Description Charge PRIVATE $ 6,670.00 SEMI-PRIV $ 6,670 · 2019. 7. 19. · admin/private $...

Description Charge

PRIVATE 6,670.00$

SEMI-PRIV 6,670.00$

3&4 BEDS 6,670.00$

ICU 8,740.00$

ISOLATION 6,670.00$

SUB/WARD VENT 3,161.00$

SUB-PED/VENT 3,161.00$

SUB-PED/NON-VENT 2,608.00$

PED SUB VENT LOA 3,161.00$

PED SUB NONVENT LOA 2,608.00$

ADMIN/PRIVATE 6,670.00$

ADMIN/SEMI-PRIV 6,670.00$

ADMIN/3&4 BEDS 6,670.00$

LEVEL I - BRIEF 878.00$

LEVEL II - LIMITED 1,347.00$

LEVEL III - INTERMEDIATE 1,819.00$

LEVEL IV - EXTENDED 2,356.00$

LEVEL V - COMPREHENSIVE 2,876.00$

CRITICAL CARE 1ST 30-74MIN. 2,750.00$

CRITICAL CARE ADD'L EA 30 MIN 1,100.00$

PROC SIMPLE/MINOR 712.00$

PROC MULTI/INTERMEDIATE 1,094.00$

PROC EXTENSIVE/COMPLEX 1,456.00$

SPLINT - SHORT LEG 169.00$

TRAY - GASTRIC LAVAGE 213.00$

TRAY - CHEST 198.00$

CATH FOR SPEC COLLECTION 201.00$

SUTURE RECHECK/REMOVAL 248.00$

IVI W/MED 1ST HR (16-90) 385.00$

IVP 1ST 15MIN 629.00$

IVI HYDRATION (31-90) 385.00$

IVI W/MED ADD HR SAME BAG 220.00$

IVI SUB B/DIF MED (16-90) 220.00$

IVI DIF MED SAME TL 1STHR 220.00$

IVP EA ADD MED (15MIN) 193.00$

IVP SAME MED 30MIN APART 220.00$

IVI FLUIDS EA ADD HR 193.00$

INJECTION SQ OR IM 88.00$

DTP VACC OR SINGLE/COMBO ADM 186.00$

BLOOD ADMIN 748.00$

BLADDER CATH INSERTION 220.00$

TD VACC NO PRESV 7 YRS+ IM 71.00$

ADMIN INFLUENZA VIRUS VAC 110.00$

ADMIN PNENOCOCCAL VAC 110.00$

ADMIN HEPATITS B VAC 150.00$

BEHAV CHNG SMOKING 3-10 MIN 150.00$

BEHAV CHNG SMOKING>10 MIN 150.00$

DERMABOND 168.00$

SUCTION IRRIGATOR ORTHOPAEDIC 98.00$

BELT RIB UNIVERSL 53.00$

FLUFFS (PER BAG) 41.00$

PACK CUSTOM MINOR/OR 226.00$

LAPARASCOPY PACK CS 08 296.00$

CATH CHOLANG 30CM 62.00$

DRESS-ADAPTIC 3X3 3.00$

DRESS-TELFA 3X4 2.00$

DRESS TELFA 8X3 2.00$

BOVIE PEN 83.00$

VAGINAL SPECULUM 44.00$

BAG ENEMA-BARIUM FILLED 153.00$

CAST - ALL SIZES ARM & LEG 208.00$

PASSEY MUIR VALVE (R.T.) 256.00$

VENTI-COMP BAG/IPPB (R.T.) 13.00$

IPPB CIRCUIT (R.T.) 58.00$

PULSE OXI PROBE-PEDI (R.T.) 62.00$

NOSE CLIP (R.T.) 13.00$

PACK CDS-CYSTO 223.00$

PACK CDS-C-SECTION 640.00$

PACK CDS-LAPAROSCOPY 800.00$

PACK CDS-PERI/GYN 219.00$

PACK CDS MINOR 1,174.00$

Y-TYPE TRANSFUSION BLOOD SET 238.00$

SURGICEL 2X3 44.00$

PACING ELECTRODES 1,574.00$

PCK-LAPAROTMY SHEET 35.00$

PACK-NEURO 106.00$

SOL-IRRIGT NS 1L 22.00$

SPLINT WRIST 50.00$

STOCKING THIGH HI 99.00$

SAC/LUM SUPPORT 185.00$

TRACH ENDO SLICK STYLET 66.00$

TRAY-IRRIGATION 39.00$

TRAY SUTURE REMOVAL 53.00$

TRAY SPINAL ANEST 99.00$

URIN-ROUTINE UA 77.00$

INCNT SPIRO SETUP 90.00$

IPPB CIRCUIT 50.00$

OBSERVATION 1-HR 150.00$

OBSERVATION DIRECT ADMIT 2,876.00$

DELIVERY ROOM 2,750.00$

EMERGENCY ROOM 415.00$

FETAL MONITOR EXTERNAL 385.00$

FETAL OCT STRESS 880.00$

FETAL NON-STRESS 550.00$

LABOR ROOM 2,310.00$

B S T 609.00$

OB - OP EVAL (1ST 4HRS) 1,210.00$

OB - OP EVAL (ADD'L 2HRS) 413.00$

FETAL MONITOR - INTERNAL 534.00$

BOA DELIVERY 769.00$

ISOLETTE DAILY 116.00$

OB - OP EVAL (24 HRS) 2,695.00$

MAJOR SURGERY (UP TO 1ST HOUR) 8,775.00$

MAJOR SURG (EA ADDL 15 MIN) 1,953.00$

MINOR SURGERY (UP TO 1ST HOUR) 5,265.00$

MINOR SURG (EA ADDL 15MIN) 1,826.00$

REC ROOM (UP TO 1ST HOUR) 1,375.00$

REC ROOM (EA ADDL 15MIN) 344.00$

LIGHT SOURCE-OR 268.00$

MINOR GI PROCEDURE 30 MINS 4,900.00$

MINOR GI PROCEDURE ADD 15 MINS 2,450.00$

MAJOR GI PROCEDURE 30 MINS 4,900.00$

MAJOR GI PROCEDURE ADD 15 MINS 2,450.00$

O/P E&M NEW PATIENT LVL1 192.00$

O/P E&M EST PATIENT LVL 1 192.00$

3D HEAD - SYNTHES 3,749.00$

3-HEAD - SN 5,380.00$

4.5 / 30-40 SCREW - SN 112.00$

ACL DISPOSEABLE KIT 1,892.00$

ARTICULAR INSERT - SN 8,957.00$

ATLANTIS PLATE - MEDTRO 5,972.00$

BACTISEAL EVD CATHETER SET 2,602.00$

BACTISEAL SHUNT SYSTEM VENT AC 2,826.00$

BECKER EDMS 904.00$

BONE BIOPSY DEVICE 769.00$

BONE CEMENT 592.00$

CANULATED SCREW - SN 1,342.00$

CATHETER PASSER 485.00$

CHANNEL NEUROENSCOPE 8,278.00$

CHPV IN-LINE VALVE W/SIPHON -C 7,764.00$

CHS PLATE - SN 2,330.00$

CLICK SCREW 3,358.00$

COMPRESSION SCREW - SN 195.00$

CONTOURED REAMER 6,373.00$

CORNING REAMER 1,212.00$

CRANIAL ACCESS KIT 1,414.00$

CRANIOPLASTIC /REPL BONE - CDM 3,908.00$

CROSSLINK - MEDTRO 4,417.00$

CROSSLINK SYNTHES 5,759.00$

CRUCIATE SELF DRILLING -TAP SC 224.00$

DOUBLE CABLE 2,691.00$

DRILL BIT 828.00$

DUREPAIR 3,477.00$

EDS 3 - EXT DRAINAGE SYSTEM 857.00$

EDS COLLECTION BAG 869.00$

ENDOBUTTON - MITEK 941.00$

ENDOBUTTON ACCESS KIT - MITEK 1,620.00$

EVD TROCAR 887.00$

FEMORAL COMPONENT - SN 11,529.00$

FIBER WIRE / SUTURE - ARTHREX 1,100.00$

GRID 2,673.00$

GUIDE PIN 201.00$

HELICAL BLADE 1,715.00$

HIP SCREW SLEVE - SN 1,224.00$

HOLE COVER BUR 816.00$

IMH NAIL - SN 5,457.00$

INFUSE BONE GRAFT 11,802.00$

ISOCOOL BIPOLAR TIP/ FORCEP 1,756.00$

KYPHON /1ST FRACTURE TRAY 8,403.00$

KYPHON ADDITIONAL TRAY 5,506.00$

KYPHON BONE CEMENT MIXER PK 1,035.00$

LAG SCREW - SN 1,443.00$

LATTITUDE CURLETTE 1,153.00$

LCP DHHS COMPRESSION SCREW 278.00$

LCP DHHS SIDE PLATE 2,779.00$

LCP IMPACTOR CAP 692.00$

LINER - SN 8,661.00$

LOCKING CAPS 1,384.00$

LOCKING SCREW - SYNTHES 657.00$

L-POD RESTRICTOR - THEKEN 7,391.00$

LPS ELECTRODE 1,147.00$

MODULAR DRIVER 2,323.00$

METrX SET 4,434.00$

VENTICULAR CATHETER 650.00$

PERITONEAL CATHETER 751.00$

PERITONEAL CATHETER - CDMN 645.00$

PIN SET 976.00$

PATELLAR COMPONENT - SN 4,991.00$

PYRAMESH - MEDTRO 11,802.00$

QUADRIVE SCREWDRIVER 2,353.00$

RABEA TI CAGE - SIGNUS 10,483.00$

ROD - MEDTRO 1,531.00$

SCREW - MITEK 568.00$

SCREWS - MEDTRO 4,481.00$

SELF DRILLING CRUCIATE BLADE 810.00$

SET SCREW 697.00$

SHELL - SN 10,513.00$

STAB/GRAB SCREWDRIVER 1,999.00$

STAR SLEEVE 592.00$

STEM - SN 32,578.00$

STRAIGHT PLATE 532.00$

STRAIGHT ROD 1,277.00$

THREADED GUIDEWIRE SPADE PT 219.00$

TIBIA TENDON TISSUE - ALLSSOUR 10,347.00$

TIBIAL COMPONENT -SN 5,700.00$

TUBE DISPOSEABLE 1,608.00$

TWIST DRILL 231.00$

VENTICULOSTOMY KIT 904.00$

VERSBON CEMENT - SN 739.00$

1 LT CAGE LUMBAR 8,670.00$

17MM WASHER 1,112.00$

6.5 X30MM WASHER 2,868.00$

PERIMETER MED AND ON (PEEK-RIN 9,933.00$

DISTAL POST CENTERALIZER 799.00$

TOTAL HIP PREP KIT 1,337.00$

HEWSON SUTURE RETRIVER 343.00$

SAWLADE 1,596.00$

FEMORAL HEAD 6,244.00$

FEMORAL COMPONENT - STEM 32,578.00$

BIPOLAR SHELL/LINER 7,834.00$

FEMOR 10,761.00$

TIBIA 11,678.00$

CEMENT MIX 650.00$

HOLDING PINS 710.00$

FEMOR 5,660.00$

TIBIAL TRAY 9,313.00$

PATELLA 5,203.00$

TIBIAL INSERT 4,919.00$

STEM CENTRALIZER 562.00$

CEMENT WITH GENTA 2,188.00$

CEMENT WITH GENTA SYSTEM GUM 3,104.00$

CEMENT PREP KIT 1,538.00$

6.5 MM BONE SCREW 828.00$

FEMUR IMPLANT 9,756.00$

TIBIAL IMPLANT 7,479.00$

TIBIAL INSERT 2,512.00$

PATELLA 2,572.00$

TIBIAL NAIL 6,948.00$

GUIDE WIRE BALL TIP 916.00$

DRILL 857.00$

T-2 END CAP 828.00$

GUIDED PIN THREADED 662.00$

Atrial Read 4,139.00$

VENTICULAR HEAD 4,139.00$

PACER 35,445.00$

INTRODUCER 384.00$

Cable 443.00$

CEMENT RX KIT CEMENT 710.00$

CEMENT WITHOUT GENTA 2,957.00$

SYSTEM GUN CEMENT 609.00$

SURGICAL SIMPLEX 627.00$

DRILL BITS 1,224.00$

HIP CENTRALIZER 757.00$

TUBULAR 769.00$

SEMI-TUBULAR 822.00$

6.5 MM 828.00$

MALLLEOLAR 142.00$

CANNULATED SCREWS 834.00$

DBM GEL / PUTTY 4,139.00$

BIPOLAR COMPONENT 7,214.00$

STEM EXTENSION 6,563.00$

TIBIAL CLIP 2,365.00$

PS Femur 8,372.00$

CR FEMUR 7,876.00$

NON MOD FEMUR 34,884.00$

FINNED TIBIAL TRAY 5,464.00$

TRAPEZOID TIBIAL TRAY 6,196.00$

NON MOD CONSTRAINED TIBIAL INS 10,790.00$

BLADDER SLING 5,617.00$

ELITE ROD 5,883.00$

ELITE POLYAXIAL PEDICLE SCREW 11,205.00$

ELITE ALIF CAGE 22,468.00$

ELITE CERVICAL 9,211.00$

ELITE SURGICAL SCREW CAP 7,657.00$

SYMPHONY PACEMAKER (SR2250) 27,138.00$

PACEMAKER LEAD 3,548.00$

HUMERAL STEM 7,214.00$

HEMERAL HEAD 9,815.00$

PHILOS II DR 10,643.00$

SELOX JT 45 4,139.00$

REPLICATOR PLATE 3,548.00$

TORQUE DEFINING SCREW 3,015.00$

TRUGRAFT 4,434.00$

TRUBLOCK 1,833.00$

ZIMMER ARTICULAR SURFACE KNEE 7,775.00$

STRYKER REAMER 899.00$

CORTICAL AND CANCLLOUS CHIP 2,572.00$

AICD DUAL CHAMBER DEFIB 35,211.00$

OR PROC DX CANCELLED 1,000.00$

OR PROC CXLD PRIOR ANEST 1,600.00$

OR PROC CXLD AFTER ANEST 2,600.00$

GEN ANESTHESIA (UP TO 1ST HR) 3,438.00$

GEN ANESTH (EA ADD'L 15MIN) 850.00$

OR/RR OXYGEN (1ST HOUR) 388.00$

OR/RR OXYGEN(AD'L 15MIN) 97.00$

EPIDURAL 347.00$

SPINAL (SADDLE) 347.00$

NITROUS OXIDE (1ST HR) 764.00$

NITROUS OXIDE(AD'L 15MIN) 191.00$

IV SEDATION (1ST HOUR) 352.00$

IV SEDATION (ADD'L 15MIN) 88.00$

BIER BLOCK 347.00$

SPLINT-LONG ARM 131.00$

TRAY-INCISION 107.00$

BONE WAX 25.00$

PASSEY MUIR VALVE 256.00$

DRESS-GAUZE 4X4 (2) 14.00$

SPECULUM VAGINAL 44.00$

PACK CDS-CYSTO 223.00$

PACK CDS-PERI/GYN 219.00$

PACK CDS-MAJOR OR 1,410.00$

PACK CDS MINOR 1,174.00$

PACK DRAPE SHE MED 56.00$

SUTURE GENERAL 26.00$

SUCTION LINER 1000/1500 20.00$

SYRINGE 1CC TO 10CC W/NEED 9.00$

HYPAQUE MEG 60% 50ML 253.00$

SET IRRIGATION 97.00$

DRESSING CARRA (ALL-SIZES) 50.00$

CANNULA ERCP SCOPE 646.00$

CATH FOLEY 3 WAY/5CC BALLO 143.00$

CATH SUCTION KIT 30.00$

SUCTION CANISTER 1500 58.00$

DRESS-TELFA (ALL-SIZES) 14.00$

SUCTION COAGULATOR W/HND S 92.00$

TUBE-INFANT FEEDING 12.00$

TRIPLE DYE L&D 100.00$

XEROFORM 5X9 7.00$

XEROFORM 1X8 6.00$

PACKING STRIP PLAIN 24.00$

PACKING STRIP IODOFORM 37.00$

ELASTIC BANDAGE 2" W 10.00$




OIL EMULSION 3X3 6.00$

MEDI-STRIPS 1/2X4 15.00$

PETROLATUM GAUZE 3X36 8.00$

INFUSE BONE GRAFT 11,815.00$

ABG KIT (Pul.) 65.00$

ACCUCHECK LIGNEETS 3.00$

ARMBOARD 19.00$

AUTO SUT ENDO SHEAR 388.00$

AUTO-SUT PREM SURGICLIP 11.5 325.00$

CEMENT RESTRICTOR 109.00$

B/P CUFF DIPOS ADULT 99.00$

ELEC BOVIE BLADE 69.00$

ELECTRODE DISPERS (BOVIE PAD) 84.00$

PACK CUSTOM MJR/OR 470.00$

PACK ARTHROSCOPY 135.00$

SURGICEL 2X3 1,125.00$

SURG-I-PAWS OR 48.00$

TUBING SUCTION 10.00$

ARGLAES POWDER 5GM BTL 187.00$

BORDERED GAUZE 4X4 11.00$

BORDERED GAUZE 6X6 11.00$

EXUDERM HYDRO 2X2 11.00$

EXUDERM HYDRO 4X3.6 SACRAL 61.00$

EXUDERM HYDRO 4X4 50.00$

EXUDERM HYDRO 6.4X6.5 SACRAL 127.00$

MAXORB EX AG SILV ALG 4X4.75 143.00$

MAXORB EX CAL/ALG 12" ROPE 39.00$

SILVASORB SHEET 4.25X4.25 154.00$

SILVASORB SILV HYDROGEL 1.5 OZ 176.00$

OPTIFOAM AG ADHESIVE 105.00$

OPTIFOAM AG NON-ADHESIVE 72.00$

DERMA-GEL 61.00$

SKINTEGRITY HYDROGEL BTL 1 OZ 17.00$

SKINTEGRITY HYDROGEL TUBE 4 OZ 66.00$

SKINTEGRITY HYDROGEL 2X2 6.00$



PURACOL PLUS 2X2.25 105.00$

PURACOL PLUS 4.25X4.5 264.00$

SURESITE 2 HANDLE 4X5 11.00$

SURESITE I.V. 2X3 6.00$

TENDERWET ACT&CAV 1.6 RND 55.00$

TENDERWET ACT&CAV 2.2 RND 61.00$

TENDERWET ACT&CAV 3X3 77.00$



Percutaneous Trach Tube All S 574.00$

ALVARADO KNEE PADDING 33.00$

NEURIVISION JJB MODUKLE 8,011.00$

DYNAMIC STM CLIP 1,862.00$

DYNAMIC STM SHEATH 554.00$

NEUROVISION JJB PEDICLE PROBE 2,330.00$

CATH ANG TRANSLUMNL NLSR 1,750.00$

PM DC RATE-RESPONSIVE 27,450.00$

AICD DUAL CHAMBER 79,888.00$

CATH INFUSION (PICC/CVP) 935.00$

IMP LD PM/CARD-DFIB COMB 1,000.00$

DEV CLOSR VASC IMP/INSRT 2,343.00$

CATH ATHR TRANSLUM DIREC 16,250.00$

IOL POST CHAMB ARRAY 1,398.00$

GW 1,250.00$

CATH THROMB/EMBOLECTOMY 7,880.00$

FILTER VENA CAVA 6,100.00$

CATH BARD OPTIFLOW DL 2,302.00$

IMP LD CARDV/DFIB EC DC 1,000.00$

LD PM NOT TRNSVEN VDD SP 3,828.00$

MESH IMPLANTABLE 1,289.00$

PM SC RATE-RESPONSIVE 24,000.00$

CATH TOTAL OCCLUSSION(CROSSER) 12,073.00$

GW SUPER STIFF 280.00$

CATH HEMODIAL SHORT TERM 1,815.00$

CATH GUIDING 935.00$

AICD OTHER THN SNG/DUAL CHAMBE 101,063.00$

CATH ATHR TRANSLUM ROT 16,473.00$

AICD SINGLE CHAMBER 70,912.00$

CATH US INTRAVASCULAR 3,300.00$

OCULAR IMPLANT AQUEOUS DRAINAG 6,023.00$

GW 4110 114.00$

IMP PMP INF PROGRAMMABLE 30,044.00$

SYS EMBOLIZATN PROTECT 10,021.00$

STNT COAT/COV W DEL SYS2 10,544.00$

GRFT VASCULAR 4,065.00$

CATH HEMODIALYSIS LONG TE 1,749.00$

CATH FGRTY DILAT 4110 608.00$

ALLOGRAFT HUMAN TISSUE 5,125.00$

INTRODUCER UNIVERSAL 2,695.00$

ANCH SCRW SUTR ARTHREX 1,046.00$

GW ERCP 755.00$

IMP GEN NSTIM NON-RECHG 33,880.00$

SCRW CANN 3110 1,326.00$

STNT URETERAL 4110 1,125.00$

LD LFT VENT COR VEN SYS 1,000.00$

IMPL SUTURE ANCHOR 4,250.00$

IMP LD CARDV/DFIB EC SC 1,000.00$

GW .035 211.00$

LEAD IMP NEUROSTIM 10,472.00$

STNT NCOAT/COV W DEL SYS 13,035.00$

IMP PORT INDWELLING 1,810.00$

PLT E COMP DHS 3110 2,546.00$

PLT SYNTHES 1,269.00$

MESH TITANIUM IMPLANTABLE 1,747.00$

PROSTHESIS PENILE NON-INFLATAB 13,377.00$

WIRE HI WIRE (ie COOK) 351.00$

CATH EP DIAG NOT3D 19OR< 1,577.00$

SCRW COMPRS/LAG 3110 1,596.00$

IMP PORT INDWELLING 1,219.00$

STENT TRACHEOBRONCHIAL 8,470.00$

GW J 177.00$

SCREW CORTX 237.00$

STENT BIL W/DILVERY SYS 4,625.00$

SCRW CANCL 460.00$

CATH EP OTH THN COOL TIP 1,914.00$

IMP ADAP/EXT LD PM NSTIM 1,906.00$

INTRO EP IC N-LSR N-GUID 3,609.00$

STENT NON-COR TEMP W/O DEL SYS 489.00$

IOL POSTERIOR CHMBR 376.00$

CATH PORTACATH 4110 6,450.00$

IOL ASTIGMATISM 853.00$

WIRE ROAD RUNNER 195.00$

CATH URET 88.00$

PIN ORTHOSORB 1,245.00$

PIN STEINMAN THR 3110 267.00$

CATH URETERAL 4110 187.00$

WASHER CANCL 397.00$

GW J TIP 63.00$

LD PM TRANSV VDD SPASS 1,000.00$

CATH BAL NON VASCULAR 1,375.00$

PROSTHESIS PENILE INFLATABLE 53,590.00$

MESH PLUG SMALL/MEDIUM 1,510.00$

MESH PLUG LARGE/X LARGE 2,326.00$

MESH SMALL/MEDIUM 3,459.00$

MESH LARGE/X LARGE 3,727.00$

PATCH WITTMANN 9,000.00$

CATCH BALLN PERIPH (COYOTE) 1,750.00$

CATH BALLN PERIPH PTA-CHARGER 625.00$

CATH BALLN AAA (CODA) 840.00$

WIRE BENTSON 550.00$

WIRE ZIP WIRE 200.00$

WIRE RUBICON 1,000.00$

GRAFT 6MMx80MM (MED) 12,910.00$

ENDOVASCULAR AAA SYSTEM 86,625.00$

PATCH BIOLOGICAL 1,450.00$

INTRODUCER LARGE 3,000.00$

CATH DRAIN (JACKSON PRATT) 123.00$

MESH (VENTRAL) 17,870.00$

STENT PTCA DRUG ELUTING SNGL 10,544.00$

STENT PTCA DRUG ELUTING ADD 10,544.00$

LEAD CARDV/DFIB EC BV 1,000.00$

BONE CEMENT SIMPLEX P 450.00$

BONE CEMENT COBALT HV GENT 1,850.00$

PROBE ACCELERATOR 90S 930.00$

BONE FILLER VITOSS PER 0.5ML 20,721.00$

BONE CEMENT INJECTOR 592.00$

BONE PUTTY (MOLDABLE) 4,139.00$

KNEE REPLACEMENT TOTAL 29,000.00$

HIP REPLACEMENT TOTAL 22,500.00$

HIP BIPOLAR REPLACEMENT 17,500.00$

K-WIRE 270.00$

GUIDE PIN 266.00$

SCREW 000 250.00$

SCREW 100 750.00$

SCREW 200 1,250.00$

SCREW 300 1,750.00$

SCREW 400 2,250.00$

SCREW 500 2,750.00$

SCREW 600 3,250.00$

SCREW 700 3,750.00$

SCREW 800 4,250.00$

SCREW 900 4,750.00$

SCREW 1000 7,500.00$

SCREW 2000+ 12,500.00$

NAIL/ROD 0000 2,500.00$

NAIL/ROD 1000 7,500.00$

NAIL/ROD 2000 12,500.00$

NAIL/ROD 3000 17,500.00$

WASHER 1,112.00$

NUT 232.89$

PLATE CLAVICLE 8,830.00$

PLATE FIBULA 6,035.00$

PLATE TIBIA 8,824.00$

PLATE HIP 3,432.00$

PLATE ANKLE 3,300.00$

PLATE FEMUR 7,275.00$

PLATE RADIUS 3,740.00$

PLATE ULNA 3,740.00$

PLATE STRAIGHT 5,340.00$

SCREW PEDICLE 5,000.00$

LOCKING PLUGS 2,000.00$

RODS SPINAL IMPLANT 2,500.00$

BASKET HELICAL STONE 1,450.00$

SLING URINARY 6,300.00$

PEG KIT 725.00$

HEMOSTASIS RESOLUTION CLIP 8,750.00$

HEMOSTASIS GOLD PROBE 775.00$

BASKET TRAPEZOID 1,450.00$

JEJUNOSTOMY TUBE 1,115.00$

STENT VASCULAR NON COAT (EPIC) 4,625.00$

BAND LIGATOR 1,000.00$

MISC IMPLANT 5,000.00$

SHOULDER ANCHOR PEG GLENOID 9,430.00$

SHOULDER ECCENTRIC HEAD 9,635.00$

SHOULDER STANDARD STEM 20,115.00$

DEPUY BONE CEMENT 40G 910.00$

SHOULDER CORKSCREW ANCHOR 2,040.00$

GRAFT COLLAGEN 6MMX34 5,445.00$

PLATE IMPLANT 000 1,247.00$











BONE GRAFT SUB PER 0.5ML ACTIF 625.00$

TENEX ULTRASONIC PROC PK 3,825.00$

ELEVATE-ANTERIOR 12,250.00$

ELEVATE-POSTERIOR 11,375.00$

AEROSOL NEBULIZER 77.00$

AMBU BAG 198.00$

VENTILATOR SUCTION SYSTEM 127.00$

HAND HELD NEBULIZER (HHN) 77.00$

INCENTIVE SPIROMETER 33.00$

VENTILATOR HME FILTER 33.00$

INTUBATING STYLET 33.00$

TENT AEROSOL 121.00$

TRACHEOSTOMY TUBE HOLDER 44.00$

VENTILATOR BREATHING CIRCUIT 83.00$

DELEE MUCUS TRAP CATHETER 28.00$

TRACHEOSTOMY TUBE 369.00$

EXT FIXATOR COMBO CLAMP 4,875.00$

EXT FIXATOR ADJ CLAMP 4,040.00$

OLECRANON PLATE 5,885.00$

SCHINZ PIN 1,305.00$

MESH-0-999 2,500.00$

MESH 1000-1999 7,500.00$

MESH 2000-2999 12,500.00$

MESH 3000-3999 17,500.00$

MESH 4000-4999 22,500.00$

MESH 5000-5999 27,500.00$

MESH 6000-6999 32,500.00$

MESH 7000-7999 37,500.00$

MESH 8000-8999 42,500.00$

MESH 9000-10 000 47,500.00$

GW 0-99 250.00$

GW 100-199 750.00$

GW 200-299 1,250.00$

GW 300-399 1,750.00$

GW 400-499 2,250.00$

GW 500-599 2,750.00$

BONE GRAFT PUTTY BIOACTIVE 7,250.00$

HEMOSTAT (VITAGEL) 3,210.00$

TISSEEL FIBRIN SEALANT 10ML 2,783.00$

TISSEEL FIBRIN SEALANT 4ML 1,134.00$

FLOSEAL 10ML 10,597.00$

FLOSEAL 5ML 5,986.00$

SURGIFLO 7,398.00$

PERITONEAL DRAINAGE TRAY 7,508.00$

PERITONEAL DRAINAGE KIT 4,225.00$

EXT PACEMKR INITL 729.00$

BASIC METABOLIC PANEL (BMP) 550.00$

ELECTROLYTES (Chem) 298.00$

C DIFF TOXIN(S) 121.00$

C DIFF ANTIGEN 55.00$

COMPREHENSIVE METABOLIC PANEL 659.00$

LIPID PANEL 209.00$

HEPATIC FUNCTION PNL (Chem) 516.00$

URINE DRUG SCREEN 256.00$

TEGRETOL 68.00$

DIGOXIN (Chem) 208.00$

GENTAMYCIN (Chem) 208.00$

PHENYTOIN(DILANTIN) 208.00$

THEOPHYLLINE (Chem) 208.00$

VANCOMYCIN BLOOD (Chem) 208.00$

URINALYSIS AUTO W/SCOPY 110.00$

CHEM ANALYS ONLY (Urin) 56.00$

URINALYSIS AUTO W/O SCOPY 83.00$

PREG TEST-URINE QUAL (Immu) 153.00$

ACETONE (QUALITATIVE) 153.00$

URINE EOSINOPHIL 56.00$

ALBUMIN (Chem) 110.00$

ETHANOL (Chem.) 166.00$

AMMONIA (Chem) 166.00$

AMYLASE (Chem) 143.00$

BILI-TOTAL 132.00$

BILI DIRECT 132.00$

OCCULT BLD STOOL (Micro) 66.00$

CALCIUM (Chem) 110.00$

CHLORIDE (Chem) 110.00$

CHLORIDE UR (Chem) 110.00$

CHOLESTEROL (Chem) 110.00$

CPK (Chem) 121.00$

CREATININE BLOOD (Chem) 110.00$

CREATININE-URINE (Chem) 110.00$

CREAT CLEAR 199.00$

GLUCOSE (1HR/2HR PP) 132.00$

GLUCOSE (FAST/RANDOM) 110.00$

GLU (EACH ADD >3) (Chem) 110.00$

GGT 110.00$

IRON SERUM 153.00$

TIBC (Chem) 153.00$

LDH (Chem) 132.00$

MAGNESIUM (Chem) 132.00$

ALK PHOS (Chem) 132.00$

PHOSPHOROUS (Chem) 132.00$

PHOS-UA (Chem) 132.00$

POTASSIUM (Chem) 132.00$

POTASSIUM-UA (Chem) 132.00$

PROTEIN TOTL (Serum) 110.00$

PROTEIN TOTAL URINE (Chem) 110.00$

SODIUM URINE (Chem) 132.00$

SODIUM (Chem) 132.00$

T-4 (Chem) 166.00$

TSH 232.00$

SGOT (Chem) 132.00$

SGPT (Chem) 132.00$

TRIGLYCERIDE (Chem) 166.00$

T-3 UPTAKE (Chem) 166.00$

TROPONIN I 208.00$

BUN 110.00$

URIC ACID BLOOD (Chem) 132.00$

HCG-QUAL SERUM (Immu) 153.00$

BLEED TIME-SIMPLATE(Hema) 110.00$

DIFFERENTIAL MANUAL 89.00$

HEMATOCRIT 89.00$

HEMOGLOBIN (Hema) 89.00$

CBC (Hema) 166.00$

RETIC CNT MAN. (Hema) 99.00$

D-DIMER (Hema) 110.00$

PROTHROMBIN (Hema) 110.00$

SED RATE (Hema) 89.00$

PTT (Hema) 153.00$

ASO TITER (Immu) 132.00$

ASO SCREEN (STREPTOZYME)(Immu) 110.00$

RUBELLA TITER (Immu) 199.00$

RA-FACTOR QUAL.(Immu) 132.00$

CRP QUAL (Immu) 166.00$

COLD AGG TITER (Immu) 208.00$

MONOTEST (Immu) 132.00$

STREPTOCOCCUS GRP A 128.00$

RPR/RST QUAL.(Immu) 110.00$

CULTURE BLOOD (Micro) 219.00$

CULTURE ROUTINE (Micro) 199.00$

CULTURE-SCREENING 110.00$

BACTERIAL ID URINE(Micro) 176.00$

SUSCEPTIBILITY TESTING 223.00$

GRAM STAIN (Micro) 110.00$

WET MOUNT (Micro) 132.00$

CELL CNT-BODY FLUID (MICRO) 89.00$

URINE DRUG SCREEN TR 110.00$

RENAL FUNCTION PNL 550.00$

CK-MB 166.00$

ACETAMINOPHEN (TYLENOL) 89.00$

AMYLASE - URINE 89.00$

B-HCG QUANTITATIVE 166.00$

CARBON DIOXIDE - C02 132.00$

FERRITIN 166.00$

HDL - DIRECT 153.00$

LDL - DIRECT 154.00$

LIPASE 132.00$

MYOGLOBIN - SERUM 166.00$

PHENOBARBITAL 166.00$

PROSTATE SPECIFIC AG 166.00$

SALICYLATE 166.00$

TOBRAMYCIN 166.00$

VALPROIC ACID 166.00$

CBC W/ MANUAL DIFF COUNT 193.00$

HEMOGRAM & PLATELET CNT AUTO 132.00$

FIBRINOGEN 132.00$

RESPIRATORY SYNC VIRUS 110.00$

UREA NITROGEN-URINE 132.00$

URIC ACID - URINE 132.00$

VOLUME MEASUREMENT-TIMED URINE 33.00$

PROTEIN TOTAL-BODY FLUIDS 132.00$

GLUCOSE BODY FLUIDS 132.00$

CHLORIDE BODY FLUIDS 132.00$

ANAEROBIC CULTURE 132.00$

KOH MOUNT 89.00$

H. PYLORI-UREA TEST 64.00$

CULTURE STOOL SS 143.00$

CULTURE STOOL-CAMP 89.00$

C. DIFFICILE TOXIN STOOL 99.00$

THC SCREEN - TRIAGE 56.00$

PCP SCREEN - TRIAGE 56.00$

TCA SCREEN - TRIAGE 56.00$

OPIATES SCREEN - TRIAGE 56.00$

VENIPUNCTURE 50.00$

ORGANISM IDU 1 59.00$

SUSCEPTIBILITY PANEL 1 147.00$





ORGANISM ID 1 59.00$



B-TYPE NATRIUDETIC PEPTIDE 153.00$

HGB 22.00$

TESTOSTERONE TOTAL 47.00$

TRIIODOTHYRONINE T3 TOTAL 65.00$

METHAPHETAMINES - TRIAGE 56.00$

ACETAMINOPHEN/PARACETOMOL 56.00$

INFLUENZA A&B ANTIGEN 193.00$

HGB A1C 193.00$

HIV 1/2 AB SCR 83.00$

VITAMIN B12 55.00$

FOLATE SERUM 55.00$

FREE T3 189.00$

FREE T4 189.00$

LACTIC ACID 165.00$

LITHIUM 210.00$

RPR TITER 198.00$

HELICOBACTER PYLORI 138.00$

PREALBUMIN 120.00$

HEP B CORE AB TOTAL 44.65$

HEP B SURFACE AB QL 39.80$

PTH INTACT & CALCIUM 39.80$

AMIKACIN 55.80$

ACCUCHECK GLUCOSE 109.00$

DRUG ANALYSIS COMP (CHEM) 59.00$

LITHIUM 4.76$

CEA 8.66$

CK ISOENZYMES 14.36$

CORTISOL 15.13$

VITAMIN B12 4.27$

IGD-IGG-IGA-IGM-(IMMU) 141.00$

FOLATE SERUM 4.00$

HAPTOGLOBIN 15.13$

LACTIC ACID (P) 14.64$

HEMOSIDERIN-(CHEM) 28.00$

LEAD BLOOD (CHEM) 10.00$

OSMOLALITY 8.65$

OSMOLALITY (U) 8.65$

PTH INTACT & CALCIUM 27.68$

PROLACTIN 13.47$

PSA 7.50$

COMPLEMENT C3C 13.67$

COMPLEMENT C4C 12.55$

MITOCHONDRIAL W/REFL 13.67$

ANTI DSDNA RFX TITER 17.16$

ASPERGILLUS-AB PANEL-(IMMU) 15.00$

HEP B SURFACE AB QL 7.79$

VITAMIN D 1 25 DIHYDROXY 47.52$

HEP B CORE AB TOTAL 8.65$

HEP A ANTIBODY (HAAB) 12.55$

HEP C AB 13.01$

CULT FUNGUS OTHER 8.21$

CLT MYCOBACTERIUM 11.03$

OVA AND PARASITE 8.79$

ACID FAST STAIN 25.60$

C DIFF TOXIN B QL 22.59$

HEP B SURFACE (HBSAG) 6.52$

M PNEUM IGM AB 41.00$

LUTEINIZING HORMONE 9.62$

INFLUENZA A&B AB CF 36.68$

HIV 1/2 AB SCR W/RFLS 25.00$

HEP B CORE IGM AB 13.12$

HEP A IGM AB 11.76$

CRYPTOCOCCUS NEOFORMQANS 43.00$

CT/GC DNA CX M/URET 15.00$

CA 19-9 (CENTOCOR) 12.02$

CA 125 12.03$

C DIFF TOXIN(S) 11.16$

HCV RNA BY PCR QT 115.00$

AFP TUMOR (CHIRON) 14.43$

CULTURE CAMPYLOBAC 18.00$

LEGIONELLA AG (U) 29.04$

PROTEIN ELECTRO 14.86$

IGA SERUM 7.77$

CULT ID EA ORGANISM 20.00$

ANIT-DNA AB DOUBLE STRAND 18.00$

HIV 1 AB BY WBA 98.46$

PREALBUMIN 16.53$

PORPHYRIN LEVEL (BLOOD) 84.00$

PORPHYRIN LEVEL (URINE) 18.00$

LEAD (B) 9.41$

HOMOCYSTEINE CARDIO 32.00$

M PNEUMO IGG AB 13.67$

LYMPH SUBSET 4PNL 51.33$

IGG SERUM 7.76$

IMMUNOGLOBULIN M 7.76$

ANA SCREEN W/ REFLEX 6.06$

CH50 COMPLMENT 21.20$

THC (MARIJUANA) CONFIRMATION 21.00$

PCP CONFIRMATION 21.00$

OPIATES CONFIRMATION 16.00$

IMMUNOFIXATION S 20.92$

INFLUENZA B ANTIBODIES 20.00$

PLATELET AB DIRECT 19.80$

AGGLUTININ (HEMAGGLUTININ) 6.00$

FACTOR II 121.00$

FACTOR VII ACTIVITY CLOTTING 121.00$

FACTOR IX 78.00$

Factor XI 33.00$

TRANSFERRIN 13.00$

PLASMA RENIN ACTIV 20.08$

VARICELLA ZOSTER IGM 12.00$

VARICELLA ZOSTER IGG 26.00$

CATECHOLAMINES (24 HR URINE) 34.00$

RHEUMATOID FACTOR 5.51$

SCL-70 10.92$

SS A RO AB(IGG) EIA 8.20$

SS B LA AB(IGG) EIA 8.20$

SKELETAL MUSCLE ANTIBODY 9.00$

SM/RNP ANTIBODIES 18.00$

WEST NILE VIRUS 68.00$

CULTURE LEGIONELLA 25.03$

LEUKOCYTE ALK PHOS 12.55$

CULTURE GP A STREP 10.00$

TOXO IGG AB 15.13$

ALDOLASE 9.00$

INFLUENZA DFA 13.00$

PARAINFLUENZA DFA 111.45$

HEMOGLOBINOPATHY 14.01$

CMV IGG AB 15.13$

PRENATAL PANEL 29.00$

MICOALABUMIN (RANDOM URINE) 24.00$

PAP SMEAR 13.00$

ANAEROBLC AEROBLC CULTURE 22.00$

SLE PANE (LUPUS PANEL) 409.00$

TCELL - SUBSET 107.00$

CULTURE AEROB/ANAER 20.00$

CULTURE 9.89$

AMIKACIN 12.03$

AMIKACIN LEVEL (2) 13.00$

CELL COUNT/WBC W/DIFF 6.00$

CHLAMYDIA IGM/CHLAMYDIA IGG 35.00$

FECAL LEUKOCYTE STN 8.30$

FUNGAL STAIN 4.81$

GRAM STAIN 12.25$

HEPATITIS PANEL ACUTE 44.41$

HEPATITIS PANEL 48.52$

HEP B SURFACE AB QN 6.52$

HOMOCYSTEINE (NU CON) 120.00$

PROTEIN TOTAL 5.63$

FACTOR 13 FUNCTIONAL 102.00$

STREPTOCOCCUS GRP A 5.00$

THYROGLOBULIN ANTIBODIES 7.00$

CRYSTAL FLUID 12.00$

ERYTHROPOIETIN 17.88$

ALPHA-2-MACROGLOBULIN 57.00$

CARBOXYHEMOGLOBIN 12.27$

TOPIRAMATE (SERUM) 27.00$

ALBUMIN 6.28$

CELL COUNT/DIFF 22.10$

IBUROFEN 43.00$

IMMUNOFIXATION URINE 20.92$

ANTI-STREPTOLYSIN O 7.18$

CALCIUM IONIZED 15.41$

CATECHOLAMINES FRACTION PLASMA 206.07$

FUNGAL ISOLATE ID YEAST 88.60$

FUNGAL ISOLATE ID MOLD 88.60$

FUNGAL ISOLATE ID GAS LQD CHRM 88.60$

FUNGAL ISOLATE ID DIRECT PROBE 88.60$

FSH SERUM 9.62$

HEMOGLOBIN A2 (QUANT) 132.87$

LH 9.62$

MYOGLOBIN SERUM 16.53$

MYOGLOBIN URINE 16.53$

PROLACTIN 13.47$

ASSAY URINE CREATININE Q750 13.84$

ASSAY OF PROTEIN URINE Q750 13.84$

PROTEIN EPHRESIS/URINE/CSFQ750 13.84$

SICKLE CELL SCREEN 3.70$

AMYLASE ISOENZYMES 181.93$

BETA 2 MICROGLOBULIN SERUM 17.85$

TESTOSTERONE TOTAL MALES 8.02$

COCCIDIODES ANTIBODY CF 17.85$

TOXOPLASMA ANTIBODY (IGG) 15.13$

ESTRADIOL 26.78$

FTA-ABS 10.04$

VDRL CSF 8.98$

STREPTOCOCCUS GROUP A CULTURE 10.00$

JO-1 ANTIBODY 31.68$

CA 15-3 12.02$

MICROALBUMIN QUANTITATIVEQ6517 11.22$

RUSSEL VIPER VENM DILUTEDQ7079 19.00$

THROMBPLSTIN TIME PARTIALQ7079 19.00$

LYMPHOCYTE SUBSET PANEL 5 42.24$

AMYLASE RNDM URINE CREAT Q8464 36.62$

STREPTO GRP A AG W/ REFLEX CUL 5.09$

CARDIOLIPIN ANTBDY EA/IGQ14890 188.37$

ANTIPHOSPHOLIPID ANTIBDYQ14890 188.36$

LEVETIRACETAM 47.14$

VITAMIN D 1 25 DIHYDROXY LC/MS 47.52$

INFLUENZA A H1N1 2009 RL TIME 195.00$

QUESTASSURED 25-OH VIT D LC/MS 49.10$

GLUCOSE PLEURAL FLUID 5.63$

LD PLEURAL FLUID 6.62$

SUSCEPTIBILITY YEAST COMP PNL 300.30$

LAMOTRIGINE 19.47$

HELICOBACTER PYLORI ANTIBODY 57.00$

MTUBERCULOSIS CMPLX PCR NO RSP 203.83$

LEGIONELLA PNEUMO ANTIBODY IGM 78.85$

MYCOPLASMA PNEUMO ANTBOD IGG/M 54.67$

HCV RNA QUANTITATIVE REAL TIME 115.00$

TOXOPLASMA ANTIBODY (IGM) 21.20$

SJORGREN'S ANTIBODY (SS-A) 8.20$

SJORGREN'S ANTIBODY (SS-B)_ 8.20$

HIV 1 RNA QUANT REAL TIME PCR 205.00$

HIV1 QUANT&REVRSE TRANSCRP 252.47$

QUANTIFERON(R)-TB GOLD 85.00$

CREATININE Q6517 11.22$



URINE PROTEIN QT Q8525 5.50$

PROTEIN ELECTROPHORESIS Q8525 5.51$

ALBUMIN Q14966 13.77$

SEX HRMN BNDING GLOBULINQ14966 13.77$

TESTOSTERONE TOTAL Q14966 13.75$

CHLAMYDIA Q17305 45.10$

N. GONORRHOEAE Q17305 45.10$

WBC ANTIBODY IDENTIFICATION 59.35$


C. TRACH RNA/TMA 45.10$

N GONORRHOEAE RNA/TMA 45.10$

ALBUMIN SYNOVIAL FLUID 6.28$

ALBUMIN PERITONEAL FLUID 6.28$

ALBUMIN PERICARDIAL FLUID 43.82$

ALBUMIN PLEURAL FLUID 6.28$

AMYLASE PERITONEAL FLUID 7.74$

AMYLASE PLEURAL FLUID 7.74$

LIPASE PERITONEAL FLUID 7.18$

LIPASE PANCREATIC FLUID 47.58$

LIPASE PLEURAL FLUID 47.58$

LIPASE JP DRAINAGE 47.58$

GLUCOSE PERITONEAL FLUID 5.63$

LD PLEURAL FLUID 6.62$

LD SYNOVIAL FLUID 43.82$

LD PERICARDIAL FLUID 73.82$

LD PERITONEAL FLUID 6.50$

PLATELET CT NA-NITRATE (BL) 100.00$

CMV DNA QUAL REAL TIME PCR 125.00$

HSV 1 (IgG) TYPE SPEC AB 27.34$

HSV 1 IGM SCREEN Q90849 60.18$

HSV 2 IGM SCREEN Q90849 60.19$

EBV VIRAL CAP AG AB-IGM Q6421 14.92$

EBV VIRAL CAP AG AB-IGG Q6421 14.92$

EBV NUCLEAR AG-EBNA AB Q6421 14.92$

ACTIN (SMOOTH MUSCLE) AB (IgG) 16.53$


ANA TITER AND PATTERN 12.93$

WEST NILE VIRUS ANTBDY IGM 68.00$

LA CROSS VIRUS AB IGG & IGM 1.00$

ENCEPHALTIS WEST EQNE ANTBDY 1.00$

MUMPS AB IGG & IGM IFA 23.85$

LCM IGG & IGM 46.50$

WNV AB (IGG) CSF 112.00$

WNV AB (IGM) CSF 112.00$

EASTERN EQNE IGG & IGM 46.50$

ST LOUIS IGG & IGM 1.00$

WEST NILE AB IGG CSG 112.00$

P.JIROVECII (P.CARINII) DFA 26.13$

SOURCE 84.40$

HISTOPLASMA CAPSUL AG EIA 95.00$

HISTOPLASMA ANTIBODY 28.43$

BLASTOMYCES ANTIBODY 19.72$

PARTICLE AGGLUT ANTBDY SCRN 27.84$

MICROBE SUSCEPT MYCOBACTERI 56.50$

VIRUS INOCULATION SHELL VIA 60.18$

VIRUS ID 140.43$

CULTURE VIRAL BODY FLUIDS TISS 180.69$

MTHFR-MUTATION 298.00$

PROTEIN C-ACTIVITY 129.51$

PROTEIN C-ANTIGEN 35.55$

CLOT INHIBIT PROT S FREE 586.23$

F2 GENE 60.00$

IRON TOTAL 5.93$

BHCG-TUMOR MARKER CSF 38.98$

RETICULOCYTE COUNT 11.74$

HOMOCYSTEINE 22.00$

JAK-2 MUTATION 350.00$

CALIFORNIA IGG & IGM 7.20$

SODIUM W/O CREATININE RANDOM U 55.00$

HUMAN METAPNEUMOVIRUS DFA 155.23$

ADENOVIRUS ANTIGEN DFA 12.29$

FLU A/B&RSV RNA QL RT PCR 666.48$

T3 FREE 8.79$

CULTURE URINE ROUTINE 7.60$

CULTURE ANAEROBIC BACTERIA 21.98$

CREATININE RANDOM URINE 10.76$

T4 FREE 4.00$

MRSA CULTURE SCREE 21.90$

C. DIFF TOXINS QL RT-PCR 43.27$

CULTURE BLOOD 10.00$

IRON 13.01$

FERRITIN 13.01$

IRON TIBC & FERRITIN PANEL 13.01$

RPR (MONITOR) 2.89$

RPR (MONITOR) TITER 1.53$

PROTEIN S ACT.AG TOTAL 13.00$

PROTEIN S ACTIVITY 14.33$

PROTEIN S AG TOTAL 18.92$

LACTATE DEHYD. CSF 7.45$

LEGIONELLA CULT. ENV. 8.18$

PROTEIN TTL 24HR URN.(WO CRTN) 13.39$

GLUCOSE AMNIOTIC FLUID 4.85$

GLUCOSE PERCARDIAL FLUID 4.85$

ALBUMIN SYNOVIAL FLUID 7.78$

CREATININE 24HR URINE 2.95$

PROTEIN TTL SYNOVIAL FLUID 21.00$

GLUCOSE SYNOVIAL FLUID 21.00$

GLUCOSE CSF 21.00$

GRAM STAIN 12.25$

PROTEIN TOTAL CSF 3.00$

EOSINIPHIL COUNT (U) 45.58$

COMPLEMENT TOTAL (CH50) 15.50$

CHROMATIN (NUCLEOSOMAL) AB 55.00$

SCLERODERMA AB (SCL-70) 36.93$

CENTROMERE B AB 55.00$

HEREDITARY HC DNA MUT. ANAL. 180.69$

CLOZAPINE 12.11$

FN ASPIRATION W/O IMAGE 473.00$

FN ASPIRATATION W/ IMAGE 378.00$

BONE MARROW ASPIRATION ONLY 284.00$

BONE MARROW BIOPSY 378.00$

CHEMISTRY PROCEDURE UNLISTED 201.00$

BLOOD SMEAR PERIPHERAL MD INT. 142.00$

BONE MARROW SMEAR INTERP. 1,590.00$

BLOOD BANK SERVICE TRANS REAC 237.00$

MICROSCOPIC EXAM OF CELLS 331.00$

CYTOPATHOLOGY CONC TECH SMEARS 331.00$

CYTOPATHOLOGY CONC TECH OTHER 308.00$

CYTOPATHOLOGY PREP SCREENING 355.00$

CYTOPATHOLOGY EVAL SPEC ADEQCY 355.00$

CYTOPATHOLOGY EVAL INTER RPT 438.00$

SURG GROSS EXAM ONLY LEVEL I 142.00$

SURG GROSS MICRO LEVEL II 284.00$

TISSUE EXAM BY PATHOLOGIST 414.00$

TISS EXAM BY PATHOLOGIST 545.00$



DECALCIFICATION PROCEDURE 72.00$

SPECIAL STAINS GROUP I 142.00$

SPECIAL STAINS GROUP II 107.00$

CONSULTATION RPT ON SLIDES 355.00$

CONSULTATION RPT ON MATERIAL 403.00$

CONSULTATION REVIEW REC/SPEC 473.00$

PATHOLOGY CONS IN SURG 438.00$

PATHOLOGY CONS 1ST TISS 592.00$

PATHOLOGY CONS ADD TISS 284.00$

PATHOLOGY CONS CYTOLOGIC INIT 532.00$

PATHOLOGY CONS CYTOLOGIC ADD 261.00$

IMMUNOCYTOCHEMISTRY ANTIBODY 378.00$

MORPHOMETRIC ANAL TUMOR IMMUNO 473.00$

MORPHOMETRIC ANAL TUMOR C.A.T 710.00$

IN SITU HYBRIDIZATION EA PROBE 473.00$

CYTOPATH CELL ENHANCE TECH 180.00$

ABO TYPING 53.00$

DU TYPING 88.00$

RH TYPING 62.00$

ANTIBODY SCREEN 89.00$

DIRECT COOMBS TEST 79.00$

INDIRECT COOMBS 89.00$

COMPATIBILITY-IMMED SPIN TEST 79.00$

COMPATIBILITY SINGLE/TEST INCU 89.00$

COMPATIBILITY ANTI GLOB TEST 364.00$

THAWING FFP 1-UNIT 79.00$

PACKED RED CELLS 390.00$

LEUKO REDUCED RED CELLS 322.00$

WASHED RED CELLS 402.00$

WHOLE BLOOD 381.00$

FRESH FROZEN PLASMA 30.00$

PLATELET PHERESIS 587.00$

PLATELET CONCENTRATE 788.00$

CRYOPRECIPITATE 1U 60.00$

AUTOLOGOUS BLOOD + PROCESSING 582.00$

DONOR-DIRECTED BLD+PROCESSING 582.00$

CRYOPERCIPITATE 10U 600.00$

CRYOPERCIPITATE POOLED 5U 450.00$

THAWING FFP 10-UNITS 792.00$

THAWING FFP 5-UNITS 396.00$

BLOOD ADMIN/TRANSFUSION 748.00$

ECG ROUTINE 266.00$

ECG RHYTHM 130.00$

24HR HOLTER MONITOR 1,019.00$

2D ECHO COMPLETE 1,504.00$

ECHO TRANSESOPHAGEAL 1,305.00$

2D ECHO WAVE ONLY 1,054.00$

ECHO DOPPLER W/COLOR 1,613.00$

ECHO STRESS 1,559.00$

STRESS TEST 1,103.00$

SOMA EVOKED UPPER EXT (EMG) 396.00$

SOMA EVOKED LOWER EXT (EMG) 396.00$

SOMA EVOKED TRNK/HEAD (EMG) 396.00$

EMG 1EXT PARASPINAL 382.00$



EMG 4EXT PARASPINAL 1,250.00$

NERVE COND EA NERVE (EMG) 198.00$

NERVE COND SENSRY 1 NERVE(EMG) 189.00$

EMG EXT MUSCULAR SENSORY 636.00$

EMG H-REFLUX 199.00$

EEG CEREBRAL SEIZURE 2,522.00$

EEG AWAKE & DROWSY 329.00$

EEG COMPLETE 347.00$

EEG AWAKE & ASLEEP 916.00$

EEG COMA OR SLEEP 648.00$

EEG CEREBRAL DEATH EVAL 208.00$

XR ABDOMEN; 1 VIEW 249.00$

XR ABDOMEN; 2 VIEWS 457.00$

XR ABDOMEN; 3 OR MORE VIEWS 565.00$

AC JOINTS BILATERAL 1,110.00$

ANKLE LTD-2 VWS 1,110.00$

ANKLE COMPLETE-MIN 3 VWS 1,110.00$

BONE AGE STUDY 2,498.00$

BONE METABOLIC STUDY 2,498.00$

XR CHEST; SINGLE VIEW 287.00$

XR CHEST; 2 VIEWS 407.00$

XR CHEST; 4 OR MORE VIEWS 616.00$

CLAVICLE 1,110.00$

ELBOW 2 VW 635.00$

ELBOW COMPLETE-MIN 3 VW 635.00$

FACIAL BONES COMP MIN 3 VIEWS 1,110.00$

FACIAL ORBITS COMP MIN 4 VIEWS 1,665.00$

FEMUR 1 VW 503.00$

FINGERS-MIN 2 VWS 1,110.00$

FOOT LTD-2 VWS 1,110.00$

FOOT COMPLETE-MIN 3 VWS 1,110.00$

FOREARM-2 VWS 635.00$

HAND-2 VWS 1,110.00$

HAND-MIN 3 VWS 1,110.00$

HIP UNILATERIAL 1 VW 407.00$

HIP UNILATERAL 2-3 VWS 534.00$

HIPS BILATERAL 2 VWS 711.00$

HUMERUS MIN 2 VW 635.00$

KNEE LTD 1 OR 2 VWS 1,110.00$

KNEE COMPLETE-4 OR MORE VWS 1,110.00$

MANDIBLE COMP MIN 4 VIEWS 1,665.00$

MASTOIDS COMP MIN 3 VIEWS 1,665.00$

NASAL BONES COMP MIN 3 VIEWS 1,110.00$

NECK SOFT TISSUE 1,110.00$

OS CALCIS HEEL MIN 2 VWS 1,110.00$

PELVIS 1 OR 2 VW 1,110.00$

PELVIS COMP MIN 3 VW 1,110.00$

RIBS BILATERAL 1,110.00$

RIBS UNILATERAL 2 VWS 1,110.00$

SCAPULA 1,110.00$

SHOULDER COMPLETE-MIN 2 VW 1,110.00$

SINUSES PARANASAL COMP MIN 3 V 1,110.00$

SKULL LTD LESS THAN 4 VIEWS 1,110.00$

SKULL COMP MIN 4 VIEWS 1,665.00$

SPINE CERV 3 VW OR LESS 1,665.00$

SPINE - CERV 4 OR 5 VWS 1,665.00$

SPINE LUMBAR 2 OR 3 VW 1,665.00$

SPINE LUMBAR COMP MIN 4 VW 1,665.00$

SPINE THORACIC 2 VW 1,665.00$

STERNUM MIN 2 VWS 1,110.00$

TIBIA & FIBULA 2 VWS 1,110.00$

TM JOINTS BILATERAL 1,665.00$

TM JOINTS UNILATERAL 1,110.00$

TOES MIN 2 VWS 1,110.00$

WRIST-2 VWS 635.00$

WRIST-MIN 3 VWS 635.00$

BARIUM ENEMA W/ OR W/OUT KUB 2,498.00$

BARIUM ENEMA W/AIR 2,498.00$

CYSTOGRAM 2,498.00$

CYSTOGRAM - VOIDING 2,498.00$

E.R.C.P. 3,810.00$

ESOPHAGRAM 2,498.00$

FISTULA SINUS STUDY 2,498.00$

FLOUROSCOPY 2,498.00$

IVP 2,498.00$

NEPHROSTOGRAM 2,498.00$

SMALL BOWL SERIES MULT IMAGE 992.00$

CHOLANGIOGRAM T TUBE 8,350.00$

CHOLANGIOGRAM SURGERY 2,498.00$

RETROGRADE PYELOGRAM 2,498.00$

UPPER GI W/AGENT W/KUB 886.00$

CHEST VW DECUBITUS 1,110.00$

SACRUM & COCCYX MIN 2 VWS 1,110.00$

SACRUM & COCCYX MIN 2 VWS 1,110.00$

C-ARM UP TO 1 HOUR 2,498.00$

CYSTO 75.00$

GASTRO VIEW 120ML 119.00$

GI CUPS 36.00$

HYPA QUEMEL GLUMINE 60% 50ML 34.00$

OMNI PAQUE 300 100ML 550.00$

OMNIPAQUE 300 50ML 501.00$

ANGIOPLASTY VENOUS 5,080.00$

FLUORO GD FOR VEIN DVCE 2,498.00$

ARTERIOVENOUS SHUNT 2,498.00$

VEIN X-RAY ARMS/LEGS 2,498.00$

KNEES/BILAT AP STANDING 1,110.00$

IMAGE GUIDED PROCEDURE 457.00$

UNI RIBS W/ PA CHEST 1,110.00$

BIL RIBS W/ PA CHEST 1,110.00$

MYOCARD PERF SPECT MULT 6,389.00$

CTA CHEST WO/W CONTRAST 3,121.00$

G-TUBE CHANGE PERC W/O RAD 601.00$

G-TUBE INS PERC W/FLUORO RAD 1,645.00$

SWAL FUNC W CINE/VIDEO 2,498.00$

MRA NECK W/CONT 3,340.00$

EXTREMITY BI W/SERIAL 5,080.00$

CTA ABD LE RO WO/W CONT 3,850.00$

EXTREMITY UNI W/SERIAL 5,080.00$

FACIAL BONES 2VW MAX 1,110.00$

SINUSES 2VW MAX 1,110.00$

SPINE ANY LEVEL SNGL VW 1,110.00$

SPINE CERV 6 VIEW OR MORE 1,665.00$

SPINE 3 VIEW T 1,665.00$

SPINE THORACIC 4VW MIN 1,665.00$

SHOULDER SNGL VIEW 1,110.00$

UPPER GI W/SMALL INT MULT IMAG 924.00$

FLUOROSCOPY GREAT THN 1HR 3,810.00$

FLUORO BX/ASP/INJ/GUIDE 5,080.00$

BONE SURVEY COMPLETE 2,498.00$

BONE SURVEY INFANT 2,498.00$

ASP PLEURA W/O IMAGING 1,290.00$

ATHERECTOMY RENAL/VISC 2,747.00$

BIOPSY ABDONINAL MASS 987.00$

BIOPSY BONE DEEP 555.00$

BIOPSY BONE SUPERFICL 555.00$

BIOPSY LIVER PERC NDL 693.00$

BIOPSY MUSCLE PERC 555.00$

BIOPSY PANCREAS PERC 555.00$

BIOPSY PROSTATE 739.00$

BIOPSY RENAL PERC 987.00$

BIOPSY TRANSCATHETER 1,444.00$

CERVICAL 1-2 PUNCTURE 1,173.00$

DRAIN KIDNEY LESION 1,940.00$

ESOPH ENDO FRGN BDY RMVL 185.00$

INJECT ANKLE XRAY 278.00$

INJECT BLADDER RETRO UR 231.00$

INJECT CHOLE THRU EXST CATH 139.00$

INJECT ELBOW XRAY 370.00$

INJECT F/CYSTO OR VCUG 296.00$

INJECT HIP XRAY 462.00$

INJECT KIDNEY XRAY 1,091.00$

INJECT KNEE ARTH 242.00$

INJECT LIVER XRAY 174.00$

INJECT LUMBAR OR SACRAL 1,527.00$

INJECT LUMBAR/SACRL ADD LVL 1,371.00$

INJECT MYELOGRAM 370.00$

INJECT PENIS STUDY 370.00$

INJECT SHOULDER XRAY/CT/MRI 492.00$

INJECT SINUS TRACT XRAY 215.00$

INJECT SPINE DISK LMBR 278.00$

INJECT UTERUS/TUBE XRAY 278.00$

INJECT WRIST XRAY 278.00$

INSERT BILE DUCT DRAIN 2,069.00$

INSERT CATH BILE DUCT 3,002.00$

INSERT CATH PLEURA W/O IMAGING 1,290.00$

INSERT CV CATH NO PRT 5> 2,584.00$

INSERT NONTUNNL CV CTH 5> 2,584.00$

INSERT URETERAL TUBE 1,663.00$

INTRO LONG GI TUBE 433.00$

PERC NEPH/PYELO 0-2CM 2,771.00$

PERC VERTPLSTY 1BDY T 1,650.00$

REMOVAL TUNNELED CVC W/O PORT 1,239.00$

REPOS CV CATH W/FLURO 640.00$

REPOS GI TUBE THRU DUODN 185.00$

SPINAL PUNCTURE LUMBAR 347.00$

TRANSCATHETER OCCLUSION 1,847.00$

FLUOROSCOPY SPINE 1,453.00$

FEMUR 2 VW MIN 703.00$

UPPER GI WO KUB 555.00$

UPPER GI W/KUB 733.00$

UPPER GI W/AGENT WO KUB 733.00$

UPPER GI W/AGENT W/SMALL INT 970.00$

SMALL BOWL SERIES VIA ENT TUBE 1,986.00$

RAD PROC LEVEL I UP TO 1ST HR 2,500.00$

RAD PROC LEVEL I EA ADDT 15MIN 625.00$

RAD PROC LEVEL II UP TO 1ST HR 4,000.00$

RAD PROD LEVEL II EA ADD 15MIN 1,000.00$

XR CHEST; 3 VIEWS 407.00$

BONE SCAN LTD 1,540.00$

BONE SCAN WHOLE BODY 3,112.00$

TUMOR LOOCALIZE WHOLE BODY 3,512.00$

GI BLOOD LOSS 2,543.00$

KIDNEY SCAN W/ VASCULAR FLOW 2,050.00$

RENAL GRAM 2,360.00$

LIVER/SPLEEN W/ FLOW 2,335.00$

LUNG PERFUSION W/VENT 2,464.00$

LUNG PERFUSION 2,790.00$

MECKLES DIVERTICULUM 2,462.00$

MYOCARDIAL SCAN QUAN 2,050.00$

TESTICULAR SCAN W/VASCULR FLOW 1,834.00$

GALLIUM 67 CITRATE 437.00$

INDIUM 111 OXINE 1,224.00$

BONE SCAN 3 PHASE 2,760.00$

TC MAG 3 1,243.00$

THYROID UPTAKE & SCAN SGL 1,477.00$

PARATHYROID PLANAR IMAGING 1,640.00$

LUNG VENTILATION 1,920.00$

GALLIUM SCAN MULTI 1,289.00$

IODINE - 123 CAPSULE 458.00$

TC MDP 457.00$

TC SULFUR COLLOID 458.00$

TC MAA 457.00$

SESTAMIBI 30 MCI 392.50$

TC CHOLETEC 457.00$

INDIUM WHITE CELL SCAN 3,607.00$

HIDA (HEPATOBILLARY) SCAN 2,258.00$

TC HEPATOLITE 143.00$

MUGA CARDIAC BLOOD POOL 1MG 1,274.00$

TC - DTPA 457.00$

TC - ULTRATAG 211.00$

TC HDP 232.00$

BRAIN IMAGING MIN 4VW 1,312.00$

GASTRIC EMPTYING SOLID/LIQUID 2,493.00$

NM-THYROID UPTAKE MEASUREMENT 1,975.00$

NM-THYROID IMAGING W BLOOD FLO 1,975.00$

NM-THYROID UPTAKE W/BLOOD FLOW 1,975.00$

NM MYOCARD PERF SPCT SNGL 6,389.00$

NM MYOCARD PERF PLANAR SNGL 6,389.00$

NM MYOCARD PERF PLNR MULTI 6,389.00$

MRI ABDOMEN W/O CONT. 4,473.00$

MRI BRAIN W/CONT. 5,078.00$

MRI BRAIN W/O CONT. 4,629.00$

MRI BRAIN W/O & W/CONT. 5,929.00$

MRI C/SPINE W/O CONT. 4,473.00$

MRI C/SPINE W/CONT. 4,906.00$

MRI C/SPINE W/O & W/CONT. 5,728.00$

MRI CHEST W/O CONT. 5,078.00$

MRI L/SPINE W/O CONT. 4,629.00$

MRI L/SPINE W/CONT. 4,906.00$

MRI ORBIT FACE NECK W/O CONT. 4,473.00$

MRI PELVIS W/CONT. 4,906.00$

MRI T/SPINE W/O CONT. 4,473.00$

MRI T/SPINE W/CONT. 5,078.00$

MRI UPPER EXT JOINT W&W/O CONT 5,728.00$

MRI UPPER EXT JOINT W/O CONT 4,730.00$

MRI LOWER EXT W&W/O CONT NO JT 5,929.00$

MRI LOWER EXT ANY JT W/O CONT 4,629.00$

MRI ABDOMEN W/CONT. 4,906.00$

MRI ABDOMEN W & W/O CONT. 5,929.00$

MRI ORBIT FACE NECK W/CONT. 4,906.00$

MRI ORBIT FACE NECK W&W/O CONT 5,728.00$

MRI CHEST W/CONT. 4,906.00$

MRI CHEST W & W/O CONT. 5,728.00$

MRI PELVIS W/O CONT. 4,629.00$

MRI PELVIS W & W/O CONT. 5,728.00$

MRI UPPER EXT NO JT W/O CONT 4,473.00$

MRI UPPER EXT JOINT W/CONT 5,085.00$

MRI LOWER EXT JOINT W/CONT 5,929.00$

MRI LOWER EXT JOINT W&W/O CONT 5,929.00$

GANDOLINIUN (CONTRAST) 691.00$

MRI SP THOR W/WO CM 4,312.00$

MRI MRA-HEAD 4,950.00$

MRI MRA-NECK 4,950.00$

MRI LOW EXT/NO JOINT WO IV CON 2,500.00$

MRI SP LUMB W/WO CONT 5,390.00$

MRI UE NO JNT W/CONTRAST 3,163.00$

MRI UE NO JNT W W/O 3,850.00$

MRI LE NO JNT W/CONTRAST 3,163.00$

MRI GUIDANCE NEEDLE PLACEMENT 2,116.00$

MRA HEAD W/CONTRAST 3,542.00$

MRA HEAD WO/W CONTRAST 4,312.00$

MRA NECK W/CONT 3,340.00$

MRA NECK WO/W CONTRAST 4,066.00$

MRA SPINE W W/O 2,904.00$

MRA U/E W/WO CONT 3,080.00$

MRA ABDOMEN W CONT 2,530.00$

MRA ABDOMEN WO CONT 2,200.00$

MRA ABDOMEN WO/W CONT 3,080.00$

MRI BRST UNI W CONT 1,584.00$

MRI BRST UNI WO CONT 1,347.00$

MRI BRST UNI WO/W CONT 1,885.00$

MRI BRST BIL W CONT 2,200.00$

MRI BRST BIL WO CONT 1,870.00$

MRI BRST BIL WO/W CONT 2,618.00$

MRA CHEST W CONT 2,530.00$

MRA CHEST WO CONT 2,200.00$

MRA CHEST WO/W CONT 3,080.00$

MRA LWR EXT W CONT 2,304.00$

MRA LWR EXT WO CONT 2,004.00$

MRA LWR EXT WO/W CONT 3,340.00$

MRA PELVIS WITH CONT 2,530.00$

MRA PELVIS WO/W CONT 3,080.00$

MRCP 3,718.00$

ABDOMINAL ULTRSOUND 1,475.00$

OB/FETAL AGE (>/= 14 WKS) 975.00$

BIOPSY W/ULTRASOUND GUIDANCE 975.00$

AORTA ULTRASOUND 1,475.00$

GALLBLADDER ULTRASOUND 975.00$

LIVER ULTRSOUND 975.00$

PANCRES ULTRSOUND 1,475.00$

PELVIS ULTRASOUND 1,475.00$

PLACENTA LOCALIZATION 975.00$

TRANSRECTAL ULTRASOUND 1,475.00$

RENAL ULTRASOUND 975.00$

THYROID ULTRSOUND HEAD/NECK 975.00$

TESTICULAR ULTRASOUND 975.00$

US BREAST UNILATERAL COMPLETE 975.00$

TRANSVAGINAL ULTRASOUND 1,475.00$

EXTREMITY ULTRASOUND 975.00$

RT LOWER QUAD 975.00$

OB/FETAL AGE (< 14WKS) 975.00$

THORACENTESIS 1,475.00$

RENAL BIOPSY 975.00$

CHEST 975.00$

FETAL BIOPHYSICAL PROFILE 208.00$

ABDOMIANL ORGAN DUPLEX 2,812.00$

ARTERIAL UPPER-EXTEMITY 1,156.00$

ARTERIAL LOWER-EXTREMITY 1,197.00$

US PARACENTESIS ABD 975.00$

CAROTID DOPPLER 440.00$

CAROTID FLOW 1,159.00$

DUPLEX AORTIC SCAN 2,212.00$

US RETROPERITONEAL LTD 971.00$

US ABDOMEN LTD/QUAD/FU 1,095.00$

US AORTA/RENAL/RETROPER COMPL 1,229.00$

US/AORTA/RENAL/RETROPER LTD 971.00$

US XTR NON-VASC LMTD 975.00$

US XTR NON-VASC COMPLETE 1,475.00$

US GUIDE VASCULAR ACCESS 1,475.00$

US BREAST UNILATERAL LTD 975.00$

PARACENTESIS 1,877.00$

US THORANCENTESIS TUBE INSERT 924.00$

US ASPIR BREAST CYST 924.00$

US BX BREAT NDL GUIDED 924.00$

US ASPIR BREAST CYST ADD 504.00$

US BX CHEST LINING NDL 924.00$

US BX LUNG/MEDIASTN PERC ND 693.00$

US BX MUSCLE PERC NDL 1,386.00$

US BX LIVER PERC NDL 924.00$

US BX PANCREAS PERC NDL 924.00$

US BX ABD/RETROPER PERC NDL 924.00$

US BX RENAL PERC NDL 1,155.00$

US BX PROSTATE NDL 924.00$

US BX THYROID PERC NDL 1,155.00$

US ASPRIATE PLEURA W/IMAGING 1,155.00$

US INSERT CATH PLEURA W IMAGIN 1,290.00$

US PELVIS/RENAL CYST ASP 924.00$

US UPR/LXTR ART STDY 3+LVLS 953.00$

US LWR XTR VASC STDY BILAT 953.00$

ARTERIAL UP/LOW EXT(ABI)SINGLE 600.00$

ARTERIAL UP/LOW EXT(ABI)MULTI 750.00$

CT SCAN ABD W/WO CONT 3,568.00$

CT SCAN ABD W/CONT 3,621.00$

CT SCAN ABD W/O CONT. 3,090.00$

CT SCAN CHEST W/CONT. 3,408.00$

CT SCAN CHEST W/O CONT. 2,732.00$

CT SCAN CHEST W/WO CONT. 3,727.00$

CT SCAN HEAD W/WO CONT 3,568.00$

CT SCAN HEAD W/CONT. 3,209.00$

CT SCAN HEAD W/O CONT. 2,732.00$

CT SCAN MASTOID W/O CONT. 2,732.00$

CT SCAN PELVIS W/CONT. 3,603.00$

CT SCAN L/SPINE W/O CONT. 2,732.00$

CT SCAN T/SPINE W/O CONT. 2,732.00$

CT NEEDLE BIOPSY 2,399.00$

CT SCAN NECK W/O CONT. 2,732.00$

CT SCAN NECK W/CONT. 3,209.00$

CT PELVIS W/WO CONT 3,568.00$

CT SCAN C/SPINE W/O CONT. 2,732.00$

CT SCAN ORB/SEL/IAC W/O CONT 2,732.00$

CT MAX FACIAL WO CONT 2,732.00$

CT UPPER EXT. WO CONT 2,732.00$

CT LOWER EXTREMITIES W/O CONT. 2,732.00$

C.T. PELVIS W/O CONT. 2,732.00$

CT SCAN ABD&PELVIS W/WO CONT 8,360.00$

CT SCAN ABD&PELVIS W CONT 7,228.00$

CT SCAN ABD&PELVIS W/O CONT 5,770.00$

CT UE W/CM 2,409.00$

CT UE WO/W CM 2,697.00$

CT SP CERV W/CM 2,702.00$

CT SP CERV WO/W CM 3,277.00$

CT SP THOR W/CM 2,702.00$

CT SP THOR WO/W CM 3,277.00$

CT SP LUMB W/CM 3,111.00$

CT SP LUMB WO/W CM 3,509.00$

CTA ABD LE RO WO/W CONT 3,850.00$

CTA NECK WO/W CONTRAST 2,800.00$

CT ANGIO ABD&PELV W/O&W/DYE 6,867.00$

CT ORBIT W/CM 2,536.00$

CT ORBIT WO/W CM 3,030.00$

CT FACIAL W/CM 1,975.00$

CT FACIAL WO/W CM 2,789.00$

CT LE W/CM 2,316.00$

CT LE WO/W CM 2,814.00$

CTA CHEST WO/W CONTRAST 3,121.00$

CTA HEAD WO/W CONTRAST 2,800.00$

CT ASPIRATE PLUREA W/IMAGING 2,064.00$

CT BIOPSY ABDOMINAL 1,197.00$

CT BIOPSY BONE DEEP 1,117.00$

CT BIOPSY BONE MARROW 465.00$

CT BIOPSY CHEST LINING NDL 299.00$

CT BIOPSY LIVER PERC NDL 1,197.00$

CT BIOPSY LUNG OR MEDISTNM 1,088.00$

CT BIOPSY MUSCLE PERC 1,197.00$

CT BIOPSY PANCREAS PERC 1,197.00$

CT BIOPSY RENAL PERC 1,197.00$

CT DRAIN RENAL ABSCESS PERC 1,595.00$

CT DRAIN SUBDIAPHR ABSCESS 1,197.00$

CT INSERT CATH PLUREA W/IMAG 1,276.00$

CT PARACENTESIS W CATH 2,420.00$

CT PERC DRN W/CATH 1,436.00$

CT ANGIO UPPER EXTRM W/O&W/DYE 2,814.00$

CT ANGIO LOWER EXTRM W/O&W/DYE 2,814.00$

CUBICIN 500 MG 1,183.00$

SEROQUEL 200 MG TAB 42.00$

TYGACIL 50MG INJ 355.00$

REQUIP 0.25 MG TAB 14.00$

CATH ANG TRANSLUMNL NLSR 1,750.00$

GUIDEWIRE 1,896.00$

GRFT VASCULAR 2 74,441.00$

A&D 5GM OINTMENT 36.00$

ACTIDOSE(SORB) 25MG/120ML SUS 81.00$

ALTEPLASE 50 MG INJ 11,763.00$

ADENOCARD 3 MG/ML INJ 298.00$

EPINEPHRINE 0.1MG/ML-10ML INJ 86.00$

AFRIN .05%(20 CC DROPS) SOL 69.00$

ALBUMIN-25% 25GM/100ML INJ 440.00$

ALBUMIN-25% 12.5GM/50ML INJ 219.00$

SPIRONOLACTONE(ALDACT)25MG TAB 9.00$

ALDACTONE 50 MG TABLET 15.00$

ALDACTONE 100 MG TAB 21.00$

METHYLDOPA 250 MG TAB 9.00$

METHYLDOPATE HCL 50MG/ML INJ 242.00$

ALPHAGAN .20% 5ML OPTH SOL 184.00$

ALTACE 2.5MG CAPSULE 21.00$

AMARYL 2 MG TABLET 15.00$

AMARYL 4 MG TABLET 15.00$

AMBIEN 5 MG TABLET 39.00$

AMIDATE ABBOJECT 2MG/ML INJ 286.00$

AMIKIN 500MG/2ML INJ 400.00$

AMMONIA SOL 22.00$

TRIMOX(AMOXICLLN)250MG CAP 9.00$

AMOXICILLIN 500 MG CAPSULE 15.00$

AMOXICILLIN UD SUSP. 250 MG/5C 30.00$

AMPICILLIN SODIUM 1 GM INJ 140.00$

AMPICILLIN SODIUM 250MG INJ 96.00$

AMPICILLIN SODIUM 500 MG INJ 140.00$

ANAFRANIL 25 MG CAPSULE 19.00$

QUELICIN 20 MG/ML INJ 119.00$

ANTABUSE 250 MG TABLET 9.00$

MECLIZINE HCL 12.5 MG TAB 9.00$

MECLIZINE HCL 25 MG TAB 9.00$

ANUSOL HC SUPPOSITORY 21.00$

ANZEMET 12.5 MG INJECTION 135.00$

HYDRALAZINE HCL 10 MG TAB 9.00$



APRESOLINE 20 MG/CC INJ 125.00$

VITAMIN K1 10 MG/ML SOL 119.00$

AREDIA 90 MG INJ 2,723.00$

ARICEPT 5 MG TABLET 39.00$

TRIHEXYPHENIDYL HCL 2 MG TAB 9.00$

TRIHEXYPHENIDYL HCL 5 MG TAB 9.00$

ASPIRIN 325 MG TAB 9.00$

ASPIRIN 300 MG SUP 9.00$

HYDROXYZINE HCL 10 MG TAB 9.00$

HYDROXYZINE HCL 25 MG TAB 15.00$

LORAZEPAM .5 MG (ATIVAN) TAB 9.00$

LORAZEPAM 1 MG (ATIVAN) TAB 9.00$

LORAZEPAM 2 MG (ATIVAN) TAB 15.00$

ATIVAN 1CC (2MG) DOSE INJ 161.00$

ATROPINE 400 MCG/CC INJ 58.00$

ATROPINE SULF 0.1MG/ML SOL 221.00$

ATROPINE OPHT 1% 5ML 35.00$

ATROVENT 2.5ML 184.00$

AUGMENTIN-500 MG TABLET 32.00$

AUGMENTIN 875 MG TAB 37.00$

AURALGAN 10ML OTIC DROPS 76.00$

AZULFIDINE 500 MG TABLET 9.00$

B-N-P OINTMENT 14.00$

BACITRACIN 50 000 UNITS INJ 221.00$

BACITRACIN 500U/GM(30GM) OIN 36.00$

BACITRACIN OPTH OINT 1GM 36.00$

SMZ TMP(BACTRIM)800MG-160MG TA 15.00$

SMZ/TMP 200MG-40MG/5ML SUSP 14.00$

BACTROBAN 2 % 22 GM OINTMENT 183.00$

DIPHENHYDRMINE(BNADRYL)25MGCAP 9.00$

DIPHENHYDRAMINE(BNADRYL)50MGCA 9.00$

BENADRYL 50MG INJ 99.00$

DIPHENHYDRAMINE 25MG/10ML ELIX 78.00$

BENTYL 10 MG/ML INJ 179.00$

BENZOIN TINCTURE COMPO TOP 64.00$

BETADINE 0.1 30 GM OIN 90.00$

BETADINE SOLUTION 15ML TOPICAL 14.00$

BETADINE 0.1 8 OZ TOP SOL 14.00$

BETAPACE 80 MG TAB 36.00$

BIAXIN 500 MG TAB 36.00$

BICILLIN CR 1.2MU/2ML INJ 161.00$

BICITRA 640MG/5ML-490MG/5ML SO 35.00$

BRETHINE 2.5 MG TAB 9.00$

BRETHINE 1 MG/ML INJ 77.00$

BREVIBLOC 10 MG/ML INJ 180.00$

BSS .48%-.075%-.65% 15CC SOL 303.00$

BUMEX 1 MG TAB 9.00$

BUMETANIDE 0.25MG/ML INJ 75.00$

BUSPAR 5 MG TAB 15.00$

BUSPAR 10 MG TAB 21.00$

CALAMINE LOTION 24.00$

VERAPAMIL HCL(CALAN) 80MG TAB 26.00$

VERAPAMILHCL(CALAN)2.5MG/MLSOL 17.00$

CALAN SR 120 MG SLOW REL 26.00$

CALCIUM CHL 100MG/ML 5MEQ SOL 17.00$

CALCIUM CHLORIDE ABBOJ 10 CC 58.00$

CALCIUM GLUCONATE 10 CC INJ 58.00$

CAPTOPRIL(CAPOTEN)12.5 MG TAB 9.00$

CAPTOPRIL(CAPOTEN) 25 MG TAB 9.00$

CARAFATE 1 GRAM TAB 15.00$

CARAFATE 1GM/10ML SUS 184.00$

CARDIZEM 30 MG TAB 9.00$

DILTIAZEM(CARDIZEM)60 MG TAB 15.00$

CARDIZEM 90 MG TAB 21.00$

CARDIZEM 10ML VIAL 5MG/ML INJ 298.00$

CARDIZEM CD 180 MG SLOW REL 39.00$

CARDIZEM CD 120 MG SLOW REL 26.00$

CARDURA 2MG TAB 26.00$

CLONIDINE(CATAPRES).1MG TAB 9.00$

CATAPRES TTS-1 .1 MG/24HR TOPI 84.00$

CATAPRES TTS 2 .2MG/24HR TOPIC 133.00$

CATAPRES TTS 3 .3 MG/24HR TOPI 152.00$

CEFOTAN 1 GM INJ 233.00$

CEFTIN 250 MG TABLET 35.00$

CELEXA 20 MG TAB 39.00$

CENTRUM TABLET 9.00$

CEPACOL 2 MG LOZENGE 36.00$

CETACAINE 14%-2%-2% SPR 200.00$

CHLORASEPTIC .014 SPR 58.00$

CHLRPHNIRAMINE MALEATE 4MG TAB 9.00$

CRONULAC 30CC SYRUP 14.00$

CILOXAN 0.3 % OPHTHALMIC SOL 184.00$

CIPRO 250 MG TAB 35.00$

CIPRO 500 MG TAB 36.00$

CIPRO 400 MG/200 ML INJ 292.00$

CLAFORAN 1 GM INJ 241.00$

CLAFORAN 500 MG INJECTION 161.00$

CLARITIN 10 MG TAB 36.00$

CLEOCIN HCL 150 MG CAP 20.00$

SULINDAC(CLINORIL) 200 MG TAB 20.00$

CLOBETASOL PROPIONATE 30GR 11.00$

CLONAZEPAM 0.5 MG TAB 20.00$

CLOZARIL 25 MG TAB 44.00$

CLOZARIL 100 MG TAB 54.00$

BENZTROPINE(COGENTIN) 1 MG TAB 9.00$

BENZTROPINE(COGENTIN) 2 MG TAB 9.00$

COGENTIN 1 MG/ML INJ 140.00$

COLCHICINE 0.6 MG TAB 9.00$

polyethylene glycol 3350 85.00$

COMPAZINE 10 MG TAB 9.00$

COMPAZINE 10 MG/2CC INJ 202.00$

COMPAZINE 25 MG SUP 21.00$

CORDARONE 200 MG TAB 39.00$

AMIORADONE 50 MG/ML IV SOL 476.00$

COREG 3.125 MG TAB 39.00$

CORTISPORIN 1%-.35% SUS 131.00$

CORTROSYN 0.25 MG INJECTION 81.00$

COUMADIN 2MG TAB 9.00$

COUMADIN 2.5MG TAB 9.00$



CYTOMEL 25 MCG TAB 9.00$

CYTOTEC 100 MCG TAB 15.00$

D5W 1/4 NS 5%-.225% 500CC SOL 132.00$

DEXT 5 NS 5%-.9% 500 CC SOL 132.00$

D5W/.45NS 5%-.45% 500 CC SOL 132.00$

D51/2NS 5%-.45% 1000 CC SOL 132.00$

D51/2NS KCL20MEQ 1000CC SOL 132.00$

D51/4NS 1000 CC SOLUTION 132.00$

D5LR 1000 CC SOL 132.00$

D5NS KCL20MEQ 1000CC OTHER 128.00$

D5W 50 CC SOLUTION 132.00$





D5W (GLASS BOTTLE) 250 CC SOL 128.00$

D5W ADD-VANTAGE 50 CC SOLUTION 128.00$

FLURAZEPAM(DALMANE)15 MG CAP 10.00$

DANTRIUM 25 MG CAPSULE 9.00$

DAPSONE 100 MG TAB 9.00$

DDAVP 0.1 MG TAB 33.00$

DEBROX .065(15CC DROPS) SOL 72.00$

DEXAMETHASONE 4 MG TAB 14.00$

DEXAMETHASONE SODIUM 4MG/ML SO 140.00$

DECLOMYCIN 150 MG CAP 25.00$

DEMEROL 25 MG INJECTION 58.00$

DEMEROL HCL 50 MG/ML INJ SOL 58.00$

DEPACON 100MG/ML INJECTION 242.00$

VALPROIC ACID 250MG CAP 9.00$

DEPAKENE 250 MG/5 ML SYR 14.00$

DEPAKOTE 250 MG TAB 15.00$

DEPAKOTE 500 MG TAB 33.00$

DEPAKOTE SPRINKLE 125 MG CAP 15.00$

DEPO MEDROL 40 MG/ML INJ 161.00$

DEPO MEDROL 80 MG/CC INJ 242.00$

DERMOPLAST 20 %/0.05% AEROSOL 84.00$

TRAZODONE HCL 50MG TAB 9.00$

DEXTROSE ABBOJECT 50 % 50 CC I 99.00$

GLYBURIDE 5 MG TAB 21.00$

DIAMOX 250 MG TAB 9.00$

DIAMOX 500 MG INJ 241.00$

DIFLUCAN 200 MG TAB 149.00$

DIFLUCAN 100 MG TAB 92.00$

DIFLUCAN 200MG/100ML-100ML INJ 119.00$

DILANTIN KAPSEALS 100 MG CAP 3.00$

DILANTIN 250 MG INJ 161.00$

PHENYTOIN 100MG/4 ML SUS 26.00$

DILANTIN INFATAB 50 MG TAB 9.00$

HYDROMORPHINE HCL 2MG TAB 10.00$

HYDROMORPHONE HCL 2MG/ML-1ML 58.00$

DIMETAPP ELIXIR 5 CC SYRUP 10.00$

DIPRIVAN 10MG/ML-50ML 298.00$

DIPRIVAN 10MG/ML-20ML INJ 298.00$

DIPROSONE 0.05 % CREAM 129.00$

TETANUS/DIPH 5UN/2UN 0.5ML 69.00$

TETANUS/DIPH 2UN/2UN 0.5ML 77.00$

OXYBUTYNIN CHLORIDE 5 MG TAB 9.00$

DOBUTAMINE 250MG/500ML PREMIX 998.00$

DOCUSATE SODIUM 100 MG CAP 9.00$

DONNATAL TABLET 9.00$

BELLADONNA ALKALOIDS/PHENO ELI 10.00$

DOPAMINE PREMIX 1600MCG/ML SOL 373.00$

DOPRAM 20 MG/CC INJECTION 370.00$

DRISDOL 50 000 I UNITS 9.00$

BISACODYL 5 MG TAB 9.00$

BISACODYL 10MG SUP 15.00$

DYAZIDE 25-37.5 MG CAP 9.00$

ASPIRIN 325 MG TABLET 9.00$

EFFEXOR 75 MG TAB 39.00$

EFFEXOR XR 75 MG CAP 39.00$

EFFEXOR XR 37.5 MG CAP SLOW RE 39.00$

AMITRIPTYLINE HCL 10 MG TAB 9.00$



ELDEPRYL 5 MG CAP 35.00$

ENGERIX B 20MCG/1.0ML 293.00$


EPHEDRINE SULF 50MG/ML INJ 77.00$

EPINEPHRINE 1MG/ML-1ML INJ 58.00$

ERYTHROMYCIN 500 MG TAB 9.00$

ERYTHRCYN LACTOBNATE 500MG INJ 202.00$

ERYTHROCIN 200MG/5ML 100ML SUS 45.00$

ERYTHROCIN STEARATE 250 MG TAB 14.00$

ESTRACE 1 MG TABLET 8.00$

EUCERIN 1 CREAM 78.00$

EVISTA 60 MG TAB 39.00$

FERROUS SULFATE 325 MG TAB 9.00$

FERROUS SULFATE 220MG/5ML LIQ 86.00$

FERROUS S04 15MG/ML 50ML SOL 101.00$

FIORICET 325 MG-50MG-40MG TAB 9.00$

METRONIDAZOLE 250 MG TAB 21.00$

METRONIDAZOLE 500MG/100ML INJ 241.00$

FLEET ENEMA 12.00$

PHOSPHO-SODA 900MG/5ML LIQ 14.00$

CYCLOBENZAPRINE HCL 10 MG TAB 15.00$

FLOMAX 0.4 MG CAP 39.00$

FLONASE .05 MG AERO SPR 270.00$

FLORINEF ACETATE .1 MG TAB 9.00$

FOLIC ACID 1 MG TAB 15.00$

FOLVITE 5 MG/ML INJ 241.00$

FORTAZ 1 GM INJ 241.00$

FORTAZ 2 GM INJ 424.00$

FOSAMAX 10 MG TAB 34.00$

GELFOAM SPG 189.00$

GENTAMICIN 80 MG INJECTION 113.00$

GENTAMICIN SULFATE 3 MG/ML SOL 39.00$

GENTAMICIN SULFATE .001 CREAM 14.00$

GENTAK 3 MG/GM OIN 48.00$

GENTAMICIN PREMIXED 80MG 100CC 119.00$

GENTAMICIN(2ML) 80 MG VIAL INJ 114.00$

GLUCAGON 1 MG/CC INJECTION 392.00$

GLUCOPHAGE 500MG TAB 14.00$

GLUCOPHAGE 850 MG TAB 26.00$

GLIPIZIDE 5 MG TAB 9.00$

GLUCOTROL 10 MG TAB 15.00$

GLYCERIN PEDS SUPP 9.00$

GLYCERIN SUPPOSITORIES 9.00$

GRANULEX SPRAY 120 GRAMS 172.00$

GYNE-LOTRIMIN VAG. CRE 1 % CRE 131.00$

HABITROL PATCH 14 MG TOPICAL 81.00$

HABITROL PATCH 7 MG TOPICAL 14.00$

HALOPERIDOL 1 MG TAB 9.00$

HALDOL 5 MG/ML INJ 119.00$

HALDOL CONCENTRATE 2MG/ML 15ML 66.00$

HALDOL DECANOATE 50MG/ML INJ 282.00$

ASPIRIN 81 MG TAB 9.00$

HALOPERIDOL 5 MG TAB 65.00$

HEMABATE 250 MCG/ML SOL 253.00$

HEPARIN 1 000 UNITS 58.00$

HEPARIN SODIUM 5000 U/ML SOL 58.00$

HEPARIN PREMIX 25 000 U SOL 17.00$

HESPAN 6% 50CC INJ 669.00$

HYDREA 500 MG CAP 20.00$

HYDROCORTISONE 1% 30GR CREAM 90.00$

HYDROCORTISONE 0.5 % CREAM 78.00$

HYDROCHLOROTHIAZIDE 25 MG TAB 14.00$

HYDROGEN PEROX 3% 16 OZ TOP SO 17.00$

HYGROTON 25 MG TABLET 8.00$

HYTRIN 1 MG TAB 21.00$

HYTRIN 5 MG TAB 20.00$

ERYTHROMYCIN .5% 1GM OPTH OINT 34.00$

IMDUR 60 MG TAB 21.00$

IMDUR 30 MG TAB 39.00$

IMITREX 25 MG TAB 99.00$

LOPERAMIDE HCL 2 MG CAP 15.00$

LOPERAMIDE HCL 1MG/5ML LIQ SOL 10.00$

AZATHIOPRINE 50 MG TAB 15.00$

PROPRANOLOL HCL 10 MG TAB 9.00$

INDERAL 20 MG TAB 9.00$

INDERAL 1 MG/CC INJECTION 96.00$

INDIGO CARMINE 8 MG/CC 5 INJ 155.00$

INDOMETHACIN 25 MG CAP 15.00$

INSULIN 70/30 100U/ML INJ 58.00$

INSULIN HUMULIN-NPH 100 U/CC 241.00$

NOVOLIN R 100U/ML-10ML INJ 241.00$

INTRALIPID 10% 500CC INJ 184.00$

ISONIAZID 300 MG TAB 9.00$

ISOSORBIDE DINITRATE 5 MG TAB 9.00$

ISOSORBIDE DINITRATE 10 MG TAB 9.00$

POT CHL 20MEQ TAB ER 9.00$

KCL 10MEQ TAB ER 9.00$

KAOLIN/PECTIN 5.8GM/30ML SUS 35.00$

KAYEXALATE 15 GM/60 ML SUS 100.00$

POT CHL 2MEQ/ML 30 ML INJ 99.00$

POT CHL 20MEQ/15ML ORAL LIQUID 41.00$

KCL 40MEQ/15ML-15ML ELEXI SOL 14.00$

CEPHALEXIN 250 MG CAP 21.00$

CEPHALEXIN 500 MG CAP 33.00$

KEFLEX SUSP. 250 MG/5 C SUSPEN 305.00$

KEFUROX/ZINACEF 750 MG INJ 202.00$

CEFAZOLIN SODIUM 1 GM INJ 174.00$

TRIAMCIN-A 40MG/ML INJ 161.00$

TRIAMCIN-A .1% 80GR OIN 14.00$

KETOROLAC 10MG ORAL TAB 14.00$

CLONAZEPAM 1.0 MG TAB 10.00$

LAC-HYDRIN 0.12 LOTION 184.00$

LACTATED RINGER'S 1000 CC SOL 145.00$

LACTINEX GRANULES N/A POWDER 15.00$

LAMICTAL 100 MG TAB 39.00$

LAMICTAL 25 MG TAB 39.00$

LAMISIL 250 MG TAB 52.00$

LAMISIL 1 % CREAM 174.00$

DIGOXIN .25 MG TAB 14.00$

DIGOXIN .25 MG/ML INJ SOL 17.00$

FUROSEMIDE 20 MG TAB 9.00$

FUROSEMIDE 40 MG TAB 9.00$

LASIX 100 MG INJECTION 161.00$

FUROSEMIDE 10 MG/ML INJ SOL 77.00$

LASIX 40 MG INJECTION 99.00$

FUROSEMIDE 40 MG/5 ML ELIX SOL 10.00$

LEVAQUIN 500 MG TAB 63.00$

LEVAQUIN PRE 250 MG INJ 296.00$

LEVAQUIN INJECTION PRE 500 MG 347.00$

LEVOPHED BITARTRATE 1MG/ML INJ 140.00$

LEVSIN 0.125 MG TAB 9.00$

CHLORDIAZEPOXIDE HCL 10 MG CAP 9.00$

CHLORDIAZEPOXIDE HCL 25 MG CAP 15.00$

FLUOCINONIDE .05% 15GM CREAM 139.00$

DEXTROSE/LIDO 5%-0.4% 500ML 233.00$

BACLOFEN 10 MG TABLET 15.00$

LIPITOR 10MG TAB 37.00$

LITHIUM CARBONATE 300 MG CAPS 9.00$

LITHIUM CARBONATE 300 MG TAB 9.00$

LOMOTIL 2.5 MG TAB 9.00$

LONITEN 10 MG TAB 21.00$

GEMFIBROZIL 600 MG TAB 26.00$

METOPROLOL TARTRATE 50 MG TAB 9.00$

LOPRESSOR 5MG INJ 99.00$

LOTENSIN 20 MG TAB 21.00$

LOTENSIN 10MG TAB 21.00$

LOTENSIN 5MG TAB 21.00$

CLOTRIMAZOLE .01 15 GM CREAM 107.00$

LOTRISONE .05%-1% CREAM 298.00$

LOVENOX 30MG INJECTION 298.00$

LOVENOX 40 MG/0.4ML INJ 296.00$

LOVENOX 80 MG INJECTION 296.00$

LOVENOX 60 MG/0.6 ML INJ 322.00$

LOXITANE 25 MG CAP 17.00$

LUVOX 50 MG TAB 33.00$

MAALOX PLUS(30 CC) SUS 15.00$

MACROBID 100 MG CAP 33.00$

MACRODANTIN 50 MG CAP 9.00$

MAG-OX 400 MG TAB 9.00$

MAG CITRATE 296 10 OZ ELIX SOL 14.00$

MAGNESIUM SULFATE 2 GM INJ 58.00$

MAGNESIUM SULF 4GR/100ML INJ 17.00$

MAGNESIUM SULFATE 50%/1GM/2C I 58.00$

MAGNESIUM SUL 40GM/1000ML SOL 48.00$

MANNITOL 25% 50ML INJ 99.00$

MANNITOL 20 % 500 ML INJ 411.00$

MARCAINE 1/2% 30 CC INJ 140.00$

SENSORCAINE-MPF .75% SOL 161.00$

MARCAINE HCL WITH EPI 0.5% INJ 162.00$

MAXIPIME 1 GM INJ 83.00$

MAXIPIME 2 GM INJ 167.00$

NEO/POLY/DEXA OPTH 1(5CC) SUS 143.00$

MEDROL 4 MG TABLET 14.00$

MEFOXIN 1 GRAM INJECTION 242.00$

MEFOXIN 2 GM INJ 266.00$

MEGACE 40 MG TAB 15.00$

MEGACE 40MG/ML SUS 369.00$

THIORIDAZINE HCL 10 MG TAB 9.00$

THIORIDAZINE HCL 25 MG TABLET 9.00$



MESTINON 60 MG TAB 9.00$

METAMUCIL SMOOTH TEXT 3.4GM/DO 9.00$

METHADONE HCL 10MG TAB 10.00$

METHERGINE 0.2 MG TAB 9.00$

METHERGINE 0.2 MG/ML INJ 77.00$

METHOTREXATE 2.5 MG TABLET 20.00$

METHYLENE BLUE 10MG/ML INJ SOL 75.00$

METROGEL VAGINAL .75% GEL 153.00$

MOM 400 MG/5 ML (30CC)SUSP 15.00$

MINERAL OIL STERILE 10 CC 69.00$

PRAZOSIN HCL 1 MG CAP 9.00$

MIRAPEX 0.125 MG TAB 21.00$

MICONAZOLE NITRATE 2% 30GM CRE 167.00$

MONISTAT 3 200 MG SUP 207.00$

ASTRAMORPH PF .5MG/ML-10ML 58.00$

MORPHINE 2MG/ML INJ 58.00$

IBUPROFEN 200 MG TAB 9.00$




MOTRIN 100 MG/5 ML 4 OZ SUS 33.00$

MS CONTIN 15 MG TAB 22.00$

ACETYLCYSTEINE 20% 4ML 90.00$


MVI ONE VIAL INJ 99.00$

MYCELEX TROCHE 10 MG LOZENGE 20.00$

NEOMYCIN SULF 500 MG TAB 14.00$

NYSTOP 100 000 U/GM POWDER 143.00$

NYSTATIN 100 000U/ML (5CC) SUS 14.00$

NYSTATIN 100 000 U/GM CREAM 14.00$

EQUILZR GAS RELIE 40MG/.6ML SU 142.00$

SIMETHICONE 80MG TAB 9.00$

MYSOLINE 250 MG TAB 9.00$

NAFCILLIN SODIUM 2 GM INJ 241.00$

NAPHAZOLINE .10%(15CC)DROP SOL 184.00$

NAPROSYN 250 MG TAB 15.00$

NAPROXEN 500 MG TABLET 20.00$

NARCAN 1 MG/ML INJ 298.00$

NAVANE 1 MG CAP 14.00$

THIOTHIXENE 2 MG CAP 9.00$

THIOTHIXENE 5 MG CAP 15.00$

TOBRAMYCIN 40MG/ML-2ML INJ 17.00$

PHENYLEPHRINE HCL 10MG/ML INJ 99.00$

NEO-SYNEPHRINE 1/2 % 15 C DROP 80.00$

NEORAL 100 MG CAPSULE 43.00$

NEORAL 25 MG CAPSULE 39.00$

NEPHRO VITE RX TAB 9.00$

NEUPOGEN 300 MCG INJECTION 1,981.00$

NEURONTIN 100MG CAP 15.00$

NEURONTIN 300 MG CAP 31.00$

NEURONTIN 600 MG TAB 39.00$

NEUTRA-PHOS (250 MG) PDR 15.00$

NITROPRESS 25MG/ML INJ SOL 233.00$

NITRO-BID 1.0GM OINT 9.00$

NITRO 50MG/250ML PREMIX INJ 252.00$

NITROQUICK .4 MG TAB 26.00$

NIZORAL 200 MG TAB 25.00$

NIZORAL 2% 15 GM CREAM 184.00$

NIZORAL 2% SHAMPOO 177.00$

NOLVADEX 10 MG TAB 26.00$

NORCURON N/A INJ 241.00$

NORMAL SALINE ADD-VANT 50 CC 72.00$

NS 0.9% 3000ML SOL 120.00$

NS 0.9% MINI-PLUS 100ML 120.00$

DESIPRAMINE HCL 50 MG TAB 15.00$

NORVASC 5MG TAB 33.00$

NORVASC 10 MG TAB 36.00$

NYSTATIN/TRIAMCINOLONE 15GM CR 14.00$

OSCAL 250+D 250 MG-125 IU TAB 9.00$

OSCAL-500 500 MG TAB 9.00$

NORTRIPTYLINE HCL 10 MG CAP 14.00$

NORTRIPTYLINE HCL 25 MG CAP 14.00$

PANCREALIPASE 4K-12K-12K 9.00$

PAPAVERINE 60 MG/2 ML INJ 114.00$

PARLODEL 2.5 MG TAB 21.00$

PANCURONIUM BROMIDE 2MG/ML INJ 161.00$

PAXIL 20 MG TAB 36.00$

PAXIL 10 MG TAB 39.00$

PEDIAPRED 5 MG/5 ML LIQUID 15.00$

PEDIAZOLE 200MG-600MG/5ML SUS 184.00$

PEN-VEE K 250 MG TAB 9.00$

PEN-VEE K 500 MG TAB 9.00$

PENICILLIN GK 5 MIL UNIT INJ 125.00$

PEPCID 20 MG TAB 26.00$

PEPCID 20 MG/ 2C INJECTION 161.00$

CYPROHEPTADINE HYDROCHL 4MG TA 9.00$

PHENERGAN 25 MG TAB 14.00$

PROMETHAZINE HCL 25MG/ML INJ 58.00$

PROMETHAZINE HCL 50MG/ML INJ 58.00$

PHENERGAN 12.5 MG SUP 21.00$

PHENERGAN 25 MG SUP 21.00$

PROMETHAZINE 6.25MG/5ML SYR 11.00$

CODEINE/PROMETHZNE 10MG/5ML SY 10.00$

PHENOBARBITAL 100 MG TAB 10.00$

PHENOBARBITAL 30 MG TAB 10.00$

PHENOBARBITAL SODI 65MG/ML INJ 75.00$

PHENOBARBITAL 20MG/5ML ELIXIR 11.00$

PHENYTOIN 50 MG/ML INJ 17.00$

PHOSLO 667 MG TAB 9.00$

PILOCAR OPTH 1 % 15ML DROPS 376.00$

PITOCIN 10 UNITS/C INJECTION 58.00$

VASOPRESSIN 20U/ML INJ SOL 230.00$

HYDROXYCHLQUINE SULF 200MG TAB 15.00$

PLAVIX 75 MG TAB 39.00$

PLENDIL 5MG TAB 26.00$

PLETAL 100 MG TAB 26.00$

POLY-VI-SOL(5ML) ELIXIR 11.00$

POLYMYXIN 500 000 UNITS INJ 161.00$

POLYSPORIN 500U/GM(15 GM) OIN 50.00$

POLYSPORIN 500 U/GM (10GM) POW 97.00$

POLYTRIM 10 000U/ML(10CC) DROP 184.00$

POTASSIUM PHOSPHATE 15 MM INJ 58.00$

PRANDIN 1 MG TAB 21.00$

PREDNISOLONE ACE 1% OPHT 1ML 121.00$

PREDNISOLONE 5 MG TAB 9.00$

PREDNISONE 10 MG TAB 9.00$



PRELONE 15 MG/5 ML SYRUP 26.00$

PREMARIN 0.3 MG TAB 9.00$



PREPARATION H NA OINTMENT 56.00$

PRINIVIL(ZESTRIL) 5MG TAB 21.00$



PROCARDIA XL 30MG TAB SLOW REL 33.00$

PROCARDIA XL 60MG TAB SLOW REL 36.00$

NIFEDIPINE ER 90MG TAB SLW REL 36.00$

NIFEDIPINE(PROCARDIA) 10MG CAP 9.00$

PROCRIT/EPOGEN 3 000 UN/ML INJ 392.00$

PROCRIT/EPOGEN 10 000 UNITS 701.00$



PROGESTERONE IN OIL 50MG INJ 114.00$

FLUPHENAZINE HCL 1 MG TAB 15.00$


PROLIXIN D SYRINGE 25 MG INJ 233.00$

PRONESTYL 100 MG/CC INJECTION 233.00$

PROPYLTHIOURACIL 50 MG TABLET 9.00$

PROSCAR 5 MG TAB 35.00$

NEOSTIGMINE 1MG/ML INJ 58.00$

PROTAMINE 50MG/5ML INJ 135.00$

FLAGYL(PROTOSTAT) 500 MG TAB 15.00$

VOSPIRE(PROVENTIL) 4MG TAB 15.00$

ALBUTEROL .083% 3ML 33.00$

ALBUTEROL(PROVENTIL)2 MG TAB 15.00$

ALBUTEROL SULFATE 2 MG/5ML SYR 14.00$

MEDROXYPROGESTERONE 2.5 MG TAB 9.00$

PROZAC 10 MG CAP 36.00$

PROZAC 20 MG CAP 20.00$

PURINETHOL 50 MG TABLET 33.00$

PYRAZINAMIDE 500 MG TAB 15.00$

PYRIDIUM 100 MG TABLET 9.00$

PHENAZOPYRIDINE HCL 200 MG TAB 15.00$

QUESTRAN LIGHT 4GM/5GM POWDER 37.00$

REGITINE 5 MG/CC INJECTION 322.00$

METOCLOPRAMIDE HCL 10 MG TAB 9.00$

METOCLOPRAMIDE HCL 5MG/ML INJ 99.00$

METOCLOPRAMIDE 10MG/10ML SYRUP 21.00$

REMERON 30 MG TAB 39.00$

TEMAZEPAM(RESTORIL)15 MG CAP 10.00$

TEMAZEPAM(RESTORIL)30 MG CAP 10.00$

REVIA 50 MG TABLET 35.00$

RIFAMPIN(RIMACTANE)300 MG CAP 26.00$

RISPERDAL 1 MG TAB 36.00$


RISPERDAL 1MG/ ML SOLUTION 14.00$


RISPERDAL 0.5 MG TAB 39.00$

RITALIN 10 MG TABLET 10.00$

METHOCARBAMOL(ROBXIN)500MG TAB 9.00$

METHOCARBAMOL(ROBAXN)750MG TAB 15.00$

ROBINUL 1 MG TAB 9.00$

ROBINUL 0.2 MG/ML INJECTION 58.00$

GUAIFENESIN 200MG/10ML LIQ 10.00$

DXTRMETHRPHN/GUAIFENES 10MG SY 11.00$

ROCALTROL 0.25 MCG CAP 33.00$

ROCEPHIN 250 MG INJ 221.00$

ROCEPHIN 500 MG INJ 298.00$

ROCEPHIN VIAL 2 GRAM INJ 719.00$

ROCEPHIN VIAL 1 GM INJ 428.00$

ROMAZICON 0.1MG/ML 5 ML INJ 287.00$

SANDOSTATIN 100 MCG/ML INJ 345.00$

SELENIUM SULFIDE .025 4 OZ LOT 34.00$

SENNA CONCENTRATE 8.6 MG TAB 4.00$

BUPIVACAINE MPF 0.5% 10ML INJ 135.00$

SENSORCAINE MPF W/EPIN .25% SO 155.00$

SENSORCAINE-MPF .75%(SPINL)SOL 174.00$

SMZ TMP 80MG-16MG/10ML INJ 161.00$



SILVADENE .01 (20 GM) CREAM 136.00$

SINEMET 10 MG-100 MG TAB 9.00$

CARBIDOPA/LEVODPA 25/100MG TAB 15.00$

SINEMET 25 MG-250 MG TAB 15.00$

DOXEPIN HCL 10 MG CAP 9.00$



SINGULAIR 10 MG TAB 39.00$

KCL 8MEQ TAB ER 9.00$

SODIUM ACETATE 2ML 40MEQ INJ 119.00$

NS 23.4% 120MEQ/30ML SOL 17.00$

NS 0.45% 1000ML SOL 147.00$

NS 0.9% 1000ML SOL 17.00$

NS 0.45% 500ML SOL 65.00$

NS 3.0% 500ML SOL 76.00$

SODIUM SULAMYD .1 (15C DRP)SOL 138.00$

SOLU-CORTEF(A HYDROCO)100MG IN 119.00$

SOLU-MEDROL(AMETHAPR)40MG INJ 140.00$

TRIFLUOPERAZINE HCL 1MG TAB 9.00$

TRIFLUOPERAZINE HCL 5 MG TAB 9.00$

WATER FOR INJECTION SOL 132.00$

FENTANYL CITRATE .05MG/ML-2ML 111.00$

PSEUDOEPHEDRINE HCL 30 MG TAB 9.00$

AMANTADINE HCL 100 MG CAP 15.00$

LEVOTHYROXINE SODI .025MG TAB 9.00$

LEVOTHROID .05 MG TAB 9.00$

LEVOXYL .1 MG TAB 9.00$

LEVOTHROID .125 MG TABLET 9.00$

SYNTHROID 0.15 MG TABLET 9.00$

LEVOTHROID .2 MG TABLET 9.00$

LEVOTHYROXINE SODI 200 MCG INJ 589.00$

SYNTHROID 0.075 MG TAB 9.00$

TAMBOCOR 100 MG TAB 21.00$

TAPAZOLE 5MG TAB 9.00$

TEGRETOL 100 MG TAB 9.00$

TEGRETOL 200 MG TAB 9.00$

TEGRETOL 100 MG/5 ML SUSP 10.00$

ATENOLOL(TENORMIN) 50 MG TAB 26.00$

BENZONATATE 100 MG CAP 9.00$

TETANUS TOXOID 5UN 0.5ML 77.00$

TETRACAINE 0.5% 15ML OPHT DROP 65.00$

TETRACYCLINE HCL 250MG CAP 9.00$

THEO-24 300MG TAB SLW REL 9.00$

THEODUR 100MG TAB SLW REL 9.00$

THEODUR 200MG TAB SLW REL 9.00$

THEOPHYLLIN 80MG/15ML(30CC)ELI 68.00$

THERAPEUTIC W/MINERALS TAB 4.00$

VITAMIN B1 100 MG TAB 9.00$

THIAMINE 100 MG INJECTION 58.00$

CHLORPROMAZINE HCL 10 MG TAB 9.00$



CHLORPROMAZINE HCL 50MG TAB 9.00$

CHLORPROMAZINE HCL 25MG/ML INJ 140.00$

THROMBINAR 5 000 U TOPICAL 288.00$

TRIMETHOBENZAMDE HCL 200MG/2ML 119.00$

TNKASE 50 MG INJ 9,360.00$

TOBRADEX 2.5ML OPHTHALMIC 177.00$

TOBREX OPTHALMIC DROPS 0.3 % D 14.00$

IMIPRAMNE HCL(TOFRNL)10 MG TAB 9.00$

IMIPRAMINE HCL 25 MG TAB 9.00$

TOPAMAX 25 MG TAB 39.00$

TOPAMAX 100 MG TAB 39.00$

TOPROL XL 50MG TAB SLW REL 15.00$

TORADOL TUBEX 60MG INJ 202.00$

TORADOL VIAL 30MG INJ 180.00$

TRACE ELEMENTS 1 VIAL INJ 99.00$

ATRACURIUM 10MG/ML INJ 202.00$

LABETALOL HCL 100 MG TAB 15.00$

LABETALOL HCL 200 MG TAB 15.00$

LABETALOL HCL 5MG/ML-20ML INJ 252.00$

NITROGLYCERIN TRANSDERMAL .1MG 25.00$

NITROGLYCERIN .2MG/HR TOPICAL 25.00$

NITRO DUR .4MG/HR TOPICAL 26.00$

TRENTAL 400 MG TAB 15.00$

TRIAMCIN-A .1% 15GR CRE 107.00$

TRICOR 54MG TAB 26.00$

PERPHENAZINE 4 MG TAB 9.00$

TRIPLE DYE(TOPICAL) SOL 14.00$

TRUSOPT 2% DROPS 10ML 61.00$

TUMS (CA CARBONATE) 500 MG TAB 9.00$

TYLENOL 325MG TAB 3.00$

TYLENOL 80MG/.8ML DROPS INFANT 9.00$

ACETAMIN 160MG/5ML ELIX 10.00$

TYLENOL XT 500MG TAB 9.00$

ACETAMIN 120MG SUP INFANT 15.00$

ACETAMIN 325MG SUP 15.00$

ACETAMIN 650MG SUP 15.00$

ACETAMIN/COD (120-12MG)/5ML 10.00$

TYLENOL/COD #3 300-30MG TAB 10.00$

ULTRAM 50 MG TAB 20.00$

UNASYN 1GM-.5GM INJ 202.00$

BETHANECHOL CHLORIDE 10 MG TAB 9.00$

BETHANECHOL CHLORIDE 25 MG TAB 9.00$

DIAZEPAM(VALIUM) 5 MG TAB 9.00$

DIAZEPAM(VALIUM) 5MG/ML INJ 140.00$

VANCOCIN 1 GRAM INJECTION 608.00$

VANCOMYCIN HCL 500MG INJ 325.00$

PETROLATUM(30GM) GEL OIN 14.00$

VASOTEC 10 MG TAB 21.00$

VASOTEC 5 MG TAB 21.00$

DOXYCYCLINE HYCLATE 100 MG CAP 39.00$

HYDROCOD/APAP(VICODIN)750MGTAB 15.00$

HYDROCOD/APAP2/500MG(VICOD)TAB 10.00$

HYDROXYZINE PAMOATE 25 MG CAP 15.00$

HYDROXYZINE PAMOATE 50 MG CAP 15.00$

HYDROXYZINE HCL 50MG/ML INJ 99.00$

VITAMIN B12 1000MCG INJ 17.00$

VITAMIN B12 1000MCG TAB 17.00$

VITAMIN B6 50MG TAB 14.00$

VITAMIN C 500 MG TAB 9.00$

VITAMIN E 400IU CAP 6.00$

VOLTAREN 75 MG TABLET 26.00$

VOLTAREN .001 (DROP) SOL 153.00$

WATER FOR INJ 20 CC INJ 17.00$

WELLBUTRIN 100 MG TABLET 15.00$

WELLBUTRIN 75 MG TAB 15.00$

WELLBUTRIN SR 100MG TAB SLW RE 33.00$

WELLBUTRIN SR 150MG TAB SLW RE 37.00$

ALPRAZOLAM .25 MG TAB 9.00$

ALPRAZOLAM .5MG TAB 9.00$

ALPRAZOLAM 1 MG TAB 9.00$

LIDOCAINE 1% 20ML SOL IV 161.00$

LIDOCAINE 5% 35GR OIN TP 89.00$

LIDOCAINE 2% 10ML GEL TP 123.00$

LIDOCAINE 2% 20ML SOL MM 11.00$

LIDOCAINE-EP 1:100K-1% 20ML 179.00$

XYLOCAINE/MPF/2% EPI 1:200 000 107.00$

ZAROXOLYN 5 MG TAB 9.00$

ZEMURON 10 MG/ML INJECTION 298.00$

ZINC OXIDE(30 GM) OIN 22.00$

ZINC SULFATE 220 MG CAP 9.00$

ZITHROMAX 250MG CAP 64.00$

ZITHROMAX 500 MG INJECTION 130.00$

ZITHROMAX 200MG/5ML SUSP 184.00$

ZOLOFT 100 MG TAB 36.00$

ZOLOFT 50 MG TAB 36.00$

ZOSYN 3/.375GM INJ 107.00$

ZOSYN 4/.5GM INJECTION 106.00$

ZOVIRAX 800MG TABLET 39.00$

ZOVIRAX 200 MG CAP 21.00$

ACYCLOVIR SODIUM 500 MG INJ 584.00$

ALLOPURINOL 100 MG TAB 9.00$

ZYPREXA 10 MG TAB 64.00$

ZYPREXA 5 MG TAB 45.00$

ZYPREXA 2.5 MG TAB 39.00$

ATENOLOL 25 MG TAB 26.00$

DAKINS SOLUTION 0.25% 16OZ 196.00$

DAKINS 0.5% 189.00$

COZAAR 50MG TAB 31.00$

DOCUSATE NA 250 MG CAP 9.00$

PERCOCET 325MG-5MG TAB 10.00$

DETROL 2 MG TAB 33.00$

POT CHL 20MEQ/100ML-100ML INJ 96.00$

SOLU-MEDROL 125 MG INJ 241.00$

ACTOS 15 MG TAB 26.00$


RENAGEL 800 MG CAP 15.00$

POLI-GRIP 15.00$

FORANE .999(INHALATION) LIQ 362.00$

RYTHMOL 150MG TAB 21.00$

DEXTROMETHORPHAN/PROMETHAZ 15M 84.00$

SODIUM PHOSPHATE 3MMOLE/ML SOL 119.00$

SORBITOL 70% (30ML) SOL 79.00$

DEXTROSE 50% 50ML 99.00$

RETROVIR 100MG UD CAP 35.00$

EPIVIR 150MG TAB 42.00$

SUSTIVA 200MG CAP 39.00$

MAG SULFATE 2GM PREMX INJ 33.00$

NS+KCL 0.9% 20MEQ/1000ML SOL 286.00$

NS 0.9% 500ML SOL 46.00$

NEUPOGEN 480 MCG/1.6 ML SOL 2,531.00$

SODIUM BIC 8.4% 10ML SYR 241.00$

PRECOSE 50MG TAB 14.00$

ELIMITE/PERMETHRIN 5% CREAM 184.00$

VERSED 2MG/1ML-1ML INJ 119.00$

NS 0.9% 250ML SOL 32.00$

MORPHINE SULFATE 5MG/ML-1ML 58.00$

ZYVOX (PREMIX) 411.00$

CERVIDIL .3MG/HR 1,659.00$

POTASSIUM ACETATE 2MEQ/ML INJ 58.00$

NS 1GM SALT TAB 9.00$

PROAMATINE 5MG TAB 39.00$

CLONAZEPAM 2MG TAB 25.00$

OCEAN(NASAL SPRY) 0.65% SOL 33.00$

CASODEX 50 MG TAB 72.00$

ZERIT 20 MG CAP 41.00$

VIRACEPT 250 MG TAB 37.00$

NUTRILYTE(20 ML) SOL 39.00$

WATER FOR IRRIGATION SOL 83.00$

UNASYN 2 GM-1 GM INJ 241.00$

REQUIP 0.5 MG TAB 15.00$

HIBICLENS .04 LIQ 56.00$

CARNITOR 330MG TAB 20.00$

ENALAPRRILAT 2.5MG/2ML-1ML INJ 50.00$

FLOXIN 0.3% 5 ML SOL 305.00$

CLINDAMYCIN PHOSPH 150MG/ML SO 68.00$

LEVEMIR 100U/ML SOL 33.00$

ACETIC ACID 0.25% IRR 1000ML 196.00$

CALMOSEPTINE (4 OZ) OIN 33.00$

NICODERM CQ 21MG/24HR PATCH 32.00$

MESALAMINE 400MG CAP 21.00$

D5W-1/2NS+KCL 10MEQ 5%-.075SOL 86.00$

ZYVOX 600 MG TAB 468.00$

HYDROXYZINE HCL 25MG/ML 33.00$

KETAMINE HCL 50MG/ML (VIAL)SOL 68.00$

SUPRANE (DOSE 15MIN) 0.99 LIQ 132.00$

AGGRENOX 25MG-200MG TAB 21.00$

DEPAKOTE 125 MG CAP 21.00$

REMERON 15 MG TAB 25.00$

PROCRIT (EPOGEN)20 000U/ML SOL 2,267.00$

PROCRIT/EPOGEN 40 000U/ML INJ 2,267.00$

BUPIVACAINE HCI MPF INJ .25% 64.00$

ASPRIN 81MG CHILDREN CHEWABLE 11.00$

ROWASA EMEMA 4GM/60ML SUSP 112.00$

DOPAMINE PREMIX 800MG INJ 250.00$

SANDOSTATIN 500 MCG/ML INJ 639.00$

DESMOPRESSIN 4MCG/ML INJ 219.00$

LIDOCAINE-EP 1:200K.5% 50ML 656.00$


POT CHL RIDER 10MEQ/100ML INJ 161.00$

PROTONIX 40MG IV INJ 219.00$

LOVENOX 100MG SYRINGE 537.00$

D5W-1/2NS+KCL 30MEQ 5%-.22%SOL 61.00$

PRIMIDONE 50MG TAB 21.00$

VITAMIN B12 100 MCG TAB 11.00$

LEVOTHYROXINE .137MG TAB 21.00$

LITHIUM CARBNATE 150MG CAP 11.00$

COREG 25 MG TAB 22.00$

CHLORAL HYDRATE 500MG/5ML SYR 33.00$

DEXTROSE 10% (1000ML) SOL 77.00$

SPECTAZOLE 1% (15 GM) CREAM 139.00$

VITAMIN A 10 000 IU CAP 11.00$

OCUFLOX .003 (5ML OPHTH) SOL 294.00$

ALBUTEROL .09 MG/ACTUAT ARO 219.00$

HEPARIN LOCK FLUSH 100 U/ML SO 33.00$

D5W-1/2NS+KCL 40 MEQ 5%-.3%SOL 61.00$

VANCOMYCIN 10GM 211.00$

NEURONTIN 400MG CAP 22.00$

PRENATAL S TABLET 30.00$

MEPHYTON 5MG TAB 22.00$

KEPPRA 500 MG TAB 22.00$

PROGRAF 5MG/1ML INJ 1,010.00$

STARLIX 60MG TAB 21.00$

GEODON 20 MG CAP 45.00$

NIX CREME RINSE 1% 2OZ 69.00$



HYDROCORTISONE 1% 30GR OINT 28.00$

COMBIVIR 150MG-300MG TAB 80.00$

PROCTOCREAM HC 2.5% CRE 26.00$

RACEPINEPHRINE INHA 2.25% SOL 53.00$

DEPAKOTE XR 500MG TAB 18.00$

VITAMIN D 400 IU CAPS 8.00$

FOSAMEX 70MG TAB 122.00$

OYSTER SHELL CALCIUM 250MG TAB 8.00$

ULTANE 1,366.00$

TRILEPTAL 150MG TAB 17.00$

LEXAPRO 10 MG TAB 318.00$


INVANZ 1 GM (IM/IV) INJ 85.00$

XOPENEX 1.2MG/3ML (INHALE) SOL 12.00$

DIABETICSOURCE AC 1500ML 165.00$

FIBERSOURCE HN 1500ML 99.00$

NOVASOURCE PULM 1500ML 171.00$

NOVASOURCE RENAL 1000ML 187.00$

ISOSOURCE 1.5 CAL 1500ML 83.00$

ISOSOURCE STD 1500ML 72.00$

ISOSOURCE VHN 1500ML 83.00$

ISOSOURCE HN 1500ML 72.00$

ISOSOURCE HN 250ML 17.00$

NOVASOURCE PULM 8 OZ 22.00$

FIBERSOURCE HN 250ML 17.00$

DIABETICSOURCE AC 250ML 28.00$

NOVASOURCE RENAL 8 OZ 33.00$

ABILIFY 5 MG TAB 91.00$

AMINOCAPROIC ACID 250MG/ML SOL 14.00$

CELLCEPT 250 MG CAP 171.00$


CYMBALTA 30 MG TAB 20.00$

DIGOXIN .125 MG TAB 2.00$

DIOVAN 320 MG TAB 11.00$

FERRLECIT 62.5 MG/5ML SOL 146.00$

GENTAMICIN PREMIX 100MG/100ML 26.00$

HYDROCORTISONE 1% 1.5GR CREAM 3.00$

LOVENOX 150MG/ML 261.00$

METOPROLOL TARTRATE 25 MG TAB 1.00$

NAMENDA 5 MG TAB 12.00$

NIACIN 500MG TAB 6.00$

REYATAZ 150MG CAP 83.00$

TIMOLOL MALEATE 0.5% 15ML SOL 20.00$

TOPROL XL 25 MG TAB 4.00$

TRIAMCIN-A .025% 80GR OIN 28.00$

TUCKS 25.00$

ZOVIRAX 400MG TAB 627.00$


ABILIFY 15MG TAB 189.00$

ALBUMIN-5% 250ML INJ 226.00$

ARIMIDEX 1 MG TAB 48.00$

AZITHROMYCIN 100MG/5ML 33.00$

CALAN SR 180 MG TAB 12.00$

CANASA 1000 MG SUP 62.00$

CATHFLO ACTIVASE 2MG 378.00$

CLOZAPINE 50MG TAB 10.00$

COLY-MYCIN 150MG/2ML INJ 628.00$

COMTAN 200 MG TAB 17.00$

CYMBALTA 60 MG 25.00$

DESMOPRESSIN ACETATE .01MG SPR 158.00$

DICYCLOMINE 10 MG CAP 6.00$

DIPHENHYDRAMINE HCL .02 CREAM 22.00$

EMTRIVA 200 MG CAP 64.00$

FISH OIL 1000 MG CAP 6.00$


FOSAMAX 35 MG TAB 121.00$

HYDROCORTISONE 1 OZ 2.5% CREAM 10.00$

HYDROMORPHONE HCL 4MG/ML-1ML 117.00$

ISENTRESS 400 MG TAB 89.00$

ISOVUE-300 .61 50ML INJ 317.00$

KALETRA 200 MG-50 MG TAB 65.00$

LEVOTHROID 0.112 MG TAB 6.00$

LEVOXYL .088 MG TAB 6.00$

LEXAPRO 20 MG TAB 17.00$

LEXIVA 700 MG TAB 62.00$

MAXZIDE 50 MG-75 MG TAB 2.00$

MEPRON 750 MG/5ML SUS 103.00$

MINOXIDIL 2.5 MG TAB 6.00$

MOBIC 7.5 MG TAB 19.00$

MYCOBUTIN 150 MG CAP 9.00$

NAPHCON-A .025%-.3% SOL 45.00$

NIACIN 500MG ER TAB 6.00$

NIMBEX 2 MG/ML SOL 58.00$

NORVIR 100 MG CAP 57.00$

NS 0.9% 10ML SOL 11.00$

NS+KCL 0.45% 20MEQ/1000ML SOL 132.00$

RAZADYNE 4 MG TAB 19.00$

RIFAMPIN 600 MG PDS 766.00$

SENSIPAR 30 MG TAB 68.00$

SODIUM BICARBNATE 650MG TAB 6.00$

SULFASALAZINE 500 MG TAB 6.00$

SURVANTA 25MG/ML SUS 2,528.00$

TAMIFLU 75 MG CAP 45.00$

TENEX 1 MG TAB 15.00$

TRICOR 48 MG TAB 7.00$

TRIZIVIR 300MG-150MG TAB 113.00$

TRUVADA 200 MG-300MG TAB 163.00$

VALTREX 500 MG TAB 32.00$

VITAMIN K1 1MG/.5ML SOL 20.00$

XOPENEX 1.25MG/0.5ML INH 18.00$


ZIAGEN 300 MG TAB 44.00$

ZONISAMIDE 100 MG CAP 12.00$

ZYPREXA ZYDIS 10 MG TAB 72.00$

ZYPREXA ZYDIS 5MG TAB 72.00$

ABILIFY 9.75 MG IM 81.00$

CYMBALTA 20 MG CAP 23.00$

FLUPHENAZINE INJ 2.5MG/ML 10M 448.00$

GEODON 20MG/ML IM 8.00$

GEODON 60MG CAP 44.00$

ZYPREXA ZYDIS 15MG TAB 127.00$

AMPHOTERICIN B 50MG INJ 64.00$


DOXYCYCLINE HYCLATE 100 MG INJ 779.00$

PRIMAQUINE PHOSPH 26.3MG TAB 7.00$

DARAPRIM 25 MG TAB 6.00$

DAPSONE 25 MG TAB 6.00$

MYAMBUTOL 400 MG TAB 12.00$


LIPOSYN III - 10%-10% EMU INJ 193.00$

COLOCORT 100MG/60ML ENEMA 67.00$

TUBERCULIN 5 TU/0.1 ML INJ 17.00$

HYPERHEP B S/D .5 ML INJ 416.00$

CORTEF 5 MG TAB 6.00$

AVODART 0.5 MG CAP 15.00$

PEDIA LYTE ORAL SOL 17.00$

EFFEXOR 37.5 MG TAB 6.00$

TRAZODONE HCL 100MG TAB 6.00$

NAVANE 10 MG TAB 9.00$

EXELON 3 MG TAB 18.00$

LEVAQUIN 750MG PREMIX 5MG/MLSO 320.00$

VIREAD 300MG TAB 96.00$

COSOPT OCUMETER 2%-.5% SOL 259.00$

LACTINEX TAB 6.00$

VIRAMUNE 200 MG TAB 41.00$

EPZICOM 600MG-300MG TAB 151.00$

AMPICILLIN 250 MG CAP 6.00$

MIRAPEX .25 MG TAB 11.00$

JANUVIA 50MG TAB 32.00$

AZACTAM 1 GM INJ 168.00$

NOVOLOG 70/30 100U/ML 61.00$

PERPHENAZINE 2 MG TAB 6.00$

ATROPINE SULFATE 1MG/ML SOL 6.00$

REQUIP 1MG TAB 11.00$


AKWA TEARS OIN 21.00$

AMPICILLIN SODIUM 2 GM INJ 111.00$

NUBAIN 10MG/ML INJ 11.00$

NEOSPORIN G.U. IRRIGANT 40MG/M 102.00$

COLLAGENASE 250 U/1 GM OIN 14.00$

HYDROCORTISONE 10 MG TAB 6.00$

BICILLIN L-A - 2.4 MU 600 000U 550.00$

OMEPRAZOLE 20 MG CAP 6.00$

ZANAFLEX 4 MG TAB 9.00$

BICITRA 2GM-3GM/30ML U/D 52.00$

CLINIMIX E 4.25/10 INJ 273.00$

CLINIMIX E 4.25/25 SOL 276.00$

SILVER NITRATE 25%-75% SWAB 6.00$

MERREM IV 1 GM INJ 406.00$

MONISTAT 7 .02 CRE 66.00$


ALPHAGAN-P .10% 5ML OPTH SOL 320.00$

KCL 20MEQ/100ML-100ML INJ 119.00$


DIPRIVAN 10MG/ML-100ML INJ 298.00$



ABILIFY 20MG TAB 262.00$

EFFEXOR XR 150MG TAB 59.00$

DORIBAX 500MG INJ 253.00$

REQUIP 2MG TAB 17.00$

MIRAPEX 1MG TAB 17.00$

DEPAKOTE ER 250MG TAB 11.00$

ARICEPT 10MG TAB 55.00$

TRICOR 145MG TAB 34.00$


KALETRA 100MG-25MG TAB 19.00$

NAMENDA 10MG TAB 12.00$

MERREM IV 500MG INJ 193.00$

PERPHENAZINE 8MG TAB 6.00$

SEROQUEL 50MG TAB 39.00$

TOPAMAX 50MG TAB 39.00$


BYSTOLIC 5MG TAB 11.00$

BYSTOLIC 10MG TAB 11.00$

RENA-VITE RX 1MG TAB 6.00$

CIPRO 200MG/100ML INJ 264.00$

CLINIMIX 4.25/25% -1000ML INJ 275.00$

STROMECTOL 3MG TAB 28.00$

MIRALAX 17GR 30.00$

VITAMIN B COMPLEX 11.00$


STARLIX 120MG TAB 22.00$

FLUARIX 15MCG/0.5ML 88.00$

CLINIMIX 4.25/10% -1000ML INJ 275.00$

NORCO 325MG-5MG TAB 6.00$

BACITRACIN UD OINT 500U/GR 6.00$

PNEUMOVAX 23 0.5ML INJ 220.00$

STRATTERA 40MG CAP 22.00$

DOBUTAMINE 250MG/20ML INJ 22.00$

EPINEPHRINE 1MG/ML-30ML INJ 33.00$

RIFAMPIN 150MG CAP 22.00$


ISUPREL HCL 0.2MG/ML-5ML INJ 72.00$

DIGIFAB 40MG POWDER INJ 3,300.00$

D5W+KCL 20MEQ-1000ML IV SOL 132.00$

NOVOLOG 100U/ML 61.00$

TEARS 3.75GR OINT 39.00$

ACETAMIN 325MG/10ML 15ML 10.00$

LOVENOX 120MG/ML INJ 568.00$

ZITHROMAX 600MG TAB 110.00$

LOXITANE 10MG CAP 11.00$

INTELENCE 100MG TAB 39.00$

EYE WASH 4-OZ 22.00$

ENLON 10MG/ML-15ML INJ 165.00$

IOHEXOL OMNIPAQUE 300 50ML VL 253.00$


SODIUM BICARB 8.4% 50ML INJ 31.00$

PROAMATINE 2.5MG TAB 22.00$


LOXITANE 5MG CAP 11.00$

TRILEPTAL 300MG TAB 33.00$

SCOPOLAMINE HB 0.4MG/ML-1ML 17.00$

RISPERDAL CONS 37.5MG/2ML INJ 2,448.00$

ORAJEL MS 7GR TUBE 26.00$

PULMICORT RESPULES 0.25MG/2ML 44.00$

D5W+KCL 40MEQ-1000ML IV SOL 132.00$

ATROVENT/ALBUTEROL 3ML 217.00$



RIFAXIMIN 550MG TAB 125.00$

CARDURA 4MG TAB 26.00$

MYCOPHENOLATE 500MG TAB 44.00$


KEPPRA 500MG/5ML-5ML 11.00$

PEPTOBISMOL 262MG/15ML SUS 14.00$

JANUVIA 100MG TAB 32.00$

EXELON 1.5MG CAP 18.00$

PANCREALIPASE 5K-17K-27K 9.00$

PREZISTA 600MG TAB 110.00$

VITAMIN D 1000IU CAP 11.00$

MYCAMINE 50MG/5ML INJ 627.00$

MYCAMINE 100MG/5ML INJ 1,430.00$

NORCO 325MG-10MG TAB 6.00$

TEFLARO 400MG/20ML INJ 232.00$

TEFLARO 600MG/20ML INJ 232.00$

PHENOBARBITAL 30MG/7.5ML ELIX 17.00$

CARNITOR 1GM/10ML ORAL SOL 17.00$

LOSARTAN 100MG TAB 21.00$

DEXAMETHASONE 10MG/ML IV 11.00$

LATANOPROST .005% 2.5ML OPTH 46.00$

ADACEL(DTaP) 0.5ML 198.00$

HYPERTET IMMUNE GLOB 250UN 901.00$

URSODIOL 300MG CAP 6.00$

NS 0.9% 25ML SOL 28.00$

KEPPRA 100MG/ML-5ML IV 83.00$

VIRACEPT 625MG TAB 37.00$

METROGEL TOPICAL 0.75% 70GM 153.00$

MARCAINE 0.5% 5MG/ML-10ML INJ 28.00$

DAPTACEL (DTaP VAC) 0.5ML 198.00$

RANITIDINE 15MG/ML UD ORAL 11.00$

XARELTO 10MG TAB 34.00$

XARELTO 20MG TAB 34.00$

TIMOLOL MALEATE 0.25% 5ML SOL 11.00$

GUAIFENESIN/COD 5ML ELIX 6.00$

LIDOCAINE 1.5% 20ML SOL IV 34.00$

ONDANSETRON ODT 4MG TAB 15.00$

ONDANSETRON 4MG TAB 11.00$

ONDANSETRON 2MG/ML-2ML INJ 11.00$

SILDENAFIL 20MG TAB 11.00$

SEROQUEL 400MG TAB 53.00$

PHENOBARBITAL 32.4MG TAB 11.00$

PRINIVIL (ZESTRIL) 2.5MG TAB 21.00$



VANCOMYCIN 750MG INJ 325.00$

ZYPREXA 10MG/2ML-2ML INJ 316.00$

DOCUSATE(COLACE) 100MG/10ML 11.00$

AMILORIDE 5MG TAB 11.00$

SELZENTRY 300MG TAB 185.00$

ERYTHRO/PED 400MG/5ML-100ML 1,056.00$

CHLORHEX GLUCO .12% 15ML 11.00$

RHOPHYLAC 300MCG/2ML INJ 407.00$

FLUCYTOSINE 250MG CAP 83.00$

ZYPREXA 15MG TAB 80.00$


CHLORPROMAZINE HCL 200MG TAB 9.00$

DEXAMETHASONE 1.0MG TAB 11.00$

SUSTIVA 600MG TAB 101.00$

MIRAPEX 0.5MG TAB 11.00$

PREZISTA 800MG TAB 242.00$

NEOSTIGMINE 0.5MG/ML INJ 26.00$

NITRO 100MG/250ML PREMIX INJ 252.00$

SANDOSTATIN 200MCG/5ML INJ 345.00$

SANDOSTATIN 50MCG/1ML INJ 173.00$

NIX 1% TOPICAL LOTION 69.00$

HALDOL DECANOATE 100MG/ML INJ 721.00$


BICILLIN CR(900K-300K)/2ML INJ 161.00$

RANOLAZINE 500MG ER 24.00$

PHENYLEPHRINE 0.25-3% SUPP 11.00$

NICOTINE 2MG LOZENGE 11.00$

NICOTINE 4MG LOZENGE 11.00$

ACETAMINOPHEN 1GM/100ML INJ 77.00$

SODIUM BICARB 8.4% 50ML VIAL 31.00$

CYCLOSERINE 250MG CAP 67.00$

STRIBILD 150/150/200/300MG TAB 429.00$

IMM GLOB LYOPHIL 12GM 1,670.00$

NORVIR 100MG TAB 57.00$

MONSELS SOLUTION 500ML 152.00$

TACROLIMUS 1MG CAPS 24.00$

TACROLIMUS 0.5MG CAPS 12.00$

FLU VACCINE PEDS 0.25ML 88.00$

LEVOTHYROXINE 100 MCG INJ 419.00$

GADOPENTETATE INJ 15ML 141.95$

AMPICIL SUSP 250MG/5ML 100ML 23.00$

ACETYLCYSTEINE 20% 10 ML SOL 76.00$

ALBUMIN 5% 500 ML INJ 469.00$

AMIODARONE 900MG/18ML INJ 36.00$

ATROPINE 0.5MG/5ML SYRINGE 38.00$

NEOSPORIN PCKT 0.9G 10.00$

POLYSPORIN OPHT OINT 3.5G 69.00$

BENZOCAINE 20% SPRAY 60ML 172.00$

BETAXOLOL 0.5% OPHT SOLN 2ML 231.00$

BUPIVACAINE 0.25% PF 10ML INJ 10.00$

BUPIVACAINE 0.25% PF 30 ML INJ 10.00$

BUPIVACAINE 0.75% 10ML INJ 10.00$

CALCITONIN NASAL SPRAY 3.7ML 159.00$

CLINDAMYCIN 900MG/6ML INJ 23.00$

CYCLOPENTOLATE 1% OPHT 2ML 53.00$

MAXITROL OPHT OINT 3.5G 83.00$

DEXTROSE 10% 250ML IV 10.00$

DILTIAZEM 125MG/25ML INJ 40.00$

DILTIAZEM 25MG/5ML INJ 10.00$

DOPAMINE 400MG/10ML INJ 10.00$

ENALAPRIL 2.5 MG/2ML INJ 21.00$

HEPARIN/0.45NACL 25000UN/250ML 24.00$

CORTISPORIN OTIC SUSP 10ML 109.00$

IPRATROPIUM 0.06% NASAL 15ML 102.00$

LACTATED RINGERS 500ML IV 10.00$

LEVOBUNOLOL 0.5% OPHT SOLN 5ML 144.00$

LIDOCAINE 1% MDV 10ML 10.00$

LIDOCAINE 2% TOP GEL 30ML 32.00$

LIDOCAINE 1% PF 5ML SYRINGE 28.00$

ANALGESIC BALM 28G 10.00$

SOLU-MEDROL 500MG INJ 80.00$

MIDAZOLAM 5MG/5ML INJ 14.00$

NAFCILLIN 1G INJ 28.00$

NIMODIPINE 30MG CAP 52.00$

NITROGLYCERIN 2% 30G OINT 147.00$

ZOSYN 2.25G INJ 15.00$

DAKINS 0.125% TOP SOLN 473ML 58.00$

BACTRIM 5ML INJ 23.00$

SUMATRIPTAN 100MG TAB 10.00$

SUMATRIPTAN 50MG TAB 10.00$

SUMATRIPTAN 6MG/0.5ML INJ 146.00$

TRIMCINOLONE 0.025% 15G CREAM 12.00$

ACTIFED 60MG/2.5MG TAB 2.00$

ZIDOVUDINE 300MG TAB 10.00$

LEVALBUTEROL 0.63MG/3ML INH 17.00$

ESOMEPRAZOLE 40MG INJ 90.00$

AZTREONAM 2GM INJ 250.00$

EMLA CREAM 2.5% 5 GM 27.00$

HEPARIN 100UNITS/ML 1ML 10.00$

DORIPENEM 250MG INJ 48.00$

NABUMETONE 500 MG TABLET 10.00$

PAMIDRONATE 60 MG INJ 127.00$

NITROGLYCERIN 50MG/10ML INJ 30.00$

AMINOPHYLLINE 500MG/20ML INJ 55.00$

CALMOSEPTINE PACKET 3.5GM 10.00$

ACETYLCYSTEINE 10% 10ML SOL 66.00$

HYDROGEN PEROXIDE 3% 240ML 10.00$

CHLORHEXIDINE 0.12% 480ML 36.00$

CALCITRIOL 1MCG/1ML INJ 18.00$

TBO-FILGRASTIM 300MCG/0.5MLINJ 1,065.00$

TBO-FILGRASTIM 480MCG/0.8MLINJ 1,704.00$

NYSTATIN OINT 15GM 44.00$

VASELINE 5 GM PACKET 10.00$

ERYTHROMYCIN 250 MG CAP 14.00$

COCAINE 4% 4 ML TOP SOLN 714.00$

PRIMAXIN IV 500 MG 43.00$

MVI W/MINERALS LIQ 240ML 17.00$

LABETALOL 20MG/4ML SYRINGE 24.00$

SOD CHLORIDE 10% 4ML HHN 10.00$

MORPHINE 4MG/ML INJ 10.00$

HCTZ 12.5 MG TAB 10.00$

REGADENOSON 0.4MG/5ML INJ 1,250.00$

ROPIVACAINE 0.5% 30ML INJ 120.00$

ROPIVACAINE 1% 20ML INJ 126.00$

ROPIVACAINE 0.2% 20ML INJ 17.00$

SITAGLIPTIN 25MG TAB 58.00$

PHYSOSTIGMINE 2 MG/2ML INJ 151.00$

ARGATROBAN 250MG/2.5ML INJ 3,306.00$

DIATRIZOATE 66%-10% 120ML 380.00$

DIATRIZOATE 66%-10% 30ML 37.00$

BARIUM SULFATE 2% 450ML 19.00$

BARIUM SULFATE 60% 355 ML 25.00$

GADOPENTETATE 46.9% 10ML 95.00$

IOPAMIDOL 41% 10ML 59.00$

IOPAMIDOL 61% 200ML 110.00$

AMINOPHYLLINE 250MG/10ML INJ 48.00$

ACETAMINOPHEN 160MG/5ML DROP 16.00$

STERILLE TALC 5GM POWDER 515.00$

PANCRELIPASE4.2-10-17.5K U CAP 10.00$

KETAMINE 500MG/5ML VIAL 34.00$

MELATONIN 3MG TAB 10.00$

VALGANCICLOVIR 450MG TAB 311.00$

IAMIVUDINE ORAL SOLN 50MG/5ML 11.00$

INDOMETHACIN 50MG SUPP 11.00$

METHYLENE BLUE 1% 1ML VIAL 84.00$

PROTAMINE 250MG/25 ML VIAL 107.00$

LIDOCAINE 2% JEL 30ML 32.00$

LIDOCAINE PF 1% 5ML VIAL 11.00$

EYE WASH 120ML 11.00$

TOBRAMYCIN 1.2 GRAM POWDER 366.00$

CELESTONE 5ML INJ 168.00$

TRIAMCINOLONE 10MG/ML 5 ML INJ 53.00$

MORPHINE PCA 30MG/30ML 37.00$

HYDROMORPHONE 1MG/ML INJ 11.00$

CREON 12K-38K-60K UNITS CAP 13.00$

LIDOCAINE 2% JELLY 30ML 32.00$

RASAGILINE 1MG TAB 92.00$

LIDOCAINE 4% 50ML TOP SOLN 39.00$

SODIUM CITRATE 4% 500ML IV 44.00$

MYLANTA1200-120MG/30ML 11.00$

GLYCOPYRROLATE 0.2MG/1ML INJ 35.00$

SOLU MEDROL 1 GRAM VIAL 119.00$

BETADINE 120ML TOPICAL SOLN 11.00$

BUPIV/EPI 0.25%/1:200K MPF10ML 18.00$

BUPIV/EPI 0.5%/1:200K MPF 10ML 17.00$

BUPIV/EPI 0.75%/1:200K MPF30ML 21.00$

LIDOCAINE 1% MPF 30ML VIAL 11.00$

LIDOCAINE 2% MPF 5ML VIAL 11.00$

LIDOCA/EPI 2%/1:200K MPF 10ML 17.00$

LIDOCA/EPI 1%/1:200K MPF 10ML 15.00$

LIDO/EPI 2%/1:100K MPF30ML MDV 20.00$

MURI LUBE STERILE 10ML VIAL 40.00$

FENTANYL 250CG/5ML INJ 11.00$

BUPIVACAINE 0.5% 10ML INJ 11.00$

THEOPHYLLINE ER 100MG CAP 11.00$

APIXABAN 5 MG TAB 22.00$

APIXABAN 2.5 MG TAB 22.00$

CLINDAMYCIN 600MG/50ML IVPB 35.00$

CLINDAMYCIN 900MG/50ML IVPB 40.00$

ONABOTULINUMTOXIN A 100U INJ 2,895.00$

SODIUM CHLORIDE 0.9% INH 11.00$

CITALOPRAM 10MG TAB 11.00$

DOCUSATE/SENNA 50/8.6MG TAB 11.00$

ENALAPRIL 20MG TAB 11.00$

LOSARTAN 25MG TAB 11.00$

MELOXICAM 15MG TAB 11.00$

OSELTAMIVIR 30MG CAP 62.00$

OSELTAMIVIR 45MG CAP 62.00$

RIVAROXABAN 15MG TAB 42.00$

HYDROCORTISONE 250MG INJ 82.00$

PAMIDRONATE 30MG/10ML INJ 62.00$

CETIRIZINE 5MG TAB 11.00$

MOMETASONE 0.1% 15GM CREAM 61.00$

LIDOCAINE 2% 5ML TOP JELLY 23.00$

PHENYLEPHRINE 0.25%15ML NASAL 20.00$

CIPRODEX 7.5ML OTIC SUSP 897.00$

HYDROCOR/ACETIC ACID 10ML OTIC 511.00$

FLUORESEIN 1MG OPHT STRIP 11.00$

PHENYLEPHRINE 0.25% SUPP 11.00$

MANNITOL 20% 250ML IV 185.00$

DIAZEPAM 2MG TAB 11.00$

DIAZEPAM 10MG TAB 11.00$

MELATONIN 5MG TAB 11.00$

CEFAZOLIN/DEX 2GM/50ML IVPB 31.00$

IOPAMIDOL 76% 100ML VIAL 65.00$

VORICONAZOLE 200MG VIAL 302.00$

FLUPHENAZINE 2.5MG TAB 11.00$

HYDROMORPHONE PCA 3MG/30ML 50.00$

POTASSIUM CL 20MEQ ORAL POWDER 11.00$

BURPENORPHINE 0.3 MG/ML INJ 71.00$

ALTEPLASE 100 MG INJ 23,500.00$

CALCITONIN 200IU/ML INJ 6,500.00$

ISONIAZID 100 MG TABLET 11.00$

ISOSULFAN BLUE 50MG/5ML INJ 3,112.00$

SOD THIOSULFATE 12.5G/50ML INJ 440.00$

LUBIPROSTONE 24MCG CAP 27.00$

METHYLNALTREXONE12MG/0.6ML IN 468.00$

BARIUM SULFATE DIAG CAPSULE 113.00$

PERAMPANEL 6MG TABLET 115.00$

LACOSAMIDE 50MG TABLET 38.00$

IOHEXOL 350MG/ML 50ML INJ 91.00$

CALCIUM CARB SUSP 1250MG/5ML 11.00$

NITROFURANTOIN SUSP 25MG/5ML 36.00$

RANITIDINE SOLN 75MG/5ML 11.00$

FELBAMATE SUSP 600MG/5ML 40.00$

AMANTADINE SOLN 50MG/5ML 11.00$

METOCLOPRAMIDE SOLN 5MG/5ML 11.00$

CHLOROTHIAZIDE SUSP 250MG/5ML 11.00$

FAMOTIDINE SUSP 40MG/5ML 23.00$

GABAPENTIN SUSP 250MG/5ML 11.00$

NEUTRAPHOS 250MG TAB 11.00$

RANITIDINE 75MG TAB 11.00$

ZONISAMIDE 25MG CAP 11.00$

ZONISAMIDE 50MG CAP 11.00$

BACLOFEN 20MG TAB 11.00$

FUROSEMIDE ORAL 40MG/4ML 11.00$

AMOXICILLIN SUSP 200MG/5ML 11.00$

OMEPRAZOLE 10 MG CAP 11.00$

GLYCOPYRROLATE 2MG TAB 11.00$

BACTRIM SUSP 200-40MG/5ML 11.00$

DELAFLEX 1.25% 2500ML DIAL SOL 109.00$

DELAFLEX 2.5% 2500ML DIAL SOLN 109.00$

DELAFLEX 4.25% 2500ML DIAL SOL 109.00$

CEFOTETAN 2GM INJECTION VIAL 87.50$

NALTREXONE 50MG TABLET 11.00$

METHYLPREDNISOLONE 125MG INJ 33.50$

SERTALINE 25MG TAB 11.00$

Barium Sulfate Sol 191.50$

AMLODIPINE (NORVASC) 2.5MG TAB 11.00$

ATORVASTATIN (LIPITOR)80MG TAB 11.00$

Nicardipine 2.5mg/ml 125.00$

Heparin 1000 units/ml 10ml 11.00$

TRANEXAMIC ACID1000mg/10ml Inj 40.20$

FIRST MTHWASH SUSP 119ML 138.60$

FAMOTIDINE 40MG/4ML SOL 4ML 11.00$

SOD.CHLORIDE BACTER. 0.9% SOL 16.75$

AMPICILLIN 250MG INJ 63.85$

DICYCLOMINE 20MG TAB 22.35$

TENOFOVIR DIS. FUM. 200 MG TAB 166.65$

PANCRELIPASE(CREON)6K-19K-30K 11.00$

METHADONE 5MG 18.00$

MORPHINE 20MG ORAL SOL 21.42$

OPIUM TINCTURE 10MG TOP 46.00$

OXYCODONE CR 10MG 11.00$

PHENOBARBITAL 130MG INJ 137.00$

TRIAZOLAM 0.125MG TAB 18.00$

HYDROMORPHONE 40MG/20ML/1ML 21.00$

HEPARIN PORCINE 1000UN/ML 30ML 11.00$

BALSAM PER-CASTOR OIL 87MG TOP 76.00$

ESTROGEN CONJUGATED 25MG VL 1,500.00$

PROBENECID 500MG TAB 11.00$

GADOTERIDOL 279.3/ML(10ML) 270.00$

CLINDAMYCIN PHOS. 1% 60ML LTN. 330.00$

FEBUXOSTAT 40MG TAB 50.00$

CILOSTAZOL 50MG TAB 11.00$

PENICILLIN PVP 250MG/5ML SUS 19.00$

DEMEROL 50MG/ML 2ML AMP 17.00$

BENZOCAINE 20% TOP. SPRAY 138.00$

DOBUTAMINE 500MG/250ML DS BAG 51.00$

REPAGLINIDE 0.5MG TAB 84.00$

IOPAMIDOL 61% (100ML) 59.00$

GABAPENTIN 250MG/5ML (470ML) 530.00$

TRANYLCYPROMINE SUL 10MG TAB 63.00$

PANCRELIPASE 5K-17K-24K CAP 11.00$

DOPAMINE 200MG/250ML 42.25$

THEOPHYLLINE 200MG ER/24HR CAP 13.95$

CODEINE-GAUIF 10MG-100MG/5ML 11.00$

LOXAPINE 50MG CAP 45.35$

SUGAMMADEX 100MG/ML (5ML VIAL) 817.80$

SUGAMMADEX 100MG/ML (2ML VIAL) 446.50$

AEROSOL INHAL (1ST HR) 116.00$

AEROSOL INHAL (ADD'L HR) 116.00$

BIPAP VENT (INIT'L DAY) 4,907.00$

BIPAP VENT (SUBSEQ DAY) 4,353.00$

MDI (1ST TREATMNT/DAY) 567.00$

MDI (AD'L TREATMNT/DAY) 567.00$

VOLUME VENT(INITIAL DAY) 5,060.00$

VOLUME VENT (SUBSEQ/DAY) 4,634.00$

WEANING PARAMETERS 116.00$

OXYGEN (DAILY) 2,244.00$

HHN (1ST TREATMNT/DAY) 567.00$

IPPB (1ST TREATMNT/DAY) 567.00$

OXYGEN (HOURLY) 50.00$

PD&P TREATMENT(INITIAL) 105.00$

PEAK FLOW 445.00$

TRACHEOSTOMY TUBE CHANGE 248.00$

SPUTUM INDUCTION 342.00$

USN CONT (24hrs) 20.00$

CPAP INITIATION/MGMT 48.00$

HHN (ADD'L TREATMNT/DAY) 567.00$

IPPB (AD'L TREATMNT/DAY) 567.00$

PD&P TREATMENT(SUBSEQ) 105.00$

SPUTM IND(AD'L TRTMT/DAY) 567.00$

AEROSOL TREATMENT DAILY 393.00$

SUCTIONING CATHETER/TRACH CARE 33.00$

MECHANICAL CHEST WALL OSCILLAT 194.00$

PULM STRESS TEST/COMPLEX 1,650.00$

PULMONARY STRESS TEST/SIMPLE 1,200.00$

CHEST WALL MNPLTN INITITAL 465.00$

CHEST WALL MNPLTN SUBSEQ 250.00$

PFT PRE/POST 385.00$

NEONATAL RESUSCIATATION 1,485.00$

NEWBORN ATTENDANCE STABILIZATI 178.00$

DLCO 147.00$

PULMONARY COMPLIANCE 205.00$

ABG PUNCTURE 191.00$

ABG STUDY 385.00$

CODE BLUE (CPR) 1,100.00$

INTUBATION ENDOTRACHEAL 825.00$

TREATMENT RM-GI LAB. (1HR.) 603.00$

COLONOSCOPY PROCED 887.00$

ENDOSCOPY PROCED 550.00$

ESOPHAGEAL DILATION 306.00$

SIGMOIDOSCOPY PROCED 887.00$

LIGATOR BAND 1,210.00$

US SINGLE ORGAN 892.00$

PT HOT OR COLD PACK EA TX 136.00$

PT MECHANICAL TRACTION EA TX 117.00$

PT ELECTRICAL STIM EA TX UNATT 121.00$

PT PARAFFIN BATH 131.00$

PT WHIRLPOOL EA TX 180.00$

PT ELECTRICAL STIM EA 15MIN AT 146.00$

PT CONTRAST BATH EA 15MIN 154.00$

PT ULTRASOUND EA 15 MIN 152.00$

PT DEBRIDEMENT 146.00$

PT THERAPEUTIC EX EA 15 MIN 298.00$

PT NEUROMUSCULAR RE-EDUCATION 146.00$

PT GAIT TRAINING EA 15 MIN 146.00$

PT MASSAGE EA 15 MIN 304.00$

PT MAN CER/PELV TRACT EA 15MIN 147.00$

PT MANUEL THERAPY EA 15 MIN 200.00$

PT MANUEL LUMB TRAC EA 15 MIN 143.00$

PT MYOFASCIAL RELEASE EA 15MIN 142.00$

PT THERAPEUTIC ACTIV EA 15 MIN 311.00$

PT WHEELCHAIR TRAINING EA 15MI 142.00$

PT CRUTCH FITTING 77.00$

PT CRUTCH TRAINING 77.00$

PT BUCKS TRACTION 121.00$

PT BRACE FITTING (15) 143.00$

WOUND CARE - 15 Min 204.00$

NEG PRESSURE </=50 SQ CM 220.00$

NEG PRESSURE >50 SQ CM 1,024.00$

PT SELF CARE HOME TRAIN/15M 146.00$

PT ORTHOTICS FITTING/TRAIN/15M 146.00$

PT PROS TRAIN/15M 146.00$

PT TENS 146.00$

WOUND CARE EA TX 204.00$

PT EVAL LOW COMPLEX 20 MIN 371.00$

PT EVAL MOD COMPLEX 30 MIN 391.00$

PT EVAL HIGH COMPLEX 45 MIN 410.00$

PT RE-EVAL EST PLAN CARE 227.00$

SPEECH & LANGUAGE EVAL. 349.00$

SPEECH/SWALLOWING EVALUATION 400.00$

SPEECH/LANGUAGE TREATMENT 548.00$

SWALLOWING TREATMENT 548.00$

APHASIA EVALUATION 349.00$

SPEECH/LANG RE-EVAL LTD 167.00$

SPEECH/LANG EVAL INT 416.00$

EVAL SPEECH LIMITED 205.00$

EVAL SPEECH CMPLX 825.00$

ST NEUROMUSC RE-ED/15M 146.00$

ST SWALLOW EVAL WITH DYE 348.00$

ST PASSY MUIR EVAL 348.00$

ST PASSY MUIR TRAINING 348.00$

ST VIDEO SWALL EVAL 348.00$

SPEECH EVAL FLUENCY 413.00$

SPEECH EVAL SOUND PRODUCTION 413.00$

SPEECH EVAL LANG COMP & EXPRES 825.00$

SPEECH RESONANCE ANALYSIS 413.00$

OT ELEC STIM ATTEND EA 15 MIN 120.00$

OT THERAPEUTIC EX EA 15 296.00$

OT NEURO MUSCULAR RE-ED 142.00$

OT THERAPEUTIC ACTIVE EA 15 312.00$

OT ADL TRAINING EA 15 MIN 312.00$

OT COMMUNITY/WORK TRAIN 374.00$

OT EXTREMITY TEST EA 15 MIN 144.00$

OT ORTHOTICS TRAIN EA 15 MIN 301.00$

OT SELF-CARE HOME TRAIN/15M 146.00$

OT SOFT TISSUE MOB/15M 146.00$

OT SPLINT ADJUST/15M 146.00$

OT WHEELCHAIR TRAIN/15M 146.00$

OT ORTHOTIC FIT/TRAIN 293.00$

OT PROSTHETIC TRAIN 293.00$

OT NEUROMUSC RE-ED/15M 146.00$

OT HOT OR COLD PACK EA TX 136.00$

OT CONTRAST BATH EA 15MIN 154.00$

OT ELECTRICAL STIM EA TX UNATT 121.00$

OT PARAFFIN BATH 131.00$

OT TENS 146.00$

OT ULTRASOUND EA 15 MIN 152.00$

OT EVAL LOW COMPLEX 30 MIN 371.00$

OT EVAL MOD COMPLEX 45 MIN 391.00$

OT EVAL HIGH COMPLEX 60 MIN 410.00$

OT RE-EVAL EST PLAN CARE 227.00$

SPECTRA FILMS 37.00$

TUBE-BRONCHOENDOTRACHEAL 179.00$

SET IRRIGATION 119.00$

ENDO 5MM HOOK ELECT PROBE + II 177.00$

CARRA DRESS (ALL SIZES) 50.00$

ACCUCHECK LIGNEETS 3.00$

JAGWIRE - GUIDE WIRE 624.00$

GUIDE WIRES EXCHANGE (REPLENT) 463.00$

ESPOHAGEAL BALLOON (DILATION) 550.00$

RAPID FIRE LIGATOR BAND 556.00$

ENDO POUCH PRO 153.00$

TRAY CATH (GROSHERG) 556.00$

HUMIDIFIER AGUA PAK RESPIR 43.00$

BLADE END CUTTER ARTHROSCOPIC 331.00$

BLADE FUL-RAD ARTHRO RESEC 439.00$

BAG BILE DRAINAGE 57.00$

BANDAGE COBAN 15.00$

BLADE SAW DISPS 2IN 147.00$

BLADE SAGITTAL OR DISPOS 180.00$

BOOT BUCKS TRACTION 242.00$

BRONCHIAL BRUSH 97.00$

CATH CHOLANGIOGRAPH OR 200.00$

CATH PERITONEAL 490.00$

CATH TRAY FOLEY 133.00$

CATH-AV SEQUENTIAL 820.00$

SUCTION EVACUATOR DAV 7085 194.00$

DRAIN HEMOVAC LG/MED/SM 209.00$

DRESS-DUODERM 4X4 53.00$

DRESS-FLUFFS 6 EA 12.00$

DRESS-OP SITE LG 21.00$

ELECTRODE QUII-PACE ER 306.00$

ELEC-SURG EXTEN BLADE ELECTROD 65.00$

ENDOPATH NDLE PN120 & PN150 OR 196.00$

ENDO FOG REDUCER CLEAR SITE OR 51.00$

GELFOAM 100 113.00$

GRAFT VASCULAR S0607 1,983.00$

GUIDE WIRE LARGE 135.00$

HEMOSTAT DISP 188.00$

ANGIOCATH 33.00$

KIT PERCUT CATH INTRO ICU USCI 202.00$

KIT PERCU INTRO DAVOL 60151 OR 268.00$

NEBULIZER ADAPTER RESPIA 48.00$

NEEDLE SPINAL (O.R.) 111.00$

NEEDLE BIPOSY 14GX6" (O.R.) 186.00$

PAD DUO-THERM 14X20 FLAT 124.00$

PLASTER RL 6"X 1' 30.00$

SCREW 110.00$

SPLINT FINGER ALUM-FOAM OR ALL 19.00$

SPLINT NASAL EXTERN MED DOME 150.00$

STENT URETERAL 4"8FRX26CM OR 1,076.00$

STERILE SLEEVE OR 14.00$

STRAINER URINE 4.00$

SUPPORT LUMBO-SACRAL 352.00$

SYRINGE 20CC & 10CC & 5CC 3.00$

SCALPEL (O.R.) 25.00$

SLIPPERS 20.00$

SUTURE GENERAL ER 64.00$

SWAB LEMON-GLYC 7.00$

TEMPERATURE INDICATOR CRYSTALN 28.00$

TRAY-BASIC SURGERY INSTRUMENTS 361.00$

TRAY-INTUBATION 299.00$

TRAY-LUMBAR PUNCTURE ADLT/PEDS 166.00$

TRAY-THORACENTESIS W/NEEDLE 249.00$

TUBE-SHEPARD GROM VENT W/O W/R 68.00$

TUBE-TRACHEOSTOMY ADULT 285.00$

AUTO-SUT PREM SURGICLIP 11.5 325.00$

AUTO-SUT SURG LING LOOPS 113.00$

CAST PADDING (ALL SIZES) 11.00$

CATH HICKMAN 215.00$

CATH SUPRAPUBLIC 113.00$

CATH URETERAL ROUND TIP 39.00$

CLOSED TRACHEAL SUCTION SYS 91.00$

D-DIAPERS NEWBORN 21.00$

ELEC BOVIE BLADE 69.00$

ELECTRODE DISPERS (BOVIE PAD) 84.00$

ET LIGACLIP (4SIZES) 97.00$

EVAC Q KWICK 45.00$

HEPATIC II 69.00$

SET IRRG (ALL TYPES) 30.00$

MYRINGOTOMY INSTR KIT (1) 198.00$

NEEDLE LESS 3.00$

OT BOOT BUCKS 133.00$

PACKING VAGINAL 12.00$

SOLTN-DIALYSIS 2L 53.00$

SURGICAL BLADE 76.00$

SWAB ACUDYNE 2.00$

SYRINGE 1CC TO 10CC W/NEEDLE 6.00$

TRAY PERC END GAST OR 296.00$

TUBE-SIGMOID SUCT 24.00$

TUBE-T 62.00$

AMNI HOOK 15.00$

BOTTLE SUC LG DISPOS 50.00$

SCLEROTHERAPY NEEDLE 180.00$

VEIN STRIPPER DISP 127.00$

STOCKNETTE BIAS 6" STER OR 73.00$

CONTRAST READI-CAT X-RAY 50.00$

TRIPLE DYE L&D 9.00$

TRACH VALVE SPEAKING SUBACUTE 186.00$

HEEL PROTECTOR S/SKIN SUBACUTE 65.00$

CALCUM ALGINATE MEXORB 17.00$

RHOGAM UNIT 531.00$

OXYGEN HUMIDIFIER 36.00$

PULSE OXIMETER 46.00$

ACUTE DIALYSIS 1,461.00$

O/S THERAPEUTIC PLASMA XCHANGE 1,050.00$

O/S THERAPEUTIC CYTAPHERESIS 1,100.00$

O/S RED CELL EXCHANGE 1,100.00$

O/S STEM CELL STANDARD COLLECT 1,475.00$

O/S THERAPEUTIC PHLEBOTOMY 500.00$

DIALYSIS-UNSCHEDULED 1,920.00$

DIALYSIS-OUTPATIENT 1,164.00$

SWANZ-GANZ DAILY CHARGE 200.00$

IV SET-PRIMARY DE 65.00$

IV SET-PRIMARY FI 73.00$

IV SOL D5 250ML 132.00$

IV SOL D5 500ML 132.00$

IV SOL D5 1000ML 132.00$

IV SOL D5 0.90 NS 500ML 132.00$

IV SOL D5 0.90 NS 1000ML 132.00$

IV SOL D5 0.45 NS 500ML 132.00$

IV SOL D5 0.45 NS 1000ML 132.00$

IV SOL D5 0.20 NS 500ML 132.00$

IV SOL D5 0.20 NS 1000ML 132.00$

IV SOL D5 LR 500ML 132.00$

IV SOL D5 LR 1000ML 132.00$

IV SOL LR 500ML 132.00$

IV SOL LR 1000ML 132.00$

IV SOL 0.90 NS 250ML 132.00$

IV SOL 0.90 NS 500ML 132.00$

IV SOL 0.90 NS 1000ML 132.00$

IV SOL 0.45 NS 500ML 132.00$

ANGIOCATH 44.00$

IV RATE CLIP 7.00$

MINIDRIE ADM SET 17.00$

PCA - INFUSER (DAILY CHARGES) 80.00$

IV SOL 0.45 NS 1000ML 132.00$

Description Charge PRIVATE $ 6,670.00 SEMI-PRIV $ 6,670 · 2019. 7. 19. · admin/private $...

Documents

Transcript of Description Charge PRIVATE $ 6,670.00 SEMI-PRIV $ 6,670 · 2019. 7. 19. · admin/private $...