Hill Hospital of Sumter County employee benefits are coming soon! Please check back often for updates to this page.
BENEFITS
Hill Hospital of Sumter County
Hill Hospital of Sumter County employee benefits are coming soon! Please check back often for updates to this page.
AMIODARONE 200MG TAB
AMITRIPTYLINE (ELAVIL) 25MG TAB
BUPROPION XR 100MG TAB
CETIRIZINE (ZYRTEC) 10MG TAB
CHLORPHENIRAMINE 4MG TAB
DANTROLENE 25MG PO
DECADRON 2MG PO
DIPHENHYDRAMINE 25MG CAP
DEPAKOTE DR 500MG TAB
DEPAKOTE ER 500MG TAB
DECONSAL
COMHIST LA
MYOCHRYSINE INJ 10ML
ROCEPHIN 1GM VIAL
ORAJEL 1/2OZ
PEPCID 40MG TAB
CHRONULAC SYRUP 30ML
ALDACTAZIDE 25MG TAB
EMEFROL SOL 300ML
MONISTAT 7 VAG CREAM
MONISTAT 7 VAG SUPP
MYLANTA II SUSP 360ML
HEP LOCK 100U/1ML
CALAMINE LOTION 4OZ
RABIES IMMUNE GLOBULIN
RABIES VACCINE
ROCEPHIN 500MG VIAL
STERILE WATER 10ML
PHENERGAN SUPP 12.5MG
KAOPECTATE SUSP 30ML
ERYTHROMYCIN 500MG VIAL
PROMETHAZINE/ COD SGR 30ML
KEFZOL 500MG VIAL
BICILLIN LA 1.2MU INJ
CIPRO 250MG
ATROPINE SULFATE 0.1MG/ML
HALCION 0.5MG TAB
ATROPINE SULFATE 0.5MG/ML
DOPAMINE 400MG/5ML INJ
PRIMAXIN 250MG/ 10ML
LASIX 20MG/ 2ML
TETRACAINE DROPS OPH
NITRO-BID OINT 2% 1 GM
CIPRO 200MG IV
TRACRIUM 10MG/ML-5ML
ACT CHARCOAL 25MG/120ML
CARDIZEM 30MG TAB UD
KEFLEX SUSP 250MG/ 5ML UD
KEFLEX SUSP 125MG/ 15ML UD
AROMATIC CASCARA 5ML UD
AMPICILLIN 500MG/ 5ML INJ
AMPICILLIN SUSP 125MG/5ML
PEDIAPROFEN SUSP
NIZORAL TAB 200MG UD
VISKEN 10MG PO
0.9% NACL 50ML
OMNIPEN-N INJ 250MG VIAL
ANTIVERT TAB 25MG UD
APLISOL PPD 5ML VIAL
APRESOLINE 25MG TAB UD
APRESOLINE 50MG TAB UD
CALAN 120MG UD
HEP LOCK 10U/ 1ML
HYDROCHLOROTHIAZIDE 50MG
HYGROTON TAB 50MG UD
INDERAL 20MG
INDOCIN 50MG
CEPHALEXIN (KERFLEX) 250MG CAP
KEWLL LOTION 60ML
LANOXIN TAB 0.25MG UD
LASIX 40MG TAB
MOTRIN 400MG TAB UD
MOTRIN 600MG TAB UD
MUCOMYST SOL 20% 4ML
MYCOLOG CREAM 15GM
PRILOSEC 20MG CAP DR
POTASSIUM CHLOR 2MEQ/ML 20ML VIAL
POT CHLOR LIQ 10% 30ML
POT GLUCONATE LIQ 10% 30
PREDNISONE 10MG TAB
TAGAMET 300MG
THEO DUR 200MG
THEO DUR 300MG
TORADOL 15MG/ML VIAL
TORADOL 30MG/ML VIAL
TORADOL 60MG/ 2ML VIAL
A&D OINTMENT 42.5GM
TYLENOL SUPP 120MG
TYLENOL SUPP 650MG
AFRIN NASAL SPRAY 0.05% 15ML
CIPRO 500MG
5% DEXTROSE 500ML
5% DEXTROSE 100ML
APRESOLINE 20MG/ML INJ
ARTIFICAL TEARS NATURALE
ASPIRIN 2GR SUPP
ATROPINE SULFATE 0.4MG TAB
ATROPINE EYE GTTS 1% 2ML
AZO GANTRISEN TAB
SMZ-TMP (BACTRIM DS) 800/160MG TAB
BENADRYL CAP 25MG UD
BENADRYL 50MG/ML
BENADRYL ELIXIR 12.5MG/5ML
BENTYL 20MG TAB
BENTYL 10MG/ML 2ML
BENTYL SYP 10MG/ 5ML 30ML
ZYLOPRIM 100MG TAB UD
NORFLEX 60MG 1M
CARBOCAINE SOL 2% VIAL
MILK MAG CASC 30ML UD
CASTOR OIL 30ML UD
MAG CITRATE 1
CLEOCIN 300MG/2ML VIAL
CLEOCIN 150MG PO
CYANOCOBALAMIN 1000MCG/ML INJ
PEPTO BISMUTH 8OZ
SLOW MAG 64MG
DIPHENHYDRAMINE 50MG CAP
DOLOBID TAB 250MG UD
DPT ABSORBED 7.5ML
DIURIL 500MG TAB UD
DITROPAN TAB 5MG UD
DULCOLAX TAB 5MG UD
DURICEF CAP 500MG UD
LIDOCAINE 1% 10MG (MDV)
EPINEPHRINE AMP 1MG/ML
FERRO SEQUELS CAPS
FERROUS SULF TAB 300MG
FLEXERIL 10MG TAB
METRONIDOZOLE 500MG
AMINOPHYLLINE TAB 200MG UD
AMOXIL CAP 250MG UD
MULTIVITAMIN B-12 INJ
GLYCERIN SUPP ADULT
GLUCAGON INJ 1ML/ 10U
HALOPERIDOL 5MG/ ML INJ
AMOXICILLIN CAP 500MG
HYDROCORTISONE CREAM 1% 30GM
HEPARIN 5000U/ 1ML INJ
IMODIUM 2MG CAP UD
AMOXIL CAP 500MG UD
AMOXIL SUSP 125MG/5ML
ISORDIL 20MG TAB UD
KEFLEX PULV 500MG UD
AMOXIL 50MG/ML 30ML
MILK OF MAGNESIA 30ML
KEFZOL 1GM INJ VIAL
TYLENOL DROPS 15ML
TYLENOL LIQ 120ML
ACETAMINOPHEN (TYLENOL) 500MG TAB
NOREPINEPHRINE 1MG/ML4ML VIAL
LIDOCAINE 2% ABBOJECT 5ML
LOPID 600MG TAB
LIDOCAINE BOLUS 50MG/5ML
LIDOCAINE HCL 2G/50ML
LUBRIDERM LOTION 120ML
LOTRIMIN CREAM 1% 15GM
AMOXIL SUSP 250MG/ 5ML
MILK OF MAGNESIA TAB 300MG
MILK OF MAGNESIA 15ML
MINERAL OIL 30ML UD
MINERAL OIL STERILE
MULTIVITAMINS
NARCAN 0.4MG/ML INJ
NITRO-BID CAP 6.5MG
LASIX 40MG/4ML
NIACIN 10MG/ML
NEOSPORIN OPTH DROPS 10CC
NASALIDE SPRAY
PANWARFIN 5MG TAB UD
PEDIALYTE
PENICILLIN G POT 10 MILU
PREDNISONE 20MG
PROPINE SOL 5ML
GENTAMICIN 40MG/ML 2ML VIAL
PREDNISONE 5MG TAB
PONTOCAINE TOP SOL 0.5%
POVAN FILMSEAL 50MG
POTASSIUM CHLOR 20MEQ INJ
PREMARIN TAB 0.5MG
PPD SKIN TEST
NIFEDIPINE XL 30MG TAB
ALCOHOL ISOPROPYL
ROBITUSSIN DM 10ML UD
ROBITUSSIN 15ML UD
RITALIN 10MG TAB UD
ROBAXIN TAB 500MG UD
ROBAXIN 750MG TAB UD
REGLAN TAB 10MG
ROBITUSSIN 5ML UD
SILVADENE CREAM 1% 50GM
SELSUN SHAMPOO
MAGNESIUM SULF 50% 10ML
SINEMET 10/100 TAB UD
SENNA 8.6MG TAB
SERPASIL AMP 2.5MG/ML INJ
SILVADENE CREAM 1000MG
BICITRA 15ML UD
SILVADENE CREAM 400GM
SILVER NITRATE APPLICATOR
LORCET PLUS
SOD BICARD 8.4% 50ML
SLOW-K TAB 600MG UD
SOD SULAMYD OPTH 10% 5ML
SODIUM BICARD 325MG TAB
SINEMET 25/100 TAB UD
DONNAGEL PG 30ML
SODIUM CHLORIDE 0.9% 10ML
POLY PRED OPTH DROPS
POLYSPORIN OPH SOLU
SINEQUAN CAP 100MG
SLOBID 100MG CAP
HYDROCORTISONE SS 100MG
TOFRANIL PM 75MG
SOLU-MEDROL 40MG IV
SOLU-MEDROL 125MG IM, IV
SULFACETAMIDE OPTH 10%
TETANUS TOXOID
CARBAMAZEPINE (TEGRETOL ER) 200MG TAB
THIAMINE (VIT-B-1) 100MG/ML INJ
TINCTURE BENZOIN SPRAY
VISTARIL 50MG/ML INJ 1ML
VISTARIL CAP 25MG
INSULIN HUMULIN NPH
FUROSEMIDE 20MG TABLET
EYE STREAM OPH SOLN
ZOLOFT 50MG
ERYTHROMYCIN SUSP 125MG/5ML
CAPOTEN 12.5MG PO
NYSTATIN CREAM 1OZ
ROBITUSSIN SYRUP 120ML
MAGNESIUM SULF 50% 4MG
RIFADIN 300MG
PRED FORTE 1% OPTH
COLACE 100MG
PROVENTIL SUSP
AZACTAM 500MG
AZACTAM 1GM
NORVASC 10MG
CARDIZEM CD 180MG
PAXIL 20MG
PROSCAR 5MG
REGLAN 10MG/2ML
DEPAKOTE DR 250MG PO
BUSPIRONE (BUSPAR) 15MG TAB
CATAPRES PATCH
AZMACORT INHALER 20GM
PREDNISOLONE 15MG/5ML SYRUP
ROCEPHIN 250MG
MAG-OXIDE 400MG TAB
CLARITIN 10MG TAB
ARICEPT 10MG 1/2 TAB
ARICEPT 10MG TAB
GLUCOPHAGE 500MG TAB
CARVEDILOL (COREG) 6.25MG TAB
ATORVASTAIN (LIPITOR) 20MG TAB
COREG 25MG TAB
HALOPERIDOL DECANOATE PER 5MG
SINGULAIR 10MG
FLOMAX 0.4MG TAB
LACTULOSE SYRUP 10GM/15ML
AMARYL 1MG
AMARYL 2MG PO
AMARYL 4MG
PLAVIX 75MG TAB
ZYPREXA 10MG TAB
MOTRIN CHILD SOLN 100MG/5ML
SEROQUEL 25MG PO
LINCOCIN 300MG
AMPICILLIN 250MG INJ
LOTREL 5MG/20MG
5% DEXTROSE 1000ML
VITAMIN B12 TAB
MELOXICAM 7.5MG TAB
VITAMIN B12 100MG PO
ACYCLOVIR 400MG
IMMODIUM SUSP
MUCINEX
KEPPRA 500MG
ERYTHROMYCIN OINT
AMIODARONE 150MG/3ML INJ
NITROGLYCERIN (NITROSTAT) SL 0.4MG TAB
HCTZ 12.5MG
VITAMIN E 400MG
RISPERDAL 1MG CAP
LASIX 10MG
SODIUM BICARB 1AMP
ROMAZICON 0.5MG/5ML INJ
CARAFATE 1GM TAB
POLIGRIP
CELEXA 20MG TAB
BACTROBAN OINT I APPLICATION
HERMORRHODIAL CREAM
NICTROL (NICOTENE) 21MG PATCH
CLONAZEPAM (KLONOPIN) 1MG TAB
ERYTHROMYCIN OPHTH
LOPRESSOR 5MG/5ML INJ
MACROBID 100MG CAP
LISINOPRIL 5MG
CIPRO 400MG
LEVOTHYROXIN 0.05MG
AMOXIL BOTTLE
VASELINE LOTION
ZINC 50MG
CHLORTHALIDONE (THALITONE) 25MG TAB
Z PACK
LOVASTATIN 20MG TAB
VITAMIN B-12 ELIX
MAVIK 2MG
LIDOCAINE PATCH 5%
CARTEOLOL 1%
RID KIT
COREG 3.125MG TAB
NEOSPORIN OINT 1 APPL
TUMS
IMURAN 50MG
ENALAPRIL 10MG TAB
METFORMIN 850MG
TRIPLE ANTIBIOTIC OINT
TRIPLE ANTIBIOTIC OINT
FLONASE NASAL
SEROQUEL 100MG
PRAVACHOL 20MG
ABILIFY 20MG
NAPROXEN 500MG
ZYPREXA 5MG TAB
TOPAMAX 100MG
SALINE
SILVADENE CREAM 1 APPL
INTAL UNIDOSE
ACETAMINOPHEN (TYLENOL) 325MG TAB
LISINPRIL 10MG TAB
MOTRIN LIQ
ASPIRIN 325MG
SEROQUEL 200MG
MIRALAX
ANTIPYR/BENZOCAINE OTIC
VITAMIN K 10MG INJ
NEOMYCIN OTIC
VITAMIN D 1000U
IODINE
SIMVASTIN 40MG TAB
INVEGA 9MG
VESICARE 5MG
POTASSIUM 8MEQ
VAGIFEM 25MCG
NEOMYCIN POLY B SULF HYDROCORTISONE OT
RISPERAL 3MG
EFFEXOR 150MG
NYSTATIN ORAL SUSP
UROXATRAL 10MG
LOVAZA CAP
LISINOPRIL 20/ HCTZ 25
METANX
ISOSORBIDE 60MG TAB
BYETTA 5MG
COLESTID 1GM
TEKTURNA 150MG
FOLIC ACID 400MCG
ELOCON CREAM
CLARINEX 5MG
FLUNISOLIDE 0.025
FLAGYL TOPICAL
ZEGERRD 40-1100
ACYCLOVIR 800MG TAB
LYRICA 100MG
ABILIFY 30MG
SKELAXIN 800MG
PROAIR HFA 90MCG
VYTORIN
FENOFIBRATE 160MG
BENAZEPRIL 20/12.5
PRISTIQ 50MG
PANGESTYME CN
VALTREX 1GM
MAGNESIUM 250MG
HCTZ 25MG TAB
FLEXTRA 650
EFFEXOR 75MG TAB
PROLIXIN 10MG
DEPLION 7.5MG
METOLAZONE 5MG TAB
TORESMIDE 20MG
ZITHROMAX 250MG CAP
CREON
ACYCLOVIR 200MG TAB
COLCHICINE 0.6MG TAB
LOPROX CREAM
LOZENGES
DETROL 4MG
LOTREL 5MG/10MG
TOPROL XL 25MG TAB
TOPROL XL 50MG
WELLBUTERIN 75MG TAB
FLORASTAIN DYE STRIP
EXCEDRIN
EFFEXOR 100MG
TETRACAINE HYDROCORTISONE OTIC
DOXYCYCLINE 100MG CAP
TIZANIDINE 2MG TAB
SEROQUEL 300MG
TYLENOL ADULT LIQ
SYNACORT INH
FLONASE
CALCIUM 600MG
PRAVASTATIN 40MG TAB
ZYPREXA 10MG
MIRAPEX 1.5MG
CARBIDOPA/LEVO 25/250 PO
POLYSPORIN OTIC
POT GLUCONATE 99MG
NEOMYCIN/POLYMYXIN/HC OPTH SUSP
OMNICEFT 300MG
CEFDINIR 300MG
PATANOL 0.1% OPTH
SAVELLA 50MG
NOVOLOG 70/30
WELCHOL 625MG
SIMVASTIN 20MG TAB
PANCRELIPASE
HYDROXYZINE HCL 25MG TAB
CARBINOXAMINE 4MG/5ML
JANUVIA 50MG TAB
PANTOPRAZOLE SOD (PROTONIX) 40MG
GLYBURIDE 2.5MG TAB
KAPIDEX 60MG
BENADRYL 5MG IM
NEXIUM 40MG
GLIPIZIDE 10MG TAB
CLARITHROMYCIN 500MG
OXYBUTYNIN 5MG
GUIATUSS SYRUP
ULORIC 40MG TAB
INHALATION SOL
LISINOPRIL 2.5MG TAB
GLYBURIDE-METFORMIN 5/500 PO
LISINOPRIL 20MG
TRAZODONE 150MG TAB
SYMBICORT
TIZANIDINE 4MG
POTASSIUM 20MEQ/15ML ORAL SOLUTION
MELOXICAM 15MG
GLYBURIDE 5MG TAB
TYLENOL 80MG SUPP
GEODON 80MG
GLYBURIDE 1.25MG
CRESTOR 20MG
SIMVASTIN 80MG
LEVAQUIN 25MG/ML VIAL
ALLEGRA 60MG
ENALAPRIL 0.625
CLOTRIMAZOLE/ BETH CREAM
PRAZOSIN
THEROBIC
PHENAZOPYRIDINE 100MG
CHLORDIAZEPOXIDE 25MG
TRICOR 145MG
LEVETIRACETAM (KEPPRA) 500MG TAB
ABILIFY 5MG
POLYETHYLENE GLY
CRESTOR 40MG
FERROUS SULF 220MG
GABAPENTIN 100MG CAP
FOLIC ACID 1MG PO
GABAPENTIN 300MG CAP
GENERLAC 10GM/15ML BOTTLE
NABUMETONE 750MG
ACTOS 15MG
HUMULIN R 100/ML VIAL
MOTRIN 200MG
VICOPROFEN
LEVEMIR 100 UNITS/ ML VIAL
MAGNESIUM SULF 50% 1GM/2ML
LEVOTHYROXINE 300MCG
VERSED 2MG/ML
FLUTICASONE NASAL SPRAY
LUMIGAN 0.03% EYE DROPS
FELODIPINE ER 2.5MG TAB
MUPIROCIN 2% OINT
PHENADOZ 12.5MG SUPP
BUPROPION HCL XL 150MG PO
VENLAFAXINE HCL 75MG
AMOX TR-KCLV 875 125MG TAB
FEXFENADINE HCL 60MG
NYSTATIN-TRIAMCINOLONE CREAM 30GM
DORZOLAMIDE-TIMOLOL EYE DROP
MIRTAZAPINE 15MG TAB
CYPROHEPTADINE 4MG TAB
METHYLPREDNISOLONE 4MG TAB
THIORIDAZINE 25MG TAB
KETROLAC TROMETHAMINE 10MG
PROMETHAZINE 25MG TAB
GENERLAC SOLUTION
ALBUTEROL SOLUTION
SEROQUEL 400MG
ADEOCARD 6MG IV
AMITRIPTYLINE 50MG TAB
PRAMIPEXOLE 0.5MG
HYDROXYUREA 500MG PO
DESONIDE CREAM 0.05%
PHENYTOIN SOD ER 100MG CAPS
VALACYCLOVIR 500MG
CARBIDOPA/ LEVO 10-100 TAB
FEXOFENADINE 180MG TAB
SULFAMETHOX/TMP 200M- 40/5ML
DIOVAN 320MG
AMANTADINE 100MG CAPSULE
AZITHROMYCIN 100/5ML
AZITHROMYCIN 250MG TAB
DOXAZOSIN 4MG TAB
NITROFURANTOIN MCR 100MG
AMLODIPINE-BENAZ 5.2MG
LAMOTRIGINE 100MG TAB
ONDANSETROMHCL 8MG TAB
DIOVAN 160MG PO
TRAZODONE 100MG
SUBOXONE 8MG-2MG
DILTIAZEM CD 120MG TAB
BENAZEPRIL 20MG PO
ONDANSETRON 4MG TAB
GENERLAC 10GM/15ML
ROPINIROLE 1MG TAB
LORAZEPAM 1MG TAB
AMITRIPTYLINE 10MG TAB
HALOPERIDOL 1MG TAB
BUSPAR 10MG
TRAZADONE 50MG
LASARTAN 50MG
ALBUTEROL SYRUP
LISINOPRIL 20/12.5MG
TEGRETOL 100MG TAB
INSULIN LANTUS PEN 100U/ML
VISTARIL 25MG IM
XANAX 1MG PO
XANAX 2MG PO
TERAZOSIN 1MG
SIMETHICONE 80MG
ERYTHROMYCIN 1 APP
LANOXIN 500MCG
LANOXIN 500 IM
LABETALOL HCL 100MG/20ML
NAMENDA 10MG
AMITRIPTYLINE 25MG PO
ZOFRAN ELIXIR 5ML
INSULIN HUMULIN R
CALCIUM 500MG
AZITHROMYCIN 500MG TAB
0.9% NS WITH KCL 20MEQ 1000ML
ESCITALOPRAM (LEXAPRO) 10MG TAB
ERYTHROMYCIN SUSP 200MG/5M
ERYTHROMYCIN SUSP 400MG/5M
BUSPAR 7.5MG
0.45% SODIUM CHLORIDE 500ML
GARAMYCIN OTIC
UROXATRAL/ ALFUZOSIN HCL
INSTANT GLUCOSE
SUDAFED 30MG TABS
XOPENEX NEBULIZER
DEMEROL 25MG
DOBUTAMINE
ANECTINE 100MG/ML IM/IV
TAMIFLU SUSP ORAL
ALBUTEROL/ IPRATROPIUM NEB
AMPICILLIN 1GM INJ
ATORVASTATIN (LIPITOR) 40MG TAB
BUMETANIDE (BUMEX) 10MG/4ML INJ
CEFTAZIDIME 1GM INJ
CHLORHEXIDINE GLUCONATE 0.12% SOLN
CHLORPROMAZINE (THORAZINE) 50MG/ML INJ
CIPROFLOXACIN OPHTH OINT 0.3%
DIGOXIN 0.5MG/2ML INJ
ENOXAPARIN (LOVENOX)40MG/0.4ML INJ
ENOXAPARIN 80MG/0.8ML
EPINEPHRINE 30MG/30ML VIAL
FAMOTIDINE (PEPCID) 20MG/50ML INJ
FLUCONAZOLE (DIFLUCAN) 150MG TAB
FUROSEMIDE 10MG/ML INJ 10ML VIAL
FUROSEMIDE 10MG/ML 4ML VIAL
GUAIFENESIN (ROBITUSSIN) DM SYRUP
HYDROCHLOROTHIAZIDE 12.5MG CAP
HYDROXYZINE HCL 10MG/5ML SYRUP
ISOSORBIDE MONO ER (IMDUR) 30MG
LEVOFLOXACIN (LEVAQUIN) 500MG TAB
LIDOCAINE 0.4% DEXTROSE 500ML
LIDOCAINE 1% 20ML INJ
LIDOCAINE 1% PF INJ 5ML
MEGESTROL (MEGACE) SUSP 40MG/ML
MELATONIN 10MG CAP
MEMANTINE (NAMENDA) 5MG TAB
METFORMIN (GLUCOPHAGE) 1000MG TAB
NALBUPHINE 10MG/ML INJ
NOVOLIN R 100 UNITS/ML
PIPERACILLIN/ TAZOBACTAM 2.25GM INJ
PIPERACILLIN/TAZOBACTAM 3.375GM INJ
POTASSIUM CHLORIDE 10MEQ/100ML
SODIUM POLYSTRENE SULFONATE 15GM/60ML
SPIRONOLACTONE (ALDACTONE) 25MG TAB
THEOPHYLLINE 500MG/20ML INJ
TOPIRAMATE (TOPAMAX) 50MG TAB
WARAFARIN (COUMADIN) TAB 2MG UD
LANTUS SOLUTION 100U/ mL
NOVOLOG FLEXPEN SQ SOLN 100U/ML
LABETALOL HYDROCHLORIDE TABLET 10MG
ADENOSINE INTRAVENOUS SOLUTION 3MG/ 1ML
DEXTROSE 5% 500ML INJ
CETIRIZINE HCL ORAL SYRUP 1MG/1ML
EAR DROPS OTIC SOLUTION 6.5%
NICOTINE TD PATCH ER 14MG/ 24HR
NICOTINE TD PATCH ER 7MG/24HR
LIDOCAINE TOPICAL ER 700MG PATCH
FLUOXETINE HCL ORAL CAP 10MG
VISTARIL CAPULE 50MG
PROTONIX ORAL TAB EC 40MG
TRILEPTAL TABLET 150MG
PRILOSEC CAPSULE DR 40MG
CLONIDINE TD PATCH ER 0.1MG/24HR
CLONIDINE 0.2MG TD PATCH
CLINDAMYCINE HCL ORAL CAPSULE 150MG
CYMBALTA 60MG
ZOFRAN TABLET
| $5.00 |
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| $7.00 |
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| $15.00 |
| $11.70 |
| $5.20 |
| $373.10 |
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| $5.20 |
| $115.70 |
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| $23.00 |
| $16.90 |
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| $468.00 |
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| $23.00 |
| $11.00 |
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| $17.00 |
| $17.00 |
| $111.00 |
| $122.20 |
| $57.00 |
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| $10.00 |
| $5.20 |
| $78.00 |
| $16.00 |
| $6.50 |
| $11.70 |
| $5.20 |
| $69.00 |
| $35.10 |
| $5.00 |
| $105.30 |
| $6.00 |
| $6.00 |
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| $43.00 |
| $5.00 |
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| $8.00 |
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| $68.90 |
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| $23.40 |
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| $69.00 |
| $34.00 |
| $43.00 |
| $7.80 |
| $5.20 |
| $42.90 |
| $5.20 |
| $5.00 |
| $5.00 |
| $34.00 |
| $5.00 |
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| $52.00 |
| $5.00 |
| $5.20 |
| $12.00 |
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| $8.00 |
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| $12.00 |
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| $34.00 |
| $7.80 |
| $33.80 |
| $5.20 |
| $5.00 |
| $5.00 |
| $11.70 |
| $23.00 |
| $34.00 |
| $5.20 |
| $5.00 |
| $7.00 |
| $12.00 |
| $5.20 |
| $10.00 |
| $23.00 |
| $8.00 |
| $126.00 |
| $34.00 |
| $10.00 |
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| $70.00 |
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| $82.00 |
| $33.80 |
| $55.00 |
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| $17.00 |
| $91.00 |
| $5.00 |
| $58.50 |
| $24.00 |
| $5.00 |
| $105.00 |
| $7.80 |
| $43.00 |
| $5.00 |
| $39.00 |
| $5.00 |
| $16.90 |
| $5.00 |
| $5.00 |
| $11.70 |
| $7.00 |
| $6.00 |
| $6.00 |
| $5.00 |
| $52.00 |
| $39.00 |
| $23.40 |
| $5.20 |
| $6.00 |
| $33.80 |
| $409.50 |
| $5.20 |
| $222.30 |
| $5.00 |
| $11.70 |
| $85.80 |
| $5.20 |
| $57.20 |
| $5.00 |
| $5.20 |
| $5.20 |
| $34.00 |
| $57.20 |
| $52.00 |
| $5.20 |
| $5.20 |
| $23.40 |
| $7.80 |
| $47.00 |
| $121.00 |
| $15.00 |
| $34.00 |
| $5.00 |
| $34.00 |
| $34.00 |
| $34.00 |
| $6.00 |
| $33.00 |
| $5.00 |
| $28.60 |
| $12.00 |
| $11.70 |
| $7.80 |
| $36.00 |
| $11.70 |
| $32.00 |
| $7.80 |
| $33.80 |
| $5.00 |
| $11.70 |
| $35.00 |
| $66.30 |
| $5.00 |
| $8.00 |
| $10.00 |
| $10.00 |
| $39.00 |
| $5.00 |
| $6.00 |
| $129.00 |
| $81.90 |
| $35.00 |
| $138.00 |
| $5.00 |
| $7.00 |
| $10.40 |
| $13.00 |
| $5.00 |
| $39.00 |
| $40.00 |
| $34.00 |
| $33.80 |
| $17.00 |
| $7.00 |
| $8.00 |
| $5.00 |
| $16.00 |
| $25.00 |
| $10.00 |
| $20.00 |
| $5.00 |
| $85.00 |
| $34.00 |
| $42.00 |
| $12.00 |
| $78.00 |
| $5.00 |
| $34.00 |
| $5.00 |
| $335.00 |
| $5.00 |
| $8.00 |
| $51.00 |
| $70.00 |
| $106.60 |
| $16.00 |
| $6.00 |
| $5.00 |
| $34.00 |
| $8.00 |
| $40.00 |
| $502.00 |
| $36.00 |
| $33.80 |
| $34.00 |
| $5.00 |
| $34.00 |
| $70.00 |
| $17.00 |
| $36.00 |
| $35.00 |
| $17.00 |
| $6.00 |
| $28.60 |
| $5.00 |
| $50.70 |
| $20.00 |
| $10.40 |
| $12.00 |
| $334.10 |
| $20.00 |
| $3.90 |
| $19.50 |
| $66.00 |
| $334.10 |
| $66.30 |
| $39.00 |
| $6.00 |
| $1.30 |
| $24.00 |
| $8.00 |
| $11.00 |
| $66.00 |
| $8.00 |
| $40.00 |
| $85.00 |
| $17.00 |
| $51.00 |
| $42.00 |
| $25.00 |
| $34.00 |
| $17.00 |
| $6.00 |
| $17.00 |
| $5.00 |
| $7.00 |
| $6.00 |
| $8.00 |
| $85.00 |
| $8.00 |
| $17.00 |
| $23.00 |
| $43.00 |
| $5.00 |
| $16.90 |
| $17.00 |
| $66.00 |
| $16.90 |
| $5.00 |
| $16.90 |
| $117.00 |
| $34.00 |
| $12.00 |
| $34.00 |
| $16.90 |
| $4.00 |
| $8.00 |
| $5.20 |
| $5.00 |
| $484.90 |
| $7.80 |
| $11.70 |
| $5.00 |
| $126.10 |
| $16.90 |
| $100.10 |
| $167.70 |
| $33.80 |
| $25.00 |
| $34.00 |
| $50.70 |
| $16.90 |
| $134.00 |
| $16.90 |
| $8.00 |
| $7.80 |
| $17.00 |
| $7.80 |
| $33.80 |
| $6.00 |
| $5.00 |
| $5.20 |
| $11.00 |
| $5.20 |
| $16.90 |
| $8.00 |
| $7.80 |
| $83.00 |
| $5.00 |
| $10.40 |
| $5.00 |
| $100.10 |
| $8.00 |
| $17.00 |
| $11.70 |
| $5.00 |
| $6.00 |
| $39.00 |
| $16.90 |
| $5.20 |
| $11.70 |
| $17.00 |
| $9.00 |
| $10.40 |
| $85.00 |
| $6.00 |
| $577.20 |
| $143.00 |
| $5.00 |
| $17.00 |
| $25.00 |
| $7.80 |
| $5.20 |
| $52.00 |
| $7.80 |
| $125.00 |
| $17.00 |
| $16.90 |
| $334.10 |
| $16.90 |
| $59.00 |
| $7.80 |
| $17.00 |
| $7.80 |
| $8.00 |
| $17.00 |
| $25.00 |
| $65.00 |
| $8.00 |
| $19.50 |
| $34.00 |
| $25.00 |
| $8.00 |
| $17.00 |
| $8.00 |
| $7.00 |
| $21.00 |
| $17.00 |
| $7.00 |
| $5.20 |
| $5.00 |
| $7.00 |
| $585.00 |
| $10.40 |
| $7.00 |
| $34.00 |
| $8.00 |
| $8.00 |
| $83.20 |
| $7.80 |
| $8.00 |
| $17.00 |
| $147.00 |
| $18.20 |
| $7.80 |
| $91.00 |
| $8.00 |
| $7.80 |
| $5.00 |
| $7.80 |
| $10.00 |
| $8.00 |
| $51.00 |
| $39.00 |
| $51.00 |
| $5.00 |
| $6.00 |
| $5.00 |
| $11.00 |
| $58.50 |
| $16.90 |
| $13.00 |
| $91.00 |
| $7.00 |
| $19.50 |
| $260.00 |
| $34.00 |
| $8.00 |
| $34.00 |
| $40.00 |
| $234.00 |
| $5.20 |
| $78.00 |
| $10.40 |
| $13.00 |
| $10.00 |
| $26.00 |
| $6.50 |
| $16.00 |
| $260.00 |
| $11.00 |
| $39.00 |
| $7.00 |
| $6.50 |
| $5.00 |
| $8.00 |
| $65.00 |
| $52.00 |
| $85.00 |
| $91.00 |
| $6.00 |
| $9.10 |
| $5.00 |
| $104.00 |
| $5.00 |
| $34.00 |
| $5.20 |
| $6.50 |
| $16.00 |
| $23.00 |
| $10.40 |
| $56.00 |
| $56.00 |
| $5.00 |
| $12.00 |
| $7.00 |
| $58.50 |
| $66.00 |
| $23.00 |
| $5.00 |
| $26.00 |
| $8.00 |
| $8.00 |
| $67.00 |
| $13.00 |
| $6.50 |
| $5.00 |
| $6.00 |
| $5.00 |
| $5.00 |
| $5.00 |
| $43.00 |
| $7.00 |
| $8.00 |
| $5.00 |
| $52.00 |
| $35.10 |
| $5.00 |
| $5.00 |
| $5.00 |
| $5.00 |
| $6.00 |
| $5.00 |
| $43.00 |
| $140.00 |
| $10.00 |
| $5.00 |
| $42.00 |
| $0.33 |
| $6.00 |
| $25.00 |
| $120.00 |
| $11.00 |
| $11.70 |
| $16.90 |
| $5.00 |
| $62.00 |
| $45.00 |
| $11.70 |
| $34.00 |
| $5.20 |
| $225.00 |
| $127.00 |
| $100.00 |
| $35.00 |
| $30.00 |
| $18.00 |
| $100.00 |
| $40.00 |
| $105.00 |
| $120.00 |
| $16.90 |
| $105.00 |
| $100.00 |
| $105.00 |
| $10.00 |
| $10.00 |
| $120.00 |
| $105.00 |
| $82.00 |
| $35.00 |
| $63.00 |
| $12.00 |
| $5.00 |
| $12.00 |
| $10.00 |
| $8.00 |
| $69.00 |
| $69.00 |
| $69.00 |
| $12.00 |
| $35.00 |
| $5.00 |
| $5.00 |
| $105.00 |
| $5.20 |
| $1.00 |
| $105.00 |
| $105.00 |
| $105.00 |
| $105.00 |
| $5.00 |
| $105.00 |
| $5.00 |
| $5.00 |
| $52.00 |
| $52.00 |
| $120.00 |
| $105.00 |
| $12.00 |
| $17.00 |
| $66.00 |
| $66.00 |
| $66.00 |
| $5.00 |
| $5.00 |
| $5.00 |
| $5.00 |
| $5.00 |
| $66.00 |
| $66.00 |
| $8.00 |
| $21.00 |
| $75.00 |
ACE BANDAGE 3
ACE BANDAGE 4
ACE BANDAGE 6
AIRWAY SMALL
AIRWAY MEDIUM
AIRWAY LARGE
BLOOD PRESSURE CUFF (DISP) SMALL
BLOOD PRESSURE CUFF (DISP) ADULT
BLOOD PRESSURE CUFF (DISP) LARGE
CATHETER SUCT & SUCT TIP (KIT) 14FR
CATHETER TRAY STRAIGHT 14FR
CATHETER TRAY URETHETER 14FR
ADULT BRIEFS
DISP STERILE SCALPEL 11
ELECTRODES EXTRA ADULT
ENDOTRACHAEL TUBE 5.5MM
ENDOTRACHAEL TUBE 6.0MM
ENDOTRACHAEL TUBE 6.5MM
ENDOTRACHAEL TUBE 7.0MM
ENDOTRACHAEL TUBE 7.5MM
ENDOTRACHAEL TUBE 8.0MM
ENDOTRACHAEL TUBE 8.5MM
ENDOTRACHAEL TUBE 9.0MM
ENDOTRACHAEL TUBE 9.5MM
GLOVES BOX PER 100 M
GLOVES BOX PER 100 L
GLOVES PAIR STERILE M
GLOVES PAIR STERILE L
GLOVES PAIR STERILE XL
ICE BAG/ COLLAR LARGE
IRRIGATION TRAY PISTON
KERLIX & KLING 3
KERLIX & KLING 4
KERLIX & KLING 6
AMBU BAG ADULT
STERILE VAGINAL SPECULUM MEDIUM
STERILE VAGINAL SPECULUM LARGE
SUTURE VICRYL 5-0
SUTURE PROLENE 3-0
SUTURE PROLENE 4-0
SUTURE ETHILON 3-0
SUTURE ETHILON 4-0
TELFA PAD 3
ADULT OXYGEN MASK
ADULT NONREBREATHER MASK
NASAL CANNULA
VENTURI MASK
NEBULIZER W/MASK
NEBULIZER PEDIATRIC
HANDHELD NEB
HUMIDIFER ADAPTER
DISP STERILE SCALPEL 15
STERI STRIPS 1X5
DISPOSABLE PREP RAZOR
PED NASAL CANNULA
SHOULDER IMMOBILIZER XLONG ADULT
ENDOTRACHAEL TUBE 4.0MM
DEFIB ELECTRODE PAD
ENDOTRACHAEL TUBE 3.5MM
ENDOTRACHAEL TUBE 5.5MM
NONCONDUCTIVE CONNECTING TUBING
URINAL
ISOLATION GOWNS
URINE MEASURING CUP
MICRO DRIP SET
3X4 BANDAID
COVER GOWN
KNEE IMMOBILIZER 22
LAP SPONGE
ORTHOCENTESIS TRAY
GLOVES BOX PER 100 S
STERILE HEMOSTAT
SLIPPERS
STERILE VAGINAL SPECULUM SMALL
TWEEZERS
KNEE IMMOBILIZER 16
STERILE FORCEPS
SYRINGE 10CC
DISP EAR CURRETTE
DISP STERILE SCALPEL 10
SHOULDER IMMOBILIZER UNIVERSAL STRAIGHT
RING CUTTER
SYRINGE 60CC
SYRINGE 30CC
VEST RESTRAINT MEDIUM
CAST PADDING 2
HUBER NEEDLE
VEST RESTRAINT LARGE
TRUETRACK TEST STRIPS
PED OXYGEN MASK
4X4S TRAY STERILE
POVIDINE SWAB
CAST PADDING 4
ADMISSION KIT
DUODERM
MAXI PAD
SYRINGE 5CC
WINGED INFUSION SET
ABD PAD COMPOSITE
ACE BANDAGE 2
AIRWAY CHILD
ARM BOARD ADULT
XEROFORM 4X4
BULB SYRINGE
BUTTERFLY MINI CATH KIT
CATHETER TRAY STRAIGHT 10FR
CATHETER TRAY FEMALE
CATHETER FOLEY
CATHETER STRAP OR LEG BAG
CATHETER SUBCLAVIAN
60ML SYRINGE
CHEST TUBE TRAY
CHEST BOTTLE 1
CHEST BOTTLE 2
DRESSING SM
DRESSING LG
EYE & EAR TRAY
ENDOTRACHAEL TUBE 5.0MM
GELFOAM SM
GELFOAM LG
IV START KIT
LAVAGE TRAY
NASAL INSTRUMENTS
NG TUBE
OB INSTRUMENTS
OB LINEN PACK
SPINAL (LUMBAR) TRAY
STERILE IRRIGATION
STERI STRIPS 0.25X3
SUTURE VICRYL 3-0
SUTURE ALL OTHERS
SUTURE REMOVAL SET
SYRINGE 60CC
THORANCENTESIS TRAY
TRACHEOTROMY TRAY
URINAL MALE
YANKAUR CATH SUCTION TIP
SALINE IRR STERILE
ICE BAG ER
BANDAID 1X3
PLASTER BUCKET
NEEDLE NON-CORING
FEEDING BAG
BEDSIDE COMMODE
AVI SET SECONDARY
EXTENSION SET PRIMARY
LIMB HOLDER
FINGER CONTROL MITT
ABD PADS BOX
RAPE KIT
TUCKS
EXT URINARY CATHETER
SKIN PROTECTOR ADHESIVE
MALE URINARY COLL KIT
SECONDARY SET
BLOOD PRESSURE CUFF (DISP) CHILD
ABDOMINAL BINDER
WATER PITCHER
ADMISSION SET & GOWN
ADMISSION SET OB MOTHER
ADM SET BABY NEWBORN
TONGUE BLADE
PILLOW BED
LARGE WRIST BRACE LEFT
BRACE ANKLE LEATHER
EMESIS BASIN
ARM BOARD PED
TEGADERM TRANSCIENT
TED HOSE
TELFA PAD 2
BED PAN
BETADINE PREP
FOAM FINGER SPLINT
BLANKET EMERGENCY
EXAM GLOVES/ NS
BUCK TRACTION SET UP
BURN PACK STERILE
BUTTERFLY CLOSURE
EMESIS BAG
BED BARS
BED CRADLE
BOTTLE DRAINAGE CHEST 1
BOTTLE DRAINAGE CHEST 2
BREAST PUMP
BRACE ANKLE
KNEE IMMOBILIZER 18
LARGE WRIST BRACE RIGHT
BURETROL
CENTRAL VENOUS CATH KIT TRIPLE
CVP CATH TRIPLE LUMEN
CVP CATH DOUBLE LUMEN
CATHETER TRAY FOLEY 16 FR
COTTON TIPPED APPLICATOR
EXT PACEMAKER PADS
CATHETER SET SINGLE USE
CATHETER URETHETER 10FR
CATHETER URETHETER 12FR
CATHETER PLUG OR COLOS CLAMP
CATHETER URETHETER 14FR
CATHETER SUCT & SUCT TIP (KIT) 10FR
CERVICAL COLLAR SMALL
UNDERPAD CHUX
AVI PUMP SET
MEDIUM WRIST BRACE LEFT
COLOSTOMY BAGS PKG
COLOSTOMY IRR KIT
CONNECTOR Y&5/1
CRASH CART
EGG CRATE
MEDIUM WRIST BRACE RIGHT
CHILD WRIST SPLINT LEFT
CHILD WRIST SPLINT RIGHT
SURGICAL TAPE
CUT DOWN TAPE
CVP MANOMETER
CATHETER TROCAR KIT
CONT FLO FILTER SET
CONT FLO INTERLINK
DEFIBRILLATOR CRASH CART
DENTURE CUP
DIAPERS ALL
CVC DRESSING CHANGE TRAY
DOUCHE UNIT
DIAL A FLOW
DRAINAGE BAG LEG
DRAINAGE BAG URINARY
DRESSING CART LG
DRESSING CART SM
DRESSING XLG/TAPE BOX
DRESSING MD ALL TYPE
DEBRIDMENT KIT
DISP SKIN STAPLER LARGE
DRAIN VENTROL SUMP
EAR SYRINGE
EAR IRRIGATION
DIAL A FLOW EXT SET 1671
EYE PAD OVAL
FEEDING PUMP
ELECTRODES EXTRA PEDIATRIC
FEEDING TUBE
GASTRIC OR GOMCO SUCTION
GLOVES PER PAIR
GLOVES PAIR STERILE S
GLYCERIN SWAB
FACE MASK
HEEL/ ELBOW PROTECTORS
HYDROCOLLATOR PACKS
ICE BAG/COLLAR SMALL
ISOLATION SET UP
ISOLATION DAILY
INFANT SUCTION SETS
IODOFORM GAUZE PACKING
IRRIGATION TRAY BULB
IV PUMP OR IVAC
VALVE ULTRASITE FOR ASPIRATION
IV TRAY EVERYTHING
JELCO
IV ADAPTER PRN/ SMARTSITE
KERLIX & KLING 2
KNEE IMMOBILIZER 20
KLEENEX
LEVINE TUBE
LOTION
MILLER ABBOTT TUBE
MOUTHWASH
CATH IV SHIELDED 20G
MICHELLE CLIP REMOVER
MIDSTREAM COLLECTOR
MIDSTREAM URINE COLLECTOR
NEWBORN ADMISSION KIT
NU-GAUZE ALL
URINAL (EMERGENCY ROOM)
NITRAZINE PAPER
OB PREP BASIN OR TRAY
NASAL CATHETER
PEDIATRIC URINE COLL
PELVIC TRAY
PEROXIDE IRRIGATION
SECONDARY SET (ER)
PREP BASIN
POSION CONTROL BOX
PARACENTESIS TRAY
PROTECTOR COLOSTOMY
RAZOR
RECTAL TUBE
RESTRAINTS ARM
RESTRAINTS BODY
RIB BELT STRAIGHT
RESTON FOAM PAD
DISP BED PAN (ER)
SAFETY BELT
STERILE CUP
SPECIMEN CONT. STERILE
CALF/THIGH STRETCH NET
CATH IV SHIELDED 22G
SITZ BATH
SLING OPEN & CLOSED ARM
SLING ARM PEDIATRIC
CHILD SHOULDER IMMOBIILIZER
STAPLE REMOVER
ORAL SWABS
RIB BELT CONTOUR
J SPLINT 4X20′
SPLINT J LEG/ANKLE
CLAVICLE BRACE LARGE
CERVICAL COLLAR MEDIUM
CERVICAL COLLAR LARGE
CERVICAL COLLAR XLARGE
EXTENSION SET WITH FILTER
SPINAL NEEDLES
SALINE IRRIGATION 250ML
NONCONDUCTIVE SUCTION TUBE
I&D TRAY
SUCTION DAILY
SUCTION BOTTLE
SUBCLAVIAN CATHETER
SUCTION STRAIGHT
4X4S STERILE
THERMOMETER ORAL & RECTAL
BASIN LARGE
TRAPEZE BARS
URINE STRAINER
URINE COLLECTOR 24 HR
URINE COLLECTOR PAN
UROGATE IRR
UNDERPAD SINGLE
UROSHEATH CONDOM CATH
UNDERPADS SINGLE
VASELINE GAUZE
STOOL CUP
ALUMINUM FINGER SPLINT KIT
Y TYPE BLOOD SET
AMBU BAG INFANT
4X4S NONSTERILE
ISOLATION GOWNS
ISOLATION MASKS
ENEMA BAG
HOSPITAL GOWN
FOLEY CATH TRAY
FRENCH CATHETER
SUTURE TRAY DISP
OB ADM KIT
NEWBORN CHARGES
EXTRA ELECTRODES
DRESSING DUODERM/COLLODIAN
DISP STERILE GOWNS
TELEMETRY BATTERY
KIDD TOURNIQUET
MAGNETIC DRAPE
PORTA VAC SUCTION
PROXIMATE LG
SKIN STAPLER SM
COLOSTOMY WAFTER
AMBU BAG ADULT
SUTURE SM
SUTURE LG
YANKAUR
CVP CATH SINGLE LUMEN
ADULT BRIEFS M
ORAL AIRWAY OR NASAL AIR
BLOOD SET
EPITAS NOSE STOP KIT
TEMP STRIPS
STOP COCK/ LOPEZ VALVE
DISP MASK
ADDITIONAL SUCTION BUCKET
GAVAGE
DISTILLED WATER
UNA BOOT FOOT SPLINT
DEXTROSE STIX (ACCUCHECK SSAFETY LANCET)
SPLINT STIRRUP ANKLE
COLOSTOMY STOMAHESIVE PASTE
CATH IV SHIELDED 18G
EVENFLO BABY BOTTLE
PILLOW BED (SELF DISCOVERY)
DERMABOND SKIN ADHESIVE
BLOOD SET FILTER
DISP PILLOW (ER)
GLUCOSE DEXTROMETER
DELIVERY
DEBRIDMENT KIT
URINE CUP
BIOHAZARD SPILL KIT
STERILE CUP (SD)
INTUBATION TRAY
INTUBATION TRAY SETUP
BRACE WRIST
UNDERPAD CHUX
DETOX DRINK CUP
H M FIRST HOUR
H M ADD HOUR
H M FLOOR DAILY
DINAMAP
EXTERNAL PACEMAKER
NEWBORN RESUCIATATION
| $23.00 |
| $23.00 |
| $23.00 |
| $5.00 |
| $5.00 |
| $5.00 |
| $92.30 |
| $92.30 |
| $92.30 |
| $10.00 |
| $39.00 |
| $51.00 |
| $6.00 |
| $17.00 |
| $39.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $0.00 |
| $0.00 |
| $7.00 |
| $7.00 |
| $7.00 |
| $39.00 |
| $29.00 |
| $9.00 |
| $9.00 |
| $9.00 |
| $93.60 |
| $25.00 |
| $25.00 |
| $59.00 |
| $59.00 |
| $59.00 |
| $59.00 |
| $59.00 |
| $6.00 |
| $52.00 |
| $52.00 |
| $52.00 |
| $52.00 |
| $51.00 |
| $51.00 |
| $81.00 |
| $52.00 |
| $17.00 |
| $29.00 |
| $81.00 |
| $52.00 |
| $36.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $142.00 |
| $5.00 |
| $29.00 |
| $29.00 |
| $4.00 |
| $40.00 |
| $0.00 |
| $5.00 |
| $85.80 |
| $51.00 |
| $127.40 |
| $0.00 |
| $16.90 |
| $17.00 |
| $25.00 |
| $8.00 |
| $220.00 |
| $17.00 |
| $5.00 |
| $5.20 |
| $17.00 |
| $36.00 |
| $16.90 |
| $5.00 |
| $5.00 |
| $267.80 |
| $196.30 |
| $17.00 |
| $52.00 |
| $81.90 |
| $52.00 |
| $39.00 |
| $4.00 |
| $117.00 |
| $13.00 |
| $10.00 |
| $2.00 |
| $5.00 |
| $17.00 |
| $5.00 |
| $23.00 |
| $5.00 |
| $8.00 |
| $12.00 |
| $13.00 |
| $23.40 |
| $39.00 |
| $29.00 |
| $39.00 |
| $23.00 |
| $40.00 |
| $8.00 |
| $51.00 |
| $70.20 |
| $140.40 |
| $20.00 |
| $55.00 |
| $51.00 |
| $142.00 |
| $28.60 |
| $40.30 |
| $193.00 |
| $111.00 |
| $50.70 |
| $8.00 |
| $51.00 |
| $196.30 |
| $78.00 |
| $23.00 |
| $29.00 |
| $59.00 |
| $59.00 |
| $29.00 |
| $5.00 |
| $127.40 |
| $366.60 |
| $16.00 |
| $5.00 |
| $62.00 |
| $20.00 |
| $0.50 |
| $8.00 |
| $17.00 |
| $54.60 |
| $39.00 |
| $55.00 |
| $39.00 |
| $66.00 |
| $62.40 |
| $39.00 |
| $87.00 |
| $23.40 |
| $7.80 |
| $5.20 |
| $88.00 |
| $17.00 |
| $92.30 |
| $87.10 |
| $8.00 |
| $55.00 |
| $102.70 |
| $87.10 |
| $1.30 |
| $17.00 |
| $29.00 |
| $29.00 |
| $8.00 |
| $6.00 |
| $12.00 |
| $117.00 |
| $6.00 |
| $5.00 |
| $5.00 |
| $29.00 |
| $23.40 |
| $33.80 |
| $110.50 |
| $43.00 |
| $3.90 |
| $8.00 |
| $110.50 |
| $42.90 |
| $70.00 |
| $140.00 |
| $19.50 |
| $111.00 |
| $220.00 |
| $87.10 |
| $34.00 |
| $251.00 |
| $150.80 |
| $150.80 |
| $187.00 |
| $1.00 |
| $234.00 |
| $28.60 |
| $51.00 |
| $51.00 |
| $5.20 |
| $23.40 |
| $10.00 |
| $51.00 |
| $39.00 |
| $54.60 |
| $85.80 |
| $66.30 |
| $110.50 |
| $4.00 |
| $532.00 |
| $62.40 |
| $127.40 |
| $7.80 |
| $5.20 |
| $7.80 |
| $87.00 |
| $43.00 |
| $151.00 |
| $40.00 |
| $40.00 |
| $820.00 |
| $4.00 |
| $57.00 |
| $33.80 |
| $7.80 |
| $115.00 |
| $23.40 |
| $34.00 |
| $117.00 |
| $59.00 |
| $70.00 |
| $39.00 |
| $39.00 |
| $220.00 |
| $7.80 |
| $22.00 |
| $34.00 |
| $47.00 |
| $4.00 |
| $78.00 |
| $39.00 |
| $5.00 |
| $151.00 |
| $0.00 |
| $7.00 |
| $4.00 |
| $1.00 |
| $39.00 |
| $39.00 |
| $39.00 |
| $151.00 |
| $87.00 |
| $5.20 |
| $17.00 |
| $29.00 |
| $78.00 |
| $8.00 |
| $33.80 |
| $17.00 |
| $7.80 |
| $9.00 |
| $34.00 |
| $4.00 |
| $8.00 |
| $3.90 |
| $17.00 |
| $68.90 |
| $4.00 |
| $17.00 |
| $28.60 |
| $29.00 |
| $29.00 |
| $87.10 |
| $17.00 |
| $5.00 |
| $8.00 |
| $23.40 |
| $83.00 |
| $4.00 |
| $69.00 |
| $5.20 |
| $17.00 |
| $23.00 |
| $87.00 |
| $127.40 |
| $16.90 |
| $6.00 |
| $5.20 |
| $46.80 |
| $110.50 |
| $34.00 |
| $23.40 |
| $5.00 |
| $87.10 |
| $4.00 |
| $8.00 |
| $66.00 |
| $17.00 |
| $111.00 |
| $43.00 |
| $43.00 |
| $111.00 |
| $29.00 |
| $7.80 |
| $29.00 |
| $117.00 |
| $83.00 |
| $62.40 |
| $70.00 |
| $62.00 |
| $70.00 |
| $39.00 |
| $8.00 |
| $17.00 |
| $5.00 |
| $51.00 |
| $66.30 |
| $51.00 |
| $40.00 |
| $151.00 |
| $5.00 |
| $5.20 |
| $5.00 |
| $110.50 |
| $7.00 |
| $5.00 |
| $4.00 |
| $42.90 |
| $6.00 |
| $23.40 |
| $6.00 |
| $17.00 |
| $5.00 |
| $39.00 |
| $180.00 |
| $93.60 |
| $6.00 |
| $83.20 |
| $41.60 |
| $39.00 |
| $0.00 |
| $87.00 |
| $5.20 |
| $66.00 |
| $102.70 |
| $267.80 |
| $39.00 |
| $39.00 |
| $28.60 |
| $28.60 |
| $110.50 |
| $28.60 |
| $127.40 |
| $220.00 |
| $92.00 |
| $110.50 |
| $94.00 |
| $127.40 |
| $262.60 |
| $5.00 |
| $150.80 |
| $6.00 |
| $5.00 |
| $40.00 |
| $150.80 |
| $16.90 |
| $7.80 |
| $28.60 |
| $22.10 |
| $19.50 |
| $33.80 |
| $70.20 |
| $17.00 |
| $140.40 |
| $50.70 |
| $17.00 |
| $3.90 |
| $16.90 |
| $168.00 |
| $207.00 |
| $17.00 |
| DESC |
| ALB CREAT RATIO URINE |
| DRUG SCREEN TRT CTR |
| URINE CYTOLOGY |
| CHLAMYDIA GC AMP |
| CORTISOL AM |
| HCV FIBROSURE |
| LEAD LEVEL PEDIATRIC |
| METADONE SCREEN URINE |
| MYOGLOBIN SERUM |
| TESTOSTERONE FREE/ TOTAL |
| T3 FREE |
| DRUG SCREEN BLOOD OR SERUM |
| DRUG PROFILE URINE COMPREN |
| CRP CARDIAC |
| VANCOMYCIN PEAK |
| VANCOMYCIN TROUGH |
| GENTAMYCIN PEAK |
| GENTAMYCIN TROUGH |
| HELICOBACTER PYLORI AB |
| COMPATIBILITY INCUBATION TECH |
| COMPATIBILITY IMMED SPIN |
| COMPATIBILITY ANTIGLOBULIN TECH |
| ALBUMIN/CREATINIE RATIO UA |
| MICRO ALBUMIN QUALITATIVE |
| TROPONIN LEVEL |
| DNA COLLECTION |
| URINALYSIS |
| DIPSTICK ONLY URINE |
| SPECIFIC GRAVITY URINE |
| MICROSCOPIC ONLY URINE |
| PREGNANCY TEST |
| PROTEIN QUAN 24HR URIN |
| CREATINE CLEARANCE 24 HR |
| CBC DIFF PLATELET |
| WBC |
| RBC |
| RETICULOCYTE COUNT |
| HEMOGLOBIN |
| HEMATOCRIT |
| SED RATE |
| CLOTTING TIME |
| BLEEDING TIME |
| PLATELET COUNT |
| EOS COUNT |
| STOOL CULTURE |
| PTT |
| PT/INR |
| ANTI DNA |
| ANA |
| ASO TITER |
| COLD AGGLUTININ |
| CRP |
| FTA |
| MONO TEST |
| RA TEST |
| RPR |
| RPR QUANTITATIVE |
| RUBELLA TITER |
| SICKLEDEX |
| HEMOGLOBIN ELECT SPL |
| THYROID PROFILE |
| DIGOXIN |
| T3 |
| TSH |
| RIA PREGNANCY TEST |
| CHEM 14 (CHEM PROFILE) |
| LIPID PROFILE |
| GLUCOSE |
| BUN |
| CREATININE |
| CO2 |
| CHLORIDE |
| SODIUM |
| POTASSIUM |
| CALCIUM |
| BILIRUBIN TOTAL |
| BILIRUBIN DIRECT |
| LDH |
| SGOT |
| SGPT |
| CPK |
| LDH ISOENZYMES |
| CKMB |
| ALKALINE PHOSPHATASE |
| AMYLASE |
| TRIGLYCERIDES |
| CHOLESTEROL |
| CHOLESTEROL HDL |
| PHOSPHOROUS |
| URIC ACID |
| ACID PHOSPHATASE |
| TOTAL PROTEIN |
| ALBUMIN |
| SERUM IRON |
| IRON PANEL |
| SALICYLATE LEVEL |
| MAGNESIUM |
| LIPASE |
| SPUTUM CULTURE |
| URINE CULTURE |
| BLOOD CULTURE |
| AEROBIC BACTERIAL CULTURE |
| MISC CULTURES |
| SPINAL FLUID CULTURE |
| VAGINAL OR CERVIX CULTURE |
| GC CULTURE |
| THROAT CULTURE |
| GRAM STAIN |
| DIRECT WET MOUNT |
| TYPE AB |
| TYPE CROSS MATCH |
| ANTIBODY SCREEN |
| ANTIBODY ID |
| COOMBS TEST |
| OB PROFILE |
| OCCULT BLOOD STOOL |
| OVA & PARASITE STOOL |
| STOOL BILE |
| STOOL FAT |
| STOOL UROBILNOGEN |
| SPINAL FLUID COUNT |
| SPINAL FLUID PROTEIN |
| SPINAL FLUID CHLORIDE |
| FINGER STICK GLUCOSE |
| PATHOLOGY TISSUE SM & MD |
| PATHOLOGY TISSUE LG |
| ANEMIA PROFILE |
| A VITAMIN LEVEL |
| B12 ASSAY |
| PROTEIN ELECTROPHORUS |
| IMMUNE ELECTROPHORUS |
| DILANTIN LEVEL |
| PROLACTIN LEVEL |
| PARATHYROID HORMONE INTACT |
| SPUTUM AFB STATE |
| SPUTUM CYTOLOGY |
| PAP SMEAR |
| STONE ANALYSIS |
| TRANSFERRIN |
| FSH |
| CORTISOL RANDOM |
| INSULIN LEVEL |
| PHENOBARBITAL LEVEL |
| THYROID ANTIBODY BATTERY |
| OSMOLALITY PLASMA & URINE |
| GASTRIC ANALYSIS |
| CEA |
| TESTOSTRONE LEVEL |
| GROWTH HORMONE |
| ESTROGEN LEVEL |
| HGB A2 GUANTATIVE |
| HGB AIC OR GLYCOLTHYB |
| GENTAMICIN LEVEL |
| NEBCIN LEVEL |
| LH LUTENIZING HORMONE |
| NORTRYPTYLINE LEVEL |
| BONE MARROW STUDY |
| AMMONIA |
| LEAD LEVEL ADULT |
| LITHIUM |
| COMPREHENSIVE DRUG SCREEN |
| HCG QUANTITIVE TITER |
| SPERM ANALYSIS |
| SPERM COUNT |
| NASAL SMEAR EOSINIPHILS |
| SPUTUM EOSINOPHILS |
| SYNOVIAL ANALYSIS |
| DIFFERENTIAL |
| SYNOVIAL FLUID CRYSTAL |
| 2HR PP GLUCOLA |
| SERUM ACETONE |
| FROZEN PLASMA ADM CHG |
| BLOOD ALCOHOL |
| IMMUNE GLOBULIN EACH |
| AMINOPHYLLIN LEVEL |
| LACTATE |
| RBC FOLATE |
| 3HR GTT |
| FOLIC ACID |
| VITAMIN D 25 HYDROXY |
| VITAMIN C ASSAY |
| URINE CREATINE |
| DEPAKENE LEVEL |
| PROCAINAMIDE LEVEL |
| MALARIA SMEAR |
| CYTOLOGY MISC FLD |
| T4 |
| TEGRETOL LEVEL |
| WBC SYNOVIAL FLUID |
| HEAVY METAL BLOOD QUANT |
| ARTHRITIC PROFILE |
| ALKALINE PHOS FRACTIONATE |
| LIVER PANEL I |
| IGE LEVEL |
| HEPATITIS PROFILE |
| FERRITIN |
| RH TYPE |
| STOOL PH |
| IGG LEVEL |
| GGT |
| LEUKOCYTE ALKALINU PHOSPH |
| SENSITIVITY CULTURE |
| VENIPUNCTURE |
| VENIPUNCTURE OP 3Y |
| CATHERIZATION FOR SPECIMEN |
| IGA QUANTATIVE TITER |
| CARBON MONOXIDE |
| METHEMOGLOBIN |
| ACETAMINOPHEN LEVEL |
| GTT EACH ADDITIONAL HR |
| RAPID STREP |
| ZINC LEVEL |
| SERUM COMPLEMENT LEVELS |
| HALDOL LEVEL |
| HERPES CULTURE |
| PROGESTERONE LEVEL |
| ALPHA FETO PROTEIN |
| MARIJUANA THC SCREEN |
| ROCKY MT SPOTTED FEVER |
| STOOL CLOSTRIDIUM DIFF |
| CBC W/O DIFF |
| RENAL PROFILE |
| HIV |
| PROLIXINE |
| PROSTATIC ACID PHOSP |
| STOOL ROTA VIRUS |
| MUMPS ANITBODY TITER |
| LYME DISEASE TITER |
| HEAVY METAL SCREEN |
| MISC COLLECTION FEE |
| IODIZED CALCIUM |
| URINE FREE CORTISOL |
| CHLAMYDIA ANTIGEN |
| C PEPTIDE LEVEL |
| VARICELLA ZOSTER IGG |
| RUBEOLA |
| MYOGLOBIN URINE |
| SERUM CA 125 |
| MYCOPLASMA ANTIBODY TITER |
| DESYREL LEVEL |
| FEP |
| HEPATITIS B SURFACE AB |
| BODY FLUID CELL COUNT |
| BODY FLUID DIFF |
| PSA |
| CHLAMYDIA CULTURE |
| RSV SMEAR |
| RSV AG |
| DHEA |
| INDUSTRIAL DRUG TEST |
| DRUG CONFIRMATION |
| TBG |
| DIRECT INFLUENZA A |
| VITAMIN B 1 |
| T LYMPH RATIO |
| HEPATITIS B IMMUNITY |
| AMITRIPTYLINE LEVEL |
| VANCOMYCIN LEVEL |
| FREE T4 |
| FREE TESTOSTERONE |
| ELECTROLYTES |
| CHEM 8 (PANEL 8) |
| PLATELET ADMINISTRATION |
| INDUSTRIAL DRUG SCREEN/ ALCHOL |
| CHEM 20 |
| CHEM 24 |
| HEPATITIS C |
| NEURONTIN |
| GC ANTIGEN |
| HERPES HSV I |
| HERPES HSV II |
| OSMO SERUM |
| OSMO URINE |
| POTASSIUM URINE RANDOM |
| SODIUM URINE RANDOM |
| BILRUBIN TOTAL AND DIRECT |
| PRE ALBUMIN |
| PANEL 8 |
| TRILEPTAL |
| BNP |
| D-DIMER |
| LEVETIRACETAM |
| FECAL LEUKOCYTE COUNT |
| DRUG SCREEN RAPID |
| BLOOD PH |
| CORONAVIRUS (COVID-19) |
| SPECIMEN COLL FOR COVID 19 |
| HOMOCYSTINE LEVEL |
| LDL CHOLESTEROL DIRECT |
| OXCARBAEPINE LEVEL |
| HCV ANTIBODY RIBA |
| HIV VIRAL LOAD |
| COVID 19 ANTIBODY |
| INFLUENZA A & B IMMUNOASSAY |
| HERPES HSV II |
| PRICE |
| $40.00 |
| $39.00 |
| $76.70 |
| $161.00 |
| $116.00 |
| $116.00 |
| $140.00 |
| $80.00 |
| $85.00 |
| $231.00 |
| $156.00 |
| $300.00 |
| $150.00 |
| $70.00 |
| $130.00 |
| $130.00 |
| $192.40 |
| $192.40 |
| $76.00 |
| $140.00 |
| $52.00 |
| $140.00 |
| $26.00 |
| $69.00 |
| $120.00 |
| $78.00 |
| $33.00 |
| $10.00 |
| $9.10 |
| $15.60 |
| $62.00 |
| $77.00 |
| $98.00 |
| $59.00 |
| $21.00 |
| $20.80 |
| $39.00 |
| $21.00 |
| $21.00 |
| $30.00 |
| $29.90 |
| $29.90 |
| $39.00 |
| $39.00 |
| $39.00 |
| $68.00 |
| $45.00 |
| $98.00 |
| $98.00 |
| $70.20 |
| $61.10 |
| $61.00 |
| $36.40 |
| $46.00 |
| $46.00 |
| $39.00 |
| $39.00 |
| $76.70 |
| $39.00 |
| $98.00 |
| $116.00 |
| $116.00 |
| $156.00 |
| $112.00 |
| $88.40 |
| $203.00 |
| $156.00 |
| $62.00 |
| $62.00 |
| $62.00 |
| $52.00 |
| $52.00 |
| $52.00 |
| $52.00 |
| $62.00 |
| $62.00 |
| $62.00 |
| $68.00 |
| $68.00 |
| $68.00 |
| $68.00 |
| $122.20 |
| $123.00 |
| $68.00 |
| $68.00 |
| $77.00 |
| $61.00 |
| $61.00 |
| $62.00 |
| $71.00 |
| $67.00 |
| $62.00 |
| $62.00 |
| $64.00 |
| $89.00 |
| $62.00 |
| $77.00 |
| $68.00 |
| $86.00 |
| $86.00 |
| $86.00 |
| $86.00 |
| $86.00 |
| $85.80 |
| $86.00 |
| $46.00 |
| $52.00 |
| $27.00 |
| $27.00 |
| $25.00 |
| $137.80 |
| $77.00 |
| $115.70 |
| $61.10 |
| $176.80 |
| $25.00 |
| $52.00 |
| $39.00 |
| $97.50 |
| $97.50 |
| $52.00 |
| $61.10 |
| $61.10 |
| $10.00 |
| $61.10 |
| $61.10 |
| $290.00 |
| $130.00 |
| $156.00 |
| $97.50 |
| $176.80 |
| $98.00 |
| $177.00 |
| $539.50 |
| $20.80 |
| $39.00 |
| $20.80 |
| $62.00 |
| $97.50 |
| $156.00 |
| $116.00 |
| $97.50 |
| $98.00 |
| $176.80 |
| $98.00 |
| $97.50 |
| $138.00 |
| $231.00 |
| $156.00 |
| $176.80 |
| $115.70 |
| $77.00 |
| $192.40 |
| $192.40 |
| $176.80 |
| $162.50 |
| $76.70 |
| $98.00 |
| $140.00 |
| $77.00 |
| $159.00 |
| $138.00 |
| $63.70 |
| $39.00 |
| $39.00 |
| $39.00 |
| $97.50 |
| $36.40 |
| $45.50 |
| $61.10 |
| $98.00 |
| $39.00 |
| $98.00 |
| $137.80 |
| $116.00 |
| $116.00 |
| $156.00 |
| $137.80 |
| $116.00 |
| $387.00 |
| $387.40 |
| $78.00 |
| $156.00 |
| $156.00 |
| $39.00 |
| $76.70 |
| $62.00 |
| $116.00 |
| $20.80 |
| $436.80 |
| $253.50 |
| $106.60 |
| $195.00 |
| $115.70 |
| $231.00 |
| $138.00 |
| $9.00 |
| $32.50 |
| $115.70 |
| $62.00 |
| $52.00 |
| $36.40 |
| $36.40 |
| $19.50 |
| $10.00 |
| $115.70 |
| $88.40 |
| $88.40 |
| $89.00 |
| $32.50 |
| $52.00 |
| $70.20 |
| $88.40 |
| $140.40 |
| $107.00 |
| $149.50 |
| $107.00 |
| $122.20 |
| $76.70 |
| $98.00 |
| $46.00 |
| $195.00 |
| $122.00 |
| $107.90 |
| $67.60 |
| $77.00 |
| $139.10 |
| $107.90 |
| $230.10 |
| $20.00 |
| $144.30 |
| $96.20 |
| $161.00 |
| $196.30 |
| $98.00 |
| $65.00 |
| $85.00 |
| $209.00 |
| $162.50 |
| $162.50 |
| $228.80 |
| $98.00 |
| $45.50 |
| $45.50 |
| $104.00 |
| $143.00 |
| $136.50 |
| $77.00 |
| $162.50 |
| $55.00 |
| $88.00 |
| $235.30 |
| $97.00 |
| $163.00 |
| $196.00 |
| $46.00 |
| $97.50 |
| $130.00 |
| $98.00 |
| $326.30 |
| $130.00 |
| $188.00 |
| $196.30 |
| $86.00 |
| $249.60 |
| $280.80 |
| $116.00 |
| $279.50 |
| $65.00 |
| $51.00 |
| $51.00 |
| $42.00 |
| $42.00 |
| $55.00 |
| $55.00 |
| $61.10 |
| $140.00 |
| $187.20 |
| $294.00 |
| $197.00 |
| $197.00 |
| $294.00 |
| $79.00 |
| $39.00 |
| $24.70 |
| $140.00 |
| $25.00 |
| $745.00 |
| $185.90 |
| $115.00 |
| $150.00 |
| $932.00 |
| $35.00 |
| $97.00 |
| $50.70 |
| DESC |
| HOLTER MONITOR HOOK UP |
| EKG |
| RHYTHM STRIP |
| PRICE |
| $53.00 |
| $109.00 |
| $19.50 |
| DESC |
| WHOLE BLOOD |
| RED BLOOD CELLS |
| WASHED RED BLOOD CELLS |
| FSOP FROZEN PLASMA |
| PLATELETPHERESIS LEUKOREDUCED |
| BLOOD ADMINISTRATION |
| PRICE |
| $312.00 |
| $375.00 |
| $370.50 |
| $110.50 |
| $1,014.00 |
| $100.00 |
| KNEE ONE OR TWO VIEWS RT |
| KNEE ONE OR TWO VIEWS LT |
| BONE SURVEY |
| CT SINUSES |
| WRIST AP & LAT OBLIQUE RT |
| HAND AP/LAT/OBLIQUE RT |
| FINGER AP & OBLIQUE RIGHT |
| WRIST AP & LAT & OBLIQUE |
| FOREARM AP & LAT RT |
| ELBOW AP LAT OBLIQUE RT |
| HUMERUS AP & LAT RT |
| SHOULDER (ALL VIEWS) RT |
| SCAPULA RIGHT |
| SKULL PA LAT & TOWNES |
| MANDIBLE AP & BOTH LAT |
| SINUSES PA LAT WATERS BAS |
| MASTOIDS |
| FACIAL BONES |
| NASAL BONES |
| T M JOINTS |
| CER SPINE AP LAT ODON OBL |
| THORACIC AP & LAT |
| LUMBOSACRAL AP & LAT OBLIQUE |
| SACRUM PA & LAT |
| COCCYX AP & LAT |
| FOOT AP/OBL/LATERAL RT |
| OSCALCIS AP & LATERAL RT |
| ANKLE AP LAT OBLIQUE RT |
| KNEE AP LAT OBLIQUE BILAT |
| FEMUR AP & LAT LT |
| HIP AP & LA |
| CHEST PA PROJECTION |
| CHEST PA & LAT |
| CHEST APICAL & LOR PROJEC |
| RIBS PA & OBLIQ |
| STERNUM PA & LAT |
| ABDOMEN AP PROJ OR LAT |
| ABDOMEN AP & UPRIGHT/ LAT |
| KUB |
| CALL OUT |
| PELVIS AP ONLY |
| LEG AP & LAT RT |
| ORBIT AP LAT WATERS |
| CERVICAL SPINE AP & LAT |
| NECK FOR SOFT TISSUE AP&L |
| CHEST PORTABLE |
| SKULL AP & LAT |
| CLAVICLE RIGHT |
| PITUARY GLAND |
| ZYGOMATIC ARCH |
| LUMBAR AP & LAT |
| IAC SCAN |
| CT ORBIT/EAR WO |
| CT SOFT TISSUE NECK WO |
| CT THORAX WO |
| CT CERVICAL SPINE WO |
| CT THORACIC SPINE WO |
| CT LUMBAR SPINE WO |
| CT PELVIS WO |
| CT UPPER EXTREMITIES WO |
| CT LOWER EXT WO |
| CT ABDOMEN WO |
| CT ABD/ PELVIS WO |
| SCAPULA LEFT |
| OSCALCIS AP & LATERAL LT |
| FINGER AP & OBLIQUE LEFT |
| LEG AP & LAT LT |
| WRIST AP & LAT OBLIQUE LT |
| SHOULDER (ALL VIEWS) LT |
| ELBOW AP & LAT OBLIQUE LT |
| HUMERUS AP & LAT LT |
| HAND AP/LAT/OBLIQUE LT |
| CLAVICLE RT |
| ANKLE AP LAT OBLIQUE LT |
| KNEE XRAY LT |
| FEMUR AP & LAT RT |
| HIP BILATERAL TWO VIEWS |
| CT HEAD/ BRAIN WO |
| CT MAXILLOFACIAL WO |
| $167.00 |
| $167.00 |
| $747.00 |
| $533.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $163.80 |
| $164.00 |
| $164.00 |
| $164.00 |
| $186.00 |
| $164.00 |
| $241.00 |
| $186.00 |
| $241.00 |
| $262.60 |
| $241.00 |
| $186.00 |
| $186.00 |
| $241.00 |
| $241.00 |
| $241.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $334.00 |
| $164.00 |
| $186.00 |
| $164.00 |
| $196.00 |
| $164.00 |
| $186.00 |
| $164.00 |
| $164.00 |
| $218.00 |
| $164.00 |
| $33.00 |
| $186.00 |
| $164.00 |
| $218.00 |
| $164.00 |
| $164.00 |
| $196.00 |
| $186.00 |
| $164.00 |
| $163.80 |
| $164.00 |
| $129.00 |
| $277.00 |
| $530.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $533.00 |
| $1066.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $164.00 |
| $186.00 |
| $164.00 |
| $164.00 |
| $163.00 |
| $165.00 |
| $164.00 |
| $138.00 |
| $164.00 |
| $372.00 |
| $757.00 |
| $533.00 |
| DESC |
| FOREIGN BODY REMOVAL |
| WOUND DEBRIDEMENT |
| ANTIBIOTIC INJ ADM FEE |
| TETANUS TOX INJ ADM FEE |
| I&D ABCESS |
| SPLINT APPLICATION ANKLE/ FOOT |
| SPLINT APPLICATION OCL |
| IV INFUSION/ HYDRATION 1 HR |
| IV INFUSION/HYDRATION 1 HR |
| IV INFUSION/THERAPY 1 HR |
| IV INFUSION/HYRATION 1 HR |
| IV PUSH INITIAL |
| IV PUSH/ EA ADDITIONAL SAME DRUG |
| IV PUSH/ EA NEW MED |
| ER COMPREHENSIVE CARE |
| ER DETAILED SERVICE |
| ER BRIEF VISIT |
| ER LIMITED SERVICE |
| ER CRITICAL SVCS (FIRST HR) |
| ER CRITCAL SVCS (ADD 30 MIN) |
| ER EXTENSIVE SERVICE |
| ER FOLEY INSERTION (RESIDUAL URINE) |
| ER FOLEY INSERTION (TEMPORARY) |
| ER FOLEY INSERTION (COMPLEX) |
| INJECTION ADM FEE |
| WOUND REPAIR 0-2.5 CM |
| INTUBATION |
| PRICE |
| $75.00 |
| $25.00 |
| $10.00 |
| $10.00 |
| $35.00 |
| $15.00 |
| $25.00 |
| $75.00 |
| $15.00 |
| $75.00 |
| $15.00 |
| $15.00 |
| $15.00 |
| $15.00 |
| $438.00 |
| $246.00 |
| $126.00 |
| $156.00 |
| $550.00 |
| $225.00 |
| $390.00 |
| $10.00 |
| $15.00 |
| $20.00 |
| $10.00 |
| $50.00 |
| $75.00 |
| DESC |
| EXAM ROOM |
| CAST APPLICATION |
| HOSPICE ROOM |
| TREATMENT/ OBSERVATION ROOM |
| RESPITE ROOM |
| TREATMENT/OBSER (HOURS 2-13 HR) |
| TREATMENT/OBSER (14-23 HR) |
| TREATMENT/OBSER (14-23 HR) |
| TREATMENT/OBSER (DIRECT) |
| PRICE |
| $267.15 |
| $46.80 |
| $778.05 |
| $46.80 |
| $285.00 |
| $47.00 |
| $47.00 |
| $47.00 |
| $47.00 |
| PULM FUNCTION INTERP |
| FVC |
| ARTERID PH |
| CALL BACK |
| HUMIDIFIER TAKE HOME |
| HANDHELD NEBULIZER |
| INCENTIVE SPIROMETER |
| PEAK FLOW |
| HANDHELD NEB |
| AEROSOL TREATMENT SET UP |
| POSTURAL DRAINAGE ALONE |
| ALBUTEROL UNIDOSE |
| SPUTUM COLLECTION |
| CONTINUOUS AEROSOL |
| HUMIDIFIER |
| HUMIDIFIER SET UP |
| CROUP TENT |
| CROUP TENT SET UP |
| OXYGEN EQUIPMENT MASK |
| OXYGEN |
| OXYGEN SET UP |
| PRN EQUIPMENT |
| ABGS |
| CODES |
| BASIC PULMONARY STUDY |
| OXYGEN EQUIPMENT (ER) |
| ARTERIAL PUNCTURE |
| NEBULIZER PEDIATRIC |
| PULSE OXIMETER- SINGLE |
| PULSE OXIMETER- MULTIPLE |
| PULSE OXIMETER- MONITOR CONTINOUS |
| OXYGEN HR |
| NEBULIZER W/MASK |
| $70.27 |
| $80.73 |
| $112.13 |
| $31.40 |
| $62.79 |
| $80.73 |
| $41.86 |
| $36.00 |
| $81.00 |
| $35.88 |
| $50.83 |
| $15.00 |
| $19.44 |
| $19.44 |
| $61.00 |
| $35.88 |
| $20.93 |
| $125.58 |
| $38.00 |
| $16.00 |
| $70.00 |
| $35.88 |
| $234.00 |
| $100.00 |
| $174.92 |
| $38.00 |
| $189.00 |
| $51.00 |
| $105.00 |
| $210.00 |
| $84.00 |
| $16.00 |
| $51.00 |
| DESC |
| PROF FEE LIMITED |
| DISCHARGE FEE |
| PROF STAFF DETAILED |
| PROF FEE BRIEF |
| H & P OBSERVATION |
| H&P ADM PROF FEE |
| PROF FEE COMPREHENSIVE |
| PROF FEE FB REMOVAL |
| PROF FEE EXTENSIVE |
| PROF FEE WOUND REPAIR 0-2.5 |
| INITIAL HOSPITAL CARE |
| INITIAL HOSPITAL EXT CARE |
| INTIAL OBSERVATION CARE |
| SUBSEQUENT HOSPITAL CARE EXPANDED |
| SUBSEQUENT HOSPITAL EXT CARE |
| HOSPITAL DISCHARGE DAY |
| HOSPITAL DISCHARGE DAY EXTENDED |
| INITIAL HOSPITAL EXT DETAILED |
| HOSPITAL CRITICAL CARE FIRST HOUR |
| HOSPITAL CRITICAL CARE ADD30 MIN |
| SUBSEQUENT OBSERVATION CARE |
| SUBSEQUENT OBSERVATION CARE |
| INITAL OBSERVATION CARE |
| OBSERVATION ADM /DC |
| OBSERVATION ADM /DC |
| OBS DISCHARGE DAY |
| SUBSEQUENT HOSPITAL CARE LIMITED |
| OFFICE VISIT NEW PATIENT |
| OFFICE VISIT EST PT BRIEF |
| OFFICE VISIT EST PT MINIMAL |
| OFFICE VISIT EST PATIENT |
| OFFICE VISIT EST PT MODERATE SEVERITY |
| INJECTION ADM FEE |
| OFFICE VISIT INTERMEDIATE NEW PATIENT |
| PROF FEE WOUND DEBRIDEMENT |
| PROF FEE I&D ABCESS |
| PROF FEE SPLINT ANKLE/FOOT |
| PROF FEE SPLINT OCL |
| PRICE |
| $125.00 |
| $91.00 |
| $140.00 |
| $100.00 |
| $140.00 |
| $209.00 |
| $200.00 |
| $175.00 |
| $150.00 |
| $165.00 |
| $100.00 |
| $145.00 |
| $100.00 |
| $75.00 |
| $110.00 |
| $75.00 |
| $110.00 |
| $215.00 |
| $235.00 |
| $125.00 |
| $75.00 |
| $75.00 |
| $230.00 |
| $175.00 |
| $150.00 |
| $75.00 |
| $45.00 |
| $125.00 |
| $75.00 |
| $80.00 |
| $100.00 |
| $125.00 |
| $30.00 |
| $145.00 |
| $75.00 |
| $100.00 |
| $50.00 |
| $75.00 |
| DESC |
| DEBRID SKIN PARTIAL |
| DEBRID SKIN FULL |
| DEBRID SKIN/TISSUE |
| DEBRID TISSUE/MUSCLE |
| DEBRID TISSUE/MUS/BO |
| APPL LONG ARM CAST |
| APPL FOREARM CAST |
| APPL HAND/WRIST CAST |
| APPL LONG ARM SPLINT |
| APPL FOREARM SPLINT ST |
| APPL FOREARM SPLINT DYNA |
| APPL FINGER SPLINT STAT |
| APPL FINGER SPLINT DYNA |
| STRAPPING OF CHEST |
| STRAPPING LOW BACK |
| STRAPPING SHOULDER |
| STRAP ELBOW/WRIST |
| STRAPPING HAND/FINGER |
| APPL LONG LEG CAST |
| APPL CYLINDER CAST |
| APPL SHORT LEG CAST |
| APPL RIGID LEG CAST |
| APPL LONG LEG CAST |
| APPL LOWER LEG SPLINT |
| STRAPPING OF HIP |
| STRAPPING OF KNEE |
| STRAPPING OF ANKLE |
| STRAPPING OF TOES |
| STRAPPING UNNA BOOT |
| DENIS-BROWNE SPLINT |
| APPLY NEUROSTIM |
| BIOFEEDBACK ANY |
| BIO PER/URO/RECTAL |
| SPEECH EVALUATION |
| SPEECH TREATMENT |
| LIMB MUSCLE TEST |
| HAND MUSCLE TEST |
| BODY MUS EX HANDS |
| BODY MUS INC HANDS |
| ROM MEASUREMENTS |
| ROM MEASURE HANDS |
| PT EVALUATION |
| PT RE-EVALUATION |
| OT EVALUATION |
| HOT/COLD PACK |
| MECH TRAC TX |
| E-STIM TX |
| VASCOPNEUMATIC TX |
| PARAFFIN BATH TX |
| MICROWAVE TX |
| WHIRLPOOL TX |
| DIATHERMY TX |
| INFRARED TX |
| ULTRAVIOLET TX |
| E STIM 15 MIN |
| ELECTRIC CURR TX 15 MIN |
| CONTRAST BATH 15 MIN |
| ULTRASOUND TX 15 MIN |
| HYDROTHERAPHY 15 MIN |
| THER PROCEDURE 15 MIN |
| NEUROMUSC REED 15 MIN |
| AQUATIC TX EXER 15 MIN |
| GAIT TR TX 15 MIN |
| MASSAGE THERAPY 15 MIN |
| MANUAL THERAPY 15 MIN |
| GROUP TX PROC |
| ORTHOTIC TR 15 MIN |
| PROSTHETIC TR 15 MIN |
| THER ACTIVITY 15 MIN |
| SELF CARE MAN TR 15 MIN |
| COMM/WORK REINT 15 MIN |
| WHEEL CH MAN 15 MIN |
| PROSTH CHECK 15 MIN |
| PHYSICAL PERF TEST 15 MIN |
| PRICE | PRICE |
| $22.52 | 50.00 |
| $34.72 | 50.00 |
| $45.18 | 75.00 |
| $108.38 | 125.00 |
| $149.46 | 200.00 |
| $61.98 | 75.00 |
| $53.17 | 75.00 |
| $52.60 | 75.00 |
| $48.04 | 75.00 |
| $35.44 | 50.00 |
| $44.85 | 50.00 |
| $19.53 | 35.00 |
| $27.61 | 35.00 |
| $26.39 | 50.00 |
| $28.51 | 35.00 |
| $28.37 | 50.00 |
| $22.85 | 50.00 |
| $21.54 | 50.00 |
| $82.88 | 100.00 |
| $70.77 | 100.00 |
| $59.59 | 75.00 |
| $113.54 | 150.00 |
| $47.11 | 75.00 |
| $41.31 | 75.00 |
| $25.21 | 35.00 |
| $25.79 | 50.00 |
| $16.97 | 25.00 |
| $15.70 | 25.00 |
| $19.38 | 25.00 |
| $23.48 | 35.00 |
| $9.36 | 25.00 |
| $32.19 | 50.00 |
| $50.75 | 25.00 |
| $80.08 | 100.00 |
| $47.32 | 50.00 |
| $10.74 | 25.00 |
| $10.60 | 25.00 |
| $17.25 | 25.00 |
| $22.89 | 35.00 |
| $6.99 | 25.00 |
| $4.76 | 25.00 |
| $39.82 | 100.00 |
| $17.11 | 25.00 |
| $47.10 | 25.00 |
| $12.38 | 25.00 |
| $10.48 | 25.00 |
| $9.24 | 25.00 |
| $10.08 | 25.00 |
| $6.84 | 25.00 |
| $6.23 | 25.00 |
| $8.84 | 25.00 |
| $6.40 | 25.00 |
| $6.01 | 25.00 |
| $6.28 | 25.00 |
| $9.65 | 25.00 |
| $10.28 | 25.00 |
| $8.01 | 25.00 |
| $8.16 | 25.00 |
| $12.17 | 25.00 |
| $14.92 | 25.00 |
| $14.50 | 25.00 |
| $15.90 | 25.00 |
| $12.92 | 25.00 |
| $11.64 | 25.00 |
| $15.05 | 25.00 |
| $11.53 | 25.00 |
| $14.77 | 25.00 |
| $15.16 | 25.00 |
| $15.13 | 25.00 |
| $15.38 | 25.00 |
| $15.38 | 25.00 |
| $10.32 | 25.00 |
| $10.27 | 25.00 |
| $16.71 | 25.00 |