2,992.61 ","$2,000.00 ",$445.27 ,$181.77 ,"$2,926.11 ",$185.41 ,"$2,493.84 ","$2,493.84 ","$2,826.35 ","$2,826.35 ",$181.77 ,"$2,826.35 ",$181.77 ,"$2,693.35 ","$2,693.35 ","$2,693.35 ","$3,325.12 ","$2,992.61 ",$445.27 ,"$2,992.61 ",$181.77 ,"$3,325.12 ","$1,865.39 ",$181.77 ,"$1,376.60 ",$211.56 ,$201.95 ,$190.26 ,"$2,992.61 ",$401.97 ,"$1,842.12 ",$931.03 ,"$2,992.61 ",$181.77 ,"$2,992.61 ","$2,992.61 ",$181.77 ,"$2,161.33 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$3,658.99 ","$2,634.47 ",$181.77 ,"$3,658.99 ",$445.27 ,"$2,725.95 ","$2,396.64 ",$181.77 ,"$1,024.52 ","$2,250.28 ",$181.77 ,"$2,250.28 ",$181.77 ,"$2,027.08 ","$2,027.08 ",$181.77 ,"$2,027.08 ",$374.67 ,"$3,293.09 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,219.91 ",$185.41 ,"$2,744.24 ","$2,744.24 ","$3,110.14 ","$3,110.14 ",$181.77 ,"$3,110.14 ",$181.77 ,"$2,963.78 ","$2,963.78 ","$2,963.78 ","$3,658.99 ","$3,293.09 ",$445.27 ,"$3,293.09 ",$181.77 ,"$3,658.99 ","$2,052.69 ",$181.77 ,"$1,514.82 ",$211.56 ,$201.95 ,$190.26 ,"$3,293.09 ",$401.97 ,"$2,027.08 ","$1,024.52 ","$3,293.09 ",$181.77 ,"$3,293.09 ","$3,293.09 ",$181.77 ,"$2,378.34 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$3,084.40 ","$2,220.77 ",$98.12 ,"$3,084.40 ",$263.89 ,"$2,297.88 ","$2,020.28 ",$107.73 ,$863.63 ,"$1,896.91 ",$107.73 ,"$1,896.91 ",$107.73 ,"$1,708.76 ","$1,708.76 ",$107.73 ,"$1,708.76 ",$222.05 ,"$2,775.96 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,714.27 ",$109.89 ,"$2,313.30 ","$2,313.30 ","$2,621.74 ","$2,621.74 ",$107.73 ,"$2,621.74 ",$107.73 ,"$2,498.36 ","$2,498.36 ","$2,498.36 ","$3,084.40 ","$2,775.96 ",$263.89 ,"$2,775.96 ",$107.73 ,"$3,084.40 ","$1,730.35 ",$107.73 ,"$1,276.94 ",$102.80 ,$98.12 ,$112.76 ,"$2,775.96 ",$238.23 ,"$1,708.76 ",$863.63 ,"$2,775.96 ",$107.73 ,"$2,775.96 ","$2,775.96 ",$107.73 ,"$2,004.86 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$3,700.86 ","$2,664.62 ",$98.12 ,"$3,700.86 ",$445.27 ,"$2,757.14 ","$2,424.06 ",$181.77 ,"$1,036.24 ","$2,276.03 ",$181.77 ,"$2,276.03 ",$181.77 ,"$2,050.28 ","$2,050.28 ",$181.77 ,"$2,050.28 ",$374.67 ,"$3,330.77 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,256.76 ",$185.41 ,"$2,775.65 ","$2,775.65 ","$3,145.73 ","$3,145.73 ",$181.77 ,"$3,145.73 ",$181.77 ,"$2,997.70 ","$2,997.70 ","$2,997.70 ","$3,700.86 ","$3,330.77 ",$445.27 ,"$3,330.77 ",$181.77 ,"$3,700.86 ","$2,076.18 ",$181.77 ,"$1,532.16 ",$102.80 ,$98.12 ,$190.26 ,"$3,330.77 ",$401.97 ,"$2,050.28 ","$1,036.24 ","$3,330.77 ",$181.77 ,"$3,330.77 ","$3,330.77 ",$181.77 ,"$2,405.56 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$4,318.37 ","$3,109.23 ",$98.12 ,"$4,318.37 ",$445.27 ,"$3,217.19 ","$2,828.53 ",$181.77 ,"$1,209.14 ","$2,655.80 ",$181.77 ,"$2,655.80 ",$181.77 ,"$2,392.38 ","$2,392.38 ",$181.77 ,"$2,392.38 ",$374.67 ,"$3,886.53 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,800.17 ",$185.41 ,"$3,238.78 ","$3,238.78 ","$3,670.61 ","$3,670.61 ",$181.77 ,"$3,670.61 ",$181.77 ,"$3,497.88 ","$3,497.88 ","$3,497.88 ","$4,318.37 ","$3,886.53 ",$445.27 ,"$3,886.53 ",$181.77 ,"$4,318.37 ","$2,422.61 ",$181.77 ,"$1,787.81 ",$102.80 ,$98.12 ,$190.26 ,"$3,886.53 ",$401.97 ,"$2,392.38 ","$1,209.14 ","$3,886.53 ",$181.77 ,"$3,886.53 ","$3,886.53 ",$181.77 ,"$2,806.94 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$3,354.43 ","$2,415.19 ",$98.12 ,"$3,354.43 ",$263.89 ,"$2,499.05 ","$2,197.15 ",$107.73 ,$939.24 ,"$2,062.97 ",$107.73 ,"$2,062.97 ",$107.73 ,"$1,858.35 ","$1,858.35 ",$107.73 ,"$1,858.35 ",$222.05 ,"$3,018.99 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,951.90 ",$109.89 ,"$2,515.82 ","$2,515.82 ","$2,851.27 ","$2,851.27 ",$107.73 ,"$2,851.27 ",$107.73 ,"$2,717.09 ","$2,717.09 ","$2,717.09 ","$3,354.43 ","$3,018.99 ",$263.89 ,"$3,018.99 ",$107.73 ,"$3,354.43 ","$1,881.84 ",$107.73 ,"$1,388.73 ",$102.80 ,$98.12 ,$112.76 ,"$3,018.99 ",$238.23 ,"$1,858.35 ",$939.24 ,"$3,018.99 ",$107.73 ,"$3,018.99 ","$3,018.99 ",$107.73 ,"$2,180.38 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$4,026.36 ","$2,898.98 ",$98.12 ,"$4,026.36 ",$445.27 ,"$2,999.64 ","$2,637.27 ",$181.77 ,"$1,127.38 ","$2,476.21 ",$181.77 ,"$2,476.21 ",$181.77 ,"$2,230.60 ","$2,230.60 ",$181.77 ,"$2,230.60 ",$374.67 ,"$3,623.72 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,543.20 ",$185.41 ,"$3,019.77 ","$3,019.77 ","$3,422.41 ","$3,422.41 ",$181.77 ,"$3,422.41 ",$181.77 ,"$3,261.35 ","$3,261.35 ","$3,261.35 ","$4,026.36 ","$3,623.72 ",$445.27 ,"$3,623.72 ",$181.77 ,"$4,026.36 ","$2,258.79 ",$181.77 ,"$1,666.91 ",$102.80 ,$98.12 ,$190.26 ,"$3,623.72 ",$401.97 ,"$2,230.60 ","$1,127.38 ","$3,623.72 ",$181.77 ,"$3,623.72 ","$3,623.72 ",$181.77 ,"$2,617.13 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$4,697.24 ","$3,382.01 ",$98.12 ,"$4,697.24 ",$445.27 ,"$3,499.44 ","$3,076.69 ",$181.77 ,"$1,315.23 ","$2,888.80 ",$181.77 ,"$2,888.80 ",$181.77 ,"$2,602.27 ","$2,602.27 ",$181.77 ,"$2,602.27 ",$374.67 ,"$4,227.52 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,133.57 ",$185.41 ,"$3,522.93 ","$3,522.93 ","$3,992.65 ","$3,992.65 ",$181.77 ,"$3,992.65 ",$181.77 ,"$3,804.76 ","$3,804.76 ","$3,804.76 ","$4,697.24 ","$4,227.52 ",$445.27 ,"$4,227.52 ",$181.77 ,"$4,697.24 ","$2,635.15 ",$181.77 ,"$1,944.66 ",$102.80 ,$98.12 ,$190.26 ,"$4,227.52 ",$401.97 ,"$2,602.27 ","$1,315.23 ","$4,227.52 ",$181.77 ,"$4,227.52 ","$4,227.52 ",$181.77 ,"$3,053.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$2,586.21 ","$1,862.07 ",$98.12 ,"$2,586.21 ",$263.89 ,"$1,926.73 ","$1,693.97 ",$107.73 ,$724.14 ,"$1,590.52 ",$107.73 ,"$1,590.52 ",$107.73 ,"$1,432.76 ","$1,432.76 ",$107.73 ,"$1,432.76 ",$222.05 ,"$2,327.59 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,275.86 ",$109.89 ,"$1,939.66 ","$1,939.66 ","$2,198.28 ","$2,198.28 ",$107.73 ,"$2,198.28 ",$107.73 ,"$2,094.83 ","$2,094.83 ","$2,094.83 ","$2,586.21 ","$2,327.59 ",$263.89 ,"$2,327.59 ",$107.73 ,"$2,586.21 ","$1,450.86 ",$107.73 ,"$1,070.69 ",$102.80 ,$98.12 ,$112.76 ,"$2,327.59 ",$238.23 ,"$1,432.76 ",$724.14 ,"$2,327.59 ",$107.73 ,"$2,327.59 ","$2,327.59 ",$107.73 ,"$1,681.04 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$3,668.41 ","$2,641.26 ",$98.12 ,"$3,668.41 ",$445.27 ,"$2,732.97 ","$2,402.81 ",$181.77 ,"$1,027.15 ","$2,256.07 ",$181.77 ,"$2,256.07 ",$181.77 ,"$2,032.30 ","$2,032.30 ",$181.77 ,"$2,032.30 ",$374.67 ,"$3,301.57 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,228.20 ",$185.41 ,"$2,751.31 ","$2,751.31 ","$3,118.15 ","$3,118.15 ",$181.77 ,"$3,118.15 ",$181.77 ,"$2,971.41 ","$2,971.41 ","$2,971.41 ","$3,668.41 ","$3,301.57 ",$445.27 ,"$3,301.57 ",$181.77 ,"$3,668.41 ","$2,057.98 ",$181.77 ,"$1,518.72 ",$102.80 ,$98.12 ,$190.26 ,"$3,301.57 ",$401.97 ,"$2,032.30 ","$1,027.15 ","$3,301.57 ",$181.77 ,"$3,301.57 ","$3,301.57 ",$181.77 ,"$2,384.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$4,905.52 ","$3,531.97 ",$98.12 ,"$4,905.52 ",$445.27 ,"$3,654.61 ","$3,213.12 ",$181.77 ,"$1,373.55 ","$3,016.89 ",$181.77 ,"$3,016.89 ",$181.77 ,"$2,717.66 ","$2,717.66 ",$181.77 ,"$2,717.66 ",$374.67 ,"$4,414.97 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,316.86 ",$185.41 ,"$3,679.14 ","$3,679.14 ","$4,169.69 ","$4,169.69 ",$181.77 ,"$4,169.69 ",$181.77 ,"$3,973.47 ","$3,973.47 ","$3,973.47 ","$4,905.52 ","$4,414.97 ",$445.27 ,"$4,414.97 ",$181.77 ,"$4,905.52 ","$2,752.00 ",$181.77 ,"$2,030.89 ",$102.80 ,$98.12 ,$190.26 ,"$4,414.97 ",$401.97 ,"$2,717.66 ","$1,373.55 ","$4,414.97 ",$181.77 ,"$4,414.97 ","$4,414.97 ",$181.77 ,"$3,188.59 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$5,675.84 ","$4,086.60 ",$181.77 ,"$5,675.84 ",$445.27 ,"$4,228.50 ","$3,717.68 ",$181.77 ,"$1,589.24 ","$3,490.64 ",$181.77 ,"$3,490.64 ",$181.77 ,"$3,144.42 ","$3,144.42 ",$181.77 ,"$3,144.42 ",$374.67 ,"$5,108.26 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,994.74 ",$185.41 ,"$4,256.88 ","$4,256.88 ","$4,824.46 ","$4,824.46 ",$181.77 ,"$4,824.46 ",$181.77 ,"$4,597.43 ","$4,597.43 ","$4,597.43 ","$5,675.84 ","$5,108.26 ",$445.27 ,"$5,108.26 ",$181.77 ,"$5,675.84 ","$3,184.15 ",$181.77 ,"$2,349.80 ",$270.95 ,$258.64 ,$190.26 ,"$5,108.26 ",$401.97 ,"$3,144.42 ","$1,589.24 ","$5,108.26 ",$181.77 ,"$5,108.26 ","$5,108.26 ",$181.77 ,"$3,689.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$2,660.52 ","$1,915.57 ",$98.12 ,"$2,660.52 ",$445.27 ,"$1,982.09 ","$1,742.64 ",$181.77 ,$744.95 ,"$1,636.22 ",$181.77 ,"$1,636.22 ",$181.77 ,"$1,473.93 ","$1,473.93 ",$181.77 ,"$1,473.93 ",$374.67 ,"$2,394.47 ","$2,000.00 ",$445.27 ,$181.77 ,"$2,341.26 ",$185.41 ,"$1,995.39 ","$1,995.39 ","$2,261.44 ","$2,261.44 ",$181.77 ,"$2,261.44 ",$181.77 ,"$2,155.02 ","$2,155.02 ","$2,155.02 ","$2,660.52 ","$2,394.47 ",$445.27 ,"$2,394.47 ",$181.77 ,"$2,660.52 ","$1,492.55 ",$181.77 ,"$1,101.46 ",$102.80 ,$98.12 ,$190.26 ,"$2,394.47 ",$401.97 ,"$1,473.93 ",$744.95 ,"$2,394.47 ",$181.77 ,"$2,394.47 ","$2,394.47 ",$181.77 ,"$1,729.34 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,375.27 ","$2,430.19 ",$235.38 ,"$3,375.27 ",$576.57 ,"$2,514.58 ","$2,210.80 ",$235.38 ,$945.08 ,"$2,075.79 ",$235.38 ,"$2,075.79 ",$235.38 ,"$1,869.90 ","$1,869.90 ",$235.38 ,"$1,869.90 ",$485.16 ,"$3,037.74 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,970.24 ",$240.08 ,"$2,531.45 ","$2,531.45 ","$2,868.98 ","$2,868.98 ",$235.38 ,"$2,868.98 ",$235.38 ,"$2,733.97 ","$2,733.97 ","$2,733.97 ","$3,375.27 ","$3,037.74 ",$576.57 ,"$3,037.74 ",$235.38 ,"$3,375.27 ","$1,893.53 ",$235.38 ,"$1,397.36 ",$256.48 ,$244.82 ,$246.36 ,"$3,037.74 ",$520.50 ,"$1,869.90 ",$945.08 ,"$3,037.74 ",$235.38 ,"$3,037.74 ","$3,037.74 ",$235.38 ,"$2,193.93 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$4,038.92 ","$2,908.02 ",$107.73 ,"$4,038.92 ",$263.89 ,"$3,009.00 ","$2,645.49 ",$107.73 ,"$1,130.90 ","$2,483.94 ",$107.73 ,"$2,483.94 ",$107.73 ,"$2,237.56 ","$2,237.56 ",$107.73 ,"$2,237.56 ",$222.05 ,"$3,635.03 ","$2,000.00 ",$263.89 ,$107.73 ,"$3,554.25 ",$109.89 ,"$3,029.19 ","$3,029.19 ","$3,433.08 ","$3,433.08 ",$107.73 ,"$3,433.08 ",$107.73 ,"$3,271.53 ","$3,271.53 ","$3,271.53 ","$4,038.92 ","$3,635.03 ",$263.89 ,"$3,635.03 ",$107.73 ,"$4,038.92 ","$2,265.83 ",$107.73 ,"$1,672.11 ",$116.69 ,$111.38 ,$112.76 ,"$3,635.03 ",$238.23 ,"$2,237.56 ","$1,130.90 ","$3,635.03 ",$107.73 ,"$3,635.03 ","$3,635.03 ",$107.73 ,"$2,625.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$4,602.00 ","$3,313.44 ",$111.38 ,"$4,602.00 ",$909.67 ,"$3,428.49 ","$3,014.31 ",$371.36 ,"$1,288.56 ","$2,830.23 ",$371.36 ,"$2,830.23 ",$371.36 ,"$2,549.51 ","$2,549.51 ",$371.36 ,"$2,549.51 ",$765.45 ,"$4,141.80 ","$2,000.00 ",$909.67 ,$371.36 ,"$4,049.76 ",$378.79 ,"$3,451.50 ","$3,451.50 ","$3,911.70 ","$3,911.70 ",$371.36 ,"$3,911.70 ",$371.36 ,"$3,727.62 ","$3,727.62 ","$3,727.62 ","$4,602.00 ","$4,141.80 ",$909.67 ,"$4,141.80 ",$371.36 ,"$4,602.00 ","$2,581.72 ",$371.36 ,"$1,905.23 ",$116.69 ,$111.38 ,$388.70 ,"$4,141.80 ",$821.21 ,"$2,549.51 ","$1,288.56 ","$4,141.80 ",$371.36 ,"$4,141.80 ","$4,141.80 ",$371.36 ,"$2,991.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$5,534.54 ","$3,984.87 ",$111.38 ,"$5,534.54 ",$445.27 ,"$4,123.23 ","$3,625.12 ",$181.77 ,"$1,549.67 ","$3,403.74 ",$181.77 ,"$3,403.74 ",$181.77 ,"$3,066.14 ","$3,066.14 ",$181.77 ,"$3,066.14 ",$374.67 ,"$4,981.09 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,870.40 ",$185.41 ,"$4,150.91 ","$4,150.91 ","$4,704.36 ","$4,704.36 ",$181.77 ,"$4,704.36 ",$181.77 ,"$4,482.98 ","$4,482.98 ","$4,482.98 ","$5,534.54 ","$4,981.09 ",$445.27 ,"$4,981.09 ",$181.77 ,"$5,534.54 ","$3,104.88 ",$181.77 ,"$2,291.30 ",$116.69 ,$111.38 ,$190.26 ,"$4,981.09 ",$401.97 ,"$3,066.14 ","$1,549.67 ","$4,981.09 ",$181.77 ,"$4,981.09 ","$4,981.09 ",$181.77 ,"$3,597.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$3,689.79 ","$2,656.65 ",$107.73 ,"$3,689.79 ",$263.89 ,"$2,748.89 ","$2,416.81 ",$107.73 ,"$1,033.14 ","$2,269.22 ",$107.73 ,"$2,269.22 ",$107.73 ,"$2,044.14 ","$2,044.14 ",$107.73 ,"$2,044.14 ",$222.05 ,"$3,320.81 ","$2,000.00 ",$263.89 ,$107.73 ,"$3,247.02 ",$109.89 ,"$2,767.34 ","$2,767.34 ","$3,136.32 ","$3,136.32 ",$107.73 ,"$3,136.32 ",$107.73 ,"$2,988.73 ","$2,988.73 ","$2,988.73 ","$3,689.79 ","$3,320.81 ",$263.89 ,"$3,320.81 ",$107.73 ,"$3,689.79 ","$2,069.97 ",$107.73 ,"$1,527.57 ",$116.69 ,$111.38 ,$112.76 ,"$3,320.81 ",$238.23 ,"$2,044.14 ","$1,033.14 ","$3,320.81 ",$107.73 ,"$3,320.81 ","$3,320.81 ",$107.73 ,"$2,398.36 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,"$4,426.70 ","$3,187.22 ",$111.38 ,"$4,426.70 ",$445.27 ,"$3,297.89 ","$2,899.49 ",$181.77 ,"$1,239.48 ","$2,722.42 ",$181.77 ,"$2,722.42 ",$181.77 ,"$2,452.39 ","$2,452.39 ",$181.77 ,"$2,452.39 ",$374.67 ,"$3,984.03 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,895.50 ",$185.41 ,"$3,320.03 ","$3,320.03 ","$3,762.70 ","$3,762.70 ",$181.77 ,"$3,762.70 ",$181.77 ,"$3,585.63 ","$3,585.63 ","$3,585.63 ","$4,426.70 ","$3,984.03 ",$445.27 ,"$3,984.03 ",$181.77 ,"$4,426.70 ","$2,483.38 ",$181.77 ,"$1,832.65 ",$116.69 ,$111.38 ,$190.26 ,"$3,984.03 ",$401.97 ,"$2,452.39 ","$1,239.48 ","$3,984.03 ",$181.77 ,"$3,984.03 ","$3,984.03 ",$181.77 ,"$2,877.36 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000060,72130,HC CT T-SPINE W AND W/O CONTRAST,350,1 ,"$4,734.09 ","$3,408.54 ",$111.38 ,"$4,734.09 ",$445.27 ,"$3,526.90 ","$3,100.83 ",$181.77 ,"$1,325.55 ","$2,911.47 ",$181.77 ,"$2,911.47 ",$181.77 ,"$2,622.69 ","$2,622.69 ",$181.77 ,"$2,622.69 ",$374.67 ,"$4,260.68 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,166.00 ",$185.41 ,"$3,550.57 ","$3,550.57 ","$4,023.98 ","$4,023.98 ",$181.77 ,"$4,023.98 ",$181.77 ,"$3,834.61 ","$3,834.61 ","$3,834.61 ","$4,734.09 ","$4,260.68 ",$445.27 ,"$4,260.68 ",$181.77 ,"$4,734.09 ","$2,655.82 ",$181.77 ,"$1,959.91 ",$116.69 ,$111.38 ,$190.26 ,"$4,260.68 ",$401.97 ,"$2,622.69 ","$1,325.55 ","$4,260.68 ",$181.77 ,"$4,260.68 ","$4,260.68 ",$181.77 ,"$3,077.16 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$3,684.53 ","$2,652.86 ",$107.73 ,"$3,684.53 ",$263.89 ,"$2,744.97 ","$2,413.37 ",$107.73 ,"$1,031.67 ","$2,265.99 ",$107.73 ,"$2,265.99 ",$107.73 ,"$2,041.23 ","$2,041.23 ",$107.73 ,"$2,041.23 ",$222.05 ,"$3,316.08 ","$2,000.00 ",$263.89 ,$107.73 ,"$3,242.39 ",$109.89 ,"$2,763.40 ","$2,763.40 ","$3,131.85 ","$3,131.85 ",$107.73 ,"$3,131.85 ",$107.73 ,"$2,984.47 ","$2,984.47 ","$2,984.47 ","$3,684.53 ","$3,316.08 ",$263.89 ,"$3,316.08 ",$107.73 ,"$3,684.53 ","$2,067.02 ",$107.73 ,"$1,525.40 ",$116.69 ,$111.38 ,$112.76 ,"$3,316.08 ",$238.23 ,"$2,041.23 ","$1,031.67 ","$3,316.08 ",$107.73 ,"$3,316.08 ","$3,316.08 ",$107.73 ,"$2,394.94 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$4,863.58 ","$3,501.78 ",$111.38 ,"$4,863.58 ",$909.67 ,"$3,623.37 ","$3,185.64 ",$371.36 ,"$1,361.80 ","$2,991.10 ",$371.36 ,"$2,991.10 ",$371.36 ,"$2,694.42 ","$2,694.42 ",$371.36 ,"$2,694.42 ",$765.45 ,"$4,377.22 ","$2,000.00 ",$909.67 ,$371.36 ,"$4,279.95 ",$378.79 ,"$3,647.69 ","$3,647.69 ","$4,134.04 ","$4,134.04 ",$371.36 ,"$4,134.04 ",$371.36 ,"$3,939.50 ","$3,939.50 ","$3,939.50 ","$4,863.58 ","$4,377.22 ",$909.67 ,"$4,377.22 ",$371.36 ,"$4,863.58 ","$2,728.47 ",$371.36 ,"$2,013.52 ",$116.69 ,$111.38 ,$388.70 ,"$4,377.22 ",$821.21 ,"$2,694.42 ","$1,361.80 ","$4,377.22 ",$371.36 ,"$4,377.22 ","$4,377.22 ",$371.36 ,"$3,161.33 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$5,575.22 ","$4,014.16 ",$111.38 ,"$5,575.22 ",$445.27 ,"$4,153.54 ","$3,651.77 ",$181.77 ,"$1,561.06 ","$3,428.76 ",$181.77 ,"$3,428.76 ",$181.77 ,"$3,088.67 ","$3,088.67 ",$181.77 ,"$3,088.67 ",$374.67 ,"$5,017.70 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,906.19 ",$185.41 ,"$4,181.42 ","$4,181.42 ","$4,738.94 ","$4,738.94 ",$181.77 ,"$4,738.94 ",$181.77 ,"$4,515.93 ","$4,515.93 ","$4,515.93 ","$5,575.22 ","$5,017.70 ",$445.27 ,"$5,017.70 ",$181.77 ,"$5,575.22 ","$3,127.70 ",$181.77 ,"$2,308.14 ",$116.69 ,$111.38 ,$190.26 ,"$5,017.70 ",$401.97 ,"$3,088.67 ","$1,561.06 ","$5,017.70 ",$181.77 ,"$5,017.70 ","$5,017.70 ",$181.77 ,"$3,623.89 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$5,337.30 ","$3,842.86 ",$181.77 ,"$5,337.30 ",$445.27 ,"$3,976.29 ","$3,495.93 ",$181.77 ,"$1,494.44 ","$3,282.44 ",$181.77 ,"$3,282.44 ",$181.77 ,"$2,956.86 ","$2,956.86 ",$181.77 ,"$2,956.86 ",$374.67 ,"$4,803.57 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,696.82 ",$185.41 ,"$4,002.98 ","$4,002.98 ","$4,536.71 ","$4,536.71 ",$181.77 ,"$4,536.71 ",$181.77 ,"$4,323.21 ","$4,323.21 ","$4,323.21 ","$5,337.30 ","$4,803.57 ",$445.27 ,"$4,803.57 ",$181.77 ,"$5,337.30 ","$2,994.23 ",$181.77 ,"$2,209.64 ",$232.32 ,$221.76 ,$190.26 ,"$4,803.57 ",$401.97 ,"$2,956.86 ","$1,494.44 ","$4,803.57 ",$181.77 ,"$4,803.57 ","$4,803.57 ",$181.77 ,"$3,469.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$2,948.67 ","$2,123.04 ",$107.73 ,"$2,948.67 ",$263.89 ,"$2,196.76 ","$1,931.38 ",$107.73 ,$825.63 ,"$1,813.43 ",$107.73 ,"$1,813.43 ",$107.73 ,"$1,633.56 ","$1,633.56 ",$107.73 ,"$1,633.56 ",$222.05 ,"$2,653.80 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,594.83 ",$109.89 ,"$2,211.50 ","$2,211.50 ","$2,506.37 ","$2,506.37 ",$107.73 ,"$2,506.37 ",$107.73 ,"$2,388.42 ","$2,388.42 ","$2,388.42 ","$2,948.67 ","$2,653.80 ",$263.89 ,"$2,653.80 ",$107.73 ,"$2,948.67 ","$1,654.20 ",$107.73 ,"$1,220.75 ",$232.55 ,$221.98 ,$112.76 ,"$2,653.80 ",$238.23 ,"$1,633.56 ",$825.63 ,"$2,653.80 ",$107.73 ,"$2,653.80 ","$2,653.80 ",$107.73 ,"$1,916.64 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$3,507.67 ","$2,525.52 ",$181.77 ,"$3,507.67 ",$445.27 ,"$2,613.21 ","$2,297.52 ",$181.77 ,$982.15 ,"$2,157.22 ",$181.77 ,"$2,157.22 ",$181.77 ,"$1,943.25 ","$1,943.25 ",$181.77 ,"$1,943.25 ",$374.67 ,"$3,156.90 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,086.75 ",$185.41 ,"$2,630.75 ","$2,630.75 ","$2,981.52 ","$2,981.52 ",$181.77 ,"$2,981.52 ",$181.77 ,"$2,841.21 ","$2,841.21 ","$2,841.21 ","$3,507.67 ","$3,156.90 ",$445.27 ,"$3,156.90 ",$181.77 ,"$3,507.67 ","$1,967.80 ",$181.77 ,"$1,452.18 ",$232.55 ,$221.98 ,$190.26 ,"$3,156.90 ",$401.97 ,"$1,943.25 ",$982.15 ,"$3,156.90 ",$181.77 ,"$3,156.90 ","$3,156.90 ",$181.77 ,"$2,279.99 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$3,926.65 ","$2,827.19 ",$181.77 ,"$3,926.65 ",$445.27 ,"$2,925.35 ","$2,571.96 ",$181.77 ,"$1,099.46 ","$2,414.89 ",$181.77 ,"$2,414.89 ",$181.77 ,"$2,175.36 ","$2,175.36 ",$181.77 ,"$2,175.36 ",$374.67 ,"$3,533.99 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,455.45 ",$185.41 ,"$2,944.99 ","$2,944.99 ","$3,337.65 ","$3,337.65 ",$181.77 ,"$3,337.65 ",$181.77 ,"$3,180.59 ","$3,180.59 ","$3,180.59 ","$3,926.65 ","$3,533.99 ",$445.27 ,"$3,533.99 ",$181.77 ,"$3,926.65 ","$2,202.85 ",$181.77 ,"$1,625.63 ",$232.55 ,$221.98 ,$190.26 ,"$3,533.99 ",$401.97 ,"$2,175.36 ","$1,099.46 ","$3,533.99 ",$181.77 ,"$3,533.99 ","$3,533.99 ",$181.77 ,"$2,552.32 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$2,545.48 ","$1,832.75 ",$98.12 ,"$2,545.48 ",$263.89 ,"$1,896.38 ","$1,667.29 ",$107.73 ,$712.73 ,"$1,565.47 ",$107.73 ,"$1,565.47 ",$107.73 ,"$1,410.20 ","$1,410.20 ",$107.73 ,"$1,410.20 ",$222.05 ,"$2,290.93 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,240.02 ",$109.89 ,"$1,909.11 ","$1,909.11 ","$2,163.66 ","$2,163.66 ",$107.73 ,"$2,163.66 ",$107.73 ,"$2,061.84 ","$2,061.84 ","$2,061.84 ","$2,545.48 ","$2,290.93 ",$263.89 ,"$2,290.93 ",$107.73 ,"$2,545.48 ","$1,428.01 ",$107.73 ,"$1,053.83 ",$102.80 ,$98.12 ,$112.76 ,"$2,290.93 ",$238.23 ,"$1,410.20 ",$712.73 ,"$2,290.93 ",$107.73 ,"$2,290.93 ","$2,290.93 ",$107.73 ,"$1,654.56 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$3,819.28 ","$2,749.88 ",$147.19 ,"$3,819.28 ",$562.12 ,"$2,845.36 ","$2,501.63 ",$229.48 ,"$1,069.40 ","$2,348.86 ",$229.48 ,"$2,348.86 ",$229.48 ,"$2,115.88 ","$2,115.88 ",$229.48 ,"$2,115.88 ",$473.01 ,"$3,437.35 ","$2,000.00 ",$562.12 ,$229.48 ,"$3,360.97 ",$234.06 ,"$2,864.46 ","$2,864.46 ","$3,246.39 ","$3,246.39 ",$229.48 ,"$3,246.39 ",$229.48 ,"$3,093.62 ","$3,093.62 ","$3,093.62 ","$3,819.28 ","$3,437.35 ",$562.12 ,"$3,437.35 ",$229.48 ,"$3,819.28 ","$2,142.62 ",$229.48 ,"$1,581.18 ",$154.20 ,$147.19 ,$240.20 ,"$3,437.35 ",$507.46 ,"$2,115.88 ","$1,069.40 ","$3,437.35 ",$229.48 ,"$3,437.35 ","$3,437.35 ",$229.48 ,"$2,482.53 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$2,970.78 ","$2,138.96 ",$98.12 ,"$2,970.78 ",$909.67 ,"$2,213.23 ","$1,945.86 ",$371.36 ,$831.82 ,"$1,827.03 ",$371.36 ,"$1,827.03 ",$371.36 ,"$1,645.81 ","$1,645.81 ",$371.36 ,"$1,645.81 ",$765.45 ,"$2,673.70 ","$2,000.00 ",$909.67 ,$371.36 ,"$2,614.29 ",$378.79 ,"$2,228.09 ","$2,228.09 ","$2,525.16 ","$2,525.16 ",$371.36 ,"$2,525.16 ",$371.36 ,"$2,406.33 ","$2,406.33 ","$2,406.33 ","$2,970.78 ","$2,673.70 ",$909.67 ,"$2,673.70 ",$371.36 ,"$2,970.78 ","$1,666.61 ",$371.36 ,"$1,229.90 ",$102.80 ,$98.12 ,$388.70 ,"$2,673.70 ",$821.21 ,"$1,645.81 ",$831.82 ,"$2,673.70 ",$371.36 ,"$2,673.70 ","$2,673.70 ",$371.36 ,"$1,931.01 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$3,624.52 ","$2,609.65 ",$98.12 ,"$3,624.52 ",$445.27 ,"$2,700.27 ","$2,374.06 ",$181.77 ,"$1,014.87 ","$2,229.08 ",$181.77 ,"$2,229.08 ",$181.77 ,"$2,007.98 ","$2,007.98 ",$181.77 ,"$2,007.98 ",$374.67 ,"$3,262.07 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,189.58 ",$185.41 ,"$2,718.39 ","$2,718.39 ","$3,080.84 ","$3,080.84 ",$181.77 ,"$3,080.84 ",$181.77 ,"$2,935.86 ","$2,935.86 ","$2,935.86 ","$3,624.52 ","$3,262.07 ",$445.27 ,"$3,262.07 ",$181.77 ,"$3,624.52 ","$2,033.36 ",$181.77 ,"$1,500.55 ",$102.80 ,$98.12 ,$190.26 ,"$3,262.07 ",$401.97 ,"$2,007.98 ","$1,014.87 ","$3,262.07 ",$181.77 ,"$3,262.07 ","$3,262.07 ",$181.77 ,"$2,355.94 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$5,436.26 ","$3,914.11 ",$147.19 ,"$5,436.26 ","$1,071.96 ","$4,050.01 ","$3,560.75 ",$437.61 ,"$1,522.15 ","$3,343.30 ",$437.61 ,"$3,343.30 ",$437.61 ,"$3,011.69 ","$3,011.69 ",$437.61 ,"$3,011.69 ",$902.01 ,"$4,892.63 ","$2,000.00 ","$1,071.96 ",$437.61 ,"$4,783.91 ",$446.36 ,"$4,077.20 ","$4,077.20 ","$4,620.82 ","$4,620.82 ",$437.61 ,"$4,620.82 ",$437.61 ,"$4,403.37 ","$4,403.37 ","$4,403.37 ","$5,436.26 ","$4,892.63 ","$1,071.96 ","$4,892.63 ",$437.61 ,"$5,436.26 ","$3,049.74 ",$437.61 ,"$2,250.61 ",$154.20 ,$147.19 ,$458.04 ,"$4,892.63 ",$967.72 ,"$3,011.69 ","$1,522.15 ","$4,892.63 ",$437.61 ,"$4,892.63 ","$4,892.63 ",$437.61 ,"$3,533.57 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$5,204.66 ","$3,747.36 ",$181.77 ,"$5,204.66 ",$445.27 ,"$3,877.47 ","$3,409.05 ",$181.77 ,"$1,457.30 ","$3,200.87 ",$181.77 ,"$3,200.87 ",$181.77 ,"$2,883.38 ","$2,883.38 ",$181.77 ,"$2,883.38 ",$374.67 ,"$4,684.19 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,580.10 ",$185.41 ,"$3,903.50 ","$3,903.50 ","$4,423.96 ","$4,423.96 ",$181.77 ,"$4,423.96 ",$181.77 ,"$4,215.77 ","$4,215.77 ","$4,215.77 ","$5,204.66 ","$4,684.19 ",$445.27 ,"$4,684.19 ",$181.77 ,"$5,204.66 ","$2,919.81 ",$181.77 ,"$2,154.73 ",$232.32 ,$221.76 ,$190.26 ,"$4,684.19 ",$401.97 ,"$2,883.38 ","$1,457.30 ","$4,684.19 ",$181.77 ,"$4,684.19 ","$4,684.19 ",$181.77 ,"$3,383.03 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$2,837.09 ","$2,042.70 ",$98.12 ,"$2,837.09 ",$263.89 ,"$2,113.63 ","$1,858.29 ",$107.73 ,$794.39 ,"$1,744.81 ",$107.73 ,"$1,744.81 ",$107.73 ,"$1,571.75 ","$1,571.75 ",$107.73 ,"$1,571.75 ",$222.05 ,"$2,553.38 ","$2,000.00 ",$263.89 ,$107.73 ,"$2,496.64 ",$109.89 ,"$2,127.82 ","$2,127.82 ","$2,411.53 ","$2,411.53 ",$107.73 ,"$2,411.53 ",$107.73 ,"$2,298.04 ","$2,298.04 ","$2,298.04 ","$2,837.09 ","$2,553.38 ",$263.89 ,"$2,553.38 ",$107.73 ,"$2,837.09 ","$1,591.61 ",$107.73 ,"$1,174.56 ",$102.80 ,$98.12 ,$112.76 ,"$2,553.38 ",$238.23 ,"$1,571.75 ",$794.39 ,"$2,553.38 ",$107.73 ,"$2,553.38 ","$2,553.38 ",$107.73 ,"$1,844.11 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$4,255.10 ","$3,063.67 ",$147.19 ,"$4,255.10 ",$562.12 ,"$3,170.05 ","$2,787.09 ",$229.48 ,"$1,191.43 ","$2,616.89 ",$229.48 ,"$2,616.89 ",$229.48 ,"$2,357.33 ","$2,357.33 ",$229.48 ,"$2,357.33 ",$473.01 ,"$3,829.59 ","$2,000.00 ",$562.12 ,$229.48 ,"$3,744.49 ",$234.06 ,"$3,191.33 ","$3,191.33 ","$3,616.84 ","$3,616.84 ",$229.48 ,"$3,616.84 ",$229.48 ,"$3,446.63 ","$3,446.63 ","$3,446.63 ","$4,255.10 ","$3,829.59 ",$562.12 ,"$3,829.59 ",$229.48 ,"$4,255.10 ","$2,387.11 ",$229.48 ,"$1,761.61 ",$154.20 ,$147.19 ,$240.20 ,"$3,829.59 ",$507.46 ,"$2,357.33 ","$1,191.43 ","$3,829.59 ",$229.48 ,"$3,829.59 ","$3,829.59 ",$229.48 ,"$2,765.82 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$3,121.32 ","$2,247.35 ",$98.12 ,"$3,121.32 ",$445.27 ,"$2,325.38 ","$2,044.46 ",$181.77 ,$873.97 ,"$1,919.61 ",$181.77 ,"$1,919.61 ",$181.77 ,"$1,729.21 ","$1,729.21 ",$181.77 ,"$1,729.21 ",$374.67 ,"$2,809.19 ","$2,000.00 ",$445.27 ,$181.77 ,"$2,746.76 ",$185.41 ,"$2,340.99 ","$2,340.99 ","$2,653.12 ","$2,653.12 ",$181.77 ,"$2,653.12 ",$181.77 ,"$2,528.27 ","$2,528.27 ","$2,528.27 ","$3,121.32 ","$2,809.19 ",$445.27 ,"$2,809.19 ",$181.77 ,"$3,121.32 ","$1,751.06 ",$181.77 ,"$1,292.23 ",$102.80 ,$98.12 ,$190.26 ,"$2,809.19 ",$401.97 ,"$1,729.21 ",$873.97 ,"$2,809.19 ",$181.77 ,"$2,809.19 ","$2,809.19 ",$181.77 ,"$2,028.86 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$3,317.13 ","$2,388.33 ",$98.12 ,"$3,317.13 ",$445.27 ,"$2,471.26 ","$2,172.72 ",$181.77 ,$928.80 ,"$2,040.04 ",$181.77 ,"$2,040.04 ",$181.77 ,"$1,837.69 ","$1,837.69 ",$181.77 ,"$1,837.69 ",$374.67 ,"$2,985.42 ","$2,000.00 ",$445.27 ,$181.77 ,"$2,919.07 ",$185.41 ,"$2,487.85 ","$2,487.85 ","$2,819.56 ","$2,819.56 ",$181.77 ,"$2,819.56 ",$181.77 ,"$2,686.88 ","$2,686.88 ","$2,686.88 ","$3,317.13 ","$2,985.42 ",$445.27 ,"$2,985.42 ",$181.77 ,"$3,317.13 ","$1,860.91 ",$181.77 ,"$1,373.29 ",$102.80 ,$98.12 ,$190.26 ,"$2,985.42 ",$401.97 ,"$1,837.69 ",$928.80 ,"$2,985.42 ",$181.77 ,"$2,985.42 ","$2,985.42 ",$181.77 ,"$2,156.13 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$4,976.22 ","$3,582.88 ",$147.19 ,"$4,976.22 ","$1,071.96 ","$3,707.28 ","$3,259.42 ",$437.61 ,"$1,393.34 ","$3,060.38 ",$437.61 ,"$3,060.38 ",$437.61 ,"$2,756.83 ","$2,756.83 ",$437.61 ,"$2,756.83 ",$902.01 ,"$4,478.60 ","$2,000.00 ","$1,071.96 ",$437.61 ,"$4,379.07 ",$446.36 ,"$3,732.17 ","$3,732.17 ","$4,229.79 ","$4,229.79 ",$437.61 ,"$4,229.79 ",$437.61 ,"$4,030.74 ","$4,030.74 ","$4,030.74 ","$4,976.22 ","$4,478.60 ","$1,071.96 ","$4,478.60 ",$437.61 ,"$4,976.22 ","$2,791.66 ",$437.61 ,"$2,060.16 ",$154.20 ,$147.19 ,$458.04 ,"$4,478.60 ",$967.72 ,"$2,756.83 ","$1,393.34 ","$4,478.60 ",$437.61 ,"$4,478.60 ","$4,478.60 ",$437.61 ,"$3,234.54 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$6,262.64 ","$4,509.10 ",$181.77 ,"$6,262.64 ",$445.27 ,"$4,665.67 ","$4,102.03 ",$181.77 ,"$1,753.54 ","$3,851.52 ",$181.77 ,"$3,851.52 ",$181.77 ,"$3,469.50 ","$3,469.50 ",$181.77 ,"$3,469.50 ",$374.67 ,"$5,636.38 ","$2,000.00 ",$445.27 ,$181.77 ,"$5,511.12 ",$185.41 ,"$4,696.98 ","$4,696.98 ","$5,323.24 ","$5,323.24 ",$181.77 ,"$5,323.24 ",$181.77 ,"$5,072.74 ","$5,072.74 ","$5,072.74 ","$6,262.64 ","$5,636.38 ",$445.27 ,"$5,636.38 ",$181.77 ,"$6,262.64 ","$3,513.34 ",$181.77 ,"$2,592.73 ",$232.32 ,$221.76 ,$190.26 ,"$5,636.38 ",$401.97 ,"$3,469.50 ","$1,753.54 ","$5,636.38 ",$181.77 ,"$5,636.38 ","$5,636.38 ",$181.77 ,"$4,070.72 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$3,215.01 ","$2,314.81 ",$107.73 ,"$3,215.01 ",$263.89 ,"$2,395.18 ","$2,105.83 ",$107.73 ,$900.20 ,"$1,977.23 ",$107.73 ,"$1,977.23 ",$107.73 ,"$1,781.12 ","$1,781.12 ",$107.73 ,"$1,781.12 ",$222.05 ,"$2,893.51 ",$800.00 ,$263.89 ,$107.73 ,"$2,829.21 ",$109.89 ,"$2,411.26 ","$2,411.26 ","$2,732.76 ","$2,732.76 ",$107.73 ,"$2,732.76 ",$107.73 ,"$2,604.16 ","$2,604.16 ","$2,604.16 ","$3,215.01 ","$2,893.51 ",$263.89 ,"$2,893.51 ",$107.73 ,"$3,215.01 ","$1,803.62 ",$107.73 ,"$1,331.01 ",$232.55 ,$221.98 ,$112.76 ,"$2,893.51 ",$238.23 ,"$1,781.12 ",$900.20 ,"$2,893.51 ",$107.73 ,"$2,893.51 ","$2,893.51 ",$107.73 ,"$2,089.76 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$3,697.16 ","$2,661.96 ",$181.77 ,"$3,697.16 ",$445.27 ,"$2,754.38 ","$2,421.64 ",$181.77 ,"$1,035.20 ","$2,273.75 ",$181.77 ,"$2,273.75 ",$181.77 ,"$2,048.23 ","$2,048.23 ",$181.77 ,"$2,048.23 ",$374.67 ,"$3,327.44 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,253.50 ",$185.41 ,"$2,772.87 ","$2,772.87 ","$3,142.59 ","$3,142.59 ",$181.77 ,"$3,142.59 ",$181.77 ,"$2,994.70 ","$2,994.70 ","$2,994.70 ","$3,697.16 ","$3,327.44 ",$445.27 ,"$3,327.44 ",$181.77 ,"$3,697.16 ","$2,074.11 ",$181.77 ,"$1,530.62 ",$232.55 ,$221.98 ,$190.26 ,"$3,327.44 ",$401.97 ,"$2,048.23 ","$1,035.20 ","$3,327.44 ",$181.77 ,"$3,327.44 ","$3,327.44 ",$181.77 ,"$2,403.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$5,001.48 ","$3,601.07 ",$181.77 ,"$5,001.48 ",$445.27 ,"$3,726.10 ","$3,275.97 ",$181.77 ,"$1,400.41 ","$3,075.91 ",$181.77 ,"$3,075.91 ",$181.77 ,"$2,770.82 ","$2,770.82 ",$181.77 ,"$2,770.82 ",$374.67 ,"$4,501.33 ","$2,000.00 ",$445.27 ,$181.77 ,"$4,401.30 ",$185.41 ,"$3,751.11 ","$3,751.11 ","$4,251.26 ","$4,251.26 ",$181.77 ,"$4,251.26 ",$181.77 ,"$4,051.20 ","$4,051.20 ","$4,051.20 ","$5,001.48 ","$4,501.33 ",$445.27 ,"$4,501.33 ",$181.77 ,"$5,001.48 ","$2,805.83 ",$181.77 ,"$2,070.61 ",$232.55 ,$221.98 ,$190.26 ,"$4,501.33 ",$401.97 ,"$2,770.82 ","$1,400.41 ","$4,501.33 ",$181.77 ,"$4,501.33 ","$4,501.33 ",$181.77 ,"$3,250.96 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,750.85 ","$2,700.61 ",$181.77 ,"$3,750.85 ",$445.27 ,"$2,794.38 ","$2,456.81 ",$181.77 ,"$1,050.24 ","$2,306.77 ",$181.77 ,"$2,306.77 ",$181.77 ,"$2,077.97 ","$2,077.97 ",$181.77 ,"$2,077.97 ",$374.67 ,"$3,375.77 ","$2,000.00 ",$445.27 ,$181.77 ,"$3,300.75 ",$185.41 ,"$2,813.14 ","$2,813.14 ","$3,188.22 ","$3,188.22 ",$181.77 ,"$3,188.22 ",$181.77 ,"$3,038.19 ","$3,038.19 ","$3,038.19 ","$3,750.85 ","$3,375.77 ",$445.27 ,"$3,375.77 ",$181.77 ,"$3,750.85 ","$2,104.23 ",$181.77 ,"$1,552.85 ",$232.32 ,$221.76 ,$190.26 ,"$3,375.77 ",$401.97 ,"$2,077.97 ","$1,050.24 ","$3,375.77 ",$181.77 ,"$3,375.77 ","$3,375.77 ",$181.77 ,"$2,438.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$3,945.60 ","$2,840.83 ",$221.98 ,"$3,945.60 ",$576.57 ,"$2,939.47 ","$2,584.37 ",$235.38 ,"$1,104.77 ","$2,426.54 ",$235.38 ,"$2,426.54 ",$235.38 ,"$2,185.86 ","$2,185.86 ",$235.38 ,"$2,185.86 ",$485.16 ,"$3,551.04 ","$2,000.00 ",$576.57 ,$235.38 ,"$3,472.13 ",$240.08 ,"$2,959.20 ","$2,959.20 ","$3,353.76 ","$3,353.76 ",$235.38 ,"$3,353.76 ",$235.38 ,"$3,195.94 ","$3,195.94 ","$3,195.94 ","$3,945.60 ","$3,551.04 ",$576.57 ,"$3,551.04 ",$235.38 ,"$3,945.60 ","$2,213.48 ",$235.38 ,"$1,633.48 ",$232.55 ,$221.98 ,$246.36 ,"$3,551.04 ",$520.50 ,"$2,185.86 ","$1,104.77 ","$3,551.04 ",$235.38 ,"$3,551.04 ","$3,551.04 ",$235.38 ,"$2,564.64 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$6,725.84 ","$4,842.60 ",$221.98 ,"$6,725.84 ",$909.67 ,"$5,010.75 ","$4,405.43 ",$371.36 ,"$1,883.24 ","$4,136.39 ",$371.36 ,"$4,136.39 ",$371.36 ,"$3,726.12 ","$3,726.12 ",$371.36 ,"$3,726.12 ",$765.45 ,"$6,053.26 ","$2,000.00 ",$909.67 ,$371.36 ,"$5,918.74 ",$378.79 ,"$5,044.38 ","$5,044.38 ","$5,716.96 ","$5,716.96 ",$371.36 ,"$5,716.96 ",$371.36 ,"$5,447.93 ","$5,447.93 ","$5,447.93 ","$6,725.84 ","$6,053.26 ",$909.67 ,"$6,053.26 ",$371.36 ,"$6,725.84 ","$3,773.20 ",$371.36 ,"$2,784.50 ",$232.55 ,$221.98 ,$388.70 ,"$6,053.26 ",$821.21 ,"$3,726.12 ","$1,883.24 ","$6,053.26 ",$371.36 ,"$6,053.26 ","$6,053.26 ",$371.36 ,"$4,371.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$8,976.56 ","$6,463.12 ",$221.98 ,"$8,976.56 ",$909.67 ,"$6,687.54 ","$5,879.65 ",$371.36 ,"$2,513.44 ","$5,520.58 ",$371.36 ,"$5,520.58 ",$371.36 ,"$4,973.01 ","$4,973.01 ",$371.36 ,"$4,973.01 ",$765.45 ,"$8,078.90 ","$2,000.00 ",$909.67 ,$371.36 ,"$7,899.37 ",$378.79 ,"$6,732.42 ","$6,732.42 ","$7,630.08 ","$7,630.08 ",$371.36 ,"$7,630.08 ",$371.36 ,"$7,271.01 ","$7,271.01 ","$7,271.01 ","$8,976.56 ","$8,078.90 ",$909.67 ,"$8,078.90 ",$371.36 ,"$8,976.56 ","$5,035.85 ",$371.36 ,"$3,716.30 ",$232.55 ,$221.98 ,$388.70 ,"$8,078.90 ",$821.21 ,"$4,973.01 ","$2,513.44 ","$8,078.90 ",$371.36 ,"$8,078.90 ","$8,078.90 ",$371.36 ,"$5,834.76 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000087,75571,HC CT HRT W/O DYE W/CA TEST,350,1 ,$99.00 ,$71.28 ,$27.72 ,$193.65 ,$99.00 ,$73.76 ,$64.85 ,$87.57 ,$27.72 ,$60.89 ,$87.57 ,$60.89 ,$87.57 ,$54.85 ,$54.85 ,$87.57 ,$54.85 ,$99.00 ,$89.10 ,$99.00 ,$99.00 ,$87.57 ,$87.12 ,$89.33 ,$74.25 ,$74.25 ,$84.15 ,$84.15 ,$87.57 ,$84.15 ,$87.57 ,$80.19 ,$80.19 ,$80.19 ,$99.00 ,$89.10 ,$99.00 ,$89.10 ,$87.57 ,$99.00 ,$55.54 ,$87.57 ,$40.99 , N/A , N/A ,$91.66 ,$89.10 ,$193.65 ,$54.85 ,$27.72 ,$89.10 ,$87.57 ,$89.10 ,$89.10 ,$87.57 ,$64.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000094,75574,HC CTA HEART CORONARY W/CONTRAST 3D POST,350,1 ,"$2,893.00 ","$2,082.96 ",$181.77 ,"$2,893.00 ",$445.27 ,"$2,155.29 ","$1,894.92 ",$181.77 ,$810.04 ,"$1,779.20 ",$181.77 ,"$1,779.20 ",$181.77 ,"$1,602.72 ","$1,602.72 ",$181.77 ,"$1,602.72 ",$374.67 ,"$2,603.70 ","$2,000.00 ",$445.27 ,$181.77 ,"$2,545.84 ",$185.41 ,"$2,169.75 ","$2,169.75 ","$2,459.05 ","$2,459.05 ",$181.77 ,"$2,459.05 ",$181.77 ,"$2,343.33 ","$2,343.33 ","$2,343.33 ","$2,893.00 ","$2,603.70 ",$445.27 ,"$2,603.70 ",$181.77 ,"$2,893.00 ","$1,622.97 ",$181.77 ,"$1,197.70 ", N/A , N/A ,$190.26 ,"$2,603.70 ",$401.97 ,"$1,602.72 ",$810.04 ,"$2,603.70 ",$181.77 ,"$2,603.70 ","$2,603.70 ",$181.77 ,"$1,880.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$6,099.47 ","$4,391.62 ",$181.77 ,"$6,099.47 ",$445.27 ,"$4,544.11 ","$3,995.15 ",$181.77 ,"$1,707.85 ","$3,751.17 ",$181.77 ,"$3,751.17 ",$181.77 ,"$3,379.11 ","$3,379.11 ",$181.77 ,"$3,379.11 ",$374.67 ,"$5,489.52 ","$2,000.00 ",$445.27 ,$181.77 ,"$5,367.53 ",$185.41 ,"$4,574.60 ","$4,574.60 ","$5,184.55 ","$5,184.55 ",$181.77 ,"$5,184.55 ",$181.77 ,"$4,940.57 ","$4,940.57 ","$4,940.57 ","$6,099.47 ","$5,489.52 ",$445.27 ,"$5,489.52 ",$181.77 ,"$6,099.47 ","$3,421.80 ",$181.77 ,"$2,525.18 ",$232.32 ,$221.76 ,$190.26 ,"$5,489.52 ",$401.97 ,"$3,379.11 ","$1,707.85 ","$5,489.52 ",$181.77 ,"$5,489.52 ","$5,489.52 ",$181.77 ,"$3,964.66 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,"$1,009.23 ",$726.65 ,$282.58 ,"$1,009.23 ", N/A ,$751.88 ,$661.05 , N/A ,$282.58 ,$620.68 , N/A ,$620.68 , N/A ,$559.11 ,$559.11 , N/A ,$559.11 , N/A ,$908.31 ,$800.00 , N/A , N/A ,$888.12 , N/A ,$756.92 ,$756.92 ,$857.85 ,$857.85 , N/A ,$857.85 , N/A ,$817.48 ,$817.48 ,$817.48 ,"$1,009.23 ",$908.31 , N/A ,$908.31 , N/A ,"$1,009.23 ",$566.18 , N/A ,$417.82 , N/A , N/A , N/A ,$908.31 , N/A ,$559.11 ,$282.58 ,$908.31 , N/A ,$908.31 ,$908.31 , N/A ,$656.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,"$1,176.34 ",$846.96 ,$329.38 ,"$1,176.34 ", N/A ,$876.37 ,$770.50 , N/A ,$329.38 ,$723.45 , N/A ,$723.45 , N/A ,$651.69 ,$651.69 , N/A ,$651.69 , N/A ,"$1,058.71 ",$800.00 , N/A , N/A ,"$1,035.18 ", N/A ,$882.26 ,$882.26 ,$999.89 ,$999.89 , N/A ,$999.89 , N/A ,$952.84 ,$952.84 ,$952.84 ,"$1,176.34 ","$1,058.71 ", N/A ,"$1,058.71 ", N/A ,"$1,176.34 ",$659.93 , N/A ,$487.00 , N/A , N/A , N/A ,"$1,058.71 ", N/A ,$651.69 ,$329.38 ,"$1,058.71 ", N/A ,"$1,058.71 ","$1,058.71 ", N/A ,$764.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000101,76380,HC CT LMTD OR LOCALIZ FU STUDY,350,1 ,"$1,539.08 ","$1,108.14 ",$87.57 ,"$1,539.08 ",$214.51 ,"$1,146.61 ","$1,008.10 ",$87.57 ,$430.94 ,$946.53 ,$87.57 ,$946.53 ,$87.57 ,$852.65 ,$852.65 ,$87.57 ,$852.65 ,$180.50 ,"$1,385.17 ","$1,539.08 ",$214.51 ,$87.57 ,"$1,354.39 ",$89.33 ,"$1,154.31 ","$1,154.31 ","$1,308.22 ","$1,308.22 ",$87.57 ,"$1,308.22 ",$87.57 ,"$1,246.65 ","$1,246.65 ","$1,246.65 ","$1,539.08 ","$1,385.17 ",$214.51 ,"$1,385.17 ",$87.57 ,"$1,539.08 ",$863.42 ,$87.57 ,$637.18 ,$102.80 ,$98.12 ,$91.66 ,"$1,385.17 ",$193.65 ,$852.65 ,$430.94 ,"$1,385.17 ",$87.57 ,"$1,385.17 ","$1,385.17 ",$87.57 ,"$1,000.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$4,666.72 ","$3,360.04 ",$75.68 ,"$4,666.72 ", N/A ,"$3,476.71 ","$3,056.70 ", N/A ,"$1,306.68 ","$2,870.03 ", N/A ,"$2,870.03 ", N/A ,"$2,585.36 ","$2,585.36 ", N/A ,"$2,585.36 ", N/A ,"$4,200.05 ","$2,000.00 ", N/A , N/A ,"$4,106.71 ", N/A ,"$3,500.04 ","$3,500.04 ","$3,966.71 ","$3,966.71 ", N/A ,"$3,966.71 ", N/A ,"$3,780.04 ","$3,780.04 ","$3,780.04 ","$4,666.72 ","$4,200.05 ", N/A ,"$4,200.05 ", N/A ,"$4,666.72 ","$2,618.03 ", N/A ,"$1,932.02 ",$79.29 ,$75.68 , N/A ,"$4,200.05 ", N/A ,"$2,585.36 ","$1,306.68 ","$4,200.05 ", N/A ,"$4,200.05 ","$4,200.05 ", N/A ,"$3,033.37 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000116,64510,HC INJECT STELLATE GANGLION,350,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ",$800.00 ,"$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000120,74174,HC CT ANGIO ABD/PELV W  AND  WO CONTRAST,350,1 ,"$7,486.96 ","$5,390.61 ",$221.98 ,"$7,486.96 ",$909.67 ,"$5,577.79 ","$4,903.96 ",$371.36 ,"$2,096.35 ","$4,604.48 ",$371.36 ,"$4,604.48 ",$371.36 ,"$4,147.78 ","$4,147.78 ",$371.36 ,"$4,147.78 ",$765.45 ,"$6,738.26 ","$2,000.00 ",$909.67 ,$371.36 ,"$6,588.52 ",$378.79 ,"$5,615.22 ","$5,615.22 ","$6,363.92 ","$6,363.92 ",$371.36 ,"$6,363.92 ",$371.36 ,"$6,064.44 ","$6,064.44 ","$6,064.44 ","$7,486.96 ","$6,738.26 ",$909.67 ,"$6,738.26 ",$371.36 ,"$7,486.96 ","$4,200.18 ",$371.36 ,"$3,099.60 ",$232.55 ,$221.98 ,$388.70 ,"$6,738.26 ",$821.21 ,"$4,147.78 ","$2,096.35 ","$6,738.26 ",$371.36 ,"$6,738.26 ","$6,738.26 ",$371.36 ,"$4,866.52 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000152,0503T,HC CORONARY FFR CTA DATA ANALYSIS,350,1 ,"$4,312.87 ","$3,105.27 ",$179.01 ,"$4,312.87 ","$2,307.02 ","$3,213.09 ","$2,824.93 ",$941.81 ,"$1,207.60 ","$2,652.42 ",$941.81 ,"$2,652.42 ",$941.81 ,"$2,389.33 ","$2,389.33 ",$941.81 ,"$2,389.33 ","$1,941.27 ","$3,881.58 ",$800.00 ,"$2,307.02 ",$941.81 ,"$3,795.33 ",$960.64 ,"$3,234.65 ","$3,234.65 ","$3,665.94 ","$3,665.94 ",$941.81 ,"$3,665.94 ",$941.81 ,"$3,493.42 ","$3,493.42 ","$3,493.42 ","$4,312.87 ","$3,881.58 ","$2,307.02 ","$3,881.58 ",$941.81 ,"$4,312.87 ","$2,419.52 ",$941.81 ,"$1,785.53 ",$187.54 ,$179.01 ,$985.78 ,"$3,881.58 ","$2,082.69 ","$2,389.33 ","$1,207.60 ","$3,881.58 ",$941.81 ,"$3,881.58 ","$3,881.58 ",$941.81 ,"$2,803.37 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000153,0502T,HC CORONARY FFR CTA DATA PREP  AND  TRANSMISSION,350,1 ,$314.46 ,$226.41 ,$88.05 ,$314.46 , N/A ,$234.27 ,$205.97 , N/A ,$88.05 ,$193.39 , N/A ,$193.39 , N/A ,$174.21 ,$174.21 , N/A ,$174.21 , N/A ,$283.01 ,$261.00 , N/A , N/A ,$276.72 , N/A ,$235.85 ,$235.85 ,$267.29 ,$267.29 , N/A ,$267.29 , N/A ,$254.71 ,$254.71 ,$254.71 ,$314.46 ,$283.01 , N/A ,$283.01 , N/A ,$314.46 ,$176.41 , N/A ,$130.19 ,$187.54 ,$179.01 , N/A ,$283.01 , N/A ,$174.21 ,$88.05 ,$283.01 , N/A ,$283.01 ,$283.01 , N/A ,$204.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$270.55 ,$194.80 ,$75.75 ,$270.55 ,$263.89 ,$201.56 ,$177.21 ,$107.73 ,$75.75 ,$166.39 ,$107.73 ,$166.39 ,$107.73 ,$149.88 ,$149.88 ,$107.73 ,$149.88 ,$222.05 ,$243.50 ,$270.55 ,$263.89 ,$107.73 ,$238.08 ,$109.89 ,$202.91 ,$202.91 ,$229.97 ,$229.97 ,$107.73 ,$229.97 ,$107.73 ,$219.15 ,$219.15 ,$219.15 ,$270.55 ,$243.50 ,$263.89 ,$243.50 ,$107.73 ,$270.55 ,$151.78 ,$107.73 ,$112.01 ,$102.80 ,$98.12 ,$112.76 ,$243.50 ,$238.23 ,$149.88 ,$75.75 ,$243.50 ,$107.73 ,$243.50 ,$243.50 ,$107.73 ,$175.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$573.00 ,$412.56 ,$160.44 ,$573.00 ,$445.86 ,$426.89 ,$375.32 ,$182.02 ,$160.44 ,$352.40 ,$182.02 ,$352.40 ,$182.02 ,$317.44 ,$317.44 ,$182.02 ,$317.44 ,$375.17 ,$515.70 ,$475.59 ,$445.86 ,$182.02 ,$504.24 ,$185.65 ,$429.75 ,$429.75 ,$487.05 ,$487.05 ,$182.02 ,$487.05 ,$182.02 ,$464.13 ,$464.13 ,$464.13 ,$573.00 ,$515.70 ,$445.86 ,$515.70 ,$182.02 ,$573.00 ,$321.45 ,$182.02 ,$237.22 ,$222.46 ,$212.35 ,$190.51 ,$515.70 ,$402.50 ,$317.44 ,$160.44 ,$515.70 ,$182.02 ,$515.70 ,$515.70 ,$182.02 ,$372.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,"$3,881.00 ","$2,794.32 ",$740.66 ,"$3,881.00 ","$3,702.44 ","$2,891.35 ","$2,542.06 ","$1,511.47 ","$1,086.68 ","$2,386.82 ","$1,511.47 ","$2,386.82 ","$1,511.47 ","$2,150.07 ","$2,150.07 ","$1,511.47 ","$2,150.07 ","$3,115.46 ","$3,492.90 ","$3,221.23 ","$3,702.44 ","$1,511.47 ","$3,415.28 ","$1,541.71 ","$2,910.75 ","$2,910.75 ","$3,298.85 ","$3,298.85 ","$1,511.47 ","$3,298.85 ","$1,511.47 ","$3,143.61 ","$3,143.61 ","$3,143.61 ","$3,881.00 ","$3,492.90 ","$3,702.44 ","$3,492.90 ","$1,511.47 ","$3,881.00 ","$2,177.24 ","$1,511.47 ","$1,606.73 ",$775.93 ,$740.66 ,"$1,582.04 ","$3,492.90 ","$3,342.42 ","$2,150.07 ","$1,086.68 ","$3,492.90 ","$1,511.47 ","$3,492.90 ","$3,492.90 ","$1,511.47 ","$2,522.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$573.00 ,$412.56 ,$160.44 ,$831.55 ,$573.00 ,$426.89 ,$375.32 ,$376.04 ,$160.44 ,$352.40 ,$376.04 ,$352.40 ,$376.04 ,$317.44 ,$317.44 ,$376.04 ,$317.44 ,$573.00 ,$515.70 ,$475.59 ,$573.00 ,$376.04 ,$504.24 ,$383.55 ,$429.75 ,$429.75 ,$487.05 ,$487.05 ,$376.04 ,$487.05 ,$376.04 ,$464.13 ,$464.13 ,$464.13 ,$573.00 ,$515.70 ,$573.00 ,$515.70 ,$376.04 ,$573.00 ,$321.45 ,$376.04 ,$237.22 ,$222.46 ,$212.35 ,$393.60 ,$515.70 ,$831.55 ,$317.44 ,$160.44 ,$515.70 ,$376.04 ,$515.70 ,$515.70 ,$376.04 ,$372.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000078,19000,HC ASP CYST BREAST,360,1 ,"$1,124.00 ",$809.28 ,$109.83 ,"$1,446.52 ","$1,124.00 ",$837.38 ,$736.22 ,$654.13 ,$314.72 ,$691.26 ,$654.13 ,$691.26 ,$654.13 ,$622.70 ,$622.70 ,$654.13 ,$622.70 ,"$1,124.00 ","$1,011.60 ",$932.92 ,"$1,124.00 ",$654.13 ,$989.12 ,$667.21 ,$843.00 ,$843.00 ,$955.40 ,$955.40 ,$654.13 ,$955.40 ,$654.13 ,$910.44 ,$910.44 ,$910.44 ,"$1,124.00 ","$1,011.60 ","$1,124.00 ","$1,011.60 ",$654.13 ,$109.83 ,$630.56 ,$654.13 ,$465.34 ,$450.34 ,$429.87 ,$684.67 ,"$1,011.60 ","$1,446.52 ",$622.70 ,$314.72 ,"$1,011.60 ",$654.13 ,"$1,011.60 ","$1,011.60 ",$654.13 ,$730.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$203.00 ,$146.16 ,$28.20 ,$203.00 , N/A ,$151.24 ,$132.97 , N/A ,$56.84 ,$124.85 , N/A ,$124.85 , N/A ,$112.46 ,$112.46 , N/A ,$112.46 , N/A ,$182.70 ,$168.49 , N/A , N/A ,$178.64 , N/A ,$152.25 ,$152.25 ,$172.55 ,$172.55 , N/A ,$172.55 , N/A ,$164.43 ,$164.43 ,$164.43 ,$203.00 ,$182.70 , N/A ,$182.70 , N/A ,$28.20 ,$113.88 , N/A ,$84.04 ,$203.00 ,$203.00 , N/A ,$182.70 , N/A ,$112.46 ,$56.84 ,$182.70 , N/A ,$182.70 ,$182.70 , N/A ,$131.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$1,881.00 ","$1,354.32 ",$526.68 ,"$3,342.42 ","$1,881.00 ","$1,401.35 ","$1,232.06 ","$1,511.47 ",$526.68 ,"$1,156.82 ","$1,511.47 ","$1,156.82 ","$1,511.47 ","$1,042.07 ","$1,042.07 ","$1,511.47 ","$1,042.07 ","$1,881.00 ","$1,692.90 ","$1,561.23 ","$1,881.00 ","$1,511.47 ","$1,655.28 ","$1,541.71 ","$1,410.75 ","$1,410.75 ","$1,598.85 ","$1,598.85 ","$1,511.47 ","$1,598.85 ","$1,511.47 ","$1,523.61 ","$1,523.61 ","$1,523.61 ","$1,881.00 ","$1,692.90 ","$1,881.00 ","$1,692.90 ","$1,511.47 ",$538.44 ,"$1,055.24 ","$1,511.47 ",$778.73 ,$912.65 ,$871.16 ,"$1,582.04 ","$1,692.90 ","$3,342.42 ","$1,042.07 ",$526.68 ,"$1,692.90 ","$1,511.47 ","$1,692.90 ","$1,692.90 ","$1,511.47 ","$1,222.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$2,821.00 ","$2,031.12 ",$538.44 ,"$5,757.93 ","$2,821.00 ","$2,101.65 ","$1,847.76 ","$2,603.79 ",$789.88 ,"$1,734.92 ","$2,603.79 ","$1,734.92 ","$2,603.79 ","$1,562.83 ","$1,562.83 ","$2,603.79 ","$1,562.83 ","$2,821.00 ","$2,538.90 ","$2,341.43 ","$2,821.00 ","$2,603.79 ","$2,482.48 ","$2,655.87 ","$2,115.75 ","$2,115.75 ","$2,397.85 ","$2,397.85 ","$2,603.79 ","$2,397.85 ","$2,603.79 ","$2,285.01 ","$2,285.01 ","$2,285.01 ","$2,821.00 ","$2,538.90 ","$2,821.00 ","$2,538.90 ","$2,603.79 ",$538.44 ,"$1,582.58 ","$2,603.79 ","$1,167.89 ","$1,368.96 ","$1,306.74 ","$2,725.35 ","$2,538.90 ","$5,757.93 ","$1,562.83 ",$789.88 ,"$2,538.90 ","$2,603.79 ","$2,538.90 ","$2,538.90 ","$2,603.79 ","$1,833.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$1,449.00 ","$1,043.28 ",$84.39 ,"$1,449.00 ","$1,449.00 ","$1,079.51 ",$949.10 ,$654.13 ,$405.72 ,$891.14 ,$654.13 ,$891.14 ,$654.13 ,$802.75 ,$802.75 ,$654.13 ,$802.75 ,"$1,348.30 ","$1,304.10 ","$1,202.67 ","$1,449.00 ",$654.13 ,"$1,275.12 ",$667.21 ,"$1,086.75 ","$1,086.75 ","$1,231.65 ","$1,231.65 ",$654.13 ,"$1,231.65 ",$654.13 ,"$1,173.69 ","$1,173.69 ","$1,173.69 ","$1,449.00 ","$1,304.10 ","$1,449.00 ","$1,304.10 ",$654.13 ,$397.29 ,$812.89 ,$654.13 ,$599.89 ,$88.41 ,$84.39 ,$684.67 ,"$1,304.10 ","$1,446.52 ",$802.75 ,$405.72 ,"$1,304.10 ",$654.13 ,"$1,304.10 ","$1,304.10 ",$654.13 ,$941.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$2,174.00 ","$1,565.28 ",$126.59 ,"$2,174.00 ","$1,602.33 ","$1,619.63 ","$1,423.97 ",$654.13 ,$608.72 ,"$1,337.01 ",$654.13 ,"$1,337.01 ",$654.13 ,"$1,204.40 ","$1,204.40 ",$654.13 ,"$1,204.40 ","$1,348.30 ","$1,956.60 ","$1,804.42 ","$1,602.33 ",$654.13 ,"$1,913.12 ",$667.21 ,"$1,630.50 ","$1,630.50 ","$1,847.90 ","$1,847.90 ",$654.13 ,"$1,847.90 ",$654.13 ,"$1,760.94 ","$1,760.94 ","$1,760.94 ","$2,174.00 ","$1,956.60 ","$1,602.33 ","$1,956.60 ",$654.13 ,$397.29 ,"$1,219.61 ",$654.13 ,$900.04 ,$132.62 ,$126.59 ,$684.67 ,"$1,956.60 ","$1,446.52 ","$1,204.40 ",$608.72 ,"$1,956.60 ",$654.13 ,"$1,956.60 ","$1,956.60 ",$654.13 ,"$1,413.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000088,20206,HC BX MUSCLE NEEDLE PERC,360,1 ,$935.00 ,$673.20 ,$261.80 ,"$3,342.42 ",$935.00 ,$696.58 ,$612.43 ,$916.30 ,$261.80 ,$575.03 ,$916.30 ,$575.03 ,$916.30 ,$517.99 ,$517.99 ,$916.30 ,$517.99 ,$935.00 ,$841.50 ,$776.05 ,$935.00 ,$916.30 ,$822.80 ,$934.63 ,$701.25 ,$701.25 ,$794.75 ,$794.75 ,$916.30 ,$794.75 ,$916.30 ,$757.35 ,$757.35 ,$757.35 ,$935.00 ,$841.50 ,$935.00 ,$841.50 ,$916.30 ,$935.00 ,$524.54 ,$916.30 ,$387.09 ,$450.34 ,$429.87 ,$916.30 ,$841.50 ,"$3,342.42 ",$517.99 ,$261.80 ,$841.50 ,$916.30 ,$841.50 ,$841.50 ,$916.30 ,$607.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$2,290.00 ","$1,648.80 ",$455.42 ,"$3,342.42 ","$2,290.00 ","$1,706.05 ","$1,499.95 ","$1,511.47 ",$641.20 ,"$1,408.35 ","$1,511.47 ","$1,408.35 ","$1,511.47 ","$1,268.66 ","$1,268.66 ","$1,511.47 ","$1,268.66 ","$2,290.00 ","$2,061.00 ","$1,900.70 ","$2,290.00 ","$1,511.47 ","$2,015.20 ","$1,541.71 ","$1,717.50 ","$1,717.50 ","$1,946.50 ","$1,946.50 ","$1,511.47 ","$1,946.50 ","$1,511.47 ","$1,854.90 ","$1,854.90 ","$1,854.90 ","$2,290.00 ","$2,061.00 ","$2,290.00 ","$2,061.00 ","$1,511.47 ","$2,290.00 ","$1,284.69 ","$1,511.47 ",$948.06 ,$477.10 ,$455.42 ,"$1,582.04 ","$2,061.00 ","$3,342.42 ","$1,268.66 ",$641.20 ,"$2,061.00 ","$1,511.47 ","$2,061.00 ","$2,061.00 ","$1,511.47 ","$1,488.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000090,20225,HC BX BONE NEEDLE DEEP,360,1 ,"$3,404.00 ","$2,450.88 ",$455.42 ,"$3,404.00 ","$3,404.00 ","$2,535.98 ","$2,229.62 ","$1,511.47 ",$953.12 ,"$2,093.46 ","$1,511.47 ","$2,093.46 ","$1,511.47 ","$1,885.82 ","$1,885.82 ","$1,511.47 ","$1,885.82 ","$3,115.46 ","$3,063.60 ","$2,825.32 ","$3,404.00 ","$1,511.47 ","$2,995.52 ","$1,541.71 ","$2,553.00 ","$2,553.00 ","$2,893.40 ","$2,893.40 ","$1,511.47 ","$2,893.40 ","$1,511.47 ","$2,757.24 ","$2,757.24 ","$2,757.24 ","$3,404.00 ","$3,063.60 ","$3,404.00 ","$3,063.60 ","$1,511.47 ","$3,404.00 ","$1,909.64 ","$1,511.47 ","$1,409.26 ",$477.10 ,$455.42 ,"$1,582.04 ","$3,063.60 ","$3,342.42 ","$1,885.82 ",$953.12 ,"$3,063.60 ","$1,511.47 ","$3,063.60 ","$3,063.60 ","$1,511.47 ","$2,212.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$1,953.00 ","$1,406.16 ",$416.24 ,"$1,953.00 ", N/A ,"$1,454.99 ","$1,279.22 ", N/A ,$546.84 ,"$1,201.10 ", N/A ,"$1,201.10 ", N/A ,"$1,081.96 ","$1,081.96 ", N/A ,"$1,081.96 ", N/A ,"$1,757.70 ","$1,620.99 ", N/A , N/A ,"$1,718.64 ", N/A ,"$1,464.75 ","$1,464.75 ","$1,660.05 ","$1,660.05 ", N/A ,"$1,660.05 ", N/A ,"$1,581.93 ","$1,581.93 ","$1,581.93 ","$1,953.00 ","$1,757.70 ", N/A ,"$1,757.70 ", N/A ,$416.24 ,"$1,095.63 ", N/A ,$808.54 ,$912.65 ,$871.16 , N/A ,"$1,757.70 ", N/A ,"$1,081.96 ",$546.84 ,"$1,757.70 ", N/A ,"$1,757.70 ","$1,757.70 ", N/A ,"$1,269.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,$986.00 ,$709.92 ,$276.08 ,$986.00 , N/A ,$734.57 ,$645.83 , N/A ,$276.08 ,$606.39 , N/A ,$606.39 , N/A ,$546.24 ,$546.24 , N/A ,$546.24 , N/A ,$887.40 ,$818.38 , N/A , N/A ,$867.68 , N/A ,$739.50 ,$739.50 ,$838.10 ,$838.10 , N/A ,$838.10 , N/A ,$798.66 ,$798.66 ,$798.66 ,$986.00 ,$887.40 , N/A ,$887.40 , N/A ,$410.06 ,$553.15 , N/A ,$408.20 ,$912.65 ,$871.16 , N/A ,$887.40 , N/A ,$546.24 ,$276.08 ,$887.40 , N/A ,$887.40 ,$887.40 , N/A ,$640.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$1,479.00 ","$1,064.88 ",$410.06 ,"$1,479.00 ", N/A ,"$1,101.86 ",$968.75 , N/A ,$414.12 ,$909.59 , N/A ,$909.59 , N/A ,$819.37 ,$819.37 , N/A ,$819.37 , N/A ,"$1,331.10 ","$1,227.57 ", N/A , N/A ,"$1,301.52 ", N/A ,"$1,109.25 ","$1,109.25 ","$1,257.15 ","$1,257.15 ", N/A ,"$1,257.15 ", N/A ,"$1,197.99 ","$1,197.99 ","$1,197.99 ","$1,479.00 ","$1,331.10 ", N/A ,"$1,331.10 ", N/A ,$410.06 ,$829.72 , N/A ,$612.31 ,$912.65 ,$871.16 , N/A ,"$1,331.10 ", N/A ,$819.37 ,$414.12 ,"$1,331.10 ", N/A ,"$1,331.10 ","$1,331.10 ", N/A ,$961.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,$436.38 ,$314.19 ,$84.39 ,$436.38 , N/A ,$325.10 ,$285.83 , N/A ,$122.19 ,$268.37 , N/A ,$268.37 , N/A ,$241.75 ,$241.75 , N/A ,$241.75 , N/A ,$392.74 ,$362.20 , N/A , N/A ,$384.01 , N/A ,$327.29 ,$327.29 ,$370.92 ,$370.92 , N/A ,$370.92 , N/A ,$353.47 ,$353.47 ,$353.47 ,$436.38 ,$392.74 , N/A ,$392.74 , N/A ,$182.91 ,$244.81 , N/A ,$180.66 ,$88.41 ,$84.39 , N/A ,$392.74 , N/A ,$241.75 ,$122.19 ,$392.74 , N/A ,$392.74 ,$392.74 , N/A ,$283.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000116,19286,HC BREAST NDL LOC BX ULTRA  ADDN LESION,360,1 ,$640.00 ,$460.80 ,$84.39 ,$640.00 , N/A ,$476.80 ,$419.20 , N/A ,$179.20 ,$393.60 , N/A ,$393.60 , N/A ,$354.56 ,$354.56 , N/A ,$354.56 , N/A ,$576.00 ,$531.20 , N/A , N/A ,$563.20 , N/A ,$480.00 ,$480.00 ,$544.00 ,$544.00 , N/A ,$544.00 , N/A ,$518.40 ,$518.40 ,$518.40 ,$640.00 ,$576.00 , N/A ,$576.00 , N/A ,$325.15 ,$359.04 , N/A ,$264.96 ,$88.41 ,$84.39 , N/A ,$576.00 , N/A ,$354.56 ,$179.20 ,$576.00 , N/A ,$576.00 ,$576.00 , N/A ,$416.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000116,19286,HC BREAST NDL LOC BX ULTRA  ADDN LESION,360,1 ,$959.00 ,$690.48 ,$84.39 ,$959.00 , N/A ,$714.46 ,$628.15 , N/A ,$268.52 ,$589.79 , N/A ,$589.79 , N/A ,$531.29 ,$531.29 , N/A ,$531.29 , N/A ,$863.10 ,$795.97 , N/A , N/A ,$843.92 , N/A ,$719.25 ,$719.25 ,$815.15 ,$815.15 , N/A ,$815.15 , N/A ,$776.79 ,$776.79 ,$776.79 ,$959.00 ,$863.10 , N/A ,$863.10 , N/A ,$325.15 ,$538.00 , N/A ,$397.03 ,$88.41 ,$84.39 , N/A ,$863.10 , N/A ,$531.29 ,$268.52 ,$863.10 , N/A ,$863.10 ,$863.10 , N/A ,$623.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000118,36470,HC INJ SCLEROSING SOLUTION SINGLE VEIN,360,1 ,"$1,275.00 ",$918.00 ,$357.00 ,"$1,275.00 ",$921.12 ,$949.88 ,$835.13 ,$376.04 ,$357.00 ,$784.13 ,$376.04 ,$784.13 ,$376.04 ,$706.35 ,$706.35 ,$376.04 ,$706.35 ,$775.09 ,"$1,147.50 ","$1,058.25 ",$921.12 ,$376.04 ,"$1,122.00 ",$383.55 ,$956.25 ,$956.25 ,"$1,083.75 ","$1,083.75 ",$376.04 ,"$1,083.75 ",$376.04 ,"$1,032.75 ","$1,032.75 ","$1,032.75 ","$1,275.00 ","$1,147.50 ",$921.12 ,"$1,147.50 ",$376.04 ,"$1,275.00 ",$715.28 ,$376.04 ,$527.85 ,$649.75 ,$620.21 ,$393.60 ,"$1,147.50 ",$831.55 ,$706.35 ,$357.00 ,"$1,147.50 ",$376.04 ,"$1,147.50 ","$1,147.50 ",$376.04 ,$828.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000119,36471,HC INJ SCLEROSING SOLUTN MULT VEIN,360,1 ,"$1,241.00 ",$893.52 ,$347.48 ,"$1,241.00 ",$921.12 ,$924.55 ,$812.86 ,$376.04 ,$347.48 ,$763.22 ,$376.04 ,$763.22 ,$376.04 ,$687.51 ,$687.51 ,$376.04 ,$687.51 ,$775.09 ,"$1,116.90 ","$1,030.03 ",$921.12 ,$376.04 ,"$1,092.08 ",$383.55 ,$930.75 ,$930.75 ,"$1,054.85 ","$1,054.85 ",$376.04 ,"$1,054.85 ",$376.04 ,"$1,005.21 ","$1,005.21 ","$1,005.21 ","$1,241.00 ","$1,116.90 ",$921.12 ,"$1,116.90 ",$376.04 ,"$1,241.00 ",$696.20 ,$376.04 ,$513.77 ,$649.75 ,$620.21 ,$393.60 ,"$1,116.90 ",$831.55 ,$687.51 ,$347.48 ,"$1,116.90 ",$376.04 ,"$1,116.90 ","$1,116.90 ",$376.04 ,$806.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000122,36555,HC INS CATH CV NON-TUNL <5 YRS,360,1 ,"$8,584.98 ","$6,181.19 ","$2,403.79 ","$8,584.98 ","$7,355.18 ","$6,395.81 ","$5,623.16 ","$3,002.66 ","$2,403.79 ","$5,279.76 ","$3,002.66 ","$5,279.76 ","$3,002.66 ","$4,756.08 ","$4,756.08 ","$3,002.66 ","$4,756.08 ","$6,189.11 ","$7,726.48 ","$7,125.53 ","$7,355.18 ","$3,002.66 ","$7,554.78 ","$3,062.72 ","$6,438.74 ","$6,438.74 ","$7,297.23 ","$7,297.23 ","$3,002.66 ","$7,297.23 ","$3,002.66 ","$6,953.83 ","$6,953.83 ","$6,953.83 ","$8,584.98 ","$7,726.48 ","$7,355.18 ","$7,726.48 ","$3,002.66 ","$8,584.98 ","$4,816.17 ","$3,002.66 ","$3,554.18 ", N/A , N/A ,"$3,142.84 ","$7,726.48 ","$6,639.97 ","$4,756.08 ","$2,403.79 ","$7,726.48 ","$3,002.66 ","$7,726.48 ","$7,726.48 ","$3,002.66 ","$5,580.24 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$2,984.00 ","$2,148.48 ",$835.52 ,"$6,639.97 ","$2,984.00 ","$2,223.08 ","$1,954.52 ","$2,924.32 ",$835.52 ,"$1,835.16 ","$2,924.32 ","$1,835.16 ","$2,924.32 ","$1,653.14 ","$1,653.14 ","$2,924.32 ","$1,653.14 ","$2,984.00 ","$2,685.60 ","$2,476.72 ","$2,984.00 ","$2,924.32 ","$2,625.92 ","$2,982.81 ","$2,238.00 ","$2,238.00 ","$2,536.40 ","$2,536.40 ","$2,924.32 ","$2,536.40 ","$2,924.32 ","$2,417.04 ","$2,417.04 ","$2,417.04 ","$2,984.00 ","$2,685.60 ","$2,984.00 ","$2,685.60 ","$2,924.32 ","$2,984.00 ","$1,674.02 ","$2,924.32 ","$1,235.38 ","$1,260.18 ","$1,202.90 ","$2,924.32 ","$2,685.60 ","$6,639.97 ","$1,653.14 ",$835.52 ,"$2,685.60 ","$2,924.32 ","$2,685.60 ","$2,685.60 ","$2,924.32 ","$1,939.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000125,36558,HC INSERT TUNNELED CVC > 5 YEARS OLD,360,1 ,"$5,051.00 ","$3,636.72 ","$1,202.90 ","$6,639.97 ","$5,051.00 ","$3,763.00 ","$3,308.41 ","$3,002.66 ","$1,414.28 ","$3,106.37 ","$3,002.66 ","$3,106.37 ","$3,002.66 ","$2,798.25 ","$2,798.25 ","$3,002.66 ","$2,798.25 ","$5,051.00 ","$4,545.90 ","$4,192.33 ","$5,051.00 ","$3,002.66 ","$4,444.88 ","$3,062.72 ","$3,788.25 ","$3,788.25 ","$4,293.35 ","$4,293.35 ","$3,002.66 ","$4,293.35 ","$3,002.66 ","$4,091.31 ","$4,091.31 ","$4,091.31 ","$5,051.00 ","$4,545.90 ","$5,051.00 ","$4,545.90 ","$3,002.66 ","$5,051.00 ","$2,833.61 ","$3,002.66 ","$2,091.11 ","$1,260.18 ","$1,202.90 ","$3,142.84 ","$4,545.90 ","$6,639.97 ","$2,798.25 ","$1,414.28 ","$4,545.90 ","$3,002.66 ","$4,545.90 ","$4,545.90 ","$3,002.66 ","$3,283.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000125,36558,HC INSERT TUNNELED CVC > 5 YEARS OLD,360,1 ,"$7,576.00 ","$5,454.72 ","$1,804.35 ","$7,576.00 ","$7,355.18 ","$5,644.12 ","$4,962.28 ","$3,002.66 ","$2,121.28 ","$4,659.24 ","$3,002.66 ","$4,659.24 ","$3,002.66 ","$4,197.10 ","$4,197.10 ","$3,002.66 ","$4,197.10 ","$6,189.11 ","$6,818.40 ","$6,288.08 ","$7,355.18 ","$3,002.66 ","$6,666.88 ","$3,062.72 ","$5,682.00 ","$5,682.00 ","$6,439.60 ","$6,439.60 ","$3,002.66 ","$6,439.60 ","$3,002.66 ","$6,136.56 ","$6,136.56 ","$6,136.56 ","$7,576.00 ","$6,818.40 ","$7,355.18 ","$6,818.40 ","$3,002.66 ","$7,576.00 ","$4,250.14 ","$3,002.66 ","$3,136.46 ","$1,890.27 ","$1,804.35 ","$3,142.84 ","$6,818.40 ","$6,639.97 ","$4,197.10 ","$2,121.28 ","$6,818.40 ","$3,002.66 ","$6,818.40 ","$6,818.40 ","$3,002.66 ","$4,924.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000127,36561,HC INSERT TUNEL CV CATH>5YR W/PORT,360,1 ,"$1,577.00 ","$1,135.44 ",$441.56 ,"$6,639.97 ","$1,577.00 ","$1,174.87 ","$1,032.94 ","$1,545.46 ",$441.56 ,$969.86 ,"$1,545.46 ",$969.86 ,"$1,545.46 ",$873.66 ,$873.66 ,"$1,545.46 ",$873.66 ,"$1,577.00 ","$1,419.30 ","$1,308.91 ","$1,577.00 ","$1,545.46 ","$1,387.76 ","$1,576.37 ","$1,182.75 ","$1,182.75 ","$1,340.45 ","$1,340.45 ","$1,545.46 ","$1,340.45 ","$1,545.46 ","$1,277.37 ","$1,277.37 ","$1,277.37 ","$1,577.00 ","$1,419.30 ","$1,577.00 ","$1,419.30 ","$1,545.46 ","$1,577.00 ",$884.70 ,"$1,545.46 ",$652.88 ,"$1,577.00 ","$1,577.00 ","$1,545.46 ","$1,419.30 ","$6,639.97 ",$873.66 ,$441.56 ,"$1,419.30 ","$1,545.46 ","$1,419.30 ","$1,419.30 ","$1,545.46 ","$1,025.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000127,36561,HC INSERT TUNEL CV CATH>5YR W/PORT,360,1 ,"$6,246.00 ","$4,497.12 ","$1,202.90 ","$6,639.97 ","$6,246.00 ","$4,653.27 ","$4,091.13 ","$3,002.66 ","$1,748.88 ","$3,841.29 ","$3,002.66 ","$3,841.29 ","$3,002.66 ","$3,460.28 ","$3,460.28 ","$3,002.66 ","$3,460.28 ","$6,189.11 ","$5,621.40 ","$5,184.18 ","$6,246.00 ","$3,002.66 ","$5,496.48 ","$3,062.72 ","$4,684.50 ","$4,684.50 ","$5,309.10 ","$5,309.10 ","$3,002.66 ","$5,309.10 ","$3,002.66 ","$5,059.26 ","$5,059.26 ","$5,059.26 ","$6,246.00 ","$5,621.40 ","$6,246.00 ","$5,621.40 ","$3,002.66 ","$6,246.00 ","$3,504.01 ","$3,002.66 ","$2,585.84 ","$1,260.18 ","$1,202.90 ","$3,142.84 ","$5,621.40 ","$6,639.97 ","$3,460.28 ","$1,748.88 ","$5,621.40 ","$3,002.66 ","$5,621.40 ","$5,621.40 ","$3,002.66 ","$4,059.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$2,153.00 ","$1,550.16 ",$350.16 ,"$3,316.34 ","$2,153.00 ","$1,603.99 ","$1,410.22 ","$1,499.68 ",$602.84 ,"$1,324.10 ","$1,499.68 ","$1,324.10 ","$1,499.68 ","$1,192.76 ","$1,192.76 ","$1,499.68 ","$1,192.76 ","$2,153.00 ","$1,937.70 ","$1,786.99 ","$2,153.00 ","$1,499.68 ","$1,894.64 ","$1,529.68 ","$1,614.75 ","$1,614.75 ","$1,830.05 ","$1,830.05 ","$1,499.68 ","$1,830.05 ","$1,499.68 ","$1,743.93 ","$1,743.93 ","$1,743.93 ","$2,153.00 ","$1,937.70 ","$2,153.00 ","$1,937.70 ","$1,499.68 ","$2,153.00 ","$1,207.83 ","$1,499.68 ",$891.34 ,$366.84 ,$350.16 ,"$1,569.70 ","$1,937.70 ","$3,316.34 ","$1,192.76 ",$602.84 ,"$1,937.70 ","$1,499.68 ","$1,937.70 ","$1,937.70 ","$1,499.68 ","$1,399.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000135,36580,HC REPL CATH CV NON-TNL W/O PORT,360,1 ,"$3,231.00 ","$2,326.32 ",$350.16 ,"$3,316.34 ","$3,231.00 ","$2,407.10 ","$2,116.31 ","$1,499.68 ",$904.68 ,"$1,987.07 ","$1,499.68 ","$1,987.07 ","$1,499.68 ","$1,789.97 ","$1,789.97 ","$1,499.68 ","$1,789.97 ","$3,091.16 ","$2,907.90 ","$2,681.73 ","$3,231.00 ","$1,499.68 ","$2,843.28 ","$1,529.68 ","$2,423.25 ","$2,423.25 ","$2,746.35 ","$2,746.35 ","$1,499.68 ","$2,746.35 ","$1,499.68 ","$2,617.11 ","$2,617.11 ","$2,617.11 ","$3,231.00 ","$2,907.90 ","$3,231.00 ","$2,907.90 ","$1,499.68 ","$3,231.00 ","$1,812.59 ","$1,499.68 ","$1,337.63 ",$366.84 ,$350.16 ,"$1,569.70 ","$2,907.90 ","$3,316.34 ","$1,789.97 ",$904.68 ,"$2,907.90 ","$1,499.68 ","$2,907.90 ","$2,907.90 ","$1,499.68 ","$2,100.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000136,36581,HC REPL CATH CV TNL W/O PORT,360,1 ,"$4,555.00 ","$3,279.60 ","$1,202.90 ","$6,639.97 ","$4,555.00 ","$3,393.48 ","$2,983.53 ","$3,002.66 ","$1,275.40 ","$2,801.33 ","$3,002.66 ","$2,801.33 ","$3,002.66 ","$2,523.47 ","$2,523.47 ","$3,002.66 ","$2,523.47 ","$4,555.00 ","$4,099.50 ","$3,780.65 ","$4,555.00 ","$3,002.66 ","$4,008.40 ","$3,062.72 ","$3,416.25 ","$3,416.25 ","$3,871.75 ","$3,871.75 ","$3,002.66 ","$3,871.75 ","$3,002.66 ","$3,689.55 ","$3,689.55 ","$3,689.55 ","$4,555.00 ","$4,099.50 ","$4,555.00 ","$4,099.50 ","$3,002.66 ","$4,555.00 ","$2,555.36 ","$3,002.66 ","$1,885.77 ","$1,260.18 ","$1,202.90 ","$3,142.84 ","$4,099.50 ","$6,639.97 ","$2,523.47 ","$1,275.40 ","$4,099.50 ","$3,002.66 ","$4,099.50 ","$4,099.50 ","$3,002.66 ","$2,960.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000137,36582,HC REPL DEVICE CV TNL W/PORT,360,1 ,"$6,673.00 ","$4,804.56 ","$1,202.90 ","$6,673.00 ","$6,673.00 ","$4,971.39 ","$4,370.82 ","$3,002.66 ","$1,868.44 ","$4,103.90 ","$3,002.66 ","$4,103.90 ","$3,002.66 ","$3,696.84 ","$3,696.84 ","$3,002.66 ","$3,696.84 ","$6,189.11 ","$6,005.70 ","$5,538.59 ","$6,673.00 ","$3,002.66 ","$5,872.24 ","$3,062.72 ","$5,004.75 ","$5,004.75 ","$5,672.05 ","$5,672.05 ","$3,002.66 ","$5,672.05 ","$3,002.66 ","$5,405.13 ","$5,405.13 ","$5,405.13 ","$6,673.00 ","$6,005.70 ","$6,673.00 ","$6,005.70 ","$3,002.66 ","$6,673.00 ","$3,743.55 ","$3,002.66 ","$2,762.62 ","$1,260.18 ","$1,202.90 ","$3,142.84 ","$6,005.70 ","$6,639.97 ","$3,696.84 ","$1,868.44 ","$6,005.70 ","$3,002.66 ","$6,005.70 ","$6,005.70 ","$3,002.66 ","$4,337.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000139,36584,HC REPL PICC W/O PORT/PUMP,360,1 ,"$1,409.00 ","$1,014.48 ",$100.22 ,"$3,316.34 ","$1,409.00 ","$1,049.71 ",$922.90 ,"$1,380.82 ",$394.52 ,$866.54 ,"$1,380.82 ",$866.54 ,"$1,380.82 ",$780.59 ,$780.59 ,"$1,380.82 ",$780.59 ,"$1,409.00 ","$1,268.10 ","$1,169.47 ","$1,409.00 ","$1,380.82 ","$1,239.92 ","$1,408.44 ","$1,056.75 ","$1,056.75 ","$1,197.65 ","$1,197.65 ","$1,380.82 ","$1,197.65 ","$1,380.82 ","$1,141.29 ","$1,141.29 ","$1,141.29 ","$1,409.00 ","$1,268.10 ","$1,409.00 ","$1,268.10 ","$1,380.82 ","$1,409.00 ",$790.45 ,"$1,380.82 ",$583.33 ,$105.00 ,$100.22 ,"$1,380.82 ","$1,268.10 ","$3,316.34 ",$780.59 ,$394.52 ,"$1,268.10 ","$1,380.82 ","$1,268.10 ","$1,268.10 ","$1,380.82 ",$915.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,"$1,783.00 ","$1,283.76 ",$100.22 ,"$1,783.00 ","$1,428.34 ","$1,328.34 ","$1,167.87 ",$583.10 ,$499.24 ,"$1,096.55 ",$583.10 ,"$1,096.55 ",$583.10 ,$987.78 ,$987.78 ,$583.10 ,$987.78 ,"$1,201.89 ","$1,604.70 ","$1,479.89 ","$1,428.34 ",$583.10 ,"$1,569.04 ",$594.76 ,"$1,337.25 ","$1,337.25 ","$1,515.55 ","$1,515.55 ",$583.10 ,"$1,515.55 ",$583.10 ,"$1,444.23 ","$1,444.23 ","$1,444.23 ","$1,783.00 ","$1,604.70 ","$1,428.34 ","$1,604.70 ",$583.10 ,"$1,783.00 ","$1,000.26 ",$583.10 ,$738.16 ,$105.00 ,$100.22 ,$610.32 ,"$1,604.70 ","$1,289.45 ",$987.78 ,$499.24 ,"$1,604.70 ",$583.10 ,"$1,604.70 ","$1,604.70 ",$583.10 ,"$1,158.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,"$2,675.00 ","$1,926.00 ",$100.22 ,"$2,675.00 ","$1,428.34 ","$1,992.88 ","$1,752.13 ",$583.10 ,$749.00 ,"$1,645.13 ",$583.10 ,"$1,645.13 ",$583.10 ,"$1,481.95 ","$1,481.95 ",$583.10 ,"$1,481.95 ","$1,201.89 ","$2,407.50 ","$2,220.25 ","$1,428.34 ",$583.10 ,"$2,354.00 ",$594.76 ,"$2,006.25 ","$2,006.25 ","$2,273.75 ","$2,273.75 ",$583.10 ,"$2,273.75 ",$583.10 ,"$2,166.75 ","$2,166.75 ","$2,166.75 ","$2,675.00 ","$2,407.50 ","$1,428.34 ","$2,407.50 ",$583.10 ,"$2,675.00 ","$1,500.68 ",$583.10 ,"$1,107.45 ",$105.00 ,$100.22 ,$610.32 ,"$2,407.50 ","$1,289.45 ","$1,481.95 ",$749.00 ,"$2,407.50 ",$583.10 ,"$2,407.50 ","$2,407.50 ",$583.10 ,"$1,738.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000142,36590,HC REM TNL CV ACC W/PORT/PUMP,360,1 ,"$2,133.00 ","$1,535.76 ",$597.24 ,"$3,316.34 ","$2,133.00 ","$1,589.09 ","$1,397.12 ","$1,499.68 ",$597.24 ,"$1,311.80 ","$1,499.68 ","$1,311.80 ","$1,499.68 ","$1,181.68 ","$1,181.68 ","$1,499.68 ","$1,181.68 ","$2,133.00 ","$1,919.70 ","$1,770.39 ","$2,133.00 ","$1,499.68 ","$1,877.04 ","$1,529.68 ","$1,599.75 ","$1,599.75 ","$1,813.05 ","$1,813.05 ","$1,499.68 ","$1,813.05 ","$1,499.68 ","$1,727.73 ","$1,727.73 ","$1,727.73 ","$2,133.00 ","$1,919.70 ","$2,133.00 ","$1,919.70 ","$1,499.68 ","$2,133.00 ","$1,196.61 ","$1,499.68 ",$883.06 ,$954.22 ,$910.84 ,"$1,569.70 ","$1,919.70 ","$3,316.34 ","$1,181.68 ",$597.24 ,"$1,919.70 ","$1,499.68 ","$1,919.70 ","$1,919.70 ","$1,499.68 ","$1,386.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000148,36620,HC CATH/CANN ARTERY PERC 36620,360,1 ,"$1,604.00 ","$1,154.88 ",$449.12 ,"$1,604.00 ", N/A ,"$1,194.98 ","$1,050.62 ", N/A ,$449.12 ,$986.46 , N/A ,$986.46 , N/A ,$888.62 ,$888.62 , N/A ,$888.62 , N/A ,"$1,443.60 ","$1,331.32 ", N/A , N/A ,"$1,411.52 ", N/A ,"$1,203.00 ","$1,203.00 ","$1,363.40 ","$1,363.40 ", N/A ,"$1,363.40 ", N/A ,"$1,299.24 ","$1,299.24 ","$1,299.24 ","$1,604.00 ","$1,443.60 ", N/A ,"$1,443.60 ", N/A ,"$1,604.00 ",$899.84 , N/A ,$664.06 ,"$1,604.00 ","$1,604.00 ", N/A ,"$1,443.60 ", N/A ,$888.62 ,$449.12 ,"$1,443.60 ", N/A ,"$1,443.60 ","$1,443.60 ", N/A ,"$1,042.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000158,38221,HC BX BONE MARROW ONLY,360,1 ,"$3,935.00 ","$2,833.20 ",$429.87 ,"$3,935.00 ","$3,702.44 ","$2,931.58 ","$2,577.43 ","$1,511.47 ","$1,101.80 ","$2,420.03 ","$1,511.47 ","$2,420.03 ","$1,511.47 ","$2,179.99 ","$2,179.99 ","$1,511.47 ","$2,179.99 ","$3,115.46 ","$3,541.50 ","$3,266.05 ","$3,702.44 ","$1,511.47 ","$3,462.80 ","$1,541.71 ","$2,951.25 ","$2,951.25 ","$3,344.75 ","$3,344.75 ","$1,511.47 ","$3,344.75 ","$1,511.47 ","$3,187.35 ","$3,187.35 ","$3,187.35 ","$3,935.00 ","$3,541.50 ","$3,702.44 ","$3,541.50 ","$1,511.47 ","$3,935.00 ","$2,207.54 ","$1,511.47 ","$1,629.09 ",$450.34 ,$429.87 ,"$1,582.04 ","$3,541.50 ","$3,342.42 ","$2,179.99 ","$1,101.80 ","$3,541.50 ","$1,511.47 ","$3,541.50 ","$3,541.50 ","$1,511.47 ","$2,557.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$1,051.00 ",$756.72 ,$294.28 ,"$3,342.42 ","$1,051.00 ",$783.00 ,$688.41 ,"$1,029.98 ",$294.28 ,$646.37 ,"$1,029.98 ",$646.37 ,"$1,029.98 ",$582.25 ,$582.25 ,"$1,029.98 ",$582.25 ,"$1,051.00 ",$945.90 ,$872.33 ,"$1,051.00 ","$1,029.98 ",$924.88 ,"$1,050.58 ",$788.25 ,$788.25 ,$893.35 ,$893.35 ,"$1,029.98 ",$893.35 ,"$1,029.98 ",$851.31 ,$851.31 ,$851.31 ,"$1,051.00 ",$945.90 ,"$1,051.00 ",$945.90 ,"$1,029.98 ","$1,051.00 ",$589.61 ,"$1,029.98 ",$435.11 ,$477.10 ,$455.42 ,"$1,029.98 ",$945.90 ,"$3,342.42 ",$582.25 ,$294.28 ,$945.90 ,"$1,029.98 ",$945.90 ,$945.90 ,"$1,029.98 ",$683.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$1,576.00 ","$1,134.72 ",$441.28 ,"$3,342.42 ","$1,576.00 ","$1,174.12 ","$1,032.28 ","$1,511.47 ",$441.28 ,$969.24 ,"$1,511.47 ",$969.24 ,"$1,511.47 ",$873.10 ,$873.10 ,"$1,511.47 ",$873.10 ,"$1,576.00 ","$1,418.40 ","$1,308.08 ","$1,576.00 ","$1,511.47 ","$1,386.88 ","$1,541.71 ","$1,182.00 ","$1,182.00 ","$1,339.60 ","$1,339.60 ","$1,511.47 ","$1,339.60 ","$1,511.47 ","$1,276.56 ","$1,276.56 ","$1,276.56 ","$1,576.00 ","$1,418.40 ","$1,576.00 ","$1,418.40 ","$1,511.47 ","$1,576.00 ",$884.14 ,"$1,511.47 ",$652.46 ,$715.66 ,$683.13 ,"$1,544.48 ","$1,418.40 ","$3,342.42 ",$873.10 ,$441.28 ,"$1,418.40 ","$1,511.47 ","$1,418.40 ","$1,418.40 ","$1,511.47 ","$1,024.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,"$1,193.93 ",$859.63 ,$334.30 ,"$1,193.93 ",$959.66 ,$889.48 ,$782.02 ,$391.77 ,$334.30 ,$734.27 ,$391.77 ,$734.27 ,$391.77 ,$661.44 ,$661.44 ,$391.77 ,$661.44 ,$807.52 ,"$1,074.54 ",$990.96 ,$959.66 ,$391.77 ,"$1,050.66 ",$399.61 ,$895.45 ,$895.45 ,"$1,014.84 ","$1,014.84 ",$391.77 ,"$1,014.84 ",$391.77 ,$967.08 ,$967.08 ,$967.08 ,"$1,193.93 ","$1,074.54 ",$959.66 ,"$1,074.54 ",$391.77 ,"$1,193.93 ",$669.79 ,$391.77 ,$494.29 , N/A , N/A ,$410.06 ,"$1,074.54 ",$866.35 ,$661.44 ,$334.30 ,"$1,074.54 ",$391.77 ,"$1,074.54 ","$1,074.54 ",$391.77 ,$776.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000176,49418,HC INSERT INTRAPERITONEAL CATH,360,1 ,"$7,252.00 ","$5,221.44 ",$425.54 ,"$7,894.78 ","$7,252.00 ","$5,402.74 ","$4,750.06 ","$3,570.10 ","$2,030.56 ","$4,459.98 ","$3,570.10 ","$4,459.98 ","$3,570.10 ","$4,017.61 ","$4,017.61 ","$3,570.10 ","$4,017.61 ","$7,252.00 ","$6,526.80 ","$6,019.16 ","$7,252.00 ","$3,570.10 ","$6,381.76 ","$3,641.50 ","$5,439.00 ","$5,439.00 ","$6,164.20 ","$6,164.20 ","$3,570.10 ","$6,164.20 ","$3,570.10 ","$5,874.12 ","$5,874.12 ","$5,874.12 ","$7,252.00 ","$6,526.80 ","$7,252.00 ","$6,526.80 ","$3,570.10 ","$7,252.00 ","$4,068.37 ","$3,570.10 ","$3,002.33 ",$445.81 ,$425.54 ,"$3,736.77 ","$6,526.80 ","$7,894.78 ","$4,017.61 ","$2,030.56 ","$6,526.80 ","$3,570.10 ","$6,526.80 ","$6,526.80 ","$3,570.10 ","$4,713.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000177,49421,HC INS CATH DRAIN PERITONEAL PERM,360,1 ,"$6,089.00 ","$4,384.08 ",$488.89 ,"$7,894.78 ","$6,089.00 ","$4,536.31 ","$3,988.30 ","$3,570.10 ","$1,704.92 ","$3,744.74 ","$3,570.10 ","$3,744.74 ","$3,570.10 ","$3,373.31 ","$3,373.31 ","$3,570.10 ","$3,373.31 ","$6,089.00 ","$5,480.10 ","$5,053.87 ","$6,089.00 ","$3,570.10 ","$5,358.32 ","$3,641.50 ","$4,566.75 ","$4,566.75 ","$5,175.65 ","$5,175.65 ","$3,570.10 ","$5,175.65 ","$3,570.10 ","$4,932.09 ","$4,932.09 ","$4,932.09 ","$6,089.00 ","$5,480.10 ","$6,089.00 ","$5,480.10 ","$3,570.10 ","$6,089.00 ","$3,415.93 ","$3,570.10 ","$2,520.85 ",$512.17 ,$488.89 ,"$3,736.77 ","$5,480.10 ","$7,894.78 ","$3,373.31 ","$1,704.92 ","$5,480.10 ","$3,570.10 ","$5,480.10 ","$5,480.10 ","$3,570.10 ","$3,957.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000178,49422,HC REM CATH INTRAPERITONEAL,360,1 ,"$5,537.00 ","$3,986.64 ",$488.89 ,"$6,639.97 ","$5,537.00 ","$4,125.07 ","$3,626.74 ","$3,002.66 ","$1,550.36 ","$3,405.26 ","$3,002.66 ","$3,405.26 ","$3,002.66 ","$3,067.50 ","$3,067.50 ","$3,002.66 ","$3,067.50 ","$5,537.00 ","$4,983.30 ","$4,595.71 ","$5,537.00 ","$3,002.66 ","$4,872.56 ","$3,062.72 ","$4,152.75 ","$4,152.75 ","$4,706.45 ","$4,706.45 ","$3,002.66 ","$4,706.45 ","$3,002.66 ","$4,484.97 ","$4,484.97 ","$4,484.97 ","$5,537.00 ","$4,983.30 ","$5,537.00 ","$4,983.30 ","$3,002.66 ","$5,537.00 ","$3,106.26 ","$3,002.66 ","$2,292.32 ",$512.17 ,$488.89 ,"$3,142.84 ","$4,983.30 ","$6,639.97 ","$3,067.50 ","$1,550.36 ","$4,983.30 ","$3,002.66 ","$4,983.30 ","$4,983.30 ","$3,002.66 ","$3,599.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000187,54150,HC CIRCUMCISION OP,360,1 ,$745.00 ,$536.40 ,$208.60 ,"$4,134.43 ",$745.00 ,$555.03 ,$487.98 ,$730.10 ,$208.60 ,$458.18 ,$730.10 ,$458.18 ,$730.10 ,$412.73 ,$412.73 ,$730.10 ,$412.73 ,$745.00 ,$670.50 ,$618.35 ,$745.00 ,$730.10 ,$655.60 ,$744.70 ,$558.75 ,$558.75 ,$633.25 ,$633.25 ,$730.10 ,$633.25 ,$730.10 ,$603.45 ,$603.45 ,$603.45 ,$745.00 ,$670.50 ,$745.00 ,$670.50 ,$730.10 ,$745.00 ,$417.95 ,$730.10 ,$308.43 ,$745.00 ,$745.00 ,$730.10 ,$670.50 ,"$4,134.43 ",$412.73 ,$208.60 ,$670.50 ,$730.10 ,$670.50 ,$670.50 ,$730.10 ,$484.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000194,62270,HC LUMBAR PUNCTURE,360,1 ,"$1,319.00 ",$949.68 ,$365.13 ,"$1,436.20 ","$1,319.00 ",$982.66 ,$863.95 ,$649.47 ,$369.32 ,$811.19 ,$649.47 ,$811.19 ,$649.47 ,$730.73 ,$730.73 ,$649.47 ,$730.73 ,"$1,319.00 ","$1,187.10 ","$1,094.77 ","$1,319.00 ",$649.47 ,"$1,160.72 ",$662.45 ,$989.25 ,$989.25 ,"$1,121.15 ","$1,121.15 ",$649.47 ,"$1,121.15 ",$649.47 ,"$1,068.39 ","$1,068.39 ","$1,068.39 ","$1,319.00 ","$1,187.10 ","$1,319.00 ","$1,187.10 ",$649.47 ,"$1,319.00 ",$739.96 ,$649.47 ,$546.07 ,$382.51 ,$365.13 ,$679.79 ,"$1,187.10 ","$1,436.20 ",$730.73 ,$369.32 ,"$1,187.10 ",$649.47 ,"$1,187.10 ","$1,187.10 ",$649.47 ,$857.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000222,36571,HC INS CATH PERIPH CV W/PORT >5,360,1 ,"$4,205.00 ","$3,027.60 ","$1,177.40 ","$6,639.97 ","$4,205.00 ","$3,132.73 ","$2,754.28 ","$3,002.66 ","$1,177.40 ","$2,586.08 ","$3,002.66 ","$2,586.08 ","$3,002.66 ","$2,329.57 ","$2,329.57 ","$3,002.66 ","$2,329.57 ","$4,205.00 ","$3,784.50 ","$3,490.15 ","$4,205.00 ","$3,002.66 ","$3,700.40 ","$3,062.72 ","$3,153.75 ","$3,153.75 ","$3,574.25 ","$3,574.25 ","$3,002.66 ","$3,574.25 ","$3,002.66 ","$3,406.05 ","$3,406.05 ","$3,406.05 ","$4,205.00 ","$3,784.50 ","$4,205.00 ","$3,784.50 ","$3,002.66 ","$4,205.00 ","$2,359.01 ","$3,002.66 ","$1,740.87 ","$1,260.18 ","$1,202.90 ","$3,142.84 ","$3,784.50 ","$6,639.97 ","$2,329.57 ","$1,177.40 ","$3,784.50 ","$3,002.66 ","$3,784.50 ","$3,784.50 ","$3,002.66 ","$2,733.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000222,36571,HC INS CATH PERIPH CV W/PORT >5,360,1 ,"$6,308.00 ","$4,541.76 ","$1,766.24 ","$6,639.97 ","$6,308.00 ","$4,699.46 ","$4,131.74 ","$3,002.66 ","$1,766.24 ","$3,879.42 ","$3,002.66 ","$3,879.42 ","$3,002.66 ","$3,494.63 ","$3,494.63 ","$3,002.66 ","$3,494.63 ","$6,189.11 ","$5,677.20 ","$5,235.64 ","$6,308.00 ","$3,002.66 ","$5,551.04 ","$3,062.72 ","$4,731.00 ","$4,731.00 ","$5,361.80 ","$5,361.80 ","$3,002.66 ","$5,361.80 ","$3,002.66 ","$5,109.48 ","$5,109.48 ","$5,109.48 ","$6,308.00 ","$5,677.20 ","$6,308.00 ","$5,677.20 ","$3,002.66 ","$6,308.00 ","$3,538.79 ","$3,002.66 ","$2,611.51 ","$1,890.27 ","$1,804.35 ","$3,142.84 ","$5,677.20 ","$6,639.97 ","$3,494.63 ","$1,766.24 ","$5,677.20 ","$3,002.66 ","$5,677.20 ","$5,677.20 ","$3,002.66 ","$4,100.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000223,36575,HC REPAIR CATH CV W/O PORT/PUMP,360,1 ,"$1,656.12 ","$1,192.41 ",$350.16 ,"$1,656.12 ","$1,428.34 ","$1,233.81 ","$1,084.76 ",$583.10 ,$463.71 ,"$1,018.51 ",$583.10 ,"$1,018.51 ",$583.10 ,$917.49 ,$917.49 ,$583.10 ,$917.49 ,"$1,201.89 ","$1,490.51 ","$1,374.58 ","$1,428.34 ",$583.10 ,"$1,457.39 ",$594.76 ,"$1,242.09 ","$1,242.09 ","$1,407.70 ","$1,407.70 ",$583.10 ,"$1,407.70 ",$583.10 ,"$1,341.46 ","$1,341.46 ","$1,341.46 ","$1,656.12 ","$1,490.51 ","$1,428.34 ","$1,490.51 ",$583.10 ,"$1,656.12 ",$929.08 ,$583.10 ,$685.63 ,$366.84 ,$350.16 ,$610.32 ,"$1,490.51 ","$1,289.45 ",$917.49 ,$463.71 ,"$1,490.51 ",$583.10 ,"$1,490.51 ","$1,490.51 ",$583.10 ,"$1,076.48 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000310,64421,HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL,360,1 ,"$4,569.00 ","$3,289.68 ",$310.79 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$325.59 ,$310.79 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,"$1,875.00 ","$1,350.00 ",$310.79 ,"$1,875.00 ","$1,590.90 ","$1,396.88 ","$1,228.13 ",$649.47 ,$525.00 ,"$1,153.13 ",$649.47 ,"$1,153.13 ",$649.47 ,"$1,038.75 ","$1,038.75 ",$649.47 ,"$1,038.75 ","$1,338.68 ","$1,687.50 ","$1,556.25 ","$1,590.90 ",$649.47 ,"$1,650.00 ",$662.45 ,"$1,406.25 ","$1,406.25 ","$1,593.75 ","$1,593.75 ",$649.47 ,"$1,593.75 ",$649.47 ,"$1,518.75 ","$1,518.75 ","$1,518.75 ","$1,875.00 ","$1,687.50 ","$1,590.90 ","$1,687.50 ",$649.47 ,"$1,875.00 ","$1,051.88 ",$649.47 ,$776.25 ,$325.59 ,$310.79 ,$679.79 ,"$1,687.50 ","$1,436.20 ","$1,038.75 ",$525.00 ,"$1,687.50 ",$649.47 ,"$1,687.50 ","$1,687.50 ",$649.47 ,"$1,218.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000327,64445,HC NERVE BLOCK;SCIATIC SINGLE,360,1 ,"$2,248.00 ","$1,618.56 ",$310.79 ,"$2,248.00 ","$1,590.90 ","$1,674.76 ","$1,472.44 ",$649.47 ,$629.44 ,"$1,382.52 ",$649.47 ,"$1,382.52 ",$649.47 ,"$1,245.39 ","$1,245.39 ",$649.47 ,"$1,245.39 ","$1,338.68 ","$2,023.20 ","$1,865.84 ","$1,590.90 ",$649.47 ,"$1,978.24 ",$662.45 ,"$1,686.00 ","$1,686.00 ","$1,910.80 ","$1,910.80 ",$649.47 ,"$1,910.80 ",$649.47 ,"$1,820.88 ","$1,820.88 ","$1,820.88 ","$2,248.00 ","$2,023.20 ","$1,590.90 ","$2,023.20 ",$649.47 ,"$2,248.00 ","$1,261.13 ",$649.47 ,$930.67 ,$325.59 ,$310.79 ,$679.79 ,"$2,023.20 ","$1,436.20 ","$1,245.39 ",$629.44 ,"$2,023.20 ",$649.47 ,"$2,023.20 ","$2,023.20 ",$649.47 ,"$1,461.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000327,64445,HC NERVE BLOCK;SCIATIC SINGLE,360,1 ,"$3,372.00 ","$2,427.84 ",$466.18 ,"$3,372.00 ","$2,386.35 ","$2,512.14 ","$2,208.66 ",$974.20 ,$944.16 ,"$2,073.78 ",$974.20 ,"$2,073.78 ",$974.20 ,"$1,868.09 ","$1,868.09 ",$974.20 ,"$1,868.09 ","$2,008.02 ","$3,034.80 ","$2,798.76 ","$2,386.35 ",$974.20 ,"$2,967.36 ",$993.68 ,"$2,529.00 ","$2,529.00 ","$2,866.20 ","$2,866.20 ",$974.20 ,"$2,866.20 ",$974.20 ,"$2,731.32 ","$2,731.32 ","$2,731.32 ","$3,372.00 ","$3,034.80 ","$2,386.35 ","$3,034.80 ",$974.20 ,"$3,372.00 ","$1,891.69 ",$974.20 ,"$1,396.01 ",$488.38 ,$466.18 ,"$1,019.68 ","$3,034.80 ","$2,154.30 ","$1,868.09 ",$944.16 ,"$3,034.80 ",$974.20 ,"$3,034.80 ","$3,034.80 ",$974.20 ,"$2,191.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000331,64520,HC NERVE BLOCK;L/S PARAVERTEBAL SYMP,360,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000334,63650,HC IMPLANT NEUROELECTRODES,360,1 ,"$10,312.00 ","$7,424.64 ","$2,887.36 ","$14,719.65 ","$10,312.00 ","$7,682.44 ","$6,754.36 ","$6,656.38 ","$2,887.36 ","$6,341.88 ","$6,656.38 ","$6,341.88 ","$6,656.38 ","$5,712.85 ","$5,712.85 ","$6,656.38 ","$5,712.85 ","$10,312.00 ","$9,280.80 ","$8,558.96 ","$10,312.00 ","$6,656.38 ","$9,074.56 ","$6,789.50 ","$7,734.00 ","$7,734.00 ","$8,765.20 ","$8,765.20 ","$6,656.38 ","$8,765.20 ","$6,656.38 ","$8,352.72 ","$8,352.72 ","$8,352.72 ","$10,312.00 ","$9,280.80 ","$10,312.00 ","$9,280.80 ","$6,656.38 ","$10,312.00 ","$5,785.03 ","$6,656.38 ","$4,269.17 ","$3,630.03 ","$3,465.03 ","$6,967.13 ","$9,280.80 ","$14,719.65 ","$5,712.85 ","$2,887.36 ","$9,280.80 ","$6,656.38 ","$9,280.80 ","$9,280.80 ","$6,656.38 ","$6,702.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000352,37192,HC IVC FILTER REPOSITIONING 37192,360,1 ,"$3,225.00 ","$2,322.00 ",$903.00 ,"$6,639.97 ","$3,225.00 ","$2,402.63 ","$2,112.38 ","$3,002.66 ",$903.00 ,"$1,983.38 ","$3,002.66 ","$1,983.38 ","$3,002.66 ","$1,786.65 ","$1,786.65 ","$3,002.66 ","$1,786.65 ","$3,225.00 ","$2,902.50 ","$2,676.75 ","$3,225.00 ","$3,002.66 ","$2,838.00 ","$3,062.72 ","$2,418.75 ","$2,418.75 ","$2,741.25 ","$2,741.25 ","$3,002.66 ","$2,741.25 ","$3,002.66 ","$2,612.25 ","$2,612.25 ","$2,612.25 ","$3,225.00 ","$2,902.50 ","$3,225.00 ","$2,902.50 ","$3,002.66 ","$3,225.00 ","$1,809.23 ","$3,002.66 ","$1,335.15 ","$2,306.93 ","$2,202.07 ","$3,142.84 ","$2,902.50 ","$6,639.97 ","$1,786.65 ",$903.00 ,"$2,902.50 ","$3,002.66 ","$2,902.50 ","$2,902.50 ","$3,002.66 ","$2,096.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000397,27301,HC I AND D ABSC/BURSA THIGH/KNEE,360,1 ,"$6,648.00 ","$4,786.56 ",$740.66 ,"$6,648.00 ","$6,378.13 ","$4,952.76 ","$4,354.44 ","$2,603.79 ","$1,861.44 ","$4,088.52 ","$2,603.79 ","$4,088.52 ","$2,603.79 ","$3,682.99 ","$3,682.99 ","$2,603.79 ","$3,682.99 ","$5,366.96 ","$5,983.20 ","$5,517.84 ","$6,378.13 ","$2,603.79 ","$5,850.24 ","$2,655.87 ","$4,986.00 ","$4,986.00 ","$5,650.80 ","$5,650.80 ","$2,603.79 ","$5,650.80 ","$2,603.79 ","$5,384.88 ","$5,384.88 ","$5,384.88 ","$6,648.00 ","$5,983.20 ","$6,378.13 ","$5,983.20 ","$2,603.79 ","$6,648.00 ","$3,729.53 ","$2,603.79 ","$2,752.27 ",$775.93 ,$740.66 ,"$2,725.35 ","$5,983.20 ","$5,757.93 ","$3,682.99 ","$1,861.44 ","$5,983.20 ","$2,603.79 ","$5,983.20 ","$5,983.20 ","$2,603.79 ","$4,321.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000420,26735,HC TX FX OPEN SHAFT FINGER/THUMB W/INT FIX EACH,360,1 ,"$7,848.00 ","$5,650.56 ","$2,197.44 ","$7,848.00 ","$7,349.48 ","$5,846.76 ","$5,140.44 ","$3,000.34 ","$2,197.44 ","$4,826.52 ","$3,000.34 ","$4,826.52 ","$3,000.34 ","$4,347.79 ","$4,347.79 ","$3,000.34 ","$4,347.79 ","$6,184.31 ","$7,063.20 ","$6,513.84 ","$7,349.48 ","$3,000.34 ","$6,906.24 ","$3,060.34 ","$5,886.00 ","$5,886.00 ","$6,670.80 ","$6,670.80 ","$3,000.34 ","$6,670.80 ","$3,000.34 ","$6,356.88 ","$6,356.88 ","$6,356.88 ","$7,848.00 ","$7,063.20 ","$7,349.48 ","$7,063.20 ","$3,000.34 ","$7,848.00 ","$4,402.73 ","$3,000.34 ","$3,249.07 ","$3,318.38 ","$3,167.55 ","$3,140.41 ","$7,063.20 ","$6,634.82 ","$4,347.79 ","$2,197.44 ","$7,063.20 ","$3,000.34 ","$7,063.20 ","$7,063.20 ","$3,000.34 ","$5,101.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000465,54161,HC CIRCUMCISION W/O DEVICE  >28 DAYS,360,1 ,"$5,325.00 ","$3,834.00 ","$1,059.32 ","$5,325.00 ","$4,579.76 ","$3,967.13 ","$3,487.88 ","$1,869.63 ","$1,491.00 ","$3,274.88 ","$1,869.63 ","$3,274.88 ","$1,869.63 ","$2,950.05 ","$2,950.05 ","$1,869.63 ","$2,950.05 ","$3,853.70 ","$4,792.50 ","$4,419.75 ","$4,579.76 ","$1,869.63 ","$4,686.00 ","$1,907.03 ","$3,993.75 ","$3,993.75 ","$4,526.25 ","$4,526.25 ","$1,869.63 ","$4,526.25 ","$1,869.63 ","$4,313.25 ","$4,313.25 ","$4,313.25 ","$5,325.00 ","$4,792.50 ","$4,579.76 ","$4,792.50 ","$1,869.63 ","$5,325.00 ","$2,987.33 ","$1,869.63 ","$2,204.55 ","$1,109.77 ","$1,059.32 ","$1,956.91 ","$4,792.50 ","$4,134.43 ","$2,950.05 ","$1,491.00 ","$4,792.50 ","$1,869.63 ","$4,792.50 ","$4,792.50 ","$1,869.63 ","$3,461.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000569,64486,HC TAP BLOCK W/INJ UNILT,360,1 ,"$2,248.00 ","$1,618.56 ",$310.79 ,"$2,248.00 ", N/A ,"$1,674.76 ","$1,472.44 ", N/A ,$629.44 ,"$1,382.52 ", N/A ,"$1,382.52 ", N/A ,"$1,245.39 ","$1,245.39 ", N/A ,"$1,245.39 ", N/A ,"$2,023.20 ","$1,865.84 ", N/A , N/A ,"$1,978.24 ", N/A ,"$1,686.00 ","$1,686.00 ","$1,910.80 ","$1,910.80 ", N/A ,"$1,910.80 ", N/A ,"$1,820.88 ","$1,820.88 ","$1,820.88 ","$2,248.00 ","$2,023.20 ", N/A ,"$2,023.20 ", N/A ,"$2,248.00 ","$1,261.13 ", N/A ,$930.67 ,$325.59 ,$310.79 , N/A ,"$2,023.20 ", N/A ,"$1,245.39 ",$629.44 ,"$2,023.20 ", N/A ,"$2,023.20 ","$2,023.20 ", N/A ,"$1,461.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000583,33221,HC INSERT PACEMAKER PULSE GENERATOR MULT LEADS,360,1 ,"$50,203.00 ","$36,146.16 ","$5,684.99 ","$50,203.00 ","$46,101.83 ","$37,401.24 ","$32,882.97 ","$18,820.52 ","$14,056.84 ","$30,874.85 ","$18,820.52 ","$30,874.85 ","$18,820.52 ","$27,812.46 ","$27,812.46 ","$18,820.52 ","$27,812.46 ","$38,792.96 ","$45,182.70 ","$41,668.49 ","$46,101.83 ","$18,820.52 ","$44,178.64 ","$19,196.93 ","$37,652.25 ","$37,652.25 ","$42,672.55 ","$42,672.55 ","$18,820.52 ","$42,672.55 ","$18,820.52 ","$40,664.43 ","$40,664.43 ","$40,664.43 ","$50,203.00 ","$45,182.70 ","$46,101.83 ","$45,182.70 ","$18,820.52 ","$50,203.00 ","$28,163.88 ","$18,820.52 ","$20,784.04 ","$5,955.71 ","$5,684.99 ","$19,699.17 ","$45,182.70 ","$41,618.96 ","$27,812.46 ","$14,056.84 ","$45,182.70 ","$18,820.52 ","$45,182.70 ","$45,182.70 ","$18,820.52 ","$32,631.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000642,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-LT,360,1 ,$936.00 ,$673.92 ,$262.08 ,"$1,289.45 ",$936.00 ,$697.32 ,$613.08 ,$583.10 ,$262.08 ,$575.64 ,$583.10 ,$575.64 ,$583.10 ,$518.54 ,$518.54 ,$583.10 ,$518.54 ,$936.00 ,$842.40 ,$776.88 ,$936.00 ,$583.10 ,$823.68 ,$594.76 ,$702.00 ,$702.00 ,$795.60 ,$795.60 ,$583.10 ,$795.60 ,$583.10 ,$758.16 ,$758.16 ,$758.16 ,$936.00 ,$842.40 ,$936.00 ,$842.40 ,$583.10 ,$936.00 ,$525.10 ,$583.10 ,$387.50 , N/A , N/A ,$610.32 ,$842.40 ,"$1,289.45 ",$518.54 ,$262.08 ,$842.40 ,$583.10 ,$842.40 ,$842.40 ,$583.10 ,$608.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000643,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-RT,360,1 ,$936.00 ,$673.92 ,$262.08 ,"$1,289.45 ",$936.00 ,$697.32 ,$613.08 ,$583.10 ,$262.08 ,$575.64 ,$583.10 ,$575.64 ,$583.10 ,$518.54 ,$518.54 ,$583.10 ,$518.54 ,$936.00 ,$842.40 ,$776.88 ,$936.00 ,$583.10 ,$823.68 ,$594.76 ,$702.00 ,$702.00 ,$795.60 ,$795.60 ,$583.10 ,$795.60 ,$583.10 ,$758.16 ,$758.16 ,$758.16 ,$936.00 ,$842.40 ,$936.00 ,$842.40 ,$583.10 ,$936.00 ,$525.10 ,$583.10 ,$387.50 , N/A , N/A ,$610.32 ,$842.40 ,"$1,289.45 ",$518.54 ,$262.08 ,$842.40 ,$583.10 ,$842.40 ,$842.40 ,$583.10 ,$608.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000644,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-BIL,360,1 ,"$1,310.00 ",$943.20 ,$366.80 ,"$1,934.17 ","$1,310.00 ",$975.95 ,$858.05 ,$874.65 ,$366.80 ,$805.65 ,$874.65 ,$805.65 ,$874.65 ,$725.74 ,$725.74 ,$874.65 ,$725.74 ,"$1,310.00 ","$1,179.00 ","$1,087.30 ","$1,310.00 ",$874.65 ,"$1,152.80 ",$892.14 ,$982.50 ,$982.50 ,"$1,113.50 ","$1,113.50 ",$874.65 ,"$1,113.50 ",$874.65 ,"$1,061.10 ","$1,061.10 ","$1,061.10 ","$1,310.00 ","$1,179.00 ","$1,310.00 ","$1,179.00 ",$874.65 ,"$1,310.00 ",$734.91 ,$874.65 ,$542.34 , N/A , N/A ,$915.49 ,"$1,179.00 ","$1,934.17 ",$725.74 ,$366.80 ,"$1,179.00 ",$874.65 ,"$1,179.00 ","$1,179.00 ",$874.65 ,$851.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000650,36475,HC ABLATION THPY EXTREM PERC RADFQ INIT VEIN,360,1 ,"$8,695.00 ","$6,260.40 ","$1,704.61 ","$8,695.00 ","$7,355.18 ","$6,477.78 ","$5,695.23 ","$3,002.66 ","$2,434.60 ","$5,347.43 ","$3,002.66 ","$5,347.43 ","$3,002.66 ","$4,817.03 ","$4,817.03 ","$3,002.66 ","$4,817.03 ","$6,189.11 ","$7,825.50 ","$7,216.85 ","$7,355.18 ","$3,002.66 ","$7,651.60 ","$3,062.72 ","$6,521.25 ","$6,521.25 ","$7,390.75 ","$7,390.75 ","$3,002.66 ","$7,390.75 ","$3,002.66 ","$7,042.95 ","$7,042.95 ","$7,042.95 ","$8,695.00 ","$7,825.50 ","$7,355.18 ","$7,825.50 ","$3,002.66 ","$8,695.00 ","$4,877.90 ","$3,002.66 ","$3,599.73 ","$1,785.78 ","$1,704.61 ","$3,142.84 ","$7,825.50 ","$6,639.97 ","$4,817.03 ","$2,434.60 ","$7,825.50 ","$3,002.66 ","$7,825.50 ","$7,825.50 ","$3,002.66 ","$5,651.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000651,36476,HC ABLATION THPY EXTREM PERC RADFQ ADDL VEIN,360,1 ,"$3,733.00 ","$2,687.76 ","$1,045.24 ","$3,733.00 ", N/A ,"$2,781.09 ","$2,445.12 ", N/A ,"$1,045.24 ","$2,295.80 ", N/A ,"$2,295.80 ", N/A ,"$2,068.08 ","$2,068.08 ", N/A ,"$2,068.08 ", N/A ,"$3,359.70 ","$3,098.39 ", N/A , N/A ,"$3,285.04 ", N/A ,"$2,799.75 ","$2,799.75 ","$3,173.05 ","$3,173.05 ", N/A ,"$3,173.05 ", N/A ,"$3,023.73 ","$3,023.73 ","$3,023.73 ","$3,733.00 ","$3,359.70 ", N/A ,"$3,359.70 ", N/A ,"$3,733.00 ","$2,094.21 ", N/A ,"$1,545.46 ","$1,785.78 ","$1,704.61 ", N/A ,"$3,359.70 ", N/A ,"$2,068.08 ","$1,045.24 ","$3,359.70 ", N/A ,"$3,359.70 ","$3,359.70 ", N/A ,"$2,426.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000652,36478,HC ABLATION THPY EXTREM PERC LASER INIT VEIN,360,1 ,"$7,500.00 ","$5,400.00 ","$1,704.61 ","$7,500.00 ","$7,355.18 ","$5,587.50 ","$4,912.50 ","$3,002.66 ","$2,100.00 ","$4,612.50 ","$3,002.66 ","$4,612.50 ","$3,002.66 ","$4,155.00 ","$4,155.00 ","$3,002.66 ","$4,155.00 ","$6,189.11 ","$6,750.00 ","$6,225.00 ","$7,355.18 ","$3,002.66 ","$6,600.00 ","$3,062.72 ","$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ","$3,002.66 ","$6,375.00 ","$3,002.66 ","$6,075.00 ","$6,075.00 ","$6,075.00 ","$7,500.00 ","$6,750.00 ","$7,355.18 ","$6,750.00 ","$3,002.66 ","$7,500.00 ","$4,207.50 ","$3,002.66 ","$3,105.00 ","$1,785.78 ","$1,704.61 ","$3,142.84 ","$6,750.00 ","$6,639.97 ","$4,155.00 ","$2,100.00 ","$6,750.00 ","$3,002.66 ","$6,750.00 ","$6,750.00 ","$3,002.66 ","$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000653,36479,HC ABLATION THPY EXTREM PERC LASER ADDL VEIN,360,1 ,"$3,750.00 ","$2,700.00 ","$1,050.00 ","$3,750.00 ", N/A ,"$2,793.75 ","$2,456.25 ", N/A ,"$1,050.00 ","$2,306.25 ", N/A ,"$2,306.25 ", N/A ,"$2,077.50 ","$2,077.50 ", N/A ,"$2,077.50 ", N/A ,"$3,375.00 ","$3,112.50 ", N/A , N/A ,"$3,300.00 ", N/A ,"$2,812.50 ","$2,812.50 ","$3,187.50 ","$3,187.50 ", N/A ,"$3,187.50 ", N/A ,"$3,037.50 ","$3,037.50 ","$3,037.50 ","$3,750.00 ","$3,375.00 ", N/A ,"$3,375.00 ", N/A ,"$3,750.00 ","$2,103.75 ", N/A ,"$1,552.50 ","$1,785.78 ","$1,704.61 ", N/A ,"$3,375.00 ", N/A ,"$2,077.50 ","$1,050.00 ","$3,375.00 ", N/A ,"$3,375.00 ","$3,375.00 ", N/A ,"$2,437.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000656,36660,HC CATHERIZATION UMBILICAL ARTERY NEWBORN,360,1 ,$153.00 ,$110.16 ,$42.84 ,$153.00 , N/A ,$113.99 ,$100.22 , N/A ,$42.84 ,$94.10 , N/A ,$94.10 , N/A ,$84.76 ,$84.76 , N/A ,$84.76 , N/A ,$137.70 ,$126.99 , N/A , N/A ,$134.64 , N/A ,$114.75 ,$114.75 ,$130.05 ,$130.05 , N/A ,$130.05 , N/A ,$123.93 ,$123.93 ,$123.93 ,$153.00 ,$137.70 , N/A ,$137.70 , N/A ,$153.00 ,$85.83 , N/A ,$63.34 , N/A , N/A , N/A ,$137.70 , N/A ,$84.76 ,$42.84 ,$137.70 , N/A ,$137.70 ,$137.70 , N/A ,$99.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000667,37765,HC STAB PHLEBECTOMRY VEINS EXTREM 10-20 INCISIONS,360,1 ,"$7,582.00 ","$5,459.04 ",$620.21 ,"$7,582.00 ","$7,355.18 ","$5,648.59 ","$4,966.21 ","$3,002.66 ","$2,122.96 ","$4,662.93 ","$3,002.66 ","$4,662.93 ","$3,002.66 ","$4,200.43 ","$4,200.43 ","$3,002.66 ","$4,200.43 ","$6,189.11 ","$6,823.80 ","$6,293.06 ","$7,355.18 ","$3,002.66 ","$6,672.16 ","$3,062.72 ","$5,686.50 ","$5,686.50 ","$6,444.70 ","$6,444.70 ","$3,002.66 ","$6,444.70 ","$3,002.66 ","$6,141.42 ","$6,141.42 ","$6,141.42 ","$7,582.00 ","$6,823.80 ","$7,355.18 ","$6,823.80 ","$3,002.66 ","$7,582.00 ","$4,253.50 ","$3,002.66 ","$3,138.95 ",$649.75 ,$620.21 ,"$3,142.84 ","$6,823.80 ","$6,639.97 ","$4,200.43 ","$2,122.96 ","$6,823.80 ","$3,002.66 ","$6,823.80 ","$6,823.80 ","$3,002.66 ","$4,928.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000668,37766,HC STAB PHLEBECTOMRY VEINS EXTREM >20 INCISIONS,360,1 ,"$8,488.00 ","$6,111.36 ",$620.21 ,"$8,488.00 ","$7,355.18 ","$6,323.56 ","$5,559.64 ","$3,002.66 ","$2,376.64 ","$5,220.12 ","$3,002.66 ","$5,220.12 ","$3,002.66 ","$4,702.35 ","$4,702.35 ","$3,002.66 ","$4,702.35 ","$6,189.11 ","$7,639.20 ","$7,045.04 ","$7,355.18 ","$3,002.66 ","$7,469.44 ","$3,062.72 ","$6,366.00 ","$6,366.00 ","$7,214.80 ","$7,214.80 ","$3,002.66 ","$7,214.80 ","$3,002.66 ","$6,875.28 ","$6,875.28 ","$6,875.28 ","$8,488.00 ","$7,639.20 ","$7,355.18 ","$7,639.20 ","$3,002.66 ","$8,488.00 ","$4,761.77 ","$3,002.66 ","$3,514.03 ",$649.75 ,$620.21 ,"$3,142.84 ","$7,639.20 ","$6,639.97 ","$4,702.35 ","$2,376.64 ","$7,639.20 ","$3,002.66 ","$7,639.20 ","$7,639.20 ","$3,002.66 ","$5,517.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000680,50590,HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE UNI,360,1 ,"$16,225.00 ","$11,682.00 ","$1,819.92 ","$16,225.00 ","$7,913.55 ","$12,087.63 ","$10,627.38 ","$3,230.61 ","$4,543.00 ","$9,978.38 ","$3,230.61 ","$9,978.38 ","$3,230.61 ","$8,988.65 ","$8,988.65 ","$3,230.61 ","$8,988.65 ","$6,658.96 ","$14,602.50 ","$13,466.75 ","$7,913.55 ","$3,230.61 ","$14,278.00 ","$3,295.22 ","$12,168.75 ","$12,168.75 ","$13,791.25 ","$13,791.25 ","$3,230.61 ","$13,791.25 ","$3,230.61 ","$13,142.25 ","$13,142.25 ","$13,142.25 ","$16,225.00 ","$14,602.50 ","$7,913.55 ","$14,602.50 ","$3,230.61 ","$16,225.00 ","$9,102.23 ","$3,230.61 ","$6,717.15 ","$1,906.59 ","$1,819.92 ","$3,381.43 ","$14,602.50 ","$7,144.05 ","$8,988.65 ","$4,543.00 ","$14,602.50 ","$3,230.61 ","$14,602.50 ","$14,602.50 ","$3,230.61 ","$10,546.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000681,50590,HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE BIL,360,1 ,"$17,848.00 ","$12,850.56 ","$1,819.92 ","$17,848.00 ","$7,913.55 ","$13,296.76 ","$11,690.44 ","$3,230.61 ","$4,997.44 ","$10,976.52 ","$3,230.61 ","$10,976.52 ","$3,230.61 ","$9,887.79 ","$9,887.79 ","$3,230.61 ","$9,887.79 ","$6,658.96 ","$16,063.20 ","$14,813.84 ","$7,913.55 ","$3,230.61 ","$15,706.24 ","$3,295.22 ","$13,386.00 ","$13,386.00 ","$15,170.80 ","$15,170.80 ","$3,230.61 ","$15,170.80 ","$3,230.61 ","$14,456.88 ","$14,456.88 ","$14,456.88 ","$17,848.00 ","$16,063.20 ","$7,913.55 ","$16,063.20 ","$3,230.61 ","$17,848.00 ","$10,012.73 ","$3,230.61 ","$7,389.07 ","$1,906.59 ","$1,819.92 ","$3,381.43 ","$16,063.20 ","$7,144.05 ","$9,887.79 ","$4,997.44 ","$16,063.20 ","$3,230.61 ","$16,063.20 ","$16,063.20 ","$3,230.61 ","$11,601.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000685,28825,HC AMPUTATION INTERPHALANGEAL JOINT,360,1 ,"$7,609.00 ","$5,478.48 ","$1,333.63 ","$7,609.00 ","$7,349.48 ","$5,668.71 ","$4,983.90 ","$3,000.34 ","$2,130.52 ","$4,679.54 ","$3,000.34 ","$4,679.54 ","$3,000.34 ","$4,215.39 ","$4,215.39 ","$3,000.34 ","$4,215.39 ","$6,184.31 ","$6,848.10 ","$6,315.47 ","$7,349.48 ","$3,000.34 ","$6,695.92 ","$3,060.34 ","$5,706.75 ","$5,706.75 ","$6,467.65 ","$6,467.65 ","$3,000.34 ","$6,467.65 ","$3,000.34 ","$6,163.29 ","$6,163.29 ","$6,163.29 ","$7,609.00 ","$6,848.10 ","$7,349.48 ","$6,848.10 ","$3,000.34 ","$7,609.00 ","$4,268.65 ","$3,000.34 ","$3,150.13 ","$1,397.13 ","$1,333.63 ","$3,140.41 ","$6,848.10 ","$6,634.82 ","$4,215.39 ","$2,130.52 ","$6,848.10 ","$3,000.34 ","$6,848.10 ","$6,848.10 ","$3,000.34 ","$4,945.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000755,41018,HC I AND D MASTICATOR SPACE,360,1 ,"$4,058.37 ","$2,922.03 ",$904.41 ,"$4,058.37 ","$3,427.37 ","$3,023.49 ","$2,658.23 ","$1,399.19 ","$1,136.34 ","$2,495.90 ","$1,399.19 ","$2,495.90 ","$1,399.19 ","$2,248.34 ","$2,248.34 ","$1,399.19 ","$2,248.34 ","$2,884.00 ","$3,652.53 ","$3,368.45 ","$3,427.37 ","$1,399.19 ","$3,571.37 ","$1,427.16 ","$3,043.78 ","$3,043.78 ","$3,449.61 ","$3,449.61 ","$1,399.19 ","$3,449.61 ","$1,399.19 ","$3,287.28 ","$3,287.28 ","$3,287.28 ","$4,058.37 ","$3,652.53 ","$3,427.37 ","$3,652.53 ","$1,399.19 ","$4,058.37 ","$2,276.75 ","$1,399.19 ","$1,680.17 ",$947.47 ,$904.41 ,"$1,464.50 ","$3,652.53 ","$3,094.09 ","$2,248.34 ","$1,136.34 ","$3,652.53 ","$1,399.19 ","$3,652.53 ","$3,652.53 ","$1,399.19 ","$2,637.94 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000758,43460,HC PRESSURE TREATMENT ESOPHAGUS,360,1 ,"$1,569.12 ","$1,129.77 ",$439.35 ,"$1,569.12 ", N/A ,"$1,168.99 ","$1,027.77 ", N/A ,$439.35 ,$965.01 , N/A ,$965.01 , N/A ,$869.29 ,$869.29 , N/A ,$869.29 , N/A ,"$1,412.21 ","$1,302.37 ", N/A , N/A ,"$1,380.83 ", N/A ,"$1,176.84 ","$1,176.84 ","$1,333.75 ","$1,333.75 ", N/A ,"$1,333.75 ", N/A ,"$1,270.99 ","$1,270.99 ","$1,270.99 ","$1,569.12 ","$1,412.21 ", N/A ,"$1,412.21 ", N/A ,"$1,569.12 ",$880.28 , N/A ,$649.62 , N/A , N/A , N/A ,"$1,412.21 ", N/A ,$869.29 ,$439.35 ,"$1,412.21 ", N/A ,"$1,412.21 ","$1,412.21 ", N/A ,"$1,019.93 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36000761,54115,HC REMOVAL FOREIGN BODY DEEP PENILE TISSUE,360,1 ,"$6,748.71 ","$4,859.07 ","$1,690.65 ","$6,748.71 ","$6,378.13 ","$5,027.79 ","$4,420.41 ","$2,603.79 ","$1,889.64 ","$4,150.46 ","$2,603.79 ","$4,150.46 ","$2,603.79 ","$3,738.79 ","$3,738.79 ","$2,603.79 ","$3,738.79 ","$5,366.96 ","$6,073.84 ","$5,601.43 ","$6,378.13 ","$2,603.79 ","$5,938.86 ","$2,655.87 ","$5,061.53 ","$5,061.53 ","$5,736.40 ","$5,736.40 ","$2,603.79 ","$5,736.40 ","$2,603.79 ","$5,466.46 ","$5,466.46 ","$5,466.46 ","$6,748.71 ","$6,073.84 ","$6,378.13 ","$6,073.84 ","$2,603.79 ","$6,748.71 ","$3,786.03 ","$2,603.79 ","$2,793.97 ","$1,771.15 ","$1,690.65 ","$2,725.35 ","$6,073.84 ","$5,757.93 ","$3,738.79 ","$1,889.64 ","$6,073.84 ","$2,603.79 ","$6,073.84 ","$6,073.84 ","$2,603.79 ","$4,386.66 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,"$1,069.20 ",$769.82 ,$299.38 ,"$1,069.20 ", N/A ,$796.55 ,$700.33 , N/A ,$299.38 ,$657.56 , N/A ,$657.56 , N/A ,$592.34 ,$592.34 , N/A ,$592.34 , N/A ,$962.28 ,$887.44 , N/A , N/A ,$940.90 , N/A ,$801.90 ,$801.90 ,$908.82 ,$908.82 , N/A ,$908.82 , N/A ,$866.05 ,$866.05 ,$866.05 ,"$1,069.20 ",$962.28 , N/A ,$962.28 , N/A ,"$1,069.20 ",$599.82 , N/A ,$442.65 , N/A , N/A , N/A ,$962.28 , N/A ,$592.34 ,$299.38 ,$962.28 , N/A ,$962.28 ,$962.28 , N/A ,$694.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,"$1,219.32 ",$877.91 ,$341.41 ,"$1,219.32 ", N/A ,$908.39 ,$798.65 , N/A ,$341.41 ,$749.88 , N/A ,$749.88 , N/A ,$675.50 ,$675.50 , N/A ,$675.50 , N/A ,"$1,097.39 ","$1,012.04 ", N/A , N/A ,"$1,073.00 ", N/A ,$914.49 ,$914.49 ,"$1,036.42 ","$1,036.42 ", N/A ,"$1,036.42 ", N/A ,$987.65 ,$987.65 ,$987.65 ,"$1,219.32 ","$1,097.39 ", N/A ,"$1,097.39 ", N/A ,"$1,219.32 ",$684.04 , N/A ,$504.80 , N/A , N/A , N/A ,"$1,097.39 ", N/A ,$675.50 ,$341.41 ,"$1,097.39 ", N/A ,"$1,097.39 ","$1,097.39 ", N/A ,$792.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,"$1,422.36 ","$1,024.10 ",$398.26 ,"$1,422.36 ", N/A ,"$1,059.66 ",$931.65 , N/A ,$398.26 ,$874.75 , N/A ,$874.75 , N/A ,$787.99 ,$787.99 , N/A ,$787.99 , N/A ,"$1,280.12 ","$1,180.56 ", N/A , N/A ,"$1,251.68 ", N/A ,"$1,066.77 ","$1,066.77 ","$1,209.01 ","$1,209.01 ", N/A ,"$1,209.01 ", N/A ,"$1,152.11 ","$1,152.11 ","$1,152.11 ","$1,422.36 ","$1,280.12 ", N/A ,"$1,280.12 ", N/A ,"$1,422.36 ",$797.94 , N/A ,$588.86 , N/A , N/A , N/A ,"$1,280.12 ", N/A ,$787.99 ,$398.26 ,"$1,280.12 ", N/A ,"$1,280.12 ","$1,280.12 ", N/A ,$924.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,"$1,604.88 ","$1,155.51 ",$449.37 ,"$1,604.88 ", N/A ,"$1,195.64 ","$1,051.20 ", N/A ,$449.37 ,$987.00 , N/A ,$987.00 , N/A ,$889.10 ,$889.10 , N/A ,$889.10 , N/A ,"$1,444.39 ","$1,332.05 ", N/A , N/A ,"$1,412.29 ", N/A ,"$1,203.66 ","$1,203.66 ","$1,364.15 ","$1,364.15 ", N/A ,"$1,364.15 ", N/A ,"$1,299.95 ","$1,299.95 ","$1,299.95 ","$1,604.88 ","$1,444.39 ", N/A ,"$1,444.39 ", N/A ,"$1,604.88 ",$900.34 , N/A ,$664.42 , N/A , N/A , N/A ,"$1,444.39 ", N/A ,$889.10 ,$449.37 ,"$1,444.39 ", N/A ,"$1,444.39 ","$1,444.39 ", N/A ,"$1,043.17 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,"$1,789.56 ","$1,288.48 ",$501.08 ,"$1,789.56 ", N/A ,"$1,333.22 ","$1,172.16 ", N/A ,$501.08 ,"$1,100.58 ", N/A ,"$1,100.58 ", N/A ,$991.42 ,$991.42 , N/A ,$991.42 , N/A ,"$1,610.60 ","$1,485.33 ", N/A , N/A ,"$1,574.81 ", N/A ,"$1,342.17 ","$1,342.17 ","$1,521.13 ","$1,521.13 ", N/A ,"$1,521.13 ", N/A ,"$1,449.54 ","$1,449.54 ","$1,449.54 ","$1,789.56 ","$1,610.60 ", N/A ,"$1,610.60 ", N/A ,"$1,789.56 ","$1,003.94 ", N/A ,$740.88 , N/A , N/A , N/A ,"$1,610.60 ", N/A ,$991.42 ,$501.08 ,"$1,610.60 ", N/A ,"$1,610.60 ","$1,610.60 ", N/A ,"$1,163.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060024,N/A,HC OR LEVEL 6 ADDL 15MIN,360,1 ,"$1,973.16 ","$1,420.68 ",$552.48 ,"$1,973.16 ", N/A ,"$1,470.00 ","$1,292.42 ", N/A ,$552.48 ,"$1,213.49 ", N/A ,"$1,213.49 ", N/A ,"$1,093.13 ","$1,093.13 ", N/A ,"$1,093.13 ", N/A ,"$1,775.84 ","$1,637.72 ", N/A , N/A ,"$1,736.38 ", N/A ,"$1,479.87 ","$1,479.87 ","$1,677.19 ","$1,677.19 ", N/A ,"$1,677.19 ", N/A ,"$1,598.26 ","$1,598.26 ","$1,598.26 ","$1,973.16 ","$1,775.84 ", N/A ,"$1,775.84 ", N/A ,"$1,973.16 ","$1,106.94 ", N/A ,$816.89 , N/A , N/A , N/A ,"$1,775.84 ", N/A ,"$1,093.13 ",$552.48 ,"$1,775.84 ", N/A ,"$1,775.84 ","$1,775.84 ", N/A ,"$1,282.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060025,N/A,HC OR LEVEL 1 INITIAL 30MIN,360,1 ,"$2,231.28 ","$1,606.52 ",$624.76 ,"$2,231.28 ", N/A ,"$1,662.30 ","$1,461.49 ", N/A ,$624.76 ,"$1,372.24 ", N/A ,"$1,372.24 ", N/A ,"$1,236.13 ","$1,236.13 ", N/A ,"$1,236.13 ", N/A ,"$2,008.15 ","$1,851.96 ", N/A , N/A ,"$1,963.53 ", N/A ,"$1,673.46 ","$1,673.46 ","$1,896.59 ","$1,896.59 ", N/A ,"$1,896.59 ", N/A ,"$1,807.34 ","$1,807.34 ","$1,807.34 ","$2,231.28 ","$2,008.15 ", N/A ,"$2,008.15 ", N/A ,"$2,231.28 ","$1,251.75 ", N/A ,$923.75 , N/A , N/A , N/A ,"$2,008.15 ", N/A ,"$1,236.13 ",$624.76 ,"$2,008.15 ", N/A ,"$2,008.15 ","$2,008.15 ", N/A ,"$1,450.33 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060026,N/A,HC OR LEVEL 2 INITIAL 30MIN,360,1 ,"$2,436.48 ","$1,754.27 ",$682.21 ,"$2,436.48 ", N/A ,"$1,815.18 ","$1,595.89 ", N/A ,$682.21 ,"$1,498.44 ", N/A ,"$1,498.44 ", N/A ,"$1,349.81 ","$1,349.81 ", N/A ,"$1,349.81 ", N/A ,"$2,192.83 ","$2,022.28 ", N/A , N/A ,"$2,144.10 ", N/A ,"$1,827.36 ","$1,827.36 ","$2,071.01 ","$2,071.01 ", N/A ,"$2,071.01 ", N/A ,"$1,973.55 ","$1,973.55 ","$1,973.55 ","$2,436.48 ","$2,192.83 ", N/A ,"$2,192.83 ", N/A ,"$2,436.48 ","$1,366.87 ", N/A ,"$1,008.70 ", N/A , N/A , N/A ,"$2,192.83 ", N/A ,"$1,349.81 ",$682.21 ,"$2,192.83 ", N/A ,"$2,192.83 ","$2,192.83 ", N/A ,"$1,583.71 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060027,N/A,HC OR LEVEL 3 INITIAL 30MIN,360,1 ,"$3,175.20 ","$2,286.14 ",$889.06 ,"$3,175.20 ", N/A ,"$2,365.52 ","$2,079.76 ", N/A ,$889.06 ,"$1,952.75 ", N/A ,"$1,952.75 ", N/A ,"$1,759.06 ","$1,759.06 ", N/A ,"$1,759.06 ", N/A ,"$2,857.68 ","$2,635.42 ", N/A , N/A ,"$2,794.18 ", N/A ,"$2,381.40 ","$2,381.40 ","$2,698.92 ","$2,698.92 ", N/A ,"$2,698.92 ", N/A ,"$2,571.91 ","$2,571.91 ","$2,571.91 ","$3,175.20 ","$2,857.68 ", N/A ,"$2,857.68 ", N/A ,"$3,175.20 ","$1,781.29 ", N/A ,"$1,314.53 ", N/A , N/A , N/A ,"$2,857.68 ", N/A ,"$1,759.06 ",$889.06 ,"$2,857.68 ", N/A ,"$2,857.68 ","$2,857.68 ", N/A ,"$2,063.88 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060028,N/A,HC OR LEVEL 4 INITIAL 30MIN,360,1 ,"$4,569.48 ","$3,290.03 ","$1,279.45 ","$4,569.48 ", N/A ,"$3,404.26 ","$2,993.01 ", N/A ,"$1,279.45 ","$2,810.23 ", N/A ,"$2,810.23 ", N/A ,"$2,531.49 ","$2,531.49 ", N/A ,"$2,531.49 ", N/A ,"$4,112.53 ","$3,792.67 ", N/A , N/A ,"$4,021.14 ", N/A ,"$3,427.11 ","$3,427.11 ","$3,884.06 ","$3,884.06 ", N/A ,"$3,884.06 ", N/A ,"$3,701.28 ","$3,701.28 ","$3,701.28 ","$4,569.48 ","$4,112.53 ", N/A ,"$4,112.53 ", N/A ,"$4,569.48 ","$2,563.48 ", N/A ,"$1,891.76 ", N/A , N/A , N/A ,"$4,112.53 ", N/A ,"$2,531.49 ","$1,279.45 ","$4,112.53 ", N/A ,"$4,112.53 ","$4,112.53 ", N/A ,"$2,970.16 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060029,N/A,HC OR LEVEL 5 INITIAL 30MIN,360,1 ,"$5,798.52 ","$4,174.93 ","$1,623.59 ","$5,798.52 ", N/A ,"$4,319.90 ","$3,798.03 ", N/A ,"$1,623.59 ","$3,566.09 ", N/A ,"$3,566.09 ", N/A ,"$3,212.38 ","$3,212.38 ", N/A ,"$3,212.38 ", N/A ,"$5,218.67 ","$4,812.77 ", N/A , N/A ,"$5,102.70 ", N/A ,"$4,348.89 ","$4,348.89 ","$4,928.74 ","$4,928.74 ", N/A ,"$4,928.74 ", N/A ,"$4,696.80 ","$4,696.80 ","$4,696.80 ","$5,798.52 ","$5,218.67 ", N/A ,"$5,218.67 ", N/A ,"$5,798.52 ","$3,252.97 ", N/A ,"$2,400.59 ", N/A , N/A , N/A ,"$5,218.67 ", N/A ,"$3,212.38 ","$1,623.59 ","$5,218.67 ", N/A ,"$5,218.67 ","$5,218.67 ", N/A ,"$3,769.04 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060030,N/A,HC OR LEVEL 6 INITIAL 30MIN,360,1 ,"$6,785.64 ","$4,885.66 ","$1,899.98 ","$6,785.64 ", N/A ,"$5,055.30 ","$4,444.59 ", N/A ,"$1,899.98 ","$4,173.17 ", N/A ,"$4,173.17 ", N/A ,"$3,759.24 ","$3,759.24 ", N/A ,"$3,759.24 ", N/A ,"$6,107.08 ","$5,632.08 ", N/A , N/A ,"$5,971.36 ", N/A ,"$5,089.23 ","$5,089.23 ","$5,767.79 ","$5,767.79 ", N/A ,"$5,767.79 ", N/A ,"$5,496.37 ","$5,496.37 ","$5,496.37 ","$6,785.64 ","$6,107.08 ", N/A ,"$6,107.08 ", N/A ,"$6,785.64 ","$3,806.74 ", N/A ,"$2,809.26 ", N/A , N/A , N/A ,"$6,107.08 ", N/A ,"$3,759.24 ","$1,899.98 ","$6,107.08 ", N/A ,"$6,107.08 ","$6,107.08 ", N/A ,"$4,410.67 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060040,N/A,HC OR LEVEL LITHOTRIPSY INITIAL 45 MIN,360,1 ,"$18,924.84 ","$13,625.88 ","$5,298.96 ","$18,924.84 ", N/A ,"$14,099.01 ","$12,395.77 ", N/A ,"$5,298.96 ","$11,638.78 ", N/A ,"$11,638.78 ", N/A ,"$10,484.36 ","$10,484.36 ", N/A ,"$10,484.36 ", N/A ,"$17,032.36 ","$15,707.62 ", N/A , N/A ,"$16,653.86 ", N/A ,"$14,193.63 ","$14,193.63 ","$16,086.11 ","$16,086.11 ", N/A ,"$16,086.11 ", N/A ,"$15,329.12 ","$15,329.12 ","$15,329.12 ","$18,924.84 ","$17,032.36 ", N/A ,"$17,032.36 ", N/A ,"$18,924.84 ","$10,616.84 ", N/A ,"$7,834.88 ", N/A , N/A , N/A ,"$17,032.36 ", N/A ,"$10,484.36 ","$5,298.96 ","$17,032.36 ", N/A ,"$17,032.36 ","$17,032.36 ", N/A ,"$12,301.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36060041,N/A,HC OR LEVEL LITHOTRIPSY ADDL 15 MIN,360,1 ,"$1,315.44 ",$947.12 ,$368.32 ,"$1,315.44 ", N/A ,$980.00 ,$861.61 , N/A ,$368.32 ,$809.00 , N/A ,$809.00 , N/A ,$728.75 ,$728.75 , N/A ,$728.75 , N/A ,"$1,183.90 ","$1,091.82 ", N/A , N/A ,"$1,157.59 ", N/A ,$986.58 ,$986.58 ,"$1,118.12 ","$1,118.12 ", N/A ,"$1,118.12 ", N/A ,"$1,065.51 ","$1,065.51 ","$1,065.51 ","$1,315.44 ","$1,183.90 ", N/A ,"$1,183.90 ", N/A ,"$1,315.44 ",$737.96 , N/A ,$544.59 , N/A , N/A , N/A ,"$1,183.90 ", N/A ,$728.75 ,$368.32 ,"$1,183.90 ", N/A ,"$1,183.90 ","$1,183.90 ", N/A ,$855.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,$758.00 ,$545.76 ,$212.24 ,$758.00 ,$671.31 ,$564.71 ,$496.49 ,$274.06 ,$212.24 ,$466.17 ,$274.06 ,$466.17 ,$274.06 ,$419.93 ,$419.93 ,$274.06 ,$419.93 ,$564.88 ,$682.20 ,$629.14 ,$671.31 ,$274.06 ,$667.04 ,$279.54 ,$568.50 ,$568.50 ,$644.30 ,$644.30 ,$274.06 ,$644.30 ,$274.06 ,$613.98 ,$613.98 ,$613.98 ,$758.00 ,$682.20 ,$671.31 ,$682.20 ,$274.06 ,$758.00 ,$425.24 ,$274.06 ,$313.81 ,$325.59 ,$310.79 ,$286.85 ,$682.20 ,$606.03 ,$419.93 ,$212.24 ,$682.20 ,$274.06 ,$682.20 ,$682.20 ,$274.06 ,$492.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36080008,64417,HC NERVE BLOCK AXILLARY NERVE,360,1 ,"$2,248.00 ","$1,618.56 ",$310.79 ,"$2,248.00 ","$2,104.06 ","$1,674.76 ","$1,472.44 ",$858.96 ,$629.44 ,"$1,382.52 ",$858.96 ,"$1,382.52 ",$858.96 ,"$1,245.39 ","$1,245.39 ",$858.96 ,"$1,245.39 ","$1,770.49 ","$2,023.20 ","$1,865.84 ","$2,104.06 ",$858.96 ,"$1,978.24 ",$876.14 ,"$1,686.00 ","$1,686.00 ","$1,910.80 ","$1,910.80 ",$858.96 ,"$1,910.80 ",$858.96 ,"$1,820.88 ","$1,820.88 ","$1,820.88 ","$2,248.00 ","$2,023.20 ","$2,104.06 ","$2,023.20 ",$858.96 ,"$2,248.00 ","$1,261.13 ",$858.96 ,$930.67 ,$325.59 ,$310.79 ,$899.06 ,"$2,023.20 ","$1,899.47 ","$1,245.39 ",$629.44 ,"$2,023.20 ",$858.96 ,"$2,023.20 ","$2,023.20 ",$858.96 ,"$1,461.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100004,50430,HC INJ NEPH URET W G SI NEW ACCESS,361,1 ,"$6,180.73 ","$4,450.13 ",$245.34 ,"$6,180.73 ","$1,543.99 ","$4,604.64 ","$4,048.38 ",$630.32 ,"$1,730.60 ","$3,801.15 ",$630.32 ,"$3,801.15 ",$630.32 ,"$3,424.12 ","$3,424.12 ",$630.32 ,"$3,424.12 ","$1,299.21 ","$5,562.66 ","$5,130.01 ","$1,543.99 ",$630.32 ,"$5,439.04 ",$642.92 ,"$4,635.55 ","$4,635.55 ","$5,253.62 ","$5,253.62 ",$630.32 ,"$5,253.62 ",$630.32 ,"$5,006.39 ","$5,006.39 ","$5,006.39 ","$6,180.73 ","$5,562.66 ","$1,543.99 ","$5,562.66 ",$630.32 ,"$6,180.73 ","$3,467.39 ",$630.32 ,"$2,558.82 ",$257.03 ,$245.34 ,$659.74 ,"$5,562.66 ","$1,393.85 ","$3,424.12 ","$1,730.60 ","$5,562.66 ",$630.32 ,"$5,562.66 ","$5,562.66 ",$630.32 ,"$4,017.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100004,50430,HC INJ NEPH URET W G SI NEW ACCESS,361,1 ,"$9,270.00 ","$6,674.40 ",$368.01 ,"$9,270.00 ","$1,543.99 ","$6,906.15 ","$6,071.85 ",$630.32 ,"$2,595.60 ","$5,701.05 ",$630.32 ,"$5,701.05 ",$630.32 ,"$5,135.58 ","$5,135.58 ",$630.32 ,"$5,135.58 ","$1,299.21 ","$8,343.00 ","$7,694.10 ","$1,543.99 ",$630.32 ,"$8,157.60 ",$642.92 ,"$6,952.50 ","$6,952.50 ","$7,879.50 ","$7,879.50 ",$630.32 ,"$7,879.50 ",$630.32 ,"$7,508.70 ","$7,508.70 ","$7,508.70 ","$9,270.00 ","$8,343.00 ","$1,543.99 ","$8,343.00 ",$630.32 ,"$9,270.00 ","$5,200.47 ",$630.32 ,"$3,837.78 ",$385.54 ,$368.01 ,$659.74 ,"$8,343.00 ","$1,393.85 ","$5,135.58 ","$2,595.60 ","$8,343.00 ",$630.32 ,"$8,343.00 ","$8,343.00 ",$630.32 ,"$6,025.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100006,50434,HC CONVERT NEPH CTH NEPHUR CTH WG S AND I EXST TRACT,361,1 ,"$4,251.00 ","$3,060.72 ",$767.08 ,"$4,251.00 ","$4,251.00 ","$3,167.00 ","$2,784.41 ","$1,869.63 ","$1,190.28 ","$2,614.37 ","$1,869.63 ","$2,614.37 ","$1,869.63 ","$2,355.05 ","$2,355.05 ","$1,869.63 ","$2,355.05 ","$3,853.70 ","$3,825.90 ","$3,528.33 ","$4,251.00 ","$1,869.63 ","$3,740.88 ","$1,907.03 ","$3,188.25 ","$3,188.25 ","$3,613.35 ","$3,613.35 ","$1,869.63 ","$3,613.35 ","$1,869.63 ","$3,443.31 ","$3,443.31 ","$3,443.31 ","$4,251.00 ","$3,825.90 ","$4,251.00 ","$3,825.90 ","$1,869.63 ","$4,251.00 ","$2,384.81 ","$1,869.63 ","$1,759.91 ",$803.61 ,$767.08 ,"$1,956.91 ","$3,825.90 ","$4,134.43 ","$2,355.05 ","$1,190.28 ","$3,825.90 ","$1,869.63 ","$3,825.90 ","$3,825.90 ","$1,869.63 ","$2,763.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100009,50695,HC PL URT STNT W G SI NEW ACCESS WITH NEPH CATH,361,1 ,"$6,331.00 ","$4,558.32 ","$1,631.68 ","$7,144.05 ","$6,331.00 ","$4,716.60 ","$4,146.81 ","$3,230.61 ","$1,772.68 ","$3,893.57 ","$3,230.61 ","$3,893.57 ","$3,230.61 ","$3,507.37 ","$3,507.37 ","$3,230.61 ","$3,507.37 ","$6,331.00 ","$5,697.90 ","$5,254.73 ","$6,331.00 ","$3,230.61 ","$5,571.28 ","$3,295.22 ","$4,748.25 ","$4,748.25 ","$5,381.35 ","$5,381.35 ","$3,230.61 ","$5,381.35 ","$3,230.61 ","$5,128.11 ","$5,128.11 ","$5,128.11 ","$6,331.00 ","$5,697.90 ","$6,331.00 ","$5,697.90 ","$3,230.61 ","$6,331.00 ","$3,551.69 ","$3,230.61 ","$2,621.03 ","$1,709.38 ","$1,631.68 ","$3,381.43 ","$5,697.90 ","$7,144.05 ","$3,507.37 ","$1,772.68 ","$5,697.90 ","$3,230.61 ","$5,697.90 ","$5,697.90 ","$3,230.61 ","$4,115.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100026,36510,HC UMBILICAL CATHETER INSERTION NEWBORN,361,1 ,$153.00 ,$110.16 ,$42.84 ,$153.00 , N/A ,$113.99 ,$100.22 , N/A ,$42.84 ,$94.10 , N/A ,$94.10 , N/A ,$84.76 ,$84.76 , N/A ,$84.76 , N/A ,$137.70 ,$126.99 , N/A , N/A ,$134.64 , N/A ,$114.75 ,$114.75 ,$130.05 ,$130.05 , N/A ,$130.05 , N/A ,$123.93 ,$123.93 ,$123.93 ,$153.00 ,$137.70 , N/A ,$137.70 , N/A ,$153.00 ,$85.83 , N/A ,$63.34 , N/A , N/A , N/A ,$137.70 , N/A ,$84.76 ,$42.84 ,$137.70 , N/A ,$137.70 ,$137.70 , N/A ,$99.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100039,63663,HC REVISE SPINE ELECTRD PERQ ARRAY W/FLUORO,361,1 ,"$14,799.00 ","$10,655.28 ","$2,784.10 ","$14,799.00 ","$14,799.00 ","$11,025.26 ","$9,693.35 ","$6,656.38 ","$4,143.72 ","$9,101.39 ","$6,656.38 ","$9,101.39 ","$6,656.38 ","$8,198.65 ","$8,198.65 ","$6,656.38 ","$8,198.65 ","$13,720.16 ","$13,319.10 ","$12,283.17 ","$14,799.00 ","$6,656.38 ","$13,023.12 ","$6,789.50 ","$11,099.25 ","$11,099.25 ","$12,579.15 ","$12,579.15 ","$6,656.38 ","$12,579.15 ","$6,656.38 ","$11,987.19 ","$11,987.19 ","$11,987.19 ","$14,799.00 ","$13,319.10 ","$14,799.00 ","$13,319.10 ","$6,656.38 ","$14,799.00 ","$8,302.24 ","$6,656.38 ","$6,126.79 ","$2,916.67 ","$2,784.10 ","$6,967.13 ","$13,319.10 ","$14,719.65 ","$8,198.65 ","$4,143.72 ","$13,319.10 ","$6,656.38 ","$13,319.10 ","$13,319.10 ","$6,656.38 ","$9,619.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100040,63685,HC INSERT/REPLACE SPINAL NEURO GEN/RECR,361,1 ,"$78,710.00 ","$56,671.20 ","$8,797.43 ","$78,710.00 ","$72,487.09 ","$58,638.95 ","$51,555.05 ","$29,591.99 ","$22,038.80 ","$48,406.65 ","$29,591.99 ","$48,406.65 ","$29,591.99 ","$43,605.34 ","$43,605.34 ","$29,591.99 ","$43,605.34 ","$60,995.17 ","$70,839.00 ","$65,329.30 ","$72,487.09 ","$29,591.99 ","$69,264.80 ","$30,183.83 ","$59,032.50 ","$59,032.50 ","$66,903.50 ","$66,903.50 ","$29,591.99 ","$66,903.50 ","$29,591.99 ","$63,755.10 ","$63,755.10 ","$63,755.10 ","$78,710.00 ","$70,839.00 ","$72,487.09 ","$70,839.00 ","$29,591.99 ","$78,710.00 ","$44,156.31 ","$29,591.99 ","$32,585.94 ","$9,216.35 ","$8,797.43 ","$30,973.50 ","$70,839.00 ","$65,438.56 ","$43,605.34 ","$22,038.80 ","$70,839.00 ","$29,591.99 ","$70,839.00 ","$70,839.00 ","$29,591.99 ","$51,161.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100042,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-BIL,361,1 ,"$1,121.00 ",$807.12 ,$313.88 ,"$1,121.00 ","$1,006.96 ",$835.15 ,$734.26 ,$411.08 ,$313.88 ,$689.42 ,$411.08 ,$689.42 ,$411.08 ,$621.03 ,$621.03 ,$411.08 ,$621.03 ,$847.32 ,"$1,008.90 ",$930.43 ,"$1,006.96 ",$411.08 ,$986.48 ,$419.30 ,$840.75 ,$840.75 ,$952.85 ,$952.85 ,$411.08 ,$952.85 ,$411.08 ,$908.01 ,$908.01 ,$908.01 ,"$1,121.00 ","$1,008.90 ","$1,006.96 ","$1,008.90 ",$411.08 ,"$1,121.00 ",$628.88 ,$411.08 ,$464.09 ,$359.48 ,$343.14 ,$430.27 ,"$1,008.90 ",$909.04 ,$621.03 ,$313.88 ,"$1,008.90 ",$411.08 ,"$1,008.90 ","$1,008.90 ",$411.08 ,$728.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100043,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-BIL,361,1 ,"$1,382.00 ",$995.04 ,$343.14 ,"$1,382.00 ","$1,006.96 ","$1,029.59 ",$905.21 ,$411.08 ,$386.96 ,$849.93 ,$411.08 ,$849.93 ,$411.08 ,$765.63 ,$765.63 ,$411.08 ,$765.63 ,$847.32 ,"$1,243.80 ","$1,147.06 ","$1,006.96 ",$411.08 ,"$1,216.16 ",$419.30 ,"$1,036.50 ","$1,036.50 ","$1,174.70 ","$1,174.70 ",$411.08 ,"$1,174.70 ",$411.08 ,"$1,119.42 ","$1,119.42 ","$1,119.42 ","$1,382.00 ","$1,243.80 ","$1,006.96 ","$1,243.80 ",$411.08 ,"$1,382.00 ",$775.30 ,$411.08 ,$572.15 ,$359.48 ,$343.14 ,$430.27 ,"$1,243.80 ",$909.04 ,$765.63 ,$386.96 ,"$1,243.80 ",$411.08 ,"$1,243.80 ","$1,243.80 ",$411.08 ,$898.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,"$1,382.00 ",$995.04 ,$343.14 ,"$1,382.00 ","$1,006.96 ","$1,029.59 ",$905.21 ,$411.08 ,$386.96 ,$849.93 ,$411.08 ,$849.93 ,$411.08 ,$765.63 ,$765.63 ,$411.08 ,$765.63 ,$847.32 ,"$1,243.80 ","$1,147.06 ","$1,006.96 ",$411.08 ,"$1,216.16 ",$419.30 ,"$1,036.50 ","$1,036.50 ","$1,174.70 ","$1,174.70 ",$411.08 ,"$1,174.70 ",$411.08 ,"$1,119.42 ","$1,119.42 ","$1,119.42 ","$1,382.00 ","$1,243.80 ","$1,006.96 ","$1,243.80 ",$411.08 ,"$1,382.00 ",$775.30 ,$411.08 ,$572.15 ,$359.48 ,$343.14 ,$430.27 ,"$1,243.80 ",$909.04 ,$765.63 ,$386.96 ,"$1,243.80 ",$411.08 ,"$1,243.80 ","$1,243.80 ",$411.08 ,$898.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,$994.00 ,$715.68 ,$278.32 ,"$3,846.85 ",$994.00 ,$740.53 ,$651.07 ,$974.12 ,$278.32 ,$611.31 ,$974.12 ,$611.31 ,$974.12 ,$550.68 ,$550.68 ,$974.12 ,$550.68 ,$994.00 ,$894.60 ,$825.02 ,$994.00 ,$974.12 ,$874.72 ,$993.60 ,$745.50 ,$745.50 ,$844.90 ,$844.90 ,$974.12 ,$844.90 ,$974.12 ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 ,$994.00 ,$894.60 ,$974.12 ,$994.00 ,$557.63 ,$974.12 ,$411.52 ,$994.00 ,$994.00 ,$974.12 ,$894.60 ,"$3,846.85 ",$550.68 ,$278.32 ,$894.60 ,$974.12 ,$894.60 ,$894.60 ,$974.12 ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,$994.00 ,$715.68 ,$278.32 ,"$3,846.85 ",$994.00 ,$740.53 ,$651.07 ,$974.12 ,$278.32 ,$611.31 ,$974.12 ,$611.31 ,$974.12 ,$550.68 ,$550.68 ,$974.12 ,$550.68 ,$994.00 ,$894.60 ,$825.02 ,$994.00 ,$974.12 ,$874.72 ,$993.60 ,$745.50 ,$745.50 ,$844.90 ,$844.90 ,$974.12 ,$844.90 ,$974.12 ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 ,$994.00 ,$894.60 ,$974.12 ,$994.00 ,$557.63 ,$974.12 ,$411.52 ,$994.00 ,$994.00 ,$974.12 ,$894.60 ,"$3,846.85 ",$550.68 ,$278.32 ,$894.60 ,$974.12 ,$894.60 ,$894.60 ,$974.12 ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 ,$366.00 ,$366.00 , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 ,$366.00 ,$366.00 , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$1,514.00 ","$1,090.08 ",$423.92 ,"$7,250.86 ","$1,514.00 ","$1,127.93 ",$991.67 ,"$1,483.72 ",$423.92 ,$931.11 ,"$1,483.72 ",$931.11 ,"$1,483.72 ",$838.76 ,$838.76 ,"$1,483.72 ",$838.76 ,"$1,514.00 ","$1,362.60 ","$1,256.62 ","$1,514.00 ","$1,483.72 ","$1,332.32 ","$1,513.39 ","$1,135.50 ","$1,135.50 ","$1,286.90 ","$1,286.90 ","$1,483.72 ","$1,286.90 ","$1,483.72 ","$1,226.34 ","$1,226.34 ","$1,226.34 ","$1,514.00 ","$1,362.60 ","$1,514.00 ","$1,362.60 ","$1,483.72 ","$1,514.00 ",$849.35 ,"$1,483.72 ",$626.80 ,"$1,172.73 ","$1,119.43 ","$1,483.72 ","$1,362.60 ","$7,250.86 ",$838.76 ,$423.92 ,"$1,362.60 ","$1,483.72 ","$1,362.60 ","$1,362.60 ","$1,483.72 ",$984.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$1,514.00 ","$1,090.08 ",$423.92 ,"$7,250.86 ","$1,514.00 ","$1,127.93 ",$991.67 ,"$1,483.72 ",$423.92 ,$931.11 ,"$1,483.72 ",$931.11 ,"$1,483.72 ",$838.76 ,$838.76 ,"$1,483.72 ",$838.76 ,"$1,514.00 ","$1,362.60 ","$1,256.62 ","$1,514.00 ","$1,483.72 ","$1,332.32 ","$1,513.39 ","$1,135.50 ","$1,135.50 ","$1,286.90 ","$1,286.90 ","$1,483.72 ","$1,286.90 ","$1,483.72 ","$1,226.34 ","$1,226.34 ","$1,226.34 ","$1,514.00 ","$1,362.60 ","$1,514.00 ","$1,362.60 ","$1,483.72 ","$1,514.00 ",$849.35 ,"$1,483.72 ",$626.80 ,"$1,172.73 ","$1,119.43 ","$1,483.72 ","$1,362.60 ","$7,250.86 ",$838.76 ,$423.92 ,"$1,362.60 ","$1,483.72 ","$1,362.60 ","$1,362.60 ","$1,483.72 ",$984.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,$994.00 ,$715.68 ,$278.32 ,$994.00 , N/A ,$740.53 ,$651.07 , N/A ,$278.32 ,$611.31 , N/A ,$611.31 , N/A ,$550.68 ,$550.68 , N/A ,$550.68 , N/A ,$894.60 ,$825.02 , N/A , N/A ,$874.72 , N/A ,$745.50 ,$745.50 ,$844.90 ,$844.90 , N/A ,$844.90 , N/A ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 , N/A ,$894.60 , N/A ,$994.00 ,$557.63 , N/A ,$411.52 ,$994.00 ,$994.00 , N/A ,$894.60 , N/A ,$550.68 ,$278.32 ,$894.60 , N/A ,$894.60 ,$894.60 , N/A ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,$994.00 ,$715.68 ,$278.32 ,$994.00 , N/A ,$740.53 ,$651.07 , N/A ,$278.32 ,$611.31 , N/A ,$611.31 , N/A ,$550.68 ,$550.68 , N/A ,$550.68 , N/A ,$894.60 ,$825.02 , N/A , N/A ,$874.72 , N/A ,$745.50 ,$745.50 ,$844.90 ,$844.90 , N/A ,$844.90 , N/A ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 , N/A ,$894.60 , N/A ,$994.00 ,$557.63 , N/A ,$411.52 ,$994.00 ,$994.00 , N/A ,$894.60 , N/A ,$550.68 ,$278.32 ,$894.60 , N/A ,$894.60 ,$894.60 , N/A ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,$994.00 ,$715.68 ,$278.32 ,"$3,846.85 ",$994.00 ,$740.53 ,$651.07 ,$974.12 ,$278.32 ,$611.31 ,$974.12 ,$611.31 ,$974.12 ,$550.68 ,$550.68 ,$974.12 ,$550.68 ,$994.00 ,$894.60 ,$825.02 ,$994.00 ,$974.12 ,$874.72 ,$993.60 ,$745.50 ,$745.50 ,$844.90 ,$844.90 ,$974.12 ,$844.90 ,$974.12 ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 ,$994.00 ,$894.60 ,$974.12 ,$994.00 ,$557.63 ,$974.12 ,$411.52 ,$994.00 ,$994.00 ,$974.12 ,$894.60 ,"$3,846.85 ",$550.68 ,$278.32 ,$894.60 ,$974.12 ,$894.60 ,$894.60 ,$974.12 ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,$994.00 ,$715.68 ,$278.32 ,"$3,846.85 ",$994.00 ,$740.53 ,$651.07 ,$974.12 ,$278.32 ,$611.31 ,$974.12 ,$611.31 ,$974.12 ,$550.68 ,$550.68 ,$974.12 ,$550.68 ,$994.00 ,$894.60 ,$825.02 ,$994.00 ,$974.12 ,$874.72 ,$993.60 ,$745.50 ,$745.50 ,$844.90 ,$844.90 ,$974.12 ,$844.90 ,$974.12 ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 ,$994.00 ,$894.60 ,$974.12 ,$994.00 ,$557.63 ,$974.12 ,$411.52 ,$994.00 ,$994.00 ,$974.12 ,$894.60 ,"$3,846.85 ",$550.68 ,$278.32 ,$894.60 ,$974.12 ,$894.60 ,$894.60 ,$974.12 ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 ,$366.00 ,$366.00 , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 ,$366.00 ,$366.00 , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$1,514.00 ","$1,090.08 ",$423.92 ,"$3,846.85 ","$1,514.00 ","$1,127.93 ",$991.67 ,"$1,483.72 ",$423.92 ,$931.11 ,"$1,483.72 ",$931.11 ,"$1,483.72 ",$838.76 ,$838.76 ,"$1,483.72 ",$838.76 ,"$1,514.00 ","$1,362.60 ","$1,256.62 ","$1,514.00 ","$1,483.72 ","$1,332.32 ","$1,513.39 ","$1,135.50 ","$1,135.50 ","$1,286.90 ","$1,286.90 ","$1,483.72 ","$1,286.90 ","$1,483.72 ","$1,226.34 ","$1,226.34 ","$1,226.34 ","$1,514.00 ","$1,362.60 ","$1,514.00 ","$1,362.60 ","$1,483.72 ","$1,514.00 ",$849.35 ,"$1,483.72 ",$626.80 ,"$1,172.73 ","$1,119.43 ","$1,483.72 ","$1,362.60 ","$3,846.85 ",$838.76 ,$423.92 ,"$1,362.60 ","$1,483.72 ","$1,362.60 ","$1,362.60 ","$1,483.72 ",$984.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$1,514.00 ","$1,090.08 ",$423.92 ,"$3,846.85 ","$1,514.00 ","$1,127.93 ",$991.67 ,"$1,483.72 ",$423.92 ,$931.11 ,"$1,483.72 ",$931.11 ,"$1,483.72 ",$838.76 ,$838.76 ,"$1,483.72 ",$838.76 ,"$1,514.00 ","$1,362.60 ","$1,256.62 ","$1,514.00 ","$1,483.72 ","$1,332.32 ","$1,513.39 ","$1,135.50 ","$1,135.50 ","$1,286.90 ","$1,286.90 ","$1,483.72 ","$1,286.90 ","$1,483.72 ","$1,226.34 ","$1,226.34 ","$1,226.34 ","$1,514.00 ","$1,362.60 ","$1,514.00 ","$1,362.60 ","$1,483.72 ","$1,514.00 ",$849.35 ,"$1,483.72 ",$626.80 ,"$1,172.73 ","$1,119.43 ","$1,483.72 ","$1,362.60 ","$3,846.85 ",$838.76 ,$423.92 ,"$1,362.60 ","$1,483.72 ","$1,362.60 ","$1,362.60 ","$1,483.72 ",$984.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,$994.00 ,$715.68 ,$278.32 ,$994.00 , N/A ,$740.53 ,$651.07 , N/A ,$278.32 ,$611.31 , N/A ,$611.31 , N/A ,$550.68 ,$550.68 , N/A ,$550.68 , N/A ,$894.60 ,$825.02 , N/A , N/A ,$874.72 , N/A ,$745.50 ,$745.50 ,$844.90 ,$844.90 , N/A ,$844.90 , N/A ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 , N/A ,$894.60 , N/A ,$994.00 ,$557.63 , N/A ,$411.52 ,$994.00 ,$994.00 , N/A ,$894.60 , N/A ,$550.68 ,$278.32 ,$894.60 , N/A ,$894.60 ,$894.60 , N/A ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,$994.00 ,$715.68 ,$278.32 ,$994.00 , N/A ,$740.53 ,$651.07 , N/A ,$278.32 ,$611.31 , N/A ,$611.31 , N/A ,$550.68 ,$550.68 , N/A ,$550.68 , N/A ,$894.60 ,$825.02 , N/A , N/A ,$874.72 , N/A ,$745.50 ,$745.50 ,$844.90 ,$844.90 , N/A ,$844.90 , N/A ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 , N/A ,$894.60 , N/A ,$994.00 ,$557.63 , N/A ,$411.52 ,$994.00 ,$994.00 , N/A ,$894.60 , N/A ,$550.68 ,$278.32 ,$894.60 , N/A ,$894.60 ,$894.60 , N/A ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$921.00 ,$663.12 ,$228.76 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$239.66 ,$228.76 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$921.00 ,$663.12 ,$228.76 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$239.66 ,$228.76 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,$921.00 ,$663.12 ,$228.76 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$239.66 ,$228.76 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,$921.00 ,$663.12 ,$228.76 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$239.66 ,$228.76 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100074,64616,HC CHEM/DEST NERVE MUSCLE NECK-LT,361,1 ,$758.00 ,$545.76 ,$212.24 ,$758.00 ,$671.31 ,$564.71 ,$496.49 ,$274.06 ,$212.24 ,$466.17 ,$274.06 ,$466.17 ,$274.06 ,$419.93 ,$419.93 ,$274.06 ,$419.93 ,$564.88 ,$682.20 ,$629.14 ,$671.31 ,$274.06 ,$667.04 ,$279.54 ,$568.50 ,$568.50 ,$644.30 ,$644.30 ,$274.06 ,$644.30 ,$274.06 ,$613.98 ,$613.98 ,$613.98 ,$758.00 ,$682.20 ,$671.31 ,$682.20 ,$274.06 ,$758.00 ,$425.24 ,$274.06 ,$313.81 ,$325.59 ,$310.79 ,$286.85 ,$682.20 ,$606.03 ,$419.93 ,$212.24 ,$682.20 ,$274.06 ,$682.20 ,$682.20 ,$274.06 ,$492.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100075,64616,HC CHEM/DEST NERVE MUSCLE NECK-RT,361,1 ,$758.00 ,$545.76 ,$212.24 ,$758.00 ,$671.31 ,$564.71 ,$496.49 ,$274.06 ,$212.24 ,$466.17 ,$274.06 ,$466.17 ,$274.06 ,$419.93 ,$419.93 ,$274.06 ,$419.93 ,$564.88 ,$682.20 ,$629.14 ,$671.31 ,$274.06 ,$667.04 ,$279.54 ,$568.50 ,$568.50 ,$644.30 ,$644.30 ,$274.06 ,$644.30 ,$274.06 ,$613.98 ,$613.98 ,$613.98 ,$758.00 ,$682.20 ,$671.31 ,$682.20 ,$274.06 ,$758.00 ,$425.24 ,$274.06 ,$313.81 ,$325.59 ,$310.79 ,$286.85 ,$682.20 ,$606.03 ,$419.93 ,$212.24 ,$682.20 ,$274.06 ,$682.20 ,$682.20 ,$274.06 ,$492.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100076,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-LT,361,1 ,"$2,201.00 ","$1,584.72 ",$585.57 ,"$2,201.00 ","$1,434.39 ","$1,639.75 ","$1,441.66 ",$585.57 ,$616.28 ,"$1,353.62 ",$585.57 ,"$1,353.62 ",$585.57 ,"$1,219.35 ","$1,219.35 ",$585.57 ,"$1,219.35 ","$1,206.98 ","$1,980.90 ", N/A ,"$1,434.39 ",$585.57 ,"$1,936.88 ",$597.28 ,"$1,650.75 ","$1,650.75 ","$1,870.85 ","$1,870.85 ",$585.57 ,"$1,870.85 ",$585.57 ,"$1,782.81 ","$1,782.81 ","$1,782.81 ","$2,201.00 ","$1,980.90 ","$1,434.39 ","$1,980.90 ",$585.57 ,"$2,201.00 ","$1,234.76 ",$585.57 ,$911.21 ,"$1,172.73 ","$1,119.43 ",$612.91 ,"$1,980.90 ","$1,294.91 ","$1,219.35 ",$616.28 ,"$1,980.90 ",$585.57 ,"$1,980.90 ","$1,980.90 ",$585.57 ,"$1,430.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100077,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-RT,361,1 ,"$2,201.00 ","$1,584.72 ",$585.57 ,"$2,201.00 ","$1,434.39 ","$1,639.75 ","$1,441.66 ",$585.57 ,$616.28 ,"$1,353.62 ",$585.57 ,"$1,353.62 ",$585.57 ,"$1,219.35 ","$1,219.35 ",$585.57 ,"$1,219.35 ","$1,206.98 ","$1,980.90 ", N/A ,"$1,434.39 ",$585.57 ,"$1,936.88 ",$597.28 ,"$1,650.75 ","$1,650.75 ","$1,870.85 ","$1,870.85 ",$585.57 ,"$1,870.85 ",$585.57 ,"$1,782.81 ","$1,782.81 ","$1,782.81 ","$2,201.00 ","$1,980.90 ","$1,434.39 ","$1,980.90 ",$585.57 ,"$2,201.00 ","$1,234.76 ",$585.57 ,$911.21 ,"$1,172.73 ","$1,119.43 ",$612.91 ,"$1,980.90 ","$1,294.91 ","$1,219.35 ",$616.28 ,"$1,980.90 ",$585.57 ,"$1,980.90 ","$1,980.90 ",$585.57 ,"$1,430.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100078,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-LT,361,1 ,$751.00 ,$540.72 ,$210.28 ,$751.00 , N/A ,$559.50 ,$491.91 , N/A ,$210.28 ,$461.87 , N/A ,$461.87 , N/A ,$416.05 ,$416.05 , N/A ,$416.05 , N/A ,$675.90 , N/A , N/A , N/A ,$660.88 , N/A ,$563.25 ,$563.25 ,$638.35 ,$638.35 , N/A ,$638.35 , N/A ,$608.31 ,$608.31 ,$608.31 ,$751.00 ,$675.90 , N/A ,$675.90 , N/A ,$751.00 ,$421.31 , N/A ,$310.91 ,$751.00 ,$751.00 , N/A ,$675.90 , N/A ,$416.05 ,$210.28 ,$675.90 , N/A ,$675.90 ,$675.90 , N/A ,$488.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100079,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-RT,361,1 ,$751.00 ,$540.72 ,$210.28 ,$751.00 , N/A ,$559.50 ,$491.91 , N/A ,$210.28 ,$461.87 , N/A ,$461.87 , N/A ,$416.05 ,$416.05 , N/A ,$416.05 , N/A ,$675.90 , N/A , N/A , N/A ,$660.88 , N/A ,$563.25 ,$563.25 ,$638.35 ,$638.35 , N/A ,$638.35 , N/A ,$608.31 ,$608.31 ,$608.31 ,$751.00 ,$675.90 , N/A ,$675.90 , N/A ,$751.00 ,$421.31 , N/A ,$310.91 ,$751.00 ,$751.00 , N/A ,$675.90 , N/A ,$416.05 ,$210.28 ,$675.90 , N/A ,$675.90 ,$675.90 , N/A ,$488.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100080,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-LT,361,1 ,"$7,372.00 ","$5,307.84 ","$1,119.43 ","$7,372.00 ","$4,261.21 ","$5,492.14 ","$4,828.66 ","$1,739.59 ","$2,064.16 ","$4,533.78 ","$1,739.59 ","$4,533.78 ","$1,739.59 ","$4,084.09 ","$4,084.09 ","$1,739.59 ","$4,084.09 ","$3,585.65 ","$6,634.80 ", N/A ,"$4,261.21 ","$1,739.59 ","$6,487.36 ","$1,774.38 ","$5,529.00 ","$5,529.00 ","$6,266.20 ","$6,266.20 ","$1,739.59 ","$6,266.20 ","$1,739.59 ","$5,971.32 ","$5,971.32 ","$5,971.32 ","$7,372.00 ","$6,634.80 ","$4,261.21 ","$6,634.80 ","$1,739.59 ","$7,372.00 ","$4,135.69 ","$1,739.59 ","$3,052.01 ","$1,172.73 ","$1,119.43 ","$1,820.80 ","$6,634.80 ","$3,846.85 ","$4,084.09 ","$2,064.16 ","$6,634.80 ","$1,739.59 ","$6,634.80 ","$6,634.80 ","$1,739.59 ","$4,791.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100081,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-RT,361,1 ,"$7,372.00 ","$5,307.84 ","$1,119.43 ","$7,372.00 ","$4,261.21 ","$5,492.14 ","$4,828.66 ","$1,739.59 ","$2,064.16 ","$4,533.78 ","$1,739.59 ","$4,533.78 ","$1,739.59 ","$4,084.09 ","$4,084.09 ","$1,739.59 ","$4,084.09 ","$3,585.65 ","$6,634.80 ", N/A ,"$4,261.21 ","$1,739.59 ","$6,487.36 ","$1,774.38 ","$5,529.00 ","$5,529.00 ","$6,266.20 ","$6,266.20 ","$1,739.59 ","$6,266.20 ","$1,739.59 ","$5,971.32 ","$5,971.32 ","$5,971.32 ","$7,372.00 ","$6,634.80 ","$4,261.21 ","$6,634.80 ","$1,739.59 ","$7,372.00 ","$4,135.69 ","$1,739.59 ","$3,052.01 ","$1,172.73 ","$1,119.43 ","$1,820.80 ","$6,634.80 ","$3,846.85 ","$4,084.09 ","$2,064.16 ","$6,634.80 ","$1,739.59 ","$6,634.80 ","$6,634.80 ","$1,739.59 ","$4,791.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100082,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-LT,361,1 ,"$4,713.00 ","$3,393.36 ","$1,119.43 ","$4,713.00 ", N/A ,"$3,511.19 ","$3,087.02 ", N/A ,"$1,319.64 ","$2,898.50 ", N/A ,"$2,898.50 ", N/A ,"$2,611.00 ","$2,611.00 ", N/A ,"$2,611.00 ", N/A ,"$4,241.70 ", N/A , N/A , N/A ,"$4,147.44 ", N/A ,"$3,534.75 ","$3,534.75 ","$4,006.05 ","$4,006.05 ", N/A ,"$4,006.05 ", N/A ,"$3,817.53 ","$3,817.53 ","$3,817.53 ","$4,713.00 ","$4,241.70 ", N/A ,"$4,241.70 ", N/A ,"$4,713.00 ","$2,643.99 ", N/A ,"$1,951.18 ","$1,172.73 ","$1,119.43 ", N/A ,"$4,241.70 ", N/A ,"$2,611.00 ","$1,319.64 ","$4,241.70 ", N/A ,"$4,241.70 ","$4,241.70 ", N/A ,"$3,063.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100083,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-RT,361,1 ,"$4,713.00 ","$3,393.36 ","$1,119.43 ","$4,713.00 ", N/A ,"$3,511.19 ","$3,087.02 ", N/A ,"$1,319.64 ","$2,898.50 ", N/A ,"$2,898.50 ", N/A ,"$2,611.00 ","$2,611.00 ", N/A ,"$2,611.00 ", N/A ,"$4,241.70 ", N/A , N/A , N/A ,"$4,147.44 ", N/A ,"$3,534.75 ","$3,534.75 ","$4,006.05 ","$4,006.05 ", N/A ,"$4,006.05 ", N/A ,"$3,817.53 ","$3,817.53 ","$3,817.53 ","$4,713.00 ","$4,241.70 ", N/A ,"$4,241.70 ", N/A ,"$4,713.00 ","$2,643.99 ", N/A ,"$1,951.18 ","$1,172.73 ","$1,119.43 ", N/A ,"$4,241.70 ", N/A ,"$2,611.00 ","$1,319.64 ","$4,241.70 ", N/A ,"$4,241.70 ","$4,241.70 ", N/A ,"$3,063.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100084,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-LT,361,1 ,"$2,201.00 ","$1,584.72 ",$585.57 ,"$2,201.00 ","$1,434.39 ","$1,639.75 ","$1,441.66 ",$585.57 ,$616.28 ,"$1,353.62 ",$585.57 ,"$1,353.62 ",$585.57 ,"$1,219.35 ","$1,219.35 ",$585.57 ,"$1,219.35 ","$1,206.98 ","$1,980.90 ", N/A ,"$1,434.39 ",$585.57 ,"$1,936.88 ",$597.28 ,"$1,650.75 ","$1,650.75 ","$1,870.85 ","$1,870.85 ",$585.57 ,"$1,870.85 ",$585.57 ,"$1,782.81 ","$1,782.81 ","$1,782.81 ","$2,201.00 ","$1,980.90 ","$1,434.39 ","$1,980.90 ",$585.57 ,"$2,201.00 ","$1,234.76 ",$585.57 ,$911.21 ,"$1,172.73 ","$1,119.43 ",$612.91 ,"$1,980.90 ","$1,294.91 ","$1,219.35 ",$616.28 ,"$1,980.90 ",$585.57 ,"$1,980.90 ","$1,980.90 ",$585.57 ,"$1,430.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100085,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-RT,361,1 ,"$2,201.00 ","$1,584.72 ",$585.57 ,"$2,201.00 ","$1,434.39 ","$1,639.75 ","$1,441.66 ",$585.57 ,$616.28 ,"$1,353.62 ",$585.57 ,"$1,353.62 ",$585.57 ,"$1,219.35 ","$1,219.35 ",$585.57 ,"$1,219.35 ","$1,206.98 ","$1,980.90 ", N/A ,"$1,434.39 ",$585.57 ,"$1,936.88 ",$597.28 ,"$1,650.75 ","$1,650.75 ","$1,870.85 ","$1,870.85 ",$585.57 ,"$1,870.85 ",$585.57 ,"$1,782.81 ","$1,782.81 ","$1,782.81 ","$2,201.00 ","$1,980.90 ","$1,434.39 ","$1,980.90 ",$585.57 ,"$2,201.00 ","$1,234.76 ",$585.57 ,$911.21 ,"$1,172.73 ","$1,119.43 ",$612.91 ,"$1,980.90 ","$1,294.91 ","$1,219.35 ",$616.28 ,"$1,980.90 ",$585.57 ,"$1,980.90 ","$1,980.90 ",$585.57 ,"$1,430.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100086,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-LT,361,1 ,$751.00 ,$540.72 ,$210.28 ,$751.00 , N/A ,$559.50 ,$491.91 , N/A ,$210.28 ,$461.87 , N/A ,$461.87 , N/A ,$416.05 ,$416.05 , N/A ,$416.05 , N/A ,$675.90 , N/A , N/A , N/A ,$660.88 , N/A ,$563.25 ,$563.25 ,$638.35 ,$638.35 , N/A ,$638.35 , N/A ,$608.31 ,$608.31 ,$608.31 ,$751.00 ,$675.90 , N/A ,$675.90 , N/A ,$751.00 ,$421.31 , N/A ,$310.91 ,$751.00 ,$751.00 , N/A ,$675.90 , N/A ,$416.05 ,$210.28 ,$675.90 , N/A ,$675.90 ,$675.90 , N/A ,$488.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100087,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-RT,361,1 ,$751.00 ,$540.72 ,$210.28 ,$751.00 , N/A ,$559.50 ,$491.91 , N/A ,$210.28 ,$461.87 , N/A ,$461.87 , N/A ,$416.05 ,$416.05 , N/A ,$416.05 , N/A ,$675.90 , N/A , N/A , N/A ,$660.88 , N/A ,$563.25 ,$563.25 ,$638.35 ,$638.35 , N/A ,$638.35 , N/A ,$608.31 ,$608.31 ,$608.31 ,$751.00 ,$675.90 , N/A ,$675.90 , N/A ,$751.00 ,$421.31 , N/A ,$310.91 ,$751.00 ,$751.00 , N/A ,$675.90 , N/A ,$416.05 ,$210.28 ,$675.90 , N/A ,$675.90 ,$675.90 , N/A ,$488.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100088,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-LT,361,1 ,"$2,201.00 ","$1,584.72 ",$585.57 ,"$2,201.00 ","$1,434.39 ","$1,639.75 ","$1,441.66 ",$585.57 ,$616.28 ,"$1,353.62 ",$585.57 ,"$1,353.62 ",$585.57 ,"$1,219.35 ","$1,219.35 ",$585.57 ,"$1,219.35 ","$1,206.98 ","$1,980.90 ", N/A ,"$1,434.39 ",$585.57 ,"$1,936.88 ",$597.28 ,"$1,650.75 ","$1,650.75 ","$1,870.85 ","$1,870.85 ",$585.57 ,"$1,870.85 ",$585.57 ,"$1,782.81 ","$1,782.81 ","$1,782.81 ","$2,201.00 ","$1,980.90 ","$1,434.39 ","$1,980.90 ",$585.57 ,"$2,201.00 ","$1,234.76 ",$585.57 ,$911.21 ,"$1,172.73 ","$1,119.43 ",$612.91 ,"$1,980.90 ","$1,294.91 ","$1,219.35 ",$616.28 ,"$1,980.90 ",$585.57 ,"$1,980.90 ","$1,980.90 ",$585.57 ,"$1,430.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100089,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-RT,361,1 ,"$2,201.00 ","$1,584.72 ",$585.57 ,"$2,201.00 ","$1,434.39 ","$1,639.75 ","$1,441.66 ",$585.57 ,$616.28 ,"$1,353.62 ",$585.57 ,"$1,353.62 ",$585.57 ,"$1,219.35 ","$1,219.35 ",$585.57 ,"$1,219.35 ","$1,206.98 ","$1,980.90 ", N/A ,"$1,434.39 ",$585.57 ,"$1,936.88 ",$597.28 ,"$1,650.75 ","$1,650.75 ","$1,870.85 ","$1,870.85 ",$585.57 ,"$1,870.85 ",$585.57 ,"$1,782.81 ","$1,782.81 ","$1,782.81 ","$2,201.00 ","$1,980.90 ","$1,434.39 ","$1,980.90 ",$585.57 ,"$2,201.00 ","$1,234.76 ",$585.57 ,$911.21 ,"$1,172.73 ","$1,119.43 ",$612.91 ,"$1,980.90 ","$1,294.91 ","$1,219.35 ",$616.28 ,"$1,980.90 ",$585.57 ,"$1,980.90 ","$1,980.90 ",$585.57 ,"$1,430.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100090,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-LT,361,1 ,"$1,407.00 ","$1,013.04 ",$393.96 ,"$1,407.00 ", N/A ,"$1,048.22 ",$921.59 , N/A ,$393.96 ,$865.31 , N/A ,$865.31 , N/A ,$779.48 ,$779.48 , N/A ,$779.48 , N/A ,"$1,266.30 ", N/A , N/A , N/A ,"$1,238.16 ", N/A ,"$1,055.25 ","$1,055.25 ","$1,195.95 ","$1,195.95 ", N/A ,"$1,195.95 ", N/A ,"$1,139.67 ","$1,139.67 ","$1,139.67 ","$1,407.00 ","$1,266.30 ", N/A ,"$1,266.30 ", N/A ,"$1,407.00 ",$789.33 , N/A ,$582.50 ,"$1,172.73 ","$1,119.43 ", N/A ,"$1,266.30 ", N/A ,$779.48 ,$393.96 ,"$1,266.30 ", N/A ,"$1,266.30 ","$1,266.30 ", N/A ,$914.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100091,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-RT,361,1 ,"$1,407.00 ","$1,013.04 ",$393.96 ,"$1,407.00 ", N/A ,"$1,048.22 ",$921.59 , N/A ,$393.96 ,$865.31 , N/A ,$865.31 , N/A ,$779.48 ,$779.48 , N/A ,$779.48 , N/A ,"$1,266.30 ", N/A , N/A , N/A ,"$1,238.16 ", N/A ,"$1,055.25 ","$1,055.25 ","$1,195.95 ","$1,195.95 ", N/A ,"$1,195.95 ", N/A ,"$1,139.67 ","$1,139.67 ","$1,139.67 ","$1,407.00 ","$1,266.30 ", N/A ,"$1,266.30 ", N/A ,"$1,407.00 ",$789.33 , N/A ,$582.50 ,"$1,172.73 ","$1,119.43 ", N/A ,"$1,266.30 ", N/A ,$779.48 ,$393.96 ,"$1,266.30 ", N/A ,"$1,266.30 ","$1,266.30 ", N/A ,$914.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100092,N/A,HC BEDSIDE SURG PROC LEVEL 1,361,1 ,$643.68 ,$463.45 ,$180.23 ,$643.68 , N/A ,$479.54 ,$421.61 , N/A ,$180.23 ,$395.86 , N/A ,$395.86 , N/A ,$356.60 ,$356.60 , N/A ,$356.60 , N/A ,$579.31 ,$534.25 , N/A , N/A ,$566.44 , N/A ,$482.76 ,$482.76 ,$547.13 ,$547.13 , N/A ,$547.13 , N/A ,$521.38 ,$521.38 ,$521.38 ,$643.68 ,$579.31 , N/A ,$579.31 , N/A ,$643.68 ,$361.10 , N/A ,$266.48 , N/A , N/A , N/A ,$579.31 , N/A ,$356.60 ,$180.23 ,$579.31 , N/A ,$579.31 ,$579.31 , N/A ,$418.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100100,62320,HC INJ INTRLAMNR CERV/THOR W/O GUIDE,361,1 ,"$1,833.00 ","$1,319.76 ",$310.79 ,"$1,833.00 ","$1,590.90 ","$1,365.59 ","$1,200.62 ",$649.47 ,$513.24 ,"$1,127.30 ",$649.47 ,"$1,127.30 ",$649.47 ,"$1,015.48 ","$1,015.48 ",$649.47 ,"$1,015.48 ","$1,338.68 ","$1,649.70 ","$1,521.39 ","$1,590.90 ",$649.47 ,"$1,613.04 ",$662.45 ,"$1,374.75 ","$1,374.75 ","$1,558.05 ","$1,558.05 ",$649.47 ,"$1,558.05 ",$649.47 ,"$1,484.73 ","$1,484.73 ","$1,484.73 ","$1,833.00 ","$1,649.70 ","$1,590.90 ","$1,649.70 ",$649.47 ,"$1,833.00 ","$1,028.31 ",$649.47 ,$758.86 ,$325.59 ,$310.79 ,$679.79 ,"$1,649.70 ","$1,436.20 ","$1,015.48 ",$513.24 ,"$1,649.70 ",$649.47 ,"$1,649.70 ","$1,649.70 ",$649.47 ,"$1,191.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$3,894.00 ","$2,803.68 ",$310.79 ,"$3,894.00 ","$1,590.90 ","$2,901.03 ","$2,550.57 ",$649.47 ,"$1,090.32 ","$2,394.81 ",$649.47 ,"$2,394.81 ",$649.47 ,"$2,157.28 ","$2,157.28 ",$649.47 ,"$2,157.28 ","$1,338.68 ","$3,504.60 ","$3,232.02 ","$1,590.90 ",$649.47 ,"$3,426.72 ",$662.45 ,"$2,920.50 ","$2,920.50 ","$3,309.90 ","$3,309.90 ",$649.47 ,"$3,309.90 ",$649.47 ,"$3,154.14 ","$3,154.14 ","$3,154.14 ","$3,894.00 ","$3,504.60 ","$1,590.90 ","$3,504.60 ",$649.47 ,"$3,894.00 ","$2,184.53 ",$649.47 ,"$1,612.12 ",$325.59 ,$310.79 ,$679.79 ,"$3,504.60 ","$1,436.20 ","$2,157.28 ","$1,090.32 ","$3,504.60 ",$649.47 ,"$3,504.60 ","$3,504.60 ",$649.47 ,"$2,531.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100102,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,"$3,461.00 ","$2,491.92 ",$310.79 ,"$3,461.00 ","$2,104.06 ","$2,578.45 ","$2,266.96 ",$858.96 ,$969.08 ,"$2,128.52 ",$858.96 ,"$2,128.52 ",$858.96 ,"$1,917.39 ","$1,917.39 ",$858.96 ,"$1,917.39 ","$1,770.49 ","$3,114.90 ","$2,872.63 ","$2,104.06 ",$858.96 ,"$3,045.68 ",$876.14 ,"$2,595.75 ","$2,595.75 ","$2,941.85 ","$2,941.85 ",$858.96 ,"$2,941.85 ",$858.96 ,"$2,803.41 ","$2,803.41 ","$2,803.41 ","$3,461.00 ","$3,114.90 ","$2,104.06 ","$3,114.90 ",$858.96 ,"$3,461.00 ","$1,941.62 ",$858.96 ,"$1,432.85 ",$325.59 ,$310.79 ,$899.06 ,"$3,114.90 ","$1,899.47 ","$1,917.39 ",$969.08 ,"$3,114.90 ",$858.96 ,"$3,114.90 ","$3,114.90 ",$858.96 ,"$2,249.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,"$3,790.00 ","$2,728.80 ",$310.79 ,"$3,790.00 ","$1,590.90 ","$2,823.55 ","$2,482.45 ",$649.47 ,"$1,061.20 ","$2,330.85 ",$649.47 ,"$2,330.85 ",$649.47 ,"$2,099.66 ","$2,099.66 ",$649.47 ,"$2,099.66 ","$1,338.68 ","$3,411.00 ","$3,145.70 ","$1,590.90 ",$649.47 ,"$3,335.20 ",$662.45 ,"$2,842.50 ","$2,842.50 ","$3,221.50 ","$3,221.50 ",$649.47 ,"$3,221.50 ",$649.47 ,"$3,069.90 ","$3,069.90 ","$3,069.90 ","$3,790.00 ","$3,411.00 ","$1,590.90 ","$3,411.00 ",$649.47 ,"$3,790.00 ","$2,126.19 ",$649.47 ,"$1,569.06 ",$325.59 ,$310.79 ,$679.79 ,"$3,411.00 ","$1,436.20 ","$2,099.66 ","$1,061.20 ","$3,411.00 ",$649.47 ,"$3,411.00 ","$3,411.00 ",$649.47 ,"$2,463.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100106,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$1,322.00 ",$951.84 ,$370.16 ,"$1,899.47 ","$1,322.00 ",$984.89 ,$865.91 ,$858.96 ,$370.16 ,$813.03 ,$858.96 ,$813.03 ,$858.96 ,$732.39 ,$732.39 ,$858.96 ,$732.39 ,"$1,322.00 ","$1,189.80 ","$1,097.26 ","$1,322.00 ",$858.96 ,"$1,163.36 ",$876.14 ,$991.50 ,$991.50 ,"$1,123.70 ","$1,123.70 ",$858.96 ,"$1,123.70 ",$858.96 ,"$1,070.82 ","$1,070.82 ","$1,070.82 ","$1,322.00 ","$1,189.80 ","$1,322.00 ","$1,189.80 ",$858.96 ,"$1,322.00 ",$741.64 ,$858.96 ,$547.31 ,$590.49 ,$563.65 ,$899.06 ,"$1,189.80 ","$1,899.47 ",$732.39 ,$370.16 ,"$1,189.80 ",$858.96 ,"$1,189.80 ","$1,189.80 ",$858.96 ,$859.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100109,29445,HC APPL CAST LEG RIGID CONTACT -LT,361,1 ,$905.00 ,$651.60 ,$229.76 ,$905.00 ,$592.35 ,$674.23 ,$592.78 ,$241.81 ,$253.40 ,$556.58 ,$241.81 ,$556.58 ,$241.81 ,$501.37 ,$501.37 ,$241.81 ,$501.37 ,$498.44 ,$814.50 ,$751.15 ,$592.35 ,$241.81 ,$796.40 ,$246.66 ,$678.75 ,$678.75 ,$769.25 ,$769.25 ,$241.81 ,$769.25 ,$241.81 ,$733.05 ,$733.05 ,$733.05 ,$905.00 ,$814.50 ,$592.35 ,$814.50 ,$241.81 ,$905.00 ,$507.71 ,$241.81 ,$374.67 ,$240.70 ,$229.76 ,$253.10 ,$814.50 ,$534.75 ,$501.37 ,$253.40 ,$814.50 ,$241.81 ,$814.50 ,$814.50 ,$241.81 ,$588.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100110,29445,HC APPL CAST LEG RIGID CONTACT -RT,361,1 ,$905.00 ,$651.60 ,$229.76 ,$905.00 ,$592.35 ,$674.23 ,$592.78 ,$241.81 ,$253.40 ,$556.58 ,$241.81 ,$556.58 ,$241.81 ,$501.37 ,$501.37 ,$241.81 ,$501.37 ,$498.44 ,$814.50 ,$751.15 ,$592.35 ,$241.81 ,$796.40 ,$246.66 ,$678.75 ,$678.75 ,$769.25 ,$769.25 ,$241.81 ,$769.25 ,$241.81 ,$733.05 ,$733.05 ,$733.05 ,$905.00 ,$814.50 ,$592.35 ,$814.50 ,$241.81 ,$905.00 ,$507.71 ,$241.81 ,$374.67 ,$240.70 ,$229.76 ,$253.10 ,$814.50 ,$534.75 ,$501.37 ,$253.40 ,$814.50 ,$241.81 ,$814.50 ,$814.50 ,$241.81 ,$588.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100119,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-BIL,361,1 ,$878.00 ,$632.16 ,$245.84 ,$878.00 , N/A ,$654.11 ,$575.09 , N/A ,$245.84 ,$539.97 , N/A ,$539.97 , N/A ,$486.41 ,$486.41 , N/A ,$486.41 , N/A ,$790.20 ,$728.74 , N/A , N/A ,$772.64 , N/A ,$658.50 ,$658.50 ,$746.30 ,$746.30 , N/A ,$746.30 , N/A ,$711.18 ,$711.18 ,$711.18 ,$878.00 ,$790.20 , N/A ,$790.20 , N/A ,$878.00 ,$492.56 , N/A ,$363.49 ,$878.00 ,$845.48 , N/A ,$790.20 , N/A ,$486.41 ,$245.84 ,$790.20 , N/A ,$790.20 ,$790.20 , N/A ,$570.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100120,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-LT,361,1 ,$585.00 ,$421.20 ,$163.80 ,$585.00 , N/A ,$435.83 ,$383.18 , N/A ,$163.80 ,$359.78 , N/A ,$359.78 , N/A ,$324.09 ,$324.09 , N/A ,$324.09 , N/A ,$526.50 ,$485.55 , N/A , N/A ,$514.80 , N/A ,$438.75 ,$438.75 ,$497.25 ,$497.25 , N/A ,$497.25 , N/A ,$473.85 ,$473.85 ,$473.85 ,$585.00 ,$526.50 , N/A ,$526.50 , N/A ,$585.00 ,$328.19 , N/A ,$242.19 ,$585.00 ,$563.65 , N/A ,$526.50 , N/A ,$324.09 ,$163.80 ,$526.50 , N/A ,$526.50 ,$526.50 , N/A ,$380.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100121,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-RT,361,1 ,$585.00 ,$421.20 ,$163.80 ,$585.00 , N/A ,$435.83 ,$383.18 , N/A ,$163.80 ,$359.78 , N/A ,$359.78 , N/A ,$324.09 ,$324.09 , N/A ,$324.09 , N/A ,$526.50 ,$485.55 , N/A , N/A ,$514.80 , N/A ,$438.75 ,$438.75 ,$497.25 ,$497.25 , N/A ,$497.25 , N/A ,$473.85 ,$473.85 ,$473.85 ,$585.00 ,$526.50 , N/A ,$526.50 , N/A ,$585.00 ,$328.19 , N/A ,$242.19 ,$585.00 ,$563.65 , N/A ,$526.50 , N/A ,$324.09 ,$163.80 ,$526.50 , N/A ,$526.50 ,$526.50 , N/A ,$380.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100122,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-BIL,361,1 ,"$6,817.00 ","$4,908.24 ",$845.48 ,"$6,817.00 ","$4,438.14 ","$5,078.67 ","$4,465.14 ","$1,811.81 ","$1,908.76 ","$4,192.46 ","$1,811.81 ","$4,192.46 ","$1,811.81 ","$3,776.62 ","$3,776.62 ","$1,811.81 ","$3,776.62 ","$3,734.53 ","$6,135.30 ","$5,658.11 ","$4,438.14 ","$1,811.81 ","$5,998.96 ","$1,848.05 ","$5,112.75 ","$5,112.75 ","$5,794.45 ","$5,794.45 ","$1,811.81 ","$5,794.45 ","$1,811.81 ","$5,521.77 ","$5,521.77 ","$5,521.77 ","$6,817.00 ","$6,135.30 ","$4,438.14 ","$6,135.30 ","$1,811.81 ","$6,817.00 ","$3,824.34 ","$1,811.81 ","$2,822.24 ",$885.74 ,$845.48 ,"$1,896.40 ","$6,135.30 ","$4,006.58 ","$3,776.62 ","$1,908.76 ","$6,135.30 ","$1,811.81 ","$6,135.30 ","$6,135.30 ","$1,811.81 ","$4,431.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100123,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-LT,361,1 ,"$4,545.00 ","$3,272.40 ",$563.65 ,"$4,545.00 ","$4,438.14 ","$3,386.03 ","$2,976.98 ","$1,811.81 ","$1,272.60 ","$2,795.18 ","$1,811.81 ","$2,795.18 ","$1,811.81 ","$2,517.93 ","$2,517.93 ","$1,811.81 ","$2,517.93 ","$3,734.53 ","$4,090.50 ","$3,772.35 ","$4,438.14 ","$1,811.81 ","$3,999.60 ","$1,848.05 ","$3,408.75 ","$3,408.75 ","$3,863.25 ","$3,863.25 ","$1,811.81 ","$3,863.25 ","$1,811.81 ","$3,681.45 ","$3,681.45 ","$3,681.45 ","$4,545.00 ","$4,090.50 ","$4,438.14 ","$4,090.50 ","$1,811.81 ","$4,545.00 ","$2,549.75 ","$1,811.81 ","$1,881.63 ",$590.49 ,$563.65 ,"$1,896.40 ","$4,090.50 ","$4,006.58 ","$2,517.93 ","$1,272.60 ","$4,090.50 ","$1,811.81 ","$4,090.50 ","$4,090.50 ","$1,811.81 ","$2,954.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100124,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-RT,361,1 ,"$4,545.00 ","$3,272.40 ",$563.65 ,"$4,545.00 ","$4,438.14 ","$3,386.03 ","$2,976.98 ","$1,811.81 ","$1,272.60 ","$2,795.18 ","$1,811.81 ","$2,795.18 ","$1,811.81 ","$2,517.93 ","$2,517.93 ","$1,811.81 ","$2,517.93 ","$3,734.53 ","$4,090.50 ","$3,772.35 ","$4,438.14 ","$1,811.81 ","$3,999.60 ","$1,848.05 ","$3,408.75 ","$3,408.75 ","$3,863.25 ","$3,863.25 ","$1,811.81 ","$3,863.25 ","$1,811.81 ","$3,681.45 ","$3,681.45 ","$3,681.45 ","$4,545.00 ","$4,090.50 ","$4,438.14 ","$4,090.50 ","$1,811.81 ","$4,545.00 ","$2,549.75 ","$1,811.81 ","$1,881.63 ",$590.49 ,$563.65 ,"$1,896.40 ","$4,090.50 ","$4,006.58 ","$2,517.93 ","$1,272.60 ","$4,090.50 ","$1,811.81 ","$4,090.50 ","$4,090.50 ","$1,811.81 ","$2,954.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100125,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-BIL,361,1 ,"$1,218.00 ",$876.96 ,$341.04 ,"$1,218.00 ", N/A ,$907.41 ,$797.79 , N/A ,$341.04 ,$749.07 , N/A ,$749.07 , N/A ,$674.77 ,$674.77 , N/A ,$674.77 , N/A ,"$1,096.20 ","$1,010.94 ", N/A , N/A ,"$1,071.84 ", N/A ,$913.50 ,$913.50 ,"$1,035.30 ","$1,035.30 ", N/A ,"$1,035.30 ", N/A ,$986.58 ,$986.58 ,$986.58 ,"$1,218.00 ","$1,096.20 ", N/A ,"$1,096.20 ", N/A ,"$1,218.00 ",$683.30 , N/A ,$504.25 ,$885.74 ,$845.48 , N/A ,"$1,096.20 ", N/A ,$674.77 ,$341.04 ,"$1,096.20 ", N/A ,"$1,096.20 ","$1,096.20 ", N/A ,$791.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100126,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-LT,361,1 ,$812.00 ,$584.64 ,$227.36 ,$812.00 , N/A ,$604.94 ,$531.86 , N/A ,$227.36 ,$499.38 , N/A ,$499.38 , N/A ,$449.85 ,$449.85 , N/A ,$449.85 , N/A ,$730.80 ,$673.96 , N/A , N/A ,$714.56 , N/A ,$609.00 ,$609.00 ,$690.20 ,$690.20 , N/A ,$690.20 , N/A ,$657.72 ,$657.72 ,$657.72 ,$812.00 ,$730.80 , N/A ,$730.80 , N/A ,$812.00 ,$455.53 , N/A ,$336.17 ,$590.49 ,$563.65 , N/A ,$730.80 , N/A ,$449.85 ,$227.36 ,$730.80 , N/A ,$730.80 ,$730.80 , N/A ,$527.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100127,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-RT,361,1 ,$812.00 ,$584.64 ,$227.36 ,$812.00 , N/A ,$604.94 ,$531.86 , N/A ,$227.36 ,$499.38 , N/A ,$499.38 , N/A ,$449.85 ,$449.85 , N/A ,$449.85 , N/A ,$730.80 ,$673.96 , N/A , N/A ,$714.56 , N/A ,$609.00 ,$609.00 ,$690.20 ,$690.20 , N/A ,$690.20 , N/A ,$657.72 ,$657.72 ,$657.72 ,$812.00 ,$730.80 , N/A ,$730.80 , N/A ,$812.00 ,$455.53 , N/A ,$336.17 ,$590.49 ,$563.65 , N/A ,$730.80 , N/A ,$449.85 ,$227.36 ,$730.80 , N/A ,$730.80 ,$730.80 , N/A ,$527.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100128,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-BIL,361,1 ,"$6,817.00 ","$4,908.24 ",$845.48 ,"$6,817.00 ","$4,438.14 ","$5,078.67 ","$4,465.14 ","$1,811.81 ","$1,908.76 ","$4,192.46 ","$1,811.81 ","$4,192.46 ","$1,811.81 ","$3,776.62 ","$3,776.62 ","$1,811.81 ","$3,776.62 ","$3,734.53 ","$6,135.30 ","$5,658.11 ","$4,438.14 ","$1,811.81 ","$5,998.96 ","$1,848.05 ","$5,112.75 ","$5,112.75 ","$5,794.45 ","$5,794.45 ","$1,811.81 ","$5,794.45 ","$1,811.81 ","$5,521.77 ","$5,521.77 ","$5,521.77 ","$6,817.00 ","$6,135.30 ","$4,438.14 ","$6,135.30 ","$1,811.81 ","$6,817.00 ","$3,824.34 ","$1,811.81 ","$2,822.24 ",$885.74 ,$845.48 ,"$1,896.40 ","$6,135.30 ","$4,006.58 ","$3,776.62 ","$1,908.76 ","$6,135.30 ","$1,811.81 ","$6,135.30 ","$6,135.30 ","$1,811.81 ","$4,431.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100129,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-LT,361,1 ,"$4,545.00 ","$3,272.40 ",$563.65 ,"$4,545.00 ","$4,438.14 ","$3,386.03 ","$2,976.98 ","$1,811.81 ","$1,272.60 ","$2,795.18 ","$1,811.81 ","$2,795.18 ","$1,811.81 ","$2,517.93 ","$2,517.93 ","$1,811.81 ","$2,517.93 ","$3,734.53 ","$4,090.50 ","$3,772.35 ","$4,438.14 ","$1,811.81 ","$3,999.60 ","$1,848.05 ","$3,408.75 ","$3,408.75 ","$3,863.25 ","$3,863.25 ","$1,811.81 ","$3,863.25 ","$1,811.81 ","$3,681.45 ","$3,681.45 ","$3,681.45 ","$4,545.00 ","$4,090.50 ","$4,438.14 ","$4,090.50 ","$1,811.81 ","$4,545.00 ","$2,549.75 ","$1,811.81 ","$1,881.63 ",$590.49 ,$563.65 ,"$1,896.40 ","$4,090.50 ","$4,006.58 ","$2,517.93 ","$1,272.60 ","$4,090.50 ","$1,811.81 ","$4,090.50 ","$4,090.50 ","$1,811.81 ","$2,954.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100130,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-RT,361,1 ,"$4,545.00 ","$3,272.40 ",$563.65 ,"$4,545.00 ","$4,438.14 ","$3,386.03 ","$2,976.98 ","$1,811.81 ","$1,272.60 ","$2,795.18 ","$1,811.81 ","$2,795.18 ","$1,811.81 ","$2,517.93 ","$2,517.93 ","$1,811.81 ","$2,517.93 ","$3,734.53 ","$4,090.50 ","$3,772.35 ","$4,438.14 ","$1,811.81 ","$3,999.60 ","$1,848.05 ","$3,408.75 ","$3,408.75 ","$3,863.25 ","$3,863.25 ","$1,811.81 ","$3,863.25 ","$1,811.81 ","$3,681.45 ","$3,681.45 ","$3,681.45 ","$4,545.00 ","$4,090.50 ","$4,438.14 ","$4,090.50 ","$1,811.81 ","$4,545.00 ","$2,549.75 ","$1,811.81 ","$1,881.63 ",$590.49 ,$563.65 ,"$1,896.40 ","$4,090.50 ","$4,006.58 ","$2,517.93 ","$1,272.60 ","$4,090.50 ","$1,811.81 ","$4,090.50 ","$4,090.50 ","$1,811.81 ","$2,954.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100132,64640,HC DESTROY NERVE PERIPHERAL-LT,361,1 ,"$4,317.00 ","$3,108.24 ",$563.65 ,"$4,317.00 ","$2,104.06 ","$3,216.17 ","$2,827.64 ",$858.96 ,"$1,208.76 ","$2,654.96 ",$858.96 ,"$2,654.96 ",$858.96 ,"$2,391.62 ","$2,391.62 ",$858.96 ,"$2,391.62 ","$1,770.49 ","$3,885.30 ","$3,583.11 ","$2,104.06 ",$858.96 ,"$3,798.96 ",$876.14 ,"$3,237.75 ","$3,237.75 ","$3,669.45 ","$3,669.45 ",$858.96 ,"$3,669.45 ",$858.96 ,"$3,496.77 ","$3,496.77 ","$3,496.77 ","$4,317.00 ","$3,885.30 ","$2,104.06 ","$3,885.30 ",$858.96 ,"$4,317.00 ","$2,421.84 ",$858.96 ,"$1,787.24 ",$590.49 ,$563.65 ,$899.06 ,"$3,885.30 ","$1,899.47 ","$2,391.62 ","$1,208.76 ","$3,885.30 ",$858.96 ,"$3,885.30 ","$3,885.30 ",$858.96 ,"$2,806.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100133,64640,HC DESTROY NERVE PERIPHERAL-RT,361,1 ,"$4,317.00 ","$3,108.24 ",$563.65 ,"$4,317.00 ","$2,104.06 ","$3,216.17 ","$2,827.64 ",$858.96 ,"$1,208.76 ","$2,654.96 ",$858.96 ,"$2,654.96 ",$858.96 ,"$2,391.62 ","$2,391.62 ",$858.96 ,"$2,391.62 ","$1,770.49 ","$3,885.30 ","$3,583.11 ","$2,104.06 ",$858.96 ,"$3,798.96 ",$876.14 ,"$3,237.75 ","$3,237.75 ","$3,669.45 ","$3,669.45 ",$858.96 ,"$3,669.45 ",$858.96 ,"$3,496.77 ","$3,496.77 ","$3,496.77 ","$4,317.00 ","$3,885.30 ","$2,104.06 ","$3,885.30 ",$858.96 ,"$4,317.00 ","$2,421.84 ",$858.96 ,"$1,787.24 ",$590.49 ,$563.65 ,$899.06 ,"$3,885.30 ","$1,899.47 ","$2,391.62 ","$1,208.76 ","$3,885.30 ",$858.96 ,"$3,885.30 ","$3,885.30 ",$858.96 ,"$2,806.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100146,51720,HC INSTILL ANTICARCINOG BLADDER,361,1 ,$869.40 ,$625.97 ,$243.43 ,"$1,393.85 ",$869.40 ,$647.70 ,$569.46 ,$630.32 ,$243.43 ,$534.68 ,$630.32 ,$534.68 ,$630.32 ,$481.65 ,$481.65 ,$630.32 ,$481.65 ,$869.40 ,$782.46 ,$721.60 ,$869.40 ,$630.32 ,$765.07 ,$642.92 ,$652.05 ,$652.05 ,$738.99 ,$738.99 ,$630.32 ,$738.99 ,$630.32 ,$704.21 ,$704.21 ,$704.21 ,$869.40 ,$782.46 ,$869.40 ,$782.46 ,$630.32 ,$869.40 ,$487.73 ,$630.32 ,$359.93 ,$803.61 ,$767.08 ,$659.74 ,$782.46 ,"$1,393.85 ",$481.65 ,$243.43 ,$782.46 ,$630.32 ,$782.46 ,$782.46 ,$630.32 ,$565.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100148,64488,HC INJ TAP BLOCK W/GUIDE- BIL,361,1 ,"$3,372.00 ","$2,427.84 ",$310.79 ,"$3,372.00 ", N/A ,"$2,512.14 ","$2,208.66 ", N/A ,$944.16 ,"$2,073.78 ", N/A ,"$2,073.78 ", N/A ,"$1,868.09 ","$1,868.09 ", N/A ,"$1,868.09 ", N/A ,"$3,034.80 ","$2,798.76 ", N/A , N/A ,"$2,967.36 ", N/A ,"$2,529.00 ","$2,529.00 ","$2,866.20 ","$2,866.20 ", N/A ,"$2,866.20 ", N/A ,"$2,731.32 ","$2,731.32 ","$2,731.32 ","$3,372.00 ","$3,034.80 ", N/A ,"$3,034.80 ", N/A ,"$3,372.00 ","$1,891.69 ", N/A ,"$1,396.01 ",$325.59 ,$310.79 , N/A ,"$3,034.80 ", N/A ,"$1,868.09 ",$944.16 ,"$3,034.80 ", N/A ,"$3,034.80 ","$3,034.80 ", N/A ,"$2,191.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100164,N/A,HC BEDSIDE SURG PROC LEVEL 2,361,1 ,"$1,287.36 ",$926.90 ,$360.46 ,"$1,287.36 ", N/A ,$959.08 ,$843.22 , N/A ,$360.46 ,$791.73 , N/A ,$791.73 , N/A ,$713.20 ,$713.20 , N/A ,$713.20 , N/A ,"$1,158.62 ","$1,068.51 ", N/A , N/A ,"$1,132.88 ", N/A ,$965.52 ,$965.52 ,"$1,094.26 ","$1,094.26 ", N/A ,"$1,094.26 ", N/A ,"$1,042.76 ","$1,042.76 ","$1,042.76 ","$1,287.36 ","$1,158.62 ", N/A ,"$1,158.62 ", N/A ,"$1,287.36 ",$722.21 , N/A ,$532.97 , N/A , N/A , N/A ,"$1,158.62 ", N/A ,$713.20 ,$360.46 ,"$1,158.62 ", N/A ,"$1,158.62 ","$1,158.62 ", N/A ,$836.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100165,N/A,HC BEDSIDE SURG PROC LEVEL 3,361,1 ,"$1,931.04 ","$1,390.35 ",$540.69 ,"$1,931.04 ", N/A ,"$1,438.62 ","$1,264.83 ", N/A ,$540.69 ,"$1,187.59 ", N/A ,"$1,187.59 ", N/A ,"$1,069.80 ","$1,069.80 ", N/A ,"$1,069.80 ", N/A ,"$1,737.94 ","$1,602.76 ", N/A , N/A ,"$1,699.32 ", N/A ,"$1,448.28 ","$1,448.28 ","$1,641.38 ","$1,641.38 ", N/A ,"$1,641.38 ", N/A ,"$1,564.14 ","$1,564.14 ","$1,564.14 ","$1,931.04 ","$1,737.94 ", N/A ,"$1,737.94 ", N/A ,"$1,931.04 ","$1,083.31 ", N/A ,$799.45 , N/A , N/A , N/A ,"$1,737.94 ", N/A ,"$1,069.80 ",$540.69 ,"$1,737.94 ", N/A ,"$1,737.94 ","$1,737.94 ", N/A ,"$1,255.18 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100166,N/A,HC BEDSIDE SURG PROC LEVEL 4,361,1 ,"$2,575.80 ","$1,854.58 ",$721.22 ,"$2,575.80 ", N/A ,"$1,918.97 ","$1,687.15 ", N/A ,$721.22 ,"$1,584.12 ", N/A ,"$1,584.12 ", N/A ,"$1,426.99 ","$1,426.99 ", N/A ,"$1,426.99 ", N/A ,"$2,318.22 ","$2,137.91 ", N/A , N/A ,"$2,266.70 ", N/A ,"$1,931.85 ","$1,931.85 ","$2,189.43 ","$2,189.43 ", N/A ,"$2,189.43 ", N/A ,"$2,086.40 ","$2,086.40 ","$2,086.40 ","$2,575.80 ","$2,318.22 ", N/A ,"$2,318.22 ", N/A ,"$2,575.80 ","$1,445.02 ", N/A ,"$1,066.38 ", N/A , N/A , N/A ,"$2,318.22 ", N/A ,"$1,426.99 ",$721.22 ,"$2,318.22 ", N/A ,"$2,318.22 ","$2,318.22 ", N/A ,"$1,674.27 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100167,N/A,HC BEDSIDE SURG PROC LEVEL 5,361,1 ,"$3,219.48 ","$2,318.03 ",$901.45 ,"$3,219.48 ", N/A ,"$2,398.51 ","$2,108.76 ", N/A ,$901.45 ,"$1,979.98 ", N/A ,"$1,979.98 ", N/A ,"$1,783.59 ","$1,783.59 ", N/A ,"$1,783.59 ", N/A ,"$2,897.53 ","$2,672.17 ", N/A , N/A ,"$2,833.14 ", N/A ,"$2,414.61 ","$2,414.61 ","$2,736.56 ","$2,736.56 ", N/A ,"$2,736.56 ", N/A ,"$2,607.78 ","$2,607.78 ","$2,607.78 ","$3,219.48 ","$2,897.53 ", N/A ,"$2,897.53 ", N/A ,"$3,219.48 ","$1,806.13 ", N/A ,"$1,332.86 ", N/A , N/A , N/A ,"$2,897.53 ", N/A ,"$1,783.59 ",$901.45 ,"$2,897.53 ", N/A ,"$2,897.53 ","$2,897.53 ", N/A ,"$2,092.66 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100187,64415,HC INTRASCALENE BLOCK SINGLE-LT,361,1 ,"$3,634.00 ","$2,616.48 ",$310.79 ,"$3,634.00 ","$2,104.06 ","$2,707.33 ","$2,380.27 ",$858.96 ,"$1,017.52 ","$2,234.91 ",$858.96 ,"$2,234.91 ",$858.96 ,"$2,013.24 ","$2,013.24 ",$858.96 ,"$2,013.24 ","$1,770.49 ","$3,270.60 ","$3,016.22 ","$2,104.06 ",$858.96 ,"$3,197.92 ",$876.14 ,"$2,725.50 ","$2,725.50 ","$3,088.90 ","$3,088.90 ",$858.96 ,"$3,088.90 ",$858.96 ,"$2,943.54 ","$2,943.54 ","$2,943.54 ","$3,634.00 ","$3,270.60 ","$2,104.06 ","$3,270.60 ",$858.96 ,"$3,634.00 ","$2,038.67 ",$858.96 ,"$1,504.48 ",$325.59 ,$310.79 ,$899.06 ,"$3,270.60 ","$1,899.47 ","$2,013.24 ","$1,017.52 ","$3,270.60 ",$858.96 ,"$3,270.60 ","$3,270.60 ",$858.96 ,"$2,362.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100188,64415,HC INTRASCALENE BLOCK SINGLE-RT,361,1 ,"$3,634.00 ","$2,616.48 ",$310.79 ,"$3,634.00 ","$2,104.06 ","$2,707.33 ","$2,380.27 ",$858.96 ,"$1,017.52 ","$2,234.91 ",$858.96 ,"$2,234.91 ",$858.96 ,"$2,013.24 ","$2,013.24 ",$858.96 ,"$2,013.24 ","$1,770.49 ","$3,270.60 ","$3,016.22 ","$2,104.06 ",$858.96 ,"$3,197.92 ",$876.14 ,"$2,725.50 ","$2,725.50 ","$3,088.90 ","$3,088.90 ",$858.96 ,"$3,088.90 ",$858.96 ,"$2,943.54 ","$2,943.54 ","$2,943.54 ","$3,634.00 ","$3,270.60 ","$2,104.06 ","$3,270.60 ",$858.96 ,"$3,634.00 ","$2,038.67 ",$858.96 ,"$1,504.48 ",$325.59 ,$310.79 ,$899.06 ,"$3,270.60 ","$1,899.47 ","$2,013.24 ","$1,017.52 ","$3,270.60 ",$858.96 ,"$3,270.60 ","$3,270.60 ",$858.96 ,"$2,362.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100189,64415,HC INTRASCALENE BLOCK SINGLE,361,1 ,"$3,634.00 ","$2,616.48 ",$310.79 ,"$3,634.00 ","$2,104.06 ","$2,707.33 ","$2,380.27 ",$858.96 ,"$1,017.52 ","$2,234.91 ",$858.96 ,"$2,234.91 ",$858.96 ,"$2,013.24 ","$2,013.24 ",$858.96 ,"$2,013.24 ","$1,770.49 ","$3,270.60 ","$3,016.22 ","$2,104.06 ",$858.96 ,"$3,197.92 ",$876.14 ,"$2,725.50 ","$2,725.50 ","$3,088.90 ","$3,088.90 ",$858.96 ,"$3,088.90 ",$858.96 ,"$2,943.54 ","$2,943.54 ","$2,943.54 ","$3,634.00 ","$3,270.60 ","$2,104.06 ","$3,270.60 ",$858.96 ,"$3,634.00 ","$2,038.67 ",$858.96 ,"$1,504.48 ",$325.59 ,$310.79 ,$899.06 ,"$3,270.60 ","$1,899.47 ","$2,013.24 ","$1,017.52 ","$3,270.60 ",$858.96 ,"$3,270.60 ","$3,270.60 ",$858.96 ,"$2,362.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100191,64418,HC NERVE BLOCK;SUPRACAPULAR-LT,361,1 ,"$3,634.00 ","$2,616.48 ",$310.79 ,"$3,634.00 ","$1,590.90 ","$2,707.33 ","$2,380.27 ",$649.47 ,"$1,017.52 ","$2,234.91 ",$649.47 ,"$2,234.91 ",$649.47 ,"$2,013.24 ","$2,013.24 ",$649.47 ,"$2,013.24 ","$1,338.68 ","$3,270.60 ","$3,016.22 ","$1,590.90 ",$649.47 ,"$3,197.92 ",$662.45 ,"$2,725.50 ","$2,725.50 ","$3,088.90 ","$3,088.90 ",$649.47 ,"$3,088.90 ",$649.47 ,"$2,943.54 ","$2,943.54 ","$2,943.54 ","$3,634.00 ","$3,270.60 ","$1,590.90 ","$3,270.60 ",$649.47 ,"$3,634.00 ","$2,038.67 ",$649.47 ,"$1,504.48 ",$325.59 ,$310.79 ,$679.79 ,"$3,270.60 ","$1,436.20 ","$2,013.24 ","$1,017.52 ","$3,270.60 ",$649.47 ,"$3,270.60 ","$3,270.60 ",$649.47 ,"$2,362.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100196,64447,HC FEMORAL NERVE BLOCK SINGLE,361,1 ,"$1,818.00 ","$1,308.96 ",$310.79 ,"$1,818.00 ","$1,590.90 ","$1,354.41 ","$1,190.79 ",$649.47 ,$509.04 ,"$1,118.07 ",$649.47 ,"$1,118.07 ",$649.47 ,"$1,007.17 ","$1,007.17 ",$649.47 ,"$1,007.17 ","$1,338.68 ","$1,636.20 ","$1,508.94 ","$1,590.90 ",$649.47 ,"$1,599.84 ",$662.45 ,"$1,363.50 ","$1,363.50 ","$1,545.30 ","$1,545.30 ",$649.47 ,"$1,545.30 ",$649.47 ,"$1,472.58 ","$1,472.58 ","$1,472.58 ","$1,818.00 ","$1,636.20 ","$1,590.90 ","$1,636.20 ",$649.47 ,"$1,818.00 ","$1,019.90 ",$649.47 ,$752.65 ,$325.59 ,$310.79 ,$679.79 ,"$1,636.20 ","$1,436.20 ","$1,007.17 ",$509.04 ,"$1,636.20 ",$649.47 ,"$1,636.20 ","$1,636.20 ",$649.47 ,"$1,181.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100197,64450,HC INJ ANES NERVE PERIPHERAL,361,1 ,"$1,698.00 ","$1,222.56 ",$310.79 ,"$1,698.00 ","$1,590.90 ","$1,265.01 ","$1,112.19 ",$649.47 ,$475.44 ,"$1,044.27 ",$649.47 ,"$1,044.27 ",$649.47 ,$940.69 ,$940.69 ,$649.47 ,$940.69 ,"$1,338.68 ","$1,528.20 ","$1,409.34 ","$1,590.90 ",$649.47 ,"$1,494.24 ",$662.45 ,"$1,273.50 ","$1,273.50 ","$1,443.30 ","$1,443.30 ",$649.47 ,"$1,443.30 ",$649.47 ,"$1,375.38 ","$1,375.38 ","$1,375.38 ","$1,698.00 ","$1,528.20 ","$1,590.90 ","$1,528.20 ",$649.47 ,"$1,698.00 ",$952.58 ,$649.47 ,$702.97 ,$325.59 ,$310.79 ,$679.79 ,"$1,528.20 ","$1,436.20 ",$940.69 ,$475.44 ,"$1,528.20 ",$649.47 ,"$1,528.20 ","$1,528.20 ",$649.47 ,"$1,103.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100200,64480,HC INJ TRANSF CERV/THORACIC ADDL,361,1 ,"$1,809.54 ","$1,302.87 ",$506.67 ,"$1,809.54 ", N/A ,"$1,348.11 ","$1,185.25 ", N/A ,$506.67 ,"$1,112.87 ", N/A ,"$1,112.87 ", N/A ,"$1,002.49 ","$1,002.49 ", N/A ,"$1,002.49 ", N/A ,"$1,628.59 ","$1,501.92 ", N/A , N/A ,"$1,592.40 ", N/A ,"$1,357.16 ","$1,357.16 ","$1,538.11 ","$1,538.11 ", N/A ,"$1,538.11 ", N/A ,"$1,465.73 ","$1,465.73 ","$1,465.73 ","$1,809.54 ","$1,628.59 ", N/A ,"$1,628.59 ", N/A ,"$1,809.54 ","$1,015.15 ", N/A ,$749.15 ,$590.49 ,$563.65 , N/A ,"$1,628.59 ", N/A ,"$1,002.49 ",$506.67 ,"$1,628.59 ", N/A ,"$1,628.59 ","$1,628.59 ", N/A ,"$1,176.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100229,45020,HC I AND D ABSCESS RECTAL,361,1 ,"$2,124.00 ","$1,529.28 ",$594.72 ,"$5,727.22 ","$2,124.00 ","$1,582.38 ","$1,391.22 ","$2,081.52 ",$594.72 ,"$1,306.26 ","$2,081.52 ","$1,306.26 ","$2,081.52 ","$1,176.70 ","$1,176.70 ","$2,081.52 ","$1,176.70 ","$2,124.00 ","$1,911.60 ","$1,762.92 ","$2,124.00 ","$2,081.52 ","$1,869.12 ","$2,123.15 ","$1,593.00 ","$1,593.00 ","$1,805.40 ","$1,805.40 ","$2,081.52 ","$1,805.40 ","$2,081.52 ","$1,720.44 ","$1,720.44 ","$1,720.44 ","$2,124.00 ","$1,911.60 ","$2,124.00 ","$1,911.60 ","$2,081.52 ","$2,124.00 ","$1,191.56 ","$2,081.52 ",$879.34 ,"$1,466.84 ","$1,400.16 ","$2,081.52 ","$1,911.60 ","$5,727.22 ","$1,176.70 ",$594.72 ,"$1,911.60 ","$2,081.52 ","$1,911.60 ","$1,911.60 ","$2,081.52 ","$1,380.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100231,50437,HC DILATION EXIST TRACT ENDOURAL W/GUIDE  AND  NEW RENAL ACCESS,361,1 ,"$5,337.15 ","$3,842.75 ","$1,494.40 ","$7,144.05 ","$5,337.15 ","$3,976.18 ","$3,495.83 ","$3,230.61 ","$1,494.40 ","$3,282.35 ","$3,230.61 ","$3,282.35 ","$3,230.61 ","$2,956.78 ","$2,956.78 ","$3,230.61 ","$2,956.78 ","$5,337.15 ","$4,803.44 ","$4,429.83 ","$5,337.15 ","$3,230.61 ","$4,696.69 ","$3,295.22 ","$4,002.86 ","$4,002.86 ","$4,536.58 ","$4,536.58 ","$3,230.61 ","$4,536.58 ","$3,230.61 ","$4,323.09 ","$4,323.09 ","$4,323.09 ","$5,337.15 ","$4,803.44 ","$5,337.15 ","$4,803.44 ","$3,230.61 ","$5,337.15 ","$2,994.14 ","$3,230.61 ","$2,209.58 ","$1,709.38 ","$1,631.68 ","$3,381.43 ","$4,803.44 ","$7,144.05 ","$2,956.78 ","$1,494.40 ","$4,803.44 ","$3,230.61 ","$4,803.44 ","$4,803.44 ","$3,230.61 ","$3,469.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100232,11103,HC BIOPSY SKIN TANGENTIAL ADDL LESN,361,1 ,$306.00 ,$220.32 ,$85.68 ,$306.00 , N/A ,$227.97 ,$200.43 , N/A ,$85.68 ,$188.19 , N/A ,$188.19 , N/A ,$169.52 ,$169.52 , N/A ,$169.52 , N/A ,$275.40 ,$253.98 , N/A , N/A ,$269.28 , N/A ,$229.50 ,$229.50 ,$260.10 ,$260.10 , N/A ,$260.10 , N/A ,$247.86 ,$247.86 ,$247.86 ,$306.00 ,$275.40 , N/A ,$275.40 , N/A ,$306.00 ,$171.67 , N/A ,$126.68 ,$306.00 ,$306.00 , N/A ,$275.40 , N/A ,$169.52 ,$85.68 ,$275.40 , N/A ,$275.40 ,$275.40 , N/A ,$198.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100233,11105,HC BIOPSY SKIN PUNCH ADDL LESN,361,1 ,$352.00 ,$253.44 ,$98.56 ,$352.00 , N/A ,$262.24 ,$230.56 , N/A ,$98.56 ,$216.48 , N/A ,$216.48 , N/A ,$195.01 ,$195.01 , N/A ,$195.01 , N/A ,$316.80 ,$292.16 , N/A , N/A ,$309.76 , N/A ,$264.00 ,$264.00 ,$299.20 ,$299.20 , N/A ,$299.20 , N/A ,$285.12 ,$285.12 ,$285.12 ,$352.00 ,$316.80 , N/A ,$316.80 , N/A ,$352.00 ,$197.47 , N/A ,$145.73 ,$352.00 ,$352.00 , N/A ,$316.80 , N/A ,$195.01 ,$98.56 ,$316.80 , N/A ,$316.80 ,$316.80 , N/A ,$228.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100234,11107,HC BIOPSY SKIN INCISIONAL ADDL LESN,361,1 ,$306.00 ,$220.32 ,$85.68 ,$306.00 , N/A ,$227.97 ,$200.43 , N/A ,$85.68 ,$188.19 , N/A ,$188.19 , N/A ,$169.52 ,$169.52 , N/A ,$169.52 , N/A ,$275.40 ,$253.98 , N/A , N/A ,$269.28 , N/A ,$229.50 ,$229.50 ,$260.10 ,$260.10 , N/A ,$260.10 , N/A ,$247.86 ,$247.86 ,$247.86 ,$306.00 ,$275.40 , N/A ,$275.40 , N/A ,$306.00 ,$171.67 , N/A ,$126.68 ,$306.00 ,$306.00 , N/A ,$275.40 , N/A ,$169.52 ,$85.68 ,$275.40 , N/A ,$275.40 ,$275.40 , N/A ,$198.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100235,11102,HC BIOPSY SKIN TANGENTIAL INIT LESN,361,1 ,$605.00 ,$435.60 ,$169.40 ,$605.00 ,$445.86 ,$450.73 ,$396.28 ,$182.02 ,$169.40 ,$372.08 ,$182.02 ,$372.08 ,$182.02 ,$335.17 ,$335.17 ,$182.02 ,$335.17 ,$375.17 ,$544.50 ,$502.15 ,$445.86 ,$182.02 ,$532.40 ,$185.65 ,$453.75 ,$453.75 ,$514.25 ,$514.25 ,$182.02 ,$514.25 ,$182.02 ,$490.05 ,$490.05 ,$490.05 ,$605.00 ,$544.50 ,$445.86 ,$544.50 ,$182.02 ,$605.00 ,$339.41 ,$182.02 ,$250.47 ,$477.10 ,$455.42 ,$190.51 ,$544.50 ,$402.50 ,$335.17 ,$169.40 ,$544.50 ,$182.02 ,$544.50 ,$544.50 ,$182.02 ,$393.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100236,11104,HC BIOPSY SKIN PUNCH INIT LESN,361,1 ,$695.00 ,$500.40 ,$194.60 ,$831.55 ,$695.00 ,$517.78 ,$455.23 ,$376.04 ,$194.60 ,$427.43 ,$376.04 ,$427.43 ,$376.04 ,$385.03 ,$385.03 ,$376.04 ,$385.03 ,$695.00 ,$625.50 ,$576.85 ,$695.00 ,$376.04 ,$611.60 ,$383.55 ,$521.25 ,$521.25 ,$590.75 ,$590.75 ,$376.04 ,$590.75 ,$376.04 ,$562.95 ,$562.95 ,$562.95 ,$695.00 ,$625.50 ,$695.00 ,$625.50 ,$376.04 ,$695.00 ,$389.90 ,$376.04 ,$287.73 ,$477.10 ,$455.42 ,$393.60 ,$625.50 ,$831.55 ,$385.03 ,$194.60 ,$625.50 ,$376.04 ,$625.50 ,$625.50 ,$376.04 ,$451.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100237,11106,HC BIOPSY SKIN INCISIONAL INIT LESN,361,1 ,$605.00 ,$435.60 ,$169.40 ,"$1,294.91 ",$605.00 ,$450.73 ,$396.28 ,$585.57 ,$169.40 ,$372.08 ,$585.57 ,$372.08 ,$585.57 ,$335.17 ,$335.17 ,$585.57 ,$335.17 ,$605.00 ,$544.50 ,$502.15 ,$605.00 ,$585.57 ,$532.40 ,$597.28 ,$453.75 ,$453.75 ,$514.25 ,$514.25 ,$585.57 ,$514.25 ,$585.57 ,$490.05 ,$490.05 ,$490.05 ,$605.00 ,$544.50 ,$605.00 ,$544.50 ,$585.57 ,$605.00 ,$339.41 ,$585.57 ,$250.47 ,$477.10 ,$455.42 ,$592.90 ,$544.50 ,"$1,294.91 ",$335.17 ,$169.40 ,$544.50 ,$585.57 ,$544.50 ,$544.50 ,$585.57 ,$393.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,"$1,322.00 ",$951.84 ,$146.54 ,"$1,446.52 ","$1,322.00 ",$984.89 ,$865.91 ,$654.13 ,$370.16 ,$813.03 ,$654.13 ,$813.03 ,$654.13 ,$732.39 ,$732.39 ,$654.13 ,$732.39 ,"$1,322.00 ","$1,189.80 ","$1,097.26 ","$1,322.00 ",$654.13 ,"$1,163.36 ",$667.21 ,$991.50 ,$991.50 ,"$1,123.70 ","$1,123.70 ",$654.13 ,"$1,123.70 ",$654.13 ,"$1,070.82 ","$1,070.82 ","$1,070.82 ","$1,322.00 ","$1,189.80 ","$1,322.00 ","$1,189.80 ",$654.13 ,$146.54 ,$741.64 ,$654.13 ,$547.31 ,$450.34 ,$429.87 ,$684.67 ,"$1,189.80 ","$1,446.52 ",$732.39 ,$370.16 ,"$1,189.80 ",$654.13 ,"$1,189.80 ","$1,189.80 ",$654.13 ,$859.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,$862.00 ,$620.64 ,$61.94 ,$862.00 , N/A ,$642.19 ,$564.61 , N/A ,$241.36 ,$530.13 , N/A ,$530.13 , N/A ,$477.55 ,$477.55 , N/A ,$477.55 , N/A ,$775.80 ,$715.46 , N/A , N/A ,$758.56 , N/A ,$646.50 ,$646.50 ,$732.70 ,$732.70 , N/A ,$732.70 , N/A ,$698.22 ,$698.22 ,$698.22 ,$862.00 ,$775.80 , N/A ,$775.80 , N/A ,$61.94 ,$483.58 , N/A ,$356.87 ,$450.34 ,$429.87 , N/A ,$775.80 , N/A ,$477.55 ,$241.36 ,$775.80 , N/A ,$775.80 ,$775.80 , N/A ,$560.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100242,10009,HC ASP FINE NDL W/CT GUIDE INIT LESN,361,1 ,"$1,322.00 ",$951.84 ,$370.16 ,"$1,446.52 ","$1,322.00 ",$984.89 ,$865.91 ,$654.13 ,$370.16 ,$813.03 ,$654.13 ,$813.03 ,$654.13 ,$732.39 ,$732.39 ,$654.13 ,$732.39 ,"$1,322.00 ","$1,189.80 ","$1,097.26 ","$1,322.00 ",$654.13 ,"$1,163.36 ",$667.21 ,$991.50 ,$991.50 ,"$1,123.70 ","$1,123.70 ",$654.13 ,"$1,123.70 ",$654.13 ,"$1,070.82 ","$1,070.82 ","$1,070.82 ","$1,322.00 ","$1,189.80 ","$1,322.00 ","$1,189.80 ",$654.13 ,$462.48 ,$741.64 ,$654.13 ,$547.31 ,$450.34 ,$429.87 ,$684.67 ,"$1,189.80 ","$1,446.52 ",$732.39 ,$370.16 ,"$1,189.80 ",$654.13 ,"$1,189.80 ","$1,189.80 ",$654.13 ,$859.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,$389.00 ,$280.08 ,$108.92 ,"$3,316.34 ",$389.00 ,$289.81 ,$254.80 ,$381.22 ,$108.92 ,$239.24 ,$381.22 ,$239.24 ,$381.22 ,$215.51 ,$215.51 ,$381.22 ,$215.51 ,$389.00 ,$350.10 ,$322.87 ,$389.00 ,$381.22 ,$342.32 ,$388.84 ,$291.75 ,$291.75 ,$330.65 ,$330.65 ,$381.22 ,$330.65 ,$381.22 ,$315.09 ,$315.09 ,$315.09 ,$389.00 ,$350.10 ,$389.00 ,$350.10 ,$381.22 ,$389.00 ,$218.23 ,$381.22 ,$161.05 ,$366.84 ,$350.16 ,$381.22 ,$350.10 ,"$3,316.34 ",$215.51 ,$108.92 ,$350.10 ,$381.22 ,$350.10 ,$350.10 ,$381.22 ,$252.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100259,66821,HC LASER (YAG) POST CATARACT,361,1 ,"$1,643.00 ","$1,182.96 ",$386.96 ,"$1,643.00 ","$1,310.49 ","$1,224.04 ","$1,076.17 ",$534.99 ,$460.04 ,"$1,010.45 ",$534.99 ,"$1,010.45 ",$534.99 ,$910.22 ,$910.22 ,$534.99 ,$910.22 ,"$1,102.73 ","$1,478.70 ","$1,363.69 ","$1,310.49 ",$534.99 ,"$1,445.84 ",$545.69 ,"$1,232.25 ","$1,232.25 ","$1,396.55 ","$1,396.55 ",$534.99 ,"$1,396.55 ",$534.99 ,"$1,330.83 ","$1,330.83 ","$1,330.83 ","$1,643.00 ","$1,478.70 ","$1,310.49 ","$1,478.70 ",$534.99 ,"$1,643.00 ",$921.72 ,$534.99 ,$680.20 ,$405.38 ,$386.96 ,$559.97 ,"$1,478.70 ","$1,183.06 ",$910.22 ,$460.04 ,"$1,478.70 ",$534.99 ,"$1,478.70 ","$1,478.70 ",$534.99 ,"$1,067.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100262,64616,HC CHEM/DEST NERVE MUSCLE NECK,361,1 ,$758.00 ,$545.76 ,$212.24 ,$758.00 ,$671.31 ,$564.71 ,$496.49 ,$274.06 ,$212.24 ,$466.17 ,$274.06 ,$466.17 ,$274.06 ,$419.93 ,$419.93 ,$274.06 ,$419.93 ,$564.88 ,$682.20 ,$629.14 ,$671.31 ,$274.06 ,$667.04 ,$279.54 ,$568.50 ,$568.50 ,$644.30 ,$644.30 ,$274.06 ,$644.30 ,$274.06 ,$613.98 ,$613.98 ,$613.98 ,$758.00 ,$682.20 ,$671.31 ,$682.20 ,$274.06 ,$758.00 ,$425.24 ,$274.06 ,$313.81 ,$325.59 ,$310.79 ,$286.85 ,$682.20 ,$606.03 ,$419.93 ,$212.24 ,$682.20 ,$274.06 ,$682.20 ,$682.20 ,$274.06 ,$492.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100264,33016,HC PERICARDIOCENTESIS W/ OR W/O IMAGING,361,1 ,"$4,218.42 ","$3,037.26 ","$1,181.16 ","$4,218.42 ","$3,673.55 ","$3,142.72 ","$2,763.07 ","$1,499.68 ","$1,181.16 ","$2,594.33 ","$1,499.68 ","$2,594.33 ","$1,499.68 ","$2,337.00 ","$2,337.00 ","$1,499.68 ","$2,337.00 ","$3,091.16 ","$3,796.58 ","$3,501.29 ","$3,673.55 ","$1,499.68 ","$3,712.21 ","$1,529.68 ","$3,163.82 ","$3,163.82 ","$3,585.66 ","$3,585.66 ","$1,499.68 ","$3,585.66 ","$1,499.68 ","$3,416.92 ","$3,416.92 ","$3,416.92 ","$4,218.42 ","$3,796.58 ","$3,673.55 ","$3,796.58 ","$1,499.68 ","$4,218.42 ","$2,366.53 ","$1,499.68 ","$1,746.43 ","$2,306.93 ","$2,202.07 ","$1,569.70 ","$3,796.58 ","$3,316.34 ","$2,337.00 ","$1,181.16 ","$3,796.58 ","$1,499.68 ","$3,796.58 ","$3,796.58 ","$1,499.68 ","$2,741.97 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100265,33017,HC PERICARDIAL DRAINAGE =>6 YRS W/O CONGENITAL CARDIAC ANOMALY,361,1 ,$742.00 ,$534.24 ,$207.76 ,$742.00 , N/A ,$552.79 ,$486.01 , N/A ,$207.76 ,$456.33 , N/A ,$456.33 , N/A ,$411.07 ,$411.07 , N/A ,$411.07 , N/A ,$667.80 ,$615.86 , N/A , N/A ,$652.96 , N/A ,$556.50 ,$556.50 ,$630.70 ,$630.70 , N/A ,$630.70 , N/A ,$601.02 ,$601.02 ,$601.02 ,$742.00 ,$667.80 , N/A ,$667.80 , N/A ,$742.00 ,$416.26 , N/A ,$307.19 ,$742.00 ,$742.00 , N/A ,$667.80 , N/A ,$411.07 ,$207.76 ,$667.80 , N/A ,$667.80 ,$667.80 , N/A ,$482.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100270,62328,HC LUMBAR PUNCTURE DIAGNOSTIC W/FLUORO OR CT GUID,361,1 ,"$1,932.00 ","$1,391.04 ",$365.13 ,"$1,932.00 ","$1,590.90 ","$1,439.34 ","$1,265.46 ",$649.47 ,$540.96 ,"$1,188.18 ",$649.47 ,"$1,188.18 ",$649.47 ,"$1,070.33 ","$1,070.33 ",$649.47 ,"$1,070.33 ","$1,338.68 ","$1,738.80 ","$1,603.56 ","$1,590.90 ",$649.47 ,"$1,700.16 ",$662.45 ,"$1,449.00 ","$1,449.00 ","$1,642.20 ","$1,642.20 ",$649.47 ,"$1,642.20 ",$649.47 ,"$1,564.92 ","$1,564.92 ","$1,564.92 ","$1,932.00 ","$1,738.80 ","$1,590.90 ","$1,738.80 ",$649.47 ,"$1,932.00 ","$1,083.85 ",$649.47 ,$799.85 ,$382.51 ,$365.13 ,$679.79 ,"$1,738.80 ","$1,436.20 ","$1,070.33 ",$540.96 ,"$1,738.80 ",$649.47 ,"$1,738.80 ","$1,738.80 ",$649.47 ,"$1,255.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100273,64454,HC INJ ANESTHETIC/STEROID GENICULAR NERVES W/FLUORO OR CT GUID,361,1 ,"$1,792.00 ","$1,290.24 ",$310.79 ,"$1,792.00 ","$1,590.90 ","$1,335.04 ","$1,173.76 ",$649.47 ,$501.76 ,"$1,102.08 ",$649.47 ,"$1,102.08 ",$649.47 ,$992.77 ,$992.77 ,$649.47 ,$992.77 ,"$1,338.68 ","$1,612.80 ","$1,487.36 ","$1,590.90 ",$649.47 ,"$1,576.96 ",$662.45 ,"$1,344.00 ","$1,344.00 ","$1,523.20 ","$1,523.20 ",$649.47 ,"$1,523.20 ",$649.47 ,"$1,451.52 ","$1,451.52 ","$1,451.52 ","$1,792.00 ","$1,612.80 ","$1,590.90 ","$1,612.80 ",$649.47 ,"$1,792.00 ","$1,005.31 ",$649.47 ,$741.89 ,$325.59 ,$310.79 ,$679.79 ,"$1,612.80 ","$1,436.20 ",$992.77 ,$501.76 ,"$1,612.80 ",$649.47 ,"$1,612.80 ","$1,612.80 ",$649.47 ,"$1,164.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100274,64624,HC DESTRUST NEUROLYTIC AGENT GENICULAR NERVE W/IMG GUID,361,1 ,"$5,313.00 ","$3,825.36 ",$563.65 ,"$5,313.00 ","$4,438.14 ","$3,958.19 ","$3,480.02 ","$1,811.81 ","$1,487.64 ","$3,267.50 ","$1,811.81 ","$3,267.50 ","$1,811.81 ","$2,943.40 ","$2,943.40 ","$1,811.81 ","$2,943.40 ","$3,734.53 ","$4,781.70 ","$4,409.79 ","$4,438.14 ","$1,811.81 ","$4,675.44 ","$1,848.05 ","$3,984.75 ","$3,984.75 ","$4,516.05 ","$4,516.05 ","$1,811.81 ","$4,516.05 ","$1,811.81 ","$4,303.53 ","$4,303.53 ","$4,303.53 ","$5,313.00 ","$4,781.70 ","$4,438.14 ","$4,781.70 ","$1,811.81 ","$5,313.00 ","$2,980.59 ","$1,811.81 ","$2,199.58 ",$590.49 ,$563.65 ,"$1,896.40 ","$4,781.70 ","$4,006.58 ","$2,943.40 ","$1,487.64 ","$4,781.70 ","$1,811.81 ","$4,781.70 ","$4,781.70 ","$1,811.81 ","$3,453.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100281,32408,HC CORE NDL BX LUNG/MEDIASTINUM PERQ W IMG,361,1 ,"$4,006.00 ","$2,884.32 ",$488.89 ,"$4,006.00 ","$3,702.44 ","$2,984.47 ","$2,623.93 ","$1,511.47 ","$1,121.68 ","$2,463.69 ","$1,511.47 ","$2,463.69 ","$1,511.47 ","$2,219.32 ","$2,219.32 ","$1,511.47 ","$2,219.32 ","$3,115.46 ","$3,605.40 ","$3,324.98 ","$3,702.44 ","$1,511.47 ","$3,525.28 ","$1,541.71 ","$3,004.50 ","$3,004.50 ","$3,405.10 ","$3,405.10 ","$1,511.47 ","$3,405.10 ","$1,511.47 ","$3,244.86 ","$3,244.86 ","$3,244.86 ","$4,006.00 ","$3,605.40 ","$3,702.44 ","$3,605.40 ","$1,511.47 ","$4,006.00 ","$2,247.37 ","$1,511.47 ","$1,658.48 ",$512.17 ,$488.89 ,"$1,582.04 ","$3,605.40 ","$3,342.42 ","$2,219.32 ","$1,121.68 ","$3,605.40 ","$1,511.47 ","$3,605.40 ","$3,605.40 ","$1,511.47 ","$2,603.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,$238.00 ,$171.36 ,$66.64 ,"$4,134.43 ",$238.00 ,$177.31 ,$155.89 ,$233.24 ,$66.64 ,$146.37 ,$233.24 ,$146.37 ,$233.24 ,$131.85 ,$131.85 ,$233.24 ,$131.85 ,$238.00 ,$214.20 ,$197.54 ,$238.00 ,$233.24 ,$209.44 ,$237.90 ,$178.50 ,$178.50 ,$202.30 ,$202.30 ,$233.24 ,$202.30 ,$233.24 ,$192.78 ,$192.78 ,$192.78 ,$238.00 ,$214.20 ,$238.00 ,$214.20 ,$233.24 ,$238.00 ,$133.52 ,$233.24 ,$98.53 , N/A , N/A ,$233.24 ,$214.20 ,"$4,134.43 ",$131.85 ,$66.64 ,$214.20 ,$233.24 ,$214.20 ,$214.20 ,$233.24 ,$154.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),36100514,64620,"HC DEST,INTERCOSTAL NEVER NEUROLYTIC",361,1 ,"$3,756.00 ","$2,704.32 ",$563.65 ,"$3,756.00 ","$2,104.06 ","$2,798.22 ","$2,460.18 ",$858.96 ,"$1,051.68 ","$2,309.94 ",$858.96 ,"$2,309.94 ",$858.96 ,"$2,080.82 ","$2,080.82 ",$858.96 ,"$2,080.82 ","$1,770.49 ","$3,380.40 ","$3,117.48 ","$2,104.06 ",$858.96 ,"$3,305.28 ",$876.14 ,"$2,817.00 ","$2,817.00 ","$3,192.60 ","$3,192.60 ",$858.96 ,"$3,192.60 ",$858.96 ,"$3,042.36 ","$3,042.36 ","$3,042.36 ","$3,756.00 ","$3,380.40 ","$2,104.06 ","$3,380.40 ",$858.96 ,"$3,756.00 ","$2,107.12 ",$858.96 ,"$1,554.98 ",$590.49 ,$563.65 ,$899.06 ,"$3,380.40 ","$1,899.47 ","$2,080.82 ","$1,051.68 ","$3,380.40 ",$858.96 ,"$3,380.40 ","$3,380.40 ",$858.96 ,"$2,441.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$389.00 ,$280.08 ,$108.92 ,$463.24 ,$389.00 ,$289.81 ,$254.80 ,$209.48 ,$108.92 ,$239.24 ,$209.48 ,$239.24 ,$209.48 ,$215.51 ,$215.51 ,$209.48 ,$215.51 ,$389.00 ,$350.10 ,$322.87 ,$389.00 ,$209.48 ,$342.32 ,$213.68 ,$291.75 ,$291.75 ,$330.65 ,$330.65 ,$209.48 ,$330.65 ,$209.48 ,$315.09 ,$315.09 ,$315.09 ,$389.00 ,$350.10 ,$389.00 ,$350.10 ,$209.48 ,$389.00 ,$218.23 ,$209.48 ,$161.05 ,$389.00 ,$389.00 ,$219.27 ,$350.10 ,$463.24 ,$215.51 ,$108.92 ,$350.10 ,$209.48 ,$350.10 ,$350.10 ,$209.48 ,$252.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000014,64448,HC FEMORAL NERVE BLOCK CONTINUOUS,370,1 ,"$2,248.00 ","$1,618.56 ",$310.79 ,"$2,248.00 ","$2,104.06 ","$1,674.76 ","$1,472.44 ",$858.96 ,$629.44 ,"$1,382.52 ",$858.96 ,"$1,382.52 ",$858.96 ,"$1,245.39 ","$1,245.39 ",$858.96 ,"$1,245.39 ","$1,770.49 ","$2,023.20 ","$1,865.84 ","$2,104.06 ",$858.96 ,"$1,978.24 ",$876.14 ,"$1,686.00 ","$1,686.00 ","$1,910.80 ","$1,910.80 ",$858.96 ,"$1,910.80 ",$858.96 ,"$1,820.88 ","$1,820.88 ","$1,820.88 ","$2,248.00 ","$2,023.20 ","$2,104.06 ","$2,023.20 ",$858.96 ,"$2,248.00 ","$1,261.13 ",$858.96 ,$930.67 ,$325.59 ,$310.79 ,$899.06 ,"$2,023.20 ","$1,899.47 ","$1,245.39 ",$629.44 ,"$2,023.20 ",$858.96 ,"$2,023.20 ","$2,023.20 ",$858.96 ,"$1,461.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000014,64448,HC FEMORAL NERVE BLOCK CONTINUOUS,370,1 ,"$3,372.00 ","$2,427.84 ",$466.18 ,"$3,372.00 ","$3,156.09 ","$2,512.14 ","$2,208.66 ","$1,288.44 ",$944.16 ,"$2,073.78 ","$1,288.44 ","$2,073.78 ","$1,288.44 ","$1,868.09 ","$1,868.09 ","$1,288.44 ","$1,868.09 ","$2,655.73 ","$3,034.80 ","$2,798.76 ","$3,156.09 ","$1,288.44 ","$2,967.36 ","$1,314.20 ","$2,529.00 ","$2,529.00 ","$2,866.20 ","$2,866.20 ","$1,288.44 ","$2,866.20 ","$1,288.44 ","$2,731.32 ","$2,731.32 ","$2,731.32 ","$3,372.00 ","$3,034.80 ","$3,156.09 ","$3,034.80 ","$1,288.44 ","$3,372.00 ","$1,891.69 ","$1,288.44 ","$1,396.01 ",$488.38 ,$466.18 ,"$1,348.59 ","$3,034.80 ","$2,849.20 ","$1,868.09 ",$944.16 ,"$3,034.80 ","$1,288.44 ","$3,034.80 ","$3,034.80 ","$1,288.44 ","$2,191.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000017,99153,HC MODERATE SEDATION SAME PHY EA ADDL 15MIN,370,1 ,$497.00 ,$357.84 ,$16.66 ,$497.00 , N/A ,$370.27 ,$325.54 , N/A ,$139.16 ,$305.66 , N/A ,$305.66 , N/A ,$275.34 ,$275.34 , N/A ,$275.34 , N/A ,$447.30 ,$412.51 , N/A , N/A ,$437.36 , N/A ,$372.75 ,$372.75 ,$422.45 ,$422.45 , N/A ,$422.45 , N/A ,$402.57 ,$402.57 ,$402.57 ,$497.00 ,$447.30 , N/A ,$447.30 , N/A ,$497.00 ,$278.82 , N/A ,$205.76 ,$17.46 ,$16.66 , N/A ,$447.30 , N/A ,$275.34 ,$139.16 ,$447.30 , N/A ,$447.30 ,$447.30 , N/A ,$323.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000023,64416,HC INTRASCALENE BLOCK CONTINUOUS,370,1 ,"$3,634.00 ","$2,616.48 ",$310.79 ,"$3,634.00 ","$2,104.06 ","$2,707.33 ","$2,380.27 ",$858.96 ,"$1,017.52 ","$2,234.91 ",$858.96 ,"$2,234.91 ",$858.96 ,"$2,013.24 ","$2,013.24 ",$858.96 ,"$2,013.24 ","$1,770.49 ","$3,270.60 ","$3,016.22 ","$2,104.06 ",$858.96 ,"$3,197.92 ",$876.14 ,"$2,725.50 ","$2,725.50 ","$3,088.90 ","$3,088.90 ",$858.96 ,"$3,088.90 ",$858.96 ,"$2,943.54 ","$2,943.54 ","$2,943.54 ","$3,634.00 ","$3,270.60 ","$2,104.06 ","$3,270.60 ",$858.96 ,"$3,634.00 ","$2,038.67 ",$858.96 ,"$1,504.48 ",$325.59 ,$310.79 ,$899.06 ,"$3,270.60 ","$1,899.47 ","$2,013.24 ","$1,017.52 ","$3,270.60 ",$858.96 ,"$3,270.60 ","$3,270.60 ",$858.96 ,"$2,362.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,$644.76 ,$464.23 ,$180.53 ,$644.76 , N/A ,$480.35 ,$422.32 , N/A ,$180.53 ,$396.53 , N/A ,$396.53 , N/A ,$357.20 ,$357.20 , N/A ,$357.20 , N/A ,$580.28 ,$535.15 , N/A , N/A ,$567.39 , N/A ,$483.57 ,$483.57 ,$548.05 ,$548.05 , N/A ,$548.05 , N/A ,$522.26 ,$522.26 ,$522.26 ,$644.76 ,$580.28 , N/A ,$580.28 , N/A ,$644.76 ,$361.71 , N/A ,$266.93 , N/A , N/A , N/A ,$580.28 , N/A ,$357.20 ,$180.53 ,$580.28 , N/A ,$580.28 ,$580.28 , N/A ,$419.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$437.40 ,$314.93 ,$122.47 ,$437.40 , N/A ,$325.86 ,$286.50 , N/A ,$122.47 ,$269.00 , N/A ,$269.00 , N/A ,$242.32 ,$242.32 , N/A ,$242.32 , N/A ,$393.66 ,$363.04 , N/A , N/A ,$384.91 , N/A ,$328.05 ,$328.05 ,$371.79 ,$371.79 , N/A ,$371.79 , N/A ,$354.29 ,$354.29 ,$354.29 ,$437.40 ,$393.66 , N/A ,$393.66 , N/A ,$437.40 ,$245.38 , N/A ,$181.08 , N/A , N/A , N/A ,$393.66 , N/A ,$242.32 ,$122.47 ,$393.66 , N/A ,$393.66 ,$393.66 , N/A ,$284.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,$569.16 ,$409.80 ,$159.36 ,$569.16 , N/A ,$424.02 ,$372.80 , N/A ,$159.36 ,$350.03 , N/A ,$350.03 , N/A ,$315.31 ,$315.31 , N/A ,$315.31 , N/A ,$512.24 ,$472.40 , N/A , N/A ,$500.86 , N/A ,$426.87 ,$426.87 ,$483.79 ,$483.79 , N/A ,$483.79 , N/A ,$461.02 ,$461.02 ,$461.02 ,$569.16 ,$512.24 , N/A ,$512.24 , N/A ,$569.16 ,$319.30 , N/A ,$235.63 , N/A , N/A , N/A ,$512.24 , N/A ,$315.31 ,$159.36 ,$512.24 , N/A ,$512.24 ,$512.24 , N/A ,$369.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$312.12 ,$224.73 ,$87.39 ,$312.12 , N/A ,$232.53 ,$204.44 , N/A ,$87.39 ,$191.95 , N/A ,$191.95 , N/A ,$172.91 ,$172.91 , N/A ,$172.91 , N/A ,$280.91 ,$259.06 , N/A , N/A ,$274.67 , N/A ,$234.09 ,$234.09 ,$265.30 ,$265.30 , N/A ,$265.30 , N/A ,$252.82 ,$252.82 ,$252.82 ,$312.12 ,$280.91 , N/A ,$280.91 , N/A ,$312.12 ,$175.10 , N/A ,$129.22 , N/A , N/A , N/A ,$280.91 , N/A ,$172.91 ,$87.39 ,$280.91 , N/A ,$280.91 ,$280.91 , N/A ,$202.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000072,99151,HC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,370,1 ,$879.00 ,$632.88 ,$16.66 ,$879.00 , N/A ,$654.86 ,$575.75 , N/A ,$246.12 ,$540.59 , N/A ,$540.59 , N/A ,$486.97 ,$486.97 , N/A ,$486.97 , N/A ,$791.10 ,$729.57 , N/A , N/A ,$773.52 , N/A ,$659.25 ,$659.25 ,$747.15 ,$747.15 , N/A ,$747.15 , N/A ,$711.99 ,$711.99 ,$711.99 ,$879.00 ,$791.10 , N/A ,$791.10 , N/A ,$879.00 ,$493.12 , N/A ,$363.91 ,$17.46 ,$16.66 , N/A ,$791.10 , N/A ,$486.97 ,$246.12 ,$791.10 , N/A ,$791.10 ,$791.10 , N/A ,$571.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,$993.00 ,$714.96 ,$16.66 ,$993.00 , N/A ,$739.79 ,$650.42 , N/A ,$278.04 ,$610.70 , N/A ,$610.70 , N/A ,$550.12 ,$550.12 , N/A ,$550.12 , N/A ,$893.70 ,$824.19 , N/A , N/A ,$873.84 , N/A ,$744.75 ,$744.75 ,$844.05 ,$844.05 , N/A ,$844.05 , N/A ,$804.33 ,$804.33 ,$804.33 ,$993.00 ,$893.70 , N/A ,$893.70 , N/A ,$993.00 ,$557.07 , N/A ,$411.10 ,$17.46 ,$16.66 , N/A ,$893.70 , N/A ,$550.12 ,$278.04 ,$893.70 , N/A ,$893.70 ,$893.70 , N/A ,$645.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000074,99155,HC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,370,1 ,$907.00 ,$653.04 ,$16.66 ,$907.00 , N/A ,$675.72 ,$594.09 , N/A ,$253.96 ,$557.81 , N/A ,$557.81 , N/A ,$502.48 ,$502.48 , N/A ,$502.48 , N/A ,$816.30 ,$752.81 , N/A , N/A ,$798.16 , N/A ,$680.25 ,$680.25 ,$770.95 ,$770.95 , N/A ,$770.95 , N/A ,$734.67 ,$734.67 ,$734.67 ,$907.00 ,$816.30 , N/A ,$816.30 , N/A ,$907.00 ,$508.83 , N/A ,$375.50 ,$17.46 ,$16.66 , N/A ,$816.30 , N/A ,$502.48 ,$253.96 ,$816.30 , N/A ,$816.30 ,$816.30 , N/A ,$589.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000076,N/A,HC MONITORED ANESTHESIA INITIAL 15 MINS,370,1 ,$493.56 ,$355.36 ,$138.20 ,$493.56 , N/A ,$367.70 ,$323.28 , N/A ,$138.20 ,$303.54 , N/A ,$303.54 , N/A ,$273.43 ,$273.43 , N/A ,$273.43 , N/A ,$444.20 ,$409.65 , N/A , N/A ,$434.33 , N/A ,$370.17 ,$370.17 ,$419.53 ,$419.53 , N/A ,$419.53 , N/A ,$399.78 ,$399.78 ,$399.78 ,$493.56 ,$444.20 , N/A ,$444.20 , N/A ,$493.56 ,$276.89 , N/A ,$204.33 , N/A , N/A , N/A ,$444.20 , N/A ,$273.43 ,$138.20 ,$444.20 , N/A ,$444.20 ,$444.20 , N/A ,$320.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$272.16 ,$195.96 ,$76.20 ,$272.16 , N/A ,$202.76 ,$178.26 , N/A ,$76.20 ,$167.38 , N/A ,$167.38 , N/A ,$150.78 ,$150.78 , N/A ,$150.78 , N/A ,$244.94 ,$225.89 , N/A , N/A ,$239.50 , N/A ,$204.12 ,$204.12 ,$231.34 ,$231.34 , N/A ,$231.34 , N/A ,$220.45 ,$220.45 ,$220.45 ,$272.16 ,$244.94 , N/A ,$244.94 , N/A ,$272.16 ,$152.68 , N/A ,$112.67 , N/A , N/A , N/A ,$244.94 , N/A ,$150.78 ,$76.20 ,$244.94 , N/A ,$244.94 ,$244.94 , N/A ,$176.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37001000,1967,HC EPIDURAL/SPINAL FOR LABOR,370,1 ,$827.10 ,$595.51 ,$16.66 ,$827.10 , N/A ,$616.19 ,$541.75 , N/A ,$231.59 ,$508.67 , N/A ,$508.67 , N/A ,$458.21 ,$458.21 , N/A ,$458.21 , N/A ,$744.39 ,$686.49 , N/A , N/A ,$727.85 , N/A ,$620.33 ,$620.33 ,$703.04 ,$703.04 , N/A ,$703.04 , N/A ,$669.95 ,$669.95 ,$669.95 ,$827.10 ,$744.39 , N/A ,$744.39 , N/A ,$827.10 ,$464.00 , N/A ,$342.42 ,$17.46 ,$16.66 , N/A ,$744.39 , N/A ,$458.21 ,$231.59 ,$744.39 , N/A ,$744.39 ,$744.39 , N/A ,$537.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37080000,64447,HC FEMORAL NERVE BLOCK SINGLE,360,1 ,"$1,818.00 ","$1,308.96 ",$310.79 ,"$1,818.00 ","$1,590.90 ","$1,354.41 ","$1,190.79 ",$649.47 ,$509.04 ,"$1,118.07 ",$649.47 ,"$1,118.07 ",$649.47 ,"$1,007.17 ","$1,007.17 ",$649.47 ,"$1,007.17 ","$1,338.68 ","$1,636.20 ","$1,508.94 ","$1,590.90 ",$649.47 ,"$1,599.84 ",$662.45 ,"$1,363.50 ","$1,363.50 ","$1,545.30 ","$1,545.30 ",$649.47 ,"$1,545.30 ",$649.47 ,"$1,472.58 ","$1,472.58 ","$1,472.58 ","$1,818.00 ","$1,636.20 ","$1,590.90 ","$1,636.20 ",$649.47 ,"$1,818.00 ","$1,019.90 ",$649.47 ,$752.65 ,$325.59 ,$310.79 ,$679.79 ,"$1,636.20 ","$1,436.20 ","$1,007.17 ",$509.04 ,"$1,636.20 ",$649.47 ,"$1,636.20 ","$1,636.20 ",$649.47 ,"$1,181.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),37080001,64415,HC INTRASCALENE BLOCK SINGLE,360,1 ,"$3,634.00 ","$2,616.48 ",$310.79 ,"$3,634.00 ","$2,104.06 ","$2,707.33 ","$2,380.27 ",$858.96 ,"$1,017.52 ","$2,234.91 ",$858.96 ,"$2,234.91 ",$858.96 ,"$2,013.24 ","$2,013.24 ",$858.96 ,"$2,013.24 ","$1,770.49 ","$3,270.60 ","$3,016.22 ","$2,104.06 ",$858.96 ,"$3,197.92 ",$876.14 ,"$2,725.50 ","$2,725.50 ","$3,088.90 ","$3,088.90 ",$858.96 ,"$3,088.90 ",$858.96 ,"$2,943.54 ","$2,943.54 ","$2,943.54 ","$3,634.00 ","$3,270.60 ","$2,104.06 ","$3,270.60 ",$858.96 ,"$3,634.00 ","$2,038.67 ",$858.96 ,"$1,504.48 ",$325.59 ,$310.79 ,$899.06 ,"$3,270.60 ","$1,899.47 ","$2,013.24 ","$1,017.52 ","$3,270.60 ",$858.96 ,"$3,270.60 ","$3,270.60 ",$858.96 ,"$2,362.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000149,P9021,HC RED CELLS PACKED EA,390,1 ,$467.00 ,$336.24 ,$130.76 ,$467.00 ,$348.42 ,$347.92 ,$305.89 ,$142.24 ,$130.76 ,$287.21 ,$142.24 ,$287.21 ,$142.24 ,$258.72 ,$258.72 ,$142.24 ,$258.72 ,$293.18 ,$420.30 ,$387.61 ,$348.42 ,$142.24 ,$410.96 ,$145.08 ,$350.25 ,$350.25 ,$396.95 ,$396.95 ,$142.24 ,$396.95 ,$142.24 ,$378.27 ,$378.27 ,$378.27 ,$467.00 ,$420.30 ,$348.42 ,$420.30 ,$142.24 ,$467.00 ,$261.99 ,$142.24 ,$193.34 ,$467.00 ,$467.00 ,$148.88 ,$420.30 ,$314.54 ,$258.72 ,$130.76 ,$420.30 ,$142.24 ,$420.30 ,$420.30 ,$142.24 ,$303.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000151,P9031,HC PLATELETS LEUKO RD EA UNIT,390,1 ,"$1,248.00 ",$898.56 ,$137.38 ,"$1,248.00 ",$336.52 ,$929.76 ,$817.44 ,$137.38 ,$349.44 ,$767.52 ,$137.38 ,$767.52 ,$137.38 ,$691.39 ,$691.39 ,$137.38 ,$691.39 ,$283.17 ,"$1,123.20 ","$1,035.84 ",$336.52 ,$137.38 ,"$1,098.24 ",$140.12 ,$936.00 ,$936.00 ,"$1,060.80 ","$1,060.80 ",$137.38 ,"$1,060.80 ",$137.38 ,"$1,010.88 ","$1,010.88 ","$1,010.88 ","$1,248.00 ","$1,123.20 ",$336.52 ,"$1,123.20 ",$137.38 ,"$1,248.00 ",$700.13 ,$137.38 ,$516.67 ,$491.45 ,$469.11 ,$143.80 ,"$1,123.20 ",$303.80 ,$691.39 ,$349.44 ,"$1,123.20 ",$137.38 ,"$1,123.20 ","$1,123.20 ",$137.38 ,$811.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000152,P9033,HC PLATELETS L/R IRR EA,390,1 ,"$1,248.00 ",$898.56 ,$281.66 ,"$1,248.00 ",$689.95 ,$929.76 ,$817.44 ,$281.66 ,$349.44 ,$767.52 ,$281.66 ,$767.52 ,$281.66 ,$691.39 ,$691.39 ,$281.66 ,$691.39 ,$580.57 ,"$1,123.20 ","$1,035.84 ",$689.95 ,$281.66 ,"$1,098.24 ",$287.30 ,$936.00 ,$936.00 ,"$1,060.80 ","$1,060.80 ",$281.66 ,"$1,060.80 ",$281.66 ,"$1,010.88 ","$1,010.88 ","$1,010.88 ","$1,248.00 ","$1,123.20 ",$689.95 ,"$1,123.20 ",$281.66 ,"$1,248.00 ",$700.13 ,$281.66 ,$516.67 ,$491.45 ,$469.11 ,$294.81 ,"$1,123.20 ",$622.86 ,$691.39 ,$349.44 ,"$1,123.20 ",$281.66 ,"$1,123.20 ","$1,123.20 ",$281.66 ,$811.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000157,P9052,HC PLT APHER/PHER L/R HLA EA,390,1 ,"$1,710.00 ","$1,231.20 ",$469.11 ,"$1,923.09 ","$1,710.00 ","$1,273.95 ","$1,120.05 ",$869.64 ,$478.80 ,"$1,051.65 ",$869.64 ,"$1,051.65 ",$869.64 ,$947.34 ,$947.34 ,$869.64 ,$947.34 ,"$1,710.00 ","$1,539.00 ","$1,419.30 ","$1,710.00 ",$869.64 ,"$1,504.80 ",$887.04 ,"$1,282.50 ","$1,282.50 ","$1,453.50 ","$1,453.50 ",$869.64 ,"$1,453.50 ",$869.64 ,"$1,385.10 ","$1,385.10 ","$1,385.10 ","$1,710.00 ","$1,539.00 ","$1,710.00 ","$1,539.00 ",$869.64 ,"$1,710.00 ",$959.31 ,$869.64 ,$707.94 ,$491.45 ,$469.11 ,$910.24 ,"$1,539.00 ","$1,923.09 ",$947.34 ,$478.80 ,"$1,539.00 ",$869.64 ,"$1,539.00 ","$1,539.00 ",$869.64 ,"$1,111.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$259.00 ,$186.48 ,$72.52 ,$259.00 ,$195.91 ,$192.96 ,$169.65 ,$79.98 ,$72.52 ,$159.29 ,$79.98 ,$159.29 ,$79.98 ,$143.49 ,$143.49 ,$79.98 ,$143.49 ,$164.85 ,$233.10 ,$214.97 ,$195.91 ,$79.98 ,$227.92 ,$81.58 ,$194.25 ,$194.25 ,$220.15 ,$220.15 ,$79.98 ,$220.15 ,$79.98 ,$209.79 ,$209.79 ,$209.79 ,$259.00 ,$233.10 ,$195.91 ,$233.10 ,$79.98 ,$259.00 ,$145.30 ,$79.98 ,$107.23 ,$259.00 ,$259.00 ,$83.71 ,$233.10 ,$176.86 ,$143.49 ,$72.52 ,$233.10 ,$79.98 ,$233.10 ,$233.10 ,$79.98 ,$168.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000162,P9012,HC CRYOPRECIPITATE EA UNIT T1,390,1 ,$148.00 ,$106.56 ,$41.44 ,$172.66 ,$148.00 ,$110.26 ,$96.94 ,$78.08 ,$41.44 ,$91.02 ,$78.08 ,$91.02 ,$78.08 ,$81.99 ,$81.99 ,$78.08 ,$81.99 ,$148.00 ,$133.20 ,$122.84 ,$148.00 ,$78.08 ,$130.24 ,$79.63 ,$111.00 ,$111.00 ,$125.80 ,$125.80 ,$78.08 ,$125.80 ,$78.08 ,$119.88 ,$119.88 ,$119.88 ,$148.00 ,$133.20 ,$148.00 ,$133.20 ,$78.08 ,$148.00 ,$83.03 ,$78.08 ,$61.27 ,$148.00 ,$148.00 ,$81.72 ,$133.20 ,$172.66 ,$81.99 ,$41.44 ,$133.20 ,$78.08 ,$133.20 ,$133.20 ,$78.08 ,$96.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,$439.00 ,$316.08 ,$122.92 ,$439.16 ,$439.00 ,$327.06 ,$287.55 ,$198.59 ,$122.92 ,$269.99 ,$198.59 ,$269.99 ,$198.59 ,$243.21 ,$243.21 ,$198.59 ,$243.21 ,$409.34 ,$395.10 ,$364.37 ,$439.00 ,$198.59 ,$386.32 ,$202.56 ,$329.25 ,$329.25 ,$373.15 ,$373.15 ,$198.59 ,$373.15 ,$198.59 ,$355.59 ,$355.59 ,$355.59 ,$439.00 ,$395.10 ,$439.00 ,$395.10 ,$198.59 ,$439.00 ,$246.28 ,$198.59 ,$181.75 ,$439.00 ,$439.00 ,$207.86 ,$395.10 ,$439.16 ,$243.21 ,$122.92 ,$395.10 ,$198.59 ,$395.10 ,$395.10 ,$198.59 ,$285.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,"$1,338.00 ",$963.36 ,$374.64 ,"$1,338.00 ","$1,248.63 ",$996.81 ,$876.39 ,$509.74 ,$374.64 ,$822.87 ,$509.74 ,$822.87 ,$509.74 ,$741.25 ,$741.25 ,$509.74 ,$741.25 ,"$1,050.68 ","$1,204.20 ","$1,110.54 ","$1,248.63 ",$509.74 ,"$1,177.44 ",$519.93 ,"$1,003.50 ","$1,003.50 ","$1,137.30 ","$1,137.30 ",$509.74 ,"$1,137.30 ",$509.74 ,"$1,083.78 ","$1,083.78 ","$1,083.78 ","$1,338.00 ","$1,204.20 ","$1,248.63 ","$1,204.20 ",$509.74 ,"$1,338.00 ",$750.62 ,$509.74 ,$553.93 ,$491.45 ,$469.11 ,$533.53 ,"$1,204.20 ","$1,127.22 ",$741.25 ,$374.64 ,"$1,204.20 ",$509.74 ,"$1,204.20 ","$1,204.20 ",$509.74 ,$869.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000179,P9037,HC PLATELETS PHER L/R IRR EA T1,390,1 ,"$1,248.00 ",$898.56 ,$349.44 ,"$1,481.24 ","$1,248.00 ",$929.76 ,$817.44 ,$669.83 ,$349.44 ,$767.52 ,$669.83 ,$767.52 ,$669.83 ,$691.39 ,$691.39 ,$669.83 ,$691.39 ,"$1,248.00 ","$1,123.20 ","$1,035.84 ","$1,248.00 ",$669.83 ,"$1,098.24 ",$683.23 ,$936.00 ,$936.00 ,"$1,060.80 ","$1,060.80 ",$669.83 ,"$1,060.80 ",$669.83 ,"$1,010.88 ","$1,010.88 ","$1,010.88 ","$1,248.00 ","$1,123.20 ","$1,248.00 ","$1,123.20 ",$669.83 ,"$1,248.00 ",$700.13 ,$669.83 ,$516.67 ,$491.45 ,$469.11 ,$701.10 ,"$1,123.20 ","$1,481.24 ",$691.39 ,$349.44 ,"$1,123.20 ",$669.83 ,"$1,123.20 ","$1,123.20 ",$669.83 ,$811.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,$587.00 ,$422.64 ,$164.36 ,$601.42 ,$587.00 ,$437.32 ,$384.49 ,$271.97 ,$164.36 ,$361.01 ,$271.97 ,$361.01 ,$271.97 ,$325.20 ,$325.20 ,$271.97 ,$325.20 ,$560.58 ,$528.30 ,$487.21 ,$587.00 ,$271.97 ,$516.56 ,$277.41 ,$440.25 ,$440.25 ,$498.95 ,$498.95 ,$271.97 ,$498.95 ,$271.97 ,$475.47 ,$475.47 ,$475.47 ,$587.00 ,$528.30 ,$587.00 ,$528.30 ,$271.97 ,$587.00 ,$329.31 ,$271.97 ,$243.02 ,$491.45 ,$469.11 ,$284.66 ,$528.30 ,$601.42 ,$325.20 ,$164.36 ,$528.30 ,$271.97 ,$528.30 ,$528.30 ,$271.97 ,$381.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39000205,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T1,390,1 ,"$1,138.00 ",$819.36 ,$318.64 ,"$1,341.28 ","$1,138.00 ",$847.81 ,$745.39 ,$606.54 ,$318.64 ,$699.87 ,$606.54 ,$699.87 ,$606.54 ,$630.45 ,$630.45 ,$606.54 ,$630.45 ,"$1,138.00 ","$1,024.20 ",$944.54 ,"$1,138.00 ",$606.54 ,"$1,001.44 ",$618.67 ,$853.50 ,$853.50 ,$967.30 ,$967.30 ,$606.54 ,$967.30 ,$606.54 ,$921.78 ,$921.78 ,$921.78 ,"$1,138.00 ","$1,024.20 ","$1,138.00 ","$1,024.20 ",$606.54 ,"$1,138.00 ",$638.42 ,$606.54 ,$471.13 ,$491.45 ,$469.11 ,$634.85 ,"$1,024.20 ","$1,341.28 ",$630.45 ,$318.64 ,"$1,024.20 ",$606.54 ,"$1,024.20 ","$1,024.20 ",$606.54 ,$739.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),39100001,36430,HC BLOOD PROD ADMIN,391,1 ,$959.00 ,$690.48 ,$268.52 ,$959.00 ,$959.00 ,$714.46 ,$628.15 ,$410.99 ,$268.52 ,$589.79 ,$410.99 ,$589.79 ,$410.99 ,$531.29 ,$531.29 ,$410.99 ,$531.29 ,$847.14 ,$863.10 ,$795.97 ,$959.00 ,$410.99 ,$843.92 ,$419.21 ,$719.25 ,$719.25 ,$815.15 ,$815.15 ,$410.99 ,$815.15 ,$410.99 ,$776.79 ,$776.79 ,$776.79 ,$959.00 ,$863.10 ,$959.00 ,$863.10 ,$410.99 ,$959.00 ,$538.00 ,$410.99 ,$397.03 ,$491.45 ,$469.11 ,$430.18 ,$863.10 ,$908.85 ,$531.29 ,$268.52 ,$863.10 ,$410.99 ,$863.10 ,$863.10 ,$410.99 ,$623.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$554.00 ,$398.88 ,$48.83 ,$554.00 ,$258.38 ,$412.73 ,$362.87 ,$101.28 ,$155.12 ,$340.71 ,$101.28 ,$340.71 ,$101.28 ,$306.92 ,$306.92 ,$101.28 ,$306.92 ,$208.77 ,$498.60 ,$459.82 ,$258.38 ,$101.28 ,$487.52 ,$103.31 ,$415.50 ,$415.50 ,$470.90 ,$470.90 ,$101.28 ,$470.90 ,$101.28 ,$448.74 ,$448.74 ,$448.74 ,$554.00 ,$498.60 ,$258.38 ,$498.60 ,$101.28 ,$117.23 ,$310.79 ,$101.28 ,$229.36 ,$51.15 ,$48.83 ,$106.35 ,$498.60 ,$232.54 ,$306.92 ,$155.12 ,$498.60 ,$101.28 ,$498.60 ,$498.60 ,$101.28 ,$360.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$554.00 ,$398.88 ,$48.83 ,$554.00 ,$258.38 ,$412.73 ,$362.87 ,$101.28 ,$155.12 ,$340.71 ,$101.28 ,$340.71 ,$101.28 ,$306.92 ,$306.92 ,$101.28 ,$306.92 ,$208.77 ,$498.60 ,$459.82 ,$258.38 ,$101.28 ,$487.52 ,$103.31 ,$415.50 ,$415.50 ,$470.90 ,$470.90 ,$101.28 ,$470.90 ,$101.28 ,$448.74 ,$448.74 ,$448.74 ,$554.00 ,$498.60 ,$258.38 ,$498.60 ,$101.28 ,$117.23 ,$310.79 ,$101.28 ,$229.36 ,$51.15 ,$48.83 ,$106.35 ,$498.60 ,$232.54 ,$306.92 ,$155.12 ,$498.60 ,$101.28 ,$498.60 ,$498.60 ,$101.28 ,$360.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$459.00 ,$330.48 ,$48.83 ,$459.00 ,$202.75 ,$341.96 ,$300.65 ,$79.48 ,$128.52 ,$282.29 ,$79.48 ,$282.29 ,$79.48 ,$254.29 ,$254.29 ,$79.48 ,$254.29 ,$163.82 ,$413.10 ,$380.97 ,$202.75 ,$79.48 ,$403.92 ,$81.07 ,$344.25 ,$344.25 ,$390.15 ,$390.15 ,$79.48 ,$390.15 ,$79.48 ,$371.79 ,$371.79 ,$371.79 ,$459.00 ,$413.10 ,$202.75 ,$413.10 ,$79.48 ,$92.02 ,$257.50 ,$79.48 ,$190.03 ,$51.15 ,$48.83 ,$83.46 ,$413.10 ,$182.48 ,$254.29 ,$128.52 ,$413.10 ,$79.48 ,$413.10 ,$413.10 ,$79.48 ,$298.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD  ADDNT VIEW,401,1 ,$459.00 ,$330.48 ,$48.83 ,$459.00 ,$202.75 ,$341.96 ,$300.65 ,$79.48 ,$128.52 ,$282.29 ,$79.48 ,$282.29 ,$79.48 ,$254.29 ,$254.29 ,$79.48 ,$254.29 ,$163.82 ,$413.10 ,$380.97 ,$202.75 ,$79.48 ,$403.92 ,$81.07 ,$344.25 ,$344.25 ,$390.15 ,$390.15 ,$79.48 ,$390.15 ,$79.48 ,$371.79 ,$371.79 ,$371.79 ,$459.00 ,$413.10 ,$202.75 ,$413.10 ,$79.48 ,$92.02 ,$257.50 ,$79.48 ,$190.03 ,$51.15 ,$48.83 ,$83.46 ,$413.10 ,$182.48 ,$254.29 ,$128.52 ,$413.10 ,$79.48 ,$413.10 ,$413.10 ,$79.48 ,$298.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$459.00 ,$330.48 ,$48.83 ,$459.00 ,$202.75 ,$341.96 ,$300.65 ,$79.48 ,$128.52 ,$282.29 ,$79.48 ,$282.29 ,$79.48 ,$254.29 ,$254.29 ,$79.48 ,$254.29 ,$163.82 ,$413.10 ,$380.97 ,$202.75 ,$79.48 ,$403.92 ,$81.07 ,$344.25 ,$344.25 ,$390.15 ,$390.15 ,$79.48 ,$390.15 ,$79.48 ,$371.79 ,$371.79 ,$371.79 ,$459.00 ,$413.10 ,$202.75 ,$413.10 ,$79.48 ,$92.02 ,$257.50 ,$79.48 ,$190.03 ,$51.15 ,$48.83 ,$83.46 ,$413.10 ,$182.48 ,$254.29 ,$128.52 ,$413.10 ,$79.48 ,$413.10 ,$413.10 ,$79.48 ,$298.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$167.00 ,$120.24 ,$21.80 ,$167.00 ,$55.63 ,$124.42 ,$109.39 ,$21.80 ,$46.76 ,$102.71 ,$21.80 ,$102.71 ,$21.80 ,$92.52 ,$92.52 ,$21.80 ,$92.52 ,$44.95 ,$150.30 ,$138.61 ,$55.63 ,$21.80 ,$146.96 ,$22.25 ,$125.25 ,$125.25 ,$141.95 ,$141.95 ,$21.80 ,$141.95 ,$21.80 ,$135.27 ,$135.27 ,$135.27 ,$167.00 ,$150.30 ,$55.63 ,$150.30 ,$21.80 ,$25.20 ,$93.69 ,$21.80 ,$69.14 ,$51.15 ,$48.83 ,$22.89 ,$150.30 ,$50.06 ,$92.52 ,$46.76 ,$150.30 ,$21.80 ,$150.30 ,$150.30 ,$21.80 ,$108.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200004,21920,HC BX SOFT TISSUE BACK/FLANK SUP,402,1 ,"$4,221.00 ","$3,039.12 ",$455.42 ,"$4,221.00 ","$3,702.44 ","$3,144.65 ","$2,764.76 ","$1,511.47 ","$1,181.88 ","$2,595.92 ","$1,511.47 ","$2,595.92 ","$1,511.47 ","$2,338.43 ","$2,338.43 ","$1,511.47 ","$2,338.43 ","$3,115.46 ","$3,798.90 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,714.48 ","$1,541.71 ","$3,165.75 ","$3,165.75 ","$3,587.85 ","$3,587.85 ","$1,511.47 ","$3,587.85 ","$1,511.47 ","$3,419.01 ","$3,419.01 ","$3,419.01 ","$4,221.00 ","$3,798.90 ","$3,702.44 ","$3,798.90 ","$1,511.47 ","$4,221.00 ","$2,367.98 ","$1,511.47 ","$1,747.49 ",$477.10 ,$455.42 ,"$1,582.04 ","$3,798.90 ","$3,342.42 ","$2,338.43 ","$1,181.88 ","$3,798.90 ","$1,511.47 ","$3,798.90 ","$3,798.90 ","$1,511.47 ","$2,743.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200007,51798,HC US BLADDER SCAN,402,1 ,$170.00 ,$122.40 ,$47.60 ,$170.00 ,$141.92 ,$126.65 ,$111.35 ,$57.94 ,$47.60 ,$104.55 ,$57.94 ,$104.55 ,$57.94 ,$94.18 ,$94.18 ,$57.94 ,$94.18 ,$119.42 ,$153.00 ,$141.10 ,$141.92 ,$57.94 ,$149.60 ,$59.09 ,$127.50 ,$127.50 ,$144.50 ,$144.50 ,$57.94 ,$144.50 ,$57.94 ,$137.70 ,$137.70 ,$137.70 ,$170.00 ,$153.00 ,$141.92 ,$153.00 ,$57.94 ,$170.00 ,$95.37 ,$57.94 ,$70.38 ,$88.41 ,$84.39 ,$60.64 ,$153.00 ,$128.12 ,$94.18 ,$47.60 ,$153.00 ,$57.94 ,$153.00 ,$153.00 ,$57.94 ,$110.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200009,49407,HC DRAIN ABSC PELVIC TRNSVAG PERC,402,1 ,"$4,221.00 ","$3,039.12 ",$488.89 ,"$4,221.00 ","$3,702.44 ","$3,144.65 ","$2,764.76 ","$1,511.47 ","$1,181.88 ","$2,595.92 ","$1,511.47 ","$2,595.92 ","$1,511.47 ","$2,338.43 ","$2,338.43 ","$1,511.47 ","$2,338.43 ","$3,115.46 ","$3,798.90 ",$800.00 ,"$3,702.44 ","$1,511.47 ","$3,714.48 ","$1,541.71 ","$3,165.75 ","$3,165.75 ","$3,587.85 ","$3,587.85 ","$1,511.47 ","$3,587.85 ","$1,511.47 ","$3,419.01 ","$3,419.01 ","$3,419.01 ","$4,221.00 ","$3,798.90 ","$3,702.44 ","$3,798.90 ","$1,511.47 ","$4,221.00 ","$2,367.98 ","$1,511.47 ","$1,747.49 ",$512.17 ,$488.89 ,"$1,582.04 ","$3,798.90 ","$3,342.42 ","$2,338.43 ","$1,181.88 ","$3,798.90 ","$1,511.47 ","$3,798.90 ","$3,798.90 ","$1,511.47 ","$2,743.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200010,59000,HC AMNIOCENTESIS DIAGNOSTIC,402,1 ,$526.00 ,$378.72 ,$147.28 ,"$1,568.00 ",$526.00 ,$391.87 ,$344.53 ,$515.48 ,$147.28 ,$323.49 ,$515.48 ,$323.49 ,$515.48 ,$291.40 ,$291.40 ,$515.48 ,$291.40 ,$526.00 ,$473.40 ,$436.58 ,$526.00 ,$515.48 ,$462.88 ,$525.79 ,$394.50 ,$394.50 ,$447.10 ,$447.10 ,$515.48 ,$447.10 ,$515.48 ,$426.06 ,$426.06 ,$426.06 ,$526.00 ,$473.40 ,$526.00 ,$473.40 ,$515.48 ,$526.00 ,$295.09 ,$515.48 ,$217.76 , N/A , N/A ,$515.48 ,$473.40 ,"$1,568.00 ",$291.40 ,$147.28 ,$473.40 ,$515.48 ,$473.40 ,$473.40 ,$515.48 ,$341.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200011,60300,HC ASP/INJ CYST THYROID,402,1 ,"$1,170.00 ",$842.40 ,$327.60 ,"$1,446.52 ","$1,170.00 ",$871.65 ,$766.35 ,$654.13 ,$327.60 ,$719.55 ,$654.13 ,$719.55 ,$654.13 ,$648.18 ,$648.18 ,$654.13 ,$648.18 ,"$1,170.00 ","$1,053.00 ",$800.00 ,"$1,170.00 ",$654.13 ,"$1,029.60 ",$667.21 ,$877.50 ,$877.50 ,$994.50 ,$994.50 ,$654.13 ,$994.50 ,$654.13 ,$947.70 ,$947.70 ,$947.70 ,"$1,170.00 ","$1,053.00 ","$1,170.00 ","$1,053.00 ",$654.13 ,"$1,170.00 ",$656.37 ,$654.13 ,$484.38 ,$450.34 ,$429.87 ,$684.67 ,"$1,053.00 ","$1,446.52 ",$648.18 ,$327.60 ,"$1,053.00 ",$654.13 ,"$1,053.00 ","$1,053.00 ",$654.13 ,$760.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200012,76506,HC US ENCEPHALOGRAM,402,1 ,$648.36 ,$466.82 ,$107.49 ,$648.36 ,$263.89 ,$483.03 ,$424.68 ,$107.73 ,$181.54 ,$398.74 ,$107.73 ,$398.74 ,$107.73 ,$359.19 ,$359.19 ,$107.73 ,$359.19 ,$222.05 ,$583.52 ,$538.14 ,$263.89 ,$107.73 ,$570.56 ,$109.89 ,$486.27 ,$486.27 ,$551.11 ,$551.11 ,$107.73 ,$551.11 ,$107.73 ,$525.17 ,$525.17 ,$525.17 ,$648.36 ,$583.52 ,$263.89 ,$583.52 ,$107.73 ,$648.36 ,$363.73 ,$107.73 ,$268.42 ,$112.61 ,$107.49 ,$112.76 ,$583.52 ,$238.23 ,$359.19 ,$181.54 ,$583.52 ,$107.73 ,$583.52 ,$583.52 ,$107.73 ,$421.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,"$1,222.99 ",$880.55 ,$107.49 ,"$1,222.99 ",$263.89 ,$911.13 ,$801.06 ,$107.73 ,$342.44 ,$752.14 ,$107.73 ,$752.14 ,$107.73 ,$677.54 ,$677.54 ,$107.73 ,$677.54 ,$222.05 ,"$1,100.69 ",$800.00 ,$263.89 ,$107.73 ,"$1,076.23 ",$109.89 ,$917.24 ,$917.24 ,"$1,039.54 ","$1,039.54 ",$107.73 ,"$1,039.54 ",$107.73 ,$990.62 ,$990.62 ,$990.62 ,"$1,222.99 ","$1,100.69 ",$263.89 ,"$1,100.69 ",$107.73 ,"$1,222.99 ",$686.10 ,$107.73 ,$506.32 ,$112.61 ,$107.49 ,$112.76 ,"$1,100.69 ",$238.23 ,$677.54 ,$342.44 ,"$1,100.69 ",$107.73 ,"$1,100.69 ","$1,100.69 ",$107.73 ,$794.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200014,76604,HC US CHEST,402,1 ,"$1,003.84 ",$722.76 ,$107.49 ,"$1,003.84 ",$263.89 ,$747.86 ,$657.52 ,$107.73 ,$281.08 ,$617.36 ,$107.73 ,$617.36 ,$107.73 ,$556.13 ,$556.13 ,$107.73 ,$556.13 ,$222.05 ,$903.46 ,$800.00 ,$263.89 ,$107.73 ,$883.38 ,$109.89 ,$752.88 ,$752.88 ,$853.26 ,$853.26 ,$107.73 ,$853.26 ,$107.73 ,$813.11 ,$813.11 ,$813.11 ,"$1,003.84 ",$903.46 ,$263.89 ,$903.46 ,$107.73 ,"$1,003.84 ",$563.15 ,$107.73 ,$415.59 ,$112.61 ,$107.49 ,$112.76 ,$903.46 ,$238.23 ,$556.13 ,$281.08 ,$903.46 ,$107.73 ,$903.46 ,$903.46 ,$107.73 ,$652.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200015,76641,HC US BREAST COMPLETE,402,1 ,$874.57 ,$629.69 ,$72.77 ,$874.57 ,$263.89 ,$651.55 ,$572.84 ,$107.73 ,$244.88 ,$537.86 ,$107.73 ,$537.86 ,$107.73 ,$484.51 ,$484.51 ,$107.73 ,$484.51 ,$222.05 ,$787.11 ,$725.89 ,$263.89 ,$107.73 ,$769.62 ,$109.89 ,$655.93 ,$655.93 ,$743.38 ,$743.38 ,$107.73 ,$743.38 ,$107.73 ,$708.40 ,$708.40 ,$708.40 ,$874.57 ,$787.11 ,$263.89 ,$787.11 ,$107.73 ,$72.77 ,$490.63 ,$107.73 ,$362.07 ,$112.61 ,$107.49 ,$112.76 ,$787.11 ,$238.23 ,$484.51 ,$244.88 ,$787.11 ,$107.73 ,$787.11 ,$787.11 ,$107.73 ,$568.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200015,76641,HC US BREAST COMPLETE,402,1 ,"$1,311.86 ",$944.54 ,$72.77 ,"$1,311.86 ",$263.89 ,$977.34 ,$859.27 ,$107.73 ,$367.32 ,$806.79 ,$107.73 ,$806.79 ,$107.73 ,$726.77 ,$726.77 ,$107.73 ,$726.77 ,$222.05 ,"$1,180.67 ",$800.00 ,$263.89 ,$107.73 ,"$1,154.44 ",$109.89 ,$983.90 ,$983.90 ,"$1,115.08 ","$1,115.08 ",$107.73 ,"$1,115.08 ",$107.73 ,"$1,062.61 ","$1,062.61 ","$1,062.61 ","$1,311.86 ","$1,180.67 ",$263.89 ,"$1,180.67 ",$107.73 ,$72.77 ,$735.95 ,$107.73 ,$543.11 ,$168.92 ,$161.24 ,$112.76 ,"$1,180.67 ",$238.23 ,$726.77 ,$367.32 ,"$1,180.67 ",$107.73 ,"$1,180.67 ","$1,180.67 ",$107.73 ,$852.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200016,76642,HC US BREAST LIMITED,402,1 ,$656.44 ,$472.64 ,$55.97 ,$656.44 ,$214.51 ,$489.05 ,$429.97 ,$87.57 ,$183.80 ,$403.71 ,$87.57 ,$403.71 ,$87.57 ,$363.67 ,$363.67 ,$87.57 ,$363.67 ,$180.50 ,$590.80 ,$544.85 ,$214.51 ,$87.57 ,$577.67 ,$89.33 ,$492.33 ,$492.33 ,$557.97 ,$557.97 ,$87.57 ,$557.97 ,$87.57 ,$531.72 ,$531.72 ,$531.72 ,$656.44 ,$590.80 ,$214.51 ,$590.80 ,$87.57 ,$55.97 ,$368.26 ,$87.57 ,$271.77 ,$112.61 ,$107.49 ,$91.66 ,$590.80 ,$193.65 ,$363.67 ,$183.80 ,$590.80 ,$87.57 ,$590.80 ,$590.80 ,$87.57 ,$426.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200016,76642,HC US BREAST LIMITED,402,1 ,$983.64 ,$708.22 ,$55.97 ,$983.64 ,$214.51 ,$732.81 ,$644.28 ,$87.57 ,$275.42 ,$604.94 ,$87.57 ,$604.94 ,$87.57 ,$544.94 ,$544.94 ,$87.57 ,$544.94 ,$180.50 ,$885.28 ,$800.00 ,$214.51 ,$87.57 ,$865.60 ,$89.33 ,$737.73 ,$737.73 ,$836.09 ,$836.09 ,$87.57 ,$836.09 ,$87.57 ,$796.75 ,$796.75 ,$796.75 ,$983.64 ,$885.28 ,$214.51 ,$885.28 ,$87.57 ,$55.97 ,$551.82 ,$87.57 ,$407.23 ,$168.92 ,$161.24 ,$91.66 ,$885.28 ,$193.65 ,$544.94 ,$275.42 ,$885.28 ,$87.57 ,$885.28 ,$885.28 ,$87.57 ,$639.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,518.89 ","$1,093.60 ",$107.49 ,"$1,518.89 ",$263.89 ,"$1,131.57 ",$994.87 ,$107.73 ,$425.29 ,$934.12 ,$107.73 ,$934.12 ,$107.73 ,$841.47 ,$841.47 ,$107.73 ,$841.47 ,$222.05 ,"$1,367.00 ",$800.00 ,$263.89 ,$107.73 ,"$1,336.62 ",$109.89 ,"$1,139.17 ","$1,139.17 ","$1,291.06 ","$1,291.06 ",$107.73 ,"$1,291.06 ",$107.73 ,"$1,230.30 ","$1,230.30 ","$1,230.30 ","$1,518.89 ","$1,367.00 ",$263.89 ,"$1,367.00 ",$107.73 ,"$1,518.89 ",$852.10 ,$107.73 ,$628.82 ,$112.61 ,$107.49 ,$112.76 ,"$1,367.00 ",$238.23 ,$841.47 ,$425.29 ,"$1,367.00 ",$107.73 ,"$1,367.00 ","$1,367.00 ",$107.73 ,$987.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200018,76705,HC US ABDOMEN LTD,402,1 ,"$1,446.18 ","$1,041.25 ",$107.49 ,"$1,446.18 ",$263.89 ,"$1,077.40 ",$947.25 ,$107.73 ,$404.93 ,$889.40 ,$107.73 ,$889.40 ,$107.73 ,$801.18 ,$801.18 ,$107.73 ,$801.18 ,$222.05 ,"$1,301.56 ",$800.00 ,$263.89 ,$107.73 ,"$1,272.64 ",$109.89 ,"$1,084.64 ","$1,084.64 ","$1,229.25 ","$1,229.25 ",$107.73 ,"$1,229.25 ",$107.73 ,"$1,171.41 ","$1,171.41 ","$1,171.41 ","$1,446.18 ","$1,301.56 ",$263.89 ,"$1,301.56 ",$107.73 ,"$1,446.18 ",$811.31 ,$107.73 ,$598.72 ,$112.61 ,$107.49 ,$112.76 ,"$1,301.56 ",$238.23 ,$801.18 ,$404.93 ,"$1,301.56 ",$107.73 ,"$1,301.56 ","$1,301.56 ",$107.73 ,$940.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200019,76770,HC US RETROPERITIONEAL,402,1 ,"$1,040.20 ",$748.94 ,$107.49 ,"$1,040.20 ",$263.89 ,$774.95 ,$681.33 ,$107.73 ,$291.26 ,$639.72 ,$107.73 ,$639.72 ,$107.73 ,$576.27 ,$576.27 ,$107.73 ,$576.27 ,$222.05 ,$936.18 ,$800.00 ,$263.89 ,$107.73 ,$915.38 ,$109.89 ,$780.15 ,$780.15 ,$884.17 ,$884.17 ,$107.73 ,$884.17 ,$107.73 ,$842.56 ,$842.56 ,$842.56 ,"$1,040.20 ",$936.18 ,$263.89 ,$936.18 ,$107.73 ,"$1,040.20 ",$583.55 ,$107.73 ,$430.64 ,$112.61 ,$107.49 ,$112.76 ,$936.18 ,$238.23 ,$576.27 ,$291.26 ,$936.18 ,$107.73 ,$936.18 ,$936.18 ,$107.73 ,$676.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,$970.52 ,$698.77 ,$107.49 ,$970.52 ,$263.89 ,$723.04 ,$635.69 ,$107.73 ,$271.75 ,$596.87 ,$107.73 ,$596.87 ,$107.73 ,$537.67 ,$537.67 ,$107.73 ,$537.67 ,$222.05 ,$873.47 ,$800.00 ,$263.89 ,$107.73 ,$854.06 ,$109.89 ,$727.89 ,$727.89 ,$824.94 ,$824.94 ,$107.73 ,$824.94 ,$107.73 ,$786.12 ,$786.12 ,$786.12 ,$970.52 ,$873.47 ,$263.89 ,$873.47 ,$107.73 ,$970.52 ,$544.46 ,$107.73 ,$401.80 ,$112.61 ,$107.49 ,$112.76 ,$873.47 ,$238.23 ,$537.67 ,$271.75 ,$873.47 ,$107.73 ,$873.47 ,$873.47 ,$107.73 ,$630.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200021,76776,HC US KIDNEY TRANSPLANT W/DOPPLER,402,1 ,$330.24 ,$237.77 ,$92.47 ,$330.24 ,$263.89 ,$246.03 ,$216.31 ,$107.73 ,$92.47 ,$203.10 ,$107.73 ,$203.10 ,$107.73 ,$182.95 ,$182.95 ,$107.73 ,$182.95 ,$222.05 ,$297.22 ,$274.10 ,$263.89 ,$107.73 ,$290.61 ,$109.89 ,$247.68 ,$247.68 ,$280.70 ,$280.70 ,$107.73 ,$280.70 ,$107.73 ,$267.49 ,$267.49 ,$267.49 ,$330.24 ,$297.22 ,$263.89 ,$297.22 ,$107.73 ,$330.24 ,$185.26 ,$107.73 ,$136.72 ,$112.61 ,$107.49 ,$112.76 ,$297.22 ,$238.23 ,$182.95 ,$92.47 ,$297.22 ,$107.73 ,$297.22 ,$297.22 ,$107.73 ,$214.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200022,76800,HC US SPINAL CANAL  AND  CONTENTS,402,1 ,$564.54 ,$406.47 ,$107.49 ,$564.54 ,$263.89 ,$420.58 ,$369.77 ,$107.73 ,$158.07 ,$347.19 ,$107.73 ,$347.19 ,$107.73 ,$312.76 ,$312.76 ,$107.73 ,$312.76 ,$222.05 ,$508.09 ,$468.57 ,$263.89 ,$107.73 ,$496.80 ,$109.89 ,$423.41 ,$423.41 ,$479.86 ,$479.86 ,$107.73 ,$479.86 ,$107.73 ,$457.28 ,$457.28 ,$457.28 ,$564.54 ,$508.09 ,$263.89 ,$508.09 ,$107.73 ,$564.54 ,$316.71 ,$107.73 ,$233.72 ,$112.61 ,$107.49 ,$112.76 ,$508.09 ,$238.23 ,$312.76 ,$158.07 ,$508.09 ,$107.73 ,$508.09 ,$508.09 ,$107.73 ,$366.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,$914.97 ,$658.78 ,$107.73 ,$914.97 ,$263.89 ,$681.65 ,$599.31 ,$107.73 ,$256.19 ,$562.71 ,$107.73 ,$562.71 ,$107.73 ,$506.89 ,$506.89 ,$107.73 ,$506.89 ,$222.05 ,$823.47 ,$759.43 ,$263.89 ,$107.73 ,$805.17 ,$109.89 ,$686.23 ,$686.23 ,$777.72 ,$777.72 ,$107.73 ,$777.72 ,$107.73 ,$741.13 ,$741.13 ,$741.13 ,$914.97 ,$823.47 ,$263.89 ,$823.47 ,$107.73 ,$914.97 ,$513.30 ,$107.73 ,$378.80 , N/A , N/A ,$112.76 ,$823.47 ,$238.23 ,$506.89 ,$256.19 ,$823.47 ,$107.73 ,$823.47 ,$823.47 ,$107.73 ,$594.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$196.93 ,$141.79 ,$55.14 ,$196.93 , N/A ,$146.71 ,$128.99 , N/A ,$55.14 ,$121.11 , N/A ,$121.11 , N/A ,$109.10 ,$109.10 , N/A ,$109.10 , N/A ,$177.24 ,$163.45 , N/A , N/A ,$173.30 , N/A ,$147.70 ,$147.70 ,$167.39 ,$167.39 , N/A ,$167.39 , N/A ,$159.51 ,$159.51 ,$159.51 ,$196.93 ,$177.24 , N/A ,$177.24 , N/A ,$196.93 ,$110.48 , N/A ,$81.53 , N/A , N/A , N/A ,$177.24 , N/A ,$109.10 ,$55.14 ,$177.24 , N/A ,$177.24 ,$177.24 , N/A ,$128.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,"$1,211.88 ",$872.55 ,$107.73 ,"$1,211.88 ",$263.89 ,$902.85 ,$793.78 ,$107.73 ,$339.33 ,$745.31 ,$107.73 ,$745.31 ,$107.73 ,$671.38 ,$671.38 ,$107.73 ,$671.38 ,$222.05 ,"$1,090.69 ",$800.00 ,$263.89 ,$107.73 ,"$1,066.45 ",$109.89 ,$908.91 ,$908.91 ,"$1,030.10 ","$1,030.10 ",$107.73 ,"$1,030.10 ",$107.73 ,$981.62 ,$981.62 ,$981.62 ,"$1,211.88 ","$1,090.69 ",$263.89 ,"$1,090.69 ",$107.73 ,"$1,211.88 ",$679.86 ,$107.73 ,$501.72 , N/A , N/A ,$112.76 ,"$1,090.69 ",$238.23 ,$671.38 ,$339.33 ,"$1,090.69 ",$107.73 ,"$1,090.69 ","$1,090.69 ",$107.73 ,$787.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200027,76810,HC US PREGNANCY >14 WEEKS ADDL,402,1 ,"$1,211.88 ",$872.55 ,$339.33 ,"$1,211.88 ", N/A ,$902.85 ,$793.78 , N/A ,$339.33 ,$745.31 , N/A ,$745.31 , N/A ,$671.38 ,$671.38 , N/A ,$671.38 , N/A ,"$1,090.69 ",$800.00 , N/A , N/A ,"$1,066.45 ", N/A ,$908.91 ,$908.91 ,"$1,030.10 ","$1,030.10 ", N/A ,"$1,030.10 ", N/A ,$981.62 ,$981.62 ,$981.62 ,"$1,211.88 ","$1,090.69 ", N/A ,"$1,090.69 ", N/A ,"$1,211.88 ",$679.86 , N/A ,$501.72 , N/A , N/A , N/A ,"$1,090.69 ", N/A ,$671.38 ,$339.33 ,"$1,090.69 ", N/A ,"$1,090.69 ","$1,090.69 ", N/A ,$787.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,$661.49 ,$476.27 ,$185.22 ,$661.49 ,$576.57 ,$492.81 ,$433.28 ,$235.38 ,$185.22 ,$406.82 ,$235.38 ,$406.82 ,$235.38 ,$366.47 ,$366.47 ,$235.38 ,$366.47 ,$485.16 ,$595.34 ,$549.04 ,$576.57 ,$235.38 ,$582.11 ,$240.08 ,$496.12 ,$496.12 ,$562.27 ,$562.27 ,$235.38 ,$562.27 ,$235.38 ,$535.81 ,$535.81 ,$535.81 ,$661.49 ,$595.34 ,$576.57 ,$595.34 ,$235.38 ,$661.49 ,$371.10 ,$235.38 ,$273.86 , N/A , N/A ,$246.36 ,$595.34 ,$520.50 ,$366.47 ,$185.22 ,$595.34 ,$235.38 ,$595.34 ,$595.34 ,$235.38 ,$429.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$713.50 ,$513.72 ,$199.78 ,$713.50 , N/A ,$531.56 ,$467.34 , N/A ,$199.78 ,$438.80 , N/A ,$438.80 , N/A ,$395.28 ,$395.28 , N/A ,$395.28 , N/A ,$642.15 ,$592.21 , N/A , N/A ,$627.88 , N/A ,$535.13 ,$535.13 ,$606.48 ,$606.48 , N/A ,$606.48 , N/A ,$577.94 ,$577.94 ,$577.94 ,$713.50 ,$642.15 , N/A ,$642.15 , N/A ,$713.50 ,$400.27 , N/A ,$295.39 , N/A , N/A , N/A ,$642.15 , N/A ,$395.28 ,$199.78 ,$642.15 , N/A ,$642.15 ,$642.15 , N/A ,$463.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$350.44 ,$252.32 ,$98.12 ,$350.44 ,$263.89 ,$261.08 ,$229.54 ,$107.73 ,$98.12 ,$215.52 ,$107.73 ,$215.52 ,$107.73 ,$194.14 ,$194.14 ,$107.73 ,$194.14 ,$222.05 ,$315.40 ,$290.87 ,$263.89 ,$107.73 ,$308.39 ,$109.89 ,$262.83 ,$262.83 ,$297.87 ,$297.87 ,$107.73 ,$297.87 ,$107.73 ,$283.86 ,$283.86 ,$283.86 ,$350.44 ,$315.40 ,$263.89 ,$315.40 ,$107.73 ,$350.44 ,$196.60 ,$107.73 ,$145.08 , N/A , N/A ,$112.76 ,$315.40 ,$238.23 ,$194.14 ,$98.12 ,$315.40 ,$107.73 ,$315.40 ,$315.40 ,$107.73 ,$227.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200031,76815,HC US FETAL HEART BEAT,402,1 ,$419.11 ,$301.76 ,$107.73 ,$419.11 ,$263.89 ,$312.24 ,$274.52 ,$107.73 ,$117.35 ,$257.75 ,$107.73 ,$257.75 ,$107.73 ,$232.19 ,$232.19 ,$107.73 ,$232.19 ,$222.05 ,$377.20 ,$347.86 ,$263.89 ,$107.73 ,$368.82 ,$109.89 ,$314.33 ,$314.33 ,$356.24 ,$356.24 ,$107.73 ,$356.24 ,$107.73 ,$339.48 ,$339.48 ,$339.48 ,$419.11 ,$377.20 ,$263.89 ,$377.20 ,$107.73 ,$419.11 ,$235.12 ,$107.73 ,$173.51 , N/A , N/A ,$112.76 ,$377.20 ,$238.23 ,$232.19 ,$117.35 ,$377.20 ,$107.73 ,$377.20 ,$377.20 ,$107.73 ,$272.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,"$1,029.09 ",$740.94 ,$107.73 ,"$1,029.09 ",$263.89 ,$766.67 ,$674.05 ,$107.73 ,$288.15 ,$632.89 ,$107.73 ,$632.89 ,$107.73 ,$570.12 ,$570.12 ,$107.73 ,$570.12 ,$222.05 ,$926.18 ,$800.00 ,$263.89 ,$107.73 ,$905.60 ,$109.89 ,$771.82 ,$771.82 ,$874.73 ,$874.73 ,$107.73 ,$874.73 ,$107.73 ,$833.56 ,$833.56 ,$833.56 ,"$1,029.09 ",$926.18 ,$263.89 ,$926.18 ,$107.73 ,"$1,029.09 ",$577.32 ,$107.73 ,$426.04 , N/A , N/A ,$112.76 ,$926.18 ,$238.23 ,$570.12 ,$288.15 ,$926.18 ,$107.73 ,$926.18 ,$926.18 ,$107.73 ,$668.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$614.02 ,$442.09 ,$107.73 ,$614.02 ,$263.89 ,$457.44 ,$402.18 ,$107.73 ,$171.93 ,$377.62 ,$107.73 ,$377.62 ,$107.73 ,$340.17 ,$340.17 ,$107.73 ,$340.17 ,$222.05 ,$552.62 ,$509.64 ,$263.89 ,$107.73 ,$540.34 ,$109.89 ,$460.52 ,$460.52 ,$521.92 ,$521.92 ,$107.73 ,$521.92 ,$107.73 ,$497.36 ,$497.36 ,$497.36 ,$614.02 ,$552.62 ,$263.89 ,$552.62 ,$107.73 ,$614.02 ,$344.47 ,$107.73 ,$254.20 , N/A , N/A ,$112.76 ,$552.62 ,$238.23 ,$340.17 ,$171.93 ,$552.62 ,$107.73 ,$552.62 ,$552.62 ,$107.73 ,$399.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200036,76820,HC US FETAL DOPLR VELO UMB,402,1 ,$378.19 ,$272.30 ,$105.89 ,$378.19 ,$263.89 ,$281.75 ,$247.71 ,$107.73 ,$105.89 ,$232.59 ,$107.73 ,$232.59 ,$107.73 ,$209.52 ,$209.52 ,$107.73 ,$209.52 ,$222.05 ,$340.37 ,$313.90 ,$263.89 ,$107.73 ,$332.81 ,$109.89 ,$283.64 ,$283.64 ,$321.46 ,$321.46 ,$107.73 ,$321.46 ,$107.73 ,$306.33 ,$306.33 ,$306.33 ,$378.19 ,$340.37 ,$263.89 ,$340.37 ,$107.73 ,$378.19 ,$212.16 ,$107.73 ,$156.57 , N/A , N/A ,$112.76 ,$340.37 ,$238.23 ,$209.52 ,$105.89 ,$340.37 ,$107.73 ,$340.37 ,$340.37 ,$107.73 ,$245.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200038,76830,HC US TRANSVAGINAL,402,1 ,"$1,068.48 ",$769.31 ,$107.49 ,"$1,068.48 ",$263.89 ,$796.02 ,$699.85 ,$107.73 ,$299.17 ,$657.12 ,$107.73 ,$657.12 ,$107.73 ,$591.94 ,$591.94 ,$107.73 ,$591.94 ,$222.05 ,$961.63 ,$800.00 ,$263.89 ,$107.73 ,$940.26 ,$109.89 ,$801.36 ,$801.36 ,$908.21 ,$908.21 ,$107.73 ,$908.21 ,$107.73 ,$865.47 ,$865.47 ,$865.47 ,"$1,068.48 ",$961.63 ,$263.89 ,$961.63 ,$107.73 ,"$1,068.48 ",$599.42 ,$107.73 ,$442.35 ,$112.61 ,$107.49 ,$112.76 ,$961.63 ,$238.23 ,$591.94 ,$299.17 ,$961.63 ,$107.73 ,$961.63 ,$961.63 ,$107.73 ,$694.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,788.54 ","$1,287.75 ",$77.32 ,"$1,788.54 ",$263.89 ,"$1,332.46 ","$1,171.49 ",$107.73 ,$500.79 ,"$1,099.95 ",$107.73 ,"$1,099.95 ",$107.73 ,$990.85 ,$990.85 ,$107.73 ,$990.85 ,$222.05 ,"$1,609.69 ",$800.00 ,$263.89 ,$107.73 ,"$1,573.92 ",$109.89 ,"$1,341.41 ","$1,341.41 ","$1,520.26 ","$1,520.26 ",$107.73 ,"$1,520.26 ",$107.73 ,"$1,448.72 ","$1,448.72 ","$1,448.72 ","$1,788.54 ","$1,609.69 ",$263.89 ,"$1,609.69 ",$107.73 ,$77.32 ,"$1,003.37 ",$107.73 ,$740.46 ,$112.61 ,$107.49 ,$112.76 ,"$1,609.69 ",$238.23 ,$990.85 ,$500.79 ,"$1,609.69 ",$107.73 ,"$1,609.69 ","$1,609.69 ",$107.73 ,"$1,162.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$931.13 ,$670.41 ,$107.49 ,$931.13 ,$263.89 ,$693.69 ,$609.89 ,$107.73 ,$260.72 ,$572.65 ,$107.73 ,$572.65 ,$107.73 ,$515.85 ,$515.85 ,$107.73 ,$515.85 ,$222.05 ,$838.02 ,$772.84 ,$263.89 ,$107.73 ,$819.39 ,$109.89 ,$698.35 ,$698.35 ,$791.46 ,$791.46 ,$107.73 ,$791.46 ,$107.73 ,$754.22 ,$754.22 ,$754.22 ,$931.13 ,$838.02 ,$263.89 ,$838.02 ,$107.73 ,$931.13 ,$522.36 ,$107.73 ,$385.49 ,$112.61 ,$107.49 ,$112.76 ,$838.02 ,$238.23 ,$515.85 ,$260.72 ,$838.02 ,$107.73 ,$838.02 ,$838.02 ,$107.73 ,$605.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200042,76870,HC US SCROTUM,402,1 ,"$1,271.47 ",$915.46 ,$107.49 ,"$1,271.47 ",$263.89 ,$947.25 ,$832.81 ,$107.73 ,$356.01 ,$781.95 ,$107.73 ,$781.95 ,$107.73 ,$704.39 ,$704.39 ,$107.73 ,$704.39 ,$222.05 ,"$1,144.32 ",$800.00 ,$263.89 ,$107.73 ,"$1,118.89 ",$109.89 ,$953.60 ,$953.60 ,"$1,080.75 ","$1,080.75 ",$107.73 ,"$1,080.75 ",$107.73 ,"$1,029.89 ","$1,029.89 ","$1,029.89 ","$1,271.47 ","$1,144.32 ",$263.89 ,"$1,144.32 ",$107.73 ,"$1,271.47 ",$713.29 ,$107.73 ,$526.39 ,$112.61 ,$107.49 ,$112.76 ,"$1,144.32 ",$238.23 ,$704.39 ,$356.01 ,"$1,144.32 ",$107.73 ,"$1,144.32 ","$1,144.32 ",$107.73 ,$826.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200043,76872,HC ULTRA BX PROS,402,1 ,$791.76 ,$570.07 ,$107.49 ,$791.76 ,$263.89 ,$589.86 ,$518.60 ,$107.73 ,$221.69 ,$486.93 ,$107.73 ,$486.93 ,$107.73 ,$438.64 ,$438.64 ,$107.73 ,$438.64 ,$222.05 ,$712.58 ,$657.16 ,$263.89 ,$107.73 ,$696.75 ,$109.89 ,$593.82 ,$593.82 ,$673.00 ,$673.00 ,$107.73 ,$673.00 ,$107.73 ,$641.33 ,$641.33 ,$641.33 ,$791.76 ,$712.58 ,$263.89 ,$712.58 ,$107.73 ,$791.76 ,$444.18 ,$107.73 ,$327.79 ,$112.61 ,$107.49 ,$112.76 ,$712.58 ,$238.23 ,$438.64 ,$221.69 ,$712.58 ,$107.73 ,$712.58 ,$712.58 ,$107.73 ,$514.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,$941.23 ,$677.69 ,$107.49 ,$941.23 ,$263.89 ,$701.22 ,$616.51 ,$107.73 ,$263.54 ,$578.86 ,$107.73 ,$578.86 ,$107.73 ,$521.44 ,$521.44 ,$107.73 ,$521.44 ,$222.05 ,$847.11 ,$781.22 ,$263.89 ,$107.73 ,$828.28 ,$109.89 ,$705.92 ,$705.92 ,$800.05 ,$800.05 ,$107.73 ,$800.05 ,$107.73 ,$762.40 ,$762.40 ,$762.40 ,$941.23 ,$847.11 ,$263.89 ,$847.11 ,$107.73 ,$941.23 ,$528.03 ,$107.73 ,$389.67 ,$112.61 ,$107.49 ,$112.76 ,$847.11 ,$238.23 ,$521.44 ,$263.54 ,$847.11 ,$107.73 ,$847.11 ,$847.11 ,$107.73 ,$611.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$802.87 ,$578.07 ,$107.49 ,$802.87 ,$263.89 ,$598.14 ,$525.88 ,$107.73 ,$224.80 ,$493.77 ,$107.73 ,$493.77 ,$107.73 ,$444.79 ,$444.79 ,$107.73 ,$444.79 ,$222.05 ,$722.58 ,$666.38 ,$263.89 ,$107.73 ,$706.53 ,$109.89 ,$602.15 ,$602.15 ,$682.44 ,$682.44 ,$107.73 ,$682.44 ,$107.73 ,$650.32 ,$650.32 ,$650.32 ,$802.87 ,$722.58 ,$263.89 ,$722.58 ,$107.73 ,$802.87 ,$450.41 ,$107.73 ,$332.39 ,$112.61 ,$107.49 ,$112.76 ,$722.58 ,$238.23 ,$444.79 ,$224.80 ,$722.58 ,$107.73 ,$722.58 ,$722.58 ,$107.73 ,$521.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200048,76885,HC US HIPS INFANT DYNAMIC,402,1 ,$868.52 ,$625.33 ,$87.57 ,$868.52 ,$214.51 ,$647.05 ,$568.88 ,$87.57 ,$243.19 ,$534.14 ,$87.57 ,$534.14 ,$87.57 ,$481.16 ,$481.16 ,$87.57 ,$481.16 ,$180.50 ,$781.67 ,$720.87 ,$214.51 ,$87.57 ,$764.30 ,$89.33 ,$651.39 ,$651.39 ,$738.24 ,$738.24 ,$87.57 ,$738.24 ,$87.57 ,$703.50 ,$703.50 ,$703.50 ,$868.52 ,$781.67 ,$214.51 ,$781.67 ,$87.57 ,$868.52 ,$487.24 ,$87.57 ,$359.57 , N/A , N/A ,$91.66 ,$781.67 ,$193.65 ,$481.16 ,$243.19 ,$781.67 ,$87.57 ,$781.67 ,$781.67 ,$87.57 ,$564.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200050,76936,HC US GUIDED COMPRESSION RPR,402,1 ,$975.15 ,$702.11 ,$78.45 ,$975.15 ,$691.48 ,$726.49 ,$638.72 ,$282.29 ,$273.04 ,$599.72 ,$282.29 ,$599.72 ,$282.29 ,$540.23 ,$540.23 ,$282.29 ,$540.23 ,$581.85 ,$877.64 ,$800.00 ,$691.48 ,$282.29 ,$858.13 ,$287.93 ,$731.36 ,$731.36 ,$828.88 ,$828.88 ,$282.29 ,$828.88 ,$282.29 ,$789.87 ,$789.87 ,$789.87 ,$975.15 ,$877.64 ,$691.48 ,$877.64 ,$282.29 ,$975.15 ,$547.06 ,$282.29 ,$403.71 ,$82.18 ,$78.45 ,$295.47 ,$877.64 ,$624.24 ,$540.23 ,$273.04 ,$877.64 ,$282.29 ,$877.64 ,$877.64 ,$282.29 ,$633.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$196.93 ,$141.79 ,$55.14 ,$196.93 , N/A ,$146.71 ,$128.99 , N/A ,$55.14 ,$121.11 , N/A ,$121.11 , N/A ,$109.10 ,$109.10 , N/A ,$109.10 , N/A ,$177.24 ,$163.45 , N/A , N/A ,$173.30 , N/A ,$147.70 ,$147.70 ,$167.39 ,$167.39 , N/A ,$167.39 , N/A ,$159.51 ,$159.51 ,$159.51 ,$196.93 ,$177.24 , N/A ,$177.24 , N/A ,$196.93 ,$110.48 , N/A ,$81.53 ,$82.18 ,$78.45 , N/A ,$177.24 , N/A ,$109.10 ,$55.14 ,$177.24 , N/A ,$177.24 ,$177.24 , N/A ,$128.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,"$1,085.64 ",$781.66 ,$29.71 ,"$1,085.64 ", N/A ,$808.80 ,$711.09 , N/A ,$303.98 ,$667.67 , N/A ,$667.67 , N/A ,$601.44 ,$601.44 , N/A ,$601.44 , N/A ,$977.08 ,$800.00 , N/A , N/A ,$955.36 , N/A ,$814.23 ,$814.23 ,$922.79 ,$922.79 , N/A ,$922.79 , N/A ,$879.37 ,$879.37 ,$879.37 ,"$1,085.64 ",$977.08 , N/A ,$977.08 , N/A ,$29.71 ,$609.04 , N/A ,$449.46 ,$82.18 ,$78.45 , N/A ,$977.08 , N/A ,$601.44 ,$303.98 ,$977.08 , N/A ,$977.08 ,$977.08 , N/A ,$705.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200059,76946,HC US GUIDED AMNIOCENTESIS,402,1 ,$564.54 ,$406.47 ,$78.45 ,$564.54 , N/A ,$420.58 ,$369.77 , N/A ,$158.07 ,$347.19 , N/A ,$347.19 , N/A ,$312.76 ,$312.76 , N/A ,$312.76 , N/A ,$508.09 ,$468.57 , N/A , N/A ,$496.80 , N/A ,$423.41 ,$423.41 ,$479.86 ,$479.86 , N/A ,$479.86 , N/A ,$457.28 ,$457.28 ,$457.28 ,$564.54 ,$508.09 , N/A ,$508.09 , N/A ,$564.54 ,$316.71 , N/A ,$233.72 ,$82.18 ,$78.45 , N/A ,$508.09 , N/A ,$312.76 ,$158.07 ,$508.09 , N/A ,$508.09 ,$508.09 , N/A ,$366.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200062,76998,HC US INTRAOPERATIVE,402,1 ,$532.22 ,$383.20 ,$78.45 ,$532.22 , N/A ,$396.50 ,$348.60 , N/A ,$149.02 ,$327.32 , N/A ,$327.32 , N/A ,$294.85 ,$294.85 , N/A ,$294.85 , N/A ,$479.00 ,$441.74 , N/A , N/A ,$468.35 , N/A ,$399.17 ,$399.17 ,$452.39 ,$452.39 , N/A ,$452.39 , N/A ,$431.10 ,$431.10 ,$431.10 ,$532.22 ,$479.00 , N/A ,$479.00 , N/A ,$532.22 ,$298.58 , N/A ,$220.34 ,$82.18 ,$78.45 , N/A ,$479.00 , N/A ,$294.85 ,$149.02 ,$479.00 , N/A ,$479.00 ,$479.00 , N/A ,$345.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,"$2,109.68 ","$1,518.97 ",$107.49 ,"$2,109.68 ",$576.57 ,"$1,571.71 ","$1,381.84 ",$235.38 ,$590.71 ,"$1,297.45 ",$235.38 ,"$1,297.45 ",$235.38 ,"$1,168.76 ","$1,168.76 ",$235.38 ,"$1,168.76 ",$485.16 ,"$1,898.71 ",$800.00 ,$576.57 ,$235.38 ,"$1,856.52 ",$240.08 ,"$1,582.26 ","$1,582.26 ","$1,793.23 ","$1,793.23 ",$235.38 ,"$1,793.23 ",$235.38 ,"$1,708.84 ","$1,708.84 ","$1,708.84 ","$2,109.68 ","$1,898.71 ",$576.57 ,"$1,898.71 ",$235.38 ,"$2,109.68 ","$1,183.53 ",$235.38 ,$873.41 ,$112.61 ,$107.49 ,$246.36 ,"$1,898.71 ",$520.50 ,"$1,168.76 ",$590.71 ,"$1,898.71 ",$235.38 ,"$1,898.71 ","$1,898.71 ",$235.38 ,"$1,371.29 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,"$1,343.17 ",$967.08 ,$107.49 ,"$1,343.17 ",$263.89 ,"$1,000.66 ",$879.78 ,$107.73 ,$376.09 ,$826.05 ,$107.73 ,$826.05 ,$107.73 ,$744.12 ,$744.12 ,$107.73 ,$744.12 ,$222.05 ,"$1,208.85 ",$800.00 ,$263.89 ,$107.73 ,"$1,181.99 ",$109.89 ,"$1,007.38 ","$1,007.38 ","$1,141.69 ","$1,141.69 ",$107.73 ,"$1,141.69 ",$107.73 ,"$1,087.97 ","$1,087.97 ","$1,087.97 ","$1,343.17 ","$1,208.85 ",$263.89 ,"$1,208.85 ",$107.73 ,"$1,343.17 ",$753.52 ,$107.73 ,$556.07 ,$112.61 ,$107.49 ,$112.76 ,"$1,208.85 ",$238.23 ,$744.12 ,$376.09 ,"$1,208.85 ",$107.73 ,"$1,208.85 ","$1,208.85 ",$107.73 ,$873.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,"$1,478.50 ","$1,064.52 ",$107.49 ,"$1,478.50 ",$576.57 ,"$1,101.48 ",$968.42 ,$235.38 ,$413.98 ,$909.28 ,$235.38 ,$909.28 ,$235.38 ,$819.09 ,$819.09 ,$235.38 ,$819.09 ,$485.16 ,"$1,330.65 ","$1,227.16 ",$576.57 ,$235.38 ,"$1,301.08 ",$240.08 ,"$1,108.88 ","$1,108.88 ","$1,256.73 ","$1,256.73 ",$235.38 ,"$1,256.73 ",$235.38 ,"$1,197.59 ","$1,197.59 ","$1,197.59 ","$1,478.50 ","$1,330.65 ",$576.57 ,"$1,330.65 ",$235.38 ,"$1,478.50 ",$829.44 ,$235.38 ,$612.10 ,$112.61 ,$107.49 ,$246.36 ,"$1,330.65 ",$520.50 ,$819.09 ,$413.98 ,"$1,330.65 ",$235.38 ,"$1,330.65 ","$1,330.65 ",$235.38 ,$961.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,"$1,047.27 ",$754.03 ,$107.49 ,"$1,047.27 ",$263.89 ,$780.22 ,$685.96 ,$107.73 ,$293.24 ,$644.07 ,$107.73 ,$644.07 ,$107.73 ,$580.19 ,$580.19 ,$107.73 ,$580.19 ,$222.05 ,$942.54 ,$800.00 ,$263.89 ,$107.73 ,$921.60 ,$109.89 ,$785.45 ,$785.45 ,$890.18 ,$890.18 ,$107.73 ,$890.18 ,$107.73 ,$848.29 ,$848.29 ,$848.29 ,"$1,047.27 ",$942.54 ,$263.89 ,$942.54 ,$107.73 ,"$1,047.27 ",$587.52 ,$107.73 ,$433.57 ,$112.61 ,$107.49 ,$112.76 ,$942.54 ,$238.23 ,$580.19 ,$293.24 ,$942.54 ,$107.73 ,$942.54 ,$942.54 ,$107.73 ,$680.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200075,76706,HC US AORTA (SCREENING),402,1 ,$778.63 ,$560.61 ,$107.49 ,$778.63 ,$263.89 ,$580.08 ,$510.00 ,$107.73 ,$218.02 ,$478.86 ,$107.73 ,$478.86 ,$107.73 ,$431.36 ,$431.36 ,$107.73 ,$431.36 ,$222.05 ,$700.77 ,$646.26 ,$263.89 ,$107.73 ,$685.19 ,$109.89 ,$583.97 ,$583.97 ,$661.84 ,$661.84 ,$107.73 ,$661.84 ,$107.73 ,$630.69 ,$630.69 ,$630.69 ,$778.63 ,$700.77 ,$263.89 ,$700.77 ,$107.73 ,$778.63 ,$436.81 ,$107.73 ,$322.35 ,$112.61 ,$107.49 ,$112.76 ,$700.77 ,$238.23 ,$431.36 ,$218.02 ,$700.77 ,$107.73 ,$700.77 ,$700.77 ,$107.73 ,$506.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200091,76886,HC US HIPS INFANT STATIC,402,1 ,$396.89 ,$285.76 ,$87.57 ,$396.89 ,$214.51 ,$295.68 ,$259.96 ,$87.57 ,$111.13 ,$244.09 ,$87.57 ,$244.09 ,$87.57 ,$219.88 ,$219.88 ,$87.57 ,$219.88 ,$180.50 ,$357.20 ,$329.42 ,$214.51 ,$87.57 ,$349.26 ,$89.33 ,$297.67 ,$297.67 ,$337.36 ,$337.36 ,$87.57 ,$337.36 ,$87.57 ,$321.48 ,$321.48 ,$321.48 ,$396.89 ,$357.20 ,$214.51 ,$357.20 ,$87.57 ,$396.89 ,$222.66 ,$87.57 ,$164.31 , N/A , N/A ,$91.66 ,$357.20 ,$193.65 ,$219.88 ,$111.13 ,$357.20 ,$87.57 ,$357.20 ,$357.20 ,$87.57 ,$257.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200097,76816,HC US OB GROWTH FOLLOWUP EA ADDN,402,1 ,$313.36 ,$225.62 ,$87.74 ,$313.36 ,$263.89 ,$233.45 ,$205.25 ,$107.73 ,$87.74 ,$192.72 ,$107.73 ,$192.72 ,$107.73 ,$173.60 ,$173.60 ,$107.73 ,$173.60 ,$222.05 ,$282.02 ,$260.09 ,$263.89 ,$107.73 ,$275.76 ,$109.89 ,$235.02 ,$235.02 ,$266.36 ,$266.36 ,$107.73 ,$266.36 ,$107.73 ,$253.82 ,$253.82 ,$253.82 ,$313.36 ,$282.02 ,$263.89 ,$282.02 ,$107.73 ,$313.36 ,$175.80 ,$107.73 ,$129.73 , N/A , N/A ,$112.76 ,$282.02 ,$238.23 ,$173.60 ,$87.74 ,$282.02 ,$107.73 ,$282.02 ,$282.02 ,$107.73 ,$203.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200101,76981,HC US ELASTOGRAPHY SINGLE ORGAN,402,1 ,$321.99 ,$231.83 ,$90.16 ,$321.99 ,$263.89 ,$239.88 ,$210.90 ,$107.73 ,$90.16 ,$198.02 ,$107.73 ,$198.02 ,$107.73 ,$178.38 ,$178.38 ,$107.73 ,$178.38 ,$222.05 ,$289.79 ,$267.25 ,$263.89 ,$107.73 ,$283.35 ,$109.89 ,$241.49 ,$241.49 ,$273.69 ,$273.69 ,$107.73 ,$273.69 ,$107.73 ,$260.81 ,$260.81 ,$260.81 ,$321.99 ,$289.79 ,$263.89 ,$289.79 ,$107.73 ,$321.99 ,$180.64 ,$107.73 ,$133.30 ,$112.61 ,$107.49 ,$112.76 ,$289.79 ,$238.23 ,$178.38 ,$90.16 ,$289.79 ,$107.73 ,$289.79 ,$289.79 ,$107.73 ,$209.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200102,76982,HC US ELASTOGRAPHY FIRST LESION,402,1 ,$333.57 ,$240.17 ,$93.40 ,$333.57 ,$263.89 ,$248.51 ,$218.49 ,$107.73 ,$93.40 ,$205.15 ,$107.73 ,$205.15 ,$107.73 ,$184.80 ,$184.80 ,$107.73 ,$184.80 ,$222.05 ,$300.21 ,$276.86 ,$263.89 ,$107.73 ,$293.54 ,$109.89 ,$250.18 ,$250.18 ,$283.53 ,$283.53 ,$107.73 ,$283.53 ,$107.73 ,$270.19 ,$270.19 ,$270.19 ,$333.57 ,$300.21 ,$263.89 ,$300.21 ,$107.73 ,$333.57 ,$187.13 ,$107.73 ,$138.10 ,$112.61 ,$107.49 ,$112.76 ,$300.21 ,$238.23 ,$184.80 ,$93.40 ,$300.21 ,$107.73 ,$300.21 ,$300.21 ,$107.73 ,$216.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40200103,76983,HC US ELASTOGRAPHY EA ADDL LESION,402,1 ,$219.18 ,$157.81 ,$61.37 ,$219.18 , N/A ,$163.29 ,$143.56 , N/A ,$61.37 ,$134.80 , N/A ,$134.80 , N/A ,$121.43 ,$121.43 , N/A ,$121.43 , N/A ,$197.26 ,$181.92 , N/A , N/A ,$192.88 , N/A ,$164.39 ,$164.39 ,$186.30 ,$186.30 , N/A ,$186.30 , N/A ,$177.54 ,$177.54 ,$177.54 ,$219.18 ,$197.26 , N/A ,$197.26 , N/A ,$219.18 ,$122.96 , N/A ,$90.74 ,$112.61 ,$107.49 , N/A ,$197.26 , N/A ,$121.43 ,$61.37 ,$197.26 , N/A ,$197.26 ,$197.26 , N/A ,$142.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$582.00 ,$419.04 ,$48.83 ,$582.00 ,$214.33 ,$433.59 ,$381.21 ,$84.02 ,$162.96 ,$357.93 ,$84.02 ,$357.93 ,$84.02 ,$322.43 ,$322.43 ,$84.02 ,$322.43 ,$173.17 ,$523.80 ,$483.06 ,$214.33 ,$84.02 ,$512.16 ,$85.69 ,$436.50 ,$436.50 ,$494.70 ,$494.70 ,$84.02 ,$494.70 ,$84.02 ,$471.42 ,$471.42 ,$471.42 ,$582.00 ,$523.80 ,$214.33 ,$523.80 ,$84.02 ,$97.27 ,$326.50 ,$84.02 ,$240.95 ,$51.15 ,$48.83 ,$88.22 ,$523.80 ,$192.89 ,$322.43 ,$162.96 ,$523.80 ,$84.02 ,$523.80 ,$523.80 ,$84.02 ,$378.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$355.00 ,$255.60 ,$24.41 ,$355.00 ,$214.33 ,$264.48 ,$232.53 ,$84.02 ,$99.40 ,$218.33 ,$84.02 ,$218.33 ,$84.02 ,$196.67 ,$196.67 ,$84.02 ,$196.67 ,$173.17 ,$319.50 ,$294.65 ,$214.33 ,$84.02 ,$312.40 ,$85.69 ,$266.25 ,$266.25 ,$301.75 ,$301.75 ,$84.02 ,$301.75 ,$84.02 ,$287.55 ,$287.55 ,$287.55 ,$355.00 ,$319.50 ,$214.33 ,$319.50 ,$84.02 ,$97.27 ,$199.16 ,$84.02 ,$146.97 ,$25.58 ,$24.41 ,$88.22 ,$319.50 ,$192.89 ,$196.67 ,$99.40 ,$319.50 ,$84.02 ,$319.50 ,$319.50 ,$84.02 ,$230.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$582.00 ,$419.04 ,$48.83 ,$582.00 ,$214.33 ,$433.59 ,$381.21 ,$84.02 ,$162.96 ,$357.93 ,$84.02 ,$357.93 ,$84.02 ,$322.43 ,$322.43 ,$84.02 ,$322.43 ,$173.17 ,$523.80 ,$483.06 ,$214.33 ,$84.02 ,$512.16 ,$85.69 ,$436.50 ,$436.50 ,$494.70 ,$494.70 ,$84.02 ,$494.70 ,$84.02 ,$471.42 ,$471.42 ,$471.42 ,$582.00 ,$523.80 ,$214.33 ,$523.80 ,$84.02 ,$97.27 ,$326.50 ,$84.02 ,$240.95 ,$51.15 ,$48.83 ,$88.22 ,$523.80 ,$192.89 ,$322.43 ,$162.96 ,$523.80 ,$84.02 ,$523.80 ,$523.80 ,$84.02 ,$378.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$167.00 ,$120.24 ,$21.80 ,$167.00 ,$55.63 ,$124.42 ,$109.39 ,$21.80 ,$46.76 ,$102.71 ,$21.80 ,$102.71 ,$21.80 ,$92.52 ,$92.52 ,$21.80 ,$92.52 ,$44.95 ,$150.30 ,$138.61 ,$55.63 ,$21.80 ,$146.96 ,$22.25 ,$125.25 ,$125.25 ,$141.95 ,$141.95 ,$21.80 ,$141.95 ,$21.80 ,$135.27 ,$135.27 ,$135.27 ,$167.00 ,$150.30 ,$55.63 ,$150.30 ,$21.80 ,$25.20 ,$93.69 ,$21.80 ,$69.14 ,$51.15 ,$48.83 ,$22.89 ,$150.30 ,$50.06 ,$92.52 ,$46.76 ,$150.30 ,$21.80 ,$150.30 ,$150.30 ,$21.80 ,$108.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$7,079.43 ","$5,097.19 ",$864.69 ,"$7,079.43 ","$3,677.26 ","$5,274.18 ","$4,637.03 ","$1,501.19 ","$1,982.24 ","$4,353.85 ","$1,501.19 ","$4,353.85 ","$1,501.19 ","$3,922.00 ","$3,922.00 ","$1,501.19 ","$3,922.00 ","$3,094.27 ","$6,371.49 ","$4,000.00 ","$3,677.26 ","$1,501.19 ","$6,229.90 ","$1,531.22 ","$5,309.57 ","$5,309.57 ","$6,017.52 ","$6,017.52 ","$1,501.19 ","$6,017.52 ","$1,501.19 ","$5,734.34 ","$5,734.34 ","$5,734.34 ","$7,079.43 ","$6,371.49 ","$3,677.26 ","$6,371.49 ","$1,501.19 ","$7,079.43 ","$3,971.56 ","$1,501.19 ","$2,930.88 ",$905.86 ,$864.69 ,"$1,571.28 ","$6,371.49 ","$3,319.69 ","$3,922.00 ","$1,982.24 ","$6,371.49 ","$1,501.19 ","$6,371.49 ","$6,371.49 ","$1,501.19 ","$4,601.63 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$7,252.33 ","$5,221.68 ",$864.69 ,"$7,252.33 ","$3,677.26 ","$5,402.99 ","$4,750.28 ","$1,501.19 ","$2,030.65 ","$4,460.18 ","$1,501.19 ","$4,460.18 ","$1,501.19 ","$4,017.79 ","$4,017.79 ","$1,501.19 ","$4,017.79 ","$3,094.27 ","$6,527.10 ","$4,000.00 ","$3,677.26 ","$1,501.19 ","$6,382.05 ","$1,531.22 ","$5,439.25 ","$5,439.25 ","$6,164.48 ","$6,164.48 ","$1,501.19 ","$6,164.48 ","$1,501.19 ","$5,874.39 ","$5,874.39 ","$5,874.39 ","$7,252.33 ","$6,527.10 ","$3,677.26 ","$6,527.10 ","$1,501.19 ","$7,252.33 ","$4,068.56 ","$1,501.19 ","$3,002.46 ",$905.86 ,$864.69 ,"$1,571.28 ","$6,527.10 ","$3,319.69 ","$4,017.79 ","$2,030.65 ","$6,527.10 ","$1,501.19 ","$6,527.10 ","$6,527.10 ","$1,501.19 ","$4,714.01 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000002,31502,HC CHG TUBE TRACHEOTOMY,410,1 ,$631.00 ,$454.32 ,$147.69 ,$631.00 ,$513.14 ,$470.10 ,$413.31 ,$209.48 ,$176.68 ,$388.07 ,$209.48 ,$388.07 ,$209.48 ,$349.57 ,$349.57 ,$209.48 ,$349.57 ,$431.79 ,$567.90 ,$523.73 ,$513.14 ,$209.48 ,$555.28 ,$213.68 ,$473.25 ,$473.25 ,$536.35 ,$536.35 ,$209.48 ,$536.35 ,$209.48 ,$511.11 ,$511.11 ,$511.11 ,$631.00 ,$567.90 ,$513.14 ,$567.90 ,$209.48 ,$631.00 ,$353.99 ,$209.48 ,$261.23 ,$154.73 ,$147.69 ,$219.27 ,$567.90 ,$463.24 ,$349.57 ,$176.68 ,$567.90 ,$209.48 ,$567.90 ,$567.90 ,$209.48 ,$410.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000005,92950,HC CPR,480,1 ,$607.00 ,$437.04 ,$169.96 ,$624.24 ,$607.00 ,$452.22 ,$397.59 ,$282.29 ,$169.96 ,$373.31 ,$282.29 ,$373.31 ,$282.29 ,$336.28 ,$336.28 ,$282.29 ,$336.28 ,$581.85 ,$546.30 ,$503.81 ,$607.00 ,$282.29 ,$534.16 ,$287.93 ,$455.25 ,$455.25 ,$515.95 ,$515.95 ,$282.29 ,$515.95 ,$282.29 ,$491.67 ,$491.67 ,$491.67 ,$607.00 ,$546.30 ,$607.00 ,$546.30 ,$282.29 ,$607.00 ,$340.53 ,$282.29 ,$251.30 ,$500.07 ,$477.34 ,$295.47 ,$546.30 ,$624.24 ,$336.28 ,$169.96 ,$546.30 ,$282.29 ,$546.30 ,$546.30 ,$282.29 ,$394.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,$833.00 ,$599.76 ,$233.24 ,"$1,240.90 ",$833.00 ,$620.59 ,$545.62 ,$561.15 ,$233.24 ,$512.30 ,$561.15 ,$512.30 ,$561.15 ,$461.48 ,$461.48 ,$561.15 ,$461.48 ,$833.00 ,$749.70 ,$691.39 ,$833.00 ,$561.15 ,$733.04 ,$572.37 ,$624.75 ,$624.75 ,$708.05 ,$708.05 ,$561.15 ,$708.05 ,$561.15 ,$674.73 ,$674.73 ,$674.73 ,$833.00 ,$749.70 ,$833.00 ,$749.70 ,$561.15 ,$833.00 ,$467.31 ,$561.15 ,$344.86 ,$542.19 ,$517.55 ,$587.34 ,$749.70 ,"$1,240.90 ",$461.48 ,$233.24 ,$749.70 ,$561.15 ,$749.70 ,$749.70 ,$561.15 ,$541.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000014,94002,HC VENT WEANING FIRST DAY,410,1 ,$833.00 ,$599.76 ,$233.24 ,"$1,240.90 ",$833.00 ,$620.59 ,$545.62 ,$561.15 ,$233.24 ,$512.30 ,$561.15 ,$512.30 ,$561.15 ,$461.48 ,$461.48 ,$561.15 ,$461.48 ,$833.00 ,$749.70 ,$691.39 ,$833.00 ,$561.15 ,$733.04 ,$572.37 ,$624.75 ,$624.75 ,$708.05 ,$708.05 ,$561.15 ,$708.05 ,$561.15 ,$674.73 ,$674.73 ,$674.73 ,$833.00 ,$749.70 ,$833.00 ,$749.70 ,$561.15 ,$833.00 ,$467.31 ,$561.15 ,$344.86 ,$542.19 ,$517.55 ,$587.34 ,$749.70 ,"$1,240.90 ",$461.48 ,$233.24 ,$749.70 ,$561.15 ,$749.70 ,$749.70 ,$561.15 ,$541.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000015,94002,HC VENT NEONATAL INTL DAY,410,1 ,$833.00 ,$599.76 ,$233.24 ,"$1,240.90 ",$833.00 ,$620.59 ,$545.62 ,$561.15 ,$233.24 ,$512.30 ,$561.15 ,$512.30 ,$561.15 ,$461.48 ,$461.48 ,$561.15 ,$461.48 ,$833.00 ,$749.70 ,$691.39 ,$833.00 ,$561.15 ,$733.04 ,$572.37 ,$624.75 ,$624.75 ,$708.05 ,$708.05 ,$561.15 ,$708.05 ,$561.15 ,$674.73 ,$674.73 ,$674.73 ,$833.00 ,$749.70 ,$833.00 ,$749.70 ,$561.15 ,$833.00 ,$467.31 ,$561.15 ,$344.86 ,$542.19 ,$517.55 ,$587.34 ,$749.70 ,"$1,240.90 ",$461.48 ,$233.24 ,$749.70 ,$561.15 ,$749.70 ,$749.70 ,$561.15 ,$541.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000016,94660,HC VENT NONINVAS NEO INTL DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000018,94660,HC VENT NONINVAS PEDS INTL DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,$554.00 ,$398.88 ,$155.12 ,"$1,240.90 ",$554.00 ,$412.73 ,$362.87 ,$542.92 ,$155.12 ,$340.71 ,$542.92 ,$340.71 ,$542.92 ,$306.92 ,$306.92 ,$542.92 ,$306.92 ,$554.00 ,$498.60 ,$459.82 ,$554.00 ,$542.92 ,$487.52 ,$553.78 ,$415.50 ,$415.50 ,$470.90 ,$470.90 ,$542.92 ,$470.90 ,$542.92 ,$448.74 ,$448.74 ,$448.74 ,$554.00 ,$498.60 ,$554.00 ,$498.60 ,$542.92 ,$554.00 ,$310.79 ,$542.92 ,$229.36 ,$542.19 ,$517.55 ,$542.92 ,$498.60 ,"$1,240.90 ",$306.92 ,$155.12 ,$498.60 ,$542.92 ,$498.60 ,$498.60 ,$542.92 ,$360.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000030,94003,HC VENT WEANING SUBQ DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,"$1,240.90 ",$212.00 ,$157.94 ,$138.86 ,$207.76 ,$59.36 ,$130.38 ,$207.76 ,$130.38 ,$207.76 ,$117.45 ,$117.45 ,$207.76 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$207.76 ,$186.56 ,$211.92 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$207.76 ,$180.20 ,$207.76 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$207.76 ,$212.00 ,$118.93 ,$207.76 ,$87.77 ,$212.00 ,$212.00 ,$207.76 ,$190.80 ,"$1,240.90 ",$117.45 ,$59.36 ,$190.80 ,$207.76 ,$190.80 ,$190.80 ,$207.76 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000033,94660,HC VENT NONINVAS PEDS SUBQ DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000037,94640,HC INCENTIVE SPIROMETER TRT,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000040,94640,HC EZ PAP TREATMENT,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000044,94640,HC UPDRAFT W/INSTRUCT AND EVAL,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$302.00 ,$217.44 ,$52.85 ,$302.00 ,$286.68 ,$224.99 ,$197.81 ,$117.03 ,$84.56 ,$185.73 ,$117.03 ,$185.73 ,$117.03 ,$167.31 ,$167.31 ,$117.03 ,$167.31 ,$241.23 ,$271.80 ,$250.66 ,$286.68 ,$117.03 ,$265.76 ,$119.37 ,$226.50 ,$226.50 ,$256.70 ,$256.70 ,$117.03 ,$256.70 ,$117.03 ,$244.62 ,$244.62 ,$244.62 ,$302.00 ,$271.80 ,$286.68 ,$271.80 ,$117.03 ,$302.00 ,$169.42 ,$117.03 ,$125.03 ,$55.36 ,$52.85 ,$122.50 ,$271.80 ,$258.80 ,$167.31 ,$84.56 ,$271.80 ,$117.03 ,$271.80 ,$271.80 ,$117.03 ,$196.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$318.00 ,$228.96 ,$52.85 ,$318.00 , N/A ,$236.91 ,$208.29 , N/A ,$89.04 ,$195.57 , N/A ,$195.57 , N/A ,$176.17 ,$176.17 , N/A ,$176.17 , N/A ,$286.20 ,$263.94 , N/A , N/A ,$279.84 , N/A ,$238.50 ,$238.50 ,$270.30 ,$270.30 , N/A ,$270.30 , N/A ,$257.58 ,$257.58 ,$257.58 ,$318.00 ,$286.20 , N/A ,$286.20 , N/A ,$318.00 ,$178.40 , N/A ,$131.65 ,$55.36 ,$52.85 , N/A ,$286.20 , N/A ,$176.17 ,$89.04 ,$286.20 , N/A ,$286.20 ,$286.20 , N/A ,$206.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000052,94660,HC CPAP,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000054,94660,HC CPAP NEONATAL/DAY,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$41.00 ,$29.52 ,$11.48 ,$426.84 ,$41.00 ,$30.55 ,$26.86 ,$40.18 ,$11.48 ,$25.22 ,$40.18 ,$25.22 ,$40.18 ,$22.71 ,$22.71 ,$40.18 ,$22.71 ,$41.00 ,$36.90 ,$34.03 ,$41.00 ,$40.18 ,$36.08 ,$40.98 ,$30.75 ,$30.75 ,$34.85 ,$34.85 ,$40.18 ,$34.85 ,$40.18 ,$33.21 ,$33.21 ,$33.21 ,$41.00 ,$36.90 ,$41.00 ,$36.90 ,$40.18 ,$41.00 ,$23.00 ,$40.18 ,$16.97 ,$26.72 ,$25.50 ,$40.18 ,$36.90 ,$426.84 ,$22.71 ,$11.48 ,$36.90 ,$40.18 ,$36.90 ,$36.90 ,$40.18 ,$26.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$74.00 ,$53.28 ,$20.72 ,$258.80 ,$74.00 ,$55.13 ,$48.47 ,$72.52 ,$20.72 ,$45.51 ,$72.52 ,$45.51 ,$72.52 ,$41.00 ,$41.00 ,$72.52 ,$41.00 ,$74.00 ,$66.60 ,$61.42 ,$74.00 ,$72.52 ,$65.12 ,$73.97 ,$55.50 ,$55.50 ,$62.90 ,$62.90 ,$72.52 ,$62.90 ,$72.52 ,$59.94 ,$59.94 ,$59.94 ,$74.00 ,$66.60 ,$74.00 ,$66.60 ,$72.52 ,$74.00 ,$41.51 ,$72.52 ,$30.64 ,$74.00 ,$74.00 ,$72.52 ,$66.60 ,$258.80 ,$41.00 ,$20.72 ,$66.60 ,$72.52 ,$66.60 ,$66.60 ,$72.52 ,$48.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$74.00 ,$53.28 ,$20.72 ,$258.80 ,$74.00 ,$55.13 ,$48.47 ,$72.52 ,$20.72 ,$45.51 ,$72.52 ,$45.51 ,$72.52 ,$41.00 ,$41.00 ,$72.52 ,$41.00 ,$74.00 ,$66.60 ,$61.42 ,$74.00 ,$72.52 ,$65.12 ,$73.97 ,$55.50 ,$55.50 ,$62.90 ,$62.90 ,$72.52 ,$62.90 ,$72.52 ,$59.94 ,$59.94 ,$59.94 ,$74.00 ,$66.60 ,$74.00 ,$66.60 ,$72.52 ,$74.00 ,$41.51 ,$72.52 ,$30.64 ,$74.00 ,$74.00 ,$72.52 ,$66.60 ,$258.80 ,$41.00 ,$20.72 ,$66.60 ,$72.52 ,$66.60 ,$66.60 ,$72.52 ,$48.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$65.00 ,$46.80 ,$18.20 ,$258.80 ,$65.00 ,$48.43 ,$42.58 ,$63.70 ,$18.20 ,$39.98 ,$63.70 ,$39.98 ,$63.70 ,$36.01 ,$36.01 ,$63.70 ,$36.01 ,$65.00 ,$58.50 ,$53.95 ,$65.00 ,$63.70 ,$57.20 ,$64.97 ,$48.75 ,$48.75 ,$55.25 ,$55.25 ,$63.70 ,$55.25 ,$63.70 ,$52.65 ,$52.65 ,$52.65 ,$65.00 ,$58.50 ,$65.00 ,$58.50 ,$63.70 ,$65.00 ,$36.47 ,$63.70 ,$26.91 ,$65.00 ,$65.00 ,$63.70 ,$58.50 ,$258.80 ,$36.01 ,$18.20 ,$58.50 ,$63.70 ,$58.50 ,$58.50 ,$63.70 ,$42.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$65.00 ,$46.80 ,$18.20 ,$258.80 ,$65.00 ,$48.43 ,$42.58 ,$63.70 ,$18.20 ,$39.98 ,$63.70 ,$39.98 ,$63.70 ,$36.01 ,$36.01 ,$63.70 ,$36.01 ,$65.00 ,$58.50 ,$53.95 ,$65.00 ,$63.70 ,$57.20 ,$64.97 ,$48.75 ,$48.75 ,$55.25 ,$55.25 ,$63.70 ,$55.25 ,$63.70 ,$52.65 ,$52.65 ,$52.65 ,$65.00 ,$58.50 ,$65.00 ,$58.50 ,$63.70 ,$65.00 ,$36.47 ,$63.70 ,$26.91 ,$65.00 ,$65.00 ,$63.70 ,$58.50 ,$258.80 ,$36.01 ,$18.20 ,$58.50 ,$63.70 ,$58.50 ,$58.50 ,$63.70 ,$42.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$63.00 ,$45.36 ,$17.64 ,$63.00 ,$61.63 ,$46.94 ,$41.27 ,$25.16 ,$17.64 ,$38.75 ,$25.16 ,$38.75 ,$25.16 ,$34.90 ,$34.90 ,$25.16 ,$34.90 ,$51.86 ,$56.70 ,$52.29 ,$61.63 ,$25.16 ,$55.44 ,$25.66 ,$47.25 ,$47.25 ,$53.55 ,$53.55 ,$25.16 ,$53.55 ,$25.16 ,$51.03 ,$51.03 ,$51.03 ,$63.00 ,$56.70 ,$61.63 ,$56.70 ,$25.16 ,$63.00 ,$35.34 ,$25.16 ,$26.08 ,$63.00 ,$63.00 ,$26.33 ,$56.70 ,$55.63 ,$34.90 ,$17.64 ,$56.70 ,$25.16 ,$56.70 ,$56.70 ,$25.16 ,$40.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$82.00 ,$59.04 ,$22.96 ,$82.00 ,$61.63 ,$61.09 ,$53.71 ,$25.16 ,$22.96 ,$50.43 ,$25.16 ,$50.43 ,$25.16 ,$45.43 ,$45.43 ,$25.16 ,$45.43 ,$51.86 ,$73.80 ,$68.06 ,$61.63 ,$25.16 ,$72.16 ,$25.66 ,$61.50 ,$61.50 ,$69.70 ,$69.70 ,$25.16 ,$69.70 ,$25.16 ,$66.42 ,$66.42 ,$66.42 ,$82.00 ,$73.80 ,$61.63 ,$73.80 ,$25.16 ,$82.00 ,$46.00 ,$25.16 ,$33.95 ,$82.00 ,$82.00 ,$26.33 ,$73.80 ,$55.63 ,$45.43 ,$22.96 ,$73.80 ,$25.16 ,$73.80 ,$73.80 ,$25.16 ,$53.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$97.00 ,$69.84 ,$1.66 ,$97.00 ,$83.85 ,$72.27 ,$63.54 ,$34.23 ,$27.16 ,$59.66 ,$34.23 ,$59.66 ,$34.23 ,$53.74 ,$53.74 ,$34.23 ,$53.74 ,$70.56 ,$87.30 ,$80.51 ,$83.85 ,$34.23 ,$85.36 ,$34.92 ,$72.75 ,$72.75 ,$82.45 ,$82.45 ,$34.23 ,$82.45 ,$34.23 ,$78.57 ,$78.57 ,$78.57 ,$97.00 ,$87.30 ,$83.85 ,$87.30 ,$34.23 ,$97.00 ,$54.42 ,$34.23 ,$40.16 ,$1.74 ,$1.66 ,$35.83 ,$87.30 ,$75.70 ,$53.74 ,$27.16 ,$87.30 ,$34.23 ,$87.30 ,$87.30 ,$34.23 ,$63.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000077,94762,HC PULSE OX PER DAY,410,1 ,$240.00 ,$172.80 ,$52.85 ,$324.16 ,$240.00 ,$178.80 ,$157.20 ,$146.59 ,$67.20 ,$147.60 ,$146.59 ,$147.60 ,$146.59 ,$132.96 ,$132.96 ,$146.59 ,$132.96 ,$240.00 ,$216.00 ,$199.20 ,$240.00 ,$146.59 ,$211.20 ,$149.52 ,$180.00 ,$180.00 ,$204.00 ,$204.00 ,$146.59 ,$204.00 ,$146.59 ,$194.40 ,$194.40 ,$194.40 ,$240.00 ,$216.00 ,$240.00 ,$216.00 ,$146.59 ,$240.00 ,$134.64 ,$146.59 ,$99.36 ,$55.36 ,$52.85 ,$153.43 ,$216.00 ,$324.16 ,$132.96 ,$67.20 ,$216.00 ,$146.59 ,$216.00 ,$216.00 ,$146.59 ,$156.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000089,94660,HC CPAP NEONATAL/DAY SUBSQ,410,1 ,$212.00 ,$152.64 ,$59.36 ,$426.84 ,$212.00 ,$157.94 ,$138.86 ,$193.02 ,$59.36 ,$130.38 ,$193.02 ,$130.38 ,$193.02 ,$117.45 ,$117.45 ,$193.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$193.02 ,$186.56 ,$196.88 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$193.02 ,$180.20 ,$193.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$193.02 ,$212.00 ,$118.93 ,$193.02 ,$87.77 ,$212.00 ,$212.00 ,$202.04 ,$190.80 ,$426.84 ,$117.45 ,$59.36 ,$190.80 ,$193.02 ,$190.80 ,$190.80 ,$193.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41000092,94640,HC AEROSOL INHALATION SUBSQ,410,1 ,$81.00 ,$58.32 ,$22.68 ,$426.84 ,$81.00 ,$60.35 ,$53.06 ,$79.38 ,$22.68 ,$49.82 ,$79.38 ,$49.82 ,$79.38 ,$44.87 ,$44.87 ,$79.38 ,$44.87 ,$81.00 ,$72.90 ,$67.23 ,$81.00 ,$79.38 ,$71.28 ,$80.97 ,$60.75 ,$60.75 ,$68.85 ,$68.85 ,$79.38 ,$68.85 ,$79.38 ,$65.61 ,$65.61 ,$65.61 ,$81.00 ,$72.90 ,$81.00 ,$72.90 ,$79.38 ,$81.00 ,$45.44 ,$79.38 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$72.90 ,$426.84 ,$44.87 ,$22.68 ,$72.90 ,$79.38 ,$72.90 ,$72.90 ,$79.38 ,$52.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,"$2,334.00 ","$1,680.48 ",$653.52 ,"$2,334.00 ", N/A ,"$1,738.83 ","$1,528.77 ", N/A ,$653.52 ,"$1,435.41 ", N/A ,"$1,435.41 ", N/A ,"$1,293.04 ","$1,293.04 ", N/A ,"$1,293.04 ", N/A ,"$2,100.60 ","$1,937.22 ", N/A , N/A ,"$2,053.92 ", N/A ,"$1,750.50 ","$1,750.50 ","$1,983.90 ","$1,983.90 ", N/A ,"$1,983.90 ", N/A ,"$1,890.54 ","$1,890.54 ","$1,890.54 ","$2,334.00 ","$2,100.60 ", N/A ,"$2,100.60 ", N/A ,"$2,334.00 ","$1,309.37 ", N/A ,$966.28 , N/A , N/A , N/A ,"$2,100.60 ", N/A ,"$1,293.04 ",$653.52 ,"$2,100.60 ", N/A ,"$2,100.60 ","$2,100.60 ", N/A ,"$1,517.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),41300002,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$570.00 ,$410.40 ,$126.07 ,$570.00 ,$308.80 ,$424.65 ,$373.35 ,$126.07 ,$159.60 ,$350.55 ,$126.07 ,$350.55 ,$126.07 ,$315.78 ,$315.78 ,$126.07 ,$315.78 ,$259.85 ,$513.00 ,$473.10 ,$308.80 ,$126.07 ,$501.60 ,$128.59 ,$427.50 ,$427.50 ,$484.50 ,$484.50 ,$126.07 ,$484.50 ,$126.07 ,$461.70 ,$461.70 ,$461.70 ,$570.00 ,$513.00 ,$308.80 ,$513.00 ,$126.07 ,$570.00 ,$319.77 ,$126.07 ,$235.98 ,$366.84 ,$350.16 ,$131.95 ,$513.00 ,$278.77 ,$315.78 ,$159.60 ,$513.00 ,$126.07 ,$513.00 ,$513.00 ,$126.07 ,$370.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000008,95992,HC CANALITH REPOSITIONING,420,1 ,$103.00 ,$74.16 ,$28.84 ,$103.00 ,$103.00 ,$76.74 ,$67.47 ,$41.76 ,$28.84 ,$63.35 ,$41.76 ,$63.35 ,$41.76 ,$57.06 ,$57.06 ,$41.76 ,$57.06 ,$86.07 ,$92.70 ,$85.49 ,$103.00 ,$41.76 ,$90.64 ,$42.59 ,$77.25 ,$77.25 ,$87.55 ,$87.55 ,$41.76 ,$87.55 ,$41.76 ,$83.43 ,$83.43 ,$83.43 ,$103.00 ,$92.70 ,$103.00 ,$92.70 ,$41.76 ,$103.00 ,$57.78 ,$41.76 ,$42.64 ,$103.00 ,$103.00 ,$43.85 ,$92.70 ,$95.87 ,$57.06 ,$28.84 ,$92.70 ,$41.76 ,$92.70 ,$92.70 ,$41.76 ,$66.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000016,97022,HC WHIRLPOOL 15 MINUTES,420,1 ,$179.40 ,$129.17 ,$16.06 ,$179.40 ,$40.98 ,$133.65 ,$117.51 ,$16.06 ,$50.23 ,$110.33 ,$16.06 ,$110.33 ,$16.06 ,$99.39 ,$99.39 ,$16.06 ,$99.39 ,$33.11 ,$161.46 ,$148.90 ,$40.98 ,$16.06 ,$157.87 ,$16.39 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$16.06 ,$152.49 ,$16.06 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$40.98 ,$161.46 ,$16.06 ,$179.40 ,$100.64 ,$16.06 ,$74.27 ,$20.44 ,$19.51 ,$16.87 ,$161.46 ,$36.88 ,$99.39 ,$50.23 ,$161.46 ,$16.06 ,$161.46 ,$161.46 ,$16.06 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000017,97022,HC WHIRLPOOL 30 MINUTES,420,1 ,$179.40 ,$129.17 ,$16.06 ,$179.40 ,$40.98 ,$133.65 ,$117.51 ,$16.06 ,$50.23 ,$110.33 ,$16.06 ,$110.33 ,$16.06 ,$99.39 ,$99.39 ,$16.06 ,$99.39 ,$33.11 ,$161.46 ,$148.90 ,$40.98 ,$16.06 ,$157.87 ,$16.39 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$16.06 ,$152.49 ,$16.06 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$40.98 ,$161.46 ,$16.06 ,$179.40 ,$100.64 ,$16.06 ,$74.27 ,$20.44 ,$19.51 ,$16.87 ,$161.46 ,$36.88 ,$99.39 ,$50.23 ,$161.46 ,$16.06 ,$161.46 ,$161.46 ,$16.06 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000018,97022,HC WHIRLPOOL 45 MINUTES,420,1 ,$179.40 ,$129.17 ,$16.06 ,$179.40 ,$40.98 ,$133.65 ,$117.51 ,$16.06 ,$50.23 ,$110.33 ,$16.06 ,$110.33 ,$16.06 ,$99.39 ,$99.39 ,$16.06 ,$99.39 ,$33.11 ,$161.46 ,$148.90 ,$40.98 ,$16.06 ,$157.87 ,$16.39 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$16.06 ,$152.49 ,$16.06 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$40.98 ,$161.46 ,$16.06 ,$179.40 ,$100.64 ,$16.06 ,$74.27 ,$20.44 ,$19.51 ,$16.87 ,$161.46 ,$36.88 ,$99.39 ,$50.23 ,$161.46 ,$16.06 ,$161.46 ,$161.46 ,$16.06 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000019,97022,HC WHIRLPOOL 60 MINUTES,420,1 ,$179.40 ,$129.17 ,$16.06 ,$179.40 ,$40.98 ,$133.65 ,$117.51 ,$16.06 ,$50.23 ,$110.33 ,$16.06 ,$110.33 ,$16.06 ,$99.39 ,$99.39 ,$16.06 ,$99.39 ,$33.11 ,$161.46 ,$148.90 ,$40.98 ,$16.06 ,$157.87 ,$16.39 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$16.06 ,$152.49 ,$16.06 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$40.98 ,$161.46 ,$16.06 ,$179.40 ,$100.64 ,$16.06 ,$74.27 ,$20.44 ,$19.51 ,$16.87 ,$161.46 ,$36.88 ,$99.39 ,$50.23 ,$161.46 ,$16.06 ,$161.46 ,$161.46 ,$16.06 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$129.95 ,$93.56 ,$13.88 ,$129.95 ,$35.40 ,$96.81 ,$85.12 ,$13.88 ,$36.39 ,$79.92 ,$13.88 ,$79.92 ,$13.88 ,$71.99 ,$71.99 ,$13.88 ,$71.99 ,$28.60 ,$116.96 ,$107.86 ,$35.40 ,$13.88 ,$114.36 ,$14.15 ,$97.46 ,$97.46 ,$110.46 ,$110.46 ,$13.88 ,$110.46 ,$13.88 ,$105.26 ,$105.26 ,$105.26 ,$129.95 ,$116.96 ,$35.40 ,$116.96 ,$13.88 ,$129.95 ,$72.90 ,$13.88 ,$53.80 ,$129.95 ,$129.95 ,$14.57 ,$116.96 ,$31.86 ,$71.99 ,$36.39 ,$116.96 ,$13.88 ,$116.96 ,$116.96 ,$13.88 ,$84.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$209.30 ,$150.70 ,$18.75 ,$209.30 ,$47.83 ,$155.93 ,$137.09 ,$18.75 ,$58.60 ,$128.72 ,$18.75 ,$128.72 ,$18.75 ,$115.95 ,$115.95 ,$18.75 ,$115.95 ,$38.64 ,$188.37 ,$173.72 ,$47.83 ,$18.75 ,$184.18 ,$19.12 ,$156.98 ,$156.98 ,$177.91 ,$177.91 ,$18.75 ,$177.91 ,$18.75 ,$169.53 ,$169.53 ,$169.53 ,$209.30 ,$188.37 ,$47.83 ,$188.37 ,$18.75 ,$209.30 ,$117.42 ,$18.75 ,$86.65 ,$209.30 ,$209.30 ,$19.69 ,$188.37 ,$43.04 ,$115.95 ,$58.60 ,$188.37 ,$18.75 ,$188.37 ,$188.37 ,$18.75 ,$136.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$179.40 ,$129.17 ,$13.76 ,$179.40 ,$35.10 ,$133.65 ,$117.51 ,$13.76 ,$50.23 ,$110.33 ,$13.76 ,$110.33 ,$13.76 ,$99.39 ,$99.39 ,$13.76 ,$99.39 ,$28.36 ,$161.46 ,$148.90 ,$35.10 ,$13.76 ,$157.87 ,$14.03 ,$134.55 ,$134.55 ,$152.49 ,$152.49 ,$13.76 ,$152.49 ,$13.76 ,$145.31 ,$145.31 ,$145.31 ,$179.40 ,$161.46 ,$35.10 ,$161.46 ,$13.76 ,$179.40 ,$100.64 ,$13.76 ,$74.27 ,$179.40 ,$179.40 ,$14.45 ,$161.46 ,$31.59 ,$99.39 ,$50.23 ,$161.46 ,$13.76 ,$161.46 ,$161.46 ,$13.76 ,$116.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$82.80 ,$59.62 ,$23.18 ,$82.80 ,$71.65 ,$61.69 ,$54.23 ,$28.09 ,$23.18 ,$50.92 ,$28.09 ,$50.92 ,$28.09 ,$45.87 ,$45.87 ,$28.09 ,$45.87 ,$57.89 ,$74.52 ,$68.72 ,$71.65 ,$28.09 ,$72.86 ,$28.65 ,$62.10 ,$62.10 ,$70.38 ,$70.38 ,$28.09 ,$70.38 ,$28.09 ,$67.07 ,$67.07 ,$67.07 ,$82.80 ,$74.52 ,$71.65 ,$74.52 ,$28.09 ,$82.80 ,$46.45 ,$28.09 ,$34.28 ,$82.80 ,$82.80 ,$29.49 ,$74.52 ,$64.49 ,$45.87 ,$23.18 ,$74.52 ,$28.09 ,$74.52 ,$74.52 ,$28.09 ,$53.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$172.50 ,$124.20 ,$32.17 ,$172.50 ,$82.08 ,$128.51 ,$112.99 ,$32.17 ,$48.30 ,$106.09 ,$32.17 ,$106.09 ,$32.17 ,$95.57 ,$95.57 ,$32.17 ,$95.57 ,$66.32 ,$155.25 ,$143.18 ,$82.08 ,$32.17 ,$151.80 ,$32.82 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$32.17 ,$146.63 ,$32.17 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$82.08 ,$155.25 ,$32.17 ,$172.50 ,$96.77 ,$32.17 ,$71.42 ,$172.50 ,$172.50 ,$33.78 ,$155.25 ,$73.87 ,$95.57 ,$48.30 ,$155.25 ,$32.17 ,$155.25 ,$155.25 ,$32.17 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$102.35 ,$73.69 ,$28.09 ,$102.35 ,$71.65 ,$76.25 ,$67.04 ,$28.09 ,$28.66 ,$62.95 ,$28.09 ,$62.95 ,$28.09 ,$56.70 ,$56.70 ,$28.09 ,$56.70 ,$57.89 ,$92.12 ,$84.95 ,$71.65 ,$28.09 ,$90.07 ,$28.65 ,$76.76 ,$76.76 ,$87.00 ,$87.00 ,$28.09 ,$87.00 ,$28.09 ,$82.90 ,$82.90 ,$82.90 ,$102.35 ,$92.12 ,$71.65 ,$92.12 ,$28.09 ,$102.35 ,$57.42 ,$28.09 ,$42.37 ,$102.35 ,$102.35 ,$29.49 ,$92.12 ,$64.49 ,$56.70 ,$28.66 ,$92.12 ,$28.09 ,$92.12 ,$92.12 ,$28.09 ,$66.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$131.10 ,$94.39 ,$28.40 ,$131.10 ,$72.45 ,$97.67 ,$85.87 ,$28.40 ,$36.71 ,$80.63 ,$28.40 ,$80.63 ,$28.40 ,$72.63 ,$72.63 ,$28.40 ,$72.63 ,$58.54 ,$117.99 ,$108.81 ,$72.45 ,$28.40 ,$115.37 ,$28.97 ,$98.33 ,$98.33 ,$111.44 ,$111.44 ,$28.40 ,$111.44 ,$28.40 ,$106.19 ,$106.19 ,$106.19 ,$131.10 ,$117.99 ,$72.45 ,$117.99 ,$28.40 ,$131.10 ,$73.55 ,$28.40 ,$54.28 ,$131.10 ,$131.10 ,$29.82 ,$117.99 ,$65.21 ,$72.63 ,$36.71 ,$117.99 ,$28.40 ,$117.99 ,$117.99 ,$28.40 ,$85.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$174.80 ,$125.86 ,$25.91 ,$174.80 ,$66.10 ,$130.23 ,$114.49 ,$25.91 ,$48.94 ,$107.50 ,$25.91 ,$107.50 ,$25.91 ,$96.84 ,$96.84 ,$25.91 ,$96.84 ,$53.41 ,$157.32 ,$145.08 ,$66.10 ,$25.91 ,$153.82 ,$26.43 ,$131.10 ,$131.10 ,$148.58 ,$148.58 ,$25.91 ,$148.58 ,$25.91 ,$141.59 ,$141.59 ,$141.59 ,$174.80 ,$157.32 ,$66.10 ,$157.32 ,$25.91 ,$174.80 ,$98.06 ,$25.91 ,$72.37 ,$174.80 ,$174.80 ,$27.20 ,$157.32 ,$59.49 ,$96.84 ,$48.94 ,$157.32 ,$25.91 ,$157.32 ,$157.32 ,$25.91 ,$113.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$294.40 ,$211.97 ,$35.03 ,$294.40 ,$89.35 ,$219.33 ,$192.83 ,$35.03 ,$82.43 ,$181.06 ,$35.03 ,$181.06 ,$35.03 ,$163.10 ,$163.10 ,$35.03 ,$163.10 ,$72.19 ,$264.96 ,$244.35 ,$89.35 ,$35.03 ,$259.07 ,$35.72 ,$220.80 ,$220.80 ,$250.24 ,$250.24 ,$35.03 ,$250.24 ,$35.03 ,$238.46 ,$238.46 ,$238.46 ,$294.40 ,$264.96 ,$89.35 ,$264.96 ,$35.03 ,$294.40 ,$165.16 ,$35.03 ,$121.88 ,$250.20 ,$238.82 ,$36.78 ,$264.96 ,$80.42 ,$163.10 ,$82.43 ,$264.96 ,$35.03 ,$264.96 ,$264.96 ,$35.03 ,$191.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$523.00 ,$376.56 ,$84.39 ,$523.00 , N/A ,$389.64 ,$342.57 , N/A ,$146.44 ,$321.65 , N/A ,$321.65 , N/A ,$289.74 ,$289.74 , N/A ,$289.74 , N/A ,$470.70 ,$434.09 , N/A , N/A ,$460.24 , N/A ,$392.25 ,$392.25 ,$444.55 ,$444.55 , N/A ,$444.55 , N/A ,$423.63 ,$423.63 ,$423.63 ,$523.00 ,$470.70 , N/A ,$470.70 , N/A ,$523.00 ,$293.40 , N/A ,$216.52 ,$88.41 ,$84.39 , N/A ,$470.70 , N/A ,$289.74 ,$146.44 ,$470.70 , N/A ,$470.70 ,$470.70 , N/A ,$339.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$517.00 ,$372.24 ,$144.76 ,$517.00 , N/A ,$385.17 ,$338.64 , N/A ,$144.76 ,$317.96 , N/A ,$317.96 , N/A ,$286.42 ,$286.42 , N/A ,$286.42 , N/A ,$465.30 ,$429.11 , N/A , N/A ,$454.96 , N/A ,$387.75 ,$387.75 ,$439.45 ,$439.45 , N/A ,$439.45 , N/A ,$418.77 ,$418.77 ,$418.77 ,$517.00 ,$465.30 , N/A ,$465.30 , N/A ,$517.00 ,$290.04 , N/A ,$214.04 ,$212.98 ,$203.30 , N/A ,$465.30 , N/A ,$286.42 ,$144.76 ,$465.30 , N/A ,$465.30 ,$465.30 , N/A ,$336.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$346.00 ,$249.12 ,$40.20 ,$346.00 ,$102.55 ,$257.77 ,$226.63 ,$40.20 ,$96.88 ,$212.79 ,$40.20 ,$212.79 ,$40.20 ,$191.68 ,$191.68 ,$40.20 ,$191.68 ,$82.86 ,$311.40 ,$287.18 ,$102.55 ,$40.20 ,$304.48 ,$41.00 ,$259.50 ,$259.50 ,$294.10 ,$294.10 ,$40.20 ,$294.10 ,$40.20 ,$280.26 ,$280.26 ,$280.26 ,$346.00 ,$311.40 ,$102.55 ,$311.40 ,$40.20 ,$346.00 ,$194.11 ,$40.20 ,$143.24 ,$212.98 ,$203.30 ,$42.21 ,$311.40 ,$92.30 ,$191.68 ,$96.88 ,$311.40 ,$40.20 ,$311.40 ,$311.40 ,$40.20 ,$224.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$552.00 ,$397.44 ,$47.91 ,$552.00 ,$122.23 ,$411.24 ,$361.56 ,$47.91 ,$154.56 ,$339.48 ,$47.91 ,$339.48 ,$47.91 ,$305.81 ,$305.81 ,$47.91 ,$305.81 ,$98.76 ,$496.80 ,$458.16 ,$122.23 ,$47.91 ,$485.76 ,$48.87 ,$414.00 ,$414.00 ,$469.20 ,$469.20 ,$47.91 ,$469.20 ,$47.91 ,$447.12 ,$447.12 ,$447.12 ,$552.00 ,$496.80 ,$122.23 ,$496.80 ,$47.91 ,$552.00 ,$309.67 ,$47.91 ,$228.53 ,$212.98 ,$203.30 ,$50.30 ,$496.80 ,$110.00 ,$305.81 ,$154.56 ,$496.80 ,$47.91 ,$496.80 ,$496.80 ,$47.91 ,$358.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000093,97750,HC PHYSICAL PERFORMANCE TST EA 15 MIN,420,1 ,$147.20 ,$105.98 ,$32.03 ,$147.20 ,$81.70 ,$109.66 ,$96.42 ,$32.03 ,$41.22 ,$90.53 ,$32.03 ,$90.53 ,$32.03 ,$81.55 ,$81.55 ,$32.03 ,$81.55 ,$66.01 ,$132.48 ,$122.18 ,$81.70 ,$32.03 ,$129.54 ,$32.66 ,$110.40 ,$110.40 ,$125.12 ,$125.12 ,$32.03 ,$125.12 ,$32.03 ,$119.23 ,$119.23 ,$119.23 ,$147.20 ,$132.48 ,$81.70 ,$132.48 ,$32.03 ,$147.20 ,$82.58 ,$32.03 ,$60.94 ,$147.20 ,$147.20 ,$33.62 ,$132.48 ,$73.53 ,$81.55 ,$41.22 ,$132.48 ,$32.03 ,$132.48 ,$132.48 ,$32.03 ,$95.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$113.85 ,$81.97 ,$31.88 ,$114.08 ,$113.85 ,$84.82 ,$74.57 ,$49.69 ,$31.88 ,$70.02 ,$49.69 ,$70.02 ,$49.69 ,$63.07 ,$63.07 ,$49.69 ,$63.07 ,$102.41 ,$102.47 ,$94.50 ,$113.85 ,$49.69 ,$100.19 ,$50.68 ,$85.39 ,$85.39 ,$96.77 ,$96.77 ,$49.69 ,$96.77 ,$49.69 ,$92.22 ,$92.22 ,$92.22 ,$113.85 ,$102.47 ,$113.85 ,$102.47 ,$49.69 ,$113.85 ,$63.87 ,$49.69 ,$47.13 ,$113.85 ,$113.85 ,$52.18 ,$102.47 ,$114.08 ,$63.07 ,$31.88 ,$102.47 ,$49.69 ,$102.47 ,$102.47 ,$49.69 ,$74.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000110,G0283,HC ELECT STIM(UNATTEND) OTHER,420,1 ,$64.00 ,$46.08 ,$11.55 ,$64.00 ,$29.48 ,$47.68 ,$41.92 ,$11.55 ,$17.92 ,$39.36 ,$11.55 ,$39.36 ,$11.55 ,$35.46 ,$35.46 ,$11.55 ,$35.46 ,$23.82 ,$57.60 ,$53.12 ,$29.48 ,$11.55 ,$56.32 ,$11.79 ,$48.00 ,$48.00 ,$54.40 ,$54.40 ,$11.55 ,$54.40 ,$11.55 ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 ,$29.48 ,$57.60 ,$11.55 ,$64.00 ,$35.90 ,$11.55 ,$26.50 ,$20.44 ,$19.51 ,$12.13 ,$57.60 ,$26.53 ,$35.46 ,$17.92 ,$57.60 ,$11.55 ,$57.60 ,$57.60 ,$11.55 ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$254.15 ,$182.99 ,$34.84 ,$254.15 ,$88.88 ,$189.34 ,$166.47 ,$34.84 ,$71.16 ,$156.30 ,$34.84 ,$156.30 ,$34.84 ,$140.80 ,$140.80 ,$34.84 ,$140.80 ,$71.81 ,$228.74 ,$210.94 ,$88.88 ,$34.84 ,$223.65 ,$35.53 ,$190.61 ,$190.61 ,$216.03 ,$216.03 ,$34.84 ,$216.03 ,$34.84 ,$205.86 ,$205.86 ,$205.86 ,$254.15 ,$228.74 ,$88.88 ,$228.74 ,$34.84 ,$254.15 ,$142.58 ,$34.84 ,$105.22 ,$250.20 ,$238.82 ,$36.58 ,$228.74 ,$79.99 ,$140.80 ,$71.16 ,$228.74 ,$34.84 ,$228.74 ,$228.74 ,$34.84 ,$165.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000206,G0283,HC ELECT STIM (UNATTEND) OTHER 15MIN,420,1 ,$64.00 ,$46.08 ,$11.55 ,$64.00 ,$29.48 ,$47.68 ,$41.92 ,$11.55 ,$17.92 ,$39.36 ,$11.55 ,$39.36 ,$11.55 ,$35.46 ,$35.46 ,$11.55 ,$35.46 ,$23.82 ,$57.60 ,$53.12 ,$29.48 ,$11.55 ,$56.32 ,$11.79 ,$48.00 ,$48.00 ,$54.40 ,$54.40 ,$11.55 ,$54.40 ,$11.55 ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 ,$29.48 ,$57.60 ,$11.55 ,$64.00 ,$35.90 ,$11.55 ,$26.50 ,$20.44 ,$19.51 ,$12.13 ,$57.60 ,$26.53 ,$35.46 ,$17.92 ,$57.60 ,$11.55 ,$57.60 ,$57.60 ,$11.55 ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000207,G0283,HC ELECT STIM (UNATTEND) OTHER 30MIN,420,1 ,$64.00 ,$46.08 ,$11.55 ,$64.00 ,$29.48 ,$47.68 ,$41.92 ,$11.55 ,$17.92 ,$39.36 ,$11.55 ,$39.36 ,$11.55 ,$35.46 ,$35.46 ,$11.55 ,$35.46 ,$23.82 ,$57.60 ,$53.12 ,$29.48 ,$11.55 ,$56.32 ,$11.79 ,$48.00 ,$48.00 ,$54.40 ,$54.40 ,$11.55 ,$54.40 ,$11.55 ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 ,$29.48 ,$57.60 ,$11.55 ,$64.00 ,$35.90 ,$11.55 ,$26.50 ,$20.44 ,$19.51 ,$12.13 ,$57.60 ,$26.53 ,$35.46 ,$17.92 ,$57.60 ,$11.55 ,$57.60 ,$57.60 ,$11.55 ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000208,G0283,HC ELECT STIM (UNATTEND) OTHER 45MIN,420,1 ,$64.00 ,$46.08 ,$11.55 ,$64.00 ,$29.48 ,$47.68 ,$41.92 ,$11.55 ,$17.92 ,$39.36 ,$11.55 ,$39.36 ,$11.55 ,$35.46 ,$35.46 ,$11.55 ,$35.46 ,$23.82 ,$57.60 ,$53.12 ,$29.48 ,$11.55 ,$56.32 ,$11.79 ,$48.00 ,$48.00 ,$54.40 ,$54.40 ,$11.55 ,$54.40 ,$11.55 ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 ,$29.48 ,$57.60 ,$11.55 ,$64.00 ,$35.90 ,$11.55 ,$26.50 ,$20.44 ,$19.51 ,$12.13 ,$57.60 ,$26.53 ,$35.46 ,$17.92 ,$57.60 ,$11.55 ,$57.60 ,$57.60 ,$11.55 ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000209,G0283,HC ELECT STIM (UNATTEND) OTHER 60MIN,420,1 ,$64.00 ,$46.08 ,$11.55 ,$64.00 ,$29.48 ,$47.68 ,$41.92 ,$11.55 ,$17.92 ,$39.36 ,$11.55 ,$39.36 ,$11.55 ,$35.46 ,$35.46 ,$11.55 ,$35.46 ,$23.82 ,$57.60 ,$53.12 ,$29.48 ,$11.55 ,$56.32 ,$11.79 ,$48.00 ,$48.00 ,$54.40 ,$54.40 ,$11.55 ,$54.40 ,$11.55 ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 ,$29.48 ,$57.60 ,$11.55 ,$64.00 ,$35.90 ,$11.55 ,$26.50 ,$20.44 ,$19.51 ,$12.13 ,$57.60 ,$26.53 ,$35.46 ,$17.92 ,$57.60 ,$11.55 ,$57.60 ,$57.60 ,$11.55 ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$385.25 ,$277.38 ,$11.25 ,$385.25 ,$28.70 ,$287.01 ,$252.34 ,$11.25 ,$107.87 ,$236.93 ,$11.25 ,$236.93 ,$11.25 ,$213.43 ,$213.43 ,$11.25 ,$213.43 ,$23.19 ,$346.73 ,$319.76 ,$28.70 ,$11.25 ,$339.02 ,$11.48 ,$288.94 ,$288.94 ,$327.46 ,$327.46 ,$11.25 ,$327.46 ,$11.25 ,$312.05 ,$312.05 ,$312.05 ,$385.25 ,$346.73 ,$28.70 ,$346.73 ,$11.25 ,$385.25 ,$216.13 ,$11.25 ,$159.49 ,$20.44 ,$19.51 ,$11.81 ,$346.73 ,$25.83 ,$213.43 ,$107.87 ,$346.73 ,$11.25 ,$346.73 ,$346.73 ,$11.25 ,$250.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000211,97016,HC APPLY VASOPNEUMATIC DEVICE 30MIN,420,1 ,$385.25 ,$277.38 ,$11.25 ,$385.25 ,$28.70 ,$287.01 ,$252.34 ,$11.25 ,$107.87 ,$236.93 ,$11.25 ,$236.93 ,$11.25 ,$213.43 ,$213.43 ,$11.25 ,$213.43 ,$23.19 ,$346.73 ,$319.76 ,$28.70 ,$11.25 ,$339.02 ,$11.48 ,$288.94 ,$288.94 ,$327.46 ,$327.46 ,$11.25 ,$327.46 ,$11.25 ,$312.05 ,$312.05 ,$312.05 ,$385.25 ,$346.73 ,$28.70 ,$346.73 ,$11.25 ,$385.25 ,$216.13 ,$11.25 ,$159.49 ,$20.44 ,$19.51 ,$11.81 ,$346.73 ,$25.83 ,$213.43 ,$107.87 ,$346.73 ,$11.25 ,$346.73 ,$346.73 ,$11.25 ,$250.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000214,97012,HC TRACTION MECHANICAL APPL 15 MIN,420,1 ,$172.50 ,$124.20 ,$13.88 ,$172.50 ,$35.40 ,$128.51 ,$112.99 ,$13.88 ,$48.30 ,$106.09 ,$13.88 ,$106.09 ,$13.88 ,$95.57 ,$95.57 ,$13.88 ,$95.57 ,$28.60 ,$155.25 ,$143.18 ,$35.40 ,$13.88 ,$151.80 ,$14.15 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$13.88 ,$146.63 ,$13.88 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$35.40 ,$155.25 ,$13.88 ,$172.50 ,$96.77 ,$13.88 ,$71.42 ,$20.44 ,$19.51 ,$14.57 ,$155.25 ,$31.86 ,$95.57 ,$48.30 ,$155.25 ,$13.88 ,$155.25 ,$155.25 ,$13.88 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000215,97012,HC TRACTION MECHANICAL APPL 30 MIN,420,1 ,$172.50 ,$124.20 ,$13.88 ,$172.50 ,$35.40 ,$128.51 ,$112.99 ,$13.88 ,$48.30 ,$106.09 ,$13.88 ,$106.09 ,$13.88 ,$95.57 ,$95.57 ,$13.88 ,$95.57 ,$28.60 ,$155.25 ,$143.18 ,$35.40 ,$13.88 ,$151.80 ,$14.15 ,$129.38 ,$129.38 ,$146.63 ,$146.63 ,$13.88 ,$146.63 ,$13.88 ,$139.73 ,$139.73 ,$139.73 ,$172.50 ,$155.25 ,$35.40 ,$155.25 ,$13.88 ,$172.50 ,$96.77 ,$13.88 ,$71.42 ,$20.44 ,$19.51 ,$14.57 ,$155.25 ,$31.86 ,$95.57 ,$48.30 ,$155.25 ,$13.88 ,$155.25 ,$155.25 ,$13.88 ,$112.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000250,N/A,HC MASSAGE THERAPY ASTYM EXTREMITY UNILAT 30 MIN,420,1 ,$51.84 ,$37.32 ,$14.52 ,$51.84 , N/A ,$38.62 ,$33.96 , N/A ,$14.52 ,$31.88 , N/A ,$31.88 , N/A ,$28.72 ,$28.72 , N/A ,$28.72 , N/A ,$46.66 ,$43.03 , N/A , N/A ,$45.62 , N/A ,$38.88 ,$38.88 ,$44.06 ,$44.06 , N/A ,$44.06 , N/A ,$41.99 ,$41.99 ,$41.99 ,$51.84 ,$46.66 , N/A ,$46.66 , N/A ,$51.84 ,$29.08 , N/A ,$21.46 , N/A , N/A , N/A ,$46.66 , N/A ,$28.72 ,$14.52 ,$46.66 , N/A ,$46.66 ,$46.66 , N/A ,$33.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000251,N/A,HC MASSAGE THERAPY ASTYM EXTREMITY BILAT 45 MIN,420,1 ,$89.64 ,$64.54 ,$25.10 ,$89.64 , N/A ,$66.78 ,$58.71 , N/A ,$25.10 ,$55.13 , N/A ,$55.13 , N/A ,$49.66 ,$49.66 , N/A ,$49.66 , N/A ,$80.68 ,$74.40 , N/A , N/A ,$78.88 , N/A ,$67.23 ,$67.23 ,$76.19 ,$76.19 , N/A ,$76.19 , N/A ,$72.61 ,$72.61 ,$72.61 ,$89.64 ,$80.68 , N/A ,$80.68 , N/A ,$89.64 ,$50.29 , N/A ,$37.11 , N/A , N/A , N/A ,$80.68 , N/A ,$49.66 ,$25.10 ,$80.68 , N/A ,$80.68 ,$80.68 , N/A ,$58.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000252,N/A,HC MASSAGE THERAPY ASTYM LOWER EXTR BILAT W/BACK,420,1 ,$89.64 ,$64.54 ,$25.10 ,$89.64 , N/A ,$66.78 ,$58.71 , N/A ,$25.10 ,$55.13 , N/A ,$55.13 , N/A ,$49.66 ,$49.66 , N/A ,$49.66 , N/A ,$80.68 ,$74.40 , N/A , N/A ,$78.88 , N/A ,$67.23 ,$67.23 ,$76.19 ,$76.19 , N/A ,$76.19 , N/A ,$72.61 ,$72.61 ,$72.61 ,$89.64 ,$80.68 , N/A ,$80.68 , N/A ,$89.64 ,$50.29 , N/A ,$37.11 , N/A , N/A , N/A ,$80.68 , N/A ,$49.66 ,$25.10 ,$80.68 , N/A ,$80.68 ,$80.68 , N/A ,$58.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000253,N/A,HC MASSAGE THERAPY ASTYM LOWER EXTR BILAT W/BACK/ABDOMEN,420,1 ,$102.60 ,$73.87 ,$28.73 ,$102.60 , N/A ,$76.44 ,$67.20 , N/A ,$28.73 ,$63.10 , N/A ,$63.10 , N/A ,$56.84 ,$56.84 , N/A ,$56.84 , N/A ,$92.34 ,$85.16 , N/A , N/A ,$90.29 , N/A ,$76.95 ,$76.95 ,$87.21 ,$87.21 , N/A ,$87.21 , N/A ,$83.11 ,$83.11 ,$83.11 ,$102.60 ,$92.34 , N/A ,$92.34 , N/A ,$102.60 ,$57.56 , N/A ,$42.48 , N/A , N/A , N/A ,$92.34 , N/A ,$56.84 ,$28.73 ,$92.34 , N/A ,$92.34 ,$92.34 , N/A ,$66.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000254,N/A,HC MASSAGE THERAPY ASTYM BACK/ABDOMEN,420,1 ,$128.52 ,$92.53 ,$35.99 ,$128.52 , N/A ,$95.75 ,$84.18 , N/A ,$35.99 ,$79.04 , N/A ,$79.04 , N/A ,$71.20 ,$71.20 , N/A ,$71.20 , N/A ,$115.67 ,$106.67 , N/A , N/A ,$113.10 , N/A ,$96.39 ,$96.39 ,$109.24 ,$109.24 , N/A ,$109.24 , N/A ,$104.10 ,$104.10 ,$104.10 ,$128.52 ,$115.67 , N/A ,$115.67 , N/A ,$128.52 ,$72.10 , N/A ,$53.21 , N/A , N/A , N/A ,$115.67 , N/A ,$71.20 ,$35.99 ,$115.67 , N/A ,$115.67 ,$115.67 , N/A ,$83.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000255,N/A,HC MASSAGE THERAPY ASTYM PER HOUR,420,1 ,$102.60 ,$73.87 ,$28.73 ,$102.60 , N/A ,$76.44 ,$67.20 , N/A ,$28.73 ,$63.10 , N/A ,$63.10 , N/A ,$56.84 ,$56.84 , N/A ,$56.84 , N/A ,$92.34 ,$85.16 , N/A , N/A ,$90.29 , N/A ,$76.95 ,$76.95 ,$87.21 ,$87.21 , N/A ,$87.21 , N/A ,$83.11 ,$83.11 ,$83.11 ,$102.60 ,$92.34 , N/A ,$92.34 , N/A ,$102.60 ,$57.56 , N/A ,$42.48 , N/A , N/A , N/A ,$92.34 , N/A ,$56.84 ,$28.73 ,$92.34 , N/A ,$92.34 ,$92.34 , N/A ,$66.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42000256,N/A,HC EVAL BODY MOTION ANALYSIS DARTFISH,420,1 ,$154.44 ,$111.20 ,$43.24 ,$154.44 , N/A ,$115.06 ,$101.16 , N/A ,$43.24 ,$94.98 , N/A ,$94.98 , N/A ,$85.56 ,$85.56 , N/A ,$85.56 , N/A ,$139.00 ,$128.19 , N/A , N/A ,$135.91 , N/A ,$115.83 ,$115.83 ,$131.27 ,$131.27 , N/A ,$131.27 , N/A ,$125.10 ,$125.10 ,$125.10 ,$154.44 ,$139.00 , N/A ,$139.00 , N/A ,$154.44 ,$86.64 , N/A ,$63.94 , N/A , N/A , N/A ,$139.00 , N/A ,$85.56 ,$43.24 ,$139.00 , N/A ,$139.00 ,$139.00 , N/A ,$100.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400043,97161,HC PT EVAL LOW COMPLEXITY 15MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400046,97161,HC PT EVAL LOW COMPLEXITY 60MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400047,97161,HC PT EVAL LOW COMPLEXITY 75MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400048,97161,HC PT EVAL LOW COMPLEXITY 90MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400049,97161,HC PT EVAL LOW COMPLEXITY 105MIN,424,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$418.07 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$250.20 ,$238.82 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400055,97162,HC PT EVAL MOD COMPLEXITY 15MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400059,97162,HC PT EVAL MOD COMPLEXITY 75MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400060,97162,HC PT EVAL MOD COMPLEXITY 90MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400061,97162,HC PT EVAL MOD COMPLEXITY 105MIN,424,1 ,$585.35 ,$421.45 ,$95.85 ,$585.35 ,$244.53 ,$436.09 ,$383.40 ,$95.85 ,$163.90 ,$359.99 ,$95.85 ,$359.99 ,$95.85 ,$324.28 ,$324.28 ,$95.85 ,$324.28 ,$197.58 ,$526.82 ,$485.84 ,$244.53 ,$95.85 ,$515.11 ,$97.77 ,$439.01 ,$439.01 ,$497.55 ,$497.55 ,$95.85 ,$497.55 ,$95.85 ,$474.13 ,$474.13 ,$474.13 ,$585.35 ,$526.82 ,$244.53 ,$526.82 ,$95.85 ,$585.35 ,$328.38 ,$95.85 ,$242.33 ,$250.20 ,$238.82 ,$100.65 ,$526.82 ,$220.07 ,$324.28 ,$163.90 ,$526.82 ,$95.85 ,$526.82 ,$526.82 ,$95.85 ,$380.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400067,97163,HC PT EVAL HIGH COMPLEXITY 15MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400068,97163,HC PT EVAL HIGH COMPLEXITY 30MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400069,97163,HC PT EVAL HIGH COMPLEXITY 45MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400070,97163,HC PT EVAL HIGH COMPLEXITY 60MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400071,97163,HC PT EVAL HIGH COMPLEXITY 75MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400072,97163,HC PT EVAL HIGH COMPLEXITY 90MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400073,97163,HC PT EVAL HIGH COMPLEXITY 105MIN,424,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$678.65 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$250.20 ,$238.82 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400082,97164,HC PT RE-EVAL 60MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400083,97164,HC PT RE-EVAL 75MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400084,97164,HC PT RE-EVAL 90MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),42400085,97164,HC PT RE-EVAL 105MIN,424,1 ,$282.90 ,$203.69 ,$66.30 ,$282.90 ,$169.13 ,$210.76 ,$185.30 ,$66.30 ,$79.21 ,$173.98 ,$66.30 ,$173.98 ,$66.30 ,$156.73 ,$156.73 ,$66.30 ,$156.73 ,$136.65 ,$254.61 ,$234.81 ,$169.13 ,$66.30 ,$248.95 ,$67.62 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$66.30 ,$240.47 ,$66.30 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$169.13 ,$254.61 ,$66.30 ,$282.90 ,$158.71 ,$66.30 ,$117.12 ,$250.20 ,$238.82 ,$69.61 ,$254.61 ,$152.21 ,$156.73 ,$79.21 ,$254.61 ,$66.30 ,$254.61 ,$254.61 ,$66.30 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000013,97034,HC CONTRAST BATH EA 15 MIN,430,1 ,$102.35 ,$73.69 ,$13.76 ,$102.35 ,$35.10 ,$76.25 ,$67.04 ,$13.76 ,$28.66 ,$62.95 ,$13.76 ,$62.95 ,$13.76 ,$56.70 ,$56.70 ,$13.76 ,$56.70 ,$28.36 ,$92.12 ,$85.16 ,$35.10 ,$13.76 ,$90.07 ,$14.03 ,$76.76 ,$76.76 ,$87.00 ,$87.00 ,$13.76 ,$87.00 ,$13.76 ,$82.90 ,$82.90 ,$82.90 ,$102.35 ,$92.12 ,$35.10 ,$92.12 ,$13.76 ,$102.35 ,$57.42 ,$13.76 ,$42.37 ,$102.35 ,$102.35 ,$14.45 ,$92.12 ,$31.59 ,$56.70 ,$28.66 ,$92.12 ,$13.76 ,$92.12 ,$92.12 ,$13.76 ,$66.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$124.20 ,$89.42 ,$34.78 ,$135.63 ,$124.20 ,$92.53 ,$81.35 ,$59.07 ,$34.78 ,$76.38 ,$59.07 ,$76.38 ,$59.07 ,$68.81 ,$68.81 ,$59.07 ,$68.81 ,$121.77 ,$111.78 ,$103.33 ,$124.20 ,$59.07 ,$109.30 ,$60.26 ,$93.15 ,$93.15 ,$105.57 ,$105.57 ,$59.07 ,$105.57 ,$59.07 ,$100.60 ,$100.60 ,$100.60 ,$124.20 ,$111.78 ,$124.20 ,$111.78 ,$59.07 ,$124.20 ,$69.68 ,$59.07 ,$51.42 ,$124.20 ,$124.20 ,$62.02 ,$111.78 ,$135.63 ,$68.81 ,$34.78 ,$111.78 ,$59.07 ,$111.78 ,$111.78 ,$59.07 ,$80.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$111.55 ,$80.32 ,$31.11 ,$111.55 ,$79.38 ,$83.10 ,$73.07 ,$31.11 ,$31.23 ,$68.60 ,$31.11 ,$68.60 ,$31.11 ,$61.80 ,$61.80 ,$31.11 ,$61.80 ,$64.14 ,$100.40 ,$92.81 ,$79.38 ,$31.11 ,$98.16 ,$31.74 ,$83.66 ,$83.66 ,$94.82 ,$94.82 ,$31.11 ,$94.82 ,$31.11 ,$90.36 ,$90.36 ,$90.36 ,$111.55 ,$100.40 ,$79.38 ,$100.40 ,$31.11 ,$111.55 ,$62.58 ,$31.11 ,$46.18 ,$111.55 ,$111.55 ,$32.67 ,$100.40 ,$71.44 ,$61.80 ,$31.23 ,$100.40 ,$31.11 ,$100.40 ,$100.40 ,$31.11 ,$72.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$135.70 ,$97.70 ,$38.00 ,$135.70 ,$116.08 ,$101.10 ,$88.88 ,$45.50 ,$38.00 ,$83.46 ,$45.50 ,$83.46 ,$45.50 ,$75.18 ,$75.18 ,$45.50 ,$75.18 ,$93.79 ,$122.13 ,$112.90 ,$116.08 ,$45.50 ,$119.42 ,$46.41 ,$101.78 ,$101.78 ,$115.35 ,$115.35 ,$45.50 ,$115.35 ,$45.50 ,$109.92 ,$109.92 ,$109.92 ,$135.70 ,$122.13 ,$116.08 ,$122.13 ,$45.50 ,$135.70 ,$76.13 ,$45.50 ,$56.18 ,$135.70 ,$135.70 ,$47.77 ,$122.13 ,$104.47 ,$75.18 ,$38.00 ,$122.13 ,$45.50 ,$122.13 ,$122.13 ,$45.50 ,$88.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000035,97545,HC WORK HARDENING/CONDITIONING FIRST 2 HRS,430,1 ,$938.40 ,$675.65 ,$238.82 ,$938.40 , N/A ,$699.11 ,$614.65 , N/A ,$262.75 ,$577.12 , N/A ,$577.12 , N/A ,$519.87 ,$519.87 , N/A ,$519.87 , N/A ,$844.56 ,$780.75 , N/A , N/A ,$825.79 , N/A ,$703.80 ,$703.80 ,$797.64 ,$797.64 , N/A ,$797.64 , N/A ,$760.10 ,$760.10 ,$760.10 ,$938.40 ,$844.56 , N/A ,$844.56 , N/A ,$938.40 ,$526.44 , N/A ,$388.50 ,$250.20 ,$238.82 , N/A ,$844.56 , N/A ,$519.87 ,$262.75 ,$844.56 , N/A ,$844.56 ,$844.56 , N/A ,$609.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$113.85 ,$81.97 ,$5.45 ,$113.85 ,$13.90 ,$84.82 ,$74.57 ,$5.45 ,$31.88 ,$70.02 ,$5.45 ,$70.02 ,$5.45 ,$63.07 ,$63.07 ,$5.45 ,$63.07 ,$11.23 ,$102.47 ,$94.72 ,$13.90 ,$5.45 ,$100.19 ,$5.56 ,$85.39 ,$85.39 ,$96.77 ,$96.77 ,$5.45 ,$96.77 ,$5.45 ,$92.22 ,$92.22 ,$92.22 ,$113.85 ,$102.47 ,$13.90 ,$102.47 ,$5.45 ,$113.85 ,$63.87 ,$5.45 ,$47.13 ,$20.44 ,$19.51 ,$5.72 ,$102.47 ,$12.51 ,$63.07 ,$31.88 ,$102.47 ,$5.45 ,$102.47 ,$102.47 ,$5.45 ,$74.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$113.85 ,$81.97 ,$5.45 ,$113.85 ,$13.90 ,$84.82 ,$74.57 ,$5.45 ,$31.88 ,$70.02 ,$5.45 ,$70.02 ,$5.45 ,$63.07 ,$63.07 ,$5.45 ,$63.07 ,$11.23 ,$102.47 ,$94.72 ,$13.90 ,$5.45 ,$100.19 ,$5.56 ,$85.39 ,$85.39 ,$96.77 ,$96.77 ,$5.45 ,$96.77 ,$5.45 ,$92.22 ,$92.22 ,$92.22 ,$113.85 ,$102.47 ,$13.90 ,$102.47 ,$5.45 ,$113.85 ,$63.87 ,$5.45 ,$47.13 ,$20.44 ,$19.51 ,$5.72 ,$102.47 ,$12.51 ,$63.07 ,$31.88 ,$102.47 ,$5.45 ,$102.47 ,$102.47 ,$5.45 ,$74.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$263.35 ,$189.61 ,$19.51 ,$263.35 ,$55.80 ,$196.20 ,$172.49 ,$21.87 ,$73.74 ,$161.96 ,$21.87 ,$161.96 ,$21.87 ,$145.90 ,$145.90 ,$21.87 ,$145.90 ,$45.09 ,$237.02 ,$219.11 ,$55.80 ,$21.87 ,$231.75 ,$22.31 ,$197.51 ,$197.51 ,$223.85 ,$223.85 ,$21.87 ,$223.85 ,$21.87 ,$213.31 ,$213.31 ,$213.31 ,$263.35 ,$237.02 ,$55.80 ,$237.02 ,$21.87 ,$263.35 ,$147.74 ,$21.87 ,$109.03 ,$20.44 ,$19.51 ,$22.97 ,$237.02 ,$50.22 ,$145.90 ,$73.74 ,$237.02 ,$21.87 ,$237.02 ,$237.02 ,$21.87 ,$171.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$215.05 ,$154.84 ,$19.51 ,$215.05 ,$53.35 ,$160.21 ,$140.86 ,$20.91 ,$60.21 ,$132.26 ,$20.91 ,$132.26 ,$20.91 ,$119.14 ,$119.14 ,$20.91 ,$119.14 ,$43.11 ,$193.55 ,$178.92 ,$53.35 ,$20.91 ,$189.24 ,$21.33 ,$161.29 ,$161.29 ,$182.79 ,$182.79 ,$20.91 ,$182.79 ,$20.91 ,$174.19 ,$174.19 ,$174.19 ,$215.05 ,$193.55 ,$53.35 ,$193.55 ,$20.91 ,$215.05 ,$120.64 ,$20.91 ,$89.03 ,$20.44 ,$19.51 ,$21.96 ,$193.55 ,$48.02 ,$119.14 ,$60.21 ,$193.55 ,$20.91 ,$193.55 ,$193.55 ,$20.91 ,$139.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400034,97165,HC OT EVAL LOW COMPLEXITY 15MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400038,97165,HC OT EVAL LOW COMPLEXITY 75MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400039,97165,HC OT EVAL LOW COMPLEXITY 90MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400040,97165,HC OT EVAL LOW COMPLEXITY 105MIN,434,1 ,$503.70 ,$362.66 ,$95.85 ,$503.70 ,$244.53 ,$375.26 ,$329.92 ,$95.85 ,$141.04 ,$309.78 ,$95.85 ,$309.78 ,$95.85 ,$279.05 ,$279.05 ,$95.85 ,$279.05 ,$197.58 ,$453.33 ,$419.08 ,$244.53 ,$95.85 ,$443.26 ,$97.77 ,$377.78 ,$377.78 ,$428.15 ,$428.15 ,$95.85 ,$428.15 ,$95.85 ,$408.00 ,$408.00 ,$408.00 ,$503.70 ,$453.33 ,$244.53 ,$453.33 ,$95.85 ,$503.70 ,$282.58 ,$95.85 ,$208.53 ,$398.00 ,$379.91 ,$100.65 ,$453.33 ,$220.07 ,$279.05 ,$141.04 ,$453.33 ,$95.85 ,$453.33 ,$453.33 ,$95.85 ,$327.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400046,97166,HC OT EVAL MOD COMPLEXITY 15MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400050,97166,HC OT EVAL MOD COMPLEXITY 75MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400051,97166,HC OT EVAL MOD COMPLEXITY 90MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400052,97166,HC OT EVAL MOD COMPLEXITY 105MIN,434,1 ,$672.75 ,$484.38 ,$95.85 ,$672.75 ,$244.53 ,$501.20 ,$440.65 ,$95.85 ,$188.37 ,$413.74 ,$95.85 ,$413.74 ,$95.85 ,$372.70 ,$372.70 ,$95.85 ,$372.70 ,$197.58 ,$605.48 ,$559.73 ,$244.53 ,$95.85 ,$592.02 ,$97.77 ,$504.56 ,$504.56 ,$571.84 ,$571.84 ,$95.85 ,$571.84 ,$95.85 ,$544.93 ,$544.93 ,$544.93 ,$672.75 ,$605.48 ,$244.53 ,$605.48 ,$95.85 ,$672.75 ,$377.41 ,$95.85 ,$278.52 ,$398.00 ,$379.91 ,$100.65 ,$605.48 ,$220.07 ,$372.70 ,$188.37 ,$605.48 ,$95.85 ,$605.48 ,$605.48 ,$95.85 ,$437.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400058,97167,HC OT EVAL HIGH COMPLEXITY 15MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400059,97167,HC OT EVAL HIGH COMPLEXITY 30MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400060,97167,HC OT EVAL HIGH COMPLEXITY 45MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400061,97167,HC OT EVAL HIGH COMPLEXITY 60MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400062,97167,HC OT EVAL HIGH COMPLEXITY 75MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400063,97167,HC OT EVAL HIGH COMPLEXITY 90MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400064,97167,HC OT EVAL HIGH COMPLEXITY 105MIN,434,1 ,$817.65 ,$588.71 ,$95.85 ,$817.65 ,$244.53 ,$609.15 ,$535.56 ,$95.85 ,$228.94 ,$502.85 ,$95.85 ,$502.85 ,$95.85 ,$452.98 ,$452.98 ,$95.85 ,$452.98 ,$197.58 ,$735.89 ,$680.28 ,$244.53 ,$95.85 ,$719.53 ,$97.77 ,$613.24 ,$613.24 ,$695.00 ,$695.00 ,$95.85 ,$695.00 ,$95.85 ,$662.30 ,$662.30 ,$662.30 ,$817.65 ,$735.89 ,$244.53 ,$735.89 ,$95.85 ,$817.65 ,$458.70 ,$95.85 ,$338.51 ,$398.00 ,$379.91 ,$100.65 ,$735.89 ,$220.07 ,$452.98 ,$228.94 ,$735.89 ,$95.85 ,$735.89 ,$735.89 ,$95.85 ,$531.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400073,97168,HC OT RE-EVAL 60MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400074,97168,HC OT RE-EVAL 75MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400075,97168,HC OT RE-EVAL 90MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),43400076,97168,HC OT RE-EVAL 105MIN,434,1 ,$282.90 ,$203.69 ,$65.99 ,$282.90 ,$168.35 ,$210.76 ,$185.30 ,$65.99 ,$79.21 ,$173.98 ,$65.99 ,$173.98 ,$65.99 ,$156.73 ,$156.73 ,$65.99 ,$156.73 ,$136.03 ,$254.61 ,$235.37 ,$168.35 ,$65.99 ,$248.95 ,$67.32 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$65.99 ,$240.47 ,$65.99 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$168.35 ,$254.61 ,$65.99 ,$282.90 ,$158.71 ,$65.99 ,$117.12 ,$282.90 ,$282.90 ,$69.30 ,$254.61 ,$151.52 ,$156.73 ,$79.21 ,$254.61 ,$65.99 ,$254.61 ,$254.61 ,$65.99 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$318.55 ,$229.36 ,$73.34 ,$318.55 ,$187.10 ,$237.32 ,$208.65 ,$73.34 ,$89.19 ,$195.91 ,$73.34 ,$195.91 ,$73.34 ,$176.48 ,$176.48 ,$73.34 ,$176.48 ,$151.18 ,$286.70 ,$264.40 ,$187.10 ,$73.34 ,$280.32 ,$74.81 ,$238.91 ,$238.91 ,$270.77 ,$270.77 ,$73.34 ,$270.77 ,$73.34 ,$258.03 ,$258.03 ,$258.03 ,$318.55 ,$286.70 ,$187.10 ,$286.70 ,$73.34 ,$318.55 ,$178.71 ,$73.34 ,$131.88 ,$184.93 ,$176.53 ,$77.01 ,$286.70 ,$168.39 ,$176.48 ,$89.19 ,$286.70 ,$73.34 ,$286.70 ,$286.70 ,$73.34 ,$207.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$318.55 ,$229.36 ,$73.34 ,$318.55 ,$187.10 ,$237.32 ,$208.65 ,$73.34 ,$89.19 ,$195.91 ,$73.34 ,$195.91 ,$73.34 ,$176.48 ,$176.48 ,$73.34 ,$176.48 ,$151.18 ,$286.70 ,$264.40 ,$187.10 ,$73.34 ,$280.32 ,$74.81 ,$238.91 ,$238.91 ,$270.77 ,$270.77 ,$73.34 ,$270.77 ,$73.34 ,$258.03 ,$258.03 ,$258.03 ,$318.55 ,$286.70 ,$187.10 ,$286.70 ,$73.34 ,$318.55 ,$178.71 ,$73.34 ,$131.88 ,$184.93 ,$176.53 ,$77.01 ,$286.70 ,$168.39 ,$176.48 ,$89.19 ,$286.70 ,$73.34 ,$286.70 ,$286.70 ,$73.34 ,$207.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$318.55 ,$229.36 ,$73.34 ,$318.55 ,$187.10 ,$237.32 ,$208.65 ,$73.34 ,$89.19 ,$195.91 ,$73.34 ,$195.91 ,$73.34 ,$176.48 ,$176.48 ,$73.34 ,$176.48 ,$151.18 ,$286.70 ,$264.40 ,$187.10 ,$73.34 ,$280.32 ,$74.81 ,$238.91 ,$238.91 ,$270.77 ,$270.77 ,$73.34 ,$270.77 ,$73.34 ,$258.03 ,$258.03 ,$258.03 ,$318.55 ,$286.70 ,$187.10 ,$286.70 ,$73.34 ,$318.55 ,$178.71 ,$73.34 ,$131.88 ,$184.93 ,$176.53 ,$77.01 ,$286.70 ,$168.39 ,$176.48 ,$89.19 ,$286.70 ,$73.34 ,$286.70 ,$286.70 ,$73.34 ,$207.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$318.55 ,$229.36 ,$73.34 ,$318.55 ,$187.10 ,$237.32 ,$208.65 ,$73.34 ,$89.19 ,$195.91 ,$73.34 ,$195.91 ,$73.34 ,$176.48 ,$176.48 ,$73.34 ,$176.48 ,$151.18 ,$286.70 ,$264.40 ,$187.10 ,$73.34 ,$280.32 ,$74.81 ,$238.91 ,$238.91 ,$270.77 ,$270.77 ,$73.34 ,$270.77 ,$73.34 ,$258.03 ,$258.03 ,$258.03 ,$318.55 ,$286.70 ,$187.10 ,$286.70 ,$73.34 ,$318.55 ,$178.71 ,$73.34 ,$131.88 ,$184.93 ,$176.53 ,$77.01 ,$286.70 ,$168.39 ,$176.48 ,$89.19 ,$286.70 ,$73.34 ,$286.70 ,$286.70 ,$73.34 ,$207.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$201.25 ,$144.90 ,$56.35 ,$201.25 ,$201.25 ,$149.93 ,$131.82 ,$81.04 ,$56.35 ,$123.77 ,$81.04 ,$123.77 ,$81.04 ,$111.49 ,$111.49 ,$81.04 ,$111.49 ,$167.03 ,$181.13 ,$167.04 ,$201.25 ,$81.04 ,$177.10 ,$82.65 ,$150.94 ,$150.94 ,$171.06 ,$171.06 ,$81.04 ,$171.06 ,$81.04 ,$163.01 ,$163.01 ,$163.01 ,$201.25 ,$181.13 ,$201.25 ,$181.13 ,$81.04 ,$201.25 ,$112.90 ,$81.04 ,$83.32 ,$184.93 ,$176.53 ,$85.08 ,$181.13 ,$186.05 ,$111.49 ,$56.35 ,$181.13 ,$81.04 ,$181.13 ,$181.13 ,$81.04 ,$130.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$201.25 ,$144.90 ,$56.35 ,$201.25 ,$201.25 ,$149.93 ,$131.82 ,$81.04 ,$56.35 ,$123.77 ,$81.04 ,$123.77 ,$81.04 ,$111.49 ,$111.49 ,$81.04 ,$111.49 ,$167.03 ,$181.13 ,$167.04 ,$201.25 ,$81.04 ,$177.10 ,$82.65 ,$150.94 ,$150.94 ,$171.06 ,$171.06 ,$81.04 ,$171.06 ,$81.04 ,$163.01 ,$163.01 ,$163.01 ,$201.25 ,$181.13 ,$201.25 ,$181.13 ,$81.04 ,$201.25 ,$112.90 ,$81.04 ,$83.32 ,$184.93 ,$176.53 ,$85.08 ,$181.13 ,$186.05 ,$111.49 ,$56.35 ,$181.13 ,$81.04 ,$181.13 ,$181.13 ,$81.04 ,$130.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$201.25 ,$144.90 ,$56.35 ,$201.25 ,$201.25 ,$149.93 ,$131.82 ,$81.04 ,$56.35 ,$123.77 ,$81.04 ,$123.77 ,$81.04 ,$111.49 ,$111.49 ,$81.04 ,$111.49 ,$167.03 ,$181.13 ,$167.04 ,$201.25 ,$81.04 ,$177.10 ,$82.65 ,$150.94 ,$150.94 ,$171.06 ,$171.06 ,$81.04 ,$171.06 ,$81.04 ,$163.01 ,$163.01 ,$163.01 ,$201.25 ,$181.13 ,$201.25 ,$181.13 ,$81.04 ,$201.25 ,$112.90 ,$81.04 ,$83.32 ,$184.93 ,$176.53 ,$85.08 ,$181.13 ,$186.05 ,$111.49 ,$56.35 ,$181.13 ,$81.04 ,$181.13 ,$181.13 ,$81.04 ,$130.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$201.25 ,$144.90 ,$56.35 ,$201.25 ,$201.25 ,$149.93 ,$131.82 ,$81.04 ,$56.35 ,$123.77 ,$81.04 ,$123.77 ,$81.04 ,$111.49 ,$111.49 ,$81.04 ,$111.49 ,$167.03 ,$181.13 ,$167.04 ,$201.25 ,$81.04 ,$177.10 ,$82.65 ,$150.94 ,$150.94 ,$171.06 ,$171.06 ,$81.04 ,$171.06 ,$81.04 ,$163.01 ,$163.01 ,$163.01 ,$201.25 ,$181.13 ,$201.25 ,$181.13 ,$81.04 ,$201.25 ,$112.90 ,$81.04 ,$83.32 ,$184.93 ,$176.53 ,$85.08 ,$181.13 ,$186.05 ,$111.49 ,$56.35 ,$181.13 ,$81.04 ,$181.13 ,$181.13 ,$81.04 ,$130.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$294.40 ,$211.97 ,$80.92 ,$294.40 ,$206.43 ,$219.33 ,$192.83 ,$80.92 ,$82.43 ,$181.06 ,$80.92 ,$181.06 ,$80.92 ,$163.10 ,$163.10 ,$80.92 ,$163.10 ,$166.79 ,$264.96 ,$244.35 ,$206.43 ,$80.92 ,$259.07 ,$82.54 ,$220.80 ,$220.80 ,$250.24 ,$250.24 ,$80.92 ,$250.24 ,$80.92 ,$238.46 ,$238.46 ,$238.46 ,$294.40 ,$264.96 ,$206.43 ,$264.96 ,$80.92 ,$294.40 ,$165.16 ,$80.92 ,$121.88 ,$184.93 ,$176.53 ,$84.97 ,$264.96 ,$185.78 ,$163.10 ,$82.43 ,$264.96 ,$80.92 ,$264.96 ,$264.96 ,$80.92 ,$191.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400018,92610,HC DYSPHAGIA EVALUATION  30MIN,444,1 ,$294.40 ,$211.97 ,$80.92 ,$294.40 ,$206.43 ,$219.33 ,$192.83 ,$80.92 ,$82.43 ,$181.06 ,$80.92 ,$181.06 ,$80.92 ,$163.10 ,$163.10 ,$80.92 ,$163.10 ,$166.79 ,$264.96 ,$244.35 ,$206.43 ,$80.92 ,$259.07 ,$82.54 ,$220.80 ,$220.80 ,$250.24 ,$250.24 ,$80.92 ,$250.24 ,$80.92 ,$238.46 ,$238.46 ,$238.46 ,$294.40 ,$264.96 ,$206.43 ,$264.96 ,$80.92 ,$294.40 ,$165.16 ,$80.92 ,$121.88 ,$184.93 ,$176.53 ,$84.97 ,$264.96 ,$185.78 ,$163.10 ,$82.43 ,$264.96 ,$80.92 ,$264.96 ,$264.96 ,$80.92 ,$191.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$294.40 ,$211.97 ,$80.92 ,$294.40 ,$206.43 ,$219.33 ,$192.83 ,$80.92 ,$82.43 ,$181.06 ,$80.92 ,$181.06 ,$80.92 ,$163.10 ,$163.10 ,$80.92 ,$163.10 ,$166.79 ,$264.96 ,$244.35 ,$206.43 ,$80.92 ,$259.07 ,$82.54 ,$220.80 ,$220.80 ,$250.24 ,$250.24 ,$80.92 ,$250.24 ,$80.92 ,$238.46 ,$238.46 ,$238.46 ,$294.40 ,$264.96 ,$206.43 ,$264.96 ,$80.92 ,$294.40 ,$165.16 ,$80.92 ,$121.88 ,$184.93 ,$176.53 ,$84.97 ,$264.96 ,$185.78 ,$163.10 ,$82.43 ,$264.96 ,$80.92 ,$264.96 ,$264.96 ,$80.92 ,$191.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$294.40 ,$211.97 ,$80.92 ,$294.40 ,$206.43 ,$219.33 ,$192.83 ,$80.92 ,$82.43 ,$181.06 ,$80.92 ,$181.06 ,$80.92 ,$163.10 ,$163.10 ,$80.92 ,$163.10 ,$166.79 ,$264.96 ,$244.35 ,$206.43 ,$80.92 ,$259.07 ,$82.54 ,$220.80 ,$220.80 ,$250.24 ,$250.24 ,$80.92 ,$250.24 ,$80.92 ,$238.46 ,$238.46 ,$238.46 ,$294.40 ,$264.96 ,$206.43 ,$264.96 ,$80.92 ,$294.40 ,$165.16 ,$80.92 ,$121.88 ,$184.93 ,$176.53 ,$84.97 ,$264.96 ,$185.78 ,$163.10 ,$82.43 ,$264.96 ,$80.92 ,$264.96 ,$264.96 ,$80.92 ,$191.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400033,92611,HC DYSPHAGIA EVAL-VIDEO,444,1 ,$366.85 ,$264.13 ,$39.33 ,$366.85 ,$223.43 ,$273.30 ,$240.29 ,$87.58 ,$102.72 ,$225.61 ,$87.58 ,$225.61 ,$87.58 ,$203.23 ,$203.23 ,$87.58 ,$203.23 ,$180.53 ,$330.17 ,$304.49 ,$223.43 ,$87.58 ,$322.83 ,$89.34 ,$275.14 ,$275.14 ,$311.82 ,$311.82 ,$87.58 ,$311.82 ,$87.58 ,$297.15 ,$297.15 ,$297.15 ,$366.85 ,$330.17 ,$223.43 ,$330.17 ,$87.58 ,$366.85 ,$205.80 ,$87.58 ,$151.88 ,$41.21 ,$39.33 ,$91.96 ,$330.17 ,$201.08 ,$203.23 ,$102.72 ,$330.17 ,$87.58 ,$330.17 ,$330.17 ,$87.58 ,$238.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$448.50 ,$322.92 ,$125.58 ,$448.50 ,$324.55 ,$334.13 ,$293.77 ,$127.22 ,$125.58 ,$275.83 ,$127.22 ,$275.83 ,$127.22 ,$248.47 ,$248.47 ,$127.22 ,$248.47 ,$262.24 ,$403.65 ,$372.26 ,$324.55 ,$127.22 ,$394.68 ,$129.77 ,$336.38 ,$336.38 ,$381.23 ,$381.23 ,$127.22 ,$381.23 ,$127.22 ,$363.29 ,$363.29 ,$363.29 ,$448.50 ,$403.65 ,$324.55 ,$403.65 ,$127.22 ,$448.50 ,$251.61 ,$127.22 ,$185.68 ,$184.93 ,$176.53 ,$133.58 ,$403.65 ,$292.10 ,$248.47 ,$125.58 ,$403.65 ,$127.22 ,$403.65 ,$403.65 ,$127.22 ,$291.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$448.50 ,$322.92 ,$125.58 ,$448.50 ,$324.55 ,$334.13 ,$293.77 ,$127.22 ,$125.58 ,$275.83 ,$127.22 ,$275.83 ,$127.22 ,$248.47 ,$248.47 ,$127.22 ,$248.47 ,$262.24 ,$403.65 ,$372.26 ,$324.55 ,$127.22 ,$394.68 ,$129.77 ,$336.38 ,$336.38 ,$381.23 ,$381.23 ,$127.22 ,$381.23 ,$127.22 ,$363.29 ,$363.29 ,$363.29 ,$448.50 ,$403.65 ,$324.55 ,$403.65 ,$127.22 ,$448.50 ,$251.61 ,$127.22 ,$185.68 ,$184.93 ,$176.53 ,$133.58 ,$403.65 ,$292.10 ,$248.47 ,$125.58 ,$403.65 ,$127.22 ,$403.65 ,$403.65 ,$127.22 ,$291.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$448.50 ,$322.92 ,$125.58 ,$448.50 ,$324.55 ,$334.13 ,$293.77 ,$127.22 ,$125.58 ,$275.83 ,$127.22 ,$275.83 ,$127.22 ,$248.47 ,$248.47 ,$127.22 ,$248.47 ,$262.24 ,$403.65 ,$372.26 ,$324.55 ,$127.22 ,$394.68 ,$129.77 ,$336.38 ,$336.38 ,$381.23 ,$381.23 ,$127.22 ,$381.23 ,$127.22 ,$363.29 ,$363.29 ,$363.29 ,$448.50 ,$403.65 ,$324.55 ,$403.65 ,$127.22 ,$448.50 ,$251.61 ,$127.22 ,$185.68 ,$184.93 ,$176.53 ,$133.58 ,$403.65 ,$292.10 ,$248.47 ,$125.58 ,$403.65 ,$127.22 ,$403.65 ,$403.65 ,$127.22 ,$291.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400055,92522,HC EVALUATE SPEECH PRODUCTION 30MIN,444,1 ,$362.25 ,$260.82 ,$101.43 ,$362.25 ,$272.25 ,$269.88 ,$237.27 ,$106.72 ,$101.43 ,$222.78 ,$106.72 ,$222.78 ,$106.72 ,$200.69 ,$200.69 ,$106.72 ,$200.69 ,$219.98 ,$326.03 ,$300.67 ,$272.25 ,$106.72 ,$318.78 ,$108.86 ,$271.69 ,$271.69 ,$307.91 ,$307.91 ,$106.72 ,$307.91 ,$106.72 ,$293.42 ,$293.42 ,$293.42 ,$362.25 ,$326.03 ,$272.25 ,$326.03 ,$106.72 ,$362.25 ,$203.22 ,$106.72 ,$149.97 ,$184.93 ,$176.53 ,$112.06 ,$326.03 ,$245.03 ,$200.69 ,$101.43 ,$326.03 ,$106.72 ,$326.03 ,$326.03 ,$106.72 ,$235.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400056,92522,HC EVALUATE SPEECH PRODUCTION 45MIN,444,1 ,$362.25 ,$260.82 ,$101.43 ,$362.25 ,$272.25 ,$269.88 ,$237.27 ,$106.72 ,$101.43 ,$222.78 ,$106.72 ,$222.78 ,$106.72 ,$200.69 ,$200.69 ,$106.72 ,$200.69 ,$219.98 ,$326.03 ,$300.67 ,$272.25 ,$106.72 ,$318.78 ,$108.86 ,$271.69 ,$271.69 ,$307.91 ,$307.91 ,$106.72 ,$307.91 ,$106.72 ,$293.42 ,$293.42 ,$293.42 ,$362.25 ,$326.03 ,$272.25 ,$326.03 ,$106.72 ,$362.25 ,$203.22 ,$106.72 ,$149.97 ,$184.93 ,$176.53 ,$112.06 ,$326.03 ,$245.03 ,$200.69 ,$101.43 ,$326.03 ,$106.72 ,$326.03 ,$326.03 ,$106.72 ,$235.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400057,92522,HC EVALUATE SPEECH PRODUCTION 60MIN,444,1 ,$362.25 ,$260.82 ,$101.43 ,$362.25 ,$272.25 ,$269.88 ,$237.27 ,$106.72 ,$101.43 ,$222.78 ,$106.72 ,$222.78 ,$106.72 ,$200.69 ,$200.69 ,$106.72 ,$200.69 ,$219.98 ,$326.03 ,$300.67 ,$272.25 ,$106.72 ,$318.78 ,$108.86 ,$271.69 ,$271.69 ,$307.91 ,$307.91 ,$106.72 ,$307.91 ,$106.72 ,$293.42 ,$293.42 ,$293.42 ,$362.25 ,$326.03 ,$272.25 ,$326.03 ,$106.72 ,$362.25 ,$203.22 ,$106.72 ,$149.97 ,$184.93 ,$176.53 ,$112.06 ,$326.03 ,$245.03 ,$200.69 ,$101.43 ,$326.03 ,$106.72 ,$326.03 ,$326.03 ,$106.72 ,$235.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$757.85 ,$545.65 ,$176.53 ,$757.85 ,$556.38 ,$564.60 ,$496.39 ,$218.10 ,$212.20 ,$466.08 ,$218.10 ,$466.08 ,$218.10 ,$419.85 ,$419.85 ,$218.10 ,$419.85 ,$449.55 ,$682.07 ,$629.02 ,$556.38 ,$218.10 ,$666.91 ,$222.46 ,$568.39 ,$568.39 ,$644.17 ,$644.17 ,$218.10 ,$644.17 ,$218.10 ,$613.86 ,$613.86 ,$613.86 ,$757.85 ,$682.07 ,$556.38 ,$682.07 ,$218.10 ,$757.85 ,$425.15 ,$218.10 ,$313.75 ,$184.93 ,$176.53 ,$229.01 ,$682.07 ,$500.74 ,$419.85 ,$212.20 ,$682.07 ,$218.10 ,$682.07 ,$682.07 ,$218.10 ,$492.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$757.85 ,$545.65 ,$176.53 ,$757.85 ,$556.38 ,$564.60 ,$496.39 ,$218.10 ,$212.20 ,$466.08 ,$218.10 ,$466.08 ,$218.10 ,$419.85 ,$419.85 ,$218.10 ,$419.85 ,$449.55 ,$682.07 ,$629.02 ,$556.38 ,$218.10 ,$666.91 ,$222.46 ,$568.39 ,$568.39 ,$644.17 ,$644.17 ,$218.10 ,$644.17 ,$218.10 ,$613.86 ,$613.86 ,$613.86 ,$757.85 ,$682.07 ,$556.38 ,$682.07 ,$218.10 ,$757.85 ,$425.15 ,$218.10 ,$313.75 ,$184.93 ,$176.53 ,$229.01 ,$682.07 ,$500.74 ,$419.85 ,$212.20 ,$682.07 ,$218.10 ,$682.07 ,$682.07 ,$218.10 ,$492.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$757.85 ,$545.65 ,$176.53 ,$757.85 ,$556.38 ,$564.60 ,$496.39 ,$218.10 ,$212.20 ,$466.08 ,$218.10 ,$466.08 ,$218.10 ,$419.85 ,$419.85 ,$218.10 ,$419.85 ,$449.55 ,$682.07 ,$629.02 ,$556.38 ,$218.10 ,$666.91 ,$222.46 ,$568.39 ,$568.39 ,$644.17 ,$644.17 ,$218.10 ,$644.17 ,$218.10 ,$613.86 ,$613.86 ,$613.86 ,$757.85 ,$682.07 ,$556.38 ,$682.07 ,$218.10 ,$757.85 ,$425.15 ,$218.10 ,$313.75 ,$184.93 ,$176.53 ,$229.01 ,$682.07 ,$500.74 ,$419.85 ,$212.20 ,$682.07 ,$218.10 ,$682.07 ,$682.07 ,$218.10 ,$492.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$386.40 ,$278.21 ,$105.51 ,$386.40 ,$269.15 ,$287.87 ,$253.09 ,$105.51 ,$108.19 ,$237.64 ,$105.51 ,$237.64 ,$105.51 ,$214.07 ,$214.07 ,$105.51 ,$214.07 ,$217.47 ,$347.76 ,$320.71 ,$269.15 ,$105.51 ,$340.03 ,$107.61 ,$289.80 ,$289.80 ,$328.44 ,$328.44 ,$105.51 ,$328.44 ,$105.51 ,$312.98 ,$312.98 ,$312.98 ,$386.40 ,$347.76 ,$269.15 ,$347.76 ,$105.51 ,$386.40 ,$216.77 ,$105.51 ,$159.97 ,$184.93 ,$176.53 ,$110.78 ,$347.76 ,$242.24 ,$214.07 ,$108.19 ,$347.76 ,$105.51 ,$347.76 ,$347.76 ,$105.51 ,$251.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$386.40 ,$278.21 ,$105.51 ,$386.40 ,$269.15 ,$287.87 ,$253.09 ,$105.51 ,$108.19 ,$237.64 ,$105.51 ,$237.64 ,$105.51 ,$214.07 ,$214.07 ,$105.51 ,$214.07 ,$217.47 ,$347.76 ,$320.71 ,$269.15 ,$105.51 ,$340.03 ,$107.61 ,$289.80 ,$289.80 ,$328.44 ,$328.44 ,$105.51 ,$328.44 ,$105.51 ,$312.98 ,$312.98 ,$312.98 ,$386.40 ,$347.76 ,$269.15 ,$347.76 ,$105.51 ,$386.40 ,$216.77 ,$105.51 ,$159.97 ,$184.93 ,$176.53 ,$110.78 ,$347.76 ,$242.24 ,$214.07 ,$108.19 ,$347.76 ,$105.51 ,$347.76 ,$347.76 ,$105.51 ,$251.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$386.40 ,$278.21 ,$105.51 ,$386.40 ,$269.15 ,$287.87 ,$253.09 ,$105.51 ,$108.19 ,$237.64 ,$105.51 ,$237.64 ,$105.51 ,$214.07 ,$214.07 ,$105.51 ,$214.07 ,$217.47 ,$347.76 ,$320.71 ,$269.15 ,$105.51 ,$340.03 ,$107.61 ,$289.80 ,$289.80 ,$328.44 ,$328.44 ,$105.51 ,$328.44 ,$105.51 ,$312.98 ,$312.98 ,$312.98 ,$386.40 ,$347.76 ,$269.15 ,$347.76 ,$105.51 ,$386.40 ,$216.77 ,$105.51 ,$159.97 ,$184.93 ,$176.53 ,$110.78 ,$347.76 ,$242.24 ,$214.07 ,$108.19 ,$347.76 ,$105.51 ,$347.76 ,$347.76 ,$105.51 ,$251.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),44400087,92610,HC DYSPHAGIA EVALUATION 90MIN,444,1 ,$294.40 ,$211.97 ,$80.92 ,$294.40 ,$206.43 ,$219.33 ,$192.83 ,$80.92 ,$82.43 ,$181.06 ,$80.92 ,$181.06 ,$80.92 ,$163.10 ,$163.10 ,$80.92 ,$163.10 ,$166.79 ,$264.96 ,$244.35 ,$206.43 ,$80.92 ,$259.07 ,$82.54 ,$220.80 ,$220.80 ,$250.24 ,$250.24 ,$80.92 ,$250.24 ,$80.92 ,$238.46 ,$238.46 ,$238.46 ,$294.40 ,$264.96 ,$206.43 ,$264.96 ,$80.92 ,$294.40 ,$165.16 ,$80.92 ,$121.88 ,$184.93 ,$176.53 ,$84.97 ,$264.96 ,$185.78 ,$163.10 ,$82.43 ,$264.96 ,$80.92 ,$264.96 ,$264.96 ,$80.92 ,$191.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$573.00 ,$412.56 ,$160.44 ,$831.55 ,$573.00 ,$426.89 ,$375.32 ,$376.04 ,$160.44 ,$352.40 ,$376.04 ,$352.40 ,$376.04 ,$317.44 ,$317.44 ,$376.04 ,$317.44 ,$573.00 ,$515.70 ,$475.59 ,$573.00 ,$376.04 ,$504.24 ,$383.55 ,$429.75 ,$429.75 ,$487.05 ,$487.05 ,$376.04 ,$487.05 ,$376.04 ,$464.13 ,$464.13 ,$464.13 ,$573.00 ,$515.70 ,$573.00 ,$515.70 ,$376.04 ,$573.00 ,$321.45 ,$376.04 ,$237.22 , N/A , N/A ,$393.60 ,$515.70 ,$831.55 ,$317.44 ,$160.44 ,$515.70 ,$376.04 ,$515.70 ,$515.70 ,$376.04 ,$372.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$573.00 ,$412.56 ,$160.44 ,"$1,446.52 ",$573.00 ,$426.89 ,$375.32 ,$561.54 ,$160.44 ,$352.40 ,$561.54 ,$352.40 ,$561.54 ,$317.44 ,$317.44 ,$561.54 ,$317.44 ,$573.00 ,$515.70 ,$475.59 ,$573.00 ,$561.54 ,$504.24 ,$572.77 ,$429.75 ,$429.75 ,$487.05 ,$487.05 ,$561.54 ,$487.05 ,$561.54 ,$464.13 ,$464.13 ,$464.13 ,$573.00 ,$515.70 ,$573.00 ,$515.70 ,$561.54 ,$573.00 ,$321.45 ,$561.54 ,$237.22 , N/A , N/A ,$561.54 ,$515.70 ,"$1,446.52 ",$317.44 ,$160.44 ,$515.70 ,$561.54 ,$515.70 ,$515.70 ,$561.54 ,$372.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000004,10081,HC I AND D CYST PILONIDAL CPLX,450,1 ,"$1,749.00 ","$1,259.28 ",$489.72 ,"$1,749.00 ","$1,602.33 ","$1,303.01 ","$1,145.60 ",$654.13 ,$489.72 ,"$1,075.64 ",$654.13 ,"$1,075.64 ",$654.13 ,$968.95 ,$968.95 ,$654.13 ,$968.95 ,"$1,348.30 ","$1,574.10 ","$1,451.67 ","$1,602.33 ",$654.13 ,"$1,539.12 ",$667.21 ,"$1,311.75 ","$1,311.75 ","$1,486.65 ","$1,486.65 ",$654.13 ,"$1,486.65 ",$654.13 ,"$1,416.69 ","$1,416.69 ","$1,416.69 ","$1,749.00 ","$1,574.10 ","$1,602.33 ","$1,574.10 ",$654.13 ,"$1,749.00 ",$981.19 ,$654.13 ,$724.09 , N/A , N/A ,$684.67 ,"$1,574.10 ","$1,446.52 ",$968.95 ,$489.72 ,"$1,574.10 ",$654.13 ,"$1,574.10 ","$1,574.10 ",$654.13 ,"$1,136.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$334.00 ,$240.48 ,$93.52 ,$831.55 ,$334.00 ,$248.83 ,$218.77 ,$327.32 ,$93.52 ,$205.41 ,$327.32 ,$205.41 ,$327.32 ,$185.04 ,$185.04 ,$327.32 ,$185.04 ,$334.00 ,$300.60 ,$277.22 ,$334.00 ,$327.32 ,$293.92 ,$333.87 ,$250.50 ,$250.50 ,$283.90 ,$283.90 ,$327.32 ,$283.90 ,$327.32 ,$270.54 ,$270.54 ,$270.54 ,$334.00 ,$300.60 ,$334.00 ,$300.60 ,$327.32 ,$334.00 ,$187.37 ,$327.32 ,$138.28 , N/A , N/A ,$327.32 ,$300.60 ,$831.55 ,$185.04 ,$93.52 ,$300.60 ,$327.32 ,$300.60 ,$300.60 ,$327.32 ,$217.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$517.00 ,$372.24 ,$144.76 ,$517.00 ,$445.86 ,$385.17 ,$338.64 ,$182.02 ,$144.76 ,$317.96 ,$182.02 ,$317.96 ,$182.02 ,$286.42 ,$286.42 ,$182.02 ,$286.42 ,$375.17 ,$465.30 ,$429.11 ,$445.86 ,$182.02 ,$454.96 ,$185.65 ,$387.75 ,$387.75 ,$439.45 ,$439.45 ,$182.02 ,$439.45 ,$182.02 ,$418.77 ,$418.77 ,$418.77 ,$517.00 ,$465.30 ,$445.86 ,$465.30 ,$182.02 ,$517.00 ,$290.04 ,$182.02 ,$214.04 , N/A , N/A ,$190.51 ,$465.30 ,$402.50 ,$286.42 ,$144.76 ,$465.30 ,$182.02 ,$465.30 ,$465.30 ,$182.02 ,$336.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$828.00 ,$596.16 ,$231.84 ,$828.00 , N/A ,$616.86 ,$542.34 , N/A ,$231.84 ,$509.22 , N/A ,$509.22 , N/A ,$458.71 ,$458.71 , N/A ,$458.71 , N/A ,$745.20 ,$687.24 , N/A , N/A ,$728.64 , N/A ,$621.00 ,$621.00 ,$703.80 ,$703.80 , N/A ,$703.80 , N/A ,$670.68 ,$670.68 ,$670.68 ,$828.00 ,$745.20 , N/A ,$745.20 , N/A ,$828.00 ,$464.51 , N/A ,$342.79 , N/A , N/A , N/A ,$745.20 , N/A ,$458.71 ,$231.84 ,$745.20 , N/A ,$745.20 ,$745.20 , N/A ,$538.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$174.00 ,$125.28 ,$48.72 ,$258.80 ,$174.00 ,$129.63 ,$113.97 ,$117.03 ,$48.72 ,$107.01 ,$117.03 ,$107.01 ,$117.03 ,$96.40 ,$96.40 ,$117.03 ,$96.40 ,$174.00 ,$156.60 ,$144.42 ,$174.00 ,$117.03 ,$153.12 ,$119.37 ,$130.50 ,$130.50 ,$147.90 ,$147.90 ,$117.03 ,$147.90 ,$117.03 ,$140.94 ,$140.94 ,$140.94 ,$174.00 ,$156.60 ,$174.00 ,$156.60 ,$117.03 ,$174.00 ,$97.61 ,$117.03 ,$72.04 , N/A , N/A ,$122.50 ,$156.60 ,$258.80 ,$96.40 ,$48.72 ,$156.60 ,$117.03 ,$156.60 ,$156.60 ,$117.03 ,$113.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$699.00 ,$503.28 ,$117.03 ,$699.00 ,$286.68 ,$520.76 ,$457.85 ,$117.03 ,$195.72 ,$429.89 ,$117.03 ,$429.89 ,$117.03 ,$387.25 ,$387.25 ,$117.03 ,$387.25 ,$241.23 ,$629.10 ,$580.17 ,$286.68 ,$117.03 ,$615.12 ,$119.37 ,$524.25 ,$524.25 ,$594.15 ,$594.15 ,$117.03 ,$594.15 ,$117.03 ,$566.19 ,$566.19 ,$566.19 ,$699.00 ,$629.10 ,$286.68 ,$629.10 ,$117.03 ,$699.00 ,$392.14 ,$117.03 ,$289.39 , N/A , N/A ,$122.50 ,$629.10 ,$258.80 ,$387.25 ,$195.72 ,$629.10 ,$117.03 ,$629.10 ,$629.10 ,$117.03 ,$454.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000012,11760,HC REPAIR NAIL BED,450,1 ,"$1,414.00 ","$1,018.08 ",$395.92 ,"$1,414.00 ","$1,414.00 ","$1,053.43 ",$926.17 ,$585.57 ,$395.92 ,$869.61 ,$585.57 ,$869.61 ,$585.57 ,$783.36 ,$783.36 ,$585.57 ,$783.36 ,"$1,206.98 ","$1,272.60 ","$1,173.62 ","$1,414.00 ",$585.57 ,"$1,244.32 ",$597.28 ,"$1,060.50 ","$1,060.50 ","$1,201.90 ","$1,201.90 ",$585.57 ,"$1,201.90 ",$585.57 ,"$1,145.34 ","$1,145.34 ","$1,145.34 ","$1,414.00 ","$1,272.60 ","$1,414.00 ","$1,272.60 ",$585.57 ,"$1,414.00 ",$793.25 ,$585.57 ,$585.40 , N/A , N/A ,$612.91 ,"$1,272.60 ","$1,294.91 ",$783.36 ,$395.92 ,"$1,272.60 ",$585.57 ,"$1,272.60 ","$1,272.60 ",$585.57 ,$919.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000013,11765,HC EXC WEDGE SKIN NAIL FOLD,450,1 ,$984.78 ,$709.04 ,$275.74 ,$984.78 ,$921.12 ,$733.66 ,$645.03 ,$376.04 ,$275.74 ,$605.64 ,$376.04 ,$605.64 ,$376.04 ,$545.57 ,$545.57 ,$376.04 ,$545.57 ,$775.09 ,$886.30 ,$817.37 ,$921.12 ,$376.04 ,$866.61 ,$383.55 ,$738.59 ,$738.59 ,$837.06 ,$837.06 ,$376.04 ,$837.06 ,$376.04 ,$797.67 ,$797.67 ,$797.67 ,$984.78 ,$886.30 ,$921.12 ,$886.30 ,$376.04 ,$984.78 ,$552.46 ,$376.04 ,$407.70 , N/A , N/A ,$393.60 ,$886.30 ,$831.55 ,$545.57 ,$275.74 ,$886.30 ,$376.04 ,$886.30 ,$886.30 ,$376.04 ,$640.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$348.00 ,$250.56 ,$97.44 ,$402.50 ,$348.00 ,$259.26 ,$227.94 ,$182.02 ,$97.44 ,$214.02 ,$182.02 ,$214.02 ,$182.02 ,$192.79 ,$192.79 ,$182.02 ,$192.79 ,$348.00 ,$313.20 ,$288.84 ,$348.00 ,$182.02 ,$306.24 ,$185.65 ,$261.00 ,$261.00 ,$295.80 ,$295.80 ,$182.02 ,$295.80 ,$182.02 ,$281.88 ,$281.88 ,$281.88 ,$348.00 ,$313.20 ,$348.00 ,$313.20 ,$182.02 ,$348.00 ,$195.23 ,$182.02 ,$144.07 , N/A , N/A ,$190.51 ,$313.20 ,$402.50 ,$192.79 ,$97.44 ,$313.20 ,$182.02 ,$313.20 ,$313.20 ,$182.02 ,$226.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$348.00 ,$250.56 ,$97.44 ,$402.50 ,$348.00 ,$259.26 ,$227.94 ,$182.02 ,$97.44 ,$214.02 ,$182.02 ,$214.02 ,$182.02 ,$192.79 ,$192.79 ,$182.02 ,$192.79 ,$348.00 ,$313.20 ,$288.84 ,$348.00 ,$182.02 ,$306.24 ,$185.65 ,$261.00 ,$261.00 ,$295.80 ,$295.80 ,$182.02 ,$295.80 ,$182.02 ,$281.88 ,$281.88 ,$281.88 ,$348.00 ,$313.20 ,$348.00 ,$313.20 ,$182.02 ,$348.00 ,$195.23 ,$182.02 ,$144.07 , N/A , N/A ,$190.51 ,$313.20 ,$402.50 ,$192.79 ,$97.44 ,$313.20 ,$182.02 ,$313.20 ,$313.20 ,$182.02 ,$226.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$348.00 ,$250.56 ,$97.44 ,$402.50 ,$348.00 ,$259.26 ,$227.94 ,$182.02 ,$97.44 ,$214.02 ,$182.02 ,$214.02 ,$182.02 ,$192.79 ,$192.79 ,$182.02 ,$192.79 ,$348.00 ,$313.20 ,$288.84 ,$348.00 ,$182.02 ,$306.24 ,$185.65 ,$261.00 ,$261.00 ,$295.80 ,$295.80 ,$182.02 ,$295.80 ,$182.02 ,$281.88 ,$281.88 ,$281.88 ,$348.00 ,$313.20 ,$348.00 ,$313.20 ,$182.02 ,$348.00 ,$195.23 ,$182.02 ,$144.07 , N/A , N/A ,$190.51 ,$313.20 ,$402.50 ,$192.79 ,$97.44 ,$313.20 ,$182.02 ,$313.20 ,$313.20 ,$182.02 ,$226.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$517.00 ,$372.24 ,$144.76 ,$831.55 ,$517.00 ,$385.17 ,$338.64 ,$376.04 ,$144.76 ,$317.96 ,$376.04 ,$317.96 ,$376.04 ,$286.42 ,$286.42 ,$376.04 ,$286.42 ,$517.00 ,$465.30 ,$429.11 ,$517.00 ,$376.04 ,$454.96 ,$383.55 ,$387.75 ,$387.75 ,$439.45 ,$439.45 ,$376.04 ,$439.45 ,$376.04 ,$418.77 ,$418.77 ,$418.77 ,$517.00 ,$465.30 ,$517.00 ,$465.30 ,$376.04 ,$517.00 ,$290.04 ,$376.04 ,$214.04 , N/A , N/A ,$393.60 ,$465.30 ,$831.55 ,$286.42 ,$144.76 ,$465.30 ,$376.04 ,$465.30 ,$465.30 ,$376.04 ,$336.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$916.00 ,$659.52 ,$256.48 ,$916.00 ,$916.00 ,$682.42 ,$599.98 ,$376.04 ,$256.48 ,$563.34 ,$376.04 ,$563.34 ,$376.04 ,$507.46 ,$507.46 ,$376.04 ,$507.46 ,$775.09 ,$824.40 ,$760.28 ,$916.00 ,$376.04 ,$806.08 ,$383.55 ,$687.00 ,$687.00 ,$778.60 ,$778.60 ,$376.04 ,$778.60 ,$376.04 ,$741.96 ,$741.96 ,$741.96 ,$916.00 ,$824.40 ,$916.00 ,$824.40 ,$376.04 ,$916.00 ,$513.88 ,$376.04 ,$379.22 , N/A , N/A ,$393.60 ,$824.40 ,$831.55 ,$507.46 ,$256.48 ,$824.40 ,$376.04 ,$824.40 ,$824.40 ,$376.04 ,$595.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000019,12007,HC SIMP S/N/AX/GN/TRK/EXT > 30CM,450,1 ,$540.00 ,$388.80 ,$151.20 ,$540.00 ,$445.86 ,$402.30 ,$353.70 ,$182.02 ,$151.20 ,$332.10 ,$182.02 ,$332.10 ,$182.02 ,$299.16 ,$299.16 ,$182.02 ,$299.16 ,$375.17 ,$486.00 ,$448.20 ,$445.86 ,$182.02 ,$475.20 ,$185.65 ,$405.00 ,$405.00 ,$459.00 ,$459.00 ,$182.02 ,$459.00 ,$182.02 ,$437.40 ,$437.40 ,$437.40 ,$540.00 ,$486.00 ,$445.86 ,$486.00 ,$182.02 ,$540.00 ,$302.94 ,$182.02 ,$223.56 , N/A , N/A ,$190.51 ,$486.00 ,$402.50 ,$299.16 ,$151.20 ,$486.00 ,$182.02 ,$486.00 ,$486.00 ,$182.02 ,$351.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$348.00 ,$250.56 ,$97.44 ,$402.50 ,$348.00 ,$259.26 ,$227.94 ,$182.02 ,$97.44 ,$214.02 ,$182.02 ,$214.02 ,$182.02 ,$192.79 ,$192.79 ,$182.02 ,$192.79 ,$348.00 ,$313.20 ,$288.84 ,$348.00 ,$182.02 ,$306.24 ,$185.65 ,$261.00 ,$261.00 ,$295.80 ,$295.80 ,$182.02 ,$295.80 ,$182.02 ,$281.88 ,$281.88 ,$281.88 ,$348.00 ,$313.20 ,$348.00 ,$313.20 ,$182.02 ,$348.00 ,$195.23 ,$182.02 ,$144.07 , N/A , N/A ,$190.51 ,$313.20 ,$402.50 ,$192.79 ,$97.44 ,$313.20 ,$182.02 ,$313.20 ,$313.20 ,$182.02 ,$226.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$348.00 ,$250.56 ,$97.44 ,$402.50 ,$348.00 ,$259.26 ,$227.94 ,$182.02 ,$97.44 ,$214.02 ,$182.02 ,$214.02 ,$182.02 ,$192.79 ,$192.79 ,$182.02 ,$192.79 ,$348.00 ,$313.20 ,$288.84 ,$348.00 ,$182.02 ,$306.24 ,$185.65 ,$261.00 ,$261.00 ,$295.80 ,$295.80 ,$182.02 ,$295.80 ,$182.02 ,$281.88 ,$281.88 ,$281.88 ,$348.00 ,$313.20 ,$348.00 ,$313.20 ,$182.02 ,$348.00 ,$195.23 ,$182.02 ,$144.07 , N/A , N/A ,$190.51 ,$313.20 ,$402.50 ,$192.79 ,$97.44 ,$313.20 ,$182.02 ,$313.20 ,$313.20 ,$182.02 ,$226.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$348.00 ,$250.56 ,$97.44 ,$402.50 ,$348.00 ,$259.26 ,$227.94 ,$182.02 ,$97.44 ,$214.02 ,$182.02 ,$214.02 ,$182.02 ,$192.79 ,$192.79 ,$182.02 ,$192.79 ,$348.00 ,$313.20 ,$288.84 ,$348.00 ,$182.02 ,$306.24 ,$185.65 ,$261.00 ,$261.00 ,$295.80 ,$295.80 ,$182.02 ,$295.80 ,$182.02 ,$281.88 ,$281.88 ,$281.88 ,$348.00 ,$313.20 ,$348.00 ,$313.20 ,$182.02 ,$348.00 ,$195.23 ,$182.02 ,$144.07 , N/A , N/A ,$190.51 ,$313.20 ,$402.50 ,$192.79 ,$97.44 ,$313.20 ,$182.02 ,$313.20 ,$313.20 ,$182.02 ,$226.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$517.00 ,$372.24 ,$144.76 ,$517.00 ,$445.86 ,$385.17 ,$338.64 ,$182.02 ,$144.76 ,$317.96 ,$182.02 ,$317.96 ,$182.02 ,$286.42 ,$286.42 ,$182.02 ,$286.42 ,$375.17 ,$465.30 ,$429.11 ,$445.86 ,$182.02 ,$454.96 ,$185.65 ,$387.75 ,$387.75 ,$439.45 ,$439.45 ,$182.02 ,$439.45 ,$182.02 ,$418.77 ,$418.77 ,$418.77 ,$517.00 ,$465.30 ,$445.86 ,$465.30 ,$182.02 ,$517.00 ,$290.04 ,$182.02 ,$214.04 , N/A , N/A ,$190.51 ,$465.30 ,$402.50 ,$286.42 ,$144.76 ,$465.30 ,$182.02 ,$465.30 ,$465.30 ,$182.02 ,$336.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$517.00 ,$372.24 ,$144.76 ,$831.55 ,$517.00 ,$385.17 ,$338.64 ,$376.04 ,$144.76 ,$317.96 ,$376.04 ,$317.96 ,$376.04 ,$286.42 ,$286.42 ,$376.04 ,$286.42 ,$517.00 ,$465.30 ,$429.11 ,$517.00 ,$376.04 ,$454.96 ,$383.55 ,$387.75 ,$387.75 ,$439.45 ,$439.45 ,$376.04 ,$439.45 ,$376.04 ,$418.77 ,$418.77 ,$418.77 ,$517.00 ,$465.30 ,$517.00 ,$465.30 ,$376.04 ,$517.00 ,$290.04 ,$376.04 ,$214.04 , N/A , N/A ,$393.60 ,$465.30 ,$831.55 ,$286.42 ,$144.76 ,$465.30 ,$376.04 ,$465.30 ,$465.30 ,$376.04 ,$336.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000027,12020,HC SIMP SUPERFICIAL DEHISCENCE,450,1 ,"$1,445.00 ","$1,040.40 ",$404.60 ,"$1,445.00 ","$1,434.39 ","$1,076.53 ",$946.48 ,$585.57 ,$404.60 ,$888.68 ,$585.57 ,$888.68 ,$585.57 ,$800.53 ,$800.53 ,$585.57 ,$800.53 ,"$1,206.98 ","$1,300.50 ","$1,199.35 ","$1,434.39 ",$585.57 ,"$1,271.60 ",$597.28 ,"$1,083.75 ","$1,083.75 ","$1,228.25 ","$1,228.25 ",$585.57 ,"$1,228.25 ",$585.57 ,"$1,170.45 ","$1,170.45 ","$1,170.45 ","$1,445.00 ","$1,300.50 ","$1,434.39 ","$1,300.50 ",$585.57 ,"$1,445.00 ",$810.65 ,$585.57 ,$598.23 , N/A , N/A ,$612.91 ,"$1,300.50 ","$1,294.91 ",$800.53 ,$404.60 ,"$1,300.50 ",$585.57 ,"$1,300.50 ","$1,300.50 ",$585.57 ,$939.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,"$1,521.00 ","$1,095.12 ",$376.04 ,"$1,521.00 ",$921.12 ,"$1,133.15 ",$996.26 ,$376.04 ,$425.88 ,$935.42 ,$376.04 ,$935.42 ,$376.04 ,$842.63 ,$842.63 ,$376.04 ,$842.63 ,$775.09 ,"$1,368.90 ","$1,262.43 ",$921.12 ,$376.04 ,"$1,338.48 ",$383.55 ,"$1,140.75 ","$1,140.75 ","$1,292.85 ","$1,292.85 ",$376.04 ,"$1,292.85 ",$376.04 ,"$1,232.01 ","$1,232.01 ","$1,232.01 ","$1,521.00 ","$1,368.90 ",$921.12 ,"$1,368.90 ",$376.04 ,"$1,521.00 ",$853.28 ,$376.04 ,$629.69 , N/A , N/A ,$393.60 ,"$1,368.90 ",$831.55 ,$842.63 ,$425.88 ,"$1,368.90 ",$376.04 ,"$1,368.90 ","$1,368.90 ",$376.04 ,$988.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000033,12036,HC INTRM S/A/T/EXT 20.1-30.0CM,450,1 ,"$1,478.00 ","$1,064.16 ",$413.84 ,"$1,478.00 ","$1,434.39 ","$1,101.11 ",$968.09 ,$585.57 ,$413.84 ,$908.97 ,$585.57 ,$908.97 ,$585.57 ,$818.81 ,$818.81 ,$585.57 ,$818.81 ,"$1,206.98 ","$1,330.20 ","$1,226.74 ","$1,434.39 ",$585.57 ,"$1,300.64 ",$597.28 ,"$1,108.50 ","$1,108.50 ","$1,256.30 ","$1,256.30 ",$585.57 ,"$1,256.30 ",$585.57 ,"$1,197.18 ","$1,197.18 ","$1,197.18 ","$1,478.00 ","$1,330.20 ","$1,434.39 ","$1,330.20 ",$585.57 ,"$1,478.00 ",$829.16 ,$585.57 ,$611.89 , N/A , N/A ,$612.91 ,"$1,330.20 ","$1,294.91 ",$818.81 ,$413.84 ,"$1,330.20 ",$585.57 ,"$1,330.20 ","$1,330.20 ",$585.57 ,$960.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$959.00 ,$690.48 ,$268.52 ,$959.00 ,$921.12 ,$714.46 ,$628.15 ,$376.04 ,$268.52 ,$589.79 ,$376.04 ,$589.79 ,$376.04 ,$531.29 ,$531.29 ,$376.04 ,$531.29 ,$775.09 ,$863.10 ,$795.97 ,$921.12 ,$376.04 ,$843.92 ,$383.55 ,$719.25 ,$719.25 ,$815.15 ,$815.15 ,$376.04 ,$815.15 ,$376.04 ,$776.79 ,$776.79 ,$776.79 ,$959.00 ,$863.10 ,$921.12 ,$863.10 ,$376.04 ,$959.00 ,$538.00 ,$376.04 ,$397.03 , N/A , N/A ,$393.60 ,$863.10 ,$831.55 ,$531.29 ,$268.52 ,$863.10 ,$376.04 ,$863.10 ,$863.10 ,$376.04 ,$623.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000044,12054,HC INTRM F/E/E/N/L/MM 7.6-12.5CM,450,1 ,$778.00 ,$560.16 ,$217.84 ,$831.55 ,$778.00 ,$579.61 ,$509.59 ,$376.04 ,$217.84 ,$478.47 ,$376.04 ,$478.47 ,$376.04 ,$431.01 ,$431.01 ,$376.04 ,$431.01 ,$775.09 ,$700.20 ,$645.74 ,$778.00 ,$376.04 ,$684.64 ,$383.55 ,$583.50 ,$583.50 ,$661.30 ,$661.30 ,$376.04 ,$661.30 ,$376.04 ,$630.18 ,$630.18 ,$630.18 ,$778.00 ,$700.20 ,$778.00 ,$700.20 ,$376.04 ,$778.00 ,$436.46 ,$376.04 ,$322.09 , N/A , N/A ,$393.60 ,$700.20 ,$831.55 ,$431.01 ,$217.84 ,$700.20 ,$376.04 ,$700.20 ,$700.20 ,$376.04 ,$505.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,"$2,434.00 ","$1,752.48 ",$585.57 ,"$2,434.00 ","$1,434.39 ","$1,813.33 ","$1,594.27 ",$585.57 ,$681.52 ,"$1,496.91 ",$585.57 ,"$1,496.91 ",$585.57 ,"$1,348.44 ","$1,348.44 ",$585.57 ,"$1,348.44 ","$1,206.98 ","$2,190.60 ","$2,020.22 ","$1,434.39 ",$585.57 ,"$2,141.92 ",$597.28 ,"$1,825.50 ","$1,825.50 ","$2,068.90 ","$2,068.90 ",$585.57 ,"$2,068.90 ",$585.57 ,"$1,971.54 ","$1,971.54 ","$1,971.54 ","$2,434.00 ","$2,190.60 ","$1,434.39 ","$2,190.60 ",$585.57 ,"$2,434.00 ","$1,365.47 ",$585.57 ,"$1,007.68 ", N/A , N/A ,$612.91 ,"$2,190.60 ","$1,294.91 ","$1,348.44 ",$681.52 ,"$2,190.60 ",$585.57 ,"$2,190.60 ","$2,190.60 ",$585.57 ,"$1,582.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000053,13122,HC CMPLX S/A/L EA ADDL 5 CM OR LESS,450,1 ,"$1,427.00 ","$1,027.44 ",$399.56 ,"$1,427.00 ", N/A ,"$1,063.12 ",$934.69 , N/A ,$399.56 ,$877.61 , N/A ,$877.61 , N/A ,$790.56 ,$790.56 , N/A ,$790.56 , N/A ,"$1,284.30 ","$1,184.41 ", N/A , N/A ,"$1,255.76 ", N/A ,"$1,070.25 ","$1,070.25 ","$1,212.95 ","$1,212.95 ", N/A ,"$1,212.95 ", N/A ,"$1,155.87 ","$1,155.87 ","$1,155.87 ","$1,427.00 ","$1,284.30 ", N/A ,"$1,284.30 ", N/A ,"$1,427.00 ",$800.55 , N/A ,$590.78 , N/A , N/A , N/A ,"$1,284.30 ", N/A ,$790.56 ,$399.56 ,"$1,284.30 ", N/A ,"$1,284.30 ","$1,284.30 ", N/A ,$927.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,"$1,521.00 ","$1,095.12 ",$425.88 ,"$1,521.00 ","$1,434.39 ","$1,133.15 ",$996.26 ,$585.57 ,$425.88 ,$935.42 ,$585.57 ,$935.42 ,$585.57 ,$842.63 ,$842.63 ,$585.57 ,$842.63 ,"$1,206.98 ","$1,368.90 ","$1,262.43 ","$1,434.39 ",$585.57 ,"$1,338.48 ",$597.28 ,"$1,140.75 ","$1,140.75 ","$1,292.85 ","$1,292.85 ",$585.57 ,"$1,292.85 ",$585.57 ,"$1,232.01 ","$1,232.01 ","$1,232.01 ","$1,521.00 ","$1,368.90 ","$1,434.39 ","$1,368.90 ",$585.57 ,"$1,521.00 ",$853.28 ,$585.57 ,$629.69 , N/A , N/A ,$612.91 ,"$1,368.90 ","$1,294.91 ",$842.63 ,$425.88 ,"$1,368.90 ",$585.57 ,"$1,368.90 ","$1,368.90 ",$585.57 ,$988.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$537.00 ,$386.64 ,$150.36 ,$537.00 ,$445.86 ,$400.07 ,$351.74 ,$182.02 ,$150.36 ,$330.26 ,$182.02 ,$330.26 ,$182.02 ,$297.50 ,$297.50 ,$182.02 ,$297.50 ,$375.17 ,$483.30 ,$445.71 ,$445.86 ,$182.02 ,$472.56 ,$185.65 ,$402.75 ,$402.75 ,$456.45 ,$456.45 ,$182.02 ,$456.45 ,$182.02 ,$434.97 ,$434.97 ,$434.97 ,$537.00 ,$483.30 ,$445.86 ,$483.30 ,$182.02 ,$537.00 ,$301.26 ,$182.02 ,$222.32 , N/A , N/A ,$190.51 ,$483.30 ,$402.50 ,$297.50 ,$150.36 ,$483.30 ,$182.02 ,$483.30 ,$483.30 ,$182.02 ,$349.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$561.00 ,$403.92 ,$157.08 ,$561.00 ,$445.86 ,$417.95 ,$367.46 ,$182.02 ,$157.08 ,$345.02 ,$182.02 ,$345.02 ,$182.02 ,$310.79 ,$310.79 ,$182.02 ,$310.79 ,$375.17 ,$504.90 ,$465.63 ,$445.86 ,$182.02 ,$493.68 ,$185.65 ,$420.75 ,$420.75 ,$476.85 ,$476.85 ,$182.02 ,$476.85 ,$182.02 ,$454.41 ,$454.41 ,$454.41 ,$561.00 ,$504.90 ,$445.86 ,$504.90 ,$182.02 ,$561.00 ,$314.72 ,$182.02 ,$232.25 , N/A , N/A ,$190.51 ,$504.90 ,$402.50 ,$310.79 ,$157.08 ,$504.90 ,$182.02 ,$504.90 ,$504.90 ,$182.02 ,$364.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$561.00 ,$403.92 ,$157.08 ,$831.55 ,$561.00 ,$417.95 ,$367.46 ,$376.04 ,$157.08 ,$345.02 ,$376.04 ,$345.02 ,$376.04 ,$310.79 ,$310.79 ,$376.04 ,$310.79 ,$561.00 ,$504.90 ,$465.63 ,$561.00 ,$376.04 ,$493.68 ,$383.55 ,$420.75 ,$420.75 ,$476.85 ,$476.85 ,$376.04 ,$476.85 ,$376.04 ,$454.41 ,$454.41 ,$454.41 ,$561.00 ,$504.90 ,$561.00 ,$504.90 ,$376.04 ,$561.00 ,$314.72 ,$376.04 ,$232.25 , N/A , N/A ,$393.60 ,$504.90 ,$831.55 ,$310.79 ,$157.08 ,$504.90 ,$376.04 ,$504.90 ,$504.90 ,$376.04 ,$364.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$536.00 ,$385.92 ,$150.08 ,$536.00 ,$445.86 ,$399.32 ,$351.08 ,$182.02 ,$150.08 ,$329.64 ,$182.02 ,$329.64 ,$182.02 ,$296.94 ,$296.94 ,$182.02 ,$296.94 ,$375.17 ,$482.40 ,$444.88 ,$445.86 ,$182.02 ,$471.68 ,$185.65 ,$402.00 ,$402.00 ,$455.60 ,$455.60 ,$182.02 ,$455.60 ,$182.02 ,$434.16 ,$434.16 ,$434.16 ,$536.00 ,$482.40 ,$445.86 ,$482.40 ,$182.02 ,$536.00 ,$300.70 ,$182.02 ,$221.90 , N/A , N/A ,$190.51 ,$482.40 ,$402.50 ,$296.94 ,$150.08 ,$482.40 ,$182.02 ,$482.40 ,$482.40 ,$182.02 ,$348.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$921.00 ,$663.12 ,$257.88 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 , N/A , N/A ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,$921.00 ,$663.12 ,$257.88 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 , N/A , N/A ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,382.00 ",$995.04 ,$386.96 ,"$1,382.00 ","$1,006.96 ","$1,029.59 ",$905.21 ,$411.08 ,$386.96 ,$849.93 ,$411.08 ,$849.93 ,$411.08 ,$765.63 ,$765.63 ,$411.08 ,$765.63 ,$847.32 ,"$1,243.80 ","$1,147.06 ","$1,006.96 ",$411.08 ,"$1,216.16 ",$419.30 ,"$1,036.50 ","$1,036.50 ","$1,174.70 ","$1,174.70 ",$411.08 ,"$1,174.70 ",$411.08 ,"$1,119.42 ","$1,119.42 ","$1,119.42 ","$1,382.00 ","$1,243.80 ","$1,006.96 ","$1,243.80 ",$411.08 ,"$1,382.00 ",$775.30 ,$411.08 ,$572.15 , N/A , N/A ,$430.27 ,"$1,243.80 ",$909.04 ,$765.63 ,$386.96 ,"$1,243.80 ",$411.08 ,"$1,243.80 ","$1,243.80 ",$411.08 ,$898.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$756.00 ,$544.32 ,$208.65 ,$756.00 ,$511.11 ,$563.22 ,$495.18 ,$208.65 ,$211.68 ,$464.94 ,$208.65 ,$464.94 ,$208.65 ,$418.82 ,$418.82 ,$208.65 ,$418.82 ,$430.08 ,$680.40 ,$627.48 ,$511.11 ,$208.65 ,$665.28 ,$212.83 ,$567.00 ,$567.00 ,$642.60 ,$642.60 ,$208.65 ,$642.60 ,$208.65 ,$612.36 ,$612.36 ,$612.36 ,$756.00 ,$680.40 ,$511.11 ,$680.40 ,$208.65 ,$756.00 ,$424.12 ,$208.65 ,$312.98 , N/A , N/A ,$218.39 ,$680.40 ,$461.41 ,$418.82 ,$211.68 ,$680.40 ,$208.65 ,$680.40 ,$680.40 ,$208.65 ,$491.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$736.00 ,$529.92 ,$206.08 ,$736.00 ,$511.11 ,$548.32 ,$482.08 ,$208.65 ,$206.08 ,$452.64 ,$208.65 ,$452.64 ,$208.65 ,$407.74 ,$407.74 ,$208.65 ,$407.74 ,$430.08 ,$662.40 ,$610.88 ,$511.11 ,$208.65 ,$647.68 ,$212.83 ,$552.00 ,$552.00 ,$625.60 ,$625.60 ,$208.65 ,$625.60 ,$208.65 ,$596.16 ,$596.16 ,$596.16 ,$736.00 ,$662.40 ,$511.11 ,$662.40 ,$208.65 ,$736.00 ,$412.90 ,$208.65 ,$304.70 , N/A , N/A ,$218.39 ,$662.40 ,$461.41 ,$407.74 ,$206.08 ,$662.40 ,$208.65 ,$662.40 ,$662.40 ,$208.65 ,$478.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$711.00 ,$511.92 ,$199.08 ,$711.00 ,$511.11 ,$529.70 ,$465.71 ,$208.65 ,$199.08 ,$437.27 ,$208.65 ,$437.27 ,$208.65 ,$393.89 ,$393.89 ,$208.65 ,$393.89 ,$430.08 ,$639.90 ,$590.13 ,$511.11 ,$208.65 ,$625.68 ,$212.83 ,$533.25 ,$533.25 ,$604.35 ,$604.35 ,$208.65 ,$604.35 ,$208.65 ,$575.91 ,$575.91 ,$575.91 ,$711.00 ,$639.90 ,$511.11 ,$639.90 ,$208.65 ,$711.00 ,$398.87 ,$208.65 ,$294.35 , N/A , N/A ,$218.39 ,$639.90 ,$461.41 ,$393.89 ,$199.08 ,$639.90 ,$208.65 ,$639.90 ,$639.90 ,$208.65 ,$462.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,"$3,643.00 ","$2,622.96 ","$1,020.04 ","$3,643.00 ","$3,541.88 ","$2,714.04 ","$2,386.17 ","$1,445.93 ","$1,020.04 ","$2,240.45 ","$1,445.93 ","$2,240.45 ","$1,445.93 ","$2,018.22 ","$2,018.22 ","$1,445.93 ","$2,018.22 ","$2,980.36 ","$3,278.70 ","$3,023.69 ","$3,541.88 ","$1,445.93 ","$3,205.84 ","$1,474.85 ","$2,732.25 ","$2,732.25 ","$3,096.55 ","$3,096.55 ","$1,445.93 ","$3,096.55 ","$1,445.93 ","$2,950.83 ","$2,950.83 ","$2,950.83 ","$3,643.00 ","$3,278.70 ","$3,541.88 ","$3,278.70 ","$1,445.93 ","$3,643.00 ","$2,043.72 ","$1,445.93 ","$1,508.20 ", N/A , N/A ,"$1,513.43 ","$3,278.70 ","$3,197.47 ","$2,018.22 ","$1,020.04 ","$3,278.70 ","$1,445.93 ","$3,278.70 ","$3,278.70 ","$1,445.93 ","$2,367.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,"$2,523.00 ","$1,816.56 ",$706.44 ,"$3,197.47 ","$2,523.00 ","$1,879.64 ","$1,652.57 ","$1,445.93 ",$706.44 ,"$1,551.65 ","$1,445.93 ","$1,551.65 ","$1,445.93 ","$1,397.74 ","$1,397.74 ","$1,445.93 ","$1,397.74 ","$2,523.00 ","$2,270.70 ","$2,094.09 ","$2,523.00 ","$1,445.93 ","$2,220.24 ","$1,474.85 ","$1,892.25 ","$1,892.25 ","$2,144.55 ","$2,144.55 ","$1,445.93 ","$2,144.55 ","$1,445.93 ","$2,043.63 ","$2,043.63 ","$2,043.63 ","$2,523.00 ","$2,270.70 ","$2,523.00 ","$2,270.70 ","$1,445.93 ","$2,523.00 ","$1,415.40 ","$1,445.93 ","$1,044.52 ", N/A , N/A ,"$1,513.43 ","$2,270.70 ","$3,197.47 ","$1,397.74 ",$706.44 ,"$2,270.70 ","$1,445.93 ","$2,270.70 ","$2,270.70 ","$1,445.93 ","$1,639.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,$531.12 ,$382.41 ,$148.71 ,$531.12 ,$445.86 ,$395.68 ,$347.88 ,$182.02 ,$148.71 ,$326.64 ,$182.02 ,$326.64 ,$182.02 ,$294.24 ,$294.24 ,$182.02 ,$294.24 ,$375.17 ,$478.01 ,$440.83 ,$445.86 ,$182.02 ,$467.39 ,$185.65 ,$398.34 ,$398.34 ,$451.45 ,$451.45 ,$182.02 ,$451.45 ,$182.02 ,$430.21 ,$430.21 ,$430.21 ,$531.12 ,$478.01 ,$445.86 ,$478.01 ,$182.02 ,$531.12 ,$297.96 ,$182.02 ,$219.88 , N/A , N/A ,$190.51 ,$478.01 ,$402.50 ,$294.24 ,$148.71 ,$478.01 ,$182.02 ,$478.01 ,$478.01 ,$182.02 ,$345.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$4,006.50 ","$2,884.68 ","$1,121.82 ","$4,006.50 ","$3,702.44 ","$2,984.84 ","$2,624.26 ","$1,511.47 ","$1,121.82 ","$2,464.00 ","$1,511.47 ","$2,464.00 ","$1,511.47 ","$2,219.60 ","$2,219.60 ","$1,511.47 ","$2,219.60 ","$3,115.46 ","$3,605.85 ","$3,325.40 ","$3,702.44 ","$1,511.47 ","$3,525.72 ","$1,541.71 ","$3,004.88 ","$3,004.88 ","$3,405.53 ","$3,405.53 ","$1,511.47 ","$3,405.53 ","$1,511.47 ","$3,245.27 ","$3,245.27 ","$3,245.27 ","$4,006.50 ","$3,605.85 ","$3,702.44 ","$3,605.85 ","$1,511.47 ","$4,006.50 ","$2,247.65 ","$1,511.47 ","$1,658.69 ", N/A , N/A ,"$1,582.04 ","$3,605.85 ","$3,342.42 ","$2,219.60 ","$1,121.82 ","$3,605.85 ","$1,511.47 ","$3,605.85 ","$3,605.85 ","$1,511.47 ","$2,604.23 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$618.00 ,$444.96 ,$173.04 ,$618.00 ,$511.11 ,$460.41 ,$404.79 ,$208.65 ,$173.04 ,$380.07 ,$208.65 ,$380.07 ,$208.65 ,$342.37 ,$342.37 ,$208.65 ,$342.37 ,$430.08 ,$556.20 ,$512.94 ,$511.11 ,$208.65 ,$543.84 ,$212.83 ,$463.50 ,$463.50 ,$525.30 ,$525.30 ,$208.65 ,$525.30 ,$208.65 ,$500.58 ,$500.58 ,$500.58 ,$618.00 ,$556.20 ,$511.11 ,$556.20 ,$208.65 ,$618.00 ,$346.70 ,$208.65 ,$255.85 , N/A , N/A ,$218.39 ,$556.20 ,$461.41 ,$342.37 ,$173.04 ,$556.20 ,$208.65 ,$556.20 ,$556.20 ,$208.65 ,$401.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000089,26755,HC TX FX PHALANX DIST W/MAN CLS,450,1 ,$609.60 ,$438.91 ,$170.69 ,$609.60 ,$511.11 ,$454.15 ,$399.29 ,$208.65 ,$170.69 ,$374.90 ,$208.65 ,$374.90 ,$208.65 ,$337.72 ,$337.72 ,$208.65 ,$337.72 ,$430.08 ,$548.64 ,$505.97 ,$511.11 ,$208.65 ,$536.45 ,$212.83 ,$457.20 ,$457.20 ,$518.16 ,$518.16 ,$208.65 ,$518.16 ,$208.65 ,$493.78 ,$493.78 ,$493.78 ,$609.60 ,$548.64 ,$511.11 ,$548.64 ,$208.65 ,$609.60 ,$341.99 ,$208.65 ,$252.37 , N/A , N/A ,$218.39 ,$548.64 ,$461.41 ,$337.72 ,$170.69 ,$548.64 ,$208.65 ,$548.64 ,$548.64 ,$208.65 ,$396.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$598.00 ,$430.56 ,$167.44 ,$598.00 ,$511.11 ,$445.51 ,$391.69 ,$208.65 ,$167.44 ,$367.77 ,$208.65 ,$367.77 ,$208.65 ,$331.29 ,$331.29 ,$208.65 ,$331.29 ,$430.08 ,$538.20 ,$496.34 ,$511.11 ,$208.65 ,$526.24 ,$212.83 ,$448.50 ,$448.50 ,$508.30 ,$508.30 ,$208.65 ,$508.30 ,$208.65 ,$484.38 ,$484.38 ,$484.38 ,$598.00 ,$538.20 ,$511.11 ,$538.20 ,$208.65 ,$598.00 ,$335.48 ,$208.65 ,$247.57 , N/A , N/A ,$218.39 ,$538.20 ,$461.41 ,$331.29 ,$167.44 ,$538.20 ,$208.65 ,$538.20 ,$538.20 ,$208.65 ,$388.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,"$7,848.00 ","$5,650.56 ","$2,197.44 ","$7,848.00 ","$7,349.48 ","$5,846.76 ","$5,140.44 ","$3,000.34 ","$2,197.44 ","$4,826.52 ","$3,000.34 ","$4,826.52 ","$3,000.34 ","$4,347.79 ","$4,347.79 ","$3,000.34 ","$4,347.79 ","$6,184.31 ","$7,063.20 ","$6,513.84 ","$7,349.48 ","$3,000.34 ","$6,906.24 ","$3,060.34 ","$5,886.00 ","$5,886.00 ","$6,670.80 ","$6,670.80 ","$3,000.34 ","$6,670.80 ","$3,000.34 ","$6,356.88 ","$6,356.88 ","$6,356.88 ","$7,848.00 ","$7,063.20 ","$7,349.48 ","$7,063.20 ","$3,000.34 ","$7,848.00 ","$4,402.73 ","$3,000.34 ","$3,249.07 ", N/A , N/A ,"$3,140.41 ","$7,063.20 ","$6,634.82 ","$4,347.79 ","$2,197.44 ","$7,063.20 ","$3,000.34 ","$7,063.20 ","$7,063.20 ","$3,000.34 ","$5,101.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$641.00 ,$461.52 ,$179.48 ,$641.00 ,$511.11 ,$477.55 ,$419.86 ,$208.65 ,$179.48 ,$394.22 ,$208.65 ,$394.22 ,$208.65 ,$355.11 ,$355.11 ,$208.65 ,$355.11 ,$430.08 ,$576.90 ,$532.03 ,$511.11 ,$208.65 ,$564.08 ,$212.83 ,$480.75 ,$480.75 ,$544.85 ,$544.85 ,$208.65 ,$544.85 ,$208.65 ,$519.21 ,$519.21 ,$519.21 ,$641.00 ,$576.90 ,$511.11 ,$576.90 ,$208.65 ,$641.00 ,$359.60 ,$208.65 ,$265.37 , N/A , N/A ,$218.39 ,$576.90 ,$461.41 ,$355.11 ,$179.48 ,$576.90 ,$208.65 ,$576.90 ,$576.90 ,$208.65 ,$416.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$599.00 ,$431.28 ,$167.72 ,$599.00 ,$511.11 ,$446.26 ,$392.35 ,$208.65 ,$167.72 ,$368.39 ,$208.65 ,$368.39 ,$208.65 ,$331.85 ,$331.85 ,$208.65 ,$331.85 ,$430.08 ,$539.10 ,$497.17 ,$511.11 ,$208.65 ,$527.12 ,$212.83 ,$449.25 ,$449.25 ,$509.15 ,$509.15 ,$208.65 ,$509.15 ,$208.65 ,$485.19 ,$485.19 ,$485.19 ,$599.00 ,$539.10 ,$511.11 ,$539.10 ,$208.65 ,$599.00 ,$336.04 ,$208.65 ,$247.99 , N/A , N/A ,$218.39 ,$539.10 ,$461.41 ,$331.85 ,$167.72 ,$539.10 ,$208.65 ,$539.10 ,$539.10 ,$208.65 ,$389.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$425.00 ,$306.00 ,$119.00 ,$425.00 ,$359.89 ,$316.63 ,$278.38 ,$146.92 ,$119.00 ,$261.38 ,$146.92 ,$261.38 ,$146.92 ,$235.45 ,$235.45 ,$146.92 ,$235.45 ,$302.83 ,$382.50 ,$352.75 ,$359.89 ,$146.92 ,$374.00 ,$149.86 ,$318.75 ,$318.75 ,$361.25 ,$361.25 ,$146.92 ,$361.25 ,$146.92 ,$344.25 ,$344.25 ,$344.25 ,$425.00 ,$382.50 ,$359.89 ,$382.50 ,$146.92 ,$425.00 ,$238.43 ,$146.92 ,$175.95 , N/A , N/A ,$153.78 ,$382.50 ,$324.89 ,$235.45 ,$119.00 ,$382.50 ,$146.92 ,$382.50 ,$382.50 ,$146.92 ,$276.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$438.00 ,$315.36 ,$117.03 ,$438.00 ,$286.68 ,$326.31 ,$286.89 ,$117.03 ,$122.64 ,$269.37 ,$117.03 ,$269.37 ,$117.03 ,$242.65 ,$242.65 ,$117.03 ,$242.65 ,$241.23 ,$394.20 ,$363.54 ,$286.68 ,$117.03 ,$385.44 ,$119.37 ,$328.50 ,$328.50 ,$372.30 ,$372.30 ,$117.03 ,$372.30 ,$117.03 ,$354.78 ,$354.78 ,$354.78 ,$438.00 ,$394.20 ,$286.68 ,$394.20 ,$117.03 ,$438.00 ,$245.72 ,$117.03 ,$181.33 , N/A , N/A ,$122.50 ,$394.20 ,$258.80 ,$242.65 ,$122.64 ,$394.20 ,$117.03 ,$394.20 ,$394.20 ,$117.03 ,$284.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$313.00 ,$225.36 ,$87.64 ,$313.00 ,$286.68 ,$233.19 ,$205.02 ,$117.03 ,$87.64 ,$192.50 ,$117.03 ,$192.50 ,$117.03 ,$173.40 ,$173.40 ,$117.03 ,$173.40 ,$241.23 ,$281.70 ,$259.79 ,$286.68 ,$117.03 ,$275.44 ,$119.37 ,$234.75 ,$234.75 ,$266.05 ,$266.05 ,$117.03 ,$266.05 ,$117.03 ,$253.53 ,$253.53 ,$253.53 ,$313.00 ,$281.70 ,$286.68 ,$281.70 ,$117.03 ,$313.00 ,$175.59 ,$117.03 ,$129.58 , N/A , N/A ,$122.50 ,$281.70 ,$258.80 ,$173.40 ,$87.64 ,$281.70 ,$117.03 ,$281.70 ,$281.70 ,$117.03 ,$203.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$185.00 ,$133.20 ,$51.80 ,$258.80 ,$185.00 ,$137.83 ,$121.18 ,$117.03 ,$51.80 ,$113.78 ,$117.03 ,$113.78 ,$117.03 ,$102.49 ,$102.49 ,$117.03 ,$102.49 ,$185.00 ,$166.50 ,$153.55 ,$185.00 ,$117.03 ,$162.80 ,$119.37 ,$138.75 ,$138.75 ,$157.25 ,$157.25 ,$117.03 ,$157.25 ,$117.03 ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 ,$185.00 ,$166.50 ,$117.03 ,$185.00 ,$103.79 ,$117.03 ,$76.59 , N/A , N/A ,$122.50 ,$166.50 ,$258.80 ,$102.49 ,$51.80 ,$166.50 ,$117.03 ,$166.50 ,$166.50 ,$117.03 ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000105,29240,HC STRAPPING SHLDR,450,1 ,$185.00 ,$133.20 ,$51.80 ,$258.80 ,$185.00 ,$137.83 ,$121.18 ,$117.03 ,$51.80 ,$113.78 ,$117.03 ,$113.78 ,$117.03 ,$102.49 ,$102.49 ,$117.03 ,$102.49 ,$185.00 ,$166.50 ,$153.55 ,$185.00 ,$117.03 ,$162.80 ,$119.37 ,$138.75 ,$138.75 ,$157.25 ,$157.25 ,$117.03 ,$157.25 ,$117.03 ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 ,$185.00 ,$166.50 ,$117.03 ,$185.00 ,$103.79 ,$117.03 ,$76.59 , N/A , N/A ,$122.50 ,$166.50 ,$258.80 ,$102.49 ,$51.80 ,$166.50 ,$117.03 ,$166.50 ,$166.50 ,$117.03 ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$742.00 ,$534.24 ,$207.76 ,$742.00 ,$592.35 ,$552.79 ,$486.01 ,$241.81 ,$207.76 ,$456.33 ,$241.81 ,$456.33 ,$241.81 ,$411.07 ,$411.07 ,$241.81 ,$411.07 ,$498.44 ,$667.80 ,$615.86 ,$592.35 ,$241.81 ,$652.96 ,$246.66 ,$556.50 ,$556.50 ,$630.70 ,$630.70 ,$241.81 ,$630.70 ,$241.81 ,$601.02 ,$601.02 ,$601.02 ,$742.00 ,$667.80 ,$592.35 ,$667.80 ,$241.81 ,$742.00 ,$416.26 ,$241.81 ,$307.19 , N/A , N/A ,$253.10 ,$667.80 ,$534.75 ,$411.07 ,$207.76 ,$667.80 ,$241.81 ,$667.80 ,$667.80 ,$241.81 ,$482.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$425.00 ,$306.00 ,$119.00 ,$425.00 ,$359.89 ,$316.63 ,$278.38 ,$146.92 ,$119.00 ,$261.38 ,$146.92 ,$261.38 ,$146.92 ,$235.45 ,$235.45 ,$146.92 ,$235.45 ,$302.83 ,$382.50 ,$352.75 ,$359.89 ,$146.92 ,$374.00 ,$149.86 ,$318.75 ,$318.75 ,$361.25 ,$361.25 ,$146.92 ,$361.25 ,$146.92 ,$344.25 ,$344.25 ,$344.25 ,$425.00 ,$382.50 ,$359.89 ,$382.50 ,$146.92 ,$425.00 ,$238.43 ,$146.92 ,$175.95 , N/A , N/A ,$153.78 ,$382.50 ,$324.89 ,$235.45 ,$119.00 ,$382.50 ,$146.92 ,$382.50 ,$382.50 ,$146.92 ,$276.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$425.00 ,$306.00 ,$119.00 ,$425.00 ,$359.89 ,$316.63 ,$278.38 ,$146.92 ,$119.00 ,$261.38 ,$146.92 ,$261.38 ,$146.92 ,$235.45 ,$235.45 ,$146.92 ,$235.45 ,$302.83 ,$382.50 ,$352.75 ,$359.89 ,$146.92 ,$374.00 ,$149.86 ,$318.75 ,$318.75 ,$361.25 ,$361.25 ,$146.92 ,$361.25 ,$146.92 ,$344.25 ,$344.25 ,$344.25 ,$425.00 ,$382.50 ,$359.89 ,$382.50 ,$146.92 ,$425.00 ,$238.43 ,$146.92 ,$175.95 , N/A , N/A ,$153.78 ,$382.50 ,$324.89 ,$235.45 ,$119.00 ,$382.50 ,$146.92 ,$382.50 ,$382.50 ,$146.92 ,$276.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000110,30300,HC REM FB INTRANASAL,450,1 ,$466.00 ,$335.52 ,$117.03 ,$466.00 ,$286.68 ,$347.17 ,$305.23 ,$117.03 ,$130.48 ,$286.59 ,$117.03 ,$286.59 ,$117.03 ,$258.16 ,$258.16 ,$117.03 ,$258.16 ,$241.23 ,$419.40 ,$386.78 ,$286.68 ,$117.03 ,$410.08 ,$119.37 ,$349.50 ,$349.50 ,$396.10 ,$396.10 ,$117.03 ,$396.10 ,$117.03 ,$377.46 ,$377.46 ,$377.46 ,$466.00 ,$419.40 ,$286.68 ,$419.40 ,$117.03 ,$466.00 ,$261.43 ,$117.03 ,$192.92 , N/A , N/A ,$122.50 ,$419.40 ,$258.80 ,$258.16 ,$130.48 ,$419.40 ,$117.03 ,$419.40 ,$419.40 ,$117.03 ,$302.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$466.00 ,$335.52 ,$117.03 ,$466.00 ,$286.68 ,$347.17 ,$305.23 ,$117.03 ,$130.48 ,$286.59 ,$117.03 ,$286.59 ,$117.03 ,$258.16 ,$258.16 ,$117.03 ,$258.16 ,$241.23 ,$419.40 ,$386.78 ,$286.68 ,$117.03 ,$410.08 ,$119.37 ,$349.50 ,$349.50 ,$396.10 ,$396.10 ,$117.03 ,$396.10 ,$117.03 ,$377.46 ,$377.46 ,$377.46 ,$466.00 ,$419.40 ,$286.68 ,$419.40 ,$117.03 ,$466.00 ,$261.43 ,$117.03 ,$192.92 , N/A , N/A ,$122.50 ,$419.40 ,$258.80 ,$258.16 ,$130.48 ,$419.40 ,$117.03 ,$419.40 ,$419.40 ,$117.03 ,$302.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$319.00 ,$229.68 ,$89.32 ,$319.00 ,$286.68 ,$237.66 ,$208.95 ,$117.03 ,$89.32 ,$196.19 ,$117.03 ,$196.19 ,$117.03 ,$176.73 ,$176.73 ,$117.03 ,$176.73 ,$241.23 ,$287.10 ,$264.77 ,$286.68 ,$117.03 ,$280.72 ,$119.37 ,$239.25 ,$239.25 ,$271.15 ,$271.15 ,$117.03 ,$271.15 ,$117.03 ,$258.39 ,$258.39 ,$258.39 ,$319.00 ,$287.10 ,$286.68 ,$287.10 ,$117.03 ,$319.00 ,$178.96 ,$117.03 ,$132.07 , N/A , N/A ,$122.50 ,$287.10 ,$258.80 ,$176.73 ,$89.32 ,$287.10 ,$117.03 ,$287.10 ,$287.10 ,$117.03 ,$207.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$459.00 ,$330.48 ,$117.03 ,$459.00 ,$286.68 ,$341.96 ,$300.65 ,$117.03 ,$128.52 ,$282.29 ,$117.03 ,$282.29 ,$117.03 ,$254.29 ,$254.29 ,$117.03 ,$254.29 ,$241.23 ,$413.10 ,$380.97 ,$286.68 ,$117.03 ,$403.92 ,$119.37 ,$344.25 ,$344.25 ,$390.15 ,$390.15 ,$117.03 ,$390.15 ,$117.03 ,$371.79 ,$371.79 ,$371.79 ,$459.00 ,$413.10 ,$286.68 ,$413.10 ,$117.03 ,$459.00 ,$257.50 ,$117.03 ,$190.03 , N/A , N/A ,$122.50 ,$413.10 ,$258.80 ,$254.29 ,$128.52 ,$413.10 ,$117.03 ,$413.10 ,$413.10 ,$117.03 ,$298.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000123,36400,HC IV START < 3 YEARS OLD (MD),450,1 ,$382.00 ,$275.04 ,$106.96 ,$382.00 , N/A ,$284.59 ,$250.21 , N/A ,$106.96 ,$234.93 , N/A ,$234.93 , N/A ,$211.63 ,$211.63 , N/A ,$211.63 , N/A ,$343.80 , N/A , N/A , N/A ,$336.16 , N/A ,$286.50 ,$286.50 ,$324.70 ,$324.70 , N/A ,$324.70 , N/A ,$309.42 ,$309.42 ,$309.42 ,$382.00 ,$343.80 , N/A ,$343.80 , N/A ,$382.00 ,$214.30 , N/A ,$158.15 , N/A , N/A , N/A ,$343.80 , N/A ,$211.63 ,$106.96 ,$343.80 , N/A ,$343.80 ,$343.80 , N/A ,$248.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000124,36406,HC VENIPUNCTURE <3YR VEIN OTHR,450,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$824.00 ,$593.28 ,$230.72 ,$841.58 ,$824.00 ,$613.88 ,$539.72 ,$380.57 ,$230.72 ,$506.76 ,$380.57 ,$506.76 ,$380.57 ,$456.50 ,$456.50 ,$380.57 ,$456.50 ,$784.44 ,$741.60 ,$683.92 ,$824.00 ,$380.57 ,$725.12 ,$388.19 ,$618.00 ,$618.00 ,$700.40 ,$700.40 ,$380.57 ,$700.40 ,$380.57 ,$667.44 ,$667.44 ,$667.44 ,$824.00 ,$741.60 ,$824.00 ,$741.60 ,$380.57 ,$824.00 ,$462.26 ,$380.57 ,$341.14 , N/A , N/A ,$398.34 ,$741.60 ,$841.58 ,$456.50 ,$230.72 ,$741.60 ,$380.57 ,$741.60 ,$741.60 ,$380.57 ,$535.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,"$1,749.00 ","$1,259.28 ",$489.72 ,"$1,749.00 ","$1,602.33 ","$1,303.01 ","$1,145.60 ",$654.13 ,$489.72 ,"$1,075.64 ",$654.13 ,"$1,075.64 ",$654.13 ,$968.95 ,$968.95 ,$654.13 ,$968.95 ,"$1,348.30 ","$1,574.10 ","$1,451.67 ","$1,602.33 ",$654.13 ,"$1,539.12 ",$667.21 ,"$1,311.75 ","$1,311.75 ","$1,486.65 ","$1,486.65 ",$654.13 ,"$1,486.65 ",$654.13 ,"$1,416.69 ","$1,416.69 ","$1,416.69 ","$1,749.00 ","$1,574.10 ","$1,602.33 ","$1,574.10 ",$654.13 ,"$1,749.00 ",$981.19 ,$654.13 ,$724.09 , N/A , N/A ,$684.67 ,"$1,574.10 ","$1,446.52 ",$968.95 ,$489.72 ,"$1,574.10 ",$654.13 ,"$1,574.10 ","$1,574.10 ",$654.13 ,"$1,136.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000137,40830,HC LAC REPAIR VESTIBULE MOUTH 2.5 CM OR LESS,450,1 ,$584.00 ,$420.48 ,$163.52 ,$584.00 ,$513.14 ,$435.08 ,$382.52 ,$209.48 ,$163.52 ,$359.16 ,$209.48 ,$359.16 ,$209.48 ,$323.54 ,$323.54 ,$209.48 ,$323.54 ,$431.79 ,$525.60 ,$484.72 ,$513.14 ,$209.48 ,$513.92 ,$213.68 ,$438.00 ,$438.00 ,$496.40 ,$496.40 ,$209.48 ,$496.40 ,$209.48 ,$473.04 ,$473.04 ,$473.04 ,$584.00 ,$525.60 ,$513.14 ,$525.60 ,$209.48 ,$584.00 ,$327.62 ,$209.48 ,$241.78 , N/A , N/A ,$219.27 ,$525.60 ,$463.24 ,$323.54 ,$163.52 ,$525.60 ,$209.48 ,$525.60 ,$525.60 ,$209.48 ,$379.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$337.00 ,$242.64 ,$94.36 ,$841.58 ,$337.00 ,$251.07 ,$220.74 ,$330.26 ,$94.36 ,$207.26 ,$330.26 ,$207.26 ,$330.26 ,$186.70 ,$186.70 ,$330.26 ,$186.70 ,$337.00 ,$303.30 ,$279.71 ,$337.00 ,$330.26 ,$296.56 ,$336.87 ,$252.75 ,$252.75 ,$286.45 ,$286.45 ,$330.26 ,$286.45 ,$330.26 ,$272.97 ,$272.97 ,$272.97 ,$337.00 ,$303.30 ,$337.00 ,$303.30 ,$330.26 ,$337.00 ,$189.06 ,$330.26 ,$139.52 , N/A , N/A ,$330.26 ,$303.30 ,$841.58 ,$186.70 ,$94.36 ,$303.30 ,$330.26 ,$303.30 ,$303.30 ,$330.26 ,$219.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$573.00 ,$412.56 ,$117.03 ,$573.00 ,$286.68 ,$426.89 ,$375.32 ,$117.03 ,$160.44 ,$352.40 ,$117.03 ,$352.40 ,$117.03 ,$317.44 ,$317.44 ,$117.03 ,$317.44 ,$241.23 ,$515.70 ,$475.59 ,$286.68 ,$117.03 ,$504.24 ,$119.37 ,$429.75 ,$429.75 ,$487.05 ,$487.05 ,$117.03 ,$487.05 ,$117.03 ,$464.13 ,$464.13 ,$464.13 ,$573.00 ,$515.70 ,$286.68 ,$515.70 ,$117.03 ,$573.00 ,$321.45 ,$117.03 ,$237.22 , N/A , N/A ,$122.50 ,$515.70 ,$258.80 ,$317.44 ,$160.44 ,$515.70 ,$117.03 ,$515.70 ,$515.70 ,$117.03 ,$372.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$2,879.00 ","$2,072.88 ",$806.12 ,"$2,879.00 ","$2,673.74 ","$2,144.86 ","$1,885.75 ","$1,091.52 ",$806.12 ,"$1,770.59 ","$1,091.52 ","$1,770.59 ","$1,091.52 ","$1,594.97 ","$1,594.97 ","$1,091.52 ","$1,594.97 ","$2,249.85 ","$2,591.10 ","$2,389.57 ","$2,673.74 ","$1,091.52 ","$2,533.52 ","$1,113.36 ","$2,159.25 ","$2,159.25 ","$2,447.15 ","$2,447.15 ","$1,091.52 ","$2,447.15 ","$1,091.52 ","$2,331.99 ","$2,331.99 ","$2,331.99 ","$2,879.00 ","$2,591.10 ","$2,673.74 ","$2,591.10 ","$1,091.52 ","$2,879.00 ","$1,615.12 ","$1,091.52 ","$1,191.91 ", N/A , N/A ,"$1,142.48 ","$2,591.10 ","$2,413.75 ","$1,594.97 ",$806.12 ,"$2,591.10 ","$1,091.52 ","$2,591.10 ","$2,591.10 ","$1,091.52 ","$1,871.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,"$2,260.00 ","$1,627.20 ",$632.80 ,"$2,260.00 ","$2,051.87 ","$1,683.70 ","$1,480.30 ",$837.65 ,$632.80 ,"$1,389.90 ",$837.65 ,"$1,389.90 ",$837.65 ,"$1,252.04 ","$1,252.04 ",$837.65 ,"$1,252.04 ","$1,726.57 ","$2,034.00 ","$1,875.80 ","$2,051.87 ",$837.65 ,"$1,988.80 ",$854.39 ,"$1,695.00 ","$1,695.00 ","$1,921.00 ","$1,921.00 ",$837.65 ,"$1,921.00 ",$837.65 ,"$1,830.60 ","$1,830.60 ","$1,830.60 ","$2,260.00 ","$2,034.00 ","$2,051.87 ","$2,034.00 ",$837.65 ,"$2,260.00 ","$1,267.86 ",$837.65 ,$935.64 , N/A , N/A ,$876.76 ,"$2,034.00 ","$1,852.35 ","$1,252.04 ",$632.80 ,"$2,034.00 ",$837.65 ,"$2,034.00 ","$2,034.00 ",$837.65 ,"$1,469.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$687.00 ,$494.64 ,$192.36 ,$687.00 ,$530.52 ,$511.82 ,$449.99 ,$216.58 ,$192.36 ,$422.51 ,$216.58 ,$422.51 ,$216.58 ,$380.60 ,$380.60 ,$216.58 ,$380.60 ,$446.41 ,$618.30 ,$570.21 ,$530.52 ,$216.58 ,$604.56 ,$220.91 ,$515.25 ,$515.25 ,$583.95 ,$583.95 ,$216.58 ,$583.95 ,$216.58 ,$556.47 ,$556.47 ,$556.47 ,$687.00 ,$618.30 ,$530.52 ,$618.30 ,$216.58 ,$687.00 ,$385.41 ,$216.58 ,$284.42 , N/A , N/A ,$226.69 ,$618.30 ,$478.93 ,$380.60 ,$192.36 ,$618.30 ,$216.58 ,$618.30 ,$618.30 ,$216.58 ,$446.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$646.00 ,$465.12 ,$180.88 ,$646.00 ,$530.52 ,$481.27 ,$423.13 ,$216.58 ,$180.88 ,$397.29 ,$216.58 ,$397.29 ,$216.58 ,$357.88 ,$357.88 ,$216.58 ,$357.88 ,$446.41 ,$581.40 ,$536.18 ,$530.52 ,$216.58 ,$568.48 ,$220.91 ,$484.50 ,$484.50 ,$549.10 ,$549.10 ,$216.58 ,$549.10 ,$216.58 ,$523.26 ,$523.26 ,$523.26 ,$646.00 ,$581.40 ,$530.52 ,$581.40 ,$216.58 ,$646.00 ,$362.41 ,$216.58 ,$267.44 , N/A , N/A ,$226.69 ,$581.40 ,$478.93 ,$357.88 ,$180.88 ,$581.40 ,$216.58 ,$581.40 ,$581.40 ,$216.58 ,$419.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$756.00 ,$544.32 ,$211.68 ,$756.00 ,$530.52 ,$563.22 ,$495.18 ,$216.58 ,$211.68 ,$464.94 ,$216.58 ,$464.94 ,$216.58 ,$418.82 ,$418.82 ,$216.58 ,$418.82 ,$446.41 ,$680.40 ,$627.48 ,$530.52 ,$216.58 ,$665.28 ,$220.91 ,$567.00 ,$567.00 ,$642.60 ,$642.60 ,$216.58 ,$642.60 ,$216.58 ,$612.36 ,$612.36 ,$612.36 ,$756.00 ,$680.40 ,$530.52 ,$680.40 ,$216.58 ,$756.00 ,$424.12 ,$216.58 ,$312.98 , N/A , N/A ,$226.69 ,$680.40 ,$478.93 ,$418.82 ,$211.68 ,$680.40 ,$216.58 ,$680.40 ,$680.40 ,$216.58 ,$491.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000159,54220,HC IRRIG CORPORA CAVNOSA,450,1 ,$708.00 ,$509.76 ,$198.24 ,$708.00 ,$530.52 ,$527.46 ,$463.74 ,$216.58 ,$198.24 ,$435.42 ,$216.58 ,$435.42 ,$216.58 ,$392.23 ,$392.23 ,$216.58 ,$392.23 ,$446.41 ,$637.20 ,$587.64 ,$530.52 ,$216.58 ,$623.04 ,$220.91 ,$531.00 ,$531.00 ,$601.80 ,$601.80 ,$216.58 ,$601.80 ,$216.58 ,$573.48 ,$573.48 ,$573.48 ,$708.00 ,$637.20 ,$530.52 ,$637.20 ,$216.58 ,$708.00 ,$397.19 ,$216.58 ,$293.11 , N/A , N/A ,$226.69 ,$637.20 ,$478.93 ,$392.23 ,$198.24 ,$637.20 ,$216.58 ,$637.20 ,$637.20 ,$216.58 ,$460.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000160,54450,HC MANIP FORESKIN STRETCH,450,1 ,$708.00 ,$509.76 ,$198.24 ,$708.00 ,$530.52 ,$527.46 ,$463.74 ,$216.58 ,$198.24 ,$435.42 ,$216.58 ,$435.42 ,$216.58 ,$392.23 ,$392.23 ,$216.58 ,$392.23 ,$446.41 ,$637.20 ,$587.64 ,$530.52 ,$216.58 ,$623.04 ,$220.91 ,$531.00 ,$531.00 ,$601.80 ,$601.80 ,$216.58 ,$601.80 ,$216.58 ,$573.48 ,$573.48 ,$573.48 ,$708.00 ,$637.20 ,$530.52 ,$637.20 ,$216.58 ,$708.00 ,$397.19 ,$216.58 ,$293.11 , N/A , N/A ,$226.69 ,$637.20 ,$478.93 ,$392.23 ,$198.24 ,$637.20 ,$216.58 ,$637.20 ,$637.20 ,$216.58 ,$460.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000161,54700,HC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,450,1 ,"$5,079.00 ","$3,656.88 ","$1,422.12 ","$5,079.00 ","$4,579.76 ","$3,783.86 ","$3,326.75 ","$1,869.63 ","$1,422.12 ","$3,123.59 ","$1,869.63 ","$3,123.59 ","$1,869.63 ","$2,813.77 ","$2,813.77 ","$1,869.63 ","$2,813.77 ","$3,853.70 ","$4,571.10 ","$4,215.57 ","$4,579.76 ","$1,869.63 ","$4,469.52 ","$1,907.03 ","$3,809.25 ","$3,809.25 ","$4,317.15 ","$4,317.15 ","$1,869.63 ","$4,317.15 ","$1,869.63 ","$4,113.99 ","$4,113.99 ","$4,113.99 ","$5,079.00 ","$4,571.10 ","$4,579.76 ","$4,571.10 ","$1,869.63 ","$5,079.00 ","$2,849.32 ","$1,869.63 ","$2,102.71 ", N/A , N/A ,"$1,956.91 ","$4,571.10 ","$4,134.43 ","$2,813.77 ","$1,422.12 ","$4,571.10 ","$1,869.63 ","$4,571.10 ","$4,571.10 ","$1,869.63 ","$3,301.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$800.00 ,$576.00 ,$224.00 ,$800.00 ,$720.86 ,$596.00 ,$524.00 ,$294.28 ,$224.00 ,$492.00 ,$294.28 ,$492.00 ,$294.28 ,$443.20 ,$443.20 ,$294.28 ,$443.20 ,$606.58 ,$720.00 ,$664.00 ,$720.86 ,$294.28 ,$704.00 ,$300.17 ,$600.00 ,$600.00 ,$680.00 ,$680.00 ,$294.28 ,$680.00 ,$294.28 ,$648.00 ,$648.00 ,$648.00 ,$800.00 ,$720.00 ,$720.86 ,$720.00 ,$294.28 ,$800.00 ,$448.80 ,$294.28 ,$331.20 , N/A , N/A ,$308.02 ,$720.00 ,$650.76 ,$443.20 ,$224.00 ,$720.00 ,$294.28 ,$720.00 ,$720.00 ,$294.28 ,$520.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$476.00 ,$342.72 ,$133.28 ,$476.00 ,$439.81 ,$354.62 ,$311.78 ,$179.55 ,$133.28 ,$292.74 ,$179.55 ,$292.74 ,$179.55 ,$263.70 ,$263.70 ,$179.55 ,$263.70 ,$370.08 ,$428.40 ,$395.08 ,$439.81 ,$179.55 ,$418.88 ,$183.13 ,$357.00 ,$357.00 ,$404.60 ,$404.60 ,$179.55 ,$404.60 ,$179.55 ,$385.56 ,$385.56 ,$385.56 ,$476.00 ,$428.40 ,$439.81 ,$428.40 ,$179.55 ,$476.00 ,$267.04 ,$179.55 ,$197.06 , N/A , N/A ,$187.92 ,$428.40 ,$397.04 ,$263.70 ,$133.28 ,$428.40 ,$179.55 ,$428.40 ,$428.40 ,$179.55 ,$309.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$497.00 ,$357.84 ,$139.16 ,$606.03 ,$497.00 ,$370.27 ,$325.54 ,$274.06 ,$139.16 ,$305.66 ,$274.06 ,$305.66 ,$274.06 ,$275.34 ,$275.34 ,$274.06 ,$275.34 ,$497.00 ,$447.30 ,$412.51 ,$497.00 ,$274.06 ,$437.36 ,$279.54 ,$372.75 ,$372.75 ,$422.45 ,$422.45 ,$274.06 ,$422.45 ,$274.06 ,$402.57 ,$402.57 ,$402.57 ,$497.00 ,$447.30 ,$497.00 ,$447.30 ,$274.06 ,$497.00 ,$278.82 ,$274.06 ,$205.76 , N/A , N/A ,$286.85 ,$447.30 ,$606.03 ,$275.34 ,$139.16 ,$447.30 ,$274.06 ,$447.30 ,$447.30 ,$274.06 ,$323.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,698.00 ","$1,222.56 ",$475.44 ,"$1,698.00 ","$1,590.90 ","$1,265.01 ","$1,112.19 ",$649.47 ,$475.44 ,"$1,044.27 ",$649.47 ,"$1,044.27 ",$649.47 ,$940.69 ,$940.69 ,$649.47 ,$940.69 ,"$1,338.68 ","$1,528.20 ","$1,409.34 ","$1,590.90 ",$649.47 ,"$1,494.24 ",$662.45 ,"$1,273.50 ","$1,273.50 ","$1,443.30 ","$1,443.30 ",$649.47 ,"$1,443.30 ",$649.47 ,"$1,375.38 ","$1,375.38 ","$1,375.38 ","$1,698.00 ","$1,528.20 ","$1,590.90 ","$1,528.20 ",$649.47 ,"$1,698.00 ",$952.58 ,$649.47 ,$702.97 , N/A , N/A ,$679.79 ,"$1,528.20 ","$1,436.20 ",$940.69 ,$475.44 ,"$1,528.20 ",$649.47 ,"$1,528.20 ","$1,528.20 ",$649.47 ,"$1,103.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$2,548.00 ","$1,834.56 ",$713.44 ,"$2,548.00 ","$2,386.35 ","$1,898.26 ","$1,668.94 ",$974.20 ,$713.44 ,"$1,567.02 ",$974.20 ,"$1,567.02 ",$974.20 ,"$1,411.59 ","$1,411.59 ",$974.20 ,"$1,411.59 ","$2,008.02 ","$2,293.20 ","$2,114.84 ","$2,386.35 ",$974.20 ,"$2,242.24 ",$993.68 ,"$1,911.00 ","$1,911.00 ","$2,165.80 ","$2,165.80 ",$974.20 ,"$2,165.80 ",$974.20 ,"$2,063.88 ","$2,063.88 ","$2,063.88 ","$2,548.00 ","$2,293.20 ","$2,386.35 ","$2,293.20 ",$974.20 ,"$2,548.00 ","$1,429.43 ",$974.20 ,"$1,054.87 ", N/A , N/A ,"$1,019.68 ","$2,293.20 ","$2,154.30 ","$1,411.59 ",$713.44 ,"$2,293.20 ",$974.20 ,"$2,293.20 ","$2,293.20 ",$974.20 ,"$1,656.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$370.00 ,$266.40 ,$103.60 ,$370.00 ,$286.68 ,$275.65 ,$242.35 ,$117.03 ,$103.60 ,$227.55 ,$117.03 ,$227.55 ,$117.03 ,$204.98 ,$204.98 ,$117.03 ,$204.98 ,$241.23 ,$333.00 ,$307.10 ,$286.68 ,$117.03 ,$325.60 ,$119.37 ,$277.50 ,$277.50 ,$314.50 ,$314.50 ,$117.03 ,$314.50 ,$117.03 ,$299.70 ,$299.70 ,$299.70 ,$370.00 ,$333.00 ,$286.68 ,$333.00 ,$117.03 ,$370.00 ,$207.57 ,$117.03 ,$153.18 , N/A , N/A ,$122.50 ,$333.00 ,$258.80 ,$204.98 ,$103.60 ,$333.00 ,$117.03 ,$333.00 ,$333.00 ,$117.03 ,$240.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000172,65210,HC REM EYE FB CONJUCT EMBED,450,1 ,"$1,042.00 ",$750.24 ,$291.76 ,"$1,042.00 ",$932.23 ,$776.29 ,$682.51 ,$380.57 ,$291.76 ,$640.83 ,$380.57 ,$640.83 ,$380.57 ,$577.27 ,$577.27 ,$380.57 ,$577.27 ,$784.44 ,$937.80 ,$864.86 ,$932.23 ,$380.57 ,$916.96 ,$388.19 ,$781.50 ,$781.50 ,$885.70 ,$885.70 ,$380.57 ,$885.70 ,$380.57 ,$844.02 ,$844.02 ,$844.02 ,"$1,042.00 ",$937.80 ,$932.23 ,$937.80 ,$380.57 ,"$1,042.00 ",$584.56 ,$380.57 ,$431.39 , N/A , N/A ,$398.34 ,$937.80 ,$841.58 ,$577.27 ,$291.76 ,$937.80 ,$380.57 ,$937.80 ,$937.80 ,$380.57 ,$677.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$370.00 ,$266.40 ,$103.60 ,$841.58 ,$370.00 ,$275.65 ,$242.35 ,$362.60 ,$103.60 ,$227.55 ,$362.60 ,$227.55 ,$362.60 ,$204.98 ,$204.98 ,$362.60 ,$204.98 ,$370.00 ,$333.00 ,$307.10 ,$370.00 ,$362.60 ,$325.60 ,$369.85 ,$277.50 ,$277.50 ,$314.50 ,$314.50 ,$362.60 ,$314.50 ,$362.60 ,$299.70 ,$299.70 ,$299.70 ,$370.00 ,$333.00 ,$370.00 ,$333.00 ,$362.60 ,$370.00 ,$207.57 ,$362.60 ,$153.18 , N/A , N/A ,$362.60 ,$333.00 ,$841.58 ,$204.98 ,$103.60 ,$333.00 ,$362.60 ,$333.00 ,$333.00 ,$362.60 ,$240.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$370.00 ,$266.40 ,$103.60 ,$370.00 ,$286.68 ,$275.65 ,$242.35 ,$117.03 ,$103.60 ,$227.55 ,$117.03 ,$227.55 ,$117.03 ,$204.98 ,$204.98 ,$117.03 ,$204.98 ,$241.23 ,$333.00 ,$307.10 ,$286.68 ,$117.03 ,$325.60 ,$119.37 ,$277.50 ,$277.50 ,$314.50 ,$314.50 ,$117.03 ,$314.50 ,$117.03 ,$299.70 ,$299.70 ,$299.70 ,$370.00 ,$333.00 ,$286.68 ,$333.00 ,$117.03 ,$370.00 ,$207.57 ,$117.03 ,$153.18 , N/A , N/A ,$122.50 ,$333.00 ,$258.80 ,$204.98 ,$103.60 ,$333.00 ,$117.03 ,$333.00 ,$333.00 ,$117.03 ,$240.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000178,67938,HC REMOVE EMBEDDED FB EYELID,450,1 ,"$1,096.00 ",$789.12 ,$266.81 ,"$1,096.00 ",$653.58 ,$816.52 ,$717.88 ,$266.81 ,$306.88 ,$674.04 ,$266.81 ,$674.04 ,$266.81 ,$607.18 ,$607.18 ,$266.81 ,$607.18 ,$549.96 ,$986.40 ,$909.68 ,$653.58 ,$266.81 ,$964.48 ,$272.16 ,$822.00 ,$822.00 ,$931.60 ,$931.60 ,$266.81 ,$931.60 ,$266.81 ,$887.76 ,$887.76 ,$887.76 ,"$1,096.00 ",$986.40 ,$653.58 ,$986.40 ,$266.81 ,"$1,096.00 ",$614.86 ,$266.81 ,$453.74 , N/A , N/A ,$279.27 ,$986.40 ,$590.03 ,$607.18 ,$306.88 ,$986.40 ,$266.81 ,$986.40 ,$986.40 ,$266.81 ,$712.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,"$1,749.00 ","$1,259.28 ",$489.72 ,"$1,749.00 ","$1,602.33 ","$1,303.01 ","$1,145.60 ",$654.13 ,$489.72 ,"$1,075.64 ",$654.13 ,"$1,075.64 ",$654.13 ,$968.95 ,$968.95 ,$654.13 ,$968.95 ,"$1,348.30 ","$1,574.10 ","$1,451.67 ","$1,602.33 ",$654.13 ,"$1,539.12 ",$667.21 ,"$1,311.75 ","$1,311.75 ","$1,486.65 ","$1,486.65 ",$654.13 ,"$1,486.65 ",$654.13 ,"$1,416.69 ","$1,416.69 ","$1,416.69 ","$1,749.00 ","$1,574.10 ","$1,602.33 ","$1,574.10 ",$654.13 ,"$1,749.00 ",$981.19 ,$654.13 ,$724.09 , N/A , N/A ,$684.67 ,"$1,574.10 ","$1,446.52 ",$968.95 ,$489.72 ,"$1,574.10 ",$654.13 ,"$1,574.10 ","$1,574.10 ",$654.13 ,"$1,136.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000181,69200,HC FB REMOVAL EAR,450,1 ,$466.00 ,$335.52 ,$117.03 ,$466.00 ,$286.68 ,$347.17 ,$305.23 ,$117.03 ,$130.48 ,$286.59 ,$117.03 ,$286.59 ,$117.03 ,$258.16 ,$258.16 ,$117.03 ,$258.16 ,$241.23 ,$419.40 ,$386.78 ,$286.68 ,$117.03 ,$410.08 ,$119.37 ,$349.50 ,$349.50 ,$396.10 ,$396.10 ,$117.03 ,$396.10 ,$117.03 ,$377.46 ,$377.46 ,$377.46 ,$466.00 ,$419.40 ,$286.68 ,$419.40 ,$117.03 ,$466.00 ,$261.43 ,$117.03 ,$192.92 , N/A , N/A ,$122.50 ,$419.40 ,$258.80 ,$258.16 ,$130.48 ,$419.40 ,$117.03 ,$419.40 ,$419.40 ,$117.03 ,$302.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$185.00 ,$133.20 ,$51.80 ,$185.00 ,$141.92 ,$137.83 ,$121.18 ,$57.94 ,$51.80 ,$113.78 ,$57.94 ,$113.78 ,$57.94 ,$102.49 ,$102.49 ,$57.94 ,$102.49 ,$119.42 ,$166.50 ,$153.55 ,$141.92 ,$57.94 ,$162.80 ,$59.09 ,$138.75 ,$138.75 ,$157.25 ,$157.25 ,$57.94 ,$157.25 ,$57.94 ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 ,$141.92 ,$166.50 ,$57.94 ,$185.00 ,$103.79 ,$57.94 ,$76.59 , N/A , N/A ,$60.64 ,$166.50 ,$128.12 ,$102.49 ,$51.80 ,$166.50 ,$57.94 ,$166.50 ,$166.50 ,$57.94 ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000186,92953,HC TEMPORARY EXTERNAL PACING,450,1 ,"$1,661.49 ","$1,196.27 ",$465.22 ,"$1,661.49 ","$1,452.14 ","$1,237.81 ","$1,088.28 ",$592.82 ,$465.22 ,"$1,021.82 ",$592.82 ,"$1,021.82 ",$592.82 ,$920.47 ,$920.47 ,$592.82 ,$920.47 ,"$1,221.92 ","$1,495.34 ","$1,379.04 ","$1,452.14 ",$592.82 ,"$1,462.11 ",$604.68 ,"$1,246.12 ","$1,246.12 ","$1,412.27 ","$1,412.27 ",$592.82 ,"$1,412.27 ",$592.82 ,"$1,345.81 ","$1,345.81 ","$1,345.81 ","$1,661.49 ","$1,495.34 ","$1,452.14 ","$1,495.34 ",$592.82 ,"$1,661.49 ",$932.10 ,$592.82 ,$687.86 , N/A , N/A ,$620.50 ,"$1,495.34 ","$1,310.93 ",$920.47 ,$465.22 ,"$1,495.34 ",$592.82 ,"$1,495.34 ","$1,495.34 ",$592.82 ,"$1,079.97 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000188,99281,HC ER LEVEL 1,450,1 ,$266.60 ,$191.95 ,$74.65 ,$266.60 ,$185.40 ,$198.62 ,$174.62 ,$75.69 ,$74.65 ,$163.96 ,$75.69 ,$163.96 ,$75.69 ,$147.70 ,$147.70 ,$75.69 ,$147.70 ,$156.01 ,$239.94 ,$221.28 ,$185.40 ,$75.69 ,$234.61 ,$77.19 ,$199.95 ,$199.95 ,$226.61 ,$226.61 ,$75.69 ,$226.61 ,$75.69 ,$215.95 ,$215.95 ,$215.95 ,$266.60 ,$239.94 ,$185.40 ,$239.94 ,$75.69 ,$266.60 ,$149.56 ,$75.69 ,$110.37 , N/A , N/A ,$79.22 ,$239.94 ,$167.37 ,$147.70 ,$74.65 ,$239.94 ,$75.69 ,$239.94 ,$239.94 ,$75.69 ,$173.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000189,99282,HC ER LEVEL 2,450,1 ,$467.32 ,$336.47 ,$130.85 ,$467.32 ,$344.90 ,$348.15 ,$306.09 ,$140.80 ,$130.85 ,$287.40 ,$140.80 ,$287.40 ,$140.80 ,$258.90 ,$258.90 ,$140.80 ,$258.90 ,$290.22 ,$420.59 ,$387.88 ,$344.90 ,$140.80 ,$411.24 ,$143.61 ,$350.49 ,$350.49 ,$397.22 ,$397.22 ,$140.80 ,$397.22 ,$140.80 ,$378.53 ,$378.53 ,$378.53 ,$467.32 ,$420.59 ,$344.90 ,$420.59 ,$140.80 ,$467.32 ,$262.17 ,$140.80 ,$193.47 , N/A , N/A ,$147.37 ,$420.59 ,$311.36 ,$258.90 ,$130.85 ,$420.59 ,$140.80 ,$420.59 ,$420.59 ,$140.80 ,$303.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000190,99283,HC ER LEVEL 3,450,1 ,$851.27 ,$612.91 ,$238.36 ,$851.27 ,$604.99 ,$634.20 ,$557.58 ,$246.98 ,$238.36 ,$523.53 ,$246.98 ,$523.53 ,$246.98 ,$471.60 ,$471.60 ,$246.98 ,$471.60 ,$509.07 ,$766.14 ,$706.55 ,$604.99 ,$246.98 ,$749.12 ,$251.92 ,$638.45 ,$638.45 ,$723.58 ,$723.58 ,$246.98 ,$723.58 ,$246.98 ,$689.53 ,$689.53 ,$689.53 ,$851.27 ,$766.14 ,$604.99 ,$766.14 ,$246.98 ,$851.27 ,$477.56 ,$246.98 ,$352.43 , N/A , N/A ,$258.50 ,$766.14 ,$546.16 ,$471.60 ,$238.36 ,$766.14 ,$246.98 ,$766.14 ,$766.14 ,$246.98 ,$553.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000191,99284,HC ER LEVEL 4,450,1 ,"$1,241.40 ",$893.81 ,$99.35 ,"$1,241.40 ",$942.21 ,$924.84 ,$813.12 ,$384.65 ,$347.59 ,$763.46 ,$384.65 ,$763.46 ,$384.65 ,$687.74 ,$687.74 ,$384.65 ,$687.74 ,$792.83 ,"$1,117.26 ","$1,030.36 ",$942.21 ,$384.65 ,"$1,092.43 ",$392.34 ,$931.05 ,$931.05 ,"$1,055.19 ","$1,055.19 ",$384.65 ,"$1,055.19 ",$384.65 ,"$1,005.53 ","$1,005.53 ","$1,005.53 ","$1,241.40 ","$1,117.26 ",$942.21 ,"$1,117.26 ",$384.65 ,"$1,241.40 ",$696.43 ,$384.65 ,$513.94 ,$104.08 ,$99.35 ,$402.60 ,"$1,117.26 ",$850.59 ,$687.74 ,$347.59 ,"$1,117.26 ",$384.65 ,"$1,117.26 ","$1,117.26 ",$384.65 ,$806.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000192,99285,HC ER LEVEL 5,450,1 ,"$1,797.24 ","$1,294.01 ",$99.35 ,"$1,797.24 ","$1,353.30 ","$1,338.94 ","$1,177.19 ",$552.47 ,$503.23 ,"$1,105.30 ",$552.47 ,"$1,105.30 ",$552.47 ,$995.67 ,$995.67 ,$552.47 ,$995.67 ,"$1,138.75 ","$1,617.52 ","$1,491.71 ","$1,353.30 ",$552.47 ,"$1,581.57 ",$563.51 ,"$1,347.93 ","$1,347.93 ","$1,527.65 ","$1,527.65 ",$552.47 ,"$1,527.65 ",$552.47 ,"$1,455.76 ","$1,455.76 ","$1,455.76 ","$1,797.24 ","$1,617.52 ","$1,353.30 ","$1,617.52 ",$552.47 ,"$1,797.24 ","$1,008.25 ",$552.47 ,$744.06 ,$104.08 ,$99.35 ,$578.26 ,"$1,617.52 ","$1,221.71 ",$995.67 ,$503.23 ,"$1,617.52 ",$552.47 ,"$1,617.52 ","$1,617.52 ",$552.47 ,"$1,168.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$2,807.04 ","$2,021.07 ",$99.35 ,"$2,807.04 ","$1,895.53 ","$2,091.24 ","$1,838.61 ",$773.83 ,$785.97 ,"$1,726.33 ",$773.83 ,"$1,726.33 ",$773.83 ,"$1,555.10 ","$1,555.10 ",$773.83 ,"$1,555.10 ","$1,595.01 ","$2,526.34 ","$2,329.84 ","$1,895.53 ",$773.83 ,"$2,470.20 ",$789.30 ,"$2,105.28 ","$2,105.28 ","$2,385.98 ","$2,385.98 ",$773.83 ,"$2,385.98 ",$773.83 ,"$2,273.70 ","$2,273.70 ","$2,273.70 ","$2,807.04 ","$2,526.34 ","$1,895.53 ","$2,526.34 ",$773.83 ,"$2,807.04 ","$1,574.75 ",$773.83 ,"$1,162.11 ",$104.08 ,$99.35 ,$809.95 ,"$2,526.34 ","$1,711.21 ","$1,555.10 ",$785.97 ,"$2,526.34 ",$773.83 ,"$2,526.34 ","$2,526.34 ",$773.83 ,"$1,824.58 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,"$1,357.71 ",$977.55 ,$380.16 ,"$1,357.71 ", N/A ,"$1,011.49 ",$889.30 , N/A ,$380.16 ,$834.99 , N/A ,$834.99 , N/A ,$752.17 ,$752.17 , N/A ,$752.17 , N/A ,"$1,221.94 ","$1,126.90 ", N/A , N/A ,"$1,194.78 ", N/A ,"$1,018.28 ","$1,018.28 ","$1,154.05 ","$1,154.05 ", N/A ,"$1,154.05 ", N/A ,"$1,099.75 ","$1,099.75 ","$1,099.75 ","$1,357.71 ","$1,221.94 ", N/A ,"$1,221.94 ", N/A ,"$1,357.71 ",$761.68 , N/A ,$562.09 , N/A , N/A , N/A ,"$1,221.94 ", N/A ,$752.17 ,$380.16 ,"$1,221.94 ", N/A ,"$1,221.94 ","$1,221.94 ", N/A ,$882.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,"$3,886.00 ","$2,797.92 ","$1,088.08 ","$3,886.00 ","$3,541.88 ","$2,895.07 ","$2,545.33 ","$1,445.93 ","$1,088.08 ","$2,389.89 ","$1,445.93 ","$2,389.89 ","$1,445.93 ","$2,152.84 ","$2,152.84 ","$1,445.93 ","$2,152.84 ","$2,980.36 ","$3,497.40 ","$3,225.38 ","$3,541.88 ","$1,445.93 ","$3,419.68 ","$1,474.85 ","$2,914.50 ","$2,914.50 ","$3,303.10 ","$3,303.10 ","$1,445.93 ","$3,303.10 ","$1,445.93 ","$3,147.66 ","$3,147.66 ","$3,147.66 ","$3,886.00 ","$3,497.40 ","$3,541.88 ","$3,497.40 ","$1,445.93 ","$3,886.00 ","$2,180.05 ","$1,445.93 ","$1,608.80 ", N/A , N/A ,"$1,513.43 ","$3,497.40 ","$3,197.47 ","$2,152.84 ","$1,088.08 ","$3,497.40 ","$1,445.93 ","$3,497.40 ","$3,497.40 ","$1,445.93 ","$2,525.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$618.00 ,$444.96 ,$173.04 ,$618.00 ,$511.11 ,$460.41 ,$404.79 ,$208.65 ,$173.04 ,$380.07 ,$208.65 ,$380.07 ,$208.65 ,$342.37 ,$342.37 ,$208.65 ,$342.37 ,$430.08 ,$556.20 ,$512.94 ,$511.11 ,$208.65 ,$543.84 ,$212.83 ,$463.50 ,$463.50 ,$525.30 ,$525.30 ,$208.65 ,$525.30 ,$208.65 ,$500.58 ,$500.58 ,$500.58 ,$618.00 ,$556.20 ,$511.11 ,$556.20 ,$208.65 ,$618.00 ,$346.70 ,$208.65 ,$255.85 , N/A , N/A ,$218.39 ,$556.20 ,$461.41 ,$342.37 ,$173.04 ,$556.20 ,$208.65 ,$556.20 ,$556.20 ,$208.65 ,$401.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000198,21480,HC TX DISL JAW CLS-UNI,450,1 ,$459.00 ,$330.48 ,$128.52 ,$461.41 ,$459.00 ,$341.96 ,$300.65 ,$208.65 ,$128.52 ,$282.29 ,$208.65 ,$282.29 ,$208.65 ,$254.29 ,$254.29 ,$208.65 ,$254.29 ,$430.08 ,$413.10 ,$380.97 ,$459.00 ,$208.65 ,$403.92 ,$212.83 ,$344.25 ,$344.25 ,$390.15 ,$390.15 ,$208.65 ,$390.15 ,$208.65 ,$371.79 ,$371.79 ,$371.79 ,$459.00 ,$413.10 ,$459.00 ,$413.10 ,$208.65 ,$459.00 ,$257.50 ,$208.65 ,$190.03 , N/A , N/A ,$218.39 ,$413.10 ,$461.41 ,$254.29 ,$128.52 ,$413.10 ,$208.65 ,$413.10 ,$413.10 ,$208.65 ,$298.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000203,27840,HC TX DISL ANKLE W/O ANES CLS,450,1 ,$756.00 ,$544.32 ,$208.65 ,$756.00 ,$511.11 ,$563.22 ,$495.18 ,$208.65 ,$211.68 ,$464.94 ,$208.65 ,$464.94 ,$208.65 ,$418.82 ,$418.82 ,$208.65 ,$418.82 ,$430.08 ,$680.40 ,$627.48 ,$511.11 ,$208.65 ,$665.28 ,$212.83 ,$567.00 ,$567.00 ,$642.60 ,$642.60 ,$208.65 ,$642.60 ,$208.65 ,$612.36 ,$612.36 ,$612.36 ,$756.00 ,$680.40 ,$511.11 ,$680.40 ,$208.65 ,$756.00 ,$424.12 ,$208.65 ,$312.98 , N/A , N/A ,$218.39 ,$680.40 ,$461.41 ,$418.82 ,$211.68 ,$680.40 ,$208.65 ,$680.40 ,$680.40 ,$208.65 ,$491.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,"$4,006.50 ","$2,884.68 ","$1,121.82 ","$4,006.50 ","$3,702.44 ","$2,984.84 ","$2,624.26 ","$1,511.47 ","$1,121.82 ","$2,464.00 ","$1,511.47 ","$2,464.00 ","$1,511.47 ","$2,219.60 ","$2,219.60 ","$1,511.47 ","$2,219.60 ","$3,115.46 ","$3,605.85 ","$3,325.40 ","$3,702.44 ","$1,511.47 ","$3,525.72 ","$1,541.71 ","$3,004.88 ","$3,004.88 ","$3,405.53 ","$3,405.53 ","$1,511.47 ","$3,405.53 ","$1,511.47 ","$3,245.27 ","$3,245.27 ","$3,245.27 ","$4,006.50 ","$3,605.85 ","$3,702.44 ","$3,605.85 ","$1,511.47 ","$4,006.50 ","$2,247.65 ","$1,511.47 ","$1,658.69 ", N/A , N/A ,"$1,582.04 ","$3,605.85 ","$3,342.42 ","$2,219.60 ","$1,121.82 ","$3,605.85 ","$1,511.47 ","$3,605.85 ","$3,605.85 ","$1,511.47 ","$2,604.23 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000206,36405,HC VENIPUNCTURE SCALP VEIN <3YRS,450,1 ,$382.00 ,$275.04 ,$106.96 ,$382.00 , N/A ,$284.59 ,$250.21 , N/A ,$106.96 ,$234.93 , N/A ,$234.93 , N/A ,$211.63 ,$211.63 , N/A ,$211.63 , N/A ,$343.80 , N/A , N/A , N/A ,$336.16 , N/A ,$286.50 ,$286.50 ,$324.70 ,$324.70 , N/A ,$324.70 , N/A ,$309.42 ,$309.42 ,$309.42 ,$382.00 ,$343.80 , N/A ,$343.80 , N/A ,$382.00 ,$214.30 , N/A ,$158.15 , N/A , N/A , N/A ,$343.80 , N/A ,$211.63 ,$106.96 ,$343.80 , N/A ,$343.80 ,$343.80 , N/A ,$248.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000211,26641,HC CLSD DISCL THUMB W/MANIP,450,1 ,$836.00 ,$601.92 ,$208.65 ,$836.00 ,$511.11 ,$622.82 ,$547.58 ,$208.65 ,$234.08 ,$514.14 ,$208.65 ,$514.14 ,$208.65 ,$463.14 ,$463.14 ,$208.65 ,$463.14 ,$430.08 ,$752.40 ,$693.88 ,$511.11 ,$208.65 ,$735.68 ,$212.83 ,$627.00 ,$627.00 ,$710.60 ,$710.60 ,$208.65 ,$710.60 ,$208.65 ,$677.16 ,$677.16 ,$677.16 ,$836.00 ,$752.40 ,$511.11 ,$752.40 ,$208.65 ,$836.00 ,$469.00 ,$208.65 ,$346.10 , N/A , N/A ,$218.39 ,$752.40 ,$461.41 ,$463.14 ,$234.08 ,$752.40 ,$208.65 ,$752.40 ,$752.40 ,$208.65 ,$543.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$3,964.77 ","$2,854.63 ","$1,110.14 ","$3,964.77 ","$3,541.88 ","$2,953.75 ","$2,596.92 ","$1,445.93 ","$1,110.14 ","$2,438.33 ","$1,445.93 ","$2,438.33 ","$1,445.93 ","$2,196.48 ","$2,196.48 ","$1,445.93 ","$2,196.48 ","$2,980.36 ","$3,568.29 ","$3,290.76 ","$3,541.88 ","$1,445.93 ","$3,489.00 ","$1,474.85 ","$2,973.58 ","$2,973.58 ","$3,370.05 ","$3,370.05 ","$1,445.93 ","$3,370.05 ","$1,445.93 ","$3,211.46 ","$3,211.46 ","$3,211.46 ","$3,964.77 ","$3,568.29 ","$3,541.88 ","$3,568.29 ","$1,445.93 ","$3,964.77 ","$2,224.24 ","$1,445.93 ","$1,641.41 ", N/A , N/A ,"$1,513.43 ","$3,568.29 ","$3,197.47 ","$2,196.48 ","$1,110.14 ","$3,568.29 ","$1,445.93 ","$3,568.29 ","$3,568.29 ","$1,445.93 ","$2,577.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,$819.00 ,$589.68 ,$229.32 ,$819.00 ,$819.00 ,$610.16 ,$536.45 ,$335.27 ,$229.32 ,$503.69 ,$335.27 ,$503.69 ,$335.27 ,$453.73 ,$453.73 ,$335.27 ,$453.73 ,$691.05 ,$737.10 ,$679.77 ,$819.00 ,$335.27 ,$720.72 ,$341.97 ,$614.25 ,$614.25 ,$696.15 ,$696.15 ,$335.27 ,$696.15 ,$335.27 ,$663.39 ,$663.39 ,$663.39 ,$819.00 ,$737.10 ,$819.00 ,$737.10 ,$335.27 ,$819.00 ,$459.46 ,$335.27 ,$339.07 , N/A , N/A ,$350.92 ,$737.10 ,$741.39 ,$453.73 ,$229.32 ,$737.10 ,$335.27 ,$737.10 ,$737.10 ,$335.27 ,$532.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000216,41899,HC DENTOALVEOLAR STRUCT PROC,450,1 ,$648.21 ,$466.71 ,$181.50 ,$648.21 ,$513.14 ,$482.92 ,$424.58 ,$209.48 ,$181.50 ,$398.65 ,$209.48 ,$398.65 ,$209.48 ,$359.11 ,$359.11 ,$209.48 ,$359.11 ,$431.79 ,$583.39 ,$538.01 ,$513.14 ,$209.48 ,$570.42 ,$213.68 ,$486.16 ,$486.16 ,$550.98 ,$550.98 ,$209.48 ,$550.98 ,$209.48 ,$525.05 ,$525.05 ,$525.05 ,$648.21 ,$583.39 ,$513.14 ,$583.39 ,$209.48 ,$648.21 ,$363.65 ,$209.48 ,$268.36 , N/A , N/A ,$219.27 ,$583.39 ,$463.24 ,$359.11 ,$181.50 ,$583.39 ,$209.48 ,$583.39 ,$583.39 ,$209.48 ,$421.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,"$3,094.00 ","$2,227.68 ",$866.32 ,"$3,197.47 ","$3,094.00 ","$2,305.03 ","$2,026.57 ","$1,445.93 ",$866.32 ,"$1,902.81 ","$1,445.93 ","$1,902.81 ","$1,445.93 ","$1,714.08 ","$1,714.08 ","$1,445.93 ","$1,714.08 ","$2,980.36 ","$2,784.60 ","$2,568.02 ","$3,094.00 ","$1,445.93 ","$2,722.72 ","$1,474.85 ","$2,320.50 ","$2,320.50 ","$2,629.90 ","$2,629.90 ","$1,445.93 ","$2,629.90 ","$1,445.93 ","$2,506.14 ","$2,506.14 ","$2,506.14 ","$3,094.00 ","$2,784.60 ","$3,094.00 ","$2,784.60 ","$1,445.93 ","$3,094.00 ","$1,735.73 ","$1,445.93 ","$1,280.92 ", N/A , N/A ,"$1,513.43 ","$2,784.60 ","$3,197.47 ","$1,714.08 ",$866.32 ,"$2,784.60 ","$1,445.93 ","$2,784.60 ","$2,784.60 ","$1,445.93 ","$2,011.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$587.13 ,$422.73 ,$164.40 ,$587.13 ,$511.11 ,$437.41 ,$384.57 ,$208.65 ,$164.40 ,$361.09 ,$208.65 ,$361.09 ,$208.65 ,$325.27 ,$325.27 ,$208.65 ,$325.27 ,$430.08 ,$528.42 ,$487.32 ,$511.11 ,$208.65 ,$516.67 ,$212.83 ,$440.35 ,$440.35 ,$499.06 ,$499.06 ,$208.65 ,$499.06 ,$208.65 ,$475.58 ,$475.58 ,$475.58 ,$587.13 ,$528.42 ,$511.11 ,$528.42 ,$208.65 ,$587.13 ,$329.38 ,$208.65 ,$243.07 , N/A , N/A ,$218.39 ,$528.42 ,$461.41 ,$325.27 ,$164.40 ,$528.42 ,$208.65 ,$528.42 ,$528.42 ,$208.65 ,$381.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$689.00 ,$496.08 ,$192.92 ,$689.00 ,$511.11 ,$513.31 ,$451.30 ,$208.65 ,$192.92 ,$423.74 ,$208.65 ,$423.74 ,$208.65 ,$381.71 ,$381.71 ,$208.65 ,$381.71 ,$430.08 ,$620.10 ,$571.87 ,$511.11 ,$208.65 ,$606.32 ,$212.83 ,$516.75 ,$516.75 ,$585.65 ,$585.65 ,$208.65 ,$585.65 ,$208.65 ,$558.09 ,$558.09 ,$558.09 ,$689.00 ,$620.10 ,$511.11 ,$620.10 ,$208.65 ,$689.00 ,$386.53 ,$208.65 ,$285.25 , N/A , N/A ,$218.39 ,$620.10 ,$461.41 ,$381.71 ,$192.92 ,$620.10 ,$208.65 ,$620.10 ,$620.10 ,$208.65 ,$447.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000231,25505,HC RADIUS FX W MANIP,450,1 ,"$3,964.77 ","$2,854.63 ","$1,110.14 ","$3,964.77 ","$3,541.88 ","$2,953.75 ","$2,596.92 ","$1,445.93 ","$1,110.14 ","$2,438.33 ","$1,445.93 ","$2,438.33 ","$1,445.93 ","$2,196.48 ","$2,196.48 ","$1,445.93 ","$2,196.48 ","$2,980.36 ","$3,568.29 ","$3,290.76 ","$3,541.88 ","$1,445.93 ","$3,489.00 ","$1,474.85 ","$2,973.58 ","$2,973.58 ","$3,370.05 ","$3,370.05 ","$1,445.93 ","$3,370.05 ","$1,445.93 ","$3,211.46 ","$3,211.46 ","$3,211.46 ","$3,964.77 ","$3,568.29 ","$3,541.88 ","$3,568.29 ","$1,445.93 ","$3,964.77 ","$2,224.24 ","$1,445.93 ","$1,641.41 ", N/A , N/A ,"$1,513.43 ","$3,568.29 ","$3,197.47 ","$2,196.48 ","$1,110.14 ","$3,568.29 ","$1,445.93 ","$3,568.29 ","$3,568.29 ","$1,445.93 ","$2,577.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,$610.00 ,$439.20 ,$170.80 ,$610.00 ,$511.11 ,$454.45 ,$399.55 ,$208.65 ,$170.80 ,$375.15 ,$208.65 ,$375.15 ,$208.65 ,$337.94 ,$337.94 ,$208.65 ,$337.94 ,$430.08 ,$549.00 ,$506.30 ,$511.11 ,$208.65 ,$536.80 ,$212.83 ,$457.50 ,$457.50 ,$518.50 ,$518.50 ,$208.65 ,$518.50 ,$208.65 ,$494.10 ,$494.10 ,$494.10 ,$610.00 ,$549.00 ,$511.11 ,$549.00 ,$208.65 ,$610.00 ,$342.21 ,$208.65 ,$252.54 , N/A , N/A ,$218.39 ,$549.00 ,$461.41 ,$337.94 ,$170.80 ,$549.00 ,$208.65 ,$549.00 ,$549.00 ,$208.65 ,$396.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000246,24505,HC HUMERAL CLOSED RED FX,450,1 ,"$4,020.00 ","$2,894.40 ","$1,125.60 ","$4,020.00 ","$3,541.88 ","$2,994.90 ","$2,633.10 ","$1,445.93 ","$1,125.60 ","$2,472.30 ","$1,445.93 ","$2,472.30 ","$1,445.93 ","$2,227.08 ","$2,227.08 ","$1,445.93 ","$2,227.08 ","$2,980.36 ","$3,618.00 ","$3,336.60 ","$3,541.88 ","$1,445.93 ","$3,537.60 ","$1,474.85 ","$3,015.00 ","$3,015.00 ","$3,417.00 ","$3,417.00 ","$1,445.93 ","$3,417.00 ","$1,445.93 ","$3,256.20 ","$3,256.20 ","$3,256.20 ","$4,020.00 ","$3,618.00 ","$3,541.88 ","$3,618.00 ","$1,445.93 ","$4,020.00 ","$2,255.22 ","$1,445.93 ","$1,664.28 ", N/A , N/A ,"$1,513.43 ","$3,618.00 ","$3,197.47 ","$2,227.08 ","$1,125.60 ","$3,618.00 ","$1,445.93 ","$3,618.00 ","$3,618.00 ","$1,445.93 ","$2,613.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,$618.00 ,$444.96 ,$173.04 ,$618.00 ,$511.11 ,$460.41 ,$404.79 ,$208.65 ,$173.04 ,$380.07 ,$208.65 ,$380.07 ,$208.65 ,$342.37 ,$342.37 ,$208.65 ,$342.37 ,$430.08 ,$556.20 ,$512.94 ,$511.11 ,$208.65 ,$543.84 ,$212.83 ,$463.50 ,$463.50 ,$525.30 ,$525.30 ,$208.65 ,$525.30 ,$208.65 ,$500.58 ,$500.58 ,$500.58 ,$618.00 ,$556.20 ,$511.11 ,$556.20 ,$208.65 ,$618.00 ,$346.70 ,$208.65 ,$255.85 , N/A , N/A ,$218.39 ,$556.20 ,$461.41 ,$342.37 ,$173.04 ,$556.20 ,$208.65 ,$556.20 ,$556.20 ,$208.65 ,$401.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000249,28515,HC TOE FX W/MANIP,450,1 ,$756.00 ,$544.32 ,$208.65 ,$756.00 ,$511.11 ,$563.22 ,$495.18 ,$208.65 ,$211.68 ,$464.94 ,$208.65 ,$464.94 ,$208.65 ,$418.82 ,$418.82 ,$208.65 ,$418.82 ,$430.08 ,$680.40 ,$627.48 ,$511.11 ,$208.65 ,$665.28 ,$212.83 ,$567.00 ,$567.00 ,$642.60 ,$642.60 ,$208.65 ,$642.60 ,$208.65 ,$612.36 ,$612.36 ,$612.36 ,$756.00 ,$680.40 ,$511.11 ,$680.40 ,$208.65 ,$756.00 ,$424.12 ,$208.65 ,$312.98 , N/A , N/A ,$218.39 ,$680.40 ,$461.41 ,$418.82 ,$211.68 ,$680.40 ,$208.65 ,$680.40 ,$680.40 ,$208.65 ,$491.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000259,28630,HC FOOT DISCL W/O ANES,450,1 ,$756.00 ,$544.32 ,$208.65 ,$756.00 ,$511.11 ,$563.22 ,$495.18 ,$208.65 ,$211.68 ,$464.94 ,$208.65 ,$464.94 ,$208.65 ,$418.82 ,$418.82 ,$208.65 ,$418.82 ,$430.08 ,$680.40 ,$627.48 ,$511.11 ,$208.65 ,$665.28 ,$212.83 ,$567.00 ,$567.00 ,$642.60 ,$642.60 ,$208.65 ,$642.60 ,$208.65 ,$612.36 ,$612.36 ,$612.36 ,$756.00 ,$680.40 ,$511.11 ,$680.40 ,$208.65 ,$756.00 ,$424.12 ,$208.65 ,$312.98 , N/A , N/A ,$218.39 ,$680.40 ,$461.41 ,$418.82 ,$211.68 ,$680.40 ,$208.65 ,$680.40 ,$680.40 ,$208.65 ,$491.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$1,930.00 ","$1,389.60 ",$274.06 ,"$1,930.00 ",$671.31 ,"$1,437.85 ","$1,264.15 ",$274.06 ,$540.40 ,"$1,186.95 ",$274.06 ,"$1,186.95 ",$274.06 ,"$1,069.22 ","$1,069.22 ",$274.06 ,"$1,069.22 ",$564.88 ,"$1,737.00 ","$1,601.90 ",$671.31 ,$274.06 ,"$1,698.40 ",$279.54 ,"$1,447.50 ","$1,447.50 ","$1,640.50 ","$1,640.50 ",$274.06 ,"$1,640.50 ",$274.06 ,"$1,563.30 ","$1,563.30 ","$1,563.30 ","$1,930.00 ","$1,737.00 ",$671.31 ,"$1,737.00 ",$274.06 ,"$1,930.00 ","$1,082.73 ",$274.06 ,$799.02 , N/A , N/A ,$286.85 ,"$1,737.00 ",$606.03 ,"$1,069.22 ",$540.40 ,"$1,737.00 ",$274.06 ,"$1,737.00 ","$1,737.00 ",$274.06 ,"$1,254.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$165.00 ,$118.80 ,$46.20 ,$165.00 ,$141.92 ,$122.93 ,$108.08 ,$57.94 ,$46.20 ,$101.48 ,$57.94 ,$101.48 ,$57.94 ,$91.41 ,$91.41 ,$57.94 ,$91.41 ,$119.42 ,$148.50 ,$136.95 ,$141.92 ,$57.94 ,$145.20 ,$59.09 ,$123.75 ,$123.75 ,$140.25 ,$140.25 ,$57.94 ,$140.25 ,$57.94 ,$133.65 ,$133.65 ,$133.65 ,$165.00 ,$148.50 ,$141.92 ,$148.50 ,$57.94 ,$165.00 ,$92.57 ,$57.94 ,$68.31 , N/A , N/A ,$60.64 ,$148.50 ,$128.12 ,$91.41 ,$46.20 ,$148.50 ,$57.94 ,$148.50 ,$148.50 ,$57.94 ,$107.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000303,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP,450,1 ,"$4,017.00 ","$2,892.24 ","$1,124.76 ","$4,017.00 ","$3,541.88 ","$2,992.67 ","$2,631.14 ","$1,445.93 ","$1,124.76 ","$2,470.46 ","$1,445.93 ","$2,470.46 ","$1,445.93 ","$2,225.42 ","$2,225.42 ","$1,445.93 ","$2,225.42 ","$2,980.36 ","$3,615.30 ","$3,334.11 ","$3,541.88 ","$1,445.93 ","$3,534.96 ","$1,474.85 ","$3,012.75 ","$3,012.75 ","$3,414.45 ","$3,414.45 ","$1,445.93 ","$3,414.45 ","$1,445.93 ","$3,253.77 ","$3,253.77 ","$3,253.77 ","$4,017.00 ","$3,615.30 ","$3,541.88 ","$3,615.30 ","$1,445.93 ","$4,017.00 ","$2,253.54 ","$1,445.93 ","$1,663.04 ", N/A , N/A ,"$1,513.43 ","$3,615.30 ","$3,197.47 ","$2,225.42 ","$1,124.76 ","$3,615.30 ","$1,445.93 ","$3,615.30 ","$3,615.30 ","$1,445.93 ","$2,611.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$618.00 ,$444.96 ,$173.04 ,$618.00 ,$511.11 ,$460.41 ,$404.79 ,$208.65 ,$173.04 ,$380.07 ,$208.65 ,$380.07 ,$208.65 ,$342.37 ,$342.37 ,$208.65 ,$342.37 ,$430.08 ,$556.20 ,$512.94 ,$511.11 ,$208.65 ,$543.84 ,$212.83 ,$463.50 ,$463.50 ,$525.30 ,$525.30 ,$208.65 ,$525.30 ,$208.65 ,$500.58 ,$500.58 ,$500.58 ,$618.00 ,$556.20 ,$511.11 ,$556.20 ,$208.65 ,$618.00 ,$346.70 ,$208.65 ,$255.85 , N/A , N/A ,$218.39 ,$556.20 ,$461.41 ,$342.37 ,$173.04 ,$556.20 ,$208.65 ,$556.20 ,$556.20 ,$208.65 ,$401.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$493.17 ,$355.08 ,$138.09 ,$493.17 ,$441.34 ,$367.41 ,$323.03 ,$180.17 ,$138.09 ,$303.30 ,$180.17 ,$303.30 ,$180.17 ,$273.22 ,$273.22 ,$180.17 ,$273.22 ,$371.37 ,$443.85 ,$409.33 ,$441.34 ,$180.17 ,$433.99 ,$183.78 ,$369.88 ,$369.88 ,$419.19 ,$419.19 ,$180.17 ,$419.19 ,$180.17 ,$399.47 ,$399.47 ,$399.47 ,$493.17 ,$443.85 ,$441.34 ,$443.85 ,$180.17 ,$493.17 ,$276.67 ,$180.17 ,$204.17 , N/A , N/A ,$188.58 ,$443.85 ,$398.42 ,$273.22 ,$138.09 ,$443.85 ,$180.17 ,$443.85 ,$443.85 ,$180.17 ,$320.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$587.13 ,$422.73 ,$164.40 ,$587.13 ,$511.11 ,$437.41 ,$384.57 ,$208.65 ,$164.40 ,$361.09 ,$208.65 ,$361.09 ,$208.65 ,$325.27 ,$325.27 ,$208.65 ,$325.27 ,$430.08 ,$528.42 ,$487.32 ,$511.11 ,$208.65 ,$516.67 ,$212.83 ,$440.35 ,$440.35 ,$499.06 ,$499.06 ,$208.65 ,$499.06 ,$208.65 ,$475.58 ,$475.58 ,$475.58 ,$587.13 ,$528.42 ,$511.11 ,$528.42 ,$208.65 ,$587.13 ,$329.38 ,$208.65 ,$243.07 , N/A , N/A ,$218.39 ,$528.42 ,$461.41 ,$325.27 ,$164.40 ,$528.42 ,$208.65 ,$528.42 ,$528.42 ,$208.65 ,$381.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,"$3,094.00 ","$2,227.68 ",$866.32 ,"$3,197.47 ","$3,094.00 ","$2,305.03 ","$2,026.57 ","$1,445.93 ",$866.32 ,"$1,902.81 ","$1,445.93 ","$1,902.81 ","$1,445.93 ","$1,714.08 ","$1,714.08 ","$1,445.93 ","$1,714.08 ","$2,980.36 ","$2,784.60 ","$2,568.02 ","$3,094.00 ","$1,445.93 ","$2,722.72 ","$1,474.85 ","$2,320.50 ","$2,320.50 ","$2,629.90 ","$2,629.90 ","$1,445.93 ","$2,629.90 ","$1,445.93 ","$2,506.14 ","$2,506.14 ","$2,506.14 ","$3,094.00 ","$2,784.60 ","$3,094.00 ","$2,784.60 ","$1,445.93 ","$3,094.00 ","$1,735.73 ","$1,445.93 ","$1,280.92 ", N/A , N/A ,"$1,513.43 ","$2,784.60 ","$3,197.47 ","$1,714.08 ",$866.32 ,"$2,784.60 ","$1,445.93 ","$2,784.60 ","$2,784.60 ","$1,445.93 ","$2,011.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$647.00 ,$465.84 ,$181.16 ,$647.00 ,$511.11 ,$482.02 ,$423.79 ,$208.65 ,$181.16 ,$397.91 ,$208.65 ,$397.91 ,$208.65 ,$358.44 ,$358.44 ,$208.65 ,$358.44 ,$430.08 ,$582.30 ,$537.01 ,$511.11 ,$208.65 ,$569.36 ,$212.83 ,$485.25 ,$485.25 ,$549.95 ,$549.95 ,$208.65 ,$549.95 ,$208.65 ,$524.07 ,$524.07 ,$524.07 ,$647.00 ,$582.30 ,$511.11 ,$582.30 ,$208.65 ,$647.00 ,$362.97 ,$208.65 ,$267.86 , N/A , N/A ,$218.39 ,$582.30 ,$461.41 ,$358.44 ,$181.16 ,$582.30 ,$208.65 ,$582.30 ,$582.30 ,$208.65 ,$420.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000335,29530,HC STRAPPING KNEE,450,1 ,$185.00 ,$133.20 ,$51.80 ,$258.80 ,$185.00 ,$137.83 ,$121.18 ,$117.03 ,$51.80 ,$113.78 ,$117.03 ,$113.78 ,$117.03 ,$102.49 ,$102.49 ,$117.03 ,$102.49 ,$185.00 ,$166.50 ,$153.55 ,$185.00 ,$117.03 ,$162.80 ,$119.37 ,$138.75 ,$138.75 ,$157.25 ,$157.25 ,$117.03 ,$157.25 ,$117.03 ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 ,$185.00 ,$166.50 ,$117.03 ,$185.00 ,$103.79 ,$117.03 ,$76.59 , N/A , N/A ,$122.50 ,$166.50 ,$258.80 ,$102.49 ,$51.80 ,$166.50 ,$117.03 ,$166.50 ,$166.50 ,$117.03 ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000336,29550,HC STRAPPING TOES,450,1 ,$165.00 ,$118.80 ,$46.20 ,$165.00 ,$141.92 ,$122.93 ,$108.08 ,$57.94 ,$46.20 ,$101.48 ,$57.94 ,$101.48 ,$57.94 ,$91.41 ,$91.41 ,$57.94 ,$91.41 ,$119.42 ,$148.50 ,$136.95 ,$141.92 ,$57.94 ,$145.20 ,$59.09 ,$123.75 ,$123.75 ,$140.25 ,$140.25 ,$57.94 ,$140.25 ,$57.94 ,$133.65 ,$133.65 ,$133.65 ,$165.00 ,$148.50 ,$141.92 ,$148.50 ,$57.94 ,$165.00 ,$92.57 ,$57.94 ,$68.31 , N/A , N/A ,$60.64 ,$148.50 ,$128.12 ,$91.41 ,$46.20 ,$148.50 ,$57.94 ,$148.50 ,$148.50 ,$57.94 ,$107.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,$603.00 ,$434.16 ,$168.84 ,$603.00 ,$513.14 ,$449.24 ,$394.97 ,$209.48 ,$168.84 ,$370.85 ,$209.48 ,$370.85 ,$209.48 ,$334.06 ,$334.06 ,$209.48 ,$334.06 ,$431.79 ,$542.70 ,$500.49 ,$513.14 ,$209.48 ,$530.64 ,$213.68 ,$452.25 ,$452.25 ,$512.55 ,$512.55 ,$209.48 ,$512.55 ,$209.48 ,$488.43 ,$488.43 ,$488.43 ,$603.00 ,$542.70 ,$513.14 ,$542.70 ,$209.48 ,$603.00 ,$338.28 ,$209.48 ,$249.64 , N/A , N/A ,$219.27 ,$542.70 ,$463.24 ,$334.06 ,$168.84 ,$542.70 ,$209.48 ,$542.70 ,$542.70 ,$209.48 ,$391.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,"$3,965.00 ","$2,854.80 ","$1,110.20 ","$3,965.00 ","$3,541.88 ","$2,953.93 ","$2,597.08 ","$1,445.93 ","$1,110.20 ","$2,438.48 ","$1,445.93 ","$2,438.48 ","$1,445.93 ","$2,196.61 ","$2,196.61 ","$1,445.93 ","$2,196.61 ","$2,980.36 ","$3,568.50 ","$3,290.95 ","$3,541.88 ","$1,445.93 ","$3,489.20 ","$1,474.85 ","$2,973.75 ","$2,973.75 ","$3,370.25 ","$3,370.25 ","$1,445.93 ","$3,370.25 ","$1,445.93 ","$3,211.65 ","$3,211.65 ","$3,211.65 ","$3,965.00 ","$3,568.50 ","$3,541.88 ","$3,568.50 ","$1,445.93 ","$3,965.00 ","$2,224.37 ","$1,445.93 ","$1,641.51 ", N/A , N/A ,"$1,513.43 ","$3,568.50 ","$3,197.47 ","$2,196.61 ","$1,110.20 ","$3,568.50 ","$1,445.93 ","$3,568.50 ","$3,568.50 ","$1,445.93 ","$2,577.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$165.00 ,$118.80 ,$46.20 ,$165.00 ,$141.92 ,$122.93 ,$108.08 ,$57.94 ,$46.20 ,$101.48 ,$57.94 ,$101.48 ,$57.94 ,$91.41 ,$91.41 ,$57.94 ,$91.41 ,$119.42 ,$148.50 ,$136.95 ,$141.92 ,$57.94 ,$145.20 ,$59.09 ,$123.75 ,$123.75 ,$140.25 ,$140.25 ,$57.94 ,$140.25 ,$57.94 ,$133.65 ,$133.65 ,$133.65 ,$165.00 ,$148.50 ,$141.92 ,$148.50 ,$57.94 ,$165.00 ,$92.57 ,$57.94 ,$68.31 , N/A , N/A ,$60.64 ,$148.50 ,$128.12 ,$91.41 ,$46.20 ,$148.50 ,$57.94 ,$148.50 ,$148.50 ,$57.94 ,$107.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$165.00 ,$118.80 ,$46.20 ,$165.00 ,$141.92 ,$122.93 ,$108.08 ,$57.94 ,$46.20 ,$101.48 ,$57.94 ,$101.48 ,$57.94 ,$91.41 ,$91.41 ,$57.94 ,$91.41 ,$119.42 ,$148.50 ,$136.95 ,$141.92 ,$57.94 ,$145.20 ,$59.09 ,$123.75 ,$123.75 ,$140.25 ,$140.25 ,$57.94 ,$140.25 ,$57.94 ,$133.65 ,$133.65 ,$133.65 ,$165.00 ,$148.50 ,$141.92 ,$148.50 ,$57.94 ,$165.00 ,$92.57 ,$57.94 ,$68.31 , N/A , N/A ,$60.64 ,$148.50 ,$128.12 ,$91.41 ,$46.20 ,$148.50 ,$57.94 ,$148.50 ,$148.50 ,$57.94 ,$107.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000352,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-50,450,1 ,$248.00 ,$178.56 ,$57.94 ,$248.00 ,$141.92 ,$184.76 ,$162.44 ,$57.94 ,$69.44 ,$152.52 ,$57.94 ,$152.52 ,$57.94 ,$137.39 ,$137.39 ,$57.94 ,$137.39 ,$119.42 ,$223.20 ,$205.84 ,$141.92 ,$57.94 ,$218.24 ,$59.09 ,$186.00 ,$186.00 ,$210.80 ,$210.80 ,$57.94 ,$210.80 ,$57.94 ,$200.88 ,$200.88 ,$200.88 ,$248.00 ,$223.20 ,$141.92 ,$223.20 ,$57.94 ,$248.00 ,$139.13 ,$57.94 ,$102.67 , N/A , N/A ,$60.64 ,$223.20 ,$128.12 ,$137.39 ,$69.44 ,$223.20 ,$57.94 ,$223.20 ,$223.20 ,$57.94 ,$161.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,"$4,676.00 ","$3,366.72 ","$1,309.28 ","$4,676.00 ","$3,673.55 ","$3,483.62 ","$3,062.78 ","$1,499.68 ","$1,309.28 ","$2,875.74 ","$1,499.68 ","$2,875.74 ","$1,499.68 ","$2,590.50 ","$2,590.50 ","$1,499.68 ","$2,590.50 ","$3,091.16 ","$4,208.40 ","$3,881.08 ","$3,673.55 ","$1,499.68 ","$4,114.88 ","$1,529.68 ","$3,507.00 ","$3,507.00 ","$3,974.60 ","$3,974.60 ","$1,499.68 ","$3,974.60 ","$1,499.68 ","$3,787.56 ","$3,787.56 ","$3,787.56 ","$4,676.00 ","$4,208.40 ","$3,673.55 ","$4,208.40 ","$1,499.68 ","$4,676.00 ","$2,623.24 ","$1,499.68 ","$1,935.86 ", N/A , N/A ,"$1,569.70 ","$4,208.40 ","$3,316.34 ","$2,590.50 ","$1,309.28 ","$4,208.40 ","$1,499.68 ","$4,208.40 ","$4,208.40 ","$1,499.68 ","$3,039.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,"$4,676.00 ","$3,366.72 ","$1,309.28 ","$4,676.00 ","$3,673.55 ","$3,483.62 ","$3,062.78 ","$1,499.68 ","$1,309.28 ","$2,875.74 ","$1,499.68 ","$2,875.74 ","$1,499.68 ","$2,590.50 ","$2,590.50 ","$1,499.68 ","$2,590.50 ","$3,091.16 ","$4,208.40 ","$3,881.08 ","$3,673.55 ","$1,499.68 ","$4,114.88 ","$1,529.68 ","$3,507.00 ","$3,507.00 ","$3,974.60 ","$3,974.60 ","$1,499.68 ","$3,974.60 ","$1,499.68 ","$3,787.56 ","$3,787.56 ","$3,787.56 ","$4,676.00 ","$4,208.40 ","$3,673.55 ","$4,208.40 ","$1,499.68 ","$4,676.00 ","$2,623.24 ","$1,499.68 ","$1,935.86 ", N/A , N/A ,"$1,569.70 ","$4,208.40 ","$3,316.34 ","$2,590.50 ","$1,309.28 ","$4,208.40 ","$1,499.68 ","$4,208.40 ","$4,208.40 ","$1,499.68 ","$3,039.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000439,64450,HC INJ ANES OTHER THAN PERIPHERAL-LT,450,1 ,"$1,698.00 ","$1,222.56 ",$475.44 ,"$1,698.00 ","$1,590.90 ","$1,265.01 ","$1,112.19 ",$649.47 ,$475.44 ,"$1,044.27 ",$649.47 ,"$1,044.27 ",$649.47 ,$940.69 ,$940.69 ,$649.47 ,$940.69 ,"$1,338.68 ","$1,528.20 ","$1,409.34 ","$1,590.90 ",$649.47 ,"$1,494.24 ",$662.45 ,"$1,273.50 ","$1,273.50 ","$1,443.30 ","$1,443.30 ",$649.47 ,"$1,443.30 ",$649.47 ,"$1,375.38 ","$1,375.38 ","$1,375.38 ","$1,698.00 ","$1,528.20 ","$1,590.90 ","$1,528.20 ",$649.47 ,"$1,698.00 ",$952.58 ,$649.47 ,$702.97 , N/A , N/A ,$679.79 ,"$1,528.20 ","$1,436.20 ",$940.69 ,$475.44 ,"$1,528.20 ",$649.47 ,"$1,528.20 ","$1,528.20 ",$649.47 ,"$1,103.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000440,64450,HC INJ ANES OTHER THAN PERIPHERAL-RT,450,1 ,"$1,698.00 ","$1,222.56 ",$475.44 ,"$1,698.00 ","$1,590.90 ","$1,265.01 ","$1,112.19 ",$649.47 ,$475.44 ,"$1,044.27 ",$649.47 ,"$1,044.27 ",$649.47 ,$940.69 ,$940.69 ,$649.47 ,$940.69 ,"$1,338.68 ","$1,528.20 ","$1,409.34 ","$1,590.90 ",$649.47 ,"$1,494.24 ",$662.45 ,"$1,273.50 ","$1,273.50 ","$1,443.30 ","$1,443.30 ",$649.47 ,"$1,443.30 ",$649.47 ,"$1,375.38 ","$1,375.38 ","$1,375.38 ","$1,698.00 ","$1,528.20 ","$1,590.90 ","$1,528.20 ",$649.47 ,"$1,698.00 ",$952.58 ,$649.47 ,$702.97 , N/A , N/A ,$679.79 ,"$1,528.20 ","$1,436.20 ",$940.69 ,$475.44 ,"$1,528.20 ",$649.47 ,"$1,528.20 ","$1,528.20 ",$649.47 ,"$1,103.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000451,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-LT,450,1 ,"$1,749.00 ","$1,259.28 ",$489.72 ,"$1,749.00 ","$1,602.33 ","$1,303.01 ","$1,145.60 ",$654.13 ,$489.72 ,"$1,075.64 ",$654.13 ,"$1,075.64 ",$654.13 ,$968.95 ,$968.95 ,$654.13 ,$968.95 ,"$1,348.30 ","$1,574.10 ","$1,451.67 ","$1,602.33 ",$654.13 ,"$1,539.12 ",$667.21 ,"$1,311.75 ","$1,311.75 ","$1,486.65 ","$1,486.65 ",$654.13 ,"$1,486.65 ",$654.13 ,"$1,416.69 ","$1,416.69 ","$1,416.69 ","$1,749.00 ","$1,574.10 ","$1,602.33 ","$1,574.10 ",$654.13 ,"$1,749.00 ",$981.19 ,$654.13 ,$724.09 , N/A , N/A ,$684.67 ,"$1,574.10 ","$1,446.52 ",$968.95 ,$489.72 ,"$1,574.10 ",$654.13 ,"$1,574.10 ","$1,574.10 ",$654.13 ,"$1,136.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000452,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-RT,450,1 ,"$1,749.00 ","$1,259.28 ",$489.72 ,"$1,749.00 ","$1,602.33 ","$1,303.01 ","$1,145.60 ",$654.13 ,$489.72 ,"$1,075.64 ",$654.13 ,"$1,075.64 ",$654.13 ,$968.95 ,$968.95 ,$654.13 ,$968.95 ,"$1,348.30 ","$1,574.10 ","$1,451.67 ","$1,602.33 ",$654.13 ,"$1,539.12 ",$667.21 ,"$1,311.75 ","$1,311.75 ","$1,486.65 ","$1,486.65 ",$654.13 ,"$1,486.65 ",$654.13 ,"$1,416.69 ","$1,416.69 ","$1,416.69 ","$1,749.00 ","$1,574.10 ","$1,602.33 ","$1,574.10 ",$654.13 ,"$1,749.00 ",$981.19 ,$654.13 ,$724.09 , N/A , N/A ,$684.67 ,"$1,574.10 ","$1,446.52 ",$968.95 ,$489.72 ,"$1,574.10 ",$654.13 ,"$1,574.10 ","$1,574.10 ",$654.13 ,"$1,136.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$185.00 ,$133.20 ,$51.80 ,$185.00 ,$141.92 ,$137.83 ,$121.18 ,$57.94 ,$51.80 ,$113.78 ,$57.94 ,$113.78 ,$57.94 ,$102.49 ,$102.49 ,$57.94 ,$102.49 ,$119.42 ,$166.50 ,$153.55 ,$141.92 ,$57.94 ,$162.80 ,$59.09 ,$138.75 ,$138.75 ,$157.25 ,$157.25 ,$57.94 ,$157.25 ,$57.94 ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 ,$141.92 ,$166.50 ,$57.94 ,$185.00 ,$103.79 ,$57.94 ,$76.59 , N/A , N/A ,$60.64 ,$166.50 ,$128.12 ,$102.49 ,$51.80 ,$166.50 ,$57.94 ,$166.50 ,$166.50 ,$57.94 ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$185.00 ,$133.20 ,$51.80 ,$185.00 ,$141.92 ,$137.83 ,$121.18 ,$57.94 ,$51.80 ,$113.78 ,$57.94 ,$113.78 ,$57.94 ,$102.49 ,$102.49 ,$57.94 ,$102.49 ,$119.42 ,$166.50 ,$153.55 ,$141.92 ,$57.94 ,$162.80 ,$59.09 ,$138.75 ,$138.75 ,$157.25 ,$157.25 ,$57.94 ,$157.25 ,$57.94 ,$149.85 ,$149.85 ,$149.85 ,$185.00 ,$166.50 ,$141.92 ,$166.50 ,$57.94 ,$185.00 ,$103.79 ,$57.94 ,$76.59 , N/A , N/A ,$60.64 ,$166.50 ,$128.12 ,$102.49 ,$51.80 ,$166.50 ,$57.94 ,$166.50 ,$166.50 ,$57.94 ,$120.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$29.00 ,$20.88 ,$8.12 ,$258.80 ,$29.00 ,$21.61 ,$19.00 ,$28.42 ,$8.12 ,$17.84 ,$28.42 ,$17.84 ,$28.42 ,$16.07 ,$16.07 ,$28.42 ,$16.07 ,$29.00 ,$26.10 ,$24.07 ,$29.00 ,$28.42 ,$25.52 ,$28.99 ,$21.75 ,$21.75 ,$24.65 ,$24.65 ,$28.42 ,$24.65 ,$28.42 ,$23.49 ,$23.49 ,$23.49 ,$29.00 ,$26.10 ,$29.00 ,$26.10 ,$28.42 ,$29.00 ,$16.27 ,$28.42 ,$12.01 , N/A , N/A ,$28.42 ,$26.10 ,$258.80 ,$16.07 ,$8.12 ,$26.10 ,$28.42 ,$26.10 ,$26.10 ,$28.42 ,$18.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000498,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-BIL,450,1 ,$278.00 ,$200.16 ,$57.94 ,$278.00 ,$141.92 ,$207.11 ,$182.09 ,$57.94 ,$77.84 ,$170.97 ,$57.94 ,$170.97 ,$57.94 ,$154.01 ,$154.01 ,$57.94 ,$154.01 ,$119.42 ,$250.20 ,$230.74 ,$141.92 ,$57.94 ,$244.64 ,$59.09 ,$208.50 ,$208.50 ,$236.30 ,$236.30 ,$57.94 ,$236.30 ,$57.94 ,$225.18 ,$225.18 ,$225.18 ,$278.00 ,$250.20 ,$141.92 ,$250.20 ,$57.94 ,$278.00 ,$155.96 ,$57.94 ,$115.09 , N/A , N/A ,$60.64 ,$250.20 ,$128.12 ,$154.01 ,$77.84 ,$250.20 ,$57.94 ,$250.20 ,$250.20 ,$57.94 ,$180.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000500,57200,HC REPAIR SUTURE VAGINA COLPORRHAPHY,450,1 ,"$5,538.00 ","$3,987.36 ","$1,550.64 ","$6,302.22 ","$5,538.00 ","$4,125.81 ","$3,627.39 ","$2,849.93 ","$1,550.64 ","$3,405.87 ","$2,849.93 ","$3,405.87 ","$2,849.93 ","$3,068.05 ","$3,068.05 ","$2,849.93 ","$3,068.05 ","$5,538.00 ","$4,984.20 ","$4,596.54 ","$5,538.00 ","$2,849.93 ","$4,873.44 ","$2,906.92 ","$4,153.50 ","$4,153.50 ","$4,707.30 ","$4,707.30 ","$2,849.93 ","$4,707.30 ","$2,849.93 ","$4,485.78 ","$4,485.78 ","$4,485.78 ","$5,538.00 ","$4,984.20 ","$5,538.00 ","$4,984.20 ","$2,849.93 ","$5,538.00 ","$3,106.82 ","$2,849.93 ","$2,292.73 ", N/A , N/A ,"$2,982.98 ","$4,984.20 ","$6,302.22 ","$3,068.05 ","$1,550.64 ","$4,984.20 ","$2,849.93 ","$4,984.20 ","$4,984.20 ","$2,849.93 ","$3,599.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000513,29580,HC APPLY UNNA BOOT-LT,450,1 ,$404.00 ,$290.88 ,$113.12 ,$404.00 ,$359.89 ,$300.98 ,$264.62 ,$146.92 ,$113.12 ,$248.46 ,$146.92 ,$248.46 ,$146.92 ,$223.82 ,$223.82 ,$146.92 ,$223.82 ,$302.83 ,$363.60 ,$335.32 ,$359.89 ,$146.92 ,$355.52 ,$149.86 ,$303.00 ,$303.00 ,$343.40 ,$343.40 ,$146.92 ,$343.40 ,$146.92 ,$327.24 ,$327.24 ,$327.24 ,$404.00 ,$363.60 ,$359.89 ,$363.60 ,$146.92 ,$404.00 ,$226.64 ,$146.92 ,$167.26 , N/A , N/A ,$153.78 ,$363.60 ,$324.89 ,$223.82 ,$113.12 ,$363.60 ,$146.92 ,$363.60 ,$363.60 ,$146.92 ,$262.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000514,29580,HC APPLY UNNA BOOT-RT,450,1 ,$404.00 ,$290.88 ,$113.12 ,$404.00 ,$359.89 ,$300.98 ,$264.62 ,$146.92 ,$113.12 ,$248.46 ,$146.92 ,$248.46 ,$146.92 ,$223.82 ,$223.82 ,$146.92 ,$223.82 ,$302.83 ,$363.60 ,$335.32 ,$359.89 ,$146.92 ,$355.52 ,$149.86 ,$303.00 ,$303.00 ,$343.40 ,$343.40 ,$146.92 ,$343.40 ,$146.92 ,$327.24 ,$327.24 ,$327.24 ,$404.00 ,$363.60 ,$359.89 ,$363.60 ,$146.92 ,$404.00 ,$226.64 ,$146.92 ,$167.26 , N/A , N/A ,$153.78 ,$363.60 ,$324.89 ,$223.82 ,$113.12 ,$363.60 ,$146.92 ,$363.60 ,$363.60 ,$146.92 ,$262.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,"$7,014.00 ","$5,050.08 ","$1,963.92 ","$7,014.00 ","$7,014.00 ","$5,225.43 ","$4,594.17 ","$3,002.66 ","$1,963.92 ","$4,313.61 ","$3,002.66 ","$4,313.61 ","$3,002.66 ","$3,885.76 ","$3,885.76 ","$3,002.66 ","$3,885.76 ","$6,189.11 ","$6,312.60 ","$5,821.62 ","$7,014.00 ","$3,002.66 ","$6,172.32 ","$3,062.72 ","$5,260.50 ","$5,260.50 ","$5,961.90 ","$5,961.90 ","$3,002.66 ","$5,961.90 ","$3,002.66 ","$5,681.34 ","$5,681.34 ","$5,681.34 ","$7,014.00 ","$6,312.60 ","$7,014.00 ","$6,312.60 ","$3,002.66 ","$7,014.00 ","$3,934.85 ","$3,002.66 ","$2,903.80 ", N/A , N/A ,"$3,142.84 ","$6,312.60 ","$6,639.97 ","$3,885.76 ","$1,963.92 ","$6,312.60 ","$3,002.66 ","$6,312.60 ","$6,312.60 ","$3,002.66 ","$4,559.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$404.00 ,$290.88 ,$113.12 ,$404.00 ,$359.89 ,$300.98 ,$264.62 ,$146.92 ,$113.12 ,$248.46 ,$146.92 ,$248.46 ,$146.92 ,$223.82 ,$223.82 ,$146.92 ,$223.82 ,$302.83 ,$363.60 ,$335.32 ,$359.89 ,$146.92 ,$355.52 ,$149.86 ,$303.00 ,$303.00 ,$343.40 ,$343.40 ,$146.92 ,$343.40 ,$146.92 ,$327.24 ,$327.24 ,$327.24 ,$404.00 ,$363.60 ,$359.89 ,$363.60 ,$146.92 ,$404.00 ,$226.64 ,$146.92 ,$167.26 , N/A , N/A ,$153.78 ,$363.60 ,$324.89 ,$223.82 ,$113.12 ,$363.60 ,$146.92 ,$363.60 ,$363.60 ,$146.92 ,$262.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$404.00 ,$290.88 ,$113.12 ,$404.00 ,$359.89 ,$300.98 ,$264.62 ,$146.92 ,$113.12 ,$248.46 ,$146.92 ,$248.46 ,$146.92 ,$223.82 ,$223.82 ,$146.92 ,$223.82 ,$302.83 ,$363.60 ,$335.32 ,$359.89 ,$146.92 ,$355.52 ,$149.86 ,$303.00 ,$303.00 ,$343.40 ,$343.40 ,$146.92 ,$343.40 ,$146.92 ,$327.24 ,$327.24 ,$327.24 ,$404.00 ,$363.60 ,$359.89 ,$363.60 ,$146.92 ,$404.00 ,$226.64 ,$146.92 ,$167.26 , N/A , N/A ,$153.78 ,$363.60 ,$324.89 ,$223.82 ,$113.12 ,$363.60 ,$146.92 ,$363.60 ,$363.60 ,$146.92 ,$262.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$5,105.61 ","$3,676.04 ","$1,429.57 ","$5,105.61 ","$4,579.76 ","$3,803.68 ","$3,344.17 ","$1,869.63 ","$1,429.57 ","$3,139.95 ","$1,869.63 ","$3,139.95 ","$1,869.63 ","$2,828.51 ","$2,828.51 ","$1,869.63 ","$2,828.51 ","$3,853.70 ","$4,595.05 ","$4,237.66 ","$4,579.76 ","$1,869.63 ","$4,492.94 ","$1,907.03 ","$3,829.21 ","$3,829.21 ","$4,339.77 ","$4,339.77 ","$1,869.63 ","$4,339.77 ","$1,869.63 ","$4,135.54 ","$4,135.54 ","$4,135.54 ","$5,105.61 ","$4,595.05 ","$4,579.76 ","$4,595.05 ","$1,869.63 ","$5,105.61 ","$2,864.25 ","$1,869.63 ","$2,113.72 ", N/A , N/A ,"$1,956.91 ","$4,595.05 ","$4,134.43 ","$2,828.51 ","$1,429.57 ","$4,595.05 ","$1,869.63 ","$4,595.05 ","$4,595.05 ","$1,869.63 ","$3,318.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001169,54235,HC INJ PENILE W/RX AGENT,450,1 ,$757.83 ,$545.64 ,$212.19 ,$757.83 ,$530.52 ,$564.58 ,$496.38 ,$216.58 ,$212.19 ,$466.07 ,$216.58 ,$466.07 ,$216.58 ,$419.84 ,$419.84 ,$216.58 ,$419.84 ,$446.41 ,$682.05 ,$629.00 ,$530.52 ,$216.58 ,$666.89 ,$220.91 ,$568.37 ,$568.37 ,$644.16 ,$644.16 ,$216.58 ,$644.16 ,$216.58 ,$613.84 ,$613.84 ,$613.84 ,$757.83 ,$682.05 ,$530.52 ,$682.05 ,$216.58 ,$757.83 ,$425.14 ,$216.58 ,$313.74 , N/A , N/A ,$226.69 ,$682.05 ,$478.93 ,$419.84 ,$212.19 ,$682.05 ,$216.58 ,$682.05 ,$682.05 ,$216.58 ,$492.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,"$3,964.77 ","$2,854.63 ","$1,110.14 ","$3,964.77 ","$3,541.88 ","$2,953.75 ","$2,596.92 ","$1,445.93 ","$1,110.14 ","$2,438.33 ","$1,445.93 ","$2,438.33 ","$1,445.93 ","$2,196.48 ","$2,196.48 ","$1,445.93 ","$2,196.48 ","$2,980.36 ","$3,568.29 ","$3,290.76 ","$3,541.88 ","$1,445.93 ","$3,489.00 ","$1,474.85 ","$2,973.58 ","$2,973.58 ","$3,370.05 ","$3,370.05 ","$1,445.93 ","$3,370.05 ","$1,445.93 ","$3,211.46 ","$3,211.46 ","$3,211.46 ","$3,964.77 ","$3,568.29 ","$3,541.88 ","$3,568.29 ","$1,445.93 ","$3,964.77 ","$2,224.24 ","$1,445.93 ","$1,641.41 ", N/A , N/A ,"$1,513.43 ","$3,568.29 ","$3,197.47 ","$2,196.48 ","$1,110.14 ","$3,568.29 ","$1,445.93 ","$3,568.29 ","$3,568.29 ","$1,445.93 ","$2,577.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001273,23675,HC TX FX DISLOC SHOULDER W/PROX HUM W/MANIP,450,1 ,"$3,886.00 ","$2,797.92 ","$1,088.08 ","$3,886.00 ","$3,541.88 ","$2,895.07 ","$2,545.33 ","$1,445.93 ","$1,088.08 ","$2,389.89 ","$1,445.93 ","$2,389.89 ","$1,445.93 ","$2,152.84 ","$2,152.84 ","$1,445.93 ","$2,152.84 ","$2,980.36 ","$3,497.40 ","$3,225.38 ","$3,541.88 ","$1,445.93 ","$3,419.68 ","$1,474.85 ","$2,914.50 ","$2,914.50 ","$3,303.10 ","$3,303.10 ","$1,445.93 ","$3,303.10 ","$1,445.93 ","$3,147.66 ","$3,147.66 ","$3,147.66 ","$3,886.00 ","$3,497.40 ","$3,541.88 ","$3,497.40 ","$1,445.93 ","$3,886.00 ","$2,180.05 ","$1,445.93 ","$1,608.80 ", N/A , N/A ,"$1,513.43 ","$3,497.40 ","$3,197.47 ","$2,152.84 ","$1,088.08 ","$3,497.40 ","$1,445.93 ","$3,497.40 ","$3,497.40 ","$1,445.93 ","$2,525.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001277,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED,450,1 ,"$3,965.00 ","$2,854.80 ","$1,110.20 ","$3,965.00 ","$3,541.88 ","$2,953.93 ","$2,597.08 ","$1,445.93 ","$1,110.20 ","$2,438.48 ","$1,445.93 ","$2,438.48 ","$1,445.93 ","$2,196.61 ","$2,196.61 ","$1,445.93 ","$2,196.61 ","$2,980.36 ","$3,568.50 ","$3,290.95 ","$3,541.88 ","$1,445.93 ","$3,489.20 ","$1,474.85 ","$2,973.75 ","$2,973.75 ","$3,370.25 ","$3,370.25 ","$1,445.93 ","$3,370.25 ","$1,445.93 ","$3,211.65 ","$3,211.65 ","$3,211.65 ","$3,965.00 ","$3,568.50 ","$3,541.88 ","$3,568.50 ","$1,445.93 ","$3,965.00 ","$2,224.37 ","$1,445.93 ","$1,641.51 ", N/A , N/A ,"$1,513.43 ","$3,568.50 ","$3,197.47 ","$2,196.61 ","$1,110.20 ","$3,568.50 ","$1,445.93 ","$3,568.50 ","$3,568.50 ","$1,445.93 ","$2,577.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001281,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED,450,1 ,"$3,964.77 ","$2,854.63 ","$1,110.14 ","$3,964.77 ","$3,541.88 ","$2,953.75 ","$2,596.92 ","$1,445.93 ","$1,110.14 ","$2,438.33 ","$1,445.93 ","$2,438.33 ","$1,445.93 ","$2,196.48 ","$2,196.48 ","$1,445.93 ","$2,196.48 ","$2,980.36 ","$3,568.29 ","$3,290.76 ","$3,541.88 ","$1,445.93 ","$3,489.00 ","$1,474.85 ","$2,973.58 ","$2,973.58 ","$3,370.05 ","$3,370.05 ","$1,445.93 ","$3,370.05 ","$1,445.93 ","$3,211.46 ","$3,211.46 ","$3,211.46 ","$3,964.77 ","$3,568.29 ","$3,541.88 ","$3,568.29 ","$1,445.93 ","$3,964.77 ","$2,224.24 ","$1,445.93 ","$1,641.41 ", N/A , N/A ,"$1,513.43 ","$3,568.29 ","$3,197.47 ","$2,196.48 ","$1,110.14 ","$3,568.29 ","$1,445.93 ","$3,568.29 ","$3,568.29 ","$1,445.93 ","$2,577.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$3,094.00 ","$2,227.68 ",$866.32 ,"$3,197.47 ","$3,094.00 ","$2,305.03 ","$2,026.57 ","$1,445.93 ",$866.32 ,"$1,902.81 ","$1,445.93 ","$1,902.81 ","$1,445.93 ","$1,714.08 ","$1,714.08 ","$1,445.93 ","$1,714.08 ","$2,980.36 ","$2,784.60 ","$2,568.02 ","$3,094.00 ","$1,445.93 ","$2,722.72 ","$1,474.85 ","$2,320.50 ","$2,320.50 ","$2,629.90 ","$2,629.90 ","$1,445.93 ","$2,629.90 ","$1,445.93 ","$2,506.14 ","$2,506.14 ","$2,506.14 ","$3,094.00 ","$2,784.60 ","$3,094.00 ","$2,784.60 ","$1,445.93 ","$3,094.00 ","$1,735.73 ","$1,445.93 ","$1,280.92 ", N/A , N/A ,"$1,513.43 ","$2,784.60 ","$3,197.47 ","$1,714.08 ",$866.32 ,"$2,784.60 ","$1,445.93 ","$2,784.60 ","$2,784.60 ","$1,445.93 ","$2,011.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001298,27816,HC TX FX CLOSED TRIMALLEOLAR ANKLE W/O MANIP,450,1 ,$587.00 ,$422.64 ,$164.36 ,$587.00 ,$511.11 ,$437.32 ,$384.49 ,$208.65 ,$164.36 ,$361.01 ,$208.65 ,$361.01 ,$208.65 ,$325.20 ,$325.20 ,$208.65 ,$325.20 ,$430.08 ,$528.30 ,$487.21 ,$511.11 ,$208.65 ,$516.56 ,$212.83 ,$440.25 ,$440.25 ,$498.95 ,$498.95 ,$208.65 ,$498.95 ,$208.65 ,$475.47 ,$475.47 ,$475.47 ,$587.00 ,$528.30 ,$511.11 ,$528.30 ,$208.65 ,$587.00 ,$329.31 ,$208.65 ,$243.02 , N/A , N/A ,$218.39 ,$528.30 ,$461.41 ,$325.20 ,$164.36 ,$528.30 ,$208.65 ,$528.30 ,$528.30 ,$208.65 ,$381.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001305,28435,HC TX FX CLOSED TALUS W/MANIP,450,1 ,"$4,119.54 ","$2,966.07 ","$1,153.47 ","$4,119.54 ","$3,541.88 ","$3,069.06 ","$2,698.30 ","$1,445.93 ","$1,153.47 ","$2,533.52 ","$1,445.93 ","$2,533.52 ","$1,445.93 ","$2,282.23 ","$2,282.23 ","$1,445.93 ","$2,282.23 ","$2,980.36 ","$3,707.59 ","$3,419.22 ","$3,541.88 ","$1,445.93 ","$3,625.20 ","$1,474.85 ","$3,089.66 ","$3,089.66 ","$3,501.61 ","$3,501.61 ","$1,445.93 ","$3,501.61 ","$1,445.93 ","$3,336.83 ","$3,336.83 ","$3,336.83 ","$4,119.54 ","$3,707.59 ","$3,541.88 ","$3,707.59 ","$1,445.93 ","$4,119.54 ","$2,311.06 ","$1,445.93 ","$1,705.49 ", N/A , N/A ,"$1,513.43 ","$3,707.59 ","$3,197.47 ","$2,282.23 ","$1,153.47 ","$3,707.59 ","$1,445.93 ","$3,707.59 ","$3,707.59 ","$1,445.93 ","$2,677.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001317,67935,HC REPAIR EYELID WOUND FULL THICKNESS,450,1 ,"$5,548.00 ","$3,994.56 ","$1,553.44 ","$5,548.00 ","$5,220.08 ","$4,133.26 ","$3,633.94 ","$2,131.04 ","$1,553.44 ","$3,412.02 ","$2,131.04 ","$3,412.02 ","$2,131.04 ","$3,073.59 ","$3,073.59 ","$2,131.04 ","$3,073.59 ","$4,392.50 ","$4,993.20 ","$4,604.84 ","$5,220.08 ","$2,131.04 ","$4,882.24 ","$2,173.66 ","$4,161.00 ","$4,161.00 ","$4,715.80 ","$4,715.80 ","$2,131.04 ","$4,715.80 ","$2,131.04 ","$4,493.88 ","$4,493.88 ","$4,493.88 ","$5,548.00 ","$4,993.20 ","$5,220.08 ","$4,993.20 ","$2,131.04 ","$5,548.00 ","$3,112.43 ","$2,131.04 ","$2,296.87 ", N/A , N/A ,"$2,230.52 ","$4,993.20 ","$4,712.49 ","$3,073.59 ","$1,553.44 ","$4,993.20 ","$2,131.04 ","$4,993.20 ","$4,993.20 ","$2,131.04 ","$3,606.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$672.00 ,$483.84 ,$188.16 ,$672.00 ,$530.52 ,$500.64 ,$440.16 ,$216.58 ,$188.16 ,$413.28 ,$216.58 ,$413.28 ,$216.58 ,$372.29 ,$372.29 ,$216.58 ,$372.29 ,$446.41 ,$604.80 ,$557.76 ,$530.52 ,$216.58 ,$591.36 ,$220.91 ,$504.00 ,$504.00 ,$571.20 ,$571.20 ,$216.58 ,$571.20 ,$216.58 ,$544.32 ,$544.32 ,$544.32 ,$672.00 ,$604.80 ,$530.52 ,$604.80 ,$216.58 ,$672.00 ,$376.99 ,$216.58 ,$278.21 , N/A , N/A ,$226.69 ,$604.80 ,$478.93 ,$372.29 ,$188.16 ,$604.80 ,$216.58 ,$604.80 ,$604.80 ,$216.58 ,$436.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001332,43763,HC REPLACE GASTRO TUBE PERC W/REVISE TRACT,450,1 ,$948.75 ,$683.10 ,$216.58 ,$948.75 ,$530.52 ,$706.82 ,$621.43 ,$216.58 ,$265.65 ,$583.48 ,$216.58 ,$583.48 ,$216.58 ,$525.61 ,$525.61 ,$216.58 ,$525.61 ,$446.41 ,$853.88 ,$787.46 ,$530.52 ,$216.58 ,$834.90 ,$220.91 ,$711.56 ,$711.56 ,$806.44 ,$806.44 ,$216.58 ,$806.44 ,$216.58 ,$768.49 ,$768.49 ,$768.49 ,$948.75 ,$853.88 ,$530.52 ,$853.88 ,$216.58 ,$948.75 ,$532.25 ,$216.58 ,$392.78 , N/A , N/A ,$226.69 ,$853.88 ,$478.93 ,$525.61 ,$265.65 ,$853.88 ,$216.58 ,$853.88 ,$853.88 ,$216.58 ,$616.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001341,42720,HC I AND D ABSCESS PHARYNGEAL INTRAORAL APPROACH,450,1 ,"$7,858.00 ","$5,657.76 ","$2,200.24 ","$7,858.00 ","$7,024.48 ","$5,854.21 ","$5,146.99 ","$2,867.66 ","$2,200.24 ","$4,832.67 ","$2,867.66 ","$4,832.67 ","$2,867.66 ","$4,353.33 ","$4,353.33 ","$2,867.66 ","$4,353.33 ","$5,910.83 ","$7,072.20 ","$6,522.14 ","$7,024.48 ","$2,867.66 ","$6,915.04 ","$2,925.01 ","$5,893.50 ","$5,893.50 ","$6,679.30 ","$6,679.30 ","$2,867.66 ","$6,679.30 ","$2,867.66 ","$6,364.98 ","$6,364.98 ","$6,364.98 ","$7,858.00 ","$7,072.20 ","$7,024.48 ","$7,072.20 ","$2,867.66 ","$7,858.00 ","$4,408.34 ","$2,867.66 ","$3,253.21 ", N/A , N/A ,"$3,001.53 ","$7,072.20 ","$6,341.43 ","$4,353.33 ","$2,200.24 ","$7,072.20 ","$2,867.66 ","$7,072.20 ","$7,072.20 ","$2,867.66 ","$5,107.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001347,27503,HC CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,450,1 ,"$3,886.00 ","$2,797.92 ","$1,088.08 ","$3,886.00 ","$3,541.88 ","$2,895.07 ","$2,545.33 ","$1,445.93 ","$1,088.08 ","$2,389.89 ","$1,445.93 ","$2,389.89 ","$1,445.93 ","$2,152.84 ","$2,152.84 ","$1,445.93 ","$2,152.84 ","$2,980.36 ","$3,497.40 ","$3,225.38 ","$3,541.88 ","$1,445.93 ","$3,419.68 ","$1,474.85 ","$2,914.50 ","$2,914.50 ","$3,303.10 ","$3,303.10 ","$1,445.93 ","$3,303.10 ","$1,445.93 ","$3,147.66 ","$3,147.66 ","$3,147.66 ","$3,886.00 ","$3,497.40 ","$3,541.88 ","$3,497.40 ","$1,445.93 ","$3,886.00 ","$2,180.05 ","$1,445.93 ","$1,608.80 ", N/A , N/A ,"$1,513.43 ","$3,497.40 ","$3,197.47 ","$2,152.84 ","$1,088.08 ","$3,497.40 ","$1,445.93 ","$3,497.40 ","$3,497.40 ","$1,445.93 ","$2,525.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001350,P9612,HC STRAIGHT CATH FOR URINE SPECIMEN,450,1 ,$265.65 ,$191.27 ,$9.00 ,$265.65 ,$22.03 ,$197.91 ,$174.00 ,$9.00 ,$74.38 ,$163.37 ,$9.00 ,$163.37 ,$9.00 ,$147.17 ,$147.17 ,$9.00 ,$147.17 ,$18.54 ,$239.09 ,$220.49 ,$22.03 ,$9.00 ,$233.77 ,$9.17 ,$199.24 ,$199.24 ,$225.80 ,$225.80 ,$9.00 ,$225.80 ,$9.00 ,$215.18 ,$215.18 ,$215.18 ,$265.65 ,$239.09 ,$22.03 ,$239.09 ,$9.00 ,$265.65 ,$149.03 ,$9.00 ,$109.98 , N/A , N/A ,$9.42 ,$239.09 ,$19.89 ,$147.17 ,$74.38 ,$239.09 ,$9.00 ,$239.09 ,$239.09 ,$9.00 ,$172.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001352,26545,HC RECONSTRUCT FINGER JOINT,450,1 ,"$7,847.00 ","$5,649.84 ","$2,197.16 ","$7,847.00 ","$7,349.48 ","$5,846.02 ","$5,139.79 ","$3,000.34 ","$2,197.16 ","$4,825.91 ","$3,000.34 ","$4,825.91 ","$3,000.34 ","$4,347.24 ","$4,347.24 ","$3,000.34 ","$4,347.24 ","$6,184.31 ","$7,062.30 ","$6,513.01 ","$7,349.48 ","$3,000.34 ","$6,905.36 ","$3,060.34 ","$5,885.25 ","$5,885.25 ","$6,669.95 ","$6,669.95 ","$3,000.34 ","$6,669.95 ","$3,000.34 ","$6,356.07 ","$6,356.07 ","$6,356.07 ","$7,847.00 ","$7,062.30 ","$7,349.48 ","$7,062.30 ","$3,000.34 ","$7,847.00 ","$4,402.17 ","$3,000.34 ","$3,248.66 ", N/A , N/A ,"$3,140.41 ","$7,062.30 ","$6,634.82 ","$4,347.24 ","$2,197.16 ","$7,062.30 ","$3,000.34 ","$7,062.30 ","$7,062.30 ","$3,000.34 ","$5,100.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001355,25660,HC CLTX RDCRPL/INTERCARPL DISLC 1 >BONES W MAN,450,1 ,$587.13 ,$422.73 ,$164.40 ,$587.13 ,$511.11 ,$437.41 ,$384.57 ,$208.65 ,$164.40 ,$361.09 ,$208.65 ,$361.09 ,$208.65 ,$325.27 ,$325.27 ,$208.65 ,$325.27 ,$430.08 ,$528.42 ,$487.32 ,$511.11 ,$208.65 ,$516.67 ,$212.83 ,$440.35 ,$440.35 ,$499.06 ,$499.06 ,$208.65 ,$499.06 ,$208.65 ,$475.58 ,$475.58 ,$475.58 ,$587.13 ,$528.42 ,$511.11 ,$528.42 ,$208.65 ,$587.13 ,$329.38 ,$208.65 ,$243.07 , N/A , N/A ,$218.39 ,$528.42 ,$461.41 ,$325.27 ,$164.40 ,$528.42 ,$208.65 ,$528.42 ,$528.42 ,$208.65 ,$381.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,072.14 ",$771.94 ,$300.20 ,"$1,072.14 ",$931.17 ,$798.74 ,$702.25 ,$380.14 ,$300.20 ,$659.37 ,$380.14 ,$659.37 ,$380.14 ,$593.97 ,$593.97 ,$380.14 ,$593.97 ,$783.55 ,$964.93 ,$889.88 ,$931.17 ,$380.14 ,$943.48 ,$387.75 ,$804.11 ,$804.11 ,$911.32 ,$911.32 ,$380.14 ,$911.32 ,$380.14 ,$868.43 ,$868.43 ,$868.43 ,"$1,072.14 ",$964.93 ,$931.17 ,$964.93 ,$380.14 ,"$1,072.14 ",$601.47 ,$380.14 ,$443.87 , N/A , N/A ,$397.89 ,$964.93 ,$840.63 ,$593.97 ,$300.20 ,$964.93 ,$380.14 ,$964.93 ,$964.93 ,$380.14 ,$696.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001367,15853,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.28 ,$1.00 , N/A ,$0.75 ,$0.66 , N/A ,$0.28 ,$0.62 , N/A ,$0.62 , N/A ,$0.55 ,$0.55 , N/A ,$0.55 , N/A ,$0.90 ,$0.83 , N/A , N/A ,$0.88 , N/A ,$0.75 ,$0.75 ,$0.85 ,$0.85 , N/A ,$0.85 , N/A ,$0.81 ,$0.81 ,$0.81 ,$1.00 ,$0.90 , N/A ,$0.90 , N/A ,$1.00 ,$0.56 , N/A ,$0.41 , N/A , N/A , N/A ,$0.90 , N/A ,$0.55 ,$0.28 ,$0.90 , N/A ,$0.90 ,$0.90 , N/A ,$0.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45001368,15854,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.28 ,$1.00 , N/A ,$0.75 ,$0.66 , N/A ,$0.28 ,$0.62 , N/A ,$0.62 , N/A ,$0.55 ,$0.55 , N/A ,$0.55 , N/A ,$0.90 ,$0.83 , N/A , N/A ,$0.88 , N/A ,$0.75 ,$0.75 ,$0.85 ,$0.85 , N/A ,$0.85 , N/A ,$0.81 ,$0.81 ,$0.81 ,$1.00 ,$0.90 , N/A ,$0.90 , N/A ,$1.00 ,$0.56 , N/A ,$0.41 , N/A , N/A , N/A ,$0.90 , N/A ,$0.55 ,$0.28 ,$0.90 , N/A ,$0.90 ,$0.90 , N/A ,$0.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45080003,59409,HC DELIVERY VAGINAL,450,1 ,"$3,252.00 ","$2,341.44 ",$910.56 ,"$6,302.22 ","$3,252.00 ","$2,422.74 ","$2,130.06 ","$2,849.93 ",$910.56 ,"$1,999.98 ","$2,849.93 ","$1,999.98 ","$2,849.93 ","$1,801.61 ","$1,801.61 ","$2,849.93 ","$1,801.61 ","$3,252.00 ","$2,926.80 ","$2,699.16 ","$3,252.00 ","$2,849.93 ","$2,861.76 ","$2,906.92 ","$2,439.00 ","$2,439.00 ","$2,764.20 ","$2,764.20 ","$2,849.93 ","$2,764.20 ","$2,849.93 ","$2,634.12 ","$2,634.12 ","$2,634.12 ","$3,252.00 ","$2,926.80 ","$3,252.00 ","$2,926.80 ","$2,849.93 ","$3,252.00 ","$1,824.37 ","$2,849.93 ","$1,346.33 ", N/A , N/A ,"$2,982.98 ","$2,926.80 ","$6,302.22 ","$1,801.61 ",$910.56 ,"$2,926.80 ","$2,849.93 ","$2,926.80 ","$2,926.80 ","$2,849.93 ","$2,113.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),45080004,23605,HC CLOSED RX PROX HUMERUS FX MANIP,450,1 ,"$4,267.53 ","$3,072.62 ","$1,194.91 ","$4,267.53 ","$3,541.88 ","$3,179.31 ","$2,795.23 ","$1,445.93 ","$1,194.91 ","$2,624.53 ","$1,445.93 ","$2,624.53 ","$1,445.93 ","$2,364.21 ","$2,364.21 ","$1,445.93 ","$2,364.21 ","$2,980.36 ","$3,840.78 ","$3,542.05 ","$3,541.88 ","$1,445.93 ","$3,755.43 ","$1,474.85 ","$3,200.65 ","$3,200.65 ","$3,627.40 ","$3,627.40 ","$1,445.93 ","$3,627.40 ","$1,445.93 ","$3,456.70 ","$3,456.70 ","$3,456.70 ","$4,267.53 ","$3,840.78 ","$3,541.88 ","$3,840.78 ","$1,445.93 ","$4,267.53 ","$2,394.08 ","$1,445.93 ","$1,766.76 ", N/A , N/A ,"$1,513.43 ","$3,840.78 ","$3,197.47 ","$2,364.21 ","$1,194.91 ","$3,840.78 ","$1,445.93 ","$3,840.78 ","$3,840.78 ","$1,445.93 ","$2,773.89 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$150.00 ,$108.00 ,$42.00 ,$324.16 ,$150.00 ,$111.75 ,$98.25 ,$146.59 ,$42.00 ,$92.25 ,$146.59 ,$92.25 ,$146.59 ,$83.10 ,$83.10 ,$146.59 ,$83.10 ,$150.00 ,$135.00 ,$124.50 ,$150.00 ,$146.59 ,$132.00 ,$149.52 ,$112.50 ,$112.50 ,$127.50 ,$127.50 ,$146.59 ,$127.50 ,$146.59 ,$121.50 ,$121.50 ,$121.50 ,$150.00 ,$135.00 ,$150.00 ,$135.00 ,$146.59 ,$150.00 ,$84.15 ,$146.59 ,$62.10 ,$55.36 ,$52.85 ,$147.00 ,$135.00 ,$324.16 ,$83.10 ,$42.00 ,$135.00 ,$146.59 ,$135.00 ,$135.00 ,$146.59 ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000004,94060,HC SPIROMETRY/PFT PRE  AND  POST,460,1 ,$574.00 ,$413.28 ,$52.85 ,$624.24 ,$574.00 ,$427.63 ,$375.97 ,$282.29 ,$160.72 ,$353.01 ,$282.29 ,$353.01 ,$282.29 ,$318.00 ,$318.00 ,$282.29 ,$318.00 ,$574.00 ,$516.60 ,$476.42 ,$574.00 ,$282.29 ,$505.12 ,$287.93 ,$430.50 ,$430.50 ,$487.90 ,$487.90 ,$282.29 ,$487.90 ,$282.29 ,$464.94 ,$464.94 ,$464.94 ,$574.00 ,$516.60 ,$574.00 ,$516.60 ,$282.29 ,$574.00 ,$322.01 ,$282.29 ,$237.64 ,$55.36 ,$52.85 ,$295.47 ,$516.60 ,$624.24 ,$318.00 ,$160.72 ,$516.60 ,$282.29 ,$516.60 ,$516.60 ,$282.29 ,$373.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,"$1,430.00 ","$1,029.60 ",$161.48 ,"$1,430.00 ",$691.48 ,"$1,065.35 ",$936.65 ,$282.29 ,$400.40 ,$879.45 ,$282.29 ,$879.45 ,$282.29 ,$792.22 ,$792.22 ,$282.29 ,$792.22 ,$581.85 ,"$1,287.00 ","$1,186.90 ",$691.48 ,$282.29 ,"$1,258.40 ",$287.93 ,"$1,072.50 ","$1,072.50 ","$1,215.50 ","$1,215.50 ",$282.29 ,"$1,215.50 ",$282.29 ,"$1,158.30 ","$1,158.30 ","$1,158.30 ","$1,430.00 ","$1,287.00 ",$691.48 ,"$1,287.00 ",$282.29 ,"$1,430.00 ",$802.23 ,$282.29 ,$592.02 ,$169.17 ,$161.48 ,$295.47 ,"$1,287.00 ",$624.24 ,$792.22 ,$400.40 ,"$1,287.00 ",$282.29 ,"$1,287.00 ","$1,287.00 ",$282.29 ,$929.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$415.00 ,$298.80 ,$52.85 ,$415.00 ,$359.07 ,$309.18 ,$271.83 ,$146.59 ,$116.20 ,$255.23 ,$146.59 ,$255.23 ,$146.59 ,$229.91 ,$229.91 ,$146.59 ,$229.91 ,$302.15 ,$373.50 ,$344.45 ,$359.07 ,$146.59 ,$365.20 ,$149.52 ,$311.25 ,$311.25 ,$352.75 ,$352.75 ,$146.59 ,$352.75 ,$146.59 ,$336.15 ,$336.15 ,$336.15 ,$415.00 ,$373.50 ,$359.07 ,$373.50 ,$146.59 ,$415.00 ,$232.82 ,$146.59 ,$171.81 ,$55.36 ,$52.85 ,$153.43 ,$373.50 ,$324.16 ,$229.91 ,$116.20 ,$373.50 ,$146.59 ,$373.50 ,$373.50 ,$146.59 ,$269.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$293.00 ,$210.96 ,$52.85 ,$624.24 ,$293.00 ,$218.29 ,$191.92 ,$282.29 ,$82.04 ,$180.20 ,$282.29 ,$180.20 ,$282.29 ,$162.32 ,$162.32 ,$282.29 ,$162.32 ,$293.00 ,$263.70 ,$243.19 ,$293.00 ,$282.29 ,$257.84 ,$287.93 ,$219.75 ,$219.75 ,$249.05 ,$249.05 ,$282.29 ,$249.05 ,$282.29 ,$237.33 ,$237.33 ,$237.33 ,$293.00 ,$263.70 ,$293.00 ,$263.70 ,$282.29 ,$293.00 ,$164.37 ,$282.29 ,$121.30 ,$55.36 ,$52.85 ,$287.14 ,$263.70 ,$624.24 ,$162.32 ,$82.04 ,$263.70 ,$282.29 ,$263.70 ,$263.70 ,$282.29 ,$190.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000014,94618,HC WALK TEST 6 MIN,460,1 ,$456.00 ,$328.32 ,$117.03 ,$456.00 ,$286.68 ,$339.72 ,$298.68 ,$117.03 ,$127.68 ,$280.44 ,$117.03 ,$280.44 ,$117.03 ,$252.62 ,$252.62 ,$117.03 ,$252.62 ,$241.23 ,$410.40 ,$378.48 ,$286.68 ,$117.03 ,$401.28 ,$119.37 ,$342.00 ,$342.00 ,$387.60 ,$387.60 ,$117.03 ,$387.60 ,$117.03 ,$369.36 ,$369.36 ,$369.36 ,$456.00 ,$410.40 ,$286.68 ,$410.40 ,$117.03 ,$456.00 ,$255.82 ,$117.03 ,$188.78 ,$169.17 ,$161.48 ,$122.50 ,$410.40 ,$258.80 ,$252.62 ,$127.68 ,$410.40 ,$117.03 ,$410.40 ,$410.40 ,$117.03 ,$296.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$204.00 ,$146.88 ,$52.85 ,$204.00 , N/A ,$151.98 ,$133.62 , N/A ,$57.12 ,$125.46 , N/A ,$125.46 , N/A ,$113.02 ,$113.02 , N/A ,$113.02 , N/A ,$183.60 ,$169.32 , N/A , N/A ,$179.52 , N/A ,$153.00 ,$153.00 ,$173.40 ,$173.40 , N/A ,$173.40 , N/A ,$165.24 ,$165.24 ,$165.24 ,$204.00 ,$183.60 , N/A ,$183.60 , N/A ,$204.00 ,$114.44 , N/A ,$84.46 ,$55.36 ,$52.85 , N/A ,$183.60 , N/A ,$113.02 ,$57.12 ,$183.60 , N/A ,$183.60 ,$183.60 , N/A ,$132.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),46000021,94760,HC PULSE OX SINGLE,460,1 ,$70.00 ,$50.40 ,$19.60 ,$70.00 , N/A ,$52.15 ,$45.85 , N/A ,$19.60 ,$43.05 , N/A ,$43.05 , N/A ,$38.78 ,$38.78 , N/A ,$38.78 , N/A ,$63.00 ,$58.10 , N/A , N/A ,$61.60 , N/A ,$52.50 ,$52.50 ,$59.50 ,$59.50 , N/A ,$59.50 , N/A ,$56.70 ,$56.70 ,$56.70 ,$70.00 ,$63.00 , N/A ,$63.00 , N/A ,$70.00 ,$39.27 , N/A ,$28.98 , N/A , N/A , N/A ,$63.00 , N/A ,$38.78 ,$19.60 ,$63.00 , N/A ,$63.00 ,$63.00 , N/A ,$45.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),47000001,92587,HC DISTORTION EVOKED POTENT LTD,470,1 ,$48.00 ,$34.56 ,$13.44 ,$624.24 ,$48.00 ,$35.76 ,$31.44 ,$47.04 ,$13.44 ,$29.52 ,$47.04 ,$29.52 ,$47.04 ,$26.59 ,$26.59 ,$47.04 ,$26.59 ,$48.00 ,$43.20 ,$39.84 ,$48.00 ,$47.04 ,$42.24 ,$47.98 ,$36.00 ,$36.00 ,$40.80 ,$40.80 ,$47.04 ,$40.80 ,$47.04 ,$38.88 ,$38.88 ,$38.88 ,$48.00 ,$43.20 ,$48.00 ,$43.20 ,$47.04 ,$48.00 ,$26.93 ,$47.04 ,$19.87 ,$48.00 ,$48.00 ,$47.04 ,$43.20 ,$624.24 ,$26.59 ,$13.44 ,$43.20 ,$47.04 ,$43.20 ,$43.20 ,$47.04 ,$31.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),47000003,92586,HC NEWBORN HEARING SCREENING,470,1 ,$415.00 ,$298.80 ,$116.20 ,$415.00 , N/A ,$309.18 ,$271.83 , N/A ,$116.20 ,$255.23 , N/A ,$255.23 , N/A ,$229.91 ,$229.91 , N/A ,$229.91 , N/A ,$373.50 ,$344.45 , N/A , N/A ,$365.20 , N/A ,$311.25 ,$311.25 ,$352.75 ,$352.75 , N/A ,$352.75 , N/A ,$336.15 ,$336.15 ,$336.15 ,$415.00 ,$373.50 , N/A ,$373.50 , N/A ,$415.00 ,$232.82 , N/A ,$171.81 , N/A , N/A , N/A ,$373.50 , N/A ,$229.91 ,$116.20 ,$373.50 , N/A ,$373.50 ,$373.50 , N/A ,$269.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),47100009,92558,HC AUD EVOKED OTOACOUS EMISSIONS SCREENING,471,1 ,$253.00 ,$182.16 ,$70.84 ,$253.00 , N/A ,$188.49 ,$165.72 , N/A ,$70.84 ,$155.60 , N/A ,$155.60 , N/A ,$140.16 ,$140.16 , N/A ,$140.16 , N/A ,$227.70 ,$209.99 , N/A , N/A ,$222.64 , N/A ,$189.75 ,$189.75 ,$215.05 ,$215.05 , N/A ,$215.05 , N/A ,$204.93 ,$204.93 ,$204.93 ,$253.00 ,$227.70 , N/A ,$227.70 , N/A ,$253.00 ,$141.93 , N/A ,$104.74 ,$102.20 ,$97.56 , N/A ,$227.70 , N/A ,$140.16 ,$70.84 ,$227.70 , N/A ,$227.70 ,$227.70 , N/A ,$164.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$1,627.00 ","$1,171.44 ",$430.57 ,"$1,627.00 ","$1,452.14 ","$1,212.12 ","$1,065.69 ",$592.82 ,$455.56 ,"$1,000.61 ",$592.82 ,"$1,000.61 ",$592.82 ,$901.36 ,$901.36 ,$592.82 ,$901.36 ,"$1,221.92 ","$1,464.30 ","$1,350.41 ","$1,452.14 ",$592.82 ,"$1,431.76 ",$604.68 ,"$1,220.25 ","$1,220.25 ","$1,382.95 ","$1,382.95 ",$592.82 ,"$1,382.95 ",$592.82 ,"$1,317.87 ","$1,317.87 ","$1,317.87 ","$1,627.00 ","$1,464.30 ","$1,452.14 ","$1,464.30 ",$592.82 ,"$1,627.00 ",$912.75 ,$592.82 ,$673.58 ,$451.08 ,$430.57 ,$620.50 ,"$1,464.30 ","$1,310.93 ",$901.36 ,$455.56 ,"$1,464.30 ",$592.82 ,"$1,464.30 ","$1,464.30 ",$592.82 ,"$1,057.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48000008,G0269,HC PLACE OCCLUSIVE DEVICE A/VV G0269,480,1 ,"$1,135.00 ",$817.20 ,$317.80 ,"$1,135.00 ", N/A ,$845.58 ,$743.43 , N/A ,$317.80 ,$698.03 , N/A ,$698.03 , N/A ,$628.79 ,$628.79 , N/A ,$628.79 , N/A ,"$1,021.50 ",$942.05 , N/A , N/A ,$998.80 , N/A ,$851.25 ,$851.25 ,$964.75 ,$964.75 , N/A ,$964.75 , N/A ,$919.35 ,$919.35 ,$919.35 ,"$1,135.00 ","$1,021.50 ", N/A ,"$1,021.50 ", N/A ,"$1,135.00 ",$636.74 , N/A ,$469.89 , N/A , N/A , N/A ,"$1,021.50 ", N/A ,$628.79 ,$317.80 ,"$1,021.50 ", N/A ,"$1,021.50 ","$1,021.50 ", N/A ,$737.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48000023,93799,HC RECORDER CARDIOGRAM REAL TIME,480,1 ,$374.85 ,$269.89 ,$18.20 ,$374.85 ,$359.07 ,$279.26 ,$245.53 ,$146.59 ,$104.96 ,$230.53 ,$146.59 ,$230.53 ,$146.59 ,$207.67 ,$207.67 ,$146.59 ,$207.67 ,$302.15 ,$337.37 ,$311.13 ,$359.07 ,$146.59 ,$329.87 ,$149.52 ,$281.14 ,$281.14 ,$318.62 ,$318.62 ,$146.59 ,$318.62 ,$146.59 ,$303.63 ,$303.63 ,$303.63 ,$374.85 ,$337.37 ,$359.07 ,$337.37 ,$146.59 ,$374.85 ,$210.29 ,$146.59 ,$155.19 ,$19.06 ,$18.20 ,$153.43 ,$337.37 ,$324.16 ,$207.67 ,$104.96 ,$337.37 ,$146.59 ,$337.37 ,$337.37 ,$146.59 ,$243.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48000024,93668,HC PAD REHAB PER SESSION,480,1 ,$158.00 ,$113.76 ,$44.24 ,$158.00 ,$141.92 ,$117.71 ,$103.49 ,$57.94 ,$44.24 ,$97.17 ,$57.94 ,$97.17 ,$57.94 ,$87.53 ,$87.53 ,$57.94 ,$87.53 ,$119.42 ,$142.20 ,$131.14 ,$141.92 ,$57.94 ,$139.04 ,$59.09 ,$118.50 ,$118.50 ,$134.30 ,$134.30 ,$57.94 ,$134.30 ,$57.94 ,$127.98 ,$127.98 ,$127.98 ,$158.00 ,$142.20 ,$141.92 ,$142.20 ,$57.94 ,$158.00 ,$88.64 ,$57.94 ,$65.41 ,$158.00 ,$158.00 ,$60.64 ,$142.20 ,$128.12 ,$87.53 ,$44.24 ,$142.20 ,$57.94 ,$142.20 ,$142.20 ,$57.94 ,$102.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100002,33206,HC INS/REPL PCMKR PERM ATRIAL 33206,481,1 ,"$18,303.00 ","$13,178.16 ","$5,124.84 ","$23,022.30 ","$18,303.00 ","$13,635.74 ","$11,988.47 ","$10,410.92 ","$5,124.84 ","$11,256.35 ","$10,410.92 ","$11,256.35 ","$10,410.92 ","$10,139.86 ","$10,139.86 ","$10,410.92 ","$10,139.86 ","$18,303.00 ","$16,472.70 ","$15,191.49 ","$18,303.00 ","$10,410.92 ","$16,106.64 ","$10,619.14 ","$13,727.25 ","$13,727.25 ","$15,557.55 ","$15,557.55 ","$10,410.92 ","$15,557.55 ","$10,410.92 ","$14,825.43 ","$14,825.43 ","$14,825.43 ","$18,303.00 ","$16,472.70 ","$18,303.00 ","$16,472.70 ","$10,410.92 ","$18,303.00 ","$10,267.98 ","$10,410.92 ","$7,577.44 ","$5,955.71 ","$5,684.99 ","$10,896.96 ","$16,472.70 ","$23,022.30 ","$10,139.86 ","$5,124.84 ","$16,472.70 ","$10,410.92 ","$16,472.70 ","$16,472.70 ","$10,410.92 ","$11,896.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100003,33207,HC INS/REPL PACEMKR PERM VENTRIC 33207,481,1 ,"$18,303.00 ","$13,178.16 ","$5,124.84 ","$23,022.30 ","$18,303.00 ","$13,635.74 ","$11,988.47 ","$10,410.92 ","$5,124.84 ","$11,256.35 ","$10,410.92 ","$11,256.35 ","$10,410.92 ","$10,139.86 ","$10,139.86 ","$10,410.92 ","$10,139.86 ","$18,303.00 ","$16,472.70 ","$15,191.49 ","$18,303.00 ","$10,410.92 ","$16,106.64 ","$10,619.14 ","$13,727.25 ","$13,727.25 ","$15,557.55 ","$15,557.55 ","$10,410.92 ","$15,557.55 ","$10,410.92 ","$14,825.43 ","$14,825.43 ","$14,825.43 ","$18,303.00 ","$16,472.70 ","$18,303.00 ","$16,472.70 ","$10,410.92 ","$18,303.00 ","$10,267.98 ","$10,410.92 ","$7,577.44 ","$5,955.71 ","$5,684.99 ","$10,896.96 ","$16,472.70 ","$23,022.30 ","$10,139.86 ","$5,124.84 ","$16,472.70 ","$10,410.92 ","$16,472.70 ","$16,472.70 ","$10,410.92 ","$11,896.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100004,33208,HC INS/REPL PACEMKR PERM A/V 33208,481,1 ,"$19,937.00 ","$14,354.64 ","$5,582.36 ","$23,022.30 ","$19,937.00 ","$14,853.07 ","$13,058.74 ","$10,410.92 ","$5,582.36 ","$12,261.26 ","$10,410.92 ","$12,261.26 ","$10,410.92 ","$11,045.10 ","$11,045.10 ","$10,410.92 ","$11,045.10 ","$19,937.00 ","$17,943.30 ","$16,547.71 ","$19,937.00 ","$10,410.92 ","$17,544.56 ","$10,619.14 ","$14,952.75 ","$14,952.75 ","$16,946.45 ","$16,946.45 ","$10,410.92 ","$16,946.45 ","$10,410.92 ","$16,148.97 ","$16,148.97 ","$16,148.97 ","$19,937.00 ","$17,943.30 ","$19,937.00 ","$17,943.30 ","$10,410.92 ","$19,937.00 ","$11,184.66 ","$10,410.92 ","$8,253.92 ","$5,955.71 ","$5,684.99 ","$10,896.96 ","$17,943.30 ","$23,022.30 ","$11,045.10 ","$5,582.36 ","$17,943.30 ","$10,410.92 ","$17,943.30 ","$17,943.30 ","$10,410.92 ","$12,959.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100005,33210,HC INS/REPL TPM SGL ELEC/CATH 33210,481,1 ,"$2,715.00 ","$1,954.80 ",$760.20 ,"$18,194.40 ","$2,715.00 ","$2,022.68 ","$1,778.33 ","$2,660.70 ",$760.20 ,"$1,669.73 ","$2,660.70 ","$1,669.73 ","$2,660.70 ","$1,504.11 ","$1,504.11 ","$2,660.70 ","$1,504.11 ","$2,715.00 ","$2,443.50 ","$2,253.45 ","$2,715.00 ","$2,660.70 ","$2,389.20 ","$2,713.91 ","$2,036.25 ","$2,036.25 ","$2,307.75 ","$2,307.75 ","$2,660.70 ","$2,307.75 ","$2,660.70 ","$2,199.15 ","$2,199.15 ","$2,199.15 ","$2,715.00 ","$2,443.50 ","$2,715.00 ","$2,443.50 ","$2,660.70 ","$2,715.00 ","$1,523.12 ","$2,660.70 ","$1,124.01 ","$2,306.93 ","$2,202.07 ","$2,660.70 ","$2,443.50 ","$18,194.40 ","$1,504.11 ",$760.20 ,"$2,443.50 ","$2,660.70 ","$2,443.50 ","$2,443.50 ","$2,660.70 ","$1,764.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100006,33212,HC INS PULSE GEN SGL CHAMBER 33212,481,1 ,"$19,879.00 ","$14,312.88 ","$5,566.12 ","$19,879.00 ","$19,879.00 ","$14,809.86 ","$13,020.75 ","$8,227.70 ","$5,566.12 ","$12,225.59 ","$8,227.70 ","$12,225.59 ","$8,227.70 ","$11,012.97 ","$11,012.97 ","$8,227.70 ","$11,012.97 ","$16,958.97 ","$17,891.10 ","$16,499.57 ","$19,879.00 ","$8,227.70 ","$17,493.52 ","$8,392.25 ","$14,909.25 ","$14,909.25 ","$16,897.15 ","$16,897.15 ","$8,227.70 ","$16,897.15 ","$8,227.70 ","$16,101.99 ","$16,101.99 ","$16,101.99 ","$19,879.00 ","$17,891.10 ","$19,879.00 ","$17,891.10 ","$8,227.70 ","$19,879.00 ","$11,152.12 ","$8,227.70 ","$8,229.91 ","$5,955.71 ","$5,684.99 ","$8,611.81 ","$17,891.10 ","$18,194.40 ","$11,012.97 ","$5,566.12 ","$17,891.10 ","$8,227.70 ","$17,891.10 ","$17,891.10 ","$8,227.70 ","$12,921.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100007,33213,HC INS PULSE GEN DUAL CHAMBER 33213,481,1 ,"$27,525.00 ","$19,818.00 ","$5,684.99 ","$27,525.00 ","$25,502.09 ","$20,506.13 ","$18,028.88 ","$10,410.92 ","$7,707.00 ","$16,927.88 ","$10,410.92 ","$16,927.88 ","$10,410.92 ","$15,248.85 ","$15,248.85 ","$10,410.92 ","$15,248.85 ","$21,459.05 ","$24,772.50 ","$22,845.75 ","$25,502.09 ","$10,410.92 ","$24,222.00 ","$10,619.14 ","$20,643.75 ","$20,643.75 ","$23,396.25 ","$23,396.25 ","$10,410.92 ","$23,396.25 ","$10,410.92 ","$22,295.25 ","$22,295.25 ","$22,295.25 ","$27,525.00 ","$24,772.50 ","$25,502.09 ","$24,772.50 ","$10,410.92 ","$27,525.00 ","$15,441.53 ","$10,410.92 ","$11,395.35 ","$5,955.71 ","$5,684.99 ","$10,896.96 ","$24,772.50 ","$23,022.30 ","$15,248.85 ","$7,707.00 ","$24,772.50 ","$10,410.92 ","$24,772.50 ","$24,772.50 ","$10,410.92 ","$17,891.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100008,33214,HC UPGRADE PACEMAKER SYSTEM 33214,481,1 ,"$27,525.00 ","$19,818.00 ","$5,684.99 ","$27,525.00 ","$25,502.09 ","$20,506.13 ","$18,028.88 ","$10,410.92 ","$7,707.00 ","$16,927.88 ","$10,410.92 ","$16,927.88 ","$10,410.92 ","$15,248.85 ","$15,248.85 ","$10,410.92 ","$15,248.85 ","$21,459.05 ","$24,772.50 ","$22,845.75 ","$25,502.09 ","$10,410.92 ","$24,222.00 ","$10,619.14 ","$20,643.75 ","$20,643.75 ","$23,396.25 ","$23,396.25 ","$10,410.92 ","$23,396.25 ","$10,410.92 ","$22,295.25 ","$22,295.25 ","$22,295.25 ","$27,525.00 ","$24,772.50 ","$25,502.09 ","$24,772.50 ","$10,410.92 ","$27,525.00 ","$15,441.53 ","$10,410.92 ","$11,395.35 ","$5,955.71 ","$5,684.99 ","$10,896.96 ","$24,772.50 ","$23,022.30 ","$15,248.85 ","$7,707.00 ","$24,772.50 ","$10,410.92 ","$24,772.50 ","$24,772.50 ","$10,410.92 ","$17,891.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100010,33216,HC INS ELECTRODE SGL CHAMBER 33216,481,1 ,"$19,879.00 ","$14,312.88 ","$2,202.07 ","$19,879.00 ","$19,879.00 ","$14,809.86 ","$13,020.75 ","$8,227.70 ","$5,566.12 ","$12,225.59 ","$8,227.70 ","$12,225.59 ","$8,227.70 ","$11,012.97 ","$11,012.97 ","$8,227.70 ","$11,012.97 ","$16,958.97 ","$17,891.10 ","$16,499.57 ","$19,879.00 ","$8,227.70 ","$17,493.52 ","$8,392.25 ","$14,909.25 ","$14,909.25 ","$16,897.15 ","$16,897.15 ","$8,227.70 ","$16,897.15 ","$8,227.70 ","$16,101.99 ","$16,101.99 ","$16,101.99 ","$19,879.00 ","$17,891.10 ","$19,879.00 ","$17,891.10 ","$8,227.70 ","$19,879.00 ","$11,152.12 ","$8,227.70 ","$8,229.91 ","$2,306.93 ","$2,202.07 ","$8,611.81 ","$17,891.10 ","$18,194.40 ","$11,012.97 ","$5,566.12 ","$17,891.10 ","$8,227.70 ","$17,891.10 ","$17,891.10 ","$8,227.70 ","$12,921.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100011,33217,HC INS ELECTRODE DUAL CHAMBER 33217,481,1 ,"$19,879.00 ","$14,312.88 ","$2,202.07 ","$19,879.00 ","$19,879.00 ","$14,809.86 ","$13,020.75 ","$8,227.70 ","$5,566.12 ","$12,225.59 ","$8,227.70 ","$12,225.59 ","$8,227.70 ","$11,012.97 ","$11,012.97 ","$8,227.70 ","$11,012.97 ","$16,958.97 ","$17,891.10 ","$16,499.57 ","$19,879.00 ","$8,227.70 ","$17,493.52 ","$8,392.25 ","$14,909.25 ","$14,909.25 ","$16,897.15 ","$16,897.15 ","$8,227.70 ","$16,897.15 ","$8,227.70 ","$16,101.99 ","$16,101.99 ","$16,101.99 ","$19,879.00 ","$17,891.10 ","$19,879.00 ","$17,891.10 ","$8,227.70 ","$19,879.00 ","$11,152.12 ","$8,227.70 ","$8,229.91 ","$2,306.93 ","$2,202.07 ","$8,611.81 ","$17,891.10 ","$18,194.40 ","$11,012.97 ","$5,566.12 ","$17,891.10 ","$8,227.70 ","$17,891.10 ","$17,891.10 ","$8,227.70 ","$12,921.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100014,33224,HC INSERT LV PACING ELECTRODE 33224,481,1 ,"$27,525.00 ","$19,818.00 ","$7,585.99 ","$27,525.00 ","$25,502.09 ","$20,506.13 ","$18,028.88 ","$10,410.92 ","$7,707.00 ","$16,927.88 ","$10,410.92 ","$16,927.88 ","$10,410.92 ","$15,248.85 ","$15,248.85 ","$10,410.92 ","$15,248.85 ","$21,459.05 ","$24,772.50 ","$22,845.75 ","$25,502.09 ","$10,410.92 ","$24,222.00 ","$10,619.14 ","$20,643.75 ","$20,643.75 ","$23,396.25 ","$23,396.25 ","$10,410.92 ","$23,396.25 ","$10,410.92 ","$22,295.25 ","$22,295.25 ","$22,295.25 ","$27,525.00 ","$24,772.50 ","$25,502.09 ","$24,772.50 ","$10,410.92 ","$27,525.00 ","$15,441.53 ","$10,410.92 ","$11,395.35 ","$7,947.23 ","$7,585.99 ","$10,896.96 ","$24,772.50 ","$23,022.30 ","$15,248.85 ","$7,707.00 ","$24,772.50 ","$10,410.92 ","$24,772.50 ","$24,772.50 ","$10,410.92 ","$17,891.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100015,33225,HC INS LV PACING ELCT W/C-D/PACE 33225,481,1 ,"$11,262.00 ","$8,108.64 ","$3,153.36 ","$11,262.00 ", N/A ,"$8,390.19 ","$7,376.61 ", N/A ,"$3,153.36 ","$6,926.13 ", N/A ,"$6,926.13 ", N/A ,"$6,239.15 ","$6,239.15 ", N/A ,"$6,239.15 ", N/A ,"$10,135.80 ","$9,347.46 ", N/A , N/A ,"$9,910.56 ", N/A ,"$8,446.50 ","$8,446.50 ","$9,572.70 ","$9,572.70 ", N/A ,"$9,572.70 ", N/A ,"$9,122.22 ","$9,122.22 ","$9,122.22 ","$11,262.00 ","$10,135.80 ", N/A ,"$10,135.80 ", N/A ,"$11,262.00 ","$6,317.98 ", N/A ,"$4,662.47 ", N/A , N/A , N/A ,"$10,135.80 ", N/A ,"$6,239.15 ","$3,153.36 ","$10,135.80 ", N/A ,"$10,135.80 ","$10,135.80 ", N/A ,"$7,320.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100016,33226,HC REPOSITION LV ELECTRODE 33226,481,1 ,"$7,447.00 ","$5,361.84 ","$2,085.16 ","$7,447.00 ","$7,355.18 ","$5,548.02 ","$4,877.79 ","$3,002.66 ","$2,085.16 ","$4,579.91 ","$3,002.66 ","$4,579.91 ","$3,002.66 ","$4,125.64 ","$4,125.64 ","$3,002.66 ","$4,125.64 ","$6,189.11 ","$6,702.30 ","$6,181.01 ","$7,355.18 ","$3,002.66 ","$6,553.36 ","$3,062.72 ","$5,585.25 ","$5,585.25 ","$6,329.95 ","$6,329.95 ","$3,002.66 ","$6,329.95 ","$3,002.66 ","$6,032.07 ","$6,032.07 ","$6,032.07 ","$7,447.00 ","$6,702.30 ","$7,355.18 ","$6,702.30 ","$3,002.66 ","$7,447.00 ","$4,177.77 ","$3,002.66 ","$3,083.06 ","$4,310.64 ","$4,114.70 ","$3,142.84 ","$6,702.30 ","$6,639.97 ","$4,125.64 ","$2,085.16 ","$6,702.30 ","$3,002.66 ","$6,702.30 ","$6,702.30 ","$3,002.66 ","$4,840.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100024,33249,HC INS/REPOS DEFIB LEAD/GEN 33249,481,1 ,"$31,436.00 ","$22,633.92 ","$8,802.08 ","$71,496.51 ","$31,436.00 ","$23,419.82 ","$20,590.58 ","$30,807.28 ","$8,802.08 ","$19,333.14 ","$30,807.28 ","$19,333.14 ","$30,807.28 ","$17,415.54 ","$17,415.54 ","$30,807.28 ","$17,415.54 ","$31,436.00 ","$28,292.40 ","$26,091.88 ","$31,436.00 ","$30,807.28 ","$27,663.68 ","$31,423.43 ","$23,577.00 ","$23,577.00 ","$26,720.60 ","$26,720.60 ","$30,807.28 ","$26,720.60 ","$30,807.28 ","$25,463.16 ","$25,463.16 ","$25,463.16 ","$31,436.00 ","$28,292.40 ","$31,436.00 ","$28,292.40 ","$30,807.28 ","$31,436.00 ","$17,635.60 ","$30,807.28 ","$13,014.50 ","$17,083.74 ","$16,307.20 ","$30,807.28 ","$28,292.40 ","$71,496.51 ","$17,415.54 ","$8,802.08 ","$28,292.40 ","$30,807.28 ","$28,292.40 ","$28,292.40 ","$30,807.28 ","$20,433.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100028,33285,HC IMPLANT CARDIAC EVENT RECORDER,481,1 ,"$21,733.00 ","$15,647.76 ","$2,813.58 ","$21,733.00 ","$20,154.16 ","$16,191.09 ","$14,235.12 ","$8,227.70 ","$6,085.24 ","$13,365.80 ","$8,227.70 ","$13,365.80 ","$8,227.70 ","$12,040.08 ","$12,040.08 ","$8,227.70 ","$12,040.08 ","$16,958.97 ","$19,559.70 ","$18,038.39 ","$20,154.16 ","$8,227.70 ","$19,125.04 ","$8,392.25 ","$16,299.75 ","$16,299.75 ","$18,473.05 ","$18,473.05 ","$8,227.70 ","$18,473.05 ","$8,227.70 ","$17,603.73 ","$17,603.73 ","$17,603.73 ","$21,733.00 ","$19,559.70 ","$20,154.16 ","$19,559.70 ","$8,227.70 ","$21,733.00 ","$12,192.21 ","$8,227.70 ","$8,997.46 ","$2,947.56 ","$2,813.58 ","$8,611.81 ","$19,559.70 ","$18,194.40 ","$12,040.08 ","$6,085.24 ","$19,559.70 ","$8,227.70 ","$19,559.70 ","$19,559.70 ","$8,227.70 ","$14,126.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100029,33286,HC REMOVE CARDIAC EVENT RECORDER,481,1 ,"$2,796.00 ","$2,013.12 ",$455.42 ,"$2,796.00 ","$1,602.33 ","$2,083.02 ","$1,831.38 ",$654.13 ,$782.88 ,"$1,719.54 ",$654.13 ,"$1,719.54 ",$654.13 ,"$1,548.98 ","$1,548.98 ",$654.13 ,"$1,548.98 ","$1,348.30 ","$2,516.40 ","$2,320.68 ","$1,602.33 ",$654.13 ,"$2,460.48 ",$667.21 ,"$2,097.00 ","$2,097.00 ","$2,376.60 ","$2,376.60 ",$654.13 ,"$2,376.60 ",$654.13 ,"$2,264.76 ","$2,264.76 ","$2,264.76 ","$2,796.00 ","$2,516.40 ","$1,602.33 ","$2,516.40 ",$654.13 ,"$2,796.00 ","$1,568.56 ",$654.13 ,"$1,157.54 ",$477.10 ,$455.42 ,$684.67 ,"$2,516.40 ","$1,446.52 ","$1,548.98 ",$782.88 ,"$2,516.40 ",$654.13 ,"$2,516.40 ","$2,516.40 ",$654.13 ,"$1,817.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100030,33967,HC IABP INSERTION 33967,481,1 ,"$6,123.00 ","$4,408.56 ","$1,714.44 ","$6,123.00 ", N/A ,"$4,561.64 ","$4,010.57 ", N/A ,"$1,714.44 ","$3,765.65 ", N/A ,"$3,765.65 ", N/A ,"$3,392.14 ","$3,392.14 ", N/A ,"$3,392.14 ", N/A ,"$5,510.70 ","$5,082.09 ", N/A , N/A ,"$5,388.24 ", N/A ,"$4,592.25 ","$4,592.25 ","$5,204.55 ","$5,204.55 ", N/A ,"$5,204.55 ", N/A ,"$4,959.63 ","$4,959.63 ","$4,959.63 ","$6,123.00 ","$5,510.70 ", N/A ,"$5,510.70 ", N/A ,"$6,123.00 ","$3,435.00 ", N/A ,"$2,534.92 ", N/A , N/A , N/A ,"$5,510.70 ", N/A ,"$3,392.14 ","$1,714.44 ","$5,510.70 ", N/A ,"$5,510.70 ","$5,510.70 ", N/A ,"$3,979.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100039,36010,HC INTRO CATH VENA CAVA SUP/IN,481,1 ,"$2,572.56 ","$1,852.24 ",$720.32 ,"$2,572.56 ", N/A ,"$1,916.56 ","$1,685.03 ", N/A ,$720.32 ,"$1,582.12 ", N/A ,"$1,582.12 ", N/A ,"$1,425.20 ","$1,425.20 ", N/A ,"$1,425.20 ", N/A ,"$2,315.30 ","$2,135.22 ", N/A , N/A ,"$2,263.85 ", N/A ,"$1,929.42 ","$1,929.42 ","$2,186.68 ","$2,186.68 ", N/A ,"$2,186.68 ", N/A ,"$2,083.77 ","$2,083.77 ","$2,083.77 ","$2,572.56 ","$2,315.30 ", N/A ,"$2,315.30 ", N/A ,"$2,572.56 ","$1,443.21 ", N/A ,"$1,065.04 ","$1,981.07 ","$1,891.02 ", N/A ,"$2,315.30 ", N/A ,"$1,425.20 ",$720.32 ,"$2,315.30 ", N/A ,"$2,315.30 ","$2,315.30 ", N/A ,"$1,672.16 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100040,36011,"HC CATH PLCMT VENOUS, 1ST ORDER",481,1 ,"$1,925.00 ","$1,386.00 ",$539.00 ,"$1,925.00 ", N/A ,"$1,434.13 ","$1,260.88 ", N/A ,$539.00 ,"$1,183.88 ", N/A ,"$1,183.88 ", N/A ,"$1,066.45 ","$1,066.45 ", N/A ,"$1,066.45 ", N/A ,"$1,732.50 ","$1,597.75 ", N/A , N/A ,"$1,694.00 ", N/A ,"$1,443.75 ","$1,443.75 ","$1,636.25 ","$1,636.25 ", N/A ,"$1,636.25 ", N/A ,"$1,559.25 ","$1,559.25 ","$1,559.25 ","$1,925.00 ","$1,732.50 ", N/A ,"$1,732.50 ", N/A ,"$1,925.00 ","$1,079.93 ", N/A ,$796.95 ,"$1,925.00 ","$1,891.02 ", N/A ,"$1,732.50 ", N/A ,"$1,066.45 ",$539.00 ,"$1,732.50 ", N/A ,"$1,732.50 ","$1,732.50 ", N/A ,"$1,251.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100040,36011,"HC CATH PLCMT VENOUS, 1ST ORDER",481,1 ,"$2,888.00 ","$2,079.36 ",$808.64 ,"$2,888.00 ", N/A ,"$2,151.56 ","$1,891.64 ", N/A ,$808.64 ,"$1,776.12 ", N/A ,"$1,776.12 ", N/A ,"$1,599.95 ","$1,599.95 ", N/A ,"$1,599.95 ", N/A ,"$2,599.20 ","$2,397.04 ", N/A , N/A ,"$2,541.44 ", N/A ,"$2,166.00 ","$2,166.00 ","$2,454.80 ","$2,454.80 ", N/A ,"$2,454.80 ", N/A ,"$2,339.28 ","$2,339.28 ","$2,339.28 ","$2,888.00 ","$2,599.20 ", N/A ,"$2,599.20 ", N/A ,"$2,888.00 ","$1,620.17 ", N/A ,"$1,195.63 ","$2,888.00 ","$2,836.52 ", N/A ,"$2,599.20 ", N/A ,"$1,599.95 ",$808.64 ,"$2,599.20 ", N/A ,"$2,599.20 ","$2,599.20 ", N/A ,"$1,877.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100041,36012,"HC CATH PLCMT VENOUS, 2ND ORDER",481,1 ,"$2,216.00 ","$1,595.52 ",$620.48 ,"$2,216.00 ", N/A ,"$1,650.92 ","$1,451.48 ", N/A ,$620.48 ,"$1,362.84 ", N/A ,"$1,362.84 ", N/A ,"$1,227.66 ","$1,227.66 ", N/A ,"$1,227.66 ", N/A ,"$1,994.40 ","$1,839.28 ", N/A , N/A ,"$1,950.08 ", N/A ,"$1,662.00 ","$1,662.00 ","$1,883.60 ","$1,883.60 ", N/A ,"$1,883.60 ", N/A ,"$1,794.96 ","$1,794.96 ","$1,794.96 ","$2,216.00 ","$1,994.40 ", N/A ,"$1,994.40 ", N/A ,"$2,216.00 ","$1,243.18 ", N/A ,$917.42 ,"$1,981.07 ","$1,891.02 ", N/A ,"$1,994.40 ", N/A ,"$1,227.66 ",$620.48 ,"$1,994.40 ", N/A ,"$1,994.40 ","$1,994.40 ", N/A ,"$1,440.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100041,36012,"HC CATH PLCMT VENOUS, 2ND ORDER",481,1 ,"$3,323.00 ","$2,392.56 ",$930.44 ,"$3,323.00 ", N/A ,"$2,475.64 ","$2,176.57 ", N/A ,$930.44 ,"$2,043.65 ", N/A ,"$2,043.65 ", N/A ,"$1,840.94 ","$1,840.94 ", N/A ,"$1,840.94 ", N/A ,"$2,990.70 ","$2,758.09 ", N/A , N/A ,"$2,924.24 ", N/A ,"$2,492.25 ","$2,492.25 ","$2,824.55 ","$2,824.55 ", N/A ,"$2,824.55 ", N/A ,"$2,691.63 ","$2,691.63 ","$2,691.63 ","$3,323.00 ","$2,990.70 ", N/A ,"$2,990.70 ", N/A ,"$3,323.00 ","$1,864.20 ", N/A ,"$1,375.72 ","$2,971.60 ","$2,836.52 ", N/A ,"$2,990.70 ", N/A ,"$1,840.94 ",$930.44 ,"$2,990.70 ", N/A ,"$2,990.70 ","$2,990.70 ", N/A ,"$2,159.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100047,36140,HC INTRO NDL/CATH ARTERY EXTREM 36140,481,1 ,"$2,587.95 ","$1,863.32 ",$724.63 ,"$2,587.95 ", N/A ,"$1,928.02 ","$1,695.11 ", N/A ,$724.63 ,"$1,591.59 ", N/A ,"$1,591.59 ", N/A ,"$1,433.72 ","$1,433.72 ", N/A ,"$1,433.72 ", N/A ,"$2,329.16 ","$2,148.00 ", N/A , N/A ,"$2,277.40 ", N/A ,"$1,940.96 ","$1,940.96 ","$2,199.76 ","$2,199.76 ", N/A ,"$2,199.76 ", N/A ,"$2,096.24 ","$2,096.24 ","$2,096.24 ","$2,587.95 ","$2,329.16 ", N/A ,"$2,329.16 ", N/A ,"$2,587.95 ","$1,451.84 ", N/A ,"$1,071.41 ","$1,981.07 ","$1,891.02 ", N/A ,"$2,329.16 ", N/A ,"$1,433.72 ",$724.63 ,"$2,329.16 ", N/A ,"$2,329.16 ","$2,329.16 ", N/A ,"$1,682.17 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100051,36200,HC INTRO CATH AORTA 36200,481,1 ,"$3,281.66 ","$2,362.80 ",$918.86 ,"$3,281.66 ", N/A ,"$2,444.84 ","$2,149.49 ", N/A ,$918.86 ,"$2,018.22 ", N/A ,"$2,018.22 ", N/A ,"$1,818.04 ","$1,818.04 ", N/A ,"$1,818.04 ", N/A ,"$2,953.49 ","$2,723.78 ", N/A , N/A ,"$2,887.86 ", N/A ,"$2,461.25 ","$2,461.25 ","$2,789.41 ","$2,789.41 ", N/A ,"$2,789.41 ", N/A ,"$2,658.14 ","$2,658.14 ","$2,658.14 ","$3,281.66 ","$2,953.49 ", N/A ,"$2,953.49 ", N/A ,"$3,281.66 ","$1,841.01 ", N/A ,"$1,358.61 ","$1,981.07 ","$1,891.02 ", N/A ,"$2,953.49 ", N/A ,"$1,818.04 ",$918.86 ,"$2,953.49 ", N/A ,"$2,953.49 ","$2,953.49 ", N/A ,"$2,133.08 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100052,36215,HC PLACE CATH THOR/BRAC 1ST ORDER 36215,481,1 ,"$3,399.29 ","$2,447.49 ",$951.80 ,"$3,399.29 ", N/A ,"$2,532.47 ","$2,226.54 ", N/A ,$951.80 ,"$2,090.56 ", N/A ,"$2,090.56 ", N/A ,"$1,883.21 ","$1,883.21 ", N/A ,"$1,883.21 ", N/A ,"$3,059.36 ","$2,821.41 ", N/A , N/A ,"$2,991.38 ", N/A ,"$2,549.47 ","$2,549.47 ","$2,889.40 ","$2,889.40 ", N/A ,"$2,889.40 ", N/A ,"$2,753.42 ","$2,753.42 ","$2,753.42 ","$3,399.29 ","$3,059.36 ", N/A ,"$3,059.36 ", N/A ,"$3,399.29 ","$1,907.00 ", N/A ,"$1,407.31 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,059.36 ", N/A ,"$1,883.21 ",$951.80 ,"$3,059.36 ", N/A ,"$3,059.36 ","$3,059.36 ", N/A ,"$2,209.54 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100053,36216,HC PL CATH THOR/BRAC 2ND ORDER 36216,481,1 ,"$3,461.96 ","$2,492.61 ",$969.35 ,"$3,461.96 ", N/A ,"$2,579.16 ","$2,267.58 ", N/A ,$969.35 ,"$2,129.11 ", N/A ,"$2,129.11 ", N/A ,"$1,917.93 ","$1,917.93 ", N/A ,"$1,917.93 ", N/A ,"$3,115.76 ","$2,873.43 ", N/A , N/A ,"$3,046.52 ", N/A ,"$2,596.47 ","$2,596.47 ","$2,942.67 ","$2,942.67 ", N/A ,"$2,942.67 ", N/A ,"$2,804.19 ","$2,804.19 ","$2,804.19 ","$3,461.96 ","$3,115.76 ", N/A ,"$3,115.76 ", N/A ,"$3,461.96 ","$1,942.16 ", N/A ,"$1,433.25 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,115.76 ", N/A ,"$1,917.93 ",$969.35 ,"$3,115.76 ", N/A ,"$3,115.76 ","$3,115.76 ", N/A ,"$2,250.27 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100054,36217,HC PL CATH THOR/BRAC 3RD ORDER 36217,481,1 ,"$3,833.55 ","$2,760.16 ","$1,073.39 ","$3,833.55 ", N/A ,"$2,855.99 ","$2,510.98 ", N/A ,"$1,073.39 ","$2,357.63 ", N/A ,"$2,357.63 ", N/A ,"$2,123.79 ","$2,123.79 ", N/A ,"$2,123.79 ", N/A ,"$3,450.20 ","$3,181.85 ", N/A , N/A ,"$3,373.52 ", N/A ,"$2,875.16 ","$2,875.16 ","$3,258.52 ","$3,258.52 ", N/A ,"$3,258.52 ", N/A ,"$3,105.18 ","$3,105.18 ","$3,105.18 ","$3,833.55 ","$3,450.20 ", N/A ,"$3,450.20 ", N/A ,"$3,833.55 ","$2,150.62 ", N/A ,"$1,587.09 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,450.20 ", N/A ,"$2,123.79 ","$1,073.39 ","$3,450.20 ", N/A ,"$3,450.20 ","$3,450.20 ", N/A ,"$2,491.81 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100055,36218,HC PL CATH THOR/BRAC ADDL 36218,481,1 ,"$1,742.52 ","$1,254.61 ",$487.91 ,"$1,742.52 ", N/A ,"$1,298.18 ","$1,141.35 ", N/A ,$487.91 ,"$1,071.65 ", N/A ,"$1,071.65 ", N/A ,$965.36 ,$965.36 , N/A ,$965.36 , N/A ,"$1,568.27 ","$1,446.29 ", N/A , N/A ,"$1,533.42 ", N/A ,"$1,306.89 ","$1,306.89 ","$1,481.14 ","$1,481.14 ", N/A ,"$1,481.14 ", N/A ,"$1,411.44 ","$1,411.44 ","$1,411.44 ","$1,742.52 ","$1,568.27 ", N/A ,"$1,568.27 ", N/A ,"$1,742.52 ",$977.55 , N/A ,$721.40 ,"$1,742.52 ","$1,742.52 ", N/A ,"$1,568.27 ", N/A ,$965.36 ,$487.91 ,"$1,568.27 ", N/A ,"$1,568.27 ","$1,568.27 ", N/A ,"$1,132.64 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100056,36245,HC ABD 1ST ORDER 36245,481,1 ,"$4,161.16 ","$2,996.04 ","$1,165.12 ","$4,161.16 ", N/A ,"$3,100.06 ","$2,725.56 ", N/A ,"$1,165.12 ","$2,559.11 ", N/A ,"$2,559.11 ", N/A ,"$2,305.28 ","$2,305.28 ", N/A ,"$2,305.28 ", N/A ,"$3,745.04 ","$3,453.76 ", N/A , N/A ,"$3,661.82 ", N/A ,"$3,120.87 ","$3,120.87 ","$3,536.99 ","$3,536.99 ", N/A ,"$3,536.99 ", N/A ,"$3,370.54 ","$3,370.54 ","$3,370.54 ","$4,161.16 ","$3,745.04 ", N/A ,"$3,745.04 ", N/A ,"$4,161.16 ","$2,334.41 ", N/A ,"$1,722.72 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,745.04 ", N/A ,"$2,305.28 ","$1,165.12 ","$3,745.04 ", N/A ,"$3,745.04 ","$3,745.04 ", N/A ,"$2,704.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100057,36246,HC ABD INITIAL 2ND ORDER 36246,481,1 ,"$4,187.55 ","$3,015.04 ","$1,172.51 ","$4,187.55 ", N/A ,"$3,119.72 ","$2,742.85 ", N/A ,"$1,172.51 ","$2,575.34 ", N/A ,"$2,575.34 ", N/A ,"$2,319.90 ","$2,319.90 ", N/A ,"$2,319.90 ", N/A ,"$3,768.80 ","$3,475.67 ", N/A , N/A ,"$3,685.04 ", N/A ,"$3,140.66 ","$3,140.66 ","$3,559.42 ","$3,559.42 ", N/A ,"$3,559.42 ", N/A ,"$3,391.92 ","$3,391.92 ","$3,391.92 ","$4,187.55 ","$3,768.80 ", N/A ,"$3,768.80 ", N/A ,"$4,187.55 ","$2,349.22 ", N/A ,"$1,733.65 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,768.80 ", N/A ,"$2,319.90 ","$1,172.51 ","$3,768.80 ", N/A ,"$3,768.80 ","$3,768.80 ", N/A ,"$2,721.91 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100057,36246,HC ABD INITIAL 2ND ORDER 36246,481,1 ,"$6,280.78 ","$4,522.16 ","$1,758.62 ","$6,280.78 ", N/A ,"$4,679.18 ","$4,113.91 ", N/A ,"$1,758.62 ","$3,862.68 ", N/A ,"$3,862.68 ", N/A ,"$3,479.55 ","$3,479.55 ", N/A ,"$3,479.55 ", N/A ,"$5,652.70 ","$5,213.05 ", N/A , N/A ,"$5,527.09 ", N/A ,"$4,710.59 ","$4,710.59 ","$5,338.66 ","$5,338.66 ", N/A ,"$5,338.66 ", N/A ,"$5,087.43 ","$5,087.43 ","$5,087.43 ","$6,280.78 ","$5,652.70 ", N/A ,"$5,652.70 ", N/A ,"$6,280.78 ","$3,523.52 ", N/A ,"$2,600.24 ","$2,971.60 ","$2,836.52 ", N/A ,"$5,652.70 ", N/A ,"$3,479.55 ","$1,758.62 ","$5,652.70 ", N/A ,"$5,652.70 ","$5,652.70 ", N/A ,"$4,082.51 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100058,36247,HC ABD INT 3RD/PLUS ORDER 36247,481,1 ,"$4,729.55 ","$3,405.28 ","$1,324.27 ","$4,729.55 ", N/A ,"$3,523.51 ","$3,097.86 ", N/A ,"$1,324.27 ","$2,908.67 ", N/A ,"$2,908.67 ", N/A ,"$2,620.17 ","$2,620.17 ", N/A ,"$2,620.17 ", N/A ,"$4,256.60 ","$3,925.53 ", N/A , N/A ,"$4,162.00 ", N/A ,"$3,547.16 ","$3,547.16 ","$4,020.12 ","$4,020.12 ", N/A ,"$4,020.12 ", N/A ,"$3,830.94 ","$3,830.94 ","$3,830.94 ","$4,729.55 ","$4,256.60 ", N/A ,"$4,256.60 ", N/A ,"$4,729.55 ","$2,653.28 ", N/A ,"$1,958.03 ","$1,981.07 ","$1,891.02 ", N/A ,"$4,256.60 ", N/A ,"$2,620.17 ","$1,324.27 ","$4,256.60 ", N/A ,"$4,256.60 ","$4,256.60 ", N/A ,"$3,074.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100058,36247,HC ABD INT 3RD/PLUS ORDER 36247,481,1 ,"$7,095.42 ","$5,108.70 ","$1,986.72 ","$7,095.42 ", N/A ,"$5,286.09 ","$4,647.50 ", N/A ,"$1,986.72 ","$4,363.68 ", N/A ,"$4,363.68 ", N/A ,"$3,930.86 ","$3,930.86 ", N/A ,"$3,930.86 ", N/A ,"$6,385.88 ","$5,889.20 ", N/A , N/A ,"$6,243.97 ", N/A ,"$5,321.57 ","$5,321.57 ","$6,031.11 ","$6,031.11 ", N/A ,"$6,031.11 ", N/A ,"$5,747.29 ","$5,747.29 ","$5,747.29 ","$7,095.42 ","$6,385.88 ", N/A ,"$6,385.88 ", N/A ,"$7,095.42 ","$3,980.53 ", N/A ,"$2,937.50 ","$2,971.60 ","$2,836.52 ", N/A ,"$6,385.88 ", N/A ,"$3,930.86 ","$1,986.72 ","$6,385.88 ", N/A ,"$6,385.88 ","$6,385.88 ", N/A ,"$4,612.02 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100059,36248,HC ABD ADDL 2ND/PLUS ORDER 36248,481,1 ,"$1,943.71 ","$1,399.47 ",$544.24 ,"$1,943.71 ", N/A ,"$1,448.06 ","$1,273.13 ", N/A ,$544.24 ,"$1,195.38 ", N/A ,"$1,195.38 ", N/A ,"$1,076.82 ","$1,076.82 ", N/A ,"$1,076.82 ", N/A ,"$1,749.34 ","$1,613.28 ", N/A , N/A ,"$1,710.46 ", N/A ,"$1,457.78 ","$1,457.78 ","$1,652.15 ","$1,652.15 ", N/A ,"$1,652.15 ", N/A ,"$1,574.41 ","$1,574.41 ","$1,574.41 ","$1,943.71 ","$1,749.34 ", N/A ,"$1,749.34 ", N/A ,"$1,943.71 ","$1,090.42 ", N/A ,$804.70 ,"$1,943.71 ","$1,891.02 ", N/A ,"$1,749.34 ", N/A ,"$1,076.82 ",$544.24 ,"$1,749.34 ", N/A ,"$1,749.34 ","$1,749.34 ", N/A ,"$1,263.41 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100069,37241,HC OCCL/EMBOL TRANSCATH PERC 37241,481,1 ,"$26,928.00 ","$19,388.16 ","$7,539.84 ","$26,928.00 ","$26,209.56 ","$20,061.36 ","$17,637.84 ","$10,699.74 ","$7,539.84 ","$16,560.72 ","$10,699.74 ","$16,560.72 ","$10,699.74 ","$14,918.11 ","$14,918.11 ","$10,699.74 ","$14,918.11 ","$22,054.36 ","$24,235.20 ","$22,350.24 ","$26,209.56 ","$10,699.74 ","$23,696.64 ","$10,913.73 ","$20,196.00 ","$20,196.00 ","$22,888.80 ","$22,888.80 ","$10,699.74 ","$22,888.80 ","$10,699.74 ","$21,811.68 ","$21,811.68 ","$21,811.68 ","$26,928.00 ","$24,235.20 ","$26,209.56 ","$24,235.20 ","$10,699.74 ","$26,928.00 ","$15,106.61 ","$10,699.74 ","$11,148.19 ","$7,947.23 ","$7,585.99 ","$11,199.26 ","$24,235.20 ","$23,660.99 ","$14,918.11 ","$7,539.84 ","$24,235.20 ","$10,699.74 ","$24,235.20 ","$24,235.20 ","$10,699.74 ","$17,503.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100077,37220,HC RVC EN PRC ICA W/ANG INT VSL 37220,481,1 ,"$12,465.00 ","$8,974.80 ","$3,490.20 ","$12,465.00 ","$12,465.00 ","$9,286.43 ","$8,164.58 ","$5,256.88 ","$3,490.20 ","$7,665.98 ","$5,256.88 ","$7,665.98 ","$5,256.88 ","$6,905.61 ","$6,905.61 ","$5,256.88 ","$6,905.61 ","$10,835.51 ","$11,218.50 ","$10,345.95 ","$12,465.00 ","$5,256.88 ","$10,969.20 ","$5,362.01 ","$9,348.75 ","$9,348.75 ","$10,595.25 ","$10,595.25 ","$5,256.88 ","$10,595.25 ","$5,256.88 ","$10,096.65 ","$10,096.65 ","$10,096.65 ","$12,465.00 ","$11,218.50 ","$12,465.00 ","$11,218.50 ","$5,256.88 ","$12,465.00 ","$6,992.87 ","$5,256.88 ","$5,160.51 ","$3,663.58 ","$3,497.06 ","$5,502.30 ","$11,218.50 ","$11,624.86 ","$6,905.61 ","$3,490.20 ","$11,218.50 ","$5,256.88 ","$11,218.50 ","$11,218.50 ","$5,256.88 ","$8,102.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100078,37221,HC RVC EN PRC ICA W/TRN SNT INT V 37221,481,1 ,"$16,829.00 ","$12,116.88 ","$3,497.06 ","$23,660.99 ","$16,829.00 ","$12,537.61 ","$11,023.00 ","$10,699.74 ","$4,712.12 ","$10,349.84 ","$10,699.74 ","$10,349.84 ","$10,699.74 ","$9,323.27 ","$9,323.27 ","$10,699.74 ","$9,323.27 ","$16,829.00 ","$15,146.10 ","$13,968.07 ","$16,829.00 ","$10,699.74 ","$14,809.52 ","$10,913.73 ","$12,621.75 ","$12,621.75 ","$14,304.65 ","$14,304.65 ","$10,699.74 ","$14,304.65 ","$10,699.74 ","$13,631.49 ","$13,631.49 ","$13,631.49 ","$16,829.00 ","$15,146.10 ","$16,829.00 ","$15,146.10 ","$10,699.74 ","$16,829.00 ","$9,441.07 ","$10,699.74 ","$6,967.21 ","$3,663.58 ","$3,497.06 ","$11,199.26 ","$15,146.10 ","$23,660.99 ","$9,323.27 ","$4,712.12 ","$15,146.10 ","$10,699.74 ","$15,146.10 ","$15,146.10 ","$10,699.74 ","$10,938.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100079,37222,HC RVC EN PRC ICA W/ANG EA AD VS 37222,481,1 ,"$9,638.00 ","$6,939.36 ","$2,698.64 ","$9,638.00 ", N/A ,"$7,180.31 ","$6,312.89 ", N/A ,"$2,698.64 ","$5,927.37 ", N/A ,"$5,927.37 ", N/A ,"$5,339.45 ","$5,339.45 ", N/A ,"$5,339.45 ", N/A ,"$8,674.20 ","$7,999.54 ", N/A , N/A ,"$8,481.44 ", N/A ,"$7,228.50 ","$7,228.50 ","$8,192.30 ","$8,192.30 ", N/A ,"$8,192.30 ", N/A ,"$7,806.78 ","$7,806.78 ","$7,806.78 ","$9,638.00 ","$8,674.20 ", N/A ,"$8,674.20 ", N/A ,"$9,638.00 ","$5,406.92 ", N/A ,"$3,990.13 ","$3,663.58 ","$3,497.06 ", N/A ,"$8,674.20 ", N/A ,"$5,339.45 ","$2,698.64 ","$8,674.20 ", N/A ,"$8,674.20 ","$8,674.20 ", N/A ,"$6,264.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100080,37223,HC RVC EN PRC ICA W/TRN ST AD VS 37223,481,1 ,"$11,499.00 ","$8,279.28 ","$3,219.72 ","$11,499.00 ", N/A ,"$8,566.76 ","$7,531.85 ", N/A ,"$3,219.72 ","$7,071.89 ", N/A ,"$7,071.89 ", N/A ,"$6,370.45 ","$6,370.45 ", N/A ,"$6,370.45 ", N/A ,"$10,349.10 ","$9,544.17 ", N/A , N/A ,"$10,119.12 ", N/A ,"$8,624.25 ","$8,624.25 ","$9,774.15 ","$9,774.15 ", N/A ,"$9,774.15 ", N/A ,"$9,314.19 ","$9,314.19 ","$9,314.19 ","$11,499.00 ","$10,349.10 ", N/A ,"$10,349.10 ", N/A ,"$11,499.00 ","$6,450.94 ", N/A ,"$4,760.59 ","$3,663.58 ","$3,497.06 ", N/A ,"$10,349.10 ", N/A ,"$6,370.45 ","$3,219.72 ","$10,349.10 ", N/A ,"$10,349.10 ","$10,349.10 ", N/A ,"$7,474.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100081,37224,HC RVC EN PRC R/P W/ANG INT VSL 37224,481,1 ,"$13,362.00 ","$9,620.64 ","$3,497.06 ","$13,362.00 ","$12,877.00 ","$9,954.69 ","$8,752.11 ","$5,256.88 ","$3,741.36 ","$8,217.63 ","$5,256.88 ","$8,217.63 ","$5,256.88 ","$7,402.55 ","$7,402.55 ","$5,256.88 ","$7,402.55 ","$10,835.51 ","$12,025.80 ","$11,090.46 ","$12,877.00 ","$5,256.88 ","$11,758.56 ","$5,362.01 ","$10,021.50 ","$10,021.50 ","$11,357.70 ","$11,357.70 ","$5,256.88 ","$11,357.70 ","$5,256.88 ","$10,823.22 ","$10,823.22 ","$10,823.22 ","$13,362.00 ","$12,025.80 ","$12,877.00 ","$12,025.80 ","$5,256.88 ","$13,362.00 ","$7,496.08 ","$5,256.88 ","$5,531.87 ","$3,663.58 ","$3,497.06 ","$5,502.30 ","$12,025.80 ","$11,624.86 ","$7,402.55 ","$3,741.36 ","$12,025.80 ","$5,256.88 ","$12,025.80 ","$12,025.80 ","$5,256.88 ","$8,685.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100082,37225,HC RVC EN PRC F/P W/ANT INT VSL 37225,481,1 ,"$24,215.00 ","$17,434.80 ","$3,497.06 ","$24,215.00 ","$24,215.00 ","$18,040.18 ","$15,860.83 ","$10,699.74 ","$6,780.20 ","$14,892.23 ","$10,699.74 ","$14,892.23 ","$10,699.74 ","$13,415.11 ","$13,415.11 ","$10,699.74 ","$13,415.11 ","$22,054.36 ","$21,793.50 ","$20,098.45 ","$24,215.00 ","$10,699.74 ","$21,309.20 ","$10,913.73 ","$18,161.25 ","$18,161.25 ","$20,582.75 ","$20,582.75 ","$10,699.74 ","$20,582.75 ","$10,699.74 ","$19,614.15 ","$19,614.15 ","$19,614.15 ","$24,215.00 ","$21,793.50 ","$24,215.00 ","$21,793.50 ","$10,699.74 ","$24,215.00 ","$13,584.62 ","$10,699.74 ","$10,025.01 ","$3,663.58 ","$3,497.06 ","$11,199.26 ","$21,793.50 ","$23,660.99 ","$13,415.11 ","$6,780.20 ","$21,793.50 ","$10,699.74 ","$21,793.50 ","$21,793.50 ","$10,699.74 ","$15,739.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100083,37226,HC RVC EN PRC F/P W/TRN SNT IN VS 37226,481,1 ,"$24,363.00 ","$17,541.36 ","$3,497.06 ","$24,363.00 ","$24,363.00 ","$18,150.44 ","$15,957.77 ","$10,699.74 ","$6,821.64 ","$14,983.25 ","$10,699.74 ","$14,983.25 ","$10,699.74 ","$13,497.10 ","$13,497.10 ","$10,699.74 ","$13,497.10 ","$22,054.36 ","$21,926.70 ","$20,221.29 ","$24,363.00 ","$10,699.74 ","$21,439.44 ","$10,913.73 ","$18,272.25 ","$18,272.25 ","$20,708.55 ","$20,708.55 ","$10,699.74 ","$20,708.55 ","$10,699.74 ","$19,734.03 ","$19,734.03 ","$19,734.03 ","$24,363.00 ","$21,926.70 ","$24,363.00 ","$21,926.70 ","$10,699.74 ","$24,363.00 ","$13,667.64 ","$10,699.74 ","$10,086.28 ","$3,663.58 ","$3,497.06 ","$11,199.26 ","$21,926.70 ","$23,660.99 ","$13,497.10 ","$6,821.64 ","$21,926.70 ","$10,699.74 ","$21,926.70 ","$21,926.70 ","$10,699.74 ","$15,835.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100084,37227,HC RVC EN PRC F/P W/AN/TR ST INT 37227,481,1 ,"$38,196.00 ","$27,501.12 ","$3,497.06 ","$38,288.00 ","$38,196.00 ","$28,456.02 ","$25,018.38 ","$17,314.23 ","$10,694.88 ","$23,490.54 ","$17,314.23 ","$23,490.54 ","$17,314.23 ","$21,160.58 ","$21,160.58 ","$17,314.23 ","$21,160.58 ","$35,688.17 ","$34,376.40 ","$31,702.68 ","$38,196.00 ","$17,314.23 ","$33,612.48 ","$17,660.51 ","$28,647.00 ","$28,647.00 ","$32,466.60 ","$32,466.60 ","$17,314.23 ","$32,466.60 ","$17,314.23 ","$30,938.76 ","$30,938.76 ","$30,938.76 ","$38,196.00 ","$34,376.40 ","$38,196.00 ","$34,376.40 ","$17,314.23 ","$38,196.00 ","$21,427.96 ","$17,314.23 ","$15,813.14 ","$3,663.58 ","$3,497.06 ","$18,122.54 ","$34,376.40 ","$38,288.00 ","$21,160.58 ","$10,694.88 ","$34,376.40 ","$17,314.23 ","$34,376.40 ","$34,376.40 ","$17,314.23 ","$24,827.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100085,37228,HC RVC EN PRC T/P W/ANG INT VSL 37228,481,1 ,"$12,728.00 ","$9,164.16 ","$3,497.06 ","$23,660.99 ","$12,728.00 ","$9,482.36 ","$8,336.84 ","$10,699.74 ","$3,563.84 ","$7,827.72 ","$10,699.74 ","$7,827.72 ","$10,699.74 ","$7,051.31 ","$7,051.31 ","$10,699.74 ","$7,051.31 ","$12,728.00 ","$11,455.20 ","$10,564.24 ","$12,728.00 ","$10,699.74 ","$11,200.64 ","$10,913.73 ","$9,546.00 ","$9,546.00 ","$10,818.80 ","$10,818.80 ","$10,699.74 ","$10,818.80 ","$10,699.74 ","$10,309.68 ","$10,309.68 ","$10,309.68 ","$12,728.00 ","$11,455.20 ","$12,728.00 ","$11,455.20 ","$10,699.74 ","$12,728.00 ","$7,140.41 ","$10,699.74 ","$5,269.39 ","$3,663.58 ","$3,497.06 ","$11,199.26 ","$11,455.20 ","$23,660.99 ","$7,051.31 ","$3,563.84 ","$11,455.20 ","$10,699.74 ","$11,455.20 ","$11,455.20 ","$10,699.74 ","$8,273.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100086,37229,HC RVC EN PRC T/P W/ANT INT VSL 37229,481,1 ,"$22,660.00 ","$16,315.20 ","$3,497.06 ","$38,288.00 ","$22,660.00 ","$16,881.70 ","$14,842.30 ","$17,314.23 ","$6,344.80 ","$13,935.90 ","$17,314.23 ","$13,935.90 ","$17,314.23 ","$12,553.64 ","$12,553.64 ","$17,314.23 ","$12,553.64 ","$22,660.00 ","$20,394.00 ","$18,807.80 ","$22,660.00 ","$17,314.23 ","$19,940.80 ","$17,660.51 ","$16,995.00 ","$16,995.00 ","$19,261.00 ","$19,261.00 ","$17,314.23 ","$19,261.00 ","$17,314.23 ","$18,354.60 ","$18,354.60 ","$18,354.60 ","$22,660.00 ","$20,394.00 ","$22,660.00 ","$20,394.00 ","$17,314.23 ","$22,660.00 ","$12,712.26 ","$17,314.23 ","$9,381.24 ","$3,663.58 ","$3,497.06 ","$18,122.54 ","$20,394.00 ","$38,288.00 ","$12,553.64 ","$6,344.80 ","$20,394.00 ","$17,314.23 ","$20,394.00 ","$20,394.00 ","$17,314.23 ","$14,729.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100088,37231,HC RVC EN PRC T/P W/AN/TR ST IN V 37231,481,1 ,"$34,696.00 ","$24,981.12 ","$3,497.06 ","$38,288.00 ","$34,696.00 ","$25,848.52 ","$22,725.88 ","$17,314.23 ","$9,714.88 ","$21,338.04 ","$17,314.23 ","$21,338.04 ","$17,314.23 ","$19,221.58 ","$19,221.58 ","$17,314.23 ","$19,221.58 ","$34,696.00 ","$31,226.40 ","$28,797.68 ","$34,696.00 ","$17,314.23 ","$30,532.48 ","$17,660.51 ","$26,022.00 ","$26,022.00 ","$29,491.60 ","$29,491.60 ","$17,314.23 ","$29,491.60 ","$17,314.23 ","$28,103.76 ","$28,103.76 ","$28,103.76 ","$34,696.00 ","$31,226.40 ","$34,696.00 ","$31,226.40 ","$17,314.23 ","$34,696.00 ","$19,464.46 ","$17,314.23 ","$14,364.14 ","$3,663.58 ","$3,497.06 ","$18,122.54 ","$31,226.40 ","$38,288.00 ","$19,221.58 ","$9,714.88 ","$31,226.40 ","$17,314.23 ","$31,226.40 ","$31,226.40 ","$17,314.23 ","$22,552.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100089,37232,HC RVC EN PRC T/P W/ANG EA AD VS 37232,481,1 ,"$9,769.00 ","$7,033.68 ","$2,735.32 ","$9,769.00 ", N/A ,"$7,277.91 ","$6,398.70 ", N/A ,"$2,735.32 ","$6,007.94 ", N/A ,"$6,007.94 ", N/A ,"$5,412.03 ","$5,412.03 ", N/A ,"$5,412.03 ", N/A ,"$8,792.10 ","$8,108.27 ", N/A , N/A ,"$8,596.72 ", N/A ,"$7,326.75 ","$7,326.75 ","$8,303.65 ","$8,303.65 ", N/A ,"$8,303.65 ", N/A ,"$7,912.89 ","$7,912.89 ","$7,912.89 ","$9,769.00 ","$8,792.10 ", N/A ,"$8,792.10 ", N/A ,"$9,769.00 ","$5,480.41 ", N/A ,"$4,044.37 ","$3,663.58 ","$3,497.06 ", N/A ,"$8,792.10 ", N/A ,"$5,412.03 ","$2,735.32 ","$8,792.10 ", N/A ,"$8,792.10 ","$8,792.10 ", N/A ,"$6,349.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100090,37233,HC RVC EN PRC T/P W/ANT EA AD VS 37233,481,1 ,"$19,541.00 ","$14,069.52 ","$3,497.06 ","$19,541.00 ", N/A ,"$14,558.05 ","$12,799.36 ", N/A ,"$5,471.48 ","$12,017.72 ", N/A ,"$12,017.72 ", N/A ,"$10,825.71 ","$10,825.71 ", N/A ,"$10,825.71 ", N/A ,"$17,586.90 ","$16,219.03 ", N/A , N/A ,"$17,196.08 ", N/A ,"$14,655.75 ","$14,655.75 ","$16,609.85 ","$16,609.85 ", N/A ,"$16,609.85 ", N/A ,"$15,828.21 ","$15,828.21 ","$15,828.21 ","$19,541.00 ","$17,586.90 ", N/A ,"$17,586.90 ", N/A ,"$19,541.00 ","$10,962.50 ", N/A ,"$8,089.97 ","$3,663.58 ","$3,497.06 ", N/A ,"$17,586.90 ", N/A ,"$10,825.71 ","$5,471.48 ","$17,586.90 ", N/A ,"$17,586.90 ","$17,586.90 ", N/A ,"$12,701.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100092,37235,HC RVC EN PRC T/P W/AN/TR ST AD V 37235,481,1 ,"$20,518.00 ","$14,772.96 ","$3,497.06 ","$20,518.00 ", N/A ,"$15,285.91 ","$13,439.29 ", N/A ,"$5,745.04 ","$12,618.57 ", N/A ,"$12,618.57 ", N/A ,"$11,366.97 ","$11,366.97 ", N/A ,"$11,366.97 ", N/A ,"$18,466.20 ","$17,029.94 ", N/A , N/A ,"$18,055.84 ", N/A ,"$15,388.50 ","$15,388.50 ","$17,440.30 ","$17,440.30 ", N/A ,"$17,440.30 ", N/A ,"$16,619.58 ","$16,619.58 ","$16,619.58 ","$20,518.00 ","$18,466.20 ", N/A ,"$18,466.20 ", N/A ,"$20,518.00 ","$11,510.60 ", N/A ,"$8,494.45 ","$3,663.58 ","$3,497.06 ", N/A ,"$18,466.20 ", N/A ,"$11,366.97 ","$5,745.04 ","$18,466.20 ", N/A ,"$18,466.20 ","$18,466.20 ", N/A ,"$13,336.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100093,37252,HC US VASCULAR NON-CORONARY INIT 37252,481,1 ,"$11,137.20 ","$8,018.78 ",$107.49 ,"$11,137.20 ", N/A ,"$8,297.21 ","$7,294.87 ", N/A ,"$3,118.42 ","$6,849.38 ", N/A ,"$6,849.38 ", N/A ,"$6,170.01 ","$6,170.01 ", N/A ,"$6,170.01 ", N/A ,"$10,023.48 ","$9,243.88 ", N/A , N/A ,"$9,800.74 ", N/A ,"$8,352.90 ","$8,352.90 ","$9,466.62 ","$9,466.62 ", N/A ,"$9,466.62 ", N/A ,"$9,021.13 ","$9,021.13 ","$9,021.13 ","$11,137.20 ","$10,023.48 ", N/A ,"$10,023.48 ", N/A ,"$11,137.20 ","$6,247.97 ", N/A ,"$4,610.80 ",$112.61 ,$107.49 , N/A ,"$10,023.48 ", N/A ,"$6,170.01 ","$3,118.42 ","$10,023.48 ", N/A ,"$10,023.48 ","$10,023.48 ", N/A ,"$7,239.18 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100094,37253,HC US VASCULAR NON-CORON ADDL EA 37253,481,1 ,"$9,916.22 ","$7,139.68 ",$107.49 ,"$9,916.22 ", N/A ,"$7,387.58 ","$6,495.12 ", N/A ,"$2,776.54 ","$6,098.48 ", N/A ,"$6,098.48 ", N/A ,"$5,493.59 ","$5,493.59 ", N/A ,"$5,493.59 ", N/A ,"$8,924.60 ","$8,230.46 ", N/A , N/A ,"$8,726.27 ", N/A ,"$7,437.17 ","$7,437.17 ","$8,428.79 ","$8,428.79 ", N/A ,"$8,428.79 ", N/A ,"$8,032.14 ","$8,032.14 ","$8,032.14 ","$9,916.22 ","$8,924.60 ", N/A ,"$8,924.60 ", N/A ,"$9,916.22 ","$5,563.00 ", N/A ,"$4,105.32 ",$112.61 ,$107.49 , N/A ,"$8,924.60 ", N/A ,"$5,493.59 ","$2,776.54 ","$8,924.60 ", N/A ,"$8,924.60 ","$8,924.60 ", N/A ,"$6,445.54 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100095,37191,HC INTERRUPT VENA CAVA INFER,481,1 ,"$8,446.00 ","$6,081.12 ","$2,364.88 ","$11,456.26 ","$8,446.00 ","$6,292.27 ","$5,532.13 ","$5,180.64 ","$2,364.88 ","$5,194.29 ","$5,180.64 ","$5,194.29 ","$5,180.64 ","$4,679.08 ","$4,679.08 ","$5,180.64 ","$4,679.08 ","$8,446.00 ","$7,601.40 ","$7,010.18 ","$8,446.00 ","$5,180.64 ","$7,432.48 ","$5,284.26 ","$6,334.50 ","$6,334.50 ","$7,179.10 ","$7,179.10 ","$5,180.64 ","$7,179.10 ","$5,180.64 ","$6,841.26 ","$6,841.26 ","$6,841.26 ","$8,446.00 ","$7,601.40 ","$8,446.00 ","$7,601.40 ","$5,180.64 ","$8,446.00 ","$4,738.21 ","$5,180.64 ","$3,496.64 ","$2,947.56 ","$2,813.58 ","$5,422.50 ","$7,601.40 ","$11,456.26 ","$4,679.08 ","$2,364.88 ","$7,601.40 ","$5,180.64 ","$7,601.40 ","$7,601.40 ","$5,180.64 ","$5,489.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100107,93451,HC CATH RIGHT HEART 93451,481,1 ,"$8,472.00 ","$6,099.84 ","$1,721.76 ","$8,472.00 ","$7,304.54 ","$6,311.64 ","$5,549.16 ","$2,981.99 ","$2,372.16 ","$5,210.28 ","$2,981.99 ","$5,210.28 ","$2,981.99 ","$4,693.49 ","$4,693.49 ","$2,981.99 ","$4,693.49 ","$6,146.50 ","$7,624.80 ","$7,031.76 ","$7,304.54 ","$2,981.99 ","$7,455.36 ","$3,041.64 ","$6,354.00 ","$6,354.00 ","$7,201.20 ","$7,201.20 ","$2,981.99 ","$7,201.20 ","$2,981.99 ","$6,862.32 ","$6,862.32 ","$6,862.32 ","$8,472.00 ","$7,624.80 ","$7,304.54 ","$7,624.80 ","$2,981.99 ","$8,472.00 ","$4,752.79 ","$2,981.99 ","$3,507.41 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$7,624.80 ","$6,594.26 ","$4,693.49 ","$2,372.16 ","$7,624.80 ","$2,981.99 ","$7,624.80 ","$7,624.80 ","$2,981.99 ","$5,506.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100108,93452,HC LHC ONLY NO COROS 93452,481,1 ,"$9,379.00 ","$6,752.88 ","$1,721.76 ","$9,379.00 ","$7,304.54 ","$6,987.36 ","$6,143.25 ","$2,981.99 ","$2,626.12 ","$5,768.09 ","$2,981.99 ","$5,768.09 ","$2,981.99 ","$5,195.97 ","$5,195.97 ","$2,981.99 ","$5,195.97 ","$6,146.50 ","$8,441.10 ","$7,784.57 ","$7,304.54 ","$2,981.99 ","$8,253.52 ","$3,041.64 ","$7,034.25 ","$7,034.25 ","$7,972.15 ","$7,972.15 ","$2,981.99 ","$7,972.15 ","$2,981.99 ","$7,596.99 ","$7,596.99 ","$7,596.99 ","$9,379.00 ","$8,441.10 ","$7,304.54 ","$8,441.10 ","$2,981.99 ","$9,379.00 ","$5,261.62 ","$2,981.99 ","$3,882.91 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$8,441.10 ","$6,594.26 ","$5,195.97 ","$2,626.12 ","$8,441.10 ","$2,981.99 ","$8,441.10 ","$8,441.10 ","$2,981.99 ","$6,096.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100109,93453,HC RHC/LHC ONLY/NO CORS 93453,481,1 ,"$12,729.00 ","$9,164.88 ","$1,721.76 ","$12,729.00 ","$7,304.54 ","$9,483.11 ","$8,337.50 ","$2,981.99 ","$3,564.12 ","$7,828.34 ","$2,981.99 ","$7,828.34 ","$2,981.99 ","$7,051.87 ","$7,051.87 ","$2,981.99 ","$7,051.87 ","$6,146.50 ","$11,456.10 ","$10,565.07 ","$7,304.54 ","$2,981.99 ","$11,201.52 ","$3,041.64 ","$9,546.75 ","$9,546.75 ","$10,819.65 ","$10,819.65 ","$2,981.99 ","$10,819.65 ","$2,981.99 ","$10,310.49 ","$10,310.49 ","$10,310.49 ","$12,729.00 ","$11,456.10 ","$7,304.54 ","$11,456.10 ","$2,981.99 ","$12,729.00 ","$7,140.97 ","$2,981.99 ","$5,269.81 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$11,456.10 ","$6,594.26 ","$7,051.87 ","$3,564.12 ","$11,456.10 ","$2,981.99 ","$11,456.10 ","$11,456.10 ","$2,981.99 ","$8,273.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100110,93454,HC CORONARY ANGIO ONLY/NO LV 93454,481,1 ,"$10,204.00 ","$7,346.88 ","$1,721.76 ","$10,204.00 ","$7,304.54 ","$7,601.98 ","$6,683.62 ","$2,981.99 ","$2,857.12 ","$6,275.46 ","$2,981.99 ","$6,275.46 ","$2,981.99 ","$5,653.02 ","$5,653.02 ","$2,981.99 ","$5,653.02 ","$6,146.50 ","$9,183.60 ","$8,469.32 ","$7,304.54 ","$2,981.99 ","$8,979.52 ","$3,041.64 ","$7,653.00 ","$7,653.00 ","$8,673.40 ","$8,673.40 ","$2,981.99 ","$8,673.40 ","$2,981.99 ","$8,265.24 ","$8,265.24 ","$8,265.24 ","$10,204.00 ","$9,183.60 ","$7,304.54 ","$9,183.60 ","$2,981.99 ","$10,204.00 ","$5,724.44 ","$2,981.99 ","$4,224.46 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$9,183.60 ","$6,594.26 ","$5,653.02 ","$2,857.12 ","$9,183.60 ","$2,981.99 ","$9,183.60 ","$9,183.60 ","$2,981.99 ","$6,632.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100111,93455,HC CORO ANGIO  AND  GRAFTS ONLY NO LV 93455,481,1 ,"$11,555.00 ","$8,319.60 ","$1,721.76 ","$11,555.00 ","$7,304.54 ","$8,608.48 ","$7,568.53 ","$2,981.99 ","$3,235.40 ","$7,106.33 ","$2,981.99 ","$7,106.33 ","$2,981.99 ","$6,401.47 ","$6,401.47 ","$2,981.99 ","$6,401.47 ","$6,146.50 ","$10,399.50 ","$9,590.65 ","$7,304.54 ","$2,981.99 ","$10,168.40 ","$3,041.64 ","$8,666.25 ","$8,666.25 ","$9,821.75 ","$9,821.75 ","$2,981.99 ","$9,821.75 ","$2,981.99 ","$9,359.55 ","$9,359.55 ","$9,359.55 ","$11,555.00 ","$10,399.50 ","$7,304.54 ","$10,399.50 ","$2,981.99 ","$11,555.00 ","$6,482.36 ","$2,981.99 ","$4,783.77 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$10,399.50 ","$6,594.26 ","$6,401.47 ","$3,235.40 ","$10,399.50 ","$2,981.99 ","$10,399.50 ","$10,399.50 ","$2,981.99 ","$7,510.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100112,93456,HC RHC CORONARY ANGIO/NO LV 93456,481,1 ,"$10,917.00 ","$7,860.24 ","$1,721.76 ","$10,917.00 ","$7,304.54 ","$8,133.17 ","$7,150.64 ","$2,981.99 ","$3,056.76 ","$6,713.96 ","$2,981.99 ","$6,713.96 ","$2,981.99 ","$6,048.02 ","$6,048.02 ","$2,981.99 ","$6,048.02 ","$6,146.50 ","$9,825.30 ","$9,061.11 ","$7,304.54 ","$2,981.99 ","$9,606.96 ","$3,041.64 ","$8,187.75 ","$8,187.75 ","$9,279.45 ","$9,279.45 ","$2,981.99 ","$9,279.45 ","$2,981.99 ","$8,842.77 ","$8,842.77 ","$8,842.77 ","$10,917.00 ","$9,825.30 ","$7,304.54 ","$9,825.30 ","$2,981.99 ","$10,917.00 ","$6,124.44 ","$2,981.99 ","$4,519.64 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$9,825.30 ","$6,594.26 ","$6,048.02 ","$3,056.76 ","$9,825.30 ","$2,981.99 ","$9,825.30 ","$9,825.30 ","$2,981.99 ","$7,096.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100113,93457,HC RHC CORO ANGIO  AND  GRAFTS/NO LV 93457,481,1 ,"$12,230.00 ","$8,805.60 ","$1,721.76 ","$12,230.00 ","$7,304.54 ","$9,111.35 ","$8,010.65 ","$2,981.99 ","$3,424.40 ","$7,521.45 ","$2,981.99 ","$7,521.45 ","$2,981.99 ","$6,775.42 ","$6,775.42 ","$2,981.99 ","$6,775.42 ","$6,146.50 ","$11,007.00 ","$10,150.90 ","$7,304.54 ","$2,981.99 ","$10,762.40 ","$3,041.64 ","$9,172.50 ","$9,172.50 ","$10,395.50 ","$10,395.50 ","$2,981.99 ","$10,395.50 ","$2,981.99 ","$9,906.30 ","$9,906.30 ","$9,906.30 ","$12,230.00 ","$11,007.00 ","$7,304.54 ","$11,007.00 ","$2,981.99 ","$12,230.00 ","$6,861.03 ","$2,981.99 ","$5,063.22 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$11,007.00 ","$6,594.26 ","$6,775.42 ","$3,424.40 ","$11,007.00 ","$2,981.99 ","$11,007.00 ","$11,007.00 ","$2,981.99 ","$7,949.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100114,93458,HC CORONARY ANGIO WITH LV 93458,481,1 ,"$11,675.00 ","$8,406.00 ","$1,721.76 ","$11,675.00 ","$7,304.54 ","$8,697.88 ","$7,647.13 ","$2,981.99 ","$3,269.00 ","$7,180.13 ","$2,981.99 ","$7,180.13 ","$2,981.99 ","$6,467.95 ","$6,467.95 ","$2,981.99 ","$6,467.95 ","$6,146.50 ","$10,507.50 ","$9,690.25 ","$7,304.54 ","$2,981.99 ","$10,274.00 ","$3,041.64 ","$8,756.25 ","$8,756.25 ","$9,923.75 ","$9,923.75 ","$2,981.99 ","$9,923.75 ","$2,981.99 ","$9,456.75 ","$9,456.75 ","$9,456.75 ","$11,675.00 ","$10,507.50 ","$7,304.54 ","$10,507.50 ","$2,981.99 ","$11,675.00 ","$6,549.68 ","$2,981.99 ","$4,833.45 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$10,507.50 ","$6,594.26 ","$6,467.95 ","$3,269.00 ","$10,507.50 ","$2,981.99 ","$10,507.50 ","$10,507.50 ","$2,981.99 ","$7,588.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100115,93459,HC CORONARY ANGIO W GRAFTS AND LV 93459,481,1 ,"$13,939.00 ","$10,036.08 ","$1,721.76 ","$13,939.00 ","$7,304.54 ","$10,384.56 ","$9,130.05 ","$2,981.99 ","$3,902.92 ","$8,572.49 ","$2,981.99 ","$8,572.49 ","$2,981.99 ","$7,722.21 ","$7,722.21 ","$2,981.99 ","$7,722.21 ","$6,146.50 ","$12,545.10 ","$11,569.37 ","$7,304.54 ","$2,981.99 ","$12,266.32 ","$3,041.64 ","$10,454.25 ","$10,454.25 ","$11,848.15 ","$11,848.15 ","$2,981.99 ","$11,848.15 ","$2,981.99 ","$11,290.59 ","$11,290.59 ","$11,290.59 ","$13,939.00 ","$12,545.10 ","$7,304.54 ","$12,545.10 ","$2,981.99 ","$13,939.00 ","$7,819.78 ","$2,981.99 ","$5,770.75 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$12,545.10 ","$6,594.26 ","$7,722.21 ","$3,902.92 ","$12,545.10 ","$2,981.99 ","$12,545.10 ","$12,545.10 ","$2,981.99 ","$9,060.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100116,93460,HC RHC/LHC/CORONAY ANGIO AND LV 93460,481,1 ,"$15,061.00 ","$10,843.92 ","$1,721.76 ","$15,061.00 ","$7,304.54 ","$11,220.45 ","$9,864.96 ","$2,981.99 ","$4,217.08 ","$9,262.52 ","$2,981.99 ","$9,262.52 ","$2,981.99 ","$8,343.79 ","$8,343.79 ","$2,981.99 ","$8,343.79 ","$6,146.50 ","$13,554.90 ","$12,500.63 ","$7,304.54 ","$2,981.99 ","$13,253.68 ","$3,041.64 ","$11,295.75 ","$11,295.75 ","$12,801.85 ","$12,801.85 ","$2,981.99 ","$12,801.85 ","$2,981.99 ","$12,199.41 ","$12,199.41 ","$12,199.41 ","$15,061.00 ","$13,554.90 ","$7,304.54 ","$13,554.90 ","$2,981.99 ","$15,061.00 ","$8,449.22 ","$2,981.99 ","$6,235.25 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$13,554.90 ","$6,594.26 ","$8,343.79 ","$4,217.08 ","$13,554.90 ","$2,981.99 ","$13,554.90 ","$13,554.90 ","$2,981.99 ","$9,789.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100117,93461,HC RHC/LHC/CORON ANGIO GRAFTS  AND LV 93461,481,1 ,"$16,210.00 ","$11,671.20 ","$1,721.76 ","$16,210.00 ","$7,304.54 ","$12,076.45 ","$10,617.55 ","$2,981.99 ","$4,538.80 ","$9,969.15 ","$2,981.99 ","$9,969.15 ","$2,981.99 ","$8,980.34 ","$8,980.34 ","$2,981.99 ","$8,980.34 ","$6,146.50 ","$14,589.00 ","$13,454.30 ","$7,304.54 ","$2,981.99 ","$14,264.80 ","$3,041.64 ","$12,157.50 ","$12,157.50 ","$13,778.50 ","$13,778.50 ","$2,981.99 ","$13,778.50 ","$2,981.99 ","$13,130.10 ","$13,130.10 ","$13,130.10 ","$16,210.00 ","$14,589.00 ","$7,304.54 ","$14,589.00 ","$2,981.99 ","$16,210.00 ","$9,093.81 ","$2,981.99 ","$6,710.94 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$14,589.00 ","$6,594.26 ","$8,980.34 ","$4,538.80 ","$14,589.00 ","$2,981.99 ","$14,589.00 ","$14,589.00 ","$2,981.99 ","$10,536.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100119,93567,HC AORTAGRAM 93567,481,1 ,$636.00 ,$457.92 ,$178.08 ,$636.00 , N/A ,$473.82 ,$416.58 , N/A ,$178.08 ,$391.14 , N/A ,$391.14 , N/A ,$352.34 ,$352.34 , N/A ,$352.34 , N/A ,$572.40 ,$527.88 , N/A , N/A ,$559.68 , N/A ,$477.00 ,$477.00 ,$540.60 ,$540.60 , N/A ,$540.60 , N/A ,$515.16 ,$515.16 ,$515.16 ,$636.00 ,$572.40 , N/A ,$572.40 , N/A ,$636.00 ,$356.80 , N/A ,$263.30 , N/A , N/A , N/A ,$572.40 , N/A ,$352.34 ,$178.08 ,$572.40 , N/A ,$572.40 ,$572.40 , N/A ,$413.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100150,93503,HC PLACEMENT SWANZ GAN CATH MONIT 93503,481,1 ,"$4,462.00 ","$3,212.64 ","$1,202.90 ","$4,462.00 ","$3,673.55 ","$3,324.19 ","$2,922.61 ","$1,499.68 ","$1,249.36 ","$2,744.13 ","$1,499.68 ","$2,744.13 ","$1,499.68 ","$2,471.95 ","$2,471.95 ","$1,499.68 ","$2,471.95 ","$3,091.16 ","$4,015.80 ","$3,703.46 ","$3,673.55 ","$1,499.68 ","$3,926.56 ","$1,529.68 ","$3,346.50 ","$3,346.50 ","$3,792.70 ","$3,792.70 ","$1,499.68 ","$3,792.70 ","$1,499.68 ","$3,614.22 ","$3,614.22 ","$3,614.22 ","$4,462.00 ","$4,015.80 ","$3,673.55 ","$4,015.80 ","$1,499.68 ","$4,462.00 ","$2,503.18 ","$1,499.68 ","$1,847.27 ","$1,260.18 ","$1,202.90 ","$1,569.70 ","$4,015.80 ","$3,316.34 ","$2,471.95 ","$1,249.36 ","$4,015.80 ","$1,499.68 ","$4,015.80 ","$4,015.80 ","$1,499.68 ","$2,900.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100151,33227,HC REM/REPL PCMKR PUL GEN SGL 33227,481,1 ,"$19,879.00 ","$14,312.88 ","$5,566.12 ","$19,879.00 ","$19,879.00 ","$14,809.86 ","$13,020.75 ","$8,227.70 ","$5,566.12 ","$12,225.59 ","$8,227.70 ","$12,225.59 ","$8,227.70 ","$11,012.97 ","$11,012.97 ","$8,227.70 ","$11,012.97 ","$16,958.97 ","$17,891.10 ","$16,499.57 ","$19,879.00 ","$8,227.70 ","$17,493.52 ","$8,392.25 ","$14,909.25 ","$14,909.25 ","$16,897.15 ","$16,897.15 ","$8,227.70 ","$16,897.15 ","$8,227.70 ","$16,101.99 ","$16,101.99 ","$16,101.99 ","$19,879.00 ","$17,891.10 ","$19,879.00 ","$17,891.10 ","$8,227.70 ","$19,879.00 ","$11,152.12 ","$8,227.70 ","$8,229.91 ","$5,955.71 ","$5,684.99 ","$8,611.81 ","$17,891.10 ","$18,194.40 ","$11,012.97 ","$5,566.12 ","$17,891.10 ","$8,227.70 ","$17,891.10 ","$17,891.10 ","$8,227.70 ","$12,921.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100152,33228,HC REM/REPL PCMKR PUL GEN DUAL 33228,481,1 ,"$27,525.00 ","$19,818.00 ","$5,684.99 ","$27,525.00 ","$25,502.09 ","$20,506.13 ","$18,028.88 ","$10,410.92 ","$7,707.00 ","$16,927.88 ","$10,410.92 ","$16,927.88 ","$10,410.92 ","$15,248.85 ","$15,248.85 ","$10,410.92 ","$15,248.85 ","$21,459.05 ","$24,772.50 ","$22,845.75 ","$25,502.09 ","$10,410.92 ","$24,222.00 ","$10,619.14 ","$20,643.75 ","$20,643.75 ","$23,396.25 ","$23,396.25 ","$10,410.92 ","$23,396.25 ","$10,410.92 ","$22,295.25 ","$22,295.25 ","$22,295.25 ","$27,525.00 ","$24,772.50 ","$25,502.09 ","$24,772.50 ","$10,410.92 ","$27,525.00 ","$15,441.53 ","$10,410.92 ","$11,395.35 ","$5,955.71 ","$5,684.99 ","$10,896.96 ","$24,772.50 ","$23,022.30 ","$15,248.85 ","$7,707.00 ","$24,772.50 ","$10,410.92 ","$24,772.50 ","$24,772.50 ","$10,410.92 ","$17,891.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100153,33229,HC REM/REPL PCMKR PUL GEN MULT 33229,481,1 ,"$50,203.00 ","$36,146.16 ","$5,684.99 ","$50,203.00 ","$46,101.83 ","$37,401.24 ","$32,882.97 ","$18,820.52 ","$14,056.84 ","$30,874.85 ","$18,820.52 ","$30,874.85 ","$18,820.52 ","$27,812.46 ","$27,812.46 ","$18,820.52 ","$27,812.46 ","$38,792.96 ","$45,182.70 ","$41,668.49 ","$46,101.83 ","$18,820.52 ","$44,178.64 ","$19,196.93 ","$37,652.25 ","$37,652.25 ","$42,672.55 ","$42,672.55 ","$18,820.52 ","$42,672.55 ","$18,820.52 ","$40,664.43 ","$40,664.43 ","$40,664.43 ","$50,203.00 ","$45,182.70 ","$46,101.83 ","$45,182.70 ","$18,820.52 ","$50,203.00 ","$28,163.88 ","$18,820.52 ","$20,784.04 ","$5,955.71 ","$5,684.99 ","$19,699.17 ","$45,182.70 ","$41,618.96 ","$27,812.46 ","$14,056.84 ","$45,182.70 ","$18,820.52 ","$45,182.70 ","$45,182.70 ","$18,820.52 ","$32,631.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100155,33263,HC REM/REPL DEFIB PUL GEN DUAL 33263,481,1 ,"$31,028.00 ","$22,340.16 ","$8,687.84 ","$50,860.87 ","$31,028.00 ","$23,115.86 ","$20,323.34 ","$22,999.81 ","$8,687.84 ","$19,082.22 ","$22,999.81 ","$19,082.22 ","$22,999.81 ","$17,189.51 ","$17,189.51 ","$22,999.81 ","$17,189.51 ","$31,028.00 ","$27,925.20 ","$25,753.24 ","$31,028.00 ","$22,999.81 ","$27,304.64 ","$23,459.80 ","$23,271.00 ","$23,271.00 ","$26,373.80 ","$26,373.80 ","$22,999.81 ","$26,373.80 ","$22,999.81 ","$25,132.68 ","$25,132.68 ","$25,132.68 ","$31,028.00 ","$27,925.20 ","$31,028.00 ","$27,925.20 ","$22,999.81 ","$31,028.00 ","$17,406.71 ","$22,999.81 ","$12,845.59 ","$17,083.74 ","$16,307.20 ","$24,073.56 ","$27,925.20 ","$50,860.87 ","$17,189.51 ","$8,687.84 ","$27,925.20 ","$22,999.81 ","$27,925.20 ","$27,925.20 ","$22,999.81 ","$20,168.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100171,36253,HC PLC CATH RENAL ANGIO 1< UNI,481,1 ,"$11,125.76 ","$8,010.55 ","$1,891.02 ","$11,456.26 ","$11,125.76 ","$8,288.69 ","$7,287.37 ","$5,180.64 ","$3,115.21 ","$6,842.34 ","$5,180.64 ","$6,842.34 ","$5,180.64 ","$6,163.67 ","$6,163.67 ","$5,180.64 ","$6,163.67 ","$10,678.36 ","$10,013.18 ","$9,234.38 ","$11,125.76 ","$5,180.64 ","$9,790.67 ","$5,284.26 ","$8,344.32 ","$8,344.32 ","$9,456.90 ","$9,456.90 ","$5,180.64 ","$9,456.90 ","$5,180.64 ","$9,011.87 ","$9,011.87 ","$9,011.87 ","$11,125.76 ","$10,013.18 ","$11,125.76 ","$10,013.18 ","$5,180.64 ","$11,125.76 ","$6,241.55 ","$5,180.64 ","$4,606.06 ","$1,981.07 ","$1,891.02 ","$5,422.50 ","$10,013.18 ","$11,456.26 ","$6,163.67 ","$3,115.21 ","$10,013.18 ","$5,180.64 ","$10,013.18 ","$10,013.18 ","$5,180.64 ","$7,231.74 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100172,36254,HC PLC CATH RENAL ANGIO 1< BIL,481,1 ,"$4,442.61 ","$3,198.68 ","$1,243.93 ","$6,639.97 ","$4,442.61 ","$3,309.74 ","$2,909.91 ","$3,002.66 ","$1,243.93 ","$2,732.21 ","$3,002.66 ","$2,732.21 ","$3,002.66 ","$2,461.21 ","$2,461.21 ","$3,002.66 ","$2,461.21 ","$4,442.61 ","$3,998.35 ","$3,687.37 ","$4,442.61 ","$3,002.66 ","$3,909.50 ","$3,062.72 ","$3,331.96 ","$3,331.96 ","$3,776.22 ","$3,776.22 ","$3,002.66 ","$3,776.22 ","$3,002.66 ","$3,598.51 ","$3,598.51 ","$3,598.51 ","$4,442.61 ","$3,998.35 ","$4,442.61 ","$3,998.35 ","$3,002.66 ","$4,442.61 ","$2,492.30 ","$3,002.66 ","$1,839.24 ","$1,981.07 ","$1,891.02 ","$3,142.84 ","$3,998.35 ","$6,639.97 ","$2,461.21 ","$1,243.93 ","$3,998.35 ","$3,002.66 ","$3,998.35 ","$3,998.35 ","$3,002.66 ","$2,887.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100173,37193,HC FILTER REMOVAL,481,1 ,"$3,494.00 ","$2,515.68 ",$978.32 ,"$6,639.97 ","$3,494.00 ","$2,603.03 ","$2,288.57 ","$3,002.66 ",$978.32 ,"$2,148.81 ","$3,002.66 ","$2,148.81 ","$3,002.66 ","$1,935.68 ","$1,935.68 ","$3,002.66 ","$1,935.68 ","$3,494.00 ","$3,144.60 ","$2,900.02 ","$3,494.00 ","$3,002.66 ","$3,074.72 ","$3,062.72 ","$2,620.50 ","$2,620.50 ","$2,969.90 ","$2,969.90 ","$3,002.66 ","$2,969.90 ","$3,002.66 ","$2,830.14 ","$2,830.14 ","$2,830.14 ","$3,494.00 ","$3,144.60 ","$3,494.00 ","$3,144.60 ","$3,002.66 ","$3,494.00 ","$1,960.13 ","$3,002.66 ","$1,446.52 ","$2,306.93 ","$2,202.07 ","$3,142.84 ","$3,144.60 ","$6,639.97 ","$1,935.68 ",$978.32 ,"$3,144.60 ","$3,002.66 ","$3,144.60 ","$3,144.60 ","$3,002.66 ","$2,271.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100183,36225,HC CATH PLCMT SEL SUBCL/INOM VERTEB UNI 36225,481,1 ,"$12,194.36 ","$8,779.94 ","$1,891.02 ","$12,194.36 ","$7,355.18 ","$9,084.80 ","$7,987.31 ","$3,002.66 ","$3,414.42 ","$7,499.53 ","$3,002.66 ","$7,499.53 ","$3,002.66 ","$6,755.68 ","$6,755.68 ","$3,002.66 ","$6,755.68 ","$6,189.11 ","$10,974.92 ","$10,121.32 ","$7,355.18 ","$3,002.66 ","$10,731.04 ","$3,062.72 ","$9,145.77 ","$9,145.77 ","$10,365.21 ","$10,365.21 ","$3,002.66 ","$10,365.21 ","$3,002.66 ","$9,877.43 ","$9,877.43 ","$9,877.43 ","$12,194.36 ","$10,974.92 ","$7,355.18 ","$10,974.92 ","$3,002.66 ","$12,194.36 ","$6,841.04 ","$3,002.66 ","$5,048.47 ","$1,981.07 ","$1,891.02 ","$3,142.84 ","$10,974.92 ","$6,639.97 ","$6,755.68 ","$3,414.42 ","$10,974.92 ","$3,002.66 ","$10,974.92 ","$10,974.92 ","$3,002.66 ","$7,926.33 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100184,36228,HC CATH PLCMT SEL EA INTRACRN BRANCH UNI 36228,481,1 ,"$8,633.45 ","$6,216.08 ","$1,891.02 ","$8,633.45 ", N/A ,"$6,431.92 ","$5,654.91 ", N/A ,"$2,417.37 ","$5,309.57 ", N/A ,"$5,309.57 ", N/A ,"$4,782.93 ","$4,782.93 ", N/A ,"$4,782.93 ", N/A ,"$7,770.11 ","$7,165.76 ", N/A , N/A ,"$7,597.44 ", N/A ,"$6,475.09 ","$6,475.09 ","$7,338.43 ","$7,338.43 ", N/A ,"$7,338.43 ", N/A ,"$6,993.09 ","$6,993.09 ","$6,993.09 ","$8,633.45 ","$7,770.11 ", N/A ,"$7,770.11 ", N/A ,"$8,633.45 ","$4,843.37 ", N/A ,"$3,574.25 ","$1,981.07 ","$1,891.02 ", N/A ,"$7,770.11 ", N/A ,"$4,782.93 ","$2,417.37 ","$7,770.11 ", N/A ,"$7,770.11 ","$7,770.11 ", N/A ,"$5,611.74 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100187,37197,HC TRANSCATH RETRVAL FOREIGN BODY 37197,481,1 ,"$2,963.00 ","$2,133.36 ",$829.64 ,"$6,639.97 ","$2,963.00 ","$2,207.44 ","$1,940.77 ","$2,903.74 ",$829.64 ,"$1,822.25 ","$2,903.74 ","$1,822.25 ","$2,903.74 ","$1,641.50 ","$1,641.50 ","$2,903.74 ","$1,641.50 ","$2,963.00 ","$2,666.70 ","$2,459.29 ","$2,963.00 ","$2,903.74 ","$2,607.44 ","$2,961.81 ","$2,222.25 ","$2,222.25 ","$2,518.55 ","$2,518.55 ","$2,903.74 ","$2,518.55 ","$2,903.74 ","$2,400.03 ","$2,400.03 ","$2,400.03 ","$2,963.00 ","$2,666.70 ","$2,963.00 ","$2,666.70 ","$2,903.74 ","$2,963.00 ","$1,662.24 ","$2,903.74 ","$1,226.68 ","$2,963.00 ","$2,963.00 ","$2,903.74 ","$2,666.70 ","$6,639.97 ","$1,641.50 ",$829.64 ,"$2,666.70 ","$2,903.74 ","$2,666.70 ","$2,666.70 ","$2,903.74 ","$1,925.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100188,36221,HC CATH PLCMT NON SEL THORAC AORTA 36221,481,1 ,"$10,259.44 ","$7,386.80 ","$1,891.02 ","$10,259.44 ","$7,355.18 ","$7,643.28 ","$6,719.93 ","$3,002.66 ","$2,872.64 ","$6,309.56 ","$3,002.66 ","$6,309.56 ","$3,002.66 ","$5,683.73 ","$5,683.73 ","$3,002.66 ","$5,683.73 ","$6,189.11 ","$9,233.50 ","$8,515.34 ","$7,355.18 ","$3,002.66 ","$9,028.31 ","$3,062.72 ","$7,694.58 ","$7,694.58 ","$8,720.52 ","$8,720.52 ","$3,002.66 ","$8,720.52 ","$3,002.66 ","$8,310.15 ","$8,310.15 ","$8,310.15 ","$10,259.44 ","$9,233.50 ","$7,355.18 ","$9,233.50 ","$3,002.66 ","$10,259.44 ","$5,755.55 ","$3,002.66 ","$4,247.41 ","$1,981.07 ","$1,891.02 ","$3,142.84 ","$9,233.50 ","$6,639.97 ","$5,683.73 ","$2,872.64 ","$9,233.50 ","$3,002.66 ","$9,233.50 ","$9,233.50 ","$3,002.66 ","$6,668.64 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100189,36222,HC CATH PLCMT SEL COM CAR/INOM EXTRACRN UNI 36222,481,1 ,"$14,110.58 ","$10,159.62 ","$1,891.02 ","$14,110.58 ","$7,355.18 ","$10,512.38 ","$9,242.43 ","$3,002.66 ","$3,950.96 ","$8,678.01 ","$3,002.66 ","$8,678.01 ","$3,002.66 ","$7,817.26 ","$7,817.26 ","$3,002.66 ","$7,817.26 ","$6,189.11 ","$12,699.52 ","$11,711.78 ","$7,355.18 ","$3,002.66 ","$12,417.31 ","$3,062.72 ","$10,582.94 ","$10,582.94 ","$11,993.99 ","$11,993.99 ","$3,002.66 ","$11,993.99 ","$3,002.66 ","$11,429.57 ","$11,429.57 ","$11,429.57 ","$14,110.58 ","$12,699.52 ","$7,355.18 ","$12,699.52 ","$3,002.66 ","$14,110.58 ","$7,916.04 ","$3,002.66 ","$5,841.78 ","$1,981.07 ","$1,891.02 ","$3,142.84 ","$12,699.52 ","$6,639.97 ","$7,817.26 ","$3,950.96 ","$12,699.52 ","$3,002.66 ","$12,699.52 ","$12,699.52 ","$3,002.66 ","$9,171.88 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100190,36223,HC CATH PLCMT SEL COM CAR/INOM INTRACRN UNI 36223,481,1 ,"$15,780.54 ","$11,361.99 ","$1,891.02 ","$15,780.54 ","$12,690.24 ","$11,756.50 ","$10,336.25 ","$5,180.64 ","$4,418.55 ","$9,705.03 ","$5,180.64 ","$9,705.03 ","$5,180.64 ","$8,742.42 ","$8,742.42 ","$5,180.64 ","$8,742.42 ","$10,678.36 ","$14,202.49 ","$13,097.85 ","$12,690.24 ","$5,180.64 ","$13,886.88 ","$5,284.26 ","$11,835.41 ","$11,835.41 ","$13,413.46 ","$13,413.46 ","$5,180.64 ","$13,413.46 ","$5,180.64 ","$12,782.24 ","$12,782.24 ","$12,782.24 ","$15,780.54 ","$14,202.49 ","$12,690.24 ","$14,202.49 ","$5,180.64 ","$15,780.54 ","$8,852.88 ","$5,180.64 ","$6,533.14 ","$1,981.07 ","$1,891.02 ","$5,422.50 ","$14,202.49 ","$11,456.26 ","$8,742.42 ","$4,418.55 ","$14,202.49 ","$5,180.64 ","$14,202.49 ","$14,202.49 ","$5,180.64 ","$10,257.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100191,36224,HC CATH PLCMT SEL INTERNAL CAR UNI 36224,481,1 ,"$20,168.18 ","$14,521.09 ","$1,891.02 ","$20,168.18 ","$12,690.24 ","$15,025.29 ","$13,210.16 ","$5,180.64 ","$5,647.09 ","$12,403.43 ","$5,180.64 ","$12,403.43 ","$5,180.64 ","$11,173.17 ","$11,173.17 ","$5,180.64 ","$11,173.17 ","$10,678.36 ","$18,151.36 ","$16,739.59 ","$12,690.24 ","$5,180.64 ","$17,748.00 ","$5,284.26 ","$15,126.14 ","$15,126.14 ","$17,142.95 ","$17,142.95 ","$5,180.64 ","$17,142.95 ","$5,180.64 ","$16,336.23 ","$16,336.23 ","$16,336.23 ","$20,168.18 ","$18,151.36 ","$12,690.24 ","$18,151.36 ","$5,180.64 ","$20,168.18 ","$11,314.35 ","$5,180.64 ","$8,349.63 ","$1,981.07 ","$1,891.02 ","$5,422.50 ","$18,151.36 ","$11,456.26 ","$11,173.17 ","$5,647.09 ","$18,151.36 ","$5,180.64 ","$18,151.36 ","$18,151.36 ","$5,180.64 ","$13,109.32 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100192,36226,HC CATH PLCMT SEL VERTEBRAL UNI 36226,481,1 ,"$16,611.68 ","$11,960.41 ","$1,891.02 ","$16,611.68 ","$12,690.24 ","$12,375.70 ","$10,880.65 ","$5,180.64 ","$4,651.27 ","$10,216.18 ","$5,180.64 ","$10,216.18 ","$5,180.64 ","$9,202.87 ","$9,202.87 ","$5,180.64 ","$9,202.87 ","$10,678.36 ","$14,950.51 ","$13,787.69 ","$12,690.24 ","$5,180.64 ","$14,618.28 ","$5,284.26 ","$12,458.76 ","$12,458.76 ","$14,119.93 ","$14,119.93 ","$5,180.64 ","$14,119.93 ","$5,180.64 ","$13,455.46 ","$13,455.46 ","$13,455.46 ","$16,611.68 ","$14,950.51 ","$12,690.24 ","$14,950.51 ","$5,180.64 ","$16,611.68 ","$9,319.15 ","$5,180.64 ","$6,877.24 ","$1,981.07 ","$1,891.02 ","$5,422.50 ","$14,950.51 ","$11,456.26 ","$9,202.87 ","$4,651.27 ","$14,950.51 ","$5,180.64 ","$14,950.51 ","$14,950.51 ","$5,180.64 ","$10,797.59 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100193,36227,HC CATH PLCMT SEL EXTERNAL CAR UNI 36227,481,1 ,"$9,799.90 ","$7,055.93 ","$1,891.02 ","$9,799.90 ", N/A ,"$7,300.93 ","$6,418.93 ", N/A ,"$2,743.97 ","$6,026.94 ", N/A ,"$6,026.94 ", N/A ,"$5,429.14 ","$5,429.14 ", N/A ,"$5,429.14 ", N/A ,"$8,819.91 ","$8,133.92 ", N/A , N/A ,"$8,623.91 ", N/A ,"$7,349.93 ","$7,349.93 ","$8,329.92 ","$8,329.92 ", N/A ,"$8,329.92 ", N/A ,"$7,937.92 ","$7,937.92 ","$7,937.92 ","$9,799.90 ","$8,819.91 ", N/A ,"$8,819.91 ", N/A ,"$9,799.90 ","$5,497.74 ", N/A ,"$4,057.16 ","$1,981.07 ","$1,891.02 ", N/A ,"$8,819.91 ", N/A ,"$5,429.14 ","$2,743.97 ","$8,819.91 ", N/A ,"$8,819.91 ","$8,819.91 ", N/A ,"$6,369.94 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100263,36902,HC INTRO CATH/CIRCUIT W/ANGIO 36902,481,1 ,"$15,485.00 ","$11,149.20 ","$3,497.06 ","$15,485.00 ","$12,877.00 ","$11,536.33 ","$10,142.68 ","$5,256.88 ","$4,335.80 ","$9,523.28 ","$5,256.88 ","$9,523.28 ","$5,256.88 ","$8,578.69 ","$8,578.69 ","$5,256.88 ","$8,578.69 ","$10,835.51 ","$13,936.50 ","$12,852.55 ","$12,877.00 ","$5,256.88 ","$13,626.80 ","$5,362.01 ","$11,613.75 ","$11,613.75 ","$13,162.25 ","$13,162.25 ","$5,256.88 ","$13,162.25 ","$5,256.88 ","$12,542.85 ","$12,542.85 ","$12,542.85 ","$15,485.00 ","$13,936.50 ","$12,877.00 ","$13,936.50 ","$5,256.88 ","$15,485.00 ","$8,687.09 ","$5,256.88 ","$6,410.79 ","$3,663.58 ","$3,497.06 ","$5,502.30 ","$13,936.50 ","$11,624.86 ","$8,578.69 ","$4,335.80 ","$13,936.50 ","$5,256.88 ","$13,936.50 ","$13,936.50 ","$5,256.88 ","$10,065.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100265,36907,HC ANGIOPLASTY CTR DIALYSIS SEGMENT 36907,481,1 ,"$2,521.00 ","$1,815.12 ",$705.88 ,"$2,521.00 ", N/A ,"$1,878.15 ","$1,651.26 ", N/A ,$705.88 ,"$1,550.42 ", N/A ,"$1,550.42 ", N/A ,"$1,396.63 ","$1,396.63 ", N/A ,"$1,396.63 ", N/A ,"$2,268.90 ","$2,092.43 ", N/A , N/A ,"$2,218.48 ", N/A ,"$1,890.75 ","$1,890.75 ","$2,142.85 ","$2,142.85 ", N/A ,"$2,142.85 ", N/A ,"$2,042.01 ","$2,042.01 ","$2,042.01 ","$2,521.00 ","$2,268.90 ", N/A ,"$2,268.90 ", N/A ,"$2,521.00 ","$1,414.28 ", N/A ,"$1,043.69 ","$2,521.00 ","$2,521.00 ", N/A ,"$2,268.90 ", N/A ,"$1,396.63 ",$705.88 ,"$2,268.90 ", N/A ,"$2,268.90 ","$2,268.90 ", N/A ,"$1,638.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100270,36908,HC PLACE STENT CENTRAL DIAL SEGMENT 36908,481,1 ,"$1,901.00 ","$1,368.72 ",$532.28 ,"$1,901.00 ", N/A ,"$1,416.25 ","$1,245.16 ", N/A ,$532.28 ,"$1,169.12 ", N/A ,"$1,169.12 ", N/A ,"$1,053.15 ","$1,053.15 ", N/A ,"$1,053.15 ", N/A ,"$1,710.90 ","$1,577.83 ", N/A , N/A ,"$1,672.88 ", N/A ,"$1,425.75 ","$1,425.75 ","$1,615.85 ","$1,615.85 ", N/A ,"$1,615.85 ", N/A ,"$1,539.81 ","$1,539.81 ","$1,539.81 ","$1,901.00 ","$1,710.90 ", N/A ,"$1,710.90 ", N/A ,"$1,901.00 ","$1,066.46 ", N/A ,$787.01 ,"$1,901.00 ","$1,901.00 ", N/A ,"$1,710.90 ", N/A ,"$1,053.15 ",$532.28 ,"$1,710.90 ", N/A ,"$1,710.90 ","$1,710.90 ", N/A ,"$1,235.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100271,36909,HC DIAL CIRCUIT VASC EMBOL/OCCUL 36909,481,1 ,"$2,521.00 ","$1,815.12 ",$705.88 ,"$2,521.00 ", N/A ,"$1,878.15 ","$1,651.26 ", N/A ,$705.88 ,"$1,550.42 ", N/A ,"$1,550.42 ", N/A ,"$1,396.63 ","$1,396.63 ", N/A ,"$1,396.63 ", N/A ,"$2,268.90 ","$2,092.43 ", N/A , N/A ,"$2,218.48 ", N/A ,"$1,890.75 ","$1,890.75 ","$2,142.85 ","$2,142.85 ", N/A ,"$2,142.85 ", N/A ,"$2,042.01 ","$2,042.01 ","$2,042.01 ","$2,521.00 ","$2,268.90 ", N/A ,"$2,268.90 ", N/A ,"$2,521.00 ","$1,414.28 ", N/A ,"$1,043.69 ","$2,521.00 ","$2,521.00 ", N/A ,"$2,268.90 ", N/A ,"$1,396.63 ",$705.88 ,"$2,268.90 ", N/A ,"$2,268.90 ","$2,268.90 ", N/A ,"$1,638.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100272,36901,HC INTRO CATH DIALYSIS CIRCUIT 36901,481,1 ,"$2,521.00 ","$1,815.12 ",$705.88 ,"$3,316.34 ","$2,521.00 ","$1,878.15 ","$1,651.26 ","$1,499.68 ",$705.88 ,"$1,550.42 ","$1,499.68 ","$1,550.42 ","$1,499.68 ","$1,396.63 ","$1,396.63 ","$1,499.68 ","$1,396.63 ","$2,521.00 ","$2,268.90 ","$2,092.43 ","$2,521.00 ","$1,499.68 ","$2,218.48 ","$1,529.68 ","$1,890.75 ","$1,890.75 ","$2,142.85 ","$2,142.85 ","$1,499.68 ","$2,142.85 ","$1,499.68 ","$2,042.01 ","$2,042.01 ","$2,042.01 ","$2,521.00 ","$2,268.90 ","$2,521.00 ","$2,268.90 ","$1,499.68 ","$2,521.00 ","$1,414.28 ","$1,499.68 ","$1,043.69 ","$2,306.93 ","$2,202.07 ","$1,569.70 ","$2,268.90 ","$3,316.34 ","$1,396.63 ",$705.88 ,"$2,268.90 ","$1,499.68 ","$2,268.90 ","$2,268.90 ","$1,499.68 ","$1,638.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100323,36245,HC PLACE CATH ABD/PEL 1ST ORDER-BI,360,1 ,"$6,242.30 ","$4,494.46 ","$1,747.84 ","$6,242.30 ", N/A ,"$4,650.51 ","$4,088.71 ", N/A ,"$1,747.84 ","$3,839.01 ", N/A ,"$3,839.01 ", N/A ,"$3,458.23 ","$3,458.23 ", N/A ,"$3,458.23 ", N/A ,"$5,618.07 ","$5,181.11 ", N/A , N/A ,"$5,493.22 ", N/A ,"$4,681.73 ","$4,681.73 ","$5,305.96 ","$5,305.96 ", N/A ,"$5,305.96 ", N/A ,"$5,056.26 ","$5,056.26 ","$5,056.26 ","$6,242.30 ","$5,618.07 ", N/A ,"$5,618.07 ", N/A ,"$6,242.30 ","$3,501.93 ", N/A ,"$2,584.31 ","$2,971.60 ","$2,836.52 ", N/A ,"$5,618.07 ", N/A ,"$3,458.23 ","$1,747.84 ","$5,618.07 ", N/A ,"$5,618.07 ","$5,618.07 ", N/A ,"$4,057.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100324,36245,HC PLACE CATH ABD/PEL 1ST ORDER-LT,360,1 ,"$4,161.16 ","$2,996.04 ","$1,165.12 ","$4,161.16 ", N/A ,"$3,100.06 ","$2,725.56 ", N/A ,"$1,165.12 ","$2,559.11 ", N/A ,"$2,559.11 ", N/A ,"$2,305.28 ","$2,305.28 ", N/A ,"$2,305.28 ", N/A ,"$3,745.04 ","$3,453.76 ", N/A , N/A ,"$3,661.82 ", N/A ,"$3,120.87 ","$3,120.87 ","$3,536.99 ","$3,536.99 ", N/A ,"$3,536.99 ", N/A ,"$3,370.54 ","$3,370.54 ","$3,370.54 ","$4,161.16 ","$3,745.04 ", N/A ,"$3,745.04 ", N/A ,"$4,161.16 ","$2,334.41 ", N/A ,"$1,722.72 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,745.04 ", N/A ,"$2,305.28 ","$1,165.12 ","$3,745.04 ", N/A ,"$3,745.04 ","$3,745.04 ", N/A ,"$2,704.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100325,36245,HC PLACE CATH ABD/PEL 1ST ORDER-RT,360,1 ,"$4,161.16 ","$2,996.04 ","$1,165.12 ","$4,161.16 ", N/A ,"$3,100.06 ","$2,725.56 ", N/A ,"$1,165.12 ","$2,559.11 ", N/A ,"$2,559.11 ", N/A ,"$2,305.28 ","$2,305.28 ", N/A ,"$2,305.28 ", N/A ,"$3,745.04 ","$3,453.76 ", N/A , N/A ,"$3,661.82 ", N/A ,"$3,120.87 ","$3,120.87 ","$3,536.99 ","$3,536.99 ", N/A ,"$3,536.99 ", N/A ,"$3,370.54 ","$3,370.54 ","$3,370.54 ","$4,161.16 ","$3,745.04 ", N/A ,"$3,745.04 ", N/A ,"$4,161.16 ","$2,334.41 ", N/A ,"$1,722.72 ","$1,981.07 ","$1,891.02 ", N/A ,"$3,745.04 ", N/A ,"$2,305.28 ","$1,165.12 ","$3,745.04 ", N/A ,"$3,745.04 ","$3,745.04 ", N/A ,"$2,704.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100421,33211,HC INS/REPL TEMP ELECTRODE DUAL CHAMBER-33211,481,1 ,"$2,048.00 ","$1,474.56 ",$573.44 ,"$18,194.40 ","$2,048.00 ","$1,525.76 ","$1,341.44 ","$2,007.04 ",$573.44 ,"$1,259.52 ","$2,007.04 ","$1,259.52 ","$2,007.04 ","$1,134.59 ","$1,134.59 ","$2,007.04 ","$1,134.59 ","$2,048.00 ","$1,843.20 ","$1,699.84 ","$2,048.00 ","$2,007.04 ","$1,802.24 ","$2,047.18 ","$1,536.00 ","$1,536.00 ","$1,740.80 ","$1,740.80 ","$2,007.04 ","$1,740.80 ","$2,007.04 ","$1,658.88 ","$1,658.88 ","$1,658.88 ","$2,048.00 ","$1,843.20 ","$2,048.00 ","$1,843.20 ","$2,007.04 ","$2,048.00 ","$1,148.93 ","$2,007.04 ",$847.87 ,"$2,048.00 ","$2,048.00 ","$2,007.04 ","$1,843.20 ","$18,194.40 ","$1,134.59 ",$573.44 ,"$1,843.20 ","$2,007.04 ","$1,843.20 ","$1,843.20 ","$2,007.04 ","$1,331.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100456,75600,HC AORTOGRAM THORACIC W/O SERIALOGRAPHY,481,1 ,"$5,867.41 ","$4,224.54 ",$224.12 ,"$6,639.97 ","$5,867.41 ","$4,371.22 ","$3,843.15 ","$3,002.66 ","$1,642.87 ","$3,608.46 ","$3,002.66 ","$3,608.46 ","$3,002.66 ","$3,250.55 ","$3,250.55 ","$3,002.66 ","$3,250.55 ","$5,867.41 ","$5,280.67 ","$4,869.95 ","$5,867.41 ","$3,002.66 ","$5,163.32 ","$3,062.72 ","$4,400.56 ","$4,400.56 ","$4,987.30 ","$4,987.30 ","$3,002.66 ","$4,987.30 ","$3,002.66 ","$4,752.60 ","$4,752.60 ","$4,752.60 ","$5,867.41 ","$5,280.67 ","$5,867.41 ","$5,280.67 ","$3,002.66 ","$5,867.41 ","$3,291.62 ","$3,002.66 ","$2,429.11 ",$234.80 ,$224.12 ,"$3,142.84 ","$5,280.67 ","$6,639.97 ","$3,250.55 ","$1,642.87 ","$5,280.67 ","$3,002.66 ","$5,280.67 ","$5,280.67 ","$3,002.66 ","$3,813.82 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48100469,93454,HC CORONARY ARTERY ANGIOGRAPHY,481,1 ,"$10,204.00 ","$7,346.88 ","$1,721.76 ","$10,204.00 ","$7,304.54 ","$7,601.98 ","$6,683.62 ","$2,981.99 ","$2,857.12 ","$6,275.46 ","$2,981.99 ","$6,275.46 ","$2,981.99 ","$5,653.02 ","$5,653.02 ","$2,981.99 ","$5,653.02 ","$6,146.50 ","$9,183.60 ","$8,469.32 ","$7,304.54 ","$2,981.99 ","$8,979.52 ","$3,041.64 ","$7,653.00 ","$7,653.00 ","$8,673.40 ","$8,673.40 ","$2,981.99 ","$8,673.40 ","$2,981.99 ","$8,265.24 ","$8,265.24 ","$8,265.24 ","$10,204.00 ","$9,183.60 ","$7,304.54 ","$9,183.60 ","$2,981.99 ","$10,204.00 ","$5,724.44 ","$2,981.99 ","$4,224.46 ","$1,803.75 ","$1,721.76 ","$3,121.20 ","$9,183.60 ","$6,594.26 ","$5,653.02 ","$2,857.12 ","$9,183.60 ","$2,981.99 ","$9,183.60 ","$9,183.60 ","$2,981.99 ","$6,632.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,593.12 ","$1,147.05 ",$215.72 ,"$1,593.12 ",$691.48 ,"$1,186.87 ","$1,043.49 ",$282.29 ,$446.07 ,$979.77 ,$282.29 ,$979.77 ,$282.29 ,$882.59 ,$882.59 ,$282.29 ,$882.59 ,$581.85 ,"$1,433.81 ","$1,322.29 ",$691.48 ,$282.29 ,"$1,401.95 ",$287.93 ,"$1,194.84 ","$1,194.84 ","$1,354.15 ","$1,354.15 ",$282.29 ,"$1,354.15 ",$282.29 ,"$1,290.43 ","$1,290.43 ","$1,290.43 ","$1,593.12 ","$1,433.81 ",$691.48 ,"$1,433.81 ",$282.29 ,"$1,593.12 ",$893.74 ,$282.29 ,$659.55 ,$226.00 ,$215.72 ,$295.47 ,"$1,433.81 ",$624.24 ,$882.59 ,$446.07 ,"$1,433.81 ",$282.29 ,"$1,433.81 ","$1,433.81 ",$282.29 ,"$1,035.53 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$2,413.85 ","$1,737.97 ",$342.86 ,"$2,413.85 ","$1,242.25 ","$1,798.32 ","$1,581.07 ",$507.13 ,$675.88 ,"$1,484.52 ",$507.13 ,"$1,484.52 ",$507.13 ,"$1,337.27 ","$1,337.27 ",$507.13 ,"$1,337.27 ","$1,045.30 ","$2,172.47 ","$2,003.50 ","$1,242.25 ",$507.13 ,"$2,124.19 ",$517.27 ,"$1,810.39 ","$1,810.39 ","$2,051.77 ","$2,051.77 ",$507.13 ,"$2,051.77 ",$507.13 ,"$1,955.22 ","$1,955.22 ","$1,955.22 ","$2,413.85 ","$2,172.47 ","$1,242.25 ","$2,172.47 ",$507.13 ,"$2,413.85 ","$1,354.17 ",$507.13 ,$999.33 ,$359.18 ,$342.86 ,$530.81 ,"$2,172.47 ","$1,121.45 ","$1,337.27 ",$675.88 ,"$2,172.47 ",$507.13 ,"$2,172.47 ","$2,172.47 ",$507.13 ,"$1,569.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,"$1,014.30 ",$730.30 ,$235.38 ,"$1,014.30 ",$576.57 ,$755.65 ,$664.37 ,$235.38 ,$284.00 ,$623.79 ,$235.38 ,$623.79 ,$235.38 ,$561.92 ,$561.92 ,$235.38 ,$561.92 ,$485.16 ,$912.87 ,$841.87 ,$576.57 ,$235.38 ,$892.58 ,$240.08 ,$760.73 ,$760.73 ,$862.16 ,$862.16 ,$235.38 ,$862.16 ,$235.38 ,$821.58 ,$821.58 ,$821.58 ,"$1,014.30 ",$912.87 ,$576.57 ,$912.87 ,$235.38 ,"$1,014.30 ",$569.02 ,$235.38 ,$419.92 ,$359.18 ,$342.86 ,$246.36 ,$912.87 ,$520.50 ,$561.92 ,$284.00 ,$912.87 ,$235.38 ,$912.87 ,$912.87 ,$235.38 ,$659.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300003,93312,HC ECHO TEE CMPL W/PF,483,1 ,"$3,508.65 ","$2,526.23 ",$342.86 ,"$3,508.65 ","$1,242.25 ","$2,613.94 ","$2,298.17 ",$507.13 ,$982.42 ,"$2,157.82 ",$507.13 ,"$2,157.82 ",$507.13 ,"$1,943.79 ","$1,943.79 ",$507.13 ,"$1,943.79 ","$1,045.30 ","$3,157.79 ","$2,912.18 ","$1,242.25 ",$507.13 ,"$3,087.61 ",$517.27 ,"$2,631.49 ","$2,631.49 ","$2,982.35 ","$2,982.35 ",$507.13 ,"$2,982.35 ",$507.13 ,"$2,842.01 ","$2,842.01 ","$2,842.01 ","$3,508.65 ","$3,157.79 ","$1,242.25 ","$3,157.79 ",$507.13 ,"$3,508.65 ","$1,968.35 ",$507.13 ,"$1,452.58 ",$359.18 ,$342.86 ,$530.81 ,"$3,157.79 ","$1,121.45 ","$1,943.79 ",$982.42 ,"$3,157.79 ",$507.13 ,"$3,157.79 ","$3,157.79 ",$507.13 ,"$2,280.62 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300005,93320,HC ECHO DOPPLER,483,1 ,$469.20 ,$337.82 ,$131.38 ,$469.20 , N/A ,$349.55 ,$307.33 , N/A ,$131.38 ,$288.56 , N/A ,$288.56 , N/A ,$259.94 ,$259.94 , N/A ,$259.94 , N/A ,$422.28 ,$389.44 , N/A , N/A ,$412.90 , N/A ,$351.90 ,$351.90 ,$398.82 ,$398.82 , N/A ,$398.82 , N/A ,$380.05 ,$380.05 ,$380.05 ,$469.20 ,$422.28 , N/A ,$422.28 , N/A ,$469.20 ,$263.22 , N/A ,$194.25 ,$359.18 ,$342.86 , N/A ,$422.28 , N/A ,$259.94 ,$131.38 ,$422.28 , N/A ,$422.28 ,$422.28 , N/A ,$304.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$745.20 ,$536.54 ,$208.66 ,$745.20 , N/A ,$555.17 ,$488.11 , N/A ,$208.66 ,$458.30 , N/A ,$458.30 , N/A ,$412.84 ,$412.84 , N/A ,$412.84 , N/A ,$670.68 ,$618.52 , N/A , N/A ,$655.78 , N/A ,$558.90 ,$558.90 ,$633.42 ,$633.42 , N/A ,$633.42 , N/A ,$603.61 ,$603.61 ,$603.61 ,$745.20 ,$670.68 , N/A ,$670.68 , N/A ,$745.20 ,$418.06 , N/A ,$308.51 ,$359.18 ,$342.86 , N/A ,$670.68 , N/A ,$412.84 ,$208.66 ,$670.68 , N/A ,$670.68 ,$670.68 , N/A ,$484.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300007,93350,HC ECHO REST  AND  STRESS W/PF,483,1 ,"$4,282.60 ","$3,083.47 ",$342.86 ,"$4,282.60 ","$1,242.25 ","$3,190.54 ","$2,805.10 ",$507.13 ,"$1,199.13 ","$2,633.80 ",$507.13 ,"$2,633.80 ",$507.13 ,"$2,372.56 ","$2,372.56 ",$507.13 ,"$2,372.56 ","$1,045.30 ","$3,854.34 ","$3,554.56 ","$1,242.25 ",$507.13 ,"$3,768.69 ",$517.27 ,"$3,211.95 ","$3,211.95 ","$3,640.21 ","$3,640.21 ",$507.13 ,"$3,640.21 ",$507.13 ,"$3,468.91 ","$3,468.91 ","$3,468.91 ","$4,282.60 ","$3,854.34 ","$1,242.25 ","$3,854.34 ",$507.13 ,"$4,282.60 ","$2,402.54 ",$507.13 ,"$1,773.00 ",$359.18 ,$342.86 ,$530.81 ,"$3,854.34 ","$1,121.45 ","$2,372.56 ","$1,199.13 ","$3,854.34 ",$507.13 ,"$3,854.34 ","$3,854.34 ",$507.13 ,"$2,783.69 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300008,93303,HC ECHO PEDS CONGENITAL,483,1 ,"$2,776.10 ","$1,998.79 ",$342.86 ,"$2,776.10 ","$1,242.25 ","$2,068.19 ","$1,818.35 ",$507.13 ,$777.31 ,"$1,707.30 ",$507.13 ,"$1,707.30 ",$507.13 ,"$1,537.96 ","$1,537.96 ",$507.13 ,"$1,537.96 ","$1,045.30 ","$2,498.49 ","$2,304.16 ","$1,242.25 ",$507.13 ,"$2,442.97 ",$517.27 ,"$2,082.08 ","$2,082.08 ","$2,359.69 ","$2,359.69 ",$507.13 ,"$2,359.69 ",$507.13 ,"$2,248.64 ","$2,248.64 ","$2,248.64 ","$2,776.10 ","$2,498.49 ","$1,242.25 ","$2,498.49 ",$507.13 ,"$2,776.10 ","$1,557.39 ",$507.13 ,"$1,149.31 ",$359.18 ,$342.86 ,$530.81 ,"$2,498.49 ","$1,121.45 ","$1,537.96 ",$777.31 ,"$2,498.49 ",$507.13 ,"$2,498.49 ","$2,498.49 ",$507.13 ,"$1,804.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300009,93304,HC ECHO PEDS CONGENITAL LMTD,483,1 ,"$1,114.35 ",$802.33 ,$312.02 ,"$1,121.45 ","$1,114.35 ",$830.19 ,$729.90 ,$507.13 ,$312.02 ,$685.33 ,$507.13 ,$685.33 ,$507.13 ,$617.35 ,$617.35 ,$507.13 ,$617.35 ,"$1,045.30 ","$1,002.92 ",$924.91 ,"$1,114.35 ",$507.13 ,$980.63 ,$517.27 ,$835.76 ,$835.76 ,$947.20 ,$947.20 ,$507.13 ,$947.20 ,$507.13 ,$902.62 ,$902.62 ,$902.62 ,"$1,114.35 ","$1,002.92 ","$1,114.35 ","$1,002.92 ",$507.13 ,"$1,114.35 ",$625.15 ,$507.13 ,$461.34 ,$359.18 ,$342.86 ,$530.81 ,"$1,002.92 ","$1,121.45 ",$617.35 ,$312.02 ,"$1,002.92 ",$507.13 ,"$1,002.92 ","$1,002.92 ",$507.13 ,$724.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$480.70 ,$346.10 ,$134.60 ,$480.70 , N/A ,$358.12 ,$314.86 , N/A ,$134.60 ,$295.63 , N/A ,$295.63 , N/A ,$266.31 ,$266.31 , N/A ,$266.31 , N/A ,$432.63 ,$398.98 , N/A , N/A ,$423.02 , N/A ,$360.53 ,$360.53 ,$408.60 ,$408.60 , N/A ,$408.60 , N/A ,$389.37 ,$389.37 ,$389.37 ,$480.70 ,$432.63 , N/A ,$432.63 , N/A ,$480.70 ,$269.67 , N/A ,$199.01 ,$359.18 ,$342.86 , N/A ,$432.63 , N/A ,$266.31 ,$134.60 ,$432.63 , N/A ,$432.63 ,$432.63 , N/A ,$312.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$2,743.90 ","$1,975.61 ",$342.86 ,"$2,743.90 ","$1,828.94 ","$2,044.21 ","$1,797.25 ",$746.64 ,$768.29 ,"$1,687.50 ",$746.64 ,"$1,687.50 ",$746.64 ,"$1,520.12 ","$1,520.12 ",$746.64 ,"$1,520.12 ","$1,538.98 ","$2,469.51 ","$2,277.44 ","$1,828.94 ",$746.64 ,"$2,414.63 ",$761.58 ,"$2,057.93 ","$2,057.93 ","$2,332.32 ","$2,332.32 ",$746.64 ,"$2,332.32 ",$746.64 ,"$2,222.56 ","$2,222.56 ","$2,222.56 ","$2,743.90 ","$2,469.51 ","$1,828.94 ","$2,469.51 ",$746.64 ,"$2,743.90 ","$1,539.33 ",$746.64 ,"$1,135.97 ",$359.18 ,$342.86 ,$781.50 ,"$2,469.51 ","$1,651.09 ","$1,520.12 ",$768.29 ,"$2,469.51 ",$746.64 ,"$2,469.51 ","$2,469.51 ",$746.64 ,"$1,783.54 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT  AND  W/CONT,483,1 ,"$2,599.00 ","$1,871.28 ",$342.86 ,"$2,599.00 ","$1,828.94 ","$1,936.26 ","$1,702.35 ",$746.64 ,$727.72 ,"$1,598.39 ",$746.64 ,"$1,598.39 ",$746.64 ,"$1,439.85 ","$1,439.85 ",$746.64 ,"$1,439.85 ","$1,538.98 ","$2,339.10 ","$2,157.17 ","$1,828.94 ",$746.64 ,"$2,287.12 ",$761.58 ,"$1,949.25 ","$1,949.25 ","$2,209.15 ","$2,209.15 ",$746.64 ,"$2,209.15 ",$746.64 ,"$2,105.19 ","$2,105.19 ","$2,105.19 ","$2,599.00 ","$2,339.10 ","$1,828.94 ","$2,339.10 ",$746.64 ,"$2,599.00 ","$1,458.04 ",$746.64 ,"$1,075.99 ",$359.18 ,$342.86 ,$781.50 ,"$2,339.10 ","$1,651.09 ","$1,439.85 ",$727.72 ,"$2,339.10 ",$746.64 ,"$2,339.10 ","$2,339.10 ",$746.64 ,"$1,689.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,011.00 ",$727.92 ,$216.69 ,"$1,011.00 ",$921.12 ,$753.20 ,$662.21 ,$376.04 ,$283.08 ,$621.77 ,$376.04 ,$621.77 ,$376.04 ,$560.09 ,$560.09 ,$376.04 ,$560.09 ,$775.09 ,$909.90 ,$839.13 ,$921.12 ,$376.04 ,$889.68 ,$383.55 ,$758.25 ,$758.25 ,$859.35 ,$859.35 ,$376.04 ,$859.35 ,$376.04 ,$818.91 ,$818.91 ,$818.91 ,"$1,011.00 ",$909.90 ,$921.12 ,$909.90 ,$376.04 ,"$1,011.00 ",$567.17 ,$376.04 ,$418.55 ,$227.01 ,$216.69 ,$393.60 ,$909.90 ,$831.55 ,$560.09 ,$283.08 ,$909.90 ,$376.04 ,$909.90 ,$909.90 ,$376.04 ,$657.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,"$1,193.00 ",$858.96 ,$334.04 ,"$1,294.91 ","$1,193.00 ",$888.79 ,$781.42 ,$585.57 ,$334.04 ,$733.70 ,$585.57 ,$733.70 ,$585.57 ,$660.92 ,$660.92 ,$585.57 ,$660.92 ,"$1,193.00 ","$1,073.70 ",$990.19 ,"$1,193.00 ",$585.57 ,"$1,049.84 ",$597.28 ,$894.75 ,$894.75 ,"$1,014.05 ","$1,014.05 ",$585.57 ,"$1,014.05 ",$585.57 ,$966.33 ,$966.33 ,$966.33 ,"$1,193.00 ","$1,073.70 ","$1,193.00 ","$1,073.70 ",$585.57 ,"$1,193.00 ",$669.27 ,$585.57 ,$493.90 ,$617.58 ,$589.51 ,$612.91 ,"$1,073.70 ","$1,294.91 ",$660.92 ,$334.04 ,"$1,073.70 ",$585.57 ,"$1,073.70 ","$1,073.70 ",$585.57 ,$775.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$3,144.00 ","$2,263.68 ",$846.17 ,"$3,342.42 ","$3,144.00 ","$2,342.28 ","$2,059.32 ","$1,511.47 ",$880.32 ,"$1,933.56 ","$1,511.47 ","$1,933.56 ","$1,511.47 ","$1,741.78 ","$1,741.78 ","$1,511.47 ","$1,741.78 ","$3,115.46 ","$2,829.60 ","$2,609.52 ","$3,144.00 ","$1,511.47 ","$2,766.72 ","$1,541.71 ","$2,358.00 ","$2,358.00 ","$2,672.40 ","$2,672.40 ","$1,511.47 ","$2,672.40 ","$1,511.47 ","$2,546.64 ","$2,546.64 ","$2,546.64 ","$3,144.00 ","$2,829.60 ","$3,144.00 ","$2,829.60 ","$1,511.47 ","$3,144.00 ","$1,763.78 ","$1,511.47 ","$1,301.62 ",$886.47 ,$846.17 ,"$1,582.04 ","$2,829.60 ","$3,342.42 ","$1,741.78 ",$880.32 ,"$2,829.60 ","$1,511.47 ","$2,829.60 ","$2,829.60 ","$1,511.47 ","$2,043.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,"$1,011.00 ",$727.92 ,$283.08 ,"$1,011.00 ", N/A ,$753.20 ,$662.21 , N/A ,$283.08 ,$621.77 , N/A ,$621.77 , N/A ,$560.09 ,$560.09 , N/A ,$560.09 , N/A ,$909.90 ,$839.13 , N/A , N/A ,$889.68 , N/A ,$758.25 ,$758.25 ,$859.35 ,$859.35 , N/A ,$859.35 , N/A ,$818.91 ,$818.91 ,$818.91 ,"$1,011.00 ",$909.90 , N/A ,$909.90 , N/A ,"$1,011.00 ",$567.17 , N/A ,$418.55 ,$617.58 ,$589.51 , N/A ,$909.90 , N/A ,$560.09 ,$283.08 ,$909.90 , N/A ,$909.90 ,$909.90 , N/A ,$657.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$997.00 ,$717.84 ,$279.16 ,$997.00 , N/A ,$742.77 ,$653.04 , N/A ,$279.16 ,$613.16 , N/A ,$613.16 , N/A ,$552.34 ,$552.34 , N/A ,$552.34 , N/A ,$897.30 ,$827.51 , N/A , N/A ,$877.36 , N/A ,$747.75 ,$747.75 ,$847.45 ,$847.45 , N/A ,$847.45 , N/A ,$807.57 ,$807.57 ,$807.57 ,$997.00 ,$897.30 , N/A ,$897.30 , N/A ,$997.00 ,$559.32 , N/A ,$412.76 ,$617.58 ,$589.51 , N/A ,$897.30 , N/A ,$552.34 ,$279.16 ,$897.30 , N/A ,$897.30 ,$897.30 , N/A ,$648.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$3,285.00 ","$2,365.20 ",$846.17 ,"$3,285.00 ", N/A ,"$2,447.33 ","$2,151.68 ", N/A ,$919.80 ,"$2,020.28 ", N/A ,"$2,020.28 ", N/A ,"$1,819.89 ","$1,819.89 ", N/A ,"$1,819.89 ", N/A ,"$2,956.50 ","$2,726.55 ", N/A , N/A ,"$2,890.80 ", N/A ,"$2,463.75 ","$2,463.75 ","$2,792.25 ","$2,792.25 ", N/A ,"$2,792.25 ", N/A ,"$2,660.85 ","$2,660.85 ","$2,660.85 ","$3,285.00 ","$2,956.50 ", N/A ,"$2,956.50 ", N/A ,"$3,285.00 ","$1,842.89 ", N/A ,"$1,359.99 ",$886.47 ,$846.17 , N/A ,"$2,956.50 ", N/A ,"$1,819.89 ",$919.80 ,"$2,956.50 ", N/A ,"$2,956.50 ","$2,956.50 ", N/A ,"$2,135.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$334.00 ,$240.48 ,$93.52 ,$402.50 ,$334.00 ,$248.83 ,$218.77 ,$182.02 ,$93.52 ,$205.41 ,$182.02 ,$205.41 ,$182.02 ,$185.04 ,$185.04 ,$182.02 ,$185.04 ,$334.00 ,$300.60 ,$277.22 ,$334.00 ,$182.02 ,$293.92 ,$185.65 ,$250.50 ,$250.50 ,$283.90 ,$283.90 ,$182.02 ,$283.90 ,$182.02 ,$270.54 ,$270.54 ,$270.54 ,$334.00 ,$300.60 ,$334.00 ,$300.60 ,$182.02 ,$334.00 ,$187.37 ,$182.02 ,$138.28 ,$227.01 ,$216.69 ,$190.51 ,$300.60 ,$402.50 ,$185.04 ,$93.52 ,$300.60 ,$182.02 ,$300.60 ,$300.60 ,$182.02 ,$217.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$334.00 ,$240.48 ,$93.52 ,$402.50 ,$334.00 ,$248.83 ,$218.77 ,$182.02 ,$93.52 ,$205.41 ,$182.02 ,$205.41 ,$182.02 ,$185.04 ,$185.04 ,$182.02 ,$185.04 ,$334.00 ,$300.60 ,$277.22 ,$334.00 ,$182.02 ,$293.92 ,$185.65 ,$250.50 ,$250.50 ,$283.90 ,$283.90 ,$182.02 ,$283.90 ,$182.02 ,$270.54 ,$270.54 ,$270.54 ,$334.00 ,$300.60 ,$334.00 ,$300.60 ,$182.02 ,$334.00 ,$187.37 ,$182.02 ,$138.28 ,$227.01 ,$216.69 ,$190.51 ,$300.60 ,$402.50 ,$185.04 ,$93.52 ,$300.60 ,$182.02 ,$300.60 ,$300.60 ,$182.02 ,$217.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$168.00 ,$120.96 ,$47.04 ,$168.00 ,$141.92 ,$125.16 ,$110.04 ,$57.94 ,$47.04 ,$103.32 ,$57.94 ,$103.32 ,$57.94 ,$93.07 ,$93.07 ,$57.94 ,$93.07 ,$119.42 ,$151.20 ,$139.44 ,$141.92 ,$57.94 ,$147.84 ,$59.09 ,$126.00 ,$126.00 ,$142.80 ,$142.80 ,$57.94 ,$142.80 ,$57.94 ,$136.08 ,$136.08 ,$136.08 ,$168.00 ,$151.20 ,$141.92 ,$151.20 ,$57.94 ,$168.00 ,$94.25 ,$57.94 ,$69.55 ,$60.73 ,$57.97 ,$60.64 ,$151.20 ,$128.12 ,$93.07 ,$47.04 ,$151.20 ,$57.94 ,$151.20 ,$151.20 ,$57.94 ,$109.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$334.00 ,$240.48 ,$57.94 ,$334.00 ,$141.92 ,$248.83 ,$218.77 ,$57.94 ,$93.52 ,$205.41 ,$57.94 ,$205.41 ,$57.94 ,$185.04 ,$185.04 ,$57.94 ,$185.04 ,$119.42 ,$300.60 ,$277.22 ,$141.92 ,$57.94 ,$293.92 ,$59.09 ,$250.50 ,$250.50 ,$283.90 ,$283.90 ,$57.94 ,$283.90 ,$57.94 ,$270.54 ,$270.54 ,$270.54 ,$334.00 ,$300.60 ,$141.92 ,$300.60 ,$57.94 ,$334.00 ,$187.37 ,$57.94 ,$138.28 ,$60.73 ,$57.97 ,$60.64 ,$300.60 ,$128.12 ,$185.04 ,$93.52 ,$300.60 ,$57.94 ,$300.60 ,$300.60 ,$57.94 ,$217.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$334.00 ,$240.48 ,$57.94 ,$334.00 ,$141.92 ,$248.83 ,$218.77 ,$57.94 ,$93.52 ,$205.41 ,$57.94 ,$205.41 ,$57.94 ,$185.04 ,$185.04 ,$57.94 ,$185.04 ,$119.42 ,$300.60 ,$277.22 ,$141.92 ,$57.94 ,$293.92 ,$59.09 ,$250.50 ,$250.50 ,$283.90 ,$283.90 ,$57.94 ,$283.90 ,$57.94 ,$270.54 ,$270.54 ,$270.54 ,$334.00 ,$300.60 ,$141.92 ,$300.60 ,$57.94 ,$334.00 ,$187.37 ,$57.94 ,$138.28 ,$60.73 ,$57.97 ,$60.64 ,$300.60 ,$128.12 ,$185.04 ,$93.52 ,$300.60 ,$57.94 ,$300.60 ,$300.60 ,$57.94 ,$217.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,"$1,594.00 ","$1,147.68 ",$376.04 ,"$1,594.00 ",$921.12 ,"$1,187.53 ","$1,044.07 ",$376.04 ,$446.32 ,$980.31 ,$376.04 ,$980.31 ,$376.04 ,$883.08 ,$883.08 ,$376.04 ,$883.08 ,$775.09 ,"$1,434.60 ","$1,323.02 ",$921.12 ,$376.04 ,"$1,402.72 ",$383.55 ,"$1,195.50 ","$1,195.50 ","$1,354.90 ","$1,354.90 ",$376.04 ,"$1,354.90 ",$376.04 ,"$1,291.14 ","$1,291.14 ","$1,291.14 ","$1,594.00 ","$1,434.60 ",$921.12 ,"$1,434.60 ",$376.04 ,"$1,594.00 ",$894.23 ,$376.04 ,$659.92 ,$477.10 ,$455.42 ,$393.60 ,"$1,434.60 ",$831.55 ,$883.08 ,$446.32 ,"$1,434.60 ",$376.04 ,"$1,434.60 ","$1,434.60 ",$376.04 ,"$1,036.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,$883.00 ,$635.76 ,$84.39 ,$883.00 ,$821.25 ,$657.84 ,$578.37 ,$335.27 ,$247.24 ,$543.05 ,$335.27 ,$543.05 ,$335.27 ,$489.18 ,$489.18 ,$335.27 ,$489.18 ,$691.05 ,$794.70 ,$732.89 ,$821.25 ,$335.27 ,$777.04 ,$341.97 ,$662.25 ,$662.25 ,$750.55 ,$750.55 ,$335.27 ,$750.55 ,$335.27 ,$715.23 ,$715.23 ,$715.23 ,$883.00 ,$794.70 ,$821.25 ,$794.70 ,$335.27 ,$883.00 ,$495.36 ,$335.27 ,$365.56 ,$88.41 ,$84.39 ,$350.92 ,$794.70 ,$741.39 ,$489.18 ,$247.24 ,$794.70 ,$335.27 ,$794.70 ,$794.70 ,$335.27 ,$573.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$262.00 ,$188.64 ,$68.00 ,$262.00 ,$166.59 ,$195.19 ,$171.61 ,$68.00 ,$73.36 ,$161.13 ,$68.00 ,$161.13 ,$68.00 ,$145.15 ,$145.15 ,$68.00 ,$145.15 ,$140.18 ,$235.80 , N/A ,$166.59 ,$68.00 ,$230.56 ,$69.36 ,$196.50 ,$196.50 ,$222.70 ,$222.70 ,$68.00 ,$222.70 ,$68.00 ,$212.22 ,$212.22 ,$212.22 ,$262.00 ,$235.80 ,$166.59 ,$235.80 ,$68.00 ,$262.00 ,$146.98 ,$68.00 ,$108.47 , N/A , N/A ,$71.18 ,$235.80 ,$150.39 ,$145.15 ,$73.36 ,$235.80 ,$68.00 ,$235.80 ,$235.80 ,$68.00 ,$170.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$197.00 ,$141.84 ,$55.16 ,$460.43 ,$197.00 ,$146.77 ,$129.04 ,$193.06 ,$55.16 ,$121.16 ,$193.06 ,$121.16 ,$193.06 ,$109.14 ,$109.14 ,$193.06 ,$109.14 ,$197.00 ,$177.30 , N/A ,$197.00 ,$193.06 ,$173.36 ,$196.92 ,$147.75 ,$147.75 ,$167.45 ,$167.45 ,$193.06 ,$167.45 ,$193.06 ,$159.57 ,$159.57 ,$159.57 ,$197.00 ,$177.30 ,$197.00 ,$177.30 ,$193.06 ,$197.00 ,$110.52 ,$193.06 ,$81.56 , N/A , N/A ,$193.06 ,$177.30 ,$460.43 ,$109.14 ,$55.16 ,$177.30 ,$193.06 ,$177.30 ,$177.30 ,$193.06 ,$128.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$169.00 ,$121.68 ,$42.71 ,$169.00 ,$104.61 ,$125.91 ,$110.70 ,$42.71 ,$47.32 ,$103.94 ,$42.71 ,$103.94 ,$42.71 ,$93.63 ,$93.63 ,$42.71 ,$93.63 ,$88.03 ,$152.10 , N/A ,$104.61 ,$42.71 ,$148.72 ,$43.56 ,$126.75 ,$126.75 ,$143.65 ,$143.65 ,$42.71 ,$143.65 ,$42.71 ,$136.89 ,$136.89 ,$136.89 ,$169.00 ,$152.10 ,$104.61 ,$152.10 ,$42.71 ,$169.00 ,$94.81 ,$42.71 ,$69.97 , N/A , N/A ,$44.70 ,$152.10 ,$94.44 ,$93.63 ,$47.32 ,$152.10 ,$42.71 ,$152.10 ,$152.10 ,$42.71 ,$109.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$197.00 ,$141.84 ,$55.16 ,$197.00 , N/A ,$146.77 ,$129.04 , N/A ,$55.16 ,$121.16 , N/A ,$121.16 , N/A ,$109.14 ,$109.14 , N/A ,$109.14 , N/A ,$177.30 , N/A , N/A , N/A ,$173.36 , N/A ,$147.75 ,$147.75 ,$167.45 ,$167.45 , N/A ,$167.45 , N/A ,$159.57 ,$159.57 ,$159.57 ,$197.00 ,$177.30 , N/A ,$177.30 , N/A ,$197.00 ,$110.52 , N/A ,$81.56 , N/A , N/A , N/A ,$177.30 , N/A ,$109.14 ,$55.16 ,$177.30 , N/A ,$177.30 ,$177.30 , N/A ,$128.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$282.90 ,$203.69 ,$57.94 ,$282.90 ,$141.92 ,$210.76 ,$185.30 ,$57.94 ,$79.21 ,$173.98 ,$57.94 ,$173.98 ,$57.94 ,$156.73 ,$156.73 ,$57.94 ,$156.73 ,$119.42 ,$254.61 , N/A ,$141.92 ,$57.94 ,$248.95 ,$59.09 ,$212.18 ,$212.18 ,$240.47 ,$240.47 ,$57.94 ,$240.47 ,$57.94 ,$229.15 ,$229.15 ,$229.15 ,$282.90 ,$254.61 ,$141.92 ,$254.61 ,$57.94 ,$282.90 ,$158.71 ,$57.94 ,$117.12 ,$88.41 ,$84.39 ,$60.64 ,$254.61 ,$128.12 ,$156.73 ,$79.21 ,$254.61 ,$57.94 ,$254.61 ,$254.61 ,$57.94 ,$183.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$554.00 ,$398.88 ,$84.39 ,$554.00 ,$445.86 ,$412.73 ,$362.87 ,$182.02 ,$155.12 ,$340.71 ,$182.02 ,$340.71 ,$182.02 ,$306.92 ,$306.92 ,$182.02 ,$306.92 ,$375.17 ,$498.60 ,$459.82 ,$445.86 ,$182.02 ,$487.52 ,$185.65 ,$415.50 ,$415.50 ,$470.90 ,$470.90 ,$182.02 ,$470.90 ,$182.02 ,$448.74 ,$448.74 ,$448.74 ,$554.00 ,$498.60 ,$445.86 ,$498.60 ,$182.02 ,$554.00 ,$310.79 ,$182.02 ,$229.36 ,$88.41 ,$84.39 ,$190.51 ,$498.60 ,$402.50 ,$306.92 ,$155.12 ,$498.60 ,$182.02 ,$498.60 ,$498.60 ,$182.02 ,$360.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$330.00 ,$237.60 ,$76.98 ,$330.00 , N/A ,$245.85 ,$216.15 , N/A ,$92.40 ,$202.95 , N/A ,$202.95 , N/A ,$182.82 ,$182.82 , N/A ,$182.82 , N/A ,$297.00 ,$273.90 , N/A , N/A ,$290.40 , N/A ,$247.50 ,$247.50 ,$280.50 ,$280.50 , N/A ,$280.50 , N/A ,$267.30 ,$267.30 ,$267.30 ,$330.00 ,$297.00 , N/A ,$297.00 , N/A ,$76.98 ,$185.13 , N/A ,$136.62 ,$104.08 ,$99.35 , N/A ,$297.00 , N/A ,$182.82 ,$92.40 ,$297.00 , N/A ,$297.00 ,$297.00 , N/A ,$214.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$429.00 ,$308.88 ,$99.35 ,$429.00 , N/A ,$319.61 ,$281.00 , N/A ,$120.12 ,$263.84 , N/A ,$263.84 , N/A ,$237.67 ,$237.67 , N/A ,$237.67 , N/A ,$386.10 ,$356.07 , N/A , N/A ,$377.52 , N/A ,$321.75 ,$321.75 ,$364.65 ,$364.65 , N/A ,$364.65 , N/A ,$347.49 ,$347.49 ,$347.49 ,$429.00 ,$386.10 , N/A ,$386.10 , N/A ,$120.52 ,$240.67 , N/A ,$177.61 ,$104.08 ,$99.35 , N/A ,$386.10 , N/A ,$237.67 ,$120.12 ,$386.10 , N/A ,$386.10 ,$386.10 , N/A ,$278.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$543.00 ,$390.96 ,$99.35 ,$543.00 , N/A ,$404.54 ,$355.67 , N/A ,$152.04 ,$333.95 , N/A ,$333.95 , N/A ,$300.82 ,$300.82 , N/A ,$300.82 , N/A ,$488.70 ,$450.69 , N/A , N/A ,$477.84 , N/A ,$407.25 ,$407.25 ,$461.55 ,$461.55 , N/A ,$461.55 , N/A ,$439.83 ,$439.83 ,$439.83 ,$543.00 ,$488.70 , N/A ,$488.70 , N/A ,$177.92 ,$304.62 , N/A ,$224.80 ,$104.08 ,$99.35 , N/A ,$488.70 , N/A ,$300.82 ,$152.04 ,$488.70 , N/A ,$488.70 ,$488.70 , N/A ,$352.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$773.00 ,$556.56 ,$99.35 ,$773.00 , N/A ,$575.89 ,$506.32 , N/A ,$216.44 ,$475.40 , N/A ,$475.40 , N/A ,$428.24 ,$428.24 , N/A ,$428.24 , N/A ,$695.70 ,$641.59 , N/A , N/A ,$680.24 , N/A ,$579.75 ,$579.75 ,$657.05 ,$657.05 , N/A ,$657.05 , N/A ,$626.13 ,$626.13 ,$626.13 ,$773.00 ,$695.70 , N/A ,$695.70 , N/A ,$234.97 ,$433.65 , N/A ,$320.02 ,$104.08 ,$99.35 , N/A ,$695.70 , N/A ,$428.24 ,$216.44 ,$695.70 , N/A ,$695.70 ,$695.70 , N/A ,$502.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$158.00 ,$113.76 ,$44.24 ,$158.00 , N/A ,$117.71 ,$103.49 , N/A ,$44.24 ,$97.17 , N/A ,$97.17 , N/A ,$87.53 ,$87.53 , N/A ,$87.53 , N/A ,$142.20 ,$131.14 , N/A , N/A ,$139.04 , N/A ,$118.50 ,$118.50 ,$134.30 ,$134.30 , N/A ,$134.30 , N/A ,$127.98 ,$127.98 ,$127.98 ,$158.00 ,$142.20 , N/A ,$142.20 , N/A ,$158.00 ,$88.64 , N/A ,$65.41 ,$104.08 ,$99.35 , N/A ,$142.20 , N/A ,$87.53 ,$44.24 ,$142.20 , N/A ,$142.20 ,$142.20 , N/A ,$102.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$277.00 ,$199.44 ,$60.09 ,$277.00 , N/A ,$206.37 ,$181.44 , N/A ,$77.56 ,$170.36 , N/A ,$170.36 , N/A ,$153.46 ,$153.46 , N/A ,$153.46 , N/A ,$249.30 ,$229.91 , N/A , N/A ,$243.76 , N/A ,$207.75 ,$207.75 ,$235.45 ,$235.45 , N/A ,$235.45 , N/A ,$224.37 ,$224.37 ,$224.37 ,$277.00 ,$249.30 , N/A ,$249.30 , N/A ,$60.09 ,$155.40 , N/A ,$114.68 ,$104.08 ,$99.35 , N/A ,$249.30 , N/A ,$153.46 ,$77.56 ,$249.30 , N/A ,$249.30 ,$249.30 , N/A ,$180.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$341.00 ,$245.52 ,$95.48 ,$341.00 , N/A ,$254.05 ,$223.36 , N/A ,$95.48 ,$209.72 , N/A ,$209.72 , N/A ,$188.91 ,$188.91 , N/A ,$188.91 , N/A ,$306.90 ,$283.03 , N/A , N/A ,$300.08 , N/A ,$255.75 ,$255.75 ,$289.85 ,$289.85 , N/A ,$289.85 , N/A ,$276.21 ,$276.21 ,$276.21 ,$341.00 ,$306.90 , N/A ,$306.90 , N/A ,$95.85 ,$191.30 , N/A ,$141.17 ,$104.08 ,$99.35 , N/A ,$306.90 , N/A ,$188.91 ,$95.48 ,$306.90 , N/A ,$306.90 ,$306.90 , N/A ,$221.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$429.00 ,$308.88 ,$99.35 ,$429.00 , N/A ,$319.61 ,$281.00 , N/A ,$120.12 ,$263.84 , N/A ,$263.84 , N/A ,$237.67 ,$237.67 , N/A ,$237.67 , N/A ,$386.10 ,$356.07 , N/A , N/A ,$377.52 , N/A ,$321.75 ,$321.75 ,$364.65 ,$364.65 , N/A ,$364.65 , N/A ,$347.49 ,$347.49 ,$347.49 ,$429.00 ,$386.10 , N/A ,$386.10 , N/A ,$429.00 ,$240.67 , N/A ,$177.61 ,$104.08 ,$99.35 , N/A ,$386.10 , N/A ,$237.67 ,$120.12 ,$386.10 , N/A ,$386.10 ,$386.10 , N/A ,$278.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$543.00 ,$390.96 ,$99.35 ,$543.00 , N/A ,$404.54 ,$355.67 , N/A ,$152.04 ,$333.95 , N/A ,$333.95 , N/A ,$300.82 ,$300.82 , N/A ,$300.82 , N/A ,$488.70 ,$450.69 , N/A , N/A ,$477.84 , N/A ,$407.25 ,$407.25 ,$461.55 ,$461.55 , N/A ,$461.55 , N/A ,$439.83 ,$439.83 ,$439.83 ,$543.00 ,$488.70 , N/A ,$488.70 , N/A ,$543.00 ,$304.62 , N/A ,$224.80 ,$104.08 ,$99.35 , N/A ,$488.70 , N/A ,$300.82 ,$152.04 ,$488.70 , N/A ,$488.70 ,$488.70 , N/A ,$352.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$115.58 ,$83.22 ,$8.40 ,$115.58 ,$21.43 ,$86.11 ,$75.70 ,$8.40 ,$32.36 ,$71.08 ,$8.40 ,$71.08 ,$8.40 ,$64.03 ,$64.03 ,$8.40 ,$64.03 ,$17.31 ,$104.02 ,$95.93 ,$21.43 ,$8.40 ,$101.71 ,$8.57 ,$86.69 ,$86.69 ,$98.24 ,$98.24 ,$8.40 ,$98.24 ,$8.40 ,$93.62 ,$93.62 ,$93.62 ,$115.58 ,$104.02 ,$21.43 ,$104.02 ,$8.40 ,$115.58 ,$64.84 ,$8.40 ,$47.85 , N/A , N/A ,$8.82 ,$104.02 ,$19.28 ,$64.03 ,$32.36 ,$104.02 ,$8.40 ,$104.02 ,$104.02 ,$8.40 ,$75.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000161,17110,HC DESTRUCT BENIGN LESION <15 FACIL,510,1 ,$463.00 ,$333.36 ,$129.64 ,$463.00 ,$445.86 ,$344.94 ,$303.27 ,$182.02 ,$129.64 ,$284.75 ,$182.02 ,$284.75 ,$182.02 ,$256.50 ,$256.50 ,$182.02 ,$256.50 ,$375.17 ,$416.70 ,$384.29 ,$445.86 ,$182.02 ,$407.44 ,$185.65 ,$347.25 ,$347.25 ,$393.55 ,$393.55 ,$182.02 ,$393.55 ,$182.02 ,$375.03 ,$375.03 ,$375.03 ,$463.00 ,$416.70 ,$445.86 ,$416.70 ,$182.02 ,$463.00 ,$259.74 ,$182.02 ,$191.68 ,$227.01 ,$216.69 ,$190.51 ,$416.70 ,$402.50 ,$256.50 ,$129.64 ,$416.70 ,$182.02 ,$416.70 ,$416.70 ,$182.02 ,$300.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$466.00 ,$335.52 ,$84.39 ,$466.00 ,$286.68 ,$347.17 ,$305.23 ,$117.03 ,$130.48 ,$286.59 ,$117.03 ,$286.59 ,$117.03 ,$258.16 ,$258.16 ,$117.03 ,$258.16 ,$241.23 ,$419.40 ,$386.78 ,$286.68 ,$117.03 ,$410.08 ,$119.37 ,$349.50 ,$349.50 ,$396.10 ,$396.10 ,$117.03 ,$396.10 ,$117.03 ,$377.46 ,$377.46 ,$377.46 ,$466.00 ,$419.40 ,$286.68 ,$419.40 ,$117.03 ,$466.00 ,$261.43 ,$117.03 ,$192.92 ,$88.41 ,$84.39 ,$122.50 ,$419.40 ,$258.80 ,$258.16 ,$130.48 ,$419.40 ,$117.03 ,$419.40 ,$419.40 ,$117.03 ,$302.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000172,51702,HC CATH BLADDER SMP,510,1 ,$466.00 ,$335.52 ,$84.39 ,$466.00 ,$286.68 ,$347.17 ,$305.23 ,$117.03 ,$130.48 ,$286.59 ,$117.03 ,$286.59 ,$117.03 ,$258.16 ,$258.16 ,$117.03 ,$258.16 ,$241.23 ,$419.40 ,$386.78 ,$286.68 ,$117.03 ,$410.08 ,$119.37 ,$349.50 ,$349.50 ,$396.10 ,$396.10 ,$117.03 ,$396.10 ,$117.03 ,$377.46 ,$377.46 ,$377.46 ,$466.00 ,$419.40 ,$286.68 ,$419.40 ,$117.03 ,$466.00 ,$261.43 ,$117.03 ,$192.92 ,$88.41 ,$84.39 ,$122.50 ,$419.40 ,$258.80 ,$258.16 ,$130.48 ,$419.40 ,$117.03 ,$419.40 ,$419.40 ,$117.03 ,$302.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000173,51703,HC CATH BLADDER CPLX,510,1 ,$397.00 ,$285.84 ,$84.39 ,$397.00 ,$359.07 ,$295.77 ,$260.04 ,$146.59 ,$111.16 ,$244.16 ,$146.59 ,$244.16 ,$146.59 ,$219.94 ,$219.94 ,$146.59 ,$219.94 ,$302.15 ,$357.30 ,$329.51 ,$359.07 ,$146.59 ,$349.36 ,$149.52 ,$297.75 ,$297.75 ,$337.45 ,$337.45 ,$146.59 ,$337.45 ,$146.59 ,$321.57 ,$321.57 ,$321.57 ,$397.00 ,$357.30 ,$359.07 ,$357.30 ,$146.59 ,$397.00 ,$222.72 ,$146.59 ,$164.36 ,$88.41 ,$84.39 ,$153.43 ,$357.30 ,$324.16 ,$219.94 ,$111.16 ,$357.30 ,$146.59 ,$357.30 ,$357.30 ,$146.59 ,$258.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$1,636.68 ","$1,178.41 ",$458.27 ,"$1,636.68 ","$1,543.99 ","$1,219.33 ","$1,072.03 ",$630.32 ,$458.27 ,"$1,006.56 ",$630.32 ,"$1,006.56 ",$630.32 ,$906.72 ,$906.72 ,$630.32 ,$906.72 ,"$1,299.21 ","$1,473.01 ","$1,358.44 ","$1,543.99 ",$630.32 ,"$1,440.28 ",$642.92 ,"$1,227.51 ","$1,227.51 ","$1,391.18 ","$1,391.18 ",$630.32 ,"$1,391.18 ",$630.32 ,"$1,325.71 ","$1,325.71 ","$1,325.71 ","$1,636.68 ","$1,473.01 ","$1,543.99 ","$1,473.01 ",$630.32 ,"$1,636.68 ",$918.18 ,$630.32 ,$677.59 ,$803.61 ,$767.08 ,$659.74 ,"$1,473.01 ","$1,393.85 ",$906.72 ,$458.27 ,"$1,473.01 ",$630.32 ,"$1,473.01 ","$1,473.01 ",$630.32 ,"$1,063.84 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000315,38222,HC BM ASPIRATION (BX/ASP SAME SITE),360,1 ,"$7,110.03 ","$5,119.22 ",$429.87 ,"$7,110.03 ","$6,378.13 ","$5,296.97 ","$4,657.07 ","$2,603.79 ","$1,990.81 ","$4,372.67 ","$2,603.79 ","$4,372.67 ","$2,603.79 ","$3,938.96 ","$3,938.96 ","$2,603.79 ","$3,938.96 ","$5,366.96 ","$6,399.03 ","$5,901.32 ","$6,378.13 ","$2,603.79 ","$6,256.83 ","$2,655.87 ","$5,332.52 ","$5,332.52 ","$6,043.53 ","$6,043.53 ","$2,603.79 ","$6,043.53 ","$2,603.79 ","$5,759.12 ","$5,759.12 ","$5,759.12 ","$7,110.03 ","$6,399.03 ","$6,378.13 ","$6,399.03 ","$2,603.79 ","$7,110.03 ","$3,988.73 ","$2,603.79 ","$2,943.55 ",$450.34 ,$429.87 ,"$2,725.35 ","$6,399.03 ","$5,757.93 ","$3,938.96 ","$1,990.81 ","$6,399.03 ","$2,603.79 ","$6,399.03 ","$6,399.03 ","$2,603.79 ","$4,621.52 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000325,15271,HC APL SKIN SUB TAL<100 INT 25CM,761,1 ,$994.00 ,$715.68 ,$278.32 ,"$3,846.85 ",$994.00 ,$740.53 ,$651.07 ,$974.12 ,$278.32 ,$611.31 ,$974.12 ,$611.31 ,$974.12 ,$550.68 ,$550.68 ,$974.12 ,$550.68 ,$994.00 ,$894.60 ,$825.02 ,$994.00 ,$974.12 ,$874.72 ,$993.60 ,$745.50 ,$745.50 ,$844.90 ,$844.90 ,$974.12 ,$844.90 ,$974.12 ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 ,$994.00 ,$894.60 ,$974.12 ,$994.00 ,$557.63 ,$974.12 ,$411.52 ,$994.00 ,$994.00 ,$974.12 ,$894.60 ,"$3,846.85 ",$550.68 ,$278.32 ,$894.60 ,$974.12 ,$894.60 ,$894.60 ,$974.12 ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000326,15272,HC APL SKIN SUB TAL<100 ADL 25CM,761,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 ,$366.00 ,$366.00 , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000327,15273,HC APL SKIN SUB TAL>100 INT 100CM,761,1 ,"$1,514.00 ","$1,090.08 ",$423.92 ,"$7,250.86 ","$1,514.00 ","$1,127.93 ",$991.67 ,"$1,483.72 ",$423.92 ,$931.11 ,"$1,483.72 ",$931.11 ,"$1,483.72 ",$838.76 ,$838.76 ,"$1,483.72 ",$838.76 ,"$1,514.00 ","$1,362.60 ","$1,256.62 ","$1,514.00 ","$1,483.72 ","$1,332.32 ","$1,513.39 ","$1,135.50 ","$1,135.50 ","$1,286.90 ","$1,286.90 ","$1,483.72 ","$1,286.90 ","$1,483.72 ","$1,226.34 ","$1,226.34 ","$1,226.34 ","$1,514.00 ","$1,362.60 ","$1,514.00 ","$1,362.60 ","$1,483.72 ","$1,514.00 ",$849.35 ,"$1,483.72 ",$626.80 ,"$1,172.73 ","$1,119.43 ","$1,483.72 ","$1,362.60 ","$7,250.86 ",$838.76 ,$423.92 ,"$1,362.60 ","$1,483.72 ","$1,362.60 ","$1,362.60 ","$1,483.72 ",$984.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000328,15274,HC APL SKIN SUB TAL>100 ADL 100CM,761,1 ,$994.00 ,$715.68 ,$278.32 ,$994.00 , N/A ,$740.53 ,$651.07 , N/A ,$278.32 ,$611.31 , N/A ,$611.31 , N/A ,$550.68 ,$550.68 , N/A ,$550.68 , N/A ,$894.60 ,$825.02 , N/A , N/A ,$874.72 , N/A ,$745.50 ,$745.50 ,$844.90 ,$844.90 , N/A ,$844.90 , N/A ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 , N/A ,$894.60 , N/A ,$994.00 ,$557.63 , N/A ,$411.52 ,$994.00 ,$994.00 , N/A ,$894.60 , N/A ,$550.68 ,$278.32 ,$894.60 , N/A ,$894.60 ,$894.60 , N/A ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000329,15275,HC APL SKIN SUB OTH<100 INT 25CM,761,1 ,$994.00 ,$715.68 ,$278.32 ,"$3,846.85 ",$994.00 ,$740.53 ,$651.07 ,$974.12 ,$278.32 ,$611.31 ,$974.12 ,$611.31 ,$974.12 ,$550.68 ,$550.68 ,$974.12 ,$550.68 ,$994.00 ,$894.60 ,$825.02 ,$994.00 ,$974.12 ,$874.72 ,$993.60 ,$745.50 ,$745.50 ,$844.90 ,$844.90 ,$974.12 ,$844.90 ,$974.12 ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 ,$994.00 ,$894.60 ,$974.12 ,$994.00 ,$557.63 ,$974.12 ,$411.52 ,$994.00 ,$994.00 ,$974.12 ,$894.60 ,"$3,846.85 ",$550.68 ,$278.32 ,$894.60 ,$974.12 ,$894.60 ,$894.60 ,$974.12 ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000330,15276,HC APL SKIN SUB OTH<100 ADL 25CM,761,1 ,$366.00 ,$263.52 ,$102.48 ,$366.00 , N/A ,$272.67 ,$239.73 , N/A ,$102.48 ,$225.09 , N/A ,$225.09 , N/A ,$202.76 ,$202.76 , N/A ,$202.76 , N/A ,$329.40 ,$303.78 , N/A , N/A ,$322.08 , N/A ,$274.50 ,$274.50 ,$311.10 ,$311.10 , N/A ,$311.10 , N/A ,$296.46 ,$296.46 ,$296.46 ,$366.00 ,$329.40 , N/A ,$329.40 , N/A ,$366.00 ,$205.33 , N/A ,$151.52 ,$366.00 ,$366.00 , N/A ,$329.40 , N/A ,$202.76 ,$102.48 ,$329.40 , N/A ,$329.40 ,$329.40 , N/A ,$237.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000331,15277,HC APL SKIN SUB OTH>100 INT 100CM,761,1 ,"$1,514.00 ","$1,090.08 ",$423.92 ,"$3,846.85 ","$1,514.00 ","$1,127.93 ",$991.67 ,"$1,483.72 ",$423.92 ,$931.11 ,"$1,483.72 ",$931.11 ,"$1,483.72 ",$838.76 ,$838.76 ,"$1,483.72 ",$838.76 ,"$1,514.00 ","$1,362.60 ","$1,256.62 ","$1,514.00 ","$1,483.72 ","$1,332.32 ","$1,513.39 ","$1,135.50 ","$1,135.50 ","$1,286.90 ","$1,286.90 ","$1,483.72 ","$1,286.90 ","$1,483.72 ","$1,226.34 ","$1,226.34 ","$1,226.34 ","$1,514.00 ","$1,362.60 ","$1,514.00 ","$1,362.60 ","$1,483.72 ","$1,514.00 ",$849.35 ,"$1,483.72 ",$626.80 ,"$1,172.73 ","$1,119.43 ","$1,483.72 ","$1,362.60 ","$3,846.85 ",$838.76 ,$423.92 ,"$1,362.60 ","$1,483.72 ","$1,362.60 ","$1,362.60 ","$1,483.72 ",$984.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000332,15278,HC APL SKIN SUB OTH>100 ADL 100CM,761,1 ,$994.00 ,$715.68 ,$278.32 ,$994.00 , N/A ,$740.53 ,$651.07 , N/A ,$278.32 ,$611.31 , N/A ,$611.31 , N/A ,$550.68 ,$550.68 , N/A ,$550.68 , N/A ,$894.60 ,$825.02 , N/A , N/A ,$874.72 , N/A ,$745.50 ,$745.50 ,$844.90 ,$844.90 , N/A ,$844.90 , N/A ,$805.14 ,$805.14 ,$805.14 ,$994.00 ,$894.60 , N/A ,$894.60 , N/A ,$994.00 ,$557.63 , N/A ,$411.52 ,$994.00 ,$994.00 , N/A ,$894.60 , N/A ,$550.68 ,$278.32 ,$894.60 , N/A ,$894.60 ,$894.60 , N/A ,$646.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$334.00 ,$240.48 ,$93.52 ,$402.50 ,$334.00 ,$248.83 ,$218.77 ,$182.02 ,$93.52 ,$205.41 ,$182.02 ,$205.41 ,$182.02 ,$185.04 ,$185.04 ,$182.02 ,$185.04 ,$334.00 ,$300.60 ,$277.22 ,$334.00 ,$182.02 ,$293.92 ,$185.65 ,$250.50 ,$250.50 ,$283.90 ,$283.90 ,$182.02 ,$283.90 ,$182.02 ,$270.54 ,$270.54 ,$270.54 ,$334.00 ,$300.60 ,$334.00 ,$300.60 ,$182.02 ,$334.00 ,$187.37 ,$182.02 ,$138.28 ,$227.01 ,$216.69 ,$190.51 ,$300.60 ,$402.50 ,$185.04 ,$93.52 ,$300.60 ,$182.02 ,$300.60 ,$300.60 ,$182.02 ,$217.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$605.00 ,$435.60 ,$169.40 ,$605.00 ,$539.83 ,$450.73 ,$396.28 ,$220.38 ,$169.40 ,$372.08 ,$220.38 ,$372.08 ,$220.38 ,$335.17 ,$335.17 ,$220.38 ,$335.17 ,$454.25 ,$544.50 ,$502.15 ,$539.83 ,$220.38 ,$532.40 ,$224.79 ,$453.75 ,$453.75 ,$514.25 ,$514.25 ,$220.38 ,$514.25 ,$220.38 ,$490.05 ,$490.05 ,$490.05 ,$605.00 ,$544.50 ,$539.83 ,$544.50 ,$220.38 ,$605.00 ,$339.41 ,$220.38 ,$250.47 ,$279.87 ,$267.15 ,$230.67 ,$544.50 ,$487.34 ,$335.17 ,$169.40 ,$544.50 ,$220.38 ,$544.50 ,$544.50 ,$220.38 ,$393.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$565.00 ,$406.80 ,$158.20 ,$565.00 ,$539.83 ,$420.93 ,$370.08 ,$220.38 ,$158.20 ,$347.48 ,$220.38 ,$347.48 ,$220.38 ,$313.01 ,$313.01 ,$220.38 ,$313.01 ,$454.25 ,$508.50 ,$468.95 ,$539.83 ,$220.38 ,$497.20 ,$224.79 ,$423.75 ,$423.75 ,$480.25 ,$480.25 ,$220.38 ,$480.25 ,$220.38 ,$457.65 ,$457.65 ,$457.65 ,$565.00 ,$508.50 ,$539.83 ,$508.50 ,$220.38 ,$565.00 ,$316.97 ,$220.38 ,$233.91 ,$279.87 ,$267.15 ,$230.67 ,$508.50 ,$487.34 ,$313.01 ,$158.20 ,$508.50 ,$220.38 ,$508.50 ,$508.50 ,$220.38 ,$367.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,$501.00 ,$360.72 ,$140.28 ,$501.00 ,$445.86 ,$373.25 ,$328.16 ,$182.02 ,$140.28 ,$308.12 ,$182.02 ,$308.12 ,$182.02 ,$277.55 ,$277.55 ,$182.02 ,$277.55 ,$375.17 ,$450.90 ,$415.83 ,$445.86 ,$182.02 ,$440.88 ,$185.65 ,$375.75 ,$375.75 ,$425.85 ,$425.85 ,$182.02 ,$425.85 ,$182.02 ,$405.81 ,$405.81 ,$405.81 ,$501.00 ,$450.90 ,$445.86 ,$450.90 ,$182.02 ,$501.00 ,$281.06 ,$182.02 ,$207.41 ,$227.01 ,$216.69 ,$190.51 ,$450.90 ,$402.50 ,$277.55 ,$140.28 ,$450.90 ,$182.02 ,$450.90 ,$450.90 ,$182.02 ,$325.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000445,N/A,HC SPORTS PHYSICAL,510,1 ,$50.00 ,$36.00 ,$14.00 ,$50.00 , N/A ,$37.25 ,$32.75 , N/A ,$14.00 ,$30.75 , N/A ,$30.75 , N/A ,$27.70 ,$27.70 , N/A ,$27.70 , N/A ,$45.00 ,$41.50 , N/A , N/A ,$44.00 , N/A ,$37.50 ,$37.50 ,$42.50 ,$42.50 , N/A ,$42.50 , N/A ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 , N/A ,$45.00 , N/A ,$50.00 ,$28.05 , N/A ,$20.70 , N/A , N/A , N/A ,$45.00 , N/A ,$27.70 ,$14.00 ,$45.00 , N/A ,$45.00 ,$45.00 , N/A ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000446,N/A,HC SCHOOL PHYSICAL,510,1 ,$50.00 ,$36.00 ,$14.00 ,$50.00 , N/A ,$37.25 ,$32.75 , N/A ,$14.00 ,$30.75 , N/A ,$30.75 , N/A ,$27.70 ,$27.70 , N/A ,$27.70 , N/A ,$45.00 ,$41.50 , N/A , N/A ,$44.00 , N/A ,$37.50 ,$37.50 ,$42.50 ,$42.50 , N/A ,$42.50 , N/A ,$40.50 ,$40.50 ,$40.50 ,$50.00 ,$45.00 , N/A ,$45.00 , N/A ,$50.00 ,$28.05 , N/A ,$20.70 , N/A , N/A , N/A ,$45.00 , N/A ,$27.70 ,$14.00 ,$45.00 , N/A ,$45.00 ,$45.00 , N/A ,$32.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$330.00 ,$237.60 ,$76.98 ,$330.00 , N/A ,$245.85 ,$216.15 , N/A ,$92.40 ,$202.95 , N/A ,$202.95 , N/A ,$182.82 ,$182.82 , N/A ,$182.82 , N/A ,$297.00 ,$273.90 , N/A , N/A ,$290.40 , N/A ,$247.50 ,$247.50 ,$280.50 ,$280.50 , N/A ,$280.50 , N/A ,$267.30 ,$267.30 ,$267.30 ,$330.00 ,$297.00 , N/A ,$297.00 , N/A ,$76.98 ,$185.13 , N/A ,$136.62 ,$104.08 ,$99.35 , N/A ,$297.00 , N/A ,$182.82 ,$92.40 ,$297.00 , N/A ,$297.00 ,$297.00 , N/A ,$214.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$429.00 ,$308.88 ,$99.35 ,$429.00 , N/A ,$319.61 ,$281.00 , N/A ,$120.12 ,$263.84 , N/A ,$263.84 , N/A ,$237.67 ,$237.67 , N/A ,$237.67 , N/A ,$386.10 ,$356.07 , N/A , N/A ,$377.52 , N/A ,$321.75 ,$321.75 ,$364.65 ,$364.65 , N/A ,$364.65 , N/A ,$347.49 ,$347.49 ,$347.49 ,$429.00 ,$386.10 , N/A ,$386.10 , N/A ,$120.52 ,$240.67 , N/A ,$177.61 ,$104.08 ,$99.35 , N/A ,$386.10 , N/A ,$237.67 ,$120.12 ,$386.10 , N/A ,$386.10 ,$386.10 , N/A ,$278.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$543.00 ,$390.96 ,$99.35 ,$543.00 , N/A ,$404.54 ,$355.67 , N/A ,$152.04 ,$333.95 , N/A ,$333.95 , N/A ,$300.82 ,$300.82 , N/A ,$300.82 , N/A ,$488.70 ,$450.69 , N/A , N/A ,$477.84 , N/A ,$407.25 ,$407.25 ,$461.55 ,$461.55 , N/A ,$461.55 , N/A ,$439.83 ,$439.83 ,$439.83 ,$543.00 ,$488.70 , N/A ,$488.70 , N/A ,$177.92 ,$304.62 , N/A ,$224.80 ,$104.08 ,$99.35 , N/A ,$488.70 , N/A ,$300.82 ,$152.04 ,$488.70 , N/A ,$488.70 ,$488.70 , N/A ,$352.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$773.00 ,$556.56 ,$99.35 ,$773.00 , N/A ,$575.89 ,$506.32 , N/A ,$216.44 ,$475.40 , N/A ,$475.40 , N/A ,$428.24 ,$428.24 , N/A ,$428.24 , N/A ,$695.70 ,$641.59 , N/A , N/A ,$680.24 , N/A ,$579.75 ,$579.75 ,$657.05 ,$657.05 , N/A ,$657.05 , N/A ,$626.13 ,$626.13 ,$626.13 ,$773.00 ,$695.70 , N/A ,$695.70 , N/A ,$234.97 ,$433.65 , N/A ,$320.02 ,$104.08 ,$99.35 , N/A ,$695.70 , N/A ,$428.24 ,$216.44 ,$695.70 , N/A ,$695.70 ,$695.70 , N/A ,$502.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000468,99211,HC CLINIC VISIT BRIEF ESTAB -25,510,1 ,$158.00 ,$113.76 ,$44.24 ,$158.00 , N/A ,$117.71 ,$103.49 , N/A ,$44.24 ,$97.17 , N/A ,$97.17 , N/A ,$87.53 ,$87.53 , N/A ,$87.53 , N/A ,$142.20 ,$131.14 , N/A , N/A ,$139.04 , N/A ,$118.50 ,$118.50 ,$134.30 ,$134.30 , N/A ,$134.30 , N/A ,$127.98 ,$127.98 ,$127.98 ,$158.00 ,$142.20 , N/A ,$142.20 , N/A ,$158.00 ,$88.64 , N/A ,$65.41 ,$104.08 ,$99.35 , N/A ,$142.20 , N/A ,$87.53 ,$44.24 ,$142.20 , N/A ,$142.20 ,$142.20 , N/A ,$102.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$277.00 ,$199.44 ,$60.09 ,$277.00 , N/A ,$206.37 ,$181.44 , N/A ,$77.56 ,$170.36 , N/A ,$170.36 , N/A ,$153.46 ,$153.46 , N/A ,$153.46 , N/A ,$249.30 ,$229.91 , N/A , N/A ,$243.76 , N/A ,$207.75 ,$207.75 ,$235.45 ,$235.45 , N/A ,$235.45 , N/A ,$224.37 ,$224.37 ,$224.37 ,$277.00 ,$249.30 , N/A ,$249.30 , N/A ,$60.09 ,$155.40 , N/A ,$114.68 ,$104.08 ,$99.35 , N/A ,$249.30 , N/A ,$153.46 ,$77.56 ,$249.30 , N/A ,$249.30 ,$249.30 , N/A ,$180.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$341.00 ,$245.52 ,$95.48 ,$341.00 , N/A ,$254.05 ,$223.36 , N/A ,$95.48 ,$209.72 , N/A ,$209.72 , N/A ,$188.91 ,$188.91 , N/A ,$188.91 , N/A ,$306.90 ,$283.03 , N/A , N/A ,$300.08 , N/A ,$255.75 ,$255.75 ,$289.85 ,$289.85 , N/A ,$289.85 , N/A ,$276.21 ,$276.21 ,$276.21 ,$341.00 ,$306.90 , N/A ,$306.90 , N/A ,$95.85 ,$191.30 , N/A ,$141.17 ,$104.08 ,$99.35 , N/A ,$306.90 , N/A ,$188.91 ,$95.48 ,$306.90 , N/A ,$306.90 ,$306.90 , N/A ,$221.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$429.00 ,$308.88 ,$99.35 ,$429.00 , N/A ,$319.61 ,$281.00 , N/A ,$120.12 ,$263.84 , N/A ,$263.84 , N/A ,$237.67 ,$237.67 , N/A ,$237.67 , N/A ,$386.10 ,$356.07 , N/A , N/A ,$377.52 , N/A ,$321.75 ,$321.75 ,$364.65 ,$364.65 , N/A ,$364.65 , N/A ,$347.49 ,$347.49 ,$347.49 ,$429.00 ,$386.10 , N/A ,$386.10 , N/A ,$429.00 ,$240.67 , N/A ,$177.61 ,$104.08 ,$99.35 , N/A ,$386.10 , N/A ,$237.67 ,$120.12 ,$386.10 , N/A ,$386.10 ,$386.10 , N/A ,$278.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$543.00 ,$390.96 ,$99.35 ,$543.00 , N/A ,$404.54 ,$355.67 , N/A ,$152.04 ,$333.95 , N/A ,$333.95 , N/A ,$300.82 ,$300.82 , N/A ,$300.82 , N/A ,$488.70 ,$450.69 , N/A , N/A ,$477.84 , N/A ,$407.25 ,$407.25 ,$461.55 ,$461.55 , N/A ,$461.55 , N/A ,$439.83 ,$439.83 ,$439.83 ,$543.00 ,$488.70 , N/A ,$488.70 , N/A ,$543.00 ,$304.62 , N/A ,$224.80 ,$104.08 ,$99.35 , N/A ,$488.70 , N/A ,$300.82 ,$152.04 ,$488.70 , N/A ,$488.70 ,$488.70 , N/A ,$352.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51000481,98925,HC OSTEOPATHIC MAN 1-2 REGIONS,510,1 ,$78.90 ,$56.81 ,$22.09 ,$78.90 ,$61.68 ,$58.78 ,$51.68 ,$25.18 ,$22.09 ,$48.52 ,$25.18 ,$48.52 ,$25.18 ,$43.71 ,$43.71 ,$25.18 ,$43.71 ,$51.90 ,$71.01 ,$65.49 ,$61.68 ,$25.18 ,$69.43 ,$25.68 ,$59.18 ,$59.18 ,$67.07 ,$67.07 ,$25.18 ,$67.07 ,$25.18 ,$63.91 ,$63.91 ,$63.91 ,$78.90 ,$71.01 ,$61.68 ,$71.01 ,$25.18 ,$78.90 ,$44.26 ,$25.18 ,$32.66 ,$34.33 ,$32.77 ,$26.35 ,$71.01 ,$55.68 ,$43.71 ,$22.09 ,$71.01 ,$25.18 ,$71.01 ,$71.01 ,$25.18 ,$51.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51070001,98960,HC EDUCATION SELF MGNT NON PHY HLTCARE PROF,510,1 ,$115.00 ,$82.80 ,$25.50 ,$115.00 , N/A ,$85.68 ,$75.33 , N/A ,$32.20 ,$70.73 , N/A ,$70.73 , N/A ,$63.71 ,$63.71 , N/A ,$63.71 , N/A ,$103.50 ,$95.45 , N/A , N/A ,$101.20 , N/A ,$86.25 ,$86.25 ,$97.75 ,$97.75 , N/A ,$97.75 , N/A ,$93.15 ,$93.15 ,$93.15 ,$115.00 ,$103.50 , N/A ,$103.50 , N/A ,$115.00 ,$64.52 , N/A ,$47.61 ,$26.72 ,$25.50 , N/A ,$103.50 , N/A ,$63.71 ,$32.20 ,$103.50 , N/A ,$103.50 ,$103.50 , N/A ,$74.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),51100000,62370,HC ELEC ANLYS REPRGRMING/REFILL SPINAL INF PUMP PHYSICIAN,511,1 ,$777.00 ,$559.44 ,$179.01 ,$777.00 ,$683.06 ,$578.87 ,$508.94 ,$278.85 ,$217.56 ,$477.86 ,$278.85 ,$477.86 ,$278.85 ,$430.46 ,$430.46 ,$278.85 ,$430.46 ,$574.77 ,$699.30 ,$644.91 ,$683.06 ,$278.85 ,$683.76 ,$284.43 ,$582.75 ,$582.75 ,$660.45 ,$660.45 ,$278.85 ,$660.45 ,$278.85 ,$629.37 ,$629.37 ,$629.37 ,$777.00 ,$699.30 ,$683.06 ,$699.30 ,$278.85 ,$777.00 ,$435.90 ,$278.85 ,$321.68 ,$187.54 ,$179.01 ,$291.87 ,$699.30 ,$616.64 ,$430.46 ,$217.56 ,$699.30 ,$278.85 ,$699.30 ,$699.30 ,$278.85 ,$505.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),54200001,N/A,HC MEDICAL TRANSPORT/AMBULANCE PER HR,542,1 ,$238.05 ,$171.40 ,$66.65 ,$238.05 , N/A ,$177.35 ,$155.92 , N/A ,$66.65 ,$146.40 , N/A ,$146.40 , N/A ,$131.88 ,$131.88 , N/A ,$131.88 , N/A ,$214.25 ,$197.58 , N/A , N/A ,$209.48 , N/A ,$178.54 ,$178.54 ,$202.34 ,$202.34 , N/A ,$202.34 , N/A ,$192.82 ,$192.82 ,$192.82 ,$238.05 ,$214.25 , N/A ,$214.25 , N/A ,$238.05 ,$133.55 , N/A ,$98.55 , N/A , N/A , N/A ,$214.25 , N/A ,$131.88 ,$66.65 ,$214.25 , N/A ,$214.25 ,$214.25 , N/A ,$154.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$4,525.05 ","$3,258.04 ",$244.82 ,"$4,525.05 ",$909.67 ,"$3,371.16 ","$2,963.91 ",$371.36 ,"$1,267.01 ","$2,782.91 ",$371.36 ,"$2,782.91 ",$371.36 ,"$2,506.88 ","$2,506.88 ",$371.36 ,"$2,506.88 ",$765.45 ,"$4,072.55 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,982.04 ",$378.79 ,"$3,393.79 ","$3,393.79 ","$3,846.29 ","$3,846.29 ",$371.36 ,"$3,846.29 ",$371.36 ,"$3,665.29 ","$3,665.29 ","$3,665.29 ","$4,525.05 ","$4,072.55 ",$909.67 ,"$4,072.55 ",$371.36 ,"$4,525.05 ","$2,538.55 ",$371.36 ,"$1,873.37 ",$256.48 ,$244.82 ,$388.70 ,"$4,072.55 ",$821.21 ,"$2,506.88 ","$1,267.01 ","$4,072.55 ",$371.36 ,"$4,072.55 ","$4,072.55 ",$371.36 ,"$2,941.28 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$3,214.59 ","$2,314.50 ",$235.38 ,"$3,214.59 ",$576.57 ,"$2,394.87 ","$2,105.56 ",$235.38 ,$900.09 ,"$1,976.97 ",$235.38 ,"$1,976.97 ",$235.38 ,"$1,780.88 ","$1,780.88 ",$235.38 ,"$1,780.88 ",$485.16 ,"$2,893.13 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,828.84 ",$240.08 ,"$2,410.94 ","$2,410.94 ","$2,732.40 ","$2,732.40 ",$235.38 ,"$2,732.40 ",$235.38 ,"$2,603.82 ","$2,603.82 ","$2,603.82 ","$3,214.59 ","$2,893.13 ",$576.57 ,"$2,893.13 ",$235.38 ,"$3,214.59 ","$1,803.39 ",$235.38 ,"$1,330.84 ",$314.00 ,$299.72 ,$246.36 ,"$2,893.13 ",$520.50 ,"$1,780.88 ",$900.09 ,"$2,893.13 ",$235.38 ,"$2,893.13 ","$2,893.13 ",$235.38 ,"$2,089.48 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$3,857.30 ","$2,777.26 ",$299.72 ,"$3,857.30 ",$909.67 ,"$2,873.69 ","$2,526.53 ",$371.36 ,"$1,080.04 ","$2,372.24 ",$371.36 ,"$2,372.24 ",$371.36 ,"$2,136.94 ","$2,136.94 ",$371.36 ,"$2,136.94 ",$765.45 ,"$3,471.57 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,394.42 ",$378.79 ,"$2,892.98 ","$2,892.98 ","$3,278.71 ","$3,278.71 ",$371.36 ,"$3,278.71 ",$371.36 ,"$3,124.41 ","$3,124.41 ","$3,124.41 ","$3,857.30 ","$3,471.57 ",$909.67 ,"$3,471.57 ",$371.36 ,"$3,857.30 ","$2,163.95 ",$371.36 ,"$1,596.92 ",$314.00 ,$299.72 ,$388.70 ,"$3,471.57 ",$821.21 ,"$2,136.94 ","$1,080.04 ","$3,471.57 ",$371.36 ,"$3,471.57 ","$3,471.57 ",$371.36 ,"$2,507.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$4,498.97 ","$3,239.26 ",$299.72 ,"$4,498.97 ",$909.67 ,"$3,351.73 ","$2,946.83 ",$371.36 ,"$1,259.71 ","$2,766.87 ",$371.36 ,"$2,766.87 ",$371.36 ,"$2,492.43 ","$2,492.43 ",$371.36 ,"$2,492.43 ",$765.45 ,"$4,049.07 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,959.09 ",$378.79 ,"$3,374.23 ","$3,374.23 ","$3,824.12 ","$3,824.12 ",$371.36 ,"$3,824.12 ",$371.36 ,"$3,644.17 ","$3,644.17 ","$3,644.17 ","$4,498.97 ","$4,049.07 ",$909.67 ,"$4,049.07 ",$371.36 ,"$4,498.97 ","$2,523.92 ",$371.36 ,"$1,862.57 ",$314.00 ,$299.72 ,$388.70 ,"$4,049.07 ",$821.21 ,"$2,492.43 ","$1,259.71 ","$4,049.07 ",$371.36 ,"$4,049.07 ","$4,049.07 ",$371.36 ,"$2,924.33 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$2,795.16 ","$2,012.52 ",$235.38 ,"$2,795.16 ",$576.57 ,"$2,082.39 ","$1,830.83 ",$235.38 ,$782.64 ,"$1,719.02 ",$235.38 ,"$1,719.02 ",$235.38 ,"$1,548.52 ","$1,548.52 ",$235.38 ,"$1,548.52 ",$485.16 ,"$2,515.64 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,459.74 ",$240.08 ,"$2,096.37 ","$2,096.37 ","$2,375.89 ","$2,375.89 ",$235.38 ,"$2,375.89 ",$235.38 ,"$2,264.08 ","$2,264.08 ","$2,264.08 ","$2,795.16 ","$2,515.64 ",$576.57 ,"$2,515.64 ",$235.38 ,"$2,795.16 ","$1,568.08 ",$235.38 ,"$1,157.20 ",$314.00 ,$299.72 ,$246.36 ,"$2,515.64 ",$520.50 ,"$1,548.52 ",$782.64 ,"$2,515.64 ",$235.38 ,"$2,515.64 ","$2,515.64 ",$235.38 ,"$1,816.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$3,355.45 ","$2,415.92 ",$299.72 ,"$3,355.45 ",$909.67 ,"$2,499.81 ","$2,197.82 ",$371.36 ,$939.53 ,"$2,063.60 ",$371.36 ,"$2,063.60 ",$371.36 ,"$1,858.92 ","$1,858.92 ",$371.36 ,"$1,858.92 ",$765.45 ,"$3,019.91 ","$2,500.00 ",$909.67 ,$371.36 ,"$2,952.80 ",$378.79 ,"$2,516.59 ","$2,516.59 ","$2,852.13 ","$2,852.13 ",$371.36 ,"$2,852.13 ",$371.36 ,"$2,717.91 ","$2,717.91 ","$2,717.91 ","$3,355.45 ","$3,019.91 ",$909.67 ,"$3,019.91 ",$371.36 ,"$3,355.45 ","$1,882.41 ",$371.36 ,"$1,389.16 ",$314.00 ,$299.72 ,$388.70 ,"$3,019.91 ",$821.21 ,"$1,858.92 ",$939.53 ,"$3,019.91 ",$371.36 ,"$3,019.91 ","$3,019.91 ",$371.36 ,"$2,181.04 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$4,532.36 ","$3,263.30 ",$299.72 ,"$4,532.36 ",$909.67 ,"$3,376.61 ","$2,968.70 ",$371.36 ,"$1,269.06 ","$2,787.40 ",$371.36 ,"$2,787.40 ",$371.36 ,"$2,510.93 ","$2,510.93 ",$371.36 ,"$2,510.93 ",$765.45 ,"$4,079.12 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,988.48 ",$378.79 ,"$3,399.27 ","$3,399.27 ","$3,852.51 ","$3,852.51 ",$371.36 ,"$3,852.51 ",$371.36 ,"$3,671.21 ","$3,671.21 ","$3,671.21 ","$4,532.36 ","$4,079.12 ",$909.67 ,"$4,079.12 ",$371.36 ,"$4,532.36 ","$2,542.65 ",$371.36 ,"$1,876.40 ",$314.00 ,$299.72 ,$388.70 ,"$4,079.12 ",$821.21 ,"$2,510.93 ","$1,269.06 ","$4,079.12 ",$371.36 ,"$4,079.12 ","$4,079.12 ",$371.36 ,"$2,946.03 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$3,689.32 ","$2,656.31 ",$235.38 ,"$3,689.32 ",$576.57 ,"$2,748.54 ","$2,416.50 ",$235.38 ,"$1,033.01 ","$2,268.93 ",$235.38 ,"$2,268.93 ",$235.38 ,"$2,043.88 ","$2,043.88 ",$235.38 ,"$2,043.88 ",$485.16 ,"$3,320.39 ","$2,500.00 ",$576.57 ,$235.38 ,"$3,246.60 ",$240.08 ,"$2,766.99 ","$2,766.99 ","$3,135.92 ","$3,135.92 ",$235.38 ,"$3,135.92 ",$235.38 ,"$2,988.35 ","$2,988.35 ","$2,988.35 ","$3,689.32 ","$3,320.39 ",$576.57 ,"$3,320.39 ",$235.38 ,"$3,689.32 ","$2,069.71 ",$235.38 ,"$1,527.38 ",$287.36 ,$274.30 ,$246.36 ,"$3,320.39 ",$520.50 ,"$2,043.88 ","$1,033.01 ","$3,320.39 ",$235.38 ,"$3,320.39 ","$3,320.39 ",$235.38 ,"$2,398.06 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$4,232.91 ","$3,047.70 ",$274.30 ,"$4,232.91 ",$909.67 ,"$3,153.52 ","$2,772.56 ",$371.36 ,"$1,185.21 ","$2,603.24 ",$371.36 ,"$2,603.24 ",$371.36 ,"$2,345.03 ","$2,345.03 ",$371.36 ,"$2,345.03 ",$765.45 ,"$3,809.62 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,724.96 ",$378.79 ,"$3,174.68 ","$3,174.68 ","$3,597.97 ","$3,597.97 ",$371.36 ,"$3,597.97 ",$371.36 ,"$3,428.66 ","$3,428.66 ","$3,428.66 ","$4,232.91 ","$3,809.62 ",$909.67 ,"$3,809.62 ",$371.36 ,"$4,232.91 ","$2,374.66 ",$371.36 ,"$1,752.42 ",$287.36 ,$274.30 ,$388.70 ,"$3,809.62 ",$821.21 ,"$2,345.03 ","$1,185.21 ","$3,809.62 ",$371.36 ,"$3,809.62 ","$3,809.62 ",$371.36 ,"$2,751.39 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$5,222.02 ","$3,759.85 ",$274.30 ,"$5,222.02 ",$909.67 ,"$3,890.40 ","$3,420.42 ",$371.36 ,"$1,462.17 ","$3,211.54 ",$371.36 ,"$3,211.54 ",$371.36 ,"$2,893.00 ","$2,893.00 ",$371.36 ,"$2,893.00 ",$765.45 ,"$4,699.82 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,595.38 ",$378.79 ,"$3,916.52 ","$3,916.52 ","$4,438.72 ","$4,438.72 ",$371.36 ,"$4,438.72 ",$371.36 ,"$4,229.84 ","$4,229.84 ","$4,229.84 ","$5,222.02 ","$4,699.82 ",$909.67 ,"$4,699.82 ",$371.36 ,"$5,222.02 ","$2,929.55 ",$371.36 ,"$2,161.92 ",$287.36 ,$274.30 ,$388.70 ,"$4,699.82 ",$821.21 ,"$2,893.00 ","$1,462.17 ","$4,699.82 ",$371.36 ,"$4,699.82 ","$4,699.82 ",$371.36 ,"$3,394.31 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$5,282.53 ","$3,803.42 ",$197.83 ,"$5,282.53 ",$576.57 ,"$3,935.48 ","$3,460.06 ",$235.38 ,"$1,479.11 ","$3,248.76 ",$235.38 ,"$3,248.76 ",$235.38 ,"$2,926.52 ","$2,926.52 ",$235.38 ,"$2,926.52 ",$485.16 ,"$4,754.28 ","$2,500.00 ",$576.57 ,$235.38 ,"$4,648.63 ",$240.08 ,"$3,961.90 ","$3,961.90 ","$4,490.15 ","$4,490.15 ",$235.38 ,"$4,490.15 ",$235.38 ,"$4,278.85 ","$4,278.85 ","$4,278.85 ","$5,282.53 ","$4,754.28 ",$576.57 ,"$4,754.28 ",$235.38 ,"$5,282.53 ","$2,963.50 ",$235.38 ,"$2,186.97 ",$207.25 ,$197.83 ,$246.36 ,"$4,754.28 ",$520.50 ,"$2,926.52 ","$1,479.11 ","$4,754.28 ",$235.38 ,"$4,754.28 ","$4,754.28 ",$235.38 ,"$3,433.64 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$6,436.49 ","$4,634.27 ",$197.83 ,"$6,436.49 ",$909.67 ,"$4,795.19 ","$4,215.90 ",$371.36 ,"$1,802.22 ","$3,958.44 ",$371.36 ,"$3,958.44 ",$371.36 ,"$3,565.82 ","$3,565.82 ",$371.36 ,"$3,565.82 ",$765.45 ,"$5,792.84 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,664.11 ",$378.79 ,"$4,827.37 ","$4,827.37 ","$5,471.02 ","$5,471.02 ",$371.36 ,"$5,471.02 ",$371.36 ,"$5,213.56 ","$5,213.56 ","$5,213.56 ","$6,436.49 ","$5,792.84 ",$909.67 ,"$5,792.84 ",$371.36 ,"$6,436.49 ","$3,610.87 ",$371.36 ,"$2,664.71 ",$207.25 ,$197.83 ,$388.70 ,"$5,792.84 ",$821.21 ,"$3,565.82 ","$1,802.22 ","$5,792.84 ",$371.36 ,"$5,792.84 ","$5,792.84 ",$371.36 ,"$4,183.72 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$3,868.60 ","$2,785.39 ",$197.83 ,"$3,868.60 ",$576.57 ,"$2,882.11 ","$2,533.93 ",$235.38 ,"$1,083.21 ","$2,379.19 ",$235.38 ,"$2,379.19 ",$235.38 ,"$2,143.20 ","$2,143.20 ",$235.38 ,"$2,143.20 ",$485.16 ,"$3,481.74 ","$2,500.00 ",$576.57 ,$235.38 ,"$3,404.37 ",$240.08 ,"$2,901.45 ","$2,901.45 ","$3,288.31 ","$3,288.31 ",$235.38 ,"$3,288.31 ",$235.38 ,"$3,133.57 ","$3,133.57 ","$3,133.57 ","$3,868.60 ","$3,481.74 ",$576.57 ,"$3,481.74 ",$235.38 ,"$3,868.60 ","$2,170.28 ",$235.38 ,"$1,601.60 ",$207.25 ,$197.83 ,$246.36 ,"$3,481.74 ",$520.50 ,"$2,143.20 ","$1,083.21 ","$3,481.74 ",$235.38 ,"$3,481.74 ","$3,481.74 ",$235.38 ,"$2,514.59 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$4,813.90 ","$3,466.01 ",$197.83 ,"$4,813.90 ",$909.67 ,"$3,586.36 ","$3,153.10 ",$371.36 ,"$1,347.89 ","$2,960.55 ",$371.36 ,"$2,960.55 ",$371.36 ,"$2,666.90 ","$2,666.90 ",$371.36 ,"$2,666.90 ",$765.45 ,"$4,332.51 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,236.23 ",$378.79 ,"$3,610.43 ","$3,610.43 ","$4,091.82 ","$4,091.82 ",$371.36 ,"$4,091.82 ",$371.36 ,"$3,899.26 ","$3,899.26 ","$3,899.26 ","$4,813.90 ","$4,332.51 ",$909.67 ,"$4,332.51 ",$371.36 ,"$4,813.90 ","$2,700.60 ",$371.36 ,"$1,992.95 ",$207.25 ,$197.83 ,$388.70 ,"$4,332.51 ",$821.21 ,"$2,666.90 ","$1,347.89 ","$4,332.51 ",$371.36 ,"$4,332.51 ","$4,332.51 ",$371.36 ,"$3,129.04 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$4,149.20 ","$2,987.42 ",$197.83 ,"$4,149.20 ",$576.57 ,"$3,091.15 ","$2,717.73 ",$235.38 ,"$1,161.78 ","$2,551.76 ",$235.38 ,"$2,551.76 ",$235.38 ,"$2,298.66 ","$2,298.66 ",$235.38 ,"$2,298.66 ",$485.16 ,"$3,734.28 ","$2,500.00 ",$576.57 ,$235.38 ,"$3,651.30 ",$240.08 ,"$3,111.90 ","$3,111.90 ","$3,526.82 ","$3,526.82 ",$235.38 ,"$3,526.82 ",$235.38 ,"$3,360.85 ","$3,360.85 ","$3,360.85 ","$4,149.20 ","$3,734.28 ",$576.57 ,"$3,734.28 ",$235.38 ,"$4,149.20 ","$2,327.70 ",$235.38 ,"$1,717.77 ",$207.25 ,$197.83 ,$246.36 ,"$3,734.28 ",$520.50 ,"$2,298.66 ","$1,161.78 ","$3,734.28 ",$235.38 ,"$3,734.28 ","$3,734.28 ",$235.38 ,"$2,696.98 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$5,054.25 ","$3,639.06 ",$197.83 ,"$5,054.25 ",$909.67 ,"$3,765.42 ","$3,310.53 ",$371.36 ,"$1,415.19 ","$3,108.36 ",$371.36 ,"$3,108.36 ",$371.36 ,"$2,800.05 ","$2,800.05 ",$371.36 ,"$2,800.05 ",$765.45 ,"$4,548.83 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,447.74 ",$378.79 ,"$3,790.69 ","$3,790.69 ","$4,296.11 ","$4,296.11 ",$371.36 ,"$4,296.11 ",$371.36 ,"$4,093.94 ","$4,093.94 ","$4,093.94 ","$5,054.25 ","$4,548.83 ",$909.67 ,"$4,548.83 ",$371.36 ,"$5,054.25 ","$2,835.43 ",$371.36 ,"$2,092.46 ",$207.25 ,$197.83 ,$388.70 ,"$4,548.83 ",$821.21 ,"$2,800.05 ","$1,415.19 ","$4,548.83 ",$371.36 ,"$4,548.83 ","$4,548.83 ",$371.36 ,"$3,285.26 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$6,655.59 ","$4,792.02 ",$197.83 ,"$6,655.59 ",$909.67 ,"$4,958.41 ","$4,359.41 ",$371.36 ,"$1,863.57 ","$4,093.19 ",$371.36 ,"$4,093.19 ",$371.36 ,"$3,687.20 ","$3,687.20 ",$371.36 ,"$3,687.20 ",$765.45 ,"$5,990.03 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,856.92 ",$378.79 ,"$4,991.69 ","$4,991.69 ","$5,657.25 ","$5,657.25 ",$371.36 ,"$5,657.25 ",$371.36 ,"$5,391.03 ","$5,391.03 ","$5,391.03 ","$6,655.59 ","$5,990.03 ",$909.67 ,"$5,990.03 ",$371.36 ,"$6,655.59 ","$3,733.79 ",$371.36 ,"$2,755.41 ",$207.25 ,$197.83 ,$388.70 ,"$5,990.03 ",$821.21 ,"$3,687.20 ","$1,863.57 ","$5,990.03 ",$371.36 ,"$5,990.03 ","$5,990.03 ",$371.36 ,"$4,326.13 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$5,564.85 ","$4,006.69 ",$197.83 ,"$5,564.85 ",$909.67 ,"$4,145.81 ","$3,644.98 ",$371.36 ,"$1,558.16 ","$3,422.38 ",$371.36 ,"$3,422.38 ",$371.36 ,"$3,082.93 ","$3,082.93 ",$371.36 ,"$3,082.93 ",$765.45 ,"$5,008.37 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,897.07 ",$378.79 ,"$4,173.64 ","$4,173.64 ","$4,730.12 ","$4,730.12 ",$371.36 ,"$4,730.12 ",$371.36 ,"$4,507.53 ","$4,507.53 ","$4,507.53 ","$5,564.85 ","$5,008.37 ",$909.67 ,"$5,008.37 ",$371.36 ,"$5,564.85 ","$3,121.88 ",$371.36 ,"$2,303.85 ",$207.25 ,$197.83 ,$388.70 ,"$5,008.37 ",$821.21 ,"$3,082.93 ","$1,558.16 ","$5,008.37 ",$371.36 ,"$5,008.37 ","$5,008.37 ",$371.36 ,"$3,617.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$5,807.50 ","$4,181.40 ",$197.83 ,"$5,807.50 ",$909.67 ,"$4,326.59 ","$3,803.91 ",$371.36 ,"$1,626.10 ","$3,571.61 ",$371.36 ,"$3,571.61 ",$371.36 ,"$3,217.36 ","$3,217.36 ",$371.36 ,"$3,217.36 ",$765.45 ,"$5,226.75 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,110.60 ",$378.79 ,"$4,355.63 ","$4,355.63 ","$4,936.38 ","$4,936.38 ",$371.36 ,"$4,936.38 ",$371.36 ,"$4,704.08 ","$4,704.08 ","$4,704.08 ","$5,807.50 ","$5,226.75 ",$909.67 ,"$5,226.75 ",$371.36 ,"$5,807.50 ","$3,258.01 ",$371.36 ,"$2,404.31 ",$207.25 ,$197.83 ,$388.70 ,"$5,226.75 ",$821.21 ,"$3,217.36 ","$1,626.10 ","$5,226.75 ",$371.36 ,"$5,226.75 ","$5,226.75 ",$371.36 ,"$3,774.88 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$4,912.80 ","$3,537.22 ",$235.38 ,"$4,912.80 ",$576.57 ,"$3,660.04 ","$3,217.88 ",$235.38 ,"$1,375.58 ","$3,021.37 ",$235.38 ,"$3,021.37 ",$235.38 ,"$2,721.69 ","$2,721.69 ",$235.38 ,"$2,721.69 ",$485.16 ,"$4,421.52 ","$2,500.00 ",$576.57 ,$235.38 ,"$4,323.26 ",$240.08 ,"$3,684.60 ","$3,684.60 ","$4,175.88 ","$4,175.88 ",$235.38 ,"$4,175.88 ",$235.38 ,"$3,979.37 ","$3,979.37 ","$3,979.37 ","$4,912.80 ","$4,421.52 ",$576.57 ,"$4,421.52 ",$235.38 ,"$4,912.80 ","$2,756.08 ",$235.38 ,"$2,033.90 ",$256.48 ,$244.82 ,$246.36 ,"$4,421.52 ",$520.50 ,"$2,721.69 ","$1,375.58 ","$4,421.52 ",$235.38 ,"$4,421.52 ","$4,421.52 ",$235.38 ,"$3,193.32 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$5,729.30 ","$4,125.10 ",$244.82 ,"$5,729.30 ",$909.67 ,"$4,268.33 ","$3,752.69 ",$371.36 ,"$1,604.20 ","$3,523.52 ",$371.36 ,"$3,523.52 ",$371.36 ,"$3,174.03 ","$3,174.03 ",$371.36 ,"$3,174.03 ",$765.45 ,"$5,156.37 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,041.78 ",$378.79 ,"$4,296.98 ","$4,296.98 ","$4,869.91 ","$4,869.91 ",$371.36 ,"$4,869.91 ",$371.36 ,"$4,640.73 ","$4,640.73 ","$4,640.73 ","$5,729.30 ","$5,156.37 ",$909.67 ,"$5,156.37 ",$371.36 ,"$5,729.30 ","$3,214.14 ",$371.36 ,"$2,371.93 ",$256.48 ,$244.82 ,$388.70 ,"$5,156.37 ",$821.21 ,"$3,174.03 ","$1,604.20 ","$5,156.37 ",$371.36 ,"$5,156.37 ","$5,156.37 ",$371.36 ,"$3,724.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$6,190.45 ","$4,457.12 ",$244.82 ,"$6,190.45 ",$909.67 ,"$4,611.89 ","$4,054.74 ",$371.36 ,"$1,733.33 ","$3,807.13 ",$371.36 ,"$3,807.13 ",$371.36 ,"$3,429.51 ","$3,429.51 ",$371.36 ,"$3,429.51 ",$765.45 ,"$5,571.41 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,447.60 ",$378.79 ,"$4,642.84 ","$4,642.84 ","$5,261.88 ","$5,261.88 ",$371.36 ,"$5,261.88 ",$371.36 ,"$5,014.26 ","$5,014.26 ","$5,014.26 ","$6,190.45 ","$5,571.41 ",$909.67 ,"$5,571.41 ",$371.36 ,"$6,190.45 ","$3,472.84 ",$371.36 ,"$2,562.85 ",$256.48 ,$244.82 ,$388.70 ,"$5,571.41 ",$821.21 ,"$3,429.51 ","$1,733.33 ","$5,571.41 ",$371.36 ,"$5,571.41 ","$5,571.41 ",$371.36 ,"$4,023.79 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$4,763.30 ","$3,429.58 ",$235.38 ,"$4,763.30 ",$576.57 ,"$3,548.66 ","$3,119.96 ",$235.38 ,"$1,333.72 ","$2,929.43 ",$235.38 ,"$2,929.43 ",$235.38 ,"$2,638.87 ","$2,638.87 ",$235.38 ,"$2,638.87 ",$485.16 ,"$4,286.97 ","$2,500.00 ",$576.57 ,$235.38 ,"$4,191.70 ",$240.08 ,"$3,572.48 ","$3,572.48 ","$4,048.81 ","$4,048.81 ",$235.38 ,"$4,048.81 ",$235.38 ,"$3,858.27 ","$3,858.27 ","$3,858.27 ","$4,763.30 ","$4,286.97 ",$576.57 ,"$4,286.97 ",$235.38 ,"$4,763.30 ","$2,672.21 ",$235.38 ,"$1,972.01 ",$256.48 ,$244.82 ,$246.36 ,"$4,286.97 ",$520.50 ,"$2,638.87 ","$1,333.72 ","$4,286.97 ",$235.38 ,"$4,286.97 ","$4,286.97 ",$235.38 ,"$3,096.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$5,239.40 ","$3,772.37 ",$244.82 ,"$5,239.40 ",$909.67 ,"$3,903.35 ","$3,431.81 ",$371.36 ,"$1,467.03 ","$3,222.23 ",$371.36 ,"$3,222.23 ",$371.36 ,"$2,902.63 ","$2,902.63 ",$371.36 ,"$2,902.63 ",$765.45 ,"$4,715.46 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,610.67 ",$378.79 ,"$3,929.55 ","$3,929.55 ","$4,453.49 ","$4,453.49 ",$371.36 ,"$4,453.49 ",$371.36 ,"$4,243.91 ","$4,243.91 ","$4,243.91 ","$5,239.40 ","$4,715.46 ",$909.67 ,"$4,715.46 ",$371.36 ,"$5,239.40 ","$2,939.30 ",$371.36 ,"$2,169.11 ",$256.48 ,$244.82 ,$388.70 ,"$4,715.46 ",$821.21 ,"$2,902.63 ","$1,467.03 ","$4,715.46 ",$371.36 ,"$4,715.46 ","$4,715.46 ",$371.36 ,"$3,405.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$6,668.85 ","$4,801.57 ",$244.82 ,"$6,668.85 ",$909.67 ,"$4,968.29 ","$4,368.10 ",$371.36 ,"$1,867.28 ","$4,101.34 ",$371.36 ,"$4,101.34 ",$371.36 ,"$3,694.54 ","$3,694.54 ",$371.36 ,"$3,694.54 ",$765.45 ,"$6,001.97 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,868.59 ",$378.79 ,"$5,001.64 ","$5,001.64 ","$5,668.52 ","$5,668.52 ",$371.36 ,"$5,668.52 ",$371.36 ,"$5,401.77 ","$5,401.77 ","$5,401.77 ","$6,668.85 ","$6,001.97 ",$909.67 ,"$6,001.97 ",$371.36 ,"$6,668.85 ","$3,741.22 ",$371.36 ,"$2,760.90 ",$256.48 ,$244.82 ,$388.70 ,"$6,001.97 ",$821.21 ,"$3,694.54 ","$1,867.28 ","$6,001.97 ",$371.36 ,"$6,001.97 ","$6,001.97 ",$371.36 ,"$4,334.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$3,790.40 ","$2,729.09 ",$165.24 ,"$3,790.40 ",$576.57 ,"$2,823.85 ","$2,482.71 ",$235.38 ,"$1,061.31 ","$2,331.10 ",$235.38 ,"$2,331.10 ",$235.38 ,"$2,099.88 ","$2,099.88 ",$235.38 ,"$2,099.88 ",$485.16 ,"$3,411.36 ","$2,500.00 ",$576.57 ,$235.38 ,"$3,335.55 ",$240.08 ,"$2,842.80 ","$2,842.80 ","$3,221.84 ","$3,221.84 ",$235.38 ,"$3,221.84 ",$235.38 ,"$3,070.22 ","$3,070.22 ","$3,070.22 ","$3,790.40 ","$3,411.36 ",$576.57 ,"$3,411.36 ",$235.38 ,"$3,790.40 ","$2,126.41 ",$235.38 ,"$1,569.23 ",$173.11 ,$165.24 ,$246.36 ,"$3,411.36 ",$520.50 ,"$2,099.88 ","$1,061.31 ","$3,411.36 ",$235.38 ,"$3,411.36 ","$3,411.36 ",$235.38 ,"$2,463.76 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$5,239.40 ","$3,772.37 ",$165.24 ,"$5,239.40 ","$1,828.94 ","$3,903.35 ","$3,431.81 ",$746.64 ,"$1,467.03 ","$3,222.23 ",$746.64 ,"$3,222.23 ",$746.64 ,"$2,902.63 ","$2,902.63 ",$746.64 ,"$2,902.63 ","$1,538.98 ","$4,715.46 ","$2,500.00 ","$1,828.94 ",$746.64 ,"$4,610.67 ",$761.58 ,"$3,929.55 ","$3,929.55 ","$4,453.49 ","$4,453.49 ",$746.64 ,"$4,453.49 ",$746.64 ,"$4,243.91 ","$4,243.91 ","$4,243.91 ","$5,239.40 ","$4,715.46 ","$1,828.94 ","$4,715.46 ",$746.64 ,"$5,239.40 ","$2,939.30 ",$746.64 ,"$2,169.11 ",$173.11 ,$165.24 ,$781.50 ,"$4,715.46 ","$1,651.09 ","$2,902.63 ","$1,467.03 ","$4,715.46 ",$746.64 ,"$4,715.46 ","$4,715.46 ",$746.64 ,"$3,405.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$6,003.00 ","$4,322.16 ",$165.24 ,"$6,003.00 ",$909.67 ,"$4,472.24 ","$3,931.97 ",$371.36 ,"$1,680.84 ","$3,691.85 ",$371.36 ,"$3,691.85 ",$371.36 ,"$3,325.66 ","$3,325.66 ",$371.36 ,"$3,325.66 ",$765.45 ,"$5,402.70 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,282.64 ",$378.79 ,"$4,502.25 ","$4,502.25 ","$5,102.55 ","$5,102.55 ",$371.36 ,"$5,102.55 ",$371.36 ,"$4,862.43 ","$4,862.43 ","$4,862.43 ","$6,003.00 ","$5,402.70 ",$909.67 ,"$5,402.70 ",$371.36 ,"$6,003.00 ","$3,367.68 ",$371.36 ,"$2,485.24 ",$173.11 ,$165.24 ,$388.70 ,"$5,402.70 ",$821.21 ,"$3,325.66 ","$1,680.84 ","$5,402.70 ",$371.36 ,"$5,402.70 ","$5,402.70 ",$371.36 ,"$3,901.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$4,763.30 ","$3,429.58 ",$235.38 ,"$4,763.30 ",$576.57 ,"$3,548.66 ","$3,119.96 ",$235.38 ,"$1,333.72 ","$2,929.43 ",$235.38 ,"$2,929.43 ",$235.38 ,"$2,638.87 ","$2,638.87 ",$235.38 ,"$2,638.87 ",$485.16 ,"$4,286.97 ","$2,500.00 ",$576.57 ,$235.38 ,"$4,191.70 ",$240.08 ,"$3,572.48 ","$3,572.48 ","$4,048.81 ","$4,048.81 ",$235.38 ,"$4,048.81 ",$235.38 ,"$3,858.27 ","$3,858.27 ","$3,858.27 ","$4,763.30 ","$4,286.97 ",$576.57 ,"$4,286.97 ",$235.38 ,"$4,763.30 ","$2,672.21 ",$235.38 ,"$1,972.01 ",$256.48 ,$244.82 ,$246.36 ,"$4,286.97 ",$520.50 ,"$2,638.87 ","$1,333.72 ","$4,286.97 ",$235.38 ,"$4,286.97 ","$4,286.97 ",$235.38 ,"$3,096.15 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$5,239.40 ","$3,772.37 ",$244.82 ,"$5,239.40 ",$909.67 ,"$3,903.35 ","$3,431.81 ",$371.36 ,"$1,467.03 ","$3,222.23 ",$371.36 ,"$3,222.23 ",$371.36 ,"$2,902.63 ","$2,902.63 ",$371.36 ,"$2,902.63 ",$765.45 ,"$4,715.46 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,610.67 ",$378.79 ,"$3,929.55 ","$3,929.55 ","$4,453.49 ","$4,453.49 ",$371.36 ,"$4,453.49 ",$371.36 ,"$4,243.91 ","$4,243.91 ","$4,243.91 ","$5,239.40 ","$4,715.46 ",$909.67 ,"$4,715.46 ",$371.36 ,"$5,239.40 ","$2,939.30 ",$371.36 ,"$2,169.11 ",$256.48 ,$244.82 ,$388.70 ,"$4,715.46 ",$821.21 ,"$2,902.63 ","$1,467.03 ","$4,715.46 ",$371.36 ,"$4,715.46 ","$4,715.46 ",$371.36 ,"$3,405.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$6,004.15 ","$4,322.99 ",$244.82 ,"$6,004.15 ",$909.67 ,"$4,473.09 ","$3,932.72 ",$371.36 ,"$1,681.16 ","$3,692.55 ",$371.36 ,"$3,692.55 ",$371.36 ,"$3,326.30 ","$3,326.30 ",$371.36 ,"$3,326.30 ",$765.45 ,"$5,403.74 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,283.65 ",$378.79 ,"$4,503.11 ","$4,503.11 ","$5,103.53 ","$5,103.53 ",$371.36 ,"$5,103.53 ",$371.36 ,"$4,863.36 ","$4,863.36 ","$4,863.36 ","$6,004.15 ","$5,403.74 ",$909.67 ,"$5,403.74 ",$371.36 ,"$6,004.15 ","$3,368.33 ",$371.36 ,"$2,485.72 ",$256.48 ,$244.82 ,$388.70 ,"$5,403.74 ",$821.21 ,"$3,326.30 ","$1,681.16 ","$5,403.74 ",$371.36 ,"$5,403.74 ","$5,403.74 ",$371.36 ,"$3,902.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$3,790.40 ","$2,729.09 ",$165.24 ,"$3,790.40 ",$576.57 ,"$2,823.85 ","$2,482.71 ",$235.38 ,"$1,061.31 ","$2,331.10 ",$235.38 ,"$2,331.10 ",$235.38 ,"$2,099.88 ","$2,099.88 ",$235.38 ,"$2,099.88 ",$485.16 ,"$3,411.36 ","$2,500.00 ",$576.57 ,$235.38 ,"$3,335.55 ",$240.08 ,"$2,842.80 ","$2,842.80 ","$3,221.84 ","$3,221.84 ",$235.38 ,"$3,221.84 ",$235.38 ,"$3,070.22 ","$3,070.22 ","$3,070.22 ","$3,790.40 ","$3,411.36 ",$576.57 ,"$3,411.36 ",$235.38 ,"$3,790.40 ","$2,126.41 ",$235.38 ,"$1,569.23 ",$173.11 ,$165.24 ,$246.36 ,"$3,411.36 ",$520.50 ,"$2,099.88 ","$1,061.31 ","$3,411.36 ",$235.38 ,"$3,411.36 ","$3,411.36 ",$235.38 ,"$2,463.76 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$5,239.40 ","$3,772.37 ",$165.24 ,"$5,239.40 ","$1,828.94 ","$3,903.35 ","$3,431.81 ",$746.64 ,"$1,467.03 ","$3,222.23 ",$746.64 ,"$3,222.23 ",$746.64 ,"$2,902.63 ","$2,902.63 ",$746.64 ,"$2,902.63 ","$1,538.98 ","$4,715.46 ","$2,500.00 ","$1,828.94 ",$746.64 ,"$4,610.67 ",$761.58 ,"$3,929.55 ","$3,929.55 ","$4,453.49 ","$4,453.49 ",$746.64 ,"$4,453.49 ",$746.64 ,"$4,243.91 ","$4,243.91 ","$4,243.91 ","$5,239.40 ","$4,715.46 ","$1,828.94 ","$4,715.46 ",$746.64 ,"$5,239.40 ","$2,939.30 ",$746.64 ,"$2,169.11 ",$173.11 ,$165.24 ,$781.50 ,"$4,715.46 ","$1,651.09 ","$2,902.63 ","$1,467.03 ","$4,715.46 ",$746.64 ,"$4,715.46 ","$4,715.46 ",$746.64 ,"$3,405.61 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$6,668.85 ","$4,801.57 ",$165.24 ,"$6,668.85 ",$909.67 ,"$4,968.29 ","$4,368.10 ",$371.36 ,"$1,867.28 ","$4,101.34 ",$371.36 ,"$4,101.34 ",$371.36 ,"$3,694.54 ","$3,694.54 ",$371.36 ,"$3,694.54 ",$765.45 ,"$6,001.97 ","$2,500.00 ",$909.67 ,$371.36 ,"$5,868.59 ",$378.79 ,"$5,001.64 ","$5,001.64 ","$5,668.52 ","$5,668.52 ",$371.36 ,"$5,668.52 ",$371.36 ,"$5,401.77 ","$5,401.77 ","$5,401.77 ","$6,668.85 ","$6,001.97 ",$909.67 ,"$6,001.97 ",$371.36 ,"$6,668.85 ","$3,741.22 ",$371.36 ,"$2,760.90 ",$173.11 ,$165.24 ,$388.70 ,"$6,001.97 ",$821.21 ,"$3,694.54 ","$1,867.28 ","$6,001.97 ",$371.36 ,"$6,001.97 ","$6,001.97 ",$371.36 ,"$4,334.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$3,322.35 ","$2,392.09 ",$235.38 ,"$3,322.35 ",$576.57 ,"$2,475.15 ","$2,176.14 ",$235.38 ,$930.26 ,"$2,043.25 ",$235.38 ,"$2,043.25 ",$235.38 ,"$1,840.58 ","$1,840.58 ",$235.38 ,"$1,840.58 ",$485.16 ,"$2,990.12 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,923.67 ",$240.08 ,"$2,491.76 ","$2,491.76 ","$2,824.00 ","$2,824.00 ",$235.38 ,"$2,824.00 ",$235.38 ,"$2,691.10 ","$2,691.10 ","$2,691.10 ","$3,322.35 ","$2,990.12 ",$576.57 ,"$2,990.12 ",$235.38 ,"$3,322.35 ","$1,863.84 ",$235.38 ,"$1,375.45 ",$307.40 ,$293.42 ,$246.36 ,"$2,990.12 ",$520.50 ,"$1,840.58 ",$930.26 ,"$2,990.12 ",$235.38 ,"$2,990.12 ","$2,990.12 ",$235.38 ,"$2,159.53 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$5,292.30 ","$3,810.46 ",$293.42 ,"$5,292.30 ",$909.67 ,"$3,942.76 ","$3,466.46 ",$371.36 ,"$1,481.84 ","$3,254.76 ",$371.36 ,"$3,254.76 ",$371.36 ,"$2,931.93 ","$2,931.93 ",$371.36 ,"$2,931.93 ",$765.45 ,"$4,763.07 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,657.22 ",$378.79 ,"$3,969.23 ","$3,969.23 ","$4,498.46 ","$4,498.46 ",$371.36 ,"$4,498.46 ",$371.36 ,"$4,286.76 ","$4,286.76 ","$4,286.76 ","$5,292.30 ","$4,763.07 ",$909.67 ,"$4,763.07 ",$371.36 ,"$5,292.30 ","$2,968.98 ",$371.36 ,"$2,191.01 ",$307.40 ,$293.42 ,$388.70 ,"$4,763.07 ",$821.21 ,"$2,931.93 ","$1,481.84 ","$4,763.07 ",$371.36 ,"$4,763.07 ","$4,763.07 ",$371.36 ,"$3,440.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000050,C8937,HC MRI BREAST CAD,610,1 ,"$1,660.60 ","$1,195.63 ",$464.97 ,"$1,660.60 ", N/A ,"$1,237.15 ","$1,087.69 ", N/A ,$464.97 ,"$1,021.27 ", N/A ,"$1,021.27 ", N/A ,$919.97 ,$919.97 , N/A ,$919.97 , N/A ,"$1,494.54 ",$800.00 , N/A , N/A ,"$1,461.33 ", N/A ,"$1,245.45 ","$1,245.45 ","$1,411.51 ","$1,411.51 ", N/A ,"$1,411.51 ", N/A ,"$1,345.09 ","$1,345.09 ","$1,345.09 ","$1,660.60 ","$1,494.54 ", N/A ,"$1,494.54 ", N/A ,"$1,660.60 ",$931.60 , N/A ,$687.49 , N/A , N/A , N/A ,"$1,494.54 ", N/A ,$919.97 ,$464.97 ,"$1,494.54 ", N/A ,"$1,494.54 ","$1,494.54 ", N/A ,"$1,079.39 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$2,348.30 ","$1,690.78 ",$316.56 ,"$2,348.30 ",$909.67 ,"$1,749.48 ","$1,538.14 ",$371.36 ,$657.52 ,"$1,444.20 ",$371.36 ,"$1,444.20 ",$371.36 ,"$1,300.96 ","$1,300.96 ",$371.36 ,"$1,300.96 ",$765.45 ,"$2,113.47 ","$2,348.30 ",$909.67 ,$371.36 ,"$2,066.50 ",$378.79 ,"$1,761.23 ","$1,761.23 ","$1,996.06 ","$1,996.06 ",$371.36 ,"$1,996.06 ",$371.36 ,"$1,902.12 ","$1,902.12 ","$1,902.12 ","$2,348.30 ","$2,113.47 ",$909.67 ,"$2,113.47 ",$371.36 ,"$2,348.30 ","$1,317.40 ",$371.36 ,$972.20 ,$331.64 ,$316.56 ,$388.70 ,"$2,113.47 ",$821.21 ,"$1,300.96 ",$657.52 ,"$2,113.47 ",$371.36 ,"$2,113.47 ","$2,113.47 ",$371.36 ,"$1,526.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000052,C8901,HC MRA ABDOMEN W/O CONTRAST,610,1 ,"$2,012.50 ","$1,449.00 ",$235.38 ,"$2,012.50 ",$576.57 ,"$1,499.31 ","$1,318.19 ",$235.38 ,$563.50 ,"$1,237.69 ",$235.38 ,"$1,237.69 ",$235.38 ,"$1,114.93 ","$1,114.93 ",$235.38 ,"$1,114.93 ",$485.16 ,"$1,811.25 ","$2,012.50 ",$576.57 ,$235.38 ,"$1,771.00 ",$240.08 ,"$1,509.38 ","$1,509.38 ","$1,710.63 ","$1,710.63 ",$235.38 ,"$1,710.63 ",$235.38 ,"$1,630.13 ","$1,630.13 ","$1,630.13 ","$2,012.50 ","$1,811.25 ",$576.57 ,"$1,811.25 ",$235.38 ,"$2,012.50 ","$1,129.01 ",$235.38 ,$833.18 ,$331.64 ,$316.56 ,$246.36 ,"$1,811.25 ",$520.50 ,"$1,114.93 ",$563.50 ,"$1,811.25 ",$235.38 ,"$1,811.25 ","$1,811.25 ",$235.38 ,"$1,308.13 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$3,428.15 ","$2,468.27 ",$316.56 ,"$3,428.15 ",$909.67 ,"$2,553.97 ","$2,245.44 ",$371.36 ,$959.88 ,"$2,108.31 ",$371.36 ,"$2,108.31 ",$371.36 ,"$1,899.20 ","$1,899.20 ",$371.36 ,"$1,899.20 ",$765.45 ,"$3,085.34 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,016.77 ",$378.79 ,"$2,571.11 ","$2,571.11 ","$2,913.93 ","$2,913.93 ",$371.36 ,"$2,913.93 ",$371.36 ,"$2,776.80 ","$2,776.80 ","$2,776.80 ","$3,428.15 ","$3,085.34 ",$909.67 ,"$3,085.34 ",$371.36 ,"$3,428.15 ","$1,923.19 ",$371.36 ,"$1,419.25 ",$331.64 ,$316.56 ,$388.70 ,"$3,085.34 ",$821.21 ,"$1,899.20 ",$959.88 ,"$3,085.34 ",$371.36 ,"$3,085.34 ","$3,085.34 ",$371.36 ,"$2,228.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000056,C8905,HC MRI BREAST UNI W AND W/O CONTRAST,610,1 ,"$1,467.40 ","$1,056.53 ",$244.82 ,"$1,467.40 ",$909.67 ,"$1,093.21 ",$961.15 ,$371.36 ,$410.87 ,$902.45 ,$371.36 ,$902.45 ,$371.36 ,$812.94 ,$812.94 ,$371.36 ,$812.94 ,$765.45 ,"$1,320.66 ","$1,467.40 ",$909.67 ,$371.36 ,"$1,291.31 ",$378.79 ,"$1,100.55 ","$1,100.55 ","$1,247.29 ","$1,247.29 ",$371.36 ,"$1,247.29 ",$371.36 ,"$1,188.59 ","$1,188.59 ","$1,188.59 ","$1,467.40 ","$1,320.66 ",$909.67 ,"$1,320.66 ",$371.36 ,"$1,467.40 ",$823.21 ,$371.36 ,$607.50 ,$256.48 ,$244.82 ,$388.70 ,"$1,320.66 ",$821.21 ,$812.94 ,$410.87 ,"$1,320.66 ",$371.36 ,"$1,320.66 ","$1,320.66 ",$371.36 ,$953.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000057,C8906,HC MRI BREAST BIL W/CONTRAST,610,1 ,"$2,908.35 ","$2,094.01 ",$244.82 ,"$2,908.35 ",$909.67 ,"$2,166.72 ","$1,904.97 ",$371.36 ,$814.34 ,"$1,788.64 ",$371.36 ,"$1,788.64 ",$371.36 ,"$1,611.23 ","$1,611.23 ",$371.36 ,"$1,611.23 ",$765.45 ,"$2,617.52 ","$2,500.00 ",$909.67 ,$371.36 ,"$2,559.35 ",$378.79 ,"$2,181.26 ","$2,181.26 ","$2,472.10 ","$2,472.10 ",$371.36 ,"$2,472.10 ",$371.36 ,"$2,355.76 ","$2,355.76 ","$2,355.76 ","$2,908.35 ","$2,617.52 ",$909.67 ,"$2,617.52 ",$371.36 ,"$2,908.35 ","$1,631.58 ",$371.36 ,"$1,204.06 ",$256.48 ,$244.82 ,$388.70 ,"$2,617.52 ",$821.21 ,"$1,611.23 ",$814.34 ,"$2,617.52 ",$371.36 ,"$2,617.52 ","$2,617.52 ",$371.36 ,"$1,890.43 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000058,77047,HC MRI BREAST BI W/O CON,610,1 ,"$2,793.35 ","$2,011.21 ",$161.99 ,"$2,793.35 ",$576.57 ,"$2,081.05 ","$1,829.64 ",$235.38 ,$782.14 ,"$1,717.91 ",$235.38 ,"$1,717.91 ",$235.38 ,"$1,547.52 ","$1,547.52 ",$235.38 ,"$1,547.52 ",$485.16 ,"$2,514.02 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,458.15 ",$240.08 ,"$2,095.01 ","$2,095.01 ","$2,374.35 ","$2,374.35 ",$235.38 ,"$2,374.35 ",$235.38 ,"$2,262.61 ","$2,262.61 ","$2,262.61 ","$2,793.35 ","$2,514.02 ",$576.57 ,"$2,514.02 ",$235.38 ,$161.99 ,"$1,567.07 ",$235.38 ,"$1,156.45 ",$256.48 ,$244.82 ,$246.36 ,"$2,514.02 ",$520.50 ,"$1,547.52 ",$782.14 ,"$2,514.02 ",$235.38 ,"$2,514.02 ","$2,514.02 ",$235.38 ,"$1,815.68 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000059,C8908,HC MRI BREAST BI W AND W/O CON,610,1 ,"$4,294.10 ","$3,091.75 ",$244.82 ,"$4,294.10 ",$909.67 ,"$3,199.10 ","$2,812.64 ",$371.36 ,"$1,202.35 ","$2,640.87 ",$371.36 ,"$2,640.87 ",$371.36 ,"$2,378.93 ","$2,378.93 ",$371.36 ,"$2,378.93 ",$765.45 ,"$3,864.69 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,778.81 ",$378.79 ,"$3,220.58 ","$3,220.58 ","$3,649.99 ","$3,649.99 ",$371.36 ,"$3,649.99 ",$371.36 ,"$3,478.22 ","$3,478.22 ","$3,478.22 ","$4,294.10 ","$3,864.69 ",$909.67 ,"$3,864.69 ",$371.36 ,"$4,294.10 ","$2,408.99 ",$371.36 ,"$1,777.76 ",$256.48 ,$244.82 ,$388.70 ,"$3,864.69 ",$821.21 ,"$2,378.93 ","$1,202.35 ","$3,864.69 ",$371.36 ,"$3,864.69 ","$3,864.69 ",$371.36 ,"$2,791.17 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000060,C8909,HC MRA CHEST W/CONTRAST,610,1 ,"$2,965.85 ","$2,135.41 ",$278.46 ,"$2,965.85 ",$909.67 ,"$2,209.56 ","$1,942.63 ",$371.36 ,$830.44 ,"$1,824.00 ",$371.36 ,"$1,824.00 ",$371.36 ,"$1,643.08 ","$1,643.08 ",$371.36 ,"$1,643.08 ",$765.45 ,"$2,669.27 ","$2,500.00 ",$909.67 ,$371.36 ,"$2,609.95 ",$378.79 ,"$2,224.39 ","$2,224.39 ","$2,520.97 ","$2,520.97 ",$371.36 ,"$2,520.97 ",$371.36 ,"$2,402.34 ","$2,402.34 ","$2,402.34 ","$2,965.85 ","$2,669.27 ",$909.67 ,"$2,669.27 ",$371.36 ,"$2,965.85 ","$1,663.84 ",$371.36 ,"$1,227.86 ",$291.72 ,$278.46 ,$388.70 ,"$2,669.27 ",$821.21 ,"$1,643.08 ",$830.44 ,"$2,669.27 ",$371.36 ,"$2,669.27 ","$2,669.27 ",$371.36 ,"$1,927.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000061,C8910,HC MRA CHEST W/O CONTRAST,610,1 ,"$2,938.25 ","$2,115.54 ",$235.38 ,"$2,938.25 ",$576.57 ,"$2,189.00 ","$1,924.55 ",$235.38 ,$822.71 ,"$1,807.02 ",$235.38 ,"$1,807.02 ",$235.38 ,"$1,627.79 ","$1,627.79 ",$235.38 ,"$1,627.79 ",$485.16 ,"$2,644.43 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,585.66 ",$240.08 ,"$2,203.69 ","$2,203.69 ","$2,497.51 ","$2,497.51 ",$235.38 ,"$2,497.51 ",$235.38 ,"$2,379.98 ","$2,379.98 ","$2,379.98 ","$2,938.25 ","$2,644.43 ",$576.57 ,"$2,644.43 ",$235.38 ,"$2,938.25 ","$1,648.36 ",$235.38 ,"$1,216.44 ",$291.72 ,$278.46 ,$246.36 ,"$2,644.43 ",$520.50 ,"$1,627.79 ",$822.71 ,"$2,644.43 ",$235.38 ,"$2,644.43 ","$2,644.43 ",$235.38 ,"$1,909.86 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000062,C8911,HC MRA CHEST W AND W/O CONTRAST,610,1 ,"$4,309.05 ","$3,102.52 ",$278.46 ,"$4,309.05 ",$909.67 ,"$3,210.24 ","$2,822.43 ",$371.36 ,"$1,206.53 ","$2,650.07 ",$371.36 ,"$2,650.07 ",$371.36 ,"$2,387.21 ","$2,387.21 ",$371.36 ,"$2,387.21 ",$765.45 ,"$3,878.15 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,791.96 ",$378.79 ,"$3,231.79 ","$3,231.79 ","$3,662.69 ","$3,662.69 ",$371.36 ,"$3,662.69 ",$371.36 ,"$3,490.33 ","$3,490.33 ","$3,490.33 ","$4,309.05 ","$3,878.15 ",$909.67 ,"$3,878.15 ",$371.36 ,"$4,309.05 ","$2,417.38 ",$371.36 ,"$1,783.95 ",$291.72 ,$278.46 ,$388.70 ,"$3,878.15 ",$821.21 ,"$2,387.21 ","$1,206.53 ","$3,878.15 ",$371.36 ,"$3,878.15 ","$3,878.15 ",$371.36 ,"$2,800.88 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000063,C8912,HC MRA LWR EXT W/CON,610,1 ,"$2,451.80 ","$1,765.30 ",$316.56 ,"$2,451.80 ",$909.67 ,"$1,826.59 ","$1,605.93 ",$371.36 ,$686.50 ,"$1,507.86 ",$371.36 ,"$1,507.86 ",$371.36 ,"$1,358.30 ","$1,358.30 ",$371.36 ,"$1,358.30 ",$765.45 ,"$2,206.62 ","$2,451.80 ",$909.67 ,$371.36 ,"$2,157.58 ",$378.79 ,"$1,838.85 ","$1,838.85 ","$2,084.03 ","$2,084.03 ",$371.36 ,"$2,084.03 ",$371.36 ,"$1,985.96 ","$1,985.96 ","$1,985.96 ","$2,451.80 ","$2,206.62 ",$909.67 ,"$2,206.62 ",$371.36 ,"$2,451.80 ","$1,375.46 ",$371.36 ,"$1,015.05 ",$331.64 ,$316.56 ,$388.70 ,"$2,206.62 ",$821.21 ,"$1,358.30 ",$686.50 ,"$2,206.62 ",$371.36 ,"$2,206.62 ","$2,206.62 ",$371.36 ,"$1,593.67 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000063,C8912,HC MRA LWR EXT W/CON,610,1 ,"$3,678.85 ","$2,648.77 ",$316.56 ,"$3,678.85 ",$909.67 ,"$2,740.74 ","$2,409.65 ",$371.36 ,"$1,030.08 ","$2,262.49 ",$371.36 ,"$2,262.49 ",$371.36 ,"$2,038.08 ","$2,038.08 ",$371.36 ,"$2,038.08 ",$765.45 ,"$3,310.97 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,237.39 ",$378.79 ,"$2,759.14 ","$2,759.14 ","$3,127.02 ","$3,127.02 ",$371.36 ,"$3,127.02 ",$371.36 ,"$2,979.87 ","$2,979.87 ","$2,979.87 ","$3,678.85 ","$3,310.97 ",$909.67 ,"$3,310.97 ",$371.36 ,"$3,678.85 ","$2,063.83 ",$371.36 ,"$1,523.04 ",$331.64 ,$316.56 ,$388.70 ,"$3,310.97 ",$821.21 ,"$2,038.08 ","$1,030.08 ","$3,310.97 ",$371.36 ,"$3,310.97 ","$3,310.97 ",$371.36 ,"$2,391.25 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,"$2,229.85 ","$1,605.49 ",$235.38 ,"$2,229.85 ",$576.57 ,"$1,661.24 ","$1,460.55 ",$235.38 ,$624.36 ,"$1,371.36 ",$235.38 ,"$1,371.36 ",$235.38 ,"$1,235.34 ","$1,235.34 ",$235.38 ,"$1,235.34 ",$485.16 ,"$2,006.87 ","$2,229.85 ",$576.57 ,$235.38 ,"$1,962.27 ",$240.08 ,"$1,672.39 ","$1,672.39 ","$1,895.37 ","$1,895.37 ",$235.38 ,"$1,895.37 ",$235.38 ,"$1,806.18 ","$1,806.18 ","$1,806.18 ","$2,229.85 ","$2,006.87 ",$576.57 ,"$2,006.87 ",$235.38 ,"$2,229.85 ","$1,250.95 ",$235.38 ,$923.16 ,$331.64 ,$316.56 ,$246.36 ,"$2,006.87 ",$520.50 ,"$1,235.34 ",$624.36 ,"$2,006.87 ",$235.38 ,"$2,006.87 ","$2,006.87 ",$235.38 ,"$1,449.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,"$3,344.20 ","$2,407.82 ",$235.38 ,"$3,344.20 ",$576.57 ,"$2,491.43 ","$2,190.45 ",$235.38 ,$936.38 ,"$2,056.68 ",$235.38 ,"$2,056.68 ",$235.38 ,"$1,852.69 ","$1,852.69 ",$235.38 ,"$1,852.69 ",$485.16 ,"$3,009.78 ","$2,500.00 ",$576.57 ,$235.38 ,"$2,942.90 ",$240.08 ,"$2,508.15 ","$2,508.15 ","$2,842.57 ","$2,842.57 ",$235.38 ,"$2,842.57 ",$235.38 ,"$2,708.80 ","$2,708.80 ","$2,708.80 ","$3,344.20 ","$3,009.78 ",$576.57 ,"$3,009.78 ",$235.38 ,"$3,344.20 ","$1,876.10 ",$235.38 ,"$1,384.50 ",$331.64 ,$316.56 ,$246.36 ,"$3,009.78 ",$520.50 ,"$1,852.69 ",$936.38 ,"$3,009.78 ",$235.38 ,"$3,009.78 ","$3,009.78 ",$235.38 ,"$2,173.73 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$2,986.55 ","$2,150.32 ",$316.56 ,"$2,986.55 ",$909.67 ,"$2,224.98 ","$1,956.19 ",$371.36 ,$836.23 ,"$1,836.73 ",$371.36 ,"$1,836.73 ",$371.36 ,"$1,654.55 ","$1,654.55 ",$371.36 ,"$1,654.55 ",$765.45 ,"$2,687.90 ","$2,500.00 ",$909.67 ,$371.36 ,"$2,628.16 ",$378.79 ,"$2,239.91 ","$2,239.91 ","$2,538.57 ","$2,538.57 ",$371.36 ,"$2,538.57 ",$371.36 ,"$2,419.11 ","$2,419.11 ","$2,419.11 ","$2,986.55 ","$2,687.90 ",$909.67 ,"$2,687.90 ",$371.36 ,"$2,986.55 ","$1,675.45 ",$371.36 ,"$1,236.43 ",$331.64 ,$316.56 ,$388.70 ,"$2,687.90 ",$821.21 ,"$1,654.55 ",$836.23 ,"$2,687.90 ",$371.36 ,"$2,687.90 ","$2,687.90 ",$371.36 ,"$1,941.26 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$4,480.40 ","$3,225.89 ",$316.56 ,"$4,480.40 ",$909.67 ,"$3,337.90 ","$2,934.66 ",$371.36 ,"$1,254.51 ","$2,755.45 ",$371.36 ,"$2,755.45 ",$371.36 ,"$2,482.14 ","$2,482.14 ",$371.36 ,"$2,482.14 ",$765.45 ,"$4,032.36 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,942.75 ",$378.79 ,"$3,360.30 ","$3,360.30 ","$3,808.34 ","$3,808.34 ",$371.36 ,"$3,808.34 ",$371.36 ,"$3,629.12 ","$3,629.12 ","$3,629.12 ","$4,480.40 ","$4,032.36 ",$909.67 ,"$4,032.36 ",$371.36 ,"$4,480.40 ","$2,513.50 ",$371.36 ,"$1,854.89 ",$331.64 ,$316.56 ,$388.70 ,"$4,032.36 ",$821.21 ,"$2,482.14 ","$1,254.51 ","$4,032.36 ",$371.36 ,"$4,032.36 ","$4,032.36 ",$371.36 ,"$2,912.26 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000068,C8918,HC MRA PELVIS W/CON,610,1 ,"$4,889.80 ","$3,520.66 ",$316.56 ,"$4,889.80 ",$909.67 ,"$3,642.90 ","$3,202.82 ",$371.36 ,"$1,369.14 ","$3,007.23 ",$371.36 ,"$3,007.23 ",$371.36 ,"$2,708.95 ","$2,708.95 ",$371.36 ,"$2,708.95 ",$765.45 ,"$4,400.82 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,303.02 ",$378.79 ,"$3,667.35 ","$3,667.35 ","$4,156.33 ","$4,156.33 ",$371.36 ,"$4,156.33 ",$371.36 ,"$3,960.74 ","$3,960.74 ","$3,960.74 ","$4,889.80 ","$4,400.82 ",$909.67 ,"$4,400.82 ",$371.36 ,"$4,889.80 ","$2,743.18 ",$371.36 ,"$2,024.38 ",$331.64 ,$316.56 ,$388.70 ,"$4,400.82 ",$821.21 ,"$2,708.95 ","$1,369.14 ","$4,400.82 ",$371.36 ,"$4,400.82 ","$4,400.82 ",$371.36 ,"$3,178.37 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$2,229.85 ","$1,605.49 ",$316.56 ,"$2,229.85 ",$909.67 ,"$1,661.24 ","$1,460.55 ",$371.36 ,$624.36 ,"$1,371.36 ",$371.36 ,"$1,371.36 ",$371.36 ,"$1,235.34 ","$1,235.34 ",$371.36 ,"$1,235.34 ",$765.45 ,"$2,006.87 ","$2,229.85 ",$909.67 ,$371.36 ,"$1,962.27 ",$378.79 ,"$1,672.39 ","$1,672.39 ","$1,895.37 ","$1,895.37 ",$371.36 ,"$1,895.37 ",$371.36 ,"$1,806.18 ","$1,806.18 ","$1,806.18 ","$2,229.85 ","$2,006.87 ",$909.67 ,"$2,006.87 ",$371.36 ,"$2,229.85 ","$1,250.95 ",$371.36 ,$923.16 ,$331.64 ,$316.56 ,$388.70 ,"$2,006.87 ",$821.21 ,"$1,235.34 ",$624.36 ,"$2,006.87 ",$371.36 ,"$2,006.87 ","$2,006.87 ",$371.36 ,"$1,449.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000071,C8934,HC MRA UPPR EXT W/CONTRAST,610,1 ,"$2,229.85 ","$1,605.49 ",$316.56 ,"$2,229.85 ",$909.67 ,"$1,661.24 ","$1,460.55 ",$371.36 ,$624.36 ,"$1,371.36 ",$371.36 ,"$1,371.36 ",$371.36 ,"$1,235.34 ","$1,235.34 ",$371.36 ,"$1,235.34 ",$765.45 ,"$2,006.87 ","$2,229.85 ",$909.67 ,$371.36 ,"$1,962.27 ",$378.79 ,"$1,672.39 ","$1,672.39 ","$1,895.37 ","$1,895.37 ",$371.36 ,"$1,895.37 ",$371.36 ,"$1,806.18 ","$1,806.18 ","$1,806.18 ","$2,229.85 ","$2,006.87 ",$909.67 ,"$2,006.87 ",$371.36 ,"$2,229.85 ","$1,250.95 ",$371.36 ,$923.16 ,$331.64 ,$316.56 ,$388.70 ,"$2,006.87 ",$821.21 ,"$1,235.34 ",$624.36 ,"$2,006.87 ",$371.36 ,"$2,006.87 ","$2,006.87 ",$371.36 ,"$1,449.40 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$5,222.02 ","$3,759.85 ",$274.30 ,"$5,222.02 ",$909.67 ,"$3,890.40 ","$3,420.42 ",$371.36 ,"$1,462.17 ","$3,211.54 ",$371.36 ,"$3,211.54 ",$371.36 ,"$2,893.00 ","$2,893.00 ",$371.36 ,"$2,893.00 ",$765.45 ,"$4,699.82 ","$2,500.00 ",$909.67 ,$371.36 ,"$4,595.38 ",$378.79 ,"$3,916.52 ","$3,916.52 ","$4,438.72 ","$4,438.72 ",$371.36 ,"$4,438.72 ",$371.36 ,"$4,229.84 ","$4,229.84 ","$4,229.84 ","$5,222.02 ","$4,699.82 ",$909.67 ,"$4,699.82 ",$371.36 ,"$5,222.02 ","$2,929.55 ",$371.36 ,"$2,161.92 ",$287.36 ,$274.30 ,$388.70 ,"$4,699.82 ",$821.21 ,"$2,893.00 ","$1,462.17 ","$4,699.82 ",$371.36 ,"$4,699.82 ","$4,699.82 ",$371.36 ,"$3,394.31 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$3,527.60 ","$2,539.87 ",$244.82 ,"$3,527.60 ",$909.67 ,"$2,628.06 ","$2,310.58 ",$371.36 ,$987.73 ,"$2,169.47 ",$371.36 ,"$2,169.47 ",$371.36 ,"$1,954.29 ","$1,954.29 ",$371.36 ,"$1,954.29 ",$765.45 ,"$3,174.84 ","$2,500.00 ",$909.67 ,$371.36 ,"$3,104.29 ",$378.79 ,"$2,645.70 ","$2,645.70 ","$2,998.46 ","$2,998.46 ",$371.36 ,"$2,998.46 ",$371.36 ,"$2,857.36 ","$2,857.36 ","$2,857.36 ","$3,527.60 ","$3,174.84 ",$909.67 ,"$3,174.84 ",$371.36 ,"$3,527.60 ","$1,978.98 ",$371.36 ,"$1,460.43 ",$256.48 ,$244.82 ,$388.70 ,"$3,174.84 ",$821.21 ,"$1,954.29 ",$987.73 ,"$3,174.84 ",$371.36 ,"$3,174.84 ","$3,174.84 ",$371.36 ,"$2,292.94 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),62300009,A6022,HC DRESSING COLLAGEN >16 = <48 SQ IN,623,1 ,$79.77 ,$57.43 ,$22.34 ,$79.77 , N/A ,$59.43 ,$52.25 , N/A ,$22.34 ,$49.06 , N/A ,$49.06 , N/A ,$44.19 ,$44.19 , N/A ,$44.19 , N/A ,$71.79 , N/A , N/A , N/A ,$70.20 , N/A ,$59.83 ,$59.83 ,$67.80 ,$67.80 , N/A ,$67.80 , N/A ,$64.61 ,$64.61 ,$64.61 ,$79.77 ,$71.79 , N/A ,$71.79 , N/A ,$79.77 ,$44.75 , N/A ,$33.02 , N/A , N/A , N/A ,$71.79 , N/A ,$44.19 ,$22.34 ,$71.79 , N/A ,$71.79 ,$71.79 , N/A ,$51.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),62300010,A6197,HC DRESSING ALGINATE >16 = <48 SQ IN,623,1 ,$115.47 ,$83.14 ,$32.33 ,$115.47 , N/A ,$86.03 ,$75.63 , N/A ,$32.33 ,$71.01 , N/A ,$71.01 , N/A ,$63.97 ,$63.97 , N/A ,$63.97 , N/A ,$103.92 , N/A , N/A , N/A ,$101.61 , N/A ,$86.60 ,$86.60 ,$98.15 ,$98.15 , N/A ,$98.15 , N/A ,$93.53 ,$93.53 ,$93.53 ,$115.47 ,$103.92 , N/A ,$103.92 , N/A ,$115.47 ,$64.78 , N/A ,$47.80 , N/A , N/A , N/A ,$103.92 , N/A ,$63.97 ,$32.33 ,$103.92 , N/A ,$103.92 ,$103.92 , N/A ,$75.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),62300024,A6211,HC DRESSING FOAM W/O BORDER BURN >48 SQ IN,623,1 ,$85.89 ,$61.84 ,$24.05 ,$85.89 , N/A ,$63.99 ,$56.26 , N/A ,$24.05 ,$52.82 , N/A ,$52.82 , N/A ,$47.58 ,$47.58 , N/A ,$47.58 , N/A ,$77.30 , N/A , N/A , N/A ,$75.58 , N/A ,$64.42 ,$64.42 ,$73.01 ,$73.01 , N/A ,$73.01 , N/A ,$69.57 ,$69.57 ,$69.57 ,$85.89 ,$77.30 , N/A ,$77.30 , N/A ,$85.89 ,$48.18 , N/A ,$35.56 , N/A , N/A , N/A ,$77.30 , N/A ,$47.58 ,$24.05 ,$77.30 , N/A ,$77.30 ,$77.30 , N/A ,$55.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),62300031,A6448,HC BANDAGE COMPRESSION <3 IN PER YD,623,1 ,$107.33 ,$77.28 ,$30.05 ,$107.33 , N/A ,$79.96 ,$70.30 , N/A ,$30.05 ,$66.01 , N/A ,$66.01 , N/A ,$59.46 ,$59.46 , N/A ,$59.46 , N/A ,$96.60 , N/A , N/A , N/A ,$94.45 , N/A ,$80.50 ,$80.50 ,$91.23 ,$91.23 , N/A ,$91.23 , N/A ,$86.94 ,$86.94 ,$86.94 ,$107.33 ,$96.60 , N/A ,$96.60 , N/A ,$107.33 ,$60.21 , N/A ,$44.43 , N/A , N/A , N/A ,$96.60 , N/A ,$59.46 ,$30.05 ,$96.60 , N/A ,$96.60 ,$96.60 , N/A ,$69.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),62300039,A6262,HC WOUND FILLER DRY NOS PER GRAM,623,1 ,$19.95 ,$14.36 ,$5.59 ,$19.95 , N/A ,$14.86 ,$13.07 , N/A ,$5.59 ,$12.27 , N/A ,$12.27 , N/A ,$11.05 ,$11.05 , N/A ,$11.05 , N/A ,$17.96 , N/A , N/A , N/A ,$17.56 , N/A ,$14.96 ,$14.96 ,$16.96 ,$16.96 , N/A ,$16.96 , N/A ,$16.16 ,$16.16 ,$16.16 ,$19.95 ,$17.96 , N/A ,$17.96 , N/A ,$19.95 ,$11.19 , N/A ,$8.26 , N/A , N/A , N/A ,$17.96 , N/A ,$11.05 ,$5.59 ,$17.96 , N/A ,$17.96 ,$17.96 , N/A ,$12.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,0.9 % NACL WITH KCL 20 MEQ 20-0.9 MEQ/L-% SOLN per 2 mEq,636,1 ,$4.80 ,$3.46 ,$0.23 ,$4.80 , N/A ,$3.58 ,$3.14 , N/A ,$1.34 ,$2.95 , N/A ,$2.95 , N/A ,$2.66 ,$2.66 , N/A ,$2.66 , N/A ,$4.32 ,$3.98 , N/A , N/A ,$4.22 , N/A ,$3.60 ,$3.60 ,$4.08 ,$4.08 , N/A ,$4.08 , N/A ,$3.89 ,$3.89 ,$3.89 ,$4.80 ,$4.32 , N/A ,$4.32 , N/A ,$4.80 ,$2.69 , N/A ,$1.99 , N/A , N/A , N/A ,$4.32 , N/A ,$2.66 ,$1.34 ,$4.32 , N/A ,$0.23 ,$0.23 , N/A ,$3.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,"0.9 % NACL WITH KCL 40 MEQ 40-0.9 MEQ/L-% SOLN 1,000 ML FLEX CONT per 2 mEq",636,1 ,$2.60 ,$1.87 ,$0.23 ,$2.60 , N/A ,$1.94 ,$1.70 , N/A ,$0.73 ,$1.60 , N/A ,$1.60 , N/A ,$1.44 ,$1.44 , N/A ,$1.44 , N/A ,$2.34 ,$2.16 , N/A , N/A ,$2.29 , N/A ,$1.95 ,$1.95 ,$2.21 ,$2.21 , N/A ,$2.21 , N/A ,$2.11 ,$2.11 ,$2.11 ,$2.60 ,$2.34 , N/A ,$2.34 , N/A ,$2.60 ,$1.46 , N/A ,$1.08 , N/A , N/A , N/A ,$2.34 , N/A ,$1.44 ,$0.73 ,$2.34 , N/A ,$0.23 ,$0.23 , N/A ,$1.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0129,ABATACEPT 250 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$374.97 ,$269.98 ,$41.90 ,$374.97 ,$106.90 ,$279.35 ,$245.61 ,$41.90 ,$104.99 ,$230.61 ,$41.90 ,$230.61 ,$41.90 ,$207.73 ,$207.73 ,$41.90 ,$207.73 ,$86.38 ,$337.47 ,$311.23 ,$106.90 ,$41.90 ,$329.97 ,$42.75 ,$281.23 ,$281.23 ,$318.72 ,$318.72 ,$41.90 ,$318.72 ,$41.90 ,$303.73 ,$303.73 ,$303.73 ,$374.97 ,$337.47 ,$106.90 ,$337.47 ,$41.90 ,$374.97 ,$210.36 ,$41.90 ,$155.24 ,$374.97 ,$374.97 ,$44.00 ,$337.47 ,$96.21 ,$207.73 ,$104.99 ,$337.47 ,$41.90 ,$71.78 ,$71.78 ,$41.90 ,$243.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0131,ACETAMINOPHEN 10 MG/ML SOLN per 10 mg,636,1 ,$6.96 ,$5.01 ,$0.17 ,$6.96 , N/A ,$5.19 ,$4.56 , N/A ,$1.95 ,$4.28 , N/A ,$4.28 , N/A ,$3.86 ,$3.86 , N/A ,$3.86 , N/A ,$6.26 ,$5.78 , N/A , N/A ,$6.12 , N/A ,$5.22 ,$5.22 ,$5.92 ,$5.92 , N/A ,$5.92 , N/A ,$5.64 ,$5.64 ,$5.64 ,$6.96 ,$6.26 , N/A ,$6.26 , N/A ,$6.96 ,$3.90 , N/A ,$2.88 , N/A , N/A , N/A ,$6.26 , N/A ,$3.86 ,$1.95 ,$6.26 , N/A ,$0.17 ,$0.17 , N/A ,$4.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1120,ACETAZOLAMIDE 500 MG SOLR per 500 mg,636,1 ,$588.00 ,$423.36 ,$39.48 ,$588.00 , N/A ,$438.06 ,$385.14 , N/A ,$164.64 ,$361.62 , N/A ,$361.62 , N/A ,$325.75 ,$325.75 , N/A ,$325.75 , N/A ,$529.20 ,$488.04 , N/A , N/A ,$517.44 , N/A ,$441.00 ,$441.00 ,$499.80 ,$499.80 , N/A ,$499.80 , N/A ,$476.28 ,$476.28 ,$476.28 ,$588.00 ,$529.20 , N/A ,$529.20 , N/A ,$588.00 ,$329.87 , N/A ,$243.43 , N/A , N/A , N/A ,$529.20 , N/A ,$325.75 ,$164.64 ,$529.20 , N/A ,$39.48 ,$39.48 , N/A ,$382.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0132,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL per 100 mg,636,1 ,$71.46 ,$51.45 ,$1.63 ,$71.46 , N/A ,$53.24 ,$46.81 , N/A ,$20.01 ,$43.95 , N/A ,$43.95 , N/A ,$39.59 ,$39.59 , N/A ,$39.59 , N/A ,$64.31 ,$59.31 , N/A , N/A ,$62.88 , N/A ,$53.60 ,$53.60 ,$60.74 ,$60.74 , N/A ,$60.74 , N/A ,$57.88 ,$57.88 ,$57.88 ,$71.46 ,$64.31 , N/A ,$64.31 , N/A ,$71.46 ,$40.09 , N/A ,$29.58 , N/A , N/A , N/A ,$64.31 , N/A ,$39.59 ,$20.01 ,$64.31 , N/A ,$1.63 ,$1.63 , N/A ,$46.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0133,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL per 5 mg,636,1 ,$1.90 ,$1.37 ,$0.08 ,$1.90 , N/A ,$1.42 ,$1.24 , N/A ,$0.53 ,$1.17 , N/A ,$1.17 , N/A ,$1.05 ,$1.05 , N/A ,$1.05 , N/A ,$1.71 ,$1.58 , N/A , N/A ,$1.67 , N/A ,$1.43 ,$1.43 ,$1.62 ,$1.62 , N/A ,$1.62 , N/A ,$1.54 ,$1.54 ,$1.54 ,$1.90 ,$1.71 , N/A ,$1.71 , N/A ,$1.90 ,$1.07 , N/A ,$0.79 , N/A , N/A , N/A ,$1.71 , N/A ,$1.05 ,$0.53 ,$1.71 , N/A ,$0.08 ,$0.08 , N/A ,$1.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0133,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL per 5 mg,636,1 ,$1.84 ,$1.32 ,$0.08 ,$1.84 , N/A ,$1.37 ,$1.21 , N/A ,$0.52 ,$1.13 , N/A ,$1.13 , N/A ,$1.02 ,$1.02 , N/A ,$1.02 , N/A ,$1.66 ,$1.53 , N/A , N/A ,$1.62 , N/A ,$1.38 ,$1.38 ,$1.56 ,$1.56 , N/A ,$1.56 , N/A ,$1.49 ,$1.49 ,$1.49 ,$1.84 ,$1.66 , N/A ,$1.66 , N/A ,$1.84 ,$1.03 , N/A ,$0.76 , N/A , N/A , N/A ,$1.66 , N/A ,$1.02 ,$0.52 ,$1.66 , N/A ,$0.08 ,$0.08 , N/A ,$1.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0133,ACYCLOVIR 50 MG/ML SOLN per 5 mg,636,1 ,$1.96 ,$1.41 ,$0.08 ,$1.96 , N/A ,$1.46 ,$1.28 , N/A ,$0.55 ,$1.21 , N/A ,$1.21 , N/A ,$1.09 ,$1.09 , N/A ,$1.09 , N/A ,$1.76 ,$1.63 , N/A , N/A ,$1.72 , N/A ,$1.47 ,$1.47 ,$1.67 ,$1.67 , N/A ,$1.67 , N/A ,$1.59 ,$1.59 ,$1.59 ,$1.96 ,$1.76 , N/A ,$1.76 , N/A ,$1.96 ,$1.10 , N/A ,$0.81 , N/A , N/A , N/A ,$1.76 , N/A ,$1.09 ,$0.55 ,$1.76 , N/A ,$0.08 ,$0.08 , N/A ,$1.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0153,ADENOSINE 3 MG/ML SOLN per 1 mg,636,1 ,$28.90 ,$20.81 ,$0.86 ,$28.90 , N/A ,$21.53 ,$18.93 , N/A ,$8.09 ,$17.77 , N/A ,$17.77 , N/A ,$16.01 ,$16.01 , N/A ,$16.01 , N/A ,$26.01 ,$23.99 , N/A , N/A ,$25.43 , N/A ,$21.68 ,$21.68 ,$24.57 ,$24.57 , N/A ,$24.57 , N/A ,$23.41 ,$23.41 ,$23.41 ,$28.90 ,$26.01 , N/A ,$26.01 , N/A ,$28.90 ,$16.21 , N/A ,$11.96 , N/A , N/A , N/A ,$26.01 , N/A ,$16.01 ,$8.09 ,$26.01 , N/A ,$0.86 ,$0.86 , N/A ,$18.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0153,ADENOSINE 6 MG/2ML SOLN per 1 mg,636,1 ,$26.83 ,$19.32 ,$0.86 ,$26.83 , N/A ,$19.99 ,$17.57 , N/A ,$7.51 ,$16.50 , N/A ,$16.50 , N/A ,$14.86 ,$14.86 , N/A ,$14.86 , N/A ,$24.15 ,$22.27 , N/A , N/A ,$23.61 , N/A ,$20.12 ,$20.12 ,$22.81 ,$22.81 , N/A ,$22.81 , N/A ,$21.73 ,$21.73 ,$21.73 ,$26.83 ,$24.15 , N/A ,$24.15 , N/A ,$26.83 ,$15.05 , N/A ,$11.11 , N/A , N/A , N/A ,$24.15 , N/A ,$14.86 ,$7.51 ,$24.15 , N/A ,$0.86 ,$0.86 , N/A ,$17.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,P9047,ALBUMIN HUMAN 25 % SOLN per 50 mL,636,1 ,"$1,378.13 ",$992.25 ,$52.02 ,"$1,378.13 ",$132.69 ,"$1,026.71 ",$902.68 ,$52.02 ,$385.88 ,$847.55 ,$52.02 ,$847.55 ,$52.02 ,$763.48 ,$763.48 ,$52.02 ,$763.48 ,$107.22 ,"$1,240.32 ","$1,143.85 ",$132.69 ,$52.02 ,"$1,212.75 ",$53.06 ,"$1,033.60 ","$1,033.60 ","$1,171.41 ","$1,171.41 ",$52.02 ,"$1,171.41 ",$52.02 ,"$1,116.29 ","$1,116.29 ","$1,116.29 ","$1,378.13 ","$1,240.32 ",$132.69 ,"$1,240.32 ",$52.02 ,"$1,378.13 ",$773.13 ,$52.02 ,$570.55 ,$491.45 ,$469.11 ,$54.62 ,"$1,240.32 ",$119.42 ,$763.48 ,$385.88 ,"$1,240.32 ",$52.02 ,$87.07 ,$87.07 ,$52.02 ,$895.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0270,ALPROSTADIL 500 MCG/ML SOLN 1 ML AMPULE per 1.25 mcg,636,1 ,$4.84 ,$3.48 ,$0.59 ,$4.84 , N/A ,$3.61 ,$3.17 , N/A ,$1.36 ,$2.98 , N/A ,$2.98 , N/A ,$2.68 ,$2.68 , N/A ,$2.68 , N/A ,$4.36 ,$4.02 , N/A , N/A ,$4.26 , N/A ,$3.63 ,$3.63 ,$4.11 ,$4.11 , N/A ,$4.11 , N/A ,$3.92 ,$3.92 ,$3.92 ,$4.84 ,$4.36 , N/A ,$4.36 , N/A ,$4.84 ,$2.72 , N/A ,$2.00 , N/A , N/A , N/A ,$4.36 , N/A ,$2.68 ,$1.36 ,$4.36 , N/A ,$0.59 ,$0.59 , N/A ,$3.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2997,ALTEPLASE 100 MG SOLR per 1 mg,636,1 ,$422.42 ,$304.14 ,$56.66 ,$422.42 ,$218.91 ,$314.70 ,$276.69 ,$85.82 ,$118.28 ,$259.79 ,$85.82 ,$259.79 ,$85.82 ,$234.02 ,$234.02 ,$85.82 ,$234.02 ,$176.88 ,$380.18 ,$350.61 ,$218.91 ,$85.82 ,$371.73 ,$87.53 ,$316.82 ,$316.82 ,$359.06 ,$359.06 ,$85.82 ,$359.06 ,$85.82 ,$342.16 ,$342.16 ,$342.16 ,$422.42 ,$380.18 ,$218.91 ,$380.18 ,$85.82 ,$422.42 ,$236.98 ,$85.82 ,$174.88 ,$59.36 ,$56.66 ,$90.10 ,$380.18 ,$197.02 ,$234.02 ,$118.28 ,$380.18 ,$85.82 ,$145.25 ,$145.25 ,$85.82 ,$274.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2997,ALTEPLASE 2 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,"$1,181.23 ",$850.49 ,$56.66 ,"$1,181.23 ",$218.91 ,$880.02 ,$773.71 ,$85.82 ,$330.74 ,$726.46 ,$85.82 ,$726.46 ,$85.82 ,$654.40 ,$654.40 ,$85.82 ,$654.40 ,$176.88 ,"$1,063.11 ",$980.42 ,$218.91 ,$85.82 ,"$1,039.48 ",$87.53 ,$885.92 ,$885.92 ,"$1,004.05 ","$1,004.05 ",$85.82 ,"$1,004.05 ",$85.82 ,$956.80 ,$956.80 ,$956.80 ,"$1,181.23 ","$1,063.11 ",$218.91 ,"$1,063.11 ",$85.82 ,"$1,181.23 ",$662.67 ,$85.82 ,$489.03 ,$59.36 ,$56.66 ,$90.10 ,"$1,063.11 ",$197.02 ,$654.40 ,$330.74 ,"$1,063.11 ",$85.82 ,$145.25 ,$145.25 ,$85.82 ,$767.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0280,AMINOPHYLLINE 25 MG/ML SOLN per 250 mg,636,1 ,$26.05 ,$18.76 ,$7.29 ,$26.05 , N/A ,$19.41 ,$17.06 , N/A ,$7.29 ,$16.02 , N/A ,$16.02 , N/A ,$14.43 ,$14.43 , N/A ,$14.43 , N/A ,$23.45 ,$21.62 , N/A , N/A ,$22.92 , N/A ,$19.54 ,$19.54 ,$22.14 ,$22.14 , N/A ,$22.14 , N/A ,$21.10 ,$21.10 ,$21.10 ,$26.05 ,$23.45 , N/A ,$23.45 , N/A ,$26.05 ,$14.61 , N/A ,$10.78 , N/A , N/A , N/A ,$23.45 , N/A ,$14.43 ,$7.29 ,$23.45 , N/A ,$21.60 ,$21.60 , N/A ,$16.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0282,AMIODARONE 150 MG/3ML SOLN per 30 mg,636,1 ,$6.13 ,$4.41 ,$1.35 ,$6.13 , N/A ,$4.57 ,$4.02 , N/A ,$1.72 ,$3.77 , N/A ,$3.77 , N/A ,$3.40 ,$3.40 , N/A ,$3.40 , N/A ,$5.52 ,$5.09 , N/A , N/A ,$5.39 , N/A ,$4.60 ,$4.60 ,$5.21 ,$5.21 , N/A ,$5.21 , N/A ,$4.97 ,$4.97 ,$4.97 ,$6.13 ,$5.52 , N/A ,$5.52 , N/A ,$6.13 ,$3.44 , N/A ,$2.54 , N/A , N/A , N/A ,$5.52 , N/A ,$3.40 ,$1.72 ,$5.52 , N/A ,$1.35 ,$1.35 , N/A ,$3.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0282,AMIODARONE 150-4.21 MG/100ML-% SOLN per 30 mg,636,1 ,$101.92 ,$73.38 ,$1.35 ,$101.92 , N/A ,$75.93 ,$66.76 , N/A ,$28.54 ,$62.68 , N/A ,$62.68 , N/A ,$56.46 ,$56.46 , N/A ,$56.46 , N/A ,$91.73 ,$84.59 , N/A , N/A ,$89.69 , N/A ,$76.44 ,$76.44 ,$86.63 ,$86.63 , N/A ,$86.63 , N/A ,$82.56 ,$82.56 ,$82.56 ,$101.92 ,$91.73 , N/A ,$91.73 , N/A ,$101.92 ,$57.18 , N/A ,$42.19 , N/A , N/A , N/A ,$91.73 , N/A ,$56.46 ,$28.54 ,$91.73 , N/A ,$1.35 ,$1.35 , N/A ,$66.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0282,AMIODARONE 360-4.14 MG/200ML-% SOLN per 30 mg,636,1 ,$56.55 ,$40.72 ,$1.35 ,$56.55 , N/A ,$42.13 ,$37.04 , N/A ,$15.83 ,$34.78 , N/A ,$34.78 , N/A ,$31.33 ,$31.33 , N/A ,$31.33 , N/A ,$50.90 ,$46.94 , N/A , N/A ,$49.76 , N/A ,$42.41 ,$42.41 ,$48.07 ,$48.07 , N/A ,$48.07 , N/A ,$45.81 ,$45.81 ,$45.81 ,$56.55 ,$50.90 , N/A ,$50.90 , N/A ,$56.55 ,$31.72 , N/A ,$23.41 , N/A , N/A , N/A ,$50.90 , N/A ,$31.33 ,$15.83 ,$50.90 , N/A ,$1.35 ,$1.35 , N/A ,$36.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0289,AMPHOTERICIN B LIPOSOME 50 MG SUSR 1 EACH VIAL per 10 mg,636,1 ,$407.59 ,$293.46 ,$26.31 ,$407.59 ,$67.13 ,$303.65 ,$266.97 ,$26.31 ,$114.13 ,$250.67 ,$26.31 ,$250.67 ,$26.31 ,$225.80 ,$225.80 ,$26.31 ,$225.80 ,$54.24 ,$366.83 ,$338.30 ,$67.13 ,$26.31 ,$358.68 ,$26.84 ,$305.69 ,$305.69 ,$346.45 ,$346.45 ,$26.31 ,$346.45 ,$26.31 ,$330.15 ,$330.15 ,$330.15 ,$407.59 ,$366.83 ,$67.13 ,$366.83 ,$26.31 ,$407.59 ,$228.66 ,$26.31 ,$168.74 ,$248.31 ,$237.03 ,$27.63 ,$366.83 ,$60.41 ,$225.80 ,$114.13 ,$366.83 ,$26.31 ,$40.46 ,$40.46 ,$26.31 ,$264.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0290,AMPICILLIN 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$18.00 ,$12.96 ,$1.20 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$1.20 ,$1.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0290,AMPICILLIN 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$51.30 ,$36.94 ,$1.20 ,$51.30 , N/A ,$38.22 ,$33.60 , N/A ,$14.36 ,$31.55 , N/A ,$31.55 , N/A ,$28.42 ,$28.42 , N/A ,$28.42 , N/A ,$46.17 ,$42.58 , N/A , N/A ,$45.14 , N/A ,$38.48 ,$38.48 ,$43.61 ,$43.61 , N/A ,$43.61 , N/A ,$41.55 ,$41.55 ,$41.55 ,$51.30 ,$46.17 , N/A ,$46.17 , N/A ,$51.30 ,$28.78 , N/A ,$21.24 , N/A , N/A , N/A ,$46.17 , N/A ,$28.42 ,$14.36 ,$46.17 , N/A ,$1.20 ,$1.20 , N/A ,$33.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0290,AMPICILLIN 500 MG SOLR per 500 mg,636,1 ,$24.95 ,$17.96 ,$1.20 ,$24.95 , N/A ,$18.59 ,$16.34 , N/A ,$6.99 ,$15.34 , N/A ,$15.34 , N/A ,$13.82 ,$13.82 , N/A ,$13.82 , N/A ,$22.46 ,$20.71 , N/A , N/A ,$21.96 , N/A ,$18.71 ,$18.71 ,$21.21 ,$21.21 , N/A ,$21.21 , N/A ,$20.21 ,$20.21 ,$20.21 ,$24.95 ,$22.46 , N/A ,$22.46 , N/A ,$24.95 ,$14.00 , N/A ,$10.33 , N/A , N/A , N/A ,$22.46 , N/A ,$13.82 ,$6.99 ,$22.46 , N/A ,$1.20 ,$1.20 , N/A ,$16.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0295,AMPICILLIN-SULBACTAM 1.5 (1-0.5) G SOLR 1 EACH VIAL per 1.5 g,636,1 ,$18.00 ,$12.96 ,$3.76 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$3.76 ,$3.76 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0295,AMPICILLIN-SULBACTAM 3 (2-1) G SOLR 1 EACH VIAL per 1.5 g,636,1 ,$117.25 ,$84.42 ,$3.76 ,$117.25 , N/A ,$87.35 ,$76.80 , N/A ,$32.83 ,$72.11 , N/A ,$72.11 , N/A ,$64.96 ,$64.96 , N/A ,$64.96 , N/A ,$105.53 ,$97.32 , N/A , N/A ,$103.18 , N/A ,$87.94 ,$87.94 ,$99.66 ,$99.66 , N/A ,$99.66 , N/A ,$94.97 ,$94.97 ,$94.97 ,$117.25 ,$105.53 , N/A ,$105.53 , N/A ,$117.25 ,$65.78 , N/A ,$48.54 , N/A , N/A , N/A ,$105.53 , N/A ,$64.96 ,$32.83 ,$105.53 , N/A ,$3.76 ,$3.76 , N/A ,$76.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0461,ATROPINE 0.4 MG/ML SOLN per 0.01 mg,636,1 ,$2.94 ,$2.12 ,$0.10 ,$2.94 , N/A ,$2.19 ,$1.93 , N/A ,$0.82 ,$1.81 , N/A ,$1.81 , N/A ,$1.63 ,$1.63 , N/A ,$1.63 , N/A ,$2.65 ,$2.44 , N/A , N/A ,$2.59 , N/A ,$2.21 ,$2.21 ,$2.50 ,$2.50 , N/A ,$2.50 , N/A ,$2.38 ,$2.38 ,$2.38 ,$2.94 ,$2.65 , N/A ,$2.65 , N/A ,$2.94 ,$1.65 , N/A ,$1.22 , N/A , N/A , N/A ,$2.65 , N/A ,$1.63 ,$0.82 ,$2.65 , N/A ,$0.10 ,$0.10 , N/A ,$1.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0461,ATROPINE 1 MG/ML SOLN per 0.01 mg,636,1 ,$1.85 ,$1.33 ,$0.10 ,$1.85 , N/A ,$1.38 ,$1.21 , N/A ,$0.52 ,$1.14 , N/A ,$1.14 , N/A ,$1.02 ,$1.02 , N/A ,$1.02 , N/A ,$1.67 ,$1.54 , N/A , N/A ,$1.63 , N/A ,$1.39 ,$1.39 ,$1.57 ,$1.57 , N/A ,$1.57 , N/A ,$1.50 ,$1.50 ,$1.50 ,$1.85 ,$1.67 , N/A ,$1.67 , N/A ,$1.85 ,$1.04 , N/A ,$0.77 , N/A , N/A , N/A ,$1.67 , N/A ,$1.02 ,$0.52 ,$1.67 , N/A ,$0.10 ,$0.10 , N/A ,$1.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0461,ATROPINE 1 MG/10ML SOSY per 0.01 mg,636,1 ,$1.85 ,$1.33 ,$0.10 ,$1.85 , N/A ,$1.38 ,$1.21 , N/A ,$0.52 ,$1.14 , N/A ,$1.14 , N/A ,$1.02 ,$1.02 , N/A ,$1.02 , N/A ,$1.67 ,$1.54 , N/A , N/A ,$1.63 , N/A ,$1.39 ,$1.39 ,$1.57 ,$1.57 , N/A ,$1.57 , N/A ,$1.50 ,$1.50 ,$1.50 ,$1.85 ,$1.67 , N/A ,$1.67 , N/A ,$1.85 ,$1.04 , N/A ,$0.77 , N/A , N/A , N/A ,$1.67 , N/A ,$1.02 ,$0.52 ,$1.67 , N/A ,$0.10 ,$0.10 , N/A ,$1.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0461,ATROPINE 8 MG/20ML SOLN per 0.01 mg,636,1 ,$0.65 ,$0.47 ,$0.10 ,$0.65 , N/A ,$0.48 ,$0.43 , N/A ,$0.18 ,$0.40 , N/A ,$0.40 , N/A ,$0.36 ,$0.36 , N/A ,$0.36 , N/A ,$0.59 ,$0.54 , N/A , N/A ,$0.57 , N/A ,$0.49 ,$0.49 ,$0.55 ,$0.55 , N/A ,$0.55 , N/A ,$0.53 ,$0.53 ,$0.53 ,$0.65 ,$0.59 , N/A ,$0.59 , N/A ,$0.65 ,$0.36 , N/A ,$0.27 , N/A , N/A , N/A ,$0.59 , N/A ,$0.36 ,$0.18 ,$0.59 , N/A ,$0.10 ,$0.10 , N/A ,$0.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7500,AZATHIOPRINE 50 MG TABS per 50 mg,636,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$6.00 ,$6.00 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0456,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$211.95 ,$152.60 ,$4.24 ,$211.95 , N/A ,$157.90 ,$138.83 , N/A ,$59.35 ,$130.35 , N/A ,$130.35 , N/A ,$117.42 ,$117.42 , N/A ,$117.42 , N/A ,$190.76 ,$175.92 , N/A , N/A ,$186.52 , N/A ,$158.96 ,$158.96 ,$180.16 ,$180.16 , N/A ,$180.16 , N/A ,$171.68 ,$171.68 ,$171.68 ,$211.95 ,$190.76 , N/A ,$190.76 , N/A ,$211.95 ,$118.90 , N/A ,$87.75 , N/A , N/A , N/A ,$190.76 , N/A ,$117.42 ,$59.35 ,$190.76 , N/A ,$4.24 ,$4.24 , N/A ,$137.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,C9399,BARICITINIB 1 MG TABS per 1 mg,636,1 ,$190.28 ,$137.00 ,$53.28 ,$190.28 , N/A ,$141.76 ,$124.63 , N/A ,$53.28 ,$117.02 , N/A ,$117.02 , N/A ,$105.42 ,$105.42 , N/A ,$105.42 , N/A ,$171.25 ,$157.93 , N/A , N/A ,$167.45 , N/A ,$142.71 ,$142.71 ,$161.74 ,$161.74 , N/A ,$161.74 , N/A ,$154.13 ,$154.13 ,$154.13 ,$190.28 ,$171.25 , N/A ,$171.25 , N/A ,$190.28 ,$106.75 , N/A ,$78.78 , N/A , N/A , N/A ,$171.25 , N/A ,$105.42 ,$53.28 ,$171.25 , N/A , N/A , N/A , N/A ,$123.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,C9399,BARICITINIB 2 MG TABS per 2 mg,636,1 ,$199.80 ,$143.86 ,$55.94 ,$199.80 , N/A ,$148.85 ,$130.87 , N/A ,$55.94 ,$122.88 , N/A ,$122.88 , N/A ,$110.69 ,$110.69 , N/A ,$110.69 , N/A ,$179.82 ,$165.83 , N/A , N/A ,$175.82 , N/A ,$149.85 ,$149.85 ,$169.83 ,$169.83 , N/A ,$169.83 , N/A ,$161.84 ,$161.84 ,$161.84 ,$199.80 ,$179.82 , N/A ,$179.82 , N/A ,$199.80 ,$112.09 , N/A ,$82.72 , N/A , N/A , N/A ,$179.82 , N/A ,$110.69 ,$55.94 ,$179.82 , N/A , N/A , N/A , N/A ,$129.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0490,BELIMUMAB 400 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$334.94 ,$241.16 ,$49.21 ,$334.94 ,$125.52 ,$249.53 ,$219.39 ,$49.21 ,$93.78 ,$205.99 ,$49.21 ,$205.99 ,$49.21 ,$185.56 ,$185.56 ,$49.21 ,$185.56 ,$101.42 ,$301.45 ,$278.00 ,$125.52 ,$49.21 ,$294.75 ,$50.19 ,$251.21 ,$251.21 ,$284.70 ,$284.70 ,$49.21 ,$284.70 ,$49.21 ,$271.30 ,$271.30 ,$271.30 ,$334.94 ,$301.45 ,$125.52 ,$301.45 ,$49.21 ,$334.94 ,$187.90 ,$49.21 ,$138.67 ,$334.94 ,$334.94 ,$51.67 ,$301.45 ,$112.97 ,$185.56 ,$93.78 ,$301.45 ,$49.21 ,$82.83 ,$82.83 ,$49.21 ,$217.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0515,BENZTROPINE MESYLATE 1 MG/ML SOLN per 1 mg,636,1 ,$459.40 ,$330.77 ,$28.81 ,$459.40 , N/A ,$342.25 ,$300.91 , N/A ,$128.63 ,$282.53 , N/A ,$282.53 , N/A ,$254.51 ,$254.51 , N/A ,$254.51 , N/A ,$413.46 ,$381.30 , N/A , N/A ,$404.27 , N/A ,$344.55 ,$344.55 ,$390.49 ,$390.49 , N/A ,$390.49 , N/A ,$372.11 ,$372.11 ,$372.11 ,$459.40 ,$413.46 , N/A ,$413.46 , N/A ,$459.40 ,$257.72 , N/A ,$190.19 ,$59.36 ,$56.66 , N/A ,$413.46 , N/A ,$254.51 ,$128.63 ,$413.46 , N/A ,$28.81 ,$28.81 , N/A ,$298.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0702,BETAMETHASONE ACET/SODIUM PHOSPHATE 6 (3-3) MG/ML SUSP per 6 mg,636,1 ,$154.10 ,$110.95 ,$11.45 ,$154.10 , N/A ,$114.80 ,$100.94 , N/A ,$43.15 ,$94.77 , N/A ,$94.77 , N/A ,$85.37 ,$85.37 , N/A ,$85.37 , N/A ,$138.69 ,$127.90 , N/A , N/A ,$135.61 , N/A ,$115.58 ,$115.58 ,$130.99 ,$130.99 , N/A ,$130.99 , N/A ,$124.82 ,$124.82 ,$124.82 ,$154.10 ,$138.69 , N/A ,$138.69 , N/A ,$154.10 ,$86.45 , N/A ,$63.80 , N/A , N/A , N/A ,$138.69 , N/A ,$85.37 ,$43.15 ,$138.69 , N/A ,$11.45 ,$11.45 , N/A ,$100.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0565,BEZLOTOXUMAB 1000 MG/40 ML SOLN 40 ML VIAL per 10 mg,636,1 ,$272.41 ,$196.14 ,$39.06 ,$272.41 ,$99.65 ,$202.95 ,$178.43 ,$39.06 ,$76.27 ,$167.53 ,$39.06 ,$167.53 ,$39.06 ,$150.92 ,$150.92 ,$39.06 ,$150.92 ,$80.52 ,$245.17 ,$226.10 ,$99.65 ,$39.06 ,$239.72 ,$39.85 ,$204.31 ,$204.31 ,$231.55 ,$231.55 ,$39.06 ,$231.55 ,$39.06 ,$220.65 ,$220.65 ,$220.65 ,$272.41 ,$245.17 ,$99.65 ,$245.17 ,$39.06 ,$272.41 ,$152.82 ,$39.06 ,$112.78 ,$272.41 ,$272.41 ,$41.01 ,$245.17 ,$89.69 ,$150.92 ,$76.27 ,$245.17 ,$39.06 ,$65.84 ,$65.84 ,$39.06 ,$177.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0585,BOTULINUM TOXIN TYPE A 200 UNITS SOLR per 1 Units,636,1 ,$45.65 ,$32.87 ,$6.19 ,$45.65 ,$15.80 ,$34.01 ,$29.90 ,$6.19 ,$12.78 ,$28.07 ,$6.19 ,$28.07 ,$6.19 ,$25.29 ,$25.29 ,$6.19 ,$25.29 ,$12.76 ,$41.09 ,$37.89 ,$15.80 ,$6.19 ,$40.17 ,$6.32 ,$34.24 ,$34.24 ,$38.80 ,$38.80 ,$6.19 ,$38.80 ,$6.19 ,$36.98 ,$36.98 ,$36.98 ,$45.65 ,$41.09 ,$15.80 ,$41.09 ,$6.19 ,$45.65 ,$25.61 ,$6.19 ,$18.90 ,$45.65 ,$45.65 ,$6.50 ,$41.09 ,$14.22 ,$25.29 ,$12.78 ,$41.09 ,$6.19 ,$10.43 ,$10.43 ,$6.19 ,$29.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0595,BUTORPHANOL 1 MG/ML SOLN per 1 mg,636,1 ,$74.50 ,$53.64 ,$5.84 ,$74.50 , N/A ,$55.50 ,$48.80 , N/A ,$20.86 ,$45.82 , N/A ,$45.82 , N/A ,$41.27 ,$41.27 , N/A ,$41.27 , N/A ,$67.05 ,$61.84 , N/A , N/A ,$65.56 , N/A ,$55.88 ,$55.88 ,$63.33 ,$63.33 , N/A ,$63.33 , N/A ,$60.35 ,$60.35 ,$60.35 ,$74.50 ,$67.05 , N/A ,$67.05 , N/A ,$74.50 ,$41.79 , N/A ,$30.84 , N/A , N/A , N/A ,$67.05 , N/A ,$41.27 ,$20.86 ,$67.05 , N/A ,$5.84 ,$5.84 , N/A ,$48.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0630,CALCITONIN 200 UNIT/ML SOLN per 400 Units,636,1 ,"$11,510.50 ","$8,287.56 ","$1,059.67 ","$11,510.50 ","$3,319.99 ","$8,575.32 ","$7,539.38 ","$1,301.44 ","$3,222.94 ","$7,078.96 ","$1,301.44 ","$7,078.96 ","$1,301.44 ","$6,376.82 ","$6,376.82 ","$1,301.44 ","$6,376.82 ","$2,682.55 ","$10,359.45 ","$9,553.72 ","$3,319.99 ","$1,301.44 ","$10,129.24 ","$1,327.47 ","$8,632.88 ","$8,632.88 ","$9,783.93 ","$9,783.93 ","$1,301.44 ","$9,783.93 ","$1,301.44 ","$9,323.51 ","$9,323.51 ","$9,323.51 ","$11,510.50 ","$10,359.45 ","$3,319.99 ","$10,359.45 ","$1,301.44 ","$11,510.50 ","$6,457.39 ","$1,301.44 ","$4,765.35 ","$1,110.13 ","$1,059.67 ","$1,366.50 ","$10,359.45 ","$2,987.99 ","$6,376.82 ","$3,222.94 ","$10,359.45 ","$1,301.44 ","$3,197.52 ","$3,197.52 ","$1,301.44 ","$7,481.83 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0610,CALCIUM GLUCONATE 1 G 1-0.675 GM/50ML-% SOLN per 100 mL,636,1 ,$58.07 ,$41.81 ,$8.53 ,$58.07 , N/A ,$43.26 ,$38.04 , N/A ,$16.26 ,$35.71 , N/A ,$35.71 , N/A ,$32.17 ,$32.17 , N/A ,$32.17 , N/A ,$52.26 ,$48.20 , N/A , N/A ,$51.10 , N/A ,$43.55 ,$43.55 ,$49.36 ,$49.36 , N/A ,$49.36 , N/A ,$47.04 ,$47.04 ,$47.04 ,$58.07 ,$52.26 , N/A ,$52.26 , N/A ,$58.07 ,$32.58 , N/A ,$24.04 , N/A , N/A , N/A ,$52.26 , N/A ,$32.17 ,$16.26 ,$52.26 , N/A ,$8.53 ,$8.53 , N/A ,$37.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0610,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL per 10 mL,636,1 ,$147.25 ,$106.02 ,$8.53 ,$147.25 , N/A ,$109.70 ,$96.45 , N/A ,$41.23 ,$90.56 , N/A ,$90.56 , N/A ,$81.58 ,$81.58 , N/A ,$81.58 , N/A ,$132.53 ,$122.22 , N/A , N/A ,$129.58 , N/A ,$110.44 ,$110.44 ,$125.16 ,$125.16 , N/A ,$125.16 , N/A ,$119.27 ,$119.27 ,$119.27 ,$147.25 ,$132.53 , N/A ,$132.53 , N/A ,$147.25 ,$82.61 , N/A ,$60.96 , N/A , N/A , N/A ,$132.53 , N/A ,$81.58 ,$41.23 ,$132.53 , N/A ,$8.53 ,$8.53 , N/A ,$95.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0690,CEFAZOLIN 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$16.00 ,$11.52 ,$1.20 ,$16.00 , N/A ,$11.92 ,$10.48 , N/A ,$4.48 ,$9.84 , N/A ,$9.84 , N/A ,$8.86 ,$8.86 , N/A ,$8.86 , N/A ,$14.40 ,$13.28 , N/A , N/A ,$14.08 , N/A ,$12.00 ,$12.00 ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$12.96 ,$12.96 ,$12.96 ,$16.00 ,$14.40 , N/A ,$14.40 , N/A ,$16.00 ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$14.40 , N/A ,$8.86 ,$4.48 ,$14.40 , N/A ,$1.20 ,$1.20 , N/A ,$10.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0690,CEFAZOLIN 10 G SOLR per 500 mg,636,1 ,$16.05 ,$11.56 ,$1.20 ,$16.05 , N/A ,$11.96 ,$10.51 , N/A ,$4.49 ,$9.87 , N/A ,$9.87 , N/A ,$8.89 ,$8.89 , N/A ,$8.89 , N/A ,$14.45 ,$13.32 , N/A , N/A ,$14.12 , N/A ,$12.04 ,$12.04 ,$13.64 ,$13.64 , N/A ,$13.64 , N/A ,$13.00 ,$13.00 ,$13.00 ,$16.05 ,$14.45 , N/A ,$14.45 , N/A ,$16.05 ,$9.00 , N/A ,$6.64 , N/A , N/A , N/A ,$14.45 , N/A ,$8.89 ,$4.49 ,$14.45 , N/A ,$1.20 ,$1.20 , N/A ,$10.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,N/A,CEFAZOLIN 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$89.55 ,$64.48 ,$25.07 ,$89.55 , N/A ,$66.71 ,$58.66 , N/A ,$25.07 ,$55.07 , N/A ,$55.07 , N/A ,$49.61 ,$49.61 , N/A ,$49.61 , N/A ,$80.60 ,$74.33 , N/A , N/A ,$78.80 , N/A ,$67.16 ,$67.16 ,$76.12 ,$76.12 , N/A ,$76.12 , N/A ,$72.54 ,$72.54 ,$72.54 ,$89.55 ,$80.60 , N/A ,$80.60 , N/A ,$89.55 ,$50.24 , N/A ,$37.07 , N/A , N/A , N/A ,$80.60 , N/A ,$49.61 ,$25.07 ,$80.60 , N/A ,$44.78 ,$44.78 , N/A ,$58.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0690,CEFAZOLIN 500 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$23.55 ,$16.96 ,$1.20 ,$23.55 , N/A ,$17.54 ,$15.43 , N/A ,$6.59 ,$14.48 , N/A ,$14.48 , N/A ,$13.05 ,$13.05 , N/A ,$13.05 , N/A ,$21.20 ,$19.55 , N/A , N/A ,$20.72 , N/A ,$17.66 ,$17.66 ,$20.02 ,$20.02 , N/A ,$20.02 , N/A ,$19.08 ,$19.08 ,$19.08 ,$23.55 ,$21.20 , N/A ,$21.20 , N/A ,$23.55 ,$13.21 , N/A ,$9.75 , N/A , N/A , N/A ,$21.20 , N/A ,$13.05 ,$6.59 ,$21.20 , N/A ,$1.20 ,$1.20 , N/A ,$15.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0692,CEFEPIME 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$41.90 ,$30.17 ,$2.13 ,$41.90 , N/A ,$31.22 ,$27.44 , N/A ,$11.73 ,$25.77 , N/A ,$25.77 , N/A ,$23.21 ,$23.21 , N/A ,$23.21 , N/A ,$37.71 ,$34.78 , N/A , N/A ,$36.87 , N/A ,$31.43 ,$31.43 ,$35.62 ,$35.62 , N/A ,$35.62 , N/A ,$33.94 ,$33.94 ,$33.94 ,$41.90 ,$37.71 , N/A ,$37.71 , N/A ,$41.90 ,$23.51 , N/A ,$17.35 , N/A , N/A , N/A ,$37.71 , N/A ,$23.21 ,$11.73 ,$37.71 , N/A ,$2.13 ,$2.13 , N/A ,$27.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0692,CEFEPIME 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$36.39 ,$26.20 ,$2.13 ,$36.39 , N/A ,$27.11 ,$23.84 , N/A ,$10.19 ,$22.38 , N/A ,$22.38 , N/A ,$20.16 ,$20.16 , N/A ,$20.16 , N/A ,$32.75 ,$30.20 , N/A , N/A ,$32.02 , N/A ,$27.29 ,$27.29 ,$30.93 ,$30.93 , N/A ,$30.93 , N/A ,$29.48 ,$29.48 ,$29.48 ,$36.39 ,$32.75 , N/A ,$32.75 , N/A ,$36.39 ,$20.41 , N/A ,$15.07 , N/A , N/A , N/A ,$32.75 , N/A ,$20.16 ,$10.19 ,$32.75 , N/A ,$2.13 ,$2.13 , N/A ,$23.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0698,CEFOTAXIME 1 G SOLR 1 EACH VIAL per 1 g,636,1 ,$24.40 ,$17.57 ,$6.83 ,$24.40 , N/A ,$18.18 ,$15.98 , N/A ,$6.83 ,$15.01 , N/A ,$15.01 , N/A ,$13.52 ,$13.52 , N/A ,$13.52 , N/A ,$21.96 ,$20.25 , N/A , N/A ,$21.47 , N/A ,$18.30 ,$18.30 ,$20.74 ,$20.74 , N/A ,$20.74 , N/A ,$19.76 ,$19.76 ,$19.76 ,$24.40 ,$21.96 , N/A ,$21.96 , N/A ,$24.40 ,$13.69 , N/A ,$10.10 , N/A , N/A , N/A ,$21.96 , N/A ,$13.52 ,$6.83 ,$21.96 , N/A ,$9.97 ,$9.97 , N/A ,$15.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0694,CEFOXITIN 1 G SOLR 1 EACH VIAL per 1 g,636,1 ,$93.80 ,$67.54 ,$8.04 ,$93.80 , N/A ,$69.88 ,$61.44 , N/A ,$26.26 ,$57.69 , N/A ,$57.69 , N/A ,$51.97 ,$51.97 , N/A ,$51.97 , N/A ,$84.42 ,$77.85 , N/A , N/A ,$82.54 , N/A ,$70.35 ,$70.35 ,$79.73 ,$79.73 , N/A ,$79.73 , N/A ,$75.98 ,$75.98 ,$75.98 ,$93.80 ,$84.42 , N/A ,$84.42 , N/A ,$93.80 ,$52.62 , N/A ,$38.83 , N/A , N/A , N/A ,$84.42 , N/A ,$51.97 ,$26.26 ,$84.42 , N/A ,$8.04 ,$8.04 , N/A ,$60.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0694,CEFOXITIN 2 G SOLR 1 EACH VIAL per 1 g,636,1 ,$93.73 ,$67.49 ,$8.04 ,$93.73 , N/A ,$69.83 ,$61.39 , N/A ,$26.24 ,$57.64 , N/A ,$57.64 , N/A ,$51.93 ,$51.93 , N/A ,$51.93 , N/A ,$84.36 ,$77.80 , N/A , N/A ,$82.48 , N/A ,$70.30 ,$70.30 ,$79.67 ,$79.67 , N/A ,$79.67 , N/A ,$75.92 ,$75.92 ,$75.92 ,$93.73 ,$84.36 , N/A ,$84.36 , N/A ,$93.73 ,$52.58 , N/A ,$38.80 , N/A , N/A , N/A ,$84.36 , N/A ,$51.93 ,$26.24 ,$84.36 , N/A ,$8.04 ,$8.04 , N/A ,$60.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0713,CEFTAZIDIME 1 G SOLR per 500 mg,636,1 ,$31.35 ,$22.57 ,$3.27 ,$31.35 , N/A ,$23.36 ,$20.53 , N/A ,$8.78 ,$19.28 , N/A ,$19.28 , N/A ,$17.37 ,$17.37 , N/A ,$17.37 , N/A ,$28.22 ,$26.02 , N/A , N/A ,$27.59 , N/A ,$23.51 ,$23.51 ,$26.65 ,$26.65 , N/A ,$26.65 , N/A ,$25.39 ,$25.39 ,$25.39 ,$31.35 ,$28.22 , N/A ,$28.22 , N/A ,$31.35 ,$17.59 , N/A ,$12.98 , N/A , N/A , N/A ,$28.22 , N/A ,$17.37 ,$8.78 ,$28.22 , N/A ,$3.27 ,$3.27 , N/A ,$20.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0713,CEFTAZIDIME 2 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$40.43 ,$29.11 ,$3.27 ,$40.43 , N/A ,$30.12 ,$26.48 , N/A ,$11.32 ,$24.86 , N/A ,$24.86 , N/A ,$22.40 ,$22.40 , N/A ,$22.40 , N/A ,$36.39 ,$33.56 , N/A , N/A ,$35.58 , N/A ,$30.32 ,$30.32 ,$34.37 ,$34.37 , N/A ,$34.37 , N/A ,$32.75 ,$32.75 ,$32.75 ,$40.43 ,$36.39 , N/A ,$36.39 , N/A ,$40.43 ,$22.68 , N/A ,$16.74 , N/A , N/A , N/A ,$36.39 , N/A ,$22.40 ,$11.32 ,$36.39 , N/A ,$3.27 ,$3.27 , N/A ,$26.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0696,CEFTRIAXONE 1 G SOLR 1 EACH VIAL per 250 mg,636,1 ,$140.73 ,$101.33 ,$0.87 ,$140.73 , N/A ,$104.84 ,$92.18 , N/A ,$39.40 ,$86.55 , N/A ,$86.55 , N/A ,$77.96 ,$77.96 , N/A ,$77.96 , N/A ,$126.66 ,$116.81 , N/A , N/A ,$123.84 , N/A ,$105.55 ,$105.55 ,$119.62 ,$119.62 , N/A ,$119.62 , N/A ,$113.99 ,$113.99 ,$113.99 ,$140.73 ,$126.66 , N/A ,$126.66 , N/A ,$140.73 ,$78.95 , N/A ,$58.26 , N/A , N/A , N/A ,$126.66 , N/A ,$77.96 ,$39.40 ,$126.66 , N/A ,$0.87 ,$0.87 , N/A ,$91.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0696,CEFTRIAXONE 2 G SOLR 1 EACH VIAL per 250 mg,636,1 ,$139.82 ,$100.67 ,$0.87 ,$139.82 , N/A ,$104.17 ,$91.58 , N/A ,$39.15 ,$85.99 , N/A ,$85.99 , N/A ,$77.46 ,$77.46 , N/A ,$77.46 , N/A ,$125.84 ,$116.05 , N/A , N/A ,$123.04 , N/A ,$104.87 ,$104.87 ,$118.85 ,$118.85 , N/A ,$118.85 , N/A ,$113.25 ,$113.25 ,$113.25 ,$139.82 ,$125.84 , N/A ,$125.84 , N/A ,$139.82 ,$78.44 , N/A ,$57.89 , N/A , N/A , N/A ,$125.84 , N/A ,$77.46 ,$39.15 ,$125.84 , N/A ,$0.87 ,$0.87 , N/A ,$90.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3230,CHLORPROMAZINE 50 MG/2ML SOLN per 50 mg,636,1 ,$243.30 ,$175.18 ,$60.01 ,$243.30 , N/A ,$181.26 ,$159.36 , N/A ,$68.12 ,$149.63 , N/A ,$149.63 , N/A ,$134.79 ,$134.79 , N/A ,$134.79 , N/A ,$218.97 ,$201.94 , N/A , N/A ,$214.10 , N/A ,$182.48 ,$182.48 ,$206.81 ,$206.81 , N/A ,$206.81 , N/A ,$197.07 ,$197.07 ,$197.07 ,$243.30 ,$218.97 , N/A ,$218.97 , N/A ,$243.30 ,$136.49 , N/A ,$100.73 , N/A , N/A , N/A ,$218.97 , N/A ,$134.79 ,$68.12 ,$218.97 , N/A ,$60.01 ,$60.01 , N/A ,$158.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,N/A,CINACALCET 30 MG TABS,637,1 ,$61.33 ,$44.16 ,$17.17 ,$61.33 , N/A ,$45.69 ,$40.17 , N/A ,$17.17 ,$37.72 , N/A ,$37.72 , N/A ,$33.98 ,$33.98 , N/A ,$33.98 , N/A ,$55.20 ,$50.90 , N/A , N/A ,$53.97 , N/A ,$46.00 ,$46.00 ,$52.13 ,$52.13 , N/A ,$52.13 , N/A ,$49.68 ,$49.68 ,$49.68 ,$61.33 ,$55.20 , N/A ,$55.20 , N/A ,$61.33 ,$34.41 , N/A ,$25.39 , N/A , N/A , N/A ,$55.20 , N/A ,$33.98 ,$17.17 ,$55.20 , N/A ,$55.20 ,$55.20 , N/A ,$39.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0744,CIPROFLOXACIN 400 MG/200ML SOLN per 200 mg,636,1 ,$45.50 ,$32.76 ,$1.80 ,$45.50 , N/A ,$33.90 ,$29.80 , N/A ,$12.74 ,$27.98 , N/A ,$27.98 , N/A ,$25.21 ,$25.21 , N/A ,$25.21 , N/A ,$40.95 ,$37.77 , N/A , N/A ,$40.04 , N/A ,$34.13 ,$34.13 ,$38.68 ,$38.68 , N/A ,$38.68 , N/A ,$36.86 ,$36.86 ,$36.86 ,$45.50 ,$40.95 , N/A ,$40.95 , N/A ,$45.50 ,$25.53 , N/A ,$18.84 , N/A , N/A , N/A ,$40.95 , N/A ,$25.21 ,$12.74 ,$40.95 , N/A ,$1.80 ,$1.80 , N/A ,$29.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1410,CONJUGATED ESTROGENS 25 MG SOLR per 25 mg,636,1 ,"$5,002.55 ","$3,601.84 ",$123.24 ,"$5,002.55 ",$889.45 ,"$3,726.90 ","$3,276.67 ",$348.66 ,"$1,400.71 ","$3,076.57 ",$348.66 ,"$3,076.57 ",$348.66 ,"$2,771.41 ","$2,771.41 ",$348.66 ,"$2,771.41 ",$718.68 ,"$4,502.30 ","$4,152.12 ",$889.45 ,$348.66 ,"$4,402.24 ",$355.64 ,"$3,751.91 ","$3,751.91 ","$4,252.17 ","$4,252.17 ",$348.66 ,"$4,252.17 ",$348.66 ,"$4,052.07 ","$4,052.07 ","$4,052.07 ","$5,002.55 ","$4,502.30 ",$889.45 ,"$4,502.30 ",$348.66 ,"$5,002.55 ","$2,806.43 ",$348.66 ,"$2,071.06 ",$129.11 ,$123.24 ,$366.10 ,"$4,502.30 ",$800.51 ,"$2,771.41 ","$1,400.71 ","$4,502.30 ",$348.66 ,$586.61 ,$586.61 ,$348.66 ,"$3,251.66 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0834,COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL per 0.25 mg,636,1 ,"$1,566.75 ","$1,128.06 ",$40.29 ,"$1,566.75 ", N/A ,"$1,167.23 ","$1,026.22 ", N/A ,$438.69 ,$963.55 , N/A ,$963.55 , N/A ,$867.98 ,$867.98 , N/A ,$867.98 , N/A ,"$1,410.08 ","$1,300.40 ", N/A , N/A ,"$1,378.74 ", N/A ,"$1,175.06 ","$1,175.06 ","$1,331.74 ","$1,331.74 ", N/A ,"$1,331.74 ", N/A ,"$1,269.07 ","$1,269.07 ","$1,269.07 ","$1,566.75 ","$1,410.08 ", N/A ,"$1,410.08 ", N/A ,"$1,566.75 ",$878.95 , N/A ,$648.63 ,$59.36 ,$56.66 , N/A ,"$1,410.08 ", N/A ,$867.98 ,$438.69 ,"$1,410.08 ", N/A ,$40.29 ,$40.29 , N/A ,"$1,018.39 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3420,CYANOCOBALAMIN 1000 MCG/ML SOLN per 1000 mcg,636,1 ,$107.10 ,$77.11 ,$3.38 ,$107.10 , N/A ,$79.79 ,$70.15 , N/A ,$29.99 ,$65.87 , N/A ,$65.87 , N/A ,$59.33 ,$59.33 , N/A ,$59.33 , N/A ,$96.39 ,$88.89 , N/A , N/A ,$94.25 , N/A ,$80.33 ,$80.33 ,$91.04 ,$91.04 , N/A ,$91.04 , N/A ,$86.75 ,$86.75 ,$86.75 ,$107.10 ,$96.39 , N/A ,$96.39 , N/A ,$107.10 ,$60.08 , N/A ,$44.34 , N/A , N/A , N/A ,$96.39 , N/A ,$59.33 ,$29.99 ,$96.39 , N/A ,$3.38 ,$3.38 , N/A ,$69.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7502,CYCLOSPORINE MODIFIED 100 MG CAPS per 100 mg,636,1 ,$11.00 ,$7.92 ,$3.08 ,$11.00 , N/A ,$8.20 ,$7.21 , N/A ,$3.08 ,$6.77 , N/A ,$6.77 , N/A ,$6.09 ,$6.09 , N/A ,$6.09 , N/A ,$9.90 ,$9.13 , N/A , N/A ,$9.68 , N/A ,$8.25 ,$8.25 ,$9.35 ,$9.35 , N/A ,$9.35 , N/A ,$8.91 ,$8.91 ,$8.91 ,$11.00 ,$9.90 , N/A ,$9.90 , N/A ,$11.00 ,$6.17 , N/A ,$4.55 , N/A , N/A , N/A ,$9.90 , N/A ,$6.09 ,$3.08 ,$9.90 , N/A ,$3.47 ,$3.47 , N/A ,$7.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7515,CYCLOSPORINE MODIFIED 25 MG CAPS per 25 mg,636,1 ,$2.75 ,$1.98 ,$0.77 ,$2.75 , N/A ,$2.05 ,$1.80 , N/A ,$0.77 ,$1.69 , N/A ,$1.69 , N/A ,$1.52 ,$1.52 , N/A ,$1.52 , N/A ,$2.48 ,$2.28 , N/A , N/A ,$2.42 , N/A ,$2.06 ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.34 , N/A ,$2.23 ,$2.23 ,$2.23 ,$2.75 ,$2.48 , N/A ,$2.48 , N/A ,$2.75 ,$1.54 , N/A ,$1.14 , N/A , N/A , N/A ,$2.48 , N/A ,$1.52 ,$0.77 ,$2.48 , N/A ,$1.17 ,$1.17 , N/A ,$1.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0878,DAPTOMYCIN 500 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$13.10 ,$9.43 ,$0.08 ,$13.10 , N/A ,$9.76 ,$8.58 , N/A ,$3.67 ,$8.06 , N/A ,$8.06 , N/A ,$7.26 ,$7.26 , N/A ,$7.26 , N/A ,$11.79 ,$10.87 , N/A , N/A ,$11.53 , N/A ,$9.83 ,$9.83 ,$11.14 ,$11.14 , N/A ,$11.14 , N/A ,$10.61 ,$10.61 ,$10.61 ,$13.10 ,$11.79 , N/A ,$11.79 , N/A ,$13.10 ,$7.35 , N/A ,$5.42 ,$13.10 ,$13.10 , N/A ,$11.79 , N/A ,$7.26 ,$3.67 ,$11.79 , N/A ,$0.08 ,$0.08 , N/A ,$8.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0897,DENOSUMAB 60 MG/ML SOSY per 1 mg,636,1 ,$118.17 ,$85.08 ,$22.56 ,$118.17 ,$57.55 ,$88.04 ,$77.40 ,$22.56 ,$33.09 ,$72.67 ,$22.56 ,$72.67 ,$22.56 ,$65.47 ,$65.47 ,$22.56 ,$65.47 ,$46.50 ,$106.35 ,$98.08 ,$57.55 ,$22.56 ,$103.99 ,$23.01 ,$88.63 ,$88.63 ,$100.44 ,$100.44 ,$22.56 ,$100.44 ,$22.56 ,$95.72 ,$95.72 ,$95.72 ,$118.17 ,$106.35 ,$57.55 ,$106.35 ,$22.56 ,$118.17 ,$66.29 ,$22.56 ,$48.92 ,$118.17 ,$118.17 ,$23.69 ,$106.35 ,$51.79 ,$65.47 ,$33.09 ,$106.35 ,$22.56 ,$38.07 ,$38.07 ,$22.56 ,$76.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2597,DESMOPRESSIN 4 MCG/ML SOLN 1 ML VIAL per 1 mcg,636,1 ,$184.27 ,$132.67 ,$6.94 ,$184.27 ,$17.69 ,$137.28 ,$120.70 ,$6.94 ,$51.60 ,$113.33 ,$6.94 ,$113.33 ,$6.94 ,$102.09 ,$102.09 ,$6.94 ,$102.09 ,$14.29 ,$165.84 ,$152.94 ,$17.69 ,$6.94 ,$162.16 ,$7.08 ,$138.20 ,$138.20 ,$156.63 ,$156.63 ,$6.94 ,$156.63 ,$6.94 ,$149.26 ,$149.26 ,$149.26 ,$184.27 ,$165.84 ,$17.69 ,$165.84 ,$6.94 ,$184.27 ,$103.38 ,$6.94 ,$76.29 ,$59.36 ,$56.66 ,$7.28 ,$165.84 ,$15.92 ,$102.09 ,$51.60 ,$165.84 ,$6.94 ,$12.09 ,$12.09 ,$6.94 ,$119.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2597,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL per 1 mcg,636,1 ,$218.45 ,$157.28 ,$6.94 ,$218.45 ,$17.69 ,$162.75 ,$143.08 ,$6.94 ,$61.17 ,$134.35 ,$6.94 ,$134.35 ,$6.94 ,$121.02 ,$121.02 ,$6.94 ,$121.02 ,$14.29 ,$196.61 ,$181.31 ,$17.69 ,$6.94 ,$192.24 ,$7.08 ,$163.84 ,$163.84 ,$185.68 ,$185.68 ,$6.94 ,$185.68 ,$6.94 ,$176.94 ,$176.94 ,$176.94 ,$218.45 ,$196.61 ,$17.69 ,$196.61 ,$6.94 ,$218.45 ,$122.55 ,$6.94 ,$90.44 ,$59.36 ,$56.66 ,$7.28 ,$196.61 ,$15.92 ,$121.02 ,$61.17 ,$196.61 ,$6.94 ,$12.09 ,$12.09 ,$6.94 ,$141.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J8540,DEXAMETHASONE 0.5 MG/5ML SOLN per 0.25 mg,636,1 ,$1.33 ,$0.96 ,$0.18 ,$1.33 , N/A ,$0.99 ,$0.87 , N/A ,$0.37 ,$0.82 , N/A ,$0.82 , N/A ,$0.74 ,$0.74 , N/A ,$0.74 , N/A ,$1.20 ,$1.10 , N/A , N/A ,$1.17 , N/A ,$1.00 ,$1.00 ,$1.13 ,$1.13 , N/A ,$1.13 , N/A ,$1.08 ,$1.08 ,$1.08 ,$1.33 ,$1.20 , N/A ,$1.20 , N/A ,$1.33 ,$0.75 , N/A ,$0.55 , N/A , N/A , N/A ,$1.20 , N/A ,$0.74 ,$0.37 ,$1.20 , N/A ,$0.18 ,$0.18 , N/A ,$0.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J8540,DEXAMETHASONE 1 MG TABS per 0.25 mg,636,1 ,$0.38 ,$0.27 ,$0.11 ,$0.38 , N/A ,$0.28 ,$0.25 , N/A ,$0.11 ,$0.23 , N/A ,$0.23 , N/A ,$0.21 ,$0.21 , N/A ,$0.21 , N/A ,$0.34 ,$0.32 , N/A , N/A ,$0.33 , N/A ,$0.29 ,$0.29 ,$0.32 ,$0.32 , N/A ,$0.32 , N/A ,$0.31 ,$0.31 ,$0.31 ,$0.38 ,$0.34 , N/A ,$0.34 , N/A ,$0.38 ,$0.21 , N/A ,$0.16 , N/A , N/A , N/A ,$0.34 , N/A ,$0.21 ,$0.11 ,$0.34 , N/A ,$0.18 ,$0.18 , N/A ,$0.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J8540,DEXAMETHASONE 4 MG TABS per 0.25 mg,636,1 ,$0.19 ,$0.14 ,$0.05 ,$0.19 , N/A ,$0.14 ,$0.12 , N/A ,$0.05 ,$0.12 , N/A ,$0.12 , N/A ,$0.11 ,$0.11 , N/A ,$0.11 , N/A ,$0.17 ,$0.16 , N/A , N/A ,$0.17 , N/A ,$0.14 ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.16 , N/A ,$0.15 ,$0.15 ,$0.15 ,$0.19 ,$0.17 , N/A ,$0.17 , N/A ,$0.19 ,$0.11 , N/A ,$0.08 , N/A , N/A , N/A ,$0.17 , N/A ,$0.11 ,$0.05 ,$0.17 , N/A ,$0.18 ,$0.18 , N/A ,$0.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1100,DEXAMETHASONE 4 MG/ML SOLN per 1 mg,636,1 ,$9.68 ,$6.97 ,$0.21 ,$9.68 , N/A ,$7.21 ,$6.34 , N/A ,$2.71 ,$5.95 , N/A ,$5.95 , N/A ,$5.36 ,$5.36 , N/A ,$5.36 , N/A ,$8.71 ,$8.03 , N/A , N/A ,$8.52 , N/A ,$7.26 ,$7.26 ,$8.23 ,$8.23 , N/A ,$8.23 , N/A ,$7.84 ,$7.84 ,$7.84 ,$9.68 ,$8.71 , N/A ,$8.71 , N/A ,$9.68 ,$5.43 , N/A ,$4.01 , N/A , N/A , N/A ,$8.71 , N/A ,$5.36 ,$2.71 ,$8.71 , N/A ,$0.21 ,$0.21 , N/A ,$6.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1100,DEXAMETHASONE PF 10 MG/ML SOLN per 1 mg,636,1 ,$10.07 ,$7.25 ,$0.21 ,$10.07 , N/A ,$7.50 ,$6.60 , N/A ,$2.82 ,$6.19 , N/A ,$6.19 , N/A ,$5.58 ,$5.58 , N/A ,$5.58 , N/A ,$9.06 ,$8.36 , N/A , N/A ,$8.86 , N/A ,$7.55 ,$7.55 ,$8.56 ,$8.56 , N/A ,$8.56 , N/A ,$8.16 ,$8.16 ,$8.16 ,$10.07 ,$9.06 , N/A ,$9.06 , N/A ,$10.07 ,$5.65 , N/A ,$4.17 , N/A , N/A , N/A ,$9.06 , N/A ,$5.58 ,$2.82 ,$9.06 , N/A ,$0.21 ,$0.21 , N/A ,$6.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 10 MEQ 10-5-0.45 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$9.60 ,$6.91 ,$0.23 ,$9.60 , N/A ,$7.15 ,$6.29 , N/A ,$2.69 ,$5.90 , N/A ,$5.90 , N/A ,$5.32 ,$5.32 , N/A ,$5.32 , N/A ,$8.64 ,$7.97 , N/A , N/A ,$8.45 , N/A ,$7.20 ,$7.20 ,$8.16 ,$8.16 , N/A ,$8.16 , N/A ,$7.78 ,$7.78 ,$7.78 ,$9.60 ,$8.64 , N/A ,$8.64 , N/A ,$9.60 ,$5.39 , N/A ,$3.97 , N/A , N/A , N/A ,$8.64 , N/A ,$5.32 ,$2.69 ,$8.64 , N/A ,$0.23 ,$0.23 , N/A ,$6.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 20-5-0.45 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$4.50 ,$3.24 ,$0.23 ,$4.50 , N/A ,$3.35 ,$2.95 , N/A ,$1.26 ,$2.77 , N/A ,$2.77 , N/A ,$2.49 ,$2.49 , N/A ,$2.49 , N/A ,$4.05 ,$3.74 , N/A , N/A ,$3.96 , N/A ,$3.38 ,$3.38 ,$3.83 ,$3.83 , N/A ,$3.83 , N/A ,$3.65 ,$3.65 ,$3.65 ,$4.50 ,$4.05 , N/A ,$4.05 , N/A ,$4.50 ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$4.05 , N/A ,$2.49 ,$1.26 ,$4.05 , N/A ,$0.23 ,$0.23 , N/A ,$2.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,0.45 % NACL WITH KCL 20 MEQ 20-0.45 MEQ/L-% SOLN per 2 mEq,636,1 ,$4.50 ,$3.24 ,$0.23 ,$4.50 , N/A ,$3.35 ,$2.95 , N/A ,$1.26 ,$2.77 , N/A ,$2.77 , N/A ,$2.49 ,$2.49 , N/A ,$2.49 , N/A ,$4.05 ,$3.74 , N/A , N/A ,$3.96 , N/A ,$3.38 ,$3.38 ,$3.83 ,$3.83 , N/A ,$3.83 , N/A ,$3.65 ,$3.65 ,$3.65 ,$4.50 ,$4.05 , N/A ,$4.05 , N/A ,$4.50 ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$4.05 , N/A ,$2.49 ,$1.26 ,$4.05 , N/A ,$0.23 ,$0.23 , N/A ,$2.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 40 MEQ 40-5-0.45 MEQ/L-%-% SOLN per 2 mEq,636,1 ,$2.40 ,$1.73 ,$0.23 ,$2.40 , N/A ,$1.79 ,$1.57 , N/A ,$0.67 ,$1.48 , N/A ,$1.48 , N/A ,$1.33 ,$1.33 , N/A ,$1.33 , N/A ,$2.16 ,$1.99 , N/A , N/A ,$2.11 , N/A ,$1.80 ,$1.80 ,$2.04 ,$2.04 , N/A ,$2.04 , N/A ,$1.94 ,$1.94 ,$1.94 ,$2.40 ,$2.16 , N/A ,$2.16 , N/A ,$2.40 ,$1.35 , N/A ,$0.99 , N/A , N/A , N/A ,$2.16 , N/A ,$1.33 ,$0.67 ,$2.16 , N/A ,$0.23 ,$0.23 , N/A ,$1.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7070,"DEXTROSE 5 % SOLN 1,000 ML FLEX CONT",636,1 ,$45.00 ,$32.40 ,$5.78 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$5.78 ,$5.78 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7060,DEXTROSE 5 % SOLN 500 ML FLEX CONT,636,1 ,$45.00 ,$32.40 ,$2.89 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$2.89 ,$2.89 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7042,"DEXTROSE 5 %-SODIUM CHLORIDE 0.9 % 5-0.9 % SOLN 1,000 ML FLEX CONT per 500 mL",636,1 ,$22.50 ,$16.20 ,$1.75 ,$22.50 , N/A ,$16.76 ,$14.74 , N/A ,$6.30 ,$13.84 , N/A ,$13.84 , N/A ,$12.47 ,$12.47 , N/A ,$12.47 , N/A ,$20.25 ,$18.68 , N/A , N/A ,$19.80 , N/A ,$16.88 ,$16.88 ,$19.13 ,$19.13 , N/A ,$19.13 , N/A ,$18.23 ,$18.23 ,$18.23 ,$22.50 ,$20.25 , N/A ,$20.25 , N/A ,$22.50 ,$12.62 , N/A ,$9.32 , N/A , N/A , N/A ,$20.25 , N/A ,$12.47 ,$6.30 ,$20.25 , N/A ,$1.75 ,$1.75 , N/A ,$14.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7121,DEXTROSE 5% LACTATED RINGERS 5 % SOLN per 1000 mL,636,1 ,$45.00 ,$32.40 ,$9.11 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$9.11 ,$9.11 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3360,DIAZEPAM 5 MG/ML SOLN per 5 mg,636,1 ,$204.48 ,$147.23 ,$14.11 ,$204.48 , N/A ,$152.34 ,$133.93 , N/A ,$57.25 ,$125.76 , N/A ,$125.76 , N/A ,$113.28 ,$113.28 , N/A ,$113.28 , N/A ,$184.03 ,$169.72 , N/A , N/A ,$179.94 , N/A ,$153.36 ,$153.36 ,$173.81 ,$173.81 , N/A ,$173.81 , N/A ,$165.63 ,$165.63 ,$165.63 ,$204.48 ,$184.03 , N/A ,$184.03 , N/A ,$204.48 ,$114.71 , N/A ,$84.65 , N/A , N/A , N/A ,$184.03 , N/A ,$113.28 ,$57.25 ,$184.03 , N/A ,$14.11 ,$14.11 , N/A ,$132.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0500,DICYCLOMINE 10 MG/ML SOLN per 20 mg,636,1 ,"$1,234.80 ",$889.06 ,$39.91 ,"$1,234.80 ", N/A ,$919.93 ,$808.79 , N/A ,$345.74 ,$759.40 , N/A ,$759.40 , N/A ,$684.08 ,$684.08 , N/A ,$684.08 , N/A ,"$1,111.32 ","$1,024.88 ", N/A , N/A ,"$1,086.62 ", N/A ,$926.10 ,$926.10 ,"$1,049.58 ","$1,049.58 ", N/A ,"$1,049.58 ", N/A ,"$1,000.19 ","$1,000.19 ","$1,000.19 ","$1,234.80 ","$1,111.32 ", N/A ,"$1,111.32 ", N/A ,"$1,234.80 ",$692.72 , N/A ,$511.21 , N/A , N/A , N/A ,"$1,111.32 ", N/A ,$684.08 ,$345.74 ,"$1,111.32 ", N/A ,$39.91 ,$39.91 , N/A ,$802.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1160,DIGOXIN 0.25 MG/ML SOLN per 0.5 mg,636,1 ,$464.40 ,$334.37 ,$13.40 ,$464.40 , N/A ,$345.98 ,$304.18 , N/A ,$130.03 ,$285.61 , N/A ,$285.61 , N/A ,$257.28 ,$257.28 , N/A ,$257.28 , N/A ,$417.96 ,$385.45 , N/A , N/A ,$408.67 , N/A ,$348.30 ,$348.30 ,$394.74 ,$394.74 , N/A ,$394.74 , N/A ,$376.16 ,$376.16 ,$376.16 ,$464.40 ,$417.96 , N/A ,$417.96 , N/A ,$464.40 ,$260.53 , N/A ,$192.26 , N/A , N/A , N/A ,$417.96 , N/A ,$257.28 ,$130.03 ,$417.96 , N/A ,$13.40 ,$13.40 , N/A ,$301.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1162,DIGOXIN IMMUNE FAB 40 MG SOLR 1 EACH VIAL per 1 vial,636,1 ,"$21,225.60 ","$15,282.43 ","$3,133.47 ","$21,225.60 ","$11,483.94 ","$15,813.07 ","$13,902.77 ","$4,501.70 ","$5,943.17 ","$13,053.74 ","$4,501.70 ","$13,053.74 ","$4,501.70 ","$11,758.98 ","$11,758.98 ","$4,501.70 ","$11,758.98 ","$9,279.02 ","$19,103.04 ","$17,617.25 ","$11,483.94 ","$4,501.70 ","$18,678.53 ","$4,591.73 ","$15,919.20 ","$15,919.20 ","$18,041.76 ","$18,041.76 ","$4,501.70 ","$18,041.76 ","$4,501.70 ","$17,192.74 ","$17,192.74 ","$17,192.74 ","$21,225.60 ","$19,103.04 ","$11,483.94 ","$19,103.04 ","$4,501.70 ","$21,225.60 ","$11,907.56 ","$4,501.70 ","$8,787.40 ","$3,282.69 ","$3,133.47 ","$4,726.78 ","$19,103.04 ","$10,335.54 ","$11,758.98 ","$5,943.17 ","$19,103.04 ","$4,501.70 ","$7,585.08 ","$7,585.08 ","$4,501.70 ","$13,796.64 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN per 50 mg,636,1 ,$40.45 ,$29.12 ,$1.91 ,$40.45 , N/A ,$30.14 ,$26.49 , N/A ,$11.33 ,$24.88 , N/A ,$24.88 , N/A ,$22.41 ,$22.41 , N/A ,$22.41 , N/A ,$36.41 ,$33.57 , N/A , N/A ,$35.60 , N/A ,$30.34 ,$30.34 ,$34.38 ,$34.38 , N/A ,$34.38 , N/A ,$32.76 ,$32.76 ,$32.76 ,$40.45 ,$36.41 , N/A ,$36.41 , N/A ,$40.45 ,$22.69 , N/A ,$16.75 , N/A , N/A , N/A ,$36.41 , N/A ,$22.41 ,$11.33 ,$36.41 , N/A ,$1.91 ,$1.91 , N/A ,$26.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1250,DOBUTAMINE 1 MG/ML SOLN per 250 mg,636,1 ,$330.75 ,$238.14 ,$11.50 ,$330.75 , N/A ,$246.41 ,$216.64 , N/A ,$92.61 ,$203.41 , N/A ,$203.41 , N/A ,$183.24 ,$183.24 , N/A ,$183.24 , N/A ,$297.68 ,$274.52 , N/A , N/A ,$291.06 , N/A ,$248.06 ,$248.06 ,$281.14 ,$281.14 , N/A ,$281.14 , N/A ,$267.91 ,$267.91 ,$267.91 ,$330.75 ,$297.68 , N/A ,$297.68 , N/A ,$330.75 ,$185.55 , N/A ,$136.93 , N/A , N/A , N/A ,$297.68 , N/A ,$183.24 ,$92.61 ,$297.68 , N/A ,$11.50 ,$11.50 , N/A ,$214.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1265,DOPAMINE 1.6-5 MG/ML-% SOLN per 40 mg,636,1 ,$20.83 ,$15.00 ,$1.02 ,$20.83 , N/A ,$15.52 ,$13.64 , N/A ,$5.83 ,$12.81 , N/A ,$12.81 , N/A ,$11.54 ,$11.54 , N/A ,$11.54 , N/A ,$18.75 ,$17.29 , N/A , N/A ,$18.33 , N/A ,$15.62 ,$15.62 ,$17.71 ,$17.71 , N/A ,$17.71 , N/A ,$16.87 ,$16.87 ,$16.87 ,$20.83 ,$18.75 , N/A ,$18.75 , N/A ,$20.83 ,$11.69 , N/A ,$8.62 , N/A , N/A , N/A ,$18.75 , N/A ,$11.54 ,$5.83 ,$18.75 , N/A ,$1.02 ,$1.02 , N/A ,$13.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1790,DROPERIDOL 2.5 MG/ML SOLN per 5 mg,636,1 ,$30.15 ,$21.71 ,$8.44 ,$30.15 , N/A ,$22.46 ,$19.75 , N/A ,$8.44 ,$18.54 , N/A ,$18.54 , N/A ,$16.70 ,$16.70 , N/A ,$16.70 , N/A ,$27.14 ,$25.02 , N/A , N/A ,$26.53 , N/A ,$22.61 ,$22.61 ,$25.63 ,$25.63 , N/A ,$25.63 , N/A ,$24.42 ,$24.42 ,$24.42 ,$30.15 ,$27.14 , N/A ,$27.14 , N/A ,$30.15 ,$16.91 , N/A ,$12.48 , N/A , N/A , N/A ,$27.14 , N/A ,$16.70 ,$8.44 ,$27.14 , N/A ,$17.04 ,$17.04 , N/A ,$19.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 100 MG/ML SOLN per 10 mg,636,1 ,$29.23 ,$21.05 ,$1.34 ,$29.23 , N/A ,$21.78 ,$19.15 , N/A ,$8.18 ,$17.98 , N/A ,$17.98 , N/A ,$16.19 ,$16.19 , N/A ,$16.19 , N/A ,$26.31 ,$24.26 , N/A , N/A ,$25.72 , N/A ,$21.92 ,$21.92 ,$24.85 ,$24.85 , N/A ,$24.85 , N/A ,$23.68 ,$23.68 ,$23.68 ,$29.23 ,$26.31 , N/A ,$26.31 , N/A ,$29.23 ,$16.40 , N/A ,$12.10 , N/A , N/A , N/A ,$26.31 , N/A ,$16.19 ,$8.18 ,$26.31 , N/A ,$1.34 ,$1.34 , N/A ,$19.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 100 MG/ML SOSY per 10 mg,636,1 ,$31.42 ,$22.62 ,$1.34 ,$31.42 , N/A ,$23.41 ,$20.58 , N/A ,$8.80 ,$19.32 , N/A ,$19.32 , N/A ,$17.41 ,$17.41 , N/A ,$17.41 , N/A ,$28.28 ,$26.08 , N/A , N/A ,$27.65 , N/A ,$23.57 ,$23.57 ,$26.71 ,$26.71 , N/A ,$26.71 , N/A ,$25.45 ,$25.45 ,$25.45 ,$31.42 ,$28.28 , N/A ,$28.28 , N/A ,$31.42 ,$17.63 , N/A ,$13.01 , N/A , N/A , N/A ,$28.28 , N/A ,$17.41 ,$8.80 ,$28.28 , N/A ,$1.34 ,$1.34 , N/A ,$20.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 120 MG/0.8ML SOSY per 10 mg,636,1 ,$21.05 ,$15.16 ,$1.34 ,$21.05 , N/A ,$15.68 ,$13.79 , N/A ,$5.89 ,$12.95 , N/A ,$12.95 , N/A ,$11.66 ,$11.66 , N/A ,$11.66 , N/A ,$18.95 ,$17.47 , N/A , N/A ,$18.52 , N/A ,$15.79 ,$15.79 ,$17.89 ,$17.89 , N/A ,$17.89 , N/A ,$17.05 ,$17.05 ,$17.05 ,$21.05 ,$18.95 , N/A ,$18.95 , N/A ,$21.05 ,$11.81 , N/A ,$8.71 , N/A , N/A , N/A ,$18.95 , N/A ,$11.66 ,$5.89 ,$18.95 , N/A ,$1.34 ,$1.34 , N/A ,$13.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 150 MG/ML SOLN per 10 mg,636,1 ,$28.17 ,$20.28 ,$1.34 ,$28.17 , N/A ,$20.99 ,$18.45 , N/A ,$7.89 ,$17.32 , N/A ,$17.32 , N/A ,$15.61 ,$15.61 , N/A ,$15.61 , N/A ,$25.35 ,$23.38 , N/A , N/A ,$24.79 , N/A ,$21.13 ,$21.13 ,$23.94 ,$23.94 , N/A ,$23.94 , N/A ,$22.82 ,$22.82 ,$22.82 ,$28.17 ,$25.35 , N/A ,$25.35 , N/A ,$28.17 ,$15.80 , N/A ,$11.66 , N/A , N/A , N/A ,$25.35 , N/A ,$15.61 ,$7.89 ,$25.35 , N/A ,$1.34 ,$1.34 , N/A ,$18.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 30 MG/0.3ML SOSY per 10 mg,636,1 ,$29.27 ,$21.07 ,$1.34 ,$29.27 , N/A ,$21.81 ,$19.17 , N/A ,$8.20 ,$18.00 , N/A ,$18.00 , N/A ,$16.22 ,$16.22 , N/A ,$16.22 , N/A ,$26.34 ,$24.29 , N/A , N/A ,$25.76 , N/A ,$21.95 ,$21.95 ,$24.88 ,$24.88 , N/A ,$24.88 , N/A ,$23.71 ,$23.71 ,$23.71 ,$29.27 ,$26.34 , N/A ,$26.34 , N/A ,$29.27 ,$16.42 , N/A ,$12.12 , N/A , N/A , N/A ,$26.34 , N/A ,$16.22 ,$8.20 ,$26.34 , N/A ,$1.34 ,$1.34 , N/A ,$19.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOLN per 10 mg,636,1 ,$34.19 ,$24.62 ,$1.34 ,$34.19 , N/A ,$25.47 ,$22.39 , N/A ,$9.57 ,$21.03 , N/A ,$21.03 , N/A ,$18.94 ,$18.94 , N/A ,$18.94 , N/A ,$30.77 ,$28.38 , N/A , N/A ,$30.09 , N/A ,$25.64 ,$25.64 ,$29.06 ,$29.06 , N/A ,$29.06 , N/A ,$27.69 ,$27.69 ,$27.69 ,$34.19 ,$30.77 , N/A ,$30.77 , N/A ,$34.19 ,$19.18 , N/A ,$14.15 , N/A , N/A , N/A ,$30.77 , N/A ,$18.94 ,$9.57 ,$30.77 , N/A ,$1.34 ,$1.34 , N/A ,$22.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOSY per 10 mg,636,1 ,$29.19 ,$21.02 ,$1.34 ,$29.19 , N/A ,$21.75 ,$19.12 , N/A ,$8.17 ,$17.95 , N/A ,$17.95 , N/A ,$16.17 ,$16.17 , N/A ,$16.17 , N/A ,$26.27 ,$24.23 , N/A , N/A ,$25.69 , N/A ,$21.89 ,$21.89 ,$24.81 ,$24.81 , N/A ,$24.81 , N/A ,$23.64 ,$23.64 ,$23.64 ,$29.19 ,$26.27 , N/A ,$26.27 , N/A ,$29.19 ,$16.38 , N/A ,$12.08 , N/A , N/A , N/A ,$26.27 , N/A ,$16.17 ,$8.17 ,$26.27 , N/A ,$1.34 ,$1.34 , N/A ,$18.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 80 MG/0.8ML SOLN 0.8 ML SYRINGE per 10 mg,636,1 ,$22.05 ,$15.88 ,$1.34 ,$22.05 , N/A ,$16.43 ,$14.44 , N/A ,$6.17 ,$13.56 , N/A ,$13.56 , N/A ,$12.22 ,$12.22 , N/A ,$12.22 , N/A ,$19.85 ,$18.30 , N/A , N/A ,$19.40 , N/A ,$16.54 ,$16.54 ,$18.74 ,$18.74 , N/A ,$18.74 , N/A ,$17.86 ,$17.86 ,$17.86 ,$22.05 ,$19.85 , N/A ,$19.85 , N/A ,$22.05 ,$12.37 , N/A ,$9.13 , N/A , N/A , N/A ,$19.85 , N/A ,$12.22 ,$6.17 ,$19.85 , N/A ,$1.34 ,$1.34 , N/A ,$14.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 150 MG/ML SOSY per 10 mg,636,1 ,$22.05 ,$15.88 ,$1.34 ,$22.05 , N/A ,$16.43 ,$14.44 , N/A ,$6.17 ,$13.56 , N/A ,$13.56 , N/A ,$12.22 ,$12.22 , N/A ,$12.22 , N/A ,$19.85 ,$18.30 , N/A , N/A ,$19.40 , N/A ,$16.54 ,$16.54 ,$18.74 ,$18.74 , N/A ,$18.74 , N/A ,$17.86 ,$17.86 ,$17.86 ,$22.05 ,$19.85 , N/A ,$19.85 , N/A ,$22.05 ,$12.37 , N/A ,$9.13 , N/A , N/A , N/A ,$19.85 , N/A ,$12.22 ,$6.17 ,$19.85 , N/A ,$1.34 ,$1.34 , N/A ,$14.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 60 MG/0.6ML SOLN per 10 mg,636,1 ,$22.05 ,$15.88 ,$1.34 ,$22.05 , N/A ,$16.43 ,$14.44 , N/A ,$6.17 ,$13.56 , N/A ,$13.56 , N/A ,$12.22 ,$12.22 , N/A ,$12.22 , N/A ,$19.85 ,$18.30 , N/A , N/A ,$19.40 , N/A ,$16.54 ,$16.54 ,$18.74 ,$18.74 , N/A ,$18.74 , N/A ,$17.86 ,$17.86 ,$17.86 ,$22.05 ,$19.85 , N/A ,$19.85 , N/A ,$22.05 ,$12.37 , N/A ,$9.13 , N/A , N/A , N/A ,$19.85 , N/A ,$12.22 ,$6.17 ,$19.85 , N/A ,$1.34 ,$1.34 , N/A ,$14.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 60 MG/0.6ML SOSY per 10 mg,636,1 ,$22.05 ,$15.88 ,$1.34 ,$22.05 , N/A ,$16.43 ,$14.44 , N/A ,$6.17 ,$13.56 , N/A ,$13.56 , N/A ,$12.22 ,$12.22 , N/A ,$12.22 , N/A ,$19.85 ,$18.30 , N/A , N/A ,$19.40 , N/A ,$16.54 ,$16.54 ,$18.74 ,$18.74 , N/A ,$18.74 , N/A ,$17.86 ,$17.86 ,$17.86 ,$22.05 ,$19.85 , N/A ,$19.85 , N/A ,$22.05 ,$12.37 , N/A ,$9.13 , N/A , N/A , N/A ,$19.85 , N/A ,$12.22 ,$6.17 ,$19.85 , N/A ,$1.34 ,$1.34 , N/A ,$14.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 80 MG/0.8ML SOLN per 10 mg,636,1 ,$29.22 ,$21.04 ,$1.34 ,$29.22 , N/A ,$21.77 ,$19.14 , N/A ,$8.18 ,$17.97 , N/A ,$17.97 , N/A ,$16.19 ,$16.19 , N/A ,$16.19 , N/A ,$26.30 ,$24.25 , N/A , N/A ,$25.71 , N/A ,$21.92 ,$21.92 ,$24.84 ,$24.84 , N/A ,$24.84 , N/A ,$23.67 ,$23.67 ,$23.67 ,$29.22 ,$26.30 , N/A ,$26.30 , N/A ,$29.22 ,$16.39 , N/A ,$12.10 , N/A , N/A , N/A ,$26.30 , N/A ,$16.19 ,$8.18 ,$26.30 , N/A ,$1.34 ,$1.34 , N/A ,$18.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,EPHEDRINE 50 MG/ML SOLN per 50 mg,636,1 ,$695.20 ,$500.54 ,$194.66 ,$695.20 , N/A ,$517.92 ,$455.36 , N/A ,$194.66 ,$427.55 , N/A ,$427.55 , N/A ,$385.14 ,$385.14 , N/A ,$385.14 , N/A ,$625.68 ,$577.02 , N/A , N/A ,$611.78 , N/A ,$521.40 ,$521.40 ,$590.92 ,$590.92 , N/A ,$590.92 , N/A ,$563.11 ,$563.11 ,$563.11 ,$695.20 ,$625.68 , N/A ,$625.68 , N/A ,$695.20 ,$390.01 , N/A ,$287.81 , N/A , N/A , N/A ,$625.68 , N/A ,$385.14 ,$194.66 ,$625.68 , N/A , N/A , N/A , N/A ,$451.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0171,EPINEPHRINE 1 MG/10 ML SOLN per 0.1 mg,636,1 ,$9.33 ,$6.72 ,$1.19 ,$9.33 , N/A ,$6.95 ,$6.11 , N/A ,$2.61 ,$5.74 , N/A ,$5.74 , N/A ,$5.17 ,$5.17 , N/A ,$5.17 , N/A ,$8.40 ,$7.74 , N/A , N/A ,$8.21 , N/A ,$7.00 ,$7.00 ,$7.93 ,$7.93 , N/A ,$7.93 , N/A ,$7.56 ,$7.56 ,$7.56 ,$9.33 ,$8.40 , N/A ,$8.40 , N/A ,$9.33 ,$5.23 , N/A ,$3.86 , N/A , N/A , N/A ,$8.40 , N/A ,$5.17 ,$2.61 ,$8.40 , N/A ,$1.19 ,$1.19 , N/A ,$6.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0171,EPINEPHRINE 1 MG/10ML SOSY per 0.1 mg,636,1 ,$7.71 ,$5.55 ,$1.19 ,$7.71 , N/A ,$5.74 ,$5.05 , N/A ,$2.16 ,$4.74 , N/A ,$4.74 , N/A ,$4.27 ,$4.27 , N/A ,$4.27 , N/A ,$6.94 ,$6.40 , N/A , N/A ,$6.78 , N/A ,$5.78 ,$5.78 ,$6.55 ,$6.55 , N/A ,$6.55 , N/A ,$6.25 ,$6.25 ,$6.25 ,$7.71 ,$6.94 , N/A ,$6.94 , N/A ,$7.71 ,$4.33 , N/A ,$3.19 , N/A , N/A , N/A ,$6.94 , N/A ,$4.27 ,$2.16 ,$6.94 , N/A ,$1.19 ,$1.19 , N/A ,$5.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0171,EPINEPHRINE 30 MG/30ML SOLN 30 ML VIAL per 0.1 mg,636,1 ,$12.28 ,$8.84 ,$1.19 ,$12.28 , N/A ,$9.15 ,$8.04 , N/A ,$3.44 ,$7.55 , N/A ,$7.55 , N/A ,$6.80 ,$6.80 , N/A ,$6.80 , N/A ,$11.05 ,$10.19 , N/A , N/A ,$10.81 , N/A ,$9.21 ,$9.21 ,$10.44 ,$10.44 , N/A ,$10.44 , N/A ,$9.95 ,$9.95 ,$9.95 ,$12.28 ,$11.05 , N/A ,$11.05 , N/A ,$12.28 ,$6.89 , N/A ,$5.08 , N/A , N/A , N/A ,$11.05 , N/A ,$6.80 ,$3.44 ,$11.05 , N/A ,$1.19 ,$1.19 , N/A ,$7.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0171,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE per 0.1 mg,636,1 ,$21.44 ,$15.44 ,$1.19 ,$21.44 , N/A ,$15.97 ,$14.04 , N/A ,$6.00 ,$13.19 , N/A ,$13.19 , N/A ,$11.88 ,$11.88 , N/A ,$11.88 , N/A ,$19.30 ,$17.80 , N/A , N/A ,$18.87 , N/A ,$16.08 ,$16.08 ,$18.22 ,$18.22 , N/A ,$18.22 , N/A ,$17.37 ,$17.37 ,$17.37 ,$21.44 ,$19.30 , N/A ,$19.30 , N/A ,$21.44 ,$12.03 , N/A ,$8.88 , N/A , N/A , N/A ,$19.30 , N/A ,$11.88 ,$6.00 ,$19.30 , N/A ,$1.19 ,$1.19 , N/A ,$13.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0885,EPOETIN ALFA 10000 UNIT/ML SOLN per 1000 Units,636,1 ,$392.86 ,$282.86 ,$7.77 ,$392.86 ,$19.82 ,$292.68 ,$257.32 ,$7.77 ,$110.00 ,$241.61 ,$7.77 ,$241.61 ,$7.77 ,$217.64 ,$217.64 ,$7.77 ,$217.64 ,$16.01 ,$353.57 ,$326.07 ,$19.82 ,$7.77 ,$345.72 ,$7.93 ,$294.65 ,$294.65 ,$333.93 ,$333.93 ,$7.77 ,$333.93 ,$7.77 ,$318.22 ,$318.22 ,$318.22 ,$392.86 ,$353.57 ,$19.82 ,$353.57 ,$7.77 ,$392.86 ,$220.39 ,$7.77 ,$162.64 ,$236.45 ,$225.70 ,$8.15 ,$353.57 ,$17.84 ,$217.64 ,$110.00 ,$353.57 ,$7.77 ,$13.61 ,$13.61 ,$7.77 ,$255.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3032,EPTINEZUMAB-JJMR 100 MG/ML SOLN 1 ML VIAL per 1 mg,636,1 ,$77.28 ,$55.64 ,$16.67 ,$77.28 ,$42.52 ,$57.57 ,$50.62 ,$16.67 ,$21.64 ,$47.53 ,$16.67 ,$47.53 ,$16.67 ,$42.81 ,$42.81 ,$16.67 ,$42.81 ,$34.36 ,$69.55 ,$64.14 ,$42.52 ,$16.67 ,$68.01 ,$17.00 ,$57.96 ,$57.96 ,$65.69 ,$65.69 ,$16.67 ,$65.69 ,$16.67 ,$62.60 ,$62.60 ,$62.60 ,$77.28 ,$69.55 ,$42.52 ,$69.55 ,$16.67 ,$77.28 ,$43.35 ,$16.67 ,$31.99 ,$77.28 ,$77.28 ,$17.50 ,$69.55 ,$38.27 ,$42.81 ,$21.64 ,$69.55 ,$16.67 ,$27.87 ,$27.87 ,$16.67 ,$50.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1335,ERTAPENEM 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$860.48 ,$619.55 ,$25.36 ,$860.48 , N/A ,$641.06 ,$563.61 , N/A ,$240.93 ,$529.20 , N/A ,$529.20 , N/A ,$476.71 ,$476.71 , N/A ,$476.71 , N/A ,$774.43 ,$714.20 , N/A , N/A ,$757.22 , N/A ,$645.36 ,$645.36 ,$731.41 ,$731.41 , N/A ,$731.41 , N/A ,$696.99 ,$696.99 ,$696.99 ,$860.48 ,$774.43 , N/A ,$774.43 , N/A ,$860.48 ,$482.73 , N/A ,$356.24 , N/A , N/A , N/A ,$774.43 , N/A ,$476.71 ,$240.93 ,$774.43 , N/A ,$25.36 ,$25.36 , N/A ,$559.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3010,FENTANYL 100 MCG/2ML SOLN per 0.1 mg,636,1 ,$18.00 ,$12.96 ,$1.52 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$1.52 ,$1.52 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3010,FENTANYL 250 MCG/5ML SOLN per 0.1 mg,636,1 ,$31.13 ,$22.41 ,$1.52 ,$31.13 , N/A ,$23.19 ,$20.39 , N/A ,$8.72 ,$19.15 , N/A ,$19.15 , N/A ,$17.25 ,$17.25 , N/A ,$17.25 , N/A ,$28.02 ,$25.84 , N/A , N/A ,$27.39 , N/A ,$23.35 ,$23.35 ,$26.46 ,$26.46 , N/A ,$26.46 , N/A ,$25.22 ,$25.22 ,$25.22 ,$31.13 ,$28.02 , N/A ,$28.02 , N/A ,$31.13 ,$17.46 , N/A ,$12.89 , N/A , N/A , N/A ,$28.02 , N/A ,$17.25 ,$8.72 ,$28.02 , N/A ,$1.52 ,$1.52 , N/A ,$20.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3010,FENTANYL 2500 MCG/50ML SOLN 50 ML VIAL per 0.1 mg,636,1 ,$14.70 ,$10.58 ,$1.52 ,$14.70 , N/A ,$10.95 ,$9.63 , N/A ,$4.12 ,$9.04 , N/A ,$9.04 , N/A ,$8.14 ,$8.14 , N/A ,$8.14 , N/A ,$13.23 ,$12.20 , N/A , N/A ,$12.94 , N/A ,$11.03 ,$11.03 ,$12.50 ,$12.50 , N/A ,$12.50 , N/A ,$11.91 ,$11.91 ,$11.91 ,$14.70 ,$13.23 , N/A ,$13.23 , N/A ,$14.70 ,$8.25 , N/A ,$6.09 , N/A , N/A , N/A ,$13.23 , N/A ,$8.14 ,$4.12 ,$13.23 , N/A ,$1.52 ,$1.52 , N/A ,$9.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3010,FENTANYL 2500 MCG/50ML SOLN 5 ML VIAL per 0.1 mg,636,1 ,$14.70 ,$10.58 ,$1.52 ,$14.70 , N/A ,$10.95 ,$9.63 , N/A ,$4.12 ,$9.04 , N/A ,$9.04 , N/A ,$8.14 ,$8.14 , N/A ,$8.14 , N/A ,$13.23 ,$12.20 , N/A , N/A ,$12.94 , N/A ,$11.03 ,$11.03 ,$12.50 ,$12.50 , N/A ,$12.50 , N/A ,$11.91 ,$11.91 ,$11.91 ,$14.70 ,$13.23 , N/A ,$13.23 , N/A ,$14.70 ,$8.25 , N/A ,$6.09 , N/A , N/A , N/A ,$13.23 , N/A ,$8.14 ,$4.12 ,$13.23 , N/A ,$1.52 ,$1.52 , N/A ,$9.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3010,FENTANYL 50 MCG/ML SOLN per 0.1 mg,636,1 ,$28.70 ,$20.66 ,$1.52 ,$28.70 , N/A ,$21.38 ,$18.80 , N/A ,$8.04 ,$17.65 , N/A ,$17.65 , N/A ,$15.90 ,$15.90 , N/A ,$15.90 , N/A ,$25.83 ,$23.82 , N/A , N/A ,$25.26 , N/A ,$21.53 ,$21.53 ,$24.40 ,$24.40 , N/A ,$24.40 , N/A ,$23.25 ,$23.25 ,$23.25 ,$28.70 ,$25.83 , N/A ,$25.83 , N/A ,$28.70 ,$16.10 , N/A ,$11.88 , N/A , N/A , N/A ,$25.83 , N/A ,$15.90 ,$8.04 ,$25.83 , N/A ,$1.52 ,$1.52 , N/A ,$18.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1450,FLUCONAZOLE 200-0.9 MG/100ML-% SOLN per 200 mg,636,1 ,$132.30 ,$95.26 ,$3.84 ,$132.30 , N/A ,$98.56 ,$86.66 , N/A ,$37.04 ,$81.36 , N/A ,$81.36 , N/A ,$73.29 ,$73.29 , N/A ,$73.29 , N/A ,$119.07 ,$109.81 , N/A , N/A ,$116.42 , N/A ,$99.23 ,$99.23 ,$112.46 ,$112.46 , N/A ,$112.46 , N/A ,$107.16 ,$107.16 ,$107.16 ,$132.30 ,$119.07 , N/A ,$119.07 , N/A ,$132.30 ,$74.22 , N/A ,$54.77 , N/A , N/A , N/A ,$119.07 , N/A ,$73.29 ,$37.04 ,$119.07 , N/A ,$3.84 ,$3.84 , N/A ,$86.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1450,FLUCONAZOLE 400-0.9 MG/200ML-% SOLN per 200 mg,636,1 ,$153.13 ,$110.25 ,$3.84 ,$153.13 , N/A ,$114.08 ,$100.30 , N/A ,$42.88 ,$94.18 , N/A ,$94.18 , N/A ,$84.83 ,$84.83 , N/A ,$84.83 , N/A ,$137.82 ,$127.10 , N/A , N/A ,$134.75 , N/A ,$114.85 ,$114.85 ,$130.16 ,$130.16 , N/A ,$130.16 , N/A ,$124.04 ,$124.04 ,$124.04 ,$153.13 ,$137.82 , N/A ,$137.82 , N/A ,$153.13 ,$85.91 , N/A ,$63.40 , N/A , N/A , N/A ,$137.82 , N/A ,$84.83 ,$42.88 ,$137.82 , N/A ,$3.84 ,$3.84 , N/A ,$99.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1652,FONDAPARINUX 2.5 MG/0.5ML SOLN per 0.5 mg,636,1 ,$133.90 ,$96.41 ,$1.65 ,$133.90 , N/A ,$99.76 ,$87.70 , N/A ,$37.49 ,$82.35 , N/A ,$82.35 , N/A ,$74.18 ,$74.18 , N/A ,$74.18 , N/A ,$120.51 ,$111.14 , N/A , N/A ,$117.83 , N/A ,$100.43 ,$100.43 ,$113.82 ,$113.82 , N/A ,$113.82 , N/A ,$108.46 ,$108.46 ,$108.46 ,$133.90 ,$120.51 , N/A ,$120.51 , N/A ,$133.90 ,$75.12 , N/A ,$55.43 , N/A , N/A , N/A ,$120.51 , N/A ,$74.18 ,$37.49 ,$120.51 , N/A ,$1.65 ,$1.65 , N/A ,$87.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,Q2009,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL per 50 mg PE,636,1 ,$196.86 ,$141.74 ,$13.56 ,$196.86 , N/A ,$146.66 ,$128.94 , N/A ,$55.12 ,$121.07 , N/A ,$121.07 , N/A ,$109.06 ,$109.06 , N/A ,$109.06 , N/A ,$177.17 ,$163.39 , N/A , N/A ,$173.24 , N/A ,$147.65 ,$147.65 ,$167.33 ,$167.33 , N/A ,$167.33 , N/A ,$159.46 ,$159.46 ,$159.46 ,$196.86 ,$177.17 , N/A ,$177.17 , N/A ,$196.86 ,$110.44 , N/A ,$81.50 , N/A , N/A , N/A ,$177.17 , N/A ,$109.06 ,$55.12 ,$177.17 , N/A ,$13.56 ,$13.56 , N/A ,$127.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,Q2009,FOSPHENYTOIN 500 MG PE/10ML SOLN per 50 mg PE,636,1 ,$70.58 ,$50.82 ,$13.56 ,$70.58 , N/A ,$52.58 ,$46.23 , N/A ,$19.76 ,$43.41 , N/A ,$43.41 , N/A ,$39.10 ,$39.10 , N/A ,$39.10 , N/A ,$63.52 ,$58.58 , N/A , N/A ,$62.11 , N/A ,$52.94 ,$52.94 ,$59.99 ,$59.99 , N/A ,$59.99 , N/A ,$57.17 ,$57.17 ,$57.17 ,$70.58 ,$63.52 , N/A ,$63.52 , N/A ,$70.58 ,$39.60 , N/A ,$29.22 , N/A , N/A , N/A ,$63.52 , N/A ,$39.10 ,$19.76 ,$63.52 , N/A ,$13.56 ,$13.56 , N/A ,$45.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1940,FUROSEMIDE 10 MG/ML SOLN per 20 mg,636,1 ,$61.50 ,$44.28 ,$1.09 ,$61.50 , N/A ,$45.82 ,$40.28 , N/A ,$17.22 ,$37.82 , N/A ,$37.82 , N/A ,$34.07 ,$34.07 , N/A ,$34.07 , N/A ,$55.35 ,$51.05 , N/A , N/A ,$54.12 , N/A ,$46.13 ,$46.13 ,$52.28 ,$52.28 , N/A ,$52.28 , N/A ,$49.82 ,$49.82 ,$49.82 ,$61.50 ,$55.35 , N/A ,$55.35 , N/A ,$61.50 ,$34.50 , N/A ,$25.46 , N/A , N/A , N/A ,$55.35 , N/A ,$34.07 ,$17.22 ,$55.35 , N/A ,$1.09 ,$1.09 , N/A ,$39.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1580,GENTAMICIN (PF) 10 MG/ML SOLN per 80 mg,636,1 ,$53.90 ,$38.81 ,$4.60 ,$53.90 , N/A ,$40.16 ,$35.30 , N/A ,$15.09 ,$33.15 , N/A ,$33.15 , N/A ,$29.86 ,$29.86 , N/A ,$29.86 , N/A ,$48.51 ,$44.74 , N/A , N/A ,$47.43 , N/A ,$40.43 ,$40.43 ,$45.82 ,$45.82 , N/A ,$45.82 , N/A ,$43.66 ,$43.66 ,$43.66 ,$53.90 ,$48.51 , N/A ,$48.51 , N/A ,$53.90 ,$30.24 , N/A ,$22.31 , N/A , N/A , N/A ,$48.51 , N/A ,$29.86 ,$15.09 ,$48.51 , N/A ,$4.60 ,$4.60 , N/A ,$35.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1580,GENTAMICIN 2-0.9 MG/ML-% SOLN per 80 mg,636,1 ,$91.00 ,$65.52 ,$4.60 ,$91.00 , N/A ,$67.80 ,$59.61 , N/A ,$25.48 ,$55.97 , N/A ,$55.97 , N/A ,$50.41 ,$50.41 , N/A ,$50.41 , N/A ,$81.90 ,$75.53 , N/A , N/A ,$80.08 , N/A ,$68.25 ,$68.25 ,$77.35 ,$77.35 , N/A ,$77.35 , N/A ,$73.71 ,$73.71 ,$73.71 ,$91.00 ,$81.90 , N/A ,$81.90 , N/A ,$91.00 ,$51.05 , N/A ,$37.67 , N/A , N/A , N/A ,$81.90 , N/A ,$50.41 ,$25.48 ,$81.90 , N/A ,$4.60 ,$4.60 , N/A ,$59.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1580,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL per 80 mg,636,1 ,$52.04 ,$37.47 ,$4.60 ,$52.04 , N/A ,$38.77 ,$34.09 , N/A ,$14.57 ,$32.00 , N/A ,$32.00 , N/A ,$28.83 ,$28.83 , N/A ,$28.83 , N/A ,$46.84 ,$43.19 , N/A , N/A ,$45.80 , N/A ,$39.03 ,$39.03 ,$44.23 ,$44.23 , N/A ,$44.23 , N/A ,$42.15 ,$42.15 ,$42.15 ,$52.04 ,$46.84 , N/A ,$46.84 , N/A ,$52.04 ,$29.19 , N/A ,$21.54 , N/A , N/A , N/A ,$46.84 , N/A ,$28.83 ,$14.57 ,$46.84 , N/A ,$4.60 ,$4.60 , N/A ,$33.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1580,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL per 80 mg,636,1 ,$34.79 ,$25.05 ,$4.60 ,$34.79 , N/A ,$25.92 ,$22.79 , N/A ,$9.74 ,$21.40 , N/A ,$21.40 , N/A ,$19.27 ,$19.27 , N/A ,$19.27 , N/A ,$31.31 ,$28.88 , N/A , N/A ,$30.62 , N/A ,$26.09 ,$26.09 ,$29.57 ,$29.57 , N/A ,$29.57 , N/A ,$28.18 ,$28.18 ,$28.18 ,$34.79 ,$31.31 , N/A ,$31.31 , N/A ,$34.79 ,$19.52 , N/A ,$14.40 , N/A , N/A , N/A ,$31.31 , N/A ,$19.27 ,$9.74 ,$31.31 , N/A ,$4.60 ,$4.60 , N/A ,$22.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1610,GLUCAGON 1 MG SOLR per 1 mg,636,1 ,"$2,522.55 ","$1,816.24 ",$56.66 ,"$2,522.55 ",$475.65 ,"$1,879.30 ","$1,652.27 ",$186.45 ,$706.31 ,"$1,551.37 ",$186.45 ,"$1,551.37 ",$186.45 ,"$1,397.49 ","$1,397.49 ",$186.45 ,"$1,397.49 ",$384.32 ,"$2,270.30 ","$2,093.72 ",$475.65 ,$186.45 ,"$2,219.84 ",$190.19 ,"$1,891.91 ","$1,891.91 ","$2,144.17 ","$2,144.17 ",$186.45 ,"$2,144.17 ",$186.45 ,"$2,043.27 ","$2,043.27 ","$2,043.27 ","$2,522.55 ","$2,270.30 ",$475.65 ,"$2,270.30 ",$186.45 ,"$2,522.55 ","$1,415.15 ",$186.45 ,"$1,044.34 ",$59.36 ,$56.66 ,$195.77 ,"$2,270.30 ",$428.08 ,"$1,397.49 ",$706.31 ,"$2,270.30 ",$186.45 ,$286.74 ,$286.74 ,$186.45 ,"$1,639.66 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1630,HALOPERIDOL LACTATE 5 MG/ML SOLN per 5 mg,636,1 ,$88.10 ,$63.43 ,$1.42 ,$88.10 , N/A ,$65.63 ,$57.71 , N/A ,$24.67 ,$54.18 , N/A ,$54.18 , N/A ,$48.81 ,$48.81 , N/A ,$48.81 , N/A ,$79.29 ,$73.12 , N/A , N/A ,$77.53 , N/A ,$66.08 ,$66.08 ,$74.89 ,$74.89 , N/A ,$74.89 , N/A ,$71.36 ,$71.36 ,$71.36 ,$88.10 ,$79.29 , N/A ,$79.29 , N/A ,$88.10 ,$49.42 , N/A ,$36.47 , N/A , N/A , N/A ,$79.29 , N/A ,$48.81 ,$24.67 ,$79.29 , N/A ,$1.42 ,$1.42 , N/A ,$57.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0690,HC RX 636 per 500 mg,636,1 ,$89.55 ,$64.48 ,$1.20 ,$89.55 , N/A ,$66.71 ,$58.66 , N/A ,$25.07 ,$55.07 , N/A ,$55.07 , N/A ,$49.61 ,$49.61 , N/A ,$49.61 , N/A ,$80.60 ,$74.33 , N/A , N/A ,$78.80 , N/A ,$67.16 ,$67.16 ,$76.12 ,$76.12 , N/A ,$76.12 , N/A ,$72.54 ,$72.54 ,$72.54 ,$89.55 ,$80.60 , N/A ,$80.60 , N/A ,$89.55 ,$50.24 , N/A ,$37.07 , N/A , N/A , N/A ,$80.60 , N/A ,$49.61 ,$25.07 ,$80.60 , N/A ,$1.20 ,$1.20 , N/A ,$58.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 1000 UNIT/ML SOLN 1 ML VIAL per 1000 Units,636,1 ,$29.50 ,$21.24 ,$0.21 ,$29.50 , N/A ,$21.98 ,$19.32 , N/A ,$8.26 ,$18.14 , N/A ,$18.14 , N/A ,$16.34 ,$16.34 , N/A ,$16.34 , N/A ,$26.55 ,$24.49 , N/A , N/A ,$25.96 , N/A ,$22.13 ,$22.13 ,$25.08 ,$25.08 , N/A ,$25.08 , N/A ,$23.90 ,$23.90 ,$23.90 ,$29.50 ,$26.55 , N/A ,$26.55 , N/A ,$29.50 ,$16.55 , N/A ,$12.21 , N/A , N/A , N/A ,$26.55 , N/A ,$16.34 ,$8.26 ,$26.55 , N/A ,$0.21 ,$0.21 , N/A ,$19.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 1000 UNIT/ML SOLN per 1000 Units,636,1 ,$56.89 ,$40.96 ,$0.21 ,$56.89 , N/A ,$42.38 ,$37.26 , N/A ,$15.93 ,$34.99 , N/A ,$34.99 , N/A ,$31.52 ,$31.52 , N/A ,$31.52 , N/A ,$51.20 ,$47.22 , N/A , N/A ,$50.06 , N/A ,$42.67 ,$42.67 ,$48.36 ,$48.36 , N/A ,$48.36 , N/A ,$46.08 ,$46.08 ,$46.08 ,$56.89 ,$51.20 , N/A ,$51.20 , N/A ,$56.89 ,$31.92 , N/A ,$23.55 , N/A , N/A , N/A ,$51.20 , N/A ,$31.52 ,$15.93 ,$51.20 , N/A ,$0.21 ,$0.21 , N/A ,$36.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 1000-0.9 UT/500ML-% SOLN per 1000 Units,636,1 ,$91.00 ,$65.52 ,$0.21 ,$91.00 , N/A ,$67.80 ,$59.61 , N/A ,$25.48 ,$55.97 , N/A ,$55.97 , N/A ,$50.41 ,$50.41 , N/A ,$50.41 , N/A ,$81.90 ,$75.53 , N/A , N/A ,$80.08 , N/A ,$68.25 ,$68.25 ,$77.35 ,$77.35 , N/A ,$77.35 , N/A ,$73.71 ,$73.71 ,$73.71 ,$91.00 ,$81.90 , N/A ,$81.90 , N/A ,$91.00 ,$51.05 , N/A ,$37.67 , N/A , N/A , N/A ,$81.90 , N/A ,$50.41 ,$25.48 ,$81.90 , N/A ,$0.21 ,$0.21 , N/A ,$59.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 25000-0.45 UT/250ML-% SOLN per 1000 Units,636,1 ,$6.25 ,$4.50 ,$0.21 ,$6.25 , N/A ,$4.66 ,$4.09 , N/A ,$1.75 ,$3.84 , N/A ,$3.84 , N/A ,$3.46 ,$3.46 , N/A ,$3.46 , N/A ,$5.63 ,$5.19 , N/A , N/A ,$5.50 , N/A ,$4.69 ,$4.69 ,$5.31 ,$5.31 , N/A ,$5.31 , N/A ,$5.06 ,$5.06 ,$5.06 ,$6.25 ,$5.63 , N/A ,$5.63 , N/A ,$6.25 ,$3.51 , N/A ,$2.59 , N/A , N/A , N/A ,$5.63 , N/A ,$3.46 ,$1.75 ,$5.63 , N/A ,$0.21 ,$0.21 , N/A ,$4.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 5000 UNIT/ML SOLN per 1000 Units,636,1 ,$12.75 ,$9.18 ,$0.21 ,$12.75 , N/A ,$9.50 ,$8.35 , N/A ,$3.57 ,$7.84 , N/A ,$7.84 , N/A ,$7.06 ,$7.06 , N/A ,$7.06 , N/A ,$11.48 ,$10.58 , N/A , N/A ,$11.22 , N/A ,$9.56 ,$9.56 ,$10.84 ,$10.84 , N/A ,$10.84 , N/A ,$10.33 ,$10.33 ,$10.33 ,$12.75 ,$11.48 , N/A ,$11.48 , N/A ,$12.75 ,$7.15 , N/A ,$5.28 , N/A , N/A , N/A ,$11.48 , N/A ,$7.06 ,$3.57 ,$11.48 , N/A ,$0.21 ,$0.21 , N/A ,$8.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1642,HEPARIN FLUSH 100 UNIT/ML SOLN 5 ML SYRINGE per 10 Units,636,1 ,$0.12 ,$0.09 ,$0.03 ,$0.12 , N/A ,$0.09 ,$0.08 , N/A ,$0.03 ,$0.07 , N/A ,$0.07 , N/A ,$0.07 ,$0.07 , N/A ,$0.07 , N/A ,$0.11 , N/A , N/A , N/A ,$0.11 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.10 ,$0.12 ,$0.11 , N/A ,$0.11 , N/A ,$0.12 ,$0.07 , N/A ,$0.05 , N/A , N/A , N/A ,$0.11 , N/A ,$0.07 ,$0.03 ,$0.11 , N/A ,$0.03 ,$0.03 , N/A ,$0.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1642,HEPARIN FLUSH 100 UNIT/ML SOLN per 10 Units,636,1 ,$0.60 ,$0.43 ,$0.03 ,$0.60 , N/A ,$0.45 ,$0.39 , N/A ,$0.17 ,$0.37 , N/A ,$0.37 , N/A ,$0.33 ,$0.33 , N/A ,$0.33 , N/A ,$0.54 , N/A , N/A , N/A ,$0.53 , N/A ,$0.45 ,$0.45 ,$0.51 ,$0.51 , N/A ,$0.51 , N/A ,$0.49 ,$0.49 ,$0.49 ,$0.60 ,$0.54 , N/A ,$0.54 , N/A ,$0.60 ,$0.34 , N/A ,$0.25 , N/A , N/A , N/A ,$0.54 , N/A ,$0.33 ,$0.17 ,$0.54 , N/A ,$0.03 ,$0.03 , N/A ,$0.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90744,HEPATITIS B VACCINE 10 MCG/0.5ML SUSY per 1 mL,636,1 ,$385.30 ,$277.42 ,$15.53 ,$385.30 ,$173.39 ,$287.05 ,$252.37 ,$67.96 ,$107.88 ,$236.96 ,$67.96 ,$236.96 ,$67.96 ,$213.46 ,$213.46 ,$67.96 ,$213.46 ,$140.10 ,$346.77 ,$319.80 ,$173.39 ,$67.96 ,$339.06 ,$69.33 ,$288.98 ,$288.98 ,$327.51 ,$327.51 ,$67.96 ,$327.51 ,$67.96 ,$312.09 ,$312.09 ,$312.09 ,$385.30 ,$346.77 ,$173.39 ,$346.77 ,$67.96 ,$385.30 ,$216.15 ,$67.96 ,$159.51 ,$16.27 ,$15.53 ,$71.36 ,$346.77 ,$156.05 ,$213.46 ,$107.88 ,$346.77 ,$67.96 ,$49.34 ,$49.34 ,$67.96 ,$250.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0360,HYDRALAZINE 20 MG/ML SOLN per 20 mg,636,1 ,$210.50 ,$151.56 ,$11.15 ,$210.50 , N/A ,$156.82 ,$137.88 , N/A ,$58.94 ,$129.46 , N/A ,$129.46 , N/A ,$116.62 ,$116.62 , N/A ,$116.62 , N/A ,$189.45 ,$174.72 , N/A , N/A ,$185.24 , N/A ,$157.88 ,$157.88 ,$178.93 ,$178.93 , N/A ,$178.93 , N/A ,$170.51 ,$170.51 ,$170.51 ,$210.50 ,$189.45 , N/A ,$189.45 , N/A ,$210.50 ,$118.09 , N/A ,$87.15 , N/A , N/A , N/A ,$189.45 , N/A ,$116.62 ,$58.94 ,$189.45 , N/A ,$11.15 ,$11.15 , N/A ,$136.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLR 1 EACH VIAL per 100 mg,636,1 ,$272.10 ,$195.91 ,$29.50 ,$272.10 , N/A ,$202.71 ,$178.23 , N/A ,$76.19 ,$167.34 , N/A ,$167.34 , N/A ,$150.74 ,$150.74 , N/A ,$150.74 , N/A ,$244.89 ,$225.84 , N/A , N/A ,$239.45 , N/A ,$204.08 ,$204.08 ,$231.29 ,$231.29 , N/A ,$231.29 , N/A ,$220.40 ,$220.40 ,$220.40 ,$272.10 ,$244.89 , N/A ,$244.89 , N/A ,$272.10 ,$152.65 , N/A ,$112.65 , N/A , N/A , N/A ,$244.89 , N/A ,$150.74 ,$76.19 ,$244.89 , N/A ,$29.50 ,$29.50 , N/A ,$176.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1720,HYDROCORTISONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL per 100 mg,636,1 ,$201.37 ,$144.99 ,$29.50 ,$201.37 , N/A ,$150.02 ,$131.90 , N/A ,$56.38 ,$123.84 , N/A ,$123.84 , N/A ,$111.56 ,$111.56 , N/A ,$111.56 , N/A ,$181.23 ,$167.14 , N/A , N/A ,$177.21 , N/A ,$151.03 ,$151.03 ,$171.16 ,$171.16 , N/A ,$171.16 , N/A ,$163.11 ,$163.11 ,$163.11 ,$201.37 ,$181.23 , N/A ,$181.23 , N/A ,$201.37 ,$112.97 , N/A ,$83.37 , N/A , N/A , N/A ,$181.23 , N/A ,$111.56 ,$56.38 ,$181.23 , N/A ,$29.50 ,$29.50 , N/A ,$130.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1170,HYDROMORPHONE 1 MG/ML SOLN per 4 mg,636,1 ,$61.05 ,$43.96 ,$6.96 ,$61.05 , N/A ,$45.48 ,$39.99 , N/A ,$17.09 ,$37.55 , N/A ,$37.55 , N/A ,$33.82 ,$33.82 , N/A ,$33.82 , N/A ,$54.95 ,$50.67 , N/A , N/A ,$53.72 , N/A ,$45.79 ,$45.79 ,$51.89 ,$51.89 , N/A ,$51.89 , N/A ,$49.45 ,$49.45 ,$49.45 ,$61.05 ,$54.95 , N/A ,$54.95 , N/A ,$61.05 ,$34.25 , N/A ,$25.27 , N/A , N/A , N/A ,$54.95 , N/A ,$33.82 ,$17.09 ,$54.95 , N/A ,$6.96 ,$6.96 , N/A ,$39.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1170,HYDROMORPHONE 2 MG/ML SOLN 1 ML VIAL per 4 mg,636,1 ,$44.78 ,$32.24 ,$6.96 ,$44.78 , N/A ,$33.36 ,$29.33 , N/A ,$12.54 ,$27.54 , N/A ,$27.54 , N/A ,$24.81 ,$24.81 , N/A ,$24.81 , N/A ,$40.30 ,$37.17 , N/A , N/A ,$39.41 , N/A ,$33.59 ,$33.59 ,$38.06 ,$38.06 , N/A ,$38.06 , N/A ,$36.27 ,$36.27 ,$36.27 ,$44.78 ,$40.30 , N/A ,$40.30 , N/A ,$44.78 ,$25.12 , N/A ,$18.54 , N/A , N/A , N/A ,$40.30 , N/A ,$24.81 ,$12.54 ,$40.30 , N/A ,$6.96 ,$6.96 , N/A ,$29.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1170,HYDROMORPHONE 2 MG/ML SOLN per 4 mg,636,1 ,$88.20 ,$63.50 ,$6.96 ,$88.20 , N/A ,$65.71 ,$57.77 , N/A ,$24.70 ,$54.24 , N/A ,$54.24 , N/A ,$48.86 ,$48.86 , N/A ,$48.86 , N/A ,$79.38 ,$73.21 , N/A , N/A ,$77.62 , N/A ,$66.15 ,$66.15 ,$74.97 ,$74.97 , N/A ,$74.97 , N/A ,$71.44 ,$71.44 ,$71.44 ,$88.20 ,$79.38 , N/A ,$79.38 , N/A ,$88.20 ,$49.48 , N/A ,$36.51 , N/A , N/A , N/A ,$79.38 , N/A ,$48.86 ,$24.70 ,$79.38 , N/A ,$6.96 ,$6.96 , N/A ,$57.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1170,HYDROMORPHONE HCL PF 50 MG/5ML SOLN 5 ML VIAL per 4 mg,636,1 ,$10.65 ,$7.67 ,$2.98 ,$10.65 , N/A ,$7.93 ,$6.98 , N/A ,$2.98 ,$6.55 , N/A ,$6.55 , N/A ,$5.90 ,$5.90 , N/A ,$5.90 , N/A ,$9.59 ,$8.84 , N/A , N/A ,$9.37 , N/A ,$7.99 ,$7.99 ,$9.05 ,$9.05 , N/A ,$9.05 , N/A ,$8.63 ,$8.63 ,$8.63 ,$10.65 ,$9.59 , N/A ,$9.59 , N/A ,$10.65 ,$5.97 , N/A ,$4.41 , N/A , N/A , N/A ,$9.59 , N/A ,$5.90 ,$2.98 ,$9.59 , N/A ,$6.96 ,$6.96 , N/A ,$6.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1170,HYDROMORPHONE 10 MG/ML SOLN 5 ML VIAL per 4 mg,636,1 ,$10.65 ,$7.67 ,$2.98 ,$10.65 , N/A ,$7.93 ,$6.98 , N/A ,$2.98 ,$6.55 , N/A ,$6.55 , N/A ,$5.90 ,$5.90 , N/A ,$5.90 , N/A ,$9.59 ,$8.84 , N/A , N/A ,$9.37 , N/A ,$7.99 ,$7.99 ,$9.05 ,$9.05 , N/A ,$9.05 , N/A ,$8.63 ,$8.63 ,$8.63 ,$10.65 ,$9.59 , N/A ,$9.59 , N/A ,$10.65 ,$5.97 , N/A ,$4.41 , N/A , N/A , N/A ,$9.59 , N/A ,$5.90 ,$2.98 ,$9.59 , N/A ,$6.96 ,$6.96 , N/A ,$6.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3410,HYDROXYZINE 50 MG/ML SOLN per 25 mg,636,1 ,$188.25 ,$135.54 ,$17.62 ,$188.25 , N/A ,$140.25 ,$123.30 , N/A ,$52.71 ,$115.77 , N/A ,$115.77 , N/A ,$104.29 ,$104.29 , N/A ,$104.29 , N/A ,$169.43 ,$156.25 , N/A , N/A ,$165.66 , N/A ,$141.19 ,$141.19 ,$160.01 ,$160.01 , N/A ,$160.01 , N/A ,$152.48 ,$152.48 ,$152.48 ,$188.25 ,$169.43 , N/A ,$169.43 , N/A ,$188.25 ,$105.61 , N/A ,$77.94 , N/A , N/A , N/A ,$169.43 , N/A ,$104.29 ,$52.71 ,$169.43 , N/A ,$17.62 ,$17.62 , N/A ,$122.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7325,HYLAN 48 MG/6ML SOSY per 1 mg,636,1 ,$205.44 ,$147.92 ,$9.46 ,$205.44 ,$24.12 ,$153.05 ,$134.56 ,$9.46 ,$57.52 ,$126.35 ,$9.46 ,$126.35 ,$9.46 ,$113.81 ,$113.81 ,$9.46 ,$113.81 ,$19.49 ,$184.90 ,$170.52 ,$24.12 ,$9.46 ,$180.79 ,$9.64 ,$154.08 ,$154.08 ,$174.62 ,$174.62 ,$9.46 ,$174.62 ,$9.46 ,$166.41 ,$166.41 ,$166.41 ,$205.44 ,$184.90 ,$24.12 ,$184.90 ,$9.46 ,$205.44 ,$115.25 ,$9.46 ,$85.05 ,$205.44 ,$205.44 ,$9.93 ,$184.90 ,$21.71 ,$113.81 ,$57.52 ,$184.90 ,$9.46 ,$16.15 ,$16.15 ,$9.46 ,$133.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1740,IBANDRONATE SODIUM 3 MG/3ML SOLN per 1 mg,636,1 ,"$2,062.90 ","$1,485.29 ",$30.23 ,"$2,062.90 ",$77.12 ,"$1,536.86 ","$1,351.20 ",$30.23 ,$577.61 ,"$1,268.68 ",$30.23 ,"$1,268.68 ",$30.23 ,"$1,142.85 ","$1,142.85 ",$30.23 ,"$1,142.85 ",$62.31 ,"$1,856.61 ","$1,712.21 ",$77.12 ,$30.23 ,"$1,815.35 ",$30.84 ,"$1,547.18 ","$1,547.18 ","$1,753.47 ","$1,753.47 ",$30.23 ,"$1,753.47 ",$30.23 ,"$1,670.95 ","$1,670.95 ","$1,670.95 ","$2,062.90 ","$1,856.61 ",$77.12 ,"$1,856.61 ",$30.23 ,"$2,062.90 ","$1,157.29 ",$30.23 ,$854.04 ,$236.45 ,$225.70 ,$31.74 ,"$1,856.61 ",$69.40 ,"$1,142.85 ",$577.61 ,"$1,856.61 ",$30.23 ,$56.15 ,$56.15 ,$30.23 ,"$1,340.89 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1569,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML SOLN,636,1 ,$372.58 ,$268.26 ,$45.57 ,$372.58 ,$116.26 ,$277.57 ,$244.04 ,$45.57 ,$104.32 ,$229.14 ,$45.57 ,$229.14 ,$45.57 ,$206.41 ,$206.41 ,$45.57 ,$206.41 ,$93.93 ,$335.32 ,$309.24 ,$116.26 ,$45.57 ,$327.87 ,$46.48 ,$279.44 ,$279.44 ,$316.69 ,$316.69 ,$45.57 ,$316.69 ,$45.57 ,$301.79 ,$301.79 ,$301.79 ,$372.58 ,$335.32 ,$116.26 ,$335.32 ,$45.57 ,$372.58 ,$209.02 ,$45.57 ,$154.25 ,$372.58 ,$372.58 ,$47.85 ,$335.32 ,$104.63 ,$206.41 ,$104.32 ,$335.32 ,$45.57 ,$75.16 ,$75.16 ,$45.57 ,$242.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1568,IMMUNE GLOBULIN 20 GM/200ML SOLN,636,1 ,$431.04 ,$310.35 ,$40.98 ,$431.04 ,$104.55 ,$321.12 ,$282.33 ,$40.98 ,$120.69 ,$265.09 ,$40.98 ,$265.09 ,$40.98 ,$238.80 ,$238.80 ,$40.98 ,$238.80 ,$84.48 ,$387.94 ,$357.76 ,$104.55 ,$40.98 ,$379.32 ,$41.81 ,$323.28 ,$323.28 ,$366.38 ,$366.38 ,$40.98 ,$366.38 ,$40.98 ,$349.14 ,$349.14 ,$349.14 ,$431.04 ,$387.94 ,$104.55 ,$387.94 ,$40.98 ,$431.04 ,$241.81 ,$40.98 ,$178.45 , N/A , N/A ,$43.03 ,$387.94 ,$94.10 ,$238.80 ,$120.69 ,$387.94 ,$40.98 ,$67.77 ,$67.77 ,$40.98 ,$280.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1568,IMMUNE GLOBULIN 10 GM/100ML SOLN,636,1 ,$431.04 ,$310.35 ,$40.98 ,$431.04 ,$104.55 ,$321.12 ,$282.33 ,$40.98 ,$120.69 ,$265.09 ,$40.98 ,$265.09 ,$40.98 ,$238.80 ,$238.80 ,$40.98 ,$238.80 ,$84.48 ,$387.94 ,$357.76 ,$104.55 ,$40.98 ,$379.32 ,$41.81 ,$323.28 ,$323.28 ,$366.38 ,$366.38 ,$40.98 ,$366.38 ,$40.98 ,$349.14 ,$349.14 ,$349.14 ,$431.04 ,$387.94 ,$104.55 ,$387.94 ,$40.98 ,$431.04 ,$241.81 ,$40.98 ,$178.45 , N/A , N/A ,$43.03 ,$387.94 ,$94.10 ,$238.80 ,$120.69 ,$387.94 ,$40.98 ,$67.77 ,$67.77 ,$40.98 ,$280.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1459,IMMUNE GLOBULIN 5 GM/50ML SOLN,636,1 ,$390.22 ,$280.96 ,$46.25 ,$390.22 ,$117.98 ,$290.71 ,$255.59 ,$46.25 ,$109.26 ,$239.99 ,$46.25 ,$239.99 ,$46.25 ,$216.18 ,$216.18 ,$46.25 ,$216.18 ,$95.33 ,$351.20 ,$323.88 ,$117.98 ,$46.25 ,$343.39 ,$47.17 ,$292.67 ,$292.67 ,$331.69 ,$331.69 ,$46.25 ,$331.69 ,$46.25 ,$316.08 ,$316.08 ,$316.08 ,$390.22 ,$351.20 ,$117.98 ,$351.20 ,$46.25 ,$390.22 ,$218.91 ,$46.25 ,$161.55 ,$390.22 ,$390.22 ,$48.56 ,$351.20 ,$106.18 ,$216.18 ,$109.26 ,$351.20 ,$46.25 ,$78.49 ,$78.49 ,$46.25 ,$253.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1306,INCLISIRAN 284 MG/1.5ML SOSY per 1 mg,636,1 ,$54.93 ,$39.55 ,$11.70 ,$54.93 ,$29.86 ,$40.92 ,$35.98 ,$11.70 ,$15.38 ,$33.78 ,$11.70 ,$33.78 ,$11.70 ,$30.43 ,$30.43 ,$11.70 ,$30.43 ,$24.13 ,$49.44 ,$45.59 ,$29.86 ,$11.70 ,$48.34 ,$11.94 ,$41.20 ,$41.20 ,$46.69 ,$46.69 ,$11.70 ,$46.69 ,$11.70 ,$44.49 ,$44.49 ,$44.49 ,$54.93 ,$49.44 ,$29.86 ,$49.44 ,$11.70 ,$54.93 ,$30.82 ,$11.70 ,$22.74 ,$54.93 ,$54.93 ,$12.29 ,$49.44 ,$26.87 ,$30.43 ,$15.38 ,$49.44 ,$11.70 ,$19.78 ,$19.78 ,$11.70 ,$35.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1745,INFLIXIMAB 100 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$560.55 ,$403.60 ,$33.36 ,$560.55 ,$85.11 ,$417.61 ,$367.16 ,$33.36 ,$156.95 ,$344.74 ,$33.36 ,$344.74 ,$33.36 ,$310.54 ,$310.54 ,$33.36 ,$310.54 ,$68.77 ,$504.50 ,$465.26 ,$85.11 ,$33.36 ,$493.28 ,$34.03 ,$420.41 ,$420.41 ,$476.47 ,$476.47 ,$33.36 ,$476.47 ,$33.36 ,$454.05 ,$454.05 ,$454.05 ,$560.55 ,$504.50 ,$85.11 ,$504.50 ,$33.36 ,$560.55 ,$314.47 ,$33.36 ,$232.07 ,$560.55 ,$560.55 ,$35.03 ,$504.50 ,$76.60 ,$310.54 ,$156.95 ,$504.50 ,$33.36 ,$57.52 ,$57.52 ,$33.36 ,$364.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,Q5103,INFLIXIMAB-DYYB 100 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$454.22 ,$327.04 ,$20.18 ,$454.22 ,$51.48 ,$338.39 ,$297.51 ,$20.18 ,$127.18 ,$279.35 ,$20.18 ,$279.35 ,$20.18 ,$251.64 ,$251.64 ,$20.18 ,$251.64 ,$41.59 ,$408.80 ,$377.00 ,$51.48 ,$20.18 ,$399.71 ,$20.58 ,$340.67 ,$340.67 ,$386.09 ,$386.09 ,$20.18 ,$386.09 ,$20.18 ,$367.92 ,$367.92 ,$367.92 ,$454.22 ,$408.80 ,$51.48 ,$408.80 ,$20.18 ,$454.22 ,$254.82 ,$20.18 ,$188.05 ,$454.22 ,$454.22 ,$21.19 ,$408.80 ,$46.33 ,$251.64 ,$127.18 ,$408.80 ,$20.18 ,$40.92 ,$40.92 ,$20.18 ,$295.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90686,INFLUENZA VIRUS VACCINE (QUAD) 0.5 ML SUSY per 0.5 mL,636,1 ,$283.10 ,$203.83 ,$15.53 ,$283.10 ,$127.40 ,$210.91 ,$185.43 ,$49.94 ,$79.27 ,$174.11 ,$49.94 ,$174.11 ,$49.94 ,$156.84 ,$156.84 ,$49.94 ,$156.84 ,$102.94 ,$254.79 ,$234.97 ,$127.40 ,$49.94 ,$249.13 ,$50.94 ,$212.33 ,$212.33 ,$240.64 ,$240.64 ,$49.94 ,$240.64 ,$49.94 ,$229.31 ,$229.31 ,$229.31 ,$283.10 ,$254.79 ,$127.40 ,$254.79 ,$49.94 ,$283.10 ,$158.82 ,$49.94 ,$117.20 ,$16.27 ,$15.53 ,$52.44 ,$254.79 ,$114.66 ,$156.84 ,$79.27 ,$254.79 ,$49.94 ,$35.51 ,$35.51 ,$49.94 ,$184.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1756,IRON SUCROSE 20 MG/ML SOLN per 1 mg,636,1 ,$8.49 ,$6.11 ,$0.36 ,$8.49 , N/A ,$6.33 ,$5.56 , N/A ,$2.38 ,$5.22 , N/A ,$5.22 , N/A ,$4.70 ,$4.70 , N/A ,$4.70 , N/A ,$7.64 ,$7.05 , N/A , N/A ,$7.47 , N/A ,$6.37 ,$6.37 ,$7.22 ,$7.22 , N/A ,$7.22 , N/A ,$6.88 ,$6.88 ,$6.88 ,$8.49 ,$7.64 , N/A ,$7.64 , N/A ,$8.49 ,$4.76 , N/A ,$3.51 ,$8.49 ,$8.49 , N/A ,$7.64 , N/A ,$4.70 ,$2.38 ,$7.64 , N/A ,$0.36 ,$0.36 , N/A ,$5.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1885,KETOROLAC 30 MG/ML SOLN per 15 mg,636,1 ,$36.75 ,$26.46 ,$0.97 ,$36.75 , N/A ,$27.38 ,$24.07 , N/A ,$10.29 ,$22.60 , N/A ,$22.60 , N/A ,$20.36 ,$20.36 , N/A ,$20.36 , N/A ,$33.08 ,$30.50 , N/A , N/A ,$32.34 , N/A ,$27.56 ,$27.56 ,$31.24 ,$31.24 , N/A ,$31.24 , N/A ,$29.77 ,$29.77 ,$29.77 ,$36.75 ,$33.08 , N/A ,$33.08 , N/A ,$36.75 ,$20.62 , N/A ,$15.21 , N/A , N/A , N/A ,$33.08 , N/A ,$20.36 ,$10.29 ,$33.08 , N/A ,$0.97 ,$0.97 , N/A ,$23.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1885,KETOROLAC 60 MG/2ML SOLN per 15 mg,636,1 ,$46.60 ,$33.55 ,$0.97 ,$46.60 , N/A ,$34.72 ,$30.52 , N/A ,$13.05 ,$28.66 , N/A ,$28.66 , N/A ,$25.82 ,$25.82 , N/A ,$25.82 , N/A ,$41.94 ,$38.68 , N/A , N/A ,$41.01 , N/A ,$34.95 ,$34.95 ,$39.61 ,$39.61 , N/A ,$39.61 , N/A ,$37.75 ,$37.75 ,$37.75 ,$46.60 ,$41.94 , N/A ,$41.94 , N/A ,$46.60 ,$26.14 , N/A ,$19.29 , N/A , N/A , N/A ,$41.94 , N/A ,$25.82 ,$13.05 ,$41.94 , N/A ,$0.97 ,$0.97 , N/A ,$30.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7120,LACTATED RINGERS SOLN per 1000 mL,636,1 ,$45.00 ,$32.40 ,$4.13 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$4.13 ,$4.13 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7120,"LACTATED RINGERS SOLN 1,000 ML FLEX CONT per 1000 mL",636,1 ,$45.00 ,$32.40 ,$4.13 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$4.13 ,$4.13 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1953,LEVETIRACETAM 1000 MG/100ML SOLN per 10 mg,636,1 ,$6.62 ,$4.77 ,$0.15 ,$6.62 , N/A ,$4.93 ,$4.34 , N/A ,$1.85 ,$4.07 , N/A ,$4.07 , N/A ,$3.67 ,$3.67 , N/A ,$3.67 , N/A ,$5.96 ,$5.49 , N/A , N/A ,$5.83 , N/A ,$4.97 ,$4.97 ,$5.63 ,$5.63 , N/A ,$5.63 , N/A ,$5.36 ,$5.36 ,$5.36 ,$6.62 ,$5.96 , N/A ,$5.96 , N/A ,$6.62 ,$3.71 , N/A ,$2.74 , N/A , N/A , N/A ,$5.96 , N/A ,$3.67 ,$1.85 ,$5.96 , N/A ,$0.15 ,$0.15 , N/A ,$4.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1953,LEVETIRACETAM 1500 MG/100ML SOLN per 10 mg,636,1 ,$2.79 ,$2.01 ,$0.15 ,$2.79 , N/A ,$2.08 ,$1.83 , N/A ,$0.78 ,$1.72 , N/A ,$1.72 , N/A ,$1.55 ,$1.55 , N/A ,$1.55 , N/A ,$2.51 ,$2.32 , N/A , N/A ,$2.46 , N/A ,$2.09 ,$2.09 ,$2.37 ,$2.37 , N/A ,$2.37 , N/A ,$2.26 ,$2.26 ,$2.26 ,$2.79 ,$2.51 , N/A ,$2.51 , N/A ,$2.79 ,$1.57 , N/A ,$1.16 , N/A , N/A , N/A ,$2.51 , N/A ,$1.55 ,$0.78 ,$2.51 , N/A ,$0.15 ,$0.15 , N/A ,$1.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1953,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL per 10 mg,636,1 ,$3.68 ,$2.65 ,$0.15 ,$3.68 , N/A ,$2.74 ,$2.41 , N/A ,$1.03 ,$2.26 , N/A ,$2.26 , N/A ,$2.04 ,$2.04 , N/A ,$2.04 , N/A ,$3.31 ,$3.05 , N/A , N/A ,$3.24 , N/A ,$2.76 ,$2.76 ,$3.13 ,$3.13 , N/A ,$3.13 , N/A ,$2.98 ,$2.98 ,$2.98 ,$3.68 ,$3.31 , N/A ,$3.31 , N/A ,$3.68 ,$2.06 , N/A ,$1.52 , N/A , N/A , N/A ,$3.31 , N/A ,$2.04 ,$1.03 ,$3.31 , N/A ,$0.15 ,$0.15 , N/A ,$2.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1956,LEVOFLOXACIN 500 MG/100ML SOLN per 250 mg,636,1 ,$45.50 ,$32.76 ,$1.60 ,$45.50 , N/A ,$33.90 ,$29.80 , N/A ,$12.74 ,$27.98 , N/A ,$27.98 , N/A ,$25.21 ,$25.21 , N/A ,$25.21 , N/A ,$40.95 ,$37.77 , N/A , N/A ,$40.04 , N/A ,$34.13 ,$34.13 ,$38.68 ,$38.68 , N/A ,$38.68 , N/A ,$36.86 ,$36.86 ,$36.86 ,$45.50 ,$40.95 , N/A ,$40.95 , N/A ,$45.50 ,$25.53 , N/A ,$18.84 , N/A , N/A , N/A ,$40.95 , N/A ,$25.21 ,$12.74 ,$40.95 , N/A ,$1.60 ,$1.60 , N/A ,$29.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1956,LEVOFLOXACIN 750 MG/150ML SOLN per 250 mg,636,1 ,$63.70 ,$45.86 ,$1.60 ,$63.70 , N/A ,$47.46 ,$41.72 , N/A ,$17.84 ,$39.18 , N/A ,$39.18 , N/A ,$35.29 ,$35.29 , N/A ,$35.29 , N/A ,$57.33 ,$52.87 , N/A , N/A ,$56.06 , N/A ,$47.78 ,$47.78 ,$54.15 ,$54.15 , N/A ,$54.15 , N/A ,$51.60 ,$51.60 ,$51.60 ,$63.70 ,$57.33 , N/A ,$57.33 , N/A ,$63.70 ,$35.74 , N/A ,$26.37 , N/A , N/A , N/A ,$57.33 , N/A ,$35.29 ,$17.84 ,$57.33 , N/A ,$1.60 ,$1.60 , N/A ,$41.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2001,LIDOCAINE (CARDIAC) 10 MG/ML SOSY per 10 mg,636,1 ,$22.62 ,$16.29 ,$0.05 ,$22.62 , N/A ,$16.85 ,$14.82 , N/A ,$6.33 ,$13.91 , N/A ,$13.91 , N/A ,$12.53 ,$12.53 , N/A ,$12.53 , N/A ,$20.36 ,$18.77 , N/A , N/A ,$19.91 , N/A ,$16.97 ,$16.97 ,$19.23 ,$19.23 , N/A ,$19.23 , N/A ,$18.32 ,$18.32 ,$18.32 ,$22.62 ,$20.36 , N/A ,$20.36 , N/A ,$22.62 ,$12.69 , N/A ,$9.36 , N/A , N/A , N/A ,$20.36 , N/A ,$12.53 ,$6.33 ,$20.36 , N/A ,$0.05 ,$0.05 , N/A ,$14.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2001,LIDOCAINE (CARDIAC) 20 MG/ML INJ per 10 mg,636,1 ,$9.93 ,$7.15 ,$0.05 ,$9.93 , N/A ,$7.40 ,$6.50 , N/A ,$2.78 ,$6.11 , N/A ,$6.11 , N/A ,$5.50 ,$5.50 , N/A ,$5.50 , N/A ,$8.94 ,$8.24 , N/A , N/A ,$8.74 , N/A ,$7.45 ,$7.45 ,$8.44 ,$8.44 , N/A ,$8.44 , N/A ,$8.04 ,$8.04 ,$8.04 ,$9.93 ,$8.94 , N/A ,$8.94 , N/A ,$9.93 ,$5.57 , N/A ,$4.11 , N/A , N/A , N/A ,$8.94 , N/A ,$5.50 ,$2.78 ,$8.94 , N/A ,$0.05 ,$0.05 , N/A ,$6.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2001,LIDOCAINE 8-5 MG/ML-% SOLN per 10 mg,636,1 ,$0.64 ,$0.46 ,$0.05 ,$0.64 , N/A ,$0.48 ,$0.42 , N/A ,$0.18 ,$0.39 , N/A ,$0.39 , N/A ,$0.35 ,$0.35 , N/A ,$0.35 , N/A ,$0.58 ,$0.53 , N/A , N/A ,$0.56 , N/A ,$0.48 ,$0.48 ,$0.54 ,$0.54 , N/A ,$0.54 , N/A ,$0.52 ,$0.52 ,$0.52 ,$0.64 ,$0.58 , N/A ,$0.58 , N/A ,$0.64 ,$0.36 , N/A ,$0.27 , N/A , N/A , N/A ,$0.58 , N/A ,$0.35 ,$0.18 ,$0.58 , N/A ,$0.05 ,$0.05 , N/A ,$0.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2020,LINEZOLID 600 MG/300ML SOLN per 200 mg,636,1 ,$449.58 ,$323.70 ,$5.33 ,$449.58 , N/A ,$334.94 ,$294.47 , N/A ,$125.88 ,$276.49 , N/A ,$276.49 , N/A ,$249.07 ,$249.07 , N/A ,$249.07 , N/A ,$404.62 ,$373.15 , N/A , N/A ,$395.63 , N/A ,$337.19 ,$337.19 ,$382.14 ,$382.14 , N/A ,$382.14 , N/A ,$364.16 ,$364.16 ,$364.16 ,$449.58 ,$404.62 , N/A ,$404.62 , N/A ,$449.58 ,$252.21 , N/A ,$186.13 ,$59.36 ,$56.66 , N/A ,$404.62 , N/A ,$249.07 ,$125.88 ,$404.62 , N/A ,$5.33 ,$5.33 , N/A ,$292.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2060,LORAZEPAM 2 MG/ML SOLN per 2 mg,636,1 ,$49.80 ,$35.86 ,$1.50 ,$49.80 , N/A ,$37.10 ,$32.62 , N/A ,$13.94 ,$30.63 , N/A ,$30.63 , N/A ,$27.59 ,$27.59 , N/A ,$27.59 , N/A ,$44.82 ,$41.33 , N/A , N/A ,$43.82 , N/A ,$37.35 ,$37.35 ,$42.33 ,$42.33 , N/A ,$42.33 , N/A ,$40.34 ,$40.34 ,$40.34 ,$49.80 ,$44.82 , N/A ,$44.82 , N/A ,$49.80 ,$27.94 , N/A ,$20.62 , N/A , N/A , N/A ,$44.82 , N/A ,$27.59 ,$13.94 ,$44.82 , N/A ,$1.50 ,$1.50 , N/A ,$32.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 1-5 GM/100ML-% SOLN per 500 mg,636,1 ,$55.13 ,$39.69 ,$1.09 ,$55.13 , N/A ,$41.07 ,$36.11 , N/A ,$15.44 ,$33.91 , N/A ,$33.91 , N/A ,$30.54 ,$30.54 , N/A ,$30.54 , N/A ,$49.62 ,$45.76 , N/A , N/A ,$48.51 , N/A ,$41.35 ,$41.35 ,$46.86 ,$46.86 , N/A ,$46.86 , N/A ,$44.66 ,$44.66 ,$44.66 ,$55.13 ,$49.62 , N/A ,$49.62 , N/A ,$55.13 ,$30.93 , N/A ,$22.82 , N/A , N/A , N/A ,$49.62 , N/A ,$30.54 ,$15.44 ,$49.62 , N/A ,$1.09 ,$1.09 , N/A ,$35.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 2 GM/50ML SOLN per 500 mg,636,1 ,$58.96 ,$42.45 ,$1.09 ,$58.96 , N/A ,$43.93 ,$38.62 , N/A ,$16.51 ,$36.26 , N/A ,$36.26 , N/A ,$32.66 ,$32.66 , N/A ,$32.66 , N/A ,$53.06 ,$48.94 , N/A , N/A ,$51.88 , N/A ,$44.22 ,$44.22 ,$50.12 ,$50.12 , N/A ,$50.12 , N/A ,$47.76 ,$47.76 ,$47.76 ,$58.96 ,$53.06 , N/A ,$53.06 , N/A ,$58.96 ,$33.08 , N/A ,$24.41 , N/A , N/A , N/A ,$53.06 , N/A ,$32.66 ,$16.51 ,$53.06 , N/A ,$1.09 ,$1.09 , N/A ,$38.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 20 GM/500ML SOLN per 500 mg,636,1 ,$2.28 ,$1.64 ,$0.64 ,$2.28 , N/A ,$1.70 ,$1.49 , N/A ,$0.64 ,$1.40 , N/A ,$1.40 , N/A ,$1.26 ,$1.26 , N/A ,$1.26 , N/A ,$2.05 ,$1.89 , N/A , N/A ,$2.01 , N/A ,$1.71 ,$1.71 ,$1.94 ,$1.94 , N/A ,$1.94 , N/A ,$1.85 ,$1.85 ,$1.85 ,$2.28 ,$2.05 , N/A ,$2.05 , N/A ,$2.28 ,$1.28 , N/A ,$0.94 , N/A , N/A , N/A ,$2.05 , N/A ,$1.26 ,$0.64 ,$2.05 , N/A ,$1.09 ,$1.09 , N/A ,$1.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 4 GM/100ML SOLN per 500 mg,636,1 ,$13.48 ,$9.71 ,$1.09 ,$13.48 , N/A ,$10.04 ,$8.83 , N/A ,$3.77 ,$8.29 , N/A ,$8.29 , N/A ,$7.47 ,$7.47 , N/A ,$7.47 , N/A ,$12.13 ,$11.19 , N/A , N/A ,$11.86 , N/A ,$10.11 ,$10.11 ,$11.46 ,$11.46 , N/A ,$11.46 , N/A ,$10.92 ,$10.92 ,$10.92 ,$13.48 ,$12.13 , N/A ,$12.13 , N/A ,$13.48 ,$7.56 , N/A ,$5.58 , N/A , N/A , N/A ,$12.13 , N/A ,$7.47 ,$3.77 ,$12.13 , N/A ,$1.09 ,$1.09 , N/A ,$8.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 50 % SOLN 10 ML VIAL per 500 mg,636,1 ,$9.00 ,$6.48 ,$1.09 ,$9.00 , N/A ,$6.71 ,$5.90 , N/A ,$2.52 ,$5.54 , N/A ,$5.54 , N/A ,$4.99 ,$4.99 , N/A ,$4.99 , N/A ,$8.10 ,$7.47 , N/A , N/A ,$7.92 , N/A ,$6.75 ,$6.75 ,$7.65 ,$7.65 , N/A ,$7.65 , N/A ,$7.29 ,$7.29 ,$7.29 ,$9.00 ,$8.10 , N/A ,$8.10 , N/A ,$9.00 ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$8.10 , N/A ,$4.99 ,$2.52 ,$8.10 , N/A ,$1.09 ,$1.09 , N/A ,$5.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 50 % SOLN per 500 mg,636,1 ,$12.75 ,$9.18 ,$1.09 ,$12.75 , N/A ,$9.50 ,$8.35 , N/A ,$3.57 ,$7.84 , N/A ,$7.84 , N/A ,$7.06 ,$7.06 , N/A ,$7.06 , N/A ,$11.48 ,$10.58 , N/A , N/A ,$11.22 , N/A ,$9.56 ,$9.56 ,$10.84 ,$10.84 , N/A ,$10.84 , N/A ,$10.33 ,$10.33 ,$10.33 ,$12.75 ,$11.48 , N/A ,$11.48 , N/A ,$12.75 ,$7.15 , N/A ,$5.28 , N/A , N/A , N/A ,$11.48 , N/A ,$7.06 ,$3.57 ,$11.48 , N/A ,$1.09 ,$1.09 , N/A ,$8.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90707,"MEASLES, MUMPS AND RUBELLA VACCINE SOLR per 0.5 mL",636,1 ,"$1,315.55 ",$947.20 ,$15.53 ,"$1,315.55 ", N/A ,$980.08 ,$861.69 , N/A ,$368.35 ,$809.06 , N/A ,$809.06 , N/A ,$728.81 ,$728.81 , N/A ,$728.81 , N/A ,"$1,184.00 ","$1,091.91 ", N/A , N/A ,"$1,157.68 ", N/A ,$986.66 ,$986.66 ,"$1,118.22 ","$1,118.22 ", N/A ,"$1,118.22 ", N/A ,"$1,065.60 ","$1,065.60 ","$1,065.60 ","$1,315.55 ","$1,184.00 ", N/A ,"$1,184.00 ", N/A ,"$1,315.55 ",$738.02 , N/A ,$544.64 ,$16.27 ,$15.53 , N/A ,"$1,184.00 ", N/A ,$728.81 ,$368.35 ,"$1,184.00 ", N/A ,$174.67 ,$174.67 , N/A ,$855.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2175,MEPERIDINE 25 MG/ML SOLN per 100 mg,636,1 ,$37.40 ,$26.93 ,$10.47 ,$37.40 , N/A ,$27.86 ,$24.50 , N/A ,$10.47 ,$23.00 , N/A ,$23.00 , N/A ,$20.72 ,$20.72 , N/A ,$20.72 , N/A ,$33.66 ,$31.04 , N/A , N/A ,$32.91 , N/A ,$28.05 ,$28.05 ,$31.79 ,$31.79 , N/A ,$31.79 , N/A ,$30.29 ,$30.29 ,$30.29 ,$37.40 ,$33.66 , N/A ,$33.66 , N/A ,$37.40 ,$20.98 , N/A ,$15.48 , N/A , N/A , N/A ,$33.66 , N/A ,$20.72 ,$10.47 ,$33.66 , N/A ,$15.82 ,$15.82 , N/A ,$24.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0670,MEPIVACAINE 1 % SOLN per 10 mL,636,1 ,$36.52 ,$26.29 ,$4.69 ,$36.52 , N/A ,$27.21 ,$23.92 , N/A ,$10.23 ,$22.46 , N/A ,$22.46 , N/A ,$20.23 ,$20.23 , N/A ,$20.23 , N/A ,$32.87 ,$30.31 , N/A , N/A ,$32.14 , N/A ,$27.39 ,$27.39 ,$31.04 ,$31.04 , N/A ,$31.04 , N/A ,$29.58 ,$29.58 ,$29.58 ,$36.52 ,$32.87 , N/A ,$32.87 , N/A ,$36.52 ,$20.49 , N/A ,$15.12 , N/A , N/A , N/A ,$32.87 , N/A ,$20.23 ,$10.23 ,$32.87 , N/A ,$4.69 ,$4.69 , N/A ,$23.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2185,MEROPENEM 1 G SOLR 1 EACH VIAL per 100 mg,636,1 ,$44.10 ,$31.75 ,$1.02 ,$44.10 , N/A ,$32.85 ,$28.89 , N/A ,$12.35 ,$27.12 , N/A ,$27.12 , N/A ,$24.43 ,$24.43 , N/A ,$24.43 , N/A ,$39.69 ,$36.60 , N/A , N/A ,$38.81 , N/A ,$33.08 ,$33.08 ,$37.49 ,$37.49 , N/A ,$37.49 , N/A ,$35.72 ,$35.72 ,$35.72 ,$44.10 ,$39.69 , N/A ,$39.69 , N/A ,$44.10 ,$24.74 , N/A ,$18.26 , N/A , N/A , N/A ,$39.69 , N/A ,$24.43 ,$12.35 ,$39.69 , N/A ,$1.02 ,$1.02 , N/A ,$28.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2185,MEROPENEM 500 MG SOLR 1 EACH VIAL per 100 mg,636,1 ,$44.63 ,$32.13 ,$1.02 ,$44.63 , N/A ,$33.25 ,$29.23 , N/A ,$12.50 ,$27.45 , N/A ,$27.45 , N/A ,$24.73 ,$24.73 , N/A ,$24.73 , N/A ,$40.17 ,$37.04 , N/A , N/A ,$39.27 , N/A ,$33.47 ,$33.47 ,$37.94 ,$37.94 , N/A ,$37.94 , N/A ,$36.15 ,$36.15 ,$36.15 ,$44.63 ,$40.17 , N/A ,$40.17 , N/A ,$44.63 ,$25.04 , N/A ,$18.48 , N/A , N/A , N/A ,$40.17 , N/A ,$24.73 ,$12.50 ,$40.17 , N/A ,$1.02 ,$1.02 , N/A ,$29.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7674,METHACHOLINE (PROVOCHOLINE) 0.25 MG/ML IN SODIUM CHLORIDE 0.9 % 0.25 MG/ML SOLR per 1 mg,636,1 ,$45.00 ,$32.40 ,$1.14 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$1.14 ,$1.14 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7674,METHACHOLINE (PROVOCHOLINE) 0.0625 MG/ML IN SODIUM CHLORIDE 0.9 % 0.0625 MG/ML SOLR per 1 mg,636,1 ,$45.00 ,$32.40 ,$1.14 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$1.14 ,$1.14 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7674,METHACHOLINE (PROVOCHOLINE) 1 MG/ML IN SODIUM CHLORIDE 0.9 % 1 MG/ML SOLR per 1 mg,636,1 ,$15.00 ,$10.80 ,$1.14 ,$15.00 , N/A ,$11.18 ,$9.83 , N/A ,$4.20 ,$9.23 , N/A ,$9.23 , N/A ,$8.31 ,$8.31 , N/A ,$8.31 , N/A ,$13.50 ,$12.45 , N/A , N/A ,$13.20 , N/A ,$11.25 ,$11.25 ,$12.75 ,$12.75 , N/A ,$12.75 , N/A ,$12.15 ,$12.15 ,$12.15 ,$15.00 ,$13.50 , N/A ,$13.50 , N/A ,$15.00 ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$13.50 , N/A ,$8.31 ,$4.20 ,$13.50 , N/A ,$1.14 ,$1.14 , N/A ,$9.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7674,METHACHOLINE (PROVOCHOLINE) 16 MG/ML IN SODIUM CHLORIDE 0.9 % 16 MG/ML SOLR per 1 mg,636,1 ,$0.94 ,$0.68 ,$0.26 ,$0.94 , N/A ,$0.70 ,$0.62 , N/A ,$0.26 ,$0.58 , N/A ,$0.58 , N/A ,$0.52 ,$0.52 , N/A ,$0.52 , N/A ,$0.85 ,$0.78 , N/A , N/A ,$0.83 , N/A ,$0.71 ,$0.71 ,$0.80 ,$0.80 , N/A ,$0.80 , N/A ,$0.76 ,$0.76 ,$0.76 ,$0.94 ,$0.85 , N/A ,$0.85 , N/A ,$0.94 ,$0.53 , N/A ,$0.39 , N/A , N/A , N/A ,$0.85 , N/A ,$0.52 ,$0.26 ,$0.85 , N/A ,$0.94 ,$0.94 , N/A ,$0.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7674,METHACHOLINE (PROVOCHOLINE) 4 MG/ML IN SODIUM CHLORIDE 0.9 % 4 MG/ML SOLR per 1 mg,636,1 ,$3.75 ,$2.70 ,$1.05 ,$3.75 , N/A ,$2.79 ,$2.46 , N/A ,$1.05 ,$2.31 , N/A ,$2.31 , N/A ,$2.08 ,$2.08 , N/A ,$2.08 , N/A ,$3.38 ,$3.11 , N/A , N/A ,$3.30 , N/A ,$2.81 ,$2.81 ,$3.19 ,$3.19 , N/A ,$3.19 , N/A ,$3.04 ,$3.04 ,$3.04 ,$3.75 ,$3.38 , N/A ,$3.38 , N/A ,$3.75 ,$2.10 , N/A ,$1.55 , N/A , N/A , N/A ,$3.38 , N/A ,$2.08 ,$1.05 ,$3.38 , N/A ,$1.14 ,$1.14 , N/A ,$2.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2800,METHOCARBAMOL 1000 MG/10ML SOLN per 10 mL,636,1 ,$303.10 ,$218.23 ,$10.26 ,$303.10 , N/A ,$225.81 ,$198.53 , N/A ,$84.87 ,$186.41 , N/A ,$186.41 , N/A ,$167.92 ,$167.92 , N/A ,$167.92 , N/A ,$272.79 ,$251.57 , N/A , N/A ,$266.73 , N/A ,$227.33 ,$227.33 ,$257.64 ,$257.64 , N/A ,$257.64 , N/A ,$245.51 ,$245.51 ,$245.51 ,$303.10 ,$272.79 , N/A ,$272.79 , N/A ,$303.10 ,$170.04 , N/A ,$125.48 , N/A , N/A , N/A ,$272.79 , N/A ,$167.92 ,$84.87 ,$272.79 , N/A ,$10.26 ,$10.26 , N/A ,$197.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J8610,METHOTREXATE 2.5 MG TABS per 2.5 mg,636,1 ,$12.48 ,$8.99 ,$0.38 ,$12.48 , N/A ,$9.30 ,$8.17 , N/A ,$3.49 ,$7.68 , N/A ,$7.68 , N/A ,$6.91 ,$6.91 , N/A ,$6.91 , N/A ,$11.23 ,$10.36 , N/A , N/A ,$10.98 , N/A ,$9.36 ,$9.36 ,$10.61 ,$10.61 , N/A ,$10.61 , N/A ,$10.11 ,$10.11 ,$10.11 ,$12.48 ,$11.23 , N/A ,$11.23 , N/A ,$12.48 ,$7.00 , N/A ,$5.17 , N/A , N/A , N/A ,$11.23 , N/A ,$6.91 ,$3.49 ,$11.23 , N/A ,$0.38 ,$0.38 , N/A ,$8.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,Q9968,METHYLENE BLUE 1 % SOLN per 1 mg,636,1 ,$24.67 ,$17.76 ,$6.91 ,$24.67 ,$18.50 ,$18.38 ,$16.16 ,$7.25 ,$6.91 ,$15.17 ,$7.25 ,$15.17 ,$7.25 ,$13.67 ,$13.67 ,$7.25 ,$13.67 ,$14.95 ,$22.20 , N/A ,$18.50 ,$7.25 ,$21.71 ,$7.40 ,$18.50 ,$18.50 ,$20.97 ,$20.97 ,$7.25 ,$20.97 ,$7.25 ,$19.98 ,$19.98 ,$19.98 ,$24.67 ,$22.20 ,$18.50 ,$22.20 ,$7.25 ,$24.67 ,$13.84 ,$7.25 ,$10.21 , N/A , N/A ,$7.61 ,$22.20 ,$16.65 ,$13.67 ,$6.91 ,$22.20 ,$7.25 ,$12.79 ,$12.79 ,$7.25 ,$16.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,C9399,METHYLENE BLUE 50 MG/10ML SOLN per 1 mL,636,1 ,$382.85 ,$275.65 ,$107.20 ,$382.85 , N/A ,$285.22 ,$250.77 , N/A ,$107.20 ,$235.45 , N/A ,$235.45 , N/A ,$212.10 ,$212.10 , N/A ,$212.10 , N/A ,$344.57 ,$317.77 , N/A , N/A ,$336.91 , N/A ,$287.14 ,$287.14 ,$325.42 ,$325.42 , N/A ,$325.42 , N/A ,$310.11 ,$310.11 ,$310.11 ,$382.85 ,$344.57 , N/A ,$344.57 , N/A ,$382.85 ,$214.78 , N/A ,$158.50 , N/A , N/A , N/A ,$344.57 , N/A ,$212.10 ,$107.20 ,$344.57 , N/A , N/A , N/A , N/A ,$248.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2210,METHYLERGONOVINE 0.2 MG/ML SOLN per 0.2 mg,636,1 ,$431.20 ,$310.46 ,$33.31 ,$431.20 , N/A ,$321.24 ,$282.44 , N/A ,$120.74 ,$265.19 , N/A ,$265.19 , N/A ,$238.88 ,$238.88 , N/A ,$238.88 , N/A ,$388.08 ,$357.90 , N/A , N/A ,$379.46 , N/A ,$323.40 ,$323.40 ,$366.52 ,$366.52 , N/A ,$366.52 , N/A ,$349.27 ,$349.27 ,$349.27 ,$431.20 ,$388.08 , N/A ,$388.08 , N/A ,$431.20 ,$241.90 , N/A ,$178.52 , N/A , N/A , N/A ,$388.08 , N/A ,$238.88 ,$120.74 ,$388.08 , N/A ,$33.31 ,$33.31 , N/A ,$280.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7509,METHYLPREDNISOLONE 4 MG TABS per 4 mg,636,1 ,$6.00 ,$4.32 ,$0.41 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$0.41 ,$0.41 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1030,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP per 40 mg,636,1 ,$167.00 ,$120.24 ,$13.30 ,$167.00 , N/A ,$124.42 ,$109.39 , N/A ,$46.76 ,$102.71 , N/A ,$102.71 , N/A ,$92.52 ,$92.52 , N/A ,$92.52 , N/A ,$150.30 ,$138.61 , N/A , N/A ,$146.96 , N/A ,$125.25 ,$125.25 ,$141.95 ,$141.95 , N/A ,$141.95 , N/A ,$135.27 ,$135.27 ,$135.27 ,$167.00 ,$150.30 , N/A ,$150.30 , N/A ,$167.00 ,$93.69 , N/A ,$69.14 , N/A , N/A , N/A ,$150.30 , N/A ,$92.52 ,$46.76 ,$150.30 , N/A ,$13.30 ,$13.30 , N/A ,$108.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1040,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP per 80 mg,636,1 ,$289.85 ,$208.69 ,$20.16 ,$289.85 , N/A ,$215.94 ,$189.85 , N/A ,$81.16 ,$178.26 , N/A ,$178.26 , N/A ,$160.58 ,$160.58 , N/A ,$160.58 , N/A ,$260.87 ,$240.58 , N/A , N/A ,$255.07 , N/A ,$217.39 ,$217.39 ,$246.37 ,$246.37 , N/A ,$246.37 , N/A ,$234.78 ,$234.78 ,$234.78 ,$289.85 ,$260.87 , N/A ,$260.87 , N/A ,$289.85 ,$162.61 , N/A ,$120.00 , N/A , N/A , N/A ,$260.87 , N/A ,$160.58 ,$81.16 ,$260.87 , N/A ,$20.16 ,$20.16 , N/A ,$188.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL per 125 mg,636,1 ,$118.36 ,$85.22 ,$9.82 ,$118.36 , N/A ,$88.18 ,$77.53 , N/A ,$33.14 ,$72.79 , N/A ,$72.79 , N/A ,$65.57 ,$65.57 , N/A ,$65.57 , N/A ,$106.52 ,$98.24 , N/A , N/A ,$104.16 , N/A ,$88.77 ,$88.77 ,$100.61 ,$100.61 , N/A ,$100.61 , N/A ,$95.87 ,$95.87 ,$95.87 ,$118.36 ,$106.52 , N/A ,$106.52 , N/A ,$118.36 ,$66.40 , N/A ,$49.00 , N/A , N/A , N/A ,$106.52 , N/A ,$65.57 ,$33.14 ,$106.52 , N/A ,$9.82 ,$9.82 , N/A ,$76.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLR per 125 mg,636,1 ,$143.25 ,$103.14 ,$9.82 ,$143.25 , N/A ,$106.72 ,$93.83 , N/A ,$40.11 ,$88.10 , N/A ,$88.10 , N/A ,$79.36 ,$79.36 , N/A ,$79.36 , N/A ,$128.93 ,$118.90 , N/A , N/A ,$126.06 , N/A ,$107.44 ,$107.44 ,$121.76 ,$121.76 , N/A ,$121.76 , N/A ,$116.03 ,$116.03 ,$116.03 ,$143.25 ,$128.93 , N/A ,$128.93 , N/A ,$143.25 ,$80.36 , N/A ,$59.31 , N/A , N/A , N/A ,$128.93 , N/A ,$79.36 ,$40.11 ,$128.93 , N/A ,$9.82 ,$9.82 , N/A ,$93.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2920,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLR 1 EACH VIAL per 40 mg,636,1 ,$88.95 ,$64.04 ,$6.73 ,$88.95 , N/A ,$66.27 ,$58.26 , N/A ,$24.91 ,$54.70 , N/A ,$54.70 , N/A ,$49.28 ,$49.28 , N/A ,$49.28 , N/A ,$80.06 ,$73.83 , N/A , N/A ,$78.28 , N/A ,$66.71 ,$66.71 ,$75.61 ,$75.61 , N/A ,$75.61 , N/A ,$72.05 ,$72.05 ,$72.05 ,$88.95 ,$80.06 , N/A ,$80.06 , N/A ,$88.95 ,$49.90 , N/A ,$36.83 , N/A , N/A , N/A ,$80.06 , N/A ,$49.28 ,$24.91 ,$80.06 , N/A ,$6.73 ,$6.73 , N/A ,$57.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2765,METOCLOPRAMIDE 5 MG/ML SOLN per 10 mg,636,1 ,$32.35 ,$23.29 ,$1.82 ,$32.35 , N/A ,$24.10 ,$21.19 , N/A ,$9.06 ,$19.90 , N/A ,$19.90 , N/A ,$17.92 ,$17.92 , N/A ,$17.92 , N/A ,$29.12 ,$26.85 , N/A , N/A ,$28.47 , N/A ,$24.26 ,$24.26 ,$27.50 ,$27.50 , N/A ,$27.50 , N/A ,$26.20 ,$26.20 ,$26.20 ,$32.35 ,$29.12 , N/A ,$29.12 , N/A ,$32.35 ,$18.15 , N/A ,$13.39 , N/A , N/A , N/A ,$29.12 , N/A ,$17.92 ,$9.06 ,$29.12 , N/A ,$1.82 ,$1.82 , N/A ,$21.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2248,MICAFUNGIN 100 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$27.49 ,$19.79 ,$1.52 ,$27.49 , N/A ,$20.48 ,$18.01 , N/A ,$7.70 ,$16.91 , N/A ,$16.91 , N/A ,$15.23 ,$15.23 , N/A ,$15.23 , N/A ,$24.74 ,$22.82 , N/A , N/A ,$24.19 , N/A ,$20.62 ,$20.62 ,$23.37 ,$23.37 , N/A ,$23.37 , N/A ,$22.27 ,$22.27 ,$22.27 ,$27.49 ,$24.74 , N/A ,$24.74 , N/A ,$27.49 ,$15.42 , N/A ,$11.38 ,$27.49 ,$27.49 , N/A ,$24.74 , N/A ,$15.23 ,$7.70 ,$24.74 , N/A ,$1.52 ,$1.52 , N/A ,$17.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2250,MIDAZOLAM 2 MG/2ML SOLN per 1 mg,636,1 ,$9.00 ,$6.48 ,$0.26 ,$9.00 , N/A ,$6.71 ,$5.90 , N/A ,$2.52 ,$5.54 , N/A ,$5.54 , N/A ,$4.99 ,$4.99 , N/A ,$4.99 , N/A ,$8.10 ,$7.47 , N/A , N/A ,$7.92 , N/A ,$6.75 ,$6.75 ,$7.65 ,$7.65 , N/A ,$7.65 , N/A ,$7.29 ,$7.29 ,$7.29 ,$9.00 ,$8.10 , N/A ,$8.10 , N/A ,$9.00 ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$8.10 , N/A ,$4.99 ,$2.52 ,$8.10 , N/A ,$0.26 ,$0.26 , N/A ,$5.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2250,MIDAZOLAM 50 MG/10ML SOLN 10 ML VIAL per 1 mg,636,1 ,$2.21 ,$1.59 ,$0.26 ,$2.21 , N/A ,$1.65 ,$1.45 , N/A ,$0.62 ,$1.36 , N/A ,$1.36 , N/A ,$1.22 ,$1.22 , N/A ,$1.22 , N/A ,$1.99 ,$1.83 , N/A , N/A ,$1.94 , N/A ,$1.66 ,$1.66 ,$1.88 ,$1.88 , N/A ,$1.88 , N/A ,$1.79 ,$1.79 ,$1.79 ,$2.21 ,$1.99 , N/A ,$1.99 , N/A ,$2.21 ,$1.24 , N/A ,$0.91 , N/A , N/A , N/A ,$1.99 , N/A ,$1.22 ,$0.62 ,$1.99 , N/A ,$0.26 ,$0.26 , N/A ,$1.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2260,MILRINONE 10 MG/10ML SOLN 10 ML VIAL per 5 mg,636,1 ,$294.00 ,$211.68 ,$3.17 ,$294.00 , N/A ,$219.03 ,$192.57 , N/A ,$82.32 ,$180.81 , N/A ,$180.81 , N/A ,$162.88 ,$162.88 , N/A ,$162.88 , N/A ,$264.60 ,$244.02 , N/A , N/A ,$258.72 , N/A ,$220.50 ,$220.50 ,$249.90 ,$249.90 , N/A ,$249.90 , N/A ,$238.14 ,$238.14 ,$238.14 ,$294.00 ,$264.60 , N/A ,$264.60 , N/A ,$294.00 ,$164.93 , N/A ,$121.72 , N/A , N/A , N/A ,$264.60 , N/A ,$162.88 ,$82.32 ,$264.60 , N/A ,$3.17 ,$3.17 , N/A ,$191.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2270,MORPHINE (PF) 0.5 MG/ML SOLN per 10 mg,636,1 ,$100.00 ,$72.00 ,$4.06 ,$100.00 , N/A ,$74.50 ,$65.50 , N/A ,$28.00 ,$61.50 , N/A ,$61.50 , N/A ,$55.40 ,$55.40 , N/A ,$55.40 , N/A ,$90.00 ,$83.00 , N/A , N/A ,$88.00 , N/A ,$75.00 ,$75.00 ,$85.00 ,$85.00 , N/A ,$85.00 , N/A ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 , N/A ,$90.00 , N/A ,$100.00 ,$56.10 , N/A ,$41.40 , N/A , N/A , N/A ,$90.00 , N/A ,$55.40 ,$28.00 ,$90.00 , N/A ,$4.06 ,$4.06 , N/A ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2274,MORPHINE (PF) 1 MG/ML SOLN per 10 mg,636,1 ,$93.70 ,$67.46 ,$15.02 ,$93.70 , N/A ,$69.81 ,$61.37 , N/A ,$26.24 ,$57.63 , N/A ,$57.63 , N/A ,$51.91 ,$51.91 , N/A ,$51.91 , N/A ,$84.33 ,$77.77 , N/A , N/A ,$82.46 , N/A ,$70.28 ,$70.28 ,$79.65 ,$79.65 , N/A ,$79.65 , N/A ,$75.90 ,$75.90 ,$75.90 ,$93.70 ,$84.33 , N/A ,$84.33 , N/A ,$93.70 ,$52.57 , N/A ,$38.79 , N/A , N/A , N/A ,$84.33 , N/A ,$51.91 ,$26.24 ,$84.33 , N/A ,$15.02 ,$15.02 , N/A ,$60.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2270,MORPHINE 10 MG/ML SOLN 1 ML VIAL per 10 mg,636,1 ,$37.49 ,$26.99 ,$4.06 ,$37.49 , N/A ,$27.93 ,$24.56 , N/A ,$10.50 ,$23.06 , N/A ,$23.06 , N/A ,$20.77 ,$20.77 , N/A ,$20.77 , N/A ,$33.74 ,$31.12 , N/A , N/A ,$32.99 , N/A ,$28.12 ,$28.12 ,$31.87 ,$31.87 , N/A ,$31.87 , N/A ,$30.37 ,$30.37 ,$30.37 ,$37.49 ,$33.74 , N/A ,$33.74 , N/A ,$37.49 ,$21.03 , N/A ,$15.52 , N/A , N/A , N/A ,$33.74 , N/A ,$20.77 ,$10.50 ,$33.74 , N/A ,$4.06 ,$4.06 , N/A ,$24.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2270,MORPHINE 2 MG/ML SOLN per 10 mg,636,1 ,$42.20 ,$30.38 ,$4.06 ,$42.20 , N/A ,$31.44 ,$27.64 , N/A ,$11.82 ,$25.95 , N/A ,$25.95 , N/A ,$23.38 ,$23.38 , N/A ,$23.38 , N/A ,$37.98 ,$35.03 , N/A , N/A ,$37.14 , N/A ,$31.65 ,$31.65 ,$35.87 ,$35.87 , N/A ,$35.87 , N/A ,$34.18 ,$34.18 ,$34.18 ,$42.20 ,$37.98 , N/A ,$37.98 , N/A ,$42.20 ,$23.67 , N/A ,$17.47 , N/A , N/A , N/A ,$37.98 , N/A ,$23.38 ,$11.82 ,$37.98 , N/A ,$4.06 ,$4.06 , N/A ,$27.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2270,MORPHINE 4 MG/ML SOLN per 10 mg,636,1 ,$42.15 ,$30.35 ,$4.06 ,$42.15 , N/A ,$31.40 ,$27.61 , N/A ,$11.80 ,$25.92 , N/A ,$25.92 , N/A ,$23.35 ,$23.35 , N/A ,$23.35 , N/A ,$37.94 ,$34.98 , N/A , N/A ,$37.09 , N/A ,$31.61 ,$31.61 ,$35.83 ,$35.83 , N/A ,$35.83 , N/A ,$34.14 ,$34.14 ,$34.14 ,$42.15 ,$37.94 , N/A ,$37.94 , N/A ,$42.15 ,$23.65 , N/A ,$17.45 , N/A , N/A , N/A ,$37.94 , N/A ,$23.35 ,$11.80 ,$37.94 , N/A ,$4.06 ,$4.06 , N/A ,$27.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7517,MYCOPHENOLATE 250 MG CAPS per 250 mg,636,1 ,$7.95 ,$5.72 ,$0.36 ,$7.95 , N/A ,$5.92 ,$5.21 , N/A ,$2.23 ,$4.89 , N/A ,$4.89 , N/A ,$4.40 ,$4.40 , N/A ,$4.40 , N/A ,$7.16 ,$6.60 , N/A , N/A ,$7.00 , N/A ,$5.96 ,$5.96 ,$6.76 ,$6.76 , N/A ,$6.76 , N/A ,$6.44 ,$6.44 ,$6.44 ,$7.95 ,$7.16 , N/A ,$7.16 , N/A ,$7.95 ,$4.46 , N/A ,$3.29 , N/A , N/A , N/A ,$7.16 , N/A ,$4.40 ,$2.23 ,$7.16 , N/A ,$0.36 ,$0.36 , N/A ,$5.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2300,NALBUPHINE 20 MG/ML SOLN per 10 mg,636,1 ,$23.25 ,$16.74 ,$4.59 ,$23.25 , N/A ,$17.32 ,$15.23 , N/A ,$6.51 ,$14.30 , N/A ,$14.30 , N/A ,$12.88 ,$12.88 , N/A ,$12.88 , N/A ,$20.93 ,$19.30 , N/A , N/A ,$20.46 , N/A ,$17.44 ,$17.44 ,$19.76 ,$19.76 , N/A ,$19.76 , N/A ,$18.83 ,$18.83 ,$18.83 ,$23.25 ,$20.93 , N/A ,$20.93 , N/A ,$23.25 ,$13.04 , N/A ,$9.63 , N/A , N/A , N/A ,$20.93 , N/A ,$12.88 ,$6.51 ,$20.93 , N/A ,$4.59 ,$4.59 , N/A ,$15.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2300,NALBUPHINE SOLN per 10 mg,636,1 ,$27.10 ,$19.51 ,$4.59 ,$27.10 , N/A ,$20.19 ,$17.75 , N/A ,$7.59 ,$16.67 , N/A ,$16.67 , N/A ,$15.01 ,$15.01 , N/A ,$15.01 , N/A ,$24.39 ,$22.49 , N/A , N/A ,$23.85 , N/A ,$20.33 ,$20.33 ,$23.04 ,$23.04 , N/A ,$23.04 , N/A ,$21.95 ,$21.95 ,$21.95 ,$27.10 ,$24.39 , N/A ,$24.39 , N/A ,$27.10 ,$15.20 , N/A ,$11.22 , N/A , N/A , N/A ,$24.39 , N/A ,$15.01 ,$7.59 ,$24.39 , N/A ,$4.59 ,$4.59 , N/A ,$17.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2310,NALOXONE 0.4 MG/ML SOLN per 1 mg,636,1 ,$232.75 ,$167.58 ,$17.00 ,$232.75 , N/A ,$173.40 ,$152.45 , N/A ,$65.17 ,$143.14 , N/A ,$143.14 , N/A ,$128.94 ,$128.94 , N/A ,$128.94 , N/A ,$209.48 ,$193.18 , N/A , N/A ,$204.82 , N/A ,$174.56 ,$174.56 ,$197.84 ,$197.84 , N/A ,$197.84 , N/A ,$188.53 ,$188.53 ,$188.53 ,$232.75 ,$209.48 , N/A ,$209.48 , N/A ,$232.75 ,$130.57 , N/A ,$96.36 , N/A , N/A , N/A ,$209.48 , N/A ,$128.94 ,$65.17 ,$209.48 , N/A ,$17.00 ,$17.00 , N/A ,$151.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2310,NALOXONE 2 MG/2ML SOSY per 1 mg,636,1 ,$242.55 ,$174.64 ,$17.00 ,$242.55 , N/A ,$180.70 ,$158.87 , N/A ,$67.91 ,$149.17 , N/A ,$149.17 , N/A ,$134.37 ,$134.37 , N/A ,$134.37 , N/A ,$218.30 ,$201.32 , N/A , N/A ,$213.44 , N/A ,$181.91 ,$181.91 ,$206.17 ,$206.17 , N/A ,$206.17 , N/A ,$196.47 ,$196.47 ,$196.47 ,$242.55 ,$218.30 , N/A ,$218.30 , N/A ,$242.55 ,$136.07 , N/A ,$100.42 , N/A , N/A , N/A ,$218.30 , N/A ,$134.37 ,$67.91 ,$218.30 , N/A ,$17.00 ,$17.00 , N/A ,$157.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2710,NEOSTIGMINE 3 MG/3ML SOSY per 0.5 mg,636,1 ,$66.34 ,$47.76 ,$3.15 ,$66.34 , N/A ,$49.42 ,$43.45 , N/A ,$18.58 ,$40.80 , N/A ,$40.80 , N/A ,$36.75 ,$36.75 , N/A ,$36.75 , N/A ,$59.71 ,$55.06 , N/A , N/A ,$58.38 , N/A ,$49.76 ,$49.76 ,$56.39 ,$56.39 , N/A ,$56.39 , N/A ,$53.74 ,$53.74 ,$53.74 ,$66.34 ,$59.71 , N/A ,$59.71 , N/A ,$66.34 ,$37.22 , N/A ,$27.46 , N/A , N/A , N/A ,$59.71 , N/A ,$36.75 ,$18.58 ,$59.71 , N/A ,$3.15 ,$3.15 , N/A ,$43.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2354,OCTREOTIDE 100 MCG/ML SOLN 1 ML VIAL per 25 mcg,636,1 ,$36.55 ,$26.32 ,$2.34 ,$36.55 , N/A ,$27.23 ,$23.94 , N/A ,$10.23 ,$22.48 , N/A ,$22.48 , N/A ,$20.25 ,$20.25 , N/A ,$20.25 , N/A ,$32.90 ,$30.34 , N/A , N/A ,$32.16 , N/A ,$27.41 ,$27.41 ,$31.07 ,$31.07 , N/A ,$31.07 , N/A ,$29.61 ,$29.61 ,$29.61 ,$36.55 ,$32.90 , N/A ,$32.90 , N/A ,$36.55 ,$20.50 , N/A ,$15.13 , N/A , N/A , N/A ,$32.90 , N/A ,$20.25 ,$10.23 ,$32.90 , N/A ,$2.34 ,$2.34 , N/A ,$23.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2354,OCTREOTIDE 500 MCG/ML SOLN 1 ML AMPULE per 25 mcg,636,1 ,$95.17 ,$68.52 ,$2.34 ,$95.17 , N/A ,$70.90 ,$62.34 , N/A ,$26.65 ,$58.53 , N/A ,$58.53 , N/A ,$52.72 ,$52.72 , N/A ,$52.72 , N/A ,$85.65 ,$78.99 , N/A , N/A ,$83.75 , N/A ,$71.38 ,$71.38 ,$80.89 ,$80.89 , N/A ,$80.89 , N/A ,$77.09 ,$77.09 ,$77.09 ,$95.17 ,$85.65 , N/A ,$85.65 , N/A ,$95.17 ,$53.39 , N/A ,$39.40 , N/A , N/A , N/A ,$85.65 , N/A ,$52.72 ,$26.65 ,$85.65 , N/A ,$2.34 ,$2.34 , N/A ,$61.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2354,OCTREOTIDE 500 MCG/ML SOLN 1 ML VIAL per 25 mcg,636,1 ,$36.52 ,$26.29 ,$2.34 ,$36.52 , N/A ,$27.21 ,$23.92 , N/A ,$10.23 ,$22.46 , N/A ,$22.46 , N/A ,$20.23 ,$20.23 , N/A ,$20.23 , N/A ,$32.87 ,$30.31 , N/A , N/A ,$32.14 , N/A ,$27.39 ,$27.39 ,$31.04 ,$31.04 , N/A ,$31.04 , N/A ,$29.58 ,$29.58 ,$29.58 ,$36.52 ,$32.87 , N/A ,$32.87 , N/A ,$36.52 ,$20.49 , N/A ,$15.12 , N/A , N/A , N/A ,$32.87 , N/A ,$20.23 ,$10.23 ,$32.87 , N/A ,$2.34 ,$2.34 , N/A ,$23.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2354,OCTREOTIDE 1000 MCG/ML SOLN 5 ML VIAL per 25 mcg,636,1 ,$36.52 ,$26.29 ,$2.34 ,$36.52 , N/A ,$27.21 ,$23.92 , N/A ,$10.23 ,$22.46 , N/A ,$22.46 , N/A ,$20.23 ,$20.23 , N/A ,$20.23 , N/A ,$32.87 ,$30.31 , N/A , N/A ,$32.14 , N/A ,$27.39 ,$27.39 ,$31.04 ,$31.04 , N/A ,$31.04 , N/A ,$29.58 ,$29.58 ,$29.58 ,$36.52 ,$32.87 , N/A ,$32.87 , N/A ,$36.52 ,$20.49 , N/A ,$15.12 , N/A , N/A , N/A ,$32.87 , N/A ,$20.23 ,$10.23 ,$32.87 , N/A ,$2.34 ,$2.34 , N/A ,$23.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2357,OMALIZUMAB 150 MG SOLR per 5 mg,636,1 ,$293.08 ,$211.02 ,$37.16 ,$293.08 ,$94.79 ,$218.34 ,$191.97 ,$37.16 ,$82.06 ,$180.24 ,$37.16 ,$180.24 ,$37.16 ,$162.37 ,$162.37 ,$37.16 ,$162.37 ,$76.59 ,$263.77 ,$243.26 ,$94.79 ,$37.16 ,$257.91 ,$37.91 ,$219.81 ,$219.81 ,$249.12 ,$249.12 ,$37.16 ,$249.12 ,$37.16 ,$237.39 ,$237.39 ,$237.39 ,$293.08 ,$263.77 ,$94.79 ,$263.77 ,$37.16 ,$293.08 ,$164.42 ,$37.16 ,$121.34 ,$293.08 ,$293.08 ,$39.01 ,$263.77 ,$85.31 ,$162.37 ,$82.06 ,$263.77 ,$37.16 ,$63.03 ,$63.03 ,$37.16 ,$190.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0585,ONABOTULINUMTOXINA 100 UNITS SOLR per 1 Units,636,1 ,$91.43 ,$65.83 ,$6.19 ,$91.43 ,$15.80 ,$68.12 ,$59.89 ,$6.19 ,$25.60 ,$56.23 ,$6.19 ,$56.23 ,$6.19 ,$50.65 ,$50.65 ,$6.19 ,$50.65 ,$12.76 ,$82.29 ,$75.89 ,$15.80 ,$6.19 ,$80.46 ,$6.32 ,$68.57 ,$68.57 ,$77.72 ,$77.72 ,$6.19 ,$77.72 ,$6.19 ,$74.06 ,$74.06 ,$74.06 ,$91.43 ,$82.29 ,$15.80 ,$82.29 ,$6.19 ,$91.43 ,$51.29 ,$6.19 ,$37.85 ,$91.43 ,$91.43 ,$6.50 ,$82.29 ,$14.22 ,$50.65 ,$25.60 ,$82.29 ,$6.19 ,$10.43 ,$10.43 ,$6.19 ,$59.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2405,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL per 1 mg,636,1 ,$4.50 ,$3.24 ,$0.15 ,$4.50 , N/A ,$3.35 ,$2.95 , N/A ,$1.26 ,$2.77 , N/A ,$2.77 , N/A ,$2.49 ,$2.49 , N/A ,$2.49 , N/A ,$4.05 ,$3.74 , N/A , N/A ,$3.96 , N/A ,$3.38 ,$3.38 ,$3.83 ,$3.83 , N/A ,$3.83 , N/A ,$3.65 ,$3.65 ,$3.65 ,$4.50 ,$4.05 , N/A ,$4.05 , N/A ,$4.50 ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$4.05 , N/A ,$2.49 ,$1.26 ,$4.05 , N/A ,$0.15 ,$0.15 , N/A ,$2.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2405,ONDANSETRON 4 MG/2ML SOLN per 1 mg,636,1 ,$4.50 ,$3.24 ,$0.15 ,$4.50 , N/A ,$3.35 ,$2.95 , N/A ,$1.26 ,$2.77 , N/A ,$2.77 , N/A ,$2.49 ,$2.49 , N/A ,$2.49 , N/A ,$4.05 ,$3.74 , N/A , N/A ,$3.96 , N/A ,$3.38 ,$3.38 ,$3.83 ,$3.83 , N/A ,$3.83 , N/A ,$3.65 ,$3.65 ,$3.65 ,$4.50 ,$4.05 , N/A ,$4.05 , N/A ,$4.50 ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$4.05 , N/A ,$2.49 ,$1.26 ,$4.05 , N/A ,$0.15 ,$0.15 , N/A ,$2.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2407,ORITAVANCIN 400 MG SOLR 1 EACH VIAL per 10 mg,636,1 ,$131.32 ,$94.55 ,$26.14 ,$131.32 ,$66.67 ,$97.83 ,$86.01 ,$26.14 ,$36.77 ,$80.76 ,$26.14 ,$80.76 ,$26.14 ,$72.75 ,$72.75 ,$26.14 ,$72.75 ,$53.87 ,$118.19 ,$109.00 ,$66.67 ,$26.14 ,$115.56 ,$26.66 ,$98.49 ,$98.49 ,$111.62 ,$111.62 ,$26.14 ,$111.62 ,$26.14 ,$106.37 ,$106.37 ,$106.37 ,$131.32 ,$118.19 ,$66.67 ,$118.19 ,$26.14 ,$131.32 ,$73.67 ,$26.14 ,$54.37 ,$131.32 ,$131.32 ,$27.44 ,$118.19 ,$60.00 ,$72.75 ,$36.77 ,$118.19 ,$26.14 ,$42.92 ,$42.92 ,$26.14 ,$85.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2360,ORPHENADRINE 30 MG/ML SOLN per 60 mg,636,1 ,$272.00 ,$195.84 ,$7.08 ,$272.00 , N/A ,$202.64 ,$178.16 , N/A ,$76.16 ,$167.28 , N/A ,$167.28 , N/A ,$150.69 ,$150.69 , N/A ,$150.69 , N/A ,$244.80 ,$225.76 , N/A , N/A ,$239.36 , N/A ,$204.00 ,$204.00 ,$231.20 ,$231.20 , N/A ,$231.20 , N/A ,$220.32 ,$220.32 ,$220.32 ,$272.00 ,$244.80 , N/A ,$244.80 , N/A ,$272.00 ,$152.59 , N/A ,$112.61 , N/A , N/A , N/A ,$244.80 , N/A ,$150.69 ,$76.16 ,$244.80 , N/A ,$7.08 ,$7.08 , N/A ,$176.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2700,OXACILLIN 1 G SOLR per 250 mg,636,1 ,$44.41 ,$31.98 ,$2.11 ,$44.41 , N/A ,$33.09 ,$29.09 , N/A ,$12.43 ,$27.31 , N/A ,$27.31 , N/A ,$24.60 ,$24.60 , N/A ,$24.60 , N/A ,$39.97 ,$36.86 , N/A , N/A ,$39.08 , N/A ,$33.31 ,$33.31 ,$37.75 ,$37.75 , N/A ,$37.75 , N/A ,$35.97 ,$35.97 ,$35.97 ,$44.41 ,$39.97 , N/A ,$39.97 , N/A ,$44.41 ,$24.91 , N/A ,$18.39 , N/A , N/A , N/A ,$39.97 , N/A ,$24.60 ,$12.43 ,$39.97 , N/A ,$2.11 ,$2.11 , N/A ,$28.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2590,OXYTOCIN 10 UNIT/ML SOLN per 10 Units,636,1 ,$52.95 ,$38.12 ,$3.12 ,$52.95 , N/A ,$39.45 ,$34.68 , N/A ,$14.83 ,$32.56 , N/A ,$32.56 , N/A ,$29.33 ,$29.33 , N/A ,$29.33 , N/A ,$47.66 ,$43.95 , N/A , N/A ,$46.60 , N/A ,$39.71 ,$39.71 ,$45.01 ,$45.01 , N/A ,$45.01 , N/A ,$42.89 ,$42.89 ,$42.89 ,$52.95 ,$47.66 , N/A ,$47.66 , N/A ,$52.95 ,$29.71 , N/A ,$21.92 , N/A , N/A , N/A ,$47.66 , N/A ,$29.33 ,$14.83 ,$47.66 , N/A ,$3.12 ,$3.12 , N/A ,$34.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2430,PAMIDRONATE 90 MG/10ML SOLN 10 ML VIAL per 30 mg,636,1 ,$458.45 ,$330.08 ,$17.13 ,$458.45 , N/A ,$341.55 ,$300.28 , N/A ,$128.37 ,$281.95 , N/A ,$281.95 , N/A ,$253.98 ,$253.98 , N/A ,$253.98 , N/A ,$412.61 ,$380.51 , N/A , N/A ,$403.44 , N/A ,$343.84 ,$343.84 ,$389.68 ,$389.68 , N/A ,$389.68 , N/A ,$371.34 ,$371.34 ,$371.34 ,$458.45 ,$412.61 , N/A ,$412.61 , N/A ,$458.45 ,$257.19 , N/A ,$189.80 , N/A , N/A , N/A ,$412.61 , N/A ,$253.98 ,$128.37 ,$412.61 , N/A ,$17.13 ,$17.13 , N/A ,$297.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,C9113,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL per 1 vial,636,1 ,"$1,041.25 ",$749.70 ,$291.55 ,"$1,041.25 ", N/A ,$775.73 ,$682.02 , N/A ,$291.55 ,$640.37 , N/A ,$640.37 , N/A ,$576.85 ,$576.85 , N/A ,$576.85 , N/A ,$937.13 ,$864.24 , N/A , N/A ,$916.30 , N/A ,$780.94 ,$780.94 ,$885.06 ,$885.06 , N/A ,$885.06 , N/A ,$843.41 ,$843.41 ,$843.41 ,"$1,041.25 ",$937.13 , N/A ,$937.13 , N/A ,"$1,041.25 ",$584.14 , N/A ,$431.08 , N/A , N/A , N/A ,$937.13 , N/A ,$576.85 ,$291.55 ,$937.13 , N/A , N/A , N/A , N/A ,$676.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY per 100000 Units,636,1 ,$255.18 ,$183.73 ,$18.22 ,$255.18 ,$46.48 ,$190.11 ,$167.14 ,$18.22 ,$71.45 ,$156.94 ,$18.22 ,$156.94 ,$18.22 ,$141.37 ,$141.37 ,$18.22 ,$141.37 ,$37.55 ,$229.66 ,$211.80 ,$46.48 ,$18.22 ,$224.56 ,$18.58 ,$191.39 ,$191.39 ,$216.90 ,$216.90 ,$18.22 ,$216.90 ,$18.22 ,$206.70 ,$206.70 ,$206.70 ,$255.18 ,$229.66 ,$46.48 ,$229.66 ,$18.22 ,$255.18 ,$143.16 ,$18.22 ,$105.64 , N/A , N/A ,$19.13 ,$229.66 ,$41.83 ,$141.37 ,$71.45 ,$229.66 ,$18.22 ,$29.88 ,$29.88 ,$18.22 ,$165.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2540,PENICILLIN G POTASSIUM 5000000 UNITS SOLR 1 EACH VIAL per 600000 Units,636,1 ,$91.00 ,$65.52 ,$1.29 ,$91.00 , N/A ,$67.80 ,$59.61 , N/A ,$25.48 ,$55.97 , N/A ,$55.97 , N/A ,$50.41 ,$50.41 , N/A ,$50.41 , N/A ,$81.90 ,$75.53 , N/A , N/A ,$80.08 , N/A ,$68.25 ,$68.25 ,$77.35 ,$77.35 , N/A ,$77.35 , N/A ,$73.71 ,$73.71 ,$73.71 ,$91.00 ,$81.90 , N/A ,$81.90 , N/A ,$91.00 ,$51.05 , N/A ,$37.67 , N/A , N/A , N/A ,$81.90 , N/A ,$50.41 ,$25.48 ,$81.90 , N/A ,$1.29 ,$1.29 , N/A ,$59.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2560,PHENOBARBITAL 130 MG/ML SOLN per 120 mg,636,1 ,$502.75 ,$361.98 ,$38.25 ,$502.75 ,$97.58 ,$374.55 ,$329.30 ,$38.25 ,$140.77 ,$309.19 ,$38.25 ,$309.19 ,$38.25 ,$278.52 ,$278.52 ,$38.25 ,$278.52 ,$78.85 ,$452.48 ,$417.28 ,$97.58 ,$38.25 ,$442.42 ,$39.01 ,$377.06 ,$377.06 ,$427.34 ,$427.34 ,$38.25 ,$427.34 ,$38.25 ,$407.23 ,$407.23 ,$407.23 ,$502.75 ,$452.48 ,$97.58 ,$452.48 ,$38.25 ,$502.75 ,$282.04 ,$38.25 ,$208.14 , N/A , N/A ,$40.16 ,$452.48 ,$87.82 ,$278.52 ,$140.77 ,$452.48 ,$38.25 ,$75.67 ,$75.67 ,$38.25 ,$326.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2760,PHENTOLAMINE 5 MG SOLR per 5 mg,636,1 ,"$7,202.40 ","$5,185.73 ",$443.37 ,"$7,202.40 ","$1,131.04 ","$5,365.79 ","$4,717.57 ",$443.37 ,"$2,016.67 ","$4,429.48 ",$443.37 ,"$4,429.48 ",$443.37 ,"$3,990.13 ","$3,990.13 ",$443.37 ,"$3,990.13 ",$913.88 ,"$6,482.16 ","$5,977.99 ","$1,131.04 ",$443.37 ,"$6,338.11 ",$452.24 ,"$5,401.80 ","$5,401.80 ","$6,122.04 ","$6,122.04 ",$443.37 ,"$6,122.04 ",$443.37 ,"$5,833.94 ","$5,833.94 ","$5,833.94 ","$7,202.40 ","$6,482.16 ","$1,131.04 ","$6,482.16 ",$443.37 ,"$7,202.40 ","$4,040.55 ",$443.37 ,"$2,981.79 ", N/A , N/A ,$465.54 ,"$6,482.16 ","$1,017.94 ","$3,990.13 ","$2,016.67 ","$6,482.16 ",$443.37 ,$743.09 ,$743.09 ,$443.37 ,"$4,681.56 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN 1 ML VIAL per 1 mL,636,1 ,$53.90 ,$38.81 ,$6.80 ,$53.90 , N/A ,$40.16 ,$35.30 , N/A ,$15.09 ,$33.15 , N/A ,$33.15 , N/A ,$29.86 ,$29.86 , N/A ,$29.86 , N/A ,$48.51 ,$44.74 , N/A , N/A ,$47.43 , N/A ,$40.43 ,$40.43 ,$45.82 ,$45.82 , N/A ,$45.82 , N/A ,$43.66 ,$43.66 ,$43.66 ,$53.90 ,$48.51 , N/A ,$48.51 , N/A ,$53.90 ,$30.24 , N/A ,$22.31 , N/A , N/A , N/A ,$48.51 , N/A ,$29.86 ,$15.09 ,$48.51 , N/A ,$6.80 ,$6.80 , N/A ,$35.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN 5 ML VIAL per 1 mL,636,1 ,$64.89 ,$46.72 ,$6.80 ,$64.89 , N/A ,$48.34 ,$42.50 , N/A ,$18.17 ,$39.91 , N/A ,$39.91 , N/A ,$35.95 ,$35.95 , N/A ,$35.95 , N/A ,$58.40 ,$53.86 , N/A , N/A ,$57.10 , N/A ,$48.67 ,$48.67 ,$55.16 ,$55.16 , N/A ,$55.16 , N/A ,$52.56 ,$52.56 ,$52.56 ,$64.89 ,$58.40 , N/A ,$58.40 , N/A ,$64.89 ,$36.40 , N/A ,$26.86 , N/A , N/A , N/A ,$58.40 , N/A ,$35.95 ,$18.17 ,$58.40 , N/A ,$6.80 ,$6.80 , N/A ,$42.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2370,PHENYLEPHRINE 25 MG/250 ML NS SOLN per 1 mL,636,1 ,$3.19 ,$2.30 ,$0.89 ,$3.19 , N/A ,$2.38 ,$2.09 , N/A ,$0.89 ,$1.96 , N/A ,$1.96 , N/A ,$1.77 ,$1.77 , N/A ,$1.77 , N/A ,$2.87 ,$2.65 , N/A , N/A ,$2.81 , N/A ,$2.39 ,$2.39 ,$2.71 ,$2.71 , N/A ,$2.71 , N/A ,$2.58 ,$2.58 ,$2.58 ,$3.19 ,$2.87 , N/A ,$2.87 , N/A ,$3.19 ,$1.79 , N/A ,$1.32 , N/A , N/A , N/A ,$2.87 , N/A ,$1.77 ,$0.89 ,$2.87 , N/A ,$3.19 ,$3.19 , N/A ,$2.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2370,PHENYLEPHRINE SOLN per 1 mL,636,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$6.80 ,$6.80 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1165,PHENYTOIN 50 MG/ML SOLN 2 ML VIAL per 50 mg,636,1 ,$10.23 ,$7.37 ,$0.92 ,$10.23 , N/A ,$7.62 ,$6.70 , N/A ,$2.86 ,$6.29 , N/A ,$6.29 , N/A ,$5.67 ,$5.67 , N/A ,$5.67 , N/A ,$9.21 ,$8.49 , N/A , N/A ,$9.00 , N/A ,$7.67 ,$7.67 ,$8.70 ,$8.70 , N/A ,$8.70 , N/A ,$8.29 ,$8.29 ,$8.29 ,$10.23 ,$9.21 , N/A ,$9.21 , N/A ,$10.23 ,$5.74 , N/A ,$4.24 , N/A , N/A , N/A ,$9.21 , N/A ,$5.67 ,$2.86 ,$9.21 , N/A ,$0.92 ,$0.92 , N/A ,$6.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1165,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL per 50 mg,636,1 ,$5.86 ,$4.22 ,$0.92 ,$5.86 , N/A ,$4.37 ,$3.84 , N/A ,$1.64 ,$3.60 , N/A ,$3.60 , N/A ,$3.25 ,$3.25 , N/A ,$3.25 , N/A ,$5.27 ,$4.86 , N/A , N/A ,$5.16 , N/A ,$4.40 ,$4.40 ,$4.98 ,$4.98 , N/A ,$4.98 , N/A ,$4.75 ,$4.75 ,$4.75 ,$5.86 ,$5.27 , N/A ,$5.27 , N/A ,$5.86 ,$3.29 , N/A ,$2.43 , N/A , N/A , N/A ,$5.27 , N/A ,$3.25 ,$1.64 ,$5.27 , N/A ,$0.92 ,$0.92 , N/A ,$3.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3430,PHYTONADIONE (ADULT) 10 MG/ML SOLN 1 ML AMPULE per 1 mg,636,1 ,$71.99 ,$51.83 ,$5.26 ,$71.99 , N/A ,$53.63 ,$47.15 , N/A ,$20.16 ,$44.27 , N/A ,$44.27 , N/A ,$39.88 ,$39.88 , N/A ,$39.88 , N/A ,$64.79 ,$59.75 , N/A , N/A ,$63.35 , N/A ,$53.99 ,$53.99 ,$61.19 ,$61.19 , N/A ,$61.19 , N/A ,$58.31 ,$58.31 ,$58.31 ,$71.99 ,$64.79 , N/A ,$64.79 , N/A ,$71.99 ,$40.39 , N/A ,$29.80 , N/A , N/A , N/A ,$64.79 , N/A ,$39.88 ,$20.16 ,$64.79 , N/A ,$5.26 ,$5.26 , N/A ,$46.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3430,PHYTONADIONE (PEDS) 1 MG/0.5ML SOLN per 1 mg,636,1 ,$69.85 ,$50.29 ,$5.26 ,$69.85 , N/A ,$52.04 ,$45.75 , N/A ,$19.56 ,$42.96 , N/A ,$42.96 , N/A ,$38.70 ,$38.70 , N/A ,$38.70 , N/A ,$62.87 ,$57.98 , N/A , N/A ,$61.47 , N/A ,$52.39 ,$52.39 ,$59.37 ,$59.37 , N/A ,$59.37 , N/A ,$56.58 ,$56.58 ,$56.58 ,$69.85 ,$62.87 , N/A ,$62.87 , N/A ,$69.85 ,$39.19 , N/A ,$28.92 , N/A , N/A , N/A ,$62.87 , N/A ,$38.70 ,$19.56 ,$62.87 , N/A ,$5.26 ,$5.26 , N/A ,$45.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2543,PIPERACILLIN-TAZOBACTAM 3.375 (3-0.375) G SOLR 1 EACH VIAL per 1.125 g,636,1 ,$88.83 ,$63.96 ,$2.51 ,$88.83 , N/A ,$66.18 ,$58.18 , N/A ,$24.87 ,$54.63 , N/A ,$54.63 , N/A ,$49.21 ,$49.21 , N/A ,$49.21 , N/A ,$79.95 ,$73.73 , N/A , N/A ,$78.17 , N/A ,$66.62 ,$66.62 ,$75.51 ,$75.51 , N/A ,$75.51 , N/A ,$71.95 ,$71.95 ,$71.95 ,$88.83 ,$79.95 , N/A ,$79.95 , N/A ,$88.83 ,$49.83 , N/A ,$36.78 , N/A , N/A , N/A ,$79.95 , N/A ,$49.21 ,$24.87 ,$79.95 , N/A ,$2.51 ,$2.51 , N/A ,$57.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2543,PIPERACILLIN-TAZOBACTAM 2.25 (2-0.25) G SOLR 1 EACH VIAL per 1.125 g,636,1 ,$88.83 ,$63.96 ,$2.51 ,$88.83 , N/A ,$66.18 ,$58.18 , N/A ,$24.87 ,$54.63 , N/A ,$54.63 , N/A ,$49.21 ,$49.21 , N/A ,$49.21 , N/A ,$79.95 ,$73.73 , N/A , N/A ,$78.17 , N/A ,$66.62 ,$66.62 ,$75.51 ,$75.51 , N/A ,$75.51 , N/A ,$71.95 ,$71.95 ,$71.95 ,$88.83 ,$79.95 , N/A ,$79.95 , N/A ,$88.83 ,$49.83 , N/A ,$36.78 , N/A , N/A , N/A ,$79.95 , N/A ,$49.21 ,$24.87 ,$79.95 , N/A ,$2.51 ,$2.51 , N/A ,$57.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2543,PIPERACILLIN-TAZOBACTAM 4.5 (4-0.5) G SOLR 1 EACH VIAL per 1.125 g,636,1 ,$84.38 ,$60.75 ,$2.51 ,$84.38 , N/A ,$62.86 ,$55.27 , N/A ,$23.63 ,$51.89 , N/A ,$51.89 , N/A ,$46.75 ,$46.75 , N/A ,$46.75 , N/A ,$75.94 ,$70.04 , N/A , N/A ,$74.25 , N/A ,$63.29 ,$63.29 ,$71.72 ,$71.72 , N/A ,$71.72 , N/A ,$68.35 ,$68.35 ,$68.35 ,$84.38 ,$75.94 , N/A ,$75.94 , N/A ,$84.38 ,$47.34 , N/A ,$34.93 , N/A , N/A , N/A ,$75.94 , N/A ,$46.75 ,$23.63 ,$75.94 , N/A ,$2.51 ,$2.51 , N/A ,$54.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN per 2 mEq,636,1 ,$18.20 ,$13.10 ,$0.23 ,$18.20 , N/A ,$13.56 ,$11.92 , N/A ,$5.10 ,$11.19 , N/A ,$11.19 , N/A ,$10.08 ,$10.08 , N/A ,$10.08 , N/A ,$16.38 ,$15.11 , N/A , N/A ,$16.02 , N/A ,$13.65 ,$13.65 ,$15.47 ,$15.47 , N/A ,$15.47 , N/A ,$14.74 ,$14.74 ,$14.74 ,$18.20 ,$16.38 , N/A ,$16.38 , N/A ,$18.20 ,$10.21 , N/A ,$7.53 , N/A , N/A , N/A ,$16.38 , N/A ,$10.08 ,$5.10 ,$16.38 , N/A ,$0.23 ,$0.23 , N/A ,$11.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL per 2 mEq,636,1 ,$2.58 ,$1.86 ,$0.23 ,$2.58 , N/A ,$1.92 ,$1.69 , N/A ,$0.72 ,$1.59 , N/A ,$1.59 , N/A ,$1.43 ,$1.43 , N/A ,$1.43 , N/A ,$2.32 ,$2.14 , N/A , N/A ,$2.27 , N/A ,$1.94 ,$1.94 ,$2.19 ,$2.19 , N/A ,$2.19 , N/A ,$2.09 ,$2.09 ,$2.09 ,$2.58 ,$2.32 , N/A ,$2.32 , N/A ,$2.58 ,$1.45 , N/A ,$1.07 , N/A , N/A , N/A ,$2.32 , N/A ,$1.43 ,$0.72 ,$2.32 , N/A ,$0.23 ,$0.23 , N/A ,$1.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL per 2 mEq,636,1 ,$3.38 ,$2.43 ,$0.23 ,$3.38 , N/A ,$2.52 ,$2.21 , N/A ,$0.95 ,$2.08 , N/A ,$2.08 , N/A ,$1.87 ,$1.87 , N/A ,$1.87 , N/A ,$3.04 ,$2.81 , N/A , N/A ,$2.97 , N/A ,$2.54 ,$2.54 ,$2.87 ,$2.87 , N/A ,$2.87 , N/A ,$2.74 ,$2.74 ,$2.74 ,$3.38 ,$3.04 , N/A ,$3.04 , N/A ,$3.38 ,$1.90 , N/A ,$1.40 , N/A , N/A , N/A ,$3.04 , N/A ,$1.87 ,$0.95 ,$3.04 , N/A ,$0.23 ,$0.23 , N/A ,$2.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 30 ML VIAL per 2 mEq,636,1 ,$1.80 ,$1.30 ,$0.23 ,$1.80 , N/A ,$1.34 ,$1.18 , N/A ,$0.50 ,$1.11 , N/A ,$1.11 , N/A ,$1.00 ,$1.00 , N/A ,$1.00 , N/A ,$1.62 ,$1.49 , N/A , N/A ,$1.58 , N/A ,$1.35 ,$1.35 ,$1.53 ,$1.53 , N/A ,$1.53 , N/A ,$1.46 ,$1.46 ,$1.46 ,$1.80 ,$1.62 , N/A ,$1.62 , N/A ,$1.80 ,$1.01 , N/A ,$0.75 , N/A , N/A , N/A ,$1.62 , N/A ,$1.00 ,$0.50 ,$1.62 , N/A ,$0.23 ,$0.23 , N/A ,$1.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7510,PREDNISOLONE 15 MG/5ML SOLN per 5 mg,636,1 ,$2.00 ,$1.44 ,$0.38 ,$2.00 , N/A ,$1.49 ,$1.31 , N/A ,$0.56 ,$1.23 , N/A ,$1.23 , N/A ,$1.11 ,$1.11 , N/A ,$1.11 , N/A ,$1.80 ,$1.66 , N/A , N/A ,$1.76 , N/A ,$1.50 ,$1.50 ,$1.70 ,$1.70 , N/A ,$1.70 , N/A ,$1.62 ,$1.62 ,$1.62 ,$2.00 ,$1.80 , N/A ,$1.80 , N/A ,$2.00 ,$1.12 , N/A ,$0.83 , N/A , N/A , N/A ,$1.80 , N/A ,$1.11 ,$0.56 ,$1.80 , N/A ,$0.38 ,$0.38 , N/A ,$1.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7512,PREDNISONE 1 MG TABS per 1 mg,636,1 ,$6.00 ,$4.32 ,$0.03 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$0.03 ,$0.03 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7512,PREDNISONE 10 MG TABS per 1 mg,636,1 ,$0.60 ,$0.43 ,$0.03 ,$0.60 , N/A ,$0.45 ,$0.39 , N/A ,$0.17 ,$0.37 , N/A ,$0.37 , N/A ,$0.33 ,$0.33 , N/A ,$0.33 , N/A ,$0.54 ,$0.50 , N/A , N/A ,$0.53 , N/A ,$0.45 ,$0.45 ,$0.51 ,$0.51 , N/A ,$0.51 , N/A ,$0.49 ,$0.49 ,$0.49 ,$0.60 ,$0.54 , N/A ,$0.54 , N/A ,$0.60 ,$0.34 , N/A ,$0.25 , N/A , N/A , N/A ,$0.54 , N/A ,$0.33 ,$0.17 ,$0.54 , N/A ,$0.03 ,$0.03 , N/A ,$0.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7512,PREDNISONE 20 MG TABS per 1 mg,636,1 ,$0.30 ,$0.22 ,$0.03 ,$0.30 , N/A ,$0.22 ,$0.20 , N/A ,$0.08 ,$0.18 , N/A ,$0.18 , N/A ,$0.17 ,$0.17 , N/A ,$0.17 , N/A ,$0.27 ,$0.25 , N/A , N/A ,$0.26 , N/A ,$0.23 ,$0.23 ,$0.26 ,$0.26 , N/A ,$0.26 , N/A ,$0.24 ,$0.24 ,$0.24 ,$0.30 ,$0.27 , N/A ,$0.27 , N/A ,$0.30 ,$0.17 , N/A ,$0.12 , N/A , N/A , N/A ,$0.27 , N/A ,$0.17 ,$0.08 ,$0.27 , N/A ,$0.03 ,$0.03 , N/A ,$0.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7512,PREDNISONE 5 MG TABS per 1 mg,636,1 ,$1.20 ,$0.86 ,$0.03 ,$1.20 , N/A ,$0.89 ,$0.79 , N/A ,$0.34 ,$0.74 , N/A ,$0.74 , N/A ,$0.66 ,$0.66 , N/A ,$0.66 , N/A ,$1.08 ,$1.00 , N/A , N/A ,$1.06 , N/A ,$0.90 ,$0.90 ,$1.02 ,$1.02 , N/A ,$1.02 , N/A ,$0.97 ,$0.97 ,$0.97 ,$1.20 ,$1.08 , N/A ,$1.08 , N/A ,$1.20 ,$0.67 , N/A ,$0.50 , N/A , N/A , N/A ,$1.08 , N/A ,$0.66 ,$0.34 ,$1.08 , N/A ,$0.03 ,$0.03 , N/A ,$0.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7512,PREDNISONE 50 MG TABS per 1 mg,636,1 ,$0.06 ,$0.04 ,$0.02 ,$0.06 , N/A ,$0.04 ,$0.04 , N/A ,$0.02 ,$0.04 , N/A ,$0.04 , N/A ,$0.03 ,$0.03 , N/A ,$0.03 , N/A ,$0.05 ,$0.05 , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 , N/A ,$0.06 ,$0.03 , N/A ,$0.02 , N/A , N/A , N/A ,$0.05 , N/A ,$0.03 ,$0.02 ,$0.05 , N/A ,$0.03 ,$0.03 , N/A ,$0.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0780,PROCHLORPERAZINE 10 MG/2ML SOLN per 10 mg,636,1 ,$264.60 ,$190.51 ,$4.87 ,$264.60 , N/A ,$197.13 ,$173.31 , N/A ,$74.09 ,$162.73 , N/A ,$162.73 , N/A ,$146.59 ,$146.59 , N/A ,$146.59 , N/A ,$238.14 ,$219.62 , N/A , N/A ,$232.85 , N/A ,$198.45 ,$198.45 ,$224.91 ,$224.91 , N/A ,$224.91 , N/A ,$214.33 ,$214.33 ,$214.33 ,$264.60 ,$238.14 , N/A ,$238.14 , N/A ,$264.60 ,$148.44 , N/A ,$109.54 , N/A , N/A , N/A ,$238.14 , N/A ,$146.59 ,$74.09 ,$238.14 , N/A ,$4.87 ,$4.87 , N/A ,$171.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2704,PROPOFOL 1000 MG/100ML EMUL per 10 mg,636,1 ,$3.17 ,$2.28 ,$0.23 ,$3.17 , N/A ,$2.36 ,$2.08 , N/A ,$0.89 ,$1.95 , N/A ,$1.95 , N/A ,$1.76 ,$1.76 , N/A ,$1.76 , N/A ,$2.85 ,$2.63 , N/A , N/A ,$2.79 , N/A ,$2.38 ,$2.38 ,$2.69 ,$2.69 , N/A ,$2.69 , N/A ,$2.57 ,$2.57 ,$2.57 ,$3.17 ,$2.85 , N/A ,$2.85 , N/A ,$3.17 ,$1.78 , N/A ,$1.31 , N/A , N/A , N/A ,$2.85 , N/A ,$1.76 ,$0.89 ,$2.85 , N/A ,$0.23 ,$0.23 , N/A ,$2.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2704,PROPOFOL 200 MG/20ML EMUL per 10 mg,636,1 ,$4.55 ,$3.28 ,$0.23 ,$4.55 , N/A ,$3.39 ,$2.98 , N/A ,$1.27 ,$2.80 , N/A ,$2.80 , N/A ,$2.52 ,$2.52 , N/A ,$2.52 , N/A ,$4.10 ,$3.78 , N/A , N/A ,$4.00 , N/A ,$3.41 ,$3.41 ,$3.87 ,$3.87 , N/A ,$3.87 , N/A ,$3.69 ,$3.69 ,$3.69 ,$4.55 ,$4.10 , N/A ,$4.10 , N/A ,$4.55 ,$2.55 , N/A ,$1.88 , N/A , N/A , N/A ,$4.10 , N/A ,$2.52 ,$1.27 ,$4.10 , N/A ,$0.23 ,$0.23 , N/A ,$2.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2704,PROPOFOL 500 MG/50ML EMUL per 10 mg,636,1 ,$5.06 ,$3.64 ,$0.23 ,$5.06 , N/A ,$3.77 ,$3.31 , N/A ,$1.42 ,$3.11 , N/A ,$3.11 , N/A ,$2.80 ,$2.80 , N/A ,$2.80 , N/A ,$4.55 ,$4.20 , N/A , N/A ,$4.45 , N/A ,$3.80 ,$3.80 ,$4.30 ,$4.30 , N/A ,$4.30 , N/A ,$4.10 ,$4.10 ,$4.10 ,$5.06 ,$4.55 , N/A ,$4.55 , N/A ,$5.06 ,$2.84 , N/A ,$2.09 , N/A , N/A , N/A ,$4.55 , N/A ,$2.80 ,$1.42 ,$4.55 , N/A ,$0.23 ,$0.23 , N/A ,$3.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7168,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN) 500 UNITS KIT per 1 Int'l Units,636,1 ,$13.64 ,$9.82 ,$2.14 ,$13.64 ,$5.46 ,$10.16 ,$8.93 ,$2.14 ,$3.82 ,$8.39 ,$2.14 ,$8.39 ,$2.14 ,$7.56 ,$7.56 ,$2.14 ,$7.56 ,$4.41 ,$12.28 ,$11.32 ,$5.46 ,$2.14 ,$12.00 ,$2.18 ,$10.23 ,$10.23 ,$11.59 ,$11.59 ,$2.14 ,$11.59 ,$2.14 ,$11.05 ,$11.05 ,$11.05 ,$13.64 ,$12.28 ,$5.46 ,$12.28 ,$2.14 ,$13.64 ,$7.65 ,$2.14 ,$5.65 ,$13.64 ,$13.64 ,$2.24 ,$12.28 ,$4.91 ,$7.56 ,$3.82 ,$12.28 ,$2.14 ,$3.45 ,$3.45 ,$2.14 ,$8.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7168,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN) 1000 UNITS KIT per 1 Int'l Units,636,1 ,$13.64 ,$9.82 ,$2.14 ,$13.64 ,$5.46 ,$10.16 ,$8.93 ,$2.14 ,$3.82 ,$8.39 ,$2.14 ,$8.39 ,$2.14 ,$7.56 ,$7.56 ,$2.14 ,$7.56 ,$4.41 ,$12.28 ,$11.32 ,$5.46 ,$2.14 ,$12.00 ,$2.18 ,$10.23 ,$10.23 ,$11.59 ,$11.59 ,$2.14 ,$11.59 ,$2.14 ,$11.05 ,$11.05 ,$11.05 ,$13.64 ,$12.28 ,$5.46 ,$12.28 ,$2.14 ,$13.64 ,$7.65 ,$2.14 ,$5.65 ,$13.64 ,$13.64 ,$2.24 ,$12.28 ,$4.91 ,$7.56 ,$3.82 ,$12.28 ,$2.14 ,$3.45 ,$3.45 ,$2.14 ,$8.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90375,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML SOLN per 150 Units,636,1 ,"$1,609.06 ","$1,158.52 ",$162.35 ,"$1,609.06 ",$840.50 ,"$1,198.75 ","$1,053.93 ",$329.48 ,$450.54 ,$989.57 ,$329.48 ,$989.57 ,$329.48 ,$891.42 ,$891.42 ,$329.48 ,$891.42 ,$679.12 ,"$1,448.15 ","$1,335.52 ",$840.50 ,$329.48 ,"$1,415.97 ",$336.06 ,"$1,206.80 ","$1,206.80 ","$1,367.70 ","$1,367.70 ",$329.48 ,"$1,367.70 ",$329.48 ,"$1,303.34 ","$1,303.34 ","$1,303.34 ","$1,609.06 ","$1,448.15 ",$840.50 ,"$1,448.15 ",$329.48 ,"$1,609.06 ",$902.68 ,$329.48 ,$666.15 ,$170.08 ,$162.35 ,$345.95 ,"$1,448.15 ",$756.45 ,$891.42 ,$450.54 ,"$1,448.15 ",$329.48 ,$459.10 ,$459.10 ,$329.48 ,"$1,045.89 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90675,RABIES VACCINE SUSR per 1 mL,636,1 ,"$5,571.95 ","$4,011.80 ",$65.40 ,"$5,571.95 ",$855.56 ,"$4,151.10 ","$3,649.63 ",$335.38 ,"$1,560.15 ","$3,426.75 ",$335.38 ,"$3,426.75 ",$335.38 ,"$3,086.86 ","$3,086.86 ",$335.38 ,"$3,086.86 ",$691.29 ,"$5,014.76 ","$4,624.72 ",$855.56 ,$335.38 ,"$4,903.32 ",$342.08 ,"$4,178.96 ","$4,178.96 ","$4,736.16 ","$4,736.16 ",$335.38 ,"$4,736.16 ",$335.38 ,"$4,513.28 ","$4,513.28 ","$4,513.28 ","$5,571.95 ","$5,014.76 ",$855.56 ,"$5,014.76 ",$335.38 ,"$5,571.95 ","$3,125.86 ",$335.38 ,"$2,306.79 ",$68.52 ,$65.40 ,$352.15 ,"$5,014.76 ",$770.00 ,"$3,086.86 ","$1,560.15 ","$5,014.76 ",$335.38 ,$586.11 ,$586.11 ,$335.38 ,"$3,621.77 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2785,REGADENOSON 0.4 MG/5ML SOLN per 0.1 mg,636,1 ,$919.68 ,$662.17 ,$100.90 ,$919.68 , N/A ,$685.16 ,$602.39 , N/A ,$257.51 ,$565.60 , N/A ,$565.60 , N/A ,$509.50 ,$509.50 , N/A ,$509.50 , N/A ,$827.71 ,$763.33 , N/A , N/A ,$809.32 , N/A ,$689.76 ,$689.76 ,$781.73 ,$781.73 , N/A ,$781.73 , N/A ,$744.94 ,$744.94 ,$744.94 ,$919.68 ,$827.71 , N/A ,$827.71 , N/A ,$919.68 ,$515.94 , N/A ,$380.75 , N/A , N/A , N/A ,$827.71 , N/A ,$509.50 ,$257.51 ,$827.71 , N/A ,$100.90 ,$100.90 , N/A ,$597.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML SOSY per 100 Units,636,1 ,$157.18 ,$113.17 ,$8.22 ,$157.18 , N/A ,$117.10 ,$102.95 , N/A ,$44.01 ,$96.67 , N/A ,$96.67 , N/A ,$87.08 ,$87.08 , N/A ,$87.08 , N/A ,$141.46 ,$130.46 , N/A , N/A ,$138.32 , N/A ,$117.89 ,$117.89 ,$133.60 ,$133.60 , N/A ,$133.60 , N/A ,$127.32 ,$127.32 ,$127.32 ,$157.18 ,$141.46 , N/A ,$141.46 , N/A ,$157.18 ,$88.18 , N/A ,$65.07 ,$59.36 ,$56.66 , N/A ,$141.46 , N/A ,$87.08 ,$44.01 ,$141.46 , N/A ,$8.22 ,$8.22 , N/A ,$102.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J9312,RITUXIMAB 500 MG/50ML SOLN 50 ML VIAL per 10 mg,636,1 ,$450.97 ,$324.70 ,$79.57 ,$450.97 ,$202.97 ,$335.97 ,$295.39 ,$79.57 ,$126.27 ,$277.35 ,$79.57 ,$277.35 ,$79.57 ,$249.84 ,$249.84 ,$79.57 ,$249.84 ,$164.00 ,$405.87 ,$374.31 ,$202.97 ,$79.57 ,$396.85 ,$81.15 ,$338.23 ,$338.23 ,$383.32 ,$383.32 ,$79.57 ,$383.32 ,$79.57 ,$365.29 ,$365.29 ,$365.29 ,$450.97 ,$405.87 ,$202.97 ,$405.87 ,$79.57 ,$450.97 ,$252.99 ,$79.57 ,$186.70 ,$450.97 ,$450.97 ,$83.54 ,$405.87 ,$182.67 ,$249.84 ,$126.27 ,$405.87 ,$79.57 ,$134.89 ,$134.89 ,$79.57 ,$293.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J9312,RITUXIMAB 100 MG/10ML SOLN 10 ML VIAL per 10 mg,636,1 ,$450.97 ,$324.70 ,$79.57 ,$450.97 ,$202.97 ,$335.97 ,$295.39 ,$79.57 ,$126.27 ,$277.35 ,$79.57 ,$277.35 ,$79.57 ,$249.84 ,$249.84 ,$79.57 ,$249.84 ,$164.00 ,$405.87 ,$374.31 ,$202.97 ,$79.57 ,$396.85 ,$81.15 ,$338.23 ,$338.23 ,$383.32 ,$383.32 ,$79.57 ,$383.32 ,$79.57 ,$365.29 ,$365.29 ,$365.29 ,$450.97 ,$405.87 ,$202.97 ,$405.87 ,$79.57 ,$450.97 ,$252.99 ,$79.57 ,$186.70 ,$450.97 ,$450.97 ,$83.54 ,$405.87 ,$182.67 ,$249.84 ,$126.27 ,$405.87 ,$79.57 ,$134.89 ,$134.89 ,$79.57 ,$293.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,Q5115,RITUXIMAB-ABBS 100 MG/10ML SOLN 50 ML VIAL per 10 mg,636,1 ,$405.86 ,$292.22 ,$46.84 ,$405.86 ,$119.50 ,$302.37 ,$265.84 ,$46.84 ,$113.64 ,$249.60 ,$46.84 ,$249.60 ,$46.84 ,$224.85 ,$224.85 ,$46.84 ,$224.85 ,$96.56 ,$365.27 ,$336.86 ,$119.50 ,$46.84 ,$357.16 ,$47.78 ,$304.40 ,$304.40 ,$344.98 ,$344.98 ,$46.84 ,$344.98 ,$46.84 ,$328.75 ,$328.75 ,$328.75 ,$405.86 ,$365.27 ,$119.50 ,$365.27 ,$46.84 ,$405.86 ,$227.69 ,$46.84 ,$168.03 ,$405.86 ,$405.86 ,$49.19 ,$365.27 ,$107.55 ,$224.85 ,$113.64 ,$365.27 ,$46.84 ,$80.57 ,$80.57 ,$46.84 ,$263.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3111,ROMOSOZUMAB-AQQG 105 MG/1.17ML SOSY per 1 mg,636,1 ,$48.19 ,$34.70 ,$9.70 ,$48.19 ,$24.74 ,$35.90 ,$31.56 ,$9.70 ,$13.49 ,$29.64 ,$9.70 ,$29.64 ,$9.70 ,$26.70 ,$26.70 ,$9.70 ,$26.70 ,$19.99 ,$43.37 ,$40.00 ,$24.74 ,$9.70 ,$42.41 ,$9.90 ,$36.14 ,$36.14 ,$40.96 ,$40.96 ,$9.70 ,$40.96 ,$9.70 ,$39.03 ,$39.03 ,$39.03 ,$48.19 ,$43.37 ,$24.74 ,$43.37 ,$9.70 ,$48.19 ,$27.03 ,$9.70 ,$19.95 ,$48.19 ,$48.19 ,$10.18 ,$43.37 ,$22.27 ,$26.70 ,$13.49 ,$43.37 ,$9.70 ,$16.43 ,$16.43 ,$9.70 ,$31.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J2795,ROPIVACAINE 5 MG/ML SOLN per 1 mg,636,1 ,$2.77 ,$1.99 ,$0.12 ,$2.77 , N/A ,$2.06 ,$1.81 , N/A ,$0.78 ,$1.70 , N/A ,$1.70 , N/A ,$1.53 ,$1.53 , N/A ,$1.53 , N/A ,$2.49 ,$2.30 , N/A , N/A ,$2.44 , N/A ,$2.08 ,$2.08 ,$2.35 ,$2.35 , N/A ,$2.35 , N/A ,$2.24 ,$2.24 ,$2.24 ,$2.77 ,$2.49 , N/A ,$2.49 , N/A ,$2.77 ,$1.55 , N/A ,$1.15 , N/A , N/A , N/A ,$2.49 , N/A ,$1.53 ,$0.78 ,$2.49 , N/A ,$0.12 ,$0.12 , N/A ,$1.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7030,SODIUM CHLORIDE 0.9 % SOLN 20 ML VIAL per 1000 mL,636,1 ,$45.00 ,$32.40 ,$4.36 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$4.36 ,$4.36 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7030,SODIUM CHLORIDE 0.9 % SOLN 10 ML VIAL per 1000 mL,636,1 ,$45.00 ,$32.40 ,$4.36 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$4.36 ,$4.36 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,SODIUM CHLORIDE 0.9 % SOLN 50 ML FLEX CONT per 1000 mL,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,SODIUM CHLORIDE 0.9 % SOLN 100 ML FLEX CONT per 1000 mL,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,SODIUM CHLORIDE 0.9 % SOLN 150 ML FLEX CONT per 1000 mL,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 % SOLN,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 % SOLN 100 ML FLEX CONT,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 % SOLN 250 ML FLEX CONT,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 % SOLN 50 ML FLEX CONT,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 %-SODIUM CHLORIDE 0.2 % 5-0.2 % SOLN,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 %-SODIUM CHLORIDE 0.3% 5-0.3 % SOLN per 1 mL,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,DEXTROSE 5 %-SODIUM CHLORIDE 0.45 % 5-0.45 % SOLN,636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3490,"DEXTROSE 5 %-SODIUM CHLORIDE 0.45 % 5-0.45 % SOLN 1,000 ML FLEX CONT",636,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 ,$37.35 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A , N/A , N/A , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7131,SODIUM CHLORIDE 3 % SOLN per 1 mL,636,1 ,$0.45 ,$0.32 ,$0.10 ,$0.45 , N/A ,$0.34 ,$0.29 , N/A ,$0.13 ,$0.28 , N/A ,$0.28 , N/A ,$0.25 ,$0.25 , N/A ,$0.25 , N/A ,$0.41 ,$0.37 , N/A , N/A ,$0.40 , N/A ,$0.34 ,$0.34 ,$0.38 ,$0.38 , N/A ,$0.38 , N/A ,$0.36 ,$0.36 ,$0.36 ,$0.45 ,$0.41 , N/A ,$0.41 , N/A ,$0.45 ,$0.25 , N/A ,$0.19 , N/A , N/A , N/A ,$0.41 , N/A ,$0.25 ,$0.13 ,$0.41 , N/A ,$0.10 ,$0.10 , N/A ,$0.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7131,SODIUM CHLORIDE 4 MEQ/ML SOLN 30 ML VIAL per 1 mL,636,1 ,$2.18 ,$1.57 ,$0.10 ,$2.18 , N/A ,$1.62 ,$1.43 , N/A ,$0.61 ,$1.34 , N/A ,$1.34 , N/A ,$1.21 ,$1.21 , N/A ,$1.21 , N/A ,$1.96 ,$1.81 , N/A , N/A ,$1.92 , N/A ,$1.64 ,$1.64 ,$1.85 ,$1.85 , N/A ,$1.85 , N/A ,$1.77 ,$1.77 ,$1.77 ,$2.18 ,$1.96 , N/A ,$1.96 , N/A ,$2.18 ,$1.22 , N/A ,$0.90 , N/A , N/A , N/A ,$1.96 , N/A ,$1.21 ,$0.61 ,$1.96 , N/A ,$0.10 ,$0.10 , N/A ,$1.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN per 20 mg,636,1 ,$28.48 ,$20.51 ,$3.12 ,$28.48 , N/A ,$21.22 ,$18.65 , N/A ,$7.97 ,$17.52 , N/A ,$17.52 , N/A ,$15.78 ,$15.78 , N/A ,$15.78 , N/A ,$25.63 ,$23.64 , N/A , N/A ,$25.06 , N/A ,$21.36 ,$21.36 ,$24.21 ,$24.21 , N/A ,$24.21 , N/A ,$23.07 ,$23.07 ,$23.07 ,$28.48 ,$25.63 , N/A ,$25.63 , N/A ,$28.48 ,$15.98 , N/A ,$11.79 , N/A , N/A , N/A ,$25.63 , N/A ,$15.78 ,$7.97 ,$25.63 , N/A ,$3.12 ,$3.12 , N/A ,$18.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN per 6 mg,636,1 ,"$1,041.25 ",$749.70 ,$272.88 ,"$1,041.25 ", N/A ,$775.73 ,$682.02 , N/A ,$291.55 ,$640.37 , N/A ,$640.37 , N/A ,$576.85 ,$576.85 , N/A ,$576.85 , N/A ,$937.13 ,$864.24 , N/A , N/A ,$916.30 , N/A ,$780.94 ,$780.94 ,$885.06 ,$885.06 , N/A ,$885.06 , N/A ,$843.41 ,$843.41 ,$843.41 ,"$1,041.25 ",$937.13 , N/A ,$937.13 , N/A ,"$1,041.25 ",$584.14 , N/A ,$431.08 , N/A , N/A , N/A ,$937.13 , N/A ,$576.85 ,$291.55 ,$937.13 , N/A ,$272.88 ,$272.88 , N/A ,$676.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J7507,TACROLIMUS 0.5 MG CAPS per 1 mg,636,1 ,$8.95 ,$6.44 ,$0.50 ,$8.95 , N/A ,$6.67 ,$5.86 , N/A ,$2.51 ,$5.50 , N/A ,$5.50 , N/A ,$4.96 ,$4.96 , N/A ,$4.96 , N/A ,$8.06 ,$7.43 , N/A , N/A ,$7.88 , N/A ,$6.71 ,$6.71 ,$7.61 ,$7.61 , N/A ,$7.61 , N/A ,$7.25 ,$7.25 ,$7.25 ,$8.95 ,$8.06 , N/A ,$8.06 , N/A ,$8.95 ,$5.02 , N/A ,$3.71 , N/A , N/A , N/A ,$8.06 , N/A ,$4.96 ,$2.51 ,$8.06 , N/A ,$0.50 ,$0.50 , N/A ,$5.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1447,TBO-FILGRASTIM 480 MCG/0.8ML SOSY per 1 mcg,636,1 ,$12.25 ,$8.82 ,$0.38 ,$12.25 ,$0.97 ,$9.13 ,$8.02 ,$0.38 ,$3.43 ,$7.53 ,$0.38 ,$7.53 ,$0.38 ,$6.79 ,$6.79 ,$0.38 ,$6.79 ,$0.78 ,$11.03 ,$10.17 ,$0.97 ,$0.38 ,$10.78 ,$0.39 ,$9.19 ,$9.19 ,$10.41 ,$10.41 ,$0.38 ,$10.41 ,$0.38 ,$9.92 ,$9.92 ,$9.92 ,$12.25 ,$11.03 ,$0.97 ,$11.03 ,$0.38 ,$12.25 ,$6.87 ,$0.38 ,$5.07 ,$12.25 ,$12.25 ,$0.40 ,$11.03 ,$0.87 ,$6.79 ,$3.43 ,$11.03 ,$0.38 ,$0.68 ,$0.68 ,$0.38 ,$7.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90715,TDAP 5-2.5-18.5 LF-MCG/0.5 SUSY per 0.5 mL,636,1 ,$653.05 ,$470.20 ,$15.53 ,$653.05 , N/A ,$486.52 ,$427.75 , N/A ,$182.85 ,$401.63 , N/A ,$401.63 , N/A ,$361.79 ,$361.79 , N/A ,$361.79 , N/A ,$587.75 ,$542.03 , N/A , N/A ,$574.68 , N/A ,$489.79 ,$489.79 ,$555.09 ,$555.09 , N/A ,$555.09 , N/A ,$528.97 ,$528.97 ,$528.97 ,$653.05 ,$587.75 , N/A ,$587.75 , N/A ,$653.05 ,$366.36 , N/A ,$270.36 ,$16.27 ,$15.53 , N/A ,$587.75 , N/A ,$361.79 ,$182.85 ,$587.75 , N/A ,$61.88 ,$61.88 , N/A ,$424.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3101,TENECTEPLASE 50 MG KIT per 1 mg,636,1 ,$665.08 ,$478.86 ,$140.82 ,$665.08 ,$359.23 ,$495.48 ,$435.63 ,$140.82 ,$186.22 ,$409.02 ,$140.82 ,$409.02 ,$140.82 ,$368.45 ,$368.45 ,$140.82 ,$368.45 ,$290.26 ,$598.57 ,$552.02 ,$359.23 ,$140.82 ,$585.27 ,$143.63 ,$498.81 ,$498.81 ,$565.32 ,$565.32 ,$140.82 ,$565.32 ,$140.82 ,$538.71 ,$538.71 ,$538.71 ,$665.08 ,$598.57 ,$359.23 ,$598.57 ,$140.82 ,$665.08 ,$373.11 ,$140.82 ,$275.34 ,$665.08 ,$665.08 ,$147.86 ,$598.57 ,$323.31 ,$368.45 ,$186.22 ,$598.57 ,$140.82 ,$237.02 ,$237.02 ,$140.82 ,$432.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3105,TERBUTALINE 1 MG/ML SOLN per 1 mg,636,1 ,$18.00 ,$12.96 ,$2.18 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$2.18 ,$2.18 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,90714,TETANUS  AND  DIPHTHERIA TOXOIDS (ADULT) 5-2 LFU INJ per 0.5 mL,636,1 ,$553.70 ,$398.66 ,$15.53 ,$553.70 , N/A ,$412.51 ,$362.67 , N/A ,$155.04 ,$340.53 , N/A ,$340.53 , N/A ,$306.75 ,$306.75 , N/A ,$306.75 , N/A ,$498.33 ,$459.57 , N/A , N/A ,$487.26 , N/A ,$415.28 ,$415.28 ,$470.65 ,$470.65 , N/A ,$470.65 , N/A ,$448.50 ,$448.50 ,$448.50 ,$553.70 ,$498.33 , N/A ,$498.33 , N/A ,$553.70 ,$310.63 , N/A ,$229.23 ,$16.27 ,$15.53 , N/A ,$498.33 , N/A ,$306.75 ,$155.04 ,$498.33 , N/A ,$45.84 ,$45.84 , N/A ,$359.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML SOSY per 250 Units,636,1 ,"$8,994.95 ","$6,476.36 ",$15.53 ,"$8,994.95 ","$1,364.05 ","$6,701.24 ","$5,891.69 ",$534.71 ,"$2,518.59 ","$5,531.89 ",$534.71 ,"$5,531.89 ",$534.71 ,"$4,983.20 ","$4,983.20 ",$534.71 ,"$4,983.20 ","$1,102.15 ","$8,095.46 ","$7,465.81 ","$1,364.05 ",$534.71 ,"$7,915.56 ",$545.40 ,"$6,746.21 ","$6,746.21 ","$7,645.71 ","$7,645.71 ",$534.71 ,"$7,645.71 ",$534.71 ,"$7,285.91 ","$7,285.91 ","$7,285.91 ","$8,994.95 ","$8,095.46 ","$1,364.05 ","$8,095.46 ",$534.71 ,"$8,994.95 ","$5,046.17 ",$534.71 ,"$3,723.91 ",$16.27 ,$15.53 ,$561.44 ,"$8,095.46 ","$1,227.64 ","$4,983.20 ","$2,518.59 ","$8,095.46 ",$534.71 ,$865.28 ,$865.28 ,$534.71 ,"$5,846.72 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3411,THIAMINE 100 MG/ML SOLN 2 ML VIAL per 100 mg,636,1 ,$73.15 ,$52.67 ,$4.62 ,$73.15 , N/A ,$54.50 ,$47.91 , N/A ,$20.48 ,$44.99 , N/A ,$44.99 , N/A ,$40.53 ,$40.53 , N/A ,$40.53 , N/A ,$65.84 ,$60.71 , N/A , N/A ,$64.37 , N/A ,$54.86 ,$54.86 ,$62.18 ,$62.18 , N/A ,$62.18 , N/A ,$59.25 ,$59.25 ,$59.25 ,$73.15 ,$65.84 , N/A ,$65.84 , N/A ,$73.15 ,$41.04 , N/A ,$30.28 , N/A , N/A , N/A ,$65.84 , N/A ,$40.53 ,$20.48 ,$65.84 , N/A ,$4.62 ,$4.62 , N/A ,$47.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3590,THROMBIN 5000 UNIT SOLR 1 EACH VIAL per 1 Units,636,1 ,"$1,060.40 ",$763.49 ,$296.91 ,"$1,060.40 ", N/A ,$790.00 ,$694.56 , N/A ,$296.91 ,$652.15 , N/A ,$652.15 , N/A ,$587.46 ,$587.46 , N/A ,$587.46 , N/A ,$954.36 ,$880.13 , N/A , N/A ,$933.15 , N/A ,$795.30 ,$795.30 ,$901.34 ,$901.34 , N/A ,$901.34 , N/A ,$858.92 ,$858.92 ,$858.92 ,"$1,060.40 ",$954.36 , N/A ,$954.36 , N/A ,"$1,060.40 ",$594.88 , N/A ,$439.01 , N/A , N/A , N/A ,$954.36 , N/A ,$587.46 ,$296.91 ,$954.36 , N/A , N/A , N/A , N/A ,$689.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3260,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL per 80 mg,636,1 ,$29.11 ,$20.96 ,$4.49 ,$29.11 , N/A ,$21.69 ,$19.07 , N/A ,$8.15 ,$17.90 , N/A ,$17.90 , N/A ,$16.13 ,$16.13 , N/A ,$16.13 , N/A ,$26.20 ,$24.16 , N/A , N/A ,$25.62 , N/A ,$21.83 ,$21.83 ,$24.74 ,$24.74 , N/A ,$24.74 , N/A ,$23.58 ,$23.58 ,$23.58 ,$29.11 ,$26.20 , N/A ,$26.20 , N/A ,$29.11 ,$16.33 , N/A ,$12.05 , N/A , N/A , N/A ,$26.20 , N/A ,$16.13 ,$8.15 ,$26.20 , N/A ,$4.49 ,$4.49 , N/A ,$18.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3260,TOBRAMYCIN 80 MG/2ML SOLN 30 ML VIAL per 80 mg,636,1 ,$21.34 ,$15.36 ,$4.49 ,$21.34 , N/A ,$15.90 ,$13.98 , N/A ,$5.98 ,$13.12 , N/A ,$13.12 , N/A ,$11.82 ,$11.82 , N/A ,$11.82 , N/A ,$19.21 ,$17.71 , N/A , N/A ,$18.78 , N/A ,$16.01 ,$16.01 ,$18.14 ,$18.14 , N/A ,$18.14 , N/A ,$17.29 ,$17.29 ,$17.29 ,$21.34 ,$19.21 , N/A ,$19.21 , N/A ,$21.34 ,$11.97 , N/A ,$8.83 , N/A , N/A , N/A ,$19.21 , N/A ,$11.82 ,$5.98 ,$19.21 , N/A ,$4.49 ,$4.49 , N/A ,$13.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3262,TOCILIZUMAB 80 MG/4ML SOLN 4 ML VIAL per 1 mg,636,1 ,$29.47 ,$21.22 ,$5.74 ,$29.47 ,$14.65 ,$21.96 ,$19.30 ,$5.74 ,$8.25 ,$18.12 ,$5.74 ,$18.12 ,$5.74 ,$16.33 ,$16.33 ,$5.74 ,$16.33 ,$11.84 ,$26.52 ,$24.46 ,$14.65 ,$5.74 ,$25.93 ,$5.86 ,$22.10 ,$22.10 ,$25.05 ,$25.05 ,$5.74 ,$25.05 ,$5.74 ,$23.87 ,$23.87 ,$23.87 ,$29.47 ,$26.52 ,$14.65 ,$26.52 ,$5.74 ,$29.47 ,$16.53 ,$5.74 ,$12.20 ,$29.47 ,$29.47 ,$6.03 ,$26.52 ,$13.19 ,$16.33 ,$8.25 ,$26.52 ,$5.74 ,$9.88 ,$9.88 ,$5.74 ,$19.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3262,TOCILIZUMAB 400 MG/20ML SOLN 20 ML VIAL per 1 mg,636,1 ,$29.47 ,$21.22 ,$5.74 ,$29.47 ,$14.65 ,$21.96 ,$19.30 ,$5.74 ,$8.25 ,$18.12 ,$5.74 ,$18.12 ,$5.74 ,$16.33 ,$16.33 ,$5.74 ,$16.33 ,$11.84 ,$26.52 ,$24.46 ,$14.65 ,$5.74 ,$25.93 ,$5.86 ,$22.10 ,$22.10 ,$25.05 ,$25.05 ,$5.74 ,$25.05 ,$5.74 ,$23.87 ,$23.87 ,$23.87 ,$29.47 ,$26.52 ,$14.65 ,$26.52 ,$5.74 ,$29.47 ,$16.53 ,$5.74 ,$12.20 ,$29.47 ,$29.47 ,$6.03 ,$26.52 ,$13.19 ,$16.33 ,$8.25 ,$26.52 ,$5.74 ,$9.88 ,$9.88 ,$5.74 ,$19.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP per 10 mg,636,1 ,$31.24 ,$22.49 ,$1.75 ,$31.24 , N/A ,$23.27 ,$20.46 , N/A ,$8.75 ,$19.21 , N/A ,$19.21 , N/A ,$17.31 ,$17.31 , N/A ,$17.31 , N/A ,$28.12 ,$25.93 , N/A , N/A ,$27.49 , N/A ,$23.43 ,$23.43 ,$26.55 ,$26.55 , N/A ,$26.55 , N/A ,$25.30 ,$25.30 ,$25.30 ,$31.24 ,$28.12 , N/A ,$28.12 , N/A ,$31.24 ,$17.53 , N/A ,$12.93 , N/A , N/A , N/A ,$28.12 , N/A ,$17.31 ,$8.75 ,$28.12 , N/A ,$1.75 ,$1.75 , N/A ,$20.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3250,TRIMETHOBENZAMIDE 100 MG/ML SOLN per 200 mg,636,1 ,$686.60 ,$494.35 ,$71.02 ,$686.60 , N/A ,$511.52 ,$449.72 , N/A ,$192.25 ,$422.26 , N/A ,$422.26 , N/A ,$380.38 ,$380.38 , N/A ,$380.38 , N/A ,$617.94 ,$569.88 , N/A , N/A ,$604.21 , N/A ,$514.95 ,$514.95 ,$583.61 ,$583.61 , N/A ,$583.61 , N/A ,$556.15 ,$556.15 ,$556.15 ,$686.60 ,$617.94 , N/A ,$617.94 , N/A ,$686.60 ,$385.18 , N/A ,$284.25 , N/A , N/A , N/A ,$617.94 , N/A ,$380.38 ,$192.25 ,$617.94 , N/A ,$71.02 ,$71.02 , N/A ,$446.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1 G SOLR 1 EACH VIAL per 500 mg,636,1 ,$117.93 ,$84.91 ,$4.72 ,$117.93 , N/A ,$87.86 ,$77.24 , N/A ,$33.02 ,$72.53 , N/A ,$72.53 , N/A ,$65.33 ,$65.33 , N/A ,$65.33 , N/A ,$106.14 ,$97.88 , N/A , N/A ,$103.78 , N/A ,$88.45 ,$88.45 ,$100.24 ,$100.24 , N/A ,$100.24 , N/A ,$95.52 ,$95.52 ,$95.52 ,$117.93 ,$106.14 , N/A ,$106.14 , N/A ,$117.93 ,$66.16 , N/A ,$48.82 , N/A , N/A , N/A ,$106.14 , N/A ,$65.33 ,$33.02 ,$106.14 , N/A ,$4.72 ,$4.72 , N/A ,$76.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1250 MG/250ML SOLN per 500 mg,636,1 ,$117.60 ,$84.67 ,$4.72 ,$117.60 , N/A ,$87.61 ,$77.03 , N/A ,$32.93 ,$72.32 , N/A ,$72.32 , N/A ,$65.15 ,$65.15 , N/A ,$65.15 , N/A ,$105.84 ,$97.61 , N/A , N/A ,$103.49 , N/A ,$88.20 ,$88.20 ,$99.96 ,$99.96 , N/A ,$99.96 , N/A ,$95.26 ,$95.26 ,$95.26 ,$117.60 ,$105.84 , N/A ,$105.84 , N/A ,$117.60 ,$65.97 , N/A ,$48.69 , N/A , N/A , N/A ,$105.84 , N/A ,$65.15 ,$32.93 ,$105.84 , N/A ,$4.72 ,$4.72 , N/A ,$76.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1750 MG/350ML SOLN per 500 mg,636,1 ,$95.40 ,$68.69 ,$4.72 ,$95.40 , N/A ,$71.07 ,$62.49 , N/A ,$26.71 ,$58.67 , N/A ,$58.67 , N/A ,$52.85 ,$52.85 , N/A ,$52.85 , N/A ,$85.86 ,$79.18 , N/A , N/A ,$83.95 , N/A ,$71.55 ,$71.55 ,$81.09 ,$81.09 , N/A ,$81.09 , N/A ,$77.27 ,$77.27 ,$77.27 ,$95.40 ,$85.86 , N/A ,$85.86 , N/A ,$95.40 ,$53.52 , N/A ,$39.50 , N/A , N/A , N/A ,$85.86 , N/A ,$52.85 ,$26.71 ,$85.86 , N/A ,$4.72 ,$4.72 , N/A ,$62.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 2000 MG/400ML SOLN per 500 mg,636,1 ,$112.70 ,$81.14 ,$4.72 ,$112.70 , N/A ,$83.96 ,$73.82 , N/A ,$31.56 ,$69.31 , N/A ,$69.31 , N/A ,$62.44 ,$62.44 , N/A ,$62.44 , N/A ,$101.43 ,$93.54 , N/A , N/A ,$99.18 , N/A ,$84.53 ,$84.53 ,$95.80 ,$95.80 , N/A ,$95.80 , N/A ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 , N/A ,$101.43 , N/A ,$112.70 ,$63.22 , N/A ,$46.66 , N/A , N/A , N/A ,$101.43 , N/A ,$62.44 ,$31.56 ,$101.43 , N/A ,$4.72 ,$4.72 , N/A ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 500 MG/100ML SOLN per 500 mg,636,1 ,$132.30 ,$95.26 ,$4.72 ,$132.30 , N/A ,$98.56 ,$86.66 , N/A ,$37.04 ,$81.36 , N/A ,$81.36 , N/A ,$73.29 ,$73.29 , N/A ,$73.29 , N/A ,$119.07 ,$109.81 , N/A , N/A ,$116.42 , N/A ,$99.23 ,$99.23 ,$112.46 ,$112.46 , N/A ,$112.46 , N/A ,$107.16 ,$107.16 ,$107.16 ,$132.30 ,$119.07 , N/A ,$119.07 , N/A ,$132.30 ,$74.22 , N/A ,$54.77 , N/A , N/A , N/A ,$119.07 , N/A ,$73.29 ,$37.04 ,$119.07 , N/A ,$4.72 ,$4.72 , N/A ,$86.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 750 MG SOLR 1 EACH VIAL per 500 mg,636,1 ,$81.85 ,$58.93 ,$4.72 ,$81.85 , N/A ,$60.98 ,$53.61 , N/A ,$22.92 ,$50.34 , N/A ,$50.34 , N/A ,$45.34 ,$45.34 , N/A ,$45.34 , N/A ,$73.67 ,$67.94 , N/A , N/A ,$72.03 , N/A ,$61.39 ,$61.39 ,$69.57 ,$69.57 , N/A ,$69.57 , N/A ,$66.30 ,$66.30 ,$66.30 ,$81.85 ,$73.67 , N/A ,$73.67 , N/A ,$81.85 ,$45.92 , N/A ,$33.89 , N/A , N/A , N/A ,$73.67 , N/A ,$45.34 ,$22.92 ,$73.67 , N/A ,$4.72 ,$4.72 , N/A ,$53.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 750 MG/150ML SOLN per 500 mg,636,1 ,$88.20 ,$63.50 ,$4.72 ,$88.20 , N/A ,$65.71 ,$57.77 , N/A ,$24.70 ,$54.24 , N/A ,$54.24 , N/A ,$48.86 ,$48.86 , N/A ,$48.86 , N/A ,$79.38 ,$73.21 , N/A , N/A ,$77.62 , N/A ,$66.15 ,$66.15 ,$74.97 ,$74.97 , N/A ,$74.97 , N/A ,$71.44 ,$71.44 ,$71.44 ,$88.20 ,$79.38 , N/A ,$79.38 , N/A ,$88.20 ,$49.48 , N/A ,$36.51 , N/A , N/A , N/A ,$79.38 , N/A ,$48.86 ,$24.70 ,$79.38 , N/A ,$4.72 ,$4.72 , N/A ,$57.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,C9399,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL per 1 mL,636,1 ,"$3,121.95 ","$2,247.80 ",$874.15 ,"$3,121.95 ", N/A ,"$2,325.85 ","$2,044.88 ", N/A ,$874.15 ,"$1,920.00 ", N/A ,"$1,920.00 ", N/A ,"$1,729.56 ","$1,729.56 ", N/A ,"$1,729.56 ", N/A ,"$2,809.76 ","$2,591.22 ", N/A , N/A ,"$2,747.32 ", N/A ,"$2,341.46 ","$2,341.46 ","$2,653.66 ","$2,653.66 ", N/A ,"$2,653.66 ", N/A ,"$2,528.78 ","$2,528.78 ","$2,528.78 ","$3,121.95 ","$2,809.76 ", N/A ,"$2,809.76 ", N/A ,"$3,121.95 ","$1,751.41 ", N/A ,"$1,292.49 ", N/A , N/A , N/A ,"$2,809.76 ", N/A ,"$1,729.56 ",$874.15 ,"$2,809.76 ", N/A , N/A , N/A , N/A ,"$2,029.27 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3380,VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL per 1 mg,636,1 ,$123.41 ,$88.86 ,$21.40 ,$123.41 ,$54.60 ,$91.94 ,$80.83 ,$21.40 ,$34.55 ,$75.90 ,$21.40 ,$75.90 ,$21.40 ,$68.37 ,$68.37 ,$21.40 ,$68.37 ,$44.12 ,$111.07 ,$102.43 ,$54.60 ,$21.40 ,$108.60 ,$21.83 ,$92.56 ,$92.56 ,$104.90 ,$104.90 ,$21.40 ,$104.90 ,$21.40 ,$99.96 ,$99.96 ,$99.96 ,$123.41 ,$111.07 ,$54.60 ,$111.07 ,$21.40 ,$123.41 ,$69.23 ,$21.40 ,$51.09 ,$123.41 ,$123.41 ,$22.47 ,$111.07 ,$49.14 ,$68.37 ,$34.55 ,$111.07 ,$21.40 ,$35.81 ,$35.81 ,$21.40 ,$80.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3486,ZIPRASIDONE 20 MG SOLR per 10 mg,636,1 ,$421.55 ,$303.52 ,$16.76 ,$421.55 , N/A ,$314.05 ,$276.12 , N/A ,$118.03 ,$259.25 , N/A ,$259.25 , N/A ,$233.54 ,$233.54 , N/A ,$233.54 , N/A ,$379.40 ,$349.89 , N/A , N/A ,$370.96 , N/A ,$316.16 ,$316.16 ,$358.32 ,$358.32 , N/A ,$358.32 , N/A ,$341.46 ,$341.46 ,$341.46 ,$421.55 ,$379.40 , N/A ,$379.40 , N/A ,$421.55 ,$236.49 , N/A ,$174.52 , N/A , N/A , N/A ,$379.40 , N/A ,$233.54 ,$118.03 ,$379.40 , N/A ,$16.76 ,$16.76 , N/A ,$274.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3489,ZOLEDRONIC ACID 4 MG/5ML CONC 5 ML VIAL per 1 mg,636,1 ,"$2,567.28 ","$1,848.44 ",$18.38 ,"$2,567.28 ", N/A ,"$1,912.62 ","$1,681.57 ", N/A ,$718.84 ,"$1,578.88 ", N/A ,"$1,578.88 ", N/A ,"$1,422.27 ","$1,422.27 ", N/A ,"$1,422.27 ", N/A ,"$2,310.55 ","$2,130.84 ", N/A , N/A ,"$2,259.21 ", N/A ,"$1,925.46 ","$1,925.46 ","$2,182.19 ","$2,182.19 ", N/A ,"$2,182.19 ", N/A ,"$2,079.50 ","$2,079.50 ","$2,079.50 ","$2,567.28 ","$2,310.55 ", N/A ,"$2,310.55 ", N/A ,"$2,567.28 ","$1,440.24 ", N/A ,"$1,062.85 ",$129.11 ,$123.24 , N/A ,"$2,310.55 ", N/A ,"$1,422.27 ",$718.84 ,"$2,310.55 ", N/A ,$18.38 ,$18.38 , N/A ,"$1,668.73 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600002,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN per 1 mg,636,1 ,$882.00 ,$635.04 ,$18.38 ,$882.00 , N/A ,$657.09 ,$577.71 , N/A ,$246.96 ,$542.43 , N/A ,$542.43 , N/A ,$488.63 ,$488.63 , N/A ,$488.63 , N/A ,$793.80 ,$732.06 , N/A , N/A ,$776.16 , N/A ,$661.50 ,$661.50 ,$749.70 ,$749.70 , N/A ,$749.70 , N/A ,$714.42 ,$714.42 ,$714.42 ,$882.00 ,$793.80 , N/A ,$793.80 , N/A ,$882.00 ,$494.80 , N/A ,$365.15 ,$129.11 ,$123.24 , N/A ,$793.80 , N/A ,$488.63 ,$246.96 ,$793.80 , N/A ,$18.38 ,$18.38 , N/A ,$573.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$857.86 ,$617.66 ,$240.20 ,$857.86 , N/A ,$639.11 ,$561.90 , N/A ,$240.20 ,$527.58 , N/A ,$527.58 , N/A ,$475.25 ,$475.25 , N/A ,$475.25 , N/A ,$772.07 ,$712.02 , N/A , N/A ,$754.92 , N/A ,$643.40 ,$643.40 ,$729.18 ,$729.18 , N/A ,$729.18 , N/A ,$694.87 ,$694.87 ,$694.87 ,$857.86 ,$772.07 , N/A ,$772.07 , N/A ,$857.86 ,$481.26 , N/A ,$355.15 ,$342.09 ,$326.54 , N/A ,$772.07 , N/A ,$475.25 ,$240.20 ,$772.07 , N/A ,$253.21 ,$253.21 , N/A ,$557.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9963,DIATRIZOATE MEGLUMINE  AND  SODIUM 66-10 % SOLN per 1 mL,636,1 ,$4.50 ,$3.24 ,$0.35 ,$4.50 , N/A ,$3.35 ,$2.95 , N/A ,$1.26 ,$2.77 , N/A ,$2.77 , N/A ,$2.49 ,$2.49 , N/A ,$2.49 , N/A ,$4.05 , N/A , N/A , N/A ,$3.96 , N/A ,$3.38 ,$3.38 ,$3.83 ,$3.83 , N/A ,$3.83 , N/A ,$3.65 ,$3.65 ,$3.65 ,$4.50 ,$4.05 , N/A ,$4.05 , N/A ,$4.50 ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$4.05 , N/A ,$2.49 ,$1.26 ,$4.05 , N/A ,$0.35 ,$0.35 , N/A ,$2.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9958,DIATRIZOATE MEGLUMINE 30 % SOLN per 1 mL,636,1 ,$0.69 ,$0.50 ,$0.13 ,$0.69 , N/A ,$0.51 ,$0.45 , N/A ,$0.19 ,$0.42 , N/A ,$0.42 , N/A ,$0.38 ,$0.38 , N/A ,$0.38 , N/A ,$0.62 , N/A , N/A , N/A ,$0.61 , N/A ,$0.52 ,$0.52 ,$0.59 ,$0.59 , N/A ,$0.59 , N/A ,$0.56 ,$0.56 ,$0.56 ,$0.69 ,$0.62 , N/A ,$0.62 , N/A ,$0.69 ,$0.39 , N/A ,$0.29 , N/A , N/A , N/A ,$0.62 , N/A ,$0.38 ,$0.19 ,$0.62 , N/A ,$0.13 ,$0.13 , N/A ,$0.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML SOLN 5 ML VIAL per 1 mL,636,1 ,$45.00 ,$32.40 ,$3.04 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 , N/A , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$3.04 ,$3.04 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML SOLN 10 ML VIAL per 1 mL,636,1 ,$45.00 ,$32.40 ,$3.04 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 , N/A , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$3.04 ,$3.04 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML SOLN per 1 mL,636,1 ,$21.18 ,$15.25 ,$3.04 ,$21.18 , N/A ,$15.78 ,$13.87 , N/A ,$5.93 ,$13.03 , N/A ,$13.03 , N/A ,$11.73 ,$11.73 , N/A ,$11.73 , N/A ,$19.06 , N/A , N/A , N/A ,$18.64 , N/A ,$15.89 ,$15.89 ,$18.00 ,$18.00 , N/A ,$18.00 , N/A ,$17.16 ,$17.16 ,$17.16 ,$21.18 ,$19.06 , N/A ,$19.06 , N/A ,$21.18 ,$11.88 , N/A ,$8.77 , N/A , N/A , N/A ,$19.06 , N/A ,$11.73 ,$5.93 ,$19.06 , N/A ,$3.04 ,$3.04 , N/A ,$13.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,A9575,GADOTERATE MEGLUMINE 7.5 MMOL/15ML SOLN per 0.1 mL,636,1 ,$1.88 ,$1.35 ,$0.23 ,$1.88 , N/A ,$1.40 ,$1.23 , N/A ,$0.53 ,$1.16 , N/A ,$1.16 , N/A ,$1.04 ,$1.04 , N/A ,$1.04 , N/A ,$1.69 , N/A , N/A , N/A ,$1.65 , N/A ,$1.41 ,$1.41 ,$1.60 ,$1.60 , N/A ,$1.60 , N/A ,$1.52 ,$1.52 ,$1.52 ,$1.88 ,$1.69 , N/A ,$1.69 , N/A ,$1.88 ,$1.05 , N/A ,$0.78 , N/A , N/A , N/A ,$1.69 , N/A ,$1.04 ,$0.53 ,$1.69 , N/A ,$0.23 ,$0.23 , N/A ,$1.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML SOLN per 0.1 mL,636,1 ,$1.88 ,$1.35 ,$0.23 ,$1.88 , N/A ,$1.40 ,$1.23 , N/A ,$0.53 ,$1.16 , N/A ,$1.16 , N/A ,$1.04 ,$1.04 , N/A ,$1.04 , N/A ,$1.69 , N/A , N/A , N/A ,$1.65 , N/A ,$1.41 ,$1.41 ,$1.60 ,$1.60 , N/A ,$1.60 , N/A ,$1.52 ,$1.52 ,$1.52 ,$1.88 ,$1.69 , N/A ,$1.69 , N/A ,$1.88 ,$1.05 , N/A ,$0.78 , N/A , N/A , N/A ,$1.69 , N/A ,$1.04 ,$0.53 ,$1.69 , N/A ,$0.23 ,$0.23 , N/A ,$1.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9966,IOPAMIDOL 41 % SOLN per 1 mL,636,1 ,$45.00 ,$32.40 ,$0.79 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$27.68 , N/A ,$27.68 , N/A ,$24.93 ,$24.93 , N/A ,$24.93 , N/A ,$40.50 , N/A , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$36.45 ,$36.45 ,$36.45 ,$45.00 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$40.50 , N/A ,$24.93 ,$12.60 ,$40.50 , N/A ,$0.79 ,$0.79 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9967,IOPAMIDOL 61 % SOLN 50 ML VIAL per 1 mL,636,1 ,$1.75 ,$1.26 ,$0.28 ,$1.75 , N/A ,$1.30 ,$1.15 , N/A ,$0.49 ,$1.08 , N/A ,$1.08 , N/A ,$0.97 ,$0.97 , N/A ,$0.97 , N/A ,$1.58 , N/A , N/A , N/A ,$1.54 , N/A ,$1.31 ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.49 , N/A ,$1.42 ,$1.42 ,$1.42 ,$1.75 ,$1.58 , N/A ,$1.58 , N/A ,$1.75 ,$0.98 , N/A ,$0.72 , N/A , N/A , N/A ,$1.58 , N/A ,$0.97 ,$0.49 ,$1.58 , N/A ,$0.28 ,$0.28 , N/A ,$1.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9967,IOPAMIDOL 61 % SOLN per 1 mL,636,1 ,$21.37 ,$15.39 ,$0.28 ,$21.37 , N/A ,$15.92 ,$14.00 , N/A ,$5.98 ,$13.14 , N/A ,$13.14 , N/A ,$11.84 ,$11.84 , N/A ,$11.84 , N/A ,$19.23 , N/A , N/A , N/A ,$18.81 , N/A ,$16.03 ,$16.03 ,$18.16 ,$18.16 , N/A ,$18.16 , N/A ,$17.31 ,$17.31 ,$17.31 ,$21.37 ,$19.23 , N/A ,$19.23 , N/A ,$21.37 ,$11.99 , N/A ,$8.85 , N/A , N/A , N/A ,$19.23 , N/A ,$11.84 ,$5.98 ,$19.23 , N/A ,$0.28 ,$0.28 , N/A ,$13.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9967,IOPAMIDOL 76 % SOLN per 1 mL,636,1 ,$3.45 ,$2.48 ,$0.28 ,$3.45 , N/A ,$2.57 ,$2.26 , N/A ,$0.97 ,$2.12 , N/A ,$2.12 , N/A ,$1.91 ,$1.91 , N/A ,$1.91 , N/A ,$3.11 , N/A , N/A , N/A ,$3.04 , N/A ,$2.59 ,$2.59 ,$2.93 ,$2.93 , N/A ,$2.93 , N/A ,$2.79 ,$2.79 ,$2.79 ,$3.45 ,$3.11 , N/A ,$3.11 , N/A ,$3.45 ,$1.94 , N/A ,$1.43 , N/A , N/A , N/A ,$3.11 , N/A ,$1.91 ,$0.97 ,$3.11 , N/A ,$0.28 ,$0.28 , N/A ,$2.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600012,Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML SUSP per 1 mL,636,1 ,$438.75 ,$315.90 ,$75.54 ,$438.75 , N/A ,$326.87 ,$287.38 , N/A ,$122.85 ,$269.83 , N/A ,$269.83 , N/A ,$243.07 ,$243.07 , N/A ,$243.07 , N/A ,$394.88 , N/A , N/A , N/A ,$386.10 , N/A ,$329.06 ,$329.06 ,$372.94 ,$372.94 , N/A ,$372.94 , N/A ,$355.39 ,$355.39 ,$355.39 ,$438.75 ,$394.88 , N/A ,$394.88 , N/A ,$438.75 ,$246.14 , N/A ,$181.64 , N/A , N/A , N/A ,$394.88 , N/A ,$243.07 ,$122.85 ,$394.88 , N/A ,$75.54 ,$75.54 , N/A ,$285.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600183,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER USED - JC,636,1 ,$405.00 ,$291.60 ,$113.40 ,$405.00 , N/A ,$301.73 ,$265.28 , N/A ,$113.40 ,$249.08 , N/A ,$249.08 , N/A ,$224.37 ,$224.37 , N/A ,$224.37 , N/A ,$364.50 ,$336.15 , N/A , N/A ,$356.40 , N/A ,$303.75 ,$303.75 ,$344.25 ,$344.25 , N/A ,$344.25 , N/A ,$328.05 ,$328.05 ,$328.05 ,$405.00 ,$364.50 , N/A ,$364.50 , N/A ,$405.00 ,$227.21 , N/A ,$167.67 ,$342.09 ,$326.54 , N/A ,$364.50 , N/A ,$224.37 ,$113.40 ,$364.50 , N/A ,$181.10 ,$181.10 , N/A ,$263.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600184,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER WASTED - JW,636,1 ,$405.00 ,$291.60 ,$113.40 ,$405.00 , N/A ,$301.73 ,$265.28 , N/A ,$113.40 ,$249.08 , N/A ,$249.08 , N/A ,$224.37 ,$224.37 , N/A ,$224.37 , N/A ,$364.50 ,$336.15 , N/A , N/A ,$356.40 , N/A ,$303.75 ,$303.75 ,$344.25 ,$344.25 , N/A ,$344.25 , N/A ,$328.05 ,$328.05 ,$328.05 ,$405.00 ,$364.50 , N/A ,$364.50 , N/A ,$405.00 ,$227.21 , N/A ,$167.67 ,$342.09 ,$326.54 , N/A ,$364.50 , N/A ,$224.37 ,$113.40 ,$364.50 , N/A ,$181.10 ,$181.10 , N/A ,$263.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600185,Q4101,HC APLIGRAF PER SQ CM USED -JC,636,1 ,$142.58 ,$102.66 ,$39.92 ,$142.58 , N/A ,$106.22 ,$93.39 , N/A ,$39.92 ,$87.69 , N/A ,$87.69 , N/A ,$78.99 ,$78.99 , N/A ,$78.99 , N/A ,$128.32 ,$118.34 , N/A , N/A ,$125.47 , N/A ,$106.94 ,$106.94 ,$121.19 ,$121.19 , N/A ,$121.19 , N/A ,$115.49 ,$115.49 ,$115.49 ,$142.58 ,$128.32 , N/A ,$128.32 , N/A ,$142.58 ,$79.99 , N/A ,$59.03 ,$142.58 ,$142.58 , N/A ,$128.32 , N/A ,$78.99 ,$39.92 ,$128.32 , N/A ,$50.09 ,$50.09 , N/A ,$92.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600186,Q4101,HC APLIGRAF PER SQ CM WASTED - JW,636,1 ,$142.58 ,$102.66 ,$39.92 ,$142.58 , N/A ,$106.22 ,$93.39 , N/A ,$39.92 ,$87.69 , N/A ,$87.69 , N/A ,$78.99 ,$78.99 , N/A ,$78.99 , N/A ,$128.32 ,$118.34 , N/A , N/A ,$125.47 , N/A ,$106.94 ,$106.94 ,$121.19 ,$121.19 , N/A ,$121.19 , N/A ,$115.49 ,$115.49 ,$115.49 ,$142.58 ,$128.32 , N/A ,$128.32 , N/A ,$142.58 ,$79.99 , N/A ,$59.03 ,$142.58 ,$142.58 , N/A ,$128.32 , N/A ,$78.99 ,$39.92 ,$128.32 , N/A ,$50.09 ,$50.09 , N/A ,$92.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600187,Q4106,HC DERMAGRAFT PER SQ CM USED -JC,636,1 ,$173.65 ,$125.03 ,$26.81 ,$173.65 , N/A ,$129.37 ,$113.74 , N/A ,$48.62 ,$106.79 , N/A ,$106.79 , N/A ,$96.20 ,$96.20 , N/A ,$96.20 , N/A ,$156.29 ,$144.13 , N/A , N/A ,$152.81 , N/A ,$130.24 ,$130.24 ,$147.60 ,$147.60 , N/A ,$147.60 , N/A ,$140.66 ,$140.66 ,$140.66 ,$173.65 ,$156.29 , N/A ,$156.29 , N/A ,$173.65 ,$97.42 , N/A ,$71.89 ,$173.65 ,$173.65 , N/A ,$156.29 , N/A ,$96.20 ,$48.62 ,$156.29 , N/A ,$26.81 ,$26.81 , N/A ,$112.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600188,Q4106,HC DERMAGRAFT PER SQ CM WASTED -JW,636,1 ,$173.65 ,$125.03 ,$26.81 ,$173.65 , N/A ,$129.37 ,$113.74 , N/A ,$48.62 ,$106.79 , N/A ,$106.79 , N/A ,$96.20 ,$96.20 , N/A ,$96.20 , N/A ,$156.29 ,$144.13 , N/A , N/A ,$152.81 , N/A ,$130.24 ,$130.24 ,$147.60 ,$147.60 , N/A ,$147.60 , N/A ,$140.66 ,$140.66 ,$140.66 ,$173.65 ,$156.29 , N/A ,$156.29 , N/A ,$173.65 ,$97.42 , N/A ,$71.89 ,$173.65 ,$173.65 , N/A ,$156.29 , N/A ,$96.20 ,$48.62 ,$156.29 , N/A ,$26.81 ,$26.81 , N/A ,$112.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600190,Q4160,HC NUSHIELD PER SQ CM USED - JC,636,1 ,$693.15 ,$499.07 ,$155.20 ,$693.15 , N/A ,$516.40 ,$454.01 , N/A ,$194.08 ,$426.29 , N/A ,$426.29 , N/A ,$384.01 ,$384.01 , N/A ,$384.01 , N/A ,$623.84 ,$575.31 , N/A , N/A ,$609.97 , N/A ,$519.86 ,$519.86 ,$589.18 ,$589.18 , N/A ,$589.18 , N/A ,$561.45 ,$561.45 ,$561.45 ,$693.15 ,$623.84 , N/A ,$623.84 , N/A ,$693.15 ,$388.86 , N/A ,$286.96 ,$342.09 ,$326.54 , N/A ,$623.84 , N/A ,$384.01 ,$194.08 ,$623.84 , N/A ,$155.20 ,$155.20 , N/A ,$450.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600191,Q4186,HC EPIFIX PER SQ CM USED- JC,636,1 ,$483.99 ,$348.47 ,$135.52 ,$483.99 , N/A ,$360.57 ,$317.01 , N/A ,$135.52 ,$297.65 , N/A ,$297.65 , N/A ,$268.13 ,$268.13 , N/A ,$268.13 , N/A ,$435.59 ,$401.71 , N/A , N/A ,$425.91 , N/A ,$362.99 ,$362.99 ,$411.39 ,$411.39 , N/A ,$411.39 , N/A ,$392.03 ,$392.03 ,$392.03 ,$483.99 ,$435.59 , N/A ,$435.59 , N/A ,$483.99 ,$271.52 , N/A ,$200.37 ,$342.09 ,$326.54 , N/A ,$435.59 , N/A ,$268.13 ,$135.52 ,$435.59 , N/A ,$253.21 ,$253.21 , N/A ,$314.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600192,Q4186,HC EPIFIX PER SQ CM WASTED - JW,636,1 ,$483.99 ,$348.47 ,$135.52 ,$483.99 , N/A ,$360.57 ,$317.01 , N/A ,$135.52 ,$297.65 , N/A ,$297.65 , N/A ,$268.13 ,$268.13 , N/A ,$268.13 , N/A ,$435.59 ,$401.71 , N/A , N/A ,$425.91 , N/A ,$362.99 ,$362.99 ,$411.39 ,$411.39 , N/A ,$411.39 , N/A ,$392.03 ,$392.03 ,$392.03 ,$483.99 ,$435.59 , N/A ,$435.59 , N/A ,$483.99 ,$271.52 , N/A ,$200.37 ,$342.09 ,$326.54 , N/A ,$435.59 , N/A ,$268.13 ,$135.52 ,$435.59 , N/A ,$253.21 ,$253.21 , N/A ,$314.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600195,Q4110,"HC PRIMATRIX, PER SQ CM USED - JC",636,1 ,$172.44 ,$124.16 ,$48.28 ,$172.44 , N/A ,$128.47 ,$112.95 , N/A ,$48.28 ,$106.05 , N/A ,$106.05 , N/A ,$95.53 ,$95.53 , N/A ,$95.53 , N/A ,$155.20 ,$143.13 , N/A , N/A ,$151.75 , N/A ,$129.33 ,$129.33 ,$146.57 ,$146.57 , N/A ,$146.57 , N/A ,$139.68 ,$139.68 ,$139.68 ,$172.44 ,$155.20 , N/A ,$155.20 , N/A ,$172.44 ,$96.74 , N/A ,$71.39 ,$172.44 ,$172.44 , N/A ,$155.20 , N/A ,$95.53 ,$48.28 ,$155.20 , N/A ,$70.75 ,$70.75 , N/A ,$112.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600196,Q4110,"HC PRIMATRIX, PER SQ CM WASTED - JW",636,1 ,$172.44 ,$124.16 ,$48.28 ,$172.44 , N/A ,$128.47 ,$112.95 , N/A ,$48.28 ,$106.05 , N/A ,$106.05 , N/A ,$95.53 ,$95.53 , N/A ,$95.53 , N/A ,$155.20 ,$143.13 , N/A , N/A ,$151.75 , N/A ,$129.33 ,$129.33 ,$146.57 ,$146.57 , N/A ,$146.57 , N/A ,$139.68 ,$139.68 ,$139.68 ,$172.44 ,$155.20 , N/A ,$155.20 , N/A ,$172.44 ,$96.74 , N/A ,$71.39 ,$172.44 ,$172.44 , N/A ,$155.20 , N/A ,$95.53 ,$48.28 ,$155.20 , N/A ,$70.75 ,$70.75 , N/A ,$112.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600197,Q4102,HC OASIS PER SQ CENTIMETER USED -JC,636,1 ,$19.18 ,$13.81 ,$5.37 ,$19.18 , N/A ,$14.29 ,$12.56 , N/A ,$5.37 ,$11.80 , N/A ,$11.80 , N/A ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$17.26 ,$15.92 , N/A , N/A ,$16.88 , N/A ,$14.39 ,$14.39 ,$16.30 ,$16.30 , N/A ,$16.30 , N/A ,$15.54 ,$15.54 ,$15.54 ,$19.18 ,$17.26 , N/A ,$17.26 , N/A ,$19.18 ,$10.76 , N/A ,$7.94 ,$19.18 ,$19.18 , N/A ,$17.26 , N/A ,$10.63 ,$5.37 ,$17.26 , N/A ,$19.18 ,$19.18 , N/A ,$12.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600198,Q4102,HC OASIS PER SQ CENTIMETER WASTED -JW,636,1 ,$19.18 ,$13.81 ,$5.37 ,$19.18 , N/A ,$14.29 ,$12.56 , N/A ,$5.37 ,$11.80 , N/A ,$11.80 , N/A ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$17.26 ,$15.92 , N/A , N/A ,$16.88 , N/A ,$14.39 ,$14.39 ,$16.30 ,$16.30 , N/A ,$16.30 , N/A ,$15.54 ,$15.54 ,$15.54 ,$19.18 ,$17.26 , N/A ,$17.26 , N/A ,$19.18 ,$10.76 , N/A ,$7.94 ,$19.18 ,$19.18 , N/A ,$17.26 , N/A ,$10.63 ,$5.37 ,$17.26 , N/A ,$19.18 ,$19.18 , N/A ,$12.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600215,Q4133,HC GRAFIX PER SQ CM USED - JC,636,1 ,$630.00 ,$453.60 ,$176.40 ,$630.00 , N/A ,$469.35 ,$412.65 , N/A ,$176.40 ,$387.45 , N/A ,$387.45 , N/A ,$349.02 ,$349.02 , N/A ,$349.02 , N/A ,$567.00 ,$522.90 , N/A , N/A ,$554.40 , N/A ,$472.50 ,$472.50 ,$535.50 ,$535.50 , N/A ,$535.50 , N/A ,$510.30 ,$510.30 ,$510.30 ,$630.00 ,$567.00 , N/A ,$567.00 , N/A ,$630.00 ,$353.43 , N/A ,$260.82 ,$342.09 ,$326.54 , N/A ,$567.00 , N/A ,$349.02 ,$176.40 ,$567.00 , N/A ,$226.26 ,$226.26 , N/A ,$409.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63600216,Q4133,HC GRAFIX PER SQ CM WASTED - JW,636,1 ,$630.00 ,$453.60 ,$176.40 ,$630.00 , N/A ,$469.35 ,$412.65 , N/A ,$176.40 ,$387.45 , N/A ,$387.45 , N/A ,$349.02 ,$349.02 , N/A ,$349.02 , N/A ,$567.00 ,$522.90 , N/A , N/A ,$554.40 , N/A ,$472.50 ,$472.50 ,$535.50 ,$535.50 , N/A ,$535.50 , N/A ,$510.30 ,$510.30 ,$510.30 ,$630.00 ,$567.00 , N/A ,$567.00 , N/A ,$630.00 ,$353.43 , N/A ,$260.82 ,$342.09 ,$326.54 , N/A ,$567.00 , N/A ,$349.02 ,$176.40 ,$567.00 , N/A ,$226.26 ,$226.26 , N/A ,$409.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACYCLOVIR 5 % OINT 15 G TUBE,637,1 ,$797.65 ,$574.31 ,$223.34 ,$797.65 , N/A ,$594.25 ,$522.46 , N/A ,$223.34 ,$490.55 , N/A ,$490.55 , N/A ,$441.90 ,$441.90 , N/A ,$441.90 , N/A ,$717.89 ,$662.05 , N/A , N/A ,$701.93 , N/A ,$598.24 ,$598.24 ,$678.00 ,$678.00 , N/A ,$678.00 , N/A ,$646.10 ,$646.10 ,$646.10 ,$797.65 ,$717.89 , N/A ,$717.89 , N/A ,$797.65 ,$447.48 , N/A ,$330.23 , N/A , N/A , N/A ,$717.89 , N/A ,$441.90 ,$223.34 ,$717.89 , N/A ,$717.89 ,$717.89 , N/A ,$518.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALENDRONATE 35 MG TABS,637,1 ,$41.00 ,$29.52 ,$11.48 ,$41.00 , N/A ,$30.55 ,$26.86 , N/A ,$11.48 ,$25.22 , N/A ,$25.22 , N/A ,$22.71 ,$22.71 , N/A ,$22.71 , N/A ,$36.90 ,$34.03 , N/A , N/A ,$36.08 , N/A ,$30.75 ,$30.75 ,$34.85 ,$34.85 , N/A ,$34.85 , N/A ,$33.21 ,$33.21 ,$33.21 ,$41.00 ,$36.90 , N/A ,$36.90 , N/A ,$41.00 ,$23.00 , N/A ,$16.97 , N/A , N/A , N/A ,$36.90 , N/A ,$22.71 ,$11.48 ,$36.90 , N/A ,$36.90 ,$36.90 , N/A ,$26.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALUMINUM POTASSIUM SULFATE POWD 10 G VIAL,637,1 ,$164.00 ,$118.08 ,$45.92 ,$164.00 , N/A ,$122.18 ,$107.42 , N/A ,$45.92 ,$100.86 , N/A ,$100.86 , N/A ,$90.86 ,$90.86 , N/A ,$90.86 , N/A ,$147.60 ,$136.12 , N/A , N/A ,$144.32 , N/A ,$123.00 ,$123.00 ,$139.40 ,$139.40 , N/A ,$139.40 , N/A ,$132.84 ,$132.84 ,$132.84 ,$164.00 ,$147.60 , N/A ,$147.60 , N/A ,$164.00 ,$92.00 , N/A ,$67.90 , N/A , N/A , N/A ,$147.60 , N/A ,$90.86 ,$45.92 ,$147.60 , N/A ,$147.60 ,$147.60 , N/A ,$106.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMMONIUM LACTATE 12 % LOTN 226 G BOTTLE,637,1 ,$76.40 ,$55.01 ,$21.39 ,$76.40 , N/A ,$56.92 ,$50.04 , N/A ,$21.39 ,$46.99 , N/A ,$46.99 , N/A ,$42.33 ,$42.33 , N/A ,$42.33 , N/A ,$68.76 ,$63.41 , N/A , N/A ,$67.23 , N/A ,$57.30 ,$57.30 ,$64.94 ,$64.94 , N/A ,$64.94 , N/A ,$61.88 ,$61.88 ,$61.88 ,$76.40 ,$68.76 , N/A ,$68.76 , N/A ,$76.40 ,$42.86 , N/A ,$31.63 , N/A , N/A , N/A ,$68.76 , N/A ,$42.33 ,$21.39 ,$68.76 , N/A ,$68.76 ,$68.76 , N/A ,$49.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN-CLAVULANATE 200-28.5 MG/5ML SUSR,637,1 ,$8.35 ,$6.01 ,$2.34 ,$8.35 , N/A ,$6.22 ,$5.47 , N/A ,$2.34 ,$5.14 , N/A ,$5.14 , N/A ,$4.63 ,$4.63 , N/A ,$4.63 , N/A ,$7.52 ,$6.93 , N/A , N/A ,$7.35 , N/A ,$6.26 ,$6.26 ,$7.10 ,$7.10 , N/A ,$7.10 , N/A ,$6.76 ,$6.76 ,$6.76 ,$8.35 ,$7.52 , N/A ,$7.52 , N/A ,$8.35 ,$4.68 , N/A ,$3.46 , N/A , N/A , N/A ,$7.52 , N/A ,$4.63 ,$2.34 ,$7.52 , N/A ,$7.52 ,$7.52 , N/A ,$5.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN-CLAVULANATE 400-57 MG/5ML SUSR,637,1 ,$10.70 ,$7.70 ,$3.00 ,$10.70 , N/A ,$7.97 ,$7.01 , N/A ,$3.00 ,$6.58 , N/A ,$6.58 , N/A ,$5.93 ,$5.93 , N/A ,$5.93 , N/A ,$9.63 ,$8.88 , N/A , N/A ,$9.42 , N/A ,$8.03 ,$8.03 ,$9.10 ,$9.10 , N/A ,$9.10 , N/A ,$8.67 ,$8.67 ,$8.67 ,$10.70 ,$9.63 , N/A ,$9.63 , N/A ,$10.70 ,$6.00 , N/A ,$4.43 , N/A , N/A , N/A ,$9.63 , N/A ,$5.93 ,$3.00 ,$9.63 , N/A ,$9.63 ,$9.63 , N/A ,$6.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN-CLAVULANATE 875-125 MG TABS,637,1 ,$10.15 ,$7.31 ,$2.84 ,$10.15 , N/A ,$7.56 ,$6.65 , N/A ,$2.84 ,$6.24 , N/A ,$6.24 , N/A ,$5.62 ,$5.62 , N/A ,$5.62 , N/A ,$9.14 ,$8.42 , N/A , N/A ,$8.93 , N/A ,$7.61 ,$7.61 ,$8.63 ,$8.63 , N/A ,$8.63 , N/A ,$8.22 ,$8.22 ,$8.22 ,$10.15 ,$9.14 , N/A ,$9.14 , N/A ,$10.15 ,$5.69 , N/A ,$4.20 , N/A , N/A , N/A ,$9.14 , N/A ,$5.62 ,$2.84 ,$9.14 , N/A ,$9.14 ,$9.14 , N/A ,$6.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,APIXABAN 5 MG TABS,637,1 ,$21.20 ,$15.26 ,$5.94 ,$21.20 , N/A ,$15.79 ,$13.89 , N/A ,$5.94 ,$13.04 , N/A ,$13.04 , N/A ,$11.74 ,$11.74 , N/A ,$11.74 , N/A ,$19.08 ,$17.60 , N/A , N/A ,$18.66 , N/A ,$15.90 ,$15.90 ,$18.02 ,$18.02 , N/A ,$18.02 , N/A ,$17.17 ,$17.17 ,$17.17 ,$21.20 ,$19.08 , N/A ,$19.08 , N/A ,$21.20 ,$11.89 , N/A ,$8.78 , N/A , N/A , N/A ,$19.08 , N/A ,$11.74 ,$5.94 ,$19.08 , N/A ,$19.08 ,$19.08 , N/A ,$13.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,APIXABAN 2.5 MG TABS,637,1 ,$21.20 ,$15.26 ,$5.94 ,$21.20 , N/A ,$15.79 ,$13.89 , N/A ,$5.94 ,$13.04 , N/A ,$13.04 , N/A ,$11.74 ,$11.74 , N/A ,$11.74 , N/A ,$19.08 ,$17.60 , N/A , N/A ,$18.66 , N/A ,$15.90 ,$15.90 ,$18.02 ,$18.02 , N/A ,$18.02 , N/A ,$17.17 ,$17.17 ,$17.17 ,$21.20 ,$19.08 , N/A ,$19.08 , N/A ,$21.20 ,$11.89 , N/A ,$8.78 , N/A , N/A , N/A ,$19.08 , N/A ,$11.74 ,$5.94 ,$19.08 , N/A ,$19.08 ,$19.08 , N/A ,$13.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ARIPIPRAZOLE 2 MG TABS,637,1 ,$64.25 ,$46.26 ,$17.99 ,$64.25 , N/A ,$47.87 ,$42.08 , N/A ,$17.99 ,$39.51 , N/A ,$39.51 , N/A ,$35.59 ,$35.59 , N/A ,$35.59 , N/A ,$57.83 ,$53.33 , N/A , N/A ,$56.54 , N/A ,$48.19 ,$48.19 ,$54.61 ,$54.61 , N/A ,$54.61 , N/A ,$52.04 ,$52.04 ,$52.04 ,$64.25 ,$57.83 , N/A ,$57.83 , N/A ,$64.25 ,$36.04 , N/A ,$26.60 , N/A , N/A , N/A ,$57.83 , N/A ,$35.59 ,$17.99 ,$57.83 , N/A ,$57.83 ,$57.83 , N/A ,$41.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ARIPIPRAZOLE 5 MG TABS,637,1 ,$64.00 ,$46.08 ,$17.92 ,$64.00 , N/A ,$47.68 ,$41.92 , N/A ,$17.92 ,$39.36 , N/A ,$39.36 , N/A ,$35.46 ,$35.46 , N/A ,$35.46 , N/A ,$57.60 ,$53.12 , N/A , N/A ,$56.32 , N/A ,$48.00 ,$48.00 ,$54.40 ,$54.40 , N/A ,$54.40 , N/A ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 , N/A ,$57.60 , N/A ,$64.00 ,$35.90 , N/A ,$26.50 , N/A , N/A , N/A ,$57.60 , N/A ,$35.46 ,$17.92 ,$57.60 , N/A ,$57.60 ,$57.60 , N/A ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ARIPIPRAZOLE 15 MG TABS,637,1 ,$64.00 ,$46.08 ,$17.92 ,$64.00 , N/A ,$47.68 ,$41.92 , N/A ,$17.92 ,$39.36 , N/A ,$39.36 , N/A ,$35.46 ,$35.46 , N/A ,$35.46 , N/A ,$57.60 ,$53.12 , N/A , N/A ,$56.32 , N/A ,$48.00 ,$48.00 ,$54.40 ,$54.40 , N/A ,$54.40 , N/A ,$51.84 ,$51.84 ,$51.84 ,$64.00 ,$57.60 , N/A ,$57.60 , N/A ,$64.00 ,$35.90 , N/A ,$26.50 , N/A , N/A , N/A ,$57.60 , N/A ,$35.46 ,$17.92 ,$57.60 , N/A ,$57.60 ,$57.60 , N/A ,$41.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ARTIFICIAL TEARS 83-15 % OINT 3.5 G TUBE,637,1 ,$20.65 ,$14.87 ,$5.78 ,$20.65 , N/A ,$15.38 ,$13.53 , N/A ,$5.78 ,$12.70 , N/A ,$12.70 , N/A ,$11.44 ,$11.44 , N/A ,$11.44 , N/A ,$18.59 ,$17.14 , N/A , N/A ,$18.17 , N/A ,$15.49 ,$15.49 ,$17.55 ,$17.55 , N/A ,$17.55 , N/A ,$16.73 ,$16.73 ,$16.73 ,$20.65 ,$18.59 , N/A ,$18.59 , N/A ,$20.65 ,$11.58 , N/A ,$8.55 , N/A , N/A , N/A ,$18.59 , N/A ,$11.44 ,$5.78 ,$18.59 , N/A ,$18.59 ,$18.59 , N/A ,$13.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ATORVASTATIN 10 MG TABS,637,1 ,$8.10 ,$5.83 ,$2.27 ,$8.10 , N/A ,$6.03 ,$5.31 , N/A ,$2.27 ,$4.98 , N/A ,$4.98 , N/A ,$4.49 ,$4.49 , N/A ,$4.49 , N/A ,$7.29 ,$6.72 , N/A , N/A ,$7.13 , N/A ,$6.08 ,$6.08 ,$6.89 ,$6.89 , N/A ,$6.89 , N/A ,$6.56 ,$6.56 ,$6.56 ,$8.10 ,$7.29 , N/A ,$7.29 , N/A ,$8.10 ,$4.54 , N/A ,$3.35 , N/A , N/A , N/A ,$7.29 , N/A ,$4.49 ,$2.27 ,$7.29 , N/A ,$7.29 ,$7.29 , N/A ,$5.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ATORVASTATIN 40 MG TABS,637,1 ,$11.55 ,$8.32 ,$3.23 ,$11.55 , N/A ,$8.60 ,$7.57 , N/A ,$3.23 ,$7.10 , N/A ,$7.10 , N/A ,$6.40 ,$6.40 , N/A ,$6.40 , N/A ,$10.40 ,$9.59 , N/A , N/A ,$10.16 , N/A ,$8.66 ,$8.66 ,$9.82 ,$9.82 , N/A ,$9.82 , N/A ,$9.36 ,$9.36 ,$9.36 ,$11.55 ,$10.40 , N/A ,$10.40 , N/A ,$11.55 ,$6.48 , N/A ,$4.78 , N/A , N/A , N/A ,$10.40 , N/A ,$6.40 ,$3.23 ,$10.40 , N/A ,$10.40 ,$10.40 , N/A ,$7.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AZITHROMYCIN 250 MG TABS,637,1 ,$15.60 ,$11.23 ,$4.37 ,$15.60 , N/A ,$11.62 ,$10.22 , N/A ,$4.37 ,$9.59 , N/A ,$9.59 , N/A ,$8.64 ,$8.64 , N/A ,$8.64 , N/A ,$14.04 ,$12.95 , N/A , N/A ,$13.73 , N/A ,$11.70 ,$11.70 ,$13.26 ,$13.26 , N/A ,$13.26 , N/A ,$12.64 ,$12.64 ,$12.64 ,$15.60 ,$14.04 , N/A ,$14.04 , N/A ,$15.60 ,$8.75 , N/A ,$6.46 , N/A , N/A , N/A ,$14.04 , N/A ,$8.64 ,$4.37 ,$14.04 , N/A ,$14.04 ,$14.04 , N/A ,$10.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALOGLIPTIN 12.5 MG TABS,637,1 ,$15.60 ,$11.23 ,$4.37 ,$15.60 , N/A ,$11.62 ,$10.22 , N/A ,$4.37 ,$9.59 , N/A ,$9.59 , N/A ,$8.64 ,$8.64 , N/A ,$8.64 , N/A ,$14.04 ,$12.95 , N/A , N/A ,$13.73 , N/A ,$11.70 ,$11.70 ,$13.26 ,$13.26 , N/A ,$13.26 , N/A ,$12.64 ,$12.64 ,$12.64 ,$15.60 ,$14.04 , N/A ,$14.04 , N/A ,$15.60 ,$8.75 , N/A ,$6.46 , N/A , N/A , N/A ,$14.04 , N/A ,$8.64 ,$4.37 ,$14.04 , N/A ,$14.04 ,$14.04 , N/A ,$10.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACITRACIN 500 UNIT/GM OINT 28 G TUBE,637,1 ,$17.00 ,$12.24 ,$4.76 ,$17.00 , N/A ,$12.67 ,$11.14 , N/A ,$4.76 ,$10.46 , N/A ,$10.46 , N/A ,$9.42 ,$9.42 , N/A ,$9.42 , N/A ,$15.30 ,$14.11 , N/A , N/A ,$14.96 , N/A ,$12.75 ,$12.75 ,$14.45 ,$14.45 , N/A ,$14.45 , N/A ,$13.77 ,$13.77 ,$13.77 ,$17.00 ,$15.30 , N/A ,$15.30 , N/A ,$17.00 ,$9.54 , N/A ,$7.04 , N/A , N/A , N/A ,$15.30 , N/A ,$9.42 ,$4.76 ,$15.30 , N/A ,$15.30 ,$15.30 , N/A ,$11.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACITRACIN-NEOMYCIN-POLYMYXIN-HYDROCORTISONE 1 % OINT 3.5 G TUBE,637,1 ,$130.15 ,$93.71 ,$36.44 ,$130.15 , N/A ,$96.96 ,$85.25 , N/A ,$36.44 ,$80.04 , N/A ,$80.04 , N/A ,$72.10 ,$72.10 , N/A ,$72.10 , N/A ,$117.14 ,$108.02 , N/A , N/A ,$114.53 , N/A ,$97.61 ,$97.61 ,$110.63 ,$110.63 , N/A ,$110.63 , N/A ,$105.42 ,$105.42 ,$105.42 ,$130.15 ,$117.14 , N/A ,$117.14 , N/A ,$130.15 ,$73.01 , N/A ,$53.88 , N/A , N/A , N/A ,$117.14 , N/A ,$72.10 ,$36.44 ,$117.14 , N/A ,$117.14 ,$117.14 , N/A ,$84.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 28.3 G TUBE,637,1 ,$16.65 ,$11.99 ,$4.66 ,$16.65 , N/A ,$12.40 ,$10.91 , N/A ,$4.66 ,$10.24 , N/A ,$10.24 , N/A ,$9.22 ,$9.22 , N/A ,$9.22 , N/A ,$14.99 ,$13.82 , N/A , N/A ,$14.65 , N/A ,$12.49 ,$12.49 ,$14.15 ,$14.15 , N/A ,$14.15 , N/A ,$13.49 ,$13.49 ,$13.49 ,$16.65 ,$14.99 , N/A ,$14.99 , N/A ,$16.65 ,$9.34 , N/A ,$6.89 , N/A , N/A , N/A ,$14.99 , N/A ,$9.22 ,$4.66 ,$14.99 , N/A ,$14.99 ,$14.99 , N/A ,$10.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 3.5 G TUBE,637,1 ,$57.35 ,$41.29 ,$16.06 ,$57.35 , N/A ,$42.73 ,$37.56 , N/A ,$16.06 ,$35.27 , N/A ,$35.27 , N/A ,$31.77 ,$31.77 , N/A ,$31.77 , N/A ,$51.62 ,$47.60 , N/A , N/A ,$50.47 , N/A ,$43.01 ,$43.01 ,$48.75 ,$48.75 , N/A ,$48.75 , N/A ,$46.45 ,$46.45 ,$46.45 ,$57.35 ,$51.62 , N/A ,$51.62 , N/A ,$57.35 ,$32.17 , N/A ,$23.74 , N/A , N/A , N/A ,$51.62 , N/A ,$31.77 ,$16.06 ,$51.62 , N/A ,$51.62 ,$51.62 , N/A ,$37.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BENZOCAINE 20 % GEL 9 G TUBE,637,1 ,$11.00 ,$7.92 ,$3.08 ,$11.00 , N/A ,$8.20 ,$7.21 , N/A ,$3.08 ,$6.77 , N/A ,$6.77 , N/A ,$6.09 ,$6.09 , N/A ,$6.09 , N/A ,$9.90 ,$9.13 , N/A , N/A ,$9.68 , N/A ,$8.25 ,$8.25 ,$9.35 ,$9.35 , N/A ,$9.35 , N/A ,$8.91 ,$8.91 ,$8.91 ,$11.00 ,$9.90 , N/A ,$9.90 , N/A ,$11.00 ,$6.17 , N/A ,$4.55 , N/A , N/A , N/A ,$9.90 , N/A ,$6.09 ,$3.08 ,$9.90 , N/A ,$9.90 ,$9.90 , N/A ,$7.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BETAMETHASONE DIPROPIONATE 0.05 % CREA 15 G TUBE,637,1 ,$83.20 ,$59.90 ,$23.30 ,$83.20 , N/A ,$61.98 ,$54.50 , N/A ,$23.30 ,$51.17 , N/A ,$51.17 , N/A ,$46.09 ,$46.09 , N/A ,$46.09 , N/A ,$74.88 ,$69.06 , N/A , N/A ,$73.22 , N/A ,$62.40 ,$62.40 ,$70.72 ,$70.72 , N/A ,$70.72 , N/A ,$67.39 ,$67.39 ,$67.39 ,$83.20 ,$74.88 , N/A ,$74.88 , N/A ,$83.20 ,$46.68 , N/A ,$34.44 , N/A , N/A , N/A ,$74.88 , N/A ,$46.09 ,$23.30 ,$74.88 , N/A ,$74.88 ,$74.88 , N/A ,$54.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BICALUTAMIDE 50 MG TABS,637,1 ,$36.75 ,$26.46 ,$10.29 ,$36.75 , N/A ,$27.38 ,$24.07 , N/A ,$10.29 ,$22.60 , N/A ,$22.60 , N/A ,$20.36 ,$20.36 , N/A ,$20.36 , N/A ,$33.08 ,$30.50 , N/A , N/A ,$32.34 , N/A ,$27.56 ,$27.56 ,$31.24 ,$31.24 , N/A ,$31.24 , N/A ,$29.77 ,$29.77 ,$29.77 ,$36.75 ,$33.08 , N/A ,$33.08 , N/A ,$36.75 ,$20.62 , N/A ,$15.21 , N/A , N/A , N/A ,$33.08 , N/A ,$20.36 ,$10.29 ,$33.08 , N/A ,$33.08 ,$33.08 , N/A ,$23.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BIMATOPROST 0.01 % SOLN 2.5 ML BOTTLE,637,1 ,$547.25 ,$394.02 ,$153.23 ,$547.25 , N/A ,$407.70 ,$358.45 , N/A ,$153.23 ,$336.56 , N/A ,$336.56 , N/A ,$303.18 ,$303.18 , N/A ,$303.18 , N/A ,$492.53 ,$454.22 , N/A , N/A ,$481.58 , N/A ,$410.44 ,$410.44 ,$465.16 ,$465.16 , N/A ,$465.16 , N/A ,$443.27 ,$443.27 ,$443.27 ,$547.25 ,$492.53 , N/A ,$492.53 , N/A ,$547.25 ,$307.01 , N/A ,$226.56 , N/A , N/A , N/A ,$492.53 , N/A ,$303.18 ,$153.23 ,$492.53 , N/A ,$492.53 ,$492.53 , N/A ,$355.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BRIMONIDINE-TIMOLOL 0.2-0.5 % SOLN 5 ML BOTTLE,637,1 ,$489.95 ,$352.76 ,$137.19 ,$489.95 , N/A ,$365.01 ,$320.92 , N/A ,$137.19 ,$301.32 , N/A ,$301.32 , N/A ,$271.43 ,$271.43 , N/A ,$271.43 , N/A ,$440.96 ,$406.66 , N/A , N/A ,$431.16 , N/A ,$367.46 ,$367.46 ,$416.46 ,$416.46 , N/A ,$416.46 , N/A ,$396.86 ,$396.86 ,$396.86 ,$489.95 ,$440.96 , N/A ,$440.96 , N/A ,$489.95 ,$274.86 , N/A ,$202.84 , N/A , N/A , N/A ,$440.96 , N/A ,$271.43 ,$137.19 ,$440.96 , N/A ,$440.96 ,$440.96 , N/A ,$318.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BRINZOLAMIDE 1 % SUSP 10 ML BOTTLE,637,1 ,$823.80 ,$593.14 ,$230.66 ,$823.80 , N/A ,$613.73 ,$539.59 , N/A ,$230.66 ,$506.64 , N/A ,$506.64 , N/A ,$456.39 ,$456.39 , N/A ,$456.39 , N/A ,$741.42 ,$683.75 , N/A , N/A ,$724.94 , N/A ,$617.85 ,$617.85 ,$700.23 ,$700.23 , N/A ,$700.23 , N/A ,$667.28 ,$667.28 ,$667.28 ,$823.80 ,$741.42 , N/A ,$741.42 , N/A ,$823.80 ,$462.15 , N/A ,$341.05 , N/A , N/A , N/A ,$741.42 , N/A ,$456.39 ,$230.66 ,$741.42 , N/A ,$741.42 ,$741.42 , N/A ,$535.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-300-40 MG CAPS,637,1 ,$9.65 ,$6.95 ,$2.70 ,$9.65 , N/A ,$7.19 ,$6.32 , N/A ,$2.70 ,$5.93 , N/A ,$5.93 , N/A ,$5.35 ,$5.35 , N/A ,$5.35 , N/A ,$8.69 ,$8.01 , N/A , N/A ,$8.49 , N/A ,$7.24 ,$7.24 ,$8.20 ,$8.20 , N/A ,$8.20 , N/A ,$7.82 ,$7.82 ,$7.82 ,$9.65 ,$8.69 , N/A ,$8.69 , N/A ,$9.65 ,$5.41 , N/A ,$4.00 , N/A , N/A , N/A ,$8.69 , N/A ,$5.35 ,$2.70 ,$8.69 , N/A ,$8.69 ,$8.69 , N/A ,$6.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CALCITONIN 200 UNIT/ACT SOLN 3.7 ML BOTTLE,637,1 ,$237.10 ,$170.71 ,$66.39 ,$237.10 , N/A ,$176.64 ,$155.30 , N/A ,$66.39 ,$145.82 , N/A ,$145.82 , N/A ,$131.35 ,$131.35 , N/A ,$131.35 , N/A ,$213.39 ,$196.79 , N/A , N/A ,$208.65 , N/A ,$177.83 ,$177.83 ,$201.54 ,$201.54 , N/A ,$201.54 , N/A ,$192.05 ,$192.05 ,$192.05 ,$237.10 ,$213.39 , N/A ,$213.39 , N/A ,$237.10 ,$133.01 , N/A ,$98.16 , N/A , N/A , N/A ,$213.39 , N/A ,$131.35 ,$66.39 ,$213.39 , N/A ,$213.39 ,$213.39 , N/A ,$154.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CAPSAICIN 0.025 % CREA 60 G TUBE,637,1 ,$19.95 ,$14.36 ,$5.59 ,$19.95 , N/A ,$14.86 ,$13.07 , N/A ,$5.59 ,$12.27 , N/A ,$12.27 , N/A ,$11.05 ,$11.05 , N/A ,$11.05 , N/A ,$17.96 ,$16.56 , N/A , N/A ,$17.56 , N/A ,$14.96 ,$14.96 ,$16.96 ,$16.96 , N/A ,$16.96 , N/A ,$16.16 ,$16.16 ,$16.16 ,$19.95 ,$17.96 , N/A ,$17.96 , N/A ,$19.95 ,$11.19 , N/A ,$8.26 , N/A , N/A , N/A ,$17.96 , N/A ,$11.05 ,$5.59 ,$17.96 , N/A ,$17.96 ,$17.96 , N/A ,$12.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEFDINIR 125 MG/5ML SUSR,637,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEFDINIR 300 MG CAPS,637,1 ,$10.25 ,$7.38 ,$2.87 ,$10.25 , N/A ,$7.64 ,$6.71 , N/A ,$2.87 ,$6.30 , N/A ,$6.30 , N/A ,$5.68 ,$5.68 , N/A ,$5.68 , N/A ,$9.23 ,$8.51 , N/A , N/A ,$9.02 , N/A ,$7.69 ,$7.69 ,$8.71 ,$8.71 , N/A ,$8.71 , N/A ,$8.30 ,$8.30 ,$8.30 ,$10.25 ,$9.23 , N/A ,$9.23 , N/A ,$10.25 ,$5.75 , N/A ,$4.24 , N/A , N/A , N/A ,$9.23 , N/A ,$5.68 ,$2.87 ,$9.23 , N/A ,$9.23 ,$9.23 , N/A ,$6.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEFUROXIME 250 MG TABS,637,1 ,$11.35 ,$8.17 ,$3.18 ,$11.35 , N/A ,$8.46 ,$7.43 , N/A ,$3.18 ,$6.98 , N/A ,$6.98 , N/A ,$6.29 ,$6.29 , N/A ,$6.29 , N/A ,$10.22 ,$9.42 , N/A , N/A ,$9.99 , N/A ,$8.51 ,$8.51 ,$9.65 ,$9.65 , N/A ,$9.65 , N/A ,$9.19 ,$9.19 ,$9.19 ,$11.35 ,$10.22 , N/A ,$10.22 , N/A ,$11.35 ,$6.37 , N/A ,$4.70 , N/A , N/A , N/A ,$10.22 , N/A ,$6.29 ,$3.18 ,$10.22 , N/A ,$10.22 ,$10.22 , N/A ,$7.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CIPROFLOXACIN 500 MG TABS,637,1 ,$10.75 ,$7.74 ,$3.01 ,$10.75 , N/A ,$8.01 ,$7.04 , N/A ,$3.01 ,$6.61 , N/A ,$6.61 , N/A ,$5.96 ,$5.96 , N/A ,$5.96 , N/A ,$9.68 ,$8.92 , N/A , N/A ,$9.46 , N/A ,$8.06 ,$8.06 ,$9.14 ,$9.14 , N/A ,$9.14 , N/A ,$8.71 ,$8.71 ,$8.71 ,$10.75 ,$9.68 , N/A ,$9.68 , N/A ,$10.75 ,$6.03 , N/A ,$4.45 , N/A , N/A , N/A ,$9.68 , N/A ,$5.96 ,$3.01 ,$9.68 , N/A ,$9.68 ,$9.68 , N/A ,$6.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CITRIC ACID-SODIUM CITRATE 500-334 MG/5ML SOLN,637,1 ,$11.10 ,$7.99 ,$3.11 ,$11.10 , N/A ,$8.27 ,$7.27 , N/A ,$3.11 ,$6.83 , N/A ,$6.83 , N/A ,$6.15 ,$6.15 , N/A ,$6.15 , N/A ,$9.99 ,$9.21 , N/A , N/A ,$9.77 , N/A ,$8.33 ,$8.33 ,$9.44 ,$9.44 , N/A ,$9.44 , N/A ,$8.99 ,$8.99 ,$8.99 ,$11.10 ,$9.99 , N/A ,$9.99 , N/A ,$11.10 ,$6.23 , N/A ,$4.60 , N/A , N/A , N/A ,$9.99 , N/A ,$6.15 ,$3.11 ,$9.99 , N/A ,$9.99 ,$9.99 , N/A ,$7.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOBETASOL 0.05 % CREA 30 G TUBE,637,1 ,$512.95 ,$369.32 ,$143.63 ,$512.95 , N/A ,$382.15 ,$335.98 , N/A ,$143.63 ,$315.46 , N/A ,$315.46 , N/A ,$284.17 ,$284.17 , N/A ,$284.17 , N/A ,$461.66 ,$425.75 , N/A , N/A ,$451.40 , N/A ,$384.71 ,$384.71 ,$436.01 ,$436.01 , N/A ,$436.01 , N/A ,$415.49 ,$415.49 ,$415.49 ,$512.95 ,$461.66 , N/A ,$461.66 , N/A ,$512.95 ,$287.77 , N/A ,$212.36 , N/A , N/A , N/A ,$461.66 , N/A ,$284.17 ,$143.63 ,$461.66 , N/A ,$461.66 ,$461.66 , N/A ,$333.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLONIDINE 0.2 MG/24HR PTWK,637,1 ,$111.55 ,$80.32 ,$31.23 ,$111.55 , N/A ,$83.10 ,$73.07 , N/A ,$31.23 ,$68.60 , N/A ,$68.60 , N/A ,$61.80 ,$61.80 , N/A ,$61.80 , N/A ,$100.40 ,$92.59 , N/A , N/A ,$98.16 , N/A ,$83.66 ,$83.66 ,$94.82 ,$94.82 , N/A ,$94.82 , N/A ,$90.36 ,$90.36 ,$90.36 ,$111.55 ,$100.40 , N/A ,$100.40 , N/A ,$111.55 ,$62.58 , N/A ,$46.18 , N/A , N/A , N/A ,$100.40 , N/A ,$61.80 ,$31.23 ,$100.40 , N/A ,$100.40 ,$100.40 , N/A ,$72.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLONIDINE 0.3 MG/24HR PTWK,637,1 ,$154.75 ,$111.42 ,$43.33 ,$154.75 , N/A ,$115.29 ,$101.36 , N/A ,$43.33 ,$95.17 , N/A ,$95.17 , N/A ,$85.73 ,$85.73 , N/A ,$85.73 , N/A ,$139.28 ,$128.44 , N/A , N/A ,$136.18 , N/A ,$116.06 ,$116.06 ,$131.54 ,$131.54 , N/A ,$131.54 , N/A ,$125.35 ,$125.35 ,$125.35 ,$154.75 ,$139.28 , N/A ,$139.28 , N/A ,$154.75 ,$86.81 , N/A ,$64.07 , N/A , N/A , N/A ,$139.28 , N/A ,$85.73 ,$43.33 ,$139.28 , N/A ,$139.28 ,$139.28 , N/A ,$100.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOPIDOGREL 300 MG TABS,637,1 ,$53.28 ,$38.36 ,$14.92 ,$53.28 , N/A ,$39.69 ,$34.90 , N/A ,$14.92 ,$32.77 , N/A ,$32.77 , N/A ,$29.52 ,$29.52 , N/A ,$29.52 , N/A ,$47.95 ,$44.22 , N/A , N/A ,$46.89 , N/A ,$39.96 ,$39.96 ,$45.29 ,$45.29 , N/A ,$45.29 , N/A ,$43.16 ,$43.16 ,$43.16 ,$53.28 ,$47.95 , N/A ,$47.95 , N/A ,$53.28 ,$29.89 , N/A ,$22.06 , N/A , N/A , N/A ,$47.95 , N/A ,$29.52 ,$14.92 ,$47.95 , N/A ,$47.95 ,$47.95 , N/A ,$34.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOPIDOGREL 75 MG TABS,637,1 ,$13.65 ,$9.83 ,$3.82 ,$13.65 , N/A ,$10.17 ,$8.94 , N/A ,$3.82 ,$8.39 , N/A ,$8.39 , N/A ,$7.56 ,$7.56 , N/A ,$7.56 , N/A ,$12.29 ,$11.33 , N/A , N/A ,$12.01 , N/A ,$10.24 ,$10.24 ,$11.60 ,$11.60 , N/A ,$11.60 , N/A ,$11.06 ,$11.06 ,$11.06 ,$13.65 ,$12.29 , N/A ,$12.29 , N/A ,$13.65 ,$7.66 , N/A ,$5.65 , N/A , N/A , N/A ,$12.29 , N/A ,$7.56 ,$3.82 ,$12.29 , N/A ,$12.29 ,$12.29 , N/A ,$8.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOTRIMAZOLE 1 % CREA 15 G TUBE,637,1 ,$12.00 ,$8.64 ,$3.36 ,$12.00 , N/A ,$8.94 ,$7.86 , N/A ,$3.36 ,$7.38 , N/A ,$7.38 , N/A ,$6.65 ,$6.65 , N/A ,$6.65 , N/A ,$10.80 ,$9.96 , N/A , N/A ,$10.56 , N/A ,$9.00 ,$9.00 ,$10.20 ,$10.20 , N/A ,$10.20 , N/A ,$9.72 ,$9.72 ,$9.72 ,$12.00 ,$10.80 , N/A ,$10.80 , N/A ,$12.00 ,$6.73 , N/A ,$4.97 , N/A , N/A , N/A ,$10.80 , N/A ,$6.65 ,$3.36 ,$10.80 , N/A ,$10.80 ,$10.80 , N/A ,$7.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOTRIMAZOLE 1 % CREA 30 G TUBE,637,1 ,$17.20 ,$12.38 ,$4.82 ,$17.20 , N/A ,$12.81 ,$11.27 , N/A ,$4.82 ,$10.58 , N/A ,$10.58 , N/A ,$9.53 ,$9.53 , N/A ,$9.53 , N/A ,$15.48 ,$14.28 , N/A , N/A ,$15.14 , N/A ,$12.90 ,$12.90 ,$14.62 ,$14.62 , N/A ,$14.62 , N/A ,$13.93 ,$13.93 ,$13.93 ,$17.20 ,$15.48 , N/A ,$15.48 , N/A ,$17.20 ,$9.65 , N/A ,$7.12 , N/A , N/A , N/A ,$15.48 , N/A ,$9.53 ,$4.82 ,$15.48 , N/A ,$15.48 ,$15.48 , N/A ,$11.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % CREA 15 G TUBE,637,1 ,$112.45 ,$80.96 ,$31.49 ,$112.45 , N/A ,$83.78 ,$73.65 , N/A ,$31.49 ,$69.16 , N/A ,$69.16 , N/A ,$62.30 ,$62.30 , N/A ,$62.30 , N/A ,$101.21 ,$93.33 , N/A , N/A ,$98.96 , N/A ,$84.34 ,$84.34 ,$95.58 ,$95.58 , N/A ,$95.58 , N/A ,$91.08 ,$91.08 ,$91.08 ,$112.45 ,$101.21 , N/A ,$101.21 , N/A ,$112.45 ,$63.08 , N/A ,$46.55 , N/A , N/A , N/A ,$101.21 , N/A ,$62.30 ,$31.49 ,$101.21 , N/A ,$101.21 ,$101.21 , N/A ,$73.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOZAPINE 100 MG TABS,637,1 ,$6.93 ,$4.99 ,$1.94 ,$6.93 , N/A ,$5.16 ,$4.54 , N/A ,$1.94 ,$4.26 , N/A ,$4.26 , N/A ,$3.84 ,$3.84 , N/A ,$3.84 , N/A ,$6.24 ,$5.75 , N/A , N/A ,$6.10 , N/A ,$5.20 ,$5.20 ,$5.89 ,$5.89 , N/A ,$5.89 , N/A ,$5.61 ,$5.61 ,$5.61 ,$6.93 ,$6.24 , N/A ,$6.24 , N/A ,$6.93 ,$3.89 , N/A ,$2.87 , N/A , N/A , N/A ,$6.24 , N/A ,$3.84 ,$1.94 ,$6.24 , N/A ,$6.24 ,$6.24 , N/A ,$4.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,COLCHICINE 0.6 MG TABS,637,1 ,$22.30 ,$16.06 ,$6.24 ,$22.30 , N/A ,$16.61 ,$14.61 , N/A ,$6.24 ,$13.71 , N/A ,$13.71 , N/A ,$12.35 ,$12.35 , N/A ,$12.35 , N/A ,$20.07 ,$18.51 , N/A , N/A ,$19.62 , N/A ,$16.73 ,$16.73 ,$18.96 ,$18.96 , N/A ,$18.96 , N/A ,$18.06 ,$18.06 ,$18.06 ,$22.30 ,$20.07 , N/A ,$20.07 , N/A ,$22.30 ,$12.51 , N/A ,$9.23 , N/A , N/A , N/A ,$20.07 , N/A ,$12.35 ,$6.24 ,$20.07 , N/A ,$20.07 ,$20.07 , N/A ,$14.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CONJUGATED ESTROGENS 0.625 MG/GM CREA 30 G TUBE,637,1 ,$998.70 ,$719.06 ,$279.64 ,$998.70 , N/A ,$744.03 ,$654.15 , N/A ,$279.64 ,$614.20 , N/A ,$614.20 , N/A ,$553.28 ,$553.28 , N/A ,$553.28 , N/A ,$898.83 ,$828.92 , N/A , N/A ,$878.86 , N/A ,$749.03 ,$749.03 ,$848.90 ,$848.90 , N/A ,$848.90 , N/A ,$808.95 ,$808.95 ,$808.95 ,$998.70 ,$898.83 , N/A ,$898.83 , N/A ,$998.70 ,$560.27 , N/A ,$413.46 , N/A , N/A , N/A ,$898.83 , N/A ,$553.28 ,$279.64 ,$898.83 , N/A ,$898.83 ,$898.83 , N/A ,$649.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DAPSONE 100 MG TABS,637,1 ,$6.05 ,$4.36 ,$1.69 ,$6.05 , N/A ,$4.51 ,$3.96 , N/A ,$1.69 ,$3.72 , N/A ,$3.72 , N/A ,$3.35 ,$3.35 , N/A ,$3.35 , N/A ,$5.45 ,$5.02 , N/A , N/A ,$5.32 , N/A ,$4.54 ,$4.54 ,$5.14 ,$5.14 , N/A ,$5.14 , N/A ,$4.90 ,$4.90 ,$4.90 ,$6.05 ,$5.45 , N/A ,$5.45 , N/A ,$6.05 ,$3.39 , N/A ,$2.50 , N/A , N/A , N/A ,$5.45 , N/A ,$3.35 ,$1.69 ,$5.45 , N/A ,$5.45 ,$5.45 , N/A ,$3.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DESMOPRESSIN 0.2 MG TABS,637,1 ,$15.25 ,$10.98 ,$4.27 ,$15.25 , N/A ,$11.36 ,$9.99 , N/A ,$4.27 ,$9.38 , N/A ,$9.38 , N/A ,$8.45 ,$8.45 , N/A ,$8.45 , N/A ,$13.73 ,$12.66 , N/A , N/A ,$13.42 , N/A ,$11.44 ,$11.44 ,$12.96 ,$12.96 , N/A ,$12.96 , N/A ,$12.35 ,$12.35 ,$12.35 ,$15.25 ,$13.73 , N/A ,$13.73 , N/A ,$15.25 ,$8.56 , N/A ,$6.31 , N/A , N/A , N/A ,$13.73 , N/A ,$8.45 ,$4.27 ,$13.73 , N/A ,$13.73 ,$13.73 , N/A ,$9.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DESVENLAFAXINE ER 50 MG TB24,637,1 ,$11.63 ,$8.37 ,$3.26 ,$11.63 , N/A ,$8.66 ,$7.62 , N/A ,$3.26 ,$7.15 , N/A ,$7.15 , N/A ,$6.44 ,$6.44 , N/A ,$6.44 , N/A ,$10.47 ,$9.65 , N/A , N/A ,$10.23 , N/A ,$8.72 ,$8.72 ,$9.89 ,$9.89 , N/A ,$9.89 , N/A ,$9.42 ,$9.42 ,$9.42 ,$11.63 ,$10.47 , N/A ,$10.47 , N/A ,$11.63 ,$6.52 , N/A ,$4.81 , N/A , N/A , N/A ,$10.47 , N/A ,$6.44 ,$3.26 ,$10.47 , N/A ,$10.47 ,$10.47 , N/A ,$7.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DEXTROSE 40 % GEL 37.5 G TUBE,637,1 ,$7.90 ,$5.69 ,$2.21 ,$7.90 , N/A ,$5.89 ,$5.17 , N/A ,$2.21 ,$4.86 , N/A ,$4.86 , N/A ,$4.38 ,$4.38 , N/A ,$4.38 , N/A ,$7.11 ,$6.56 , N/A , N/A ,$6.95 , N/A ,$5.93 ,$5.93 ,$6.72 ,$6.72 , N/A ,$6.72 , N/A ,$6.40 ,$6.40 ,$6.40 ,$7.90 ,$7.11 , N/A ,$7.11 , N/A ,$7.90 ,$4.43 , N/A ,$3.27 , N/A , N/A , N/A ,$7.11 , N/A ,$4.38 ,$2.21 ,$7.11 , N/A ,$7.11 ,$7.11 , N/A ,$5.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIAZEPAM 10 MG GEL,637,1 ,$728.15 ,$524.27 ,$203.88 ,$728.15 , N/A ,$542.47 ,$476.94 , N/A ,$203.88 ,$447.81 , N/A ,$447.81 , N/A ,$403.40 ,$403.40 , N/A ,$403.40 , N/A ,$655.34 ,$604.36 , N/A , N/A ,$640.77 , N/A ,$546.11 ,$546.11 ,$618.93 ,$618.93 , N/A ,$618.93 , N/A ,$589.80 ,$589.80 ,$589.80 ,$728.15 ,$655.34 , N/A ,$655.34 , N/A ,$728.15 ,$408.49 , N/A ,$301.45 , N/A , N/A , N/A ,$655.34 , N/A ,$403.40 ,$203.88 ,$655.34 , N/A ,$655.34 ,$655.34 , N/A ,$473.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM SR 60 MG CP12,637,1 ,$7.95 ,$5.72 ,$2.23 ,$7.95 , N/A ,$5.92 ,$5.21 , N/A ,$2.23 ,$4.89 , N/A ,$4.89 , N/A ,$4.40 ,$4.40 , N/A ,$4.40 , N/A ,$7.16 ,$6.60 , N/A , N/A ,$7.00 , N/A ,$5.96 ,$5.96 ,$6.76 ,$6.76 , N/A ,$6.76 , N/A ,$6.44 ,$6.44 ,$6.44 ,$7.95 ,$7.16 , N/A ,$7.16 , N/A ,$7.95 ,$4.46 , N/A ,$3.29 , N/A , N/A , N/A ,$7.16 , N/A ,$4.40 ,$2.23 ,$7.16 , N/A ,$7.16 ,$7.16 , N/A ,$5.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM SR 90 MG CP12,637,1 ,$9.35 ,$6.73 ,$2.62 ,$9.35 , N/A ,$6.97 ,$6.12 , N/A ,$2.62 ,$5.75 , N/A ,$5.75 , N/A ,$5.18 ,$5.18 , N/A ,$5.18 , N/A ,$8.42 ,$7.76 , N/A , N/A ,$8.23 , N/A ,$7.01 ,$7.01 ,$7.95 ,$7.95 , N/A ,$7.95 , N/A ,$7.57 ,$7.57 ,$7.57 ,$9.35 ,$8.42 , N/A ,$8.42 , N/A ,$9.35 ,$5.25 , N/A ,$3.87 , N/A , N/A , N/A ,$8.42 , N/A ,$5.18 ,$2.62 ,$8.42 , N/A ,$8.42 ,$8.42 , N/A ,$6.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIPHENHYDRAMINE 12.5 MG/5ML ELIX,637,1 ,$9.05 ,$6.52 ,$2.53 ,$9.05 , N/A ,$6.74 ,$5.93 , N/A ,$2.53 ,$5.57 , N/A ,$5.57 , N/A ,$5.01 ,$5.01 , N/A ,$5.01 , N/A ,$8.15 ,$7.51 , N/A , N/A ,$7.96 , N/A ,$6.79 ,$6.79 ,$7.69 ,$7.69 , N/A ,$7.69 , N/A ,$7.33 ,$7.33 ,$7.33 ,$9.05 ,$8.15 , N/A ,$8.15 , N/A ,$9.05 ,$5.08 , N/A ,$3.75 , N/A , N/A , N/A ,$8.15 , N/A ,$5.01 ,$2.53 ,$8.15 , N/A ,$8.15 ,$8.15 , N/A ,$5.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIPHENHYDRAMINE-ZINC 2-0.1 % CREA 28 G TUBE,637,1 ,$8.70 ,$6.26 ,$2.44 ,$8.70 , N/A ,$6.48 ,$5.70 , N/A ,$2.44 ,$5.35 , N/A ,$5.35 , N/A ,$4.82 ,$4.82 , N/A ,$4.82 , N/A ,$7.83 ,$7.22 , N/A , N/A ,$7.66 , N/A ,$6.53 ,$6.53 ,$7.40 ,$7.40 , N/A ,$7.40 , N/A ,$7.05 ,$7.05 ,$7.05 ,$8.70 ,$7.83 , N/A ,$7.83 , N/A ,$8.70 ,$4.88 , N/A ,$3.60 , N/A , N/A , N/A ,$7.83 , N/A ,$4.82 ,$2.44 ,$7.83 , N/A ,$7.83 ,$7.83 , N/A ,$5.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIPYRIDAMOLE-ASPIRIN 25-200 MG CP12,637,1 ,$16.75 ,$12.06 ,$4.69 ,$16.75 , N/A ,$12.48 ,$10.97 , N/A ,$4.69 ,$10.30 , N/A ,$10.30 , N/A ,$9.28 ,$9.28 , N/A ,$9.28 , N/A ,$15.08 ,$13.90 , N/A , N/A ,$14.74 , N/A ,$12.56 ,$12.56 ,$14.24 ,$14.24 , N/A ,$14.24 , N/A ,$13.57 ,$13.57 ,$13.57 ,$16.75 ,$15.08 , N/A ,$15.08 , N/A ,$16.75 ,$9.40 , N/A ,$6.93 , N/A , N/A , N/A ,$15.08 , N/A ,$9.28 ,$4.69 ,$15.08 , N/A ,$15.08 ,$15.08 , N/A ,$10.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIVALPROEX ER 500 MG TB24,637,1 ,$8.15 ,$5.87 ,$2.28 ,$8.15 , N/A ,$6.07 ,$5.34 , N/A ,$2.28 ,$5.01 , N/A ,$5.01 , N/A ,$4.52 ,$4.52 , N/A ,$4.52 , N/A ,$7.34 ,$6.76 , N/A , N/A ,$7.17 , N/A ,$6.11 ,$6.11 ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$6.60 ,$6.60 ,$6.60 ,$8.15 ,$7.34 , N/A ,$7.34 , N/A ,$8.15 ,$4.57 , N/A ,$3.37 , N/A , N/A , N/A ,$7.34 , N/A ,$4.52 ,$2.28 ,$7.34 , N/A ,$7.34 ,$7.34 , N/A ,$5.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOFETILIDE 125 MCG CAPS,637,1 ,$16.33 ,$11.76 ,$4.57 ,$16.33 , N/A ,$12.17 ,$10.70 , N/A ,$4.57 ,$10.04 , N/A ,$10.04 , N/A ,$9.05 ,$9.05 , N/A ,$9.05 , N/A ,$14.70 ,$13.55 , N/A , N/A ,$14.37 , N/A ,$12.25 ,$12.25 ,$13.88 ,$13.88 , N/A ,$13.88 , N/A ,$13.23 ,$13.23 ,$13.23 ,$16.33 ,$14.70 , N/A ,$14.70 , N/A ,$16.33 ,$9.16 , N/A ,$6.76 , N/A , N/A , N/A ,$14.70 , N/A ,$9.05 ,$4.57 ,$14.70 , N/A ,$14.70 ,$14.70 , N/A ,$10.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML SOLN 10 ML BOTTLE,637,1 ,$245.20 ,$176.54 ,$68.66 ,$245.20 , N/A ,$182.67 ,$160.61 , N/A ,$68.66 ,$150.80 , N/A ,$150.80 , N/A ,$135.84 ,$135.84 , N/A ,$135.84 , N/A ,$220.68 ,$203.52 , N/A , N/A ,$215.78 , N/A ,$183.90 ,$183.90 ,$208.42 ,$208.42 , N/A ,$208.42 , N/A ,$198.61 ,$198.61 ,$198.61 ,$245.20 ,$220.68 , N/A ,$220.68 , N/A ,$245.20 ,$137.56 , N/A ,$101.51 , N/A , N/A , N/A ,$220.68 , N/A ,$135.84 ,$68.66 ,$220.68 , N/A ,$220.68 ,$220.68 , N/A ,$159.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXYCYCLINE HYCLATE 100 MG TABS,637,1 ,$12.30 ,$8.86 ,$3.44 ,$12.30 , N/A ,$9.16 ,$8.06 , N/A ,$3.44 ,$7.56 , N/A ,$7.56 , N/A ,$6.81 ,$6.81 , N/A ,$6.81 , N/A ,$11.07 ,$10.21 , N/A , N/A ,$10.82 , N/A ,$9.23 ,$9.23 ,$10.46 ,$10.46 , N/A ,$10.46 , N/A ,$9.96 ,$9.96 ,$9.96 ,$12.30 ,$11.07 , N/A ,$11.07 , N/A ,$12.30 ,$6.90 , N/A ,$5.09 , N/A , N/A , N/A ,$11.07 , N/A ,$6.81 ,$3.44 ,$11.07 , N/A ,$11.07 ,$11.07 , N/A ,$8.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXYLAMINE-PYRIDOXINE EC 10-10 MG TBEC,637,1 ,$14.85 ,$10.69 ,$4.16 ,$14.85 , N/A ,$11.06 ,$9.73 , N/A ,$4.16 ,$9.13 , N/A ,$9.13 , N/A ,$8.23 ,$8.23 , N/A ,$8.23 , N/A ,$13.37 ,$12.33 , N/A , N/A ,$13.07 , N/A ,$11.14 ,$11.14 ,$12.62 ,$12.62 , N/A ,$12.62 , N/A ,$12.03 ,$12.03 ,$12.03 ,$14.85 ,$13.37 , N/A ,$13.37 , N/A ,$14.85 ,$8.33 , N/A ,$6.15 , N/A , N/A , N/A ,$13.37 , N/A ,$8.23 ,$4.16 ,$13.37 , N/A ,$13.37 ,$13.37 , N/A ,$9.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DRONABINOL 2.5 MG CAPS,637,1 ,$10.63 ,$7.65 ,$2.98 ,$10.63 , N/A ,$7.92 ,$6.96 , N/A ,$2.98 ,$6.54 , N/A ,$6.54 , N/A ,$5.89 ,$5.89 , N/A ,$5.89 , N/A ,$9.57 ,$8.82 , N/A , N/A ,$9.35 , N/A ,$7.97 ,$7.97 ,$9.04 ,$9.04 , N/A ,$9.04 , N/A ,$8.61 ,$8.61 ,$8.61 ,$10.63 ,$9.57 , N/A ,$9.57 , N/A ,$10.63 ,$5.96 , N/A ,$4.40 , N/A , N/A , N/A ,$9.57 , N/A ,$5.89 ,$2.98 ,$9.57 , N/A ,$9.57 ,$9.57 , N/A ,$6.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DROXIDOPA 100 MG CAPS,637,1 ,$73.48 ,$52.91 ,$20.57 ,$73.48 , N/A ,$54.74 ,$48.13 , N/A ,$20.57 ,$45.19 , N/A ,$45.19 , N/A ,$40.71 ,$40.71 , N/A ,$40.71 , N/A ,$66.13 ,$60.99 , N/A , N/A ,$64.66 , N/A ,$55.11 ,$55.11 ,$62.46 ,$62.46 , N/A ,$62.46 , N/A ,$59.52 ,$59.52 ,$59.52 ,$73.48 ,$66.13 , N/A ,$66.13 , N/A ,$73.48 ,$41.22 , N/A ,$30.42 , N/A , N/A , N/A ,$66.13 , N/A ,$40.71 ,$20.57 ,$66.13 , N/A ,$66.13 ,$66.13 , N/A ,$47.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DULOXETINE 20 MG CPEP,637,1 ,$16.35 ,$11.77 ,$4.58 ,$16.35 , N/A ,$12.18 ,$10.71 , N/A ,$4.58 ,$10.06 , N/A ,$10.06 , N/A ,$9.06 ,$9.06 , N/A ,$9.06 , N/A ,$14.72 ,$13.57 , N/A , N/A ,$14.39 , N/A ,$12.26 ,$12.26 ,$13.90 ,$13.90 , N/A ,$13.90 , N/A ,$13.24 ,$13.24 ,$13.24 ,$16.35 ,$14.72 , N/A ,$14.72 , N/A ,$16.35 ,$9.17 , N/A ,$6.77 , N/A , N/A , N/A ,$14.72 , N/A ,$9.06 ,$4.58 ,$14.72 , N/A ,$14.72 ,$14.72 , N/A ,$10.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOFETILIDE 250 MCG CAPS,637,1 ,$16.35 ,$11.77 ,$4.58 ,$16.35 , N/A ,$12.18 ,$10.71 , N/A ,$4.58 ,$10.06 , N/A ,$10.06 , N/A ,$9.06 ,$9.06 , N/A ,$9.06 , N/A ,$14.72 ,$13.57 , N/A , N/A ,$14.39 , N/A ,$12.26 ,$12.26 ,$13.90 ,$13.90 , N/A ,$13.90 , N/A ,$13.24 ,$13.24 ,$13.24 ,$16.35 ,$14.72 , N/A ,$14.72 , N/A ,$16.35 ,$9.17 , N/A ,$6.77 , N/A , N/A , N/A ,$14.72 , N/A ,$9.06 ,$4.58 ,$14.72 , N/A ,$14.72 ,$14.72 , N/A ,$10.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DULOXETINE 30 MG CPEP,637,1 ,$15.70 ,$11.30 ,$4.40 ,$15.70 , N/A ,$11.70 ,$10.28 , N/A ,$4.40 ,$9.66 , N/A ,$9.66 , N/A ,$8.70 ,$8.70 , N/A ,$8.70 , N/A ,$14.13 ,$13.03 , N/A , N/A ,$13.82 , N/A ,$11.78 ,$11.78 ,$13.35 ,$13.35 , N/A ,$13.35 , N/A ,$12.72 ,$12.72 ,$12.72 ,$15.70 ,$14.13 , N/A ,$14.13 , N/A ,$15.70 ,$8.81 , N/A ,$6.50 , N/A , N/A , N/A ,$14.13 , N/A ,$8.70 ,$4.40 ,$14.13 , N/A ,$14.13 ,$14.13 , N/A ,$10.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,637,1 ,$15.70 ,$11.30 ,$4.40 ,$15.70 , N/A ,$11.70 ,$10.28 , N/A ,$4.40 ,$9.66 , N/A ,$9.66 , N/A ,$8.70 ,$8.70 , N/A ,$8.70 , N/A ,$14.13 ,$13.03 , N/A , N/A ,$13.82 , N/A ,$11.78 ,$11.78 ,$13.35 ,$13.35 , N/A ,$13.35 , N/A ,$12.72 ,$12.72 ,$12.72 ,$15.70 ,$14.13 , N/A ,$14.13 , N/A ,$15.70 ,$8.81 , N/A ,$6.50 , N/A , N/A , N/A ,$14.13 , N/A ,$8.70 ,$4.40 ,$14.13 , N/A ,$14.13 ,$14.13 , N/A ,$10.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DUTASTERIDE 0.5 MG CAPS,637,1 ,$12.15 ,$8.75 ,$3.40 ,$12.15 , N/A ,$9.05 ,$7.96 , N/A ,$3.40 ,$7.47 , N/A ,$7.47 , N/A ,$6.73 ,$6.73 , N/A ,$6.73 , N/A ,$10.94 ,$10.08 , N/A , N/A ,$10.69 , N/A ,$9.11 ,$9.11 ,$10.33 ,$10.33 , N/A ,$10.33 , N/A ,$9.84 ,$9.84 ,$9.84 ,$12.15 ,$10.94 , N/A ,$10.94 , N/A ,$12.15 ,$6.82 , N/A ,$5.03 , N/A , N/A , N/A ,$10.94 , N/A ,$6.73 ,$3.40 ,$10.94 , N/A ,$10.94 ,$10.94 , N/A ,$7.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,EMOLLIENT OINT 396 G JAR,637,1 ,$38.85 ,$27.97 ,$10.88 ,$38.85 , N/A ,$28.94 ,$25.45 , N/A ,$10.88 ,$23.89 , N/A ,$23.89 , N/A ,$21.52 ,$21.52 , N/A ,$21.52 , N/A ,$34.97 ,$32.25 , N/A , N/A ,$34.19 , N/A ,$29.14 ,$29.14 ,$33.02 ,$33.02 , N/A ,$33.02 , N/A ,$31.47 ,$31.47 ,$31.47 ,$38.85 ,$34.97 , N/A ,$34.97 , N/A ,$38.85 ,$21.79 , N/A ,$16.08 , N/A , N/A , N/A ,$34.97 , N/A ,$21.52 ,$10.88 ,$34.97 , N/A ,$34.97 ,$34.97 , N/A ,$25.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,EMOLLIENT OINT 454 G JAR,637,1 ,$24.55 ,$17.68 ,$6.87 ,$24.55 , N/A ,$18.29 ,$16.08 , N/A ,$6.87 ,$15.10 , N/A ,$15.10 , N/A ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$22.10 ,$20.38 , N/A , N/A ,$21.60 , N/A ,$18.41 ,$18.41 ,$20.87 ,$20.87 , N/A ,$20.87 , N/A ,$19.89 ,$19.89 ,$19.89 ,$24.55 ,$22.10 , N/A ,$22.10 , N/A ,$24.55 ,$13.77 , N/A ,$10.16 , N/A , N/A , N/A ,$22.10 , N/A ,$13.60 ,$6.87 ,$22.10 , N/A ,$22.10 ,$22.10 , N/A ,$15.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEFDINIR 250 MG/5ML SUSR,637,1 ,$24.55 ,$17.68 ,$6.87 ,$24.55 , N/A ,$18.29 ,$16.08 , N/A ,$6.87 ,$15.10 , N/A ,$15.10 , N/A ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$22.10 ,$20.38 , N/A , N/A ,$21.60 , N/A ,$18.41 ,$18.41 ,$20.87 ,$20.87 , N/A ,$20.87 , N/A ,$19.89 ,$19.89 ,$19.89 ,$24.55 ,$22.10 , N/A ,$22.10 , N/A ,$24.55 ,$13.77 , N/A ,$10.16 , N/A , N/A , N/A ,$22.10 , N/A ,$13.60 ,$6.87 ,$22.10 , N/A ,$22.10 ,$22.10 , N/A ,$15.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,EMPAGLIFLOZIN 10 MG TABS,637,1 ,$45.65 ,$32.87 ,$12.78 ,$45.65 , N/A ,$34.01 ,$29.90 , N/A ,$12.78 ,$28.07 , N/A ,$28.07 , N/A ,$25.29 ,$25.29 , N/A ,$25.29 , N/A ,$41.09 ,$37.89 , N/A , N/A ,$40.17 , N/A ,$34.24 ,$34.24 ,$38.80 ,$38.80 , N/A ,$38.80 , N/A ,$36.98 ,$36.98 ,$36.98 ,$45.65 ,$41.09 , N/A ,$41.09 , N/A ,$45.65 ,$25.61 , N/A ,$18.90 , N/A , N/A , N/A ,$41.09 , N/A ,$25.29 ,$12.78 ,$41.09 , N/A ,$41.09 ,$41.09 , N/A ,$29.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ENTACAPONE 200 MG TABS,637,1 ,$9.90 ,$7.13 ,$2.77 ,$9.90 , N/A ,$7.38 ,$6.48 , N/A ,$2.77 ,$6.09 , N/A ,$6.09 , N/A ,$5.48 ,$5.48 , N/A ,$5.48 , N/A ,$8.91 ,$8.22 , N/A , N/A ,$8.71 , N/A ,$7.43 ,$7.43 ,$8.42 ,$8.42 , N/A ,$8.42 , N/A ,$8.02 ,$8.02 ,$8.02 ,$9.90 ,$8.91 , N/A ,$8.91 , N/A ,$9.90 ,$5.55 , N/A ,$4.10 , N/A , N/A , N/A ,$8.91 , N/A ,$5.48 ,$2.77 ,$8.91 , N/A ,$8.91 ,$8.91 , N/A ,$6.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,EPLERENONE 25 MG TABS,637,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$6.15 , N/A ,$6.15 , N/A ,$5.54 ,$5.54 , N/A ,$5.54 , N/A ,$9.00 ,$8.30 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$8.10 ,$8.10 ,$8.10 ,$10.00 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$9.00 , N/A ,$5.54 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE,637,1 ,$24.85 ,$17.89 ,$6.96 ,$24.85 , N/A ,$18.51 ,$16.28 , N/A ,$6.96 ,$15.28 , N/A ,$15.28 , N/A ,$13.77 ,$13.77 , N/A ,$13.77 , N/A ,$22.37 ,$20.63 , N/A , N/A ,$21.87 , N/A ,$18.64 ,$18.64 ,$21.12 ,$21.12 , N/A ,$21.12 , N/A ,$20.13 ,$20.13 ,$20.13 ,$24.85 ,$22.37 , N/A ,$22.37 , N/A ,$24.85 ,$13.94 , N/A ,$10.29 , N/A , N/A , N/A ,$22.37 , N/A ,$13.77 ,$6.96 ,$22.37 , N/A ,$22.37 ,$22.37 , N/A ,$16.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,637,1 ,$37.35 ,$26.89 ,$10.46 ,$37.35 , N/A ,$27.83 ,$24.46 , N/A ,$10.46 ,$22.97 , N/A ,$22.97 , N/A ,$20.69 ,$20.69 , N/A ,$20.69 , N/A ,$33.62 ,$31.00 , N/A , N/A ,$32.87 , N/A ,$28.01 ,$28.01 ,$31.75 ,$31.75 , N/A ,$31.75 , N/A ,$30.25 ,$30.25 ,$30.25 ,$37.35 ,$33.62 , N/A ,$33.62 , N/A ,$37.35 ,$20.95 , N/A ,$15.46 , N/A , N/A , N/A ,$33.62 , N/A ,$20.69 ,$10.46 ,$33.62 , N/A ,$33.62 ,$33.62 , N/A ,$24.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ERYTHROMYCIN EC 250 MG TBEC,637,1 ,$16.80 ,$12.10 ,$4.70 ,$16.80 , N/A ,$12.52 ,$11.00 , N/A ,$4.70 ,$10.33 , N/A ,$10.33 , N/A ,$9.31 ,$9.31 , N/A ,$9.31 , N/A ,$15.12 ,$13.94 , N/A , N/A ,$14.78 , N/A ,$12.60 ,$12.60 ,$14.28 ,$14.28 , N/A ,$14.28 , N/A ,$13.61 ,$13.61 ,$13.61 ,$16.80 ,$15.12 , N/A ,$15.12 , N/A ,$16.80 ,$9.42 , N/A ,$6.96 , N/A , N/A , N/A ,$15.12 , N/A ,$9.31 ,$4.70 ,$15.12 , N/A ,$15.12 ,$15.12 , N/A ,$10.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ESCITALOPRAM 10 MG TABS,637,1 ,$8.80 ,$6.34 ,$2.46 ,$8.80 , N/A ,$6.56 ,$5.76 , N/A ,$2.46 ,$5.41 , N/A ,$5.41 , N/A ,$4.88 ,$4.88 , N/A ,$4.88 , N/A ,$7.92 ,$7.30 , N/A , N/A ,$7.74 , N/A ,$6.60 ,$6.60 ,$7.48 ,$7.48 , N/A ,$7.48 , N/A ,$7.13 ,$7.13 ,$7.13 ,$8.80 ,$7.92 , N/A ,$7.92 , N/A ,$8.80 ,$4.94 , N/A ,$3.64 , N/A , N/A , N/A ,$7.92 , N/A ,$4.88 ,$2.46 ,$7.92 , N/A ,$7.92 ,$7.92 , N/A ,$5.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ESTROGENS (CONJUGATED) 0.625 MG TABS,637,1 ,$15.35 ,$11.05 ,$4.30 ,$15.35 , N/A ,$11.44 ,$10.05 , N/A ,$4.30 ,$9.44 , N/A ,$9.44 , N/A ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$13.82 ,$12.74 , N/A , N/A ,$13.51 , N/A ,$11.51 ,$11.51 ,$13.05 ,$13.05 , N/A ,$13.05 , N/A ,$12.43 ,$12.43 ,$12.43 ,$15.35 ,$13.82 , N/A ,$13.82 , N/A ,$15.35 ,$8.61 , N/A ,$6.35 , N/A , N/A , N/A ,$13.82 , N/A ,$8.50 ,$4.30 ,$13.82 , N/A ,$13.82 ,$13.82 , N/A ,$9.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,EZETIMIBE 10 MG TABS,637,1 ,$20.60 ,$14.83 ,$5.77 ,$20.60 , N/A ,$15.35 ,$13.49 , N/A ,$5.77 ,$12.67 , N/A ,$12.67 , N/A ,$11.41 ,$11.41 , N/A ,$11.41 , N/A ,$18.54 ,$17.10 , N/A , N/A ,$18.13 , N/A ,$15.45 ,$15.45 ,$17.51 ,$17.51 , N/A ,$17.51 , N/A ,$16.69 ,$16.69 ,$16.69 ,$20.60 ,$18.54 , N/A ,$18.54 , N/A ,$20.60 ,$11.56 , N/A ,$8.53 , N/A , N/A , N/A ,$18.54 , N/A ,$11.41 ,$5.77 ,$18.54 , N/A ,$18.54 ,$18.54 , N/A ,$13.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FENOFIBRATE 145 MG TABS,637,1 ,$11.50 ,$8.28 ,$3.22 ,$11.50 , N/A ,$8.57 ,$7.53 , N/A ,$3.22 ,$7.07 , N/A ,$7.07 , N/A ,$6.37 ,$6.37 , N/A ,$6.37 , N/A ,$10.35 ,$9.55 , N/A , N/A ,$10.12 , N/A ,$8.63 ,$8.63 ,$9.78 ,$9.78 , N/A ,$9.78 , N/A ,$9.32 ,$9.32 ,$9.32 ,$11.50 ,$10.35 , N/A ,$10.35 , N/A ,$11.50 ,$6.45 , N/A ,$4.76 , N/A , N/A , N/A ,$10.35 , N/A ,$6.37 ,$3.22 ,$10.35 , N/A ,$10.35 ,$10.35 , N/A ,$7.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FENTANYL 100 MCG/HR PT72,637,1 ,$106.75 ,$76.86 ,$29.89 ,$106.75 , N/A ,$79.53 ,$69.92 , N/A ,$29.89 ,$65.65 , N/A ,$65.65 , N/A ,$59.14 ,$59.14 , N/A ,$59.14 , N/A ,$96.08 ,$88.60 , N/A , N/A ,$93.94 , N/A ,$80.06 ,$80.06 ,$90.74 ,$90.74 , N/A ,$90.74 , N/A ,$86.47 ,$86.47 ,$86.47 ,$106.75 ,$96.08 , N/A ,$96.08 , N/A ,$106.75 ,$59.89 , N/A ,$44.19 , N/A , N/A , N/A ,$96.08 , N/A ,$59.14 ,$29.89 ,$96.08 , N/A ,$96.08 ,$96.08 , N/A ,$69.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FENTANYL 12 MCG/HR PT72,637,1 ,$40.65 ,$29.27 ,$11.38 ,$40.65 , N/A ,$30.28 ,$26.63 , N/A ,$11.38 ,$25.00 , N/A ,$25.00 , N/A ,$22.52 ,$22.52 , N/A ,$22.52 , N/A ,$36.59 ,$33.74 , N/A , N/A ,$35.77 , N/A ,$30.49 ,$30.49 ,$34.55 ,$34.55 , N/A ,$34.55 , N/A ,$32.93 ,$32.93 ,$32.93 ,$40.65 ,$36.59 , N/A ,$36.59 , N/A ,$40.65 ,$22.80 , N/A ,$16.83 , N/A , N/A , N/A ,$36.59 , N/A ,$22.52 ,$11.38 ,$36.59 , N/A ,$36.59 ,$36.59 , N/A ,$26.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FENTANYL 50 MCG/HR PT72,637,1 ,$52.75 ,$37.98 ,$14.77 ,$52.75 , N/A ,$39.30 ,$34.55 , N/A ,$14.77 ,$32.44 , N/A ,$32.44 , N/A ,$29.22 ,$29.22 , N/A ,$29.22 , N/A ,$47.48 ,$43.78 , N/A , N/A ,$46.42 , N/A ,$39.56 ,$39.56 ,$44.84 ,$44.84 , N/A ,$44.84 , N/A ,$42.73 ,$42.73 ,$42.73 ,$52.75 ,$47.48 , N/A ,$47.48 , N/A ,$52.75 ,$29.59 , N/A ,$21.84 , N/A , N/A , N/A ,$47.48 , N/A ,$29.22 ,$14.77 ,$47.48 , N/A ,$47.48 ,$47.48 , N/A ,$34.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FIDAXOMICIN 200 MG TABS,637,1 ,$537.05 ,$386.68 ,$150.37 ,$537.05 , N/A ,$400.10 ,$351.77 , N/A ,$150.37 ,$330.29 , N/A ,$330.29 , N/A ,$297.53 ,$297.53 , N/A ,$297.53 , N/A ,$483.35 ,$445.75 , N/A , N/A ,$472.60 , N/A ,$402.79 ,$402.79 ,$456.49 ,$456.49 , N/A ,$456.49 , N/A ,$435.01 ,$435.01 ,$435.01 ,$537.05 ,$483.35 , N/A ,$483.35 , N/A ,$537.05 ,$301.29 , N/A ,$222.34 , N/A , N/A , N/A ,$483.35 , N/A ,$297.53 ,$150.37 ,$483.35 , N/A ,$483.35 ,$483.35 , N/A ,$349.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FINASTERIDE 5 MG TABS,637,1 ,$6.25 ,$4.50 ,$1.75 ,$6.25 , N/A ,$4.66 ,$4.09 , N/A ,$1.75 ,$3.84 , N/A ,$3.84 , N/A ,$3.46 ,$3.46 , N/A ,$3.46 , N/A ,$5.63 ,$5.19 , N/A , N/A ,$5.50 , N/A ,$4.69 ,$4.69 ,$5.31 ,$5.31 , N/A ,$5.31 , N/A ,$5.06 ,$5.06 ,$5.06 ,$6.25 ,$5.63 , N/A ,$5.63 , N/A ,$6.25 ,$3.51 , N/A ,$2.59 , N/A , N/A , N/A ,$5.63 , N/A ,$3.46 ,$1.75 ,$5.63 , N/A ,$5.63 ,$5.63 , N/A ,$4.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLECAINIDE 100 MG TABS,637,1 ,$11.95 ,$8.60 ,$3.35 ,$11.95 , N/A ,$8.90 ,$7.83 , N/A ,$3.35 ,$7.35 , N/A ,$7.35 , N/A ,$6.62 ,$6.62 , N/A ,$6.62 , N/A ,$10.76 ,$9.92 , N/A , N/A ,$10.52 , N/A ,$8.96 ,$8.96 ,$10.16 ,$10.16 , N/A ,$10.16 , N/A ,$9.68 ,$9.68 ,$9.68 ,$11.95 ,$10.76 , N/A ,$10.76 , N/A ,$11.95 ,$6.70 , N/A ,$4.95 , N/A , N/A , N/A ,$10.76 , N/A ,$6.62 ,$3.35 ,$10.76 , N/A ,$10.76 ,$10.76 , N/A ,$7.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUCONAZOLE 100 MG TABS,637,1 ,$48.00 ,$34.56 ,$13.44 ,$48.00 , N/A ,$35.76 ,$31.44 , N/A ,$13.44 ,$29.52 , N/A ,$29.52 , N/A ,$26.59 ,$26.59 , N/A ,$26.59 , N/A ,$43.20 ,$39.84 , N/A , N/A ,$42.24 , N/A ,$36.00 ,$36.00 ,$40.80 ,$40.80 , N/A ,$40.80 , N/A ,$38.88 ,$38.88 ,$38.88 ,$48.00 ,$43.20 , N/A ,$43.20 , N/A ,$48.00 ,$26.93 , N/A ,$19.87 , N/A , N/A , N/A ,$43.20 , N/A ,$26.59 ,$13.44 ,$43.20 , N/A ,$43.20 ,$43.20 , N/A ,$31.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUNISOLIDE 25 MCG/ACT (0.025%) SOLN 25 ML BOTTLE,637,1 ,$143.90 ,$103.61 ,$40.29 ,$143.90 , N/A ,$107.21 ,$94.25 , N/A ,$40.29 ,$88.50 , N/A ,$88.50 , N/A ,$79.72 ,$79.72 , N/A ,$79.72 , N/A ,$129.51 ,$119.44 , N/A , N/A ,$126.63 , N/A ,$107.93 ,$107.93 ,$122.32 ,$122.32 , N/A ,$122.32 , N/A ,$116.56 ,$116.56 ,$116.56 ,$143.90 ,$129.51 , N/A ,$129.51 , N/A ,$143.90 ,$80.73 , N/A ,$59.57 , N/A , N/A , N/A ,$129.51 , N/A ,$79.72 ,$40.29 ,$129.51 , N/A ,$129.51 ,$129.51 , N/A ,$93.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUOROMETHOLONE ACETATE 0.1 % SUSP 5 ML BOTTLE,637,1 ,$215.90 ,$155.45 ,$60.45 ,$215.90 , N/A ,$160.85 ,$141.41 , N/A ,$60.45 ,$132.78 , N/A ,$132.78 , N/A ,$119.61 ,$119.61 , N/A ,$119.61 , N/A ,$194.31 ,$179.20 , N/A , N/A ,$189.99 , N/A ,$161.93 ,$161.93 ,$183.52 ,$183.52 , N/A ,$183.52 , N/A ,$174.88 ,$174.88 ,$174.88 ,$215.90 ,$194.31 , N/A ,$194.31 , N/A ,$215.90 ,$121.12 , N/A ,$89.38 , N/A , N/A , N/A ,$194.31 , N/A ,$119.61 ,$60.45 ,$194.31 , N/A ,$194.31 ,$194.31 , N/A ,$140.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUOXETINE 20 MG/5ML SOLN,637,1 ,$13.70 ,$9.86 ,$3.84 ,$13.70 , N/A ,$10.21 ,$8.97 , N/A ,$3.84 ,$8.43 , N/A ,$8.43 , N/A ,$7.59 ,$7.59 , N/A ,$7.59 , N/A ,$12.33 ,$11.37 , N/A , N/A ,$12.06 , N/A ,$10.28 ,$10.28 ,$11.65 ,$11.65 , N/A ,$11.65 , N/A ,$11.10 ,$11.10 ,$11.10 ,$13.70 ,$12.33 , N/A ,$12.33 , N/A ,$13.70 ,$7.69 , N/A ,$5.67 , N/A , N/A , N/A ,$12.33 , N/A ,$7.59 ,$3.84 ,$12.33 , N/A ,$12.33 ,$12.33 , N/A ,$8.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE PROPIONATE 50 MCG/ACT SUSP 16 G BOTTLE,637,1 ,$170.55 ,$122.80 ,$47.75 ,$170.55 , N/A ,$127.06 ,$111.71 , N/A ,$47.75 ,$104.89 , N/A ,$104.89 , N/A ,$94.48 ,$94.48 , N/A ,$94.48 , N/A ,$153.50 ,$141.56 , N/A , N/A ,$150.08 , N/A ,$127.91 ,$127.91 ,$144.97 ,$144.97 , N/A ,$144.97 , N/A ,$138.15 ,$138.15 ,$138.15 ,$170.55 ,$153.50 , N/A ,$153.50 , N/A ,$170.55 ,$95.68 , N/A ,$70.61 , N/A , N/A , N/A ,$153.50 , N/A ,$94.48 ,$47.75 ,$153.50 , N/A ,$153.50 ,$153.50 , N/A ,$110.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 230-21 MCG/ACT AERO,637,1 ,$28.50 ,$20.52 ,$7.98 ,$28.50 , N/A ,$21.23 ,$18.67 , N/A ,$7.98 ,$17.53 , N/A ,$17.53 , N/A ,$15.79 ,$15.79 , N/A ,$15.79 , N/A ,$25.65 ,$23.66 , N/A , N/A ,$25.08 , N/A ,$21.38 ,$21.38 ,$24.23 ,$24.23 , N/A ,$24.23 , N/A ,$23.09 ,$23.09 ,$23.09 ,$28.50 ,$25.65 , N/A ,$25.65 , N/A ,$28.50 ,$15.99 , N/A ,$11.80 , N/A , N/A , N/A ,$25.65 , N/A ,$15.79 ,$7.98 ,$25.65 , N/A ,$25.65 ,$25.65 , N/A ,$18.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 45-21 MCG/ACT AERO,637,1 ,$17.45 ,$12.56 ,$4.89 ,$17.45 , N/A ,$13.00 ,$11.43 , N/A ,$4.89 ,$10.73 , N/A ,$10.73 , N/A ,$9.67 ,$9.67 , N/A ,$9.67 , N/A ,$15.71 ,$14.48 , N/A , N/A ,$15.36 , N/A ,$13.09 ,$13.09 ,$14.83 ,$14.83 , N/A ,$14.83 , N/A ,$14.13 ,$14.13 ,$14.13 ,$17.45 ,$15.71 , N/A ,$15.71 , N/A ,$17.45 ,$9.79 , N/A ,$7.22 , N/A , N/A , N/A ,$15.71 , N/A ,$9.67 ,$4.89 ,$15.71 , N/A ,$15.71 ,$15.71 , N/A ,$11.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GALANTAMINE 4 MG TABS,637,1 ,$8.40 ,$6.05 ,$2.35 ,$8.40 , N/A ,$6.26 ,$5.50 , N/A ,$2.35 ,$5.17 , N/A ,$5.17 , N/A ,$4.65 ,$4.65 , N/A ,$4.65 , N/A ,$7.56 ,$6.97 , N/A , N/A ,$7.39 , N/A ,$6.30 ,$6.30 ,$7.14 ,$7.14 , N/A ,$7.14 , N/A ,$6.80 ,$6.80 ,$6.80 ,$8.40 ,$7.56 , N/A ,$7.56 , N/A ,$8.40 ,$4.71 , N/A ,$3.48 , N/A , N/A , N/A ,$7.56 , N/A ,$4.65 ,$2.35 ,$7.56 , N/A ,$7.56 ,$7.56 , N/A ,$5.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GENTAMICIN 0.1 % OINT 15 G TUBE,637,1 ,$98.80 ,$71.14 ,$27.66 ,$98.80 , N/A ,$73.61 ,$64.71 , N/A ,$27.66 ,$60.76 , N/A ,$60.76 , N/A ,$54.74 ,$54.74 , N/A ,$54.74 , N/A ,$88.92 ,$82.00 , N/A , N/A ,$86.94 , N/A ,$74.10 ,$74.10 ,$83.98 ,$83.98 , N/A ,$83.98 , N/A ,$80.03 ,$80.03 ,$80.03 ,$98.80 ,$88.92 , N/A ,$88.92 , N/A ,$98.80 ,$55.43 , N/A ,$40.90 , N/A , N/A , N/A ,$88.92 , N/A ,$54.74 ,$27.66 ,$88.92 , N/A ,$88.92 ,$88.92 , N/A ,$64.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$38.40 ,$27.65 ,$10.75 ,$38.40 , N/A ,$28.61 ,$25.15 , N/A ,$10.75 ,$23.62 , N/A ,$23.62 , N/A ,$21.27 ,$21.27 , N/A ,$21.27 , N/A ,$34.56 ,$31.87 , N/A , N/A ,$33.79 , N/A ,$28.80 ,$28.80 ,$32.64 ,$32.64 , N/A ,$32.64 , N/A ,$31.10 ,$31.10 ,$31.10 ,$38.40 ,$34.56 , N/A ,$34.56 , N/A ,$38.40 ,$21.54 , N/A ,$15.90 , N/A , N/A , N/A ,$34.56 , N/A ,$21.27 ,$10.75 ,$34.56 , N/A ,$34.56 ,$34.56 , N/A ,$24.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLYCERIN 35 % LIQD 30 ML BOTTLE,637,1 ,$11.30 ,$8.14 ,$3.16 ,$11.30 , N/A ,$8.42 ,$7.40 , N/A ,$3.16 ,$6.95 , N/A ,$6.95 , N/A ,$6.26 ,$6.26 , N/A ,$6.26 , N/A ,$10.17 ,$9.38 , N/A , N/A ,$9.94 , N/A ,$8.48 ,$8.48 ,$9.61 ,$9.61 , N/A ,$9.61 , N/A ,$9.15 ,$9.15 ,$9.15 ,$11.30 ,$10.17 , N/A ,$10.17 , N/A ,$11.30 ,$6.34 , N/A ,$4.68 , N/A , N/A , N/A ,$10.17 , N/A ,$6.26 ,$3.16 ,$10.17 , N/A ,$10.17 ,$10.17 , N/A ,$7.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML SOLN,637,1 ,$17.65 ,$12.71 ,$4.94 ,$17.65 , N/A ,$13.15 ,$11.56 , N/A ,$4.94 ,$10.85 , N/A ,$10.85 , N/A ,$9.78 ,$9.78 , N/A ,$9.78 , N/A ,$15.89 ,$14.65 , N/A , N/A ,$15.53 , N/A ,$13.24 ,$13.24 ,$15.00 ,$15.00 , N/A ,$15.00 , N/A ,$14.30 ,$14.30 ,$14.30 ,$17.65 ,$15.89 , N/A ,$15.89 , N/A ,$17.65 ,$9.90 , N/A ,$7.31 , N/A , N/A , N/A ,$15.89 , N/A ,$9.78 ,$4.94 ,$15.89 , N/A ,$15.89 ,$15.89 , N/A ,$11.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 1 % CREA 28.4 G TUBE,637,1 ,$13.00 ,$9.36 ,$3.64 ,$13.00 , N/A ,$9.69 ,$8.52 , N/A ,$3.64 ,$8.00 , N/A ,$8.00 , N/A ,$7.20 ,$7.20 , N/A ,$7.20 , N/A ,$11.70 ,$10.79 , N/A , N/A ,$11.44 , N/A ,$9.75 ,$9.75 ,$11.05 ,$11.05 , N/A ,$11.05 , N/A ,$10.53 ,$10.53 ,$10.53 ,$13.00 ,$11.70 , N/A ,$11.70 , N/A ,$13.00 ,$7.29 , N/A ,$5.38 , N/A , N/A , N/A ,$11.70 , N/A ,$7.20 ,$3.64 ,$11.70 , N/A ,$11.70 ,$11.70 , N/A ,$8.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 1 % OINT 28 G TUBE,637,1 ,$8.05 ,$5.80 ,$2.25 ,$8.05 , N/A ,$6.00 ,$5.27 , N/A ,$2.25 ,$4.95 , N/A ,$4.95 , N/A ,$4.46 ,$4.46 , N/A ,$4.46 , N/A ,$7.25 ,$6.68 , N/A , N/A ,$7.08 , N/A ,$6.04 ,$6.04 ,$6.84 ,$6.84 , N/A ,$6.84 , N/A ,$6.52 ,$6.52 ,$6.52 ,$8.05 ,$7.25 , N/A ,$7.25 , N/A ,$8.05 ,$4.52 , N/A ,$3.33 , N/A , N/A , N/A ,$7.25 , N/A ,$4.46 ,$2.25 ,$7.25 , N/A ,$7.25 ,$7.25 , N/A ,$5.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 1 % CREA 28 G TUBE,637,1 ,$8.05 ,$5.80 ,$2.25 ,$8.05 , N/A ,$6.00 ,$5.27 , N/A ,$2.25 ,$4.95 , N/A ,$4.95 , N/A ,$4.46 ,$4.46 , N/A ,$4.46 , N/A ,$7.25 ,$6.68 , N/A , N/A ,$7.08 , N/A ,$6.04 ,$6.04 ,$6.84 ,$6.84 , N/A ,$6.84 , N/A ,$6.52 ,$6.52 ,$6.52 ,$8.05 ,$7.25 , N/A ,$7.25 , N/A ,$8.05 ,$4.52 , N/A ,$3.33 , N/A , N/A , N/A ,$7.25 , N/A ,$4.46 ,$2.25 ,$7.25 , N/A ,$7.25 ,$7.25 , N/A ,$5.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 100 MG/60ML ENEM,637,1 ,$51.50 ,$37.08 ,$14.42 ,$51.50 , N/A ,$38.37 ,$33.73 , N/A ,$14.42 ,$31.67 , N/A ,$31.67 , N/A ,$28.53 ,$28.53 , N/A ,$28.53 , N/A ,$46.35 ,$42.75 , N/A , N/A ,$45.32 , N/A ,$38.63 ,$38.63 ,$43.78 ,$43.78 , N/A ,$43.78 , N/A ,$41.72 ,$41.72 ,$41.72 ,$51.50 ,$46.35 , N/A ,$46.35 , N/A ,$51.50 ,$28.89 , N/A ,$21.32 , N/A , N/A , N/A ,$46.35 , N/A ,$28.53 ,$14.42 ,$46.35 , N/A ,$46.35 ,$46.35 , N/A ,$33.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 2.5 % CREA 30 G TUBE,637,1 ,$777.60 ,$559.87 ,$217.73 ,$777.60 , N/A ,$579.31 ,$509.33 , N/A ,$217.73 ,$478.22 , N/A ,$478.22 , N/A ,$430.79 ,$430.79 , N/A ,$430.79 , N/A ,$699.84 ,$645.41 , N/A , N/A ,$684.29 , N/A ,$583.20 ,$583.20 ,$660.96 ,$660.96 , N/A ,$660.96 , N/A ,$629.86 ,$629.86 ,$629.86 ,$777.60 ,$699.84 , N/A ,$699.84 , N/A ,$777.60 ,$436.23 , N/A ,$321.93 , N/A , N/A , N/A ,$699.84 , N/A ,$430.79 ,$217.73 ,$699.84 , N/A ,$699.84 ,$699.84 , N/A ,$505.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 25 MG SUPP,637,1 ,$28.85 ,$20.77 ,$8.08 ,$28.85 , N/A ,$21.49 ,$18.90 , N/A ,$8.08 ,$17.74 , N/A ,$17.74 , N/A ,$15.98 ,$15.98 , N/A ,$15.98 , N/A ,$25.97 ,$23.95 , N/A , N/A ,$25.39 , N/A ,$21.64 ,$21.64 ,$24.52 ,$24.52 , N/A ,$24.52 , N/A ,$23.37 ,$23.37 ,$23.37 ,$28.85 ,$25.97 , N/A ,$25.97 , N/A ,$28.85 ,$16.18 , N/A ,$11.94 , N/A , N/A , N/A ,$25.97 , N/A ,$15.98 ,$8.08 ,$25.97 , N/A ,$25.97 ,$25.97 , N/A ,$18.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AZITHROMYCIN 100 MG/5ML SUSR,637,1 ,$28.85 ,$20.77 ,$8.08 ,$28.85 , N/A ,$21.49 ,$18.90 , N/A ,$8.08 ,$17.74 , N/A ,$17.74 , N/A ,$15.98 ,$15.98 , N/A ,$15.98 , N/A ,$25.97 ,$23.95 , N/A , N/A ,$25.39 , N/A ,$21.64 ,$21.64 ,$24.52 ,$24.52 , N/A ,$24.52 , N/A ,$23.37 ,$23.37 ,$23.37 ,$28.85 ,$25.97 , N/A ,$25.97 , N/A ,$28.85 ,$16.18 , N/A ,$11.94 , N/A , N/A , N/A ,$25.97 , N/A ,$15.98 ,$8.08 ,$25.97 , N/A ,$25.97 ,$25.97 , N/A ,$18.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FENTANYL 25 MCG/HR PT72,637,1 ,$28.85 ,$20.77 ,$8.08 ,$28.85 , N/A ,$21.49 ,$18.90 , N/A ,$8.08 ,$17.74 , N/A ,$17.74 , N/A ,$15.98 ,$15.98 , N/A ,$15.98 , N/A ,$25.97 ,$23.95 , N/A , N/A ,$25.39 , N/A ,$21.64 ,$21.64 ,$24.52 ,$24.52 , N/A ,$24.52 , N/A ,$23.37 ,$23.37 ,$23.37 ,$28.85 ,$25.97 , N/A ,$25.97 , N/A ,$28.85 ,$16.18 , N/A ,$11.94 , N/A , N/A , N/A ,$25.97 , N/A ,$15.98 ,$8.08 ,$25.97 , N/A ,$25.97 ,$25.97 , N/A ,$18.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE-PRAMOXINE 1-1 % FOAM 10 G CAN,637,1 ,$377.00 ,$271.44 ,$105.56 ,$377.00 , N/A ,$280.87 ,$246.94 , N/A ,$105.56 ,$231.86 , N/A ,$231.86 , N/A ,$208.86 ,$208.86 , N/A ,$208.86 , N/A ,$339.30 ,$312.91 , N/A , N/A ,$331.76 , N/A ,$282.75 ,$282.75 ,$320.45 ,$320.45 , N/A ,$320.45 , N/A ,$305.37 ,$305.37 ,$305.37 ,$377.00 ,$339.30 , N/A ,$339.30 , N/A ,$377.00 ,$211.50 , N/A ,$156.08 , N/A , N/A , N/A ,$339.30 , N/A ,$208.86 ,$105.56 ,$339.30 , N/A ,$339.30 ,$339.30 , N/A ,$245.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN ASPART PROTAMINE-INSULIN ASPART (70-30) 100 UNIT/ML SUSP per 5 Units,637,1 ,$22.08 ,$15.90 ,$6.18 ,$22.08 , N/A ,$16.45 ,$14.46 , N/A ,$6.18 ,$13.58 , N/A ,$13.58 , N/A ,$12.23 ,$12.23 , N/A ,$12.23 , N/A ,$19.87 ,$18.33 , N/A , N/A ,$19.43 , N/A ,$16.56 ,$16.56 ,$18.77 ,$18.77 , N/A ,$18.77 , N/A ,$17.88 ,$17.88 ,$17.88 ,$22.08 ,$19.87 , N/A ,$19.87 , N/A ,$22.08 ,$12.39 , N/A ,$9.14 , N/A , N/A , N/A ,$19.87 , N/A ,$12.23 ,$6.18 ,$19.87 , N/A ,$19.87 ,$19.87 , N/A ,$14.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN DETEMIR 100 UNIT/ML SOLN per 5 Units,637,1 ,$22.65 ,$16.31 ,$6.34 ,$22.65 , N/A ,$16.87 ,$14.84 , N/A ,$6.34 ,$13.93 , N/A ,$13.93 , N/A ,$12.55 ,$12.55 , N/A ,$12.55 , N/A ,$20.39 ,$18.80 , N/A , N/A ,$19.93 , N/A ,$16.99 ,$16.99 ,$19.25 ,$19.25 , N/A ,$19.25 , N/A ,$18.35 ,$18.35 ,$18.35 ,$22.65 ,$20.39 , N/A ,$20.39 , N/A ,$22.65 ,$12.71 , N/A ,$9.38 , N/A , N/A , N/A ,$20.39 , N/A ,$12.55 ,$6.34 ,$20.39 , N/A ,$20.39 ,$20.39 , N/A ,$14.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN GLARGINE 100 UNIT/ML SOLN per 5 Units,637,1 ,$19.47 ,$14.02 ,$5.45 ,$19.47 , N/A ,$14.51 ,$12.75 , N/A ,$5.45 ,$11.97 , N/A ,$11.97 , N/A ,$10.79 ,$10.79 , N/A ,$10.79 , N/A ,$17.52 ,$16.16 , N/A , N/A ,$17.13 , N/A ,$14.60 ,$14.60 ,$16.55 ,$16.55 , N/A ,$16.55 , N/A ,$15.77 ,$15.77 ,$15.77 ,$19.47 ,$17.52 , N/A ,$17.52 , N/A ,$19.47 ,$10.92 , N/A ,$8.06 , N/A , N/A , N/A ,$17.52 , N/A ,$10.79 ,$5.45 ,$17.52 , N/A ,$17.52 ,$17.52 , N/A ,$12.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN LISPRO PROTAMINE-INSULIN LISPRO (75-25) 100 UNIT/ML SUSP per 5 Units,637,1 ,$20.93 ,$15.07 ,$5.86 ,$20.93 , N/A ,$15.59 ,$13.71 , N/A ,$5.86 ,$12.87 , N/A ,$12.87 , N/A ,$11.60 ,$11.60 , N/A ,$11.60 , N/A ,$18.84 ,$17.37 , N/A , N/A ,$18.42 , N/A ,$15.70 ,$15.70 ,$17.79 ,$17.79 , N/A ,$17.79 , N/A ,$16.95 ,$16.95 ,$16.95 ,$20.93 ,$18.84 , N/A ,$18.84 , N/A ,$20.93 ,$11.74 , N/A ,$8.67 , N/A , N/A , N/A ,$18.84 , N/A ,$11.60 ,$5.86 ,$18.84 , N/A ,$18.84 ,$18.84 , N/A ,$13.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN NPH 100 UNIT/ML SUSP per 5 Units,637,1 ,$10.95 ,$7.88 ,$3.07 ,$10.95 , N/A ,$8.16 ,$7.17 , N/A ,$3.07 ,$6.73 , N/A ,$6.73 , N/A ,$6.07 ,$6.07 , N/A ,$6.07 , N/A ,$9.86 ,$9.09 , N/A , N/A ,$9.64 , N/A ,$8.21 ,$8.21 ,$9.31 ,$9.31 , N/A ,$9.31 , N/A ,$8.87 ,$8.87 ,$8.87 ,$10.95 ,$9.86 , N/A ,$9.86 , N/A ,$10.95 ,$6.14 , N/A ,$4.53 , N/A , N/A , N/A ,$9.86 , N/A ,$6.07 ,$3.07 ,$9.86 , N/A ,$9.86 ,$9.86 , N/A ,$7.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN NPH-INSULIN REGULAR (70-30) 100 UNIT/ML SUSP per 5 Units,637,1 ,$10.94 ,$7.88 ,$3.06 ,$10.94 , N/A ,$8.15 ,$7.17 , N/A ,$3.06 ,$6.73 , N/A ,$6.73 , N/A ,$6.06 ,$6.06 , N/A ,$6.06 , N/A ,$9.85 ,$9.08 , N/A , N/A ,$9.63 , N/A ,$8.21 ,$8.21 ,$9.30 ,$9.30 , N/A ,$9.30 , N/A ,$8.86 ,$8.86 ,$8.86 ,$10.94 ,$9.85 , N/A ,$9.85 , N/A ,$10.94 ,$6.14 , N/A ,$4.53 , N/A , N/A , N/A ,$9.85 , N/A ,$6.06 ,$3.06 ,$9.85 , N/A ,$9.85 ,$9.85 , N/A ,$7.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN REGULAR 100 UNIT/ML SOLN per 5 Units,637,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,J1815,INSULIN LISPRO 100 UNIT/ML SOLN per 5 Units,637,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$11.07 , N/A ,$11.07 , N/A ,$9.97 ,$9.97 , N/A ,$9.97 , N/A ,$16.20 ,$14.94 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.58 ,$14.58 ,$14.58 ,$18.00 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$16.20 , N/A ,$9.97 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT AERS 4 G INHALER,637,1 ,"$1,107.00 ",$797.04 ,$309.96 ,"$1,107.00 ", N/A ,$824.72 ,$725.09 , N/A ,$309.96 ,$680.81 , N/A ,$680.81 , N/A ,$613.28 ,$613.28 , N/A ,$613.28 , N/A ,$996.30 ,$918.81 , N/A , N/A ,$974.16 , N/A ,$830.25 ,$830.25 ,$940.95 ,$940.95 , N/A ,$940.95 , N/A ,$896.67 ,$896.67 ,$896.67 ,"$1,107.00 ",$996.30 , N/A ,$996.30 , N/A ,"$1,107.00 ",$621.03 , N/A ,$458.30 , N/A , N/A , N/A ,$996.30 , N/A ,$613.28 ,$309.96 ,$996.30 , N/A ,$996.30 ,$996.30 , N/A ,$719.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ISOSORBIDE MONONITRATE ER 30 MG TB24,637,1 ,$6.73 ,$4.85 ,$1.88 ,$6.73 , N/A ,$5.01 ,$4.41 , N/A ,$1.88 ,$4.14 , N/A ,$4.14 , N/A ,$3.73 ,$3.73 , N/A ,$3.73 , N/A ,$6.06 ,$5.59 , N/A , N/A ,$5.92 , N/A ,$5.05 ,$5.05 ,$5.72 ,$5.72 , N/A ,$5.72 , N/A ,$5.45 ,$5.45 ,$5.45 ,$6.73 ,$6.06 , N/A ,$6.06 , N/A ,$6.73 ,$3.78 , N/A ,$2.79 , N/A , N/A , N/A ,$6.06 , N/A ,$3.73 ,$1.88 ,$6.06 , N/A ,$6.06 ,$6.06 , N/A ,$4.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,637,1 ,$43.80 ,$31.54 ,$12.26 ,$43.80 , N/A ,$32.63 ,$28.69 , N/A ,$12.26 ,$26.94 , N/A ,$26.94 , N/A ,$24.27 ,$24.27 , N/A ,$24.27 , N/A ,$39.42 ,$36.35 , N/A , N/A ,$38.54 , N/A ,$32.85 ,$32.85 ,$37.23 ,$37.23 , N/A ,$37.23 , N/A ,$35.48 ,$35.48 ,$35.48 ,$43.80 ,$39.42 , N/A ,$39.42 , N/A ,$43.80 ,$24.57 , N/A ,$18.13 , N/A , N/A , N/A ,$39.42 , N/A ,$24.27 ,$12.26 ,$39.42 , N/A ,$39.42 ,$39.42 , N/A ,$28.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LANOLIN CREA 7 G TUBE,637,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$12.30 , N/A ,$12.30 , N/A ,$11.08 ,$11.08 , N/A ,$11.08 , N/A ,$18.00 ,$16.60 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$16.20 ,$16.20 ,$16.20 ,$20.00 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$18.00 , N/A ,$11.08 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LANSOPRAZOLE 30 MG TBDD,637,1 ,$31.55 ,$22.72 ,$8.83 ,$31.55 , N/A ,$23.50 ,$20.67 , N/A ,$8.83 ,$19.40 , N/A ,$19.40 , N/A ,$17.48 ,$17.48 , N/A ,$17.48 , N/A ,$28.40 ,$26.19 , N/A , N/A ,$27.76 , N/A ,$23.66 ,$23.66 ,$26.82 ,$26.82 , N/A ,$26.82 , N/A ,$25.56 ,$25.56 ,$25.56 ,$31.55 ,$28.40 , N/A ,$28.40 , N/A ,$31.55 ,$17.70 , N/A ,$13.06 , N/A , N/A , N/A ,$28.40 , N/A ,$17.48 ,$8.83 ,$28.40 , N/A ,$28.40 ,$28.40 , N/A ,$20.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,637,1 ,$190.00 ,$136.80 ,$53.20 ,$190.00 , N/A ,$141.55 ,$124.45 , N/A ,$53.20 ,$116.85 , N/A ,$116.85 , N/A ,$105.26 ,$105.26 , N/A ,$105.26 , N/A ,$171.00 ,$157.70 , N/A , N/A ,$167.20 , N/A ,$142.50 ,$142.50 ,$161.50 ,$161.50 , N/A ,$161.50 , N/A ,$153.90 ,$153.90 ,$153.90 ,$190.00 ,$171.00 , N/A ,$171.00 , N/A ,$190.00 ,$106.59 , N/A ,$78.66 , N/A , N/A , N/A ,$171.00 , N/A ,$105.26 ,$53.20 ,$171.00 , N/A ,$171.00 ,$171.00 , N/A ,$123.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEFLUNOMIDE 20 MG TABS,637,1 ,$32.85 ,$23.65 ,$9.20 ,$32.85 , N/A ,$24.47 ,$21.52 , N/A ,$9.20 ,$20.20 , N/A ,$20.20 , N/A ,$18.20 ,$18.20 , N/A ,$18.20 , N/A ,$29.57 ,$27.27 , N/A , N/A ,$28.91 , N/A ,$24.64 ,$24.64 ,$27.92 ,$27.92 , N/A ,$27.92 , N/A ,$26.61 ,$26.61 ,$26.61 ,$32.85 ,$29.57 , N/A ,$29.57 , N/A ,$32.85 ,$18.43 , N/A ,$13.60 , N/A , N/A , N/A ,$29.57 , N/A ,$18.20 ,$9.20 ,$29.57 , N/A ,$29.57 ,$29.57 , N/A ,$21.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LETROZOLE 2.5 MG TABS,637,1 ,$36.15 ,$26.03 ,$10.12 ,$36.15 , N/A ,$26.93 ,$23.68 , N/A ,$10.12 ,$22.23 , N/A ,$22.23 , N/A ,$20.03 ,$20.03 , N/A ,$20.03 , N/A ,$32.54 ,$30.00 , N/A , N/A ,$31.81 , N/A ,$27.11 ,$27.11 ,$30.73 ,$30.73 , N/A ,$30.73 , N/A ,$29.28 ,$29.28 ,$29.28 ,$36.15 ,$32.54 , N/A ,$32.54 , N/A ,$36.15 ,$20.28 , N/A ,$14.97 , N/A , N/A , N/A ,$32.54 , N/A ,$20.03 ,$10.12 ,$32.54 , N/A ,$32.54 ,$32.54 , N/A ,$23.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVALBUTEROL 45 MCG/ACT AERO 15 G INHALER,637,1 ,$147.40 ,$106.13 ,$41.27 ,$147.40 , N/A ,$109.81 ,$96.55 , N/A ,$41.27 ,$90.65 , N/A ,$90.65 , N/A ,$81.66 ,$81.66 , N/A ,$81.66 , N/A ,$132.66 ,$122.34 , N/A , N/A ,$129.71 , N/A ,$110.55 ,$110.55 ,$125.29 ,$125.29 , N/A ,$125.29 , N/A ,$119.39 ,$119.39 ,$119.39 ,$147.40 ,$132.66 , N/A ,$132.66 , N/A ,$147.40 ,$82.69 , N/A ,$61.02 , N/A , N/A , N/A ,$132.66 , N/A ,$81.66 ,$41.27 ,$132.66 , N/A ,$132.66 ,$132.66 , N/A ,$95.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,EMTRICITABINE-TENOFOVIR 200-300 MG TABS,637,1 ,$147.40 ,$106.13 ,$41.27 ,$147.40 , N/A ,$109.81 ,$96.55 , N/A ,$41.27 ,$90.65 , N/A ,$90.65 , N/A ,$81.66 ,$81.66 , N/A ,$81.66 , N/A ,$132.66 ,$122.34 , N/A , N/A ,$129.71 , N/A ,$110.55 ,$110.55 ,$125.29 ,$125.29 , N/A ,$125.29 , N/A ,$119.39 ,$119.39 ,$119.39 ,$147.40 ,$132.66 , N/A ,$132.66 , N/A ,$147.40 ,$82.69 , N/A ,$61.02 , N/A , N/A , N/A ,$132.66 , N/A ,$81.66 ,$41.27 ,$132.66 , N/A ,$132.66 ,$132.66 , N/A ,$95.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVETIRACETAM 100 MG/ML SOLN,637,1 ,$13.93 ,$10.03 ,$3.90 ,$13.93 , N/A ,$10.38 ,$9.12 , N/A ,$3.90 ,$8.57 , N/A ,$8.57 , N/A ,$7.72 ,$7.72 , N/A ,$7.72 , N/A ,$12.54 ,$11.56 , N/A , N/A ,$12.26 , N/A ,$10.45 ,$10.45 ,$11.84 ,$11.84 , N/A ,$11.84 , N/A ,$11.28 ,$11.28 ,$11.28 ,$13.93 ,$12.54 , N/A ,$12.54 , N/A ,$13.93 ,$7.81 , N/A ,$5.77 , N/A , N/A , N/A ,$12.54 , N/A ,$7.72 ,$3.90 ,$12.54 , N/A ,$12.54 ,$12.54 , N/A ,$9.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVETIRACETAM 500 MG TABS,637,1 ,$7.05 ,$5.08 ,$1.97 ,$7.05 , N/A ,$5.25 ,$4.62 , N/A ,$1.97 ,$4.34 , N/A ,$4.34 , N/A ,$3.91 ,$3.91 , N/A ,$3.91 , N/A ,$6.35 ,$5.85 , N/A , N/A ,$6.20 , N/A ,$5.29 ,$5.29 ,$5.99 ,$5.99 , N/A ,$5.99 , N/A ,$5.71 ,$5.71 ,$5.71 ,$7.05 ,$6.35 , N/A ,$6.35 , N/A ,$7.05 ,$3.96 , N/A ,$2.92 , N/A , N/A , N/A ,$6.35 , N/A ,$3.91 ,$1.97 ,$6.35 , N/A ,$6.35 ,$6.35 , N/A ,$4.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOFLOXACIN 500 MG TABS,637,1 ,$33.65 ,$24.23 ,$9.42 ,$33.65 , N/A ,$25.07 ,$22.04 , N/A ,$9.42 ,$20.69 , N/A ,$20.69 , N/A ,$18.64 ,$18.64 , N/A ,$18.64 , N/A ,$30.29 ,$27.93 , N/A , N/A ,$29.61 , N/A ,$25.24 ,$25.24 ,$28.60 ,$28.60 , N/A ,$28.60 , N/A ,$27.26 ,$27.26 ,$27.26 ,$33.65 ,$30.29 , N/A ,$30.29 , N/A ,$33.65 ,$18.88 , N/A ,$13.93 , N/A , N/A , N/A ,$30.29 , N/A ,$18.64 ,$9.42 ,$30.29 , N/A ,$30.29 ,$30.29 , N/A ,$21.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOFLOXACIN 750 MG TABS,637,1 ,$49.25 ,$35.46 ,$13.79 ,$49.25 , N/A ,$36.69 ,$32.26 , N/A ,$13.79 ,$30.29 , N/A ,$30.29 , N/A ,$27.28 ,$27.28 , N/A ,$27.28 , N/A ,$44.33 ,$40.88 , N/A , N/A ,$43.34 , N/A ,$36.94 ,$36.94 ,$41.86 ,$41.86 , N/A ,$41.86 , N/A ,$39.89 ,$39.89 ,$39.89 ,$49.25 ,$44.33 , N/A ,$44.33 , N/A ,$49.25 ,$27.63 , N/A ,$20.39 , N/A , N/A , N/A ,$44.33 , N/A ,$27.28 ,$13.79 ,$44.33 , N/A ,$44.33 ,$44.33 , N/A ,$32.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVONORGESTREL 1.5 MG TABS,637,1 ,$73.15 ,$52.67 ,$20.48 ,$73.15 , N/A ,$54.50 ,$47.91 , N/A ,$20.48 ,$44.99 , N/A ,$44.99 , N/A ,$40.53 ,$40.53 , N/A ,$40.53 , N/A ,$65.84 ,$60.71 , N/A , N/A ,$64.37 , N/A ,$54.86 ,$54.86 ,$62.18 ,$62.18 , N/A ,$62.18 , N/A ,$59.25 ,$59.25 ,$59.25 ,$73.15 ,$65.84 , N/A ,$65.84 , N/A ,$73.15 ,$41.04 , N/A ,$30.28 , N/A , N/A , N/A ,$65.84 , N/A ,$40.53 ,$20.48 ,$65.84 , N/A ,$65.84 ,$65.84 , N/A ,$47.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LINEZOLID 600 MG TABS,637,1 ,$367.35 ,$264.49 ,$102.86 ,$367.35 , N/A ,$273.68 ,$240.61 , N/A ,$102.86 ,$225.92 , N/A ,$225.92 , N/A ,$203.51 ,$203.51 , N/A ,$203.51 , N/A ,$330.62 ,$304.90 , N/A , N/A ,$323.27 , N/A ,$275.51 ,$275.51 ,$312.25 ,$312.25 , N/A ,$312.25 , N/A ,$297.55 ,$297.55 ,$297.55 ,$367.35 ,$330.62 , N/A ,$330.62 , N/A ,$367.35 ,$206.08 , N/A ,$152.08 , N/A , N/A , N/A ,$330.62 , N/A ,$203.51 ,$102.86 ,$330.62 , N/A ,$330.62 ,$330.62 , N/A ,$238.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MEGESTROL 400 MG/10ML SUSP,637,1 ,$9.10 ,$6.55 ,$2.55 ,$9.10 , N/A ,$6.78 ,$5.96 , N/A ,$2.55 ,$5.60 , N/A ,$5.60 , N/A ,$5.04 ,$5.04 , N/A ,$5.04 , N/A ,$8.19 ,$7.55 , N/A , N/A ,$8.01 , N/A ,$6.83 ,$6.83 ,$7.74 ,$7.74 , N/A ,$7.74 , N/A ,$7.37 ,$7.37 ,$7.37 ,$9.10 ,$8.19 , N/A ,$8.19 , N/A ,$9.10 ,$5.11 , N/A ,$3.77 , N/A , N/A , N/A ,$8.19 , N/A ,$5.04 ,$2.55 ,$8.19 , N/A ,$8.19 ,$8.19 , N/A ,$5.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CAMPHOR-EUCALYPTUS-MENTHOL 4.73-1.2-2.6 % OINT 50 G JAR,637,1 ,$9.10 ,$6.55 ,$2.55 ,$9.10 , N/A ,$6.78 ,$5.96 , N/A ,$2.55 ,$5.60 , N/A ,$5.60 , N/A ,$5.04 ,$5.04 , N/A ,$5.04 , N/A ,$8.19 ,$7.55 , N/A , N/A ,$8.01 , N/A ,$6.83 ,$6.83 ,$7.74 ,$7.74 , N/A ,$7.74 , N/A ,$7.37 ,$7.37 ,$7.37 ,$9.10 ,$8.19 , N/A ,$8.19 , N/A ,$9.10 ,$5.11 , N/A ,$3.77 , N/A , N/A , N/A ,$8.19 , N/A ,$5.04 ,$2.55 ,$8.19 , N/A ,$8.19 ,$8.19 , N/A ,$5.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MELOXICAM 7.5 MG TABS,637,1 ,$6.35 ,$4.57 ,$1.78 ,$6.35 , N/A ,$4.73 ,$4.16 , N/A ,$1.78 ,$3.91 , N/A ,$3.91 , N/A ,$3.52 ,$3.52 , N/A ,$3.52 , N/A ,$5.72 ,$5.27 , N/A , N/A ,$5.59 , N/A ,$4.76 ,$4.76 ,$5.40 ,$5.40 , N/A ,$5.40 , N/A ,$5.14 ,$5.14 ,$5.14 ,$6.35 ,$5.72 , N/A ,$5.72 , N/A ,$6.35 ,$3.56 , N/A ,$2.63 , N/A , N/A , N/A ,$5.72 , N/A ,$3.52 ,$1.78 ,$5.72 , N/A ,$5.72 ,$5.72 , N/A ,$4.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MEMANTINE ER 28 MG CP24,637,1 ,$30.60 ,$22.03 ,$8.57 ,$30.60 , N/A ,$22.80 ,$20.04 , N/A ,$8.57 ,$18.82 , N/A ,$18.82 , N/A ,$16.95 ,$16.95 , N/A ,$16.95 , N/A ,$27.54 ,$25.40 , N/A , N/A ,$26.93 , N/A ,$22.95 ,$22.95 ,$26.01 ,$26.01 , N/A ,$26.01 , N/A ,$24.79 ,$24.79 ,$24.79 ,$30.60 ,$27.54 , N/A ,$27.54 , N/A ,$30.60 ,$17.17 , N/A ,$12.67 , N/A , N/A , N/A ,$27.54 , N/A ,$16.95 ,$8.57 ,$27.54 , N/A ,$27.54 ,$27.54 , N/A ,$19.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MENTHOL-METHYL SALICYLATE 10-15 % CREA 85 G TUBE,637,1 ,$7.00 ,$5.04 ,$1.96 ,$7.00 , N/A ,$5.22 ,$4.59 , N/A ,$1.96 ,$4.31 , N/A ,$4.31 , N/A ,$3.88 ,$3.88 , N/A ,$3.88 , N/A ,$6.30 ,$5.81 , N/A , N/A ,$6.16 , N/A ,$5.25 ,$5.25 ,$5.95 ,$5.95 , N/A ,$5.95 , N/A ,$5.67 ,$5.67 ,$5.67 ,$7.00 ,$6.30 , N/A ,$6.30 , N/A ,$7.00 ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$6.30 , N/A ,$3.88 ,$1.96 ,$6.30 , N/A ,$6.30 ,$6.30 , N/A ,$4.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMANTADINE 100 MG CAPS,637,1 ,$7.00 ,$5.04 ,$1.96 ,$7.00 , N/A ,$5.22 ,$4.59 , N/A ,$1.96 ,$4.31 , N/A ,$4.31 , N/A ,$3.88 ,$3.88 , N/A ,$3.88 , N/A ,$6.30 ,$5.81 , N/A , N/A ,$6.16 , N/A ,$5.25 ,$5.25 ,$5.95 ,$5.95 , N/A ,$5.95 , N/A ,$5.67 ,$5.67 ,$5.67 ,$7.00 ,$6.30 , N/A ,$6.30 , N/A ,$7.00 ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$6.30 , N/A ,$3.88 ,$1.96 ,$6.30 , N/A ,$6.30 ,$6.30 , N/A ,$4.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMLODIPINE 5 MG TABS,637,1 ,$7.00 ,$5.04 ,$1.96 ,$7.00 , N/A ,$5.22 ,$4.59 , N/A ,$1.96 ,$4.31 , N/A ,$4.31 , N/A ,$3.88 ,$3.88 , N/A ,$3.88 , N/A ,$6.30 ,$5.81 , N/A , N/A ,$6.16 , N/A ,$5.25 ,$5.25 ,$5.95 ,$5.95 , N/A ,$5.95 , N/A ,$5.67 ,$5.67 ,$5.67 ,$7.00 ,$6.30 , N/A ,$6.30 , N/A ,$7.00 ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$6.30 , N/A ,$3.88 ,$1.96 ,$6.30 , N/A ,$6.30 ,$6.30 , N/A ,$4.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MENTHOL-ZINC OXIDE 0.44-20.6 % OINT 113 G TUBE,637,1 ,$9.75 ,$7.02 ,$2.73 ,$9.75 , N/A ,$7.26 ,$6.39 , N/A ,$2.73 ,$6.00 , N/A ,$6.00 , N/A ,$5.40 ,$5.40 , N/A ,$5.40 , N/A ,$8.78 ,$8.09 , N/A , N/A ,$8.58 , N/A ,$7.31 ,$7.31 ,$8.29 ,$8.29 , N/A ,$8.29 , N/A ,$7.90 ,$7.90 ,$7.90 ,$9.75 ,$8.78 , N/A ,$8.78 , N/A ,$9.75 ,$5.47 , N/A ,$4.04 , N/A , N/A , N/A ,$8.78 , N/A ,$5.40 ,$2.73 ,$8.78 , N/A ,$8.78 ,$8.78 , N/A ,$6.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MESALAMINE 250 MG CPCR,637,1 ,$7.30 ,$5.26 ,$2.04 ,$7.30 , N/A ,$5.44 ,$4.78 , N/A ,$2.04 ,$4.49 , N/A ,$4.49 , N/A ,$4.04 ,$4.04 , N/A ,$4.04 , N/A ,$6.57 ,$6.06 , N/A , N/A ,$6.42 , N/A ,$5.48 ,$5.48 ,$6.21 ,$6.21 , N/A ,$6.21 , N/A ,$5.91 ,$5.91 ,$5.91 ,$7.30 ,$6.57 , N/A ,$6.57 , N/A ,$7.30 ,$4.10 , N/A ,$3.02 , N/A , N/A , N/A ,$6.57 , N/A ,$4.04 ,$2.04 ,$6.57 , N/A ,$6.57 ,$6.57 , N/A ,$4.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MESALAMINE DR 400 MG CPDR,637,1 ,$12.25 ,$8.82 ,$3.43 ,$12.25 , N/A ,$9.13 ,$8.02 , N/A ,$3.43 ,$7.53 , N/A ,$7.53 , N/A ,$6.79 ,$6.79 , N/A ,$6.79 , N/A ,$11.03 ,$10.17 , N/A , N/A ,$10.78 , N/A ,$9.19 ,$9.19 ,$10.41 ,$10.41 , N/A ,$10.41 , N/A ,$9.92 ,$9.92 ,$9.92 ,$12.25 ,$11.03 , N/A ,$11.03 , N/A ,$12.25 ,$6.87 , N/A ,$5.07 , N/A , N/A , N/A ,$11.03 , N/A ,$6.79 ,$3.43 ,$11.03 , N/A ,$11.03 ,$11.03 , N/A ,$7.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MEMANTINE 5 MG TABS,637,1 ,$12.25 ,$8.82 ,$3.43 ,$12.25 , N/A ,$9.13 ,$8.02 , N/A ,$3.43 ,$7.53 , N/A ,$7.53 , N/A ,$6.79 ,$6.79 , N/A ,$6.79 , N/A ,$11.03 ,$10.17 , N/A , N/A ,$10.78 , N/A ,$9.19 ,$9.19 ,$10.41 ,$10.41 , N/A ,$10.41 , N/A ,$9.92 ,$9.92 ,$9.92 ,$12.25 ,$11.03 , N/A ,$11.03 , N/A ,$12.25 ,$6.87 , N/A ,$5.07 , N/A , N/A , N/A ,$11.03 , N/A ,$6.79 ,$3.43 ,$11.03 , N/A ,$11.03 ,$11.03 , N/A ,$7.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METAXALONE 800 MG TABS,637,1 ,$11.80 ,$8.50 ,$3.30 ,$11.80 , N/A ,$8.79 ,$7.73 , N/A ,$3.30 ,$7.26 , N/A ,$7.26 , N/A ,$6.54 ,$6.54 , N/A ,$6.54 , N/A ,$10.62 ,$9.79 , N/A , N/A ,$10.38 , N/A ,$8.85 ,$8.85 ,$10.03 ,$10.03 , N/A ,$10.03 , N/A ,$9.56 ,$9.56 ,$9.56 ,$11.80 ,$10.62 , N/A ,$10.62 , N/A ,$11.80 ,$6.62 , N/A ,$4.89 , N/A , N/A , N/A ,$10.62 , N/A ,$6.54 ,$3.30 ,$10.62 , N/A ,$10.62 ,$10.62 , N/A ,$7.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT AERS,637,1 ,$11.80 ,$8.50 ,$3.30 ,$11.80 , N/A ,$8.79 ,$7.73 , N/A ,$3.30 ,$7.26 , N/A ,$7.26 , N/A ,$6.54 ,$6.54 , N/A ,$6.54 , N/A ,$10.62 ,$9.79 , N/A , N/A ,$10.38 , N/A ,$8.85 ,$8.85 ,$10.03 ,$10.03 , N/A ,$10.03 , N/A ,$9.56 ,$9.56 ,$9.56 ,$11.80 ,$10.62 , N/A ,$10.62 , N/A ,$11.80 ,$6.62 , N/A ,$4.89 , N/A , N/A , N/A ,$10.62 , N/A ,$6.54 ,$3.30 ,$10.62 , N/A ,$10.62 ,$10.62 , N/A ,$7.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIBUCAINE 1 % OINT 28 G TUBE,637,1 ,$11.80 ,$8.50 ,$3.30 ,$11.80 , N/A ,$8.79 ,$7.73 , N/A ,$3.30 ,$7.26 , N/A ,$7.26 , N/A ,$6.54 ,$6.54 , N/A ,$6.54 , N/A ,$10.62 ,$9.79 , N/A , N/A ,$10.38 , N/A ,$8.85 ,$8.85 ,$10.03 ,$10.03 , N/A ,$10.03 , N/A ,$9.56 ,$9.56 ,$9.56 ,$11.80 ,$10.62 , N/A ,$10.62 , N/A ,$11.80 ,$6.62 , N/A ,$4.89 , N/A , N/A , N/A ,$10.62 , N/A ,$6.54 ,$3.30 ,$10.62 , N/A ,$10.62 ,$10.62 , N/A ,$7.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METHYLERGONOVINE 0.2 MG TABS,637,1 ,$149.40 ,$107.57 ,$41.83 ,$149.40 , N/A ,$111.30 ,$97.86 , N/A ,$41.83 ,$91.88 , N/A ,$91.88 , N/A ,$82.77 ,$82.77 , N/A ,$82.77 , N/A ,$134.46 ,$124.00 , N/A , N/A ,$131.47 , N/A ,$112.05 ,$112.05 ,$126.99 ,$126.99 , N/A ,$126.99 , N/A ,$121.01 ,$121.01 ,$121.01 ,$149.40 ,$134.46 , N/A ,$134.46 , N/A ,$149.40 ,$83.81 , N/A ,$61.85 , N/A , N/A , N/A ,$134.46 , N/A ,$82.77 ,$41.83 ,$134.46 , N/A ,$134.46 ,$134.46 , N/A ,$97.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOCLOPRAMIDE 1 MG/ML 5 MG/5ML SOLN,637,1 ,$8.50 ,$6.12 ,$2.38 ,$8.50 , N/A ,$6.33 ,$5.57 , N/A ,$2.38 ,$5.23 , N/A ,$5.23 , N/A ,$4.71 ,$4.71 , N/A ,$4.71 , N/A ,$7.65 ,$7.06 , N/A , N/A ,$7.48 , N/A ,$6.38 ,$6.38 ,$7.23 ,$7.23 , N/A ,$7.23 , N/A ,$6.89 ,$6.89 ,$6.89 ,$8.50 ,$7.65 , N/A ,$7.65 , N/A ,$8.50 ,$4.77 , N/A ,$3.52 , N/A , N/A , N/A ,$7.65 , N/A ,$4.71 ,$2.38 ,$7.65 , N/A ,$7.65 ,$7.65 , N/A ,$5.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOLAZONE 5 MG TABS,637,1 ,$7.50 ,$5.40 ,$2.10 ,$7.50 , N/A ,$5.59 ,$4.91 , N/A ,$2.10 ,$4.61 , N/A ,$4.61 , N/A ,$4.16 ,$4.16 , N/A ,$4.16 , N/A ,$6.75 ,$6.23 , N/A , N/A ,$6.60 , N/A ,$5.63 ,$5.63 ,$6.38 ,$6.38 , N/A ,$6.38 , N/A ,$6.08 ,$6.08 ,$6.08 ,$7.50 ,$6.75 , N/A ,$6.75 , N/A ,$7.50 ,$4.21 , N/A ,$3.11 , N/A , N/A , N/A ,$6.75 , N/A ,$4.16 ,$2.10 ,$6.75 , N/A ,$6.75 ,$6.75 , N/A ,$4.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ANALGESIC 10-15 % CREA 85 G TUBE,637,1 ,$7.50 ,$5.40 ,$2.10 ,$7.50 , N/A ,$5.59 ,$4.91 , N/A ,$2.10 ,$4.61 , N/A ,$4.61 , N/A ,$4.16 ,$4.16 , N/A ,$4.16 , N/A ,$6.75 ,$6.23 , N/A , N/A ,$6.60 , N/A ,$5.63 ,$5.63 ,$6.38 ,$6.38 , N/A ,$6.38 , N/A ,$6.08 ,$6.08 ,$6.08 ,$7.50 ,$6.75 , N/A ,$6.75 , N/A ,$7.50 ,$4.21 , N/A ,$3.11 , N/A , N/A , N/A ,$6.75 , N/A ,$4.16 ,$2.10 ,$6.75 , N/A ,$6.75 ,$6.75 , N/A ,$4.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MICONAZOLE 2 % CREA 30 G TUBE,637,1 ,$14.40 ,$10.37 ,$4.03 ,$14.40 , N/A ,$10.73 ,$9.43 , N/A ,$4.03 ,$8.86 , N/A ,$8.86 , N/A ,$7.98 ,$7.98 , N/A ,$7.98 , N/A ,$12.96 ,$11.95 , N/A , N/A ,$12.67 , N/A ,$10.80 ,$10.80 ,$12.24 ,$12.24 , N/A ,$12.24 , N/A ,$11.66 ,$11.66 ,$11.66 ,$14.40 ,$12.96 , N/A ,$12.96 , N/A ,$14.40 ,$8.08 , N/A ,$5.96 , N/A , N/A , N/A ,$12.96 , N/A ,$7.98 ,$4.03 ,$12.96 , N/A ,$12.96 ,$12.96 , N/A ,$9.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MICONAZOLE 2 % CREA 45 G TUBE,637,1 ,$23.60 ,$16.99 ,$6.61 ,$23.60 , N/A ,$17.58 ,$15.46 , N/A ,$6.61 ,$14.51 , N/A ,$14.51 , N/A ,$13.07 ,$13.07 , N/A ,$13.07 , N/A ,$21.24 ,$19.59 , N/A , N/A ,$20.77 , N/A ,$17.70 ,$17.70 ,$20.06 ,$20.06 , N/A ,$20.06 , N/A ,$19.12 ,$19.12 ,$19.12 ,$23.60 ,$21.24 , N/A ,$21.24 , N/A ,$23.60 ,$13.24 , N/A ,$9.77 , N/A , N/A , N/A ,$21.24 , N/A ,$13.07 ,$6.61 ,$21.24 , N/A ,$21.24 ,$21.24 , N/A ,$15.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MIDAZOLAM 2 MG/ML SYRP,637,1 ,$36.65 ,$26.39 ,$10.26 ,$36.65 , N/A ,$27.30 ,$24.01 , N/A ,$10.26 ,$22.54 , N/A ,$22.54 , N/A ,$20.30 ,$20.30 , N/A ,$20.30 , N/A ,$32.99 ,$30.42 , N/A , N/A ,$32.25 , N/A ,$27.49 ,$27.49 ,$31.15 ,$31.15 , N/A ,$31.15 , N/A ,$29.69 ,$29.69 ,$29.69 ,$36.65 ,$32.99 , N/A ,$32.99 , N/A ,$36.65 ,$20.56 , N/A ,$15.17 , N/A , N/A , N/A ,$32.99 , N/A ,$20.30 ,$10.26 ,$32.99 , N/A ,$32.99 ,$32.99 , N/A ,$23.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MIRABEGRON ER 25 MG TB24,637,1 ,$34.40 ,$24.77 ,$9.63 ,$34.40 , N/A ,$25.63 ,$22.53 , N/A ,$9.63 ,$21.16 , N/A ,$21.16 , N/A ,$19.06 ,$19.06 , N/A ,$19.06 , N/A ,$30.96 ,$28.55 , N/A , N/A ,$30.27 , N/A ,$25.80 ,$25.80 ,$29.24 ,$29.24 , N/A ,$29.24 , N/A ,$27.86 ,$27.86 ,$27.86 ,$34.40 ,$30.96 , N/A ,$30.96 , N/A ,$34.40 ,$19.30 , N/A ,$14.24 , N/A , N/A , N/A ,$30.96 , N/A ,$19.06 ,$9.63 ,$30.96 , N/A ,$30.96 ,$30.96 , N/A ,$22.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MODAFINIL 100 MG TABS,637,1 ,$52.78 ,$38.00 ,$14.78 ,$52.78 , N/A ,$39.32 ,$34.57 , N/A ,$14.78 ,$32.46 , N/A ,$32.46 , N/A ,$29.24 ,$29.24 , N/A ,$29.24 , N/A ,$47.50 ,$43.81 , N/A , N/A ,$46.45 , N/A ,$39.59 ,$39.59 ,$44.86 ,$44.86 , N/A ,$44.86 , N/A ,$42.75 ,$42.75 ,$42.75 ,$52.78 ,$47.50 , N/A ,$47.50 , N/A ,$52.78 ,$29.61 , N/A ,$21.85 , N/A , N/A , N/A ,$47.50 , N/A ,$29.24 ,$14.78 ,$47.50 , N/A ,$47.50 ,$47.50 , N/A ,$34.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MONTELUKAST 5 MG CHEW,637,1 ,$8.25 ,$5.94 ,$2.31 ,$8.25 , N/A ,$6.15 ,$5.40 , N/A ,$2.31 ,$5.07 , N/A ,$5.07 , N/A ,$4.57 ,$4.57 , N/A ,$4.57 , N/A ,$7.43 ,$6.85 , N/A , N/A ,$7.26 , N/A ,$6.19 ,$6.19 ,$7.01 ,$7.01 , N/A ,$7.01 , N/A ,$6.68 ,$6.68 ,$6.68 ,$8.25 ,$7.43 , N/A ,$7.43 , N/A ,$8.25 ,$4.63 , N/A ,$3.42 , N/A , N/A , N/A ,$7.43 , N/A ,$4.57 ,$2.31 ,$7.43 , N/A ,$7.43 ,$7.43 , N/A ,$5.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MORPHINE CR 30 MG TBCR,637,1 ,$6.68 ,$4.81 ,$1.87 ,$6.68 , N/A ,$4.98 ,$4.38 , N/A ,$1.87 ,$4.11 , N/A ,$4.11 , N/A ,$3.70 ,$3.70 , N/A ,$3.70 , N/A ,$6.01 ,$5.54 , N/A , N/A ,$5.88 , N/A ,$5.01 ,$5.01 ,$5.68 ,$5.68 , N/A ,$5.68 , N/A ,$5.41 ,$5.41 ,$5.41 ,$6.68 ,$6.01 , N/A ,$6.01 , N/A ,$6.68 ,$3.75 , N/A ,$2.77 , N/A , N/A , N/A ,$6.01 , N/A ,$3.70 ,$1.87 ,$6.01 , N/A ,$6.01 ,$6.01 , N/A ,$4.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MUPIROCIN 2 % CREA 30 G TUBE,637,1 ,$831.15 ,$598.43 ,$232.72 ,$831.15 , N/A ,$619.21 ,$544.40 , N/A ,$232.72 ,$511.16 , N/A ,$511.16 , N/A ,$460.46 ,$460.46 , N/A ,$460.46 , N/A ,$748.04 ,$689.85 , N/A , N/A ,$731.41 , N/A ,$623.36 ,$623.36 ,$706.48 ,$706.48 , N/A ,$706.48 , N/A ,$673.23 ,$673.23 ,$673.23 ,$831.15 ,$748.04 , N/A ,$748.04 , N/A ,$831.15 ,$466.28 , N/A ,$344.10 , N/A , N/A , N/A ,$748.04 , N/A ,$460.46 ,$232.72 ,$748.04 , N/A ,$748.04 ,$748.04 , N/A ,$540.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MUPIROCIN 2 % OINT 22 G TUBE,637,1 ,$171.00 ,$123.12 ,$47.88 ,$171.00 , N/A ,$127.40 ,$112.01 , N/A ,$47.88 ,$105.17 , N/A ,$105.17 , N/A ,$94.73 ,$94.73 , N/A ,$94.73 , N/A ,$153.90 ,$141.93 , N/A , N/A ,$150.48 , N/A ,$128.25 ,$128.25 ,$145.35 ,$145.35 , N/A ,$145.35 , N/A ,$138.51 ,$138.51 ,$138.51 ,$171.00 ,$153.90 , N/A ,$153.90 , N/A ,$171.00 ,$95.93 , N/A ,$70.79 , N/A , N/A , N/A ,$153.90 , N/A ,$94.73 ,$47.88 ,$153.90 , N/A ,$153.90 ,$153.90 , N/A ,$111.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NEBIVOLOL 5 MG TABS,637,1 ,$13.28 ,$9.56 ,$3.72 ,$13.28 , N/A ,$9.89 ,$8.70 , N/A ,$3.72 ,$8.17 , N/A ,$8.17 , N/A ,$7.36 ,$7.36 , N/A ,$7.36 , N/A ,$11.95 ,$11.02 , N/A , N/A ,$11.69 , N/A ,$9.96 ,$9.96 ,$11.29 ,$11.29 , N/A ,$11.29 , N/A ,$10.76 ,$10.76 ,$10.76 ,$13.28 ,$11.95 , N/A ,$11.95 , N/A ,$13.28 ,$7.45 , N/A ,$5.50 , N/A , N/A , N/A ,$11.95 , N/A ,$7.36 ,$3.72 ,$11.95 , N/A ,$11.95 ,$11.95 , N/A ,$8.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SOLN 10 ML BOTTLE,637,1 ,$209.80 ,$151.06 ,$58.74 ,$209.80 , N/A ,$156.30 ,$137.42 , N/A ,$58.74 ,$129.03 , N/A ,$129.03 , N/A ,$116.23 ,$116.23 , N/A ,$116.23 , N/A ,$188.82 ,$174.13 , N/A , N/A ,$184.62 , N/A ,$157.35 ,$157.35 ,$178.33 ,$178.33 , N/A ,$178.33 , N/A ,$169.94 ,$169.94 ,$169.94 ,$209.80 ,$188.82 , N/A ,$188.82 , N/A ,$209.80 ,$117.70 , N/A ,$86.86 , N/A , N/A , N/A ,$188.82 , N/A ,$116.23 ,$58.74 ,$188.82 , N/A ,$188.82 ,$188.82 , N/A ,$136.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NITROFURANTOIN (MACROCRYSTAL-MONOHYDRATE) 100 MG CAPS,637,1 ,$7.55 ,$5.44 ,$2.11 ,$7.55 , N/A ,$5.62 ,$4.95 , N/A ,$2.11 ,$4.64 , N/A ,$4.64 , N/A ,$4.18 ,$4.18 , N/A ,$4.18 , N/A ,$6.80 ,$6.27 , N/A , N/A ,$6.64 , N/A ,$5.66 ,$5.66 ,$6.42 ,$6.42 , N/A ,$6.42 , N/A ,$6.12 ,$6.12 ,$6.12 ,$7.55 ,$6.80 , N/A ,$6.80 , N/A ,$7.55 ,$4.24 , N/A ,$3.13 , N/A , N/A , N/A ,$6.80 , N/A ,$4.18 ,$2.11 ,$6.80 , N/A ,$6.80 ,$6.80 , N/A ,$4.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NITROFURANTOIN 50 MG CAPS,637,1 ,$8.85 ,$6.37 ,$2.48 ,$8.85 , N/A ,$6.59 ,$5.80 , N/A ,$2.48 ,$5.44 , N/A ,$5.44 , N/A ,$4.90 ,$4.90 , N/A ,$4.90 , N/A ,$7.97 ,$7.35 , N/A , N/A ,$7.79 , N/A ,$6.64 ,$6.64 ,$7.52 ,$7.52 , N/A ,$7.52 , N/A ,$7.17 ,$7.17 ,$7.17 ,$8.85 ,$7.97 , N/A ,$7.97 , N/A ,$8.85 ,$4.96 , N/A ,$3.66 , N/A , N/A , N/A ,$7.97 , N/A ,$4.90 ,$2.48 ,$7.97 , N/A ,$7.97 ,$7.97 , N/A ,$5.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM CREA 30 G TUBE,637,1 ,$52.50 ,$37.80 ,$14.70 ,$52.50 , N/A ,$39.11 ,$34.39 , N/A ,$14.70 ,$32.29 , N/A ,$32.29 , N/A ,$29.09 ,$29.09 , N/A ,$29.09 , N/A ,$47.25 ,$43.58 , N/A , N/A ,$46.20 , N/A ,$39.38 ,$39.38 ,$44.63 ,$44.63 , N/A ,$44.63 , N/A ,$42.53 ,$42.53 ,$42.53 ,$52.50 ,$47.25 , N/A ,$47.25 , N/A ,$52.50 ,$29.45 , N/A ,$21.74 , N/A , N/A , N/A ,$47.25 , N/A ,$29.09 ,$14.70 ,$47.25 , N/A ,$47.25 ,$47.25 , N/A ,$34.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM OINT 15 G TUBE,637,1 ,$35.05 ,$25.24 ,$9.81 ,$35.05 , N/A ,$26.11 ,$22.96 , N/A ,$9.81 ,$21.56 , N/A ,$21.56 , N/A ,$19.42 ,$19.42 , N/A ,$19.42 , N/A ,$31.55 ,$29.09 , N/A , N/A ,$30.84 , N/A ,$26.29 ,$26.29 ,$29.79 ,$29.79 , N/A ,$29.79 , N/A ,$28.39 ,$28.39 ,$28.39 ,$35.05 ,$31.55 , N/A ,$31.55 , N/A ,$35.05 ,$19.66 , N/A ,$14.51 , N/A , N/A , N/A ,$31.55 , N/A ,$19.42 ,$9.81 ,$31.55 , N/A ,$31.55 ,$31.55 , N/A ,$22.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,637,1 ,$35.05 ,$25.24 ,$9.81 ,$35.05 , N/A ,$26.11 ,$22.96 , N/A ,$9.81 ,$21.56 , N/A ,$21.56 , N/A ,$19.42 ,$19.42 , N/A ,$19.42 , N/A ,$31.55 ,$29.09 , N/A , N/A ,$30.84 , N/A ,$26.29 ,$26.29 ,$29.79 ,$29.79 , N/A ,$29.79 , N/A ,$28.39 ,$28.39 ,$28.39 ,$35.05 ,$31.55 , N/A ,$31.55 , N/A ,$35.05 ,$19.66 , N/A ,$14.51 , N/A , N/A , N/A ,$31.55 , N/A ,$19.42 ,$9.81 ,$31.55 , N/A ,$31.55 ,$31.55 , N/A ,$22.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,637,1 ,$54.95 ,$39.56 ,$15.39 ,$54.95 , N/A ,$40.94 ,$35.99 , N/A ,$15.39 ,$33.79 , N/A ,$33.79 , N/A ,$30.44 ,$30.44 , N/A ,$30.44 , N/A ,$49.46 ,$45.61 , N/A , N/A ,$48.36 , N/A ,$41.21 ,$41.21 ,$46.71 ,$46.71 , N/A ,$46.71 , N/A ,$44.51 ,$44.51 ,$44.51 ,$54.95 ,$49.46 , N/A ,$49.46 , N/A ,$54.95 ,$30.83 , N/A ,$22.75 , N/A , N/A , N/A ,$49.46 , N/A ,$30.44 ,$15.39 ,$49.46 , N/A ,$49.46 ,$49.46 , N/A ,$35.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OLANZAPINE 2.5 MG TABS,637,1 ,$22.35 ,$16.09 ,$6.26 ,$22.35 , N/A ,$16.65 ,$14.64 , N/A ,$6.26 ,$13.75 , N/A ,$13.75 , N/A ,$12.38 ,$12.38 , N/A ,$12.38 , N/A ,$20.12 ,$18.55 , N/A , N/A ,$19.67 , N/A ,$16.76 ,$16.76 ,$19.00 ,$19.00 , N/A ,$19.00 , N/A ,$18.10 ,$18.10 ,$18.10 ,$22.35 ,$20.12 , N/A ,$20.12 , N/A ,$22.35 ,$12.54 , N/A ,$9.25 , N/A , N/A , N/A ,$20.12 , N/A ,$12.38 ,$6.26 ,$20.12 , N/A ,$20.12 ,$20.12 , N/A ,$14.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OLANZAPINE 5 MG TABS,637,1 ,$21.80 ,$15.70 ,$6.10 ,$21.80 , N/A ,$16.24 ,$14.28 , N/A ,$6.10 ,$13.41 , N/A ,$13.41 , N/A ,$12.08 ,$12.08 , N/A ,$12.08 , N/A ,$19.62 ,$18.09 , N/A , N/A ,$19.18 , N/A ,$16.35 ,$16.35 ,$18.53 ,$18.53 , N/A ,$18.53 , N/A ,$17.66 ,$17.66 ,$17.66 ,$21.80 ,$19.62 , N/A ,$19.62 , N/A ,$21.80 ,$12.23 , N/A ,$9.03 , N/A , N/A , N/A ,$19.62 , N/A ,$12.08 ,$6.10 ,$19.62 , N/A ,$19.62 ,$19.62 , N/A ,$14.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OLOPATADINE 0.1 % SOLN 5 ML BOTTLE,637,1 ,$62.50 ,$45.00 ,$17.50 ,$62.50 , N/A ,$46.56 ,$40.94 , N/A ,$17.50 ,$38.44 , N/A ,$38.44 , N/A ,$34.63 ,$34.63 , N/A ,$34.63 , N/A ,$56.25 ,$51.88 , N/A , N/A ,$55.00 , N/A ,$46.88 ,$46.88 ,$53.13 ,$53.13 , N/A ,$53.13 , N/A ,$50.63 ,$50.63 ,$50.63 ,$62.50 ,$56.25 , N/A ,$56.25 , N/A ,$62.50 ,$35.06 , N/A ,$25.88 , N/A , N/A , N/A ,$56.25 , N/A ,$34.63 ,$17.50 ,$56.25 , N/A ,$56.25 ,$56.25 , N/A ,$40.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ONDANSETRON 4 MG TABS,637,1 ,$47.90 ,$34.49 ,$13.41 ,$47.90 , N/A ,$35.69 ,$31.37 , N/A ,$13.41 ,$29.46 , N/A ,$29.46 , N/A ,$26.54 ,$26.54 , N/A ,$26.54 , N/A ,$43.11 ,$39.76 , N/A , N/A ,$42.15 , N/A ,$35.93 ,$35.93 ,$40.72 ,$40.72 , N/A ,$40.72 , N/A ,$38.80 ,$38.80 ,$38.80 ,$47.90 ,$43.11 , N/A ,$43.11 , N/A ,$47.90 ,$26.87 , N/A ,$19.83 , N/A , N/A , N/A ,$43.11 , N/A ,$26.54 ,$13.41 ,$43.11 , N/A ,$43.11 ,$43.11 , N/A ,$31.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OPIUM-BELLADONNA 16.2-60 MG SUPP,637,1 ,$66.95 ,$48.20 ,$18.75 ,$66.95 , N/A ,$49.88 ,$43.85 , N/A ,$18.75 ,$41.17 , N/A ,$41.17 , N/A ,$37.09 ,$37.09 , N/A ,$37.09 , N/A ,$60.26 ,$55.57 , N/A , N/A ,$58.92 , N/A ,$50.21 ,$50.21 ,$56.91 ,$56.91 , N/A ,$56.91 , N/A ,$54.23 ,$54.23 ,$54.23 ,$66.95 ,$60.26 , N/A ,$60.26 , N/A ,$66.95 ,$37.56 , N/A ,$27.72 , N/A , N/A , N/A ,$60.26 , N/A ,$37.09 ,$18.75 ,$60.26 , N/A ,$60.26 ,$60.26 , N/A ,$43.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OSELTAMIVIR 30 MG CAPS,637,1 ,$28.40 ,$20.45 ,$7.95 ,$28.40 , N/A ,$21.16 ,$18.60 , N/A ,$7.95 ,$17.47 , N/A ,$17.47 , N/A ,$15.73 ,$15.73 , N/A ,$15.73 , N/A ,$25.56 ,$23.57 , N/A , N/A ,$24.99 , N/A ,$21.30 ,$21.30 ,$24.14 ,$24.14 , N/A ,$24.14 , N/A ,$23.00 ,$23.00 ,$23.00 ,$28.40 ,$25.56 , N/A ,$25.56 , N/A ,$28.40 ,$15.93 , N/A ,$11.76 , N/A , N/A , N/A ,$25.56 , N/A ,$15.73 ,$7.95 ,$25.56 , N/A ,$25.56 ,$25.56 , N/A ,$18.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OSELTAMIVIR 6 MG/ML SUSR,637,1 ,$6.08 ,$4.38 ,$1.70 ,$6.08 , N/A ,$4.53 ,$3.98 , N/A ,$1.70 ,$3.74 , N/A ,$3.74 , N/A ,$3.37 ,$3.37 , N/A ,$3.37 , N/A ,$5.47 ,$5.05 , N/A , N/A ,$5.35 , N/A ,$4.56 ,$4.56 ,$5.17 ,$5.17 , N/A ,$5.17 , N/A ,$4.92 ,$4.92 ,$4.92 ,$6.08 ,$5.47 , N/A ,$5.47 , N/A ,$6.08 ,$3.41 , N/A ,$2.52 , N/A , N/A , N/A ,$5.47 , N/A ,$3.37 ,$1.70 ,$5.47 , N/A ,$5.47 ,$5.47 , N/A ,$3.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OSELTAMIVIR 75 MG CAPS,637,1 ,$30.95 ,$22.28 ,$8.67 ,$30.95 , N/A ,$23.06 ,$20.27 , N/A ,$8.67 ,$19.03 , N/A ,$19.03 , N/A ,$17.15 ,$17.15 , N/A ,$17.15 , N/A ,$27.86 ,$25.69 , N/A , N/A ,$27.24 , N/A ,$23.21 ,$23.21 ,$26.31 ,$26.31 , N/A ,$26.31 , N/A ,$25.07 ,$25.07 ,$25.07 ,$30.95 ,$27.86 , N/A ,$27.86 , N/A ,$30.95 ,$17.36 , N/A ,$12.81 , N/A , N/A , N/A ,$27.86 , N/A ,$17.15 ,$8.67 ,$27.86 , N/A ,$27.86 ,$27.86 , N/A ,$20.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXAPROZIN 600 MG TABS,637,1 ,$7.35 ,$5.29 ,$2.06 ,$7.35 , N/A ,$5.48 ,$4.81 , N/A ,$2.06 ,$4.52 , N/A ,$4.52 , N/A ,$4.07 ,$4.07 , N/A ,$4.07 , N/A ,$6.62 ,$6.10 , N/A , N/A ,$6.47 , N/A ,$5.51 ,$5.51 ,$6.25 ,$6.25 , N/A ,$6.25 , N/A ,$5.95 ,$5.95 ,$5.95 ,$7.35 ,$6.62 , N/A ,$6.62 , N/A ,$7.35 ,$4.12 , N/A ,$3.04 , N/A , N/A , N/A ,$6.62 , N/A ,$4.07 ,$2.06 ,$6.62 , N/A ,$6.62 ,$6.62 , N/A ,$4.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE ER 10 MG T12A,637,1 ,$11.49 ,$8.27 ,$3.22 ,$11.49 , N/A ,$8.56 ,$7.53 , N/A ,$3.22 ,$7.07 , N/A ,$7.07 , N/A ,$6.37 ,$6.37 , N/A ,$6.37 , N/A ,$10.34 ,$9.54 , N/A , N/A ,$10.11 , N/A ,$8.62 ,$8.62 ,$9.77 ,$9.77 , N/A ,$9.77 , N/A ,$9.31 ,$9.31 ,$9.31 ,$11.49 ,$10.34 , N/A ,$10.34 , N/A ,$11.49 ,$6.45 , N/A ,$4.76 , N/A , N/A , N/A ,$10.34 , N/A ,$6.37 ,$3.22 ,$10.34 , N/A ,$10.34 ,$10.34 , N/A ,$7.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE ER 20 MG T12A,637,1 ,$21.40 ,$15.41 ,$5.99 ,$21.40 , N/A ,$15.94 ,$14.02 , N/A ,$5.99 ,$13.16 , N/A ,$13.16 , N/A ,$11.86 ,$11.86 , N/A ,$11.86 , N/A ,$19.26 ,$17.76 , N/A , N/A ,$18.83 , N/A ,$16.05 ,$16.05 ,$18.19 ,$18.19 , N/A ,$18.19 , N/A ,$17.33 ,$17.33 ,$17.33 ,$21.40 ,$19.26 , N/A ,$19.26 , N/A ,$21.40 ,$12.01 , N/A ,$8.86 , N/A , N/A , N/A ,$19.26 , N/A ,$11.86 ,$5.99 ,$19.26 , N/A ,$19.26 ,$19.26 , N/A ,$13.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE-ACETAMINOPHEN 10-325 MG TABS,637,1 ,$7.10 ,$5.11 ,$1.99 ,$7.10 , N/A ,$5.29 ,$4.65 , N/A ,$1.99 ,$4.37 , N/A ,$4.37 , N/A ,$3.93 ,$3.93 , N/A ,$3.93 , N/A ,$6.39 ,$5.89 , N/A , N/A ,$6.25 , N/A ,$5.33 ,$5.33 ,$6.04 ,$6.04 , N/A ,$6.04 , N/A ,$5.75 ,$5.75 ,$5.75 ,$7.10 ,$6.39 , N/A ,$6.39 , N/A ,$7.10 ,$3.98 , N/A ,$2.94 , N/A , N/A , N/A ,$6.39 , N/A ,$3.93 ,$1.99 ,$6.39 , N/A ,$6.39 ,$6.39 , N/A ,$4.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PANCRELIPASE (LIP-PROT-AMYL) 24000 UNIT CPEP,637,1 ,$17.95 ,$12.92 ,$5.03 ,$17.95 , N/A ,$13.37 ,$11.76 , N/A ,$5.03 ,$11.04 , N/A ,$11.04 , N/A ,$9.94 ,$9.94 , N/A ,$9.94 , N/A ,$16.16 ,$14.90 , N/A , N/A ,$15.80 , N/A ,$13.46 ,$13.46 ,$15.26 ,$15.26 , N/A ,$15.26 , N/A ,$14.54 ,$14.54 ,$14.54 ,$17.95 ,$16.16 , N/A ,$16.16 , N/A ,$17.95 ,$10.07 , N/A ,$7.43 , N/A , N/A , N/A ,$16.16 , N/A ,$9.94 ,$5.03 ,$16.16 , N/A ,$16.16 ,$16.16 , N/A ,$11.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PANTOPRAZOLE EC 40 MG TBEC,637,1 ,$10.55 ,$7.60 ,$2.95 ,$10.55 , N/A ,$7.86 ,$6.91 , N/A ,$2.95 ,$6.49 , N/A ,$6.49 , N/A ,$5.84 ,$5.84 , N/A ,$5.84 , N/A ,$9.50 ,$8.76 , N/A , N/A ,$9.28 , N/A ,$7.91 ,$7.91 ,$8.97 ,$8.97 , N/A ,$8.97 , N/A ,$8.55 ,$8.55 ,$8.55 ,$10.55 ,$9.50 , N/A ,$9.50 , N/A ,$10.55 ,$5.92 , N/A ,$4.37 , N/A , N/A , N/A ,$9.50 , N/A ,$5.84 ,$2.95 ,$9.50 , N/A ,$9.50 ,$9.50 , N/A ,$6.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PANTOPRAZOLE EC 20 MG TBEC,637,1 ,$10.55 ,$7.60 ,$2.95 ,$10.55 , N/A ,$7.86 ,$6.91 , N/A ,$2.95 ,$6.49 , N/A ,$6.49 , N/A ,$5.84 ,$5.84 , N/A ,$5.84 , N/A ,$9.50 ,$8.76 , N/A , N/A ,$9.28 , N/A ,$7.91 ,$7.91 ,$8.97 ,$8.97 , N/A ,$8.97 , N/A ,$8.55 ,$8.55 ,$8.55 ,$10.55 ,$9.50 , N/A ,$9.50 , N/A ,$10.55 ,$5.92 , N/A ,$4.37 , N/A , N/A , N/A ,$9.50 , N/A ,$5.84 ,$2.95 ,$9.50 , N/A ,$9.50 ,$9.50 , N/A ,$6.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENOL 1.4 % LIQD 177 ML BOTTLE,637,1 ,$14.55 ,$10.48 ,$4.07 ,$14.55 , N/A ,$10.84 ,$9.53 , N/A ,$4.07 ,$8.95 , N/A ,$8.95 , N/A ,$8.06 ,$8.06 , N/A ,$8.06 , N/A ,$13.10 ,$12.08 , N/A , N/A ,$12.80 , N/A ,$10.91 ,$10.91 ,$12.37 ,$12.37 , N/A ,$12.37 , N/A ,$11.79 ,$11.79 ,$11.79 ,$14.55 ,$13.10 , N/A ,$13.10 , N/A ,$14.55 ,$8.16 , N/A ,$6.02 , N/A , N/A , N/A ,$13.10 , N/A ,$8.06 ,$4.07 ,$13.10 , N/A ,$13.10 ,$13.10 , N/A ,$9.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PIOGLITAZONE 30 MG TABS,637,1 ,$21.45 ,$15.44 ,$6.01 ,$21.45 , N/A ,$15.98 ,$14.05 , N/A ,$6.01 ,$13.19 , N/A ,$13.19 , N/A ,$11.88 ,$11.88 , N/A ,$11.88 , N/A ,$19.31 ,$17.80 , N/A , N/A ,$18.88 , N/A ,$16.09 ,$16.09 ,$18.23 ,$18.23 , N/A ,$18.23 , N/A ,$17.37 ,$17.37 ,$17.37 ,$21.45 ,$19.31 , N/A ,$19.31 , N/A ,$21.45 ,$12.03 , N/A ,$8.88 , N/A , N/A , N/A ,$19.31 , N/A ,$11.88 ,$6.01 ,$19.31 , N/A ,$19.31 ,$19.31 , N/A ,$13.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IVABRADINE 5 MG TABS,637,1 ,$21.45 ,$15.44 ,$6.01 ,$21.45 , N/A ,$15.98 ,$14.05 , N/A ,$6.01 ,$13.19 , N/A ,$13.19 , N/A ,$11.88 ,$11.88 , N/A ,$11.88 , N/A ,$19.31 ,$17.80 , N/A , N/A ,$18.88 , N/A ,$16.09 ,$16.09 ,$18.23 ,$18.23 , N/A ,$18.23 , N/A ,$17.37 ,$17.37 ,$17.37 ,$21.45 ,$19.31 , N/A ,$19.31 , N/A ,$21.45 ,$12.03 , N/A ,$8.88 , N/A , N/A , N/A ,$19.31 , N/A ,$11.88 ,$6.01 ,$19.31 , N/A ,$19.31 ,$19.31 , N/A ,$13.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POLYETHYLENE GLYCOL 17 GM/SCOOP POWD,637,1 ,$15.48 ,$11.15 ,$4.33 ,$15.48 , N/A ,$11.53 ,$10.14 , N/A ,$4.33 ,$9.52 , N/A ,$9.52 , N/A ,$8.58 ,$8.58 , N/A ,$8.58 , N/A ,$13.93 ,$12.85 , N/A , N/A ,$13.62 , N/A ,$11.61 ,$11.61 ,$13.16 ,$13.16 , N/A ,$13.16 , N/A ,$12.54 ,$12.54 ,$12.54 ,$15.48 ,$13.93 , N/A ,$13.93 , N/A ,$15.48 ,$8.68 , N/A ,$6.41 , N/A , N/A , N/A ,$13.93 , N/A ,$8.58 ,$4.33 ,$13.93 , N/A ,$13.93 ,$13.93 , N/A ,$10.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POLYETHYLENE GLYCOL-ELECTROLYTES 100 GM SOLR,637,1 ,$302.15 ,$217.55 ,$84.60 ,$302.15 , N/A ,$225.10 ,$197.91 , N/A ,$84.60 ,$185.82 , N/A ,$185.82 , N/A ,$167.39 ,$167.39 , N/A ,$167.39 , N/A ,$271.94 ,$250.78 , N/A , N/A ,$265.89 , N/A ,$226.61 ,$226.61 ,$256.83 ,$256.83 , N/A ,$256.83 , N/A ,$244.74 ,$244.74 ,$244.74 ,$302.15 ,$271.94 , N/A ,$271.94 , N/A ,$302.15 ,$169.51 , N/A ,$125.09 , N/A , N/A , N/A ,$271.94 , N/A ,$167.39 ,$84.60 ,$271.94 , N/A ,$271.94 ,$271.94 , N/A ,$196.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRAVASTATIN 10 MG TABS,637,1 ,$6.40 ,$4.61 ,$1.79 ,$6.40 , N/A ,$4.77 ,$4.19 , N/A ,$1.79 ,$3.94 , N/A ,$3.94 , N/A ,$3.55 ,$3.55 , N/A ,$3.55 , N/A ,$5.76 ,$5.31 , N/A , N/A ,$5.63 , N/A ,$4.80 ,$4.80 ,$5.44 ,$5.44 , N/A ,$5.44 , N/A ,$5.18 ,$5.18 ,$5.18 ,$6.40 ,$5.76 , N/A ,$5.76 , N/A ,$6.40 ,$3.59 , N/A ,$2.65 , N/A , N/A , N/A ,$5.76 , N/A ,$3.55 ,$1.79 ,$5.76 , N/A ,$5.76 ,$5.76 , N/A ,$4.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRAVASTATIN 20 MG TABS,637,1 ,$6.55 ,$4.72 ,$1.83 ,$6.55 , N/A ,$4.88 ,$4.29 , N/A ,$1.83 ,$4.03 , N/A ,$4.03 , N/A ,$3.63 ,$3.63 , N/A ,$3.63 , N/A ,$5.90 ,$5.44 , N/A , N/A ,$5.76 , N/A ,$4.91 ,$4.91 ,$5.57 ,$5.57 , N/A ,$5.57 , N/A ,$5.31 ,$5.31 ,$5.31 ,$6.55 ,$5.90 , N/A ,$5.90 , N/A ,$6.55 ,$3.67 , N/A ,$2.71 , N/A , N/A , N/A ,$5.90 , N/A ,$3.63 ,$1.83 ,$5.90 , N/A ,$5.90 ,$5.90 , N/A ,$4.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PREGABALIN 25 MG CAPS,637,1 ,$21.65 ,$15.59 ,$6.06 ,$21.65 , N/A ,$16.13 ,$14.18 , N/A ,$6.06 ,$13.31 , N/A ,$13.31 , N/A ,$11.99 ,$11.99 , N/A ,$11.99 , N/A ,$19.49 ,$17.97 , N/A , N/A ,$19.05 , N/A ,$16.24 ,$16.24 ,$18.40 ,$18.40 , N/A ,$18.40 , N/A ,$17.54 ,$17.54 ,$17.54 ,$21.65 ,$19.49 , N/A ,$19.49 , N/A ,$21.65 ,$12.15 , N/A ,$8.96 , N/A , N/A , N/A ,$19.49 , N/A ,$11.99 ,$6.06 ,$19.49 , N/A ,$19.49 ,$19.49 , N/A ,$14.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 115-21 MCG/ACT AERO,637,1 ,$21.65 ,$15.59 ,$6.06 ,$21.65 , N/A ,$16.13 ,$14.18 , N/A ,$6.06 ,$13.31 , N/A ,$13.31 , N/A ,$11.99 ,$11.99 , N/A ,$11.99 , N/A ,$19.49 ,$17.97 , N/A , N/A ,$19.05 , N/A ,$16.24 ,$16.24 ,$18.40 ,$18.40 , N/A ,$18.40 , N/A ,$17.54 ,$17.54 ,$17.54 ,$21.65 ,$19.49 , N/A ,$19.49 , N/A ,$21.65 ,$12.15 , N/A ,$8.96 , N/A , N/A , N/A ,$19.49 , N/A ,$11.99 ,$6.06 ,$19.49 , N/A ,$19.49 ,$19.49 , N/A ,$14.07 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PREGABALIN 75 MG CAPS,637,1 ,$23.80 ,$17.14 ,$6.66 ,$23.80 , N/A ,$17.73 ,$15.59 , N/A ,$6.66 ,$14.64 , N/A ,$14.64 , N/A ,$13.19 ,$13.19 , N/A ,$13.19 , N/A ,$21.42 ,$19.75 , N/A , N/A ,$20.94 , N/A ,$17.85 ,$17.85 ,$20.23 ,$20.23 , N/A ,$20.23 , N/A ,$19.28 ,$19.28 ,$19.28 ,$23.80 ,$21.42 , N/A ,$21.42 , N/A ,$23.80 ,$13.35 , N/A ,$9.85 , N/A , N/A , N/A ,$21.42 , N/A ,$13.19 ,$6.66 ,$21.42 , N/A ,$21.42 ,$21.42 , N/A ,$15.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROCHLORPERAZINE 25 MG SUPP,637,1 ,$25.20 ,$18.14 ,$7.06 ,$25.20 , N/A ,$18.77 ,$16.51 , N/A ,$7.06 ,$15.50 , N/A ,$15.50 , N/A ,$13.96 ,$13.96 , N/A ,$13.96 , N/A ,$22.68 ,$20.92 , N/A , N/A ,$22.18 , N/A ,$18.90 ,$18.90 ,$21.42 ,$21.42 , N/A ,$21.42 , N/A ,$20.41 ,$20.41 ,$20.41 ,$25.20 ,$22.68 , N/A ,$22.68 , N/A ,$25.20 ,$14.14 , N/A ,$10.43 , N/A , N/A , N/A ,$22.68 , N/A ,$13.96 ,$7.06 ,$22.68 , N/A ,$22.68 ,$22.68 , N/A ,$16.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROGESTERONE 100 MG CAPS,637,1 ,$10.35 ,$7.45 ,$2.90 ,$10.35 , N/A ,$7.71 ,$6.78 , N/A ,$2.90 ,$6.37 , N/A ,$6.37 , N/A ,$5.73 ,$5.73 , N/A ,$5.73 , N/A ,$9.32 ,$8.59 , N/A , N/A ,$9.11 , N/A ,$7.76 ,$7.76 ,$8.80 ,$8.80 , N/A ,$8.80 , N/A ,$8.38 ,$8.38 ,$8.38 ,$10.35 ,$9.32 , N/A ,$9.32 , N/A ,$10.35 ,$5.81 , N/A ,$4.28 , N/A , N/A , N/A ,$9.32 , N/A ,$5.73 ,$2.90 ,$9.32 , N/A ,$9.32 ,$9.32 , N/A ,$6.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 14.2 G TUBE,637,1 ,$10.35 ,$7.45 ,$2.90 ,$10.35 , N/A ,$7.71 ,$6.78 , N/A ,$2.90 ,$6.37 , N/A ,$6.37 , N/A ,$5.73 ,$5.73 , N/A ,$5.73 , N/A ,$9.32 ,$8.59 , N/A , N/A ,$9.11 , N/A ,$7.76 ,$7.76 ,$8.80 ,$8.80 , N/A ,$8.80 , N/A ,$8.38 ,$8.38 ,$8.38 ,$10.35 ,$9.32 , N/A ,$9.32 , N/A ,$10.35 ,$5.81 , N/A ,$4.28 , N/A , N/A , N/A ,$9.32 , N/A ,$5.73 ,$2.90 ,$9.32 , N/A ,$9.32 ,$9.32 , N/A ,$6.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROMETHAZINE 25 MG SUPP,637,1 ,$35.45 ,$25.52 ,$9.93 ,$35.45 , N/A ,$26.41 ,$23.22 , N/A ,$9.93 ,$21.80 , N/A ,$21.80 , N/A ,$19.64 ,$19.64 , N/A ,$19.64 , N/A ,$31.91 ,$29.42 , N/A , N/A ,$31.20 , N/A ,$26.59 ,$26.59 ,$30.13 ,$30.13 , N/A ,$30.13 , N/A ,$28.71 ,$28.71 ,$28.71 ,$35.45 ,$31.91 , N/A ,$31.91 , N/A ,$35.45 ,$19.89 , N/A ,$14.68 , N/A , N/A , N/A ,$31.91 , N/A ,$19.64 ,$9.93 ,$31.91 , N/A ,$31.91 ,$31.91 , N/A ,$23.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROPAFENONE SR 225 MG CP12,637,1 ,$19.45 ,$14.00 ,$5.45 ,$19.45 , N/A ,$14.49 ,$12.74 , N/A ,$5.45 ,$11.96 , N/A ,$11.96 , N/A ,$10.78 ,$10.78 , N/A ,$10.78 , N/A ,$17.51 ,$16.14 , N/A , N/A ,$17.12 , N/A ,$14.59 ,$14.59 ,$16.53 ,$16.53 , N/A ,$16.53 , N/A ,$15.75 ,$15.75 ,$15.75 ,$19.45 ,$17.51 , N/A ,$17.51 , N/A ,$19.45 ,$10.91 , N/A ,$8.05 , N/A , N/A , N/A ,$17.51 , N/A ,$10.78 ,$5.45 ,$17.51 , N/A ,$17.51 ,$17.51 , N/A ,$12.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROPYLTHIOURACIL 50 MG TABS,637,1 ,$6.75 ,$4.86 ,$1.89 ,$6.75 , N/A ,$5.03 ,$4.42 , N/A ,$1.89 ,$4.15 , N/A ,$4.15 , N/A ,$3.74 ,$3.74 , N/A ,$3.74 , N/A ,$6.08 ,$5.60 , N/A , N/A ,$5.94 , N/A ,$5.06 ,$5.06 ,$5.74 ,$5.74 , N/A ,$5.74 , N/A ,$5.47 ,$5.47 ,$5.47 ,$6.75 ,$6.08 , N/A ,$6.08 , N/A ,$6.75 ,$3.79 , N/A ,$2.79 , N/A , N/A , N/A ,$6.08 , N/A ,$3.74 ,$1.89 ,$6.08 , N/A ,$6.08 ,$6.08 , N/A ,$4.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHOLESTYRAMINE LIGHT 4 G PACK,637,1 ,$6.75 ,$4.86 ,$1.89 ,$6.75 , N/A ,$5.03 ,$4.42 , N/A ,$1.89 ,$4.15 , N/A ,$4.15 , N/A ,$3.74 ,$3.74 , N/A ,$3.74 , N/A ,$6.08 ,$5.60 , N/A , N/A ,$5.94 , N/A ,$5.06 ,$5.06 ,$5.74 ,$5.74 , N/A ,$5.74 , N/A ,$5.47 ,$5.47 ,$5.47 ,$6.75 ,$6.08 , N/A ,$6.08 , N/A ,$6.75 ,$3.79 , N/A ,$2.79 , N/A , N/A , N/A ,$6.08 , N/A ,$3.74 ,$1.89 ,$6.08 , N/A ,$6.08 ,$6.08 , N/A ,$4.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,QUETIAPINE 100 MG TABS,637,1 ,$13.72 ,$9.88 ,$3.84 ,$13.72 , N/A ,$10.22 ,$8.99 , N/A ,$3.84 ,$8.44 , N/A ,$8.44 , N/A ,$7.60 ,$7.60 , N/A ,$7.60 , N/A ,$12.35 ,$11.39 , N/A , N/A ,$12.07 , N/A ,$10.29 ,$10.29 ,$11.66 ,$11.66 , N/A ,$11.66 , N/A ,$11.11 ,$11.11 ,$11.11 ,$13.72 ,$12.35 , N/A ,$12.35 , N/A ,$13.72 ,$7.70 , N/A ,$5.68 , N/A , N/A , N/A ,$12.35 , N/A ,$7.60 ,$3.84 ,$12.35 , N/A ,$12.35 ,$12.35 , N/A ,$8.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,QUETIAPINE 25 MG TABS,637,1 ,$7.60 ,$5.47 ,$2.13 ,$7.60 , N/A ,$5.66 ,$4.98 , N/A ,$2.13 ,$4.67 , N/A ,$4.67 , N/A ,$4.21 ,$4.21 , N/A ,$4.21 , N/A ,$6.84 ,$6.31 , N/A , N/A ,$6.69 , N/A ,$5.70 ,$5.70 ,$6.46 ,$6.46 , N/A ,$6.46 , N/A ,$6.16 ,$6.16 ,$6.16 ,$7.60 ,$6.84 , N/A ,$6.84 , N/A ,$7.60 ,$4.26 , N/A ,$3.15 , N/A , N/A , N/A ,$6.84 , N/A ,$4.21 ,$2.13 ,$6.84 , N/A ,$6.84 ,$6.84 , N/A ,$4.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,637,1 ,$7.60 ,$5.47 ,$2.13 ,$7.60 , N/A ,$5.66 ,$4.98 , N/A ,$2.13 ,$4.67 , N/A ,$4.67 , N/A ,$4.21 ,$4.21 , N/A ,$4.21 , N/A ,$6.84 ,$6.31 , N/A , N/A ,$6.69 , N/A ,$5.70 ,$5.70 ,$6.46 ,$6.46 , N/A ,$6.46 , N/A ,$6.16 ,$6.16 ,$6.16 ,$7.60 ,$6.84 , N/A ,$6.84 , N/A ,$7.60 ,$4.26 , N/A ,$3.15 , N/A , N/A , N/A ,$6.84 , N/A ,$4.21 ,$2.13 ,$6.84 , N/A ,$6.84 ,$6.84 , N/A ,$4.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML SUSP 30 ML CUP,637,1 ,$7.60 ,$5.47 ,$2.13 ,$7.60 , N/A ,$5.66 ,$4.98 , N/A ,$2.13 ,$4.67 , N/A ,$4.67 , N/A ,$4.21 ,$4.21 , N/A ,$4.21 , N/A ,$6.84 ,$6.31 , N/A , N/A ,$6.69 , N/A ,$5.70 ,$5.70 ,$6.46 ,$6.46 , N/A ,$6.46 , N/A ,$6.16 ,$6.16 ,$6.16 ,$7.60 ,$6.84 , N/A ,$6.84 , N/A ,$7.60 ,$4.26 , N/A ,$3.15 , N/A , N/A , N/A ,$6.84 , N/A ,$4.21 ,$2.13 ,$6.84 , N/A ,$6.84 ,$6.84 , N/A ,$4.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RALOXIFENE 60 MG TABS,637,1 ,$14.70 ,$10.58 ,$4.12 ,$14.70 , N/A ,$10.95 ,$9.63 , N/A ,$4.12 ,$9.04 , N/A ,$9.04 , N/A ,$8.14 ,$8.14 , N/A ,$8.14 , N/A ,$13.23 ,$12.20 , N/A , N/A ,$12.94 , N/A ,$11.03 ,$11.03 ,$12.50 ,$12.50 , N/A ,$12.50 , N/A ,$11.91 ,$11.91 ,$11.91 ,$14.70 ,$13.23 , N/A ,$13.23 , N/A ,$14.70 ,$8.25 , N/A ,$6.09 , N/A , N/A , N/A ,$13.23 , N/A ,$8.14 ,$4.12 ,$13.23 , N/A ,$13.23 ,$13.23 , N/A ,$9.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RALTEGRAVIR 400 MG TABS,637,1 ,$69.45 ,$50.00 ,$19.45 ,$69.45 , N/A ,$51.74 ,$45.49 , N/A ,$19.45 ,$42.71 , N/A ,$42.71 , N/A ,$38.48 ,$38.48 , N/A ,$38.48 , N/A ,$62.51 ,$57.64 , N/A , N/A ,$61.12 , N/A ,$52.09 ,$52.09 ,$59.03 ,$59.03 , N/A ,$59.03 , N/A ,$56.25 ,$56.25 ,$56.25 ,$69.45 ,$62.51 , N/A ,$62.51 , N/A ,$69.45 ,$38.96 , N/A ,$28.75 , N/A , N/A , N/A ,$62.51 , N/A ,$38.48 ,$19.45 ,$62.51 , N/A ,$62.51 ,$62.51 , N/A ,$45.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RANOLAZINE ER 500 MG TB12,637,1 ,$16.45 ,$11.84 ,$4.61 ,$16.45 , N/A ,$12.26 ,$10.77 , N/A ,$4.61 ,$10.12 , N/A ,$10.12 , N/A ,$9.11 ,$9.11 , N/A ,$9.11 , N/A ,$14.81 ,$13.65 , N/A , N/A ,$14.48 , N/A ,$12.34 ,$12.34 ,$13.98 ,$13.98 , N/A ,$13.98 , N/A ,$13.32 ,$13.32 ,$13.32 ,$16.45 ,$14.81 , N/A ,$14.81 , N/A ,$16.45 ,$9.23 , N/A ,$6.81 , N/A , N/A , N/A ,$14.81 , N/A ,$9.11 ,$4.61 ,$14.81 , N/A ,$14.81 ,$14.81 , N/A ,$10.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIFAXIMIN 200 MG TABS,637,1 ,$23.15 ,$16.67 ,$6.48 ,$23.15 , N/A ,$17.25 ,$15.16 , N/A ,$6.48 ,$14.24 , N/A ,$14.24 , N/A ,$12.83 ,$12.83 , N/A ,$12.83 , N/A ,$20.84 ,$19.21 , N/A , N/A ,$20.37 , N/A ,$17.36 ,$17.36 ,$19.68 ,$19.68 , N/A ,$19.68 , N/A ,$18.75 ,$18.75 ,$18.75 ,$23.15 ,$20.84 , N/A ,$20.84 , N/A ,$23.15 ,$12.99 , N/A ,$9.58 , N/A , N/A , N/A ,$20.84 , N/A ,$12.83 ,$6.48 ,$20.84 , N/A ,$20.84 ,$20.84 , N/A ,$15.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIFAXIMIN 550 MG TABS,637,1 ,$119.05 ,$85.72 ,$33.33 ,$119.05 , N/A ,$88.69 ,$77.98 , N/A ,$33.33 ,$73.22 , N/A ,$73.22 , N/A ,$65.95 ,$65.95 , N/A ,$65.95 , N/A ,$107.15 ,$98.81 , N/A , N/A ,$104.76 , N/A ,$89.29 ,$89.29 ,$101.19 ,$101.19 , N/A ,$101.19 , N/A ,$96.43 ,$96.43 ,$96.43 ,$119.05 ,$107.15 , N/A ,$107.15 , N/A ,$119.05 ,$66.79 , N/A ,$49.29 , N/A , N/A , N/A ,$107.15 , N/A ,$65.95 ,$33.33 ,$107.15 , N/A ,$107.15 ,$107.15 , N/A ,$77.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RISPERIDONE 0.5 MG TABS,637,1 ,$8.55 ,$6.16 ,$2.39 ,$8.55 , N/A ,$6.37 ,$5.60 , N/A ,$2.39 ,$5.26 , N/A ,$5.26 , N/A ,$4.74 ,$4.74 , N/A ,$4.74 , N/A ,$7.70 ,$7.10 , N/A , N/A ,$7.52 , N/A ,$6.41 ,$6.41 ,$7.27 ,$7.27 , N/A ,$7.27 , N/A ,$6.93 ,$6.93 ,$6.93 ,$8.55 ,$7.70 , N/A ,$7.70 , N/A ,$8.55 ,$4.80 , N/A ,$3.54 , N/A , N/A , N/A ,$7.70 , N/A ,$4.74 ,$2.39 ,$7.70 , N/A ,$7.70 ,$7.70 , N/A ,$5.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE PROPIONATE 220 MCG/ACT AERO,637,1 ,$8.55 ,$6.16 ,$2.39 ,$8.55 , N/A ,$6.37 ,$5.60 , N/A ,$2.39 ,$5.26 , N/A ,$5.26 , N/A ,$4.74 ,$4.74 , N/A ,$4.74 , N/A ,$7.70 ,$7.10 , N/A , N/A ,$7.52 , N/A ,$6.41 ,$6.41 ,$7.27 ,$7.27 , N/A ,$7.27 , N/A ,$6.93 ,$6.93 ,$6.93 ,$8.55 ,$7.70 , N/A ,$7.70 , N/A ,$8.55 ,$4.80 , N/A ,$3.54 , N/A , N/A , N/A ,$7.70 , N/A ,$4.74 ,$2.39 ,$7.70 , N/A ,$7.70 ,$7.70 , N/A ,$5.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT 14 G TUBE,637,1 ,$8.55 ,$6.16 ,$2.39 ,$8.55 , N/A ,$6.37 ,$5.60 , N/A ,$2.39 ,$5.26 , N/A ,$5.26 , N/A ,$4.74 ,$4.74 , N/A ,$4.74 , N/A ,$7.70 ,$7.10 , N/A , N/A ,$7.52 , N/A ,$6.41 ,$6.41 ,$7.27 ,$7.27 , N/A ,$7.27 , N/A ,$6.93 ,$6.93 ,$6.93 ,$8.55 ,$7.70 , N/A ,$7.70 , N/A ,$8.55 ,$4.80 , N/A ,$3.54 , N/A , N/A , N/A ,$7.70 , N/A ,$4.74 ,$2.39 ,$7.70 , N/A ,$7.70 ,$7.70 , N/A ,$5.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RISPERIDONE 1 MG TABS,637,1 ,$9.08 ,$6.54 ,$2.54 ,$9.08 , N/A ,$6.76 ,$5.95 , N/A ,$2.54 ,$5.58 , N/A ,$5.58 , N/A ,$5.03 ,$5.03 , N/A ,$5.03 , N/A ,$8.17 ,$7.54 , N/A , N/A ,$7.99 , N/A ,$6.81 ,$6.81 ,$7.72 ,$7.72 , N/A ,$7.72 , N/A ,$7.35 ,$7.35 ,$7.35 ,$9.08 ,$8.17 , N/A ,$8.17 , N/A ,$9.08 ,$5.09 , N/A ,$3.76 , N/A , N/A , N/A ,$8.17 , N/A ,$5.03 ,$2.54 ,$8.17 , N/A ,$8.17 ,$8.17 , N/A ,$5.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RISPERIDONE 4 MG TABS,637,1 ,$23.95 ,$17.24 ,$6.71 ,$23.95 , N/A ,$17.84 ,$15.69 , N/A ,$6.71 ,$14.73 , N/A ,$14.73 , N/A ,$13.27 ,$13.27 , N/A ,$13.27 , N/A ,$21.56 ,$19.88 , N/A , N/A ,$21.08 , N/A ,$17.96 ,$17.96 ,$20.36 ,$20.36 , N/A ,$20.36 , N/A ,$19.40 ,$19.40 ,$19.40 ,$23.95 ,$21.56 , N/A ,$21.56 , N/A ,$23.95 ,$13.44 , N/A ,$9.92 , N/A , N/A , N/A ,$21.56 , N/A ,$13.27 ,$6.71 ,$21.56 , N/A ,$21.56 ,$21.56 , N/A ,$15.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIVAROXABAN 10 MG TABS,637,1 ,$41.35 ,$29.77 ,$11.58 ,$41.35 , N/A ,$30.81 ,$27.08 , N/A ,$11.58 ,$25.43 , N/A ,$25.43 , N/A ,$22.91 ,$22.91 , N/A ,$22.91 , N/A ,$37.22 ,$34.32 , N/A , N/A ,$36.39 , N/A ,$31.01 ,$31.01 ,$35.15 ,$35.15 , N/A ,$35.15 , N/A ,$33.49 ,$33.49 ,$33.49 ,$41.35 ,$37.22 , N/A ,$37.22 , N/A ,$41.35 ,$23.20 , N/A ,$17.12 , N/A , N/A , N/A ,$37.22 , N/A ,$22.91 ,$11.58 ,$37.22 , N/A ,$37.22 ,$37.22 , N/A ,$26.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIVAROXABAN 2.5 MG TABS,637,1 ,$20.70 ,$14.90 ,$5.80 ,$20.70 , N/A ,$15.42 ,$13.56 , N/A ,$5.80 ,$12.73 , N/A ,$12.73 , N/A ,$11.47 ,$11.47 , N/A ,$11.47 , N/A ,$18.63 ,$17.18 , N/A , N/A ,$18.22 , N/A ,$15.53 ,$15.53 ,$17.60 ,$17.60 , N/A ,$17.60 , N/A ,$16.77 ,$16.77 ,$16.77 ,$20.70 ,$18.63 , N/A ,$18.63 , N/A ,$20.70 ,$11.61 , N/A ,$8.57 , N/A , N/A , N/A ,$18.63 , N/A ,$11.47 ,$5.80 ,$18.63 , N/A ,$18.63 ,$18.63 , N/A ,$13.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIVASTIGMINE 1.5 MG CAPS,637,1 ,$9.33 ,$6.72 ,$2.61 ,$9.33 , N/A ,$6.95 ,$6.11 , N/A ,$2.61 ,$5.74 , N/A ,$5.74 , N/A ,$5.17 ,$5.17 , N/A ,$5.17 , N/A ,$8.40 ,$7.74 , N/A , N/A ,$8.21 , N/A ,$7.00 ,$7.00 ,$7.93 ,$7.93 , N/A ,$7.93 , N/A ,$7.56 ,$7.56 ,$7.56 ,$9.33 ,$8.40 , N/A ,$8.40 , N/A ,$9.33 ,$5.23 , N/A ,$3.86 , N/A , N/A , N/A ,$8.40 , N/A ,$5.17 ,$2.61 ,$8.40 , N/A ,$8.40 ,$8.40 , N/A ,$6.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIZATRIPTAN 10 MG TABS,637,1 ,$66.65 ,$47.99 ,$18.66 ,$66.65 , N/A ,$49.65 ,$43.66 , N/A ,$18.66 ,$40.99 , N/A ,$40.99 , N/A ,$36.92 ,$36.92 , N/A ,$36.92 , N/A ,$59.99 ,$55.32 , N/A , N/A ,$58.65 , N/A ,$49.99 ,$49.99 ,$56.65 ,$56.65 , N/A ,$56.65 , N/A ,$53.99 ,$53.99 ,$53.99 ,$66.65 ,$59.99 , N/A ,$59.99 , N/A ,$66.65 ,$37.39 , N/A ,$27.59 , N/A , N/A , N/A ,$59.99 , N/A ,$36.92 ,$18.66 ,$59.99 , N/A ,$59.99 ,$59.99 , N/A ,$43.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SACUBITRIL-VALSARTAN 24-26 MG TABS,637,1 ,$25.45 ,$18.32 ,$7.13 ,$25.45 , N/A ,$18.96 ,$16.67 , N/A ,$7.13 ,$15.65 , N/A ,$15.65 , N/A ,$14.10 ,$14.10 , N/A ,$14.10 , N/A ,$22.91 ,$21.12 , N/A , N/A ,$22.40 , N/A ,$19.09 ,$19.09 ,$21.63 ,$21.63 , N/A ,$21.63 , N/A ,$20.61 ,$20.61 ,$20.61 ,$25.45 ,$22.91 , N/A ,$22.91 , N/A ,$25.45 ,$14.28 , N/A ,$10.54 , N/A , N/A , N/A ,$22.91 , N/A ,$14.10 ,$7.13 ,$22.91 , N/A ,$22.91 ,$22.91 , N/A ,$16.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SEVELAMER CARBONATE 800 MG TABS,637,1 ,$19.85 ,$14.29 ,$5.56 ,$19.85 , N/A ,$14.79 ,$13.00 , N/A ,$5.56 ,$12.21 , N/A ,$12.21 , N/A ,$11.00 ,$11.00 , N/A ,$11.00 , N/A ,$17.87 ,$16.48 , N/A , N/A ,$17.47 , N/A ,$14.89 ,$14.89 ,$16.87 ,$16.87 , N/A ,$16.87 , N/A ,$16.08 ,$16.08 ,$16.08 ,$19.85 ,$17.87 , N/A ,$17.87 , N/A ,$19.85 ,$11.14 , N/A ,$8.22 , N/A , N/A , N/A ,$17.87 , N/A ,$11.00 ,$5.56 ,$17.87 , N/A ,$17.87 ,$17.87 , N/A ,$12.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DABIGATRAN 75 MG CAPS,637,1 ,$19.85 ,$14.29 ,$5.56 ,$19.85 , N/A ,$14.79 ,$13.00 , N/A ,$5.56 ,$12.21 , N/A ,$12.21 , N/A ,$11.00 ,$11.00 , N/A ,$11.00 , N/A ,$17.87 ,$16.48 , N/A , N/A ,$17.47 , N/A ,$14.89 ,$14.89 ,$16.87 ,$16.87 , N/A ,$16.87 , N/A ,$16.08 ,$16.08 ,$16.08 ,$19.85 ,$17.87 , N/A ,$17.87 , N/A ,$19.85 ,$11.14 , N/A ,$8.22 , N/A , N/A , N/A ,$17.87 , N/A ,$11.00 ,$5.56 ,$17.87 , N/A ,$17.87 ,$17.87 , N/A ,$12.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SILVER SULFADIAZINE 1 % CREA 20 G TUBE,637,1 ,$37.10 ,$26.71 ,$10.39 ,$37.10 , N/A ,$27.64 ,$24.30 , N/A ,$10.39 ,$22.82 , N/A ,$22.82 , N/A ,$20.55 ,$20.55 , N/A ,$20.55 , N/A ,$33.39 ,$30.79 , N/A , N/A ,$32.65 , N/A ,$27.83 ,$27.83 ,$31.54 ,$31.54 , N/A ,$31.54 , N/A ,$30.05 ,$30.05 ,$30.05 ,$37.10 ,$33.39 , N/A ,$33.39 , N/A ,$37.10 ,$20.81 , N/A ,$15.36 , N/A , N/A , N/A ,$33.39 , N/A ,$20.55 ,$10.39 ,$33.39 , N/A ,$33.39 ,$33.39 , N/A ,$24.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SILVER SULFADIAZINE 1 % CREA 50 G JAR,637,1 ,$29.80 ,$21.46 ,$8.34 ,$29.80 , N/A ,$22.20 ,$19.52 , N/A ,$8.34 ,$18.33 , N/A ,$18.33 , N/A ,$16.51 ,$16.51 , N/A ,$16.51 , N/A ,$26.82 ,$24.73 , N/A , N/A ,$26.22 , N/A ,$22.35 ,$22.35 ,$25.33 ,$25.33 , N/A ,$25.33 , N/A ,$24.14 ,$24.14 ,$24.14 ,$29.80 ,$26.82 , N/A ,$26.82 , N/A ,$29.80 ,$16.72 , N/A ,$12.34 , N/A , N/A , N/A ,$26.82 , N/A ,$16.51 ,$8.34 ,$26.82 , N/A ,$26.82 ,$26.82 , N/A ,$19.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PACK,637,1 ,$58.40 ,$42.05 ,$16.35 ,$58.40 , N/A ,$43.51 ,$38.25 , N/A ,$16.35 ,$35.92 , N/A ,$35.92 , N/A ,$32.35 ,$32.35 , N/A ,$32.35 , N/A ,$52.56 ,$48.47 , N/A , N/A ,$51.39 , N/A ,$43.80 ,$43.80 ,$49.64 ,$49.64 , N/A ,$49.64 , N/A ,$47.30 ,$47.30 ,$47.30 ,$58.40 ,$52.56 , N/A ,$52.56 , N/A ,$58.40 ,$32.76 , N/A ,$24.18 , N/A , N/A , N/A ,$52.56 , N/A ,$32.35 ,$16.35 ,$52.56 , N/A ,$52.56 ,$52.56 , N/A ,$37.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SOLIFENACIN 5 MG TABS,637,1 ,$29.30 ,$21.10 ,$8.20 ,$29.30 , N/A ,$21.83 ,$19.19 , N/A ,$8.20 ,$18.02 , N/A ,$18.02 , N/A ,$16.23 ,$16.23 , N/A ,$16.23 , N/A ,$26.37 ,$24.32 , N/A , N/A ,$25.78 , N/A ,$21.98 ,$21.98 ,$24.91 ,$24.91 , N/A ,$24.91 , N/A ,$23.73 ,$23.73 ,$23.73 ,$29.30 ,$26.37 , N/A ,$26.37 , N/A ,$29.30 ,$16.44 , N/A ,$12.13 , N/A , N/A , N/A ,$26.37 , N/A ,$16.23 ,$8.20 ,$26.37 , N/A ,$26.37 ,$26.37 , N/A ,$19.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SUCRALFATE 1 GM/10ML SUSP,637,1 ,$24.40 ,$17.57 ,$6.83 ,$24.40 , N/A ,$18.18 ,$15.98 , N/A ,$6.83 ,$15.01 , N/A ,$15.01 , N/A ,$13.52 ,$13.52 , N/A ,$13.52 , N/A ,$21.96 ,$20.25 , N/A , N/A ,$21.47 , N/A ,$18.30 ,$18.30 ,$20.74 ,$20.74 , N/A ,$20.74 , N/A ,$19.76 ,$19.76 ,$19.76 ,$24.40 ,$21.96 , N/A ,$21.96 , N/A ,$24.40 ,$13.69 , N/A ,$10.10 , N/A , N/A , N/A ,$21.96 , N/A ,$13.52 ,$6.83 ,$21.96 , N/A ,$21.96 ,$21.96 , N/A ,$15.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,KETOTIFEN 0.025 % SOLN 5 ML BOTTLE,637,1 ,$24.40 ,$17.57 ,$6.83 ,$24.40 , N/A ,$18.18 ,$15.98 , N/A ,$6.83 ,$15.01 , N/A ,$15.01 , N/A ,$13.52 ,$13.52 , N/A ,$13.52 , N/A ,$21.96 ,$20.25 , N/A , N/A ,$21.47 , N/A ,$18.30 ,$18.30 ,$20.74 ,$20.74 , N/A ,$20.74 , N/A ,$19.76 ,$19.76 ,$19.76 ,$24.40 ,$21.96 , N/A ,$21.96 , N/A ,$24.40 ,$13.69 , N/A ,$10.10 , N/A , N/A , N/A ,$21.96 , N/A ,$13.52 ,$6.83 ,$21.96 , N/A ,$21.96 ,$21.96 , N/A ,$15.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SULFACETAMIDE 10 % SOLN 15 ML BOTTLE,637,1 ,$122.05 ,$87.88 ,$34.17 ,$122.05 , N/A ,$90.93 ,$79.94 , N/A ,$34.17 ,$75.06 , N/A ,$75.06 , N/A ,$67.62 ,$67.62 , N/A ,$67.62 , N/A ,$109.85 ,$101.30 , N/A , N/A ,$107.40 , N/A ,$91.54 ,$91.54 ,$103.74 ,$103.74 , N/A ,$103.74 , N/A ,$98.86 ,$98.86 ,$98.86 ,$122.05 ,$109.85 , N/A ,$109.85 , N/A ,$122.05 ,$68.47 , N/A ,$50.53 , N/A , N/A , N/A ,$109.85 , N/A ,$67.62 ,$34.17 ,$109.85 , N/A ,$109.85 ,$109.85 , N/A ,$79.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SUMATRIPTAN 100 MG TABS,637,1 ,$50.30 ,$36.22 ,$14.08 ,$50.30 , N/A ,$37.47 ,$32.95 , N/A ,$14.08 ,$30.93 , N/A ,$30.93 , N/A ,$27.87 ,$27.87 , N/A ,$27.87 , N/A ,$45.27 ,$41.75 , N/A , N/A ,$44.26 , N/A ,$37.73 ,$37.73 ,$42.76 ,$42.76 , N/A ,$42.76 , N/A ,$40.74 ,$40.74 ,$40.74 ,$50.30 ,$45.27 , N/A ,$45.27 , N/A ,$50.30 ,$28.22 , N/A ,$20.82 , N/A , N/A , N/A ,$45.27 , N/A ,$27.87 ,$14.08 ,$45.27 , N/A ,$45.27 ,$45.27 , N/A ,$32.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SODIUM POLYSTYRENE 15 GM/60ML SUSP,637,1 ,$50.30 ,$36.22 ,$14.08 ,$50.30 , N/A ,$37.47 ,$32.95 , N/A ,$14.08 ,$30.93 , N/A ,$30.93 , N/A ,$27.87 ,$27.87 , N/A ,$27.87 , N/A ,$45.27 ,$41.75 , N/A , N/A ,$44.26 , N/A ,$37.73 ,$37.73 ,$42.76 ,$42.76 , N/A ,$42.76 , N/A ,$40.74 ,$40.74 ,$40.74 ,$50.30 ,$45.27 , N/A ,$45.27 , N/A ,$50.30 ,$28.22 , N/A ,$20.82 , N/A , N/A , N/A ,$45.27 , N/A ,$27.87 ,$14.08 ,$45.27 , N/A ,$45.27 ,$45.27 , N/A ,$32.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SUMATRIPTAN 25 MG TABS,637,1 ,$54.13 ,$38.97 ,$15.16 ,$54.13 , N/A ,$40.33 ,$35.46 , N/A ,$15.16 ,$33.29 , N/A ,$33.29 , N/A ,$29.99 ,$29.99 , N/A ,$29.99 , N/A ,$48.72 ,$44.93 , N/A , N/A ,$47.63 , N/A ,$40.60 ,$40.60 ,$46.01 ,$46.01 , N/A ,$46.01 , N/A ,$43.85 ,$43.85 ,$43.85 ,$54.13 ,$48.72 , N/A ,$48.72 , N/A ,$54.13 ,$30.37 , N/A ,$22.41 , N/A , N/A , N/A ,$48.72 , N/A ,$29.99 ,$15.16 ,$48.72 , N/A ,$48.72 ,$48.72 , N/A ,$35.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TAMSULOSIN 0.4 MG CAPS,637,1 ,$8.45 ,$6.08 ,$2.37 ,$8.45 , N/A ,$6.30 ,$5.53 , N/A ,$2.37 ,$5.20 , N/A ,$5.20 , N/A ,$4.68 ,$4.68 , N/A ,$4.68 , N/A ,$7.61 ,$7.01 , N/A , N/A ,$7.44 , N/A ,$6.34 ,$6.34 ,$7.18 ,$7.18 , N/A ,$7.18 , N/A ,$6.84 ,$6.84 ,$6.84 ,$8.45 ,$7.61 , N/A ,$7.61 , N/A ,$8.45 ,$4.74 , N/A ,$3.50 , N/A , N/A , N/A ,$7.61 , N/A ,$4.68 ,$2.37 ,$7.61 , N/A ,$7.61 ,$7.61 , N/A ,$5.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALFUZOSIN ER 10 MG TB24,637,1 ,$8.45 ,$6.08 ,$2.37 ,$8.45 , N/A ,$6.30 ,$5.53 , N/A ,$2.37 ,$5.20 , N/A ,$5.20 , N/A ,$4.68 ,$4.68 , N/A ,$4.68 , N/A ,$7.61 ,$7.01 , N/A , N/A ,$7.44 , N/A ,$6.34 ,$6.34 ,$7.18 ,$7.18 , N/A ,$7.18 , N/A ,$6.84 ,$6.84 ,$6.84 ,$8.45 ,$7.61 , N/A ,$7.61 , N/A ,$8.45 ,$4.74 , N/A ,$3.50 , N/A , N/A , N/A ,$7.61 , N/A ,$4.68 ,$2.37 ,$7.61 , N/A ,$7.61 ,$7.61 , N/A ,$5.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TERBINAFINE 250 MG TABS,637,1 ,$25.60 ,$18.43 ,$7.17 ,$25.60 , N/A ,$19.07 ,$16.77 , N/A ,$7.17 ,$15.74 , N/A ,$15.74 , N/A ,$14.18 ,$14.18 , N/A ,$14.18 , N/A ,$23.04 ,$21.25 , N/A , N/A ,$22.53 , N/A ,$19.20 ,$19.20 ,$21.76 ,$21.76 , N/A ,$21.76 , N/A ,$20.74 ,$20.74 ,$20.74 ,$25.60 ,$23.04 , N/A ,$23.04 , N/A ,$25.60 ,$14.36 , N/A ,$10.60 , N/A , N/A , N/A ,$23.04 , N/A ,$14.18 ,$7.17 ,$23.04 , N/A ,$23.04 ,$23.04 , N/A ,$16.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,THEOPHYLLINE ER 300 MG TB12,637,1 ,$8.60 ,$6.19 ,$2.41 ,$8.60 , N/A ,$6.41 ,$5.63 , N/A ,$2.41 ,$5.29 , N/A ,$5.29 , N/A ,$4.76 ,$4.76 , N/A ,$4.76 , N/A ,$7.74 ,$7.14 , N/A , N/A ,$7.57 , N/A ,$6.45 ,$6.45 ,$7.31 ,$7.31 , N/A ,$7.31 , N/A ,$6.97 ,$6.97 ,$6.97 ,$8.60 ,$7.74 , N/A ,$7.74 , N/A ,$8.60 ,$4.82 , N/A ,$3.56 , N/A , N/A , N/A ,$7.74 , N/A ,$4.76 ,$2.41 ,$7.74 , N/A ,$7.74 ,$7.74 , N/A ,$5.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAZOLAMIDE ER 500 MG CP12,637,1 ,$8.60 ,$6.19 ,$2.41 ,$8.60 , N/A ,$6.41 ,$5.63 , N/A ,$2.41 ,$5.29 , N/A ,$5.29 , N/A ,$4.76 ,$4.76 , N/A ,$4.76 , N/A ,$7.74 ,$7.14 , N/A , N/A ,$7.57 , N/A ,$6.45 ,$6.45 ,$7.31 ,$7.31 , N/A ,$7.31 , N/A ,$6.97 ,$6.97 ,$6.97 ,$8.60 ,$7.74 , N/A ,$7.74 , N/A ,$8.60 ,$4.82 , N/A ,$3.56 , N/A , N/A , N/A ,$7.74 , N/A ,$4.76 ,$2.41 ,$7.74 , N/A ,$7.74 ,$7.74 , N/A ,$5.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TICAGRELOR 90 MG TABS,637,1 ,$17.05 ,$12.28 ,$4.77 ,$17.05 , N/A ,$12.70 ,$11.17 , N/A ,$4.77 ,$10.49 , N/A ,$10.49 , N/A ,$9.45 ,$9.45 , N/A ,$9.45 , N/A ,$15.35 ,$14.15 , N/A , N/A ,$15.00 , N/A ,$12.79 ,$12.79 ,$14.49 ,$14.49 , N/A ,$14.49 , N/A ,$13.81 ,$13.81 ,$13.81 ,$17.05 ,$15.35 , N/A ,$15.35 , N/A ,$17.05 ,$9.57 , N/A ,$7.06 , N/A , N/A , N/A ,$15.35 , N/A ,$9.45 ,$4.77 ,$15.35 , N/A ,$15.35 ,$15.35 , N/A ,$11.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,637,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 ,$24.90 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TIMOLOL 0.5 % SOLN 5 ML BOTTLE,637,1 ,$34.00 ,$24.48 ,$9.52 ,$34.00 , N/A ,$25.33 ,$22.27 , N/A ,$9.52 ,$20.91 , N/A ,$20.91 , N/A ,$18.84 ,$18.84 , N/A ,$18.84 , N/A ,$30.60 ,$28.22 , N/A , N/A ,$29.92 , N/A ,$25.50 ,$25.50 ,$28.90 ,$28.90 , N/A ,$28.90 , N/A ,$27.54 ,$27.54 ,$27.54 ,$34.00 ,$30.60 , N/A ,$30.60 , N/A ,$34.00 ,$19.07 , N/A ,$14.08 , N/A , N/A , N/A ,$30.60 , N/A ,$18.84 ,$9.52 ,$30.60 , N/A ,$30.60 ,$30.60 , N/A ,$22.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TIOTROPIUM 2.5 MCG/ACT AERS 4 G INHALER,637,1 ,$36.00 ,$25.92 ,$10.08 ,$36.00 , N/A ,$26.82 ,$23.58 , N/A ,$10.08 ,$22.14 , N/A ,$22.14 , N/A ,$19.94 ,$19.94 , N/A ,$19.94 , N/A ,$32.40 ,$29.88 , N/A , N/A ,$31.68 , N/A ,$27.00 ,$27.00 ,$30.60 ,$30.60 , N/A ,$30.60 , N/A ,$29.16 ,$29.16 ,$29.16 ,$36.00 ,$32.40 , N/A ,$32.40 , N/A ,$36.00 ,$20.20 , N/A ,$14.90 , N/A , N/A , N/A ,$32.40 , N/A ,$19.94 ,$10.08 ,$32.40 , N/A ,$32.40 ,$32.40 , N/A ,$23.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TOBRAMYCIN 0.3 % OINT 3.5 G TUBE,637,1 ,$514.50 ,$370.44 ,$144.06 ,$514.50 , N/A ,$383.30 ,$337.00 , N/A ,$144.06 ,$316.42 , N/A ,$316.42 , N/A ,$285.03 ,$285.03 , N/A ,$285.03 , N/A ,$463.05 ,$427.04 , N/A , N/A ,$452.76 , N/A ,$385.88 ,$385.88 ,$437.33 ,$437.33 , N/A ,$437.33 , N/A ,$416.75 ,$416.75 ,$416.75 ,$514.50 ,$463.05 , N/A ,$463.05 , N/A ,$514.50 ,$288.63 , N/A ,$213.00 , N/A , N/A , N/A ,$463.05 , N/A ,$285.03 ,$144.06 ,$463.05 , N/A ,$463.05 ,$463.05 , N/A ,$334.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$68.00 ,$48.96 ,$19.04 ,$68.00 , N/A ,$50.66 ,$44.54 , N/A ,$19.04 ,$41.82 , N/A ,$41.82 , N/A ,$37.67 ,$37.67 , N/A ,$37.67 , N/A ,$61.20 ,$56.44 , N/A , N/A ,$59.84 , N/A ,$51.00 ,$51.00 ,$57.80 ,$57.80 , N/A ,$57.80 , N/A ,$55.08 ,$55.08 ,$55.08 ,$68.00 ,$61.20 , N/A ,$61.20 , N/A ,$68.00 ,$38.15 , N/A ,$28.15 , N/A , N/A , N/A ,$61.20 , N/A ,$37.67 ,$19.04 ,$61.20 , N/A ,$61.20 ,$61.20 , N/A ,$44.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % SUSP 2.5 ML BOTTLE,637,1 ,$145.15 ,$104.51 ,$40.64 ,$145.15 , N/A ,$108.14 ,$95.07 , N/A ,$40.64 ,$89.27 , N/A ,$89.27 , N/A ,$80.41 ,$80.41 , N/A ,$80.41 , N/A ,$130.64 ,$120.47 , N/A , N/A ,$127.73 , N/A ,$108.86 ,$108.86 ,$123.38 ,$123.38 , N/A ,$123.38 , N/A ,$117.57 ,$117.57 ,$117.57 ,$145.15 ,$130.64 , N/A ,$130.64 , N/A ,$145.15 ,$81.43 , N/A ,$60.09 , N/A , N/A , N/A ,$130.64 , N/A ,$80.41 ,$40.64 ,$130.64 , N/A ,$130.64 ,$130.64 , N/A ,$94.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TOPIRAMATE 100 MG TABS,637,1 ,$12.40 ,$8.93 ,$3.47 ,$12.40 , N/A ,$9.24 ,$8.12 , N/A ,$3.47 ,$7.63 , N/A ,$7.63 , N/A ,$6.87 ,$6.87 , N/A ,$6.87 , N/A ,$11.16 ,$10.29 , N/A , N/A ,$10.91 , N/A ,$9.30 ,$9.30 ,$10.54 ,$10.54 , N/A ,$10.54 , N/A ,$10.04 ,$10.04 ,$10.04 ,$12.40 ,$11.16 , N/A ,$11.16 , N/A ,$12.40 ,$6.96 , N/A ,$5.13 , N/A , N/A , N/A ,$11.16 , N/A ,$6.87 ,$3.47 ,$11.16 , N/A ,$11.16 ,$11.16 , N/A ,$8.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIAMCINOLONE 0.1 % CREA 15 G TUBE,637,1 ,$11.05 ,$7.96 ,$3.09 ,$11.05 , N/A ,$8.23 ,$7.24 , N/A ,$3.09 ,$6.80 , N/A ,$6.80 , N/A ,$6.12 ,$6.12 , N/A ,$6.12 , N/A ,$9.95 ,$9.17 , N/A , N/A ,$9.72 , N/A ,$8.29 ,$8.29 ,$9.39 ,$9.39 , N/A ,$9.39 , N/A ,$8.95 ,$8.95 ,$8.95 ,$11.05 ,$9.95 , N/A ,$9.95 , N/A ,$11.05 ,$6.20 , N/A ,$4.57 , N/A , N/A , N/A ,$9.95 , N/A ,$6.12 ,$3.09 ,$9.95 , N/A ,$9.95 ,$9.95 , N/A ,$7.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MONTELUKAST 10 MG TABS,637,1 ,$11.05 ,$7.96 ,$3.09 ,$11.05 , N/A ,$8.23 ,$7.24 , N/A ,$3.09 ,$6.80 , N/A ,$6.80 , N/A ,$6.12 ,$6.12 , N/A ,$6.12 , N/A ,$9.95 ,$9.17 , N/A , N/A ,$9.72 , N/A ,$8.29 ,$8.29 ,$9.39 ,$9.39 , N/A ,$9.39 , N/A ,$8.95 ,$8.95 ,$8.95 ,$11.05 ,$9.95 , N/A ,$9.95 , N/A ,$11.05 ,$6.20 , N/A ,$4.57 , N/A , N/A , N/A ,$9.95 , N/A ,$6.12 ,$3.09 ,$9.95 , N/A ,$9.95 ,$9.95 , N/A ,$7.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIAMCINOLONE 0.1 % PSTE 5 G TUBE,637,1 ,$161.20 ,$116.06 ,$45.14 ,$161.20 , N/A ,$120.09 ,$105.59 , N/A ,$45.14 ,$99.14 , N/A ,$99.14 , N/A ,$89.30 ,$89.30 , N/A ,$89.30 , N/A ,$145.08 ,$133.80 , N/A , N/A ,$141.86 , N/A ,$120.90 ,$120.90 ,$137.02 ,$137.02 , N/A ,$137.02 , N/A ,$130.57 ,$130.57 ,$130.57 ,$161.20 ,$145.08 , N/A ,$145.08 , N/A ,$161.20 ,$90.43 , N/A ,$66.74 , N/A , N/A , N/A ,$145.08 , N/A ,$89.30 ,$45.14 ,$145.08 , N/A ,$145.08 ,$145.08 , N/A ,$104.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIAMCINOLONE 0.5 % CREA 15 G TUBE,637,1 ,$22.20 ,$15.98 ,$6.22 ,$22.20 , N/A ,$16.54 ,$14.54 , N/A ,$6.22 ,$13.65 , N/A ,$13.65 , N/A ,$12.30 ,$12.30 , N/A ,$12.30 , N/A ,$19.98 ,$18.43 , N/A , N/A ,$19.54 , N/A ,$16.65 ,$16.65 ,$18.87 ,$18.87 , N/A ,$18.87 , N/A ,$17.98 ,$17.98 ,$17.98 ,$22.20 ,$19.98 , N/A ,$19.98 , N/A ,$22.20 ,$12.45 , N/A ,$9.19 , N/A , N/A , N/A ,$19.98 , N/A ,$12.30 ,$6.22 ,$19.98 , N/A ,$19.98 ,$19.98 , N/A ,$14.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIAMCINOLONE ACETONIDE 55 MCG/ACT AERO 16.9 ML BOTTLE,637,1 ,$33.70 ,$24.26 ,$9.44 ,$33.70 , N/A ,$25.11 ,$22.07 , N/A ,$9.44 ,$20.73 , N/A ,$20.73 , N/A ,$18.67 ,$18.67 , N/A ,$18.67 , N/A ,$30.33 ,$27.97 , N/A , N/A ,$29.66 , N/A ,$25.28 ,$25.28 ,$28.65 ,$28.65 , N/A ,$28.65 , N/A ,$27.30 ,$27.30 ,$27.30 ,$33.70 ,$30.33 , N/A ,$30.33 , N/A ,$33.70 ,$18.91 , N/A ,$13.95 , N/A , N/A , N/A ,$30.33 , N/A ,$18.67 ,$9.44 ,$30.33 , N/A ,$30.33 ,$30.33 , N/A ,$21.91 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TROLAMINE SALICYLATE 10 % CREA 85 G TUBE,637,1 ,$21.25 ,$15.30 ,$5.95 ,$21.25 , N/A ,$15.83 ,$13.92 , N/A ,$5.95 ,$13.07 , N/A ,$13.07 , N/A ,$11.77 ,$11.77 , N/A ,$11.77 , N/A ,$19.13 ,$17.64 , N/A , N/A ,$18.70 , N/A ,$15.94 ,$15.94 ,$18.06 ,$18.06 , N/A ,$18.06 , N/A ,$17.21 ,$17.21 ,$17.21 ,$21.25 ,$19.13 , N/A ,$19.13 , N/A ,$21.25 ,$11.92 , N/A ,$8.80 , N/A , N/A , N/A ,$19.13 , N/A ,$11.77 ,$5.95 ,$19.13 , N/A ,$19.13 ,$19.13 , N/A ,$13.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,URSODIOL 300 MG CAPS,637,1 ,$15.30 ,$11.02 ,$4.28 ,$15.30 , N/A ,$11.40 ,$10.02 , N/A ,$4.28 ,$9.41 , N/A ,$9.41 , N/A ,$8.48 ,$8.48 , N/A ,$8.48 , N/A ,$13.77 ,$12.70 , N/A , N/A ,$13.46 , N/A ,$11.48 ,$11.48 ,$13.01 ,$13.01 , N/A ,$13.01 , N/A ,$12.39 ,$12.39 ,$12.39 ,$15.30 ,$13.77 , N/A ,$13.77 , N/A ,$15.30 ,$8.58 , N/A ,$6.33 , N/A , N/A , N/A ,$13.77 , N/A ,$8.48 ,$4.28 ,$13.77 , N/A ,$13.77 ,$13.77 , N/A ,$9.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORPROMAZINE 25 MG TABS,637,1 ,$15.30 ,$11.02 ,$4.28 ,$15.30 , N/A ,$11.40 ,$10.02 , N/A ,$4.28 ,$9.41 , N/A ,$9.41 , N/A ,$8.48 ,$8.48 , N/A ,$8.48 , N/A ,$13.77 ,$12.70 , N/A , N/A ,$13.46 , N/A ,$11.48 ,$11.48 ,$13.01 ,$13.01 , N/A ,$13.01 , N/A ,$12.39 ,$12.39 ,$12.39 ,$15.30 ,$13.77 , N/A ,$13.77 , N/A ,$15.30 ,$8.58 , N/A ,$6.33 , N/A , N/A , N/A ,$13.77 , N/A ,$8.48 ,$4.28 ,$13.77 , N/A ,$13.77 ,$13.77 , N/A ,$9.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MORPHINE CR 100 MG TBCR,637,1 ,$15.30 ,$11.02 ,$4.28 ,$15.30 , N/A ,$11.40 ,$10.02 , N/A ,$4.28 ,$9.41 , N/A ,$9.41 , N/A ,$8.48 ,$8.48 , N/A ,$8.48 , N/A ,$13.77 ,$12.70 , N/A , N/A ,$13.46 , N/A ,$11.48 ,$11.48 ,$13.01 ,$13.01 , N/A ,$13.01 , N/A ,$12.39 ,$12.39 ,$12.39 ,$15.30 ,$13.77 , N/A ,$13.77 , N/A ,$15.30 ,$8.58 , N/A ,$6.33 , N/A , N/A , N/A ,$13.77 , N/A ,$8.48 ,$4.28 ,$13.77 , N/A ,$13.77 ,$13.77 , N/A ,$9.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VALACYCLOVIR 500 MG TABS,637,1 ,$14.45 ,$10.40 ,$4.05 ,$14.45 , N/A ,$10.77 ,$9.46 , N/A ,$4.05 ,$8.89 , N/A ,$8.89 , N/A ,$8.01 ,$8.01 , N/A ,$8.01 , N/A ,$13.01 ,$11.99 , N/A , N/A ,$12.72 , N/A ,$10.84 ,$10.84 ,$12.28 ,$12.28 , N/A ,$12.28 , N/A ,$11.70 ,$11.70 ,$11.70 ,$14.45 ,$13.01 , N/A ,$13.01 , N/A ,$14.45 ,$8.11 , N/A ,$5.98 , N/A , N/A , N/A ,$13.01 , N/A ,$8.01 ,$4.05 ,$13.01 , N/A ,$13.01 ,$13.01 , N/A ,$9.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VANCOMYCIN 125 MG CAPS,637,1 ,$62.65 ,$45.11 ,$17.54 ,$62.65 , N/A ,$46.67 ,$41.04 , N/A ,$17.54 ,$38.53 , N/A ,$38.53 , N/A ,$34.71 ,$34.71 , N/A ,$34.71 , N/A ,$56.39 ,$52.00 , N/A , N/A ,$55.13 , N/A ,$46.99 ,$46.99 ,$53.25 ,$53.25 , N/A ,$53.25 , N/A ,$50.75 ,$50.75 ,$50.75 ,$62.65 ,$56.39 , N/A ,$56.39 , N/A ,$62.65 ,$35.15 , N/A ,$25.94 , N/A , N/A , N/A ,$56.39 , N/A ,$34.71 ,$17.54 ,$56.39 , N/A ,$56.39 ,$56.39 , N/A ,$40.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VANCOMYCIN 250 MG CAPS,637,1 ,$115.45 ,$83.12 ,$32.33 ,$115.45 , N/A ,$86.01 ,$75.62 , N/A ,$32.33 ,$71.00 , N/A ,$71.00 , N/A ,$63.96 ,$63.96 , N/A ,$63.96 , N/A ,$103.91 ,$95.82 , N/A , N/A ,$101.60 , N/A ,$86.59 ,$86.59 ,$98.13 ,$98.13 , N/A ,$98.13 , N/A ,$93.51 ,$93.51 ,$93.51 ,$115.45 ,$103.91 , N/A ,$103.91 , N/A ,$115.45 ,$64.77 , N/A ,$47.80 , N/A , N/A , N/A ,$103.91 , N/A ,$63.96 ,$32.33 ,$103.91 , N/A ,$103.91 ,$103.91 , N/A ,$75.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VORICONAZOLE 200 MG TABS,637,1 ,$159.05 ,$114.52 ,$44.53 ,$159.05 , N/A ,$118.49 ,$104.18 , N/A ,$44.53 ,$97.82 , N/A ,$97.82 , N/A ,$88.11 ,$88.11 , N/A ,$88.11 , N/A ,$143.15 ,$132.01 , N/A , N/A ,$139.96 , N/A ,$119.29 ,$119.29 ,$135.19 ,$135.19 , N/A ,$135.19 , N/A ,$128.83 ,$128.83 ,$128.83 ,$159.05 ,$143.15 , N/A ,$143.15 , N/A ,$159.05 ,$89.23 , N/A ,$65.85 , N/A , N/A , N/A ,$143.15 , N/A ,$88.11 ,$44.53 ,$143.15 , N/A ,$143.15 ,$143.15 , N/A ,$103.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZINC OXIDE 13 % CREA 57 G TUBE,637,1 ,$8.00 ,$5.76 ,$2.24 ,$8.00 , N/A ,$5.96 ,$5.24 , N/A ,$2.24 ,$4.92 , N/A ,$4.92 , N/A ,$4.43 ,$4.43 , N/A ,$4.43 , N/A ,$7.20 ,$6.64 , N/A , N/A ,$7.04 , N/A ,$6.00 ,$6.00 ,$6.80 ,$6.80 , N/A ,$6.80 , N/A ,$6.48 ,$6.48 ,$6.48 ,$8.00 ,$7.20 , N/A ,$7.20 , N/A ,$8.00 ,$4.49 , N/A ,$3.31 , N/A , N/A , N/A ,$7.20 , N/A ,$4.43 ,$2.24 ,$7.20 , N/A ,$7.20 ,$7.20 , N/A ,$5.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MENTHOL-ZINC OXIDE 0.44-20.6 % OINT 71 G JAR,637,1 ,$8.00 ,$5.76 ,$2.24 ,$8.00 , N/A ,$5.96 ,$5.24 , N/A ,$2.24 ,$4.92 , N/A ,$4.92 , N/A ,$4.43 ,$4.43 , N/A ,$4.43 , N/A ,$7.20 ,$6.64 , N/A , N/A ,$7.04 , N/A ,$6.00 ,$6.00 ,$6.80 ,$6.80 , N/A ,$6.80 , N/A ,$6.48 ,$6.48 ,$6.48 ,$8.00 ,$7.20 , N/A ,$7.20 , N/A ,$8.00 ,$4.49 , N/A ,$3.31 , N/A , N/A , N/A ,$7.20 , N/A ,$4.43 ,$2.24 ,$7.20 , N/A ,$7.20 ,$7.20 , N/A ,$5.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 1 % CREA 30 G TUBE,637,1 ,$8.00 ,$5.76 ,$2.24 ,$8.00 , N/A ,$5.96 ,$5.24 , N/A ,$2.24 ,$4.92 , N/A ,$4.92 , N/A ,$4.43 ,$4.43 , N/A ,$4.43 , N/A ,$7.20 ,$6.64 , N/A , N/A ,$7.04 , N/A ,$6.00 ,$6.00 ,$6.80 ,$6.80 , N/A ,$6.80 , N/A ,$6.48 ,$6.48 ,$6.48 ,$8.00 ,$7.20 , N/A ,$7.20 , N/A ,$8.00 ,$4.49 , N/A ,$3.31 , N/A , N/A , N/A ,$7.20 , N/A ,$4.43 ,$2.24 ,$7.20 , N/A ,$7.20 ,$7.20 , N/A ,$5.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZINC OXIDE 16 % OINT 57 G TUBE,637,1 ,$11.40 ,$8.21 ,$3.19 ,$11.40 , N/A ,$8.49 ,$7.47 , N/A ,$3.19 ,$7.01 , N/A ,$7.01 , N/A ,$6.32 ,$6.32 , N/A ,$6.32 , N/A ,$10.26 ,$9.46 , N/A , N/A ,$10.03 , N/A ,$8.55 ,$8.55 ,$9.69 ,$9.69 , N/A ,$9.69 , N/A ,$9.23 ,$9.23 ,$9.23 ,$11.40 ,$10.26 , N/A ,$10.26 , N/A ,$11.40 ,$6.40 , N/A ,$4.72 , N/A , N/A , N/A ,$10.26 , N/A ,$6.32 ,$3.19 ,$10.26 , N/A ,$10.26 ,$10.26 , N/A ,$7.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZINC OXIDE 20 % OINT 56.7 G TUBE,637,1 ,$18.15 ,$13.07 ,$5.08 ,$18.15 , N/A ,$13.52 ,$11.89 , N/A ,$5.08 ,$11.16 , N/A ,$11.16 , N/A ,$10.06 ,$10.06 , N/A ,$10.06 , N/A ,$16.34 ,$15.06 , N/A , N/A ,$15.97 , N/A ,$13.61 ,$13.61 ,$15.43 ,$15.43 , N/A ,$15.43 , N/A ,$14.70 ,$14.70 ,$14.70 ,$18.15 ,$16.34 , N/A ,$16.34 , N/A ,$18.15 ,$10.18 , N/A ,$7.51 , N/A , N/A , N/A ,$16.34 , N/A ,$10.06 ,$5.08 ,$16.34 , N/A ,$16.34 ,$16.34 , N/A ,$11.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZINC OXIDE 20 % OINT 60 G TUBE,637,1 ,$7.20 ,$5.18 ,$2.02 ,$7.20 , N/A ,$5.36 ,$4.72 , N/A ,$2.02 ,$4.43 , N/A ,$4.43 , N/A ,$3.99 ,$3.99 , N/A ,$3.99 , N/A ,$6.48 ,$5.98 , N/A , N/A ,$6.34 , N/A ,$5.40 ,$5.40 ,$6.12 ,$6.12 , N/A ,$6.12 , N/A ,$5.83 ,$5.83 ,$5.83 ,$7.20 ,$6.48 , N/A ,$6.48 , N/A ,$7.20 ,$4.04 , N/A ,$2.98 , N/A , N/A , N/A ,$6.48 , N/A ,$3.99 ,$2.02 ,$6.48 , N/A ,$6.48 ,$6.48 , N/A ,$4.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZIPRASIDONE 20 MG CAPS,637,1 ,$17.94 ,$12.92 ,$5.02 ,$17.94 , N/A ,$13.37 ,$11.75 , N/A ,$5.02 ,$11.03 , N/A ,$11.03 , N/A ,$9.94 ,$9.94 , N/A ,$9.94 , N/A ,$16.15 ,$14.89 , N/A , N/A ,$15.79 , N/A ,$13.46 ,$13.46 ,$15.25 ,$15.25 , N/A ,$15.25 , N/A ,$14.53 ,$14.53 ,$14.53 ,$17.94 ,$16.15 , N/A ,$16.15 , N/A ,$17.94 ,$10.06 , N/A ,$7.43 , N/A , N/A , N/A ,$16.15 , N/A ,$9.94 ,$5.02 ,$16.15 , N/A ,$16.15 ,$16.15 , N/A ,$11.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZOLMITRIPTAN 2.5 MG TABS,637,1 ,$100.28 ,$72.20 ,$28.08 ,$100.28 , N/A ,$74.71 ,$65.68 , N/A ,$28.08 ,$61.67 , N/A ,$61.67 , N/A ,$55.56 ,$55.56 , N/A ,$55.56 , N/A ,$90.25 ,$83.23 , N/A , N/A ,$88.25 , N/A ,$75.21 ,$75.21 ,$85.24 ,$85.24 , N/A ,$85.24 , N/A ,$81.23 ,$81.23 ,$81.23 ,$100.28 ,$90.25 , N/A ,$90.25 , N/A ,$100.28 ,$56.26 , N/A ,$41.52 , N/A , N/A , N/A ,$90.25 , N/A ,$55.56 ,$28.08 ,$90.25 , N/A ,$90.25 ,$90.25 , N/A ,$65.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZOLPIDEM 5 MG TABS,637,1 ,$9.25 ,$6.66 ,$2.59 ,$9.25 , N/A ,$6.89 ,$6.06 , N/A ,$2.59 ,$5.69 , N/A ,$5.69 , N/A ,$5.12 ,$5.12 , N/A ,$5.12 , N/A ,$8.33 ,$7.68 , N/A , N/A ,$8.14 , N/A ,$6.94 ,$6.94 ,$7.86 ,$7.86 , N/A ,$7.86 , N/A ,$7.49 ,$7.49 ,$7.49 ,$9.25 ,$8.33 , N/A ,$8.33 , N/A ,$9.25 ,$5.19 , N/A ,$3.83 , N/A , N/A , N/A ,$8.33 , N/A ,$5.12 ,$2.59 ,$8.33 , N/A ,$8.33 ,$8.33 , N/A ,$6.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CELECOXIB 100 MG CAPS,637,1 ,$9.25 ,$6.66 ,$2.59 ,$9.25 , N/A ,$6.89 ,$6.06 , N/A ,$2.59 ,$5.69 , N/A ,$5.69 , N/A ,$5.12 ,$5.12 , N/A ,$5.12 , N/A ,$8.33 ,$7.68 , N/A , N/A ,$8.14 , N/A ,$6.94 ,$6.94 ,$7.86 ,$7.86 , N/A ,$7.86 , N/A ,$7.49 ,$7.49 ,$7.49 ,$9.25 ,$8.33 , N/A ,$8.33 , N/A ,$9.25 ,$5.19 , N/A ,$3.83 , N/A , N/A , N/A ,$8.33 , N/A ,$5.12 ,$2.59 ,$8.33 , N/A ,$8.33 ,$8.33 , N/A ,$6.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZONISAMIDE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 120 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 160 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 325 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 650 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN CR 650 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN-CODEINE 120-12 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN-CODEINE 300-30 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACETAZOLAMIDE 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACIDOPHILUS/CITRUS PECTIN TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACYCLOVIR 200 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ACYCLOVIR 200 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALLOPURINOL 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALLOPURINOL 300 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALPRAZOLAM 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALPRAZOLAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALPRAZOLAM 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ALUMINUM HYDROXIDE-MAGNESIUM CARBONATE 95-358 MG/15ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMIODARONE 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMITRIPTYLINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMITRIPTYLINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMITRIPTYLINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 250 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 250 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 400 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 500 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 875 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ANASTROZOLE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ASPIRIN 300 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ASPIRIN 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ASPIRIN 81 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ASPIRIN EC 325 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ASPIRIN EC 81 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ATENOLOL 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ATENOLOL 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ATENOLOL-CHLORTHALIDONE 50-25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AZELASTINE 0.1 % SOLN 30 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,AZITHROMYCIN 200 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,B COMPLEX-C-FOLIC ACID 0.8 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 1 EACH PACKET,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BACLOFEN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BENZOCAINE-MENTHOL 15-3.6 MG LOZG,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BENZONATATE 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BENZTROPINE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BETHANECHOL 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BISACODYL 10 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BISACODYL EC 5 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BRIMONIDINE-TIMOLOL 0.2-0.5 % SOLN 15 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUDESONIDE EC 3 MG CPEP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUMETANIDE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUPROPION 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUPROPION 75 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUPROPION SR 100 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUPROPION SR 150 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUSPIRONE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,BUSPIRONE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CALCITRIOL 0.25 MCG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CALCIUM ACETATE (PHOS BINDER) 667 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CALCIUM CARBONATE 500 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CALCIUM CARBONATE-VITAMIN D 500-5 MG-MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CAPTOPRIL 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBAMAZEPINE 100 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBAMAZEPINE 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBAMAZEPINE XR 100 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA 10-100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA 25-100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA 25-250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA CR 25-100 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA CR 50-200 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARISOPRODOL 350 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARVEDILOL 12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARVEDILOL 3.125 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CARVEDILOL 6.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CELECOXIB 200 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEPHALEXIN 250 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEPHALEXIN 250 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CEPHALEXIN 500 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CETIRIZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CETIRIZINE 5 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORDIAZEPOXIDE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORDIAZEPOXIDE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORDIAZEPOXIDE 5 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORPHENIRAMINE 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORTHALIDONE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CHLORZOXAZONE 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CILOSTAZOL 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CITALOPRAM 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLINDAMYCIN 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLINDAMYCIN 75 MG/5ML SOLR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLONAZEPAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLONAZEPAM 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLONIDINE 0.1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CLOZAPINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,COLESTIPOL 1 G TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,CYCLOBENZAPRINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DANTROLENE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DAPSONE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIAZEPAM 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIAZEPAM 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DICLOFENAC EC 50 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DICLOFENAC EC 75 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DICYCLOMINE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIGOXIN 0.05 MG/ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIGOXIN 0.125 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIGOXIN 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM 60 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM CD 120 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM CD 180 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM CD 240 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DILTIAZEM CD 300 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIPHENHYDRAMINE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIPHENHYDRAMINE-APAP 25-500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DISOPYRAMIDE 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIVALPROEX DR SPRINKLE 125 MG CSDR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIVALPROEX EC 125 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DIVALPROEX EC 250 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOCUSATE 50 MG/5ML LIQD,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOCUSATE SODIUM 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOCUSATE SODIUM 50 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DONEPEZIL 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DONEPEZIL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DORZOLAMIDE 2 % SOLN 10 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXAZOSIN 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXAZOSIN 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXEPIN 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXEPIN 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DOXYCYCLINE MONOHYDRATE 50 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,DRY MOUTH LIQD,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ESTRADIOL 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ETODOLAC 400 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FAMOTIDINE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FEBUXOSTAT 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FELBAMATE 400 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FENOFIBRATE 48 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IRON POLYSACCHARIDES 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ISOSORBIDE DINITRATE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ISOSORBIDE DINITRATE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ISOSORBIDE MONONITRATE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,KETOROLAC 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LABETALOL 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LABETALOL 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LACTASE 3000 UNITS TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LACTASE 9000 UNIT CHEW,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LACTOBACILLUS PACK,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LACTULOSE 10 GM/15ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LAMOTRIGINE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LAMOTRIGINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LANOLIN CREA 9 ML,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVETIRACETAM 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 100 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 100 MCG TABS 90 EACH BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 112 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 125 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 150 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 25 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 50 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 75 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 88 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LIOTHYRONINE 25 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL-HYDROCHLOROTHIAZIDE 10-12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL-HYDROCHLOROTHIAZIDE 20-12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LISINOPRIL-HYDROCHLOROTHIAZIDE 20-25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LITHIUM 300 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LITHIUM CR 450 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LOPERAMIDE 1 MG/7.5ML LIQD,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LOPERAMIDE 2 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LORAZEPAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LORAZEPAM 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LORAZEPAM 2 MG/ML CONC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LOSARTAN 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LOSARTAN 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,LOSARTAN-HYDROCHLOROTHIAZIDE 50-12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MAGNESIUM CITRATE 1.745 GM/30ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MAGNESIUM OXIDE 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MAGNESIUM OXIDE 400 (240 MG) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MAGNESIUM OXIDE 400 (241.3 MG) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MECLIZINE 12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MECLIZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MEDROXYPROGESTERONE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MEGESTROL 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MELATONIN 3 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METFORMIN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METFORMIN 850 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METHADONE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METHENAMINE 1 G TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METHIMAZOLE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METHOCARBAMOL 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METHYLPHENIDATE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOCLOPRAMIDE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOPROLOL SUCCINATE ER 100 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOPROLOL SUCCINATE ER 25 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOPROLOL SUCCINATE ER 50 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOPROLOL TARTRATE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOPROLOL TARTRATE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METOPROLOL TARTRATE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,METRONIDAZOLE 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MEXILETINE 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MICONAZOLE 2 % CREA 28 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MIDODRINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MINERAL OIL OIL,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MINOCYCLINE 50 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MIRTAZAPINE 15 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MISOPROSTOL 100 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MISOPROSTOL 200 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MORPHINE 15 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MORPHINE CR 15 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MORPHINE SULFATE 100 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MULTI VITAMIN/MINERALS TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,MULTIVITAMIN WITH MINERALS LIQD,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NABUMETONE 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NAPROXEN 375 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NAPROXEN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NASAL SANITIZER 62 % SWAB,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FERROUS GLUCONATE 324 (37.5 FE) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FERROUS SULFATE (65 MG ELEMENTAL) 325 (65 FE) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FERROUS SULFATE 220 (44 FE) MG/5ML ELIX,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FERROUS SULFATE CR 140 (45 FE) MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FIBER POWD,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FISH OIL 1000 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUDROCORTISONE 0.1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUOXETINE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUOXETINE 20 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE 110 MCG/ACT AERO,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FLUTICASONE PROPIONATE 44 MCG/ACT AERO,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FOLIC ACID 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FOLIC ACID 400 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FOLIC ACID-PYRIDOXINE-CYANOCOBALAMIN 2.5-25-2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FUROSEMIDE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FUROSEMIDE 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,FUROSEMIDE 80 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GABAPENTIN 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GABAPENTIN 250 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GABAPENTIN 300 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GABAPENTIN 400 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GEMFIBROZIL 600 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLIMEPIRIDE 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLIPIZIDE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLIPIZIDE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLIPIZIDE XL 2.5 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLIPIZIDE XL 5 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLYCERIN (ADULT) 2 G SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLYCERIN (PEDS/INFANT) 1 G SUPP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GLYCOPYRROLATE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GUAIFENESIN 100 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GUAIFENESIN 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GUAIFENESIN ER 600 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GUAIFENESIN-CODEINE 100-10 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GUAIFENESIN-DEXTROMETHORPHAN 100-10 MG/5ML SYRP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,GUANFACINE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HALOPERIDOL 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HALOPERIDOL 2 MG/ML CONC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HALOPERIDOL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDRALAZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDRALAZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDRALAZINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCHLOROTHIAZIDE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCODONE-CHLORPHENIRAMINE ER 10-8 MG/5ML SUER,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCODONE-IBUPROFEN 7.5-200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROMORPHONE 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROXYCHLOROQUINE 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROXYUREA 500 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROXYZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROXYZINE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYDROXYZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYOSCYAMINE 0.125 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,HYOSCYAMINE ER 0.375 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IBUPROFEN 100 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IBUPROFEN 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IBUPROFEN 400 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IBUPROFEN 600 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IBUPROFEN 800 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,IMIPRAMINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,INDAPAMIDE 2.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,INDOMETHACIN 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINT 28.4 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NICOTINE 14 MG/24HR PT24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NICOTINE 21 MG/24HR PT24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NICOTINE 7 MG/24HR PT24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NICOTINE POLACRILEX 2 MG GUM,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NIFEDIPINE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NIFEDIPINE XL 30 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NITROGLYCERIN 0.4 MG SUBL,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NITROGLYCERIN 2 % OINT,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NORTRIPTYLINE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NORTRIPTYLINE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ORPHENADRINE ER 100 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXCARBAZEPINE 300 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE IMMEDIATE RELEASE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE IMMEDIATE RELEASE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYCODONE-ACETAMINOPHEN 7.5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,OYSTER SHELL CALCIUM 500 MG (ELEMENTAL) 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PANCRELIPASE (LIP-PROT-AMYL) 5000-24000 UNITS CPEP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PAROXETINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PAROXETINE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PENICILLIN VK 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PENTOXIFYLLINE CR 400 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENAZOPYRIDINE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENOBARBITAL 32.4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENYLEPHRINE-MINERAL OIL-PETROLATUM 0.25-14-74.9 % OINT 57 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENYTOIN 125 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENYTOIN 50 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHENYTOIN ER 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PHOSPHORUS 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POLYCARBOPHIL 625 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POLYETHYLENE GLYCOL PACK,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM  AND  SODIUM PHOSPHATES 280-160-250 MG PACK,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM BICARBONATE 25 MEQ TBEF,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ TBEF,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ TBEF,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM BICARBONATE-POTASSIUM CHLORIDE 25 MEQ TBEF,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM CHLORIDE CR 10 MEQ TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM CHLORIDE CR 20 MEQ TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM CITRATE CR 10 MEQ (1080 MG) TBCR,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,POTASSIUM PHOSPHATE MONOBASIC 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRAMIPEXOLE 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRAMIPEXOLE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRAZOSIN 1 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PREGABALIN 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PREGABALIN 50 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRENATAL VITAMIN (LOW IRON) 27-0.8 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRIMIDONE 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PRIMIDONE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROCHLORPERAZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROMETHAZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROMETHAZINE-CODEINE 6.25-10 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROPAFENONE 150 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROPRANOLOL 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PROPRANOLOL 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PSEUDOEPHEDRINE 30 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PSYLLIUM 0.52 G CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PSYLLIUM 28 % PACK,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PYRIDOSTIGMINE 60 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,PYRIDOXINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,RIFAMPIN 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ROPINIROLE 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ROPINIROLE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ROPINIROLE 4 MG TABS 100 EACH BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SALINE ENEMA ADULT 7-19 GM/118ML ENEM,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SELEGILINE 5 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SENNA 8.6 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SENNA-DOCUSATE 8.6-50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SENNOSIDES 8.6 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SENNOSIDES 8.8 MG/5ML SYRP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SERTRALINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SERTRALINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SIMETHICONE 80 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SODIUM BICARBONATE 650 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SODIUM CHLORIDE 0.65 % SOLN 44 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SODIUM CHLORIDE 1 GM TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SOTALOL 80 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SPIRONOLACTONE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SUCRALFATE 1 G TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SUCROSE 24 % SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,SULFASALAZINE 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TAMOXIFEN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TERAZOSIN 1 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TERAZOSIN 5 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TETRAHYDROZOLINE 0.05 % SOLN 15 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,THEOPHYLLINE ER 400 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,THIAMINE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,THYROID 60 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TIZANIDINE 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TOPIRAMATE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TORSEMIDE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRAMADOL 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRAZODONE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRAZODONE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIHEXYPHENIDYL 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIMETHOPRIM 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,TRIMETHOPRIM-POLYMYXIN B 10000-0.1 UNIT/ML-% SOLN 10 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VALPROIC ACID 250 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VALPROIC ACID 250 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VENLAFAXINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VENLAFAXINE 37.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VENLAFAXINE 75 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VERAPAMIL 80 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VERAPAMIL ER 120 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VERAPAMIL ER 180 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VERAPAMIL ER 240 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN B COMPLEX-C-E-ZINC TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN B-12 500 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN B-6 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN C 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN D2 (ERGOCALCIFEROL) 50000 UNITS CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 10 MCG (400 UNIT) TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 1000 UNIT TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 5000 UNITS CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,VITAMIN E 90 MG (200 UNIT) CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 2.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 3 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,WARFARIN 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZAFIRLUKAST 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZIDOVUDINE 50 MG/5ML SYRP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZINC SULFATE 220 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),63700001,N/A,ZONISAMIDE 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.47 ,$3.93 , N/A ,$1.68 ,$3.69 , N/A ,$3.69 , N/A ,$3.32 ,$3.32 , N/A ,$3.32 , N/A ,$5.40 ,$4.98 , N/A , N/A ,$5.28 , N/A ,$4.50 ,$4.50 ,$5.10 ,$5.10 , N/A ,$5.10 , N/A ,$4.86 ,$4.86 ,$4.86 ,$6.00 ,$5.40 , N/A ,$5.40 , N/A ,$6.00 ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.40 , N/A ,$3.32 ,$1.68 ,$5.40 , N/A ,$5.40 ,$5.40 , N/A ,$3.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000220,N/A,HC C-SECTION RECOVERY,710,1 ,"$1,172.88 ",$844.47 ,$328.41 ,"$1,172.88 ", N/A ,$873.80 ,$768.24 , N/A ,$328.41 ,$721.32 , N/A ,$721.32 , N/A ,$649.78 ,$649.78 , N/A ,$649.78 , N/A ,"$1,055.59 ",$973.49 , N/A , N/A ,"$1,032.13 ", N/A ,$879.66 ,$879.66 ,$996.95 ,$996.95 , N/A ,$996.95 , N/A ,$950.03 ,$950.03 ,$950.03 ,"$1,172.88 ","$1,055.59 ", N/A ,"$1,055.59 ", N/A ,"$1,172.88 ",$657.99 , N/A ,$485.57 , N/A , N/A , N/A ,"$1,055.59 ", N/A ,$649.78 ,$328.41 ,"$1,055.59 ", N/A ,"$1,055.59 ","$1,055.59 ", N/A ,$762.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000230,N/A,HC PHASE II RECOVERY 15 MIN,710,1 ,$184.68 ,$132.97 ,$51.71 ,$184.68 , N/A ,$137.59 ,$120.97 , N/A ,$51.71 ,$113.58 , N/A ,$113.58 , N/A ,$102.31 ,$102.31 , N/A ,$102.31 , N/A ,$166.21 ,$153.28 , N/A , N/A ,$162.52 , N/A ,$138.51 ,$138.51 ,$156.98 ,$156.98 , N/A ,$156.98 , N/A ,$149.59 ,$149.59 ,$149.59 ,$184.68 ,$166.21 , N/A ,$166.21 , N/A ,$184.68 ,$103.61 , N/A ,$76.46 , N/A , N/A , N/A ,$166.21 , N/A ,$102.31 ,$51.71 ,$166.21 , N/A ,$166.21 ,$166.21 , N/A ,$120.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000231,N/A,HC RECOVERY <75 MIN,710,1 ,$966.60 ,$695.95 ,$270.65 ,$966.60 , N/A ,$720.12 ,$633.12 , N/A ,$270.65 ,$594.46 , N/A ,$594.46 , N/A ,$535.50 ,$535.50 , N/A ,$535.50 , N/A ,$869.94 ,$802.28 , N/A , N/A ,$850.61 , N/A ,$724.95 ,$724.95 ,$821.61 ,$821.61 , N/A ,$821.61 , N/A ,$782.95 ,$782.95 ,$782.95 ,$966.60 ,$869.94 , N/A ,$869.94 , N/A ,$966.60 ,$542.26 , N/A ,$400.17 , N/A , N/A , N/A ,$869.94 , N/A ,$535.50 ,$270.65 ,$869.94 , N/A ,$869.94 ,$869.94 , N/A ,$628.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000232,N/A,HC RECOVERY >75 MIN,710,1 ,$189.00 ,$136.08 ,$52.92 ,$189.00 , N/A ,$140.81 ,$123.80 , N/A ,$52.92 ,$116.24 , N/A ,$116.24 , N/A ,$104.71 ,$104.71 , N/A ,$104.71 , N/A ,$170.10 ,$156.87 , N/A , N/A ,$166.32 , N/A ,$141.75 ,$141.75 ,$160.65 ,$160.65 , N/A ,$160.65 , N/A ,$153.09 ,$153.09 ,$153.09 ,$189.00 ,$170.10 , N/A ,$170.10 , N/A ,$189.00 ,$106.03 , N/A ,$78.25 , N/A , N/A , N/A ,$170.10 , N/A ,$104.71 ,$52.92 ,$170.10 , N/A ,$170.10 ,$170.10 , N/A ,$122.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000233,N/A,HC PHASE I RECOVERY 30 MIN,710,1 ,"$1,414.80 ","$1,018.66 ",$396.14 ,"$1,414.80 ", N/A ,"$1,054.03 ",$926.69 , N/A ,$396.14 ,$870.10 , N/A ,$870.10 , N/A ,$783.80 ,$783.80 , N/A ,$783.80 , N/A ,"$1,273.32 ","$1,174.28 ", N/A , N/A ,"$1,245.02 ", N/A ,"$1,061.10 ","$1,061.10 ","$1,202.58 ","$1,202.58 ", N/A ,"$1,202.58 ", N/A ,"$1,145.99 ","$1,145.99 ","$1,145.99 ","$1,414.80 ","$1,273.32 ", N/A ,"$1,273.32 ", N/A ,"$1,414.80 ",$793.70 , N/A ,$585.73 , N/A , N/A , N/A ,"$1,273.32 ", N/A ,$783.80 ,$396.14 ,"$1,273.32 ", N/A ,"$1,273.32 ","$1,273.32 ", N/A ,$919.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000234,N/A,HC PHASE I RECOVERY 15 MIN,710,1 ,$600.48 ,$432.35 ,$168.13 ,$600.48 , N/A ,$447.36 ,$393.31 , N/A ,$168.13 ,$369.30 , N/A ,$369.30 , N/A ,$332.67 ,$332.67 , N/A ,$332.67 , N/A ,$540.43 ,$498.40 , N/A , N/A ,$528.42 , N/A ,$450.36 ,$450.36 ,$510.41 ,$510.41 , N/A ,$510.41 , N/A ,$486.39 ,$486.39 ,$486.39 ,$600.48 ,$540.43 , N/A ,$540.43 , N/A ,$600.48 ,$336.87 , N/A ,$248.60 , N/A , N/A , N/A ,$540.43 , N/A ,$332.67 ,$168.13 ,$540.43 , N/A ,$540.43 ,$540.43 , N/A ,$390.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000252,N/A,HC RECOVERY EXTENDED INIT HR,710,1 ,$344.52 ,$248.05 ,$96.47 ,$344.52 , N/A ,$256.67 ,$225.66 , N/A ,$96.47 ,$211.88 , N/A ,$211.88 , N/A ,$190.86 ,$190.86 , N/A ,$190.86 , N/A ,$310.07 ,$285.95 , N/A , N/A ,$303.18 , N/A ,$258.39 ,$258.39 ,$292.84 ,$292.84 , N/A ,$292.84 , N/A ,$279.06 ,$279.06 ,$279.06 ,$344.52 ,$310.07 , N/A ,$310.07 , N/A ,$344.52 ,$193.28 , N/A ,$142.63 , N/A , N/A , N/A ,$310.07 , N/A ,$190.86 ,$96.47 ,$310.07 , N/A ,$310.07 ,$310.07 , N/A ,$223.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),71000253,N/A,HC RECOVERY EXTENDED ADDL HR,710,1 ,$114.48 ,$82.43 ,$32.05 ,$114.48 , N/A ,$85.29 ,$74.98 , N/A ,$32.05 ,$70.41 , N/A ,$70.41 , N/A ,$63.42 ,$63.42 , N/A ,$63.42 , N/A ,$103.03 ,$95.02 , N/A , N/A ,$100.74 , N/A ,$85.86 ,$85.86 ,$97.31 ,$97.31 , N/A ,$97.31 , N/A ,$92.73 ,$92.73 ,$92.73 ,$114.48 ,$103.03 , N/A ,$103.03 , N/A ,$114.48 ,$64.22 , N/A ,$47.39 , N/A , N/A , N/A ,$103.03 , N/A ,$63.42 ,$32.05 ,$103.03 , N/A ,$103.03 ,$103.03 , N/A ,$74.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72000008,59412,HC EXTERNAL CEPHALIC VERSION,720,1 ,"$3,063.00 ","$2,205.36 ",$857.64 ,"$6,302.22 ","$3,063.00 ","$2,281.94 ","$2,006.27 ","$2,849.93 ",$857.64 ,"$1,883.75 ","$2,849.93 ","$1,883.75 ","$2,849.93 ","$1,696.90 ","$1,696.90 ","$2,849.93 ","$1,696.90 ","$3,063.00 ","$2,756.70 ","$2,542.29 ","$3,063.00 ","$2,849.93 ","$2,695.44 ","$2,906.92 ","$2,297.25 ","$2,297.25 ","$2,603.55 ","$2,603.55 ","$2,849.93 ","$2,603.55 ","$2,849.93 ","$2,481.03 ","$2,481.03 ","$2,481.03 ","$3,063.00 ","$2,756.70 ","$3,063.00 ","$2,756.70 ","$2,849.93 ","$3,063.00 ","$1,718.34 ","$2,849.93 ","$1,268.08 ", N/A , N/A ,"$2,982.98 ","$2,756.70 ","$6,302.22 ","$1,696.90 ",$857.64 ,"$2,756.70 ","$2,849.93 ","$2,756.70 ","$2,756.70 ","$2,849.93 ","$1,990.95 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72000013,N/A,HC DELIVERY COMPLICATED,720,1 ,"$4,163.40 ","$2,997.65 ","$1,165.75 ","$4,163.40 ", N/A ,"$3,101.73 ","$2,727.03 ", N/A ,"$1,165.75 ","$2,560.49 ", N/A ,"$2,560.49 ", N/A ,"$2,306.52 ","$2,306.52 ", N/A ,"$2,306.52 ", N/A ,"$3,747.06 ","$3,455.62 ", N/A , N/A ,"$3,663.79 ", N/A ,"$3,122.55 ","$3,122.55 ","$3,538.89 ","$3,538.89 ", N/A ,"$3,538.89 ", N/A ,"$3,372.35 ","$3,372.35 ","$3,372.35 ","$4,163.40 ","$3,747.06 ", N/A ,"$3,747.06 ", N/A ,"$4,163.40 ","$2,335.67 ", N/A ,"$1,723.65 ", N/A , N/A , N/A ,"$3,747.06 ", N/A ,"$2,306.52 ","$1,165.75 ","$3,747.06 ", N/A ,"$3,747.06 ","$3,747.06 ", N/A ,"$2,706.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72100005,N/A,HC LABOR PER HR,721,1 ,$131.76 ,$94.87 ,$36.89 ,$131.76 , N/A ,$98.16 ,$86.30 , N/A ,$36.89 ,$81.03 , N/A ,$81.03 , N/A ,$73.00 ,$73.00 , N/A ,$73.00 , N/A ,$118.58 ,$109.36 , N/A , N/A ,$115.95 , N/A ,$98.82 ,$98.82 ,$112.00 ,$112.00 , N/A ,$112.00 , N/A ,$106.73 ,$106.73 ,$106.73 ,$131.76 ,$118.58 , N/A ,$118.58 , N/A ,$131.76 ,$73.92 , N/A ,$54.55 , N/A , N/A , N/A ,$118.58 , N/A ,$73.00 ,$36.89 ,$118.58 , N/A ,$118.58 ,$118.58 , N/A ,$85.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72200009,N/A,HC DELIVERY,722,1 ,"$2,395.44 ","$1,724.72 ",$670.72 ,"$2,395.44 ", N/A ,"$1,784.60 ","$1,569.01 ", N/A ,$670.72 ,"$1,473.20 ", N/A ,"$1,473.20 ", N/A ,"$1,327.07 ","$1,327.07 ", N/A ,"$1,327.07 ", N/A ,"$2,155.90 ","$1,988.22 ", N/A , N/A ,"$2,107.99 ", N/A ,"$1,796.58 ","$1,796.58 ","$2,036.12 ","$2,036.12 ", N/A ,"$2,036.12 ", N/A ,"$1,940.31 ","$1,940.31 ","$1,940.31 ","$2,395.44 ","$2,155.90 ", N/A ,"$2,155.90 ", N/A ,"$2,395.44 ","$1,343.84 ", N/A ,$991.71 , N/A , N/A , N/A ,"$2,155.90 ", N/A ,"$1,327.07 ",$670.72 ,"$2,155.90 ", N/A ,"$2,155.90 ","$2,155.90 ", N/A ,"$1,557.04 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72200014,N/A,HC C-SECTION,722,1 ,"$3,068.28 ","$2,209.16 ",$859.12 ,"$3,068.28 ", N/A ,"$2,285.87 ","$2,009.72 ", N/A ,$859.12 ,"$1,886.99 ", N/A ,"$1,886.99 ", N/A ,"$1,699.83 ","$1,699.83 ", N/A ,"$1,699.83 ", N/A ,"$2,761.45 ","$2,546.67 ", N/A , N/A ,"$2,700.09 ", N/A ,"$2,301.21 ","$2,301.21 ","$2,608.04 ","$2,608.04 ", N/A ,"$2,608.04 ", N/A ,"$2,485.31 ","$2,485.31 ","$2,485.31 ","$3,068.28 ","$2,761.45 ", N/A ,"$2,761.45 ", N/A ,"$3,068.28 ","$1,721.31 ", N/A ,"$1,270.27 ", N/A , N/A , N/A ,"$2,761.45 ", N/A ,"$1,699.83 ",$859.12 ,"$2,761.45 ", N/A ,"$2,761.45 ","$2,761.45 ", N/A ,"$1,994.38 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72200015,N/A,HC C-SECTION COMPLICATED,722,1 ,"$5,087.88 ","$3,663.27 ","$1,424.61 ","$5,087.88 ", N/A ,"$3,790.47 ","$3,332.56 ", N/A ,"$1,424.61 ","$3,129.05 ", N/A ,"$3,129.05 ", N/A ,"$2,818.69 ","$2,818.69 ", N/A ,"$2,818.69 ", N/A ,"$4,579.09 ","$4,222.94 ", N/A , N/A ,"$4,477.33 ", N/A ,"$3,815.91 ","$3,815.91 ","$4,324.70 ","$4,324.70 ", N/A ,"$4,324.70 ", N/A ,"$4,121.18 ","$4,121.18 ","$4,121.18 ","$5,087.88 ","$4,579.09 ", N/A ,"$4,579.09 ", N/A ,"$5,087.88 ","$2,854.30 ", N/A ,"$2,106.38 ", N/A , N/A , N/A ,"$4,579.09 ", N/A ,"$2,818.69 ","$1,424.61 ","$4,579.09 ", N/A ,"$4,579.09 ","$4,579.09 ", N/A ,"$3,307.12 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),72300002,54160,HC CIRCUMCISION,723,1 ,$503.00 ,$362.16 ,$140.84 ,"$1,393.85 ",$503.00 ,$374.74 ,$329.47 ,$492.94 ,$140.84 ,$309.35 ,$492.94 ,$309.35 ,$492.94 ,$278.66 ,$278.66 ,$492.94 ,$278.66 ,$503.00 ,$452.70 ,$417.49 ,$503.00 ,$492.94 ,$442.64 ,$502.80 ,$377.25 ,$377.25 ,$427.55 ,$427.55 ,$492.94 ,$427.55 ,$492.94 ,$407.43 ,$407.43 ,$407.43 ,$503.00 ,$452.70 ,$503.00 ,$452.70 ,$492.94 ,$503.00 ,$282.18 ,$492.94 ,$208.24 , N/A , N/A ,$492.94 ,$452.70 ,"$1,393.85 ",$278.66 ,$140.84 ,$452.70 ,$492.94 ,$452.70 ,$452.70 ,$492.94 ,$326.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),73000002,93005,HC EKG,730,1 ,$339.45 ,$244.40 ,$18.20 ,$339.45 ,$141.92 ,$252.89 ,$222.34 ,$57.94 ,$95.05 ,$208.76 ,$57.94 ,$208.76 ,$57.94 ,$188.06 ,$188.06 ,$57.94 ,$188.06 ,$119.42 ,$305.51 ,$281.74 ,$141.92 ,$57.94 ,$298.72 ,$59.09 ,$254.59 ,$254.59 ,$288.53 ,$288.53 ,$57.94 ,$288.53 ,$57.94 ,$274.95 ,$274.95 ,$274.95 ,$339.45 ,$305.51 ,$141.92 ,$305.51 ,$57.94 ,$339.45 ,$190.43 ,$57.94 ,$140.53 ,$19.06 ,$18.20 ,$60.64 ,$305.51 ,$128.12 ,$188.06 ,$95.05 ,$305.51 ,$57.94 ,$305.51 ,$305.51 ,$57.94 ,$220.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$215.00 ,$154.80 ,$18.20 ,$215.00 ,$141.92 ,$160.18 ,$140.83 ,$57.94 ,$60.20 ,$132.23 ,$57.94 ,$132.23 ,$57.94 ,$119.11 ,$119.11 ,$57.94 ,$119.11 ,$119.42 ,$193.50 ,$178.45 ,$141.92 ,$57.94 ,$189.20 ,$59.09 ,$161.25 ,$161.25 ,$182.75 ,$182.75 ,$57.94 ,$182.75 ,$57.94 ,$174.15 ,$174.15 ,$174.15 ,$215.00 ,$193.50 ,$141.92 ,$193.50 ,$57.94 ,$215.00 ,$120.62 ,$57.94 ,$89.01 ,$19.06 ,$18.20 ,$60.64 ,$193.50 ,$128.12 ,$119.11 ,$60.20 ,$193.50 ,$57.94 ,$193.50 ,$193.50 ,$57.94 ,$139.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,$884.02 ,$636.49 ,$48.83 ,$884.02 ,$286.68 ,$658.59 ,$579.03 ,$117.03 ,$247.53 ,$543.67 ,$117.03 ,$543.67 ,$117.03 ,$489.75 ,$489.75 ,$117.03 ,$489.75 ,$241.23 ,$795.62 ,$733.74 ,$286.68 ,$117.03 ,$777.94 ,$119.37 ,$663.02 ,$663.02 ,$751.42 ,$751.42 ,$117.03 ,$751.42 ,$117.03 ,$716.06 ,$716.06 ,$716.06 ,$884.02 ,$795.62 ,$286.68 ,$795.62 ,$117.03 ,$884.02 ,$495.94 ,$117.03 ,$365.98 ,$51.15 ,$48.83 ,$122.50 ,$795.62 ,$258.80 ,$489.75 ,$247.53 ,$795.62 ,$117.03 ,$795.62 ,$795.62 ,$117.03 ,$574.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),73100002,93226,HC HOLTER SCAN  AND  REPORT 48 HR,731,1 ,$899.64 ,$647.74 ,$48.83 ,$899.64 ,$286.68 ,$670.23 ,$589.26 ,$117.03 ,$251.90 ,$553.28 ,$117.03 ,$553.28 ,$117.03 ,$498.40 ,$498.40 ,$117.03 ,$498.40 ,$241.23 ,$809.68 ,$746.70 ,$286.68 ,$117.03 ,$791.68 ,$119.37 ,$674.73 ,$674.73 ,$764.69 ,$764.69 ,$117.03 ,$764.69 ,$117.03 ,$728.71 ,$728.71 ,$728.71 ,$899.64 ,$809.68 ,$286.68 ,$809.68 ,$117.03 ,$899.64 ,$504.70 ,$117.03 ,$372.45 ,$51.15 ,$48.83 ,$122.50 ,$809.68 ,$258.80 ,$498.40 ,$251.90 ,$809.68 ,$117.03 ,$809.68 ,$809.68 ,$117.03 ,$584.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),73100004,93270,HC CARDIAC EVENT RECORDER,731,1 ,"$1,316.14 ",$947.62 ,$35.28 ,"$1,316.14 ",$86.42 ,$980.52 ,$862.07 ,$35.28 ,$368.52 ,$809.43 ,$35.28 ,$809.43 ,$35.28 ,$729.14 ,$729.14 ,$35.28 ,$729.14 ,$72.72 ,"$1,184.53 ","$1,092.40 ",$86.42 ,$35.28 ,"$1,158.20 ",$35.99 ,$987.11 ,$987.11 ,"$1,118.72 ","$1,118.72 ",$35.28 ,"$1,118.72 ",$35.28 ,"$1,066.07 ","$1,066.07 ","$1,066.07 ","$1,316.14 ","$1,184.53 ",$86.42 ,"$1,184.53 ",$35.28 ,"$1,316.14 ",$738.35 ,$35.28 ,$544.88 ,$51.15 ,$48.83 ,$36.93 ,"$1,184.53 ",$78.01 ,$729.14 ,$368.52 ,"$1,184.53 ",$35.28 ,"$1,184.53 ","$1,184.53 ",$35.28 ,$855.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$4,907.00 ","$3,533.04 ",$487.28 ,"$4,907.00 ","$1,193.61 ","$3,655.72 ","$3,214.09 ",$487.28 ,"$1,373.96 ","$3,017.81 ",$487.28 ,"$3,017.81 ",$487.28 ,"$2,718.48 ","$2,718.48 ",$487.28 ,"$2,718.48 ","$1,004.37 ","$4,416.30 ","$4,072.81 ","$1,193.61 ",$487.28 ,"$4,318.16 ",$497.02 ,"$3,680.25 ","$3,680.25 ","$4,170.95 ","$4,170.95 ",$487.28 ,"$4,170.95 ",$487.28 ,"$3,974.67 ","$3,974.67 ","$3,974.67 ","$4,907.00 ","$4,416.30 ","$1,193.61 ","$4,416.30 ",$487.28 ,"$4,907.00 ","$2,752.83 ",$487.28 ,"$2,031.50 ",$568.08 ,$542.26 ,$510.02 ,"$4,416.30 ","$1,077.54 ","$2,718.48 ","$1,373.96 ","$4,416.30 ",$487.28 ,"$4,416.30 ","$4,416.30 ",$487.28 ,"$3,189.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000003,95806,HC SLEEP STUDY UNATTENDED,740,1 ,$397.00 ,$285.84 ,$111.16 ,$397.00 ,$359.07 ,$295.77 ,$260.04 ,$146.59 ,$111.16 ,$244.16 ,$146.59 ,$244.16 ,$146.59 ,$219.94 ,$219.94 ,$146.59 ,$219.94 ,$302.15 ,$357.30 ,$329.51 ,$359.07 ,$146.59 ,$349.36 ,$149.52 ,$297.75 ,$297.75 ,$337.45 ,$337.45 ,$146.59 ,$337.45 ,$146.59 ,$321.57 ,$321.57 ,$321.57 ,$397.00 ,$357.30 ,$359.07 ,$357.30 ,$146.59 ,$397.00 ,$222.72 ,$146.59 ,$164.36 ,$397.00 ,$397.00 ,$153.43 ,$357.30 ,$324.16 ,$219.94 ,$111.16 ,$357.30 ,$146.59 ,$357.30 ,$357.30 ,$146.59 ,$258.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000006,95810,HC SLEEP STUDY,740,1 ,"$4,582.00 ","$3,299.04 ",$542.26 ,"$4,582.00 ","$2,307.02 ","$3,413.59 ","$3,001.21 ",$941.81 ,"$1,282.96 ","$2,817.93 ",$941.81 ,"$2,817.93 ",$941.81 ,"$2,538.43 ","$2,538.43 ",$941.81 ,"$2,538.43 ","$1,941.27 ","$4,123.80 ","$3,803.06 ","$2,307.02 ",$941.81 ,"$4,032.16 ",$960.64 ,"$3,436.50 ","$3,436.50 ","$3,894.70 ","$3,894.70 ",$941.81 ,"$3,894.70 ",$941.81 ,"$3,711.42 ","$3,711.42 ","$3,711.42 ","$4,582.00 ","$4,123.80 ","$2,307.02 ","$4,123.80 ",$941.81 ,"$4,582.00 ","$2,570.50 ",$941.81 ,"$1,896.95 ",$568.08 ,$542.26 ,$985.78 ,"$4,123.80 ","$2,082.69 ","$2,538.43 ","$1,282.96 ","$4,123.80 ",$941.81 ,"$4,123.80 ","$4,123.80 ",$941.81 ,"$2,978.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$7,460.00 ","$5,371.20 ",$542.26 ,"$7,460.00 ","$2,307.02 ","$5,557.70 ","$4,886.30 ",$941.81 ,"$2,088.80 ","$4,587.90 ",$941.81 ,"$4,587.90 ",$941.81 ,"$4,132.84 ","$4,132.84 ",$941.81 ,"$4,132.84 ","$1,941.27 ","$6,714.00 ","$6,191.80 ","$2,307.02 ",$941.81 ,"$6,564.80 ",$960.64 ,"$5,595.00 ","$5,595.00 ","$6,341.00 ","$6,341.00 ",$941.81 ,"$6,341.00 ",$941.81 ,"$6,042.60 ","$6,042.60 ","$6,042.60 ","$7,460.00 ","$6,714.00 ","$2,307.02 ","$6,714.00 ",$941.81 ,"$7,460.00 ","$4,185.06 ",$941.81 ,"$3,088.44 ",$568.08 ,$542.26 ,$985.78 ,"$6,714.00 ","$2,082.69 ","$4,132.84 ","$2,088.80 ","$6,714.00 ",$941.81 ,"$6,714.00 ","$6,714.00 ",$941.81 ,"$4,849.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000014,95816,HC EEG AWAKE/DROWSY,740,1 ,"$1,125.60 ",$810.43 ,$182.99 ,"$1,125.60 ",$691.48 ,$838.57 ,$737.27 ,$282.29 ,$315.17 ,$692.24 ,$282.29 ,$692.24 ,$282.29 ,$623.58 ,$623.58 ,$282.29 ,$623.58 ,$581.85 ,"$1,013.04 ",$934.25 ,$691.48 ,$282.29 ,$990.53 ,$287.93 ,$844.20 ,$844.20 ,$956.76 ,$956.76 ,$282.29 ,$956.76 ,$282.29 ,$911.74 ,$911.74 ,$911.74 ,"$1,125.60 ","$1,013.04 ",$691.48 ,"$1,013.04 ",$282.29 ,"$1,125.60 ",$631.46 ,$282.29 ,$466.00 ,$191.71 ,$182.99 ,$295.47 ,"$1,013.04 ",$624.24 ,$623.58 ,$315.17 ,"$1,013.04 ",$282.29 ,"$1,013.04 ","$1,013.04 ",$282.29 ,$731.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000016,95819,HC EEG AWAKE/ASLEEP,740,1 ,"$1,295.32 ",$932.63 ,$182.99 ,"$1,295.32 ",$691.48 ,$965.01 ,$848.43 ,$282.29 ,$362.69 ,$796.62 ,$282.29 ,$796.62 ,$282.29 ,$717.61 ,$717.61 ,$282.29 ,$717.61 ,$581.85 ,"$1,165.79 ","$1,075.12 ",$691.48 ,$282.29 ,"$1,139.88 ",$287.93 ,$971.49 ,$971.49 ,"$1,101.02 ","$1,101.02 ",$282.29 ,"$1,101.02 ",$282.29 ,"$1,049.21 ","$1,049.21 ","$1,049.21 ","$1,295.32 ","$1,165.79 ",$691.48 ,"$1,165.79 ",$282.29 ,"$1,295.32 ",$726.67 ,$282.29 ,$536.26 ,$191.71 ,$182.99 ,$295.47 ,"$1,165.79 ",$624.24 ,$717.61 ,$362.69 ,"$1,165.79 ",$282.29 ,"$1,165.79 ","$1,165.79 ",$282.29 ,$841.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000023,95928,HC TCMEP UPPER LIMBS,740,1 ,$351.00 ,$252.72 ,$98.28 ,"$2,082.69 ",$351.00 ,$261.50 ,$229.91 ,$343.98 ,$98.28 ,$215.87 ,$343.98 ,$215.87 ,$343.98 ,$194.45 ,$194.45 ,$343.98 ,$194.45 ,$351.00 ,$315.90 ,$291.33 ,$351.00 ,$343.98 ,$308.88 ,$350.86 ,$263.25 ,$263.25 ,$298.35 ,$298.35 ,$343.98 ,$298.35 ,$343.98 ,$284.31 ,$284.31 ,$284.31 ,$351.00 ,$315.90 ,$351.00 ,$315.90 ,$343.98 ,$351.00 ,$196.91 ,$343.98 ,$145.31 ,$243.09 ,$232.04 ,$343.98 ,$315.90 ,"$2,082.69 ",$194.45 ,$98.28 ,$315.90 ,$343.98 ,$315.90 ,$315.90 ,$343.98 ,$228.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000024,95929,HC TCMEP LWR LIMBS,740,1 ,$351.00 ,$252.72 ,$98.28 ,"$1,077.54 ",$351.00 ,$261.50 ,$229.91 ,$343.98 ,$98.28 ,$215.87 ,$343.98 ,$215.87 ,$343.98 ,$194.45 ,$194.45 ,$343.98 ,$194.45 ,$351.00 ,$315.90 ,$291.33 ,$351.00 ,$343.98 ,$308.88 ,$350.86 ,$263.25 ,$263.25 ,$298.35 ,$298.35 ,$343.98 ,$298.35 ,$343.98 ,$284.31 ,$284.31 ,$284.31 ,$351.00 ,$315.90 ,$351.00 ,$315.90 ,$343.98 ,$351.00 ,$196.91 ,$343.98 ,$145.31 ,$243.09 ,$232.04 ,$343.98 ,$315.90 ,"$1,077.54 ",$194.45 ,$98.28 ,$315.90 ,$343.98 ,$315.90 ,$315.90 ,$343.98 ,$228.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000035,G0399,HC SLEEP STUDY HOME ADULT,740,1 ,"$1,447.00 ","$1,041.84 ",$84.39 ,"$1,447.00 ",$359.07 ,"$1,078.02 ",$947.79 ,$146.59 ,$405.16 ,$889.91 ,$146.59 ,$889.91 ,$146.59 ,$801.64 ,$801.64 ,$146.59 ,$801.64 ,$302.15 ,"$1,302.30 ","$1,201.01 ",$359.07 ,$146.59 ,"$1,273.36 ",$149.52 ,"$1,085.25 ","$1,085.25 ","$1,229.95 ","$1,229.95 ",$146.59 ,"$1,229.95 ",$146.59 ,"$1,172.07 ","$1,172.07 ","$1,172.07 ","$1,447.00 ","$1,302.30 ",$359.07 ,"$1,302.30 ",$146.59 ,"$1,447.00 ",$811.77 ,$146.59 ,$599.06 ,$88.41 ,$84.39 ,$153.43 ,"$1,302.30 ",$324.16 ,$801.64 ,$405.16 ,"$1,302.30 ",$146.59 ,"$1,302.30 ","$1,302.30 ",$146.59 ,$940.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000043,95940,HC NEURO TEST INTRAOPER PER 15MIN,740,1 ,$137.00 ,$98.64 ,$38.36 ,$137.00 , N/A ,$102.07 ,$89.74 , N/A ,$38.36 ,$84.26 , N/A ,$84.26 , N/A ,$75.90 ,$75.90 , N/A ,$75.90 , N/A ,$123.30 ,$113.71 , N/A , N/A ,$120.56 , N/A ,$102.75 ,$102.75 ,$116.45 ,$116.45 , N/A ,$116.45 , N/A ,$110.97 ,$110.97 ,$110.97 ,$137.00 ,$123.30 , N/A ,$123.30 , N/A ,$137.00 ,$76.86 , N/A ,$56.72 , N/A , N/A , N/A ,$123.30 , N/A ,$75.90 ,$38.36 ,$123.30 , N/A ,$123.30 ,$123.30 , N/A ,$89.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000044,95941,HC NEURO TEST INTRAOPER REMOTE/> 1 OR PER HR,740,1 ,$590.00 ,$424.80 ,$165.20 ,$590.00 , N/A ,$439.55 ,$386.45 , N/A ,$165.20 ,$362.85 , N/A ,$362.85 , N/A ,$326.86 ,$326.86 , N/A ,$326.86 , N/A ,$531.00 ,$489.70 , N/A , N/A ,$519.20 , N/A ,$442.50 ,$442.50 ,$501.50 ,$501.50 , N/A ,$501.50 , N/A ,$477.90 ,$477.90 ,$477.90 ,$590.00 ,$531.00 , N/A ,$531.00 , N/A ,$590.00 ,$330.99 , N/A ,$244.26 , N/A , N/A , N/A ,$531.00 , N/A ,$326.86 ,$165.20 ,$531.00 , N/A ,$531.00 ,$531.00 , N/A ,$383.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$4,582.00 ","$3,299.04 ",$271.13 ,"$4,582.00 ","$1,153.51 ","$3,413.59 ","$3,001.21 ",$470.91 ,"$1,282.96 ","$2,817.93 ",$470.91 ,"$2,817.93 ",$470.91 ,"$2,538.43 ","$2,538.43 ",$470.91 ,"$2,538.43 ",$970.63 ,"$4,123.80 ","$3,803.06 ","$1,153.51 ",$470.91 ,"$4,032.16 ",$480.33 ,"$3,436.50 ","$3,436.50 ","$3,894.70 ","$3,894.70 ",$470.91 ,"$3,894.70 ",$470.91 ,"$3,711.42 ","$3,711.42 ","$3,711.42 ","$4,582.00 ","$4,123.80 ","$1,153.51 ","$4,123.80 ",$470.91 ,"$4,582.00 ","$2,570.50 ",$470.91 ,"$1,896.95 ",$284.04 ,$271.13 ,$492.89 ,"$4,123.80 ","$1,041.34 ","$2,538.43 ","$1,282.96 ","$4,123.80 ",$470.91 ,"$4,123.80 ","$4,123.80 ",$470.91 ,"$2,978.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$7,460.00 ","$5,371.20 ",$271.13 ,"$7,460.00 ","$1,153.51 ","$5,557.70 ","$4,886.30 ",$470.91 ,"$2,088.80 ","$4,587.90 ",$470.91 ,"$4,587.90 ",$470.91 ,"$4,132.84 ","$4,132.84 ",$470.91 ,"$4,132.84 ",$970.63 ,"$6,714.00 ","$6,191.80 ","$1,153.51 ",$470.91 ,"$6,564.80 ",$480.33 ,"$5,595.00 ","$5,595.00 ","$6,341.00 ","$6,341.00 ",$470.91 ,"$6,341.00 ",$470.91 ,"$6,042.60 ","$6,042.60 ","$6,042.60 ","$7,460.00 ","$6,714.00 ","$1,153.51 ","$6,714.00 ",$470.91 ,"$7,460.00 ","$4,185.06 ",$470.91 ,"$3,088.44 ",$284.04 ,$271.13 ,$492.89 ,"$6,714.00 ","$1,041.34 ","$4,132.84 ","$2,088.80 ","$6,714.00 ",$470.91 ,"$6,714.00 ","$6,714.00 ",$470.91 ,"$4,849.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),74000073,95807,HC SLEEP STUDY ATTENDED NAP-52,740,1 ,"$2,772.00 ","$1,995.84 ",$243.64 ,"$2,772.00 ",$596.80 ,"$2,065.14 ","$1,815.66 ",$243.64 ,$776.16 ,"$1,704.78 ",$243.64 ,"$1,704.78 ",$243.64 ,"$1,535.69 ","$1,535.69 ",$243.64 ,"$1,535.69 ",$502.19 ,"$2,494.80 ","$2,300.76 ",$596.80 ,$243.64 ,"$2,439.36 ",$248.51 ,"$2,079.00 ","$2,079.00 ","$2,356.20 ","$2,356.20 ",$243.64 ,"$2,356.20 ",$243.64 ,"$2,245.32 ","$2,245.32 ","$2,245.32 ","$2,772.00 ","$2,494.80 ",$596.80 ,"$2,494.80 ",$243.64 ,"$2,772.00 ","$1,555.09 ",$243.64 ,"$1,147.61 ",$284.04 ,$271.13 ,$255.02 ,"$2,494.80 ",$538.77 ,"$1,535.69 ",$776.16 ,"$2,494.80 ",$243.64 ,"$2,494.80 ","$2,494.80 ",$243.64 ,"$1,801.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$1,255.00 ",$903.60 ,$351.40 ,"$1,840.02 ","$1,255.00 ",$934.98 ,$822.03 ,$832.08 ,$351.40 ,$771.83 ,$832.08 ,$771.83 ,$832.08 ,$695.27 ,$695.27 ,$832.08 ,$695.27 ,"$1,255.00 ","$1,129.50 ","$1,041.65 ","$1,255.00 ",$832.08 ,"$1,104.40 ",$848.72 ,$941.25 ,$941.25 ,"$1,066.75 ","$1,066.75 ",$832.08 ,"$1,066.75 ",$832.08 ,"$1,016.55 ","$1,016.55 ","$1,016.55 ","$1,255.00 ","$1,129.50 ","$1,255.00 ","$1,129.50 ",$832.08 ,"$1,255.00 ",$704.06 ,$832.08 ,$519.57 ,$512.17 ,$488.89 ,$870.93 ,"$1,129.50 ","$1,840.02 ",$695.27 ,$351.40 ,"$1,129.50 ",$832.08 ,"$1,129.50 ","$1,129.50 ",$832.08 ,$815.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75000510,49082,HC PARACENTESIS W/O IMAGING,750,1 ,"$2,305.38 ","$1,659.87 ",$488.89 ,"$2,305.38 ","$2,038.21 ","$1,717.51 ","$1,510.02 ",$832.08 ,$645.51 ,"$1,417.81 ",$832.08 ,"$1,417.81 ",$832.08 ,"$1,277.18 ","$1,277.18 ",$832.08 ,"$1,277.18 ","$1,715.08 ","$2,074.84 ","$1,913.47 ","$2,038.21 ",$832.08 ,"$2,028.73 ",$848.72 ,"$1,729.04 ","$1,729.04 ","$1,959.57 ","$1,959.57 ",$832.08 ,"$1,959.57 ",$832.08 ,"$1,867.36 ","$1,867.36 ","$1,867.36 ","$2,305.38 ","$2,074.84 ","$2,038.21 ","$2,074.84 ",$832.08 ,"$2,305.38 ","$1,293.32 ",$832.08 ,$954.43 ,$512.17 ,$488.89 ,$870.93 ,"$2,074.84 ","$1,840.02 ","$1,277.18 ",$645.51 ,"$2,074.84 ",$832.08 ,"$2,074.84 ","$2,074.84 ",$832.08 ,"$1,498.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001062,N/A,HC ESOPHAGOSCOPY RIGID W/BRUSH/WASH - 43191,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001066,N/A,HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH -43200,750,1 ,"$2,489.81 ","$1,792.66 ",$697.15 ,"$2,489.81 ", N/A ,"$1,854.91 ","$1,630.83 ", N/A ,$697.15 ,"$1,531.23 ", N/A ,"$1,531.23 ", N/A ,"$1,379.35 ","$1,379.35 ", N/A ,"$1,379.35 ", N/A ,"$2,240.83 ","$2,066.54 ", N/A , N/A ,"$2,191.03 ", N/A ,"$1,867.36 ","$1,867.36 ","$2,116.34 ","$2,116.34 ", N/A ,"$2,116.34 ", N/A ,"$2,016.75 ","$2,016.75 ","$2,016.75 ","$2,489.81 ","$2,240.83 ", N/A ,"$2,240.83 ", N/A ,"$2,489.81 ","$1,396.78 ", N/A ,"$1,030.78 ", N/A , N/A , N/A ,"$2,240.83 ", N/A ,"$1,379.35 ",$697.15 ,"$2,240.83 ", N/A ,"$2,240.83 ","$2,240.83 ", N/A ,"$1,618.38 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001067,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/BIOPSY - 43202,750,1 ,"$1,837.08 ","$1,322.70 ",$514.38 ,"$1,837.08 ", N/A ,"$1,368.62 ","$1,203.29 ", N/A ,$514.38 ,"$1,129.80 ", N/A ,"$1,129.80 ", N/A ,"$1,017.74 ","$1,017.74 ", N/A ,"$1,017.74 ", N/A ,"$1,653.37 ","$1,524.78 ", N/A , N/A ,"$1,616.63 ", N/A ,"$1,377.81 ","$1,377.81 ","$1,561.52 ","$1,561.52 ", N/A ,"$1,561.52 ", N/A ,"$1,488.03 ","$1,488.03 ","$1,488.03 ","$1,837.08 ","$1,653.37 ", N/A ,"$1,653.37 ", N/A ,"$1,837.08 ","$1,030.60 ", N/A ,$760.55 , N/A , N/A , N/A ,"$1,653.37 ", N/A ,"$1,017.74 ",$514.38 ,"$1,653.37 ", N/A ,"$1,653.37 ","$1,653.37 ", N/A ,"$1,194.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001068,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/FB REMOVAL - 43215,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001069,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/BALLOON DILATION - 43220,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001073,N/A,HC EGD W/SUBMUCOSAL INJ - 43236,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001081,N/A,HC EGD W/DILAT STRICTURE - 43245,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001084,N/A,HC EGD W/INSERT GUIDEWIRE - 43248,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001086,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN HOT BIOPSY - 43250,750,1 ,"$5,165.64 ","$3,719.26 ","$1,446.38 ","$5,165.64 ", N/A ,"$3,848.40 ","$3,383.49 ", N/A ,"$1,446.38 ","$3,176.87 ", N/A ,"$3,176.87 ", N/A ,"$2,861.76 ","$2,861.76 ", N/A ,"$2,861.76 ", N/A ,"$4,649.08 ","$4,287.48 ", N/A , N/A ,"$4,545.76 ", N/A ,"$3,874.23 ","$3,874.23 ","$4,390.79 ","$4,390.79 ", N/A ,"$4,390.79 ", N/A ,"$4,184.17 ","$4,184.17 ","$4,184.17 ","$5,165.64 ","$4,649.08 ", N/A ,"$4,649.08 ", N/A ,"$5,165.64 ","$2,897.92 ", N/A ,"$2,138.58 ", N/A , N/A , N/A ,"$4,649.08 ", N/A ,"$2,861.76 ","$1,446.38 ","$4,649.08 ", N/A ,"$4,649.08 ","$4,649.08 ", N/A ,"$3,357.67 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001090,N/A,HC EGD W/CONTROL BLEEDING - 43255,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001106,N/A,HC ESOPHAGUS DILATION UNGUIDED SGL/MULT PASS - 43450,750,1 ,"$2,270.16 ","$1,634.52 ",$635.64 ,"$2,270.16 ", N/A ,"$1,691.27 ","$1,486.95 ", N/A ,$635.64 ,"$1,396.15 ", N/A ,"$1,396.15 ", N/A ,"$1,257.67 ","$1,257.67 ", N/A ,"$1,257.67 ", N/A ,"$2,043.14 ","$1,884.23 ", N/A , N/A ,"$1,997.74 ", N/A ,"$1,702.62 ","$1,702.62 ","$1,929.64 ","$1,929.64 ", N/A ,"$1,929.64 ", N/A ,"$1,838.83 ","$1,838.83 ","$1,838.83 ","$2,270.16 ","$2,043.14 ", N/A ,"$2,043.14 ", N/A ,"$2,270.16 ","$1,273.56 ", N/A ,$939.85 , N/A , N/A , N/A ,"$2,043.14 ", N/A ,"$1,257.67 ",$635.64 ,"$2,043.14 ", N/A ,"$2,043.14 ","$2,043.14 ", N/A ,"$1,475.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001122,N/A,HC ILEOSCOPY STOMA W/BIOPSY SGL/MULT - 44382,750,1 ,"$2,627.64 ","$1,891.90 ",$735.74 ,"$2,627.64 ", N/A ,"$1,957.59 ","$1,721.10 ", N/A ,$735.74 ,"$1,616.00 ", N/A ,"$1,616.00 ", N/A ,"$1,455.71 ","$1,455.71 ", N/A ,"$1,455.71 ", N/A ,"$2,364.88 ","$2,180.94 ", N/A , N/A ,"$2,312.32 ", N/A ,"$1,970.73 ","$1,970.73 ","$2,233.49 ","$2,233.49 ", N/A ,"$2,233.49 ", N/A ,"$2,128.39 ","$2,128.39 ","$2,128.39 ","$2,627.64 ","$2,364.88 ", N/A ,"$2,364.88 ", N/A ,"$2,627.64 ","$1,474.11 ", N/A ,"$1,087.84 ", N/A , N/A , N/A ,"$2,364.88 ", N/A ,"$1,455.71 ",$735.74 ,"$2,364.88 ", N/A ,"$2,364.88 ","$2,364.88 ", N/A ,"$1,707.97 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001124,N/A,HC ENDOSCOPY POUCH W/BIOPSY SGL/MULT - 44386,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001125,N/A,HC COLONOSCOPY STOMA DX W/BRUSH/WASH - 44388,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001126,N/A,HC COLONOSCOPY STOMA W/BX SGL/MULT - 44389,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001130,N/A,HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH - 44394,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001140,N/A,HC PROCTOSIGMOIDOSCOPY RIGID W/FB REMOVAL - 45307,750,1 ,"$8,382.96 ","$6,035.73 ","$2,347.23 ","$8,382.96 ", N/A ,"$6,245.31 ","$5,490.84 ", N/A ,"$2,347.23 ","$5,155.52 ", N/A ,"$5,155.52 ", N/A ,"$4,644.16 ","$4,644.16 ", N/A ,"$4,644.16 ", N/A ,"$7,544.66 ","$6,957.86 ", N/A , N/A ,"$7,377.00 ", N/A ,"$6,287.22 ","$6,287.22 ","$7,125.52 ","$7,125.52 ", N/A ,"$7,125.52 ", N/A ,"$6,790.20 ","$6,790.20 ","$6,790.20 ","$8,382.96 ","$7,544.66 ", N/A ,"$7,544.66 ", N/A ,"$8,382.96 ","$4,702.84 ", N/A ,"$3,470.55 ", N/A , N/A , N/A ,"$7,544.66 ", N/A ,"$4,644.16 ","$2,347.23 ","$7,544.66 ", N/A ,"$7,544.66 ","$7,544.66 ", N/A ,"$5,448.92 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001142,N/A,HC SIGMOIDOSCOPY DX W/BRUSH/WASH - 45330,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001143,N/A,HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT -45331,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001144,N/A,HC SIGMOIDOSCOPY W/FB REMOVAL -45332,750,1 ,"$3,386.88 ","$2,438.55 ",$948.33 ,"$3,386.88 ", N/A ,"$2,523.23 ","$2,218.41 ", N/A ,$948.33 ,"$2,082.93 ", N/A ,"$2,082.93 ", N/A ,"$1,876.33 ","$1,876.33 ", N/A ,"$1,876.33 ", N/A ,"$3,048.19 ","$2,811.11 ", N/A , N/A ,"$2,980.45 ", N/A ,"$2,540.16 ","$2,540.16 ","$2,878.85 ","$2,878.85 ", N/A ,"$2,878.85 ", N/A ,"$2,743.37 ","$2,743.37 ","$2,743.37 ","$3,386.88 ","$3,048.19 ", N/A ,"$3,048.19 ", N/A ,"$3,386.88 ","$1,900.04 ", N/A ,"$1,402.17 ", N/A , N/A , N/A ,"$3,048.19 ", N/A ,"$1,876.33 ",$948.33 ,"$3,048.19 ", N/A ,"$3,048.19 ","$3,048.19 ", N/A ,"$2,201.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001145,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN  HOT BIOPSY -45333,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001147,N/A,HC SIGMOIDOSCOPY W/SUBMUCOSAL INJ - 45335,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001149,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45338,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001158,N/A,HC COLONOSCOPY W/FB REMOVAL - 45379,750,1 ,"$3,386.88 ","$2,438.55 ",$948.33 ,"$3,386.88 ", N/A ,"$2,523.23 ","$2,218.41 ", N/A ,$948.33 ,"$2,082.93 ", N/A ,"$2,082.93 ", N/A ,"$1,876.33 ","$1,876.33 ", N/A ,"$1,876.33 ", N/A ,"$3,048.19 ","$2,811.11 ", N/A , N/A ,"$2,980.45 ", N/A ,"$2,540.16 ","$2,540.16 ","$2,878.85 ","$2,878.85 ", N/A ,"$2,878.85 ", N/A ,"$2,743.37 ","$2,743.37 ","$2,743.37 ","$3,386.88 ","$3,048.19 ", N/A ,"$3,048.19 ", N/A ,"$3,386.88 ","$1,900.04 ", N/A ,"$1,402.17 ", N/A , N/A , N/A ,"$3,048.19 ", N/A ,"$1,876.33 ",$948.33 ,"$3,048.19 ", N/A ,"$3,048.19 ","$3,048.19 ", N/A ,"$2,201.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001161,N/A,HC COLONOSCOPY W/CONTROL BLEEDING - 45382,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001165,N/A,HC COLONOSCOPY W/ABLATION TUMOR - 45388,750,1 ,"$3,357.72 ","$2,417.56 ",$940.16 ,"$3,357.72 ", N/A ,"$2,501.50 ","$2,199.31 ", N/A ,$940.16 ,"$2,065.00 ", N/A ,"$2,065.00 ", N/A ,"$1,860.18 ","$1,860.18 ", N/A ,"$1,860.18 ", N/A ,"$3,021.95 ","$2,786.91 ", N/A , N/A ,"$2,954.79 ", N/A ,"$2,518.29 ","$2,518.29 ","$2,854.06 ","$2,854.06 ", N/A ,"$2,854.06 ", N/A ,"$2,719.75 ","$2,719.75 ","$2,719.75 ","$3,357.72 ","$3,021.95 ", N/A ,"$3,021.95 ", N/A ,"$3,357.72 ","$1,883.68 ", N/A ,"$1,390.10 ", N/A , N/A , N/A ,"$3,021.95 ", N/A ,"$1,860.18 ",$940.16 ,"$3,021.95 ", N/A ,"$3,021.95 ","$3,021.95 ", N/A ,"$2,182.52 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$4,212.00 ","$3,032.64 ","$1,179.36 ","$4,212.00 ", N/A ,"$3,137.94 ","$2,758.86 ", N/A ,"$1,179.36 ","$2,590.38 ", N/A ,"$2,590.38 ", N/A ,"$2,333.45 ","$2,333.45 ", N/A ,"$2,333.45 ", N/A ,"$3,790.80 ","$3,495.96 ", N/A , N/A ,"$3,706.56 ", N/A ,"$3,159.00 ","$3,159.00 ","$3,580.20 ","$3,580.20 ", N/A ,"$3,580.20 ", N/A ,"$3,411.72 ","$3,411.72 ","$3,411.72 ","$4,212.00 ","$3,790.80 ", N/A ,"$3,790.80 ", N/A ,"$4,212.00 ","$2,362.93 ", N/A ,"$1,743.77 ", N/A , N/A , N/A ,"$3,790.80 ", N/A ,"$2,333.45 ","$1,179.36 ","$3,790.80 ", N/A ,"$3,790.80 ","$3,790.80 ", N/A ,"$2,737.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001171,N/A,HC COLONOSCOPY W/BAND LIGATION - 45398,750,1 ,"$3,568.32 ","$2,569.19 ",$999.13 ,"$3,568.32 ", N/A ,"$2,658.40 ","$2,337.25 ", N/A ,$999.13 ,"$2,194.52 ", N/A ,"$2,194.52 ", N/A ,"$1,976.85 ","$1,976.85 ", N/A ,"$1,976.85 ", N/A ,"$3,211.49 ","$2,961.71 ", N/A , N/A ,"$3,140.12 ", N/A ,"$2,676.24 ","$2,676.24 ","$3,033.07 ","$3,033.07 ", N/A ,"$3,033.07 ", N/A ,"$2,890.34 ","$2,890.34 ","$2,890.34 ","$3,568.32 ","$3,211.49 ", N/A ,"$3,211.49 ", N/A ,"$3,568.32 ","$2,001.83 ", N/A ,"$1,477.28 ", N/A , N/A , N/A ,"$3,211.49 ", N/A ,"$1,976.85 ",$999.13 ,"$3,211.49 ", N/A ,"$3,211.49 ","$3,211.49 ", N/A ,"$2,319.41 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$2,554.20 ","$1,839.02 ",$715.18 ,"$2,554.20 ", N/A ,"$1,902.88 ","$1,673.00 ", N/A ,$715.18 ,"$1,570.83 ", N/A ,"$1,570.83 ", N/A ,"$1,415.03 ","$1,415.03 ", N/A ,"$1,415.03 ", N/A ,"$2,298.78 ","$2,119.99 ", N/A , N/A ,"$2,247.70 ", N/A ,"$1,915.65 ","$1,915.65 ","$2,171.07 ","$2,171.07 ", N/A ,"$2,171.07 ", N/A ,"$2,068.90 ","$2,068.90 ","$2,068.90 ","$2,554.20 ","$2,298.78 ", N/A ,"$2,298.78 ", N/A ,"$2,554.20 ","$1,432.91 ", N/A ,"$1,057.44 ", N/A , N/A , N/A ,"$2,298.78 ", N/A ,"$1,415.03 ",$715.18 ,"$2,298.78 ", N/A ,"$2,298.78 ","$2,298.78 ", N/A ,"$1,660.23 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001176,N/A,HC ANOSCOPY W/BIOPSY SGL/MULT - 46606,750,1 ,"$2,641.68 ","$1,902.01 ",$739.67 ,"$2,641.68 ", N/A ,"$1,968.05 ","$1,730.30 ", N/A ,$739.67 ,"$1,624.63 ", N/A ,"$1,624.63 ", N/A ,"$1,463.49 ","$1,463.49 ", N/A ,"$1,463.49 ", N/A ,"$2,377.51 ","$2,192.59 ", N/A , N/A ,"$2,324.68 ", N/A ,"$1,981.26 ","$1,981.26 ","$2,245.43 ","$2,245.43 ", N/A ,"$2,245.43 ", N/A ,"$2,139.76 ","$2,139.76 ","$2,139.76 ","$2,641.68 ","$2,377.51 ", N/A ,"$2,377.51 ", N/A ,"$2,641.68 ","$1,481.98 ", N/A ,"$1,093.66 ", N/A , N/A , N/A ,"$2,377.51 ", N/A ,"$1,463.49 ",$739.67 ,"$2,377.51 ", N/A ,"$2,377.51 ","$2,377.51 ", N/A ,"$1,717.09 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001177,N/A,HC ANOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 46610,750,1 ,"$7,838.64 ","$5,643.82 ","$2,194.82 ","$7,838.64 ", N/A ,"$5,839.79 ","$5,134.31 ", N/A ,"$2,194.82 ","$4,820.76 ", N/A ,"$4,820.76 ", N/A ,"$4,342.61 ","$4,342.61 ", N/A ,"$4,342.61 ", N/A ,"$7,054.78 ","$6,506.07 ", N/A , N/A ,"$6,898.00 ", N/A ,"$5,878.98 ","$5,878.98 ","$6,662.84 ","$6,662.84 ", N/A ,"$6,662.84 ", N/A ,"$6,349.30 ","$6,349.30 ","$6,349.30 ","$7,838.64 ","$7,054.78 ", N/A ,"$7,054.78 ", N/A ,"$7,838.64 ","$4,397.48 ", N/A ,"$3,245.20 ", N/A , N/A , N/A ,"$7,054.78 ", N/A ,"$4,342.61 ","$2,194.82 ","$7,054.78 ", N/A ,"$7,054.78 ","$7,054.78 ", N/A ,"$5,095.12 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001201,N/A,HC PROCTOSIGMOIDOSCOPY RIGID W/BX - 45305,750,1 ,"$2,084.40 ","$1,500.77 ",$583.63 ,"$2,084.40 ", N/A ,"$1,552.88 ","$1,365.28 ", N/A ,$583.63 ,"$1,281.91 ", N/A ,"$1,281.91 ", N/A ,"$1,154.76 ","$1,154.76 ", N/A ,"$1,154.76 ", N/A ,"$1,875.96 ","$1,730.05 ", N/A , N/A ,"$1,834.27 ", N/A ,"$1,563.30 ","$1,563.30 ","$1,771.74 ","$1,771.74 ", N/A ,"$1,771.74 ", N/A ,"$1,688.36 ","$1,688.36 ","$1,688.36 ","$2,084.40 ","$1,875.96 ", N/A ,"$1,875.96 ", N/A ,"$2,084.40 ","$1,169.35 ", N/A ,$862.94 , N/A , N/A , N/A ,"$1,875.96 ", N/A ,"$1,154.76 ",$583.63 ,"$1,875.96 ", N/A ,"$1,875.96 ","$1,875.96 ", N/A ,"$1,354.86 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001202,N/A,HC REPLACE GASTRO TUBE PERC - 43762,750,1 ,$843.48 ,$607.31 ,$236.17 ,$843.48 , N/A ,$628.39 ,$552.48 , N/A ,$236.17 ,$518.74 , N/A ,$518.74 , N/A ,$467.29 ,$467.29 , N/A ,$467.29 , N/A ,$759.13 ,$700.09 , N/A , N/A ,$742.26 , N/A ,$632.61 ,$632.61 ,$716.96 ,$716.96 , N/A ,$716.96 , N/A ,$683.22 ,$683.22 ,$683.22 ,$843.48 ,$759.13 , N/A ,$759.13 , N/A ,$843.48 ,$473.19 , N/A ,$349.20 , N/A , N/A , N/A ,$759.13 , N/A ,$467.29 ,$236.17 ,$759.13 , N/A ,$759.13 ,$759.13 , N/A ,$548.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001203,N/A,HC REPLACE GASTRO TUBE PERC W/REVISE TRACT - 43763,750,1 ,$843.48 ,$607.31 ,$236.17 ,$843.48 , N/A ,$628.39 ,$552.48 , N/A ,$236.17 ,$518.74 , N/A ,$518.74 , N/A ,$467.29 ,$467.29 , N/A ,$467.29 , N/A ,$759.13 ,$700.09 , N/A , N/A ,$742.26 , N/A ,$632.61 ,$632.61 ,$716.96 ,$716.96 , N/A ,$716.96 , N/A ,$683.22 ,$683.22 ,$683.22 ,$843.48 ,$759.13 , N/A ,$759.13 , N/A ,$843.48 ,$473.19 , N/A ,$349.20 , N/A , N/A , N/A ,$759.13 , N/A ,$467.29 ,$236.17 ,$759.13 , N/A ,$759.13 ,$759.13 , N/A ,$548.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001204,N/A,HC REMOVE G TUBE W/ANESTHESIA - 43999,750,1 ,"$2,773.44 ","$1,996.88 ",$776.56 ,"$2,773.44 ", N/A ,"$2,066.21 ","$1,816.60 ", N/A ,$776.56 ,"$1,705.67 ", N/A ,"$1,705.67 ", N/A ,"$1,536.49 ","$1,536.49 ", N/A ,"$1,536.49 ", N/A ,"$2,496.10 ","$2,301.96 ", N/A , N/A ,"$2,440.63 ", N/A ,"$2,080.08 ","$2,080.08 ","$2,357.42 ","$2,357.42 ", N/A ,"$2,357.42 ", N/A ,"$2,246.49 ","$2,246.49 ","$2,246.49 ","$2,773.44 ","$2,496.10 ", N/A ,"$2,496.10 ", N/A ,"$2,773.44 ","$1,555.90 ", N/A ,"$1,148.20 ", N/A , N/A , N/A ,"$2,496.10 ", N/A ,"$1,536.49 ",$776.56 ,"$2,496.10 ", N/A ,"$2,496.10 ","$2,496.10 ", N/A ,"$1,802.74 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001205,N/A,HC REMOVE ANAL FISTULA SUBQ 46270,750,1 ,"$7,838.64 ","$5,643.82 ","$2,194.82 ","$7,838.64 ", N/A ,"$5,839.79 ","$5,134.31 ", N/A ,"$2,194.82 ","$4,820.76 ", N/A ,"$4,820.76 ", N/A ,"$4,342.61 ","$4,342.61 ", N/A ,"$4,342.61 ", N/A ,"$7,054.78 ","$6,506.07 ", N/A , N/A ,"$6,898.00 ", N/A ,"$5,878.98 ","$5,878.98 ","$6,662.84 ","$6,662.84 ", N/A ,"$6,662.84 ", N/A ,"$6,349.30 ","$6,349.30 ","$6,349.30 ","$7,838.64 ","$7,054.78 ", N/A ,"$7,054.78 ", N/A ,"$7,838.64 ","$4,397.48 ", N/A ,"$3,245.20 ", N/A , N/A , N/A ,"$7,054.78 ", N/A ,"$4,342.61 ","$2,194.82 ","$7,054.78 ", N/A ,"$7,054.78 ","$7,054.78 ", N/A ,"$5,095.12 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001206,N/A,HC HEMORRHOIDECTOMY;EXT 2/MO 46250,750,1 ,"$7,838.64 ","$5,643.82 ","$2,194.82 ","$7,838.64 ", N/A ,"$5,839.79 ","$5,134.31 ", N/A ,"$2,194.82 ","$4,820.76 ", N/A ,"$4,820.76 ", N/A ,"$4,342.61 ","$4,342.61 ", N/A ,"$4,342.61 ", N/A ,"$7,054.78 ","$6,506.07 ", N/A , N/A ,"$6,898.00 ", N/A ,"$5,878.98 ","$5,878.98 ","$6,662.84 ","$6,662.84 ", N/A ,"$6,662.84 ", N/A ,"$6,349.30 ","$6,349.30 ","$6,349.30 ","$7,838.64 ","$7,054.78 ", N/A ,"$7,054.78 ", N/A ,"$7,838.64 ","$4,397.48 ", N/A ,"$3,245.20 ", N/A , N/A , N/A ,"$7,054.78 ", N/A ,"$4,342.61 ","$2,194.82 ","$7,054.78 ", N/A ,"$7,054.78 ","$7,054.78 ", N/A ,"$5,095.12 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001207,N/A,HC PLACEMENT OF SETON - 46020,750,1 ,"$7,838.64 ","$5,643.82 ","$2,194.82 ","$7,838.64 ", N/A ,"$5,839.79 ","$5,134.31 ", N/A ,"$2,194.82 ","$4,820.76 ", N/A ,"$4,820.76 ", N/A ,"$4,342.61 ","$4,342.61 ", N/A ,"$4,342.61 ", N/A ,"$7,054.78 ","$6,506.07 ", N/A , N/A ,"$6,898.00 ", N/A ,"$5,878.98 ","$5,878.98 ","$6,662.84 ","$6,662.84 ", N/A ,"$6,662.84 ", N/A ,"$6,349.30 ","$6,349.30 ","$6,349.30 ","$7,838.64 ","$7,054.78 ", N/A ,"$7,054.78 ", N/A ,"$7,838.64 ","$4,397.48 ", N/A ,"$3,245.20 ", N/A , N/A , N/A ,"$7,054.78 ", N/A ,"$4,342.61 ","$2,194.82 ","$7,054.78 ", N/A ,"$7,054.78 ","$7,054.78 ", N/A ,"$5,095.12 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001209,N/A,HC HEMORRHOIDECTOMY INTERNAL W/LIGATION-46221,750,1 ,"$2,554.20 ","$1,839.02 ",$715.18 ,"$2,554.20 ", N/A ,"$1,902.88 ","$1,673.00 ", N/A ,$715.18 ,"$1,570.83 ", N/A ,"$1,570.83 ", N/A ,"$1,415.03 ","$1,415.03 ", N/A ,"$1,415.03 ", N/A ,"$2,298.78 ","$2,119.99 ", N/A , N/A ,"$2,247.70 ", N/A ,"$1,915.65 ","$1,915.65 ","$2,171.07 ","$2,171.07 ", N/A ,"$2,171.07 ", N/A ,"$2,068.90 ","$2,068.90 ","$2,068.90 ","$2,554.20 ","$2,298.78 ", N/A ,"$2,298.78 ", N/A ,"$2,554.20 ","$1,432.91 ", N/A ,"$1,057.44 ", N/A , N/A , N/A ,"$2,298.78 ", N/A ,"$1,415.03 ",$715.18 ,"$2,298.78 ", N/A ,"$2,298.78 ","$2,298.78 ", N/A ,"$1,660.23 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$2,066.47 ","$1,487.86 ",$578.61 ,"$2,066.47 ", N/A ,"$1,539.52 ","$1,353.54 ", N/A ,$578.61 ,"$1,270.88 ", N/A ,"$1,270.88 ", N/A ,"$1,144.82 ","$1,144.82 ", N/A ,"$1,144.82 ", N/A ,"$1,859.82 ","$1,715.17 ", N/A , N/A ,"$1,818.49 ", N/A ,"$1,549.85 ","$1,549.85 ","$1,756.50 ","$1,756.50 ", N/A ,"$1,756.50 ", N/A ,"$1,673.84 ","$1,673.84 ","$1,673.84 ","$2,066.47 ","$1,859.82 ", N/A ,"$1,859.82 ", N/A ,"$2,066.47 ","$1,159.29 ", N/A ,$855.52 , N/A , N/A , N/A ,"$1,859.82 ", N/A ,"$1,144.82 ",$578.61 ,"$1,859.82 ", N/A ,"$1,859.82 ","$1,859.82 ", N/A ,"$1,343.21 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$3,894.00 ","$2,803.68 ",$563.65 ,"$3,894.00 ","$1,590.90 ","$2,901.03 ","$2,550.57 ",$649.47 ,"$1,090.32 ","$2,394.81 ",$649.47 ,"$2,394.81 ",$649.47 ,"$2,157.28 ","$2,157.28 ",$649.47 ,"$2,157.28 ","$1,338.68 ","$3,504.60 ","$3,232.02 ","$1,590.90 ",$649.47 ,"$3,426.72 ",$662.45 ,"$2,920.50 ","$2,920.50 ","$3,309.90 ","$3,309.90 ",$649.47 ,"$3,309.90 ",$649.47 ,"$3,154.14 ","$3,154.14 ","$3,154.14 ","$3,894.00 ","$3,504.60 ","$1,590.90 ","$3,504.60 ",$649.47 ,"$3,894.00 ","$2,184.53 ",$649.47 ,"$1,612.12 ",$590.49 ,$563.65 ,$679.79 ,"$3,504.60 ","$1,436.20 ","$2,157.28 ","$1,090.32 ","$3,504.60 ",$649.47 ,"$3,504.60 ","$3,504.60 ",$649.47 ,"$2,531.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100005,64615,HC CHEMODENERVATION FACE/NECK/SPINE MUSCLES BIL,761,1 ,"$1,059.00 ",$762.48 ,$274.06 ,"$1,059.00 ",$671.31 ,$788.96 ,$693.65 ,$274.06 ,$296.52 ,$651.29 ,$274.06 ,$651.29 ,$274.06 ,$586.69 ,$586.69 ,$274.06 ,$586.69 ,$564.88 ,$953.10 ,$878.97 ,$671.31 ,$274.06 ,$931.92 ,$279.54 ,$794.25 ,$794.25 ,$900.15 ,$900.15 ,$274.06 ,$900.15 ,$274.06 ,$857.79 ,$857.79 ,$857.79 ,"$1,059.00 ",$953.10 ,$671.31 ,$953.10 ,$274.06 ,"$1,059.00 ",$594.10 ,$274.06 ,$438.43 ,$325.59 ,$310.79 ,$286.85 ,$953.10 ,$606.03 ,$586.69 ,$296.52 ,$953.10 ,$274.06 ,$953.10 ,$953.10 ,$274.06 ,$688.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100006,64447,HC INJ ANES NERVE FEMORAL SINGLE-BI,761,1 ,"$2,548.00 ","$1,834.56 ",$466.18 ,"$2,548.00 ","$2,386.35 ","$1,898.26 ","$1,668.94 ",$974.20 ,$713.44 ,"$1,567.02 ",$974.20 ,"$1,567.02 ",$974.20 ,"$1,411.59 ","$1,411.59 ",$974.20 ,"$1,411.59 ","$2,008.02 ","$2,293.20 ","$2,114.84 ","$2,386.35 ",$974.20 ,"$2,242.24 ",$993.68 ,"$1,911.00 ","$1,911.00 ","$2,165.80 ","$2,165.80 ",$974.20 ,"$2,165.80 ",$974.20 ,"$2,063.88 ","$2,063.88 ","$2,063.88 ","$2,548.00 ","$2,293.20 ","$2,386.35 ","$2,293.20 ",$974.20 ,"$2,548.00 ","$1,429.43 ",$974.20 ,"$1,054.87 ",$488.38 ,$466.18 ,"$1,019.68 ","$2,293.20 ","$2,154.30 ","$1,411.59 ",$713.44 ,"$2,293.20 ",$974.20 ,"$2,293.20 ","$2,293.20 ",$974.20 ,"$1,656.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100007,64447,HC INJ ANES NERVE FEMORAL SINGLE-LT,761,1 ,"$1,818.00 ","$1,308.96 ",$310.79 ,"$1,818.00 ","$1,590.90 ","$1,354.41 ","$1,190.79 ",$649.47 ,$509.04 ,"$1,118.07 ",$649.47 ,"$1,118.07 ",$649.47 ,"$1,007.17 ","$1,007.17 ",$649.47 ,"$1,007.17 ","$1,338.68 ","$1,636.20 ","$1,508.94 ","$1,590.90 ",$649.47 ,"$1,599.84 ",$662.45 ,"$1,363.50 ","$1,363.50 ","$1,545.30 ","$1,545.30 ",$649.47 ,"$1,545.30 ",$649.47 ,"$1,472.58 ","$1,472.58 ","$1,472.58 ","$1,818.00 ","$1,636.20 ","$1,590.90 ","$1,636.20 ",$649.47 ,"$1,818.00 ","$1,019.90 ",$649.47 ,$752.65 ,$325.59 ,$310.79 ,$679.79 ,"$1,636.20 ","$1,436.20 ","$1,007.17 ",$509.04 ,"$1,636.20 ",$649.47 ,"$1,636.20 ","$1,636.20 ",$649.47 ,"$1,181.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100008,64447,HC INJ ANES NERVE FEMORAL SINGLE-RT,761,1 ,"$1,818.00 ","$1,308.96 ",$310.79 ,"$1,818.00 ","$1,590.90 ","$1,354.41 ","$1,190.79 ",$649.47 ,$509.04 ,"$1,118.07 ",$649.47 ,"$1,118.07 ",$649.47 ,"$1,007.17 ","$1,007.17 ",$649.47 ,"$1,007.17 ","$1,338.68 ","$1,636.20 ","$1,508.94 ","$1,590.90 ",$649.47 ,"$1,599.84 ",$662.45 ,"$1,363.50 ","$1,363.50 ","$1,545.30 ","$1,545.30 ",$649.47 ,"$1,545.30 ",$649.47 ,"$1,472.58 ","$1,472.58 ","$1,472.58 ","$1,818.00 ","$1,636.20 ","$1,590.90 ","$1,636.20 ",$649.47 ,"$1,818.00 ","$1,019.90 ",$649.47 ,$752.65 ,$325.59 ,$310.79 ,$679.79 ,"$1,636.20 ","$1,436.20 ","$1,007.17 ",$509.04 ,"$1,636.20 ",$649.47 ,"$1,636.20 ","$1,636.20 ",$649.47 ,"$1,181.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100009,64425,HC INJ ANES NERVE ILIOINGUINAL-LT,761,1 ,"$1,698.00 ","$1,222.56 ",$310.79 ,"$1,698.00 ","$1,590.90 ","$1,265.01 ","$1,112.19 ",$649.47 ,$475.44 ,"$1,044.27 ",$649.47 ,"$1,044.27 ",$649.47 ,$940.69 ,$940.69 ,$649.47 ,$940.69 ,"$1,338.68 ","$1,528.20 ","$1,409.34 ","$1,590.90 ",$649.47 ,"$1,494.24 ",$662.45 ,"$1,273.50 ","$1,273.50 ","$1,443.30 ","$1,443.30 ",$649.47 ,"$1,443.30 ",$649.47 ,"$1,375.38 ","$1,375.38 ","$1,375.38 ","$1,698.00 ","$1,528.20 ","$1,590.90 ","$1,528.20 ",$649.47 ,"$1,698.00 ",$952.58 ,$649.47 ,$702.97 ,$325.59 ,$310.79 ,$679.79 ,"$1,528.20 ","$1,436.20 ",$940.69 ,$475.44 ,"$1,528.20 ",$649.47 ,"$1,528.20 ","$1,528.20 ",$649.47 ,"$1,103.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100010,64425,HC INJ ANES NERVE ILIOINGUINAL-RT,761,1 ,"$1,698.00 ","$1,222.56 ",$310.79 ,"$1,698.00 ","$1,590.90 ","$1,265.01 ","$1,112.19 ",$649.47 ,$475.44 ,"$1,044.27 ",$649.47 ,"$1,044.27 ",$649.47 ,$940.69 ,$940.69 ,$649.47 ,$940.69 ,"$1,338.68 ","$1,528.20 ","$1,409.34 ","$1,590.90 ",$649.47 ,"$1,494.24 ",$662.45 ,"$1,273.50 ","$1,273.50 ","$1,443.30 ","$1,443.30 ",$649.47 ,"$1,443.30 ",$649.47 ,"$1,375.38 ","$1,375.38 ","$1,375.38 ","$1,698.00 ","$1,528.20 ","$1,590.90 ","$1,528.20 ",$649.47 ,"$1,698.00 ",$952.58 ,$649.47 ,$702.97 ,$325.59 ,$310.79 ,$679.79 ,"$1,528.20 ","$1,436.20 ",$940.69 ,$475.44 ,"$1,528.20 ",$649.47 ,"$1,528.20 ","$1,528.20 ",$649.47 ,"$1,103.70 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100011,64450,HC INJ ANES NERVE PERIPHERAL-BI,761,1 ,"$2,548.00 ","$1,834.56 ",$466.18 ,"$2,548.00 ","$2,386.35 ","$1,898.26 ","$1,668.94 ",$974.20 ,$713.44 ,"$1,567.02 ",$974.20 ,"$1,567.02 ",$974.20 ,"$1,411.59 ","$1,411.59 ",$974.20 ,"$1,411.59 ","$2,008.02 ","$2,293.20 ","$2,114.84 ","$2,386.35 ",$974.20 ,"$2,242.24 ",$993.68 ,"$1,911.00 ","$1,911.00 ","$2,165.80 ","$2,165.80 ",$974.20 ,"$2,165.80 ",$974.20 ,"$2,063.88 ","$2,063.88 ","$2,063.88 ","$2,548.00 ","$2,293.20 ","$2,386.35 ","$2,293.20 ",$974.20 ,"$2,548.00 ","$1,429.43 ",$974.20 ,"$1,054.87 ",$488.38 ,$466.18 ,"$1,019.68 ","$2,293.20 ","$2,154.30 ","$1,411.59 ",$713.44 ,"$2,293.20 ",$974.20 ,"$2,293.20 ","$2,293.20 ",$974.20 ,"$1,656.20 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100015,64405,HC INJ ANES NERVE GREAT OCCIPITAL-BI,761,1 ,"$1,382.00 ",$995.04 ,$386.96 ,"$1,382.00 ","$1,006.96 ","$1,029.59 ",$905.21 ,$411.08 ,$386.96 ,$849.93 ,$411.08 ,$849.93 ,$411.08 ,$765.63 ,$765.63 ,$411.08 ,$765.63 ,$847.32 ,"$1,243.80 ","$1,147.06 ","$1,006.96 ",$411.08 ,"$1,216.16 ",$419.30 ,"$1,036.50 ","$1,036.50 ","$1,174.70 ","$1,174.70 ",$411.08 ,"$1,174.70 ",$411.08 ,"$1,119.42 ","$1,119.42 ","$1,119.42 ","$1,382.00 ","$1,243.80 ","$1,006.96 ","$1,243.80 ",$411.08 ,"$1,382.00 ",$775.30 ,$411.08 ,$572.15 ,$488.38 ,$466.18 ,$430.27 ,"$1,243.80 ",$909.04 ,$765.63 ,$386.96 ,"$1,243.80 ",$411.08 ,"$1,243.80 ","$1,243.80 ",$411.08 ,$898.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100016,64405,HC INJ ANES NERVE GREAT OCCIPITAL-LT,761,1 ,$921.00 ,$663.12 ,$257.88 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$325.59 ,$310.79 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100017,64405,HC INJ ANES NERVE GREAT OCCIPITAL-RT,761,1 ,$921.00 ,$663.12 ,$257.88 ,$921.00 ,$671.31 ,$686.15 ,$603.26 ,$274.06 ,$257.88 ,$566.42 ,$274.06 ,$566.42 ,$274.06 ,$510.23 ,$510.23 ,$274.06 ,$510.23 ,$564.88 ,$828.90 ,$764.43 ,$671.31 ,$274.06 ,$810.48 ,$279.54 ,$690.75 ,$690.75 ,$782.85 ,$782.85 ,$274.06 ,$782.85 ,$274.06 ,$746.01 ,$746.01 ,$746.01 ,$921.00 ,$828.90 ,$671.31 ,$828.90 ,$274.06 ,$921.00 ,$516.68 ,$274.06 ,$381.29 ,$325.59 ,$310.79 ,$286.85 ,$828.90 ,$606.03 ,$510.23 ,$257.88 ,$828.90 ,$274.06 ,$828.90 ,$828.90 ,$274.06 ,$598.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100018,G0260,HC INJ ARTHROGRAM SACROILIAC-BI,761,1 ,"$5,006.00 ","$3,604.32 ",$228.76 ,"$5,006.00 ","$1,590.90 ","$3,729.47 ","$3,278.93 ",$649.47 ,"$1,401.68 ","$3,078.69 ",$649.47 ,"$3,078.69 ",$649.47 ,"$2,773.32 ","$2,773.32 ",$649.47 ,"$2,773.32 ","$1,338.68 ","$4,505.40 ","$4,154.98 ","$1,590.90 ",$649.47 ,"$4,405.28 ",$662.45 ,"$3,754.50 ","$3,754.50 ","$4,255.10 ","$4,255.10 ",$649.47 ,"$4,255.10 ",$649.47 ,"$4,054.86 ","$4,054.86 ","$4,054.86 ","$5,006.00 ","$4,505.40 ","$1,590.90 ","$4,505.40 ",$649.47 ,"$5,006.00 ","$2,808.37 ",$649.47 ,"$2,072.48 ",$239.66 ,$228.76 ,$679.79 ,"$4,505.40 ","$1,436.20 ","$2,773.32 ","$1,401.68 ","$4,505.40 ",$649.47 ,"$4,505.40 ","$4,505.40 ",$649.47 ,"$3,253.90 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100019,G0260,HC INJ ARTHROGRAM SACROILIAC-LT,761,1 ,"$3,337.00 ","$2,402.64 ",$228.76 ,"$3,337.00 ","$1,590.90 ","$2,486.07 ","$2,185.74 ",$649.47 ,$934.36 ,"$2,052.26 ",$649.47 ,"$2,052.26 ",$649.47 ,"$1,848.70 ","$1,848.70 ",$649.47 ,"$1,848.70 ","$1,338.68 ","$3,003.30 ","$2,769.71 ","$1,590.90 ",$649.47 ,"$2,936.56 ",$662.45 ,"$2,502.75 ","$2,502.75 ","$2,836.45 ","$2,836.45 ",$649.47 ,"$2,836.45 ",$649.47 ,"$2,702.97 ","$2,702.97 ","$2,702.97 ","$3,337.00 ","$3,003.30 ","$1,590.90 ","$3,003.30 ",$649.47 ,"$3,337.00 ","$1,872.06 ",$649.47 ,"$1,381.52 ",$239.66 ,$228.76 ,$679.79 ,"$3,003.30 ","$1,436.20 ","$1,848.70 ",$934.36 ,"$3,003.30 ",$649.47 ,"$3,003.30 ","$3,003.30 ",$649.47 ,"$2,169.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100020,G0260,HC INJ ARTHROGRAM SACROILIAC-RT,761,1 ,"$3,337.00 ","$2,402.64 ",$228.76 ,"$3,337.00 ","$1,590.90 ","$2,486.07 ","$2,185.74 ",$649.47 ,$934.36 ,"$2,052.26 ",$649.47 ,"$2,052.26 ",$649.47 ,"$1,848.70 ","$1,848.70 ",$649.47 ,"$1,848.70 ","$1,338.68 ","$3,003.30 ","$2,769.71 ","$1,590.90 ",$649.47 ,"$2,936.56 ",$662.45 ,"$2,502.75 ","$2,502.75 ","$2,836.45 ","$2,836.45 ",$649.47 ,"$2,836.45 ",$649.47 ,"$2,702.97 ","$2,702.97 ","$2,702.97 ","$3,337.00 ","$3,003.30 ","$1,590.90 ","$3,003.30 ",$649.47 ,"$3,337.00 ","$1,872.06 ",$649.47 ,"$1,381.52 ",$239.66 ,$228.76 ,$679.79 ,"$3,003.30 ","$1,436.20 ","$1,848.70 ",$934.36 ,"$3,003.30 ",$649.47 ,"$3,003.30 ","$3,003.30 ",$649.47 ,"$2,169.05 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100021,64484,HC INJ EPID LUMBAR/SACRAL ADDL,761,1 ,"$3,382.00 ","$2,435.04 ",$563.65 ,"$3,382.00 ", N/A ,"$2,519.59 ","$2,215.21 ", N/A ,$946.96 ,"$2,079.93 ", N/A ,"$2,079.93 ", N/A ,"$1,873.63 ","$1,873.63 ", N/A ,"$1,873.63 ", N/A ,"$3,043.80 ","$2,807.06 ", N/A , N/A ,"$2,976.16 ", N/A ,"$2,536.50 ","$2,536.50 ","$2,874.70 ","$2,874.70 ", N/A ,"$2,874.70 ", N/A ,"$2,739.42 ","$2,739.42 ","$2,739.42 ","$3,382.00 ","$3,043.80 ", N/A ,"$3,043.80 ", N/A ,"$3,382.00 ","$1,897.30 ", N/A ,"$1,400.15 ",$590.49 ,$563.65 , N/A ,"$3,043.80 ", N/A ,"$1,873.63 ",$946.96 ,"$3,043.80 ", N/A ,"$3,043.80 ","$3,043.80 ", N/A ,"$2,198.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100022,64484,HC INJ EPID LUMBAR/SACRAL ADDL-LT,761,1 ,"$3,382.00 ","$2,435.04 ",$563.65 ,"$3,382.00 ", N/A ,"$2,519.59 ","$2,215.21 ", N/A ,$946.96 ,"$2,079.93 ", N/A ,"$2,079.93 ", N/A ,"$1,873.63 ","$1,873.63 ", N/A ,"$1,873.63 ", N/A ,"$3,043.80 ","$2,807.06 ", N/A , N/A ,"$2,976.16 ", N/A ,"$2,536.50 ","$2,536.50 ","$2,874.70 ","$2,874.70 ", N/A ,"$2,874.70 ", N/A ,"$2,739.42 ","$2,739.42 ","$2,739.42 ","$3,382.00 ","$3,043.80 ", N/A ,"$3,043.80 ", N/A ,"$3,382.00 ","$1,897.30 ", N/A ,"$1,400.15 ",$590.49 ,$563.65 , N/A ,"$3,043.80 ", N/A ,"$1,873.63 ",$946.96 ,"$3,043.80 ", N/A ,"$3,043.80 ","$3,043.80 ", N/A ,"$2,198.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100023,64484,HC INJ EPID LUMBAR/SACRAL ADDL-RT,761,1 ,"$3,382.00 ","$2,435.04 ",$563.65 ,"$3,382.00 ", N/A ,"$2,519.59 ","$2,215.21 ", N/A ,$946.96 ,"$2,079.93 ", N/A ,"$2,079.93 ", N/A ,"$1,873.63 ","$1,873.63 ", N/A ,"$1,873.63 ", N/A ,"$3,043.80 ","$2,807.06 ", N/A , N/A ,"$2,976.16 ", N/A ,"$2,536.50 ","$2,536.50 ","$2,874.70 ","$2,874.70 ", N/A ,"$2,874.70 ", N/A ,"$2,739.42 ","$2,739.42 ","$2,739.42 ","$3,382.00 ","$3,043.80 ", N/A ,"$3,043.80 ", N/A ,"$3,382.00 ","$1,897.30 ", N/A ,"$1,400.15 ",$590.49 ,$563.65 , N/A ,"$3,043.80 ", N/A ,"$1,873.63 ",$946.96 ,"$3,043.80 ", N/A ,"$3,043.80 ","$3,043.80 ", N/A ,"$2,198.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100024,64483,HC INJ EPID LUMBAR/SACRAL SGL-BI,761,1 ,"$6,670.00 ","$4,802.40 ",$845.48 ,"$6,670.00 ","$3,156.09 ","$4,969.15 ","$4,368.85 ","$1,288.44 ","$1,867.60 ","$4,102.05 ","$1,288.44 ","$4,102.05 ","$1,288.44 ","$3,695.18 ","$3,695.18 ","$1,288.44 ","$3,695.18 ","$2,655.73 ","$6,003.00 ","$5,536.10 ","$3,156.09 ","$1,288.44 ","$5,869.60 ","$1,314.20 ","$5,002.50 ","$5,002.50 ","$5,669.50 ","$5,669.50 ","$1,288.44 ","$5,669.50 ","$1,288.44 ","$5,402.70 ","$5,402.70 ","$5,402.70 ","$6,670.00 ","$6,003.00 ","$3,156.09 ","$6,003.00 ","$1,288.44 ","$6,670.00 ","$3,741.87 ","$1,288.44 ","$2,761.38 ",$885.74 ,$845.48 ,"$1,348.59 ","$6,003.00 ","$2,849.20 ","$3,695.18 ","$1,867.60 ","$6,003.00 ","$1,288.44 ","$6,003.00 ","$6,003.00 ","$1,288.44 ","$4,335.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100025,64483,HC INJ EPID LUMBAR/SACRAL SGL-LT,761,1 ,"$4,447.00 ","$3,201.84 ",$563.65 ,"$4,447.00 ","$2,104.06 ","$3,313.02 ","$2,912.79 ",$858.96 ,"$1,245.16 ","$2,734.91 ",$858.96 ,"$2,734.91 ",$858.96 ,"$2,463.64 ","$2,463.64 ",$858.96 ,"$2,463.64 ","$1,770.49 ","$4,002.30 ","$3,691.01 ","$2,104.06 ",$858.96 ,"$3,913.36 ",$876.14 ,"$3,335.25 ","$3,335.25 ","$3,779.95 ","$3,779.95 ",$858.96 ,"$3,779.95 ",$858.96 ,"$3,602.07 ","$3,602.07 ","$3,602.07 ","$4,447.00 ","$4,002.30 ","$2,104.06 ","$4,002.30 ",$858.96 ,"$4,447.00 ","$2,494.77 ",$858.96 ,"$1,841.06 ",$590.49 ,$563.65 ,$899.06 ,"$4,002.30 ","$1,899.47 ","$2,463.64 ","$1,245.16 ","$4,002.30 ",$858.96 ,"$4,002.30 ","$4,002.30 ",$858.96 ,"$2,890.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100026,64483,HC INJ EPID LUMBAR/SACRAL SGL-RT,761,1 ,"$4,447.00 ","$3,201.84 ",$563.65 ,"$4,447.00 ","$2,104.06 ","$3,313.02 ","$2,912.79 ",$858.96 ,"$1,245.16 ","$2,734.91 ",$858.96 ,"$2,734.91 ",$858.96 ,"$2,463.64 ","$2,463.64 ",$858.96 ,"$2,463.64 ","$1,770.49 ","$4,002.30 ","$3,691.01 ","$2,104.06 ",$858.96 ,"$3,913.36 ",$876.14 ,"$3,335.25 ","$3,335.25 ","$3,779.95 ","$3,779.95 ",$858.96 ,"$3,779.95 ",$858.96 ,"$3,602.07 ","$3,602.07 ","$3,602.07 ","$4,447.00 ","$4,002.30 ","$2,104.06 ","$4,002.30 ",$858.96 ,"$4,447.00 ","$2,494.77 ",$858.96 ,"$1,841.06 ",$590.49 ,$563.65 ,$899.06 ,"$4,002.30 ","$1,899.47 ","$2,463.64 ","$1,245.16 ","$4,002.30 ",$858.96 ,"$4,002.30 ","$4,002.30 ",$858.96 ,"$2,890.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100027,64479,HC INJ EPIDURAL CREV/THOR SGL-BI,761,1 ,"$6,853.00 ","$4,934.16 ",$845.48 ,"$6,853.00 ","$3,156.09 ","$5,105.49 ","$4,488.72 ","$1,288.44 ","$1,918.84 ","$4,214.60 ","$1,288.44 ","$4,214.60 ","$1,288.44 ","$3,796.56 ","$3,796.56 ","$1,288.44 ","$3,796.56 ","$2,655.73 ","$6,167.70 ","$5,687.99 ","$3,156.09 ","$1,288.44 ","$6,030.64 ","$1,314.20 ","$5,139.75 ","$5,139.75 ","$5,825.05 ","$5,825.05 ","$1,288.44 ","$5,825.05 ","$1,288.44 ","$5,550.93 ","$5,550.93 ","$5,550.93 ","$6,853.00 ","$6,167.70 ","$3,156.09 ","$6,167.70 ","$1,288.44 ","$6,853.00 ","$3,844.53 ","$1,288.44 ","$2,837.14 ",$885.74 ,$845.48 ,"$1,348.59 ","$6,167.70 ","$2,849.20 ","$3,796.56 ","$1,918.84 ","$6,167.70 ","$1,288.44 ","$6,167.70 ","$6,167.70 ","$1,288.44 ","$4,454.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100028,64479,HC INJ EPIDURAL CREV/THOR SGL-LT,761,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100030,64490,HC INJ PARAVERT F JNT C/T 1 LV-BI,761,1 ,"$6,853.00 ","$4,934.16 ",$845.48 ,"$6,853.00 ","$3,156.09 ","$5,105.49 ","$4,488.72 ","$1,288.44 ","$1,918.84 ","$4,214.60 ","$1,288.44 ","$4,214.60 ","$1,288.44 ","$3,796.56 ","$3,796.56 ","$1,288.44 ","$3,796.56 ","$2,655.73 ","$6,167.70 ","$5,687.99 ","$3,156.09 ","$1,288.44 ","$6,030.64 ","$1,314.20 ","$5,139.75 ","$5,139.75 ","$5,825.05 ","$5,825.05 ","$1,288.44 ","$5,825.05 ","$1,288.44 ","$5,550.93 ","$5,550.93 ","$5,550.93 ","$6,853.00 ","$6,167.70 ","$3,156.09 ","$6,167.70 ","$1,288.44 ","$6,853.00 ","$3,844.53 ","$1,288.44 ","$2,837.14 ",$885.74 ,$845.48 ,"$1,348.59 ","$6,167.70 ","$2,849.20 ","$3,796.56 ","$1,918.84 ","$6,167.70 ","$1,288.44 ","$6,167.70 ","$6,167.70 ","$1,288.44 ","$4,454.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100031,64490,HC INJ PARAVERT F JNT C/T 1 LV-LT,761,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100032,64490,HC INJ PARAVERT F JNT C/T 1 LV-RT,761,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100033,64491,HC INJ PARAVERT F JNT C/T 2 LV,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100034,64491,HC INJ PARAVERT F JNT C/T 2 LV-LT,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100035,64491,HC INJ PARAVERT F JNT C/T 2 LV-RT,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100036,64492,HC INJ PARAVERT F JNT C/T 3 LV,761,1 ,"$1,218.00 ",$876.96 ,$341.04 ,"$1,218.00 ", N/A ,$907.41 ,$797.79 , N/A ,$341.04 ,$749.07 , N/A ,$749.07 , N/A ,$674.77 ,$674.77 , N/A ,$674.77 , N/A ,"$1,096.20 ","$1,010.94 ", N/A , N/A ,"$1,071.84 ", N/A ,$913.50 ,$913.50 ,"$1,035.30 ","$1,035.30 ", N/A ,"$1,035.30 ", N/A ,$986.58 ,$986.58 ,$986.58 ,"$1,218.00 ","$1,096.20 ", N/A ,"$1,096.20 ", N/A ,"$1,218.00 ",$683.30 , N/A ,$504.25 ,$590.49 ,$563.65 , N/A ,"$1,096.20 ", N/A ,$674.77 ,$341.04 ,"$1,096.20 ", N/A ,"$1,096.20 ","$1,096.20 ", N/A ,$791.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100037,64492,HC INJ PARAVERT F JNT C/T 3 LV-LT,761,1 ,"$1,218.00 ",$876.96 ,$341.04 ,"$1,218.00 ", N/A ,$907.41 ,$797.79 , N/A ,$341.04 ,$749.07 , N/A ,$749.07 , N/A ,$674.77 ,$674.77 , N/A ,$674.77 , N/A ,"$1,096.20 ","$1,010.94 ", N/A , N/A ,"$1,071.84 ", N/A ,$913.50 ,$913.50 ,"$1,035.30 ","$1,035.30 ", N/A ,"$1,035.30 ", N/A ,$986.58 ,$986.58 ,$986.58 ,"$1,218.00 ","$1,096.20 ", N/A ,"$1,096.20 ", N/A ,"$1,218.00 ",$683.30 , N/A ,$504.25 ,$590.49 ,$563.65 , N/A ,"$1,096.20 ", N/A ,$674.77 ,$341.04 ,"$1,096.20 ", N/A ,"$1,096.20 ","$1,096.20 ", N/A ,$791.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100038,64492,HC INJ PARAVERT F JNT C/T 3 LV-RT,761,1 ,"$1,218.00 ",$876.96 ,$341.04 ,"$1,218.00 ", N/A ,$907.41 ,$797.79 , N/A ,$341.04 ,$749.07 , N/A ,$749.07 , N/A ,$674.77 ,$674.77 , N/A ,$674.77 , N/A ,"$1,096.20 ","$1,010.94 ", N/A , N/A ,"$1,071.84 ", N/A ,$913.50 ,$913.50 ,"$1,035.30 ","$1,035.30 ", N/A ,"$1,035.30 ", N/A ,$986.58 ,$986.58 ,$986.58 ,"$1,218.00 ","$1,096.20 ", N/A ,"$1,096.20 ", N/A ,"$1,218.00 ",$683.30 , N/A ,$504.25 ,$590.49 ,$563.65 , N/A ,"$1,096.20 ", N/A ,$674.77 ,$341.04 ,"$1,096.20 ", N/A ,"$1,096.20 ","$1,096.20 ", N/A ,$791.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100039,64493,HC INJ PARAVERT F JNT L/S 1 LV-BI,761,1 ,"$6,853.00 ","$4,934.16 ",$845.48 ,"$6,853.00 ","$3,156.09 ","$5,105.49 ","$4,488.72 ","$1,288.44 ","$1,918.84 ","$4,214.60 ","$1,288.44 ","$4,214.60 ","$1,288.44 ","$3,796.56 ","$3,796.56 ","$1,288.44 ","$3,796.56 ","$2,655.73 ","$6,167.70 ","$5,687.99 ","$3,156.09 ","$1,288.44 ","$6,030.64 ","$1,314.20 ","$5,139.75 ","$5,139.75 ","$5,825.05 ","$5,825.05 ","$1,288.44 ","$5,825.05 ","$1,288.44 ","$5,550.93 ","$5,550.93 ","$5,550.93 ","$6,853.00 ","$6,167.70 ","$3,156.09 ","$6,167.70 ","$1,288.44 ","$6,853.00 ","$3,844.53 ","$1,288.44 ","$2,837.14 ",$885.74 ,$845.48 ,"$1,348.59 ","$6,167.70 ","$2,849.20 ","$3,796.56 ","$1,918.84 ","$6,167.70 ","$1,288.44 ","$6,167.70 ","$6,167.70 ","$1,288.44 ","$4,454.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100040,64493,HC INJ PARAVERT F JNT L/S 1 LV-LT,761,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100041,64493,HC INJ PARAVERT F JNT L/S 1 LV-RT,761,1 ,"$4,569.00 ","$3,289.68 ",$563.65 ,"$4,569.00 ","$2,104.06 ","$3,403.91 ","$2,992.70 ",$858.96 ,"$1,279.32 ","$2,809.94 ",$858.96 ,"$2,809.94 ",$858.96 ,"$2,531.23 ","$2,531.23 ",$858.96 ,"$2,531.23 ","$1,770.49 ","$4,112.10 ","$3,792.27 ","$2,104.06 ",$858.96 ,"$4,020.72 ",$876.14 ,"$3,426.75 ","$3,426.75 ","$3,883.65 ","$3,883.65 ",$858.96 ,"$3,883.65 ",$858.96 ,"$3,700.89 ","$3,700.89 ","$3,700.89 ","$4,569.00 ","$4,112.10 ","$2,104.06 ","$4,112.10 ",$858.96 ,"$4,569.00 ","$2,563.21 ",$858.96 ,"$1,891.57 ",$590.49 ,$563.65 ,$899.06 ,"$4,112.10 ","$1,899.47 ","$2,531.23 ","$1,279.32 ","$4,112.10 ",$858.96 ,"$4,112.10 ","$4,112.10 ",$858.96 ,"$2,969.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100042,64494,HC INJ PARAVERT F JNT L/S 2 LV,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100043,64494,HC INJ PARAVERT F JNT L/S 2 LV-LT,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100044,64494,HC INJ PARAVERT F JNT L/S 2 LV-RT,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100045,64495,HC INJ PARAVRT F JNT L/S 3+ LV,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100046,64495,HC INJ PARAVRT F JNT L/S 3+ LV-LT,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100047,64495,HC INJ PARAVRT F JNT L/S 3+ LV-RT,761,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$1,412.00 ", N/A ,"$1,051.94 ",$924.86 , N/A ,$395.36 ,$868.38 , N/A ,$868.38 , N/A ,$782.25 ,$782.25 , N/A ,$782.25 , N/A ,"$1,270.80 ","$1,171.96 ", N/A , N/A ,"$1,242.56 ", N/A ,"$1,059.00 ","$1,059.00 ","$1,200.20 ","$1,200.20 ", N/A ,"$1,200.20 ", N/A ,"$1,143.72 ","$1,143.72 ","$1,143.72 ","$1,412.00 ","$1,270.80 ", N/A ,"$1,270.80 ", N/A ,"$1,412.00 ",$792.13 , N/A ,$584.57 ,$590.49 ,$563.65 , N/A ,"$1,270.80 ", N/A ,$782.25 ,$395.36 ,"$1,270.80 ", N/A ,"$1,270.80 ","$1,270.80 ", N/A ,$917.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$891.00 ,$641.52 ,$203.30 ,$891.00 ,$891.00 ,$663.80 ,$583.61 ,$376.04 ,$249.48 ,$547.97 ,$376.04 ,$547.97 ,$376.04 ,$493.61 ,$493.61 ,$376.04 ,$493.61 ,$775.09 ,$801.90 ,$739.53 ,$891.00 ,$376.04 ,$784.08 ,$383.55 ,$668.25 ,$668.25 ,$757.35 ,$757.35 ,$376.04 ,$757.35 ,$376.04 ,$721.71 ,$721.71 ,$721.71 ,$891.00 ,$801.90 ,$891.00 ,$801.90 ,$376.04 ,$891.00 ,$499.85 ,$376.04 ,$368.87 ,$212.98 ,$203.30 ,$393.60 ,$801.90 ,$831.55 ,$493.61 ,$249.48 ,$801.90 ,$376.04 ,$801.90 ,$801.90 ,$376.04 ,$579.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76100054,64999,HC GANGLION IMPAR BLOCK,761,1 ,"$6,369.00 ","$4,585.68 ",$274.06 ,"$6,369.00 ",$671.31 ,"$4,744.91 ","$4,171.70 ",$274.06 ,"$1,783.32 ","$3,916.94 ",$274.06 ,"$3,916.94 ",$274.06 ,"$3,528.43 ","$3,528.43 ",$274.06 ,"$3,528.43 ",$564.88 ,"$5,732.10 ","$5,286.27 ",$671.31 ,$274.06 ,"$5,604.72 ",$279.54 ,"$4,776.75 ","$4,776.75 ","$5,413.65 ","$5,413.65 ",$274.06 ,"$5,413.65 ",$274.06 ,"$5,158.89 ","$5,158.89 ","$5,158.89 ","$6,369.00 ","$5,732.10 ",$671.31 ,"$5,732.10 ",$274.06 ,"$6,369.00 ","$3,573.01 ",$274.06 ,"$2,636.77 ",$325.59 ,$310.79 ,$286.85 ,"$5,732.10 ",$606.03 ,"$3,528.43 ","$1,783.32 ","$5,732.10 ",$274.06 ,"$5,732.10 ","$5,732.10 ",$274.06 ,"$4,139.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,"$1,877.69 ","$1,351.94 ",$525.75 ,"$1,877.69 ", N/A ,"$1,398.88 ","$1,229.89 ", N/A ,$525.75 ,"$1,154.78 ", N/A ,"$1,154.78 ", N/A ,"$1,040.24 ","$1,040.24 ", N/A ,"$1,040.24 ", N/A ,"$1,689.92 ","$1,558.48 ", N/A , N/A ,"$1,652.37 ", N/A ,"$1,408.27 ","$1,408.27 ","$1,596.04 ","$1,596.04 ", N/A ,"$1,596.04 ", N/A ,"$1,520.93 ","$1,520.93 ","$1,520.93 ","$1,877.69 ","$1,689.92 ", N/A ,"$1,689.92 ", N/A ,"$1,877.69 ","$1,053.38 ", N/A ,$777.36 , N/A , N/A , N/A ,"$1,689.92 ", N/A ,"$1,040.24 ",$525.75 ,"$1,689.92 ", N/A ,"$1,689.92 ","$1,689.92 ", N/A ,"$1,220.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$85.49 ,$61.55 ,$23.94 ,$85.49 , N/A ,$63.69 ,$56.00 , N/A ,$23.94 ,$52.58 , N/A ,$52.58 , N/A ,$47.36 ,$47.36 , N/A ,$47.36 , N/A ,$76.94 ,$70.96 , N/A , N/A ,$75.23 , N/A ,$64.12 ,$64.12 ,$72.67 ,$72.67 , N/A ,$72.67 , N/A ,$69.25 ,$69.25 ,$69.25 ,$85.49 ,$76.94 , N/A ,$76.94 , N/A ,$85.49 ,$47.96 , N/A ,$35.39 , N/A , N/A , N/A ,$76.94 , N/A ,$47.36 ,$23.94 ,$76.94 , N/A ,$76.94 ,$76.94 , N/A ,$55.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76200020,G0378,HC OBSERVATION W/INTENSIVE CARE PER HR,762,1 ,$85.49 ,$61.55 ,$23.94 ,$85.49 , N/A ,$63.69 ,$56.00 , N/A ,$23.94 ,$52.58 , N/A ,$52.58 , N/A ,$47.36 ,$47.36 , N/A ,$47.36 , N/A ,$76.94 ,$70.96 , N/A , N/A ,$75.23 , N/A ,$64.12 ,$64.12 ,$72.67 ,$72.67 , N/A ,$72.67 , N/A ,$69.25 ,$69.25 ,$69.25 ,$85.49 ,$76.94 , N/A ,$76.94 , N/A ,$85.49 ,$47.96 , N/A ,$35.39 , N/A , N/A , N/A ,$76.94 , N/A ,$47.36 ,$23.94 ,$76.94 , N/A ,$76.94 ,$76.94 , N/A ,$55.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76200021,G0378,HC OBSERVATION W/INTERMEDIATE CARE PER HR,762,1 ,$85.49 ,$61.55 ,$23.94 ,$85.49 , N/A ,$63.69 ,$56.00 , N/A ,$23.94 ,$52.58 , N/A ,$52.58 , N/A ,$47.36 ,$47.36 , N/A ,$47.36 , N/A ,$76.94 ,$70.96 , N/A , N/A ,$75.23 , N/A ,$64.12 ,$64.12 ,$72.67 ,$72.67 , N/A ,$72.67 , N/A ,$69.25 ,$69.25 ,$69.25 ,$85.49 ,$76.94 , N/A ,$76.94 , N/A ,$85.49 ,$47.96 , N/A ,$35.39 , N/A , N/A , N/A ,$76.94 , N/A ,$47.36 ,$23.94 ,$76.94 , N/A ,$76.94 ,$76.94 , N/A ,$55.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),76200022,G0378,HC OBSERVATION W/TELEMETRY PER HR,762,1 ,$85.49 ,$61.55 ,$23.94 ,$85.49 , N/A ,$63.69 ,$56.00 , N/A ,$23.94 ,$52.58 , N/A ,$52.58 , N/A ,$47.36 ,$47.36 , N/A ,$47.36 , N/A ,$76.94 ,$70.96 , N/A , N/A ,$75.23 , N/A ,$64.12 ,$64.12 ,$72.67 ,$72.67 , N/A ,$72.67 , N/A ,$69.25 ,$69.25 ,$69.25 ,$85.49 ,$76.94 , N/A ,$76.94 , N/A ,$85.49 ,$47.96 , N/A ,$35.39 , N/A , N/A , N/A ,$76.94 , N/A ,$47.36 ,$23.94 ,$76.94 , N/A ,$76.94 ,$76.94 , N/A ,$55.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$132.00 ,$95.04 ,$36.96 ,$150.39 ,$132.00 ,$98.34 ,$86.46 ,$68.00 ,$36.96 ,$81.18 ,$68.00 ,$81.18 ,$68.00 ,$73.13 ,$73.13 ,$68.00 ,$73.13 ,$132.00 ,$118.80 ,$109.56 ,$132.00 ,$68.00 ,$116.16 ,$69.36 ,$99.00 ,$99.00 ,$112.20 ,$112.20 ,$68.00 ,$112.20 ,$68.00 ,$106.92 ,$106.92 ,$106.92 ,$132.00 ,$118.80 ,$132.00 ,$118.80 ,$68.00 ,$132.00 ,$74.05 ,$68.00 ,$54.65 , N/A , N/A ,$71.18 ,$118.80 ,$150.39 ,$73.13 ,$36.96 ,$118.80 ,$68.00 ,$118.80 ,$118.80 ,$68.00 ,$85.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$115.00 ,$82.80 ,$32.20 ,$115.00 , N/A ,$85.68 ,$75.33 , N/A ,$32.20 ,$70.73 , N/A ,$70.73 , N/A ,$63.71 ,$63.71 , N/A ,$63.71 , N/A ,$103.50 ,$95.45 , N/A , N/A ,$101.20 , N/A ,$86.25 ,$86.25 ,$97.75 ,$97.75 , N/A ,$97.75 , N/A ,$93.15 ,$93.15 ,$93.15 ,$115.00 ,$103.50 , N/A ,$103.50 , N/A ,$115.00 ,$64.52 , N/A ,$47.61 , N/A , N/A , N/A ,$103.50 , N/A ,$63.71 ,$32.20 ,$103.50 , N/A ,$103.50 ,$103.50 , N/A ,$74.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$126.00 ,$90.72 ,$35.28 ,$126.00 ,$104.61 ,$93.87 ,$82.53 ,$42.71 ,$35.28 ,$77.49 ,$42.71 ,$77.49 ,$42.71 ,$69.80 ,$69.80 ,$42.71 ,$69.80 ,$88.03 ,$113.40 ,$104.58 ,$104.61 ,$42.71 ,$110.88 ,$43.56 ,$94.50 ,$94.50 ,$107.10 ,$107.10 ,$42.71 ,$107.10 ,$42.71 ,$102.06 ,$102.06 ,$102.06 ,$126.00 ,$113.40 ,$104.61 ,$113.40 ,$42.71 ,$126.00 ,$70.69 ,$42.71 ,$52.16 , N/A , N/A ,$44.70 ,$113.40 ,$94.44 ,$69.80 ,$35.28 ,$113.40 ,$42.71 ,$113.40 ,$113.40 ,$42.71 ,$81.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$126.00 ,$90.72 ,$35.28 ,$126.00 ,$104.61 ,$93.87 ,$82.53 ,$42.71 ,$35.28 ,$77.49 ,$42.71 ,$77.49 ,$42.71 ,$69.80 ,$69.80 ,$42.71 ,$69.80 ,$88.03 ,$113.40 ,$104.58 ,$104.61 ,$42.71 ,$110.88 ,$43.56 ,$94.50 ,$94.50 ,$107.10 ,$107.10 ,$42.71 ,$107.10 ,$42.71 ,$102.06 ,$102.06 ,$102.06 ,$126.00 ,$113.40 ,$104.61 ,$113.40 ,$42.71 ,$126.00 ,$70.69 ,$42.71 ,$52.16 , N/A , N/A ,$44.70 ,$113.40 ,$94.44 ,$69.80 ,$35.28 ,$113.40 ,$42.71 ,$113.40 ,$113.40 ,$42.71 ,$81.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$126.00 ,$90.72 ,$35.28 ,$126.00 ,$104.61 ,$93.87 ,$82.53 ,$42.71 ,$35.28 ,$77.49 ,$42.71 ,$77.49 ,$42.71 ,$69.80 ,$69.80 ,$42.71 ,$69.80 ,$88.03 ,$113.40 ,$104.58 ,$104.61 ,$42.71 ,$110.88 ,$43.56 ,$94.50 ,$94.50 ,$107.10 ,$107.10 ,$42.71 ,$107.10 ,$42.71 ,$102.06 ,$102.06 ,$102.06 ,$126.00 ,$113.40 ,$104.61 ,$113.40 ,$42.71 ,$126.00 ,$70.69 ,$42.71 ,$52.16 , N/A , N/A ,$44.70 ,$113.40 ,$94.44 ,$69.80 ,$35.28 ,$113.40 ,$42.71 ,$113.40 ,$113.40 ,$42.71 ,$81.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100009,0001A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100010,0002A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100011,0011A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100012,0012A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5M SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100013,0021A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 , N/A ,$89.40 ,$78.60 , N/A ,$33.60 ,$73.80 , N/A ,$73.80 , N/A ,$66.48 ,$66.48 , N/A ,$66.48 , N/A ,$108.00 ,$99.60 , N/A , N/A ,$105.60 , N/A ,$90.00 ,$90.00 ,$102.00 ,$102.00 , N/A ,$102.00 , N/A ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 , N/A ,$108.00 , N/A ,$120.00 ,$67.32 , N/A ,$49.68 , N/A , N/A , N/A ,$108.00 , N/A ,$66.48 ,$33.60 ,$108.00 , N/A ,$108.00 ,$108.00 , N/A ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100014,0022A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 , N/A ,$89.40 ,$78.60 , N/A ,$33.60 ,$73.80 , N/A ,$73.80 , N/A ,$66.48 ,$66.48 , N/A ,$66.48 , N/A ,$108.00 ,$99.60 , N/A , N/A ,$105.60 , N/A ,$90.00 ,$90.00 ,$102.00 ,$102.00 , N/A ,$102.00 , N/A ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 , N/A ,$108.00 , N/A ,$120.00 ,$67.32 , N/A ,$49.68 , N/A , N/A , N/A ,$108.00 , N/A ,$66.48 ,$33.60 ,$108.00 , N/A ,$108.00 ,$108.00 , N/A ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100015,0031A,HC ADMINISTRATION SARS-COV-2 VACCINE AD26 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100016,0041A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100017,0042A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100018,0003A,HC ADM SARSCOV2 30MCG/0.3ML 3RD - PFIZER,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100019,0013A,HC ADM SARSCOV2 100MCG/0.5ML 3RD - MODERNA,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100020,0051A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, FIRST DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100021,0052A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, SECOND DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100022,0053A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, THIRD DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100023,0004A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, DILUENT RECONSTITUTED, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100024,0054A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100026,0071A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, FIRST DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100027,0072A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, SECOND DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100028,0034A,"HC ADMIN SARS-COV-2 VACCINE JOHNSON  AND  JOHNSON, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100031,M0222,HC INTRAVENOUS INJECTION BEBTELOVIMAB ADMINISTRATION,260,1 ,$120.00 ,$86.40 ,$33.60 ,$781.25 ,$120.00 ,$89.40 ,$78.60 ,$117.60 ,$33.60 ,$73.80 ,$117.60 ,$73.80 ,$117.60 ,$66.48 ,$66.48 ,$117.60 ,$66.48 ,$120.00 ,$108.00 ,$99.60 ,$120.00 ,$117.60 ,$105.60 ,$119.95 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$117.60 ,$102.00 ,$117.60 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$120.00 ,$108.00 ,$117.60 ,$120.00 ,$67.32 ,$117.60 ,$49.68 , N/A , N/A ,$117.60 ,$108.00 ,$781.25 ,$66.48 ,$33.60 ,$108.00 ,$117.60 ,$108.00 ,$108.00 ,$117.60 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100036,0134A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 50MCG/0.5ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100037,0144A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 25MCG/0.25ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100038,0124A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 30MCG/0.3ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),77100039,0154A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 10MCG/0.2ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$102.51 ,$89.40 ,$78.60 ,$41.85 ,$33.60 ,$73.80 ,$41.85 ,$73.80 ,$41.85 ,$66.48 ,$66.48 ,$41.85 ,$66.48 ,$86.26 ,$108.00 ,$99.60 ,$102.51 ,$41.85 ,$105.60 ,$42.68 ,$90.00 ,$90.00 ,$102.00 ,$102.00 ,$41.85 ,$102.00 ,$41.85 ,$97.20 ,$97.20 ,$97.20 ,$120.00 ,$108.00 ,$102.51 ,$108.00 ,$41.85 ,$120.00 ,$67.32 ,$41.85 ,$49.68 , N/A , N/A ,$43.81 ,$108.00 ,$92.55 ,$66.48 ,$33.60 ,$108.00 ,$41.85 ,$108.00 ,$108.00 ,$41.85 ,$78.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$92.00 ,$66.24 ,$10.32 ,$92.00 ,$71.60 ,$68.54 ,$60.26 ,$28.07 ,$25.76 ,$56.58 ,$28.07 ,$56.58 ,$28.07 ,$50.97 ,$50.97 ,$28.07 ,$50.97 ,$57.85 ,$82.80 ,$76.36 ,$71.60 ,$28.07 ,$80.96 ,$28.63 ,$69.00 ,$69.00 ,$78.20 ,$78.20 ,$28.07 ,$78.20 ,$28.07 ,$74.52 ,$74.52 ,$74.52 ,$92.00 ,$82.80 ,$71.60 ,$82.80 ,$28.07 ,$92.00 ,$51.61 ,$28.07 ,$38.09 ,$10.81 ,$10.32 ,$29.47 ,$82.80 ,$64.44 ,$50.97 ,$25.76 ,$82.80 ,$28.07 ,$82.80 ,$82.80 ,$28.07 ,$59.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000085,99202,PC CLINIC VISIT LIMITED NEW- 95,961,1 ,$152.57 ,$109.85 ,$42.72 ,$152.57 , N/A ,$113.66 ,$99.93 , N/A ,$42.72 ,$93.83 , N/A ,$93.83 , N/A ,$84.52 ,$84.52 , N/A ,$84.52 , N/A ,$137.31 ,$126.63 , N/A , N/A ,$134.26 , N/A ,$114.43 ,$114.43 ,$129.68 ,$129.68 , N/A ,$129.68 , N/A ,$123.58 ,$123.58 ,$123.58 ,$152.57 ,$137.31 , N/A ,$137.31 , N/A ,$76.98 ,$85.59 , N/A ,$70.27 ,$104.08 ,$99.35 , N/A ,$137.31 , N/A ,$84.52 ,$42.72 ,$137.31 , N/A , N/A , N/A , N/A ,$99.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000086,99203,PC CLINIC VISIT INTERM NEW - 95,961,1 ,$233.45 ,$168.08 ,$65.37 ,$233.45 , N/A ,$173.92 ,$152.91 , N/A ,$65.37 ,$143.57 , N/A ,$143.57 , N/A ,$129.33 ,$129.33 , N/A ,$129.33 , N/A ,$210.11 ,$193.76 , N/A , N/A ,$205.44 , N/A ,$175.09 ,$175.09 ,$198.43 ,$198.43 , N/A ,$198.43 , N/A ,$189.09 ,$189.09 ,$189.09 ,$233.45 ,$210.11 , N/A ,$210.11 , N/A ,$120.52 ,$130.97 , N/A ,$105.21 ,$104.08 ,$99.35 , N/A ,$210.11 , N/A ,$129.33 ,$65.37 ,$210.11 , N/A , N/A , N/A , N/A ,$151.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000087,99204,PC CLINIC VISIT COMPLEX NEW - 95,961,1 ,$315.11 ,$226.88 ,$88.23 ,$315.11 , N/A ,$234.76 ,$206.40 , N/A ,$88.23 ,$193.79 , N/A ,$193.79 , N/A ,$174.57 ,$174.57 , N/A ,$174.57 , N/A ,$283.60 ,$261.54 , N/A , N/A ,$277.30 , N/A ,$236.33 ,$236.33 ,$267.84 ,$267.84 , N/A ,$267.84 , N/A ,$255.24 ,$255.24 ,$255.24 ,$315.11 ,$283.60 , N/A ,$283.60 , N/A ,$177.92 ,$176.78 , N/A ,$179.90 ,$104.08 ,$99.35 , N/A ,$283.60 , N/A ,$174.57 ,$88.23 ,$283.60 , N/A , N/A , N/A , N/A ,$204.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000088,99205,PC CLINIC VISIT COMPREH NEW - 95,961,1 ,$414.00 ,$298.08 ,$99.35 ,$414.00 , N/A ,$308.43 ,$271.17 , N/A ,$115.92 ,$254.61 , N/A ,$254.61 , N/A ,$229.36 ,$229.36 , N/A ,$229.36 , N/A ,$372.60 ,$343.62 , N/A , N/A ,$364.32 , N/A ,$310.50 ,$310.50 ,$351.90 ,$351.90 , N/A ,$351.90 , N/A ,$335.34 ,$335.34 ,$335.34 ,$414.00 ,$372.60 , N/A ,$372.60 , N/A ,$234.97 ,$232.25 , N/A ,$234.84 ,$104.08 ,$99.35 , N/A ,$372.60 , N/A ,$229.36 ,$115.92 ,$372.60 , N/A , N/A , N/A , N/A ,$269.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000089,99211,PC CLINIC VISIT BRIEF ESTAB - 95,961,1 ,$52.90 ,$38.09 ,$12.73 ,$52.90 , N/A ,$39.41 ,$34.65 , N/A ,$14.81 ,$32.53 , N/A ,$32.53 , N/A ,$29.31 ,$29.31 , N/A ,$29.31 , N/A ,$47.61 ,$43.91 , N/A , N/A ,$46.55 , N/A ,$39.68 ,$39.68 ,$44.97 ,$44.97 , N/A ,$44.97 , N/A ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 , N/A ,$47.61 , N/A ,$52.90 ,$29.68 , N/A ,$12.73 ,$52.90 ,$52.90 , N/A ,$47.61 , N/A ,$29.31 ,$14.81 ,$47.61 , N/A , N/A , N/A , N/A ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000090,99212,PC CLINIC VISIT LIMITED ESTAB - 95,961,1 ,$112.70 ,$81.14 ,$31.56 ,$112.70 , N/A ,$83.96 ,$73.82 , N/A ,$31.56 ,$69.31 , N/A ,$69.31 , N/A ,$62.44 ,$62.44 , N/A ,$62.44 , N/A ,$101.43 ,$93.54 , N/A , N/A ,$99.18 , N/A ,$84.53 ,$84.53 ,$95.80 ,$95.80 , N/A ,$95.80 , N/A ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 , N/A ,$101.43 , N/A ,$60.09 ,$63.22 , N/A ,$35.95 ,$104.08 ,$99.35 , N/A ,$101.43 , N/A ,$62.44 ,$31.56 ,$101.43 , N/A , N/A , N/A , N/A ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000091,99213,PC CLINIC VISIT INTERM ESTAB - 95,961,1 ,$186.30 ,$134.14 ,$52.16 ,$186.30 , N/A ,$138.79 ,$122.03 , N/A ,$52.16 ,$114.57 , N/A ,$114.57 , N/A ,$103.21 ,$103.21 , N/A ,$103.21 , N/A ,$167.67 ,$154.63 , N/A , N/A ,$163.94 , N/A ,$139.73 ,$139.73 ,$158.36 ,$158.36 , N/A ,$158.36 , N/A ,$150.90 ,$150.90 ,$150.90 ,$186.30 ,$167.67 , N/A ,$167.67 , N/A ,$95.85 ,$104.51 , N/A ,$71.20 ,$104.08 ,$99.35 , N/A ,$167.67 , N/A ,$103.21 ,$52.16 ,$167.67 , N/A , N/A , N/A , N/A ,$121.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000092,99214,PC CLINIC VISIT COMPLEX ESTAB - 95,961,1 ,$278.30 ,$200.38 ,$77.92 ,$278.30 , N/A ,$207.33 ,$182.29 , N/A ,$77.92 ,$171.15 , N/A ,$171.15 , N/A ,$154.18 ,$154.18 , N/A ,$154.18 , N/A ,$250.47 ,$230.99 , N/A , N/A ,$244.90 , N/A ,$208.73 ,$208.73 ,$236.56 ,$236.56 , N/A ,$236.56 , N/A ,$225.42 ,$225.42 ,$225.42 ,$278.30 ,$250.47 , N/A ,$250.47 , N/A ,$278.30 ,$156.13 , N/A ,$109.36 ,$104.08 ,$99.35 , N/A ,$250.47 , N/A ,$154.18 ,$77.92 ,$250.47 , N/A , N/A , N/A , N/A ,$180.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000093,99215,PC CLINIC VISIT COMPREH ESTAB - 95,983,1 ,$334.92 ,$241.14 ,$93.78 ,$334.92 , N/A ,$249.52 ,$219.37 , N/A ,$93.78 ,$205.98 , N/A ,$205.98 , N/A ,$185.55 ,$185.55 , N/A ,$185.55 , N/A ,$301.43 ,$277.98 , N/A , N/A ,$294.73 , N/A ,$251.19 ,$251.19 ,$284.68 ,$284.68 , N/A ,$284.68 , N/A ,$271.29 ,$271.29 ,$271.29 ,$334.92 ,$301.43 , N/A ,$301.43 , N/A ,$334.92 ,$187.89 , N/A ,$154.37 ,$104.08 ,$99.35 , N/A ,$301.43 , N/A ,$185.55 ,$93.78 ,$301.43 , N/A , N/A , N/A , N/A ,$217.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000098,99221,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 1 LOW 40MIN - 95,960,1 ,$312.00 ,$224.64 ,$87.36 ,$312.00 , N/A ,$232.44 ,$204.36 , N/A ,$87.36 ,$191.88 , N/A ,$191.88 , N/A ,$172.85 ,$172.85 , N/A ,$172.85 , N/A ,$280.80 ,$258.96 , N/A , N/A ,$274.56 , N/A ,$234.00 ,$234.00 ,$265.20 ,$265.20 , N/A ,$265.20 , N/A ,$252.72 ,$252.72 ,$252.72 ,$312.00 ,$280.80 , N/A ,$280.80 , N/A ,$312.00 ,$175.03 , N/A ,$141.83 , N/A , N/A , N/A ,$280.80 , N/A ,$172.85 ,$87.36 ,$280.80 , N/A , N/A , N/A , N/A ,$202.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000099,99222,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 2 MODERATE 55 MIN -95,960,1 ,$415.00 ,$298.80 ,$116.20 ,$415.00 , N/A ,$309.18 ,$271.83 , N/A ,$116.20 ,$255.23 , N/A ,$255.23 , N/A ,$229.91 ,$229.91 , N/A ,$229.91 , N/A ,$373.50 ,$344.45 , N/A , N/A ,$365.20 , N/A ,$311.25 ,$311.25 ,$352.75 ,$352.75 , N/A ,$352.75 , N/A ,$336.15 ,$336.15 ,$336.15 ,$415.00 ,$373.50 , N/A ,$373.50 , N/A ,$415.00 ,$232.82 , N/A ,$191.13 , N/A , N/A , N/A ,$373.50 , N/A ,$229.91 ,$116.20 ,$373.50 , N/A , N/A , N/A , N/A ,$269.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000100,99223,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 3 HIGH 75 MIN -95,960,1 ,$605.00 ,$435.60 ,$169.40 ,$605.00 , N/A ,$450.73 ,$396.28 , N/A ,$169.40 ,$372.08 , N/A ,$372.08 , N/A ,$335.17 ,$335.17 , N/A ,$335.17 , N/A ,$544.50 ,$502.15 , N/A , N/A ,$532.40 , N/A ,$453.75 ,$453.75 ,$514.25 ,$514.25 , N/A ,$514.25 , N/A ,$490.05 ,$490.05 ,$490.05 ,$605.00 ,$544.50 , N/A ,$544.50 , N/A ,$605.00 ,$339.41 , N/A ,$280.08 , N/A , N/A , N/A ,$544.50 , N/A ,$335.17 ,$169.40 ,$544.50 , N/A , N/A , N/A , N/A ,$393.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000104,99231,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE  LVL 1 LOW 25 MIN - 95,960,1 ,$117.00 ,$84.24 ,$32.76 ,$117.00 , N/A ,$87.17 ,$76.64 , N/A ,$32.76 ,$71.96 , N/A ,$71.96 , N/A ,$64.82 ,$64.82 , N/A ,$64.82 , N/A ,$105.30 ,$97.11 , N/A , N/A ,$102.96 , N/A ,$87.75 ,$87.75 ,$99.45 ,$99.45 , N/A ,$99.45 , N/A ,$94.77 ,$94.77 ,$94.77 ,$117.00 ,$105.30 , N/A ,$105.30 , N/A ,$117.00 ,$65.64 , N/A ,$54.56 , N/A , N/A , N/A ,$105.30 , N/A ,$64.82 ,$32.76 ,$105.30 , N/A , N/A , N/A , N/A ,$76.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000105,99232,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE  LVL 2 MODERATE 35 MIN - 95,960,1 ,$216.00 ,$155.52 ,$60.48 ,$216.00 , N/A ,$160.92 ,$141.48 , N/A ,$60.48 ,$132.84 , N/A ,$132.84 , N/A ,$119.66 ,$119.66 , N/A ,$119.66 , N/A ,$194.40 ,$179.28 , N/A , N/A ,$190.08 , N/A ,$162.00 ,$162.00 ,$183.60 ,$183.60 , N/A ,$183.60 , N/A ,$174.96 ,$174.96 ,$174.96 ,$216.00 ,$194.40 , N/A ,$194.40 , N/A ,$216.00 ,$121.18 , N/A ,$99.97 , N/A , N/A , N/A ,$194.40 , N/A ,$119.66 ,$60.48 ,$194.40 , N/A , N/A , N/A , N/A ,$140.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000106,99233,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE  LVL 3 HIGH 50 MIN - 95,960,1 ,$315.00 ,$226.80 ,$88.20 ,$315.00 , N/A ,$234.68 ,$206.33 , N/A ,$88.20 ,$193.73 , N/A ,$193.73 , N/A ,$174.51 ,$174.51 , N/A ,$174.51 , N/A ,$283.50 ,$261.45 , N/A , N/A ,$277.20 , N/A ,$236.25 ,$236.25 ,$267.75 ,$267.75 , N/A ,$267.75 , N/A ,$255.15 ,$255.15 ,$255.15 ,$315.00 ,$283.50 , N/A ,$283.50 , N/A ,$315.00 ,$176.72 , N/A ,$144.07 , N/A , N/A , N/A ,$283.50 , N/A ,$174.51 ,$88.20 ,$283.50 , N/A , N/A , N/A , N/A ,$204.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000107,99234,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE LOW 45 MIN- 95,960,1 ,$323.00 ,$232.56 ,$90.44 ,$323.00 , N/A ,$240.64 ,$211.57 , N/A ,$90.44 ,$198.65 , N/A ,$198.65 , N/A ,$178.94 ,$178.94 , N/A ,$178.94 , N/A ,$290.70 ,$268.09 , N/A , N/A ,$284.24 , N/A ,$242.25 ,$242.25 ,$274.55 ,$274.55 , N/A ,$274.55 , N/A ,$261.63 ,$261.63 ,$261.63 ,$323.00 ,$290.70 , N/A ,$290.70 , N/A ,$323.00 ,$181.20 , N/A ,$185.32 ,$104.08 ,$99.35 , N/A ,$290.70 , N/A ,$178.94 ,$90.44 ,$290.70 , N/A , N/A , N/A , N/A ,$209.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000108,99235,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE MODERATE 70 MIN-95,960,1 ,$505.00 ,$363.60 ,$99.35 ,$505.00 , N/A ,$376.23 ,$330.78 , N/A ,$141.40 ,$310.58 , N/A ,$310.58 , N/A ,$279.77 ,$279.77 , N/A ,$279.77 , N/A ,$454.50 ,$419.15 , N/A , N/A ,$444.40 , N/A ,$378.75 ,$378.75 ,$429.25 ,$429.25 , N/A ,$429.25 , N/A ,$409.05 ,$409.05 ,$409.05 ,$505.00 ,$454.50 , N/A ,$454.50 , N/A ,$505.00 ,$283.31 , N/A ,$233.98 ,$104.08 ,$99.35 , N/A ,$454.50 , N/A ,$279.77 ,$141.40 ,$454.50 , N/A , N/A , N/A , N/A ,$328.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000109,99236,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE HIGH 85 MIN-95,960,1 ,$565.00 ,$406.80 ,$99.35 ,$565.00 , N/A ,$420.93 ,$370.08 , N/A ,$158.20 ,$347.48 , N/A ,$347.48 , N/A ,$313.01 ,$313.01 , N/A ,$313.01 , N/A ,$508.50 ,$468.95 , N/A , N/A ,$497.20 , N/A ,$423.75 ,$423.75 ,$480.25 ,$480.25 , N/A ,$480.25 , N/A ,$457.65 ,$457.65 ,$457.65 ,$565.00 ,$508.50 , N/A ,$508.50 , N/A ,$565.00 ,$316.97 , N/A ,$301.36 ,$104.08 ,$99.35 , N/A ,$508.50 , N/A ,$313.01 ,$158.20 ,$508.50 , N/A , N/A , N/A , N/A ,$367.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000110,99238,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY <31MIN- 95,960,1 ,$654.00 ,$470.88 ,$100.42 ,$654.00 , N/A ,$487.23 ,$428.37 , N/A ,$183.12 ,$402.21 , N/A ,$402.21 , N/A ,$362.32 ,$362.32 , N/A ,$362.32 , N/A ,$588.60 ,$542.82 , N/A , N/A ,$575.52 , N/A ,$490.50 ,$490.50 ,$555.90 ,$555.90 , N/A ,$555.90 , N/A ,$529.74 ,$529.74 ,$529.74 ,$654.00 ,$588.60 , N/A ,$588.60 , N/A ,$654.00 ,$366.89 , N/A ,$100.42 , N/A , N/A , N/A ,$588.60 , N/A ,$362.32 ,$183.12 ,$588.60 , N/A , N/A , N/A , N/A ,$425.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000111,99239,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY >30MIN- 95,960,1 ,$654.00 ,$470.88 ,$147.15 ,$654.00 , N/A ,$487.23 ,$428.37 , N/A ,$183.12 ,$402.21 , N/A ,$402.21 , N/A ,$362.32 ,$362.32 , N/A ,$362.32 , N/A ,$588.60 ,$542.82 , N/A , N/A ,$575.52 , N/A ,$490.50 ,$490.50 ,$555.90 ,$555.90 , N/A ,$555.90 , N/A ,$529.74 ,$529.74 ,$529.74 ,$654.00 ,$588.60 , N/A ,$588.60 , N/A ,$654.00 ,$366.89 , N/A ,$147.15 , N/A , N/A , N/A ,$588.60 , N/A ,$362.32 ,$183.12 ,$588.60 , N/A , N/A , N/A , N/A ,$425.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000149,99468,PC TELEHEALTH INIT HOSP INP CRIT CARE NEONATE < 28 DAYS - 95,960,1 ,"$3,000.00 ","$2,160.00 ",$840.00 ,"$3,000.00 ", N/A ,"$2,235.00 ","$1,965.00 ", N/A ,$840.00 ,"$1,845.00 ", N/A ,"$1,845.00 ", N/A ,"$1,662.00 ","$1,662.00 ", N/A ,"$1,662.00 ", N/A ,"$2,700.00 ","$2,490.00 ", N/A , N/A ,"$2,640.00 ", N/A ,"$2,250.00 ","$2,250.00 ","$2,550.00 ","$2,550.00 ", N/A ,"$2,550.00 ", N/A ,"$2,430.00 ","$2,430.00 ","$2,430.00 ","$3,000.00 ","$2,700.00 ", N/A ,"$2,700.00 ", N/A ,"$3,000.00 ","$1,683.00 ", N/A ,"$1,276.79 ", N/A , N/A , N/A ,"$2,700.00 ", N/A ,"$1,662.00 ",$840.00 ,"$2,700.00 ", N/A , N/A , N/A , N/A ,"$1,950.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000150,99469,PC TELEHEALTH SUBSQ HOSP INP CRIT CARE NEONATE < 28 DAYS - 95,960,1 ,"$1,203.00 ",$866.16 ,$336.84 ,"$1,203.00 ", N/A ,$896.24 ,$787.97 , N/A ,$336.84 ,$739.85 , N/A ,$739.85 , N/A ,$666.46 ,$666.46 , N/A ,$666.46 , N/A ,"$1,082.70 ",$998.49 , N/A , N/A ,"$1,058.64 ", N/A ,$902.25 ,$902.25 ,"$1,022.55 ","$1,022.55 ", N/A ,"$1,022.55 ", N/A ,$974.43 ,$974.43 ,$974.43 ,"$1,203.00 ","$1,082.70 ", N/A ,"$1,082.70 ", N/A ,"$1,203.00 ",$674.88 , N/A ,$552.85 , N/A , N/A , N/A ,"$1,082.70 ", N/A ,$666.46 ,$336.84 ,"$1,082.70 ", N/A , N/A , N/A , N/A ,$781.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000176,G0425,PC TELEHEALTH ED/IP CONSULT 30 MIN - 95,960,1 ,$350.00 ,$252.00 ,$98.00 ,$350.00 , N/A ,$260.75 ,$229.25 , N/A ,$98.00 ,$215.25 , N/A ,$215.25 , N/A ,$193.90 ,$193.90 , N/A ,$193.90 , N/A ,$315.00 ,$290.50 , N/A , N/A ,$308.00 , N/A ,$262.50 ,$262.50 ,$297.50 ,$297.50 , N/A ,$297.50 , N/A ,$283.50 ,$283.50 ,$283.50 ,$350.00 ,$315.00 , N/A ,$315.00 , N/A ,$350.00 ,$196.35 , N/A ,$198.87 ,$104.08 ,$99.35 , N/A ,$315.00 , N/A ,$193.90 ,$98.00 ,$315.00 , N/A , N/A , N/A , N/A ,$227.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000177,G0426,PC TELEHEALTH ED/IP CONSULT 50 MIN - 95,960,1 ,$450.00 ,$324.00 ,$99.35 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$269.77 ,$104.08 ,$99.35 , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A , N/A , N/A , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000178,G0427,PC TELEHEALTH ED/IP CONSULT 70 MIN - 95,960,1 ,$550.00 ,$396.00 ,$99.35 ,$550.00 , N/A ,$409.75 ,$360.25 , N/A ,$154.00 ,$338.25 , N/A ,$338.25 , N/A ,$304.70 ,$304.70 , N/A ,$304.70 , N/A ,$495.00 ,$456.50 , N/A , N/A ,$484.00 , N/A ,$412.50 ,$412.50 ,$467.50 ,$467.50 , N/A ,$467.50 , N/A ,$445.50 ,$445.50 ,$445.50 ,$550.00 ,$495.00 , N/A ,$495.00 , N/A ,$550.00 ,$308.55 , N/A ,$400.27 ,$104.08 ,$99.35 , N/A ,$495.00 , N/A ,$304.70 ,$154.00 ,$495.00 , N/A , N/A , N/A , N/A ,$357.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000191,G0508,PC TELEHEALTH CRITICAL CARE CONSULT 60 MIN - 95,960,1 ,$650.00 ,$468.00 ,$99.35 ,$650.00 , N/A ,$484.25 ,$425.75 , N/A ,$182.00 ,$399.75 , N/A ,$399.75 , N/A ,$360.10 ,$360.10 , N/A ,$360.10 , N/A ,$585.00 ,$539.50 , N/A , N/A ,$572.00 , N/A ,$487.50 ,$487.50 ,$552.50 ,$552.50 , N/A ,$552.50 , N/A ,$526.50 ,$526.50 ,$526.50 ,$650.00 ,$585.00 , N/A ,$585.00 , N/A ,$650.00 ,$364.65 , N/A ,$419.54 ,$104.08 ,$99.35 , N/A ,$585.00 , N/A ,$360.10 ,$182.00 ,$585.00 , N/A , N/A , N/A , N/A ,$422.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000192,G0509,PC TELEHEALTH CRITICAL CARE CONSULT 50 MIN - 95,960,1 ,$650.00 ,$468.00 ,$99.35 ,$650.00 , N/A ,$484.25 ,$425.75 , N/A ,$182.00 ,$399.75 , N/A ,$399.75 , N/A ,$360.10 ,$360.10 , N/A ,$360.10 , N/A ,$585.00 ,$539.50 , N/A , N/A ,$572.00 , N/A ,$487.50 ,$487.50 ,$552.50 ,$552.50 , N/A ,$552.50 , N/A ,$526.50 ,$526.50 ,$526.50 ,$650.00 ,$585.00 , N/A ,$585.00 , N/A ,$650.00 ,$364.65 , N/A ,$388.37 ,$104.08 ,$99.35 , N/A ,$585.00 , N/A ,$360.10 ,$182.00 ,$585.00 , N/A , N/A , N/A , N/A ,$422.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000224,G0425,PC TELEHEALTH STROKE ED/IP CONSULT 30 MIN - G0,960,1 ,$350.00 ,$252.00 ,$98.00 ,$350.00 , N/A ,$260.75 ,$229.25 , N/A ,$98.00 ,$215.25 , N/A ,$215.25 , N/A ,$193.90 ,$193.90 , N/A ,$193.90 , N/A ,$315.00 ,$290.50 , N/A , N/A ,$308.00 , N/A ,$262.50 ,$262.50 ,$297.50 ,$297.50 , N/A ,$297.50 , N/A ,$283.50 ,$283.50 ,$283.50 ,$350.00 ,$315.00 , N/A ,$315.00 , N/A ,$350.00 ,$196.35 , N/A ,$198.87 ,$104.08 ,$99.35 , N/A ,$315.00 , N/A ,$193.90 ,$98.00 ,$315.00 , N/A , N/A , N/A , N/A ,$227.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000225,G0426,PC TELEHEALTH STROKE ED/IP CONSULT 50 MIN - G0,960,1 ,$450.00 ,$324.00 ,$99.35 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$276.75 , N/A ,$276.75 , N/A ,$249.30 ,$249.30 , N/A ,$249.30 , N/A ,$405.00 ,$373.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$364.50 ,$364.50 ,$364.50 ,$450.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$252.45 , N/A ,$269.77 ,$104.08 ,$99.35 , N/A ,$405.00 , N/A ,$249.30 ,$126.00 ,$405.00 , N/A , N/A , N/A , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000226,G0427,PC TELEHEALTH STROKE ED/IP CONSULT 70 MIN - G0,960,1 ,$550.00 ,$396.00 ,$99.35 ,$550.00 , N/A ,$409.75 ,$360.25 , N/A ,$154.00 ,$338.25 , N/A ,$338.25 , N/A ,$304.70 ,$304.70 , N/A ,$304.70 , N/A ,$495.00 ,$456.50 , N/A , N/A ,$484.00 , N/A ,$412.50 ,$412.50 ,$467.50 ,$467.50 , N/A ,$467.50 , N/A ,$445.50 ,$445.50 ,$445.50 ,$550.00 ,$495.00 , N/A ,$495.00 , N/A ,$550.00 ,$308.55 , N/A ,$400.27 ,$104.08 ,$99.35 , N/A ,$495.00 , N/A ,$304.70 ,$154.00 ,$495.00 , N/A , N/A , N/A , N/A ,$357.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000227,G0508,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 60 MIN - G0,960,1 ,$650.00 ,$468.00 ,$99.35 ,$650.00 , N/A ,$484.25 ,$425.75 , N/A ,$182.00 ,$399.75 , N/A ,$399.75 , N/A ,$360.10 ,$360.10 , N/A ,$360.10 , N/A ,$585.00 ,$539.50 , N/A , N/A ,$572.00 , N/A ,$487.50 ,$487.50 ,$552.50 ,$552.50 , N/A ,$552.50 , N/A ,$526.50 ,$526.50 ,$526.50 ,$650.00 ,$585.00 , N/A ,$585.00 , N/A ,$650.00 ,$364.65 , N/A ,$419.54 ,$104.08 ,$99.35 , N/A ,$585.00 , N/A ,$360.10 ,$182.00 ,$585.00 , N/A , N/A , N/A , N/A ,$422.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000228,G0509,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 50 MIN -G0,960,1 ,$650.00 ,$468.00 ,$99.35 ,$650.00 , N/A ,$484.25 ,$425.75 , N/A ,$182.00 ,$399.75 , N/A ,$399.75 , N/A ,$360.10 ,$360.10 , N/A ,$360.10 , N/A ,$585.00 ,$539.50 , N/A , N/A ,$572.00 , N/A ,$487.50 ,$487.50 ,$552.50 ,$552.50 , N/A ,$552.50 , N/A ,$526.50 ,$526.50 ,$526.50 ,$650.00 ,$585.00 , N/A ,$585.00 , N/A ,$650.00 ,$364.65 , N/A ,$388.37 ,$104.08 ,$99.35 , N/A ,$585.00 , N/A ,$360.10 ,$182.00 ,$585.00 , N/A , N/A , N/A , N/A ,$422.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000229,99441,PC TELEPHONE E/M 5-10 MINS OF MEDICAL DISCUSSION -95,780,1 ,$100.00 ,$72.00 ,$28.00 ,$100.00 , N/A ,$74.50 ,$65.50 , N/A ,$28.00 ,$61.50 , N/A ,$61.50 , N/A ,$55.40 ,$55.40 , N/A ,$55.40 , N/A ,$90.00 ,$83.00 , N/A , N/A ,$88.00 , N/A ,$75.00 ,$75.00 ,$85.00 ,$85.00 , N/A ,$85.00 , N/A ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 , N/A ,$90.00 , N/A ,$100.00 ,$56.10 , N/A ,$41.40 , N/A , N/A , N/A ,$90.00 , N/A ,$55.40 ,$28.00 ,$90.00 , N/A ,$90.00 ,$90.00 , N/A ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000230,99442,PC TELEPHONE E/M 11-20 MINS OF MEDICAL DISCUSSION -95,780,1 ,$168.00 ,$120.96 ,$47.04 ,$168.00 , N/A ,$125.16 ,$110.04 , N/A ,$47.04 ,$103.32 , N/A ,$103.32 , N/A ,$93.07 ,$93.07 , N/A ,$93.07 , N/A ,$151.20 ,$139.44 , N/A , N/A ,$147.84 , N/A ,$126.00 ,$126.00 ,$142.80 ,$142.80 , N/A ,$142.80 , N/A ,$136.08 ,$136.08 ,$136.08 ,$168.00 ,$151.20 , N/A ,$151.20 , N/A ,$168.00 ,$94.25 , N/A ,$69.55 , N/A , N/A , N/A ,$151.20 , N/A ,$93.07 ,$47.04 ,$151.20 , N/A ,$151.20 ,$151.20 , N/A ,$109.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),78000231,99443,PC TELEPHONE E/M 21-30 MINS OF MEDICAL DISCUSSION - 95,780,1 ,$250.00 ,$180.00 ,$70.00 ,$250.00 , N/A ,$186.25 ,$163.75 , N/A ,$70.00 ,$153.75 , N/A ,$153.75 , N/A ,$138.50 ,$138.50 , N/A ,$138.50 , N/A ,$225.00 ,$207.50 , N/A , N/A ,$220.00 , N/A ,$187.50 ,$187.50 ,$212.50 ,$212.50 , N/A ,$212.50 , N/A ,$202.50 ,$202.50 ,$202.50 ,$250.00 ,$225.00 , N/A ,$225.00 , N/A ,$250.00 ,$140.25 , N/A ,$103.50 , N/A , N/A , N/A ,$225.00 , N/A ,$138.50 ,$70.00 ,$225.00 , N/A ,$225.00 ,$225.00 , N/A ,$162.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),80100011,G0257,HC HEMODIALYSIS INPATIENT,801,1 ,"$1,352.00 ",$973.44 ,$378.56 ,"$1,405.40 ","$1,352.00 ","$1,007.24 ",$885.56 ,$635.54 ,$378.56 ,$831.48 ,$635.54 ,$831.48 ,$635.54 ,$749.01 ,$749.01 ,$635.54 ,$749.01 ,"$1,309.97 ","$1,216.80 ","$1,122.16 ","$1,352.00 ",$635.54 ,"$1,189.76 ",$648.25 ,"$1,014.00 ","$1,014.00 ","$1,149.20 ","$1,149.20 ",$635.54 ,"$1,149.20 ",$635.54 ,"$1,095.12 ","$1,095.12 ","$1,095.12 ","$1,352.00 ","$1,216.80 ","$1,352.00 ","$1,216.80 ",$635.54 ,"$1,352.00 ",$758.47 ,$635.54 ,$559.73 ,$702.32 ,$670.39 ,$665.20 ,"$1,216.80 ","$1,405.40 ",$749.01 ,$378.56 ,"$1,216.80 ",$635.54 ,"$1,216.80 ","$1,216.80 ",$635.54 ,$878.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),82900001,G0257,HC HEMODIALYSIS OUTPATIENT,829,1 ,"$1,352.00 ",$973.44 ,$378.56 ,"$1,405.40 ","$1,352.00 ","$1,007.24 ",$885.56 ,$635.54 ,$378.56 ,$831.48 ,$635.54 ,$831.48 ,$635.54 ,$749.01 ,$749.01 ,$635.54 ,$749.01 ,"$1,309.97 ","$1,216.80 ","$1,122.16 ","$1,352.00 ",$635.54 ,"$1,189.76 ",$648.25 ,"$1,014.00 ","$1,014.00 ","$1,149.20 ","$1,149.20 ",$635.54 ,"$1,149.20 ",$635.54 ,"$1,095.12 ","$1,095.12 ","$1,095.12 ","$1,352.00 ","$1,216.80 ","$1,352.00 ","$1,216.80 ",$635.54 ,"$1,352.00 ",$758.47 ,$635.54 ,$559.73 ,$702.32 ,$670.39 ,$665.20 ,"$1,216.80 ","$1,405.40 ",$749.01 ,$378.56 ,"$1,216.80 ",$635.54 ,"$1,216.80 ","$1,216.80 ",$635.54 ,$878.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92000001,59020,HC TEST STRESS FETAL,920,1 ,"$1,200.00 ",$864.00 ,$179.55 ,"$1,200.00 ",$439.81 ,$894.00 ,$786.00 ,$179.55 ,$336.00 ,$738.00 ,$179.55 ,$738.00 ,$179.55 ,$664.80 ,$664.80 ,$179.55 ,$664.80 ,$370.08 ,"$1,080.00 ",$996.00 ,$439.81 ,$179.55 ,"$1,056.00 ",$183.13 ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ",$179.55 ,"$1,020.00 ",$179.55 ,$972.00 ,$972.00 ,$972.00 ,"$1,200.00 ","$1,080.00 ",$439.81 ,"$1,080.00 ",$179.55 ,"$1,200.00 ",$673.20 ,$179.55 ,$496.80 , N/A , N/A ,$187.92 ,"$1,080.00 ",$397.04 ,$664.80 ,$336.00 ,"$1,080.00 ",$179.55 ,"$1,080.00 ","$1,080.00 ",$179.55 ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92000002,59025,HC TEST NON STRESS FETAL,920,1 ,$894.00 ,$643.68 ,$179.55 ,$894.00 ,$439.81 ,$666.03 ,$585.57 ,$179.55 ,$250.32 ,$549.81 ,$179.55 ,$549.81 ,$179.55 ,$495.28 ,$495.28 ,$179.55 ,$495.28 ,$370.08 ,$804.60 ,$742.02 ,$439.81 ,$179.55 ,$786.72 ,$183.13 ,$670.50 ,$670.50 ,$759.90 ,$759.90 ,$179.55 ,$759.90 ,$179.55 ,$724.14 ,$724.14 ,$724.14 ,$894.00 ,$804.60 ,$439.81 ,$804.60 ,$179.55 ,$894.00 ,$501.53 ,$179.55 ,$370.12 , N/A , N/A ,$187.92 ,$804.60 ,$397.04 ,$495.28 ,$250.32 ,$804.60 ,$179.55 ,$804.60 ,$804.60 ,$179.55 ,$581.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92000012,93788,HC AMBUL BLOOD PRESS MONITR W/REPORT,920,1 ,$135.00 ,$97.20 ,$37.80 ,$258.80 ,$135.00 ,$100.58 ,$88.43 ,$117.03 ,$37.80 ,$83.03 ,$117.03 ,$83.03 ,$117.03 ,$74.79 ,$74.79 ,$117.03 ,$74.79 ,$135.00 ,$121.50 ,$112.05 ,$135.00 ,$117.03 ,$118.80 ,$119.37 ,$101.25 ,$101.25 ,$114.75 ,$114.75 ,$117.03 ,$114.75 ,$117.03 ,$109.35 ,$109.35 ,$109.35 ,$135.00 ,$121.50 ,$135.00 ,$121.50 ,$117.03 ,$135.00 ,$75.74 ,$117.03 ,$55.89 ,$51.15 ,$48.83 ,$122.50 ,$121.50 ,$258.80 ,$74.79 ,$37.80 ,$121.50 ,$117.03 ,$121.50 ,$121.50 ,$117.03 ,$87.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92000030,59020,HC TEST STRESS FETAL EXTENDED,920,1 ,"$1,800.00 ","$1,296.00 ",$179.55 ,"$1,800.00 ",$439.81 ,"$1,341.00 ","$1,179.00 ",$179.55 ,$504.00 ,"$1,107.00 ",$179.55 ,"$1,107.00 ",$179.55 ,$997.20 ,$997.20 ,$179.55 ,$997.20 ,$370.08 ,"$1,620.00 ","$1,494.00 ",$439.81 ,$179.55 ,"$1,584.00 ",$183.13 ,"$1,350.00 ","$1,350.00 ","$1,530.00 ","$1,530.00 ",$179.55 ,"$1,530.00 ",$179.55 ,"$1,458.00 ","$1,458.00 ","$1,458.00 ","$1,800.00 ","$1,620.00 ",$439.81 ,"$1,620.00 ",$179.55 ,"$1,800.00 ","$1,009.80 ",$179.55 ,$745.20 , N/A , N/A ,$187.92 ,"$1,620.00 ",$397.04 ,$997.20 ,$504.00 ,"$1,620.00 ",$179.55 ,"$1,620.00 ","$1,620.00 ",$179.55 ,"$1,170.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92000031,59025,HC TEST NON STRESS FETAL EXTENDED,920,1 ,"$1,340.00 ",$964.80 ,$179.55 ,"$1,340.00 ",$439.81 ,$998.30 ,$877.70 ,$179.55 ,$375.20 ,$824.10 ,$179.55 ,$824.10 ,$179.55 ,$742.36 ,$742.36 ,$179.55 ,$742.36 ,$370.08 ,"$1,206.00 ","$1,112.20 ",$439.81 ,$179.55 ,"$1,179.20 ",$183.13 ,"$1,005.00 ","$1,005.00 ","$1,139.00 ","$1,139.00 ",$179.55 ,"$1,139.00 ",$179.55 ,"$1,085.40 ","$1,085.40 ","$1,085.40 ","$1,340.00 ","$1,206.00 ",$439.81 ,"$1,206.00 ",$179.55 ,"$1,340.00 ",$751.74 ,$179.55 ,$554.76 , N/A , N/A ,$187.92 ,"$1,206.00 ",$397.04 ,$742.36 ,$375.20 ,"$1,206.00 ",$179.55 ,"$1,206.00 ","$1,206.00 ",$179.55 ,$871.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,206.35 ",$868.57 ,$107.49 ,"$1,206.35 ",$576.57 ,$898.73 ,$790.16 ,$235.38 ,$337.78 ,$741.91 ,$235.38 ,$741.91 ,$235.38 ,$668.32 ,$668.32 ,$235.38 ,$668.32 ,$485.16 ,"$1,085.72 ","$1,001.27 ",$576.57 ,$235.38 ,"$1,061.59 ",$240.08 ,$904.76 ,$904.76 ,"$1,025.40 ","$1,025.40 ",$235.38 ,"$1,025.40 ",$235.38 ,$977.14 ,$977.14 ,$977.14 ,"$1,206.35 ","$1,085.72 ",$576.57 ,"$1,085.72 ",$235.38 ,"$1,206.35 ",$676.76 ,$235.38 ,$499.43 ,$112.61 ,$107.49 ,$246.36 ,"$1,085.72 ",$520.50 ,$668.32 ,$337.78 ,"$1,085.72 ",$235.38 ,"$1,085.72 ","$1,085.72 ",$235.38 ,$784.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$891.25 ,$641.70 ,$107.49 ,$891.25 ,$263.89 ,$663.98 ,$583.77 ,$107.73 ,$249.55 ,$548.12 ,$107.73 ,$548.12 ,$107.73 ,$493.75 ,$493.75 ,$107.73 ,$493.75 ,$222.05 ,$802.13 ,$739.74 ,$263.89 ,$107.73 ,$784.30 ,$109.89 ,$668.44 ,$668.44 ,$757.56 ,$757.56 ,$107.73 ,$757.56 ,$107.73 ,$721.91 ,$721.91 ,$721.91 ,$891.25 ,$802.13 ,$263.89 ,$802.13 ,$107.73 ,$891.25 ,$499.99 ,$107.73 ,$368.98 ,$112.61 ,$107.49 ,$112.76 ,$802.13 ,$238.23 ,$493.75 ,$249.55 ,$802.13 ,$107.73 ,$802.13 ,$802.13 ,$107.73 ,$579.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$587.00 ,$422.64 ,$100.22 ,$587.00 ,$286.68 ,$437.32 ,$384.49 ,$117.03 ,$164.36 ,$361.01 ,$117.03 ,$361.01 ,$117.03 ,$325.20 ,$325.20 ,$117.03 ,$325.20 ,$241.23 ,$528.30 ,$487.21 ,$286.68 ,$117.03 ,$516.56 ,$119.37 ,$440.25 ,$440.25 ,$498.95 ,$498.95 ,$117.03 ,$498.95 ,$117.03 ,$475.47 ,$475.47 ,$475.47 ,$587.00 ,$528.30 ,$286.68 ,$528.30 ,$117.03 ,$587.00 ,$329.31 ,$117.03 ,$243.02 ,$105.00 ,$100.22 ,$122.50 ,$528.30 ,$258.80 ,$325.20 ,$164.36 ,$528.30 ,$117.03 ,$528.30 ,$528.30 ,$117.03 ,$381.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$587.00 ,$422.64 ,$50.12 ,$587.00 ,$143.34 ,$437.32 ,$384.49 ,$58.52 ,$164.36 ,$361.01 ,$58.52 ,$361.01 ,$58.52 ,$325.20 ,$325.20 ,$58.52 ,$325.20 ,$120.62 ,$528.30 ,$487.21 ,$143.34 ,$58.52 ,$516.56 ,$59.68 ,$440.25 ,$440.25 ,$498.95 ,$498.95 ,$58.52 ,$498.95 ,$58.52 ,$475.47 ,$475.47 ,$475.47 ,$587.00 ,$528.30 ,$143.34 ,$528.30 ,$58.52 ,$587.00 ,$329.31 ,$58.52 ,$243.02 ,$52.50 ,$50.12 ,$61.25 ,$528.30 ,$129.40 ,$325.20 ,$164.36 ,$528.30 ,$58.52 ,$528.30 ,$528.30 ,$58.52 ,$381.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,"$1,132.00 ",$815.04 ,$100.22 ,"$1,132.00 ",$359.07 ,$843.34 ,$741.46 ,$146.59 ,$316.96 ,$696.18 ,$146.59 ,$696.18 ,$146.59 ,$627.13 ,$627.13 ,$146.59 ,$627.13 ,$302.15 ,"$1,018.80 ",$939.56 ,$359.07 ,$146.59 ,$996.16 ,$149.52 ,$849.00 ,$849.00 ,$962.20 ,$962.20 ,$146.59 ,$962.20 ,$146.59 ,$916.92 ,$916.92 ,$916.92 ,"$1,132.00 ","$1,018.80 ",$359.07 ,"$1,018.80 ",$146.59 ,"$1,132.00 ",$635.05 ,$146.59 ,$468.65 ,$105.00 ,$100.22 ,$153.43 ,"$1,018.80 ",$324.16 ,$627.13 ,$316.96 ,"$1,018.80 ",$146.59 ,"$1,018.80 ","$1,018.80 ",$146.59 ,$735.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100031,93923,HC RESTING ARTERIAL UPPER BILATERAL,921,1 ,"$1,132.00 ",$815.04 ,$100.22 ,"$1,132.00 ",$359.07 ,$843.34 ,$741.46 ,$146.59 ,$316.96 ,$696.18 ,$146.59 ,$696.18 ,$146.59 ,$627.13 ,$627.13 ,$146.59 ,$627.13 ,$302.15 ,"$1,018.80 ",$939.56 ,$359.07 ,$146.59 ,$996.16 ,$149.52 ,$849.00 ,$849.00 ,$962.20 ,$962.20 ,$146.59 ,$962.20 ,$146.59 ,$916.92 ,$916.92 ,$916.92 ,"$1,132.00 ","$1,018.80 ",$359.07 ,"$1,018.80 ",$146.59 ,"$1,132.00 ",$635.05 ,$146.59 ,$468.65 ,$105.00 ,$100.22 ,$153.43 ,"$1,018.80 ",$324.16 ,$627.13 ,$316.96 ,"$1,018.80 ",$146.59 ,"$1,018.80 ","$1,018.80 ",$146.59 ,$735.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100032,93924,HC DOPPLER ARTERY LWR EXT STRESS,921,1 ,"$1,387.00 ",$998.64 ,$100.22 ,"$1,387.00 ",$691.48 ,"$1,033.32 ",$908.49 ,$282.29 ,$388.36 ,$853.01 ,$282.29 ,$853.01 ,$282.29 ,$768.40 ,$768.40 ,$282.29 ,$768.40 ,$581.85 ,"$1,248.30 ","$1,151.21 ",$691.48 ,$282.29 ,"$1,220.56 ",$287.93 ,"$1,040.25 ","$1,040.25 ","$1,178.95 ","$1,178.95 ",$282.29 ,"$1,178.95 ",$282.29 ,"$1,123.47 ","$1,123.47 ","$1,123.47 ","$1,387.00 ","$1,248.30 ",$691.48 ,"$1,248.30 ",$282.29 ,"$1,387.00 ",$778.11 ,$282.29 ,$574.22 ,$105.00 ,$100.22 ,$295.47 ,"$1,248.30 ",$624.24 ,$768.40 ,$388.36 ,"$1,248.30 ",$282.29 ,"$1,248.30 ","$1,248.30 ",$282.29 ,$901.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$2,589.39 ","$1,864.36 ",$141.48 ,"$2,589.39 ",$576.57 ,"$1,929.10 ","$1,696.05 ",$235.38 ,$725.03 ,"$1,592.47 ",$235.38 ,"$1,592.47 ",$235.38 ,"$1,434.52 ","$1,434.52 ",$235.38 ,"$1,434.52 ",$485.16 ,"$2,330.45 ","$2,149.19 ",$576.57 ,$235.38 ,"$2,278.66 ",$240.08 ,"$1,942.04 ","$1,942.04 ","$2,200.98 ","$2,200.98 ",$235.38 ,"$2,200.98 ",$235.38 ,"$2,097.41 ","$2,097.41 ","$2,097.41 ","$2,589.39 ","$2,330.45 ",$576.57 ,"$2,330.45 ",$235.38 ,"$2,589.39 ","$1,452.65 ",$235.38 ,"$1,072.01 ",$148.21 ,$141.48 ,$246.36 ,"$2,330.45 ",$520.50 ,"$1,434.52 ",$725.03 ,"$2,330.45 ",$235.38 ,"$2,330.45 ","$2,330.45 ",$235.38 ,"$1,683.10 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,"$1,174.52 ",$845.65 ,$107.73 ,"$1,174.52 ",$263.89 ,$875.02 ,$769.31 ,$107.73 ,$328.87 ,$722.33 ,$107.73 ,$722.33 ,$107.73 ,$650.68 ,$650.68 ,$107.73 ,$650.68 ,$222.05 ,"$1,057.07 ",$974.85 ,$263.89 ,$107.73 ,"$1,033.58 ",$109.89 ,$880.89 ,$880.89 ,$998.34 ,$998.34 ,$107.73 ,$998.34 ,$107.73 ,$951.36 ,$951.36 ,$951.36 ,"$1,174.52 ","$1,057.07 ",$263.89 ,"$1,057.07 ",$107.73 ,"$1,174.52 ",$658.91 ,$107.73 ,$486.25 ,$148.21 ,$141.48 ,$112.76 ,"$1,057.07 ",$238.23 ,$650.68 ,$328.87 ,"$1,057.07 ",$107.73 ,"$1,057.07 ","$1,057.07 ",$107.73 ,$763.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,403.76 ","$1,010.71 ",$107.49 ,"$1,403.76 ",$576.57 ,"$1,045.80 ",$919.46 ,$235.38 ,$393.05 ,$863.31 ,$235.38 ,$863.31 ,$235.38 ,$777.68 ,$777.68 ,$235.38 ,$777.68 ,$485.16 ,"$1,263.38 ","$1,165.12 ",$576.57 ,$235.38 ,"$1,235.31 ",$240.08 ,"$1,052.82 ","$1,052.82 ","$1,193.20 ","$1,193.20 ",$235.38 ,"$1,193.20 ",$235.38 ,"$1,137.05 ","$1,137.05 ","$1,137.05 ","$1,403.76 ","$1,263.38 ",$576.57 ,"$1,263.38 ",$235.38 ,"$1,403.76 ",$787.51 ,$235.38 ,$581.16 ,$112.61 ,$107.49 ,$246.36 ,"$1,263.38 ",$520.50 ,$777.68 ,$393.05 ,"$1,263.38 ",$235.38 ,"$1,263.38 ","$1,263.38 ",$235.38 ,$912.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,"$1,040.20 ",$748.94 ,$107.49 ,"$1,040.20 ",$263.89 ,$774.95 ,$681.33 ,$107.73 ,$291.26 ,$639.72 ,$107.73 ,$639.72 ,$107.73 ,$576.27 ,$576.27 ,$107.73 ,$576.27 ,$222.05 ,$936.18 ,$863.37 ,$263.89 ,$107.73 ,$915.38 ,$109.89 ,$780.15 ,$780.15 ,$884.17 ,$884.17 ,$107.73 ,$884.17 ,$107.73 ,$842.56 ,$842.56 ,$842.56 ,"$1,040.20 ",$936.18 ,$263.89 ,$936.18 ,$107.73 ,"$1,040.20 ",$583.55 ,$107.73 ,$430.64 ,$112.61 ,$107.49 ,$112.76 ,$936.18 ,$238.23 ,$576.27 ,$291.26 ,$936.18 ,$107.73 ,$936.18 ,$936.18 ,$107.73 ,$676.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100039,93931,HC DUPLEX ARTRL UPR EXT PSEUD ONLY,921,1 ,"$1,040.20 ",$748.94 ,$107.49 ,"$1,040.20 ",$263.89 ,$774.95 ,$681.33 ,$107.73 ,$291.26 ,$639.72 ,$107.73 ,$639.72 ,$107.73 ,$576.27 ,$576.27 ,$107.73 ,$576.27 ,$222.05 ,$936.18 ,$863.37 ,$263.89 ,$107.73 ,$915.38 ,$109.89 ,$780.15 ,$780.15 ,$884.17 ,$884.17 ,$107.73 ,$884.17 ,$107.73 ,$842.56 ,$842.56 ,$842.56 ,"$1,040.20 ",$936.18 ,$263.89 ,$936.18 ,$107.73 ,"$1,040.20 ",$583.55 ,$107.73 ,$430.64 ,$112.61 ,$107.49 ,$112.76 ,$936.18 ,$238.23 ,$576.27 ,$291.26 ,$936.18 ,$107.73 ,$936.18 ,$936.18 ,$107.73 ,$676.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$1,367.41 ",$984.54 ,$141.48 ,"$1,367.41 ",$576.57 ,"$1,018.72 ",$895.65 ,$235.38 ,$382.87 ,$840.96 ,$235.38 ,$840.96 ,$235.38 ,$757.55 ,$757.55 ,$235.38 ,$757.55 ,$485.16 ,"$1,230.67 ","$1,134.95 ",$576.57 ,$235.38 ,"$1,203.32 ",$240.08 ,"$1,025.56 ","$1,025.56 ","$1,162.30 ","$1,162.30 ",$235.38 ,"$1,162.30 ",$235.38 ,"$1,107.60 ","$1,107.60 ","$1,107.60 ","$1,367.41 ","$1,230.67 ",$576.57 ,"$1,230.67 ",$235.38 ,"$1,367.41 ",$767.12 ,$235.38 ,$566.11 ,$148.21 ,$141.48 ,$246.36 ,"$1,230.67 ",$520.50 ,$757.55 ,$382.87 ,"$1,230.67 ",$235.38 ,"$1,230.67 ","$1,230.67 ",$235.38 ,$888.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,"$1,071.51 ",$771.49 ,$107.73 ,"$1,071.51 ",$263.89 ,$798.28 ,$701.84 ,$107.73 ,$300.02 ,$658.98 ,$107.73 ,$658.98 ,$107.73 ,$593.62 ,$593.62 ,$107.73 ,$593.62 ,$222.05 ,$964.36 ,$889.35 ,$263.89 ,$107.73 ,$942.93 ,$109.89 ,$803.63 ,$803.63 ,$910.78 ,$910.78 ,$107.73 ,$910.78 ,$107.73 ,$867.92 ,$867.92 ,$867.92 ,"$1,071.51 ",$964.36 ,$263.89 ,$964.36 ,$107.73 ,"$1,071.51 ",$601.12 ,$107.73 ,$443.61 ,$148.21 ,$141.48 ,$112.76 ,$964.36 ,$238.23 ,$593.62 ,$300.02 ,$964.36 ,$107.73 ,$964.36 ,$964.36 ,$107.73 ,$696.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100046,93990,HC DUPLEX HEMODIALYSIS ACCESS,921,1 ,$573.00 ,$412.56 ,$107.49 ,$573.00 ,$263.89 ,$426.89 ,$375.32 ,$107.73 ,$160.44 ,$352.40 ,$107.73 ,$352.40 ,$107.73 ,$317.44 ,$317.44 ,$107.73 ,$317.44 ,$222.05 ,$515.70 ,$475.59 ,$263.89 ,$107.73 ,$504.24 ,$109.89 ,$429.75 ,$429.75 ,$487.05 ,$487.05 ,$107.73 ,$487.05 ,$107.73 ,$464.13 ,$464.13 ,$464.13 ,$573.00 ,$515.70 ,$263.89 ,$515.70 ,$107.73 ,$573.00 ,$321.45 ,$107.73 ,$237.22 ,$112.61 ,$107.49 ,$112.76 ,$515.70 ,$238.23 ,$317.44 ,$160.44 ,$515.70 ,$107.73 ,$515.70 ,$515.70 ,$107.73 ,$372.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100049,93923,HC RESTING ARTERIAL EXTREMITY COMP -52,921,1 ,"$1,132.00 ",$815.04 ,$50.12 ,"$1,132.00 ",$179.54 ,$843.34 ,$741.46 ,$73.29 ,$316.96 ,$696.18 ,$73.29 ,$696.18 ,$73.29 ,$627.13 ,$627.13 ,$73.29 ,$627.13 ,$151.07 ,"$1,018.80 ",$939.56 ,$179.54 ,$73.29 ,$996.16 ,$74.76 ,$849.00 ,$849.00 ,$962.20 ,$962.20 ,$73.29 ,$962.20 ,$73.29 ,$916.92 ,$916.92 ,$916.92 ,"$1,132.00 ","$1,018.80 ",$179.54 ,"$1,018.80 ",$73.29 ,"$1,132.00 ",$635.05 ,$73.29 ,$468.65 ,$52.50 ,$50.12 ,$76.71 ,"$1,018.80 ",$162.08 ,$627.13 ,$316.96 ,"$1,018.80 ",$73.29 ,"$1,018.80 ","$1,018.80 ",$73.29 ,$735.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100051,93701,HC BIOIMPEDANCE DERIVED PHYSIO CV ANALYSIS,921,1 ,$309.25 ,$222.66 ,$1.66 ,$309.25 ,$286.68 ,$230.39 ,$202.56 ,$117.03 ,$86.59 ,$190.19 ,$117.03 ,$190.19 ,$117.03 ,$171.32 ,$171.32 ,$117.03 ,$171.32 ,$241.23 ,$278.33 ,$256.68 ,$286.68 ,$117.03 ,$272.14 ,$119.37 ,$231.94 ,$231.94 ,$262.86 ,$262.86 ,$117.03 ,$262.86 ,$117.03 ,$250.49 ,$250.49 ,$250.49 ,$309.25 ,$278.33 ,$286.68 ,$278.33 ,$117.03 ,$309.25 ,$173.49 ,$117.03 ,$128.03 ,$1.74 ,$1.66 ,$122.50 ,$278.33 ,$258.80 ,$171.32 ,$86.59 ,$278.33 ,$117.03 ,$278.33 ,$278.33 ,$117.03 ,$201.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100053,93985,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL BILATERAL STUDY,921,1 ,"$1,059.00 ",$762.48 ,$107.49 ,"$1,059.00 ",$576.57 ,$788.96 ,$693.65 ,$235.38 ,$296.52 ,$651.29 ,$235.38 ,$651.29 ,$235.38 ,$586.69 ,$586.69 ,$235.38 ,$586.69 ,$485.16 ,$953.10 ,$878.97 ,$576.57 ,$235.38 ,$931.92 ,$240.08 ,$794.25 ,$794.25 ,$900.15 ,$900.15 ,$235.38 ,$900.15 ,$235.38 ,$857.79 ,$857.79 ,$857.79 ,"$1,059.00 ",$953.10 ,$576.57 ,$953.10 ,$235.38 ,"$1,059.00 ",$594.10 ,$235.38 ,$438.43 ,$112.61 ,$107.49 ,$246.36 ,$953.10 ,$520.50 ,$586.69 ,$296.52 ,$953.10 ,$235.38 ,$953.10 ,$953.10 ,$235.38 ,$688.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92100054,93986,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL UNILATERAL STUDY,921,1 ,$530.00 ,$381.60 ,$107.49 ,$530.00 ,$263.89 ,$394.85 ,$347.15 ,$107.73 ,$148.40 ,$325.95 ,$107.73 ,$325.95 ,$107.73 ,$293.62 ,$293.62 ,$107.73 ,$293.62 ,$222.05 ,$477.00 ,$439.90 ,$263.89 ,$107.73 ,$466.40 ,$109.89 ,$397.50 ,$397.50 ,$450.50 ,$450.50 ,$107.73 ,$450.50 ,$107.73 ,$429.30 ,$429.30 ,$429.30 ,$530.00 ,$477.00 ,$263.89 ,$477.00 ,$107.73 ,$530.00 ,$297.33 ,$107.73 ,$219.42 ,$112.61 ,$107.49 ,$112.76 ,$477.00 ,$238.23 ,$293.62 ,$148.40 ,$477.00 ,$107.73 ,$477.00 ,$477.00 ,$107.73 ,$344.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200000,95860,HC EMG ONE EXTREMITY,922,1 ,$297.00 ,$213.84 ,$83.16 ,$297.00 ,$286.68 ,$221.27 ,$194.54 ,$117.03 ,$83.16 ,$182.66 ,$117.03 ,$182.66 ,$117.03 ,$164.54 ,$164.54 ,$117.03 ,$164.54 ,$241.23 ,$267.30 ,$246.51 ,$286.68 ,$117.03 ,$261.36 ,$119.37 ,$222.75 ,$222.75 ,$252.45 ,$252.45 ,$117.03 ,$252.45 ,$117.03 ,$240.57 ,$240.57 ,$240.57 ,$297.00 ,$267.30 ,$286.68 ,$267.30 ,$117.03 ,$297.00 ,$166.62 ,$117.03 ,$122.96 ,$243.09 ,$232.04 ,$122.50 ,$267.30 ,$258.80 ,$164.54 ,$83.16 ,$267.30 ,$117.03 ,$267.30 ,$267.30 ,$117.03 ,$193.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200001,95861,HC EMG TWO EXTREMITIES,922,1 ,$324.00 ,$233.28 ,$90.72 ,$324.00 ,$286.68 ,$241.38 ,$212.22 ,$117.03 ,$90.72 ,$199.26 ,$117.03 ,$199.26 ,$117.03 ,$179.50 ,$179.50 ,$117.03 ,$179.50 ,$241.23 ,$291.60 ,$268.92 ,$286.68 ,$117.03 ,$285.12 ,$119.37 ,$243.00 ,$243.00 ,$275.40 ,$275.40 ,$117.03 ,$275.40 ,$117.03 ,$262.44 ,$262.44 ,$262.44 ,$324.00 ,$291.60 ,$286.68 ,$291.60 ,$117.03 ,$324.00 ,$181.76 ,$117.03 ,$134.14 ,$243.09 ,$232.04 ,$122.50 ,$291.60 ,$258.80 ,$179.50 ,$90.72 ,$291.60 ,$117.03 ,$291.60 ,$291.60 ,$117.03 ,$210.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200002,95863,HC EMG THREE EXTREMITIES,922,1 ,$252.00 ,$181.44 ,$70.56 ,$324.16 ,$252.00 ,$187.74 ,$165.06 ,$146.59 ,$70.56 ,$154.98 ,$146.59 ,$154.98 ,$146.59 ,$139.61 ,$139.61 ,$146.59 ,$139.61 ,$252.00 ,$226.80 ,$209.16 ,$252.00 ,$146.59 ,$221.76 ,$149.52 ,$189.00 ,$189.00 ,$214.20 ,$214.20 ,$146.59 ,$214.20 ,$146.59 ,$204.12 ,$204.12 ,$204.12 ,$252.00 ,$226.80 ,$252.00 ,$226.80 ,$146.59 ,$252.00 ,$141.37 ,$146.59 ,$104.33 ,$243.09 ,$232.04 ,$153.43 ,$226.80 ,$324.16 ,$139.61 ,$70.56 ,$226.80 ,$146.59 ,$226.80 ,$226.80 ,$146.59 ,$163.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200008,95925,HC SSEP UPPER LIMBS,922,1 ,$603.00 ,$434.16 ,$168.84 ,$624.24 ,$603.00 ,$449.24 ,$394.97 ,$282.29 ,$168.84 ,$370.85 ,$282.29 ,$370.85 ,$282.29 ,$334.06 ,$334.06 ,$282.29 ,$334.06 ,$581.85 ,$542.70 ,$500.49 ,$603.00 ,$282.29 ,$530.64 ,$287.93 ,$452.25 ,$452.25 ,$512.55 ,$512.55 ,$282.29 ,$512.55 ,$282.29 ,$488.43 ,$488.43 ,$488.43 ,$603.00 ,$542.70 ,$603.00 ,$542.70 ,$282.29 ,$603.00 ,$338.28 ,$282.29 ,$249.64 ,$243.09 ,$232.04 ,$295.47 ,$542.70 ,$624.24 ,$334.06 ,$168.84 ,$542.70 ,$282.29 ,$542.70 ,$542.70 ,$282.29 ,$391.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200009,95926,HC SSEP LOWER LIMBS,922,1 ,$603.00 ,$434.16 ,$168.84 ,$624.24 ,$603.00 ,$449.24 ,$394.97 ,$282.29 ,$168.84 ,$370.85 ,$282.29 ,$370.85 ,$282.29 ,$334.06 ,$334.06 ,$282.29 ,$334.06 ,$581.85 ,$542.70 ,$500.49 ,$603.00 ,$282.29 ,$530.64 ,$287.93 ,$452.25 ,$452.25 ,$512.55 ,$512.55 ,$282.29 ,$512.55 ,$282.29 ,$488.43 ,$488.43 ,$488.43 ,$603.00 ,$542.70 ,$603.00 ,$542.70 ,$282.29 ,$603.00 ,$338.28 ,$282.29 ,$249.64 ,$243.09 ,$232.04 ,$295.47 ,$542.70 ,$624.24 ,$334.06 ,$168.84 ,$542.70 ,$282.29 ,$542.70 ,$542.70 ,$282.29 ,$391.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200011,95886,HC EMG ADD ON >5 MUSCLES,922,1 ,"$1,715.00 ","$1,234.80 ",$232.04 ,"$1,715.00 ", N/A ,"$1,277.68 ","$1,123.33 ", N/A ,$480.20 ,"$1,054.73 ", N/A ,"$1,054.73 ", N/A ,$950.11 ,$950.11 , N/A ,$950.11 , N/A ,"$1,543.50 ","$1,423.45 ", N/A , N/A ,"$1,509.20 ", N/A ,"$1,286.25 ","$1,286.25 ","$1,457.75 ","$1,457.75 ", N/A ,"$1,457.75 ", N/A ,"$1,389.15 ","$1,389.15 ","$1,389.15 ","$1,715.00 ","$1,543.50 ", N/A ,"$1,543.50 ", N/A ,"$1,715.00 ",$962.12 , N/A ,$710.01 ,$243.09 ,$232.04 , N/A ,"$1,543.50 ", N/A ,$950.11 ,$480.20 ,"$1,543.50 ", N/A ,"$1,543.50 ","$1,543.50 ", N/A ,"$1,114.75 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200012,95864,HC EMG 4 EXTREMITIES,922,1 ,$435.00 ,$313.20 ,$121.80 ,$435.00 ,$359.07 ,$324.08 ,$284.93 ,$146.59 ,$121.80 ,$267.53 ,$146.59 ,$267.53 ,$146.59 ,$240.99 ,$240.99 ,$146.59 ,$240.99 ,$302.15 ,$391.50 ,$361.05 ,$359.07 ,$146.59 ,$382.80 ,$149.52 ,$326.25 ,$326.25 ,$369.75 ,$369.75 ,$146.59 ,$369.75 ,$146.59 ,$352.35 ,$352.35 ,$352.35 ,$435.00 ,$391.50 ,$359.07 ,$391.50 ,$146.59 ,$435.00 ,$244.04 ,$146.59 ,$180.09 ,$243.09 ,$232.04 ,$153.43 ,$391.50 ,$324.16 ,$240.99 ,$121.80 ,$391.50 ,$146.59 ,$391.50 ,$391.50 ,$146.59 ,$282.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200015,95938,HC SSEP UPPER AND LOWER,922,1 ,"$2,762.00 ","$1,988.64 ",$232.04 ,"$2,762.00 ","$1,193.61 ","$2,057.69 ","$1,809.11 ",$487.28 ,$773.36 ,"$1,698.63 ",$487.28 ,"$1,698.63 ",$487.28 ,"$1,530.15 ","$1,530.15 ",$487.28 ,"$1,530.15 ","$1,004.37 ","$2,485.80 ","$2,292.46 ","$1,193.61 ",$487.28 ,"$2,430.56 ",$497.02 ,"$2,071.50 ","$2,071.50 ","$2,347.70 ","$2,347.70 ",$487.28 ,"$2,347.70 ",$487.28 ,"$2,237.22 ","$2,237.22 ","$2,237.22 ","$2,762.00 ","$2,485.80 ","$1,193.61 ","$2,485.80 ",$487.28 ,"$2,762.00 ","$1,549.48 ",$487.28 ,"$1,143.47 ",$243.09 ,$232.04 ,$510.02 ,"$2,485.80 ","$1,077.54 ","$1,530.15 ",$773.36 ,"$2,485.80 ",$487.28 ,"$2,485.80 ","$2,485.80 ",$487.28 ,"$1,795.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200016,95885,HC EMG ADD ON <5 MUSCLES,922,1 ,$349.00 ,$251.28 ,$97.72 ,$349.00 , N/A ,$260.01 ,$228.60 , N/A ,$97.72 ,$214.64 , N/A ,$214.64 , N/A ,$193.35 ,$193.35 , N/A ,$193.35 , N/A ,$314.10 ,$289.67 , N/A , N/A ,$307.12 , N/A ,$261.75 ,$261.75 ,$296.65 ,$296.65 , N/A ,$296.65 , N/A ,$282.69 ,$282.69 ,$282.69 ,$349.00 ,$314.10 , N/A ,$314.10 , N/A ,$349.00 ,$195.79 , N/A ,$144.49 ,$243.09 ,$232.04 , N/A ,$314.10 , N/A ,$193.35 ,$97.72 ,$314.10 , N/A ,$314.10 ,$314.10 , N/A ,$226.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200017,95887,HC EMG ADD ON CRANIAL,922,1 ,$242.00 ,$174.24 ,$67.76 ,$242.00 , N/A ,$180.29 ,$158.51 , N/A ,$67.76 ,$148.83 , N/A ,$148.83 , N/A ,$134.07 ,$134.07 , N/A ,$134.07 , N/A ,$217.80 ,$200.86 , N/A , N/A ,$212.96 , N/A ,$181.50 ,$181.50 ,$205.70 ,$205.70 , N/A ,$205.70 , N/A ,$196.02 ,$196.02 ,$196.02 ,$242.00 ,$217.80 , N/A ,$217.80 , N/A ,$242.00 ,$135.76 , N/A ,$100.19 ,$242.00 ,$232.04 , N/A ,$217.80 , N/A ,$134.07 ,$67.76 ,$217.80 , N/A ,$217.80 ,$217.80 , N/A ,$157.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200021,95907,HC NVR CNDJ TST 1-2 STUDIES,922,1 ,"$1,195.00 ",$860.40 ,$146.59 ,"$1,195.00 ",$359.07 ,$890.28 ,$782.73 ,$146.59 ,$334.60 ,$734.93 ,$146.59 ,$734.93 ,$146.59 ,$662.03 ,$662.03 ,$146.59 ,$662.03 ,$302.15 ,"$1,075.50 ",$991.85 ,$359.07 ,$146.59 ,"$1,051.60 ",$149.52 ,$896.25 ,$896.25 ,"$1,015.75 ","$1,015.75 ",$146.59 ,"$1,015.75 ",$146.59 ,$967.95 ,$967.95 ,$967.95 ,"$1,195.00 ","$1,075.50 ",$359.07 ,"$1,075.50 ",$146.59 ,"$1,195.00 ",$670.40 ,$146.59 ,$494.73 ,$243.09 ,$232.04 ,$153.43 ,"$1,075.50 ",$324.16 ,$662.03 ,$334.60 ,"$1,075.50 ",$146.59 ,"$1,075.50 ","$1,075.50 ",$146.59 ,$776.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200022,95908,HC NVR CNDJ TST 3-4 STUDIES,922,1 ,"$2,389.00 ","$1,720.08 ",$232.04 ,"$2,389.00 ",$691.48 ,"$1,779.81 ","$1,564.80 ",$282.29 ,$668.92 ,"$1,469.24 ",$282.29 ,"$1,469.24 ",$282.29 ,"$1,323.51 ","$1,323.51 ",$282.29 ,"$1,323.51 ",$581.85 ,"$2,150.10 ","$1,982.87 ",$691.48 ,$282.29 ,"$2,102.32 ",$287.93 ,"$1,791.75 ","$1,791.75 ","$2,030.65 ","$2,030.65 ",$282.29 ,"$2,030.65 ",$282.29 ,"$1,935.09 ","$1,935.09 ","$1,935.09 ","$2,389.00 ","$2,150.10 ",$691.48 ,"$2,150.10 ",$282.29 ,"$2,389.00 ","$1,340.23 ",$282.29 ,$989.05 ,$243.09 ,$232.04 ,$295.47 ,"$2,150.10 ",$624.24 ,"$1,323.51 ",$668.92 ,"$2,150.10 ",$282.29 ,"$2,150.10 ","$2,150.10 ",$282.29 ,"$1,552.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200023,95909,HC NVR CNDJ TST 5-6 STUDIES,922,1 ,"$3,584.00 ","$2,580.48 ",$232.04 ,"$3,584.00 ",$691.48 ,"$2,670.08 ","$2,347.52 ",$282.29 ,"$1,003.52 ","$2,204.16 ",$282.29 ,"$2,204.16 ",$282.29 ,"$1,985.54 ","$1,985.54 ",$282.29 ,"$1,985.54 ",$581.85 ,"$3,225.60 ","$2,974.72 ",$691.48 ,$282.29 ,"$3,153.92 ",$287.93 ,"$2,688.00 ","$2,688.00 ","$3,046.40 ","$3,046.40 ",$282.29 ,"$3,046.40 ",$282.29 ,"$2,903.04 ","$2,903.04 ","$2,903.04 ","$3,584.00 ","$3,225.60 ",$691.48 ,"$3,225.60 ",$282.29 ,"$3,584.00 ","$2,010.62 ",$282.29 ,"$1,483.78 ",$243.09 ,$232.04 ,$295.47 ,"$3,225.60 ",$624.24 ,"$1,985.54 ","$1,003.52 ","$3,225.60 ",$282.29 ,"$3,225.60 ","$3,225.60 ",$282.29 ,"$2,329.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200024,95910,HC NVR CNDJ TST 7-8 STUDIES,922,1 ,"$4,779.00 ","$3,440.88 ",$232.04 ,"$4,779.00 ",$691.48 ,"$3,560.36 ","$3,130.25 ",$282.29 ,"$1,338.12 ","$2,939.09 ",$282.29 ,"$2,939.09 ",$282.29 ,"$2,647.57 ","$2,647.57 ",$282.29 ,"$2,647.57 ",$581.85 ,"$4,301.10 ","$3,966.57 ",$691.48 ,$282.29 ,"$4,205.52 ",$287.93 ,"$3,584.25 ","$3,584.25 ","$4,062.15 ","$4,062.15 ",$282.29 ,"$4,062.15 ",$282.29 ,"$3,870.99 ","$3,870.99 ","$3,870.99 ","$4,779.00 ","$4,301.10 ",$691.48 ,"$4,301.10 ",$282.29 ,"$4,779.00 ","$2,681.02 ",$282.29 ,"$1,978.51 ",$243.09 ,$232.04 ,$295.47 ,"$4,301.10 ",$624.24 ,"$2,647.57 ","$1,338.12 ","$4,301.10 ",$282.29 ,"$4,301.10 ","$4,301.10 ",$282.29 ,"$3,106.35 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200025,95911,HC NVR CNDJ TST 9-10 STUDIES,922,1 ,"$5,973.00 ","$4,300.56 ",$232.04 ,"$5,973.00 ","$1,193.61 ","$4,449.89 ","$3,912.32 ",$487.28 ,"$1,672.44 ","$3,673.40 ",$487.28 ,"$3,673.40 ",$487.28 ,"$3,309.04 ","$3,309.04 ",$487.28 ,"$3,309.04 ","$1,004.37 ","$5,375.70 ","$4,957.59 ","$1,193.61 ",$487.28 ,"$5,256.24 ",$497.02 ,"$4,479.75 ","$4,479.75 ","$5,077.05 ","$5,077.05 ",$487.28 ,"$5,077.05 ",$487.28 ,"$4,838.13 ","$4,838.13 ","$4,838.13 ","$5,973.00 ","$5,375.70 ","$1,193.61 ","$5,375.70 ",$487.28 ,"$5,973.00 ","$3,350.85 ",$487.28 ,"$2,472.82 ",$243.09 ,$232.04 ,$510.02 ,"$5,375.70 ","$1,077.54 ","$3,309.04 ","$1,672.44 ","$5,375.70 ",$487.28 ,"$5,375.70 ","$5,375.70 ",$487.28 ,"$3,882.45 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200026,95912,HC NVR CNDJ TST 11-12 STUDIES,922,1 ,"$7,167.00 ","$5,160.24 ",$232.04 ,"$7,167.00 ","$1,193.61 ","$5,339.42 ","$4,694.39 ",$487.28 ,"$2,006.76 ","$4,407.71 ",$487.28 ,"$4,407.71 ",$487.28 ,"$3,970.52 ","$3,970.52 ",$487.28 ,"$3,970.52 ","$1,004.37 ","$6,450.30 ","$5,948.61 ","$1,193.61 ",$487.28 ,"$6,306.96 ",$497.02 ,"$5,375.25 ","$5,375.25 ","$6,091.95 ","$6,091.95 ",$487.28 ,"$6,091.95 ",$487.28 ,"$5,805.27 ","$5,805.27 ","$5,805.27 ","$7,167.00 ","$6,450.30 ","$1,193.61 ","$6,450.30 ",$487.28 ,"$7,167.00 ","$4,020.69 ",$487.28 ,"$2,967.14 ",$243.09 ,$232.04 ,$510.02 ,"$6,450.30 ","$1,077.54 ","$3,970.52 ","$2,006.76 ","$6,450.30 ",$487.28 ,"$6,450.30 ","$6,450.30 ",$487.28 ,"$4,658.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200027,95913,HC NVR CNDJ TST 13 AND > STUDIES,922,1 ,"$8,361.00 ","$6,019.92 ",$232.04 ,"$8,361.00 ","$1,193.61 ","$6,228.95 ","$5,476.46 ",$487.28 ,"$2,341.08 ","$5,142.02 ",$487.28 ,"$5,142.02 ",$487.28 ,"$4,631.99 ","$4,631.99 ",$487.28 ,"$4,631.99 ","$1,004.37 ","$7,524.90 ","$6,939.63 ","$1,193.61 ",$487.28 ,"$7,357.68 ",$497.02 ,"$6,270.75 ","$6,270.75 ","$7,106.85 ","$7,106.85 ",$487.28 ,"$7,106.85 ",$487.28 ,"$6,772.41 ","$6,772.41 ","$6,772.41 ","$8,361.00 ","$7,524.90 ","$1,193.61 ","$7,524.90 ",$487.28 ,"$8,361.00 ","$4,690.52 ",$487.28 ,"$3,461.45 ",$243.09 ,$232.04 ,$510.02 ,"$7,524.90 ","$1,077.54 ","$4,631.99 ","$2,341.08 ","$7,524.90 ",$487.28 ,"$7,524.90 ","$7,524.90 ",$487.28 ,"$5,434.65 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200029,95870,HC EMG NON LIMB,922,1 ,$272.00 ,$195.84 ,$76.16 ,$272.00 ,$272.00 ,$202.64 ,$178.16 ,$117.03 ,$76.16 ,$167.28 ,$117.03 ,$167.28 ,$117.03 ,$150.69 ,$150.69 ,$117.03 ,$150.69 ,$241.23 ,$244.80 ,$225.76 ,$272.00 ,$117.03 ,$239.36 ,$119.37 ,$204.00 ,$204.00 ,$231.20 ,$231.20 ,$117.03 ,$231.20 ,$117.03 ,$220.32 ,$220.32 ,$220.32 ,$272.00 ,$244.80 ,$272.00 ,$244.80 ,$117.03 ,$272.00 ,$152.59 ,$117.03 ,$112.61 ,$243.09 ,$232.04 ,$122.50 ,$244.80 ,$258.80 ,$150.69 ,$76.16 ,$244.80 ,$117.03 ,$244.80 ,$244.80 ,$117.03 ,$176.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),92200031,95927,HC SSEP TRUNK/HEAD,922,1 ,$993.00 ,$714.96 ,$232.04 ,$993.00 ,$691.48 ,$739.79 ,$650.42 ,$282.29 ,$278.04 ,$610.70 ,$282.29 ,$610.70 ,$282.29 ,$550.12 ,$550.12 ,$282.29 ,$550.12 ,$581.85 ,$893.70 ,$824.19 ,$691.48 ,$282.29 ,$873.84 ,$287.93 ,$744.75 ,$744.75 ,$844.05 ,$844.05 ,$282.29 ,$844.05 ,$282.29 ,$804.33 ,$804.33 ,$804.33 ,$993.00 ,$893.70 ,$691.48 ,$893.70 ,$282.29 ,$993.00 ,$557.07 ,$282.29 ,$411.10 ,$243.09 ,$232.04 ,$295.47 ,$893.70 ,$624.24 ,$550.12 ,$278.04 ,$893.70 ,$282.29 ,$893.70 ,$893.70 ,$282.29 ,$645.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$154.00 ,$110.88 ,$43.12 ,$258.80 ,$154.00 ,$114.73 ,$100.87 ,$117.03 ,$43.12 ,$94.71 ,$117.03 ,$94.71 ,$117.03 ,$85.32 ,$85.32 ,$117.03 ,$85.32 ,$154.00 ,$138.60 ,$127.82 ,$154.00 ,$117.03 ,$135.52 ,$119.37 ,$115.50 ,$115.50 ,$130.90 ,$130.90 ,$117.03 ,$130.90 ,$117.03 ,$124.74 ,$124.74 ,$124.74 ,$154.00 ,$138.60 ,$154.00 ,$138.60 ,$117.03 ,$154.00 ,$86.39 ,$117.03 ,$63.76 ,$65.58 ,$62.60 ,$122.50 ,$138.60 ,$258.80 ,$85.32 ,$43.12 ,$138.60 ,$117.03 ,$138.60 ,$138.60 ,$117.03 ,$100.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94000103,E0202,HC PHOTO THERAPY INITIATE,940,1 ,$108.00 ,$77.76 ,$22.67 ,$108.00 ,$55.53 ,$80.46 ,$70.74 ,$22.67 ,$30.24 ,$66.42 ,$22.67 ,$66.42 ,$22.67 ,$59.83 ,$59.83 ,$22.67 ,$59.83 ,$46.73 ,$97.20 ,$89.64 ,$55.53 ,$22.67 ,$95.04 ,$23.12 ,$81.00 ,$81.00 ,$91.80 ,$91.80 ,$22.67 ,$91.80 ,$22.67 ,$87.48 ,$87.48 ,$87.48 ,$108.00 ,$97.20 ,$55.53 ,$97.20 ,$22.67 ,$108.00 ,$60.59 ,$22.67 ,$44.71 , N/A , N/A ,$23.73 ,$97.20 ,$50.13 ,$59.83 ,$30.24 ,$97.20 ,$22.67 ,$97.20 ,$97.20 ,$22.67 ,$70.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94000104,96372,HC INJECTION IM/SUBQ,940,1 ,$262.00 ,$188.64 ,$68.00 ,$262.00 ,$166.59 ,$195.19 ,$171.61 ,$68.00 ,$73.36 ,$161.13 ,$68.00 ,$161.13 ,$68.00 ,$145.15 ,$145.15 ,$68.00 ,$145.15 ,$140.18 ,$235.80 , N/A ,$166.59 ,$68.00 ,$230.56 ,$69.36 ,$196.50 ,$196.50 ,$222.70 ,$222.70 ,$68.00 ,$222.70 ,$68.00 ,$212.22 ,$212.22 ,$212.22 ,$262.00 ,$235.80 ,$166.59 ,$235.80 ,$68.00 ,$262.00 ,$146.98 ,$68.00 ,$108.47 , N/A , N/A ,$71.18 ,$235.80 ,$150.39 ,$145.15 ,$73.36 ,$235.80 ,$68.00 ,$235.80 ,$235.80 ,$68.00 ,$170.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94000105,96374,HC INJ IV PUSH SINGL/INITIAL,940,1 ,$197.00 ,$141.84 ,$55.16 ,$460.43 ,$197.00 ,$146.77 ,$129.04 ,$193.06 ,$55.16 ,$121.16 ,$193.06 ,$121.16 ,$193.06 ,$109.14 ,$109.14 ,$193.06 ,$109.14 ,$197.00 ,$177.30 , N/A ,$197.00 ,$193.06 ,$173.36 ,$196.92 ,$147.75 ,$147.75 ,$167.45 ,$167.45 ,$193.06 ,$167.45 ,$193.06 ,$159.57 ,$159.57 ,$159.57 ,$197.00 ,$177.30 ,$197.00 ,$177.30 ,$193.06 ,$197.00 ,$110.52 ,$193.06 ,$81.56 , N/A , N/A ,$193.06 ,$177.30 ,$460.43 ,$109.14 ,$55.16 ,$177.30 ,$193.06 ,$177.30 ,$177.30 ,$193.06 ,$128.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94000114,20560,HC NEEDLE INSERTION W/O INJECTION 1-2 MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$55.63 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$55.63 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94000115,20561,HC NEEDLE INSERTION W/O INJECTION 3+ MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$55.63 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$55.63 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$56.00 ,$40.32 ,$15.68 ,$56.00 ,$30.08 ,$41.72 ,$36.68 ,$29.48 ,$15.68 ,$34.44 ,$29.48 ,$34.44 ,$29.48 ,$31.02 ,$31.02 ,$29.48 ,$31.02 ,$56.00 ,$50.40 ,$46.48 ,$30.08 ,$29.48 ,$49.28 ,$30.07 ,$42.00 ,$42.00 ,$47.60 ,$47.60 ,$29.48 ,$47.60 ,$29.48 ,$45.36 ,$45.36 ,$45.36 ,$56.00 ,$50.40 ,$30.08 ,$50.40 ,$29.48 ,$56.00 ,$31.42 ,$29.48 ,$23.18 , N/A , N/A ,$29.48 ,$50.40 ,$30.08 ,$31.02 ,$15.68 ,$50.40 ,$29.48 ,$50.40 ,$50.40 ,$29.48 ,$36.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$47.00 ,$33.84 ,$13.16 ,$47.00 ,$26.21 ,$35.02 ,$30.79 ,$25.69 ,$13.16 ,$28.91 ,$25.69 ,$28.91 ,$25.69 ,$26.04 ,$26.04 ,$25.69 ,$26.04 ,$47.00 ,$42.30 ,$39.01 ,$26.21 ,$25.69 ,$41.36 ,$26.20 ,$35.25 ,$35.25 ,$39.95 ,$39.95 ,$25.69 ,$39.95 ,$25.69 ,$38.07 ,$38.07 ,$38.07 ,$47.00 ,$42.30 ,$26.21 ,$42.30 ,$25.69 ,$47.00 ,$26.37 ,$25.69 ,$19.46 , N/A , N/A ,$25.69 ,$42.30 ,$26.21 ,$26.04 ,$13.16 ,$42.30 ,$25.69 ,$42.30 ,$42.30 ,$25.69 ,$30.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94200007,97804,HC MNT GROUP INIT 30 MIN,942,1 ,$60.00 ,$43.20 ,$13.59 ,$60.00 ,$13.87 ,$44.70 ,$39.30 ,$13.59 ,$16.80 ,$36.90 ,$13.59 ,$36.90 ,$13.59 ,$33.24 ,$33.24 ,$13.59 ,$33.24 ,$28.02 ,$54.00 ,$49.80 ,$13.87 ,$13.59 ,$52.80 ,$13.87 ,$45.00 ,$45.00 ,$51.00 ,$51.00 ,$13.59 ,$51.00 ,$13.59 ,$48.60 ,$48.60 ,$48.60 ,$60.00 ,$54.00 ,$13.87 ,$54.00 ,$13.59 ,$60.00 ,$33.66 ,$13.59 ,$24.84 , N/A , N/A ,$13.59 ,$54.00 ,$13.87 ,$33.24 ,$16.80 ,$54.00 ,$13.59 ,$54.00 ,$54.00 ,$13.59 ,$39.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94200011,G0108,HC DIABETES SELF MGT ED 30 MIN,942,1 ,$121.90 ,$87.77 ,$34.13 ,$123.59 ,$121.90 ,$90.82 ,$79.84 ,$55.89 ,$34.13 ,$74.97 ,$55.89 ,$74.97 ,$55.89 ,$67.53 ,$67.53 ,$55.89 ,$67.53 ,$115.20 ,$109.71 ,$101.18 ,$121.90 ,$55.89 ,$107.27 ,$57.01 ,$91.43 ,$91.43 ,$103.62 ,$103.62 ,$55.89 ,$103.62 ,$55.89 ,$98.74 ,$98.74 ,$98.74 ,$121.90 ,$109.71 ,$121.90 ,$109.71 ,$55.89 ,$121.90 ,$68.39 ,$55.89 ,$50.47 , N/A , N/A ,$58.50 ,$109.71 ,$123.59 ,$67.53 ,$34.13 ,$109.71 ,$55.89 ,$109.71 ,$109.71 ,$55.89 ,$79.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94200013,G0109,HC DIABETES SELF MGT GROUP 30MIN,942,1 ,$60.95 ,$43.88 ,$15.84 ,$60.95 ,$38.80 ,$45.41 ,$39.92 ,$15.84 ,$17.07 ,$37.48 ,$15.84 ,$37.48 ,$15.84 ,$33.77 ,$33.77 ,$15.84 ,$33.77 ,$32.65 ,$54.86 ,$50.59 ,$38.80 ,$15.84 ,$53.64 ,$16.15 ,$45.71 ,$45.71 ,$51.81 ,$51.81 ,$15.84 ,$51.81 ,$15.84 ,$49.37 ,$49.37 ,$49.37 ,$60.95 ,$54.86 ,$38.80 ,$54.86 ,$15.84 ,$60.95 ,$34.19 ,$15.84 ,$25.23 , N/A , N/A ,$16.58 ,$54.86 ,$35.02 ,$33.77 ,$17.07 ,$54.86 ,$15.84 ,$54.86 ,$54.86 ,$15.84 ,$39.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$180.00 ,$129.60 ,$50.40 ,$267.63 ,$180.00 ,$134.10 ,$117.90 ,$121.02 ,$50.40 ,$110.70 ,$121.02 ,$110.70 ,$121.02 ,$99.72 ,$99.72 ,$121.02 ,$99.72 ,$180.00 ,$162.00 ,$149.40 ,$180.00 ,$121.02 ,$158.40 ,$123.44 ,$135.00 ,$135.00 ,$153.00 ,$153.00 ,$121.02 ,$153.00 ,$121.02 ,$145.80 ,$145.80 ,$145.80 ,$180.00 ,$162.00 ,$180.00 ,$162.00 ,$121.02 ,$180.00 ,$100.98 ,$121.02 ,$74.52 , N/A , N/A ,$126.67 ,$162.00 ,$267.63 ,$99.72 ,$50.40 ,$162.00 ,$121.02 ,$162.00 ,$162.00 ,$121.02 ,$117.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94300006,93798,HC CARDIAC REHAB W/EKG SESSION (LV1),943,1 ,$215.00 ,$154.80 ,$60.20 ,$267.63 ,$215.00 ,$160.18 ,$140.83 ,$121.02 ,$60.20 ,$132.23 ,$121.02 ,$132.23 ,$121.02 ,$119.11 ,$119.11 ,$121.02 ,$119.11 ,$215.00 ,$193.50 ,$178.45 ,$215.00 ,$121.02 ,$189.20 ,$123.44 ,$161.25 ,$161.25 ,$182.75 ,$182.75 ,$121.02 ,$182.75 ,$121.02 ,$174.15 ,$174.15 ,$174.15 ,$215.00 ,$193.50 ,$215.00 ,$193.50 ,$121.02 ,$215.00 ,$120.62 ,$121.02 ,$89.01 , N/A , N/A ,$126.67 ,$193.50 ,$267.63 ,$119.11 ,$60.20 ,$193.50 ,$121.02 ,$193.50 ,$193.50 ,$121.02 ,$139.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94300014,93798,HC CARD REHAB W/EKG SESS (PH2)-KX,943,1 ,$215.00 ,$154.80 ,$60.20 ,$267.63 ,$215.00 ,$160.18 ,$140.83 ,$121.02 ,$60.20 ,$132.23 ,$121.02 ,$132.23 ,$121.02 ,$119.11 ,$119.11 ,$121.02 ,$119.11 ,$215.00 ,$193.50 ,$178.45 ,$215.00 ,$121.02 ,$189.20 ,$123.44 ,$161.25 ,$161.25 ,$182.75 ,$182.75 ,$121.02 ,$182.75 ,$121.02 ,$174.15 ,$174.15 ,$174.15 ,$215.00 ,$193.50 ,$215.00 ,$193.50 ,$121.02 ,$215.00 ,$120.62 ,$121.02 ,$89.01 , N/A , N/A ,$126.67 ,$193.50 ,$267.63 ,$119.11 ,$60.20 ,$193.50 ,$121.02 ,$193.50 ,$193.50 ,$121.02 ,$139.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$72.36 ,$52.10 ,$20.26 ,$72.36 , N/A ,$53.91 ,$47.40 , N/A ,$20.26 ,$44.50 , N/A ,$44.50 , N/A ,$40.09 ,$40.09 , N/A ,$40.09 , N/A ,$65.12 ,$60.06 , N/A , N/A ,$63.68 , N/A ,$54.27 ,$54.27 ,$61.51 ,$61.51 , N/A ,$61.51 , N/A ,$58.61 ,$58.61 ,$58.61 ,$72.36 ,$65.12 , N/A ,$65.12 , N/A ,$72.36 ,$40.59 , N/A ,$29.96 , N/A , N/A , N/A ,$65.12 , N/A ,$40.09 ,$20.26 ,$65.12 , N/A ,$65.12 ,$65.12 , N/A ,$47.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),94300021,N/A,HC CARDIAC REHAB EXERCISE PER VISIT,943,1 ,$18.36 ,$13.22 ,$5.14 ,$18.36 , N/A ,$13.68 ,$12.03 , N/A ,$5.14 ,$11.29 , N/A ,$11.29 , N/A ,$10.17 ,$10.17 , N/A ,$10.17 , N/A ,$16.52 ,$15.24 , N/A , N/A ,$16.16 , N/A ,$13.77 ,$13.77 ,$15.61 ,$15.61 , N/A ,$15.61 , N/A ,$14.87 ,$14.87 ,$14.87 ,$18.36 ,$16.52 , N/A ,$16.52 , N/A ,$18.36 ,$10.30 , N/A ,$7.60 , N/A , N/A , N/A ,$16.52 , N/A ,$10.17 ,$5.14 ,$16.52 , N/A ,$16.52 ,$16.52 , N/A ,$11.93 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96000010,32550,PC INSERT CATH PLEURAL INDWELL W/CUFF,960,1 ,$650.00 ,$468.00 ,$182.00 ,"$7,894.78 ",$650.00 ,$484.25 ,$425.75 ,$637.00 ,$182.00 ,$399.75 ,$637.00 ,$399.75 ,$637.00 ,$360.10 ,$360.10 ,$637.00 ,$360.10 ,$650.00 ,$585.00 ,$539.50 ,$650.00 ,$637.00 ,$572.00 ,$649.74 ,$487.50 ,$487.50 ,$552.50 ,$552.50 ,$637.00 ,$552.50 ,$637.00 ,$526.50 ,$526.50 ,$526.50 ,$650.00 ,$585.00 ,$650.00 ,$585.00 ,$637.00 ,$650.00 ,$364.65 ,$637.00 ,$395.44 ,$512.17 ,$488.89 ,$637.00 ,$585.00 ,"$7,894.78 ",$360.10 ,$182.00 ,$585.00 ,$637.00 , N/A , N/A ,$637.00 ,$422.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96000011,32556,PC PLEURAL DRAINAGE W/O IMAGING,960,1 ,$384.00 ,$276.48 ,$107.52 ,"$3,881.92 ",$384.00 ,$286.08 ,$251.52 ,$376.32 ,$107.52 ,$236.16 ,$376.32 ,$236.16 ,$376.32 ,$212.74 ,$212.74 ,$376.32 ,$212.74 ,$384.00 ,$345.60 ,$318.72 ,$384.00 ,$376.32 ,$337.92 ,$383.85 ,$288.00 ,$288.00 ,$326.40 ,$326.40 ,$376.32 ,$326.40 ,$376.32 ,$311.04 ,$311.04 ,$311.04 ,$384.00 ,$345.60 ,$384.00 ,$345.60 ,$376.32 ,$384.00 ,$215.42 ,$376.32 ,$236.05 ,$384.00 ,$384.00 ,$376.32 ,$345.60 ,"$3,881.92 ",$212.74 ,$107.52 ,$345.60 ,$376.32 , N/A , N/A ,$376.32 ,$249.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96000012,36660,PC CATHERIZATION UMBILICAL ARTERY NEWBORN,960,1 ,$228.00 ,$164.16 ,$63.84 ,$228.00 , N/A ,$169.86 ,$149.34 , N/A ,$63.84 ,$140.22 , N/A ,$140.22 , N/A ,$126.31 ,$126.31 , N/A ,$126.31 , N/A ,$205.20 ,$189.24 , N/A , N/A ,$200.64 , N/A ,$171.00 ,$171.00 ,$193.80 ,$193.80 , N/A ,$193.80 , N/A ,$184.68 ,$184.68 ,$184.68 ,$228.00 ,$205.20 , N/A ,$205.20 , N/A ,$228.00 ,$127.91 , N/A ,$129.51 , N/A , N/A , N/A ,$205.20 , N/A ,$126.31 ,$63.84 ,$205.20 , N/A , N/A , N/A , N/A ,$148.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96000013,54150,PC CIRCUMCISION W/DEVICE,960,1 ,$303.00 ,$218.16 ,$84.84 ,"$4,134.43 ",$303.00 ,$225.74 ,$198.47 ,$296.94 ,$84.84 ,$186.35 ,$296.94 ,$186.35 ,$296.94 ,$167.86 ,$167.86 ,$296.94 ,$167.86 ,$303.00 ,$272.70 ,$251.49 ,$303.00 ,$296.94 ,$266.64 ,$302.88 ,$227.25 ,$227.25 ,$257.55 ,$257.55 ,$296.94 ,$257.55 ,$296.94 ,$245.43 ,$245.43 ,$245.43 ,$303.00 ,$272.70 ,$303.00 ,$272.70 ,$296.94 ,$303.00 ,$169.98 ,$296.94 ,$188.27 ,$303.00 ,$303.00 ,$296.94 ,$272.70 ,"$4,134.43 ",$167.86 ,$84.84 ,$272.70 ,$296.94 , N/A , N/A ,$296.94 ,$196.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96000014,36510,PC UMBILICAL CATHETER INSERTION NEWBORN,960,1 ,$174.00 ,$125.28 ,$48.72 ,$174.00 , N/A ,$129.63 ,$113.97 , N/A ,$48.72 ,$107.01 , N/A ,$107.01 , N/A ,$96.40 ,$96.40 , N/A ,$96.40 , N/A ,$156.60 ,$144.42 , N/A , N/A ,$153.12 , N/A ,$130.50 ,$130.50 ,$147.90 ,$147.90 , N/A ,$147.90 , N/A ,$140.94 ,$140.94 ,$140.94 ,$174.00 ,$156.60 , N/A ,$156.60 , N/A ,$174.00 ,$97.61 , N/A ,$102.00 , N/A , N/A , N/A ,$156.60 , N/A ,$96.40 ,$48.72 ,$156.60 , N/A , N/A , N/A , N/A ,$113.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96000015,76936,PC US GUIDED COMPRESSION RPR -26,960,1 ,$151.75 ,$109.26 ,$42.49 ,$624.24 ,$151.75 ,$113.05 ,$99.40 ,$148.71 ,$42.49 ,$93.33 ,$148.71 ,$93.33 ,$148.71 ,$84.07 ,$84.07 ,$148.71 ,$84.07 ,$151.75 ,$136.58 ,$125.95 ,$151.75 ,$148.71 ,$133.54 ,$151.69 ,$113.81 ,$113.81 ,$128.99 ,$128.99 ,$148.71 ,$128.99 ,$148.71 ,$122.92 ,$122.92 ,$122.92 ,$151.75 ,$136.58 ,$151.75 ,$136.58 ,$148.71 ,$151.75 ,$85.13 ,$148.71 ,$151.75 ,$82.18 ,$78.45 ,$148.71 ,$136.58 ,$624.24 ,$84.07 ,$42.49 ,$136.58 ,$148.71 , N/A , N/A ,$148.71 ,$98.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100001,90791,PC EVAL PSYCH DIAG MD,961,1 ,$424.00 ,$305.28 ,$118.72 ,$424.00 ,$359.74 ,$315.88 ,$277.72 ,$146.86 ,$118.72 ,$260.76 ,$146.86 ,$260.76 ,$146.86 ,$234.90 ,$234.90 ,$146.86 ,$234.90 ,$302.71 ,$381.60 ,$351.92 ,$359.74 ,$146.86 ,$373.12 ,$149.80 ,$318.00 ,$318.00 ,$360.40 ,$360.40 ,$146.86 ,$360.40 ,$146.86 ,$343.44 ,$343.44 ,$343.44 ,$424.00 ,$381.60 ,$359.74 ,$381.60 ,$146.86 ,$424.00 ,$237.86 ,$146.86 ,$188.99 ,$203.68 ,$194.42 ,$153.71 ,$381.60 ,$324.76 ,$234.90 ,$118.72 ,$381.60 ,$146.86 , N/A , N/A ,$146.86 ,$275.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100002,90791,PC EVAL PSYCH DIAG PHD,961,1 ,$424.00 ,$305.28 ,$118.72 ,$424.00 ,$359.74 ,$315.88 ,$277.72 ,$146.86 ,$118.72 ,$260.76 ,$146.86 ,$260.76 ,$146.86 ,$234.90 ,$234.90 ,$146.86 ,$234.90 ,$302.71 ,$381.60 ,$351.92 ,$359.74 ,$146.86 ,$373.12 ,$149.80 ,$318.00 ,$318.00 ,$360.40 ,$360.40 ,$146.86 ,$360.40 ,$146.86 ,$343.44 ,$343.44 ,$343.44 ,$424.00 ,$381.60 ,$359.74 ,$381.60 ,$146.86 ,$424.00 ,$237.86 ,$146.86 ,$188.99 ,$203.68 ,$194.42 ,$153.71 ,$381.60 ,$324.76 ,$234.90 ,$118.72 ,$381.60 ,$146.86 , N/A , N/A ,$146.86 ,$275.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100004,90832,PC THERAPY INDIVIDUAL PSYCH 30MIN,961,1 ,$189.00 ,$136.08 ,$52.92 ,$324.76 ,$189.00 ,$140.81 ,$123.80 ,$146.86 ,$52.92 ,$116.24 ,$146.86 ,$116.24 ,$146.86 ,$104.71 ,$104.71 ,$146.86 ,$104.71 ,$189.00 ,$170.10 ,$156.87 ,$189.00 ,$146.86 ,$166.32 ,$149.80 ,$141.75 ,$141.75 ,$160.65 ,$160.65 ,$146.86 ,$160.65 ,$146.86 ,$153.09 ,$153.09 ,$153.09 ,$189.00 ,$170.10 ,$189.00 ,$170.10 ,$146.86 ,$189.00 ,$106.03 ,$146.86 ,$94.57 ,$109.58 ,$104.60 ,$153.71 ,$170.10 ,$324.76 ,$104.71 ,$52.92 ,$170.10 ,$146.86 , N/A , N/A ,$146.86 ,$122.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100005,90833,PC THERAPY INDIVIDUAL PSYCH W/MED EVAL 30MIN,961,1 ,$195.00 ,$140.40 ,$54.60 ,$195.00 , N/A ,$145.28 ,$127.73 , N/A ,$54.60 ,$119.93 , N/A ,$119.93 , N/A ,$108.03 ,$108.03 , N/A ,$108.03 , N/A ,$175.50 ,$161.85 , N/A , N/A ,$171.60 , N/A ,$146.25 ,$146.25 ,$165.75 ,$165.75 , N/A ,$165.75 , N/A ,$157.95 ,$157.95 ,$157.95 ,$195.00 ,$175.50 , N/A ,$175.50 , N/A ,$195.00 ,$109.40 , N/A ,$98.01 ,$109.77 ,$104.78 , N/A ,$175.50 , N/A ,$108.03 ,$54.60 ,$175.50 , N/A , N/A , N/A , N/A ,$126.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100006,90834,PC THERAPY INDIVIDUAL PSYCH 45MIN,961,1 ,$249.00 ,$179.28 ,$69.72 ,$324.76 ,$249.00 ,$185.51 ,$163.10 ,$146.86 ,$69.72 ,$153.14 ,$146.86 ,$153.14 ,$146.86 ,$137.95 ,$137.95 ,$146.86 ,$137.95 ,$249.00 ,$224.10 ,$206.67 ,$249.00 ,$146.86 ,$219.12 ,$149.80 ,$186.75 ,$186.75 ,$211.65 ,$211.65 ,$146.86 ,$211.65 ,$146.86 ,$201.69 ,$201.69 ,$201.69 ,$249.00 ,$224.10 ,$249.00 ,$224.10 ,$146.86 ,$249.00 ,$139.69 ,$146.86 ,$126.09 ,$109.77 ,$104.78 ,$153.71 ,$224.10 ,$324.76 ,$137.95 ,$69.72 ,$224.10 ,$146.86 , N/A , N/A ,$146.86 ,$161.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100007,90836,PC THERAPY INDIVIDUAL PSYCH W/MED EVAL 45MIN,961,1 ,$246.00 ,$177.12 ,$68.88 ,$246.00 , N/A ,$183.27 ,$161.13 , N/A ,$68.88 ,$151.29 , N/A ,$151.29 , N/A ,$136.28 ,$136.28 , N/A ,$136.28 , N/A ,$221.40 ,$204.18 , N/A , N/A ,$216.48 , N/A ,$184.50 ,$184.50 ,$209.10 ,$209.10 , N/A ,$209.10 , N/A ,$199.26 ,$199.26 ,$199.26 ,$246.00 ,$221.40 , N/A ,$221.40 , N/A ,$246.00 ,$138.01 , N/A ,$124.17 ,$109.77 ,$104.78 , N/A ,$221.40 , N/A ,$136.28 ,$68.88 ,$221.40 , N/A , N/A , N/A , N/A ,$159.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100008,90837,PC THERAPY INDIVIDUAL PSYCH PHD 60MIN,961,1 ,$375.00 ,$270.00 ,$104.78 ,$375.00 ,$359.74 ,$279.38 ,$245.63 ,$146.86 ,$105.00 ,$230.63 ,$146.86 ,$230.63 ,$146.86 ,$207.75 ,$207.75 ,$146.86 ,$207.75 ,$302.71 ,$337.50 ,$311.25 ,$359.74 ,$146.86 ,$330.00 ,$149.80 ,$281.25 ,$281.25 ,$318.75 ,$318.75 ,$146.86 ,$318.75 ,$146.86 ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 ,$359.74 ,$337.50 ,$146.86 ,$375.00 ,$210.38 ,$146.86 ,$188.50 ,$109.77 ,$104.78 ,$153.71 ,$337.50 ,$324.76 ,$207.75 ,$105.00 ,$337.50 ,$146.86 , N/A , N/A ,$146.86 ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96100011,90838,PC PSYCH THERAPY INDIV W/MED EVAL 60MIN,961,1 ,$324.00 ,$233.28 ,$90.72 ,$324.00 , N/A ,$241.38 ,$212.22 , N/A ,$90.72 ,$199.26 , N/A ,$199.26 , N/A ,$179.50 ,$179.50 , N/A ,$179.50 , N/A ,$291.60 ,$268.92 , N/A , N/A ,$285.12 , N/A ,$243.00 ,$243.00 ,$275.40 ,$275.40 , N/A ,$275.40 , N/A ,$262.44 ,$262.44 ,$262.44 ,$324.00 ,$291.60 , N/A ,$291.60 , N/A ,$324.00 ,$181.76 , N/A ,$162.87 ,$109.77 ,$104.78 , N/A ,$291.60 , N/A ,$179.50 ,$90.72 ,$291.60 , N/A , N/A , N/A , N/A ,$210.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400286,100,PC ANESTH SALIVARY GLAND W/BX-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400287,120,PC ANESTH EXT/MID/INR EAR W/BX NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400288,140,PC ANESTH EYE NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400290,160,PC ANESTH NOSE/SINUS NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400292,170,PC ANESTH MOUTH W/BIOPSY NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400293,190,PC ANESTH FACE BONE/SKULL NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400294,300,PC ANESTH HEAD/NECK/TRUNK NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400295,320,PC ANESTH NECK ORGANS >1YR NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400296,400,PC ANESTH INTEG EXTRM/TRUNK NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400297,404,PC ANESTH BREAST RADICAL/MOD RAD-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400298,406,PC ANESTH BREAST/RAD/MOD RAD W/DISSECTION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400299,410,PC ANESTH ELEC CONV ARRHYTHMIAS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400300,450,PC ANESTH CLAVICLE/SCAPULA NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400301,520,PC ANESTH CHEST CLOSED NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400302,635,PC ANESTH LUMBAR PUNCTURE DIAG/THERAP-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400303,700,PC ANESTH ABD WALL/UPPER ANTR NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400304,730,PC ANESTH ABD WALL/UPPER POSTR NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400306,750,PC ANESTH RPR HERNIA UPPER ABD NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400307,752,PC ANESTH RPR HERNIA LUMB/VENTR WND DEH-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400308,790,PC ANESTH UPPER ABD W/LAP NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400310,800,PC ANESTH ABD WALL LOW ANTR NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400312,820,PC ANESTH ABD WALL LOWER POSTR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400313,830,PC ANESTH RPR HERNIA LOW ABD NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400314,832,PC ANESTH RPR HERNIA VENTRAL/INCISONAL-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400315,840,PC ANESTH LOWER ABD W/LAP NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400316,844,PC ANESTH ABDOMINOPERINEAL RESECTION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400317,846,PC ANESTH HYSTERECTOMY RADICAL-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400319,860,PC ANESTH LOWER ABD EXTRAPERIT NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400320,862,PC ANESTH RENAL PROC/DONOR NEPHRECTOMY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400322,865,PC ANESTH PROSTATECTOMY RADICAL-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400324,873,PC ANESTH LITHOTRIPSY W/O WATER BATH-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400325,902,PC ANESTH ANORECTAL PROC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400327,908,PC ANESTH PERINEAL PROSTATECTOMY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400328,910,PC ANESTH TRANSURETHRAL PROC NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400329,912,PC ANESTH TRANSURETHRAL RESECT BLADDER TUMR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400330,914,PC ANESTH TRANSURETRAL RESECT PROSTATE-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400332,920,PC ANESTH GENITALIA MALE NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400339,940,PC ANESTH VAGINAL PROCS W/BX NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400340,942,PC ANESTH VAGINAL COLPECT/VAG/COLPRHY PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400341,944,PC ANESTH VAGINAL HYSTERECTOMY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400342,948,PC ANESTH CERVICAL CERCLAGE-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400344,952,PC ANESTH HYSTEROSCOPY/HYSTERGRAPH-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400345,1200,PC ANESTH HIP JOINT CLOSED PROC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400346,1232,PC ANESTH FEMUR AMPUTATION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400347,1250,PC ANESTH UPPER LEG PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400349,1320,PC ANESTH KNEE/POPLITEAL PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400350,1340,PC ANESTH FEMUR CLOSED PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400351,1360,PC ANESTH FEMUR OPEN PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400352,1380,PC ANESTH KNEE JOINT CLOSED-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400353,1382,PC ANESTH KNEE ARTHROSCOPIC DIAG PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400354,1390,PC ANESTH KNEE CLOSED PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400355,1392,PC ANESTH KNEE OPEN PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400356,1400,PC ANESTH KNEE ARTHROSOPIC OPEN PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400358,1462,PC ANESTH LWR LEG/ANKLE/FOOT CLOSED-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400359,1464,PC ANESTH ANKLE/FOOT ARTHROSCOPIC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400360,1470,PC ANESTH LWR LEG NERV/MUSC/TEND NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400361,1472,PC ANESTH RPR ACHILLES TENDN W/OR W/O GRAFT-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400362,1480,PC ANESTH LWR LEG/ANKLE/FOOT OPEN NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400363,1482,PC ANESTH LWR LEG RADICAL RESECTION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400366,1610,PC ANESTH SHLDR NERV/MUSC/TEND-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400367,1620,PC ANESTH SHLDR CLOSED PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400368,1630,PC ANESTH SHLDR ARTHROSCOPIC NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400369,1710,PC ANESTH UPPR ARM/ELBW NERV/MUSC/TEND NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400370,1730,PC ANESTH HUMERUS/ELBOW CLOSED PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400371,1740,PC ANESTH ELBOW ARTHROSCOPIC PROC NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400372,1770,PC ANESTH UPPR ARM/ELBOW NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400373,1780,PC ANESTH VEINS UPPR ARM/ELBOW NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400374,1810,PC ANESTH LOWR ARM NERV/MUSC/TEND PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400375,1820,PC ANESTH LOWER ARM CLOSED PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400376,1830,PC ANESTH LOWER ARM ARTHRO/ENDOSC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400377,1840,PC ANESTH LOWER ARM ARTERIES PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400378,1850,PC ANESTH VEINS LOWER ARM NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400379,1922,PC ANESTH NO-INVAS IMAGE OR RAD THPY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400380,1961,PC ANESTH CESAREAN DELIVERY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400382,1967,PC ANESTH VAGINAL DELIVERY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400383,1968,PC ANESTH CESAREAN DELIVERY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400384,1999,PC ANESTH UNLISTED PROC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400388,126,PC ANESTH TYMPANOTOMY -QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400408,103,PC ANESTH EYELID BLEPHAROPLASTY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400409,104,PC ANESTH ELECTROCONVULSIVE THERAPY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400410,124,PC ANESTH EAR PROC W/BX OTOSCOPY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400411,210,PC ANESTH INTRACRANIAL PROCS NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400412,211,PC ANESTH INTRACRANIAL PROC HEMATOMA-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400413,214,PC ANESTH INTRACRANIAL PROC BURR HOLES W/VENTRICULOGRAPHY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400414,216,PC ANESTH INTRACRANIAL PROCS VASCULAR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400415,218,PC ANESTH INTRACRANIAL PROCS SITTING POSITION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400416,220,PC ANESTH INTRACRANIAL SHUNTING PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400417,350,PC ANESTH NECK VESSEL NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400418,352,PC ANESTH NECK VESSEL SIMPLE LIGATION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400419,402,PC ANESTH BREAST RECONSTRUCT PROC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400420,500,PC ANESTH ESOPHAGEAL PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400421,522,PC ANESTH CHEST BIOPSY PLEURA-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400422,528,PC ANESTH CHEST MEDIAST/DX THORASC W/LUNG VENTIL-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400423,530,PC ANESTH PACEMAKER INSERTION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400424,532,PC ANESTH VASCULAR ACCESS CENTRAL VENOUS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400425,534,PC ANESTH INSERT CARDIOVERTER/DEFIBRILLATOR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400426,541,PC ANESTH THORACOTOMY VENTILATION SINGLE LUNG-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400427,560,PC ANESTH HEART PROC W/O PUMP OXYGENATOR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400428,600,PC ANESTH CERVICAL SPINE/CORD NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400429,620,PC ANESTH THORACIC SPINE/CORD NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400430,625,PC ANESTH THORACIC SPINE W/O LUNG VENTILATION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400431,630,PC ANESTH LUMBAR PROCS NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400432,640,PC ANESTH SPINE MANIPULATION/CLOSED PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400433,670,PC ANESTH EXTENSIVE SPINE/CORD PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400434,702,PC ANESTH LIVER BIOPSY PERC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400435,731,PC ANESTH UPPER GI ENDO PROC NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400436,732,PC ANESTH UPPER GI ERCP-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400437,754,PC ANESTH HERNIA UPPR ABDOMEN OMPHALOCELE-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400438,811,PC ANESTH LOWER ENDO PROCS NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400439,812,PC ANESTH SCREENING COLONOSCOPY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400440,813,PC ANESTH UPPER/LOWER GI ENDO PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400441,872,PC ANESTH LITHO EXTRACORPOREAL SHOCK WAVE W/BATH-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400442,918,PC ANESTH TRANSURETHRAL STONE REMOVAL-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400443,1112,PC ANESTH BONE MARROW ASPIRATION/BIOPSY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400444,1120,PC ANESTH BONY PELVIS PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400445,1202,PC ANESTH ARTHROSCOPY HIP-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400446,1210,PC ANESTH OPEN HIP JOINT NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400447,1214,PC ANESTH HIP ARTHROPLASTY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400448,1215,PC ANESTH OPEN REVISE TOTAL HIP ARTHROPLASTY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400449,1220,PC ANESTH CLOSED PROCS FEMUR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400450,1230,PC ANESTH OPEN FEMUR PROCS NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400451,1270,PC ANESTH ARTERIES UPPER LEG W/GRAFT NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400452,1274,PC ANESTH FEMORAL ARTERY EMBOLECTOMY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400453,1402,PC ANESTH TOTAL KNEE ARTHROPLASTY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400454,1440,PC ANESTH KNEE/POPLITEAL ARTERIES NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400455,1474,PC ANESTH GASTROCNEMIUS RECESSION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400456,1484,PC ANESTH LOWER LEG PROCS OSTEOTOMY/OSTEOPLASTY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400457,1502,PC ANESTH LOWER LEG ARTERY EMBOLECTOMY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400458,1622,PC ANESTH SHOULDER ARTHROSCOPY DX-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400459,1638,PC ANESTH TOTAL SHOULDER REPLACMENT-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400460,1670,PC ANESTH SHOULDER/AXILLA VEIN PROCS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400461,1712,PC ANESTH TENOTOMY UPPER ARM OPEN-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400462,1716,PC ANESTH BICEPS TENDON REPAIR-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400463,1772,PC ANESTH EMBOLECTOMY UPPER ARM/ELBOW-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400464,1844,PC ANESTH VASCULAR SHUNT OR REVISION-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400465,1916,PC ANESTH ARTERIOGRAPHY/VENOGRAPHY DX-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400466,1920,PC ANESTH HEART CATH W/ANGIOGRAPHY/VENTRICULOGRAPHY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400467,1924,PC ANESTH ARTERIAL INTERVEN RAD PROCS THERAPEUTIC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400468,1925,PC ANESTH ARTERIAL INTERVEN RAD PROCS CAROTID/CORONARY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400469,1926,PC ANESTH ARTERIAL INTERVEN RAD PROCS INTRACRANIAL/CARDIAC/AORTIC-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400470,1930,PC ANESTH VENOUS/LYMPHATIC SYSTEM THERAP NOS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400471,1935,PC ANESTH SPINE/SPINAL CORD PERC IMAGE GUIDED PROCS DX-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 , N/A , N/A , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400472,1936,PC ANESTH SPINE/SPINAL CORD PERC IMAGE GUIDED PROCS THERAP-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 , N/A , N/A , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400473,1960,PC ANESTH VAGINAL DELIVERY-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400474,1965,PC ANESTH ABORTION IMCOMPLETE/MISSED-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400475,1966,PC ANESTH ABORTION INDUCED-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400476,1991,PC ANESTH NERVE BLOCK/INJ DX/THER NON PRONE DIFF PHYS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400477,1992,PC ANESTH NERVE BLOCK/INJ DX/THER PRONE DIFF PHYS-QZ,964,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$18.63 ,$16.38 , N/A ,$7.00 ,$15.38 , N/A ,$15.38 , N/A ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$22.50 ,$20.75 , N/A , N/A ,$22.00 , N/A ,$18.75 ,$18.75 ,$21.25 ,$21.25 , N/A ,$21.25 , N/A ,$20.25 ,$20.25 ,$20.25 ,$25.00 ,$22.50 , N/A ,$22.50 , N/A ,$25.00 ,$14.03 , N/A ,$17.50 ,$17.46 ,$16.66 , N/A ,$22.50 , N/A ,$13.85 ,$7.00 ,$22.50 , N/A , N/A , N/A , N/A ,$16.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400484,120,PC ANESTH EXT/MID/INR EAR W/BX NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400485,140,PC ANESTH EYE NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400486,160,PC ANESTH NOSE/SINUS NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400487,170,PC ANESTH MOUTH W/BIOPSY NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400488,190,PC ANESTH FACE BONE/SKULL NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400489,300,PC ANESTH HEAD/NECK/TRUNK NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400490,320,PC ANESTH NECK ORGANS >1YR NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400491,400,PC ANESTH INTEG EXTRM/TRUNK NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$25.00 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400492,404,PC ANESTH BREAST RADICAL/MOD RAD-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400493,406,PC ANESTH BREAST/RAD/MOD RAD W/DISSECTION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400494,410,PC ANESTH ELEC CONV ARRHYTHMIAS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400495,450,PC ANESTH CLAVICLE/SCAPULA NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400496,520,PC ANESTH CHEST CLOSED NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400497,635,PC ANESTH LUMBAR PUNCTURE DIAG/THERAP-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400498,700,PC ANESTH ABD WALL/UPPER ANTR NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400499,730,PC ANESTH ABD WALL/UPPER POSTR NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400500,750,PC ANESTH RPR HERNIA UPPER ABD NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400501,752,PC ANESTH RPR HERNIA LUMB/VENTR WND DEH-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400502,790,PC ANESTH UPPER ABD W/LAP NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400503,800,PC ANESTH ABD WALL LOW ANTR NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400504,820,PC ANESTH ABD WALL LOWER POSTR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400505,830,PC ANESTH RPR HERNIA LOW ABD NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400506,832,PC ANESTH RPR HERNIA VENTRAL/INCISONAL-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400507,840,PC ANESTH LOWER ABD W/LAP NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400508,844,PC ANESTH ABDOMINOPERINEAL RESECTION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400509,846,PC ANESTH HYSTERECTOMY RADICAL-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400510,860,PC ANESTH LOWER ABD EXTRAPERIT NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400511,862,PC ANESTH RENAL PROC/DONOR NEPHRECTOMY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400512,865,PC ANESTH PROSTATECTOMY RADICAL-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400513,873,PC ANESTH LITHOTRIPSY W/O WATER BATH-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400514,902,PC ANESTH ANORECTAL PROC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400515,908,PC ANESTH PERINEAL PROSTATECTOMY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400516,910,PC ANESTH TRANSURETHRAL PROC NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400517,912,PC ANESTH TRANSURETHRAL RESECT BLADDER TUMR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400518,914,PC ANESTH TRANSURETRAL RESECT PROSTATE-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400519,920,PC ANESTH GENITALIA MALE NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400520,940,PC ANESTH VAGINAL PROCS W/BX NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400521,942,PC ANESTH VAGINAL COLPECT/VAG/COLPRHY PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400522,944,PC ANESTH VAGINAL HYSTERECTOMY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400523,948,PC ANESTH CERVICAL CERCLAGE-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400524,952,PC ANESTH HYSTEROSCOPY/HYSTERGRAPH-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400525,1200,PC ANESTH HIP JOINT CLOSED PROC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400526,1232,PC ANESTH FEMUR AMPUTATION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400527,1250,PC ANESTH UPPER LEG PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400528,1320,PC ANESTH KNEE/POPLITEAL PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400529,1340,PC ANESTH FEMUR CLOSED PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400530,1360,PC ANESTH FEMUR OPEN PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400531,1380,PC ANESTH KNEE JOINT CLOSED-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400532,1382,PC ANESTH KNEE ARTHROSCOPIC DIAG PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400533,1390,PC ANESTH KNEE CLOSED PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400534,1392,PC ANESTH KNEE OPEN PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400535,1400,PC ANESTH KNEE ARTHROSOPIC OPEN PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400536,1462,PC ANESTH LWR LEG/ANKLE/FOOT CLOSED-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400537,1464,PC ANESTH ANKLE/FOOT ARTHROSCOPIC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400538,1470,PC ANESTH LWR LEG NERV/MUSC/TEND NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400539,1472,PC ANESTH RPR ACHILLES TENDN W/OR W/O GRAFT-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400540,1480,PC ANESTH LWR LEG/ANKLE/FOOT OPEN NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400541,1482,PC ANESTH LWR LEG RADICAL RESECTION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400542,1610,PC ANESTH SHLDR NERV/MUSC/TEND-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400543,1620,PC ANESTH SHLDR CLOSED PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400544,1630,PC ANESTH SHLDR ARTHROSCOPIC NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400545,1710,PC ANESTH UPPR ARM/ELBW NERV/MUSC/TEND NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400546,1730,PC ANESTH HUMERUS/ELBOW CLOSED PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400547,1740,PC ANESTH ELBOW ARTHROSCOPIC PROC NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400548,1770,PC ANESTH UPPR ARM/ELBOW NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400549,1780,PC ANESTH VEINS UPPR ARM/ELBOW NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400550,1810,PC ANESTH LOWR ARM NERV/MUSC/TEND PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400551,1820,PC ANESTH LOWER ARM CLOSED PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400552,1830,PC ANESTH LOWER ARM ARTHRO/ENDOSC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400553,1840,PC ANESTH LOWER ARM ARTERIES PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400554,1850,PC ANESTH VEINS LOWER ARM NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400555,1922,PC ANESTH NO-INVAS IMAGE OR RAD THPY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400556,1961,PC ANESTH CESAREAN DELIVERY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400557,1967,PC ANESTH VAGINAL DELIVERY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400558,1968,PC ANESTH CESAREAN DELIVERY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400559,1999,PC ANESTH UNLISTED PROC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400560,126,PC ANESTH TYMPANOTOMY -QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400561,103,PC ANESTH EYELID BLEPHAROPLASTY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400562,104,PC ANESTH ELECTROCONVULSIVE THERAPY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400563,124,PC ANESTH EAR PROC W/BX OTOSCOPY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400564,210,PC ANESTH INTRACRANIAL PROCS NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400565,211,PC ANESTH INTRACRANIAL PROC HEMATOMA-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400566,214,PC ANESTH INTRACRANIAL PROC BURR HOLES W/VENTRICULOGRAPHY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400567,216,PC ANESTH INTRACRANIAL PROCS VASCULAR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400568,218,PC ANESTH INTRACRANIAL PROCS SITTING POSITION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400569,220,PC ANESTH INTRACRANIAL SHUNTING PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400570,350,PC ANESTH NECK VESSEL NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400571,352,PC ANESTH NECK VESSEL SIMPLE LIGATION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400572,402,PC ANESTH BREAST RECONSTRUCT PROC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400573,500,PC ANESTH ESOPHAGEAL PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400574,522,PC ANESTH CHEST BIOPSY PLEURA-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400575,528,PC ANESTH CHEST MEDIAST/DX THORASC W/LUNG VENTIL-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400576,530,PC ANESTH PACEMAKER INSERTION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400577,532,PC ANESTH VASCULAR ACCESS CENTRAL VENOUS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400578,534,PC ANESTH INSERT CARDIOVERTER/DEFIBRILLATOR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400579,541,PC ANESTH THORACOTOMY VENTILATION SINGLE LUNG-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400580,560,PC ANESTH HEART PROC W/O PUMP OXYGENATOR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400581,600,PC ANESTH CERVICAL SPINE/CORD NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400582,620,PC ANESTH THORACIC SPINE/CORD NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400583,625,PC ANESTH THORACIC SPINE W/O LUNG VENTILATION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400584,630,PC ANESTH LUMBAR PROCS NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400585,640,PC ANESTH SPINE MANIPULATION/CLOSED PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400586,670,PC ANESTH EXTENSIVE SPINE/CORD PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400587,702,PC ANESTH LIVER BIOPSY PERC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400588,731,PC ANESTH UPPER GI ENDO PROC NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400589,732,PC ANESTH UPPER GI ERCP-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400590,754,PC ANESTH HERNIA UPPR ABDOMEN OMPHALOCELE-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400591,811,PC ANESTH LOWER ENDO PROCS NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400592,812,PC ANESTH SCREENING COLONOSCOPY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400593,813,PC ANESTH UPPER/LOWER GI ENDO PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400594,872,PC ANESTH LITHO EXTRACORPOREAL SHOCK WAVE W/BATH-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400595,918,PC ANESTH TRANSURETHRAL STONE REMOVAL-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400596,1112,PC ANESTH BONE MARROW ASPIRATION/BIOPSY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400597,1120,PC ANESTH BONY PELVIS PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400598,1202,PC ANESTH ARTHROSCOPY HIP-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400599,1210,PC ANESTH OPEN HIP JOINT NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400600,1214,PC ANESTH HIP ARTHROPLASTY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400601,1215,PC ANESTH OPEN REVISE TOTAL HIP ARTHROPLASTY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400602,1220,PC ANESTH CLOSED PROCS FEMUR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400603,1230,PC ANESTH OPEN FEMUR PROCS NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400604,1270,PC ANESTH ARTERIES UPPER LEG W/GRAFT NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400605,1274,PC ANESTH FEMORAL ARTERY EMBOLECTOMY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400606,1402,PC ANESTH TOTAL KNEE ARTHROPLASTY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400607,1440,PC ANESTH KNEE/POPLITEAL ARTERIES NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400608,1474,PC ANESTH GASTROCNEMIUS RECESSION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400609,1484,PC ANESTH LOWER LEG PROCS OSTEOTOMY/OSTEOPLASTY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400610,1502,PC ANESTH LOWER LEG ARTERY EMBOLECTOMY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400611,1622,PC ANESTH SHOULDER ARTHROSCOPY DX-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400612,1638,PC ANESTH TOTAL SHOULDER REPLACMENT-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400613,1670,PC ANESTH SHOULDER/AXILLA VEIN PROCS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400614,1712,PC ANESTH TENOTOMY UPPER ARM OPEN-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400615,1716,PC ANESTH BICEPS TENDON REPAIR-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400616,1772,PC ANESTH EMBOLECTOMY UPPER ARM/ELBOW-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400617,1844,PC ANESTH VASCULAR SHUNT OR REVISION-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400618,1916,PC ANESTH ARTERIOGRAPHY/VENOGRAPHY DX-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400619,1920,PC ANESTH HEART CATH W/ANGIOGRAPHY/VENTRICULOGRAPHY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400620,1924,PC ANESTH ARTERIAL INTERVEN RAD PROCS THERAPEUTIC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400621,1925,PC ANESTH ARTERIAL INTERVEN RAD PROCS CAROTID/CORONARY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400622,1926,PC ANESTH ARTERIAL INTERVEN RAD PROCS INTRACRANIAL/CARDIAC/AORTIC-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400623,1930,PC ANESTH VENOUS/LYMPHATIC SYSTEM THERAP NOS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400624,1935,PC ANESTH SPINE/SPINAL CORD PERC IMAGE GUIDED PROCS DX-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 , N/A , N/A , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400626,1960,PC ANESTH VAGINAL DELIVERY-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400627,1965,PC ANESTH ABORTION IMCOMPLETE/MISSED-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400628,1966,PC ANESTH ABORTION INDUCED-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400629,1991,PC ANESTH NERVE BLOCK/INJ DX/THER NON PRONE DIFF PHYS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400630,1992,PC ANESTH NERVE BLOCK/INJ DX/THER PRONE DIFF PHYS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400631,1990,PC ANESTH ORGAN HARVEST-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 , N/A , N/A , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400636,100,PC ANESTH SALIVARY GLAND W/BX-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400637,1744,PC ANESTH REPAIR HUMERUS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400640,142,PC ANESTH EYE LENS-QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400661,770,PC ANESTH BLOOD VESSEL REPAIR - QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),96400662,540,PC ANESTH CHEST SURGERY - QX,964,1 ,$25.00 ,$9.00 ,$3.50 ,$25.00 , N/A ,$9.32 ,$8.19 , N/A ,$3.50 ,$7.69 , N/A ,$7.69 , N/A ,$6.93 ,$6.93 , N/A ,$6.93 , N/A ,$11.25 ,$20.75 , N/A , N/A ,$11.00 , N/A ,$9.38 ,$9.38 ,$10.63 ,$10.63 , N/A ,$10.63 , N/A ,$10.13 ,$10.13 ,$10.13 ,$25.00 ,$11.25 , N/A ,$11.25 , N/A ,$12.50 ,$7.02 , N/A ,$8.75 ,$8.73 ,$8.33 , N/A ,$11.25 , N/A ,$6.93 ,$3.50 ,$11.25 , N/A , N/A , N/A , N/A ,$8.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97280006,76706,PC US ABDOMINAL AORTA SCREENING-26,972,1 ,$126.00 ,$90.72 ,$35.28 ,$238.23 ,$126.00 ,$93.87 ,$82.53 ,$107.73 ,$35.28 ,$77.49 ,$107.73 ,$77.49 ,$107.73 ,$69.80 ,$69.80 ,$107.73 ,$69.80 ,$126.00 ,$113.40 ,$104.58 ,$126.00 ,$107.73 ,$110.88 ,$109.89 ,$94.50 ,$94.50 ,$107.10 ,$107.10 ,$107.73 ,$107.10 ,$107.73 ,$102.06 ,$102.06 ,$102.06 ,$126.00 ,$113.40 ,$126.00 ,$113.40 ,$107.73 ,$126.00 ,$70.69 ,$107.73 ,$68.99 ,$112.61 ,$107.49 ,$112.76 ,$113.40 ,$238.23 ,$69.80 ,$35.28 ,$113.40 ,$107.73 , N/A , N/A ,$107.73 ,$81.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97400001,78472,PC MUGA RESTING SINGLE -26,974,1 ,$288.00 ,$207.36 ,$80.64 ,$866.35 ,$288.00 ,$214.56 ,$188.64 ,$282.24 ,$80.64 ,$177.12 ,$282.24 ,$177.12 ,$282.24 ,$159.55 ,$159.55 ,$282.24 ,$159.55 ,$288.00 ,$259.20 ,$239.04 ,$288.00 ,$282.24 ,$253.44 ,$287.88 ,$216.00 ,$216.00 ,$244.80 ,$244.80 ,$282.24 ,$244.80 ,$282.24 ,$233.28 ,$233.28 ,$233.28 ,$288.00 ,$259.20 ,$288.00 ,$259.20 ,$282.24 ,$288.00 ,$161.57 ,$282.24 ,$121.22 ,$278.06 ,$265.42 ,$282.24 ,$259.20 ,$866.35 ,$159.55 ,$80.64 ,$259.20 ,$282.24 , N/A , N/A ,$282.24 ,$187.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97400002,78451,PC HT MUSCLE IMAGE SPECT SINGLE -26,974,1 ,$688.22 ,$495.52 ,$167.79 ,"$2,958.42 ",$688.22 ,$512.72 ,$450.78 ,$674.46 ,$192.70 ,$423.26 ,$674.46 ,$423.26 ,$674.46 ,$381.27 ,$381.27 ,$674.46 ,$381.27 ,$688.22 ,$619.40 ,$571.22 ,$688.22 ,$674.46 ,$605.63 ,$687.94 ,$516.17 ,$516.17 ,$584.99 ,$584.99 ,$674.46 ,$584.99 ,$674.46 ,$557.46 ,$557.46 ,$557.46 ,$688.22 ,$619.40 ,$688.22 ,$619.40 ,$674.46 ,$688.22 ,$386.09 ,$674.46 ,$167.79 ,$311.56 ,$297.40 ,$674.46 ,$619.40 ,"$2,958.42 ",$381.27 ,$192.70 ,$619.40 ,$674.46 , N/A , N/A ,$674.46 ,$447.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97400003,78452,PC HT MUSCLE IMAGE SPECT MULTI -26,974,1 ,$866.20 ,$623.66 ,$197.79 ,"$2,958.42 ",$866.20 ,$645.32 ,$567.36 ,$848.88 ,$242.54 ,$532.71 ,$848.88 ,$532.71 ,$848.88 ,$479.87 ,$479.87 ,$848.88 ,$479.87 ,$866.20 ,$779.58 ,$718.95 ,$866.20 ,$848.88 ,$762.26 ,$865.85 ,$649.65 ,$649.65 ,$736.27 ,$736.27 ,$848.88 ,$736.27 ,$848.88 ,$701.62 ,$701.62 ,$701.62 ,$866.20 ,$779.58 ,$866.20 ,$779.58 ,$848.88 ,$866.20 ,$485.94 ,$848.88 ,$197.79 ,$682.15 ,$651.15 ,$848.88 ,$779.58 ,"$2,958.42 ",$479.87 ,$242.54 ,$779.58 ,$848.88 , N/A , N/A ,$848.88 ,$563.03 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600002,94010,PC SPIROMETRY PACKAGE-26,976,1 ,$19.44 ,$14.00 ,$5.44 ,$324.16 ,$19.44 ,$14.48 ,$12.73 ,$19.05 ,$5.44 ,$11.96 ,$19.05 ,$11.96 ,$19.05 ,$10.77 ,$10.77 ,$19.05 ,$10.77 ,$19.44 ,$17.50 ,$16.14 ,$19.44 ,$19.05 ,$17.11 ,$19.43 ,$14.58 ,$14.58 ,$16.52 ,$16.52 ,$19.05 ,$16.52 ,$19.05 ,$15.75 ,$15.75 ,$15.75 ,$19.44 ,$17.50 ,$19.44 ,$17.50 ,$19.05 ,$19.44 ,$10.91 ,$19.05 ,$16.94 ,$19.44 ,$19.44 ,$19.05 ,$17.50 ,$324.16 ,$10.77 ,$5.44 ,$17.50 ,$19.05 , N/A , N/A ,$19.05 ,$12.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600003,94070,PC SPIROMETRY PFT COMPLEX -26,976,1 ,$82.19 ,$59.18 ,$23.01 ,$624.24 ,$82.19 ,$61.23 ,$53.83 ,$80.55 ,$23.01 ,$50.55 ,$80.55 ,$50.55 ,$80.55 ,$45.53 ,$45.53 ,$80.55 ,$45.53 ,$82.19 ,$73.97 ,$68.22 ,$82.19 ,$80.55 ,$72.33 ,$82.15 ,$61.64 ,$61.64 ,$69.86 ,$69.86 ,$80.55 ,$69.86 ,$80.55 ,$66.57 ,$66.57 ,$66.57 ,$82.19 ,$73.97 ,$82.19 ,$73.97 ,$80.55 ,$82.19 ,$46.11 ,$80.55 ,$57.07 ,$82.19 ,$82.19 ,$80.55 ,$73.97 ,$624.24 ,$45.53 ,$23.01 ,$73.97 ,$80.55 , N/A , N/A ,$80.55 ,$53.42 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600004,94060,PC SPIROMETRY/PFT PRE  AND  POST -26,976,1 ,$54.78 ,$39.44 ,$15.34 ,$624.24 ,$54.78 ,$40.81 ,$35.88 ,$53.68 ,$15.34 ,$33.69 ,$53.68 ,$33.69 ,$53.68 ,$30.35 ,$30.35 ,$53.68 ,$30.35 ,$54.78 ,$49.30 ,$45.47 ,$54.78 ,$53.68 ,$48.21 ,$54.76 ,$41.09 ,$41.09 ,$46.56 ,$46.56 ,$53.68 ,$46.56 ,$53.68 ,$44.37 ,$44.37 ,$44.37 ,$54.78 ,$49.30 ,$54.78 ,$49.30 ,$53.68 ,$54.78 ,$30.73 ,$53.68 ,$26.06 ,$54.78 ,$52.85 ,$53.68 ,$49.30 ,$624.24 ,$30.35 ,$15.34 ,$49.30 ,$53.68 , N/A , N/A ,$53.68 ,$35.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600006,94726,PC PLETHYSMOGRAPHY -26,976,1 ,$79.87 ,$57.51 ,$22.36 ,$624.24 ,$79.87 ,$59.50 ,$52.31 ,$78.27 ,$22.36 ,$49.12 ,$78.27 ,$49.12 ,$78.27 ,$44.25 ,$44.25 ,$78.27 ,$44.25 ,$79.87 ,$71.88 ,$66.29 ,$79.87 ,$78.27 ,$70.29 ,$79.84 ,$59.90 ,$59.90 ,$67.89 ,$67.89 ,$78.27 ,$67.89 ,$78.27 ,$64.69 ,$64.69 ,$64.69 ,$79.87 ,$71.88 ,$79.87 ,$71.88 ,$78.27 ,$79.87 ,$44.81 ,$78.27 ,$24.69 ,$55.36 ,$52.85 ,$78.27 ,$71.88 ,$624.24 ,$44.25 ,$22.36 ,$71.88 ,$78.27 , N/A , N/A ,$78.27 ,$51.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600008,94729,PC DIFFUSING CAPACITY -26,976,1 ,$39.93 ,$28.75 ,$11.18 ,$39.93 , N/A ,$29.75 ,$26.15 , N/A ,$11.18 ,$24.56 , N/A ,$24.56 , N/A ,$22.12 ,$22.12 , N/A ,$22.12 , N/A ,$35.94 ,$33.14 , N/A , N/A ,$35.14 , N/A ,$29.95 ,$29.95 ,$33.94 ,$33.94 , N/A ,$33.94 , N/A ,$32.34 ,$32.34 ,$32.34 ,$39.93 ,$35.94 , N/A ,$35.94 , N/A ,$39.93 ,$22.40 , N/A ,$18.37 ,$39.93 ,$39.93 , N/A ,$35.94 , N/A ,$22.12 ,$11.18 ,$35.94 , N/A , N/A , N/A , N/A ,$25.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600009,94002,PC VENT MANGMNT INPT/OBS INIT DAY,976,1 ,$282.00 ,$203.04 ,$78.96 ,"$1,240.90 ",$282.00 ,$210.09 ,$184.71 ,$276.36 ,$78.96 ,$173.43 ,$276.36 ,$173.43 ,$276.36 ,$156.23 ,$156.23 ,$276.36 ,$156.23 ,$282.00 ,$253.80 ,$234.06 ,$282.00 ,$276.36 ,$248.16 ,$281.89 ,$211.50 ,$211.50 ,$239.70 ,$239.70 ,$276.36 ,$239.70 ,$276.36 ,$228.42 ,$228.42 ,$228.42 ,$282.00 ,$253.80 ,$282.00 ,$253.80 ,$276.36 ,$282.00 ,$158.20 ,$276.36 ,$187.24 ,$282.00 ,$282.00 ,$276.36 ,$253.80 ,"$1,240.90 ",$156.23 ,$78.96 ,$253.80 ,$276.36 , N/A , N/A ,$276.36 ,$183.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600010,94003,PC VENT MANGMENT INPT/OBS SUBS DAY,976,1 ,$204.00 ,$146.88 ,$57.12 ,"$1,240.90 ",$204.00 ,$151.98 ,$133.62 ,$199.92 ,$57.12 ,$125.46 ,$199.92 ,$125.46 ,$199.92 ,$113.02 ,$113.02 ,$199.92 ,$113.02 ,$204.00 ,$183.60 ,$169.32 ,$204.00 ,$199.92 ,$179.52 ,$203.92 ,$153.00 ,$153.00 ,$173.40 ,$173.40 ,$199.92 ,$173.40 ,$199.92 ,$165.24 ,$165.24 ,$165.24 ,$204.00 ,$183.60 ,$204.00 ,$183.60 ,$199.92 ,$204.00 ,$114.44 ,$199.92 ,$134.89 ,$204.00 ,$204.00 ,$199.92 ,$183.60 ,"$1,240.90 ",$113.02 ,$57.12 ,$183.60 ,$199.92 , N/A , N/A ,$199.92 ,$132.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600011,94610,PC INTRAPULM SURFACTANT ADMIN W/ENDOTRACH TUBE,976,1 ,$171.00 ,$123.12 ,$47.88 ,$426.84 ,$171.00 ,$127.40 ,$112.01 ,$167.58 ,$47.88 ,$105.17 ,$167.58 ,$105.17 ,$167.58 ,$94.73 ,$94.73 ,$167.58 ,$94.73 ,$171.00 ,$153.90 ,$141.93 ,$171.00 ,$167.58 ,$150.48 ,$170.93 ,$128.25 ,$128.25 ,$145.35 ,$145.35 ,$167.58 ,$145.35 ,$167.58 ,$138.51 ,$138.51 ,$138.51 ,$171.00 ,$153.90 ,$171.00 ,$153.90 ,$167.58 ,$171.00 ,$95.93 ,$167.58 ,$112.92 ,$171.00 ,$171.00 ,$167.58 ,$153.90 ,$426.84 ,$94.73 ,$47.88 ,$153.90 ,$167.58 , N/A , N/A ,$167.58 ,$111.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),97600012,94660,PC CPAP/BIPAP VENT NONINVAS INIT  AND  MGMT,976,1 ,$117.00 ,$84.24 ,$32.76 ,$426.84 ,$117.00 ,$87.17 ,$76.64 ,$114.66 ,$32.76 ,$71.96 ,$114.66 ,$71.96 ,$114.66 ,$64.82 ,$64.82 ,$114.66 ,$64.82 ,$117.00 ,$105.30 ,$97.11 ,$117.00 ,$114.66 ,$102.96 ,$116.95 ,$87.75 ,$87.75 ,$99.45 ,$99.45 ,$114.66 ,$99.45 ,$114.66 ,$94.77 ,$94.77 ,$94.77 ,$117.00 ,$105.30 ,$117.00 ,$105.30 ,$114.66 ,$117.00 ,$65.64 ,$114.66 ,$77.17 ,$117.00 ,$117.00 ,$114.66 ,$105.30 ,$426.84 ,$64.82 ,$32.76 ,$105.30 ,$114.66 , N/A , N/A ,$114.66 ,$76.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180003,10061,PC DRAIN SKIN ABSCESS COMPLIC,981,1 ,$496.25 ,$357.30 ,$138.95 ,$831.55 ,$496.25 ,$369.71 ,$325.04 ,$376.04 ,$138.95 ,$305.19 ,$376.04 ,$305.19 ,$376.04 ,$274.92 ,$274.92 ,$376.04 ,$274.92 ,$496.25 ,$446.63 ,$411.89 ,$496.25 ,$376.04 ,$436.70 ,$383.55 ,$372.19 ,$372.19 ,$421.81 ,$421.81 ,$376.04 ,$421.81 ,$376.04 ,$401.96 ,$401.96 ,$401.96 ,$496.25 ,$446.63 ,$496.25 ,$446.63 ,$376.04 ,$496.25 ,$278.40 ,$376.04 ,$337.03 ,$222.46 ,$212.35 ,$393.60 ,$446.63 ,$831.55 ,$274.92 ,$138.95 ,$446.63 ,$376.04 , N/A , N/A ,$376.04 ,$322.56 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180029,11750,PC REMOVAL OF NAIL BED,981,1 ,$631.44 ,$454.64 ,$176.80 ,$831.55 ,$631.44 ,$470.42 ,$413.59 ,$376.04 ,$176.80 ,$388.34 ,$376.04 ,$388.34 ,$376.04 ,$349.82 ,$349.82 ,$376.04 ,$349.82 ,$631.44 ,$568.30 ,$524.10 ,$631.44 ,$376.04 ,$555.67 ,$383.55 ,$473.58 ,$473.58 ,$536.72 ,$536.72 ,$376.04 ,$536.72 ,$376.04 ,$511.47 ,$511.47 ,$511.47 ,$631.44 ,$568.30 ,$631.44 ,$568.30 ,$376.04 ,$631.44 ,$354.24 ,$376.04 ,$188.34 ,$477.10 ,$455.42 ,$393.60 ,$568.30 ,$831.55 ,$349.82 ,$176.80 ,$568.30 ,$376.04 , N/A , N/A ,$376.04 ,$410.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180329,31500,PC INSERT EMERGENCY ENDOTRACH AIRWAY,981,1 ,$441.00 ,$317.52 ,$123.48 ,$463.24 ,$441.00 ,$328.55 ,$288.86 ,$209.48 ,$123.48 ,$271.22 ,$209.48 ,$271.22 ,$209.48 ,$244.31 ,$244.31 ,$209.48 ,$244.31 ,$431.79 ,$396.90 ,$366.03 ,$441.00 ,$209.48 ,$388.08 ,$213.68 ,$330.75 ,$330.75 ,$374.85 ,$374.85 ,$209.48 ,$374.85 ,$209.48 ,$357.21 ,$357.21 ,$357.21 ,$441.00 ,$396.90 ,$441.00 ,$396.90 ,$209.48 ,$441.00 ,$247.40 ,$209.48 ,$276.96 ,$441.00 ,$441.00 ,$219.27 ,$396.90 ,$463.24 ,$244.31 ,$123.48 ,$396.90 ,$209.48 , N/A , N/A ,$209.48 ,$286.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180340,32554,PC THORACENTESIS ASPIRATION WO IMAGING,981,1 ,$279.00 ,$200.88 ,$78.12 ,"$1,289.45 ",$279.00 ,$207.86 ,$182.75 ,$273.42 ,$78.12 ,$171.59 ,$273.42 ,$171.59 ,$273.42 ,$154.57 ,$154.57 ,$273.42 ,$154.57 ,$279.00 ,$251.10 ,$231.57 ,$279.00 ,$273.42 ,$245.52 ,$278.89 ,$209.25 ,$209.25 ,$237.15 ,$237.15 ,$273.42 ,$237.15 ,$273.42 ,$225.99 ,$225.99 ,$225.99 ,$279.00 ,$251.10 ,$279.00 ,$251.10 ,$273.42 ,$279.00 ,$156.52 ,$273.42 ,$171.48 ,$279.00 ,$279.00 ,$273.42 ,$251.10 ,"$1,289.45 ",$154.57 ,$78.12 ,$251.10 ,$273.42 , N/A , N/A ,$273.42 ,$181.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180345,32551,PC CHEST TUBE INSERTION,981,1 ,$495.00 ,$356.40 ,$138.60 ,"$3,316.34 ",$495.00 ,$368.78 ,$324.23 ,$485.10 ,$138.60 ,$304.43 ,$485.10 ,$304.43 ,$485.10 ,$274.23 ,$274.23 ,$485.10 ,$274.23 ,$495.00 ,$445.50 ,$410.85 ,$495.00 ,$485.10 ,$435.60 ,$494.80 ,$371.25 ,$371.25 ,$420.75 ,$420.75 ,$485.10 ,$420.75 ,$485.10 ,$400.95 ,$400.95 ,$400.95 ,$495.00 ,$445.50 ,$495.00 ,$445.50 ,$485.10 ,$495.00 ,$277.70 ,$485.10 ,$304.63 ,$495.00 ,$488.89 ,$485.10 ,$445.50 ,"$3,316.34 ",$274.23 ,$138.60 ,$445.50 ,$485.10 , N/A , N/A ,$485.10 ,$321.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180355,62270,"PC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC",981,1 ,$240.00 ,$172.80 ,$67.20 ,"$1,436.20 ",$240.00 ,$178.80 ,$157.20 ,$235.20 ,$67.20 ,$147.60 ,$235.20 ,$147.60 ,$235.20 ,$132.96 ,$132.96 ,$235.20 ,$132.96 ,$240.00 ,$216.00 ,$199.20 ,$240.00 ,$235.20 ,$211.20 ,$239.90 ,$180.00 ,$180.00 ,$204.00 ,$204.00 ,$235.20 ,$204.00 ,$235.20 ,$194.40 ,$194.40 ,$194.40 ,$240.00 ,$216.00 ,$240.00 ,$216.00 ,$235.20 ,$240.00 ,$134.64 ,$235.20 ,$118.84 ,$240.00 ,$240.00 ,$235.20 ,$216.00 ,"$1,436.20 ",$132.96 ,$67.20 ,$216.00 ,$235.20 , N/A , N/A ,$235.20 ,$156.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180471,99471,PC INIT.PEDIATRIC CRITICAL CARE,981,1 ,"$2,607.00 ","$1,877.04 ",$729.96 ,"$2,607.00 ", N/A ,"$1,942.22 ","$1,707.59 ", N/A ,$729.96 ,"$1,603.31 ", N/A ,"$1,603.31 ", N/A ,"$1,444.28 ","$1,444.28 ", N/A ,"$1,444.28 ", N/A ,"$2,346.30 ","$2,163.81 ", N/A , N/A ,"$2,294.16 ", N/A ,"$1,955.25 ","$1,955.25 ","$2,215.95 ","$2,215.95 ", N/A ,"$2,215.95 ", N/A ,"$2,111.67 ","$2,111.67 ","$2,111.67 ","$2,607.00 ","$2,346.30 ", N/A ,"$2,346.30 ", N/A ,"$2,607.00 ","$1,462.53 ", N/A ,"$1,105.39 ", N/A , N/A , N/A ,"$2,346.30 ", N/A ,"$1,444.28 ",$729.96 ,"$2,346.30 ", N/A , N/A , N/A , N/A ,"$1,694.55 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180472,99472,PC SUBSQ.PEDIATRIC CRIT.CARE,981,1 ,"$1,245.00 ",$896.40 ,$348.60 ,"$1,245.00 ", N/A ,$927.53 ,$815.48 , N/A ,$348.60 ,$765.68 , N/A ,$765.68 , N/A ,$689.73 ,$689.73 , N/A ,$689.73 , N/A ,"$1,120.50 ","$1,033.35 ", N/A , N/A ,"$1,095.60 ", N/A ,$933.75 ,$933.75 ,"$1,058.25 ","$1,058.25 ", N/A ,"$1,058.25 ", N/A ,"$1,008.45 ","$1,008.45 ","$1,008.45 ","$1,245.00 ","$1,120.50 ", N/A ,"$1,120.50 ", N/A ,"$1,245.00 ",$698.45 , N/A ,$558.74 , N/A , N/A , N/A ,"$1,120.50 ", N/A ,$689.73 ,$348.60 ,"$1,120.50 ", N/A , N/A , N/A , N/A ,$809.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180473,99464,"PC ATTENDANCE, BIRTH/INITIAL STABILIZE",981,1 ,$231.00 ,$166.32 ,$64.68 ,$231.00 , N/A ,$172.10 ,$151.31 , N/A ,$64.68 ,$142.07 , N/A ,$142.07 , N/A ,$127.97 ,$127.97 , N/A ,$127.97 , N/A ,$207.90 ,$191.73 , N/A , N/A ,$203.28 , N/A ,$173.25 ,$173.25 ,$196.35 ,$196.35 , N/A ,$196.35 , N/A ,$187.11 ,$187.11 ,$187.11 ,$231.00 ,$207.90 , N/A ,$207.90 , N/A ,$231.00 ,$129.59 , N/A ,$103.62 , N/A , N/A , N/A ,$207.90 , N/A ,$127.97 ,$64.68 ,$207.90 , N/A , N/A , N/A , N/A ,$150.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180474,99465,PC NEWBORN RESUSCITATION,981,1 ,$459.00 ,$330.48 ,$128.52 ,"$1,310.93 ",$459.00 ,$341.96 ,$300.65 ,$449.82 ,$128.52 ,$282.29 ,$449.82 ,$282.29 ,$449.82 ,$254.29 ,$254.29 ,$449.82 ,$254.29 ,$459.00 ,$413.10 ,$380.97 ,$459.00 ,$449.82 ,$403.92 ,$458.82 ,$344.25 ,$344.25 ,$390.15 ,$390.15 ,$449.82 ,$390.15 ,$449.82 ,$371.79 ,$371.79 ,$371.79 ,$459.00 ,$413.10 ,$459.00 ,$413.10 ,$449.82 ,$459.00 ,$257.50 ,$449.82 ,$202.98 ,$459.00 ,$459.00 ,$449.82 ,$413.10 ,"$1,310.93 ",$254.29 ,$128.52 ,$413.10 ,$449.82 , N/A , N/A ,$449.82 ,$298.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180480,11055,PC PARING LESION BENIGN SINGLE,981,1 ,$128.49 ,$92.51 ,$30.54 ,$402.50 ,$128.49 ,$95.73 ,$84.16 ,$125.92 ,$35.98 ,$79.02 ,$125.92 ,$79.02 ,$125.92 ,$71.18 ,$71.18 ,$125.92 ,$71.18 ,$128.49 ,$115.64 ,$106.65 ,$128.49 ,$125.92 ,$113.07 ,$128.44 ,$96.37 ,$96.37 ,$109.22 ,$109.22 ,$125.92 ,$109.22 ,$125.92 ,$104.08 ,$104.08 ,$104.08 ,$128.49 ,$115.64 ,$128.49 ,$115.64 ,$125.92 ,$128.49 ,$72.08 ,$125.92 ,$30.54 ,$128.49 ,$128.49 ,$125.92 ,$115.64 ,$402.50 ,$71.18 ,$35.98 ,$115.64 ,$125.92 , N/A , N/A ,$125.92 ,$83.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180481,11056,PC PARING LESION BENIGN 2-4 LESIONS,981,1 ,$153.97 ,$110.86 ,$43.11 ,$402.50 ,$153.97 ,$114.71 ,$100.85 ,$150.89 ,$43.11 ,$94.69 ,$150.89 ,$94.69 ,$150.89 ,$85.30 ,$85.30 ,$150.89 ,$85.30 ,$153.97 ,$138.57 ,$127.80 ,$153.97 ,$150.89 ,$135.49 ,$153.91 ,$115.48 ,$115.48 ,$130.87 ,$130.87 ,$150.89 ,$130.87 ,$150.89 ,$124.72 ,$124.72 ,$124.72 ,$153.97 ,$138.57 ,$153.97 ,$138.57 ,$150.89 ,$153.97 ,$86.38 ,$150.89 ,$44.54 ,$153.97 ,$153.97 ,$150.89 ,$138.57 ,$402.50 ,$85.30 ,$43.11 ,$138.57 ,$150.89 , N/A , N/A ,$150.89 ,$100.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180482,11057,PC PARING LESION BENIGN 4+ LESIONS,981,1 ,$182.77 ,$131.59 ,$51.18 ,$402.50 ,$182.77 ,$136.16 ,$119.71 ,$179.11 ,$51.18 ,$112.40 ,$179.11 ,$112.40 ,$179.11 ,$101.25 ,$101.25 ,$179.11 ,$101.25 ,$182.77 ,$164.49 ,$151.70 ,$182.77 ,$179.11 ,$160.84 ,$182.70 ,$137.08 ,$137.08 ,$155.35 ,$155.35 ,$179.11 ,$155.35 ,$179.11 ,$148.04 ,$148.04 ,$148.04 ,$182.77 ,$164.49 ,$182.77 ,$164.49 ,$179.11 ,$182.77 ,$102.53 ,$179.11 ,$56.34 ,$182.77 ,$182.77 ,$179.11 ,$164.49 ,$402.50 ,$101.25 ,$51.18 ,$164.49 ,$179.11 , N/A , N/A ,$179.11 ,$118.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180497,11732,PC AVULSION NAIL PLATE EA ADDL,981,1 ,$116.31 ,$83.74 ,$32.57 ,$116.31 , N/A ,$86.65 ,$76.18 , N/A ,$32.57 ,$71.53 , N/A ,$71.53 , N/A ,$64.44 ,$64.44 , N/A ,$64.44 , N/A ,$104.68 ,$96.54 , N/A , N/A ,$102.35 , N/A ,$87.23 ,$87.23 ,$98.86 ,$98.86 , N/A ,$98.86 , N/A ,$94.21 ,$94.21 ,$94.21 ,$116.31 ,$104.68 , N/A ,$104.68 , N/A ,$116.31 ,$65.25 , N/A ,$33.14 ,$116.31 ,$116.31 , N/A ,$104.68 , N/A ,$64.44 ,$32.57 ,$104.68 , N/A , N/A , N/A , N/A ,$75.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180524,36400,PC IV START < 3 YEARS OLD,981,1 ,$57.00 ,$41.04 ,$15.96 ,$57.00 , N/A ,$42.47 ,$37.34 , N/A ,$15.96 ,$35.06 , N/A ,$35.06 , N/A ,$31.58 ,$31.58 , N/A ,$31.58 , N/A ,$51.30 , N/A , N/A , N/A ,$50.16 , N/A ,$42.75 ,$42.75 ,$48.45 ,$48.45 , N/A ,$48.45 , N/A ,$46.17 ,$46.17 ,$46.17 ,$57.00 ,$51.30 , N/A ,$51.30 , N/A ,$57.00 ,$31.98 , N/A ,$35.58 , N/A , N/A , N/A ,$51.30 , N/A ,$31.58 ,$15.96 ,$51.30 , N/A , N/A , N/A , N/A ,$37.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180525,36405,PC IV START < 3 YEARS OLD SCALP VEIN,981,1 ,$51.00 ,$36.72 ,$14.28 ,$51.00 , N/A ,$38.00 ,$33.41 , N/A ,$14.28 ,$31.37 , N/A ,$31.37 , N/A ,$28.25 ,$28.25 , N/A ,$28.25 , N/A ,$45.90 , N/A , N/A , N/A ,$44.88 , N/A ,$38.25 ,$38.25 ,$43.35 ,$43.35 , N/A ,$43.35 , N/A ,$41.31 ,$41.31 ,$41.31 ,$51.00 ,$45.90 , N/A ,$45.90 , N/A ,$51.00 ,$28.61 , N/A ,$28.91 , N/A , N/A , N/A ,$45.90 , N/A ,$28.25 ,$14.28 ,$45.90 , N/A , N/A , N/A , N/A ,$33.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180526,36406,PC IV START < 3 YEARS OLD OTHER VEIN,981,1 ,$27.00 ,$19.44 ,$7.56 ,$27.00 , N/A ,$20.12 ,$17.69 , N/A ,$7.56 ,$16.61 , N/A ,$16.61 , N/A ,$14.96 ,$14.96 , N/A ,$14.96 , N/A ,$24.30 ,$22.41 , N/A , N/A ,$23.76 , N/A ,$20.25 ,$20.25 ,$22.95 ,$22.95 , N/A ,$22.95 , N/A ,$21.87 ,$21.87 ,$21.87 ,$27.00 ,$24.30 , N/A ,$24.30 , N/A ,$27.00 ,$15.15 , N/A ,$16.42 ,$27.00 ,$27.00 , N/A ,$24.30 , N/A ,$14.96 ,$7.56 ,$24.30 , N/A , N/A , N/A , N/A ,$17.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180527,36410,PC VENIPUNCTURE > AGE 3,981,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$18.45 , N/A ,$18.45 , N/A ,$16.62 ,$16.62 , N/A ,$16.62 , N/A ,$27.00 , N/A , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$24.30 ,$24.30 ,$24.30 ,$30.00 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$16.83 , N/A ,$17.83 ,$30.00 ,$30.00 , N/A ,$27.00 , N/A ,$16.62 ,$8.40 ,$27.00 , N/A , N/A , N/A , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180530,36600,PC ARTERIAL PUNCTURE,981,1 ,$48.00 ,$34.56 ,$13.44 ,$258.80 ,$48.00 ,$35.76 ,$31.44 ,$47.04 ,$13.44 ,$29.52 ,$47.04 ,$29.52 ,$47.04 ,$26.59 ,$26.59 ,$47.04 ,$26.59 ,$48.00 ,$43.20 ,$39.84 ,$48.00 ,$47.04 ,$42.24 ,$47.98 ,$36.00 ,$36.00 ,$40.80 ,$40.80 ,$47.04 ,$40.80 ,$47.04 ,$38.88 ,$38.88 ,$38.88 ,$48.00 ,$43.20 ,$48.00 ,$43.20 ,$47.04 ,$48.00 ,$26.93 ,$47.04 ,$29.76 ,$35.88 ,$34.25 ,$47.04 ,$43.20 ,$258.80 ,$26.59 ,$13.44 ,$43.20 ,$47.04 , N/A , N/A ,$47.04 ,$31.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180532,36680,PC PLACE NDL INFS INTRAOSSEOUS,981,1 ,$183.00 ,$131.76 ,$51.24 ,$841.58 ,$183.00 ,$136.34 ,$119.87 ,$179.34 ,$51.24 ,$112.55 ,$179.34 ,$112.55 ,$179.34 ,$101.38 ,$101.38 ,$179.34 ,$101.38 ,$183.00 ,$164.70 ,$151.89 ,$183.00 ,$179.34 ,$161.04 ,$182.93 ,$137.25 ,$137.25 ,$155.55 ,$155.55 ,$179.34 ,$155.55 ,$179.34 ,$148.23 ,$148.23 ,$148.23 ,$183.00 ,$164.70 ,$183.00 ,$164.70 ,$179.34 ,$183.00 ,$102.66 ,$179.34 ,$116.98 ,$183.00 ,$183.00 ,$179.34 ,$164.70 ,$841.58 ,$101.38 ,$51.24 ,$164.70 ,$179.34 , N/A , N/A ,$179.34 ,$118.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180566,51701,PC CATH BLADDER NON-INDWELLING,981,1 ,$130.00 ,$93.60 ,$36.40 ,$258.80 ,$130.00 ,$96.85 ,$85.15 ,$117.03 ,$36.40 ,$79.95 ,$117.03 ,$79.95 ,$117.03 ,$72.02 ,$72.02 ,$117.03 ,$72.02 ,$130.00 ,$117.00 ,$107.90 ,$130.00 ,$117.03 ,$114.40 ,$119.37 ,$97.50 ,$97.50 ,$110.50 ,$110.50 ,$117.03 ,$110.50 ,$117.03 ,$105.30 ,$105.30 ,$105.30 ,$130.00 ,$117.00 ,$130.00 ,$117.00 ,$117.03 ,$130.00 ,$72.93 ,$117.03 ,$50.58 ,$88.41 ,$84.39 ,$122.50 ,$117.00 ,$258.80 ,$72.02 ,$36.40 ,$117.00 ,$117.03 , N/A , N/A ,$117.03 ,$84.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180603,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT,981,1 ,$142.00 ,$102.24 ,$39.76 ,$142.00 ,$141.92 ,$105.79 ,$93.01 ,$57.94 ,$39.76 ,$87.33 ,$57.94 ,$87.33 ,$57.94 ,$78.67 ,$78.67 ,$57.94 ,$78.67 ,$119.42 ,$127.80 ,$117.86 ,$141.92 ,$57.94 ,$124.96 ,$59.09 ,$106.50 ,$106.50 ,$120.70 ,$120.70 ,$57.94 ,$120.70 ,$57.94 ,$115.02 ,$115.02 ,$115.02 ,$142.00 ,$127.80 ,$141.92 ,$127.80 ,$57.94 ,$142.00 ,$79.66 ,$57.94 ,$63.56 ,$88.41 ,$84.39 ,$60.64 ,$127.80 ,$128.12 ,$78.67 ,$39.76 ,$127.80 ,$57.94 , N/A , N/A ,$57.94 ,$92.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180861,36000,PC IV START > 3YR OLD,981,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$20.86 ,$18.34 , N/A ,$7.84 ,$17.22 , N/A ,$17.22 , N/A ,$15.51 ,$15.51 , N/A ,$15.51 , N/A ,$25.20 ,$23.24 , N/A , N/A ,$24.64 , N/A ,$21.00 ,$21.00 ,$23.80 ,$23.80 , N/A ,$23.80 , N/A ,$22.68 ,$22.68 ,$22.68 ,$28.00 ,$25.20 , N/A ,$25.20 , N/A ,$28.00 ,$15.71 , N/A ,$17.03 ,$28.00 ,$28.00 , N/A ,$25.20 , N/A ,$15.51 ,$7.84 ,$25.20 , N/A , N/A , N/A , N/A ,$18.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180864,51702,PC INSERT CATH BLADDER SIMPLE,981,1 ,$78.00 ,$56.16 ,$21.84 ,$258.80 ,$78.00 ,$58.11 ,$51.09 ,$76.44 ,$21.84 ,$47.97 ,$76.44 ,$47.97 ,$76.44 ,$43.21 ,$43.21 ,$76.44 ,$43.21 ,$78.00 ,$70.20 ,$64.74 ,$78.00 ,$76.44 ,$68.64 ,$77.97 ,$58.50 ,$58.50 ,$66.30 ,$66.30 ,$76.44 ,$66.30 ,$76.44 ,$63.18 ,$63.18 ,$63.18 ,$78.00 ,$70.20 ,$78.00 ,$70.20 ,$76.44 ,$78.00 ,$43.76 ,$76.44 ,$48.99 ,$78.00 ,$78.00 ,$76.44 ,$70.20 ,$258.80 ,$43.21 ,$21.84 ,$70.20 ,$76.44 , N/A , N/A ,$76.44 ,$50.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180944,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,981,1 ,$142.00 ,$102.24 ,$39.76 ,$142.00 ,$141.92 ,$105.79 ,$93.01 ,$57.94 ,$39.76 ,$87.33 ,$57.94 ,$87.33 ,$57.94 ,$78.67 ,$78.67 ,$57.94 ,$78.67 ,$119.42 ,$127.80 ,$117.86 ,$141.92 ,$57.94 ,$124.96 ,$59.09 ,$106.50 ,$106.50 ,$120.70 ,$120.70 ,$57.94 ,$120.70 ,$57.94 ,$115.02 ,$115.02 ,$115.02 ,$142.00 ,$127.80 ,$141.92 ,$127.80 ,$57.94 ,$142.00 ,$79.66 ,$57.94 ,$63.56 ,$88.41 ,$84.39 ,$60.64 ,$127.80 ,$128.12 ,$78.67 ,$39.76 ,$127.80 ,$57.94 , N/A , N/A ,$57.94 ,$92.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180945,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,981,1 ,$142.00 ,$102.24 ,$39.76 ,$142.00 ,$141.92 ,$105.79 ,$93.01 ,$57.94 ,$39.76 ,$87.33 ,$57.94 ,$87.33 ,$57.94 ,$78.67 ,$78.67 ,$57.94 ,$78.67 ,$119.42 ,$127.80 ,$117.86 ,$141.92 ,$57.94 ,$124.96 ,$59.09 ,$106.50 ,$106.50 ,$120.70 ,$120.70 ,$57.94 ,$120.70 ,$57.94 ,$115.02 ,$115.02 ,$115.02 ,$142.00 ,$127.80 ,$141.92 ,$127.80 ,$57.94 ,$142.00 ,$79.66 ,$57.94 ,$63.56 ,$88.41 ,$84.39 ,$60.64 ,$127.80 ,$128.12 ,$78.67 ,$39.76 ,$127.80 ,$57.94 , N/A , N/A ,$57.94 ,$92.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180960,11105,PC BIOPSY SKIN PUNCH ADDL LESN,981,1 ,$88.62 ,$63.81 ,$24.81 ,$88.62 , N/A ,$66.02 ,$58.05 , N/A ,$24.81 ,$54.50 , N/A ,$54.50 , N/A ,$49.10 ,$49.10 , N/A ,$49.10 , N/A ,$79.76 ,$73.55 , N/A , N/A ,$77.99 , N/A ,$66.47 ,$66.47 ,$75.33 ,$75.33 , N/A ,$75.33 , N/A ,$71.78 ,$71.78 ,$71.78 ,$88.62 ,$79.76 , N/A ,$79.76 , N/A ,$88.62 ,$49.72 , N/A ,$49.74 ,$88.62 ,$88.62 , N/A ,$79.76 , N/A ,$49.10 ,$24.81 ,$79.76 , N/A , N/A , N/A , N/A ,$57.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98180963,11104,PC BIOPSY SKIN PUNCH INIT LESN,981,1 ,$342.24 ,$246.41 ,$91.60 ,$831.55 ,$342.24 ,$254.97 ,$224.17 ,$335.40 ,$95.83 ,$210.48 ,$335.40 ,$210.48 ,$335.40 ,$189.60 ,$189.60 ,$335.40 ,$189.60 ,$342.24 ,$308.02 ,$284.06 ,$342.24 ,$335.40 ,$301.17 ,$342.10 ,$256.68 ,$256.68 ,$290.90 ,$290.90 ,$335.40 ,$290.90 ,$335.40 ,$277.21 ,$277.21 ,$277.21 ,$342.24 ,$308.02 ,$342.24 ,$308.02 ,$335.40 ,$342.24 ,$192.00 ,$335.40 ,$91.60 ,$342.24 ,$342.24 ,$335.40 ,$308.02 ,$831.55 ,$189.60 ,$95.83 ,$308.02 ,$335.40 , N/A , N/A ,$335.40 ,$222.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200002,99202,PC CLINIC VISIT LIMITED NEW PRO,982,1 ,$152.57 ,$109.85 ,$42.72 ,$152.57 , N/A ,$113.66 ,$99.93 , N/A ,$42.72 ,$93.83 , N/A ,$93.83 , N/A ,$84.52 ,$84.52 , N/A ,$84.52 , N/A ,$137.31 ,$126.63 , N/A , N/A ,$134.26 , N/A ,$114.43 ,$114.43 ,$129.68 ,$129.68 , N/A ,$129.68 , N/A ,$123.58 ,$123.58 ,$123.58 ,$152.57 ,$137.31 , N/A ,$137.31 , N/A ,$76.98 ,$85.59 , N/A ,$70.27 ,$104.08 ,$99.35 , N/A ,$137.31 , N/A ,$84.52 ,$42.72 ,$137.31 , N/A , N/A , N/A , N/A ,$99.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200003,99203,PC CLINIC VISIT INTERM NEW PRO,982,1 ,$233.45 ,$168.08 ,$65.37 ,$233.45 , N/A ,$173.92 ,$152.91 , N/A ,$65.37 ,$143.57 , N/A ,$143.57 , N/A ,$129.33 ,$129.33 , N/A ,$129.33 , N/A ,$210.11 ,$193.76 , N/A , N/A ,$205.44 , N/A ,$175.09 ,$175.09 ,$198.43 ,$198.43 , N/A ,$198.43 , N/A ,$189.09 ,$189.09 ,$189.09 ,$233.45 ,$210.11 , N/A ,$210.11 , N/A ,$120.52 ,$130.97 , N/A ,$105.21 ,$104.08 ,$99.35 , N/A ,$210.11 , N/A ,$129.33 ,$65.37 ,$210.11 , N/A , N/A , N/A , N/A ,$151.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200004,99204,PC CLINIC VISIT COMPLEX NEW PRO,982,1 ,$315.11 ,$226.88 ,$88.23 ,$315.11 , N/A ,$234.76 ,$206.40 , N/A ,$88.23 ,$193.79 , N/A ,$193.79 , N/A ,$174.57 ,$174.57 , N/A ,$174.57 , N/A ,$283.60 ,$261.54 , N/A , N/A ,$277.30 , N/A ,$236.33 ,$236.33 ,$267.84 ,$267.84 , N/A ,$267.84 , N/A ,$255.24 ,$255.24 ,$255.24 ,$315.11 ,$283.60 , N/A ,$283.60 , N/A ,$177.92 ,$176.78 , N/A ,$179.90 ,$104.08 ,$99.35 , N/A ,$283.60 , N/A ,$174.57 ,$88.23 ,$283.60 , N/A , N/A , N/A , N/A ,$204.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200005,99205,PC CLINIC VISIT COMPREH NEW PRO,982,1 ,$414.00 ,$298.08 ,$99.35 ,$414.00 , N/A ,$308.43 ,$271.17 , N/A ,$115.92 ,$254.61 , N/A ,$254.61 , N/A ,$229.36 ,$229.36 , N/A ,$229.36 , N/A ,$372.60 ,$343.62 , N/A , N/A ,$364.32 , N/A ,$310.50 ,$310.50 ,$351.90 ,$351.90 , N/A ,$351.90 , N/A ,$335.34 ,$335.34 ,$335.34 ,$414.00 ,$372.60 , N/A ,$372.60 , N/A ,$234.97 ,$232.25 , N/A ,$234.84 ,$104.08 ,$99.35 , N/A ,$372.60 , N/A ,$229.36 ,$115.92 ,$372.60 , N/A , N/A , N/A , N/A ,$269.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200006,99211,PC CLINIC VISIT BRIEF EST PRO,982,1 ,$52.90 ,$38.09 ,$12.73 ,$52.90 , N/A ,$39.41 ,$34.65 , N/A ,$14.81 ,$32.53 , N/A ,$32.53 , N/A ,$29.31 ,$29.31 , N/A ,$29.31 , N/A ,$47.61 ,$43.91 , N/A , N/A ,$46.55 , N/A ,$39.68 ,$39.68 ,$44.97 ,$44.97 , N/A ,$44.97 , N/A ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 , N/A ,$47.61 , N/A ,$52.90 ,$29.68 , N/A ,$12.73 ,$52.90 ,$52.90 , N/A ,$47.61 , N/A ,$29.31 ,$14.81 ,$47.61 , N/A , N/A , N/A , N/A ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200007,99212,PC CLINIC VISIT LIMIT EST PRO,982,1 ,$112.70 ,$81.14 ,$31.56 ,$112.70 , N/A ,$83.96 ,$73.82 , N/A ,$31.56 ,$69.31 , N/A ,$69.31 , N/A ,$62.44 ,$62.44 , N/A ,$62.44 , N/A ,$101.43 ,$93.54 , N/A , N/A ,$99.18 , N/A ,$84.53 ,$84.53 ,$95.80 ,$95.80 , N/A ,$95.80 , N/A ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 , N/A ,$101.43 , N/A ,$60.09 ,$63.22 , N/A ,$35.95 ,$104.08 ,$99.35 , N/A ,$101.43 , N/A ,$62.44 ,$31.56 ,$101.43 , N/A , N/A , N/A , N/A ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200008,99213,PC CLINIC VISIT INTERM EST PRO,982,1 ,$186.30 ,$134.14 ,$52.16 ,$186.30 , N/A ,$138.79 ,$122.03 , N/A ,$52.16 ,$114.57 , N/A ,$114.57 , N/A ,$103.21 ,$103.21 , N/A ,$103.21 , N/A ,$167.67 ,$154.63 , N/A , N/A ,$163.94 , N/A ,$139.73 ,$139.73 ,$158.36 ,$158.36 , N/A ,$158.36 , N/A ,$150.90 ,$150.90 ,$150.90 ,$186.30 ,$167.67 , N/A ,$167.67 , N/A ,$95.85 ,$104.51 , N/A ,$71.20 ,$104.08 ,$99.35 , N/A ,$167.67 , N/A ,$103.21 ,$52.16 ,$167.67 , N/A , N/A , N/A , N/A ,$121.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200009,99214,PC CLINIC VISIT COMPLX EST PRO,982,1 ,$278.30 ,$200.38 ,$77.92 ,$278.30 , N/A ,$207.33 ,$182.29 , N/A ,$77.92 ,$171.15 , N/A ,$171.15 , N/A ,$154.18 ,$154.18 , N/A ,$154.18 , N/A ,$250.47 ,$230.99 , N/A , N/A ,$244.90 , N/A ,$208.73 ,$208.73 ,$236.56 ,$236.56 , N/A ,$236.56 , N/A ,$225.42 ,$225.42 ,$225.42 ,$278.30 ,$250.47 , N/A ,$250.47 , N/A ,$278.30 ,$156.13 , N/A ,$109.36 ,$104.08 ,$99.35 , N/A ,$250.47 , N/A ,$154.18 ,$77.92 ,$250.47 , N/A , N/A , N/A , N/A ,$180.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200010,99215,PC CLINIC VISIT COMPRH EST PRO,982,1 ,$334.92 ,$241.14 ,$93.78 ,$334.92 , N/A ,$249.52 ,$219.37 , N/A ,$93.78 ,$205.98 , N/A ,$205.98 , N/A ,$185.55 ,$185.55 , N/A ,$185.55 , N/A ,$301.43 ,$277.98 , N/A , N/A ,$294.73 , N/A ,$251.19 ,$251.19 ,$284.68 ,$284.68 , N/A ,$284.68 , N/A ,$271.29 ,$271.29 ,$271.29 ,$334.92 ,$301.43 , N/A ,$301.43 , N/A ,$334.92 ,$187.89 , N/A ,$154.37 ,$104.08 ,$99.35 , N/A ,$301.43 , N/A ,$185.55 ,$93.78 ,$301.43 , N/A , N/A , N/A , N/A ,$217.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200011,93922,PC DOPPLER ARTERIAL EXTREMITY LIMITED- 26,982,1 ,$67.00 ,$48.24 ,$18.76 ,$258.80 ,$67.00 ,$49.92 ,$43.89 ,$65.66 ,$18.76 ,$41.21 ,$65.66 ,$41.21 ,$65.66 ,$37.12 ,$37.12 ,$65.66 ,$37.12 ,$67.00 ,$60.30 ,$55.61 ,$67.00 ,$65.66 ,$58.96 ,$66.97 ,$50.25 ,$50.25 ,$56.95 ,$56.95 ,$65.66 ,$56.95 ,$65.66 ,$54.27 ,$54.27 ,$54.27 ,$67.00 ,$60.30 ,$67.00 ,$60.30 ,$65.66 ,$67.00 ,$37.59 ,$65.66 ,$25.68 ,$67.00 ,$67.00 ,$65.66 ,$60.30 ,$258.80 ,$37.12 ,$18.76 ,$60.30 ,$65.66 , N/A , N/A ,$65.66 ,$43.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200012,93923,PC DOPPLER ARTERIAL EXTREMITY COMPLETE-26,982,1 ,$94.00 ,$67.68 ,$26.32 ,$324.16 ,$94.00 ,$70.03 ,$61.57 ,$92.12 ,$26.32 ,$57.81 ,$92.12 ,$57.81 ,$92.12 ,$52.08 ,$52.08 ,$92.12 ,$52.08 ,$94.00 ,$84.60 ,$78.02 ,$94.00 ,$92.12 ,$82.72 ,$93.96 ,$70.50 ,$70.50 ,$79.90 ,$79.90 ,$92.12 ,$79.90 ,$92.12 ,$76.14 ,$76.14 ,$76.14 ,$94.00 ,$84.60 ,$94.00 ,$84.60 ,$92.12 ,$94.00 ,$52.73 ,$92.12 ,$44.97 ,$94.00 ,$94.00 ,$92.12 ,$84.60 ,$324.16 ,$52.08 ,$26.32 ,$84.60 ,$92.12 , N/A , N/A ,$92.12 ,$61.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200013,93922,PC DOPPLER ARTERIAL EXTREMITY LIMITED,982,1 ,$67.00 ,$48.24 ,$18.76 ,$258.80 ,$67.00 ,$49.92 ,$43.89 ,$65.66 ,$18.76 ,$41.21 ,$65.66 ,$41.21 ,$65.66 ,$37.12 ,$37.12 ,$65.66 ,$37.12 ,$67.00 ,$60.30 ,$55.61 ,$67.00 ,$65.66 ,$58.96 ,$66.97 ,$50.25 ,$50.25 ,$56.95 ,$56.95 ,$65.66 ,$56.95 ,$65.66 ,$54.27 ,$54.27 ,$54.27 ,$67.00 ,$60.30 ,$67.00 ,$60.30 ,$65.66 ,$67.00 ,$37.59 ,$65.66 ,$67.00 ,$67.00 ,$67.00 ,$65.66 ,$60.30 ,$258.80 ,$37.12 ,$18.76 ,$60.30 ,$65.66 , N/A , N/A ,$65.66 ,$43.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200014,93880,PC DUPLEX CAROTID BILAT COMPLETE-26,982,1 ,$53.67 ,$38.64 ,$15.03 ,$520.50 ,$53.67 ,$39.98 ,$35.15 ,$52.60 ,$15.03 ,$33.01 ,$52.60 ,$33.01 ,$52.60 ,$29.73 ,$29.73 ,$52.60 ,$29.73 ,$53.67 ,$48.30 ,$44.55 ,$53.67 ,$52.60 ,$47.23 ,$53.65 ,$40.25 ,$40.25 ,$45.62 ,$45.62 ,$52.60 ,$45.62 ,$52.60 ,$43.47 ,$43.47 ,$43.47 ,$53.67 ,$48.30 ,$53.67 ,$48.30 ,$52.60 ,$53.67 ,$30.11 ,$52.60 ,$53.67 ,$53.67 ,$53.67 ,$52.60 ,$48.30 ,$520.50 ,$29.73 ,$15.03 ,$48.30 ,$52.60 , N/A , N/A ,$52.60 ,$34.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200015,93924,PC DOPPLER ARTERY LWR EXT STRESS-26,982,1 ,$30.85 ,$22.21 ,$8.64 ,$624.24 ,$30.85 ,$22.98 ,$20.21 ,$30.23 ,$8.64 ,$18.97 ,$30.23 ,$18.97 ,$30.23 ,$17.09 ,$17.09 ,$30.23 ,$17.09 ,$30.85 ,$27.77 ,$25.61 ,$30.85 ,$30.23 ,$27.15 ,$30.84 ,$23.14 ,$23.14 ,$26.22 ,$26.22 ,$30.23 ,$26.22 ,$30.23 ,$24.99 ,$24.99 ,$24.99 ,$30.85 ,$27.77 ,$30.85 ,$27.77 ,$30.23 ,$30.85 ,$17.31 ,$30.23 ,$30.85 ,$30.85 ,$30.85 ,$30.23 ,$27.77 ,$624.24 ,$17.09 ,$8.64 ,$27.77 ,$30.23 , N/A , N/A ,$30.23 ,$20.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200016,93925,PC DUPLEX ARTERIAL LWR EXT CMPL BILAT-26,982,1 ,$73.62 ,$53.01 ,$20.61 ,$520.50 ,$73.62 ,$54.85 ,$48.22 ,$72.15 ,$20.61 ,$45.28 ,$72.15 ,$45.28 ,$72.15 ,$40.79 ,$40.79 ,$72.15 ,$40.79 ,$73.62 ,$66.26 ,$61.10 ,$73.62 ,$72.15 ,$64.79 ,$73.59 ,$55.22 ,$55.22 ,$62.58 ,$62.58 ,$72.15 ,$62.58 ,$72.15 ,$59.63 ,$59.63 ,$59.63 ,$73.62 ,$66.26 ,$73.62 ,$66.26 ,$72.15 ,$73.62 ,$41.30 ,$72.15 ,$73.62 ,$73.62 ,$73.62 ,$72.15 ,$66.26 ,$520.50 ,$40.79 ,$20.61 ,$66.26 ,$72.15 , N/A , N/A ,$72.15 ,$47.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200017,93926,PC DUPLEX ARTERIAL LWR EXT UNILAT/LIMITED-26,982,1 ,$32.66 ,$23.52 ,$9.14 ,$238.23 ,$32.66 ,$24.33 ,$21.39 ,$32.01 ,$9.14 ,$20.09 ,$32.01 ,$20.09 ,$32.01 ,$18.09 ,$18.09 ,$32.01 ,$18.09 ,$32.66 ,$29.39 ,$27.11 ,$32.66 ,$32.01 ,$28.74 ,$32.64 ,$24.50 ,$24.50 ,$27.76 ,$27.76 ,$32.01 ,$27.76 ,$32.01 ,$26.45 ,$26.45 ,$26.45 ,$32.66 ,$29.39 ,$32.66 ,$29.39 ,$32.01 ,$32.66 ,$18.32 ,$32.01 ,$32.66 ,$32.66 ,$32.66 ,$32.01 ,$29.39 ,$238.23 ,$18.09 ,$9.14 ,$29.39 ,$32.01 , N/A , N/A ,$32.01 ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200018,93930,PC DUPLEX ARTERIAL UPR EXT CMPL BILAT-26,982,1 ,$64.11 ,$46.16 ,$17.95 ,$520.50 ,$64.11 ,$47.76 ,$41.99 ,$62.83 ,$17.95 ,$39.43 ,$62.83 ,$39.43 ,$62.83 ,$35.52 ,$35.52 ,$62.83 ,$35.52 ,$64.11 ,$57.70 ,$53.21 ,$64.11 ,$62.83 ,$56.42 ,$64.08 ,$48.08 ,$48.08 ,$54.49 ,$54.49 ,$62.83 ,$54.49 ,$62.83 ,$51.93 ,$51.93 ,$51.93 ,$64.11 ,$57.70 ,$64.11 ,$57.70 ,$62.83 ,$64.11 ,$35.97 ,$62.83 ,$64.11 ,$64.11 ,$64.11 ,$62.83 ,$57.70 ,$520.50 ,$35.52 ,$17.95 ,$57.70 ,$62.83 , N/A , N/A ,$62.83 ,$41.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200019,93931,PC DUPLEX ARTERIAL UPR EXT UNILAT/LIMITED-26,982,1 ,$28.51 ,$20.53 ,$7.98 ,$238.23 ,$28.51 ,$21.24 ,$18.67 ,$27.94 ,$7.98 ,$17.53 ,$27.94 ,$17.53 ,$27.94 ,$15.79 ,$15.79 ,$27.94 ,$15.79 ,$28.51 ,$25.66 ,$23.66 ,$28.51 ,$27.94 ,$25.09 ,$28.50 ,$21.38 ,$21.38 ,$24.23 ,$24.23 ,$27.94 ,$24.23 ,$27.94 ,$23.09 ,$23.09 ,$23.09 ,$28.51 ,$25.66 ,$28.51 ,$25.66 ,$27.94 ,$28.51 ,$15.99 ,$27.94 ,$28.51 ,$28.51 ,$28.51 ,$27.94 ,$25.66 ,$238.23 ,$15.79 ,$7.98 ,$25.66 ,$27.94 , N/A , N/A ,$27.94 ,$18.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200020,93970,PC DUPLEX VENOUS EXT CMPL BILAT-26,982,1 ,$83.69 ,$60.26 ,$23.43 ,$520.50 ,$83.69 ,$62.35 ,$54.82 ,$82.02 ,$23.43 ,$51.47 ,$82.02 ,$51.47 ,$82.02 ,$46.36 ,$46.36 ,$82.02 ,$46.36 ,$83.69 ,$75.32 ,$69.46 ,$83.69 ,$82.02 ,$73.65 ,$83.65 ,$62.77 ,$62.77 ,$71.14 ,$71.14 ,$82.02 ,$71.14 ,$82.02 ,$67.79 ,$67.79 ,$67.79 ,$83.69 ,$75.32 ,$83.69 ,$75.32 ,$82.02 ,$83.69 ,$46.95 ,$82.02 ,$69.60 ,$83.69 ,$83.69 ,$82.02 ,$75.32 ,$520.50 ,$46.36 ,$23.43 ,$75.32 ,$82.02 , N/A , N/A ,$82.02 ,$54.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200021,93971,PC DUPLEX VENOUS EXT UNILAT/LIMITED-26,982,1 ,$45.10 ,$32.47 ,$12.63 ,$238.23 ,$45.10 ,$33.60 ,$29.54 ,$44.20 ,$12.63 ,$27.74 ,$44.20 ,$27.74 ,$44.20 ,$24.99 ,$24.99 ,$44.20 ,$24.99 ,$45.10 ,$40.59 ,$37.43 ,$45.10 ,$44.20 ,$39.69 ,$45.08 ,$33.83 ,$33.83 ,$38.34 ,$38.34 ,$44.20 ,$38.34 ,$44.20 ,$36.53 ,$36.53 ,$36.53 ,$45.10 ,$40.59 ,$45.10 ,$40.59 ,$44.20 ,$45.10 ,$25.30 ,$44.20 ,$44.57 ,$45.10 ,$45.10 ,$44.20 ,$40.59 ,$238.23 ,$24.99 ,$12.63 ,$40.59 ,$44.20 , N/A , N/A ,$44.20 ,$29.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200022,93975,PC DUPLEX ABD/PEL/RETRO CMPL-26,982,1 ,$115.20 ,$82.94 ,$32.26 ,$520.50 ,$115.20 ,$85.82 ,$75.46 ,$112.90 ,$32.26 ,$70.85 ,$112.90 ,$70.85 ,$112.90 ,$63.82 ,$63.82 ,$112.90 ,$63.82 ,$115.20 ,$103.68 ,$95.62 ,$115.20 ,$112.90 ,$101.38 ,$115.15 ,$86.40 ,$86.40 ,$97.92 ,$97.92 ,$112.90 ,$97.92 ,$112.90 ,$93.31 ,$93.31 ,$93.31 ,$115.20 ,$103.68 ,$115.20 ,$103.68 ,$112.90 ,$115.20 ,$64.63 ,$112.90 ,$115.20 ,$112.61 ,$107.49 ,$112.90 ,$103.68 ,$520.50 ,$63.82 ,$32.26 ,$103.68 ,$112.90 , N/A , N/A ,$112.90 ,$74.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200023,93976,PC DUPLEX ABD/PEL/RETRO LIMITED-26,982,1 ,$86.40 ,$62.21 ,$24.19 ,$238.23 ,$86.40 ,$64.37 ,$56.59 ,$84.67 ,$24.19 ,$53.14 ,$84.67 ,$53.14 ,$84.67 ,$47.87 ,$47.87 ,$84.67 ,$47.87 ,$86.40 ,$77.76 ,$71.71 ,$86.40 ,$84.67 ,$76.03 ,$86.37 ,$64.80 ,$64.80 ,$73.44 ,$73.44 ,$84.67 ,$73.44 ,$84.67 ,$69.98 ,$69.98 ,$69.98 ,$86.40 ,$77.76 ,$86.40 ,$77.76 ,$84.67 ,$86.40 ,$48.47 ,$84.67 ,$79.83 ,$86.40 ,$86.40 ,$84.67 ,$77.76 ,$238.23 ,$47.87 ,$24.19 ,$77.76 ,$84.67 , N/A , N/A ,$84.67 ,$56.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200024,93978,PC DUPLEX AORTA/IVC/GRAFT CMPL-26,982,1 ,$251.45 ,$181.04 ,$70.41 ,$520.50 ,$251.45 ,$187.33 ,$164.70 ,$235.38 ,$70.41 ,$154.64 ,$235.38 ,$154.64 ,$235.38 ,$139.30 ,$139.30 ,$235.38 ,$139.30 ,$251.45 ,$226.31 ,$208.70 ,$251.45 ,$235.38 ,$221.28 ,$240.08 ,$188.59 ,$188.59 ,$213.73 ,$213.73 ,$235.38 ,$213.73 ,$235.38 ,$203.67 ,$203.67 ,$203.67 ,$251.45 ,$226.31 ,$251.45 ,$226.31 ,$235.38 ,$251.45 ,$141.06 ,$235.38 ,$79.97 ,$112.61 ,$107.49 ,$246.36 ,$226.31 ,$520.50 ,$139.30 ,$70.41 ,$226.31 ,$235.38 , N/A , N/A ,$235.38 ,$163.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200025,93979,PC DUPLEX AORTA/IVC/GRAFT LIMITED-26,982,1 ,$172.80 ,$124.42 ,$48.38 ,$238.23 ,$172.80 ,$128.74 ,$113.18 ,$107.73 ,$48.38 ,$106.27 ,$107.73 ,$106.27 ,$107.73 ,$95.73 ,$95.73 ,$107.73 ,$95.73 ,$172.80 ,$155.52 ,$143.42 ,$172.80 ,$107.73 ,$152.06 ,$109.89 ,$129.60 ,$129.60 ,$146.88 ,$146.88 ,$107.73 ,$146.88 ,$107.73 ,$139.97 ,$139.97 ,$139.97 ,$172.80 ,$155.52 ,$172.80 ,$155.52 ,$107.73 ,$172.80 ,$96.94 ,$107.73 ,$50.06 ,$112.61 ,$107.49 ,$112.76 ,$155.52 ,$238.23 ,$95.73 ,$48.38 ,$155.52 ,$107.73 , N/A , N/A ,$107.73 ,$112.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200026,93990,PC DUPLEX HEMODIALYSIS ACCESS-26,982,1 ,$27.97 ,$20.14 ,$7.83 ,$238.23 ,$27.97 ,$20.84 ,$18.32 ,$27.41 ,$7.83 ,$17.20 ,$27.41 ,$17.20 ,$27.41 ,$15.50 ,$15.50 ,$27.41 ,$15.50 ,$27.97 ,$25.17 ,$23.22 ,$27.97 ,$27.41 ,$24.61 ,$27.96 ,$20.98 ,$20.98 ,$23.77 ,$23.77 ,$27.41 ,$23.77 ,$27.41 ,$22.66 ,$22.66 ,$22.66 ,$27.97 ,$25.17 ,$27.97 ,$25.17 ,$27.41 ,$27.97 ,$15.69 ,$27.41 ,$27.97 ,$27.97 ,$27.97 ,$27.41 ,$25.17 ,$238.23 ,$15.50 ,$7.83 ,$25.17 ,$27.41 , N/A , N/A ,$27.41 ,$18.18 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98200027,93882,PC DUPLEX CAROTID UNI-26,975,1 ,$57.05 ,$41.08 ,$15.97 ,$238.23 ,$57.05 ,$42.50 ,$37.37 ,$55.91 ,$15.97 ,$35.09 ,$55.91 ,$35.09 ,$55.91 ,$31.61 ,$31.61 ,$55.91 ,$31.61 ,$57.05 ,$51.35 ,$47.35 ,$57.05 ,$55.91 ,$50.20 ,$57.03 ,$42.79 ,$42.79 ,$48.49 ,$48.49 ,$55.91 ,$48.49 ,$55.91 ,$46.21 ,$46.21 ,$46.21 ,$57.05 ,$51.35 ,$57.05 ,$51.35 ,$55.91 ,$57.05 ,$32.01 ,$55.91 ,$51.77 ,$57.05 ,$57.05 ,$55.91 ,$51.35 ,$238.23 ,$31.61 ,$15.97 ,$51.35 ,$55.91 , N/A , N/A ,$55.91 ,$37.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98280009,99441,PC TELEPHONE E/M 5-10 MINS OF MEDICAL DISCUSSION,982,1 ,$100.00 ,$72.00 ,$18.17 ,$100.00 , N/A ,$74.50 ,$65.50 , N/A ,$28.00 ,$61.50 , N/A ,$61.50 , N/A ,$55.40 ,$55.40 , N/A ,$55.40 , N/A ,$90.00 ,$83.00 , N/A , N/A ,$88.00 , N/A ,$75.00 ,$75.00 ,$85.00 ,$85.00 , N/A ,$85.00 , N/A ,$81.00 ,$81.00 ,$81.00 ,$100.00 ,$90.00 , N/A ,$90.00 , N/A ,$100.00 ,$56.10 , N/A ,$18.17 ,$100.00 ,$99.35 , N/A ,$90.00 , N/A ,$55.40 ,$28.00 ,$90.00 , N/A , N/A , N/A , N/A ,$65.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98280010,99442,PC TELEPHONE E/M 11-20 MINS OF MEDICAL DISCUSSION,982,1 ,$168.00 ,$120.96 ,$36.49 ,$168.00 , N/A ,$125.16 ,$110.04 , N/A ,$47.04 ,$103.32 , N/A ,$103.32 , N/A ,$93.07 ,$93.07 , N/A ,$93.07 , N/A ,$151.20 ,$139.44 , N/A , N/A ,$147.84 , N/A ,$126.00 ,$126.00 ,$142.80 ,$142.80 , N/A ,$142.80 , N/A ,$136.08 ,$136.08 ,$136.08 ,$168.00 ,$151.20 , N/A ,$151.20 , N/A ,$168.00 ,$94.25 , N/A ,$36.49 ,$104.08 ,$99.35 , N/A ,$151.20 , N/A ,$93.07 ,$47.04 ,$151.20 , N/A , N/A , N/A , N/A ,$109.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98280011,99443,PC TELEPHONE E/M 21-30 MINS OF MEDICAL DISCUSSION,982,1 ,$250.00 ,$180.00 ,$54.07 ,$250.00 , N/A ,$186.25 ,$163.75 , N/A ,$70.00 ,$153.75 , N/A ,$153.75 , N/A ,$138.50 ,$138.50 , N/A ,$138.50 , N/A ,$225.00 ,$207.50 , N/A , N/A ,$220.00 , N/A ,$187.50 ,$187.50 ,$212.50 ,$212.50 , N/A ,$212.50 , N/A ,$202.50 ,$202.50 ,$202.50 ,$250.00 ,$225.00 , N/A ,$225.00 , N/A ,$250.00 ,$140.25 , N/A ,$54.07 ,$104.08 ,$99.35 , N/A ,$225.00 , N/A ,$138.50 ,$70.00 ,$225.00 , N/A , N/A , N/A , N/A ,$162.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300001,10060,PC I AND D ABSC SMP PRO,983,1 ,$323.04 ,$232.59 ,$90.45 ,$402.50 ,$323.04 ,$240.66 ,$211.59 ,$182.02 ,$90.45 ,$198.67 ,$182.02 ,$198.67 ,$182.02 ,$178.96 ,$178.96 ,$182.02 ,$178.96 ,$323.04 ,$290.74 ,$268.12 ,$323.04 ,$182.02 ,$284.28 ,$185.65 ,$242.28 ,$242.28 ,$274.58 ,$274.58 ,$182.02 ,$274.58 ,$182.02 ,$261.66 ,$261.66 ,$261.66 ,$323.04 ,$290.74 ,$323.04 ,$290.74 ,$182.02 ,$323.04 ,$181.23 ,$182.02 ,$184.08 ,$222.46 ,$212.35 ,$190.51 ,$290.74 ,$402.50 ,$178.96 ,$90.45 ,$290.74 ,$182.02 , N/A , N/A ,$182.02 ,$209.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300004,11042,PC DEBR SKIN/SUBQ TISS INIT 20CM PRO,983,1 ,$291.18 ,$209.65 ,$81.53 ,$831.55 ,$291.18 ,$216.93 ,$190.72 ,$285.36 ,$81.53 ,$179.08 ,$285.36 ,$179.08 ,$285.36 ,$161.31 ,$161.31 ,$285.36 ,$161.31 ,$291.18 ,$262.06 ,$241.68 ,$291.18 ,$285.36 ,$256.24 ,$291.06 ,$218.39 ,$218.39 ,$247.50 ,$247.50 ,$285.36 ,$247.50 ,$285.36 ,$235.86 ,$235.86 ,$235.86 ,$291.18 ,$262.06 ,$291.18 ,$262.06 ,$285.36 ,$291.18 ,$163.35 ,$285.36 ,$114.48 ,$227.01 ,$216.69 ,$285.36 ,$262.06 ,$831.55 ,$161.31 ,$81.53 ,$262.06 ,$285.36 , N/A , N/A ,$285.36 ,$189.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300006,11043,PC DEBR SKIN/SUBQ TISSUE/MUSCLE PRO,983,1 ,$570.49 ,$410.75 ,$159.74 ,"$1,294.91 ",$570.49 ,$425.02 ,$373.67 ,$559.08 ,$159.74 ,$350.85 ,$559.08 ,$350.85 ,$559.08 ,$316.05 ,$316.05 ,$559.08 ,$316.05 ,$570.49 ,$513.44 ,$473.51 ,$570.49 ,$559.08 ,$502.03 ,$570.26 ,$427.87 ,$427.87 ,$484.92 ,$484.92 ,$559.08 ,$484.92 ,$559.08 ,$462.10 ,$462.10 ,$462.10 ,$570.49 ,$513.44 ,$570.49 ,$513.44 ,$559.08 ,$570.49 ,$320.04 ,$559.08 ,$295.20 ,$570.49 ,$570.49 ,$559.08 ,$513.44 ,"$1,294.91 ",$316.05 ,$159.74 ,$513.44 ,$559.08 , N/A , N/A ,$559.08 ,$370.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300008,11044,PC DEBR SKIN/SUB TIS/MUS/BONE INT 20 PRO,983,1 ,$993.60 ,$715.39 ,$278.21 ,"$3,342.42 ",$993.60 ,$740.23 ,$650.81 ,$973.73 ,$278.21 ,$611.06 ,$973.73 ,$611.06 ,$973.73 ,$550.45 ,$550.45 ,$973.73 ,$550.45 ,$993.60 ,$894.24 ,$824.69 ,$993.60 ,$973.73 ,$874.37 ,$993.20 ,$745.20 ,$745.20 ,$844.56 ,$844.56 ,$973.73 ,$844.56 ,$973.73 ,$804.82 ,$804.82 ,$804.82 ,$993.60 ,$894.24 ,$993.60 ,$894.24 ,$973.73 ,$993.60 ,$557.41 ,$973.73 ,$434.44 ,$886.47 ,$846.17 ,$973.73 ,$894.24 ,"$3,342.42 ",$550.45 ,$278.21 ,$894.24 ,$973.73 , N/A , N/A ,$973.73 ,$645.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300010,11045,PC DEBR SKIN/SUBQ TIS EA ADL 20CM PRO,983,1 ,$104.88 ,$75.51 ,$29.37 ,$104.88 , N/A ,$78.14 ,$68.70 , N/A ,$29.37 ,$64.50 , N/A ,$64.50 , N/A ,$58.10 ,$58.10 , N/A ,$58.10 , N/A ,$94.39 ,$87.05 , N/A , N/A ,$92.29 , N/A ,$78.66 ,$78.66 ,$89.15 ,$89.15 , N/A ,$89.15 , N/A ,$84.95 ,$84.95 ,$84.95 ,$104.88 ,$94.39 , N/A ,$94.39 , N/A ,$104.88 ,$58.84 , N/A ,$51.37 ,$104.88 ,$104.88 , N/A ,$94.39 , N/A ,$58.10 ,$29.37 ,$94.39 , N/A , N/A , N/A , N/A ,$68.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300011,11046,PC DEBR SKIN/SUBQ MUS/FAS ADL 20C PRO,983,1 ,$147.32 ,$106.07 ,$41.25 ,$147.32 , N/A ,$109.75 ,$96.49 , N/A ,$41.25 ,$90.60 , N/A ,$90.60 , N/A ,$81.62 ,$81.62 , N/A ,$81.62 , N/A ,$132.59 ,$122.28 , N/A , N/A ,$129.64 , N/A ,$110.49 ,$110.49 ,$125.22 ,$125.22 , N/A ,$125.22 , N/A ,$119.33 ,$119.33 ,$119.33 ,$147.32 ,$132.59 , N/A ,$132.59 , N/A ,$147.32 ,$82.65 , N/A ,$107.98 ,$147.32 ,$147.32 , N/A ,$132.59 , N/A ,$81.62 ,$41.25 ,$132.59 , N/A , N/A , N/A , N/A ,$95.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300012,11047,PC DEBR SKIN/SUB TIS/MUS/BN ADL 20C PRO,983,1 ,$275.88 ,$198.63 ,$77.25 ,$275.88 , N/A ,$205.53 ,$180.70 , N/A ,$77.25 ,$169.67 , N/A ,$169.67 , N/A ,$152.84 ,$152.84 , N/A ,$152.84 , N/A ,$248.29 ,$228.98 , N/A , N/A ,$242.77 , N/A ,$206.91 ,$206.91 ,$234.50 ,$234.50 , N/A ,$234.50 , N/A ,$223.46 ,$223.46 ,$223.46 ,$275.88 ,$248.29 , N/A ,$248.29 , N/A ,$275.88 ,$154.77 , N/A ,$190.79 ,$275.88 ,$275.88 , N/A ,$248.29 , N/A ,$152.84 ,$77.25 ,$248.29 , N/A , N/A , N/A , N/A ,$179.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300015,11100,PC BX LESN SKIN/SUBQ/MUCOUS SGL PRO,983,1 ,$342.24 ,$246.41 ,$95.83 ,$342.24 , N/A ,$254.97 ,$224.17 , N/A ,$95.83 ,$210.48 , N/A ,$210.48 , N/A ,$189.60 ,$189.60 , N/A ,$189.60 , N/A ,$308.02 ,$284.06 , N/A , N/A ,$301.17 , N/A ,$256.68 ,$256.68 ,$290.90 ,$290.90 , N/A ,$290.90 , N/A ,$277.21 ,$277.21 ,$277.21 ,$342.24 ,$308.02 , N/A ,$308.02 , N/A ,$342.24 ,$192.00 , N/A ,$239.57 , N/A , N/A , N/A ,$308.02 , N/A ,$189.60 ,$95.83 ,$308.02 , N/A , N/A , N/A , N/A ,$222.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300017,11101,PC PUNCH BIOPSY EA ADD PRO,983,1 ,$88.62 ,$63.81 ,$24.81 ,$88.62 , N/A ,$66.02 ,$58.05 , N/A ,$24.81 ,$54.50 , N/A ,$54.50 , N/A ,$49.10 ,$49.10 , N/A ,$49.10 , N/A ,$79.76 ,$73.55 , N/A , N/A ,$77.99 , N/A ,$66.47 ,$66.47 ,$75.33 ,$75.33 , N/A ,$75.33 , N/A ,$71.78 ,$71.78 ,$71.78 ,$88.62 ,$79.76 , N/A ,$79.76 , N/A ,$88.62 ,$49.72 , N/A ,$62.03 , N/A , N/A , N/A ,$79.76 , N/A ,$49.10 ,$24.81 ,$79.76 , N/A , N/A , N/A , N/A ,$57.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300018,11719,PC TRIM NAILS NONDYSTROPHIC PRO,983,1 ,$9.01 ,$6.49 ,$2.52 ,$128.12 ,$9.01 ,$6.71 ,$5.90 ,$8.83 ,$2.52 ,$5.54 ,$8.83 ,$5.54 ,$8.83 ,$4.99 ,$4.99 ,$8.83 ,$4.99 ,$9.01 ,$8.11 ,$7.48 ,$9.01 ,$8.83 ,$7.93 ,$9.01 ,$6.76 ,$6.76 ,$7.66 ,$7.66 ,$8.83 ,$7.66 ,$8.83 ,$7.30 ,$7.30 ,$7.30 ,$9.01 ,$8.11 ,$9.01 ,$8.11 ,$8.83 ,$9.01 ,$5.05 ,$8.83 ,$9.01 ,$9.01 ,$9.01 ,$8.83 ,$8.11 ,$128.12 ,$4.99 ,$2.52 ,$8.11 ,$8.83 , N/A , N/A ,$8.83 ,$5.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300028,16020,PC BURN DRESS  AND /OR DEBRIDE PRO <5%,983,1 ,$212.00 ,$152.64 ,$59.36 ,$402.50 ,$212.00 ,$157.94 ,$138.86 ,$182.02 ,$59.36 ,$130.38 ,$182.02 ,$130.38 ,$182.02 ,$117.45 ,$117.45 ,$182.02 ,$117.45 ,$212.00 ,$190.80 ,$175.96 ,$212.00 ,$182.02 ,$186.56 ,$185.65 ,$159.00 ,$159.00 ,$180.20 ,$180.20 ,$182.02 ,$180.20 ,$182.02 ,$171.72 ,$171.72 ,$171.72 ,$212.00 ,$190.80 ,$212.00 ,$190.80 ,$182.02 ,$212.00 ,$118.93 ,$182.02 ,$101.05 ,$105.18 ,$100.40 ,$190.51 ,$190.80 ,$402.50 ,$117.45 ,$59.36 ,$190.80 ,$182.02 , N/A , N/A ,$182.02 ,$137.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300031,17250,PC CHEM CAUTERY PRO,983,1 ,$199.39 ,$143.56 ,$55.83 ,$402.50 ,$199.39 ,$148.55 ,$130.60 ,$182.02 ,$55.83 ,$122.62 ,$182.02 ,$122.62 ,$182.02 ,$110.46 ,$110.46 ,$182.02 ,$110.46 ,$199.39 ,$179.45 ,$165.49 ,$199.39 ,$182.02 ,$175.46 ,$185.65 ,$149.54 ,$149.54 ,$169.48 ,$169.48 ,$182.02 ,$169.48 ,$182.02 ,$161.51 ,$161.51 ,$161.51 ,$199.39 ,$179.45 ,$199.39 ,$179.45 ,$182.02 ,$199.39 ,$111.86 ,$182.02 ,$69.65 ,$199.39 ,$199.39 ,$190.51 ,$179.45 ,$402.50 ,$110.46 ,$55.83 ,$179.45 ,$182.02 , N/A , N/A ,$182.02 ,$129.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300036,29580,PC UNNA BOOT APPLICATION PRO,983,1 ,$183.00 ,$131.76 ,$51.24 ,$324.89 ,$183.00 ,$136.34 ,$119.87 ,$146.92 ,$51.24 ,$112.55 ,$146.92 ,$112.55 ,$146.92 ,$101.38 ,$101.38 ,$146.92 ,$101.38 ,$183.00 ,$164.70 ,$151.89 ,$183.00 ,$146.92 ,$161.04 ,$149.86 ,$137.25 ,$137.25 ,$155.55 ,$155.55 ,$146.92 ,$155.55 ,$146.92 ,$148.23 ,$148.23 ,$148.23 ,$183.00 ,$164.70 ,$183.00 ,$164.70 ,$146.92 ,$183.00 ,$102.66 ,$146.92 ,$52.69 ,$183.00 ,$178.10 ,$153.78 ,$164.70 ,$324.89 ,$101.38 ,$51.24 ,$164.70 ,$146.92 , N/A , N/A ,$146.92 ,$118.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300043,97597,PC DEBR SKIN INTL 20CM PRO,983,1 ,$191.82 ,$138.11 ,$53.71 ,$402.50 ,$191.82 ,$142.91 ,$125.64 ,$182.02 ,$53.71 ,$117.97 ,$182.02 ,$117.97 ,$182.02 ,$106.27 ,$106.27 ,$182.02 ,$106.27 ,$191.82 ,$172.64 ,$159.21 ,$191.82 ,$182.02 ,$168.80 ,$185.65 ,$143.87 ,$143.87 ,$163.05 ,$163.05 ,$182.02 ,$163.05 ,$182.02 ,$155.37 ,$155.37 ,$155.37 ,$191.82 ,$172.64 ,$191.82 ,$172.64 ,$182.02 ,$191.82 ,$107.61 ,$182.02 ,$69.38 ,$88.41 ,$84.39 ,$187.98 ,$172.64 ,$402.50 ,$106.27 ,$53.71 ,$172.64 ,$182.02 , N/A , N/A ,$182.02 ,$124.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300049,97598,PC DEBR SKIN PART THICKNESS EA ADDN>20CM PRO,983,1 ,$202.50 ,$145.80 ,$48.99 ,$202.50 , N/A ,$150.86 ,$132.64 , N/A ,$56.70 ,$124.54 , N/A ,$124.54 , N/A ,$112.19 ,$112.19 , N/A ,$112.19 , N/A ,$182.25 ,$168.08 , N/A , N/A ,$178.20 , N/A ,$151.88 ,$151.88 ,$172.13 ,$172.13 , N/A ,$172.13 , N/A ,$164.03 ,$164.03 ,$164.03 ,$202.50 ,$182.25 , N/A ,$182.25 , N/A ,$202.50 ,$113.60 , N/A ,$48.99 ,$88.41 ,$84.39 , N/A ,$182.25 , N/A ,$112.19 ,$56.70 ,$182.25 , N/A , N/A , N/A , N/A ,$131.63 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300050,97605,PC NWPT <50 SQ CM PRO,983,1 ,$95.08 ,$68.46 ,$26.62 ,$402.50 ,$95.08 ,$70.83 ,$62.28 ,$93.18 ,$26.62 ,$58.47 ,$93.18 ,$58.47 ,$93.18 ,$52.67 ,$52.67 ,$93.18 ,$52.67 ,$95.08 ,$85.57 ,$78.92 ,$95.08 ,$93.18 ,$83.67 ,$95.04 ,$71.31 ,$71.31 ,$80.82 ,$80.82 ,$93.18 ,$80.82 ,$93.18 ,$77.01 ,$77.01 ,$77.01 ,$95.08 ,$85.57 ,$95.08 ,$85.57 ,$93.18 ,$95.08 ,$53.34 ,$93.18 ,$52.18 ,$95.08 ,$95.08 ,$93.18 ,$85.57 ,$402.50 ,$52.67 ,$26.62 ,$85.57 ,$93.18 , N/A , N/A ,$93.18 ,$61.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300051,97606,PC NWPT >50 SQ CM PRO,983,1 ,$93.05 ,$67.00 ,$26.05 ,$831.55 ,$93.05 ,$69.32 ,$60.95 ,$91.19 ,$26.05 ,$57.23 ,$91.19 ,$57.23 ,$91.19 ,$51.55 ,$51.55 ,$91.19 ,$51.55 ,$93.05 ,$83.75 ,$77.23 ,$93.05 ,$91.19 ,$81.88 ,$93.01 ,$69.79 ,$69.79 ,$79.09 ,$79.09 ,$91.19 ,$79.09 ,$91.19 ,$75.37 ,$75.37 ,$75.37 ,$93.05 ,$83.75 ,$93.05 ,$83.75 ,$91.19 ,$93.05 ,$52.20 ,$91.19 ,$56.41 ,$93.05 ,$93.05 ,$91.19 ,$83.75 ,$831.55 ,$51.55 ,$26.05 ,$83.75 ,$91.19 , N/A , N/A ,$91.19 ,$60.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300075,99183,PC HYPERBARIC 02 HSHS PRO FEE,983,1 ,$450.83 ,$324.60 ,$126.23 ,$450.83 , N/A ,$335.87 ,$295.29 , N/A ,$126.23 ,$277.26 , N/A ,$277.26 , N/A ,$249.76 ,$249.76 , N/A ,$249.76 , N/A ,$405.75 ,$374.19 , N/A , N/A ,$396.73 , N/A ,$338.12 ,$338.12 ,$383.21 ,$383.21 , N/A ,$383.21 , N/A ,$365.17 ,$365.17 ,$365.17 ,$450.83 ,$405.75 , N/A ,$405.75 , N/A ,$450.83 ,$252.92 , N/A ,$225.07 , N/A , N/A , N/A ,$405.75 , N/A ,$249.76 ,$126.23 ,$405.75 , N/A , N/A , N/A , N/A ,$293.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300080,15271,PC APL SKIN SUB TAL<100 INT 25CM PRO,983,1 ,$805.60 ,$580.03 ,$161.91 ,"$3,846.85 ",$805.60 ,$600.17 ,$527.67 ,$789.49 ,$225.57 ,$495.44 ,$789.49 ,$495.44 ,$789.49 ,$446.30 ,$446.30 ,$789.49 ,$446.30 ,$805.60 ,$725.04 ,$668.65 ,$805.60 ,$789.49 ,$708.93 ,$805.28 ,$604.20 ,$604.20 ,$684.76 ,$684.76 ,$789.49 ,$684.76 ,$789.49 ,$652.54 ,$652.54 ,$652.54 ,$805.60 ,$725.04 ,$805.60 ,$725.04 ,$789.49 ,$805.60 ,$451.94 ,$789.49 ,$161.91 ,$805.60 ,$805.60 ,$789.49 ,$725.04 ,"$3,846.85 ",$446.30 ,$225.57 ,$725.04 ,$789.49 , N/A , N/A ,$789.49 ,$523.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300082,15272,PC APL SKIN SUB TAL<100 ADL 25CM PRO,983,1 ,$137.75 ,$99.18 ,$34.03 ,$137.75 , N/A ,$102.62 ,$90.23 , N/A ,$38.57 ,$84.72 , N/A ,$84.72 , N/A ,$76.31 ,$76.31 , N/A ,$76.31 , N/A ,$123.98 ,$114.33 , N/A , N/A ,$121.22 , N/A ,$103.31 ,$103.31 ,$117.09 ,$117.09 , N/A ,$117.09 , N/A ,$111.58 ,$111.58 ,$111.58 ,$137.75 ,$123.98 , N/A ,$123.98 , N/A ,$137.75 ,$77.28 , N/A ,$34.03 ,$137.75 ,$137.75 , N/A ,$123.98 , N/A ,$76.31 ,$38.57 ,$123.98 , N/A , N/A , N/A , N/A ,$89.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300083,15273,PC APL SKIN SUB TAL>100 INT 100CM PRO,983,1 ,"$1,005.68 ",$724.09 ,$281.59 ,"$7,250.86 ","$1,005.68 ",$749.23 ,$658.72 ,$985.57 ,$281.59 ,$618.49 ,$985.57 ,$618.49 ,$985.57 ,$557.15 ,$557.15 ,$985.57 ,$557.15 ,"$1,005.68 ",$905.11 ,$834.71 ,"$1,005.68 ",$985.57 ,$885.00 ,"$1,005.27 ",$754.26 ,$754.26 ,$854.83 ,$854.83 ,$985.57 ,$854.83 ,$985.57 ,$814.60 ,$814.60 ,$814.60 ,"$1,005.68 ",$905.11 ,"$1,005.68 ",$905.11 ,$985.57 ,"$1,005.68 ",$564.19 ,$985.57 ,$385.82 ,"$1,005.68 ","$1,005.68 ",$985.57 ,$905.11 ,"$7,250.86 ",$557.15 ,$281.59 ,$905.11 ,$985.57 , N/A , N/A ,$985.57 ,$653.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300085,15274,PC APL SKIN SUB TAL>100 ADL 100CM PRO,983,1 ,$210.46 ,$151.53 ,$58.93 ,$210.46 , N/A ,$156.79 ,$137.85 , N/A ,$58.93 ,$129.43 , N/A ,$129.43 , N/A ,$116.59 ,$116.59 , N/A ,$116.59 , N/A ,$189.41 ,$174.68 , N/A , N/A ,$185.20 , N/A ,$157.85 ,$157.85 ,$178.89 ,$178.89 , N/A ,$178.89 , N/A ,$170.47 ,$170.47 ,$170.47 ,$210.46 ,$189.41 , N/A ,$189.41 , N/A ,$210.46 ,$118.07 , N/A ,$87.86 ,$210.46 ,$210.46 , N/A ,$189.41 , N/A ,$116.59 ,$58.93 ,$189.41 , N/A , N/A , N/A , N/A ,$136.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300086,15275,PC APL SKIN SUB OTH<100 INT 25CM PRO,983,1 ,$805.60 ,$580.03 ,$181.29 ,"$3,846.85 ",$805.60 ,$600.17 ,$527.67 ,$789.49 ,$225.57 ,$495.44 ,$789.49 ,$495.44 ,$789.49 ,$446.30 ,$446.30 ,$789.49 ,$446.30 ,$805.60 ,$725.04 ,$668.65 ,$805.60 ,$789.49 ,$708.93 ,$805.28 ,$604.20 ,$604.20 ,$684.76 ,$684.76 ,$789.49 ,$684.76 ,$789.49 ,$652.54 ,$652.54 ,$652.54 ,$805.60 ,$725.04 ,$805.60 ,$725.04 ,$789.49 ,$805.60 ,$451.94 ,$789.49 ,$181.29 ,$805.60 ,$805.60 ,$789.49 ,$725.04 ,"$3,846.85 ",$446.30 ,$225.57 ,$725.04 ,$789.49 , N/A , N/A ,$789.49 ,$523.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300088,15276,PC APL SKIN SUB OTH<100 ADL 25CM PRO,983,1 ,$125.17 ,$90.12 ,$35.05 ,$125.17 , N/A ,$93.25 ,$81.99 , N/A ,$35.05 ,$76.98 , N/A ,$76.98 , N/A ,$69.34 ,$69.34 , N/A ,$69.34 , N/A ,$112.65 ,$103.89 , N/A , N/A ,$110.15 , N/A ,$93.88 ,$93.88 ,$106.39 ,$106.39 , N/A ,$106.39 , N/A ,$101.39 ,$101.39 ,$101.39 ,$125.17 ,$112.65 , N/A ,$112.65 , N/A ,$125.17 ,$70.22 , N/A ,$49.97 ,$125.17 ,$125.17 , N/A ,$112.65 , N/A ,$69.34 ,$35.05 ,$112.65 , N/A , N/A , N/A , N/A ,$81.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300089,15277,PC APL SKIN SUB OTH>100 INT 100CM PRO,983,1 ,$913.85 ,$657.97 ,$255.88 ,"$3,846.85 ",$913.85 ,$680.82 ,$598.57 ,$895.57 ,$255.88 ,$562.02 ,$895.57 ,$562.02 ,$895.57 ,$506.27 ,$506.27 ,$895.57 ,$506.27 ,$913.85 ,$822.47 ,$758.50 ,$913.85 ,$895.57 ,$804.19 ,$913.49 ,$685.39 ,$685.39 ,$776.77 ,$776.77 ,$895.57 ,$776.77 ,$895.57 ,$740.22 ,$740.22 ,$740.22 ,$913.85 ,$822.47 ,$913.85 ,$822.47 ,$895.57 ,$913.85 ,$512.67 ,$895.57 ,$437.43 ,$913.85 ,$913.85 ,$895.57 ,$822.47 ,"$3,846.85 ",$506.27 ,$255.88 ,$822.47 ,$895.57 , N/A , N/A ,$895.57 ,$594.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300091,15278,PC APL SKIN SUB OTH>100 ADL 100CM PRO,983,1 ,$210.46 ,$151.53 ,$58.93 ,$210.46 , N/A ,$156.79 ,$137.85 , N/A ,$58.93 ,$129.43 , N/A ,$129.43 , N/A ,$116.59 ,$116.59 , N/A ,$116.59 , N/A ,$189.41 ,$174.68 , N/A , N/A ,$185.20 , N/A ,$157.85 ,$157.85 ,$178.89 ,$178.89 , N/A ,$178.89 , N/A ,$170.47 ,$170.47 ,$170.47 ,$210.46 ,$189.41 , N/A ,$189.41 , N/A ,$210.46 ,$118.07 , N/A ,$111.22 ,$210.46 ,$210.46 , N/A ,$189.41 , N/A ,$116.59 ,$58.93 ,$189.41 , N/A , N/A , N/A , N/A ,$136.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300093,16030,PC BURN DRESS  AND /OR DEBRIDE PRO >10%,983,1 ,$221.54 ,$159.51 ,$62.03 ,$831.55 ,$221.54 ,$165.05 ,$145.11 ,$217.11 ,$62.03 ,$136.25 ,$217.11 ,$136.25 ,$217.11 ,$122.73 ,$122.73 ,$217.11 ,$122.73 ,$221.54 ,$199.39 ,$183.88 ,$221.54 ,$217.11 ,$194.96 ,$221.45 ,$166.16 ,$166.16 ,$188.31 ,$188.31 ,$217.11 ,$188.31 ,$217.11 ,$179.45 ,$179.45 ,$179.45 ,$221.54 ,$199.39 ,$221.54 ,$199.39 ,$217.11 ,$221.54 ,$124.28 ,$217.11 ,$221.54 ,$105.18 ,$100.40 ,$217.11 ,$199.39 ,$831.55 ,$122.73 ,$62.03 ,$199.39 ,$217.11 , N/A , N/A ,$217.11 ,$144.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300094,16025,PC BURN DRESS  AND /OR DEBRIDE PRO 5-10%,983,1 ,$221.54 ,$159.51 ,$62.03 ,$402.50 ,$221.54 ,$165.05 ,$145.11 ,$182.02 ,$62.03 ,$136.25 ,$182.02 ,$136.25 ,$182.02 ,$122.73 ,$122.73 ,$182.02 ,$122.73 ,$221.54 ,$199.39 ,$183.88 ,$221.54 ,$182.02 ,$194.96 ,$185.65 ,$166.16 ,$166.16 ,$188.31 ,$188.31 ,$182.02 ,$188.31 ,$182.02 ,$179.45 ,$179.45 ,$179.45 ,$221.54 ,$199.39 ,$221.54 ,$199.39 ,$182.02 ,$221.54 ,$124.28 ,$182.02 ,$208.65 ,$105.18 ,$100.40 ,$190.51 ,$199.39 ,$402.50 ,$122.73 ,$62.03 ,$199.39 ,$182.02 , N/A , N/A ,$182.02 ,$144.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300124,11730,PC AVULSION NAIL PLATE SINGLE PRO,983,1 ,$252.56 ,$181.84 ,$70.72 ,$402.50 ,$252.56 ,$188.16 ,$165.43 ,$182.02 ,$70.72 ,$155.32 ,$182.02 ,$155.32 ,$182.02 ,$139.92 ,$139.92 ,$182.02 ,$139.92 ,$252.56 ,$227.30 ,$209.62 ,$252.56 ,$182.02 ,$222.25 ,$185.65 ,$189.42 ,$189.42 ,$214.68 ,$214.68 ,$182.02 ,$214.68 ,$182.02 ,$204.57 ,$204.57 ,$204.57 ,$252.56 ,$227.30 ,$252.56 ,$227.30 ,$182.02 ,$252.56 ,$141.69 ,$182.02 ,$103.19 ,$212.98 ,$203.30 ,$190.51 ,$227.30 ,$402.50 ,$139.92 ,$70.72 ,$227.30 ,$182.02 , N/A , N/A ,$182.02 ,$164.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300131,29445,PC APPL CAST LEG RIGID CONTACT,983,1 ,$525.05 ,$378.04 ,$147.01 ,$534.75 ,$525.05 ,$391.16 ,$343.91 ,$241.81 ,$147.01 ,$322.91 ,$241.81 ,$322.91 ,$241.81 ,$290.88 ,$290.88 ,$241.81 ,$290.88 ,$498.44 ,$472.55 ,$435.79 ,$525.05 ,$241.81 ,$462.04 ,$246.66 ,$393.79 ,$393.79 ,$446.29 ,$446.29 ,$241.81 ,$446.29 ,$241.81 ,$425.29 ,$425.29 ,$425.29 ,$525.05 ,$472.55 ,$525.05 ,$472.55 ,$241.81 ,$525.05 ,$294.55 ,$241.81 ,$193.14 ,$240.70 ,$229.76 ,$253.10 ,$472.55 ,$534.75 ,$290.88 ,$147.01 ,$472.55 ,$241.81 , N/A , N/A ,$241.81 ,$341.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300132,29445,PC APPL CAST LEG RIGID CONTACT -RT,983,1 ,$525.05 ,$378.04 ,$147.01 ,$534.75 ,$525.05 ,$391.16 ,$343.91 ,$241.81 ,$147.01 ,$322.91 ,$241.81 ,$322.91 ,$241.81 ,$290.88 ,$290.88 ,$241.81 ,$290.88 ,$498.44 ,$472.55 ,$435.79 ,$525.05 ,$241.81 ,$462.04 ,$246.66 ,$393.79 ,$393.79 ,$446.29 ,$446.29 ,$241.81 ,$446.29 ,$241.81 ,$425.29 ,$425.29 ,$425.29 ,$525.05 ,$472.55 ,$525.05 ,$472.55 ,$241.81 ,$525.05 ,$294.55 ,$241.81 ,$193.14 ,$240.70 ,$229.76 ,$253.10 ,$472.55 ,$534.75 ,$290.88 ,$147.01 ,$472.55 ,$241.81 , N/A , N/A ,$241.81 ,$341.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300134,99202,PC CLINIC VISIT LIMITED NEW -25,983,1 ,$152.57 ,$109.85 ,$42.72 ,$152.57 , N/A ,$113.66 ,$99.93 , N/A ,$42.72 ,$93.83 , N/A ,$93.83 , N/A ,$84.52 ,$84.52 , N/A ,$84.52 , N/A ,$137.31 ,$126.63 , N/A , N/A ,$134.26 , N/A ,$114.43 ,$114.43 ,$129.68 ,$129.68 , N/A ,$129.68 , N/A ,$123.58 ,$123.58 ,$123.58 ,$152.57 ,$137.31 , N/A ,$137.31 , N/A ,$76.98 ,$85.59 , N/A ,$70.27 ,$104.08 ,$99.35 , N/A ,$137.31 , N/A ,$84.52 ,$42.72 ,$137.31 , N/A , N/A , N/A , N/A ,$99.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300135,99203,PC CLINIC VISIT INTERM NEW -25,983,1 ,$233.45 ,$168.08 ,$65.37 ,$233.45 , N/A ,$173.92 ,$152.91 , N/A ,$65.37 ,$143.57 , N/A ,$143.57 , N/A ,$129.33 ,$129.33 , N/A ,$129.33 , N/A ,$210.11 ,$193.76 , N/A , N/A ,$205.44 , N/A ,$175.09 ,$175.09 ,$198.43 ,$198.43 , N/A ,$198.43 , N/A ,$189.09 ,$189.09 ,$189.09 ,$233.45 ,$210.11 , N/A ,$210.11 , N/A ,$120.52 ,$130.97 , N/A ,$105.21 ,$104.08 ,$99.35 , N/A ,$210.11 , N/A ,$129.33 ,$65.37 ,$210.11 , N/A , N/A , N/A , N/A ,$151.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300136,99204,PC CLINIC VISIT COMPLEX NEW -25,983,1 ,$315.11 ,$226.88 ,$88.23 ,$315.11 , N/A ,$234.76 ,$206.40 , N/A ,$88.23 ,$193.79 , N/A ,$193.79 , N/A ,$174.57 ,$174.57 , N/A ,$174.57 , N/A ,$283.60 ,$261.54 , N/A , N/A ,$277.30 , N/A ,$236.33 ,$236.33 ,$267.84 ,$267.84 , N/A ,$267.84 , N/A ,$255.24 ,$255.24 ,$255.24 ,$315.11 ,$283.60 , N/A ,$283.60 , N/A ,$177.92 ,$176.78 , N/A ,$179.90 ,$104.08 ,$99.35 , N/A ,$283.60 , N/A ,$174.57 ,$88.23 ,$283.60 , N/A , N/A , N/A , N/A ,$204.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300137,99205,PC CLINIC VISIT COMPREH NEW -25,983,1 ,$414.00 ,$298.08 ,$99.35 ,$414.00 , N/A ,$308.43 ,$271.17 , N/A ,$115.92 ,$254.61 , N/A ,$254.61 , N/A ,$229.36 ,$229.36 , N/A ,$229.36 , N/A ,$372.60 ,$343.62 , N/A , N/A ,$364.32 , N/A ,$310.50 ,$310.50 ,$351.90 ,$351.90 , N/A ,$351.90 , N/A ,$335.34 ,$335.34 ,$335.34 ,$414.00 ,$372.60 , N/A ,$372.60 , N/A ,$234.97 ,$232.25 , N/A ,$234.84 ,$104.08 ,$99.35 , N/A ,$372.60 , N/A ,$229.36 ,$115.92 ,$372.60 , N/A , N/A , N/A , N/A ,$269.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300138,99211,PC CLINIC VISIT BRIEF ESTAB -25,983,1 ,$52.90 ,$38.09 ,$12.73 ,$52.90 , N/A ,$39.41 ,$34.65 , N/A ,$14.81 ,$32.53 , N/A ,$32.53 , N/A ,$29.31 ,$29.31 , N/A ,$29.31 , N/A ,$47.61 ,$43.91 , N/A , N/A ,$46.55 , N/A ,$39.68 ,$39.68 ,$44.97 ,$44.97 , N/A ,$44.97 , N/A ,$42.85 ,$42.85 ,$42.85 ,$52.90 ,$47.61 , N/A ,$47.61 , N/A ,$52.90 ,$29.68 , N/A ,$12.73 ,$52.90 ,$52.90 , N/A ,$47.61 , N/A ,$29.31 ,$14.81 ,$47.61 , N/A , N/A , N/A , N/A ,$34.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300139,99212,PC CLINIC VISIT LIMITED ESTAB -25,983,1 ,$112.70 ,$81.14 ,$31.56 ,$112.70 , N/A ,$83.96 ,$73.82 , N/A ,$31.56 ,$69.31 , N/A ,$69.31 , N/A ,$62.44 ,$62.44 , N/A ,$62.44 , N/A ,$101.43 ,$93.54 , N/A , N/A ,$99.18 , N/A ,$84.53 ,$84.53 ,$95.80 ,$95.80 , N/A ,$95.80 , N/A ,$91.29 ,$91.29 ,$91.29 ,$112.70 ,$101.43 , N/A ,$101.43 , N/A ,$60.09 ,$63.22 , N/A ,$35.95 ,$104.08 ,$99.35 , N/A ,$101.43 , N/A ,$62.44 ,$31.56 ,$101.43 , N/A , N/A , N/A , N/A ,$73.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300140,99213,PC CLINIC VISIT INTERM ESTAB -25,983,1 ,$186.30 ,$134.14 ,$52.16 ,$186.30 , N/A ,$138.79 ,$122.03 , N/A ,$52.16 ,$114.57 , N/A ,$114.57 , N/A ,$103.21 ,$103.21 , N/A ,$103.21 , N/A ,$167.67 ,$154.63 , N/A , N/A ,$163.94 , N/A ,$139.73 ,$139.73 ,$158.36 ,$158.36 , N/A ,$158.36 , N/A ,$150.90 ,$150.90 ,$150.90 ,$186.30 ,$167.67 , N/A ,$167.67 , N/A ,$95.85 ,$104.51 , N/A ,$71.20 ,$104.08 ,$99.35 , N/A ,$167.67 , N/A ,$103.21 ,$52.16 ,$167.67 , N/A , N/A , N/A , N/A ,$121.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300141,99214,PC CLINIC VISIT COMPLEX ESTAB -25,983,1 ,$278.30 ,$200.38 ,$77.92 ,$278.30 , N/A ,$207.33 ,$182.29 , N/A ,$77.92 ,$171.15 , N/A ,$171.15 , N/A ,$154.18 ,$154.18 , N/A ,$154.18 , N/A ,$250.47 ,$230.99 , N/A , N/A ,$244.90 , N/A ,$208.73 ,$208.73 ,$236.56 ,$236.56 , N/A ,$236.56 , N/A ,$225.42 ,$225.42 ,$225.42 ,$278.30 ,$250.47 , N/A ,$250.47 , N/A ,$278.30 ,$156.13 , N/A ,$109.36 ,$104.08 ,$99.35 , N/A ,$250.47 , N/A ,$154.18 ,$77.92 ,$250.47 , N/A , N/A , N/A , N/A ,$180.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300142,99215,PC CLINIC VISIT COMPREH ESTAB -25,983,1 ,$334.92 ,$241.14 ,$93.78 ,$334.92 , N/A ,$249.52 ,$219.37 , N/A ,$93.78 ,$205.98 , N/A ,$205.98 , N/A ,$185.55 ,$185.55 , N/A ,$185.55 , N/A ,$301.43 ,$277.98 , N/A , N/A ,$294.73 , N/A ,$251.19 ,$251.19 ,$284.68 ,$284.68 , N/A ,$284.68 , N/A ,$271.29 ,$271.29 ,$271.29 ,$334.92 ,$301.43 , N/A ,$301.43 , N/A ,$334.92 ,$187.89 , N/A ,$154.37 ,$104.08 ,$99.35 , N/A ,$301.43 , N/A ,$185.55 ,$93.78 ,$301.43 , N/A , N/A , N/A , N/A ,$217.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300143,11721,PC DEBR NAIL(S) 6 OR MORE,983,1 ,$112.99 ,$81.35 ,$31.64 ,$128.12 ,$112.99 ,$84.18 ,$74.01 ,$57.94 ,$31.64 ,$69.49 ,$57.94 ,$69.49 ,$57.94 ,$62.60 ,$62.60 ,$57.94 ,$62.60 ,$112.99 ,$101.69 ,$93.78 ,$112.99 ,$57.94 ,$99.43 ,$59.09 ,$84.74 ,$84.74 ,$96.04 ,$96.04 ,$57.94 ,$96.04 ,$57.94 ,$91.52 ,$91.52 ,$91.52 ,$112.99 ,$101.69 ,$112.99 ,$101.69 ,$57.94 ,$112.99 ,$63.39 ,$57.94 ,$47.81 ,$60.73 ,$57.97 ,$60.64 ,$101.69 ,$128.12 ,$62.60 ,$31.64 ,$101.69 ,$57.94 , N/A , N/A ,$57.94 ,$73.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300144,11720,PC DEBR NAIL(S) UP TO 5,983,1 ,$81.97 ,$59.02 ,$22.95 ,$128.12 ,$81.97 ,$61.07 ,$53.69 ,$57.94 ,$22.95 ,$50.41 ,$57.94 ,$50.41 ,$57.94 ,$45.41 ,$45.41 ,$57.94 ,$45.41 ,$81.97 ,$73.77 ,$68.04 ,$81.97 ,$57.94 ,$72.13 ,$59.09 ,$61.48 ,$61.48 ,$69.67 ,$69.67 ,$57.94 ,$69.67 ,$57.94 ,$66.40 ,$66.40 ,$66.40 ,$81.97 ,$73.77 ,$81.97 ,$73.77 ,$57.94 ,$81.97 ,$45.99 ,$57.94 ,$27.93 ,$60.73 ,$57.97 ,$60.64 ,$73.77 ,$128.12 ,$45.41 ,$22.95 ,$73.77 ,$57.94 , N/A , N/A ,$57.94 ,$53.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300145,11102,PC BIOPSY SKIN TANGENTIAL INIT LESN,983,1 ,$342.24 ,$246.41 ,$73.41 ,$402.50 ,$342.24 ,$254.97 ,$224.17 ,$182.02 ,$95.83 ,$210.48 ,$182.02 ,$210.48 ,$182.02 ,$189.60 ,$189.60 ,$182.02 ,$189.60 ,$342.24 ,$308.02 ,$284.06 ,$342.24 ,$182.02 ,$301.17 ,$185.65 ,$256.68 ,$256.68 ,$290.90 ,$290.90 ,$182.02 ,$290.90 ,$182.02 ,$277.21 ,$277.21 ,$277.21 ,$342.24 ,$308.02 ,$342.24 ,$308.02 ,$182.02 ,$342.24 ,$192.00 ,$182.02 ,$73.41 ,$342.24 ,$342.24 ,$190.51 ,$308.02 ,$402.50 ,$189.60 ,$95.83 ,$308.02 ,$182.02 , N/A , N/A ,$182.02 ,$222.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300147,11106,PC BIOPSY SKIN INCISIONAL INIT LESN,983,1 ,$342.24 ,$246.41 ,$95.83 ,"$1,294.91 ",$342.24 ,$254.97 ,$224.17 ,$335.40 ,$95.83 ,$210.48 ,$335.40 ,$210.48 ,$335.40 ,$189.60 ,$189.60 ,$335.40 ,$189.60 ,$342.24 ,$308.02 ,$284.06 ,$342.24 ,$335.40 ,$301.17 ,$342.10 ,$256.68 ,$256.68 ,$290.90 ,$290.90 ,$335.40 ,$290.90 ,$335.40 ,$277.21 ,$277.21 ,$277.21 ,$342.24 ,$308.02 ,$342.24 ,$308.02 ,$335.40 ,$342.24 ,$192.00 ,$335.40 ,$110.27 ,$342.24 ,$342.24 ,$335.40 ,$308.02 ,"$1,294.91 ",$189.60 ,$95.83 ,$308.02 ,$335.40 , N/A , N/A ,$335.40 ,$222.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300148,11103,PC BIOPSY SKIN TANGENTIAL ADDL LESN,983,1 ,$88.62 ,$63.81 ,$24.81 ,$88.62 , N/A ,$66.02 ,$58.05 , N/A ,$24.81 ,$54.50 , N/A ,$54.50 , N/A ,$49.10 ,$49.10 , N/A ,$49.10 , N/A ,$79.76 ,$73.55 , N/A , N/A ,$77.99 , N/A ,$66.47 ,$66.47 ,$75.33 ,$75.33 , N/A ,$75.33 , N/A ,$71.78 ,$71.78 ,$71.78 ,$88.62 ,$79.76 , N/A ,$79.76 , N/A ,$88.62 ,$49.72 , N/A ,$42.65 ,$88.62 ,$88.62 , N/A ,$79.76 , N/A ,$49.10 ,$24.81 ,$79.76 , N/A , N/A , N/A , N/A ,$57.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98300150,11107,PC BIOPSY SKIN INCISIONAL ADDL LESN,983,1 ,$88.62 ,$63.81 ,$24.81 ,$88.62 , N/A ,$66.02 ,$58.05 , N/A ,$24.81 ,$54.50 , N/A ,$54.50 , N/A ,$49.10 ,$49.10 , N/A ,$49.10 , N/A ,$79.76 ,$73.55 , N/A , N/A ,$77.99 , N/A ,$66.47 ,$66.47 ,$75.33 ,$75.33 , N/A ,$75.33 , N/A ,$71.78 ,$71.78 ,$71.78 ,$88.62 ,$79.76 , N/A ,$79.76 , N/A ,$88.62 ,$49.72 , N/A ,$59.38 ,$88.62 ,$88.62 , N/A ,$79.76 , N/A ,$49.10 ,$24.81 ,$79.76 , N/A , N/A , N/A , N/A ,$57.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$33.23 ,$23.93 ,$9.30 ,$33.23 , N/A ,$24.76 ,$21.77 , N/A ,$9.30 ,$20.44 , N/A ,$20.44 , N/A ,$18.41 ,$18.41 , N/A ,$18.41 , N/A ,$29.91 ,$27.58 , N/A , N/A ,$29.24 , N/A ,$24.92 ,$24.92 ,$28.25 ,$28.25 , N/A ,$28.25 , N/A ,$26.92 ,$26.92 ,$26.92 ,$33.23 ,$29.91 , N/A ,$29.91 , N/A ,$33.23 ,$18.64 , N/A ,$16.94 ,$19.06 ,$18.20 , N/A ,$29.91 , N/A ,$18.41 ,$9.30 ,$29.91 , N/A , N/A , N/A , N/A ,$21.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500002,93016,PC CARDIAC STRESS TEST SUPERVISION,985,1 ,$171.14 ,$123.22 ,$44.37 ,$171.14 , N/A ,$127.50 ,$112.10 , N/A ,$47.92 ,$105.25 , N/A ,$105.25 , N/A ,$94.81 ,$94.81 , N/A ,$94.81 , N/A ,$154.03 ,$142.05 , N/A , N/A ,$150.60 , N/A ,$128.36 ,$128.36 ,$145.47 ,$145.47 , N/A ,$145.47 , N/A ,$138.62 ,$138.62 ,$138.62 ,$171.14 ,$154.03 , N/A ,$154.03 , N/A ,$171.14 ,$96.01 , N/A ,$44.37 ,$171.14 ,$171.14 , N/A ,$154.03 , N/A ,$94.81 ,$47.92 ,$154.03 , N/A , N/A , N/A , N/A ,$111.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500003,93018,PC CARDIOVASCULAR STRESS TEST,985,1 ,$78.21 ,$56.31 ,$21.90 ,$78.21 , N/A ,$58.27 ,$51.23 , N/A ,$21.90 ,$48.10 , N/A ,$48.10 , N/A ,$43.33 ,$43.33 , N/A ,$43.33 , N/A ,$70.39 ,$64.91 , N/A , N/A ,$68.82 , N/A ,$58.66 ,$58.66 ,$66.48 ,$66.48 , N/A ,$66.48 , N/A ,$63.35 ,$63.35 ,$63.35 ,$78.21 ,$70.39 , N/A ,$70.39 , N/A ,$78.21 ,$43.88 , N/A ,$29.52 ,$78.21 ,$78.21 , N/A ,$70.39 , N/A ,$43.33 ,$21.90 ,$70.39 , N/A , N/A , N/A , N/A ,$50.84 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500004,93306,PC ECHO/CARDIAC DOP/COLOR FLOW-26,985,1 ,$626.96 ,$451.41 ,$146.27 ,"$1,121.45 ",$626.96 ,$467.09 ,$410.66 ,$507.13 ,$175.55 ,$385.58 ,$507.13 ,$385.58 ,$507.13 ,$347.34 ,$347.34 ,$507.13 ,$347.34 ,$626.96 ,$564.26 ,$500.00 ,$626.96 ,$507.13 ,$551.72 ,$517.27 ,$470.22 ,$470.22 ,$532.92 ,$532.92 ,$507.13 ,$532.92 ,$507.13 ,$507.84 ,$507.84 ,$507.84 ,$626.96 ,$564.26 ,$626.96 ,$564.26 ,$507.13 ,$626.96 ,$351.72 ,$507.13 ,$146.27 ,$359.18 ,$342.86 ,$530.81 ,$564.26 ,"$1,121.45 ",$347.34 ,$175.55 ,$564.26 ,$507.13 , N/A , N/A ,$507.13 ,$407.52 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500005,93308,PC ECHO 2D W/W/O M-MODE LTD-26,985,1 ,$228.19 ,$164.30 ,$51.41 ,$520.50 ,$228.19 ,$170.00 ,$149.46 ,$223.63 ,$63.89 ,$140.34 ,$223.63 ,$140.34 ,$223.63 ,$126.42 ,$126.42 ,$223.63 ,$126.42 ,$228.19 ,$205.37 ,$189.40 ,$228.19 ,$223.63 ,$200.81 ,$228.09 ,$171.14 ,$171.14 ,$193.96 ,$193.96 ,$223.63 ,$193.96 ,$223.63 ,$184.83 ,$184.83 ,$184.83 ,$228.19 ,$205.37 ,$228.19 ,$205.37 ,$223.63 ,$228.19 ,$128.01 ,$223.63 ,$51.41 ,$228.19 ,$228.19 ,$223.63 ,$205.37 ,$520.50 ,$126.42 ,$63.89 ,$205.37 ,$223.63 , N/A , N/A ,$223.63 ,$148.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500007,93325,PC ECHO COLOR FLOW VELOCITY MAPPING-26,985,1 ,$77.54 ,$55.83 ,$6.32 ,$77.54 , N/A ,$57.77 ,$50.79 , N/A ,$21.71 ,$47.69 , N/A ,$47.69 , N/A ,$42.96 ,$42.96 , N/A ,$42.96 , N/A ,$69.79 ,$64.36 , N/A , N/A ,$68.24 , N/A ,$58.16 ,$58.16 ,$65.91 ,$65.91 , N/A ,$65.91 , N/A ,$62.81 ,$62.81 ,$62.81 ,$77.54 ,$69.79 , N/A ,$69.79 , N/A ,$77.54 ,$43.50 , N/A ,$6.32 ,$77.54 ,$77.54 , N/A ,$69.79 , N/A ,$42.96 ,$21.71 ,$69.79 , N/A , N/A , N/A , N/A ,$50.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500008,93321,PC ECHO DOPPLER LIMITED-26,985,1 ,$77.54 ,$55.83 ,$14.86 ,$77.54 , N/A ,$57.77 ,$50.79 , N/A ,$21.71 ,$47.69 , N/A ,$47.69 , N/A ,$42.96 ,$42.96 , N/A ,$42.96 , N/A ,$69.79 ,$64.36 , N/A , N/A ,$68.24 , N/A ,$58.16 ,$58.16 ,$65.91 ,$65.91 , N/A ,$65.91 , N/A ,$62.81 ,$62.81 ,$62.81 ,$77.54 ,$69.79 , N/A ,$69.79 , N/A ,$77.54 ,$43.50 , N/A ,$14.86 ,$77.54 ,$77.54 , N/A ,$69.79 , N/A ,$42.96 ,$21.71 ,$69.79 , N/A , N/A , N/A , N/A ,$50.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500009,93272,PC EVENT RECORDER 24HRS/30DAYS INTERP,985,1 ,$171.14 ,$123.22 ,$47.92 ,$171.14 , N/A ,$127.50 ,$112.10 , N/A ,$47.92 ,$105.25 , N/A ,$105.25 , N/A ,$94.81 ,$94.81 , N/A ,$94.81 , N/A ,$154.03 ,$142.05 , N/A , N/A ,$150.60 , N/A ,$128.36 ,$128.36 ,$145.47 ,$145.47 , N/A ,$145.47 , N/A ,$138.62 ,$138.62 ,$138.62 ,$171.14 ,$154.03 , N/A ,$154.03 , N/A ,$171.14 ,$96.01 , N/A ,$50.69 ,$105.00 ,$100.22 , N/A ,$154.03 , N/A ,$94.81 ,$47.92 ,$154.03 , N/A , N/A , N/A , N/A ,$111.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500010,93227,PC HOLTER SCAN =< 48 HOURS,985,1 ,$94.15 ,$67.79 ,$26.36 ,$94.15 , N/A ,$70.14 ,$61.67 , N/A ,$26.36 ,$57.90 , N/A ,$57.90 , N/A ,$52.16 ,$52.16 , N/A ,$52.16 , N/A ,$84.74 ,$78.14 , N/A , N/A ,$82.85 , N/A ,$70.61 ,$70.61 ,$80.03 ,$80.03 , N/A ,$80.03 , N/A ,$76.26 ,$76.26 ,$76.26 ,$94.15 ,$84.74 , N/A ,$84.74 , N/A ,$94.15 ,$52.82 , N/A ,$52.66 , N/A , N/A , N/A ,$84.74 , N/A ,$52.16 ,$26.36 ,$84.74 , N/A , N/A , N/A , N/A ,$61.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500012,93350,PC ECHO REST  AND  STRESS W/PF-26,985,1 ,$456.37 ,$328.59 ,$127.78 ,"$1,121.45 ",$456.37 ,$340.00 ,$298.92 ,$447.24 ,$127.78 ,$280.67 ,$447.24 ,$280.67 ,$447.24 ,$252.83 ,$252.83 ,$447.24 ,$252.83 ,$456.37 ,$410.73 ,$378.79 ,$456.37 ,$447.24 ,$401.61 ,$456.19 ,$342.28 ,$342.28 ,$387.91 ,$387.91 ,$447.24 ,$387.91 ,$447.24 ,$369.66 ,$369.66 ,$369.66 ,$456.37 ,$410.73 ,$456.37 ,$410.73 ,$447.24 ,$456.37 ,$256.02 ,$447.24 ,$142.10 ,$359.18 ,$342.86 ,$447.24 ,$410.73 ,"$1,121.45 ",$252.83 ,$127.78 ,$410.73 ,$447.24 , N/A , N/A ,$447.24 ,$296.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98500013,93015,PC CARDIOVASCULAR STRESS TEST W/EKG MONITORING,985,1 ,$206.34 ,$148.56 ,$57.78 ,$206.34 , N/A ,$153.72 ,$135.15 , N/A ,$57.78 ,$126.90 , N/A ,$126.90 , N/A ,$114.31 ,$114.31 , N/A ,$114.31 , N/A ,$185.71 ,$171.26 , N/A , N/A ,$181.58 , N/A ,$154.76 ,$154.76 ,$175.39 ,$175.39 , N/A ,$175.39 , N/A ,$167.14 ,$167.14 ,$167.14 ,$206.34 ,$185.71 , N/A ,$185.71 , N/A ,$206.34 ,$115.76 , N/A ,$136.32 ,$206.34 ,$206.34 , N/A ,$185.71 , N/A ,$114.31 ,$57.78 ,$185.71 , N/A , N/A , N/A , N/A ,$134.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600001,95806,PC SLEEP STUDY UNATTENDED-26,986,1 ,$138.12 ,$99.45 ,$38.67 ,$324.16 ,$138.12 ,$102.90 ,$90.47 ,$135.36 ,$38.67 ,$84.94 ,$135.36 ,$84.94 ,$135.36 ,$76.52 ,$76.52 ,$135.36 ,$76.52 ,$138.12 ,$124.31 ,$114.64 ,$138.12 ,$135.36 ,$121.55 ,$138.06 ,$103.59 ,$103.59 ,$117.40 ,$117.40 ,$135.36 ,$117.40 ,$135.36 ,$111.88 ,$111.88 ,$111.88 ,$138.12 ,$124.31 ,$138.12 ,$124.31 ,$135.36 ,$138.12 ,$77.49 ,$135.36 ,$90.04 ,$138.12 ,$138.12 ,$135.36 ,$124.31 ,$324.16 ,$76.52 ,$38.67 ,$124.31 ,$135.36 , N/A , N/A ,$135.36 ,$89.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600002,95810,PC SLEEP STUDY PSG 4+ PARAMETERS >6YRS-26,986,1 ,$373.02 ,$268.57 ,$104.45 ,"$2,082.69 ",$373.02 ,$277.90 ,$244.33 ,$365.56 ,$104.45 ,$229.41 ,$365.56 ,$229.41 ,$365.56 ,$206.65 ,$206.65 ,$365.56 ,$206.65 ,$373.02 ,$335.72 ,$309.61 ,$373.02 ,$365.56 ,$328.26 ,$372.87 ,$279.77 ,$279.77 ,$317.07 ,$317.07 ,$365.56 ,$317.07 ,$365.56 ,$302.15 ,$302.15 ,$302.15 ,$373.02 ,$335.72 ,$373.02 ,$335.72 ,$365.56 ,$373.02 ,$209.26 ,$365.56 ,$242.82 ,$373.02 ,$373.02 ,$365.56 ,$335.72 ,"$2,082.69 ",$206.65 ,$104.45 ,$335.72 ,$365.56 , N/A , N/A ,$365.56 ,$242.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600003,95811,PC SLEEP STUDY PSG 4+ PRMTRS W/CPAP>6YR-26,986,1 ,$386.82 ,$278.51 ,$108.31 ,"$2,082.69 ",$386.82 ,$288.18 ,$253.37 ,$379.08 ,$108.31 ,$237.89 ,$379.08 ,$237.89 ,$379.08 ,$214.30 ,$214.30 ,$379.08 ,$214.30 ,$386.82 ,$348.14 ,$321.06 ,$386.82 ,$379.08 ,$340.40 ,$386.67 ,$290.12 ,$290.12 ,$328.80 ,$328.80 ,$379.08 ,$328.80 ,$379.08 ,$313.32 ,$313.32 ,$313.32 ,$386.82 ,$348.14 ,$386.82 ,$348.14 ,$379.08 ,$386.82 ,$217.01 ,$379.08 ,$251.94 ,$386.82 ,$386.82 ,$379.08 ,$348.14 ,"$2,082.69 ",$214.30 ,$108.31 ,$348.14 ,$379.08 , N/A , N/A ,$379.08 ,$251.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600004,95805,PC MULTIPLE SLEEP LATENCY TEST-26,986,1 ,$182.07 ,$131.09 ,$50.98 ,"$1,077.54 ",$182.07 ,$135.64 ,$119.26 ,$178.43 ,$50.98 ,$111.97 ,$178.43 ,$111.97 ,$178.43 ,$100.87 ,$100.87 ,$178.43 ,$100.87 ,$182.07 ,$163.86 ,$151.12 ,$182.07 ,$178.43 ,$160.22 ,$182.00 ,$136.55 ,$136.55 ,$154.76 ,$154.76 ,$178.43 ,$154.76 ,$178.43 ,$147.48 ,$147.48 ,$147.48 ,$182.07 ,$163.86 ,$182.07 ,$163.86 ,$178.43 ,$182.07 ,$102.14 ,$178.43 ,$118.26 ,$182.07 ,$182.07 ,$178.43 ,$163.86 ,"$1,077.54 ",$100.87 ,$50.98 ,$163.86 ,$178.43 , N/A , N/A ,$178.43 ,$118.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600005,G0399,PC HOME SLEEP STUDY-26,986,1 ,$396.63 ,$285.57 ,$84.39 ,$396.63 ,$359.07 ,$295.49 ,$259.79 ,$146.59 ,$111.06 ,$243.93 ,$146.59 ,$243.93 ,$146.59 ,$219.73 ,$219.73 ,$146.59 ,$219.73 ,$302.15 ,$356.97 ,$329.20 ,$359.07 ,$146.59 ,$349.03 ,$149.52 ,$297.47 ,$297.47 ,$337.14 ,$337.14 ,$146.59 ,$337.14 ,$146.59 ,$321.27 ,$321.27 ,$321.27 ,$396.63 ,$356.97 ,$359.07 ,$356.97 ,$146.59 ,$396.63 ,$222.51 ,$146.59 ,$396.63 ,$88.41 ,$84.39 ,$153.43 ,$356.97 ,$324.16 ,$219.73 ,$111.06 ,$356.97 ,$146.59 , N/A , N/A ,$146.59 ,$257.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600006,95807,PC SLEEP STUDY ATTENDED NAP - 26,986,1 ,$186.69 ,$134.42 ,$52.27 ,"$1,077.54 ",$186.69 ,$139.08 ,$122.28 ,$182.96 ,$52.27 ,$114.81 ,$182.96 ,$114.81 ,$182.96 ,$103.43 ,$103.43 ,$182.96 ,$103.43 ,$186.69 ,$168.02 ,$154.95 ,$186.69 ,$182.96 ,$164.29 ,$186.61 ,$140.02 ,$140.02 ,$158.69 ,$158.69 ,$182.96 ,$158.69 ,$182.96 ,$151.22 ,$151.22 ,$151.22 ,$186.69 ,$168.02 ,$186.69 ,$168.02 ,$182.96 ,$186.69 ,$104.73 ,$182.96 ,$123.33 ,$186.69 ,$186.69 ,$182.96 ,$168.02 ,"$1,077.54 ",$103.43 ,$52.27 ,$168.02 ,$182.96 , N/A , N/A ,$182.96 ,$121.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600007,95811,PC SLEEP STUDY PSG 4+ PRMTRS W/CPAP>6YR - 26,986,1 ,$386.82 ,$278.51 ,$108.31 ,"$2,082.69 ",$386.82 ,$288.18 ,$253.37 ,$379.08 ,$108.31 ,$237.89 ,$379.08 ,$237.89 ,$379.08 ,$214.30 ,$214.30 ,$379.08 ,$214.30 ,$386.82 ,$348.14 ,$321.06 ,$386.82 ,$379.08 ,$340.40 ,$386.67 ,$290.12 ,$290.12 ,$328.80 ,$328.80 ,$379.08 ,$328.80 ,$379.08 ,$313.32 ,$313.32 ,$313.32 ,$386.82 ,$348.14 ,$386.82 ,$348.14 ,$379.08 ,$386.82 ,$217.01 ,$379.08 ,$386.82 ,$386.82 ,$386.82 ,$379.08 ,$348.14 ,"$2,082.69 ",$214.30 ,$108.31 ,$348.14 ,$379.08 , N/A , N/A ,$379.08 ,$251.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98600008,95810,PC SLEEP STUDY PSG 4+ PARAMETERS >6YRS - 26,986,1 ,$373.02 ,$268.57 ,$104.45 ,"$2,082.69 ",$373.02 ,$277.90 ,$244.33 ,$365.56 ,$104.45 ,$229.41 ,$365.56 ,$229.41 ,$365.56 ,$206.65 ,$206.65 ,$365.56 ,$206.65 ,$373.02 ,$335.72 ,$309.61 ,$373.02 ,$365.56 ,$328.26 ,$372.87 ,$279.77 ,$279.77 ,$317.07 ,$317.07 ,$365.56 ,$317.07 ,$365.56 ,$302.15 ,$302.15 ,$302.15 ,$373.02 ,$335.72 ,$373.02 ,$335.72 ,$365.56 ,$373.02 ,$209.26 ,$365.56 ,$373.02 ,$373.02 ,$373.02 ,$365.56 ,$335.72 ,"$2,082.69 ",$206.65 ,$104.45 ,$335.72 ,$365.56 , N/A , N/A ,$365.56 ,$242.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780006,99238,PC HOSPITAL INP/OBSERV DISCHARGE DAY <31MIN,987,1 ,$654.00 ,$470.88 ,$100.42 ,$654.00 , N/A ,$487.23 ,$428.37 , N/A ,$183.12 ,$402.21 , N/A ,$402.21 , N/A ,$362.32 ,$362.32 , N/A ,$362.32 , N/A ,$588.60 ,$542.82 , N/A , N/A ,$575.52 , N/A ,$490.50 ,$490.50 ,$555.90 ,$555.90 , N/A ,$555.90 , N/A ,$529.74 ,$529.74 ,$529.74 ,$654.00 ,$588.60 , N/A ,$588.60 , N/A ,$654.00 ,$366.89 , N/A ,$100.42 , N/A , N/A , N/A ,$588.60 , N/A ,$362.32 ,$183.12 ,$588.60 , N/A , N/A , N/A , N/A ,$425.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780007,99239,PC HOSPITAL INP/OBSERV DISCHARGE DAY >30MIN,987,1 ,$654.00 ,$470.88 ,$147.15 ,$654.00 , N/A ,$487.23 ,$428.37 , N/A ,$183.12 ,$402.21 , N/A ,$402.21 , N/A ,$362.32 ,$362.32 , N/A ,$362.32 , N/A ,$588.60 ,$542.82 , N/A , N/A ,$575.52 , N/A ,$490.50 ,$490.50 ,$555.90 ,$555.90 , N/A ,$555.90 , N/A ,$529.74 ,$529.74 ,$529.74 ,$654.00 ,$588.60 , N/A ,$588.60 , N/A ,$654.00 ,$366.89 , N/A ,$147.15 , N/A , N/A , N/A ,$588.60 , N/A ,$362.32 ,$183.12 ,$588.60 , N/A , N/A , N/A , N/A ,$425.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780009,99225,PC SUBSQ OBSERVATION CARE LEV 2,987,1 ,$212.28 ,$152.84 ,$59.44 ,$212.28 , N/A ,$158.15 ,$139.04 , N/A ,$59.44 ,$130.55 , N/A ,$130.55 , N/A ,$117.60 ,$117.60 , N/A ,$117.60 , N/A ,$191.05 ,$176.19 , N/A , N/A ,$186.81 , N/A ,$159.21 ,$159.21 ,$180.44 ,$180.44 , N/A ,$180.44 , N/A ,$171.95 ,$171.95 ,$171.95 ,$212.28 ,$191.05 , N/A ,$191.05 , N/A ,$212.28 ,$119.09 , N/A ,$100.43 , N/A , N/A , N/A ,$191.05 , N/A ,$117.60 ,$59.44 ,$191.05 , N/A , N/A , N/A , N/A ,$137.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780011,99460,PC INIT HOSP E AND M NEWBORN CARE PER DAY,987,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 ,$298.41 ,$223.50 ,$196.50 ,$121.82 ,$84.00 ,$184.50 ,$121.82 ,$184.50 ,$121.82 ,$166.20 ,$166.20 ,$121.82 ,$166.20 ,$251.10 ,$270.00 ,$249.00 ,$298.41 ,$121.82 ,$264.00 ,$124.26 ,$225.00 ,$225.00 ,$255.00 ,$255.00 ,$121.82 ,$255.00 ,$121.82 ,$243.00 ,$243.00 ,$243.00 ,$300.00 ,$270.00 ,$298.41 ,$270.00 ,$121.82 ,$300.00 ,$168.30 ,$121.82 ,$132.66 , N/A , N/A ,$127.51 ,$270.00 ,$269.39 ,$166.20 ,$84.00 ,$270.00 ,$121.82 , N/A , N/A ,$121.82 ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780012,99462,PC SUBSQ HOSP E AND M NEWBORN CARE PER DAY,987,1 ,$132.00 ,$95.04 ,$36.96 ,$132.00 , N/A ,$98.34 ,$86.46 , N/A ,$36.96 ,$81.18 , N/A ,$81.18 , N/A ,$73.13 ,$73.13 , N/A ,$73.13 , N/A ,$118.80 ,$109.56 , N/A , N/A ,$116.16 , N/A ,$99.00 ,$99.00 ,$112.20 ,$112.20 , N/A ,$112.20 , N/A ,$106.92 ,$106.92 ,$106.92 ,$132.00 ,$118.80 , N/A ,$118.80 , N/A ,$132.00 ,$74.05 , N/A ,$58.54 , N/A , N/A , N/A ,$118.80 , N/A ,$73.13 ,$36.96 ,$118.80 , N/A , N/A , N/A , N/A ,$85.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780013,99463,PC INIT HOSP E AND M NEWBORN CARE SAME DAY ADMIT/DISCH,987,1 ,$357.00 ,$257.04 ,$99.96 ,$357.00 ,$298.41 ,$265.97 ,$233.84 ,$121.82 ,$99.96 ,$219.56 ,$121.82 ,$219.56 ,$121.82 ,$197.78 ,$197.78 ,$121.82 ,$197.78 ,$251.10 ,$321.30 ,$296.31 ,$298.41 ,$121.82 ,$314.16 ,$124.26 ,$267.75 ,$267.75 ,$303.45 ,$303.45 ,$121.82 ,$303.45 ,$121.82 ,$289.17 ,$289.17 ,$289.17 ,$357.00 ,$321.30 ,$298.41 ,$321.30 ,$121.82 ,$357.00 ,$200.28 ,$121.82 ,$152.81 , N/A , N/A ,$127.51 ,$321.30 ,$269.39 ,$197.78 ,$99.96 ,$321.30 ,$121.82 , N/A , N/A ,$121.82 ,$232.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780014,99468,PC INIT HOSP E AND M CRIT CARE NEONATE<28 DAYS,987,1 ,"$3,000.00 ","$2,160.00 ",$840.00 ,"$3,000.00 ", N/A ,"$2,235.00 ","$1,965.00 ", N/A ,$840.00 ,"$1,845.00 ", N/A ,"$1,845.00 ", N/A ,"$1,662.00 ","$1,662.00 ", N/A ,"$1,662.00 ", N/A ,"$2,700.00 ","$2,490.00 ", N/A , N/A ,"$2,640.00 ", N/A ,"$2,250.00 ","$2,250.00 ","$2,550.00 ","$2,550.00 ", N/A ,"$2,550.00 ", N/A ,"$2,430.00 ","$2,430.00 ","$2,430.00 ","$3,000.00 ","$2,700.00 ", N/A ,"$2,700.00 ", N/A ,"$3,000.00 ","$1,683.00 ", N/A ,"$1,276.79 ", N/A , N/A , N/A ,"$2,700.00 ", N/A ,"$1,662.00 ",$840.00 ,"$2,700.00 ", N/A , N/A , N/A , N/A ,"$1,950.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780015,99469,PC SUBSQ HOSP E AND M CRIT CARE NEONATE<28 DAYS,987,1 ,"$1,203.00 ",$866.16 ,$336.84 ,"$1,203.00 ", N/A ,$896.24 ,$787.97 , N/A ,$336.84 ,$739.85 , N/A ,$739.85 , N/A ,$666.46 ,$666.46 , N/A ,$666.46 , N/A ,"$1,082.70 ",$998.49 , N/A , N/A ,"$1,058.64 ", N/A ,$902.25 ,$902.25 ,"$1,022.55 ","$1,022.55 ", N/A ,"$1,022.55 ", N/A ,$974.43 ,$974.43 ,$974.43 ,"$1,203.00 ","$1,082.70 ", N/A ,"$1,082.70 ", N/A ,"$1,203.00 ",$674.88 , N/A ,$552.85 , N/A , N/A , N/A ,"$1,082.70 ", N/A ,$666.46 ,$336.84 ,"$1,082.70 ", N/A , N/A , N/A , N/A ,$781.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780016,99475,PC INIT HOSP E AND M CRIT CARE PEDS>24 MOS,987,1 ,"$1,740.00 ","$1,252.80 ",$487.20 ,"$1,740.00 ", N/A ,"$1,296.30 ","$1,139.70 ", N/A ,$487.20 ,"$1,070.10 ", N/A ,"$1,070.10 ", N/A ,$963.96 ,$963.96 , N/A ,$963.96 , N/A ,"$1,566.00 ","$1,444.20 ", N/A , N/A ,"$1,531.20 ", N/A ,"$1,305.00 ","$1,305.00 ","$1,479.00 ","$1,479.00 ", N/A ,"$1,479.00 ", N/A ,"$1,409.40 ","$1,409.40 ","$1,409.40 ","$1,740.00 ","$1,566.00 ", N/A ,"$1,566.00 ", N/A ,"$1,740.00 ",$976.14 , N/A ,$777.99 , N/A , N/A , N/A ,"$1,566.00 ", N/A ,$963.96 ,$487.20 ,"$1,566.00 ", N/A , N/A , N/A , N/A ,"$1,131.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780017,99476,PC SUBSQ HOSP E AND M CRIT CARE PEDS>24 MOS,987,1 ,"$1,041.00 ",$749.52 ,$291.48 ,"$1,041.00 ", N/A ,$775.55 ,$681.86 , N/A ,$291.48 ,$640.22 , N/A ,$640.22 , N/A ,$576.71 ,$576.71 , N/A ,$576.71 , N/A ,$936.90 ,$864.03 , N/A , N/A ,$916.08 , N/A ,$780.75 ,$780.75 ,$884.85 ,$884.85 , N/A ,$884.85 , N/A ,$843.21 ,$843.21 ,$843.21 ,"$1,041.00 ",$936.90 , N/A ,$936.90 , N/A ,"$1,041.00 ",$584.00 , N/A ,$481.35 , N/A , N/A , N/A ,$936.90 , N/A ,$576.71 ,$291.48 ,$936.90 , N/A , N/A , N/A , N/A ,$676.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780018,99477,PC INIT HOSP E AND M INTENSIVE CARE NEO<28 DAYS,987,1 ,"$1,065.00 ",$766.80 ,$298.20 ,"$1,065.00 ", N/A ,$793.43 ,$697.58 , N/A ,$298.20 ,$654.98 , N/A ,$654.98 , N/A ,$590.01 ,$590.01 , N/A ,$590.01 , N/A ,$958.50 ,$883.95 , N/A , N/A ,$937.20 , N/A ,$798.75 ,$798.75 ,$905.25 ,$905.25 , N/A ,$905.25 , N/A ,$862.65 ,$862.65 ,$862.65 ,"$1,065.00 ",$958.50 , N/A ,$958.50 , N/A ,"$1,065.00 ",$597.47 , N/A ,$485.17 , N/A , N/A , N/A ,$958.50 , N/A ,$590.01 ,$298.20 ,$958.50 , N/A , N/A , N/A , N/A ,$692.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780019,99478,PC SUBSQ HOSP E AND M INTENSIVE CARE NEO WT<1500GM,987,1 ,$423.00 ,$304.56 ,$118.44 ,$423.00 , N/A ,$315.14 ,$277.07 , N/A ,$118.44 ,$260.15 , N/A ,$260.15 , N/A ,$234.34 ,$234.34 , N/A ,$234.34 , N/A ,$380.70 ,$351.09 , N/A , N/A ,$372.24 , N/A ,$317.25 ,$317.25 ,$359.55 ,$359.55 , N/A ,$359.55 , N/A ,$342.63 ,$342.63 ,$342.63 ,$423.00 ,$380.70 , N/A ,$380.70 , N/A ,$423.00 ,$237.30 , N/A ,$190.71 , N/A , N/A , N/A ,$380.70 , N/A ,$234.34 ,$118.44 ,$380.70 , N/A , N/A , N/A , N/A ,$274.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780020,99479,PC SUBSQ HOSP E AND M INTENSIVE CARE NEO WT 1500-2500GM,987,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$230.63 , N/A ,$230.63 , N/A ,$207.75 ,$207.75 , N/A ,$207.75 , N/A ,$337.50 ,$311.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$303.75 ,$303.75 ,$303.75 ,$375.00 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$210.38 , N/A ,$172.99 , N/A , N/A , N/A ,$337.50 , N/A ,$207.75 ,$105.00 ,$337.50 , N/A , N/A , N/A , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98780021,99480,PC SUBSQ HOSP E AND M INTENSIVE CARE NEO WT 2501-5000GM,987,1 ,$363.00 ,$261.36 ,$101.64 ,$363.00 , N/A ,$270.44 ,$237.77 , N/A ,$101.64 ,$223.25 , N/A ,$223.25 , N/A ,$201.10 ,$201.10 , N/A ,$201.10 , N/A ,$326.70 ,$301.29 , N/A , N/A ,$319.44 , N/A ,$272.25 ,$272.25 ,$308.55 ,$308.55 , N/A ,$308.55 , N/A ,$294.03 ,$294.03 ,$294.03 ,$363.00 ,$326.70 , N/A ,$326.70 , N/A ,$363.00 ,$203.64 , N/A ,$166.05 , N/A , N/A , N/A ,$326.70 , N/A ,$201.10 ,$101.64 ,$326.70 , N/A , N/A , N/A , N/A ,$235.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98800013,99221,PC INITIAL HOSPITAL INP/OBSERV CARE LVL 1 LOW 40MIN,987,1 ,$306.00 ,$220.32 ,$85.68 ,$306.00 , N/A ,$227.97 ,$200.43 , N/A ,$85.68 ,$188.19 , N/A ,$188.19 , N/A ,$169.52 ,$169.52 , N/A ,$169.52 , N/A ,$275.40 ,$253.98 , N/A , N/A ,$269.28 , N/A ,$229.50 ,$229.50 ,$260.10 ,$260.10 , N/A ,$260.10 , N/A ,$247.86 ,$247.86 ,$247.86 ,$306.00 ,$275.40 , N/A ,$275.40 , N/A ,$306.00 ,$171.67 , N/A ,$141.83 , N/A , N/A , N/A ,$275.40 , N/A ,$169.52 ,$85.68 ,$275.40 , N/A , N/A , N/A , N/A ,$198.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98800015,99222,PC INITIAL HOSPITAL INP/OBSERV CARE LVL 2 MODERATE 55 MIN,987,1 ,$411.00 ,$295.92 ,$115.08 ,$411.00 , N/A ,$306.20 ,$269.21 , N/A ,$115.08 ,$252.77 , N/A ,$252.77 , N/A ,$227.69 ,$227.69 , N/A ,$227.69 , N/A ,$369.90 ,$341.13 , N/A , N/A ,$361.68 , N/A ,$308.25 ,$308.25 ,$349.35 ,$349.35 , N/A ,$349.35 , N/A ,$332.91 ,$332.91 ,$332.91 ,$411.00 ,$369.90 , N/A ,$369.90 , N/A ,$411.00 ,$230.57 , N/A ,$191.13 , N/A , N/A , N/A ,$369.90 , N/A ,$227.69 ,$115.08 ,$369.90 , N/A , N/A , N/A , N/A ,$267.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98800016,99223,PC INITIAL HOSPITAL INP/OBSERV CARE LVL 3 HIGH 75 MIN,987,1 ,$609.00 ,$438.48 ,$170.52 ,$609.00 , N/A ,$453.71 ,$398.90 , N/A ,$170.52 ,$374.54 , N/A ,$374.54 , N/A ,$337.39 ,$337.39 , N/A ,$337.39 , N/A ,$548.10 ,$505.47 , N/A , N/A ,$535.92 , N/A ,$456.75 ,$456.75 ,$517.65 ,$517.65 , N/A ,$517.65 , N/A ,$493.29 ,$493.29 ,$493.29 ,$609.00 ,$548.10 , N/A ,$548.10 , N/A ,$609.00 ,$341.65 , N/A ,$280.08 , N/A , N/A , N/A ,$548.10 , N/A ,$337.39 ,$170.52 ,$548.10 , N/A , N/A , N/A , N/A ,$395.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98800017,99231,PC SUBSQ HOSPITAL INP/OBSERV CARE LVL 1 LOW 25 MIN,987,1 ,$117.00 ,$84.24 ,$32.76 ,$117.00 , N/A ,$87.17 ,$76.64 , N/A ,$32.76 ,$71.96 , N/A ,$71.96 , N/A ,$64.82 ,$64.82 , N/A ,$64.82 , N/A ,$105.30 ,$97.11 , N/A , N/A ,$102.96 , N/A ,$87.75 ,$87.75 ,$99.45 ,$99.45 , N/A ,$99.45 , N/A ,$94.77 ,$94.77 ,$94.77 ,$117.00 ,$105.30 , N/A ,$105.30 , N/A ,$117.00 ,$65.64 , N/A ,$54.56 , N/A , N/A , N/A ,$105.30 , N/A ,$64.82 ,$32.76 ,$105.30 , N/A , N/A , N/A , N/A ,$76.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98800018,99232,PC SUBSQ HOSPITAL INP/OBSERV CARE LVL 2 MODERATE 35 MIN,987,1 ,$216.00 ,$155.52 ,$60.48 ,$216.00 , N/A ,$160.92 ,$141.48 , N/A ,$60.48 ,$132.84 , N/A ,$132.84 , N/A ,$119.66 ,$119.66 , N/A ,$119.66 , N/A ,$194.40 ,$179.28 , N/A , N/A ,$190.08 , N/A ,$162.00 ,$162.00 ,$183.60 ,$183.60 , N/A ,$183.60 , N/A ,$174.96 ,$174.96 ,$174.96 ,$216.00 ,$194.40 , N/A ,$194.40 , N/A ,$216.00 ,$121.18 , N/A ,$99.97 , N/A , N/A , N/A ,$194.40 , N/A ,$119.66 ,$60.48 ,$194.40 , N/A , N/A , N/A , N/A ,$140.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),98800019,99233,PC SUBSQ HOSPITAL INP/OBSERV CARE LVL 3 HIGH 50 MIN,987,1 ,$315.00 ,$226.80 ,$88.20 ,$315.00 , N/A ,$234.68 ,$206.33 , N/A ,$88.20 ,$193.73 , N/A ,$193.73 , N/A ,$174.51 ,$174.51 , N/A ,$174.51 , N/A ,$283.50 ,$261.45 , N/A , N/A ,$277.20 , N/A ,$236.25 ,$236.25 ,$267.75 ,$267.75 , N/A ,$267.75 , N/A ,$255.15 ,$255.15 ,$255.15 ,$315.00 ,$283.50 , N/A ,$283.50 , N/A ,$315.00 ,$176.72 , N/A ,$144.07 , N/A , N/A , N/A ,$283.50 , N/A ,$174.51 ,$88.20 ,$283.50 , N/A , N/A , N/A , N/A ,$204.75