02/12/14
Charge#
--------606412070
606412000
606411200
606412060
608010003
608010002
608010000
608010001
608812060
608811640
608811200
608811270
608311200
608311640
608311270
707030856
707030830
707030255
609411200
609411640
609211200
609211640
709170051
709170050
709020016
709020015
714120062
609211270
627011200
627012060
787020000
714130074
608511200
608512060
608511640
608511270
707030682
608411200
608411640
608411270
608611200
608611640
608611270
707030256
609011200
609011640
609011270
707030257
618011640
618011200
618011270
609310000
UMC Charge Master
Description
-----------------------------------------------------------------------------------------1300 BCU BURN/TRAUMA CRITICAL
1300 BCU CRITICAL CARE
1300 BCU GENERAL ROOM
1300 BCU INTERMEDIATE CARE
1300 WEST INTERMEDIATE CARE
1300 WEST ISOLATION
1300 WEST MED SURG GENERAL
1300 WEST ONCOLOGY
1400 INTERMEDIATE CARE
1400 ISOLATION
1400 MED SURG GENERAL ROOM
1400 ONCOLOGY ROOM
1500 GENERAL MED SURG ROOM
1500 M/S ISOLATION
1500 ONCOLOGY ROOM
17 HYDROXYPREGNENOLONE
17-HYDROXYCORTICOSTEROIDS/2
17-HYDROXYPROGESTERONE
2 SO GENERAL MED SURG ROOM
2 SO ISOLATION ROOM
2 WE GENERAL MED SURG ROOM
2 WE ISOLATION
2.O SILK SUTURE
25MM SIZING BALLOON
2D ECHO W CONT LIMITED OR FUP
2D ECHO W CONTRAST COMP
2NDRY THROMB W OTHER PROC
2WE ONCOLOGY ROOM
3 W GENERAL MED SURG ROOM
3 W INTERMEDIATE CARE
30 MIN HBO FULL BODY
3D RENDRING WPST PROCESS
3SO GENERAL
3SO INTERMEDIATE CARE
3SO ISOLATION
3SO ONCOLOGY
4C ANTIBODY ID
4NO GENERAL
4NO ISOLATION
4NO ONCOLOGY
4SO GEN MED SURG ROOM
4SO ISOLATION
4SO ONCOLOGY
5 HIAA
5 NO GENERAL MED SURG ROOM
5 NO ISOLATION ROOM
5 NO ONCOLOGY ROOM
5 NUCLEOTIDASE
5 SO ISOLATION
5 SO MED/SURG ROOM
5 SO ONCOLOGY
6 NO GENERAL MED SURG ROOM
University Medical Center So. NV.
Page 1
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,945.00
2,302.00
1,154.00
1,448.00
1,448.00
1,154.00
1,154.00
1,341.00
1,448.00
1,341.00
1,154.00
1,341.00
1,154.00
1,341.00
1,341.00
171.75
71.05
190.87
1,154.00
1,341.00
1,154.00
1,341.00
6.03
2,486.99
4,721.49
4,721.49
4,898.58
1,340.00
1,154.00
1,448.00
755.53
832.68
1,154.00
1,448.00
1,341.00
1,341.00
164.00
1,154.00
1,341.00
1,341.00
1,154.00
1,341.00
1,341.00
209.69
1,154.00
1,341.00
1,341.00
115.95
1,341.00
1,154.00
1,341.00
1,341.00
02/12/14
Charge#
--------609310001
709170906
709170912
707030704
707030705
707030706
707031033
714030029
723520013
723020700
714120106
723520014
714030030
714030027
714030028
714030131
705080116
705080115
705080114
723320010
723020011
702420697
705080443
705080442
705080441
714938043
714938042
714132105
709131022
714131005
709131000
702170485
707030683
707030001
702171105
702171104
702421046
714522033
714522019
714120177
714130030
714120157
702170803
702171217
705080440
718120000
718120001
714120061
702420506
714120060
702421085
707030020
UMC Charge Master
Description
-----------------------------------------------------------------------------------------6 NO ISOLATION
7 F LIVEWIRE DECAPOLAR MED
97000202 ANGIO GUIDEWIRE
AB ENCEPHALITIS ST LOUIS
AB ENCEPHALITIS W EQUINE
AB HIV 1&2 SGL ASSAY
AB; HAAB - TOTAL
ABD AP W OBLIQUE/CONE DOWN VIEWS
ABD PARACENTESIS W IMAGE GUIDE
ABD PARACENTESIS W IMAGE GUIDE
ABD PARACENTESIS W IMAGING
ABD PARACENTESIS WO IMAGE GUIDE
ABDOMEN 1 VIEW
ABDOMEN 2 VIEWS
ABDOMEN 3 VIEWS
ABDOMINAL AORTOGRAM IN OR
ABDOMINAL BINDER MED/LRG A2142
ABDOMINAL BINDER SM/MED A2141
ABDOMINAL BINDER X-LRG A2143
ABDOMINAL PARACENTESIS
ABDOMINAL PARACENTESIS
ABDOMINAL WASHOUT BEDSIDE
ABDUCTION PILLOW LARGE
ABDUCTION PILLOW MEDIUM
ABDUCTION PILLOW SMALL
ABIS
ABIS W/SEGMENTAL UPPER/LOWER
ABLATE ARRHYTHMIA ADD ON
ABLATE ARRHYTHMIA ADD ON
ABLATE SUPRAVENT ARRHYT
ABLATE SUPRAVENT ARRHYT
ABLATOR ASPIRATING OPES ARTHREX
ABO DISCREPANCY PATIENT/GROUPING
ABO GROUP
ABRA SILICONE SHEET CANICA
ABRA WND CLOS ANCHOR CWK04
ABRASION FACE SEGMENTAL
ABS DRAIN PERIANAL
ABS DRAIN PERIVESICAL
ABSCESS CATHETER EXCHANGE
ABSCESS CATHETER INJ S&I
ABSCESS CATHETER INJECTION
ABSORB A TACK 20S (US)
ABSORBATACK 5MM (CO)
ABVISOR KIT INTRA-ABDOMINAL
ACAPELLA THERAPY INITIAL
ACAPELLA THERAPY SUBSEQUENT
ACCES AV DIAL GRFT EA ADDTL
ACCESS AV DIAL GRFT
ACCESS AV DIAL GRFT FOR EVAL
ACELLULAR DERM MATRIX IMPLANT
ACETAMINOPHEN-TDM
University Medical Center So. NV.
Page 2
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,154.00
1,787.50
150.15
85.67
85.67
67.37
60.64
650.48
652.95
652.95
652.95
652.95
400.79
624.84
852.21
3,180.14
72.53
72.53
126.08
994.13
994.13
7,772.58
112.93
130.28
118.72
971.55
1,321.15
3,913.92
3,913.92
18,387.77
18,387.77
874.57
74.63
77.85
1,696.82
1,677.26
1,715.74
4,892.52
1,901.18
1,036.92
1,519.04
544.39
470.79
2,479.05
586.46
496.11
336.44
429.11
1,655.25
1,618.42
2,001.31
243.87
02/12/14
Charge#
--------707030021
707030022
707030258
707030831
714030033
702420218
707030259
707030170
702150039
707031046
707030851
702170321
702170322
702170988
702170999
721070000
709150021
709150088
709150020
702171358
709150019
702170325
709150018
702270101
709150017
709120056
722320126
705080545
705080544
705080543
705080542
705080541
702420775
702420776
702420137
707030261
702171374
702170028
702171378
702170464
701070003
702171377
702420754
721020010
701520022
719220010
726620043
722720012
726620044
723320276
723020306
726620042
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ACETONE SERUM QUAN
ACETONE STAT LAB
ACETYCHOLINE RECEPTOR
ACID PHOS. TOTAL AND PROSTATIC
ACROMIOCLAVICULAR JOINTS
ACROMIOPLASTY
ACTH
ACTIVATED CLOTTING TIME (ACT)
ACTIVATION ARM (KL)
ACYLCARNITINES; QUAN
ADAM TS13 ACTIVITY
ADAPTER ANTE/RETROGRADE
ADAPTER CARDIOTOMY Y
ADAPTER CORONARY (OH)
ADAPTER PERF Y (OH)
ADAPTIVE DRINKING CUP
ADAPTOR 3.2 MM UNI/BIPOLAR (BT)
ADAPTOR CRT BLV.BS (BT)
ADAPTOR FOR HV TO DF1 (BT)
ADAPTOR RITA BLUE
ADAPTOR SET 4.75/6.1 MM (BT)
ADAPTOR ST. W/CLAMP (DLP)
ADAPTOR TO IS-1 5 AND 6 MM (BT)
ADAPTOR Y PORT PED ENDOVIVE
ADAPTOR Y TYPE (BT)
ADD 2ND 3RD & BEYOND SEL
ADD CAST SHOE PTB CAST
ADD LOWER EXT ANKLE JOINT (PCE)
ADD LOWER EXT ORT AK SOFT
ADD LOWER EXT ORT BAR EACH
ADD LOWER EXT ORT BK SOFT
ADD LOWER EXT ORTH KNEE PAD
ADENOIDECTOMY 2ND <12
ADENOIDECTOMY PRIMARY OVER 12
ADENOIDECTOMY PRIMARY UNDER 12
ADENOVIRUS AB
ADHESIVE ARISTA 5GM (07)
ADHESIVE BIOGLUE SURGICAL 10ML
ADHESIVE EVITHROM TOPICAL
ADHESIVE FLOSEAL
ADHESIVE FLOSEAL
ADHESIVE SURGIFLO 5ML
ADJ EXT FIX W/ANES
ADL TRAIN 15 MIN/UT GO
ADMIN FLU VACCINE
ADMIN INFLUENZA VACCINE
ADMIN INFLUENZA VACCINE
ADMIN INFLUENZA VACCINE
ADMIN ONE VACCINE
ADMIN ONE VACCINE
ADMIN ONE VACCINE
ADMIN PNEUMOCOCCAL VACCINE
University Medical Center So. NV.
Page 3
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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Price
---------78.51
78.51
300.97
96.93
525.49
4,652.57
235.53
304.06
1,683.00
137.50
39.00
413.29
226.88
682.11
223.17
148.60
811.25
2,502.50
811.25
1,231.44
962.50
402.91
811.25
69.43
811.25
1,050.70
100.72
103.32
194.45
140.06
179.71
121.25
1,370.24
3,618.33
2,737.03
51.82
1,099.13
3,363.42
736.57
580.75
1,041.24
686.62
3,071.70
89.44
20.00
20.00
40.86
40.86
37.38
77.35
77.35
40.86
02/12/14
Charge#
--------722720013
723520280
723320275
723020305
726620045
726820042
726820041
723520279
707030684
709170019
710050070
710050069
710050068
710050067
702420355
718120002
718120003
701530002
720070002
707030837
702174042
702170373
705080438
705080437
705080436
705080435
705080434
705080433
702171347
707030023
707030645
707030024
707030263
707030264
707030265
707030266
709170018
707030025
707030646
707030267
707030872
702151213
702151219
702151218
702151216
702151214
702150725
702140017
702140016
702140015
702140013
702140011
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ADMIN PNEUMOCOCCAL VACCINE
ADMIN VACCINE EA ADDL
ADMIN VACCINE EA ADDL
ADMIN VACCINE EA ADDL
ADMIN VACCINE EA ADDL
ADMINISTRATION FLU VACC EA ADDL
ADMINISTRATION FLU VACCINE
ADMINISTRATION ONE VACCINE
ADSORPTION
ADULT ANGIOGRAPHY PACK
ADULT LO VOL RAD SDP
ADULT LO VOL SDP
ADULT WASH RAD SDP
ADULT WASH SDP
ADV POST TIB TENDON W EXC NAVICL
AEROSOL TX INITIAL
AEROSOL TX SUBQ
AFI
AFO
AFP AMNIOTIC FLUID
AIRWAY LMA SUPRM ALL SZS
AIRWAY LMA UNIQ ALL SZS
AIRWAY LMA UNIQUE 1.5 (PICU)
AIRWAY LMA UNIQUE 2.0 (PICU)
AIRWAY LMA UNIQUE 2.5 (PICU)
AIRWAY LMA UNIQUE 3.0 (PICU)
AIRWAY LMA UNIQUE 4.0 (PICU)
AIRWAY LMA UNIQUE 5.0 (PICU)
AIRWAY MASK LARYNGEAL FLEXIBLE
ALBUMIN
ALBUMIN FLUID- QUANT
ALCOHOL BLOOD
ALCOHOL METHYL
ALDOLASE
ALDOSTERONE BLOOD
ALDOSTERONE URINE
ALGINATE DRESSING
ALK PHOSPHATASE
ALKALINE PHOSPHATASE
ALKALINE PHOSPHATASE ISOENZYMES
ALLERGEN SPECIFIC IGE
ALLOGRAFT FLEX HD 16 X 20 (MF)
ALLOGRAFT FLEX HD 2 X 4 (MF)
ALLOGRAFT FLEX HD 4 X 12 (MF)
ALLOGRAFT FLEX HD 4 X 16 (MF)
ALLOGRAFT FLEX HD 4 X 7 (MF)
ALLOGRAFT H2 16 X 30 MM (NU)
ALLOMAX 10X10CM (BD)
ALLOMAX 10X15CM (BD)
ALLOMAX 13X15CM (BD)
ALLOMAX 16X20CM (BD)
ALLOMAX 2 X 4 CM (RB)
University Medical Center So. NV.
Page 4
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
Price
---------40.86
38.16
38.16
38.16
40.86
44.57
48.54
77.35
143.27
505.96
1,093.56
918.17
935.17
918.17
5,228.63
376.49
355.70
561.24
210.38
100.48
72.12
130.02
146.54
146.54
209.22
69.05
71.99
66.66
1,600.94
89.10
149.62
188.64
87.65
110.71
407.72
407.72
56.80
114.10
53.55
72.22
13.55
5,161.75
5,161.75
5,161.75
5,161.75
5,161.75
6,135.25
27,942.75
13,101.00
17,039.00
27,087.50
698.50
02/12/14
Charge#
--------702140009
702140012
702140014
702140018
707030269
707030026
707030852
707030000
707031047
707030270
707030027
707030271
702420093
702421163
702421155
702421106
702421101
705080432
705080113
705080431
707030028
707030029
707030030
707030860
707030861
707030272
707030273
707030274
707030275
707030276
707030031
701520020
707031048
707030277
723520231
702420094
707030647
702423512
723020274
723320238
702420055
702420098
702420435
702420572
702420350
702420349
707030032
707030279
707030280
707030281
702420793
702420279
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ALLOMAX 6 X 16 CM (RB)
ALLOMAX 6X12CM (BD)
ALLOMAX 7X10CM (BD)
ALLOMAX 8X16CM (BD)
ALPHA 1 ANTITRYPSIN QUANT
ALPHA 1 FETOPRO-NONMATRNL
ALPHA FETOPROTEIN TETRA PROFILE
ALPHA-1 FETOPROTEIN
ALPHA-1-ANTITRYPSIN; TOTAL
ALPHA-2 MACROGLOBULIN
ALT (SGPT)
ALUMINUM
ALVEOLOPLASTY EA QUADRANT
AMALGAM 1 SURF PERMANENT
AMALGAM 1 SURFACE PERM
AMALGAM 2 SURFACE PERM
AMALGAM 2 SURFACE PRIMARY
AMBU BAG CHILD & INFANT
AMBU BAG SPUR ADULT DISP
AMBU FLOW RESCUSITATION 1 LTR
AMIKACIN PEAK
AMIKACIN RANDOM
AMIKACIN TROUGH
AMINO ACID PROFILE QUAN 24HR URIN
AMINO ACID PROFILE QUANT PLASMA
AMINO ACID URINE SCREEN
AMINO ACID,GORMORE,QUANT
AMINO ACIDS, 6 OR MORE, QUANT
AMINOLEVULINIC ACID-URINE
AMITRIPTYLINE-BLOOD
AMMONIA
AMNIOCENTESIS (ATC)
AMNIOTIC FLUID SPECTROPH
AMOEBA ANTIBODY
AMP FINGER/THUMB W/FLAPS
AMP LEG 2ND CLOSE SCARREV
AMPHETAMINE/METH
AMPUTATE METATARSAL W TOE SNGL
AMPUTATE SINGLE PHALANX
AMPUTATE SINGLE PHALANX
AMPUTATION FINGER/THUMB ANY JT
AMPUTATION FINGR/THMB V-Y HOOD
AMPUTATION MC FINGER/THUMB
AMPUTATION PENIS PARTIAL
AMPUTATION TOE INTERPHALANG JOINT
AMPUTATION TOE METATARSOPHANG JT
AMYLASE
AMYLASE FLUID
AMYLASE URINE
ANAEROBE IDENTIFICATION
ANAL FISTULA SUBMUSCULAR
ANAL FISTUOMTOMY/ECTOMY SUB-Q
University Medical Center So. NV.
Page 5
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------8,409.50
6,113.25
5,931.75
11,211.75
108.60
187.77
176.23
188.01
240.63
146.79
114.10
120.02
1,620.29
281.58
319.95
399.96
239.97
67.85
65.14
147.80
264.59
250.26
264.59
517.24
517.24
168.83
517.24
1,110.57
71.67
140.79
210.34
283.34
245.44
136.45
2,038.60
2,641.31
69.10
2,768.88
1,833.26
1,836.66
2,784.18
2,201.69
3,095.64
3,932.00
2,689.76
2,390.41
172.85
172.85
172.85
92.39
2,563.67
2,589.38
02/12/14
Charge#
--------702420513
702430004
707030777
707030778
707030779
702171600
702171504
702150373
702150127
702150530
702151345
702151675
702151514
702150093
702150465
702150413
707030282
701017000
701017001
704017003
704017002
704017001
704017000
702417002
702417003
702470001
702470002
701517000
709170017
726170000
702417000
702417001
714130051
714130050
714130072
714130071
714130070
714131010
709131015
714131011
709131016
714131012
709131017
714131013
709131018
714131014
709131019
714131015
709131020
714130062
714130049
714130061
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ANAL SPHINCTEROTOMY
ANALYSIS NEUROSTIM SIMPLE
ANAT PATH CYTOCHEM STAIN
ANAT PATH STAIN GROUP 1RM
ANAT PATH STAIN GROUP 2R
ANCHOR 5MM BIOZIP FORCEFIBER (SK)
ANCHOR ASSEMBLY EXFIX (DP)
ANCHOR HARPOON SOFT TISSUE
ANCHOR KNOTLESS ARTHROCARE
ANCHOR PANALOC (MK)
ANCHOR ROTATOR CUFF ALL SZS
ANCHOR SCREW 5.0 ARTHROTEK
ANCHOR SUTURE DEPUY
ANCHOR SUTURE TAK2 TIGR TAIL (AX
ANCHOR SUTURE W/NEEDLE (AX)
ANCHOR W FIBRWIRE (AX)
ANDROSTENEDIONE
ANES I PER MIN
ANES II PER MIN
ANES LEVEL I PER MINUTE
ANES LEVEL II PER MINUTE
ANES LEVEL III PER MINUTE
ANES LEVEL IV PER MINUTE
ANES SUP OP W CVP AND ART WO GAS
ANES SUP OP W CVP OR ART WO GAS
ANES SUP OUTPT W CVP AND ART
ANES SUP OUTPT W CVP OR ART
ANES SUPPLIES OUTPATIENT
ANESTHESIA SUPPLIES
ANESTHESIA SUPPLIES OP WO DRUG
ANESTHESIA SUPPLIES OP WO GAS
ANESTHESIA SUPPLIES OUTPATIENT
ANGIO ABDOM AORTA S&I
ANGIO ABDOM AORTA W/RO S&I
ANGIO ADRENAL BILAT S&I
ANGIO ADRENAL UNILAT S&I
ANGIO BRACHIAL RETROGRADE S&I
ANGIO CATH PLC W ARCH SI
ANGIO CATH PLC W ARCH SI
ANGIO CATH PLC W CAROTID/ANCH SI
ANGIO CATH PLC W CAROTID/ANCH SI
ANGIO CATH PLC W INT CAR/ARCH SI
ANGIO CATH PLC W INT CAR/ARCH SI
ANGIO CATH PLC W SUBCLAV ART SI
ANGIO CATH PLC W SUBCLAV ART SI
ANGIO CATH PLC W VERTEBRAL ART SI
ANGIO CATH PLC W VERTEBRAL ART SI
ANGIO CATH PLC W XTERNAL ART SI
ANGIO CATH PLC W XTERNAL ART SI
ANGIO EA ADDTL VESL S&I
ANGIO EXTREM BILAT S&I
ANGIO EXTREM UNILAT S&I
University Medical Center So. NV.
Page 6
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,388.99
2,627.72
233.51
116.71
140.48
1,119.56
852.50
789.25
1,306.25
962.50
119.63
679.25
1,352.23
1,336.50
1,061.50
715.00
142.59
43.31
38.53
59.63
75.52
73.85
108.62
653.26
704.03
1,018.16
919.00
759.11
797.06
546.15
546.15
819.83
2,786.23
1,051.40
5,400.28
4,725.24
5,400.28
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
4,882.90
1,485.68
5,443.83
260.27
02/12/14
Charge#
--------714130060
714130073
714130059
714130058
714130057
714130048
714130056
714130054
714175000
709170016
709171013
709171014
707030283
714030031
714030032
714030118
702420308
702220013
702220059
723020273
702220041
723020272
702420538
707030284
707030285
707030286
707030459
707030287
707030288
707030289
707030176
707030290
707030291
707030292
707030293
707030033
707030294
707030295
707030296
707030685
707030297
707030002
707030003
707030004
707030005
707030006
707030707
707030007
707030008
707030298
707030708
707030177
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ANGIO FUP THROMBOLYSIS S&I
ANGIO PELVIC-SELECTIVE S&I
ANGIO PULMONARY BILAT S&I
ANGIO PULMONARY NON SEL S&I
ANGIO PULMONARY UNILAT
ANGIO SPINAL SELECTIVE S&I
ANGIO THORACIC AORTA S&I
ANGIO VISCRL WWO FLUSH EA S&I
ANGIOGRAPHY PACK
ANGIOJET EQUIP SET UP
ANGIOSEAL VIP 6FR (SJ)
ANGIOSEAL VIP 8FR (SJ)
ANGIOTENSIN CONVERTING ENZYME
ANKLE 2 VIEW
ANKLE 3 VIEW +
ANKLE ARTHROGRAPHY LIMITED
ANORECTAL EXAM W/ANESTH
ANOSCOPY BX SINGLE MULTI
ANOSCOPY DIAG WWO SPECIMEN
ANOSCOPY DX
ANOSCOPY REM FB
ANOSCOPY REMOVE FOR BODY
ANOSCPY ABLATION TUM POLP
ANTI DNA (DOUBLE STRAND)
ANTI DNA (SINGLE STRAND)
ANTI DNA (SM/RMP) ANTIBODY
ANTI DNA J01 AB
ANTI DNASE (STREPTOCOCCAL)
ANTI HYALURONIDASE
ANTI MICROSOMAL ANTIBODY
ANTI NUCLEAR ANTIBODIES (ANA)
ANTI PLATELET ANTIBODY
ANTI RNP
ANTI SMITH
ANTI SMOOTH MUSCLE ANTIBODY
ANTI STREPTOLYSIN TITER (ASO)
ANTI THROMBIN III
ANTI THYROGLOBULIN ANTIBODY
ANTIBIOTIC LEVEL
ANTIBODY DETECTION PATIENT
ANTIBODY- ENTEROVIRUS
ANTIBODY ID ELUTION
ANTIBODY ID ENZYME
ANTIBODY INDENTIFICATION PANEL
ANTIBODY SCREEN
ANTIBODY TITER
ANTI-CCP ANTIBODY
ANTIGEN TYPING
ANTIGEN TYPING (PATIENT)
ANTI-HISTONE ANTIBODY
ANTINUCLEAR AB (ANA)
ANTI-NUETROPHIL ANTIBODIES
University Medical Center So. NV.
Page 7
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,375.18
3,387.81
5,400.28
3,375.18
4,725.24
8,775.45
3,307.94
5,311.99
332.97
7,122.93
1,265.00
1,265.00
181.98
453.63
541.05
497.75
1,410.32
1,959.92
141.51
246.35
1,009.70
1,007.84
6,094.08
196.54
106.56
119.69
96.61
93.69
109.50
206.14
186.37
264.23
125.49
125.49
123.60
114.10
231.86
206.14
182.26
99.49
162.50
151.79
322.45
166.24
168.83
211.11
99.74
143.00
110.63
107.36
68.75
240.85
02/12/14
Charge#
--------707030299
707030301
714938022
709130005
702171083
702171391
702171025
707030302
720640000
707030303
723320237
722320125
702421130
702421086
702421134
702421133
702421136
702421129
702421132
702421135
7024C5271
723320236
7024C5275
723320235
723320234
723320233
723320229
723320232
723320231
723320230
723320227
702170885
702171060
702171090
702171376
702171375
702170567
702170810
702420839
722320124
722320123
702420800
722320135
723020007
723520264
722320512
722320503
722320504
722320505
722320506
722320507
722320508
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ANTIPHOSPHATIDYLSERINE
ANTITHROMBIN ACTIVITY PLASMA
AORTA SONOGRAM
AORTA SUP & INT CODE
AORTIC PUNCH 2.7
AORTIC PUNCH 3.5MM CLEANCUT
AORTIC PUNCH 4.0 ROTATING
APC RESISTANCE
APLIGRAF PER SQ CM
APOLIPOPROTEIN A1/B
APP INTERDENTAL FIXATION DEV
APP SHORT LEG CAST W SHOE
APP SKIN SUB OTH SITE 1ST 100SQCM
APP SKIN SUB OTH SITE 1ST 25 SQCM
APP SKIN SUB OTH SITE ADD 100SQCM
APP SKIN SUB OTHR SITE ADD 25SQCM
APP SKIN SUB TAL ADD 100 SQCM
APP SKIN SUB TAL 1ST 100 SQCM
APP SKIN SUB TAL 1ST 25 SQCM
APP SKIN SUB TAL ADD 25 SQCM
APPLIC LC SKIN SUB TAL 1ST 25CM
APPLIC FINGER SPLINT
APPLIC LC SKIN SUB FEEN 1ST 25CM
APPLIC LONG ARM CAST
APPLIC LONG ARM SPLINT
APPLIC LONG LEG SPLINT
APPLIC OF FINGER SPLINT DYNAM
APPLIC SHORT ARM CAST
APPLIC SHORT ARM SPLINT
APPLIC SHORT LEG SPLINT
APPLICATION OF LONG LEG CAST
APPLICATOR ARISTA ENT FLEXITIP
APPLICATOR ARISTA FLEXTIP LONG
APPLICATOR ARISTA FLEXTIP SHORT
APPLICATOR EVICEL 35CM RIGID
APPLICATOR EVICEL 45CM FLEX
APPLIER ENDO CLIP ALL SIZES
APPLIER LIGACLIP ALL SZS
APPLY CAST SH TO HAND
APPLY CLUB FOOT CAST
APPLY CYLINDER CAST
APPLY EXT FIX ILIZ MONT
APPLY FINGER SPLINT
APPLY FINGER SPLINT
APPLY FINGER SPLINT
APPLY FINGER SPLINT LT1
APPLY FINGER SPLINT LT2
APPLY FINGER SPLINT LT3
APPLY FINGER SPLINT LT4
APPLY FINGER SPLINT LT5
APPLY FINGER SPLINT RT1
APPLY FINGER SPLINT RT2
University Medical Center So. NV.
Page 8
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------633.60
184.41
1,241.01
1,051.40
139.25
130.48
342.38
213.86
85.83
53.30
2,384.46
428.12
1,632.86
747.03
408.22
204.11
386.11
1,428.75
612.32
142.27
667.70
266.56
667.70
561.76
440.51
381.14
228.08
411.39
314.23
360.25
531.14
511.96
82.11
125.26
190.06
128.49
731.27
445.66
332.61
273.41
342.96
3,568.06
238.55
246.35
266.56
246.35
246.35
246.35
246.35
246.35
246.35
246.35
02/12/14
Charge#
--------722320509
722320510
722320511
723020267
723320226
722320122
722320529
722320454
722320455
723020381
723020382
723320225
722320136
723520228
720620069
720620067
720620070
720620068
720620065
720620063
720620066
720620064
722320121
722320533
722320450
722320451
722320120
723520227
722320534
722320456
722320457
722320536
722320537
722320538
722320535
723020265
722320119
722320527
722320464
722320465
722320118
723020263
723020262
722320117
723520226
722320116
722320115
722320539
722320452
722320453
722320114
723020500
UMC Charge Master
Description
-----------------------------------------------------------------------------------------APPLY FINGER SPLINT RT3
APPLY FINGER SPLINT RT4
APPLY FINGER SPLINT RT5
APPLY FOREARM SPLINT DYNAMIC
APPLY FOREARM SPLINT DYNAMIC
APPLY GAUNTLET CAST
APPLY GAUNTLET CAST BIL
APPLY GAUNTLET CAST LT
APPLY GAUNTLET CAST RT
APPLY HAND/WRIST CAST BIL LT
APPLY HAND/WRIST CAST BIL RT
APPLY HANDWRIST CAST
APPLY HIP SPICA CAST
APPLY INTERDENTAL FIXATN DEVICE
APPLY LC SKINSUB OT SITE 1ST 100S
APPLY LC SKINSUB OT SITE 1ST 25SQ
APPLY LC SKINSUB OT SITE ADD 100S
APPLY LC SKINSUB OT SITE ADD 25SQ
APPLY LC SKINSUB TAL 1ST 100 SQCM
APPLY LC SKINSUB TAL 1ST 25 SQCM
APPLY LC SKINSUB TAL ADD 100 SQCM
APPLY LC SKINSUB TAL ADD 25 SQCM
APPLY LONG ARM CAST
APPLY LONG ARM CAST BIL
APPLY LONG ARM CAST LT
APPLY LONG ARM CAST RT
APPLY LONG ARM SPLINT
APPLY LONG ARM SPLINT
APPLY LONG ARM SPLINT BIL
APPLY LONG ARM SPLINT LT
APPLY LONG ARM SPLINT RT
APPLY LONG LEG CAST W SHOE BIL
APPLY LONG LEG CAST W SHOE LT
APPLY LONG LEG CAST W SHOE RT
APPLY LONG LEG CST BIL
APPLY LONG LEG SPLINT
APPLY OF LONG LEG CAST
APPLY OF LONG LEG CAST BIL
APPLY OF LONG LEG CAST LT
APPLY OF LONG LEG CAST RT
APPLY OF LONG LEG CAST W SHOE
APPLY OF LONG LEG CAST WALK
APPLY OF LONG LEG CYLDR CAST
APPLY OF TOTAL CONTACT CAST
APPLY OR REM HALO CRANIAL
APPLY PTB CAST
APPLY SHORT ARM CAST
APPLY SHORT ARM CAST BIL
APPLY SHORT ARM CAST LT
APPLY SHORT ARM CAST RT
APPLY SHORT ARM SPLINT
APPLY SHORT ARM SPLINT
University Medical Center So. NV.
Page 9
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------246.35
246.35
246.35
350.11
350.75
275.14
412.71
275.14
275.14
356.09
356.09
356.76
669.14
2,384.46
1,224.11
1,224.11
141.37
141.37
4,099.73
1,224.11
383.67
141.37
330.36
495.54
330.36
330.36
286.57
440.51
428.86
286.57
286.57
735.33
490.22
490.22
661.94
571.73
441.29
661.94
441.29
441.29
490.22
546.11
474.26
334.14
1,730.07
374.05
288.32
432.48
288.32
288.32
266.28
471.35
02/12/14
Charge#
--------722320540
722320458
722320459
722320113
723320224
722320541
722320466
722320467
723320223
723320222
720620011
720620012
720620013
720620014
720620015
720620016
720620017
720620018
702421290
722320112
722320542
722320468
722320469
722320111
722320543
722320470
722320471
722320110
722320109
707030780
707030781
702171413
702171414
702170932
705080540
702270201
701070006
702170455
714120096
714120095
714170008
709120109
707030304
718130000
723520223
723320221
723020258
709120016
723020304
723520268
723320273
718120037
UMC Charge Master
Description
-----------------------------------------------------------------------------------------APPLY SHORT ARM SPLINT BIL
APPLY SHORT ARM SPLINT LT
APPLY SHORT ARM SPLINT RT
APPLY SHORT LEG CAST
APPLY SHORT LEG CAST
APPLY SHORT LEG CAST BIL
APPLY SHORT LEG CAST LT
APPLY SHORT LEG CAST RT
APPLY SHORT LEG CAST WALKING
APPLY SHORT LEG PTB CAST
APPLY SKIN SUB TAL 1ST 100 SQCM
APPLY SKIN SUB TAL 1ST 25 SQCM
APPLY SKINSUB OT SITE 1ST 100SQCM
APPLY SKINSUB OT SITE 1ST 25SQCM
APPLY SKINSUB OTH SITE AD 100SQCM
APPLY SKINSUB OTH SITE AD 25SQCM
APPLY SKINSUB TAL EA ADD 100 SQCM
APPLY SKINSUB TAL EA ADD 25 SQCM
APPLY SPINE PROSTH DEVICE
APPLY SPLINT LONG LEG
APPLY SPLINT LONG LEG BIL
APPLY SPLINT LONG LEG LT
APPLY SPLINT LONG LEG RT
APPLY SPLINT SHORT LEG
APPLY SPLINT SHORT LEG BIL
APPLY SPLINT SHORT LEG LT
APPLY SPLINT SHORT LEG RT
APPLY WEDGE CAST
APPLY WINDOWING CAST
APSTAIN GRP 2 EA
APSTAIN GRP IM
AQUAMANTYS BIPOLAR TISSUE SEALER
AQUAMANTYS MINI EPID VEIN SEALER
ARCH BAR
ARCH SUPPORT L6060
ARGON PROBE LAPAROSCOPY
ARISTA 5 GM
ARM CRADLE
ARM PORT INSERT <5
ARM PORT INSERT >5
ARROW ROTATOR DRIVE
ARRYTHMIA INDUCTN BY ELEC PACING
ARSENIC QUAN
ART VENOUS BLOOD GAS ANALYSIS
ARTERIAL CATH/CANAUL PRCUT
ARTERIAL CATH/CANNUL PRCUT
ARTERIAL CATH/CANNUL PRCUT
ARTERIAL CUTDOWN
ARTERIAL PUNCTURE
ARTERIAL PUNCTURE
ARTERIAL PUNCTURE
ARTERIAL PUNCTURE
University Medical Center So. NV.
Page 10
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------499.42
266.28
266.28
344.35
374.93
516.38
344.35
344.35
400.47
460.74
6,758.57
2,236.22
4,099.73
4,099.73
383.67
141.37
383.67
141.37
2,822.30
442.18
663.27
442.18
442.18
257.27
382.91
257.27
257.27
227.17
204.94
153.86
131.00
493.97
2,326.58
233.55
119.52
2,246.21
1,212.41
394.54
3,266.30
3,651.85
581.48
4,222.99
234.01
516.23
665.28
665.28
665.28
3,065.19
157.81
158.08
158.08
292.15
02/12/14
Charge#
--------702420304
702420056
702421211
714030144
723020292
723020303
723520267
723320272
702421266
702421500
702420784
702420711
702420782
702420753
702420761
702421313
702421245
702420767
702420746
702420807
702420266
702420695
702420821
702420797
702421105
702421315
702421044
702421230
702420247
702420796
702420717
702420790
702420802
702420400
702420022
702420396
702420739
702420209
702420208
702420263
702420051
702170138
702420361
702420023
702420161
702420011
702420814
702420242
702420785
702420465
702420788
702420838
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ARTHRO DIST RU JT TRICART
ARTHRO KNEE ABRASION/CHOND
ARTHROCENTESIS JT WEAO
ARTHROCENTESIS LARGE JOINT
ARTHROCENTESIS/ASPIR ELBWRSTAN
ARTHROCENTSIS KNEE SHLDR HIP
ARTHROCENTSIS KNEE SHLDR HIP
ARTHROCENTSIS KNEE SHLDR HIP
ARTHROCNTSIS MAJ JTSHK
ARTHROD MT/TMT, W OSTEOT FOR FF
ARTHRODESIS ANKLE
ARTHRODESIS CMC JT DIGITS
ARTHRODESIS DIST ULNA JT
ARTHRODESIS GR TOE MTP JT
ARTHRODESIS GREAT TOE IP JT
ARTHRODESIS INTERPHALN JTW/WO FIX
ARTHRODESIS IP JT AUTO GR
ARTHRODESIS M-TAR TMT M-T
ARTHRODESIS SUBTALAR
ARTHRODESIS WRIST W BG
ARTHRODESIS WRIST WO BG
ARTHRODESIS, MT OR TME- SGL JNT
ARTHRODESIS, POST, 1 LEV- LUMBAR
ARTHROPLASTY CMC JT CARPL
ARTHROPLASTY DISTAL ULNA
ARTHROPLASTY PATELLA PROSTH
ARTHROPLASTY RAD HEAD IMP
ARTHROPLSTY PAT WO PROTH
ARTHROSCOPY ACL RECONST
ARTHROSCOPY BICEPS TENODESIS
ARTHROSCOPY HIP DEBRIDE
ARTHROSCOPY HIP REM LB/FB
ARTHROSCOPY HIP SYNOVECT
ARTHROSCOPY K LOA WWO MANP
ARTHROSCOPY K MED&LAT SH
ARTHROSCOPY K MEN&LAT REP
ARTHROSCOPY K REM FB LB
ARTHROSCOPY K SHAVING CARTL
ARTHROSCOPY K SYNOV LIMIT
ARTHROSCOPY KNEE LAT REAL
ARTHROSCOPY KNEE MED OR LAV
ARTHROSCOPY PUMP TUBING WRIST
ARTHROSCOPY SH CAPORRHAPHY
ARTHROSCOPY SH DEBRIDE EXT
ARTHROSCOPY SH DEBRIDLIM
ARTHROSCOPY SH MUMFORD
ARTHROSCOPY SH REM LB FB
ARTHROSCOPY SH ROT CUFF
ARTHROSCOPY TIB FX WWOFIX
ARTHROSCOPY WR SYNOVECTOMY
ARTHROSCPY K DRILL DISSECAN
ARTHROSCPY K INF LAV DRAIN
University Medical Center So. NV.
Page 11
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,303.76
3,252.16
1,624.70
665.91
464.59
420.25
421.03
421.03
1,443.67
7,139.85
3,095.90
4,567.02
10,446.48
5,096.59
2,789.61
3,432.70
3,343.29
7,063.05
4,700.83
10,446.48
5,415.48
5,228.63
3,701.40
3,726.90
7,108.30
6,988.88
6,514.46
4,182.65
10,446.48
5,441.31
5,441.31
1,498.76
5,441.31
3,007.75
3,349.44
3,700.74
3,252.16
3,396.08
3,252.16
3,388.30
3,472.02
295.63
5,876.62
6,141.83
3,512.33
3,252.16
6,141.83
5,140.24
5,441.31
3,512.33
3,897.03
3,252.16
02/12/14
Charge#
--------702420058
702420032
702420671
702420092
702420691
702420687
702420760
702420758
702420656
702420676
702420773
702420771
702420657
702420438
702420658
702420764
702420663
702170456
702170462
702170495
702420759
702420665
702420783
702420101
702420756
714522043
714120059
714120058
714120057
723020389
714120155
714522042
714522041
714522018
707030305
707031075
707030306
723020257
714170069
707031058
707030648
707030625
722120002
707030034
702420439
702420048
702420731
702421280
702420488
702420666
702420752
702170924
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ARTHROSCPY K MEN MEDORLAT
ARTHROSCPY SH REP SLAPLES
ARTHROSCPY SH SYNOVECTOMY
ARTHROSCPY WR REL CAP LIG
ARTHROSCPY WR SYNOVECT
ARTHROSCPY WR SYNOVUM PART
ARTHROSPY WR F-CART JTDEB
ARTHROTOMY AC OR SC JT BX
ARTHROTOMY ANK TENO/SYNOV
ARTHROTOMY ANKLE SYNOV
ARTHROTOMY CMC JT BX EA
ARTHROTOMY ELBOW W CAPSUL
ARTHROTOMY ELBOW W/EXPLORATION
ARTHROTOMY INTERPHAL JT EA
ARTHROTOMY KNEE EXP REM FB
ARTHROTOMY MCP JOINT
ARTHROTOMY WRIST SYNOVECT
ARTHROWAND SABER
ARTHROWAND TURBOVAC
ARTHROWAND ULTRA
ARTHRSCOPY ANKLE OSTEO
ARTHRSCOPY SH SYN PART
ARTHRSCPY ANK REM LB FB
ART-VEN BAND/LIGATION
A-SCOPY K OSTEOCHOND FIX
ASP ABCESS/HEMATOMA CT GUIDE
ASP BLADDER BY NEEDLE
ASP BLADDER BY TROCHAR/CATH
ASP BLADDER W SUP PUB CATH INSERT
ASP BLADDER W SUP PUB CATH INSERT
ASP OR INJ THYROID CYST
ASP OR INJ THYROID CYST
ASP/ DRAINAGE HIP JOINT CT GUIDE
ASP/INJ RENAL CYST/PEL
ASPERGILLIS ANTIBODY ID
ASPERGILLUS AG EIA
ASPERGILLUS SEROLOGY
ASPIRATE/INJ GANGLION CYST
ASPIRATION TUBING (PA)
ASSAY FOR CALPROTECTIN FECAL
ASSAY OF LIPOPROTEIN (A)
ASSAY OF SIROLIMUS
ASSESSMENT-APHASIA 1HR GN
AST (SGOT)
ATHRODEBRIDE ANKLE EXTEN
ATHROSCOPY KNEE SYNOVECTOMY
ATHROSCOPY REPR TALAR-TIB
ATHROSCOPY SHLDR W ACRO
ATHROSCPY SH LOA W/WO MANIP
ATHROTOMY ANK WWO ACHILLES TEN
ATHROTOMY ANKLE FB/LB DRAIN
ATOMIZER MADGIC LARYNGEAL
University Medical Center So. NV.
Page 12
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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Price
---------1,366.78
3,009.37
5,876.62
3,351.25
3,252.16
3,252.16
3,512.33
3,979.27
3,303.76
3,303.76
1,836.66
3,303.76
3,303.76
2,764.13
3,303.76
3,533.40
3,133.40
1,683.86
2,073.98
1,582.61
5,441.31
4,697.52
3,252.16
3,267.13
3,252.16
522.82
422.41
217.87
4,069.26
4,069.26
983.19
1,489.20
862.81
882.51
70.25
380.19
187.49
274.47
1,763.60
550.00
28.77
386.11
451.19
114.10
4,288.09
3,374.66
10,446.48
5,745.91
4,314.42
3,568.06
3,568.06
33.64
02/12/14
Charge#
--------714131007
709131002
714131006
709131001
709120022
702171021
723520222
702420780
702420772
702170461
723530000
702420639
702420054
702420157
714130053
709120108
705080144
705080430
723020256
723520221
723320220
723020255
723520220
723320219
702421214
702171225
702171231
702171228
702171230
702420646
702420659
707030702
713030001
705080429
702170115
702170369
705080117
702170453
702171160
702171369
702171328
705080112
702170460
705080428
702770002
702171087
702171237
702171245
701070001
702170643
709170918
709170648
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ATRIAL FIB ADDL L/R
ATRIAL FIB ADDL L/R
ATRIAL FIB PULM VEIN ISOL
ATRIAL FIB PULM VEIN ISOL
ATRIAL SEPTOSTOMY
ATS CELLSAVER SUCTION LINE
ATT F/C/M/N/A/G/H/F, 10 SQ CM
ATTCH TUBE PEDL FCCMNAGHF
AUGMENT MAND W PROTH MAT
AUTOTRANSFUS BRAT SUCTION
AUTOTRANSFUSION
AV ANAST, OP UPPR ARM CEPHALIC
AV ANASTOMOSIS DIRECT
AV ANASTOMOSIS OPEN U-ARM
AV DIALYSIS SHUNT S&I
AV NODE ABLATION
AVITENE 70MM X 70MM
AVITENE 1.0 GRAM
AVUL NAIL PLATE SIMP SINGL
AVUL NAIL PLATE SIMP SINGL
AVUL NAIL PLATE SIMP SINGL
AVULSION NAIL EA ADDITIONAL
AVULSION NAIL EA ADDITIONAL
AVULSION NAIL EA ADDITIONAL
AVULSION NAIL PLATE
AWL BEVEL TIP LONG (SO)
AWL BEVEL TIP SHORT (SO)
AWL DIAMOND TIP LONG (SO)
AWL DIAMOND TIP SHORT (SO)
AXILLARY LYMPHADENECTOMY
AXILLARY LYMPHADENO COMP
B CELLS, TOTAL COUNT
B.A.E.R, CNS
BACK PANEL VISTA LRG
BAG BECKER EXT DRAINAGE
BAG BILE
BAG BLOOD ATS 700ML
BAG COLOPLAST
BAG SILO VENTRAL 15CM DEFECT (BE
BAG SILO VENTRAL 5CM DEFECT (BE)
BAG SILO VENTRAL 7.5CM DEFCT (BE
BAG VENTRICULAR REPLACEMENT
BAG VIAL-O-JET
BAG VITALMETRIC URINE
BAIR HUGGER PACU
BAIR HUGGER UNDER BODY
BALLOON ABLATION THERMACHOICE
BALLOON ACHALSIA DISP
BALLOON BAKRI POSTPART 24FRX54CM
BALLOON BAKRI PP 24FR CM
BALLOON CATH APEX MR 15MM
BALLOON CATHETER
University Medical Center So. NV.
Page 13
Dispense
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Price
---------3,917.16
3,917.16
18,387.77
18,387.77
12,676.83
207.53
2,223.24
3,775.17
3,416.42
437.24
589.90
6,822.52
3,676.82
5,175.18
429.11
5,814.30
702.53
543.50
464.82
465.68
465.68
231.97
232.39
232.39
480.55
3,050.78
2,824.80
2,824.80
2,824.80
5,961.40
5,636.79
122.16
1,003.59
147.34
161.23
37.65
150.64
51.63
1,558.67
768.30
1,369.44
807.04
81.61
94.38
63.71
171.90
2,083.14
2,402.13
1,085.87
1,045.81
453.75
2,120.64
02/12/14
Charge#
--------701070002
702170454
702270102
702270103
702270104
702270105
702270106
702270107
702170037
709170911
709170928
702170561
702150772
709170049
709170048
702150370
702151325
702151946
702151527
707030308
714030026
702151677
707030862
718130006
707030035
702171327
702270250
702171247
702171248
702170577
702170478
702270108
702270109
702270110
702270111
702275005
702170858
702270251
702171338
702171276
702270112
702270113
702270114
702171031
702170839
702171335
714170068
702170781
702170834
702171274
707031003
707031004
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BALLOON CERV RIPENING 18FRX40CM
BALLOON ERCP RET OSCOPY
BALLOON ERCP RETRI 3L 11.5MM(BS
BALLOON ERCP RETRI 3L 15MM(BS
BALLOON ERCP RETRIEV 3L 8MM(BS)
BALLOON PEG REPLACE 20F(BS)
BALLOON PEG REPLACE 24F(BS)
BALLOON PEG REPLACE 28F(BS)
BALLOON PTA - ALL SZS
BALLOON QUANTUM NC APEX M
BALLOON QUANTUM NC APEX O
BALLOON STRUCTURAL
BAND FUTURA MEDTRONIC
BAND TR COMPRESSION 24CM (TO)
BAND TR COMPRESSION 29CM (TO)
BAR 400MM S-N
BAR CONNECTING 4.0X60MM (SY)
BAR TRANS CONNECTOR 3.5MM (SY)
BAR V EXT FIX (SN)
BARBITURATES TOTAL-SERUM
BARIUM SWALLOW / ESOPHOGRAM
BARRIER INTERCEED ABD 3X4 (JJ)
BARTONELLA ANTIBODY PANEL
BASIC LUNG SPIROMETRY
BASIC METABOLIC PANEL
BASKET 8 WIRE 22MM ROTATNL (OA)
BASKET 8 WIRE 22MM ROTATNL (OA)
BASKET BAGLEY
BASKET CYSTO SEGURA 2.4X120
BASKET ESCAPE NIT 1.9F (BS)
BASKET HEMISPHERE 4-WIRE
BASKET LITH CRSH V 425MMX195CM
BASKET LITH CRUSH V BULLET TIP
BASKET LITH ROTATE 3.5MMX195CM
BASKET RETRIEVE 3WIRE SPIRAL
BASKET RETRV POLYP TWISTER (BS)
BASKET RETRV TETRA CATCH V (OA)
BASKET RETRV TETRA CATH V (OA)
BASKET STONE RET OPTIFLEX (BS)
BASKET TIPLESS 3FR X 120
BASKET TRAPEZOID RETRIEVE 2.0
BASKET TRAPEZOID RETRIEVE 2.5
BASKET TRAPEZOID RETRIEVE 3.0
BATTERY (TM)
BATTERY HIGH SPEED (OM)
BATTERY PACK DRIVER (SY)
BATTERY PACK GDC (BS)
BATTERY PACK LP NUERO (KL)
BATTERY PACK STERILE (KL)
BATTERY STERILE
BCR/ABL1 GENE MAJOR BP
BCR/ABL1 GENE MINOR BP
University Medical Center So. NV.
Page 14
Dispense
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Price
---------224.14
1,711.61
575.03
620.94
574.95
394.62
394.62
457.15
1,504.50
453.75
453.75
1,023.72
9,611.25
248.52
248.52
794.75
92.95
486.75
1,225.04
69.10
844.57
660.00
79.69
462.17
272.40
1,474.20
1,474.20
880.62
975.83
1,184.08
1,427.67
2,154.69
1,995.08
1,995.08
411.67
336.13
774.51
774.51
1,064.17
996.42
1,316.17
1,421.46
1,421.46
185.72
308.76
1,003.93
310.20
383.83
366.42
920.70
859.37
859.37
02/12/14
Charge#
--------702171003
702270004
722120020
702171199
707030178
707030309
707030217
707030310
714030022
707030311
714120154
714130029
714120176
714120056
714130028
714120055
714130027
714120054
714130026
714120053
707030036
707030312
707030037
702170088
701530003
702153032
702420120
714522016
726820037
702420519
723020254
702171057
702420061
702420654
714978002
702420095
714522015
714928003
714522014
702420762
714928002
714522013
714522012
702420812
714978001
702420259
702421608
702420692
702420674
702420824
702420815
714522011
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BEDSIDE ANESTHESIA SUPPLIES
BEDSIDE ANESTHESIA SUPPLIES
BEHAVRAL QUAL ANALYSIS OF VOICE
BENDER CUTTER MLP 2.0MM (SY)
BETA 2 GLYCOPROTEIN
BETA 2 MICROGLOB URINE
BETA STREP GROUP A CULTURE
BETA-2 MICROGLOBULIN
BILATERIAL HIPS (ADULT)
BILE ACIDS
BILIARY DILITATION WOSTNT
BILIARY DILITN WOSTNT S&I
BILIARY DRAIN EXCHANGE
BILIARY DRAIN PERC TRANSHEP CATH
BILIARY DRAIN PERCTRANS&I
BILIARY DUCT STONE EXT PERC
BILIARY DUCT STONE EXTS&I
BILIARY PERC STENT PLACEMENT
BILIARY PERC STENTPLACESI
BILIARY T-TUBE REVIS/REINS
BILIRUBIN DIRECT
BILIRUBIN FLUID
BILIRUBIN TOTAL
BIOGLUE APPLICATOR ALL SIZES
BIOPHYSICAL FETAL PROFILE
BIOPLAR NO CEMENT HIP ALL VENDORS
BIOPSY ANORECTAL
BIOPSY BONE SUPERFICIAL
BIOPSY BREAST NEEDLE
BIOPSY BREAST OPEN
BIOPSY CERVIX W/PUNCH SGL/MULTI
BIOPSY EASY CORE 18G X 21CM
BIOPSY EXCISION LYMPH NODES
BIOPSY EXTERNAL EAR
BIOPSY GUIDE US
BIOPSY INTRANASAL
BIOPSY KIDNEY
BIOPSY KIDNEY/1
BIOPSY LIVER
BIOPSY LIVER PERCUTANEOUS NEEDLE
BIOPSY LIVER/1
BIOPSY LUNG/MEDIASTINUM
BIOPSY MUSCLE
BIOPSY NECK/CHEST
BIOPSY NEEDLE US
BIOPSY NERVE
BIOPSY OF FLOOR OF MOUTH
BIOPSY OF UTERUS
BIOPSY OROPHARYNX
BIOPSY OVARY UNI/BILATERAL
BIOPSY PALATE UVULA
BIOPSY PERC ABD/RETROPERIO MASS
University Medical Center So. NV.
Page 15
Dispense
------------.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------817.56
817.56
113.09
6,455.86
418.30
155.19
185.35
137.23
833.23
133.13
2,851.55
4,769.68
1,810.94
2,452.38
4,466.90
2,333.09
4,593.23
2,851.55
4,930.93
1,676.80
119.82
119.82
119.82
259.39
339.11
14,850.00
2,827.96
1,058.83
535.26
2,673.94
677.36
272.82
2,828.69
317.05
346.85
615.95
948.98
1,111.98
882.51
1,457.17
1,111.98
1,984.30
687.69
1,757.65
218.81
3,340.91
1,009.14
492.39
1,580.97
2,187.32
1,490.08
1,051.81
02/12/14
Charge#
--------714522010
702420424
702420612
720620040
726820038
702420428
702420310
702420795
702421228
714928001
702420618
702420593
702420794
705080427
702421216
726820023
702420605
702270115
718120004
718120005
702153031
702170125
702171115
702270100
702270116
702420463
702420611
709150780
723020253
702170096
702171353
702170313
702170627
702170624
702170623
702170940
702170951
702170516
702170685
702170472
702171075
702170377
702171279
702171360
702171246
702170326
702170314
702170528
702170344
702171065
702171063
702171329
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BIOPSY PERC PANCREAS
BIOPSY PROSTATE NEEDLE
BIOPSY RENAL PERCUTANEOUS
BIOPSY SKIN & SUBQ TISSUE
BIOPSY SKIN SQ MM EA ADDTL
BIOPSY SKIN SUBQ EA ADD LES
BIOPSY SKIN SUBQ MM LES S
BIOPSY TESTIS UNILATERAL
BIOPSY THIGH DEEP
BIOPSY THYROID
BIOPSY TONGUE ANT 2/3
BIOPSY TONGUE POST 1/3
BIOPSY TONGUE POST ONE THIRD
BIOPSY TRAY
BIOPSY VAGINAL MUCOSA SIM
BIOPSY-SKIN,SQ/MM, SNGL
BIOPY VULVATOR PERINEUM
BIOVAC DIRECT SUCTION DEVICE
BIPAP OR CPAP GT 4HRS
BIPAP OR CPAP LT 4HRS
BIPOLAR CEMENTED HIP ALL VENDORS
BI-POLAR FORCEPS DISP
BIPOLAR TISSUE SEAL DEVICE (EC)
BITE BLOCK ADULT
BITE BLOCK PEDIATRIC (UE)
BITEWING FOUR FILMS
BITEWINGS 2 FILMS
BIV ILESTO 7 HF-T (BT)
BLADDER IRRIGATION/LAVAGE
BLADE ADENOID ADULT
BLADE ANNULOTOMY KNIFE (NU)
BLADE ARTHROSCOPY
BLADE BEAVER 60 DEG ANGLE
BLADE BEAVER MINI CURVED EDGE
BLADE BEAVER MINI ROUND
BLADE BEAVER SCLEROTOME
BLADE BEAVER SURG 69
BLADE BONECUTTER FULL RADIUS
BLADE CANNULATED 3.0MM (SK)
BLADE CARPAL TUNNEL ALL SIZES
BLADE CERVICAL BX
BLADE CLIPPER
BLADE CROSS PIN 1.7 X 8MM (SK)
BLADE DISSECT HARMONIC SNGHK
BLADE ENDOSCOPIC GASTRIC RESECT
BLADE ENT LANCET
BLADE ENT MICRO EDGE
BLADE ENT SERRATED
BLADE ENT STRAIGHT SHOT
BLADE GLIDESCOPE 0270-0445
BLADE GLIDESCOPE 0270-0447
BLADE HARMONIC CURVED SNGCB
University Medical Center So. NV.
Page 16
Dispense
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.00000
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.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------1,172.57
1,276.74
1,457.17
211.39
136.26
335.67
411.38
2,524.97
2,414.99
494.41
1,804.10
1,615.18
1,906.10
108.21
734.68
339.76
1,260.59
487.50
1,858.40
1,403.41
8,250.00
200.28
2,287.92
22.79
20.00
414.78
207.39
55,000.00
325.56
236.73
1,072.06
1,416.60
82.93
17.21
14.96
68.13
42.20
764.02
1,345.70
1,495.36
65.76
83.09
554.23
1,223.69
3,392.27
181.24
158.05
766.17
554.15
92.45
92.45
1,328.17
02/12/14
Charge#
--------702170539
702170360
702170089
702170347
702170376
702170345
702171026
702170967
702170970
702170965
702170898
702171092
702170964
702170868
702171120
702171285
702170124
702170016
702170346
702170683
702171241
702170757
702170315
702170863
702170544
702171182
705080426
705080425
705080111
705080110
705080109
702170086
705080108
707030313
707030863
707030314
709170913
702421108
702421104
702275000
702275001
702270117
702270118
702270119
702151750
702151790
702152649
702151689
705080424
710050072
726620039
726820028
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BLADE HOOK TRIANGLE INSTRATAK
BLADE LAMELLAR ANG 60 DEG
BLADE MICRO SAG ALL SIZES
BLADE MICROKNIFE WECK
BLADE MYRINGOTOMY KNIFE
BLADE NEUROTOME
BLADE OSC MICRO ALL SZS
BLADE OSCILLATER (ZM)
BLADE RAZORCUT ARTHROSCOPY
BLADE RECIPACATER (ZM)
BLADE SAGITAL ALL SZS (SK)
BLADE SAW GIGLI
BLADE SAW OSTEONICS
BLADE SERRATED MT XOMED (MT)
BLADE SET 6.5MM (SO)
BLADE SILVER BULLET 2.9
BLADE SKIMMER LARYNGEAL
BLADE STRAIGHT
BLADE SYNOVECTOMY
BLADE T7 SCREWDRIVER (SK)
BLADE TIT HELICAL 11X90MM (SY)
BLADE TIT SPIRAL 75MM (SY)
BLADE TREPHINE
BLADE TRICUT 2.9 MM (MT)
BLADE TRICUT 4.0 ENT
BLADE TURBINATE 2.0MM (MT)
BLANKET BAIR FULL UNDERBODY
BLANKET BAIR HUGGER FULL BODY
BLANKET BAIR HUGGER LOWER BODY
BLANKET BAIR HUGGER PEDS
BLANKET BAIR HUGGER UPPER BODY
BLANKET CARDIAC STERILE
BLANKET K-PAD 18 X 24
BLASTOMYCES AB (ID)
BLASTOMYCES ANTIBODY
BLASTOMYES SEROLOGY
BLAZER II EXTENSION CABLE
BLEPHAROPLASTY LID FAT PAD
BLEPHAROPLASTY UPPER LID
BLN CUFF FNA SCOPE MAJ-249 (OA)
BLN CUFF RAD SCOPE MAJ-233 (OA)
BLN ERCP RET RX 12X15 (BS)
BLN ERCP RET RX 15 X 18 (BS)
BLN ERCP RET RX 9 X 12 (BS)
BLOCKER MANTIS REDUCTION (SK)
BLOCKER OASYS (SK)
BLOCKER PEDICLE (SS)
BLOCKER XIA3 TIT (SK)
BLOOD BAG IN LINE ATRIUM
BLOOD BANK CONSULTATION
BLOOD DRAW FROM PICC
BLOOD DRAW FROM PICC
University Medical Center So. NV.
Page 17
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------840.41
87.86
237.77
125.13
59.18
470.18
274.96
707.61
787.60
323.19
850.80
119.98
645.72
753.07
1,840.91
797.89
583.62
3,655.64
904.58
1,814.50
1,847.08
2,594.44
470.18
708.35
733.85
3,674.06
141.40
45.72
47.92
293.80
47.92
163.89
46.11
226.47
226.47
270.60
687.50
2,497.98
2,915.38
106.70
103.28
753.15
753.15
753.15
313.50
275.00
275.00
632.50
141.82
124.22
71.81
96.39
02/12/14
Charge#
--------726620040
726820027
709020011
709020010
726120031
707030828
707030179
726120030
726620037
723020008
723520010
723320006
702421328
726620038
726820024
705080107
707030009
702170133
617111700
702150073
702150085
702150087
702150062
702150069
702150070
702150071
702150061
702150072
702151233
702151282
702150705
702150181
702151316
714030023
702151698
702151321
702150240
702151628
702150024
702170026
702150718
702151244
702150502
702150239
702150247
702151786
702150234
702151158
702151156
702150400
702150226
702151272
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BLOOD DRAW FROM PORT
BLOOD DRAW FROM PORT ACCESS
BLOOD DRAW PICC
BLOOD DRAW PORT
BLOOD DRAW PORT ACCESS PEDS
BLOOD PROCESSING AND STORAGE
BLOOD SMEAR
BLOOD TRANSFUSION
BLOOD TRANSFUSION
BLOOD TRANSFUSION
BLOOD TRANSFUSION
BLOOD TRANSFUSION
BLOOD TRANSFUSION
BLOOD TRANSFUSION (TFN)
BLOOD TRANSFUSION DAILY
BLOOD TRANSFUSION FILTER
BLOOD TYPE AG DONOR EA
BLOWMISTER (OH)
BOARDER NURSERY
BOLT TRAVERSE 6.5MMX40MM (NU)
BOLT TRAVERSE 6.5MMX45MM (NU)
BOLT TRAVERSE 6.5MMX50MM (NU)
BOLT XLP 5.5MM X 35MM (NU)
BOLT XLP 5.5MM X 40MM (NU)
BOLT XLP 5.5MM X 45MM (NU)
BOLT XLP 5.5MM X 50MM (NU)
BOLT XLP 5.5MM X 55MM (NU)
BOLT XLP 5.5MM X 60MM (NU)
BONE ACF SPACER 6MM (MF)
BONE ACF SPACER LORD 7MM (MF)
BONE ACTIFUSE 10CC
BONE ACTIFUSE 2.5CC
BONE ACTIFUSE 5CC
BONE AGE X-RAY
BONE ALLOGRAFT DIVERTED TUBE (MF
BONE ALLOMATRIX PUTTY 10CC (WM)
BONE ALLOMATRIX PUTTY CUSTOM 5CC
BONE ALLOWMATRIX PUTTY 1CC (WM)
BONE ALLOWMATRIX PUTTY 5CC (WM)
BONE BEAD KIT RESORABLE WRIGHT
BONE BIOSTET FOAM STRIP 10CC (OB
BONE BIOSTET FOAM STRIP 5CC (OB)
BONE CANCELLOUS CHIPS 30CC (LN)
BONE CELLPLEX 15CC (WM)
BONE CELLPLEX 7CC
BONE CEMENT 40GM (DP)
BONE CERVICAL VG2
BONE CORNERSTONE
BONE DBM 100CC SK
BONE DBM 1CC ACCELL
BONE DBM PUTTY 10CC (IC)
BONE DBX 10CC MIX
University Medical Center So. NV.
Page 18
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------117.71
55.00
105.06
105.06
64.74
52.84
101.23
813.66
850.16
872.46
874.07
874.07
874.07
910.10
697.03
61.52
222.08
703.04
962.00
1,875.50
1,875.50
1,875.50
1,977.25
1,977.25
1,977.25
1,977.25
1,977.25
1,977.25
3,663.00
4,265.25
6,600.00
2,337.50
3,987.50
322.87
591.25
3,905.00
2,686.75
517.00
1,721.50
5,958.58
5,436.75
3,456.75
1,188.00
2,703.25
2,461.25
242.00
2,736.25
4,837.53
4,775.21
728.75
2,557.50
3,491.40
02/12/14
Charge#
--------702151068
702151074
702151829
702150321
702150074
702150075
702151223
702151097
702151558
702151228
702150323
702151642
702151274
702150245
702171281
702152597
702152439
702151224
702150213
702151225
702150212
702150732
702151239
702151242
702420652
702420642
702150248
702152650
702151127
702151552
702150307
702152575
702152627
702152626
702150002
702151063
702151118
702150451
702150898
702150920
702150675
714030020
702421231
726120045
726820100
714120099
726120021
702421232
707030738
702151262
702150694
702153050
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BONE DBX 10CC PASTE
BONE DBX 10CC PUTTY
BONE DBX 1CC PUTTY
BONE DBX 5CC MIX
BONE DBX 5CC PASTE
BONE DBX 5CC PUTTY
BONE DBX MIX 10 CC (SY)
BONE DBX MIX 5 CC (SY)
BONE DBX PASTE 1 CC (MF)
BONE DBX PASTE 10 CC (SY)
BONE DBX PASTE 5 CC (SY)
BONE DBX PUTTY 1 CC (SY)
BONE DBX PUTTY 10 CC (SY)
BONE DBX PUTTY 5 CC (MF)
BONE DIVERTED TUBE (MF)
BONE FILLER NANOSS 5CC (PS)
BONE FILLER SKAFFOLD 25CC (SC)
BONE FORMAGARFT GRANULE 10CC (NU
BONE FORMAGRAFT GRANULE 5CC (NU
BONE FORMAGRAFT STRIPS 10CC (NU
BONE FORMAGRAFT STRIPS 5CC (NU
BONE GENEX 10CC
BONE GENEX 2.5CC
BONE GENEX 5CC
BONE GRAFT MAJOR OR LARGE
BONE GRAFT MINOR OR SMALL
BONE GRAFTON CRUNCH 5CC (MF)
BONE GRAFTON PASTE PLUS 5CC (MT)
BONE GRAFTON PUTTY 10CC (MF)
BONE GRAFTON PUTTY 1CC (MF)
BONE GRAFTON PUTTY 5CC (MF)
BONE GRAFTON PUTTY 5CC (MT)
BONE H GENIN PUTTY 10CC (NT)
BONE H GENIN PUTTY 1CC (GO)
BONE H GENIN PUTTY 5CC (GO)
BONE HEALOS II STRIPS
BONE ILIAC CREST WEDGE
BONE INF TAMP 15/3 (KP)
BONE INFUSE LARGE II (MT)
BONE INFUSE MEDIUM (MT)
BONE INFUSE SMALL (MT)
BONE LENGTH/SCANOGRAM
BONE MARROW ASPIRATION
BONE MARROW ASPIRATION
BONE MARROW ASPIRATION
BONE MARROW BIOPSY
BONE MARROW BIOPSY
BONE MARROW BX
BONE MARROW SMEAR
BONE MASTERGRAFT 10 CC (MT)
BONE MASTERGRAFT 20 CC (MT)
BONE MASTERGRAFT PUTTY 9CC (MT)
University Medical Center So. NV.
Page 19
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,809.95
2,809.40
451.00
2,228.60
1,821.60
1,821.60
4,364.25
2,785.75
530.75
3,712.50
2,277.00
563.75
3,511.75
2,420.00
661.77
2,739.00
10,287.75
3,690.50
2,315.50
3,690.50
2,315.50
6,036.25
3,836.25
3,836.25
2,796.60
3,309.89
2,458.50
2,530.00
3,286.25
525.25
2,125.75
1,635.78
2,117.50
1,375.00
3,712.50
3,344.00
3,286.25
1,100.00
14,872.00
13,455.75
9,490.25
710.97
255.42
653.68
653.68
675.39
1,293.33
751.94
597.95
3,465.00
6,578.00
2,598.75
02/12/14
Charge#
--------702170466
702150752
702152906
702154413
702152592
702150298
702150654
702150899
702150156
702150775
702150126
702151513
702151083
702150043
702151949
702152551
702150819
702152441
702152440
716136019
716136018
702152642
702151882
702151117
702150701
702150678
702151284
702150312
702150089
702150730
702150029
702150313
702151235
702150709
702171195
702151437
702152437
705080423
707030709
707030864
707030315
707030316
702171539
705080538
705080539
705080537
705080536
705080535
705080534
705080469
705080533
705080532
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BONE MILL MEDTRONIC
BONE NORIAN 10CC SYNTHES
BONE OPTIFUSE STRIP 10CC (OB
BONE OPTIFUSE STRIP 5CC (OB)
BONE OSTEO RESORB BEAD 25CC (WM)
BONE OSTEO RESORB BEAD 5CC (WM)
BONE OSTEOCEL PLUS 10CC (NU)
BONE OSTEOCEL PLUS 15CC (NU)
BONE OSTEOCEL PLUS 1CC (NU)
BONE OSTEOCEL PLUS 5CC (NU)
BONE OSTEOCURE RESORABLE BEAD
BONE OSTEOSET 10CC
BONE OSTEOSET 25CC
BONE OSTEOSET 5CC
BONE PRO STIM SUBSTITUT 10CC (WM
BONE PRO STIM SUBSTITUT 4CC (WM
BONE PRODENSE 20CC (WM)
BONE PUTTY OSTEOSURGE 10CC (IA)
BONE PUTTY OSTEOSURGE 5CC (IA)
BONE SCAN 3 PHASE
BONE SCAN WHOLE BODY
BONE STEM CELL XLG (NT)
BONE STRAIGHT TUBE (MF)
BONE STRIPS IMPLANT (NX)
BONE SUBSTITUT HYDROSET 10CC (SK
BONE SUBSTITUT HYDROSET 15CC (SK
BONE SUBSTITUT HYDROSET 5CC (SK
BONE TRIAD CERV ALLOGRFT ALL SZS
BONE VITOSS GRAFT 5CC 1405 (OV
BONE VITOSS (1610) OV
BONE VITOSS BA FOAM 1602 (OV)
BONE VITOSS BA FOAM 1605 OV
BONE VITOSS GRAFT 10CC (1410) OV
BONE VITOSS STRIP 20CC 1120 (OV)
BONE VOID FILL CEMENT 10ML (SN)
BONE WAX OSTENE 2.5GM (CK)
BONE WEDGE OSTEOFACET (FF)
BOOT BUNNY EACH
BORDATELLA P AG BY DFA
BORDETELLA PERTUSIS ANTIBODIES
BORDETELLA PERTUSSIS AB
BORDETELLA PERTUSSIS DFA
BRA MAMMARY SUPPORT
BRACE ADD TO TLSO
BRACE ADD TO TLSO/1
BRACE CERVICAL COLLAR L0172
BRACE CERVICAL COLLAR L0200
BRACE EXT ORTHOSIS L3763
BRACE HAND W THUMB EASE (PCE)
BRACE L0112 CRANIAL CERVICAL
BRACE L0150 CERV COLLAR W XPADS
BRACE L0170 ASPEN CTO W MOLD EXT
University Medical Center So. NV.
Page 20
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,483.69
7,700.00
5,436.75
3,456.75
4,561.60
2,062.50
12,100.00
12,474.00
1,581.25
7,287.50
1,306.25
2,923.94
2,983.75
1,636.25
12,787.50
5,145.25
17,861.25
2,750.00
5,225.00
1,948.51
2,013.28
13,282.50
398.75
3,286.25
6,802.13
9,795.06
4,097.50
2,197.25
1,826.00
6,022.50
1,760.00
2,189.00
3,641.00
6,611.00
9,684.44
205.01
6,875.00
149.80
52.25
109.73
109.73
206.74
514.03
541.52
458.50
247.05
1,068.72
1,243.55
387.15
2,267.71
223.65
1,323.38
02/12/14
Charge#
--------705080531
705080530
705080529
705080528
705080527
705080526
705080525
705080524
705080523
705080522
705080521
705080520
705080519
705080518
705080517
705080516
705080515
705080514
705080513
705080512
705080511
705080510
705080509
705080508
705080507
705080506
705080505
705080504
705080503
705080502
705080501
705080500
705080499
705080498
705080497
705080496
705080495
705080494
705080493
705080492
705080491
705080490
705080489
705080488
705080487
705080486
707031005
716136041
716136040
702150991
702151199
702151528
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BRACE L0174 ASPEN CTO W/EXTENSION
BRACE L0190 CERVICAL COLLAR
BRACE L0190 CTO
BRACE L0454 TLSO
BRACE L0464 TLSO
BRACE L0470 TLSO
BRACE L0486 TLSO
BRACE L0621 SACROILIAC FL
BRACE L0628 LSO W/FLEX SU
BRACE L0631 LSO SAGITTLCTR
BRACE L0633 LSO SAGITTAL
BRACE L0637 LSO W/SAGITTA
BRACE L0638 LSO SAGITTLCTR CUSTOM
BRACE L0639 LSO W/SAGITTAL CORO
BRACE L0640 LSO
BRACE L0710 CTLSO
BRACE L0710 CTLSO MINERVA
BRACE L0810 HALO
BRACE L0972 LSO CORSET FRONT
BRACE L0976 LSO
BRACE L1240 ADD TO TLSO
BRACE L1686 HIP ABDUCTION
BRACE L1810 KO
BRACE L1830 KO
BRACE L1832 KO
BRACE L1850 KO
BRACE L1860 ADD MAGNITIC SYSTEM
BRACE L1906 AFO
BRACE L1930 AFO
BRACE L1940 AFO
BRACE L1951 AFO SPIRAL
BRACE L1960 AFO
BRACE L1970 AFO
BRACE L1970 AFO W/ADDONS
BRACE L1971 AFO W/ANKLE JOINT
BRACE L2036 KAFO
BRACE L2114 AFO
BRACE L2128 KAFO
BRACE L3310 SHOE LIFT NEOPRENE
BRACE L3740 EO DBL UPRIGHT
BRACE L3760 EO
BRACE L3980 HUMERAL ORTH
BRACE L4396 PRAFO
BRACE L8440 PROSTETIC SHRINKER
BRACE MINERVA WO INTERFACE MATERI
BRACE TLSO (JEWETT) L0472
BRAF GENE
BRAIN W VASC FLOW LESS THAN 4V
BRAIN, SPECT
BREAST IMPLANT GEL (MN)
BREAST IMPLANT NATRELLE 410 (AG)
BREAST IMPLANT SALINE (AG)
University Medical Center So. NV.
Page 21
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------568.51
1,025.18
1,025.18
561.93
2,408.33
1,319.45
3,490.14
190.84
135.92
1,663.30
464.60
1,960.21
2,136.92
1,960.21
1,626.39
4,322.28
4,322.28
5,338.26
224.53
252.81
160.70
1,887.85
201.66
181.05
1,126.82
595.71
2,220.76
248.88
489.59
1,023.50
1,360.72
1,147.13
1,199.49
1,199.49
759.43
3,443.17
1,201.24
3,332.39
52.80
1,623.29
674.92
626.09
267.56
92.21
4,184.03
836.85
255.00
1,421.96
1,421.96
2,612.50
3,712.50
2,200.00
02/12/14
Charge#
--------702154008
702150192
702154007
705080615
702420096
702421121
714938021
702220131
702220132
702220122
702220133
702421178
702220118
702220108
702220082
702220134
702220079
702220080
723520300
702220119
702220070
702220121
702220071
726120022
702220062
702220063
702220012
702220061
702220002
702220069
702220180
726120026
702220081
707030317
702270120
702270217
702270121
702174027
707030038
707030039
707030040
707030041
709130031
702420633
702420774
702420629
702170009
702170767
702170902
723020252
723520219
723320218
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BREAST IMPLANT SALINE (MN)
BREAST IMPLANT SILICONE (AG)
BREAST IMPLANT SILICONE (MN)
BREAST PUMP LACTIMA TO GO
BREAST RECONST W TISS EXP
BREAST RECONSTRUCT W/OTHR
BREAST SONOGRAM
BRONCH DEST TUM STENOIS
BRONCH LAVAGE ALVEOLAR
BRONCH THER ASP INITITAL BDSD
BRONCH TRACH DIL CR FX
BRONCH TRANSBRONCH LUNG BX
BRONCH W REMOVAL FB BDSD
BRONCH W THER ASP INITIAL
BRONCH W TUMOR EXCISION BDSD
BRONCH W/ STENT, INITIAL
BRONCHO LUNG BX SGL LOBE BDSD
BRONCHO NEEDLE BIOPSY(S) BDSD
BRONCHOSCOPY AVELOAR LAVAGE BDSD
BRONCHOSCOPY DX W BRUSH BDSD
BRONCHOSCOPY DX W BRUSHINGS
BRONCHOSCOPY DX W WASH BDSD
BRONCHOSCOPY DX W WASHINGS
BRONCHOSCOPY DX W/WO CELL WASH
BRONCHOSCOPY LUNG BX SGL LOBE
BRONCHOSCOPY NEEDLE BIOPSY(S)
BRONCHOSCOPY THRU TRACH
BRONCHOSCOPY W BIOPSY(S)
BRONCHOSCOPY W REMOVAL FB
BRONCHOSCOPY W TUMOR EXCISION
BRONCHOSCOPY W/BIOP BDSD
BRONCHOSCOPY W/BIOPSY(S)
BRONCHOSOPY AVEOLAR LAVAGE BDSD
BRUCELLA ANTIBODY
BRUSH BRONCH CYTO 3MM (CK)
BRUSH CYTO COLON 3MMX230CM (CO)
BRUSH CYTO NDL TIP 1.7MMX140CM
BRUSH DISC 3 PAK 100-0153 (SO)
BUN
BUN STAT
BUN URINE
BUN URINE 24 HR
BUNDLE OF HIS RECORDING
BUNION KELLER MCBRIDE MAYO
BUNION LAPIDUS PROCEDURE
BUNIONECTOMY SILVER
BUR FLUTE BARREL (SK)
BUR MIDAS 8 TD 134
BUR MIDAS REX AM 35
BURN INIT TRMT 1ST DEGREE
BURN INIT TRMT 1ST DEGREE
BURN INIT TRMT 1ST DEGREE
University Medical Center So. NV.
Page 22
Dispense
------------.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,162.50
2,475.00
4,262.50
180.71
4,897.85
8,101.76
1,098.63
2,782.42
2,495.85
1,705.74
2,276.10
1,610.94
1,364.72
1,482.38
3,408.57
2,782.42
1,878.98
2,077.02
2,453.02
1,473.90
1,473.90
1,473.90
1,473.90
2,009.52
1,878.98
2,077.02
1,245.11
2,478.82
1,364.72
3,408.57
2,478.82
1,206.66
2,453.02
72.60
98.38
69.63
291.34
953.29
114.10
114.10
114.10
114.10
3,935.83
3,709.16
3,709.16
3,608.18
556.40
479.55
686.05
255.58
256.05
256.05
02/12/14
Charge#
--------720620001
720620002
720620003
702170915
702170010
702171010
702170146
702170568
702170778
702170914
702170501
702151529
702170522
702170950
702170881
702170779
702170883
702170952
702174041
702170538
702170889
702170791
724520010
702170698
714120153
702420778
702420730
702422022
702420742
714120180
714120181
702420777
705080422
705080421
702420139
702420798
714120152
702420028
702420217
714120151
702421237
714522026
720620004
702421227
702420803
709120107
709120106
709120105
707030650
707030649
707030910
707030318
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BURN TX LARGE, >10% BODY SURFACE
BURN TX MEDIUM, 5-10% BODY SURF
BURN TX SMALL, <5% BODY SURFACE
BURR 5.0 BARREL
BURR AGGRESSIVE ALL SZS (SK)
BURR ARTHROSCOPY
BURR BARRELL STRYKER
BURR CROSSCUT RASP LRG (SK)
BURR CUTTER 4.0 AGGRESSIVE PLUS
BURR CUTTING OTOFLEX
BURR DIAMOND ALL SZS (SK)
BURR HOLE COVER FAN TIMESH
BURR HOLLOW ROUND
BURR MIDAS REX 10 OV 40 LEGEND
BURR MIDAS REX AM-6
BURR MIDAS REX F1
BURR MIDAS REX LEGEND
BURR ROUND CARBIDE
BURR ROUND FLUTE ALL SZS (SK)
BURR ROUND SABER
BURR SABER ALL SZS
BURR TAPERED (DP)
BUS TRANSPORT INTRACITY DAILY
BUTTON INSERTER (AX)
BX ABDOM MASS NDL PERC
BX BONE EXC ISSRF
BX BONE TROCAR NEEDLE
BX EXC INT MAMMARY NODES
BX LIVER ADD ON
BX LIVER NDL PERC
BX LIVER PERC W OTHR PROC
BX LUNG MEDIASTINUM
BX MAX CORE INST 18G 10CM (PICU)
BX MAX CORE INST 18G 16CM (PICU)
BX MUSCLE DEEP
BX MUSCLE NEEDLE PERCUT
BX PANCREAS NEEDLE PERCUTANEOUS
BX REM AXIL LYMPH NODES D
BX REM LYMPH DEEP CX NODE
BX RENAL NEEDLE PERCUTANEOUS
BX SALIVARY GLAND NEEDLE
BX SALIVARY GLAND NEEDLE CT GUIDE
BX SKIN & SUBQ TISSUE EA ADDTL
BX UPPER ARM OR ELBOWDEEP
BX VULVA ADDITIONAL LES
BYPASS ANGIO LV W LF HRT CATH&SI
BYPASS ANGIO LV W R&L HRT CATH&SI
BYPASS ANGIO W RT HRT CATH & SI
C CHROMOTOGR, QUAN- MULTI ANALY
C CHROMOTOGR, QUAN, MULTI
C DIFF AMPLIFIED PROBE
C2 COMPLEMENT
University Medical Center So. NV.
Page 23
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------511.36
395.43
197.15
599.11
588.21
712.71
342.29
596.89
426.12
663.81
634.53
1,048.25
562.89
45.76
169.78
427.76
501.74
42.37
634.53
739.26
781.62
796.06
5.89
951.26
2,721.91
2,608.19
1,323.48
3,477.78
1,010.54
2,721.91
1,964.95
1,143.75
1,094.39
1,094.39
2,784.48
701.00
2,721.91
3,030.79
3,031.78
2,721.91
552.53
2,135.51
248.80
1,843.43
389.36
10,126.35
12,415.89
10,685.49
377.07
70.87
123.61
259.47
02/12/14
Charge#
--------707030320
707030321
707030696
707030710
707030711
707030865
702150145
702150015
702150457
714170007
709170702
709170047
709170046
702171127
702174025
709170860
702170532
709170861
702171392
702171393
702151534
709170045
707030833
707030834
707030322
707031125
702150868
702150842
702150830
702150689
702150812
702151267
702152557
702152565
702150669
702153017
702152567
702152633
702152648
702150827
702152343
702151533
702150901
702150706
702150984
702150988
702150773
702150992
702150985
702150973
702150982
702152639
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CA 19-9
CA 27-29 CSF
CA-125
CA-125/1
CA-15-3
CA19-9 FLUID
CABLE ATLAS DANEK
CABLE ATLAS W/CRIMP (MT)
CABLE BEADED (SK)
CABLE CONNECTOR GDC (BS)
CABLE CONNECTOR PL
CABLE CONNECTOR PL (BD)
CABLE CONNECTOR WN (BD)
CABLE CRIMP 1MM (SY)
CABLE PACING W ALLIGATOR CLIP
CABLE PPM ALGATR CLIPS
CABLE STERNAL W/REVERSE CUT NDL
CABLE SURELINK QUAD
CABLE TEMP PACE LEAD ATRIAL BLU
CABLE TEMP PACE LEAD VENT BGE
CABLE WIRES OH
CABLES 301CG, S101, BS101 (BT)
CADMIUM BLOOD
CADMIUM URINE
CAFFEINE
CAFFEINE LEVEL SCREEN
CAGE 18 X 20 MM (SK)
CAGE 18X25MM (SK)
CAGE 22 X 25 MM (SK)
CAGE 30MM BLACKSTONE
CAGE ALIF SP SOL
CAGE ALPHATECH
CAGE BRIGADE COR 12X38X28 8 (NU
CAGE BRIGADE COR 14X34X24 12 (NU
CAGE BRIGADE COR 14X34X24 8 (NU
CAGE BRIGADE COR 16X38X28 8(NU)
CAGE BRIGADE CORO 14X38X28 (NU)
CAGE CERV ANTER 8X11X11MM (K2)
CAGE CORPECTOMY 22MM (SS)
CAGE CORPECTOMY 28MM SP SOL
CAGE MESH 12MM (SY)
CAGE MESH 14 X 50 (DP)
CAGE MIDLINE PARADIGM
CAGE PEEK 8.5MM STALIF C (CE)
CAGE PEEK 8MM 10 DEGREE (SA)
CAGE PEEK 8MM 5 DEGREE (SA)
CAGE PEEK 9.5MM STALIF C (CE)
CAGE PEEK ACIF 8MM 10 DEG (SS)
CAGE PEEK ACIF 8MM 5 DEG (SS)
CAGE PEEK ACIF 9MM 10 DEG (SS)
CAGE PEEK ACIF 9MM 5 DEG (SS)
CAGE PEEK ALIF 26X11MM 15D (SA)
University Medical Center So. NV.
Page 24
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------292.14
266.15
187.28
282.37
173.40
292.14
1,536.15
1,097.25
1,149.50
532.93
439.41
439.41
389.39
1,966.72
63.49
59.20
778.16
452.73
77.37
77.37
502.48
335.65
173.53
173.53
131.55
34.84
21,639.26
22,586.91
22,902.80
10,815.75
17,311.25
3,575.00
12,375.00
12,375.00
12,375.00
12,375.00
12,375.00
3,300.00
17,861.25
17,861.25
4,435.09
9,320.47
15,152.50
6,600.00
3,300.00
3,300.00
7,136.25
3,300.00
3,300.00
3,300.00
3,300.00
10,450.00
02/12/14
Charge#
--------702152638
702152640
702150974
702150976
702152651
707030323
707030324
718130005
707030868
707030042
707030043
707030325
707030867
707030866
702421523
702420710
705080614
720070006
705080613
705080612
720070007
702171001
702171047
702171004
702170452
702171002
702170428
702170431
702170429
702421056
702171416
702270122
702170436
702170112
702170003
702170430
702170336
702170335
702171469
702420872
723520218
702151569
702270123
702420791
702151453
702151427
702150462
702151843
702151893
718130001
718130002
702420194
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CAGE PEEK ALIF 26X13MM 15D (SA)
CAGE PEEK ALIF 26X9MM 8DEG (SA)
CAGE PEEK CERV ACDF 14X12X6 (LX)
CAGE PEEK CERV ACDF 14X12X7 (LX)
CAGE XCORE II 22 X 21-48MM (NU)
CALCITONIN
CALCIUM IONIZED
CALCIUM IONIZED
CALCIUM RANDOM URINE
CALCIUM SERUM
CALCIUM STAT
CALCIUM URINE
CALCIUM URINE 24HR
CALCULI ANALYSIS QUANT URINARY
CALDWELL LUC WO REM ANTRO POLYP
CALDWELL-LUC REMOVE POLYPS
CANE ORTHOPEDIC ADJUSTABLE
CANE QUAD
CANE QUAD ADULT
CANE QUAD YOUTH
CANE STD TIP
CANNULA (AT)
CANNULA 7 X 7 (AX)
CANNULA AORTIC ARCH (OH)
CANNULA ARTERIAL OH
CANNULA ARTERIALW LL (OH)
CANNULA ARTHROSCOPY
CANNULA CARDIOPLEGIA ALL SIZES
CANNULA CORONARY (DLP)
CANNULA DECLOT W BALLCATH
CANNULA DYONICS 8X76 (SN)
CANNULA ERCP SWING TIP 4FR (OA)
CANNULA RETROGRADE
CANNULA STRYKER ALL SIZES
CANNULA THRD DRILOK 8X75MM SK
CANNULA VENOUS ALL SIZES
CANNULA VENTRICULAR 18FR
CANNULA VESSEL
CANNULATOME COTN 6-5F 320CM (CK)
CANTHOPLASTY (RE CONST. CANTHUS)
CANTHOTOMY
CAP 3D HEAD LOCK (SY)
CAP BIOPSY VALVE (OA)
CAP CONTRACTURE REL SH
CAP LOCKING (LX)
CAP LOCKING SIERRA SEASPINE
CAP SCREW LOCKING (SY)
CAP SET SCREW (ON)
CAP SET SCREW SP SOL
CAPILLARY BLOOD GASES
CAPILLARY PUNCTURE
CAPSULECTOMY I-PHAL JT EA
University Medical Center So. NV.
Page 25
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------10,450.00
10,450.00
3,300.00
3,300.00
21,026.50
189.35
170.96
252.70
114.10
114.10
114.10
57.58
57.58
21.88
5,409.38
4,629.66
73.80
308.75
102.64
103.12
96.43
764.42
176.58
437.24
729.32
360.11
256.11
301.75
649.17
4,625.88
980.21
913.84
985.42
190.74
102.36
394.54
314.55
230.69
1,076.77
2,135.38
2,135.38
563.75
39.70
5,777.15
137.50
220.00
1,047.42
467.50
412.50
440.65
111.43
1,649.96
02/12/14
Charge#
--------702420818
702420810
702420707
702421158
702420087
702420700
702420233
707030044
707030327
707030835
716136039
702140000
707030328
723520020
723320217
723020251
722730000
709130032
723520263
723530002
723020250
723520217
723020249
723320216
722720007
707030329
707030330
714120052
714120094
714938041
702421197
705080106
702420250
702171005
702170489
705080420
702170432
702170437
702170425
702170424
702170426
723020248
723320215
723020247
723320214
705080611
705080610
705080547
705080546
702170422
702170423
702170435
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CAPSULORRHAPHY ANT SH
CAPSULORRHAPHY G-H JT
CAPSULORRHAPHY LABRAL REP
CAPSULOTOMY BREAST OPEN
CAPSULOTOMY MCP JT EA
CAPSULOTOMY MID FOOT EXT
CAPSULOTOMY WRIST/CONTRACTURE
CARBAMAZEPINE TDM
CARBOXYHEMOGLOBIN
CARDIAC AUTO ANTIBODY
CARDIAC PERFUS PLANAR, MULTI
CARDIO PLEGIASOL 50ML
CARDIOLIPIN ANTIBODY SCREEN
CARDIOPULMONARY RESUSCITATION
CARDIOPULMONARY RESUSCITATION
CARDIOPULMONARY RESUSCITATION
CARDIOVERSION
CARDIOVERSION
CARDIOVERSION DEFIB EXT
CARDIOVERSION DEFIB EXTERNL (CCT)
CARDIOVERSION INTERNAL
CARDIOVERSION INTERNAL
CARDIOVERSION/DEFIB, EXT
CARDIOVERSION/DEFIB, EXT
CARDIPULMONARY RESUCITATION
CARNITINE (TOTAL & FREE)QUANT
CAROTENE
CAROTID STENT W PROTECT
CAROTID WO PROTECT
CAROTOID DOPPLER
CARPECTOMY ALL BONES
CART CARDIAC ARREST
CARTILAGE GRAFT NASAL SEPTUM
CASSETTE (AT)
CASSETTE IRRIGATION TPS
CASSETTE RSERVR CADD 100ML YELLOW
CAST BODY
CAST FIBERGLASS PADDING
CAST FIBERGLASS ROLL
CAST FIBERGLASS SPLINT
CAST HIP SPICA
CAST REMOVAL ARM/LEG
CAST REMOVAL ARMLEG
CAST REMOVAL BOOT OR BODY
CAST REMOVAL BOOT OR BODY
CAST SHOE LARGE
CAST SHOE MEDIUM
CAST SHOE SMALL
CAST SHOE X-LARGE
CAST SPLINT ARM LONG
CAST SPLINT ARM SHORT
CAST SPLINT LEG LONG
University Medical Center So. NV.
Page 26
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------8,779.89
5,164.29
9,085.29
3,712.02
2,030.25
5,601.46
2,408.13
231.09
218.38
132.38
1,923.41
247.91
97.20
1,354.99
1,354.99
1,354.99
1,468.68
1,946.86
1,398.75
1,425.14
2,417.64
2,422.11
1,396.16
1,398.75
1,354.99
299.31
243.50
7,621.37
6,532.59
1,397.61
3,568.06
838.28
1,598.57
1,041.52
1,729.25
64.47
711.34
66.67
242.53
163.92
711.34
311.60
312.19
281.05
281.58
61.52
61.52
68.30
47.92
327.87
285.51
437.24
02/12/14
Charge#
--------702170438
707030331
707030332
707030333
702170020
714170244
705080419
705080418
705080417
705080416
705080415
705080414
705080413
709170867
709170868
702171056
702171048
714170334
702170816
702170433
705080595
702151457
702151456
709170846
709170847
709171006
709170859
709171000
709170848
709170849
709170850
709170851
709170853
709171002
709171003
709171004
709170854
709170855
709171204
709171005
709170856
709170857
702151530
714170307
714170318
714170319
714170320
714170308
714170321
714170309
714170322
714170310
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CAST SPLINT LEG SHORT
CAT SCRATCH FEVER AB
CATECHOLAMINES FRACT BLOOD
CATECHOLAMINES FRACT URINE
CATH BALLOON (GM)
CATH BLN SAVY 4 X 4 X 120 (CS)
CATH 02SAT 4.5F 5CM 2LU COAT PICU
CATH 3-WAY IRRIGATION 16FR
CATH 3-WAY IRRIGATION 18FR
CATH 3-WAY IRRIGATION 20FR
CATH 3-WAY IRRIGATION 22FR
CATH 3-WAY IRRIGATION 24FR
CATH 3-WAY IRRIGATION 26FR
CATH ABLTE BLZRII EX (BS)
CATH ABLTE BLZRII LG (BS)
CATH AIRWAY EXCHANGE
CATH AIRWAY EXCHANGE ADULT
CATH AMIR ANGIO 5F X 100 (MR)
CATH ANGIO 5FR (CO)
CATH AORTIC BALLOON
CATH ARROW DBL LUMEN 4FR 13CM
CATH ARTERIAL 2.5F X 2.5CM (CK)
CATH ARTERIAL 3F X 5CM (CK)
CATH AS OTW 2.5X20X137
CATH AS OTW 2.5X40X155
CATH AS OTW 2X20X137
CATH AS OTW 2X40X155
CATH AS OTW 3.5X20X137
CATH AS OTW 3X20X137
CATH AS OTW 3X40X155
CATH AS OTW 3X40X156
CATH AS OTW 3X40X157
CATH AS OTW 3X40X158
CATH AS OTW 4X40X137
CATH AS OTW 4X40X139
CATH AS OTW 4X40X140
CATH AS OTW 4X40X141
CATH AS OTW 5X20X137
CATH AS OTW 5X30X137
CATH AS OTW 5X40X137
CATH AS OTW 6X20X137
CATH AS OTW 6X20X50
CATH ASH MED COMP
CATH ATB BLN 10X4X40 (CM)
CATH ATB BLN 10X4X80 (CM)
CATH ATB BLN 12X4X80 (CM)
CATH ATB BLN 14X4X80 (CM)
CATH ATB BLN 5X2X80 (CM)
CATH ATB BLN 5X4X40 (CM)
CATH ATB BLN 5X4X80 (CM)
CATH ATB BLN 6X2X40 (CM)
CATH ATB BLN 6X2X80 (CM)
University Medical Center So. NV.
Page 27
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------327.87
79.69
246.74
139.84
2,524.77
1,486.52
2,719.75
114.15
114.15
114.15
114.15
114.15
103.87
3,452.54
3,452.54
256.69
227.20
79.17
338.53
9,381.80
95.18
239.10
238.83
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,281.84
3,192.53
838.79
838.79
838.79
838.79
838.79
838.79
838.79
838.79
838.79
02/12/14
Charge#
--------714170323
714170311
714170324
714170312
714170304
714170313
714170305
714170314
714170306
714170315
714170316
714170317
702171432
702171430
702171139
702270006
702270005
702171156
702171122
702170434
702170510
714170233
714170232
714170231
702270020
709170915
702171423
702171422
702171425
702171421
702171426
702171424
702270023
709171231
709171232
709175006
709171230
709171233
709175007
709171234
709171235
709175008
709171236
709175009
702270024
702270027
702270026
702270025
714170247
702270028
702270009
702270011
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH ATB BLN 6X4X40 (CM)
CATH ATB BLN 6X4X80 (CM)
CATH ATB BLN 7X2X40 (CM)
CATH ATB BLN 7X2X80 (CM)
CATH ATB BLN 7X4X40 (CM)
CATH ATB BLN 7X4X80 (CM)
CATH ATB BLN 8X2X40 (CM)
CATH ATB BLN 8X2X80 (CM)
CATH ATB BLN 8X4X40 (CM)
CATH ATB BLN 8X4X80 (CM)
CATH ATB BLN 9X2X80 (CM)
CATH ATB BLN 9X4X80 (CM)
CATH B EVD 1.9MM W BACTISEAL
CATH B EVD 20CM W BACTISEAL
CATH BAKER JEJUNOSTOMY
CATH BALLOON ACHLASIA 30MM (BS)
CATH BALLOON ACHLASIA 35MM (BS)
CATH BALLOON STENT (CK)
CATH BALLOON STENT (MT)
CATH BARD SUBRAPUBIC INTR
CATH BERNSTEIN
CATH BERNSTEIN 4X40 (AD)
CATH BERNSTEIN 4X65 (AD)
CATH BERNSTEING 5X100 (AD)
CATH BILROTH II SPHINCTRTOME (CK
CATH BLAZER ABLATION 5MM
CATH BLN 10X24 SINUS INSPIRA (AL
CATH BLN 14X40 SINUS INSPIRA (AL
CATH BLN 5X24 SINUS INSPIRA (AL)
CATH BLN 6X16 SINUS SOLOPRO (AL)
CATH BLN 7X24 SINUS INSPIRA (AL)
CATH BLN 7X24 SINUS SOLOPRO (AL)
CATH BLN ACHALASIA 40MM (BS)
CATH BLN ANGIO PTCA 2.0 X 10 (BS)
CATH BLN ANGIO PTCA 2.0 X 15 (BS)
CATH BLN ANGIO PTCA 2.0 X 6 (BS)
CATH BLN ANGIO PTCA 2.5 X 10 (BS)
CATH BLN ANGIO PTCA 2.5 X 15 (BS)
CATH BLN ANGIO PTCA 2.5 X 6 (BS)
CATH BLN ANGIO PTCA 3.0 X 10 (BS)
CATH BLN ANGIO PTCA 3.0 X 15 (BS)
CATH BLN ANGIO PTCA 3.0 X 6 (BS)
CATH BLN ANGIO PTCA 3.5 X 10 (BS)
CATH BLN ANGIO PTCA 3.5 X 6 (BS)
CATH BLN BILI DILATION 10MM (CK)
CATH BLN BILI DILATION 4MM (CK)
CATH BLN BILI DILATION 6MM (CK)
CATH BLN BILI DILATION 8MM (CK)
CATH BLN CODA 10F (CM)
CATH BLN CRE P 5.5CM 12-15MM (BS
CATH BLN CRE P 5.5CM 15-18MM (BS
CATH BLN CRE P 5.5CM 18-20MM (BS
University Medical Center So. NV.
Page 28
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------838.79
838.79
838.79
838.79
836.25
838.79
838.79
838.79
838.79
838.79
838.79
838.79
1,346.58
1,284.13
925.87
3,785.94
3,785.94
1,739.47
2,080.35
687.39
601.14
746.98
746.98
716.13
739.54
2,571.25
3,122.61
3,122.61
3,195.02
3,077.51
3,195.02
3,228.93
3,722.55
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
3,024.23
1,511.58
1,522.12
1,522.12
1,522.12
1,657.89
1,519.26
1,640.80
1,640.80
02/12/14
Charge#
--------702270008
702270010
702270007
709170357
709170356
709170355
709170354
709170353
709170352
709170351
709170350
709170349
709170348
709170347
709170346
709170345
709170344
709170343
709170342
709170341
709170340
709170339
709170338
709170337
709170336
709170335
709170334
709170333
709170332
709170331
702270016
702270019
702270017
702270018
702171481
709170838
709170839
709170840
709170790
709170801
709170820
709170791
709170821
709171197
709170792
709170803
709170822
709170793
709170804
709170812
709170841
709170823
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH BLN CRE PUL 3CM 10-12MM (BS
CATH BLN CRE PUL 3CM 12-15MM (BS
CATH BLN CRE PUL 3CM 8-10MM (BS
CATH BLN CUTFLEX MR 2 X 10 (BS)
CATH BLN CUTFLEX MR 2 X 15 (BS)
CATH BLN CUTFLEX MR 2 X 6 (BS)
CATH BLN CUTFLEX MR 2.25 X10 (BS
CATH BLN CUTFLEX MR 2.25X15 (BS)
CATH BLN CUTFLEX MR 2.25X6 (BS)
CATH BLN CUTFLEX MR 2.5 X 10 (BS)
CATH BLN CUTFLEX MR 2.5X15 (BS)
CATH BLN CUTFLEX MR 2.5X6 (BS)
CATH BLN CUTFLEX MR 2.75 X10 (BS
CATH BLN CUTFLEX MR 2.75X15 (BS)
CATH BLN CUTFLEX MR 2.75X6 (BS)
CATH BLN CUTFLEX MR 3 X 10 (BS)
CATH BLN CUTFLEX MR 3 X 15 (BS)
CATH BLN CUTFLEX MR 3 X 6 (BS)
CATH BLN CUTFLEX MR 3.25 X 6 (BS)
CATH BLN CUTFLEX MR 3.25 X15 (BS
CATH BLN CUTFLEX MR 3.25X10 (BS)
CATH BLN CUTFLEX MR 3.5 X 15 (BS)
CATH BLN CUTFLEX MR 3.5 X 6 (BS)
CATH BLN CUTFLEX MR 3.5X10 (BS)
CATH BLN CUTFLEX MR 3.75 X 6 (BS)
CATH BLN CUTFLEX MR 3.75 X15 (BS
CATH BLN CUTFLEX MR 3.75X10 (BS)
CATH BLN CUTFLEX MR 4 X 10 (BS)
CATH BLN CUTFLEX MR 4 X 15 (BS)
CATH BLN CUTFLEX MR 4 X 6 (BS)
CATH BLN DIL HUR 10MM X 4CM (BS)
CATH BLN DIL HUR 4MM X 4CM (BS)
CATH BLN DIL HUR 6MM X 4CM (BS)
CATH BLN DIL HUR 8MM X 4CM (BS)
CATH BLN DIL UROFORCE (BD)
CATH BLN EMERGE MR 1.2X15
CATH BLN EMERGE MR 1.5X15
CATH BLN EMERGE MR 2X15
CATH BLN EMRGE MR 1.2 X 12 (BS)
CATH BLN EMRGE MR 1.2 X 20 (BS)
CATH BLN EMRGE MR 1.2 X 8 (BS)
CATH BLN EMRGE MR 1.5 X 12 (BS)
CATH BLN EMRGE MR 1.5 X 8 (BS)
CATH BLN EMRGE MR 1.5X20
CATH BLN EMRGE MR 2 X 12 (BS)
CATH BLN EMRGE MR 2 X 20 (BS)
CATH BLN EMRGE MR 2 X 8 (BS)
CATH BLN EMRGE MR 2.25 X 12 (BS)
CATH BLN EMRGE MR 2.25 X 20 (BS)
CATH BLN EMRGE MR 2.25 X 30 (BS)
CATH BLN EMRGE MR 2.25X15
CATH BLN EMRGE MR 2.25X8
University Medical Center So. NV.
Page 29
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,519.26
1,519.26
1,519.26
3,356.47
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,356.47
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
3,624.98
1,189.90
1,230.37
1,230.37
1,230.37
811.52
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
02/12/14
Charge#
--------709170794
709170805
709170813
709170842
709170824
709170795
709170806
709170814
709170843
709170825
709170811
709170796
709170807
709170815
709170797
709170816
709170845
709170808
709170827
709170798
709170817
709170852
709170828
709170799
709170788
709170818
709170809
709170829
709170844
709170826
709170800
709170789
709170819
709170810
709170830
709170831
709170833
709170835
709170836
709170802
709170832
709170834
709170837
702270029
702270038
702270014
702270013
702270033
702270032
702270012
702270031
702270022
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH BLN EMRGE MR 2.5 X 12 (BS)
CATH BLN EMRGE MR 2.5 X 20 (BS)
CATH BLN EMRGE MR 2.5 X 30 (BS)
CATH BLN EMRGE MR 2.5X15
CATH BLN EMRGE MR 2.5X8
CATH BLN EMRGE MR 2.75 X 12 (BS)
CATH BLN EMRGE MR 2.75 X 20 (BS)
CATH BLN EMRGE MR 2.75 X 30 (BS)
CATH BLN EMRGE MR 2.75X15
CATH BLN EMRGE MR 2.75X8
CATH BLN EMRGE MR 2X30 (BS)
CATH BLN EMRGE MR 3 X 12 (BS)
CATH BLN EMRGE MR 3 X 20 (BS)
CATH BLN EMRGE MR 3 X 30 (BS)
CATH BLN EMRGE MR 3.25 X 12 (BS)
CATH BLN EMRGE MR 3.25 X 30 (BS)
CATH BLN EMRGE MR 3.25X15
CATH BLN EMRGE MR 3.25X20 (BS)
CATH BLN EMRGE MR 3.25X8
CATH BLN EMRGE MR 3.5 X 12 (BS)
CATH BLN EMRGE MR 3.5 X 30 (BS)
CATH BLN EMRGE MR 3.5X15
CATH BLN EMRGE MR 3.5X8
CATH BLN EMRGE MR 3.75 X 12 (BS)
CATH BLN EMRGE MR 3.75 X 15 (BS)
CATH BLN EMRGE MR 3.75 X 30 (BS)
CATH BLN EMRGE MR 3.75X20
CATH BLN EMRGE MR 3.75X8
CATH BLN EMRGE MR 3X15
CATH BLN EMRGE MR 3X8
CATH BLN EMRGE MR 4 X 12 (BS)
CATH BLN EMRGE MR 4 X 15 (BS)
CATH BLN EMRGE MR 4 X 30 (BS)
CATH BLN EMRGE MR 4X20 (BS)
CATH BLN EMRGE MR 4X8
CATH BLN EMRGE MRP 1.2X12
CATH BLN EMRGE MRP 1.2X15
CATH BLN EMRGE MRP 1.2X20
CATH BLN EMRGE MRP 1.2X8
CATH BLN EMRGE MRP 1.5 X 20 (BS)
CATH BLN EMRGE MRP 1.5X12
CATH BLN EMRGE MRP 1.5X15
CATH BLN EMRGE MRP 1.5X8
CATH BLN ERCP DIL GRAD 7-5-4 (CK
CATH BLN ESOP DIL 10-11-12 (BS
CATH BLN ESOP DIL 12-13.5-15 (BS
CATH BLN ESOP DIL 13-16-18 (BS
CATH BLN ESOP DIL 15-16.5-18 (BS
CATH BLN ESOP DIL 18-19-20 (BS
CATH BLN ESOP DIL CRE 6-7-8 (BS)
CATH BLN ESOPH DILA 8-9-10 (BS)
CATH BLN EXT 3LU 5F 8.5-15 (OA)
University Medical Center So. NV.
Page 30
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
539.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
638.91
638.91
639.81
639.81
639.81
639.81
639.81
639.81
639.81
349.52
1,110.60
1,110.60
1,110.60
1,110.60
1,110.60
1,031.20
1,110.60
821.28
02/12/14
Charge#
--------702171458
702171468
702270044
702270043
702270040
702270041
702270042
714170226
709170258
709170257
709170256
709170255
709170254
709170253
709170252
709170161
702270015
709170577
709170579
714170217
709170197
709170196
709170195
709170194
709170193
709170192
709170191
709170190
709171240
709170181
709170180
709170179
709170178
709170177
709170176
709170175
709170174
709170173
709170172
709170171
709170170
709170169
709170168
709170167
709170166
709170165
709170164
709170163
709170162
709170160
709170159
709170158
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH BLN EXT 3V 8.5X11.5X15 (OA)
CATH BLN EXT BILI 3L 8.5-15 (OA
CATH BLN EXT QUATRO 12-20MM (CK
CATH BLN EXT QUATRO 8.5-15MM (CK
CATH BLN FUS BILI DILAT 8.5F (C/1
CATH BLN FUS BILI DILATN 10F (CK
CATH BLN FUS BILI DILATN 7FR (CK
CATH BLN HYPERGLIDE 4 X 10 (EV)
CATH BLN MR APEX 4.5 X 15 (BS)
CATH BLN MR APEX 4.5 X 20 (BS)
CATH BLN MR APEX 4.5 X 8 (BS)
CATH BLN MR APEX 5 X 12 (BS)
CATH BLN MR APEX 5 X 15 (BS)
CATH BLN MR APEX 5 X 20 (BS)
CATH BLN MR APEX 5 X 8 (BS)
CATH BLN MR EMRGE 3.5X20 (BS)
CATH BLN MULTI 3V EXT 15-18-20
CATH BLN NCQA MR 2X12 (BS)
CATH BLN NCQA MR 2X15 (BS)
CATH BLN NEPHROMAX HP 7FX55 (BS)
CATH BLN OTW APEX 4.5 X 12 (BS)
CATH BLN OTW APEX 4.5 X 15 (BS)
CATH BLN OTW APEX 4.5 X 20 (BS)
CATH BLN OTW APEX 4.5 X 8 (BS)
CATH BLN OTW APEX 5 X 12 (BS)
CATH BLN OTW APEX 5 X 15 (BS)
CATH BLN OTW APEX 5 X 20 (BS)
CATH BLN OTW APEX 5 X 8 (BS)
CATH BLN OTW EMERGE 1.5X8MM
CATH BLN OTW NCQA 12 X 2 (BS)
CATH BLN OTW NCQA 12 X 2.25 (BS)
CATH BLN OTW NCQA 12 X 2.5 (BS)
CATH BLN OTW NCQA 12 X 2.75 (BS)
CATH BLN OTW NCQA 12 X 3 (BS)
CATH BLN OTW NCQA 12 X 3.25 (BS)
CATH BLN OTW NCQA 12 X 3.5 (BS)
CATH BLN OTW NCQA 12 X 3.75 (BS)
CATH BLN OTW NCQA 12 X 4 (BS)
CATH BLN OTW NCQA 12 X 4.5 (BS)
CATH BLN OTW NCQA 12 X 5 (BS)
CATH BLN OTW NCQA 6 X 2 (BS)
CATH BLN OTW NCQA 6 X 2.25 (BS)
CATH BLN OTW NCQA 6 X 2.5 (BS)
CATH BLN OTW NCQA 6 X 2.75 (BS)
CATH BLN OTW NCQA 6 X 3 (BS)
CATH BLN OTW NCQA 6 X 3.25 (BS)
CATH BLN OTW NCQA 6 X 3.5 (BS)
CATH BLN OTW NCQA 6 X 3.75 (BS)
CATH BLN OTW NCQA 6 X 4 (BS)
CATH BLN OTW NCQA 6 X 5 (BS)
CATH BLN OTW NCQA 8 X 2 (BS)
CATH BLN OTW NCQA 8 X 2.25 (BS)
University Medical Center So. NV.
Page 31
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------533.03
780.64
734.68
734.68
664.65
664.65
664.65
4,463.31
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
1,003.76
321.39
321.39
1,676.69
989.70
989.70
989.70
989.70
989.70
989.70
989.70
989.70
639.81
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
02/12/14
Charge#
--------709170157
709170156
709170155
709170154
709170153
709170152
709170151
709170150
709170452
709170453
709171008
709171009
709170454
709170455
709171007
714170210
714170209
714170254
702171453
702170897
705080412
705080411
705080445
705080593
705080592
714170250
714170251
714170249
702170280
702170281
702171427
702170515
714170202
702171073
714170201
714170200
714170199
702170282
702170279
702173300
714170067
723370012
723370011
702150372
714150080
714150079
714150078
714150077
702171264
702170053
714170198
714170197
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH BLN OTW NCQA 8 X 2.5 (BS)
CATH BLN OTW NCQA 8 X 3 (BS)
CATH BLN OTW NCQA 8 X 3.25 (BS)
CATH BLN OTW NCQA 8 X 3.5 (BS)
CATH BLN OTW NCQA 8 X 3.75 (BS)
CATH BLN OTW NCQA 8 X 4 (BS)
CATH BLN OTW NCQA 8 X 4.5 (BS)
CATH BLN OTW NCQA 8 X 5 (BS)
CATH BLN PTCA AS 2 X 10 (AE)
CATH BLN PTCA AS 2.5 X 10 (AE)
CATH BLN PTCA AS 2.5X15
CATH BLN PTCA AS 2X15
CATH BLN PTCA AS 3 X 10 (AE)
CATH BLN PTCA AS 3.5 X 10 (AE)
CATH BLN PTCA AS 3X15
CATH BLN SAVY 3 X 2 X 120 (CS)
CATH BLN SAVY 3 X 4 X 120 (CS)
CATH BLN SLAL0M 3X4X80 (CS)
CATH BLN TRI EX 6FX275MM (CK)
CATH BROVIAC
CATH BROVIAC REPAIR KIT 4.2FR
CATH BROVIAC REPAIR KIT 6.6FR
CATH BROVIAC SGL LUM 2.7FR (NICU)
CATH BROVIAC SINGLE LUMEN 4.2FR
CATH BROVIAC SINGLE LUMEN 6.6FR
CATH C2 5F X 65 (CM)
CATH C2 6F X 65 (CM)
CATH C2 RECON TIP 4F X 65 (CM)
CATH CHEST TUBE/ATRIUM
CATH CHOLANGIO
CATH CL EVD 1.9MM W BACTISEAL
CATH COBRA
CATH COBRA C2 GLIDE 4F X 65 (TO)
CATH CONE TIP 8FR
CATH CONQUEST BLN 10X4X75 6F (BD)
CATH CONQUEST BLN 6X4X75 (BD)
CATH CONQUEST BLN 8X4X75 6F (BD)
CATH COUDE
CATH COUNCIL
CATH CSF LP 44410 (MT)
CATH CUFF KIT PERCUFIX (BS)
CATH CVC 2LUM 4FR X 8CM
CATH CVC 3LUM 5FR X 15CM
CATH DBL LUMEN 14.5FR X 24
CATH DIALYSIS EQSTRM 19CM (BD)
CATH DIALYSIS EQSTRM 23CM (BD)
CATH DIALYSIS EQSTRM 27CM (BD)
CATH DIALYSIS EQSTRM 35CM (BD)
CATH DILATION 10X30 MM (BS)
CATH DILATION PULMONARY BALLOON
CATH DRAIN BILIARY 10.2F X 40 (CM
CATH DRAIN BILIARY 12F X 40 (CM)
University Medical Center So. NV.
Page 32
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------846.80
846.80
846.80
846.80
846.80
846.80
846.80
846.80
3,577.02
3,577.02
3,281.84
3,281.84
3,863.19
3,863.19
3,281.94
1,486.52
1,486.52
1,657.89
909.45
630.52
671.12
492.95
290.94
515.85
467.31
187.11
155.49
187.11
322.68
729.32
1,408.73
606.00
365.80
190.36
1,406.16
1,406.16
1,406.16
481.51
270.29
1,842.50
85.84
590.50
518.28
797.50
1,002.79
1,002.79
1,002.79
1,002.79
1,012.53
1,757.15
487.97
487.97
02/12/14
Charge#
--------714170196
714170195
714170194
714170193
714170192
714170191
714170190
714170189
714170188
709171083
709170456
709170457
709170458
709170459
709170460
709170461
709170462
709170463
709170464
709170465
709170466
709170467
709170468
709170469
709170470
709170471
709170472
709170473
709170474
709170475
709170476
709170477
709170478
709170479
709170480
709170481
709170482
709170483
709170484
709170485
709170613
709170486
709170615
709170616
709170617
709170618
709170619
709170620
709170614
709170487
709170488
709170554
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH DRAIN BILIARY 14F X 40 (CM)
CATH DRAIN BILIARY 8.5FX40 (CM)
CATH DRAIN MULT 14F (CM)
CATH DRAIN MULTI 10.2FR (CM)
CATH DRAIN MULTI 12FR (CM)
CATH DRAIN MULTI 8.5FR (CM)
CATH DRAINAGE DM 10.2 X 25 (CM)
CATH DRAINAGE DM 12 X 25 (CM)
CATH DRAINAGE DM 8.5 X2 5 (CM)
CATH DUAL 6FRX110PIG (VS)
CATH DX 145 PIGTAIL 6FX100CM (BS)
CATH DX AL1 6F X 100CM (BS)
CATH DX AL2 6F X 100CM (BS)
CATH DX AL3 6F X 100CM (BS)
CATH DX AR1 6F X 100CM (BS)
CATH DX AR2 6F X 100CM (BS)
CATH DX ARMDFD 6F X 100CM (BS)
CATH DX FL3.5 6F X 100CM (BS)
CATH DX FL4 125 CM (BS)
CATH DX FL4 6F X 100CM (BS)
CATH DX FL4.5 6F X 100CM (BS)
CATH DX FL5 6F X 100CM (BS)
CATH DX FL6 6F X 100CM (BS)
CATH DX FR3.5 6F X 100CM (BS)
CATH DX FR4 125 CM (BS)
CATH DX FR4 6F X 100CM (BS)
CATH DX FR5 6F X 100CM (BS)
CATH DX FR6 6F X 100CM (BS)
CATH DX IM 6F X 100CM (BS)
CATH DX LCB 6F X 100CM (BS)
CATH DX MPA1 5F X 100CM (BS)
CATH DX MPA1 6F X 100CM (BS)
CATH DX MPA2 5F X 100CM (BS)
CATH DX MPB1 6F X 100CM (BS)
CATH DX MPB2 6F X 100CM (BS)
CATH DX MULTIPK 145 6FX100CM (BS)
CATH DX MULTIPK 5F X 100CM (BS)
CATH DX MULTIPK 6F X 100CM (BS)
CATH DX MULTIPK 7F X 100CM (BS)
CATH DX PIG 125 CM (BS)
CATH DX PIG 20 5F X 110CM (CS)
CATH DX PIGTAIL 6F X 100CM (BS)
CATH DX T JCURVE 3.5F X 65CM (CS)
CATH DX T PIGTAIL 5F X 65CM (CS)
CATH DX T PIGTAIL TR 5FX65CM (CS)
CATH DX T PIGTAIL UF 5FX65CM (CS)
CATH DX T RDC-1 5F X 80CM (CS)
CATH DX T UNI SELECT 5FX80CM (CS)
CATH DX TCOBRA 5F X 65CM (CS)
CATH DX WR 5F X 100CM (BS)
CATH DX WR 6F X 100CM (BS)
CATH DX WR 6FR (BS)
University Medical Center So. NV.
Page 33
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------638.41
487.97
487.97
475.95
475.95
475.95
443.08
431.40
443.08
599.67
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
65.75
176.92
176.92
176.92
176.92
65.75
406.71
65.75
79.39
64.54
79.39
64.54
69.25
64.54
64.54
65.75
65.75
321.39
02/12/14
Charge#
--------709170489
709170490
709170555
702171475
714170187
709170149
709170148
709170628
709170631
709170629
709170627
709170630
702270208
702270124
702270209
702270030
702170143
702270252
705080380
702170268
702170142
702171037
702170825
702170822
702170824
702170823
702170680
702270125
702171041
705080410
723370009
705080409
705080408
705080407
705080406
705080405
705080404
705080403
705080402
705080401
705080400
705080399
705080398
705080397
705080396
705080395
705080394
705080393
705080392
705080391
702171097
702170108
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH DX WRP 5F X 100CM (BS)
CATH DX WRP 6F X 100CM (BS)
CATH DX WRP 6FR (BS)
CATH EMBOLECTOMY 5F X 40CM (EL)
CATH ENVOY 6F X 90 (CS)
CATH EP ABLATN DUODECA
CATH EP ABLTN CSL DECAPOLAR
CATH EP COURNAND VKNG 6FR (BD)
CATH EP COURNAND WN 6FR (BD)
CATH EP DAMATO WN 6FR (BD)
CATH EP JOSEPH VKNG 6FR (BD)
CATH EP JOSEPH WN 6FR (BD)
CATH ERCP 5-4-3 (BS)
CATH ERCP BRUSH COMBO (BS)
CATH ERCP GLO TIP 5-4-3 (CK)
CATH ERCP RAP EX TAPER 195CM (BS
CATH ERCP TANDEM XL 3L 5.5F (BS
CATH ERCP TANDEM XL 3L 5.5F (BS)
CATH FEMORAL INS J TIP
CATH FOGARTY BILARY
CATH FOGARTY EMBOLECTOMY
CATH FOGARTY THROMBECTOMY 7FR
CATH FOGERTY EMBOLECT 3FR X 40
CATH FOGERTY EMBOLECT 4FR X 40
CATH FOGERTY EMBOLECT 4FR X 80
CATH FOGERTY EMBOLECT 5FR X 80CATH FOLEY 3WAY 16F 30CC LATEX
CATH FOLEY 3WAY 18F 30CC LATEX
CATH FOLEY 3WAY 22F 30CC
CATH FOLEY 6F RUSCH SILICONE (PIC
CATH FOLEY 6FR 1.5CC
CATH FOLEY LATEX 10FR 3CC
CATH FOLEY LATEX 12FR 5CC
CATH FOLEY LATEX 14FR 30CC
CATH FOLEY LATEX 14FR 5CC
CATH FOLEY LATEX 16FR 30CC
CATH FOLEY LATEX 16FR 5CC
CATH FOLEY LATEX 18FR 30CC
CATH FOLEY LATEX 18FR 5CC
CATH FOLEY LATEX 20FR 30CC
CATH FOLEY LATEX 20FR 5CC
CATH FOLEY LATEX 22FR 30CC
CATH FOLEY LATEX 22FR 5CC
CATH FOLEY LATEX 24FR 30CC
CATH FOLEY LATEX 24FR 5CC
CATH FOLEY LATEX 26FR 30CC
CATH FOLEY LATEX 26FR 5CC
CATH FOLEY LATEX 28FR 30CC
CATH FOLEY LATEX 28FR 5CC
CATH FOLEY LATEX 8FR 3CC
CATH FOLEY OE 8.0
CATH FOLEY SILICN OPEN END 8FR 0
University Medical Center So. NV.
Page 34
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------65.75
65.75
321.39
367.87
1,435.29
3,203.71
2,892.06
434.42
682.15
962.47
434.42
682.15
273.52
570.21
275.89
348.24
364.78
364.78
565.49
768.23
329.12
649.17
288.11
288.11
288.11
288.11
76.29
76.29
59.13
125.35
163.26
79.55
79.55
82.37
79.55
82.46
79.55
82.50
79.98
83.27
79.55
83.09
79.79
82.75
82.09
86.44
75.17
83.27
80.03
79.55
125.75
114.32
02/12/14
Charge#
--------705081533
705080102
705080101
705080100
714170186
702270153
709170787
709170650
709171072
709171073
709171074
709171075
709171198
709171199
709170656
709171200
709171201
709171203
709171202
709171065
709171066
709171067
709171068
709171069
709171070
709171071
709170655
709171086
709171085
709170870
709170872
709170873
714170185
709171081
709171079
709171080
714170184
709171076
702270126
709170147
714170183
714170182
705080390
709170892
709173003
709173001
709173004
709173005
709173000
709173002
709171225
709171226
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH FOLEY TEMP SENS 12FR
CATH FOLEY TEMP SENSOR 10FR
CATH FOLEY TEMP SENSOR 12FR
CATH FOLEY TEMP SENSR 8FR
CATH FRONTRUNNER XP 90 (CS)
CATH FUS PUSHING 7FR (CK)
CATH GD 5FR RIM (AB)
CATH GD CONVEY 5F AL1
CATH GD CONVEY 5F ART3.5 BS
CATH GD CONVEY 5F CLS3.5 BS
CATH GD CONVEY 5F JL4 BS
CATH GD CONVEY 5F JR4 BS
CATH GD CONVEY 5F KIMNY
CATH GD CONVEY 5F LBU3.5
CATH GD CONVEY 5F LCB (BS)
CATH GD CONVEY 5F RADIAL
CATH GD CONVEY 5F RBL3.5
CATH GD CONVEY 5F RBL4
CATH GD CONVEY 5F RBR3.5
CATH GD CONVEY 5F RBR4 BS
CATH GD CONVEY 5F RCB BS
CATH GD CONVEY 5F TIG3 BS
CATH GD CONVEY 5F TIG3.5 BS
CATH GD CONVEY 5F TIG4 BS
CATH GD CONVEY 5F TIG4.5 BS
CATH GD CONVEY 5F TIG5 BS
CATH GD CONVEY 5F X 100 IM
CATH GD IKARI IL 1.5(TO)
CATH GD IKARI IL3.5 (TO)
CATH GD RNWY 6F ART4 (BS)
CATH GD RNWY 6FR FL4(BS)
CATH GD RNWY 6FR FR4(BS)
CATH GLD COBRA 2 (BS)
CATH GLDE 5FX100 ANGL (TO)
CATH GLDE 5FX100 STRT (TO)
CATH GLDE 5FX65STRT (TO)
CATH GLIDE 4 FR X 65 (TO)
CATH GLIDE 5FX65 ANGL (TO)
CATH GOLD PROBE 7F 300CM (BS)
CATH GOOSENECK MICROSNARE
CATH GTWY PTA 2.25X9 (BS)
CATH GTWY PTA 9X2.5 (BS)
CATH GUARD TWISTLOCK
CATH GUID WISEGUIDE 7F ART3
CATH GUIDE CONVEY 5F AL .75
CATH GUIDE CONVEY 5F CLS3
CATH GUIDE CONVEY 5F CLS4
CATH GUIDE CONVEY 5F LBU4
CATH GUIDE CONVEY 5F RB
CATH GUIDE CONVEY 5F RBR3
CATH GUIDE MACH1 7F RDC (BS)
CATH GUIDE MACH1 7F RDC 1 (BS)
University Medical Center So. NV.
Page 35
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------146.62
127.16
127.16
127.16
4,542.75
252.56
667.76
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
221.84
221.84
235.16
235.16
235.16
1,339.58
246.87
246.87
246.87
353.48
246.87
419.37
2,065.75
4,343.91
4,691.43
72.80
132.00
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
02/12/14
Charge#
--------709171216
709171222
709171223
709171224
709171221
702171488
702171489
702171490
709170934
709170933
709170893
714170248
714170181
702150562
702150561
702150564
702150563
705080591
705080590
702150124
705080583
705080589
705080588
705080587
705080586
705080585
705080389
705080584
702152903
714150076
714150075
714150074
705080582
702270211
709170900
702150001
702171492
709170146
709170144
709171193
705080388
709171077
709171078
709171227
709171215
714170180
714170179
702171487
714170178
714170177
714170176
714170175
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH GUIDE RUNWAY 6F JL4
CATH GUIDE RUNWAY 6F ML3 (BS)
CATH GUIDE RUNWAY 6F ML3.5 (BS)
CATH GUIDE RUNWAY 6F ML4 (BS)
CATH GUIDE RUNWAY 6F RADIAL (BS)
CATH GUIDE SINUS FLEX 0 DEG (AL)
CATH GUIDE SINUS FLEX 110 DEG (AL
CATH GUIDE SINUS FLEX 70 DEG (AL)
CATH GUIDE WISEGUIDE 6F M
CATH GUIDE WISEGUIDE 7F
CATH GUIDE WISEGUIDE 8F RCB
CATH H1 5F X 100 (CM)
CATH HEADHUNTER H1 4FX100 (TO)
CATH HEMO EQ SPLIT TIP STD 19CM
CATH HEMO EQ SPLIT TIP STD 24CM
CATH HEMO EQ SPLIT TIP STD 28CM
CATH HEMO EQ SPLIT TIP STD 31CM
CATH HEMODIALYS 11.5F 13.5CM (PIC
CATH HEMODIALYSIS 10F 12CM (PICU)
CATH HEMODIALYSIS PEDS XL (MC)
CATH HICKMAN 10FR DOUBLE LUMEN
CATH HICKMAN 12.5FR REPAIR KIT
CATH HICKMAN 12.5FR TRIPLE LUMEN
CATH HICKMAN 12FR DOUBLE LUMEN
CATH HICKMAN 12FR REPAIR KIT
CATH HICKMAN 13.5 DBL LMN
CATH HICKMAN 9.6FR REPAIR KIT
CATH HICKMAN 9.6FR SINGLE LUMEN
CATH HICKMAN DUAL PORT
CATH HICKMAN TRIFUSION 12X19 (BD)
CATH HICKMAN TRIFUSION 12X23 (BD)
CATH HICKMAN TRIFUSION 12X27 (BD)
CATH HICKMAN WHITE LEG REPAIR KIT
CATH IDE-TOME 3LUM 7FX200CM (CK)
CATH IMPULSE 6FR RCB(BS)
CATH INDURA INTRATHECAL (MT)
CATH IRRIGATION SINUS LC7065 (AL)
CATH IVUS EAGLE EYE (VO)
CATH IVUS SRPRO ATL 40 (BS)
CATH JACKY 5FRX110 (TO)
CATH KIT INSTAFLO BOWEL
CATH LAUNCHR 6FR IMA (MT)
CATH LAUNCHR 7FR IMA (MT)
CATH LAUNCHR 7FR IMM (MT)
CATH LAUNCHR 7FR IMMX55CM (MT)
CATH LS BLN 3 X 150 X 150 (CS)
CATH MARATHON 1.5 2X2.7X165 (EV)
CATH MARKER PIGTAIL
CATH MICRO ECHELON 10 (EV)
CATH MICRO ECHELON 14-45 (EV)
CATH MICRO ECHELON 14-90 (EV)
CATH MICRO HF RENGAD 105X20 (BS)
University Medical Center So. NV.
Page 36
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------235.16
235.16
235.16
235.16
235.16
1,659.15
1,659.15
1,659.15
132.00
132.00
132.00
187.11
336.40
1,969.90
1,969.90
1,969.90
1,969.90
203.91
237.55
1,278.75
538.40
485.40
667.23
428.20
347.44
886.44
524.35
413.44
2,484.30
1,372.25
1,372.25
1,372.25
328.19
951.24
199.44
3,065.82
668.87
3,356.46
2,904.61
221.84
960.42
235.16
235.16
235.16
235.16
1,854.44
2,303.75
2,656.14
2,957.81
3,114.65
3,114.65
1,785.28
02/12/14
Charge#
--------714170174
714170173
714170172
714170171
714170170
714170169
714170168
714170167
705080581
702170880
714170166
702171373
702170776
714170165
714170164
714170163
714170162
714170161
714170160
714170159
714170158
714170157
705080387
705080386
714170156
714170155
723320254
702270210
702172000
702171486
702171478
702171485
702171484
702171479
714170154
702170267
702171050
702150322
702171232
702150263
702151903
714150073
714150072
714150071
714150070
714150069
714150068
714150067
714150066
705080580
705080579
705080578
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH MICRO HF RENGAD 135X10 (BS)
CATH MICRO PS90 XCEL 150X6 (BS)
CATH MICRO PSJ XCEL 150X6 (BS)
CATH MICRO SL10 XCEL 150X6 (BS)
CATH MICRO SL10 XCEL 45X150 (BS)
CATH MICRO ULTRAFLOW (EV)
CATH MICROGUIDE 132 (CS)
CATH MINI PIGTAIL MPL 6FX25 (UL)
CATH MULTI ACCESS 5FR (NICU)
CATH NAVIGATOR ALL SZS
CATH NEPHRO MALECOT 24FX52 (BS)
CATH NEPHROMAX 210-117 (BS)
CATH NEPHROSTOMY 22-420
CATH NEPHROU 10.2F X 22 (CM)
CATH NEPHROU 10.2F X 24 (CM)
CATH NEPHROU 10.2F X 26 (CM)
CATH NEPHROU 10.2F X 28 (CM)
CATH NEPHROU 12 X 50 (CS)
CATH NEPHROU 8.5F X 22 (CM)
CATH NEPHROU 8.5F X 24 (CM)
CATH NEPHROU 8.5F X 26 (CM)
CATH NEPHROU 8.5F X 28 (CM)
CATH O2SAT 4.5F 8CM 2LU COAT (PIC
CATH O2SAT 5.5F 8CM 3LU COAT (PIC
CATH OCC FRNTRNR XP 140 (CS)
CATH OCCLUSSION BLN 5FX8.5 (BS)
CATH OF UMBILICAL VEIN NEWBORN
CATH OMNI-TOME 7FR (CK)
CATH OMNI-TOME 7FR (CK)
CATH ONQ SS W 10IN W 8IN NDL
CATH ONQ SS W 1IN W 3.25IN NDL
CATH ONQ SS W 2.5IN W 3.5IN NDL
CATH ONQ SS W 5IN W 6IN NDL
CATH ONQ SS W 7.5IN W 8IN NDL
CATH OP BLN 10 X 4 X 80 (CS)
CATH OPUS VENTRICULAR
CATH PERC SP RUTNER 16FR (CK)
CATH PERITONEAL 14.3F 2 CUFFS
CATH PERITONEAL 14.3F NO CUFF
CATH PERITONEAL 14.3F W CUFF
CATH PERITONEAL LONG 120CM (MT)
CATH PERM DF 15.5X19 (AD)
CATH PERM DF 15.5X28 (AD)
CATH PERM DF 15.5X32 (AD)
CATH PERM DF 15.5X35 (AD)
CATH PERM DUOSPLIT (MC)
CATH PERM HEMOSPLIT 14.5X19 (BD)
CATH PERM HEMOSPLIT 14.5X23 (BD)
CATH PERM PALINDROME 19CM (CN)
CATH PICC 1.9F 26G 50CM (NICU)
CATH PICC 3F 20G 60CM (NICU)
CATH PICC 4FR 2 LUMEN
University Medical Center So. NV.
Page 37
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,785.28
3,778.94
3,499.02
2,987.23
3,499.02
2,064.79
1,234.87
512.00
35.06
553.20
473.49
1,206.44
437.20
591.17
591.17
591.17
591.17
390.97
725.21
712.28
712.28
712.28
2,719.75
2,719.75
4,542.75
1,569.22
385.70
1,202.77
1,202.77
730.48
414.53
261.15
333.94
621.05
878.97
1,317.86
242.46
3,155.00
2,501.81
3,155.00
436.87
827.75
913.00
866.25
827.89
247.50
921.25
921.25
501.88
118.77
107.36
427.19
02/12/14
Charge#
--------705080577
714150097
714150096
714170329
714170332
714170330
714170333
702170551
714170331
702151682
702152902
702150205
714170150
714170149
714170148
714170147
714170146
714170145
714170144
714170143
714170268
714170246
714170273
714170338
702171491
714170272
714170274
714170275
714150109
714170326
714170325
714170327
714170276
714170267
714170271
714170270
714170269
714170328
702171462
702270154
702170580
702170264
705080576
723370010
705080385
705080384
709170361
709170364
709170363
709170362
714170140
709170871
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH PICC AUTOGUARD 2FR 16GA (NIC
CATH PICC POWERLINE 5F 2LUM (BD)
CATH PICC POWERLINE 6F 3LUM (BD)
CATH PIGTAIL ANGIO 4F X 90 (MR)
CATH PIGTAIL ANGIO 5F X 110 (MR)
CATH PIGTAIL ANGIO 5F X 65 (MR)
CATH PIGTAIL ANGIO 6F X 110 (MR)
CATH PIGTAIL ANGIOGRAPHY
CATH PIGTAIL ANIGO 4F X 65 (MR)
CATH PORT TITAL OPEN END 9.6FR
CATH PORT-A
CATH POWER PORT
CATH PP 2.3 X 150 (CS)
CATH PROWLER 14 90 DEGREE (CS)
CATH PROWLER 14 J (CS)
CATH PROWLER PLUS J 2.3 X150 (CS)
CATH PRPH CUTTING BALLOON 5X2X135
CATH PRPH CUTTING BALLOON 6X2X135
CATH PRPH CUTTING BALLOON 7X2X135
CATH PRPH CUTTING BALLOON 8X2X135
CATH PTA MP 4F X 65 (CS)
CATH PTA ATLAS 7X14X4X75 (BD)
CATH PTA BENTSON INFIN 6FX125 (CS
CATH PTA BLN AT 7X12X75 (BD)
CATH PTA BLN DLT 35-80-10-4.0 (CK
CATH PTA C2 STRAIGHT (CS)
CATH PTA H1 4F X 100 (CS)
CATH PTA JB2 4F X 100 (CS)
CATH PTA JB2 4F X 65 (CS)
CATH PTA OMNIFLUSH 4X65 (AD)
CATH PTA OMNIFLUSH 4X70 (AD)
CATH PTA OMNIFLUSH 5X65 (AD)
CATH PTA P1G 5F X 110 (CS)
CATH PTA RDC 4F X 80 (CS)
CATH PTA SIM1 4F X 100 (CS)
CATH PTA SIM2 4F X 100 (CS)
CATH PTA SIM3 4F X 100 (CS)
CATH PTA SOS OMNI 4X80 (AD)
CATH PUSH 7F 320CM (CK)
CATH PUSHER 7F X 170CM (CK)
CATH QUINTON CURL 2CUFF (CN)
CATH QUINTON PERITONEAL
CATH RADIAL ART 22 X 1 3/8 (PICU)
CATH RADIAL ART 3F X 5CM
CATH RADIAL ARTERY 20GAX1-1/2
CATH RADIAL ARTERY 20GAX1-3/4
CATH RADIAL JACKY 3.5FX100CM (TO)
CATH RADIAL SARAH 4.0FX100CM (TO)
CATH RADIAL TIGER 4.0FX100CM (TO)
CATH RADIAL TIGER 4.5FX100CM (TO)
CATH RF PIG 4F X 90 (CM)
CATH RNWY 6F ART3.5SH(BS)
University Medical Center So. NV.
Page 38
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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Price
---------134.94
902.00
935.00
79.17
79.17
79.17
79.17
841.81
79.17
685.50
3,697.74
2,337.50
3,213.34
3,248.47
2,890.35
2,842.50
3,844.87
3,844.87
3,559.95
3,844.74
85.80
1,881.27
79.48
1,741.92
846.58
79.48
85.80
85.80
67.49
879.28
836.25
1,046.91
85.80
85.80
85.80
85.80
79.48
159.55
613.09
371.38
723.13
1,408.39
21.56
287.22
54.67
52.79
338.12
338.12
338.12
338.12
114.44
235.16
02/12/14
Charge#
--------709170881
709170876
709170883
709170882
709170880
709170887
709170875
709170874
709170877
709170886
709170878
709170884
709170879
709170885
702170270
702170269
709170714
709170536
709170538
709170633
709170634
709170717
709170574
709170635
709170636
709170521
709170637
709170638
709170524
709170716
709170639
709170640
709170543
709170723
709170641
709170718
709170725
709170719
709170642
709170495
709170724
709170496
709170497
709170783
709170722
709170632
709171194
714170139
714170138
702170277
705080575
714170253
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH RNWY 6FR AL.75 (BS)
CATH RNWY 6FR AL1 (BS)
CATH RNWY 6FR AL1 SH (BS)
CATH RNWY 6FR AL2 (BS)
CATH RNWY 6FR ART3.5 (BS)
CATH RNWY 6FR ART3SH (BS)
CATH RNWY 6FR CLS4(BS)
CATH RNWY 6FR FR3.5(BS)
CATH RNWY 6FR FR4 SH (BS)
CATH RNWY 6FR LCB (BS)
CATH RNWY 6FR MANN IM (BS)
CATH RNWY 6FR MP1 (BS)
CATH RNWY GFR4 ST (BS)
CATH RNWY6FR IM 100CM(BS)
CATH ROBINSON SOFT
CATH ROB-SILICONE
CATH RW AL1.5 6FX100CM
CATH RW AL2 SH 6F X 100CM (BS)
CATH RW AL3 6F X 100CM (BS)
CATH RW AR1 6F X 100CM (BS)
CATH RW AR2 6F X 100CM (BS)
CATH RW ART 4 6FX100CM
CATH RW ART3 6F X 100CM (BS)
CATH RW CLS3 6F X 100CM (BS)
CATH RW CLS3.5 6F X 100CM (BS)
CATH RW CLS3.5 SH 6F X 100CM (BS)
CATH RW CLS4 SH 6F X 100CM (BS)
CATH RW FL3.5 6F X 100CM (BS)
CATH RW FL3.5 SH 6F X 100CM (BS)
CATH RW FL3.5 ST 6FX100CM
CATH RW FL4 6F X 100CM (BS)
CATH RW FL4 ST 6F X 100CM (BS)
CATH RW FL5 6F X 100CM (BS)
CATH RW FL5 ST 6FX100CM(BS)
CATH RW FR3 6F X 100CM (BS)
CATH RW FR4.5 6FX100CM
CATH RW HS 6FX100CM
CATH RW IM SH 6FX100CM
CATH RW LBU3.5 6F X 100CM (BS)
CATH RW MP1 SH 6F X 100CM (BS)
CATH RW Q3.5 6FX100CM
CATH RW Q4 6F X 100CM (BS)
CATH RW Q4 SH 6F X 100CM (BS)
CATH RW Q5 6FX100CM
CATH RW RCB 6X100CM
CATH RW VL4 6F X 100CM (BS)
CATH SARACRV 4FRX110 (TO)
CATH SAVY BLN 6 X 4 X 120 (CS)
CATH SAVY BLN 2 X 4 X 120 (CS)
CATH SILICON 3CCBAG
CATH SILICONE 2FX50 CM VYGON (NIC
CATH SIM2 5F X 100 (CM)
University Medical Center So. NV.
Page 39
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
235.16
64.33
346.63
273.03
321.39
321.39
276.82
276.82
273.03
321.39
276.82
276.82
321.39
276.82
276.82
321.39
273.03
276.82
276.82
321.39
567.87
276.82
273.03
273.03
276.82
276.82
321.39
273.03
321.39
321.39
273.03
273.03
276.82
265.96
1,486.52
1,605.44
270.29
167.59
152.11
02/12/14
Charge#
--------714170252
714170133
709170647
709170673
702170500
705080099
702170477
702171445
702171363
714150065
714150064
705080098
705080097
705080096
705080095
705080094
709131023
714132103
709171195
709171196
707030212
714150063
714150062
702155018
714150061
714150060
702155019
705080093
705080092
705080091
705080090
705080089
705080088
705080087
705080383
702171470
702171433
702171477
702171434
702270002
702270003
705080086
705080085
705080574
705080573
705080572
714170132
714170131
714170130
714170129
714170128
714170127
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH SIM3 5F X 100 (CM)
CATH SIMS 1 4F X 100 (TO)
CATH SOFT VU RIM 5FRX65
CATH SOFT VU RIM 5X65 (AD)
CATH SOS OMNI
CATH STAMEY SUPRAPBUIC 14
CATH STRAIGHT FLUSH ANGIOGRAPHY
CATH SUPRAPUBIC 7.5FR (CK)
CATH SWAN GANZ
CATH TEMP/HEMO SL 15 (MC)
CATH TEMP/HEMO SL 20 (MC)
CATH THORACIC 20FR
CATH THORACIC 24FR
CATH THORACIC 28FR
CATH THORACIC 32FR
CATH THORACIC 36FR
CATH THORACIC AORTA PLACE W SI
CATH THORACIC AORTA PLACE W SI
CATH TIGER 4.5FRX110 (TO)
CATH TIGER 4FRX110 (TO)
CATH TIP CULTURE
CATH TRIALYSIS 15CM (BD)
CATH TRIALYSIS 20CM (BD)
CATH TRIALYSIS 20CM TEMP
CATH TRIALYSIS 24CM (BD)
CATH TRIALYSIS 30CM (BD)
CATH TRIALYSIS 30CM TEMP
CATH TROCAR 10 FR
CATH TROCAR 12 FR
CATH TROCAR 16FR
CATH TROCAR 20FR
CATH TROCAR 24FR
CATH TROCAR 28FR
CATH TROCAR 32FR
CATH TROCAR 8FR (NICU)
CATH TTC BILI 10MMX30FX320CM(CK
CATH TTC BILI 6MMX18FX320CM (CK
CATH TTC BILI 6MMX18FX320CM (CK/1
CATH TTC BILI 8MMX24FX320CM (CK
CATH TUBING NASOBILI 7.5FR (BS)
CATH TUBING NASOBILI 8.5FR (BS)
CATH UMBILICAL ARTERY 3.5FR
CATH UMBILICAL ARTERY 5FR
CATH UMBILICAL VEIN 3.5FR DL (NIC
CATH UMBILICAL VEIN 4FR DL (NIC)
CATH UMBILICAL VEIN 5.0FR DL (NIC
CATH UNIFUSE 5X10X135 (AD)
CATH UNIFUSE 5X10X90 (AD)
CATH UNIFUSE 5X20X135 (AD)
CATH UNIFUSE 5X20X90 (AD)
CATH UNIFUSE 5X30X135 (AD)
CATH UNIFUSE 5X30X90 (AD)
University Medical Center So. NV.
Page 40
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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Price
---------152.11
336.40
162.12
162.12
580.64
950.16
963.51
357.06
560.61
291.50
291.50
39.67
32.73
32.73
33.04
31.99
4,882.90
10,080.77
265.96
265.96
297.49
412.50
42.50
440.00
412.50
412.50
412.50
69.62
68.48
64.95
94.59
94.59
68.48
68.11
86.39
1,348.36
1,272.03
1,348.36
1,348.36
455.03
455.03
111.12
66.14
180.32
137.50
73.04
1,108.76
710.98
889.37
1,108.76
1,108.76
1,108.76
02/12/14
Charge#
--------714170126
714170125
714170124
714170123
714170122
702170276
702171500
702171419
702171418
702171499
702171497
702171447
702170283
702170860
702171466
702270253
705080571
705080570
702150402
702170265
702171357
702171339
702153009
702151773
702170300
702171293
702151711
702171334
714170335
714170336
702152821
709170491
709170370
709170492
709170371
709170493
709170494
709170372
709170373
709170374
709170375
709170376
709170377
709170378
709170379
709170498
709170499
709170500
709170501
709170502
709170503
709170380
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH UNIFUSE 5X40X135 (AD)
CATH UNIFUSE 5X40X90 (AD)
CATH UNIFUSE 5X50X135 (AD)
CATH UNIFUSE 5X50X90 (AD)
CATH URESIL 16FR X 30 (UL)
CATH URETERAL CONE
CATH URETERAL DUAL LUMEN
CATH URETERAL GLIDE WIRE
CATH URETERAL GUIDE WIRE
CATH URETERAL OPEN END
CATH URETERAL STENT DBL
CATH URETERAL UROMAX BALLOON
CATH URETERAL WHISTLE TIP
CATH URETHERAL FLEXI TIP 022610
CATH V BLN EXTRC 5.5F 8.5-15 (OA
CATH V BLN EXTRC 5.5F8.5-15 (OA)
CATH VAS CATH 15 CM
CATH VAS CATH 20 CM
CATH VENT 1.9MM X 35CM SET (CD)
CATH VENT ADULT
CATH VENTRICU INNERVISION 15CM
CATH VENTRICU INNERVISION 27298
CATH VENTRICULAR ABX(MT)
CATH VENTRICULAR EDM
CATH VENTRICULAR NEURO/SLOTTED
CATH VENTRICULAR OPUS 23CM 41503
CATH VENTRICULAR SNAP 15CM (MT)
CATH VENTRICULAR SNAP 15CM 27298
CATH VERT ANGIO 4F X 100 (MR)
CATH VERT ANGIO 5F X 100 (MR)
CATH VP PERIT OPEN END 90CM (MT)
CATH WG AL .75 7F X 100CM (BS)
CATH WG AL .75 8F X 100CM (BS)
CATH WG AL .75 SH 7F X 100CM (BS)
CATH WG AL .75 SH 8F X 100CM (BS)
CATH WG AL .75 SHST 7F X100CM (BS
CATH WG AL .75 ST 7F X 100CM (BS)
CATH WG AL .75 ST 8F X 100CM (BS)
CATH WG AL .75 STSH 8F X100CM (BS
CATH WG AL 1 8F X 100CM (BS)
CATH WG AL 1 SH 8F X 100CM (BS)
CATH WG AL 2 8F X 100CM (BS)
CATH WG AL 2 SH 8F X 100CM (BS)
CATH WG AL 3 8F X 100CM (BS)
CATH WG AL 3 SH 8F X 100CM (BS)
CATH WG AL1 7F X 100CM (BS)
CATH WG AL1 SH 7F X 100CM (BS)
CATH WG AL2 7F X 100CM (BS)
CATH WG AL2 SH 7F X 100CM (BS)
CATH WG AL3 7F X 100CM (BS)
CATH WG AL3 SH 7F X 100CM (BS)
CATH WG AR 1 8F X 100CM (BS)
University Medical Center So. NV.
Page 41
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
Price
---------1,108.76
1,108.76
1,108.76
1,108.76
522.65
233.55
575.07
1,054.33
201.28
424.45
1,478.59
2,041.13
202.94
176.54
798.43
798.43
244.70
245.99
756.25
328.82
1,004.98
1,050.11
1,689.19
334.18
489.71
729.59
564.30
1,050.11
141.76
141.76
368.50
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
02/12/14
Charge#
--------709170381
709170382
709170383
709170504
709170505
709170507
709170508
709170384
709170729
709170385
709170445
709170386
709170447
709170509
709170510
709170511
709170512
709170513
709170514
709170387
709170388
709170389
709170390
709170391
709170392
709170393
709170394
709170515
709170516
709170517
709170518
709170519
709170520
709170522
709170523
709170395
709170396
709170397
709170398
709170399
709170400
709170401
709170402
709170403
709170404
709170405
709170406
709170407
709170408
709170409
709170410
709170525
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH WG AR 1 SH 8F X 100CM (BS)
CATH WG AR 2 8F X 100CM (BS)
CATH WG AR 2 SH 8F X 100CM (BS)
CATH WG AR1 7F X 100CM (BS)
CATH WG AR1 SH 7F X 100CM (BS)
CATH WG AR2 7F X 100CM (BS)
CATH WG AR2 SH 7F X 100CM (BS)
CATH WG ART 3 8F X 100CM (BS)
CATH WG ART 3 SH 6FX100CM
CATH WG ART 3.5 8F X 100CM (BS)
CATH WG ART 3.5 SH 8F X100CM (BS
CATH WG ART 4 8F X 100CM (BS)
CATH WG ART 4 SH 8F X 100CM (BS)
CATH WG ART3 7F X 100CM (BS)
CATH WG ART3 SH 7F X 100CM (BS)
CATH WG ART3.5 7F X 100CM (BS)
CATH WG ART3.5 SH 7F X 100CM (BS)
CATH WG ART4 7F X 100CM (BS)
CATH WG ART4 SH 7F X 100CM (BS)
CATH WG CLS 3 8F X 100CM (BS)
CATH WG CLS 3 SH 8F X 100CM (BS)
CATH WG CLS 3.5 8F X 100CM (BS)
CATH WG CLS 3.5 SH 8F X100CM (BS
CATH WG CLS 4 8F X 100CM (BS)
CATH WG CLS 4 SH 8F X 100CM (BS)
CATH WG CLS 4.5 8F X 100CM (BS)
CATH WG CLS 4.5 SH 8F X100CM (BS
CATH WG CLS3 7F X 100CM (BS)
CATH WG CLS3 SH 7F X 100CM (BS)
CATH WG CLS3.5 7F X 100CM (BS)
CATH WG CLS3.5 SH 7F X 100CM (BS)
CATH WG CLS4 7F X 100CM (BS)
CATH WG CLS4 SH 7F X 100CM (BS)
CATH WG CLS4.5 7F X 100CM (BS)
CATH WG CLS4.5 SH 7F X 100CM (BS)
CATH WG FL 3 8F X 100CM (BS)
CATH WG FL 3.5 8F X 100CM (BS)
CATH WG FL 3.5 SH 8F X 100CM (BS)
CATH WG FL 3.5 ST 8F X 100CM (BS)
CATH WG FL 3.5 STSH 8F X100CM (BS
CATH WG FL 4 8F X 100CM (BS)
CATH WG FL 4 SH 8F X 100CM (BS)
CATH WG FL 4 ST 8F X 100CM (BS)
CATH WG FL 4 STSH 8F X 100CM (BS)
CATH WG FL 4.5 8F X 100CM (BS)
CATH WG FL 4.5 SH 8F X 100CM (BS)
CATH WG FL 4.5 ST 8F X 100CM (BS)
CATH WG FL 5 8F X 100CM (BS)
CATH WG FL 5 SH 8F X 100CM (BS)
CATH WG FL 5 STSH 8F X 100CM (BS)
CATH WG FL 6 8F X 100CM (BS)
CATH WG FL3 7F X 100CM (BS)
University Medical Center So. NV.
Page 42
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
273.03
321.39
297.59
321.39
297.59
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
02/12/14
Charge#
--------709170526
709170527
709170528
709170784
709170529
709170530
709170531
709170532
709170533
709170534
709170535
709170537
709170539
709170540
709170541
709170542
709170444
709170544
709170545
709170546
709170547
709170549
709170550
709170551
709170552
709170411
709170412
709170413
709170414
709170415
709170416
709170417
709170420
709170418
709170419
709170422
709170421
709170782
709170506
709170713
709170712
709171010
709170715
709171011
709170556
709170548
709170557
709170558
709170727
709170559
709170560
709170425
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH WG FL3 SH 7F X 100CM (BS)
CATH WG FL3 ST 7F X 100CM (BS)
CATH WG FL3.5 7F X 100CM (BS)
CATH WG FL3.5 SH 6FX100CM
CATH WG FL3.5 SH 7F X 100CM (BS)
CATH WG FL3.5 SH ST 7F X100CM (BS
CATH WG FL3.5 ST 6FX100CM (BS)
CATH WG FL3.5 ST 7F X 100CM (BS)
CATH WG FL4 7F X 100CM (BS)
CATH WG FL4 SH 7F X 100CM (BS)
CATH WG FL4 SHST 7F X 100CM (BS)
CATH WG FL4 ST 7F X 100CM (BS)
CATH WG FL4.5 7F X 100CM (BS)
CATH WG FL4.5 SH 7F X 100CM (BS)
CATH WG FL4.5 SHST 7F X 100CM (BS
CATH WG FL4.5 ST 7F X 100CM (BS)
CATH WG FL4.5 STSH 8F X 100CM (BS
CATH WG FL5 7F X 100CM (BS)
CATH WG FL5 SH 7F X 100CM (BS)
CATH WG FL5 SHST 7F X 100CM (BS)
CATH WG FL5 ST 7F X 100CM (BS)
CATH WG FL6 7F X 100CM (BS)
CATH WG FL6 SH 7F X 100CM (BS)
CATH WG FL6 SHST 7F X 100CM (BS)
CATH WG FL6 ST 7F X 100CM (BS)
CATH WG FR 3.5 8F X 100CM (BS)
CATH WG FR 3.5 SH 8F X 100CM (BS)
CATH WG FR 4 8F X 100CM (BS)
CATH WG FR 4 SH 8F X 100CM (BS)
CATH WG FR 4 ST 8F X 100CM (BS)
CATH WG FR 4 ST SH 8F X 100CM (BS
CATH WG FR 4.5 8F X 100CM (BS)
CATH WG FR 4.5 SH 8F X 100CM (BS)
CATH WG FR 5 8F X 100CM (BS)
CATH WG FR 5 SH 8F X 100CM (BS)
CATH WG FR 6 8F X 100CM (BS)
CATH WG FR 6 SH 8F X 100CM (BS)
CATH WG FR3 7FX100CM (BS)
CATH WG FR3.5 7F X 100CM (BS)
CATH WG FR3.5 SH 7FX100CM
CATH WG FR4 7FX100CM
CATH WG FR4 SH7FRX100
CATH WG FR4 ST SH 7FX100CM
CATH WG FR4 STSH 7FRX100
CATH WG FR4.5 6F X 100CM (BS)
CATH WG FR4.5 7F X 100CM (BS)
CATH WG FR5 6F X 100CM (BS)
CATH WG FR6 6F X 100CM (BS)
CATH WG IM 6FX100CM
CATH WG IM 7F X 100CM (BS)
CATH WG IM 7F X 85CM (BS)
CATH WG IM 8F X 100CM (BS)
University Medical Center So. NV.
Page 43
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------321.39
321.39
321.39
273.03
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
297.59
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
321.39
297.59
297.59
273.03
321.39
273.03
273.03
235.16
273.03
235.16
321.39
321.39
321.39
321.39
273.03
321.39
321.39
297.59
02/12/14
Charge#
--------709170426
709170423
709170424
709170561
709170562
709170721
709170728
709170563
709170427
709170564
709170428
709170726
709170565
709170566
709170567
709170432
709170431
709170568
709170720
709170429
709170569
709171012
709170430
709170781
709170570
709170433
709170571
709170434
709170572
709170733
709170435
709170573
709170436
709170575
709170553
709170437
709170576
709170438
709170578
709170439
709170367
709170446
709170368
709170440
709170369
709170441
709170442
709170580
709170443
709170731
705080084
709170889
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH WG IM 8F X 110CM (BS)
CATH WG IM 8F X 85CM (BS)
CATH WG IM 8F X 90CM (BS)
CATH WG IM SH 7F X 100CM (BS)
CATH WG IM SH 7F X 85CM (BS)
CATH WG IM SH 7FX100CM
CATH WG LCB 6FX100CM
CATH WG LCB 7F X 100CM (BS)
CATH WG LCB 8F X 100CM (BS)
CATH WG LCB SH 7F X 100CM (BS)
CATH WG LCB SH 8F X 100CM (BS)
CATH WG MP 1 6FX100CM
CATH WG MP HS 6F X 100CM (BS)
CATH WG MP HS 7F X 100CM (BS)
CATH WG MP HS SH 7F X 100CM (BS)
CATH WG MP HS SH 8F X 100CM (BS)
CATH WG MP SH 8F X 100CM (BS)
CATH WG MP1 7F X 100CM (BS)
CATH WG MP1 7FX100CM
CATH WG MP1 8F X 100CM (BS)
CATH WG MP1 SH 7F X 100CM (BS)
CATH WG MP1 SH 7FRX100
CATH WG MP1 SH 8F X 100CM (BS)
CATH WG MPI1 SH 6FX100CM
CATH WG Q3.5 7F X 100CM (BS)
CATH WG Q3.5 8F X 100CM (BS)
CATH WG Q3.5 SH 7F X 100CM (BS)
CATH WG Q3.5 SH 8F X 100CM (BS)
CATH WG Q4 7F X 100CM (BS)
CATH WG Q4 7FX100CM
CATH WG Q4 8F X 100CM (BS)
CATH WG Q4 SH 7F X 100CM (BS)
CATH WG Q4 SH 8F X 100CM (BS)
CATH WG Q4.5 7F X 100CM (BS)
CATH WG Q4.5 7F X 100CM (BS)
CATH WG Q4.5 8F X 100CM (BS)
CATH WG Q4.5 SH 7F X 100CM (BS)
CATH WG Q4.5 SH 8F X 100CM (BS)
CATH WG Q5 7F X 100CM (BS)
CATH WG Q5 8F X 100CM (BS)
CATH WG Q5 SH 7F X 100 CM (BS)
CATH WG Q5 SH 8F X 100CM (BS)
CATH WG RCB 7F X 100 CM (BS)
CATH WG RCB 8F X 100CM (BS)
CATH WG RCB SH 7F X 100 CM (BS)
CATH WG RCB SH 8F X 100CM (BS)
CATH WG VL3.5 7F X 100CM (BS)
CATH WG VL4 6F X 100CM (BS)
CATH WG VL4 7F X 100CM (BS)
CATH WG Z 3.5 SH 6FX100CM
CATH WORD BARTH GLAND 10FR 5CC
CATH WSGD 6FR Q3.5SH (BS)
University Medical Center So. NV.
Page 44
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------297.59
297.59
297.59
321.39
321.39
321.39
273.03
321.39
297.59
321.39
297.59
273.03
321.39
321.39
321.39
297.59
297.59
321.39
321.39
297.59
321.39
1,265.00
297.59
273.03
321.39
297.59
321.39
297.59
321.39
297.59
297.59
321.39
297.59
321.39
321.39
297.59
321.39
297.59
321.39
297.59
321.39
297.59
321.39
297.59
321.39
297.59
297.59
321.39
297.59
273.03
182.45
235.16
02/12/14
Charge#
--------709170890
709170888
709170891
709171132
709171133
709171134
709171135
709171136
709171137
709171138
709171139
709171140
709171141
709171142
709171143
709171129
709171130
709171131
709171175
709171172
709171176
709171173
709171177
709171174
709171178
709171179
709171180
709171155
709171156
709171157
709171158
709171159
709171160
709171161
709171162
709171163
709171164
709171165
709171166
709171167
709171168
709171169
709171170
709171171
709171144
709171145
709171146
709171152
709171153
709171154
709171147
709171148
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATH WSGD 7FR ART3 (BS)
CATH WSGD 7FR FR5 (BS)
CATH WSGD 8FR RCB (BS)
CATHBLN EMRGE OTW 2.25X12
CATHBLN EMRGE OTW 2.25X15
CATHBLN EMRGE OTW 2.25X20
CATHBLN EMRGE OTW 2.25X30
CATHBLN EMRGE OTW 2.25X8
CATHBLN EMRGE OTW 2.5X12
CATHBLN EMRGE OTW 2.5X15
CATHBLN EMRGE OTW 2.5X20
CATHBLN EMRGE OTW 2.5X30
CATHBLN EMRGE OTW 2.5X8
CATHBLN EMRGE OTW 2.75X12
CATHBLN EMRGE OTW 2.75X15
CATHBLN EMRGE OTW 2X20
CATHBLN EMRGE OTW 2X30
CATHBLN EMRGE OTW 2x8
CATHBLN EMRGEOTW 1.5X12
CATHBLN EMRGEOTW 1.5X12P
CATHBLN EMRGEOTW 1.5X15
CATHBLN EMRGEOTW 1.5X15P
CATHBLN EMRGEOTW 1.5X20
CATHBLN EMRGEOTW 1.5X20P
CATHBLN EMRGEOTW 1.5X8
CATHBLN EMRGEOTW 2X12
CATHBLN EMRGEOTW 2X15
CATHBLN EMRGEOTW 3.25X30
CATHBLN EMRGEOTW 3.25X8
CATHBLN EMRGEOTW 3.5X12
CATHBLN EMRGEOTW 3.5X15
CATHBLN EMRGEOTW 3.5X20
CATHBLN EMRGEOTW 3.5X30
CATHBLN EMRGEOTW 3.5X8
CATHBLN EMRGEOTW 3.75X12
CATHBLN EMRGEOTW 3.75X15
CATHBLN EMRGEOTW 3.75X20
CATHBLN EMRGEOTW 3.75X30
CATHBLN EMRGEOTW 3.75X8
CATHBLN EMRGEOTW 4X12
CATHBLN EMRGEOTW 4X15
CATHBLN EMRGEOTW 4X20
CATHBLN EMRGEOTW 4X30
CATHBLN EMRGEOTW 4X8
CATHBLNEMRGEOTW 2.75X20
CATHBLNEMRGEOTW 2.75X30
CATHBLNEMRGEOTW 2.75X8
CATHBLNEMRGEOTW 3.25X12
CATHBLNEMRGEOTW 3.25X15
CATHBLNEMRGEOTW 3.25X20
CATHBLNEMRGEOTW 3X12
CATHBLNEMRGEOTW 3X15
University Medical Center So. NV.
Page 45
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------235.16
235.16
235.16
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
639.81
02/12/14
Charge#
--------709171149
709171150
709171151
702152832
709170143
705080382
709170142
709170141
709170927
705080381
714170121
714170120
702170068
702270155
705080379
705080378
723020246
702420808
702420713
702170956
702170368
702170297
702170298
702170973
702170299
702170294
702170303
702170304
709170044
702170295
702170370
702170954
702170296
702170927
702170953
702174024
707030737
707030181
707030712
603512100
603511200
603512060
603512080
707030334
707030045
726620033
707031066
705081549
705081551
705081550
7021CRX1
702151421
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CATHBLNEMRGEOTW 3X20
CATHBLNEMRGEOTW 3X30
CATHBLNEMRGEOTW 3X8
CATHETER BACTISEAL (CD)
CATHETER BERMN EP
CATHETER CENTRAL VEN PRESEP/COMBO
CATHETER CSL EP
CATHETER EP ABLTN STINGER
CATHETER EXPROT ASPIRATION
CATHETER EXTERNAL MALE LIBERTY
CATHETER MICROGUIDE 76 (CS)
CATHETER OUTBACK REENTRY
CATHETER ROSENBLATT
CATHETER SPYGLASSACCESS (BS)
CATHETER SWAN GANZ 8FR.
CATHETER SWAN GANZ FEMORAL C TIP
CAUTERIZE INNER NOSE INTRAMURAL
CAUTERY ABLATION INTRAMUR
CAUTERY ABLATION MUCOSA TURB
CAUTERY ACCU TEMP FINE TIP
CAUTERY EYE DISPOSABLE
CAUTERY E-Z TIP CLEANER
CAUTERY HAND CONTROL OSCOPY
CAUTERY HOT LOOP BIONX
CAUTERY HOT TEMP DISP
CAUTERY LONG TIP
CAUTERY LOOP
CAUTERY NEEDLE TIP
CAUTERY PENCIL
CAUTERY PENCIL W EVACUATE
CAUTERY SUCTION
CAUTERY SUCTION FOOT CONTROL
CAUTERY TEFLON TIP
CAUTERY TIP BLADE COATED
CAUTERY TIP GUARDED
CAUTERY VIAGUARD SUCT TIP
CBC AUTOMATED NO DIFF
CBC/AUTOMATED COMP DIFF
CCP ANITBODY
CCU CVCU CRITICAL CARE
CCU CVCU GENERAL ROOM
CCU CVCU INTERMEDIATE CAR
CCU CVCU TRAUMA CRITICAL
CD4 & CD8 W/RATIO
CEA
CEHMO IV INF EA ADDTL HR (TFN)
CELL ENUMERATION & ID
CELLERATE GEL RX 28GR
CELLERATE PWDR RX 1GM
CELLERATE PWDR SURG 1GM
CELLERATE RX POWDER 1GM (WCI)
CEMENT BONE IMAGING
University Medical Center So. NV.
Page 46
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------639.81
639.81
639.81
1,794.38
622.99
1,411.35
5,100.61
3,109.74
1,361.25
106.71
1,234.87
8,334.92
2,133.35
3,153.65
1,298.77
732.84
2,035.47
832.86
562.27
51.58
56.73
143.79
729.32
275.13
69.00
87.67
312.39
45.80
52.48
184.17
39.50
304.34
163.92
33.64
36.21
92.89
118.56
157.59
178.27
2,302.00
1,154.00
1,448.00
2,945.00
181.06
282.08
389.11
1,347.50
383.83
538.94
1,049.04
1,049.04
215.33
02/12/14
Charge#
--------702151508
702150009
702151509
702170266
702150474
702150469
702150744
702150065
702151310
702151136
702170184
702170185
702420805
702420704
701520017
701520018
702153015
707030626
702420017
702420099
702421296
714030021
714532053
714131000
707031006
702421238
702421054
723020245
723320213
714130025
702421609
723020244
723320212
714120051
726620032
726620026
726820015
726820014
726120011
726820013
726820021
726620031
726620030
726820020
726620034
726620035
726620029
726620041
726820016
726620025
726620024
726820012
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CEMENT BONE PALACOS
CEMENT BONE STABILIT 10.5G (DF)
CEMENT BONE STRYKER
CEMENT BOWL
CEMENT COBALT G
CEMENT GENTAMICIN DEPUY
CEMENT IMPACT 10CC OSTEOVAT (OM)
CEMENT IMPACT 3CC OSTEOVAT (OM)
CEMENT IMPACT 5CC OSTEOVAT (OM)
CEMENT MIMIX 10GMS
CEMENT MIX TOTAL HIP
CEMENT MIX TOTAL KNEE
CENTRALIZATION WR ON ULNA
CERCLAGE CX PREGNANT
CERCLAGE PLACEMENT
CERCLAGE REMOVAL
CERTAS PROGRAMER(CD)
CERULOPLASMIN/1
CERVICAL CONE BIOPSY
CERVICAL CONE LOOP EXC
CERVICAL LAMINECTOMY
CERVICAL SPINE 1V
CERVICAL SPINE WITH CONTRAST
CESSJ THERAPY CATH REMOVAL
CFTR GENE COM VARIANTS
CHANGE BLADDER TUBE
CHANGE NEPHR/PYLOSTOMY TUBE
CHANGE OF GASTROSTOMY TUBE
CHANGE OF GASTROSTOMY TUBE
CHANGE PERC DRAINABE TUBE S&I
CHEM CAUT GRANULATION TISS
CHEMICAL CAUTERIZATION
CHEMICAL CAUTERIZATION
CHEMICAL PLEURODESIS
CHEMO PLEURAL CAVITY W THORCENT
CHEMO CNS VIA RESERVIOR
CHEMO IM/SC HORMONAL
CHEMO IM/SC NON HORMONAL
CHEMO IM/SC, NON HORMONAL PEDS
CHEMO INTRATHECAL MED ADM
CHEMO IV INF 1 TO 8 HRS INIT DRUG
CHEMO IV INF EA ADD SEQ (TFN)
CHEMO IV INF EA ADD SEQ DIFF DRUG
CHEMO IV INF SEQ TO 1HR DIFF DRUG
CHEMO IV INF TO 1 HR (OBS)
CHEMO IV INF TO 1 HR (TFN)
CHEMO IV INF, EA ADD HR , 1
CHEMO IV INF, W PUMP >8 HRS
CHEMO IV PUSH 1ST DRUG/SUBSTANCE
CHEMO IV PUSH ADDL DRUG (OBS)
CHEMO IV PUSH ADDL DRUG (TFN)
CHEMO IV PUSH EA ADD DRUG
University Medical Center So. NV.
Page 47
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------823.08
522.50
784.36
437.24
1,086.25
1,031.25
7,562.50
1,993.75
3,850.00
3,080.00
849.85
543.59
842.06
2,784.48
3,354.08
1,618.30
1,078.73
105.48
3,007.91
3,030.30
5,374.05
460.81
2,334.30
3,858.46
157.50
357.11
1,032.90
507.17
508.11
2,053.65
1,922.37
205.27
205.65
1,094.54
306.27
341.15
111.00
168.00
197.76
727.00
97.00
374.55
309.59
213.00
467.59
495.92
309.59
930.81
313.00
331.34
331.34
180.00
02/12/14
Charge#
--------726120010
726120012
726620027
726620028
726120013
726820019
726820018
726820017
726620023
726620022
726620021
726620020
714120001
726120009
726120015
726120014
702423554
714120000
702420000
714030116
714030117
714030115
714030112
714120093
714120175
714030114
714030113
718120006
718120007
714120174
714120150
702420702
702173306
714170006
707030336
707030337
707030338
707030713
707030339
707030750
707030046
707030047
707030048
707030049
714120149
714130024
714130039
714030129
714030128
714120050
707030050
707030340
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CHEMO IV PUSH EA ADD DRUG PEDS
CHEMO IV PUSH IST DRUG PEDS
CHEMO IV PUSH SINGLE DRUG (OBS)
CHEMO IV PUSH SINGLE DRUG (TFN)
CHEMO IV SEQ 1ST HR DIFF DRUG PED
CHEMO IV TO 1HR INIT DRUG
CHEMO PLEURAL CAVITY W THOR
CHEMO PROLONGS W PUMP
CHEMO SC IM HORMONAL (TFN)
CHEMO SC IM NON HORMONAL (OBS)
CHEMO SC IM NON HORMONAL (TFN)
CHEMO SC OR IM HORMONAL (OBS)
CHEMO, INTRATHECAL W LP
CHEMO, INTRATHECAL, W LP
CHEMO, IV INFUSION, 1 HR
CHEMO, IV INFUSION, ADDL HR
CHEMODENERV SALIV GLANDS
CHEMOEMBOLIZATION, LIVER
CHEMOTHERAPY INTO CNS
CHEST 1 VIEW
CHEST 2 VIEWS
CHEST 4 VIEWS
CHEST DECUBITIS
CHEST PORT INSERT <5
CHEST PORT INSERT >5
CHEST W OBLIQUE VIEWS
CHEST W/APICAL LORDOTIC
CHEST WALL MANIPUL INITIAL
CHESTWALL MANIPULATION SUB
CHG CYSTO TUBE COMP
CHG CYSTO TUBE SIMPLE
CHG GASTROSTOMY TUBE
CHISEL VULCAN LIGAMENT 7209647
CHITO-SEAL
CHLAMYDIA AB SERUM
CHLAMYDIA CULTURE
CHLAMYDIA DNA PROBE
CHLAMYDIA IGM
CHLAMYDIA TRACHOMATIS AMP PROBE
CHLAMYDIA, AMPLIF NA PROBE
CHLORIDE
CHLORIDE STAT
CHLORIDE URINE 24 HR
CHLORIDE URINE RANDOM
CHOLANGIOGRAM PERC TRANSHEP
CHOLANGIOGRAM PERC TRANSI
CHOLANGIOGRAM T-TUBE S&I
CHOLANGIOGRAPHY DURING SURGERY
CHOLANGIOGRAPHY T-TUBE POSTOP
CHOLECYSTOSTOMY PERC
CHOLESTEROL
CHOLINESTERASE
University Medical Center So. NV.
Page 48
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------211.89
341.15
336.79
336.79
250.73
418.00
892.00
454.00
337.88
337.88
337.88
337.88
442.81
808.85
894.63
549.93
429.51
226.03
1,838.15
416.70
540.99
785.79
602.95
3,266.30
3,718.17
805.51
670.17
317.96
154.90
817.90
320.12
1,482.38
550.65
199.24
175.89
246.00
123.56
46.59
150.36
353.98
114.10
114.10
140.78
140.78
816.57
2,487.78
1,531.07
1,398.61
1,092.99
1,814.62
95.68
161.33
02/12/14
Charge#
--------707030836
707030341
707030820
707030800
707030821
707030801
707030838
707031049
707030802
702420280
702151280
702170752
707030853
702421111
702421157
716136038
707030342
707030343
707030051
707030052
707030053
707030054
707030055
722320261
722320262
722320108
722320106
722320474
722320475
722320105
722320101
722320099
722320098
722320097
722320096
722320411
722320412
722320095
722320404
722320405
722320090
722320089
722320390
722320391
722320088
722320423
722320424
722320086
722320084
722320216
722320217
722320082
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CHOLINESTERASE PLASMA
CHOLINESTERASE RBC
CHROM ANALY-20-25 CELLS
CHROM ANALYS ADDTL HIGH RESOLTN
CHROM ANALYSIS 15-20 CELLS
CHROM ANALYSIS ADDTL STUDY EA
CHROM ANALYSIS AMNIOTIC FLUID
CHROMIUM
CHROMOSOMAL IN SITU HYBRID
CHROMOTUBATION OVIDUCT
CHRONOS TCP STRIP 100X25X3MM (SY
CHUCK UNIV WITH T HANDLE (SY)
CICARBUNATE URINE
CIRCUMCISION SURG EXC NEWBORN
CIRCUMCISION W/CLAMP & REG BLOCK
CISTERNOGRAPHY
CITRATE URINE
CITRATE, URINE
CK-MB
CK-MB 1
CK-MB 2
CK-MB 3
CK-MB 4
CL FX BIMALLEOLAR W MAN LT
CL FX BIMALLEOLAR W MAN RT
CL TX AC DISLOCATION W M
CL TX ANKLE DISLOC W ANES
CL TX ANKLE DISLOC W ANES LT
CL TX ANKLE DISLOC W ANES RT
CL TX BIMALLEOLAR FX W M
CL TX CLAVICULAR FX W M
CL TX CMC DISL THUMB W M
CL TX CMC FX HAND W M
CL TX CMC FX HND W M ANE
CL TX CMC FX THUMB W M
CL TX CMC FX THUMB W M LT
CL TX CMC FX THUMB W M RT
CL TX COLLES SMITH FX W M
CL TX COLLES SMITH FX W M LT
CL TX COLLES SMITH FX W M RT
CL TX DRUJ DISLO W M
CL TX ELBOW DIS WO ANES
CL TX ELBOW DIS WO ANES LT
CL TX ELBOW DIS WO ANES RT
CL TX FEMUR SHAFT W M
CL TX FEMUR SHAFT W M LT
CL TX FEMUR SHAFT W M RT
CL TX GREAT TOE FX W M
CL TX GREATER TUB FX W MANIP BIL
CL TX GREATER TUB FX W MANIP LT
CL TX GREATER TUB FX W MANIP RT
CL TX HUMERAL CON FX W M
University Medical Center So. NV.
Page 49
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------146.84
161.33
309.57
66.87
575.93
223.58
185.55
304.56
119.43
4,187.89
4,276.25
5,104.29
13.86
3,007.07
2,726.97
2,161.89
183.86
128.98
211.63
211.63
211.63
211.63
211.63
2,152.41
2,152.41
646.24
1,825.61
1,825.61
1,825.61
721.20
2,213.42
359.20
362.23
419.94
646.24
646.24
646.24
697.94
697.94
697.94
480.03
408.43
408.43
408.43
2,445.96
2,445.96
2,445.96
185.32
3,668.94
2,139.05
2,139.05
490.22
02/12/14
Charge#
--------722320472
722320473
722320080
722320078
722320077
722320427
722320428
722320076
722320075
722320074
722320073
722320072
722320071
722320070
722320069
722320435
722320436
722320067
722320066
722320064
722320062
722320392
722320393
722320061
722320060
722320394
722320395
722320057
722320431
722320432
722320056
722320429
722320430
722320425
722320426
722320055
722320054
722320052
722320445
722320446
722320051
722320047
722320377
722320378
722320045
722320043
722320406
722320407
722320042
722320396
722320397
722320040
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CL TX HUMERAL CON FX W M LT
CL TX HUMERAL CON FX W M RT
CL TX HUMERAL EPI FX W M
CL TX IP FT JOINT DISLO W A
CL TX IP FT JOINT DISLO WO A
CL TX KNEE DISL WO ANES LT
CL TX KNEE DISL WO ANES RT
CL TX KNEE DISL WO ANESTH
CL TX KNEE DISLO W ANESTH
CL TX LIS FRANCS DISL W A
CL TX LIS FRANCS DISL WO A
CL TX LUNATE DISLOC W M
CL TX MCP DISLO W M W A
CL TX MCP DISLO W M WO A
CL TX MED MALLEOS FX W M
CL TX MED MALLEOS FX W M LT
CL TX MED MALLEOS FX W M RT
CL TX META PHAL DISL WO AN
CL TX METACARP FX W M
CL TX METATARSAL FX W M
CL TX MONTEGGIA FX W MAN
CL TX MONTEGGIA FX W MAN LT
CL TX MONTEGGIA FX W MAN RT
CL TX MTTPJ DIS W ANE
CL TX NURSE MAIDS ELBOW W M
CL TX NURSE MAIDS ELBOW W M LT
CL TX NURSE MAIDS ELBOW W M RT
CL TX PATELLAR DIS W ANE
CL TX PATELLAR DIS W ANE LT
CL TX PATELLAR DIS W ANE RT
CL TX PATELLAR DIS WO ANE BIL
CL TX PATELLAR DIS WO ANE LT
CL TX PATELLAR DIS WO ANE RT
CL TX PATELLAR FX WO M LT
CL TX PATELLAR FX WO M RT
CL TX PATELLAR FX WO MAN
CL TX PHALANGEAL FX W M
CL TX PILON FX W MANIP
CL TX PILON FX W MANIP LT
CL TX PILON FX W MANIP RT
CL TX POS MALLEOS FX W M
CL TX PROX HUMERAL FX W MAN
CL TX PROX HUMERAL FX W MAN LT
CL TX PROX HUMERAL FX W MAN RT
CL TX PROX TIBFIB JT DIS WO A
CL TX RAD CARP DIS W M
CL TX RAD CARP DIS W M LT
CL TX RAD CARP DIS W M RT
CL TX RAD HEAD FX W MAN
CL TX RAD HEAD FX W MAN LT
CL TX RAD HEAD FX W MAN RT
CL TX RAD SHFT FX W M
University Medical Center So. NV.
Page 50
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------490.22
490.22
466.39
1,825.61
224.50
507.73
507.73
507.73
1,825.61
326.00
278.36
2,445.96
346.54
270.60
2,445.96
2,445.96
2,445.96
224.50
326.57
298.89
2,445.96
2,445.96
2,445.96
1,825.61
185.32
185.32
185.32
1,971.65
1,971.65
1,971.65
317.13
317.13
317.13
271.73
271.73
271.73
269.86
2,445.96
2,445.96
2,445.96
185.32
2,445.96
2,401.04
2,401.04
330.16
518.43
518.43
518.43
697.94
697.94
697.94
646.24
02/12/14
Charge#
--------722320398
722320399
722320038
722320402
722320403
722320033
722320032
722320031
722320030
722320028
722320027
722320024
722320433
722320434
722320023
722320022
722320021
722320020
722320018
722320400
722320401
702150256
702150551
702150552
702150032
702152344
702170015
702150063
702171200
702151948
702170675
702150317
702150203
702150318
702175003
702150477
702150142
702150489
702150174
702151483
702150327
702152585
702151980
721070083
714030025
702421208
723020243
723520215
723320211
702152888
709170043
702170119
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CL TX RAD SHFT FX W M LT
CL TX RAD SHFT FX W M RT
CL TX RAD ULN FX W M
CL TX RAD ULN FX W M LT
CL TX RAD ULN FX W M RT
CL TX SHLDR DIS W GR TUB FX W M
CL TX TALOTARSAL DIS W A
CL TX TALOTARSAL DIS WO A
CL TX TALUS FX W MANIP
CL TX TARSAL DISLO W AN
CL TX TARSAL DISLO WO AN
CL TX TIBIAL SHAFT FX W M
CL TX TIBIAL SHAFT FX W M LT
CL TX TIBIAL SHAFT FX W M RT
CL TX TIBIAL SHAFT FX WO M
CL TX TIBIAL SPINE FX
CL TX TRANS SCAPHOPERILUNAR FX
CL TX TRIMALLEOLAR FX W M
CL TX ULN SHFT FX W M
CL TX ULN SHFT FX W M LT
CL TX ULN SHFT FX W M RT
CLAMP 10 HOLE STRYKER
CLAMP 4.0 X 2.5 MM (SY)
CLAMP 4.0 X 4.0 MM (SY)
CLAMP ADJ LARGE (SY)
CLAMP ADJ RADIUS FIX 4.0MM (SY)
CLAMP BAR PIN S-N
CLAMP BAR TO BAR S-N
CLAMP BIPOLAR LHP4 ATRICURE
CLAMP BODY TRANS CONNECTOR (SY)
CLAMP C PEG ENDOVIVE
CLAMP COMBO LARGE EXT FIX (SY)
CLAMP CONNECTING 3.0X3.0 (SY)
CLAMP CONNECTING 3.0X3.0 (SY)
CLAMP INSERTS BAHNSON
CLAMP OPEN 4.0 TO 2.5 MM (SY)
CLAMP PIN LARGE 6 POSITION (SY)
CLAMP SL NEUTRAL (SY)
CLAMP STARLOCK LF (SY)
CLAMP TRANSVERSE (SY)
CLAMP TUBE TO TUBE (SY)
CLAMP UNIVERSAL 5.5MM TI (ZM)
CLAMP W POSTERIOR NUT (SY)
CLAMSHELL BRACE
CLAVICLE COMPLETE
CLAVICULECTOMY PARTIAL SH
CLEARANCE OF AIRWAYS
CLEARANCE OF AIRWAYS
CLEARANCE OF AIRWAYS
CLEARVIEW MAND MAXIL (KL)
CLIP ALLIGATOR TOUCH PROOF (BT)
CLIP APPLIER DISP MC42
University Medical Center So. NV.
Page 51
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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Price
---------646.24
646.24
646.24
646.24
646.24
646.24
2,445.96
224.50
324.95
3,117.29
288.54
2,445.96
2,445.96
2,445.96
307.08
428.80
480.03
697.94
422.32
422.32
422.32
2,496.45
1,002.90
1,002.90
1,783.24
2,547.85
3,914.68
1,991.00
7,310.47
915.75
69.43
2,165.54
2,330.52
2,165.54
125.76
1,073.60
1,529.22
1,237.50
1,443.75
1,590.33
2,223.16
3,960.00
3,118.50
423.06
413.49
3,203.71
411.99
412.75
412.75
7,150.00
1,323.95
498.03
02/12/14
Charge#
--------702171162
702171161
702171365
702171322
702170829
702174028
702170710
702250070
702250071
702170172
702152852
702174029
702174030
702170193
702170275
702170274
702170179
702420755
702420747
707030214
714150059
714150058
714150057
709150086
702420744
702151909
702420454
702420779
707030739
707030740
707030741
707031126
723020242
723520214
723320210
722320414
722320415
723320209
723320208
723020239
723320207
722320046
722320375
722320376
723320206
723320205
723320204
722320235
722320236
722320238
722320237
723020232
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CLIP DYNAMIC STIM LG W SHTH (NU
CLIP DYNAMIC STIM SM W SHTH (NU
CLIP DYNAMIC STIMULATION LG (NU)
CLIP DYNAMIC STIMULATION SMALL
CLIP FILSHIE
CLIP GEM MICRO CARTRIDGE (SV)
CLIP GEM SUPERFINE CARTRIDGE (SV)
CLIP HEMOSTATIC DEVICE (BS)
CLIP QUICK HEMOSTATIC LONG (OA)
CLIP SOFT JAW CARDIO
CLIP SUGITA ANEUR ALL SIZES (MZ)
CLIP VASC BEAR LARGE
CLIP VASC BEAR SMALL
CLIP VASCULAR MICRO
CLIP VCS APPLIER LARGE
CLIP VCS APPLIER MEDIUM
CLIPS RANEY AUTO MAGAZINE
CLOSE TRACH W PLASTIC REPR
CLOSED BIOPSY UTERUS
CLOSTRIDIUM DIFFICILE TOXIN
CLOSURE DEVICE ANGIOSEAL 6F (SJ)
CLOSURE DEVICE ANGIOSEAL 8F (SJ)
CLOSURE DEVICE STARCLOSE (AB)
CLOSURE DEVICE STARCLOSE (AB)
CLOSURE OF GASTROSTOMY, SURGICAL
CLOSURE TOP (AB)
CLOSURE TRACH OR FISTULA
CLOSURE URTHRA FISTULA
CLOTTING FACTOR VII
CLOTTING FACTOR VIII VW AG
CLOTTING FACTOR XI (PTA)
CLOZAPINE LEVEL SCREEN
CLSD DISIP JOINT WMN WO ANE
CLSD DISIP JOINT WMN WO ANE
CLSD DISIP JOINT WMN WO ANE
CLSD DISIP JOINT WMN WO ANE
CLSD DISIP JOINT WMN WO ANE
CLSD DISLOC ELBOW W ANES
CLSD DISLOC ELBOW WO ANES
CLSD DISLOC MTP JOINT WO ANES
CLSD DISLOC MTP JOINT WO ANES
CLSD DISLOC OF LOWER LEG BIL
CLSD DISLOC OF LOWER LEG LT
CLSD DISLOC OF LOWER LEG RT
CLSD DISLOC PATELLA W ANES
CLSD DISLOC PATELLA WO ANES
CLSD FX BIMALLEOLAR W MAN
CLSD FX DISTAL LT PHALANGE W MAN F1
CLSD FX DISTAL LT PHALANGE W MAN F2
CLSD FX DISTAL LT PHALANGE W MAN F4
CLSD FX DISTAL LT PHALANGE W MAN F3
CLSD FX DISTAL PHALANFL W MAN
University Medical Center So. NV.
Page 52
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,361.49
1,470.40
1,121.71
1,121.71
230.97
262.33
240.34
464.06
182.88
284.63
1,003.75
220.05
220.05
216.43
1,677.72
1,531.33
108.95
3,432.49
474.42
404.07
632.50
632.50
673.75
673.75
3,417.21
379.50
1,906.10
3,384.29
73.01
53.25
37.76
321.06
1,176.71
1,178.89
1,178.89
1,178.89
6,338.37
2,226.65
2,160.60
836.75
838.30
3,289.58
2,193.05
2,193.05
3,082.95
871.99
1,268.38
867.24
867.24
867.24
867.24
867.24
02/12/14
Charge#
--------723320200
722320413
723320198
722320240
722320241
722320243
722320244
722320245
722320239
723520201
722320420
722320421
722320422
723320194
723320193
722320440
722320441
722320442
723320192
722320437
722320438
722320439
723320191
723520195
723320289
723320188
723320290
723320187
723520189
723320183
723320181
723320180
723320178
723320174
723320172
723320170
723320163
722320551
722320552
722320553
722320554
702420452
723520171
723320159
722320300
722320263
722320264
723320158
723320157
722320218
722320219
722320220
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CLSD FX DISTAL PHALANGL WMAN
CLSD FX DISTAL PHALANGL WMAN
CLSD FX DISTAL RADIUS W MAN
CLSD FX DISTAL RT PHALANGE W MAN F6
CLSD FX DISTAL RT PHALANGE W MAN F7
CLSD FX DISTAL RT PHALANGE W MAN F8
CLSD FX DISTAL RT PHALANGE W MAN F9
CLSD FX DISTAL RT PHALANGE W MAN FA
CLSD FX DISTAL RT THUMB W MAN F5
CLSD FX DSTL PHALANGLWMAN
CLSD FX FEMUR DISTAL W/M BIL
CLSD FX FEMUR DISTAL W/M LT
CLSD FX FEMUR DISTAL W/M RT
CLSD FX FEMUR DISTAL W/MAN
CLSD FX FIBULA DISTAL W/MAN
CLSD FX FIBULA DISTAL W/MAN BIL
CLSD FX FIBULA DISTAL W/MAN LT
CLSD FX FIBULA DISTAL W/MAN RT
CLSD FX FIBULA PROXIMAL SHAFT
CLSD FX FIBULA PROXIMAL SHAFT BIL
CLSD FX FIBULA PROXIMAL SHAFT LT
CLSD FX FIBULA PROXIMAL SHAFT RT
CLSD FX GREAT TOE WMAN
CLSD FX HUMERAL CONDYLAR W/M
CLSD FX HUMERAL PROX W/MAN BIL
CLSD FX HUMERAL PROX W/MAN LT
CLSD FX HUMERAL PROX W/MAN RT
CLSD FX HUMERAL SHAFT W/MAN
CLSD FX METATARSAL W/MAN
CLSD FX METATARSAL WMAN
CLSD FX PATELLAR WO MAN
CLSD FX PHALANGEAL SHFT WMAN
CLSD FX PHALANX PHALANGES WMN
CLSD FX RADIAL SHAFT W/MAN
CLSD FX RADL HEAD NECK WMAN
CLSD FX RADL/ULNAR SHFT WMAN
CLSD FX ULNA MANIPULATION
CLSD HIP DISLC TRAUMATIC W/O ANES
CLSD HIP DISLC TRAUMATIC W/O ANES BIL
CLSD HIP DISLC TRAUMATIC W/O ANES LT
CLSD HIP DISLC TRAUMATIC W/O ANES RT
CLSD REDUCT FX DISTAL RADIAL
CLSD RX DISLOC ANKLE W/ANES
CLSD RX DISLOC ANKLE WO ANES
CLSD RX DISLOC ANKLE WO ANES BIL
CLSD RX DISLOC ANKLE WO ANES LT
CLSD RX DISLOC ANKLE WO ANES RT
CLSD RX DISLOC INTERPHALANGEAL
CLSD RX INTERPHLG JNT DIS W ANES
CLSD SHLDR DISC W/MAN W/O AN BIL
CLSD SHLDR DISC W/MAN W/O AN LT
CLSD SHLDR DISC W/MAN W/O AN RT
University Medical Center So. NV.
Page 53
Dispense
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Price
---------766.58
766.58
1,697.71
867.24
867.24
867.24
867.24
867.24
867.24
766.58
2,428.52
1,619.01
1,619.01
1,619.01
2,376.75
3,565.13
2,376.75
2,376.75
2,197.12
3,295.68
2,197.12
2,197.12
465.68
2,445.39
3,601.56
2,401.04
2,401.04
2,549.17
984.92
984.92
1,174.99
633.37
440.51
2,212.04
2,169.43
3,007.23
2,047.77
1,592.95
2,389.43
1,592.95
1,592.95
3,038.19
3,061.77
2,258.16
2,258.16
2,258.16
2,258.16
653.63
1,721.14
2,502.41
1,668.27
1,668.27
02/12/14
Charge#
--------723320295
723320156
723320155
723520168
723320154
722320416
722320417
723320153
723320152
723320151
722320256
722320259
722320260
723320150
723020320
722320408
722320409
722320410
723520157
723320149
722320015
722320014
722320385
722320386
722320013
722320383
722320384
722320012
722320381
722320382
722320011
722320379
722320380
707030758
707030345
707030346
707030347
723020201
723520156
723020200
723520155
714030141
718130003
705080377
720670002
707030348
707030349
707030350
707030351
702421076
702150848
702150847
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CLSD SHOULDER DISLOC W ANES BIL
CLSD SHOULDER DISLOC W ANES LT
CLSD TS FX DISLOC THUMB
CLSD TX ACETAB W/MANIP
CLSD TX ACETAB W/MANIP
CLSD TX ACETAB W/MANIP LT
CLSD TX ACETAB W/MANIP RT
CLSD TX ELBOW FRACT W MANIP
CLSD TX FEMORAL SHAFT W MANIP
CLSD TX KNEE DISLOCATION
CLSD TX PST ART HIP BIL
CLSD TX PST ART HIP LT
CLSD TX PST ART HIP RT
CLSD TX TMJ DISLOCATION
CLSD TX TMJ DISLOCATION
CLSD TX WRIST FRACTURE W/M BIL
CLSD TX WRIST FRACTURE W/M LT
CLSD TX WRIST FRACTURE W/M RT
CLSD TX WRIST FRACTURE W/MANIP
CLSD TX WRIST FRACTURE W/MANIP
CLTX ELBOW DIS W ANES BIL
CLTX HUMERUS SHFT FX W M
CLTX HUMERUS SHFT FX W M LT
CLTX HUMERUS SHFT FX W M RT
CLTX HUMERUS SHFT FX WO M
CLTX HUMERUS SHFT FX WO M LT
CLTX HUMERUS SHFT FX WO M RT
CLTX SHLD DIS SURG NECK FX WMAN
CLTX SHLD DIS SURG NECK FXWMAN LT
CLTX SHLD DIS SURG NECK FXWMAN RT
CLTX SHOULDER DIS W M W A
CLTX SHOULDER DIS W M W A LT
CLTX SHOULDER DIS W M W A RT
CMV DNA, QUANT BY PCR
CMV IGM
CMV SEROLOGY
CMV TEST BLOOD IGG
CNTRL NASAL HEMORRHAGE POST INTL
CNTRL NASAL HEMORRHAGE POST INTL
CNTRL NASAL HEMORRHAGE POST SUBQ
CNTRL NASAL HEMORRHAGE POST SUBQ
CNTRST INJ VIA CATH
CO OXIMETRY
CO2 DETECTOR NEO-STAT
COBAN 4 INCH UNSTERILE
COCCIDIODES SEROLOGY
COCCIOIODES AB (ID)
COCCIOIODES AB (LA)
COCCIOIODES SCREEN
COCCYGECTOMY PRIMARY
COCHLEAR IMP (AB)
COCHLEAR IMPLANT (CA)
University Medical Center So. NV.
Page 54
Dispense
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Price
---------2,510.91
1,673.94
1,174.70
3,912.57
4,225.58
4,225.58
4,225.58
2,266.93
3,273.24
2,102.16
475.70
475.70
475.70
474.20
474.20
2,937.26
1,958.17
1,958.17
1,958.17
1,958.17
1,825.61
489.10
489.10
489.10
269.11
269.11
269.11
523.35
523.35
523.35
1,805.04
1,805.04
1,805.04
936.42
95.61
132.26
100.61
912.88
914.59
758.07
759.49
80.60
222.35
57.85
43.64
187.49
189.01
189.01
189.16
3,303.76
68,612.50
78,792.13
02/12/14
Charge#
--------702421171
702152600
702151485
702154412
721020011
722120003
714170066
714170065
714170064
714170063
714170062
714170061
714170060
714170059
714170058
714170057
714170056
714170055
714170245
714150002
714150003
714150056
714150055
714150054
714150053
714150052
714150051
714150050
714150049
714150048
714150047
714150046
714150045
714150044
714150043
714150042
714150041
714150040
714150039
714150038
714150037
714150036
714150035
714150034
714150033
714150032
714150031
714150010
714150009
714150008
714150007
714150006
UMC Charge Master
Description
-----------------------------------------------------------------------------------------COCHLER IMPLANT WWOMAST
COCR HEAD 44X165MM (SY)
CODMAN SCREW 12 & 15MM
COFLEX INTRLAMINAR STABIL DEVICE
COGNITIVE SKLDVLP 15 MIN GO
COGNITIVE THERAPY 15MIN GN
COIL LEF 3/4 X .35 (CM)
COIL LEF 3/5 X .35 (CM)
COIL LEF 3/7 X .35 (CM)
COIL LEF 4/10 X .35 (CM)
COIL LEF 4/8 X .35 (CM)
COIL LEF 5/10 X .35 (CM)
COIL LEF 5/8 X .35 (CM)
COIL NESTER 14 10 X.35 (CM)
COIL NESTER 14 12 X.35 (CM)
COIL NESTER 14 4 X.35 (CM)
COIL NESTER 14 6 X.35 (CM)
COIL NESTER 14 8 X.35 (CM)
COIL PUSHER TRACKER (BS)
COIL TARGET 10X30STD (SK)
COIL TARGET 9X30STD (SK)
COIL TARGET HC ULTRA 2X1 (SK)
COIL TARGET HC ULTRA 2X2 (SK)
COIL TARGET HC ULTRA 2X3 (SK)
COIL TARGET HC ULTRA 2X4 (SK)
COIL TARGET HC ULTRA 2X6 (SK)
COIL TARGET HC ULTRA 3X4 (SK)
COIL TARGET HC ULTRA 3X6 (SK)
COIL TARGET HC ULTRA 3X8 (SK)
COIL TARGET HC ULTRA 4X6 (SK)
COIL TARGET HC ULTRA 4X8 (SK)
COIL TARGET SOFT 2X4 (SK)
COIL TARGET SOFT 3X6 (SK)
COIL TARGET SOFT 3X8 (SK)
COIL TARGET SOFT 4X10 (SK)
COIL TARGET SOFT 4X8 (SK)
COIL TARGET SOFT 5X10 (SK)
COIL TARGET SOFT 5X15 (SK)
COIL TARGET SOFT 6X10 (SK)
COIL TARGET SOFT 6X15 (SK)
COIL TARGET SOFT 7X15 (SK)
COIL TARGET SOFT 7X20 (SK)
COIL TARGET SOFT 8X20 (SK)
COIL TARGET SOFT 9X30 (SK)
COIL TARGET STD 12X30 (SK)
COIL TARGET STD 14X30 (SK)
COIL TARGET STD 15X40 (SK)
COIL TARGET STD 3X8 (SK)
COIL TARGET STD 4X10 (SK)
COIL TARGET STD 5X15 (SK)
COIL TARGET STD 6X15 (SK)
COIL TARGET STD 7X15 (SK)
University Medical Center So. NV.
Page 55
Dispense
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Price
---------5,051.18
6,795.14
692.18
13,750.00
114.19
112.85
714.65
531.93
619.52
603.13
771.83
771.83
771.83
437.51
437.51
437.51
437.51
437.51
837.49
4,950.00
4,950.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,675.00
4,950.00
4,950.00
4,950.00
4,400.00
4,400.00
4,400.00
4,400.00
4,950.00
02/12/14
Charge#
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714150004
714150030
714150029
714150028
714150027
714150026
714150025
714150024
714150023
714150022
714170054
714170053
714170052
714170051
714170050
714170049
714170048
714170047
714170046
707030352
707031050
702170075
705080485
705080484
705080083
705080082
705080483
705080482
705080481
705080376
705080375
705080480
702151839
705080374
726120017
702170935
714030024
714030042
702220194
702220011
702220058
702220033
702421068
702220022
726120043
702220064
702220060
702220106
702220103
702220066
702220302
UMC Charge Master
Description
-----------------------------------------------------------------------------------------COIL TARGET STD 7X20(SK)
COIL TARGET STD 8X20(SK)
COIL TARGET ULTRA 2.5X4 (SK)
COIL TARGET ULTRA 2X3 (SK)
COIL TARGET ULTRA 2X4 (SK)
COIL TARGET ULTRA 3X6 (SK)
COIL TARGET ULTRA 3X8 (SK)
COIL TARGET ULTRA 4X10 (SK)
COIL TARGET ULTRA 4X6 (SK)
COIL TARGET ULTRA 4X8 (SK)
COIL TARGET ULTRA 5X10 (SK)
COIL TORNADO 10/3 X .35 (CM)
COIL TORNADO 10/5 X .35 (CM)
COIL TORNADO 4 2 X .18 (CM)
COIL TORNADO 4/3 X .35 (CM)
COIL TORNADO 5/3 X .35 (CM)
COIL TORNADO 6/3 X .35 (CM)
COIL TORNADO 7/3 X .35 (CM)
COIL TORNADO 8/4 X .35 (CM)
COIL TORNADO 8/5 X .35 (CM)
COLD AGGLUTININS
COLLAGEN CROSS LINKS
COLLAGEN MATRIX PELVICOL
COLLAR ASPEN CHILD REGULAR
COLLAR ASPEN CHILD SHORT
COLLAR ASPEN CHILD-TOT SZ3
COLLAR ASPEN INFANT
COLLAR CERVICAL LARGE
COLLAR CERVICAL MEDIUM
COLLAR CERVICAL SMALL
COLLAR CERVICAL STIFF INFANT
COLLAR CERVICAL UNIV ADULT AMBU
COLLAR CERVICAL UNIVERSAL
COLLAR TRANS CONNECT 6.0MM (SY)
COLLAR VISTA UNIVERSAL
COLLECT BLOOD FROM PICC
COLLEGEN BI-COL
COLON BARIUM ENEMA W/AIR CONTRAST
COLON EXAM W CONTRAST ENEMA
COLON FLEX W REM LES HBF BPC
COLON REM TUM POLYPS LES
COLON THRU STOMA W BX
COLON THRU STOMA WWO SPEC
COLON W DIL 1>STRICTURE
COLONOSCOPY CONTROL BLEEDING
COLONOSCOPY DIAGNOSTIC
COLONOSCOPY DX
COLONOSCOPY EUS GUIDE FNA BX
COLONOSCOPY REM FB
COLONOSCOPY REM LES SNARE BDSD
COLONOSCOPY REM LESION SNARE
COLONOSCOPY SUBMUCOUS INJ
University Medical Center So. NV.
Page 56
Dispense
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Price
---------4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
771.83
447.26
447.26
528.05
447.26
681.90
447.26
459.34
459.34
114.10
579.56
5,492.54
119.86
120.84
237.90
173.37
50.97
50.97
50.97
158.75
50.89
50.74
473.00
204.47
211.41
24.04
1,444.32
1,096.71
1,955.73
2,331.37
1,125.53
1,482.38
1,969.68
2,088.99
1,080.35
2,006.40
2,596.38
1,485.22
2,189.50
2,189.50
1,747.23
02/12/14
Charge#
--------702220102
702220065
702220101
702220100
702220003
702420346
726120044
702220191
702220089
702220099
702170971
702220130
702420757
702431000
702421535
723020301
702420489
702420529
723320139
723320147
723320142
723320138
723320148
723320143
723320140
723320141
723320144
707030686
707030010
702421507
707030319
707030697
707030698
707031068
707030353
707031067
723020199
723020198
723020197
723020189
723020188
723020195
723520026
723020191
723520025
723520154
723320145
723020193
723520029
723020190
723520028
723520024
UMC Charge Master
Description
-----------------------------------------------------------------------------------------COLONOSCOPY W ABL TUM BDSD
COLONOSCOPY W ABLATION TUMOR
COLONOSCOPY W BIOPSY(S)
COLONOSCOPY W BIOPSY(S) BDSD
COLONOSCOPY W EUS EXAM
COLONOSCOPY W EUS EXAM
COLONOSCOPY W/BIOPSY
COLONOSCOPY W/REMOVAL FB BDSD
COLONOSOCOPY CONTROL BLD BDSD
COLONSCOPY DX BDSD
COLORADO NEEDLE (LB)
COLORECTAL CA SCREEN
COLPOCENTESIS
COLPOPEXY INTRAPERITONEAL
COLPOPEXY VAG EXTRAPERITONEAL
COLPOSCOPY
COLPOSCOPY W LEEP ELECT
COLPOTOMY W EXPLORATION
COMP REP ENEL EA ADD 5CM
COMP REP FCCMNAGHF EA ADD 5CM
COMP REP SAL 2.6-7.5CM
COMP REP SAL EA ADDL 5CM<
COMP REP TRUNK EA ADD 5CM
COMP REPR ENEL 1.1CM TO2.5CM
COMP REPR ENEL 2.6-7.5CM
COMP REPR FCCMNAGHF 2.6-7.5CM
COMP REPR SAL 1.1-2.5CM
COMPATIBILITY TEST ANTIGLOBULIN
COMPATIBILITY TEST, ELECTRONIC
COMPL EXC 5TH METATRSL HEAD
COMPLEMENT ANTIGEN, EACH
COMPLEMENT C3
COMPLEMENT C4
COMPLEMENT FIXATION EA AG
COMPLEMENT PANEL
COMPLEMENT; FCN ACTIVITY EA
COMPLEX REPR EA ADD 5CM
COMPLEX DRAINAGE WOUND
COMPLEX FAC LAC>7.5 EA 5CM
COMPLEX REPR EA ADD 5CM
COMPLEX REPR EA ADDL 5CM<
COMPLEX REPR ENEL 1.1-2.5CM
COMPLEX REPR ENEL 1.2-2.5CM
COMPLEX REPR ENEL 2.6-7.5CM
COMPLEX REPR ENEL 2.6-7.5CM
COMPLEX REPR ENEL EA ADD 5CM
COMPLEX REPR FGHF 1.0-2.5CM
COMPLEX REPR FGHF 1.1-2.5CM
COMPLEX REPR FGHF 1.2-2.5 CM
COMPLEX REPR FGHF 2.6-7.5CM
COMPLEX REPR FGHF 2.6-7.5CM
COMPLEX REPR HAGEXTR EA ADD 5CM
University Medical Center So. NV.
Page 57
Dispense
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Price
---------2,215.85
2,215.85
1,554.46
1,554.46
2,020.73
2,020.73
1,080.35
1,481.09
2,083.19
2,006.40
629.02
1,762.46
1,804.10
5,618.31
5,618.31
487.12
1,854.20
2,187.32
467.82
560.46
2,051.51
271.95
526.20
2,193.93
2,188.20
2,202.55
1,627.25
255.06
37.01
2,613.12
100.29
45.88
45.88
225.50
362.96
513.56
525.22
1,715.14
559.43
529.28
307.65
2,189.86
2,193.93
2,184.14
2,188.20
467.82
865.03
978.62
865.03
2,198.47
2,202.55
560.46
02/12/14
Charge#
--------723520031
723020194
723020192
723520030
723520152
723020187
723520151
723020186
723520032
723320266
723520153
707030056
702420374
707030759
707030751
702421183
709150022
702170189
702170190
702150250
702150285
702171044
702150291
702150288
702150336
702152190
702152578
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702150309
702151821
702150268
702150270
702150266
702150271
702150277
702150275
702150276
702152191
702170766
702170751
702170317
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702151430
702170173
702150347
702150330
702150331
702150334
702150341
702150346
702150316
UMC Charge Master
Description
-----------------------------------------------------------------------------------------COMPLEX REPR SAL 1.1-2.5 CM
COMPLEX REPR SAL 1.1-2.5CM
COMPLEX REPR SAL 2.5-7.5CM
COMPLEX REPR SAL 2.6-7.5CM
COMPLEX REPR SAL EA ADD 5CM
COMPLEX REPR TRUNK 1.1-2.5CM
COMPLEX REPR TRUNK 1.1-2.5CM
COMPLEX REPR TRUNK 2.6-7.5CM
COMPLEX REPR TRUNK 2.6-7.5CM
COMPLEX REPR TRUNK 2.6-7.5CM
COMPLEX REPR TRUNK EA ADD 5CM
COMPREHENSIVE METABOLIC
COMPREHENSIVE ORAL EXAM
CONCENTRATION FOR INFECT AGENTS
CONCENTRATION INF AGENTS
CONIZATION CERVIX W/SCOPE, LEEP
CONNECT TOUCH PROOF (BT)
CONNECTOR 1/2X1/2X1/2
CONNECTOR 1/4 X 1/4 X 1/4
CONNECTOR ANGELED ALL SZ (SS)
CONNECTOR AXIAL ROD (K2)
CONNECTOR BECKER FEMALE LUERLOCK
CONNECTOR CROSS FIXD VUPT 30 (NU
CONNECTOR CROSS FIXD VUPT 38 (NU
CONNECTOR CROSS FIXD VUPT 42 (NU
CONNECTOR CROSS FIXD VUPT 44 (NU
CONNECTOR CROSS FIXD VUPT 50 (NU
CONNECTOR DOUBLE T
CONNECTOR DUAL HOSE
CONNECTOR LATRL OFFSET 25MM (K2
CONNECTOR M (AC)
CONNECTOR NAT BRDG LP 30 MM (K2)
CONNECTOR NAT BRDG LP 33 MM (K2)
CONNECTOR NAT BRDG LP 36 MM (K2)
CONNECTOR NAT BRDG LP 39 MM (K2)
CONNECTOR NAT BRDG LP ADJ LG (K2
CONNECTOR NAT BRDG LP ADJ MD (K2
CONNECTOR NAT BRDG LP ADJ SM (K2
CONNECTOR NAT BRDG LP ADJ XL (K2
CONNECTOR NEURO CATH 3WAY 2X1.5
CONNECTOR NEURO CATH 3WAY MALE
CONNECTOR OMNIFLEX
CONNECTOR STP DWN 22063 (MT)
CONNECTOR STRAIGHT NEURO (MT)
CONNECTOR T NEURO
CONNECTOR TRAN ADJ NATBRG LG (K2
CONNECTOR TRAN ADJ NATBRG MD (K2
CONNECTOR TRAN ADJ NATBRG SM (K2
CONNECTOR TRAN FX NATBG 26MM (K2
CONNECTOR TRAN FX NATBG 29MM (K2
CONNECTOR TRAN FX NATBG 32MM (K2
CONNECTOR TRAN FX NATBG 35MM (K2
University Medical Center So. NV.
Page 58
Dispense
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Price
---------1,627.25
1,624.22
2,047.72
2,051.51
271.95
1,535.59
1,538.44
1,402.83
1,405.44
1,405.44
526.20
273.54
325.88
121.43
121.43
2,187.32
962.50
100.47
113.78
2,406.25
2,131.25
255.66
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
83.09
63.70
2,131.25
412.50
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
988.68
1,004.83
39.68
192.50
198.00
843.39
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
02/12/14
Charge#
--------702150332
702150315
702150345
702150340
702150343
702150342
702150344
702150351
702150333
702150329
702150350
702150353
702150348
702150349
702150352
702151275
705080081
702171314
702151238
707030782
718120008
718120009
702420387
702420451
723020010
723320008
702171096
723020185
723520150
723020406
723520351
723020184
723520149
723320265
723020405
723520350
723320296
702420372
723020183
723520148
723320137
702420499
702420809
714120049
707030354
707030355
709120104
709120103
709120102
709120101
709120100
702174000
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CONNECTOR TRANS ADJ 40-45 (NU)
CONNECTOR TRANS ADJ 45-54 (NU)
CONNECTOR TRANS ADJ OFFSET L (K2
CONNECTOR TRANS ADJ OFFSET R (K2
CONNECTOR TRANS TIT LP 42-55 (SY
CONNECTOR TRANSVERSE ADJ MD (K2)
CONNECTOR TRANSVERSE ADJ SM (K2)
CONNECTOR TRANSVERSE ADJ XL (K2)
CONNECTOR TRANSVRS FIXD 30MM (NU
CONNECTOR TRANSVRS FIXD 35MM (NU
CONNECTOR TRANSVRS FIXD 45MM (NU
CONNECTOR TRANSVRS FIXD 50MM (NU
CONNECTOR TRANSVRS FXD 27.5 (NU
CONNECTOR TRANSVRS VAR 45-50 (NU
CONNECTOR TRANSVRS VAR 60-70 (NU
CONNECTOR TRAVERSE 40MM (SY)
CONNECTOR VON SONNBERG
CONNECTOR Y HYDROCEPH VALVE
CONNECTORS CROSS 65MM (ON)
CONSULT REFERRED MATERIAL
CONT AEROSOL MED GAS GT 4HRS
CONT AEROSOL MED GAS LT 4HRS
CONT NASAL BLEED ANT COMP
CONT NASAL BLEED POSTCOMP
CONT POSITIVE AIRWAY PRESSURE
CONT POSITIVE AIRWAY PRESSURE
CONTIGEN TRAN UR INJ SYS COL
CONTRL NASAL HEM ANT COMPLX
CONTRL NASAL HEM ANT COMPLX
CONTRL NASAL HEM ANT COMPLX BIL
CONTRL NASAL HEM ANT COMPLX BIL
CONTROL NASAL HEM ANT SIM
CONTROL NASAL HEM ANT SIM
CONTROL NASAL HEM ANT SIM
CONTROL NASAL HEM ANT SIM BIL
CONTROL NASAL HEM ANT SIM BIL
CONTROL NASAL HEM ANT SIM BIL
CONTROL NASAL HEMORRAGE S
CONTROL NOSE/THROAT BLEED SIMPLE
CONTROL NOSE/THROAT BLEED SIMPLE
CONTROL NOSE/THROAT BLEED SIMPLE
CONTROL OROPHARYN HEMORHG
CONTROL OROPHARYNGEALBLEED
CONVERT G-TUBE TO G-J TUBE PERC
COPPER SERUM
COPPER URINE
COR ANGIO LV W L HRT CATH & SI
COR ANGIO LV W R&L HRT CATH & SI
COR ANGIO W RT HEART CATH & SI
COR ART ANGIO W INJ & SI
COR BYPASS ANGIO W INJ & SI
COR KNOT VASC KNOT DEVICE (LS)
University Medical Center So. NV.
Page 59
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
3,537.85
74.63
752.47
3,828.00
557.34
817.25
761.60
545.18
697.37
1,213.21
1,215.46
145.25
631.48
632.66
947.22
948.99
505.82
506.76
506.76
758.73
760.14
760.15
1,322.98
1,513.82
1,516.63
1,516.63
1,079.37
1,967.48
1,788.97
101.80
101.80
9,166.98
10,835.58
9,511.29
4,926.55
4,926.55
2,677.53
02/12/14
Charge#
--------702174001
702420421
702170957
702171288
702171036
702170638
714170045
702150873
702150834
702152582
702150835
702150832
707030356
702170367
709120054
702420813
702420243
702421355
702420825
707030182
707030057
707030058
705080373
705080372
705080371
705080370
702174031
702174032
702170553
702174033
702174034
702151554
702151618
702151629
702151622
702151623
702150356
702151709
702151896
702151897
702150161
702150162
723570001
723570000
702150058
702151761
702152192
702151762
702150430
702152530
702151987
707030357
UMC Charge Master
Description
-----------------------------------------------------------------------------------------COR KNOT VASC QUICK LOAD (LS)
CORACROMIAL LIG REL WWO ACROM
CORD BI POLAR DISP
CORD BIPOLAR CAUTERY 12
CORD BI-POLAR IRRIG MALLIS
CORD SILICONE ELASTOMER ABRA
CORDIS TRUEFILL EMBO LIQUID
CORE EXPANDABLE 18 X 24-31MM (NU
CORE EXPANDABLE 22-29 CUSTOM (NU
CORE EXPANDABLE 22X28-41MM (NU)
CORE EXPANDABLE 25-36 CUSTOM (NU
CORE EXPANDABLE 31-50 CUSTOM (NU
CORITSOL URINE
CORNEAL PROTECTOR
CORONARY THROMBECTOMY
CORONOIDECTOMY
CORRECT EYELID W/IMPLANT
CORRECT LID RETRACTION
CORRECT RECTAL PROLAPSE
CORRECTED RETIC COUNT
CORTISOL BLOOD AM
CORTISOL BLOOD PM
COUDE URINARY CATH 12FR
COUDE URINARY CATH 14FR
COUDE URINARY CATH 16FR
COUDE URINARY CATH 18FR
COUPLER MICRO 1.0MM (SV)
COUPLER MICRO 1.5MM (SV)
COUPLER MICRO 2.0MM (SV)
COUPLER MICRO 2.5MM (SV)
COUPLER MICRO 3.0MM (SV)
COVER BUR HOLE 1.2MM LARGE (OM)
COVER BUR HOLE 1.2MM SMALL (OM)
COVER BURR HOLE 0.3X12MM CTR (KL
COVER BURR HOLE 0.3X17MM CTR (KL
COVER BURR HOLE 0.3X22MM CTR (KL
COVER BURR HOLE 0.3X22MM DRN (KL
COVER BURR HOLE 1.2MM X LG (OM)
COVER BURR HOLE 11MM (TM)
COVER BURR HOLE 14MM (TM)
COVER BURR HOLE C3 17MM (KL)
COVER BURR HOLE C3 22MM (KL)
COVER GLIDESCOPE LARGE
COVER GLIDESCOPE SMALL
COVER PLATE HOLE 33MM (OX)
COVER ROUND HOLE (NU)
COVER ROUND HOLE HEXALOBE (NU)
COVER SLOT HOLE (NU)
COVER TIT BURR HOLE 12MM (SY)
COVER TIT BURR HOLE 15MM (SY)
COVER TIT BURR HOLE 17MM (SY)
COXSACKIE A SEROLOGY
University Medical Center So. NV.
Page 60
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------199.44
5,555.20
57.96
721.11
278.12
117.41
13,434.12
21,026.50
24,736.25
21,026.50
24,736.25
24,736.25
269.00
74.55
5,092.84
4,629.66
4,003.23
3,127.50
5,636.15
125.38
240.70
406.55
115.16
115.16
115.16
115.16
1,045.87
856.60
1,045.87
856.60
1,045.87
532.95
504.90
520.41
520.41
520.41
811.25
584.38
407.00
407.00
1,441.00
1,441.00
700.73
700.73
1,960.72
357.50
357.50
357.50
764.50
764.50
701.25
348.44
02/12/14
Charge#
--------722715000
722730001
707030359
707030059
707030060
707030061
707030062
707030063
707030064
720020007
709130027
709020033
702420819
709020032
702420786
702420596
702420150
709020031
709020030
702420787
702420487
702420240
702420547
702420552
702420550
709020029
702420820
702420806
702420352
702420351
702420556
702420581
702420768
702420562
702420560
702420296
702420781
702420769
702420177
702420766
702420770
702420155
702420359
702420481
702420799
702420104
702420804
702420801
702420356
702420792
702420789
702420555
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CPC OBSERVATION HOURLY
CPC STRESS TEST
C-PEPTIDE
CPK
CPK - STAT
CPK 1
CPK 3
CPK 4
CPK-REPEAT
CPM SETUP GP
CPR
CR AMBULATORY EXERCISES
CR ANKLE DISLOCATION W/FIXATION
CR BED EXERCISES
CR BIMALLEOLAR FX W MANIP
CR CALCANEAL FRACT W/M & SF
CR CARPMETCRPL FX THMB W/FIX
CR CONSULTATION
CR DISCHARGE PLAN
CR DISLOCATION ELBOW W/ANES
CR DIST PHALANX EA
CR DSTL RDL FRACTURE MANIP
CR ELBOW PROX END ULNA
CR FEMUR DIST-MED-LAT
CR FEMUR W MANIP
CR FOLLOW UP
CR HUM COND FX MED LAT
CR HUMERAL SHAFT FX W MANIP
CR HUMERAL SUPRA/TRANSCONDYLAR FX
CR INTERPHALANGEAL JNT DISLOC SGL
CR KNEE DISLOC W/ANESTH
CR MALLEOLUS FXWWOTRACTION
CR MAND FIX W/O MANIP
CR MAND MAX AVELOR RID FX
CR MANDIBULAR FRACT W/MANIP
CR MANDILBLE W INTERDENTAL FIX
CR MC FX W EXT FIX EA
CR MCP OR IP JT W MANIPEA
CR METACARPAL FX EA BONE
CR METACARPOPHALANGEAL W/ANES
CR METATARSAL EA WO MANIP
CR NASAL FRACTURE W STABLE
CR NASAL FRACTURE W/O STABLE
CR NASAL FRACTURE W/SEPTUM REPAIR
CR NASOMAXILLARY FX W/FIX
CR PHAL SHAFT FX EA
CR PHALANGE JOINT W ANES
CR PHALANGEAL SHAFT FRACTURE
CR PHALANX SHAFT FX
CR POST HIP W ANES
CR PROX HUM W MANIPUL
CR RAD SHAFT FX W MANIP
University Medical Center So. NV.
Page 61
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------68.96
1,122.21
82.43
145.50
145.50
243.05
247.80
250.48
247.97
148.16
1,608.16
47.31
2,197.49
47.31
1,452.29
2,813.14
3,038.19
192.52
103.95
1,917.82
3,038.19
2,906.99
2,197.12
2,584.58
3,403.61
96.25
1,349.23
1,829.11
1,944.60
1,721.14
2,415.31
2,197.12
1,547.38
2,737.03
4,719.06
2,850.39
2,197.12
1,482.38
2,884.72
1,443.32
704.21
1,906.10
1,906.10
1,906.10
2,886.95
3,038.19
1,998.39
1,469.36
698.72
2,854.89
2,552.32
2,212.04
02/12/14
Charge#
--------702420200
702420569
702420541
709020026
709020027
702420570
702420592
709020028
709030001
702420577
702420816
707030699
702420029
702420811
702422009
707030065
707030066
707030067
707030361
707030068
707030069
707030070
723020182
723520146
723020181
723520019
723320136
723020420
723520145
723020180
723320135
702151271
702152005
702150274
702151264
702151073
702151314
702151688
702152797
702151025
702151024
702151027
707030011
707030012
707030071
709150048
709150047
709150025
709150062
709150049
709171191
709150034
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CR RAD/ULNAR SHAFT FX/WMANIP
CR RADIAL HEAD/NECK FRACTURE
CR RADIAL SHAFT FX
CR REHAB MONITORED
CR REHAB UNMONITORED
CR SCAPULA FX W MANIP
CR SHOULDER W ANES
CR SPECIAL ACTIVITY
CR STANDING EXERCISES
CR TEMPOROMANDIBULAR DISLOCATE
CR TIBIAL SHAFT FRACTURE
C-REACTIVE PROTIEN
CREAT AV FIST NON AUTOGRAFT
CREATE AV FIST W/O AV ANAST
CREATE VP SHUNT BDSD
CREATINE-SERUM
CREATININE
CREATININE CLEAR
CREATININE FLUID
CREATININE STAT
CREATININE URINE
CREATININE URINE 24 HR
CRICOTHYROID MEMBRANE
CRICOTHYROID MEMBRANE
CRITICAL CARE
CRITICAL CARE
CRITICAL CARE
CRITICAL CARE 25
CRITICAL CARE EA ADDL 30MIN
CRITICAL CARE EA ADDL 30MIN
CRITICAL CARE, EACH ADDTL 30 MIN
CROSSLINK 41MM DANEK
CROSSLINK 42MM (AO)
CROSSLINK 50MM (SS)
CROSSLINK 50MM BLACKSTONE
CROSSLINK AESCULAP
CROSSLINK ALL SZS DEPUY
CROSSLINK BAR SCIENTX
CROSSLINK XIA3 TIT 28-31MM (SK)
CROSSLINK XIA3 TIT 30-35MM (SK)
CROSSLINK XIA3 TIT 35-44MM (SK)
CROSSLINK XIA3 TIT 70-99MM (SK)
CROSSMATCH
CROSSMATCH IMMED SPIN
CRP HIGH SENSITIVITY
CRTD BV ATLAS HF (SJ)
CRTD BV EPIC HF (SJ)
CRTD BV LUMAX 340 HFT W HM (BT)
CRTD BV MAXIMO TRK (MT)
CRTD BV PROMOTE RF (SJ)
CRTD BV UNIFY (SJ)
CRTD LUMAX 340 HFT W HM (BT)
University Medical Center So. NV.
Page 62
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,007.23
1,245.68
2,013.81
232.06
250.16
1,436.34
2,735.05
47.31
48.13
1,344.52
2,197.12
119.82
3,343.35
4,995.95
7,130.55
90.54
114.10
169.54
114.10
114.10
114.10
114.10
1,761.84
1,765.11
3,147.26
3,153.10
3,153.10
3,147.26
770.26
829.25
770.26
3,495.80
2,131.25
2,131.25
3,570.88
2,791.25
3,987.50
635.25
973.50
3,437.50
3,437.50
3,437.50
425.19
485.28
59.80
57,750.00
57,750.00
57,750.00
57,750.00
60,500.00
55,000.00
41,250.00
02/12/14
Charge#
--------709150028
720070008
705080609
720070009
705080608
705080607
705080606
720070010
720070011
720070012
707030362
710050065
710050064
710050063
707030215
707030363
707030183
702170064
714522009
714532005
714532027
714532007
714532065
714532003
714532004
714532001
714532002
714532026
714572001
714522008
714522007
714572000
714522025
714522024
714522201
714522202
714522200
714532034
714532062
714532006
714532025
714532024
714532023
714532022
714532054
714522032
714130075
714532056
714532021
714532055
714522023
714532052
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CRTP STRATOS LV (BT)
CRUTCH ADULT
CRUTCH ADULT 5FT2IN TO 5FT10IN
CRUTCH ATTACH PLATFORM
CRUTCH PLATFORM ATTACHMENT
CRUTCH TALL 5FT10 TO 6FT6IN E1013
CRUTCH YOUTH 3FT7 TO 4FT6
CRUTCHES CHILD
CRUTCHES TALL ADULT
CRUTCHES YOUTH
CRYOGLOBULINS
CRYOPERCIPITATE CMV
CRYOPRECIPITATE
CRYOPRECIPITATE AUTOLOGOUS
CRYPTOCOCCUS SEROLOGY
CRYPTOSPORIDIUM
CSF CELL COUNT
CSF EXTERNAL DRAINAGE
CT ASP/DRAINAGE/TIB/FIB
CT ABD/PELVIS W/O CONT LTD
CT ABDOMEN W/CONTRAST
CT ABDOMEN W/CONTRAST LTD
CT ABDOMEN WO CONT LIMITED
CT ABDOMEN WO CONTRAST
CT ABDOMEN WWO CONTRAST
CT ABDOMEN/PELVIS W CONTRAST
CT ABDOMEN/PELVIS WO CONTRAST
CT ABDOMEN/PELVIS WWO CONTRAST
CT BIOPSY NEEDLE
CT BIOPSY PELVIS DEEP
CT BIOPSY PELVIS SUPERFICIAL
CT BIOPSY TRAY
CT BONE BX DEEP VERTEBRAL BODY
CT BONE MARROW BIOPSY
CT CATH FLUID PERI/RETRO
CT CATH FLUID TRNS/VGNL
CT CATH FLUID VISCERAL
CT CERVICAL SPINE WO CONTRAST
CT CERVICAL SPINE WWO CONTRAST
CT CHEST W/O CONTRAST LTD
CT CHEST WITH CONTRAST
CT CHEST WO CONTRAST
CT CHEST WWO CONTRAST
CT COLONOGRAPHY, DIAGNOSTIC
CT COLONOGRAPHY, SCREEN
CT FNA WITH GUIDANCE
CT GUIDANCE FOR NEEDLE BX
CT GUIDANCE PERCUTANEOUS DRAINAGE
CT GUIDE FOR LOCAL STEREOTACTIC
CT GUIDED BX/ASP/INJ S&I
CT GUIDED LYMPH NODE BIOPSY
CT HEAD/BRAIN W CONTRAST
University Medical Center So. NV.
Page 63
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------16,500.00
188.77
92.64
464.35
318.38
267.60
66.54
188.77
188.77
188.77
51.96
162.40
113.35
113.35
177.46
72.68
132.12
778.16
2,811.32
2,215.47
3,162.65
2,767.00
2,491.65
2,766.70
3,626.99
3,501.44
2,215.47
4,447.59
396.95
707.94
1,820.11
678.92
2,303.30
1,531.93
3,657.42
2,265.64
3,657.42
2,235.79
3,155.72
2,175.91
2,725.75
2,175.91
3,121.01
2,293.77
2,477.27
843.53
905.63
3,206.11
1,945.28
1,786.87
2,611.76
2,865.17
02/12/14
Charge#
--------714532033
714532051
714522022
714532050
714532049
714532061
714532048
714532032
714532047
714533000
714533001
714532045
714532044
714532043
714532042
714532035
714532030
714532041
714532020
715530001
714532019
714532046
714532040
714532039
714532038
714532031
714532060
714532037
714532029
714532059
714532058
714532036
714532028
714532018
714532017
714532016
714532015
714532014
714532013
714532012
714532011
714532010
709171188
709171189
709171026
709171190
709171045
709171055
709171027
709171036
709171046
709171056
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CT HEAD/BRAIN WO CONTRAST
CT HEAD/BRAIN WWO CONTRAST
CT INCISION & DRAINAGE MALE
CT LOWER EXTRM W CONTRAST
CT LOWER EXTRM WO CONTRAST
CT LOWER EXTRM WWO CONTRAST
CT LUMBAR SPINE W/CONTRAST
CT LUMBAR SPINE WO CONTRAST
CT LUMBAR SPINE WWO CONTRAST
CT MODERATE SED>5YRS ADD 15 MIN
CT MODERATE SED>5YRS INIT 30 MIN
CT ORBIT SELLA PF IAC W CONT
CT ORBIT SELLA PF IAC WO CONT
CT ORBIT SELLA PF IAC WWO CONT
CT PELVIS W CONTRAST
CT PELVIS W/O CONTRAST LTD
CT PELVIS WO CONTRAST
CT PELVIS WO/W CONTRAST
CT PERFUSION W/CONTRAST CBF
CT SCAN FOR RAD TX (21ST)
CT SCAN LMITED/LOCAL F/U STUDY
CT SINUS FACE W WO CONTRAST
CT SINUS/FACIAL W CONTRAST
CT SINUS/FACIAL WO CONTRAST
CT SOFT TISSUE NECK W CONTRAST
CT SOFT TISSUE NECK WO CONTRAST
CT SOFT TISSUE NECK WWO CONTRAST
CT THORACIC SPINE W CONTRAST
CT THORACIC SPINE WO CONTRAST
CT THORACIC SPINE WWO CONTRAST
CT UPPER ETRM WWO CONTRAST
CT UPPER EXTRM WCONTRAST
CT UPPER EXTRM WO CONTRAST
CTA ABD AORTA WWO CONTRAST
CTA ABDOMEN WWO CONTRAST
CTA ABDOMEN/PELVIS WWO CONTRAST
CTA CHEST WWO CONTRAST
CTA HEAD WWO CONTRAST
CTA LOWER EXT WWO CONTRAST
CTA NECK WWO CONTRAST
CTA PELVIS WWO CONTRAST
CTA UPPER EXT WWO CONTRAST
CTH NCQA MR 2.25X12(BS)
CTH NCQA MR 2.25X15(BS)
CTH NCQA MR 2.25X6 BS
CTH NCQA MR 2.25X8(BS)
CTH NCQA MR 2.5X12 BS
CTH NCQA MR 2.5X15 BS
CTH NCQA MR 2.5X6 BS
CTH NCQA MR 2.5X8 BS
CTH NCQA MR 2.75X12 BS
CTH NCQA MR 2.75X15 BS
University Medical Center So. NV.
Page 64
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Price
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3,134.41
1,099.89
2,234.99
2,628.59
1,892.36
3,053.42
2,712.07
2,652.12
80.35
471.42
1,895.00
1,934.63
2,529.12
2,667.48
2,228.97
2,228.97
2,784.44
1,709.73
1,508.61
1,290.50
2,383.69
2,398.98
2,302.07
2,660.48
1,890.18
2,865.12
2,601.47
2,283.84
2,697.21
1,490.03
2,169.70
1,947.05
3,031.71
2,892.36
5,500.36
2,574.38
2,478.67
2,697.53
3,169.67
2,264.42
3,143.83
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
02/12/14
Charge#
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709171037
709171025
709171187
709171048
709171058
709171030
709171039
709171049
709171059
709171031
709171040
709171051
709171060
709171032
709171041
709171047
709171057
709171029
709171038
709171053
709171062
709171034
709171043
709171052
709171061
709171033
709171042
709171054
709171063
709171035
709171044
709171182
709171183
709171184
709171019
709171020
709171185
709171186
709171181
709171017
709171018
709171015
709171022
709171016
709171024
709171023
709171021
709171064
705080369
707031071
707030760
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CTH NCQA MR 2.75X6 BS
CTH NCQA MR 2.75X8 BS
CTH NCQA MR 2X6 BS
CTH NCQA MR 2X8(BS)
CTH NCQA MR 3.25X12 BS
CTH NCQA MR 3.25X15 (BS)
CTH NCQA MR 3.25X6 BS
CTH NCQA MR 3.25X8 BS
CTH NCQA MR 3.5X12 BS
CTH NCQA MR 3.5X15 (BS)
CTH NCQA MR 3.5X6 BS
CTH NCQA MR 3.5X8 BS
CTH NCQA MR 3.75X12 BS
CTH NCQA MR 3.75X15 (BS)
CTH NCQA MR 3.75X6 BS
CTH NCQA MR 3.75X8 BS
CTH NCQA MR 3X12 BS
CTH NCQA MR 3X15 BS
CTH NCQA MR 3X6 BS
CTH NCQA MR 3X8 BS
CTH NCQA MR 4.5X12 BS
CTH NCQA MR 4.5X15 (BS)
CTH NCQA MR 4.5X6 BS
CTH NCQA MR 4.5X8 BS
CTH NCQA MR 4X12 BS
CTH NCQA MR 4X15 (BS)
CTH NCQA MR 4X6 BS
CTH NCQA MR 4X8 BS
CTH NCQA MR 5X12 (BS)
CTH NCQA MR 5X15 (BS)
CTH NCQA MR 5X6 BS
CTH NCQA MR 5X8 BS
CTH NCQA OTW 2.25X15 (BS)
CTH NCQA OTW 2.5X15 (BS)
CTH NCQA OTW 2.5X20 (BS)
CTH NCQA OTW 2.75X15 (BS)
CTH NCQA OTW 2.75X8 (BS)
CTH NCQA OTW 2X12 (BS)
CTH NCQA OTW 2X15 (BS)
CTH NCQA OTW 2X15 (BS)
CTH NCQA OTW 2X20 (BS)
CTH NCQA OTW 2X30 (BS)
CTH NCQA OTW 3.25X15(BS)
CTH NCQA OTW 3.25X30 (BS)
CTH NCQA OTW 3.75X15 (BS)
CTH NCQA OTW 3.75X30 (BS)
CTH NCQA OTW 3X15 (BS)
CTH NCQA OTW 3X30(BS)
CTH NCQA OTW 4X30 (BS)
CUFF BP THIGH
CULT FUNGUS W P ID; SKIN HR NL
CULTURE AEROBIC-ADDTL TESTS
University Medical Center So. NV.
Page 65
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Price
---------719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
719.37
37.39
257.81
31.74
02/12/14
Charge#
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707030218
707030752
707030219
707030220
707030221
707030222
707030223
707030365
707030224
707030225
707030208
707030226
707030227
707030228
707030229
707030230
707030761
707030209
707031072
707031073
707030753
707030210
720620005
702420422
702170562
702170870
702171157
702171164
702171165
702770001
709020034
719020002
707030627
707031028
714522031
714522040
702420471
707030367
707030651
707030368
702170256
702170503
702170253
702420339
702170254
702170255
702420144
702171498
702170250
702420065
702420114
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CULTURE ANAEROBIC
CULTURE ARD BLOOD
CULTURE BACTERIAL ISOL/ID URINE
CULTURE BETA VAGINAL
CULTURE BLOOD
CULTURE BURN
CULTURE CSF
CULTURE FLUID
CULTURE MYCOPLASMA
CULTURE PRESUM, SCREEN ONLY
CULTURE ROUTINE
CULTURE STOOL/SALMONELLA
CULTURE THROAT
CULTURE THROAT B STREP
CULTURE URINE
CULTURE VAGINAL/URETHREA
CULTURE WOUND
CULTURE, GLC/HPLC
CULTURE/SMEAR AFB
CULTURE; IF EA ANTISERUM
CULTURE; IMMUNOLOGIC
CULTURE-CYSTIC FIBROSIS
CULTURE-STOOL ADDTL PATHOGES
CURETTMENT/PARING 1 LESN
CURRETTAGE POSTPARTUM
CUTTER BLADE RAD 40.4MM
CUTTER BLADE SERRATED MT
CUTTER ECHELON FLEX 60 COMPACT
CUTTER ECHELON FLEX 60 LONG
CUTTER ECHELON FLEX 60 REG
CUTTERS-WIRE
CV STRESS TEST
CVVH
CYCLOSPORINE
CYP2C19 GENE COM VARIANTS
CYST ASP BREAST EA ADDL
CYST ASP BREAST INIT
CYST INSERT GUIDEWIRE KID
CYSTICERCOSIS ANTIBODY
CYSTINE & HC, URINE, QUAL
CYSTINE QUANTITY
CYSTO 30CM Y CONNECTING
CYSTO BALL TIP ELECTRODE
CYSTO BOVIE CORD
CYSTO BX FUL OF LES
CYSTO BX PORT SEALS
CYSTO BX THERMAJAW FORCEPS
CYSTO CAL DIL STRICT STEN
CYSTO CATH URETERAL ACCESS
CYSTO CUTTING LOOPS
CYSTO FUL BLADDER TUM 0.5-2.0
CYSTO FUL BLADDER TUM 2.0-5.0
University Medical Center So. NV.
Page 66
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Price
---------296.63
384.45
343.54
316.91
458.63
274.66
327.36
327.36
287.54
316.91
296.63
357.64
295.44
197.38
197.38
296.63
327.36
91.30
431.87
25.16
679.25
385.04
159.48
303.54
2,187.32
753.07
883.40
1,630.95
1,630.95
1,630.95
70.25
1,122.21
2,050.88
241.97
842.88
608.20
616.80
2,531.44
114.02
46.33
105.67
199.66
871.55
111.29
3,846.85
170.33
930.60
2,917.67
1,005.47
764.42
3,055.27
6,085.04
02/12/14
Charge#
--------702420178
702420126
702420765
702170261
702170262
702420491
702421281
702420965
702170251
702170252
702170233
702170234
702170224
702420006
702421305
702421288
702420330
702170232
702170231
702170230
702420511
702420385
702420523
702420964
702170239
702420057
702421070
702420971
702170228
702170229
702420140
714120048
702420010
702420329
702420534
702420332
702420166
714130042
714030043
702420972
702421253
702420517
723020300
702420050
702420003
702170263
702170248
707031029
707030809
707030810
707031079
707030811
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CYSTO FUL BLADDER TUM<0.5
CYSTO FUL BLADER TUM LG >5.0CM
CYSTO FUL TRIGON URETHRA
CYSTO HELICAL STONE BASK
CYSTO HOOK COLD KNIFE
CYSTO INSERT URETER STENT
CYSTO INSRT URETERL STENT UNI
CYSTO IRRIGATE EVAC CLOTS
CYSTO KNIFE ELECTRODE
CYSTO LASER BASKET
CYSTO LASER GRASP FORCEPS
CYSTO LITHOCATH BASKET
CYSTO PUMP IRRIG SYSTEM
CYSTO REM FB CAL STENT BL
CYSTO REM URTERL CALC INCL UR/CAT
CYSTO REM/MANIP URETERCAL
CYSTO REMOVE FOREIGN BODY COMPLX
CYSTO STENT SINGLE
CYSTO STONE BASKET PARACHUTE
CYSTO STONE BASKET TIPLESS
CYSTO TRT URETER STRICT
CYSTO TRT URETERAL STRICT
CYSTO TRT URETEROPELVIC ST
CYSTO TRT URETEROPELVICST
CYSTO URETERO SHEATH
CYSTO URETER-PYELOSCOPY
CYSTO URETHRA SUB TIS/BLAD NECK
CYSTO URETHROTOMY MALE
CYSTO UROLOCK ADAPTOR
CYSTO VAPOR PROBE ACMI
CYSTO VISION URTHROTOMY
CYSTO W DIL OF URETHRAL STRIC
CYSTO W LITH URETER CATH
CYSTO W/DIL BLADDER CYSTITIS ANES
CYSTO W/MANIP W/O REM URET CALC
CYSTO W/URETERAL BX RENAL PELVIS
CYSTO WITH BIOPSY
CYSTOGRAM, MIN 3 VIEWS S&I
CYSTOGRAPHY
CYSTOLITHO REM BLAD STONE
CYSTOMETROGRAM COMPLEX
CYSTOSTOMY FOR DRAINAGE
CYSTOSTOMY TUBE CHANGE
CYSTOURETHROSCOPY
CYSTOURETHROSCOPY W/URETH CATH
CYSTOURODYNMIC CUAL LUM C
CYSTOURODYNMIC P-TUBING
CYTOGEN M ARRAY COPY NO&SNP
CYTOGENIC INTERP AND REPORT
CYTOLOGY SMEAR NON-VAG
CYTOMEGALOV AMPLIF NA PROBE
CYTOPATH C/V WITH INTERP
University Medical Center So. NV.
Page 67
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Price
---------3,338.68
3,055.27
3,338.68
1,304.28
1,239.87
4,515.54
3,007.07
2,672.84
1,172.61
1,377.70
1,762.64
2,183.37
621.41
2,244.01
2,828.95
3,100.88
2,672.84
3,760.94
1,868.90
1,856.87
2,845.16
1,089.63
2,984.33
2,570.09
712.54
3,055.27
7,140.85
3,055.27
270.29
1,349.34
3,055.27
4,076.85
3,508.93
2,844.89
2,828.95
3,055.27
2,297.53
728.28
789.67
2,828.95
1,079.37
3,055.27
502.01
1,165.72
2,244.01
253.18
270.29
3,150.00
198.26
254.40
801.63
58.00
02/12/14
Charge#
--------707030812
707030923
707030924
702420107
709150078
715520046
702151813
702150446
702151363
702171428
702270254
702171295
707030687
702171555
702171556
710050062
702150741
702151289
707030736
702421120
702422010
702422011
702422012
702421078
702420549
702421075
702421172
723020290
723520247
723320253
702420115
702420234
702420975
702421119
702421081
723020289
723020288
707030783
726620036
709020040
723020299
714120097
726120028
726820022
702420331
702421297
702420038
702420976
702420039
702171013
702420407
709170042
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CYTOPATH CONC TECHNIQUE
CYTOPATHOLOGY, MANUAL SCREEN
CYTOPATHOLOGY, MANUAL/RESCREEN
D & C DIAG OR THERAPUTIC
D STAT FLOWABLE HEMOSTAT
DAILY TX INTERMED >=20 MEV (21ST
DART CHONDRAL 18MM (AX)
DART MENISCAL ARTHREX
DART MENISCAL CANN (AX)
DASH PRE LOAD 5.5F 480CM (CK)
DASH PRE LOAD 5.5F 480CM (CK)
DASH SPHINCTERROME 6F (OA)
DAT
DBL LUM BLN CATH 2.0MM B5-2C (OA)
DBL LUM BLN CATH 2.8MM B7-2Q (OA)
DBL VOLUME FFP
DBM BOAT 10CM LONG (SK)
DBM BOAT 5CM SHORT (SK)
D-DIMER ULTRASENSITIVE
DEBRIDE BONE INIT 20 SQ CM
DEBRIDE BRUN PRT THCK LG BDSD
DEBRIDE BURN PRT THCK MD BDSD
DEBRIDE BURN PRT THCK SM BDSD
DEBRIDE INFECTED SKIN
DEBRIDE MASTOID CAVITY (C)
DEBRIDE MUSCLE EA ADD 20 SQ CM
DEBRIDE MUSCLE/FASCIA INT 20 SQCM
DEBRIDE SKIN AND SUBQ TISSUE
DEBRIDE SKIN AND SUBQ TISSUE
DEBRIDE SKIN AND SUBQ TISSUE
DEBRIDE SKIN MUS FAS BONE FX
DEBRIDE SKIN SUBQ FX FB
DEBRIDE SKIN/MUSCLE FX
DEBRIDE SUBCU TISSUE INT 20 SQCM
DEBRIDE SUBCUT TIS EA ADD 20 SQCM
DEBRIDE TISSUE/MUSCLE
DEBRIDE TISSUE/MUSCLE/BONE
DECALCIFICATION
DECLOT ACCESS DEVICE W THROM
DECLOT ACCESS DEVICE W THROM
DECLOT VAD THROMBOLYTIC
DECLOT VASC DEVICE W THROMB AGENT
DECLOT VASCULAR ACCESS DEV PEDS
DECLOT VASCULAR ACCESS DEVICE
DECOMP FACIO FORARM/WRST COM
DECOMP LEG ANT POST LAT
DECOMP MED NERVE AT CARP TUN.
DECOMP PLANTAR DIG NERVE
DECOMPRSION UNSPECIFIED NERVE
DEFIBRILLATOR PADS DISP MT
DELAY FLAP ENEL
DELIVERY SYSTEM ATTAIN (MT)
University Medical Center So. NV.
Page 68
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Price
---------226.58
30.00
30.00
2,362.31
382.25
399.00
434.50
1,100.00
66.00
1,397.64
1,397.64
881.87
46.87
579.50
579.50
225.62
7,425.00
4,125.00
65.35
2,519.08
715.01
635.96
635.96
363.60
833.98
467.92
1,789.38
616.51
617.65
617.65
901.45
550.44
2,177.35
1,558.79
339.95
970.89
1,272.70
63.68
476.31
476.31
272.22
522.25
292.12
268.01
4,088.04
2,600.95
2,623.72
1,693.81
2,046.59
198.36
2,142.94
2,688.92
02/12/14
Charge#
--------718120034
707030870
723320134
723020179
723020287
723520246
723320252
707030254
702170011
702170249
702420337
723070002
705080368
723570010
705080147
709170041
723370008
702171080
702170820
701070005
709170015
707031051
702420505
702423551
702420237
702420235
702420468
702420970
702420109
702420469
702420202
702420514
702420516
702420309
702420496
702420416
702420953
705080080
705080079
702170131
702151721
702151899
702170861
702150110
702170121
702170071
702171112
702170836
702171552
702171306
714150500
702153884
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DEMO EVAL SVN OR MDI DAY
DENGUE FEVER ANTIBODY
DENTAL EXT TOOTH ROOT
DENTAL EXT TOOTH ROOT
DENTAL REGIONAL BLOCK
DENTAL REGIONAL BLOCK
DENTAL REGIONAL BLOCK
11-DEOXYCORTISOL
DEPTH GAUGE (SK)
DERMA CARRIERS
DERMA FAT FASCIA GRAFT
DERMABOND
DERMABOND ADHESIVE
DERMABOND ADHESIVE PROPEN
DERMABOND PEN ADVANCED
DERMABOND PRO PEN ADHESIVE
DERMABOND PROPEN
DERMABOND PROPEN REGULAR
DERMABOND PROPEN XL
DERMABOND TOPICAL
DERMABOND TOPICAL
DESOXYCORTICOSTERONE 11
DESTR CUT VAS LES <10CM
DESTROY INTERNAL HEMORRHOIDS
DESTRT CUT VAS LES 50>
DESTRT CUT VAS LES10-50
DESTRT LES PENIS SURG
DESTRT PENILE LESIONS
DESTRUCT ANAL LES ELECTRO
DESTRUCT ANAL LES LASER
DESTRUCT ANAL LES SURG
DESTRUCT RECTAL TUMOR
DESTRUCT VULVA LES SIMPLE
DESTRUCT.LESIONS VULVA EXT
DESTRUCTION LESION (S) ANUS
DESTRUCTION VAGINL LESION
DESTRUT VAGINA LES EXT
DETECTOR CO2
DETECTOR CO2 PEDS
DEVICE AORTIC CUTTING SM/MED/LRG
DEVICE CAPIO SUTURE TRANSVAG 83
DEVICE CLOSURE CARTER THOMPSON
DEVICE DISC TECH INFLATION
DEVICE ENCLOSE II 4.5MM (JJ)
DEVICE ENCORE INFLATION
DEVICE HAND ASSIST
DEVICE HEARTSTRING (BS)
DEVICE INFLATION BALLOON (AL)
DEVICE PEDIGUARD CURVED (SPG)
DEVICE PROX ANASTOMTIC ASST
DEVICE STROKE TREVO KIT
DEVICE SUTURE ENDOSTITCH 10MM
University Medical Center So. NV.
Page 69
Dispense
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Price
---------191.51
21.90
294.44
295.71
63.24
63.36
63.36
158.54
3,283.43
225.41
1,798.34
292.43
132.10
165.29
132.66
310.65
292.98
164.84
300.32
132.72
170.79
172.65
1,853.03
724.82
4,670.30
3,240.73
1,959.92
1,585.95
975.12
1,959.92
2,116.71
4,252.54
2,763.50
2,239.71
2,158.73
2,427.45
2,187.32
63.69
63.69
432.32
579.21
689.65
1,141.31
1,306.25
328.32
1,577.19
1,716.34
387.80
4,544.99
1,210.47
24,073.50
1,081.47
02/12/14
Charge#
--------702152267
702170637
702171102
702171150
702171123
702171116
702171224
702171542
702171011
702173302
707030369
707030370
709170139
709170014
702171349
702170630
702170631
707030072
702420420
702420082
707030371
723020178
702420967
723020177
709170013
714170044
702170937
707030372
707030013
707030014
707030628
710050061
710050060
702421312
722320249
722320246
722320247
722320248
722320251
722320252
722320253
722320254
722320250
722320255
723320133
709170012
702422008
702171173
702171064
702170061
702171521
702152587
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DEVICE TENSION ARTICUL 20MM (SY)
DEVICE TISSUE SEAL 22CM SUPERJAW
DEVICE TISSUE SEAL ROUND LAP (EC
DEVICE TISSUE SEAL ROUND OPN (EC
DEVICE TISSUE SEAL STD LAP (EC)
DEVICE TISSUE SEAL TRIO LAP (EC)
DEVICE TISSUE SEAL TRIO LNG (EC
DEVICE TK KNOT TIER (LS)
DEVICE UROLUME MEASURE
DEVICE XPOSE3
DHEA
DHEA SULFATE
DIAGNOSTIC EP CATH EXPO
DIAGNOSTIC MULTIKIT
DIALATOR MT
DIFFUSER CO2
DIFFUSER C02
DIGOXIN
DIL. RECTAL STRICT W/ANES
DIL.ESOPHAG BOUGTE UNGDED WIRE
DILANTIN FREE
DILATE URETHRA STRIC INIT MALE
DILATION OF VAGINA W/ANES
DILATION URETHRAL STRICTURE INTL
DILATOR
DILATOR (CM)
DILATOR NOTTINGHAM
DILUTE RUSSELL VIPER VENOM TIME
DIRECT COOMBS
DIRECT COOMBS INFANT
DIRECT LDL
DIRECTED FRESH FROZEN PLASMA
DIRECTED LEUKOPOOR RBCS
DISKECTOMY ANTERIOR CX
DISL LT NTERPHALANGE JNT WO ANES F4
DISL LT INTERPHALANGE JNT WO ANES F1
DISL LT INTERPHALANGE JNT WO ANES F2
DISL LT INTERPHALANGE JNT WO ANES F3
DISL RT INTERPHALANGE JNT WO ANES F6
DISL RT INTERPHALANGE JNT WO ANES F7
DISL RT INTERPHALANGE JNT WO ANES F8
DISL RT INTERPHALANGE JNT WO ANES F9
DISL RT THUMB JNT WO ANES F5
DISL RT THUMB JNT WO ANES FA
DISLOC TRAUMA HIP W ANES
DISPOSABLE SURGICAL CABLES
DISSECTION, DEEP JUGULAR NODE(S)
DISSECTOR ARTICULATING (AI)
DISSECTOR BLUNT CHERRY 10MM
DISSECTOR BLUNT TIP PEANUT
DISTRACTION ASSEMBLY (DP)
DISTRACTOR CRANIAL (KL)
University Medical Center So. NV.
Page 70
Dispense
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Price
---------3,265.79
2,728.49
2,073.33
1,784.62
2,073.33
2,294.28
2,525.80
758.83
1,280.44
3,058.52
178.73
244.51
733.68
323.89
996.75
732.70
732.70
231.09
2,563.67
1,087.37
235.78
2,358.26
2,187.32
1,262.32
235.63
87.97
729.32
60.03
119.82
173.08
64.50
430.53
667.05
5,494.79
867.24
867.24
867.24
867.24
867.24
867.24
867.24
867.24
867.24
867.24
1,809.46
411.75
5,075.86
5,837.61
90.12
867.94
1,157.81
13,612.50
02/12/14
Charge#
--------702152829
702150727
702171368
710030688
702420966
707030841
707030803
707030762
702150747
709020021
709020020
709020019
702420574
702421604
702170246
702171020
702174023
702174022
705080367
705080366
702420575
702420576
702420326
702420425
702171059
702173309
705080078
705080077
702170247
702170245
702170258
702170931
723020175
702170259
702170578
705080365
705080364
702420977
702170260
723020174
723020173
702420578
723020172
723020171
702422023
723320132
723020170
723020169
723020168
723020167
723320131
723020166
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DISTRACTOR MANIBULE ZURICH (KL)
DISTRACTOR MAXILLARY (KL)
DISTRACTOR SCREWDRIVER (KL)
DIVIDING SPLITTING BLOOD
DIVISION PLANTAR FASCIA & MUSCLE
DNA HIST PARAFIN
DNA PROBE EACH (IE FISH)
DNA/RNA DIRECT PROBE
DONOR TENDON TIBIALIS
DOPPLER ECHO COLOR FLOW
DOPPLER ECHO COMPLETE
DOPPLER ECHO SPECTRAL
DRAIN ABS SUBMAX SUBLING
DRAIN AUDITORY CANAL ABSCESS
DRAIN AXIOM SUMP
DRAIN BLAKE 7 MM
DRAIN BLAKE RND HUBLESS 24F
DRAIN BLAKE ROUND FLUTE 19F
DRAIN CHEST ATRIUM EXPRESS ADULT
DRAIN CHEST PEDS ATRIUM
DRAIN EXT EAR ABS HEMA(S)
DRAIN EXT EAR ABS HEMAT C
DRAIN FINGER ABSCESS COMPLICATED
DRAIN FINGER ABSCESS SIMP
DRAIN FLAT 4MM SIDE HOLES (PX)
DRAIN FLAT 4MM SIDEHOLE BULB (SK)
DRAIN HEMOVAC LRG
DRAIN HEMOVAC MED
DRAIN J-P Y TUBE
DRAIN J-VAC
DRAIN J-VAC RES
DRAIN MALECOT
DRAIN OUTER EAR CANAL ABSCESS
DRAIN PETITE WOUND
DRAIN RESERVOIR 20LITER (OW)
DRAIN RESERVOIR J-VAC 100CC MED
DRAIN RESERVOIR J-VAC 400CC LRG
DRAIN SCROTAL WALL ABS
DRAIN T-TUBE LTX
DRAINAGE ABCESS INTRA
DRAINAGE EXT EAR ABSCESS SIMPL
DRAINAGE HYDROCELE
DRAINAGE MOUTH ROOF LESION
DRAINAGE OF FINGER ABSCESS COMPLX
DRAINAGE OF MOUTH ABS CYST
DRAINAGE OF MOUTH LESION
DRAINAGE OF MOUTH LESION
DRAINAGE OF NASAL SEPTUM
DRAINAGE OF NOSE LESION INTERNAL
DRAINAGE OF PILONIDAL CYST
DRAINAGE OF PILONIDAL CYST
DRAINAGE OF RECTAL ABSCESS
University Medical Center So. NV.
Page 71
Dispense
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Price
---------12,443.75
6,256.25
1,086.51
88.86
2,390.41
285.20
81.21
248.26
7,906.25
849.91
1,703.77
1,034.47
501.99
3,019.08
535.47
142.40
77.32
77.32
188.30
256.96
787.69
2,143.49
1,392.55
545.18
158.17
189.64
64.87
61.82
136.95
366.77
307.03
219.22
883.06
345.93
40.67
70.69
115.62
1,392.55
85.36
643.54
786.23
505.84
649.92
1,527.63
512.91
1,569.15
1,569.15
779.27
916.60
1,389.97
1,392.55
1,347.89
02/12/14
Charge#
--------723020165
702420579
702170384
702171388
702171022
702171389
702171061
702171386
702171387
702170257
702170944
702171397
702171088
702170242
702171074
702170921
705080140
702170945
702170918
702171098
702171396
702171380
702171383
702170241
702170375
702170361
702171382
702171076
702170938
702170240
702171078
702171385
709170897
702170107
702170100
702170934
702170243
702170316
702170928
702171384
702171381
702171077
702170005
702170099
723020164
723520141
723320129
723520140
723320128
723520142
723320130
702421324
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRAINAGE SCROTAL ABSCESS
DRAINAGE TONSIL ABSCESS
DRAPE 1016 INSTRUMENT POUCH
DRAPE ARTHROSCOPY W/POUCH
DRAPE BLADDER SUSPENSION
DRAPE BREAST-CHEST
DRAPE CRANIOTOMY INCISE
DRAPE CV
DRAPE EXTREMITY
DRAPE EYE 1060
DRAPE FLUORSCAN
DRAPE HAND
DRAPE HIP W POUCH
DRAPE IMAGE
DRAPE IOBAN INCISE
DRAPE IOBAN MEDIUM
DRAPE IOBAN XL INCISE
DRAPE IOBAN X-LARGE
DRAPE ISOLATION BAG
DRAPE LAP OR PELVISCOPY W POUCH
DRAPE LAPARAOSCOPY
DRAPE LAPAROTOMY
DRAPE LAP-CHOLE
DRAPE LASERARM
DRAPE LAVH
DRAPE LEICA MICROSCOPE
DRAPE LIMB BIL
DRAPE LITHOTOMY W POUCH
DRAPE MAYO LARGE
DRAPE MICROSCOPE
DRAPE ORTHO SHOWER CURTAIN
DRAPE PEDIATRIC
DRAPE PROBE CUSTOMER 8 WE
DRAPE SHOULDER ARTHROSCPY
DRAPE SLUSH MACHINE
DRAPE STERI 1010
DRAPE STERI 1020
DRAPE TABLE
DRAPE THREE QUARTER SHEET
DRAPE THYROID
DRAPE TRANVERSE
DRAPE U 1015
DRAPE UNDER BUTTOCKS
DRAPE WARMER ORS300
DRESS/DEBRID PTHIC BURN <5 TBSA
DRESS/DEBRID PTHIC BURN <5% TBSA
DRESS/DEBRID PTHIC BURN <5% TBSA
DRESS/DEBRID PTHIC BURN >10% TBS
DRESS/DEBRID PTHIC BURN >10% TBSA
DRESS/DEBRID PTHIC BURN 5-10% TBS
DRESS/DEBRID PTHIC BURN 5-10% TBS
DRESS/DEBRID P-THICK BURN ,5%
University Medical Center So. NV.
Page 72
Dispense
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Price
---------1,389.97
495.34
94.41
188.38
207.79
45.35
93.96
548.30
53.68
129.52
56.66
49.53
206.39
130.30
113.16
39.00
68.47
98.10
25.68
129.48
49.53
50.51
52.16
190.82
90.47
115.95
57.35
76.43
10.46
768.23
86.09
68.40
1,017.50
133.74
204.79
41.25
96.60
104.27
78.33
92.09
50.87
109.20
360.11
197.33
394.15
394.88
394.88
1,001.16
1,001.16
912.48
912.48
511.23
02/12/14
Charge#
--------702421323
723020163
723020162
705080076
705080075
705080074
705080073
705080072
705080071
705080363
709170932
709171211
705081553
705081552
705080362
705080361
705080360
705080070
705080069
726120038
726120037
726120036
705080359
705080358
705080357
705080356
705080068
702170244
705080067
702170519
702170104
702170547
705080066
705080065
720670000
702170223
702170372
705080355
705081536
705081535
705081534
702170783
705081558
720670011
720670010
705081559
705080354
705080063
705080353
705080688
705080352
705080351
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRESS/DEBRID P-THICK BURN, 5-10%
DRESS/DEBRID THICK BURN 5-10% TB
DRESS/DEBRID THICK BURN >10% TBSA
DRESSING ACTICOAT 16X16 (BCU)
DRESSING ACTICOAT 4X4 (BCU)
DRESSING ACTICOAT 4X5 (BCU)
DRESSING ACTICOAT 4X8 (BCU)
DRESSING ACTICOAT 7 DAY (BCU)
DRESSING ACTICOAT 8X16 (BCU)
DRESSING ALLEVYN 6 X 6
DRESSING ARGLAES ISL 2-3/
DRESSING ARGLAES ISL2
DRESSING ARGLAES PWDR 10GM
DRESSING ARGLAES PWDR 2GM
DRESSING BIOPATCH 1 X 4
DRESSING BIOPATCH 1 X 7MM
DRESSING BIOPATCH 3/4X1.5MM
DRESSING BURN GAUZE 36 X 36
DRESSING BURN GAUZE PAD 18X18
DRESSING BURN, <10% BODY
DRESSING BURN, 5-10% BODY
DRESSING BURN, LESS 5% BODY
DRESSING CALCIUM ALGINATE 4 X4
DRESSING CALCIUM ALGINATE 6 X 8
DRESSING CALCIUM ALGINATE ROPE 12
DRESSING CALCUIM ALGINATE 2 X 2
DRESSING DERMENET 15 X 20
DRESSING DUODERM 2X4
DRESSING EXUDRY 9X15
DRESSING EZ DERM 3 X 24
DRESSING EZ DERM 3 X 4
DRESSING EZ DERM 3 X 48
DRESSING EZ DERM 3X24 (BCU)
DRESSING EZ DERM 3X4 (BCU)
DRESSING FLEXIGEL STRANDS
DRESSING FOAM VAG PACK
DRESSING GLASSCOCK EAR
DRESSING INTERDRY AG
DRESSING MEDIHONEY ADH 4.5X4.5
DRESSING MEDIHONEY ALGINATE 4X5
DRESSING MEDIHONEY ROPE 3/4X12
DRESSING MEROPAK NASAL
DRESSING OASIS 3X7CM FEN
DRESSING OASIS 3X7CM FENESTRATED
DRESSING OASIS 7X10CM ULTRA
DRESSING OASIS 7X10CM ULTRA
DRESSING OP SITE 11X18 LARGE
DRESSING PROFORE
DRESSING SURGICEL 4X8
DRESSING SWACRAL ALLEVYN
DRESSING TRIACT NEUTRAL 4X5
DRESSING TRIACT NEUTRAL 8X12
University Medical Center So. NV.
Page 73
Dispense
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Price
---------635.96
910.79
999.30
449.97
54.03
90.48
79.56
523.67
248.04
80.17
794.01
79.39
130.43
37.45
47.31
47.31
40.97
46.42
18.39
172.88
172.88
172.88
43.14
82.39
68.15
41.28
106.77
257.78
13.95
444.51
123.16
792.75
417.03
115.68
63.68
110.16
212.14
217.79
64.30
49.27
40.35
655.16
756.19
756.19
3,290.08
3,290.12
278.12
114.98
280.56
310.63
36.41
137.47
02/12/14
Charge#
--------702171307
702170828
702171043
702170800
702170642
702170840
702171309
702170640
702170884
702170805
702171394
702170930
702171317
702170869
702171336
702171346
702171371
702171345
702171344
702170030
702170031
702170960
702170843
702170682
702170118
702170558
702170862
702171352
702170291
702170831
702170990
702170774
702170799
702170857
702170989
702171355
702171138
702171332
702171227
702170622
702170689
702170911
702170527
702170878
702170621
702170912
702170804
702170690
702171000
702170748
702170750
702170709
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRILL & AWL SET (AO)
DRILL 1.3 J LATCH (OM)
DRILL 2.0 (SI)
DRILL 2.0MM (AM)
DRILL 2.4MM (AP)
DRILL 2.5 (SN)
DRILL 2.5 X12MM (AO)
DRILL 2.6MM (AX)
DRILL 2.7 X 216 (SN)
DRILL 2.8 (AM)
DRILL 3.0MM VERTECOR BONE (DF)
DRILL 3.5 (SN)
DRILL 3.5 X 230 (SK)
DRILL 3.8 3 FLUTED (DP)
DRILL 4.0 LONG (SN)
DRILL 4.2 X 130 AO STERILE (SK)
DRILL 4.2 X 180 AO STERILE (SK)
DRILL 4.2 X 260 AO STERILE (SK)
DRILL 4.2 X 340 AO STERILE (SK)
DRILL 4.3MM X 120MM (WM)
DRILL 4.3MM X 80MM (WM)
DRILL 4.8 X 311 (SN)
DRILL 40MM (DP)
DRILL 5.0 X 180 STERILE (SK)
DRILL ALL SIZES ACCUMED
DRILL ALL SZS SEASPINE
DRILL AO NON CANNULTD RADIAN (NU
DRILL AO RADIAN (NU)
DRILL BIOMET ALL SIZES
DRILL BIT (SN)
DRILL BIT 1.1 (DP)
DRILL BIT 1.1 X 60MM (SY)
DRILL BIT 1.3MM (TM)
DRILL BIT 1.4MM AO (SK)
DRILL BIT 10MM (AX)
DRILL BIT 12MM (AO)
DRILL BIT 12MM (SY)
DRILL BIT 12MM SPIDER (ME)
DRILL BIT 13-17MM (SY)
DRILL BIT 2.0 MM (AX)
DRILL BIT 2.0MM (SD)
DRILL BIT 2.0MM FAST (DP)
DRILL BIT 2.2 KLS
DRILL BIT 2.5 (DP)
DRILL BIT 2.5MM (AX)
DRILL BIT 2.5MM (DP)
DRILL BIT 2.8 (SP)
DRILL BIT 2.8MM (SD)
DRILL BIT 2.9 (DP)
DRILL BIT 3 FLT 2.5 230-200 (SY)
DRILL BIT 3 FLT 2.7X125 MM (SY)
DRILL BIT 3 FLT 3.2 X330-100 (SY
University Medical Center So. NV.
Page 74
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
Price
---------890.77
1,037.57
276.12
437.92
469.78
551.20
842.69
533.20
817.08
405.48
699.57
335.38
829.11
2,092.40
1,049.94
1,015.77
1,031.53
1,015.77
1,152.02
741.43
741.43
1,460.88
652.54
1,135.30
556.40
727.70
732.70
1,020.11
908.64
544.72
1,147.79
387.91
1,132.07
643.54
688.03
980.22
1,328.63
1,270.36
2,868.55
484.33
437.92
565.37
1,101.02
536.30
437.92
565.37
420.82
437.92
956.90
992.12
637.02
1,154.67
02/12/14
Charge#
--------702170749
702170708
702171269
702171362
702170747
702171320
702171323
702170866
702170620
702170292
702170285
702170854
702171350
702170619
702173308
702173307
702170535
702171341
702171348
702170907
702171136
702170917
702170797
702170762
702170286
702171007
702170764
702170755
702170699
702170707
702171216
702170756
702171109
702170905
702170530
702170573
702170574
702171366
702171254
702171255
702171278
702171299
702171301
702170769
702170660
702171302
702171312
702170673
702171315
702170672
702170671
702171099
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRILL BIT 3 FLT 3.2X195 MM (SY)
DRILL BIT 3 FLT 4.0X195 (SY)
DRILL BIT 3 FLT 4.0X260-265 (SY)
DRILL BIT 3 FLT 4.2 110-300 (SY)
DRILL BIT 3 FLT 4.5X195 MM (SY
DRILL BIT 3 FLT BRAD 4.0X150 (SY
DRILL BIT 3 FLT BRAD 4.5X150 (SY
DRILL BIT 3.0 (SY)
DRILL BIT 3.0 MM (AX)
DRILL BIT 3.2 I-M S
DRILL BIT 3.2 OSTEONICS
DRILL BIT 3.5 (SK)
DRILL BIT 3.5 X 130 (SK)
DRILL BIT 3.5MM (AX)
DRILL BIT 3.5MM LONG W/QC (SN)
DRILL BIT 3.5MM SHORT W/QC (SN)
DRILL BIT 4.0 CAL SYNTHES
DRILL BIT 4.2 (SK)
DRILL BIT 4.2 X 340 (SK)
DRILL BIT 4.5 (SK)
DRILL BIT 40-45MM (SO)
DRILL BIT 5.3 (DP)
DRILL BIT ALL SZS (AM)
DRILL BIT AO SURE SHOT SHORT
DRILL BIT ARTHROSCOPY
DRILL BIT CAL (HM)
DRILL BIT CALIB 4.3X365MM (BI)
DRILL BIT CAN HX T25 3.2X165 (SY
DRILL BIT CANN 13.0 X 300MM (SY)
DRILL BIT CANN 3.2 X 170MM (SY)
DRILL BIT CANN 6 TO 10MM LG (SY)
DRILL BIT CANN FLX 15.0X310 (SY
DRILL BIT CANN QC 4.3X200MM (SY
DRILL BIT COLIB (BM)
DRILL BIT DEPUY
DRILL BIT FAST 4MM LONG (DP)
DRILL BIT FAST 4MM SHORT (DP)
DRILL BIT FLEX (SY)
DRILL BIT GRADI STERILE 10MM (NU
DRILL BIT HELIX 13MM (NU)
DRILL BIT HELIX REV 10MM (NU)
DRILL BIT J LATCH 2.4 X 100 (SY)
DRILL BIT J LATCH 2.4 X 75 (SY)
DRILL BIT J LATCH 2.4X90MM (SY)
DRILL BIT J LTCH 2.2 8MM STP (SY
DRILL BIT JLTCH .70 3MM STP (SY
DRILL BIT JLTCH .76 14MM STP (SY
DRILL BIT JLTCH .76 5MM STP (SY
DRILL BIT JLTCH .76 8MM STP (SY)
DRILL BIT JLTCH 1.0 4MM STOP (SY
DRILL BIT JLTCH 1.0 6MM STOP (SY
DRILL BIT JLTCH 1.0 X 110MM (SY)
University Medical Center So. NV.
Page 75
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------734.70
747.31
918.63
1,069.14
167.08
1,154.74
1,154.74
629.31
507.36
987.66
669.57
635.63
1,049.81
409.83
798.08
715.42
449.39
1,142.95
1,076.50
644.55
1,374.90
855.98
454.49
994.35
776.53
884.95
1,011.83
1,453.80
2,583.26
2,104.33
2,416.09
3,042.90
1,596.08
435.80
526.57
573.49
573.49
1,959.76
864.79
864.79
864.79
686.62
686.62
387.91
803.27
686.62
726.95
741.55
726.95
741.55
741.55
686.62
02/12/14
Charge#
--------702170746
702170670
702170669
702170668
702170745
702170744
702170667
702170666
702170665
702171297
702171298
702171296
702171300
702170664
702170663
702170662
702170661
702170126
702171229
702170657
702170658
702170659
702170293
702170595
702171311
702171270
702170743
702170288
702170765
702170795
702170656
702170794
702170877
702170777
702170802
702170788
702171262
702170754
702170855
702170742
702170741
702170740
702171234
702170739
702171223
702171305
702170770
702170792
702170780
702171304
702171284
702171239
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRILL BIT JLTCH 1.0 X 60MM (SY)
DRILL BIT JLTCH 1.1 4MM STOP (SY
DRILL BIT JLTCH 1.1 6MM STOP (SY
DRILL BIT JLTCH 1.1 8MM STOP (SY
DRILL BIT JLTCH 1.1 X 65MM (SY)
DRILL BIT JLTCH 1.3 X 65MM (SY)
DRILL BIT JLTCH 1.5 12MM STP (SY
DRILL BIT JLTCH 1.5 60MM STP (SY
DRILL BIT JLTCH 1.5 8MM STOP (SY
DRILL BIT JLTCH 1.5 X 110MM (SY)
DRILL BIT JLTCH 1.8 X 100MM (SY)
DRILL BIT JLTCH 1.8 X 125MM (SY)
DRILL BIT JLTCH 1.8 X 50MM (SY)
DRILL BIT JLTCH 2.2 10MM STP (SY
DRILL BIT JLTCH 2.2 12MM STP (SY
DRILL BIT JLTCH 2.2 14MM STP (SY
DRILL BIT JLTCH 2.2 6MM ST0P (SY
DRILL BIT LEIBINGER ALL SZS
DRILL BIT LONG (SO)
DRILL BIT MAT 1.1 6MM STOP (SY
DRILL BIT MF 1.25 18MM STOP (SY
DRILL BIT MF 1.25 6MM STOP (SY)
DRILL BIT MIDAS REX ALL SIZES
DRILL BIT MINIQC 1.5X65MM (SY)
DRILL BIT MINIQC STP .76 X 8 (SY
DRILL BIT PERC 2.5 X 300-200 (SY
DRILL BIT PERC 2.8 X 200-100 (SY
DRILL BIT PLUS ORTHO
DRILL BIT QC 1.8X100MM (SY)
DRILL BIT QC 2.0X125MM (SY)
DRILL BIT QC 2.4X100MM (SY)
DRILL BIT QC 2.7X125MM (SY)
DRILL BIT QC 2.8X165MM (SY)
DRILL BIT QC 3.2X145MM (SY)
DRILL BIT QC 3.5X110MM (SY)
DRILL BIT QC 3.5X195MM (SY)
DRILL BIT QC 3FLT NDL 3.2X145(SY
DRILL BIT QC 3FLT NDL 4.2X145(SY
DRILL BIT QC 4.3X180MM (SY)
DRILL BIT QC CANN 2.0X150MM (SY)
DRILL BIT QC CANN 2.7X160MM (SY)
DRILL BIT QC CANN 4.5X170MM (SY)
DRILL BIT QC CANN LG 17X300 (SY)
DRILL BIT QC CANN LG 5.0X300 (SY
DRILL BIT QC CANN TPR 11X280 (SY
DRILL BIT QC DPTH GD 2X140MM (SY
DRILL BIT QC GOLD 2.5X110MM (SY)
DRILL BIT QC GOLD 2.5X180MM (SY)
DRILL BIT QC MINI 1.8X80 MM (SY)
DRILL BIT QC W DEPTH 1.8X110 (SY
DRILL BIT RADIOLU BIOMET
DRILL BIT SHORT (SO)
University Medical Center So. NV.
Page 76
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------380.80
741.55
741.55
741.55
418.94
418.94
741.55
741.55
741.55
686.62
686.62
686.62
686.62
803.27
803.27
803.27
851.42
1,012.31
2,824.80
737.13
820.81
820.81
1,078.43
418.94
726.95
903.48
909.90
882.70
741.55
429.00
741.55
429.00
469.69
375.48
408.50
415.83
784.96
847.75
613.55
2,035.66
2,138.59
2,104.33
3,156.37
2,115.73
2,155.53
806.07
387.91
429.00
418.94
746.37
874.57
2,824.80
02/12/14
Charge#
--------702170830
702170575
702171260
702170289
702170693
702171342
702170537
702171134
702171117
702171118
702171251
702171107
702171108
702170618
702170697
702171119
702170617
702171100
702171213
702170738
702170737
702170793
702170852
702170859
702170916
702170910
702170850
702170856
702171292
702171351
702171121
702170684
702171310
702170736
702170490
702170838
702170605
702170604
702170601
702170606
702170517
702170847
702170602
702170607
702170608
702170872
702170599
702170603
702170849
702170600
702170633
702170290
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRILL BIT SHORT W/QC (SN)
DRILL BIT SNP 4MM (DP)
DRILL BIT SPINE (DP)
DRILL BIT STABLELOC ACCUMED
DRILL BIT SURE SHOT (SN)
DRILL BIT VUEPOINT 2.05MM (NU)
DRILL BUR DIAMOND ENT MICRO
DRILL CANN 3.2MM (RR)
DRILL CANN 4.5MM LONG FACET (NU)
DRILL CANN 4.5MM SHT FACET (NU
DRILL CANNULATED (AU)
DRILL CANNULATED 2.1MM AO (SK)
DRILL CANNULATED 2.7MM (SK)
DRILL CANNULATED 4.5MM (AX)
DRILL CANNULATED 4MM (AX)
DRILL CANNULATED 7.0X3.2 LNG (SB
DRILL GUIDE 2.0MM (AX)
DRILL GUIDE STOP 3.2 TO4.5MM (SY
DRILL GUIDE THD DEPTH 2.0MM (SY)
DRILL GUIDE UNIVERSAL 3.5MM (SY)
DRILL GUIDE UNIVERSAL 4.5MM (SY)
DRILL MINI MAGNUM
DRILL NEURO TWIST 1.1X50 NOTCH
DRILL NON CANNULATED RADIAN (NU)
DRILL PILOT 0.9MM J LATCH (OM)
DRILL PILOT 1.0MM J LATCH (OM)
DRILL PILOT 1.1 X 6MM STOP (OM)
DRILL PILOT 1.1MM MANUAL (OM)
DRILL PILOT 4.0 (SN)
DRILL RADIAN (NU)
DRILL SCREW LAG (SN)
DRILL SHAFT END TWIST 1.9MM AO
DRILL SHORT 4.0 (SN)
DRILL SLEEVE 3.5 TO 2.5 MM (SY)
DRILL STRYKER TPS
DRILL TAP (AM)
DRILL TWIST .8X50 5STOP NTCH (KL
DRILL TWIST .8X50 7STOP NTCH (KL
DRILL TWIST 1.1X50 7STP NTCH (KL
DRILL TWIST 1.1X50 NOTCH (KL)
DRILL TWIST 1.5 X 115 KLS
DRILL TWIST 1.5 X 50MM WSTOP (KL
DRILL TWIST 1.5X115 NOTCH (KL)
DRILL TWIST 1.5X50 NOTCH (KL)
DRILL TWIST 1.5X50 W 5 STOP (KL
DRILL TWIST 1.6X40MM WSTOP (KL
DRILL TWIST 1.9X115 NOTCH (KL)
DRILL TWIST 1.9X70 NOTCH (KL)
DRILL TWIST 2.0MM (KL)
DRILL TWIST 2.2X105 W NOTCH (KL)
DRILL TWIST STERILE (KL)
DRILL WIRE PASSER
University Medical Center So. NV.
Page 77
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------544.72
525.16
1,369.57
956.90
994.35
1,023.65
1,293.92
1,349.99
2,224.18
2,224.18
942.33
1,950.71
1,950.71
670.40
1,219.87
2,128.25
270.96
1,757.08
2,423.02
2,222.07
2,111.93
478.63
670.40
732.70
514.25
555.39
643.54
643.54
801.71
1,020.11
2,088.42
665.94
872.27
606.99
1,741.35
822.52
640.66
640.66
640.66
640.66
707.42
604.17
640.66
640.66
639.04
662.00
640.66
640.66
604.17
640.66
683.81
504.70
02/12/14
Charge#
--------702170696
702170735
702170909
702170616
702171017
702170845
702171308
702170508
702171268
702170505
702171258
702170785
702171049
702170903
709120053
714150021
702170287
714938040
714938039
702170301
702150088
702151511
702150567
702151778
702151845
702151640
702150541
702150036
702150027
702150536
702150233
702151756
702151026
702151736
702150365
702150445
702154004
702154005
702154002
702154003
702151130
702154006
709170011
723020286
723320251
723020416
723320306
723020285
723320250
723020417
723320307
723020284
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DRIVE ADAPTOR SCHANZ 4.0MM (SY)
DRIVE ADAPTOR SCHANZ 6.0MM (SY)
DRIVER 2.5 TIP (SP)
DRIVER CANNU HEX 3.5MM (AX)
DRIVER FAST PEG (DP)
DRIVER NAIL (SN)
DRIVER OSTEO STEM 1.2MM (OM)
DRIVER OSTEO STEM 1.2MM MAN (OM)
DRIVER OSTEO STEM 1.6MM LNG (OM
DRIVER OSTEO STEM 1.6MM MAN (OM)
DRIVER OSTEO STEM 1.6MM XLNG (OM
DRIVER OSTEO STERILE DISP (OM)
DRIVER PEG 2.0MM FAST (DP)
DRIVER TIP 2.2 SP PRO
DRUG ADMIN W HEMODYNAMIC MEASURE
D-STAT FLOWABLE HEMOSTAT
DUOTHERN WARMING BLANKET
DUPLEX EXTREMITY VEINS BILATERAL
DUPLEX EXTREMITY VEINS UNILATERAL
DURA 2 X 7 CM
DURA DURA GEN 3 X 3
DURA DURA 4 X 10
DURA DURA GEN 4 X4
DURA DURAFORM 1 X 1 (CD)
DURA DURAFORM 1 X 3 (CD)
DURA DURAFORM 2 X 2 (CD)
DURA DURAFORM 3 X 3 (CD)
DURA DURAFORM SPONGE 4X5 (CD)
DURA DURASEAL 5ML
DURA GEN 1 X 3
DURA GEN 10X12.5
DURA GEN 2.5 X 2.5
DURA GEN 4 X 5 (IT)
DURA GEN 5 X 5
DURA GEN 6X8
DURA GEN 7.5 X 7.5
DURA REGEN MAXTRIX 1X1 (MT)
DURA REGEN MAXTRIX 1X3 (MT)
DURA REGEN MAXTRIX 2X2 (MT)
DURA REGEN MAXTRIX 3X3 (MT)
DURA REGEN MAXTRIX 4 X 5 (MT)
DURA REGEN MAXTRIX 5X8 (MT)
DYE SYRINGE
E/R1-MINIMAL HOSPITAL (LEVEL I)
E/R1-MINIMAL HOSPITAL (LEVEL I)
E/R1-MINIMAL HOSPITAL 25
E/R1-MINIMAL HOSPITAL W/PRO
E/R2-BRIEF HOSPITAL (LEVEL II)
E/R2-BRIEF HOSPITAL (LEVEL II)
E/R2-BRIEF HOSPITAL 25
E/R2-BRIEF HOSPITAL W/PRO
E/R3-LIMITED HOSPITAL (LEVEL III)
University Medical Center So. NV.
Page 78
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,041.15
1,041.15
596.81
951.26
229.86
357.02
842.69
632.30
886.28
533.20
860.79
416.27
249.93
644.55
1,010.70
343.75
470.18
953.02
677.17
3,813.60
1,835.90
1,640.38
1,008.70
254.71
466.54
495.50
942.04
1,730.96
1,705.00
981.75
2,741.75
302.50
3,432.00
605.00
783.75
1,100.00
1,889.91
1,889.91
1,037.30
1,889.91
3,148.53
8,109.26
104.39
340.48
341.01
340.48
341.01
555.39
556.39
555.39
556.39
919.17
02/12/14
Charge#
--------723320249
723020419
723320308
723020160
723320125
723020418
723320309
723020159
723320124
723020528
723320310
709130004
709120015
702420160
702151510
705080350
707030380
707030375
711030005
711030004
711030002
711030001
711030000
707030376
709020018
709020014
709020017
723030004
702420598
713020008
713020007
713020006
713020010
713020009
702221006
702220111
726120039
702220181
702221001
702220027
702220050
702221003
702221002
702220116
702220031
702220026
702220112
702220024
702220000
702420060
702220094
702220042
UMC Charge Master
Description
-----------------------------------------------------------------------------------------E/R3-LIMITED HOSPITAL (LEVEL III)
E/R3-LIMITED HOSPITAL 25
E/R3-LIMITED HOSPITAL W/PRO
E/R4-INTERMED HOSPITAL (LEVEL IV)
E/R4-INTERMED HOSPITAL (LEVEL IV)
E/R4-INTERMED HOSPITAL 25
E/R4-INTERMED HOSPITAL W/PRO
E/R5-EXTENDED (LEVEL V)
E/R5-EXTENDED (LEVEL V)
E/R5-EXTENDED (LEVEL V) 25
E/R5-EXTENDED W/PRO
EACH ADD IVUS NON COR S&I
EACH ADD IVUS NON CORONARY
EAR & THROAT EXAM W ANES
EAR PROTH SHEENY TOP
EASY CORE BX SYS 18G 10CM (PICU)
EBV EARLY ANTIGEN
EBV PROFILE W/O INTERP
ECG 24HR SCANNING ANALYSIS
ECG 24HR SCANNING RECORDING
ECG RHYTHM TRACING
ECG ROUT TRAC 12 LEAD INT
ECG ROUTINE TRACING
ECHINOCOCCUS
ECHO 2-D
ECHO COMPLETE W/ COLOR,SPECTRAL
ECHO CONGENITAL COMPLETE
ECHOCARDIOGRAM INTERP COMP
ECTOPIC PREG SURGICALLY
EEG 16+ CH 24 HR NO VIDEO
EEG 8 CH EA 24 HR NO VIDEO
EEG MONITOR W VIDEO EA 24 HRS
EEG WAKE/SLEEP/HV OR PS
EEG/OVER 1 HR/NO VIDEO
EGD BALLOON DIL ESOPH 30MM/>
EGD CONTROL BLEEDING
EGD DIAGNOSTIC
EGD DIAGNOSTIC BDSD
EGD ENDOSCOPIC STENT PLACEMENT
EGD GUIDE WIRE BALLDIL <30
EGD INS GUIDEWIRE WDIL
EGD LESION ABLATION
EGD LESION ABLATION BDSD
EGD POLY LES SNARE
EGD THERAPEUTIC INJ ESOPH
EGD UPPER GI BIOPSY(S)
EGD UPPER GI DIAG WASH
EGD UPPER GI REMOVE FOREIGN BODY
EGD W BANDING ESO/GAST VARICES
EGD W BANDING ESO/GAST VARICIES
EGD W CONTROL BLEEDING BDSD
EGD W INJCT/ESOP/GAST VARIES
University Medical Center So. NV.
Page 79
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------920.84
919.17
920.84
1,497.69
1,500.48
1,497.69
1,500.48
2,153.52
2,157.48
2,153.52
2,157.48
114.56
932.52
793.44
1,498.31
70.09
102.80
100.21
819.92
462.62
207.23
249.33
467.97
471.36
1,608.51
3,198.61
2,298.54
1,514.91
3,252.15
3,760.31
5,023.40
5,552.36
1,181.61
2,384.52
1,688.85
1,655.00
974.67
1,243.04
3,867.42
1,482.38
2,258.17
1,755.57
1,755.57
1,443.32
1,827.30
2,492.60
1,246.50
2,504.38
1,816.79
1,821.86
1,650.41
2,224.79
02/12/14
Charge#
--------702220090
702220126
702220092
702220192
702220185
726120040
702220183
702220184
723020016
702220187
702220186
723020158
723020157
702220182
707031001
716136058
714030041
714030044
702430003
702421004
723030006
723330004
723320299
709170914
702171147
702173310
702171148
702170997
702170998
705080349
702170226
702171093
702170674
702173311
702170129
702171212
702170632
702170848
702170521
702171149
705080348
705080347
702170734
702170733
702175007
702170237
702420191
707030073
707030785
707031052
702170732
707030015
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EGD W PEG INSERTION
EGD W REMOVAL FOREIGN BODY BDSD
EGD W REMOVE LESION/POLYP
EGD W/ PEG INSERTION BDSD
EGD W/BANDING ESO/GAST VAR BDSD
EGD W/BIOPSY
EGD W/GI BIOPSY(S) BDSD
EGD W/INJECT ESO/GAST VAR BDSD
EGD W/INJECT ESOPH GAST VARICES
EGD W/REM LES/POLYP SNARE BDSD
EGD W/REMOVED LESION/POLYP BDSD
EGD W/REMVL OF FOREIGN BODY
EGD W/SUBMUCOS INJ
EGD W/SUBMUCOSAL INJECT BDSD
EGFR GENE COM VARIANTS
EKG TRACING WO READING
ELBOW 2 VIEW
ELBOW 3 VIEW +
ELEC ANALYSIS PGS W/O REPRG
ELECTRICAL STIMULATION BONE
ELECTROCARDIOGRAM TRACING
ELECTROCARDIOGRAM TRACING
ELECTROCARDIOGRAM TRACING REPEAT
ELECTRODE 7 FR LIVEWIRE S
ELECTRODE ANG LOOP GYNECARE (EC)
ELECTRODE BALL 8416.01/05 (WF)
ELECTRODE BALL TIP GYNECR 5F (EC
ELECTRODE BLADE ACROMIO
ELECTRODE BLADE DISSECT (CO)
ELECTRODE EEG SED TRACE SET
ELECTRODE FACIA NERVE
ELECTRODE LEEP
ELECTRODE LEEP LOOP 5X5X13MM
ELECTRODE LOOP 8416.03/05 (WF)
ELECTRODE MEDTRONIC XOMED
ELECTRODE MT
ELECTRODE NEEDLE 9450003(MT)
ELECTRODE NEEDLE PCK NEROVIS (NU
ELECTRODE ROLLERBALL
ELECTRODE SPRING TIP GYNECR (EC)
ELECTRODE STAT PAD ADULT (PR)
ELECTRODE STAT PAD PEDS
ELECTRODE VAPOR GROOVED BLK (GY)
ELECTRODE VAPOR GROOVED LG (GY)
ELECTRODE VAPR COOLPULSE90 (DP)
ELECTRO-DRAULIC PROBE
ELECTROHYDRALIC/ULTRASONIC LITHO
ELECTROLYTE PANEL
ELECTRON MICROSCOPY
ELECTROPHORESIS NES
ELEVATOR PERIOSTEAL CURV 6.0 (SY
ELUTION
University Medical Center So. NV.
Page 80
Dispense
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Price
---------2,190.47
1,886.08
1,243.04
2,190.47
1,816.79
974.67
2,301.90
2,218.61
1,440.66
1,439.31
1,243.04
1,440.66
1,605.65
1,822.22
34.70
325.98
421.69
509.93
330.54
919.96
480.45
480.48
480.48
3,162.50
1,539.57
611.74
1,539.57
673.99
484.43
70.38
822.18
118.47
40.14
611.74
462.73
2,358.10
2,341.88
608.32
667.91
1,539.57
191.48
7,665.87
785.69
785.69
1,029.96
1,096.27
3,775.19
235.66
235.23
309.38
1,138.52
266.50
02/12/14
Charge#
--------714120173
714120047
714150083
714150082
714150081
723020156
723520138
723320123
713030007
713030006
713030017
713030016
713030015
713030014
713030013
713030012
713031008
713031007
707030714
702152268
702150895
702152379
702152588
702152589
702151150
702152581
702152583
702151634
702150104
702150101
702150100
702150103
702152652
702152653
702421005
702171146
702220275
702170487
702170049
702170222
702270127
702170497
702170101
702270128
702220401
702420256
714170043
702420558
723020155
709120052
707030377
702170227
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EMBOLIZE TRANSCATH EXTRACRANIAL
EMBOLIZE TRANSCATH INTRACRANIAL
EMBOSHPERE 700-900 (BM)
EMBOSPHERE 500-700 (BM)
EMBOSPHERE GOLD 900-1200 (BM)
EMERGENCY TRACHEOSTOMY
EMERGENCY TRACHEOSTOMY
EMERGENCY TRACHEOSTOMY
EMG 1 EXTREMITY
EMG 2 EXTREMITIES
EMG 3 EXTREMITIES
EMG 4 EXTREMITIES
EMG CR NV SUPP MUSCL BILATERAL
EMG CR NV SUPP MUSCL UNILATERAL
EMG SINGLE FIBER ANY ALL
EMG THORACIC PARASPINAL
EMG W/NERV TEST COMPLETE
EMG W/NERV TEST LIMITED
ENCEPHALITIS EASTERN EQUINE
END CAP TIT FOR ELASTIC NAIL (SY
END PLATE ALL SZS (DP)
ENDCAP 18MM 0DEG (SK)
ENDCAP 18X30MM 0 DEGREE (NU)
ENDCAP 18X30MM 4 DEGREE (NU)
ENDCAP 18X40MM 0 DEGREE (NU)
ENDCAP LOCK SCREW XCORE 2 (NU)
ENDCAP PARALLEL XCORE 22X40 (NU
ENDCAP TIT FEMORAL NAIL 0MM (SY)
ENDCAP VLIFT-S 12MM 8D CONT (SK
ENDCAP VLIFT-S 12MM 8D FLUSH (SK
ENDCAP VLIFT-S 14MM 8D FLUSH (SK
ENDCAP VLIFT-S 16MM 8D FLUSH (SK
ENDCAP XCORE II 22X50 LOR 4D (NU
ENDCAP XCORE II 22X50 LOR 8D (NU
ENDO DACRYOCYSTORHINOSTOMY
ENDO EASE DISCOVERY STD 118CM
ENDO EVAL SM INT POUCH BX
ENDO GIA UNIVERSAL HANDLE
ENDO GIA UNIVERSAL HANDLE XL
ENDO LOOP LAPAROSCOPY
ENDO POLY LOOP 30MM X 23CM (OA)
ENDO STITCH HANDLE
ENDO STITCH POLY/SILK ALL SZ
ENDO TRAP POLYP (UE)
ENDOBRONCHIAL ULTRASOUND ADD ON
ENDOCERVICAL CURETTAGE W/O D&C
ENDOFLTR/INFLTR ENCORE 26 (BS)
ENDOMETRIAL ABLATION THERM
ENDOMETRIAL BIOPSY
ENDOMYOCARDIAL BIOPSY
ENDOMYSIAL ANTIBODIES
ENDOPOUCH OSCOPY
University Medical Center So. NV.
Page 81
Dispense
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Price
---------4,406.94
2,994.10
730.40
730.40
730.40
1,757.93
1,761.19
1,761.19
331.04
432.99
504.28
707.48
296.75
139.84
213.92
105.03
131.70
131.70
71.67
361.35
15,413.75
869.41
4,664.00
4,664.00
4,664.00
497.75
4,664.00
492.28
1,375.00
1,375.00
1,375.00
1,375.00
4,664.00
4,664.00
3,022.82
1,672.03
1,140.51
1,646.52
2,092.86
285.51
477.67
1,429.46
344.03
67.08
583.80
1,038.21
224.14
1,865.91
339.49
6,619.15
109.45
638.71
02/12/14
Charge#
--------702220277
702220008
702422004
702170085
702170069
723020154
723520022
723320122
722720008
723520011
714120092
702171151
702171124
702171125
702171114
702171222
707030763
707030231
707030184
709120097
709130026
709120031
709170010
709120096
709120095
709120094
709120093
702423507
702421080
702421250
702720000
723020275
714120091
707030378
707030379
707030381
707030382
723015000
723320274
702220250
714030150
702221007
702223000
702221010
702220017
702220043
702221008
702220136
702221009
714030200
714030148
714030149
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ENDOSCOPIC PANCREATOSCOPY
ENDOSCOPIC US EXAM ESOPH
ENDOSCOPY PLANTAR FASCIO
ENDOSCOPY PUSHING CATH COOK
ENDOSHEAR HAND LCSC5H
ENDOTRACHEAL INTUBATION
ENDOTRACHEAL INTUBATION
ENDOTRACHEAL INTUBATION
ENDOTRACHEAL INTUBATION EMERGENT
ENDOTRACHEAL INTUBATION (CCT)
ENDOVASCULAR TEMP BALLOON OCCL
ENSEAL RND TIP 5MM X 25CM (EC)
ENSEAL RND TIP 5MM X 35CM (EC)
ENSEAL STD TIP 5MM X 35CM (EC)
ENSEAL TRIO RND 3MM X 35CM (EC)
ENSEAL TRIO RND 3MM X 45CM (EC)
ENTEROVIRUS,DNA,AMP PROBE
ENZYME DETECTION ESBL
EOSINOPHIL COUNT, BLOOD
EP 3D MAPPING
EP EVAL CD W PACING
EP EVAL/TESTING OF ICD GENERATOR
EP EXTENSION CABLE
EP F/U STUDY NOT 4 ICD
EP MAPPING TACHYCARDIA
EP WITH PACER INDUCTION
EP WO PACER INDUCTION
EPIDIDYMECTOMY UNILATERAL
EPIDIDYMECTOMY-BIL
EPIDRM AUTOGRFT T/A/L
EPIDURAL BLOOD PATCH INJ
EPIDURAL INJ - CONT- LS
EPIDURAL INJ- SINGLE- L/S
EPINEPHRINE
EPSTEIN BARR NUCLEAR ANTIGEN
EPSTEIN BARR VCA-IGG
EPSTEIN BARR VCA-IGM
ER OBSERVATION HOURLY
ER TRIAGE SERVICE
ERCP BX SINGLE MULTIPLE
ERCP DIAGNOSTIC
ERCP DUCT STENT PLACEMENT
ERCP DX
ERCP EA DUCT/AMPULLA DILATE
ERCP REM STONES BIL PAN DUCT
ERCP REM STONES LITHO
ERCP REMOVE FOREIGN BODY DUCT
ERCP SPHINCTEROTOMY/PAPILLOTOMY
ERCP STENT EXCHANGE W/DILATE
ERCP W DUCT STENT PLACEMENT
ERCP W/BX
ERCP W/DESTR STONES
University Medical Center So. NV.
Page 82
Dispense
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Price
---------2,848.73
1,580.06
3,419.94
250.25
2,459.00
1,146.54
1,148.66
1,148.66
1,116.38
1,083.64
10,054.00
1,784.62
1,919.75
1,919.75
2,124.33
2,338.70
142.77
95.41
90.92
5,732.54
4,796.66
4,012.00
462.75
4,719.07
3,703.96
8,887.68
16,545.01
387.81
2,548.30
3,353.68
962.11
1,502.08
497.38
358.88
27.24
27.24
27.24
68.96
153.47
2,848.73
2,462.11
3,536.16
2,849.63
3,686.28
3,629.03
4,082.15
3,153.59
2,248.98
3,686.28
5,781.57
1,818.48
1,818.48
02/12/14
Charge#
--------714030147
714030035
714030145
714030161
707030383
723520266
702422014
702422013
702170922
702220019
702221005
702220018
702221004
702221000
702220010
702220009
702220047
702220048
723020153
707030185
720620019
720620020
720620021
720620022
720620023
720620024
720620025
720620026
720620027
720620028
707030384
707030385
707030386
707030232
707030233
707030234
707030235
714170005
702420974
702421522
707030653
723020152
723520137
723320121
702171066
702171067
702170955
702170949
722120018
722120004
722120006
707031127
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ERCP W/PRESS MEAS SPHINCT
ERCP W/RADIOLOGIST
ERCP W/REMOVAL STONES
ERCP W/SPHINCT/PAPILLOT
ERYTHROPOIETIN
ESCHAROTOMY
ESCHAROTOMY EA ADD INCIS BDSD
ESCHAROTOMY INIT INCIS BDSD
ESMARK NON-LTX 6 X 9 IN
ESOPHAGOSCOPY DIAG WASH
ESOPHAGOSCOPY DILATE BALLOON 30
ESOPHAGOSCOPY REMOVE FB
ESOPHAGOSCOPY RETRO BALLOON
ESOPHAGOSCOPY STENT PLACEMENT
ESOPHAGOSCOPY W US EXAM
ESOPHAGOSCOPY W US FNA X
ESOPHAGOSCOPY W/BALLOON
ESOPHAGOSCOPY W/BIOPSY
ESOPHAGOSCOPY W/FB REM
ESR-AUTOMATED
ESTABLISH ENTEROSTOMAL PT 10 MIN
ESTABLISH ENTEROSTOMAL PT 15 MIN
ESTABLISH ENTEROSTOMAL PT 25 MIN
ESTABLISH ENTEROSTOMAL PT 40 MIN
ESTABLISH ENTEROSTOMAL PT CHECK
ESTABLISHED LEVEL I CLINIC VISIT
ESTABLISHED LEVEL II CLINIC VISIT
ESTABLISHED LEVEL III CLINIC VST
ESTABLISHED LEVEL IV CLINIC VISIT
ESTABLISHED LEVEL V CLINIC VISIT
ESTRADIOL
ESTRIOL BLOOD
ESTROGENS TOTAL
ETEST ANTIMICROBIAL AGNT 2
ETEST ANTIMICROBIAL AGNT 3
ETEST ANTIMICROBIAL AGNT 4
ETEST ANTIMICROBIAL AGNT1
ETHIODIZED OIL
ETHMOID INTRANASAL ANT
ETHMOIDECTOMY EXTRANASAL TOTAL
ETHYLENE GLYCOL
EVAC SUBUNGUAL HEMATOMA
EVAC SUBUNGUAL HEMOTOMA
EVAC SUBUNGUAL HEMOTOMA
EVACUATOR BLADDER UROVAC (BS)
EVACUATOR ELICK DISP
EVACUATOR SMOKE ACCUVAC
EVACUATOR SMOKE EXT
EVAL OF SPEECH FLUENCY
EVAL ORAL PHAR SWALLOW FUNCTION
EVAL SWALLOW FLUOROSCOPIC
EVEROLIMUS LEVEL SCREEN
University Medical Center So. NV.
Page 83
Dispense
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Price
---------2,357.42
1,771.31
2,368.65
2,357.42
289.63
1,980.57
718.29
1,853.55
79.82
1,079.37
1,652.15
1,688.30
3,153.59
3,867.42
1,458.33
1,774.59
1,998.83
1,998.83
1,386.36
99.91
236.07
305.17
384.13
487.77
162.04
162.04
236.07
305.17
384.13
487.77
234.57
248.65
285.92
129.06
129.06
129.06
129.06
1,170.86
4,952.51
4,411.86
104.10
168.85
169.15
169.15
108.30
108.30
41.04
59.86
133.55
638.67
710.77
502.56
02/12/14
Charge#
--------702421261
702420171
720620006
720620062
720620007
720620008
702420462
702420521
702420014
702420231
702420116
702420411
702420198
702420319
702420117
702420138
702420317
702420063
702420323
702420013
702420321
702420127
723020451
702420072
702420324
702420490
702420503
720620041
720620042
720620043
702421262
702420978
702420973
702420524
702420371
702420546
702420533
702420288
702420214
702421236
702421268
702421248
702420232
702420414
702420410
702420276
702420494
702420415
702420584
702420265
702421050
702420571
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EXC ABD WALL TUM.SUBFASCIAL
EXC ANAL TAG
EXC BEN LES SNHFG 0.6-1.0 CM
EXC BEN LES SNHFG 3.1-4 CM
EXC BEN LESION FEENL 0.5 CM <
EXC BEN LESION FEENL 0.6-1.0 CM
EXC BEN LESION TAL 0.5 <
EXC BEN LESN 2.1TO3.0CM
EXC BEN LESN FEENLMM .6-1.0
EXC BEN LESN FEENLMM >4.OCM
EXC BEN LESN FEENLMM 1.1-2.0CM
EXC BEN LESN FEENLMM3.1-4CM
EXC BEN LESN SNHFG .6-1.0CM
EXC BEN LESN SNHFG <=.5
EXC BEN LESN SNHFG 1.1-2.0
EXC BEN LESN SNHFG 2.1-3CM
EXC BEN LESN SNHFG 3.1-4CM
EXC BEN LESN SNHFG> 4.0CM
EXC BEN LESN TAL .06-1.0CM
EXC BEN LESN TAL >4.0CM
EXC BEN LESN TAL 0.5<
EXC BEN LESN TAL 1.1-2.0CM
EXC BEN LESN TAL 1.1-2.0CM
EXC BEN LESN TAL 2.1-3.0
EXC BEN LESN TAL 3.1-4CM
EXC BEN TUM CYST FACEBONE
EXC BENIGN CYST TUM MANDIBLE
EXC BENIGN LES FEENL > 4 CM
EXC BENIGN LESN FEENL 1.1-2.0 CM
EXC BENIGN LESN FEENL 3.1-4.0 CM
EXC BENIGN TUM THIGH-KNEE
EXC BONE CYST TUM CARPAL
EXC BONE CYST TUM W BG
EXC BONE CYST/BEN TUM PROX HUMR
EXC BONE LES TAR MTAR LT
EXC BONE MAND OSTEO ABS
EXC BRANCHIAL CLFT CYST SBQ
EXC BRANCHL CLEFT CYST-FST
EXC BREAST CYST
EXC BREAST LES ADD
EXC BREAST LES W MARK
EXC CUR CYST W AL-GR F
EXC CURETT B-CYST TUM T-F
EXC CURETT BONE CYST MC
EXC CURR CYST TUM RAD/ULA
EXC CURRET BCYST TUM PHAL
EXC CYST TUM ANKLE HEEL
EXC CYSTIC HYGROMA AXIL-CX
EXC DERMOID CYST NOSE, COMPLEX
EXC DERMOID CYST, NOSE- SIMPLE
EXC EXCESSIVE SKIN SUBQ
EXC EXT EAR PARTIAL SIMP
University Medical Center So. NV.
Page 84
Dispense
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------4,077.20
2,563.67
912.86
1,850.63
524.13
508.78
1,143.50
2,115.84
489.79
2,532.46
2,115.84
1,165.72
1,600.97
1,302.31
1,356.05
2,115.84
2,886.67
2,886.67
1,142.56
1,898.26
1,057.93
1,849.90
1,849.90
1,219.88
2,158.73
2,737.03
3,608.18
3,878.92
788.34
912.86
3,340.91
3,303.76
2,512.00
3,303.76
1,261.36
7,069.90
2,737.03
4,629.66
2,571.81
1,535.87
2,777.20
3,354.61
3,568.06
3,442.08
3,303.76
1,875.20
2,390.41
2,619.16
4,629.66
1,434.79
1,729.14
1,757.65
02/12/14
Charge#
--------702420979
702420590
702420287
702420599
702420583
702420142
702420957
702421090
702420358
702420188
702421300
702420946
702420286
702420945
702420290
702420944
702420582
702420360
702422002
702420947
702420948
702420267
702421190
702420968
723020151
702420943
702420939
723020298
702420938
702420937
702420557
702420934
702420942
720620075
720620051
720620050
720620076
702421212
702421206
702421202
702421205
702421201
702420941
702421284
702420553
702420156
702420544
702420543
702420632
702420484
702420193
702421286
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EXC EXT HEMORRHOID TAG/PAP
EXC EXT THROMBO HEMORHOID
EXC EYELID LES
EXC FACIAL BONES
EXC FIBROMA/LEMMOMA PERI NERVE
EXC GANGLION WRIST PRIMARY
EXC GANGLION WRIST RECURRENT
EXC GUM LES/TUM W REP-SIMPLE
EXC HIDRAD AXIL- COMPLEX
EXC HIDRADENITIS AXILLAREP
EXC HIDRANDENITIS INGWREP
EXC INTRANASAL LESION EXTERNAL
EXC INTRANASAL LESION INTERNAL
EXC ISCHIAL ULCER W OSTEC
EXC LES CYST/GANG HAND FINGR
EXC LES K MEN CAP GANG
EXC LES MOUTH COMP REPR
EXC LES PAL UVULA W/O CLOSE
EXC LES PALATE W FLAP CLOSURE
EXC LES TEN-FIB SHEATH FT
EXC LES TEN-FIB SHEATH TOE
EXC LES TONGUE WO CLOSE
EXC LES VES MOUTH SIMPREPR
EXC LESION EPIDIDYMIS
EXC LESION MUCOSA W/REPR
EXC LESION PALATE UVULA SIMPLE
EXC LESION TENDON SHEATH/CAPSULE
EXC LESION VEST MOUTH WO REPAIR
EXC LESN TEN FARM WR
EXC LINGUAL FRENUM FRENECTOMY
EXC LIP FT RECONST W FLAP
EXC LIP PRIMARY CLOSURE
EXC MAL LES TAL 0.5 LESS
EXC MAL LESION FEENL < 0.5 CM
EXC MAL LESION FEENL 0.6-1.0 CM
EXC MAL LESION FEENL 1.1-2.0 CM
EXC MAL LESION FEENL 2.1- 3.0 CM
EXC MAL LESN FEENL .6-1CM
EXC MAL LESN FEENL 2.1-3.0
EXC MAL LESN FEENL 3.1-4CM
EXC MAL LESN FEENL OVER 4 CM
EXC MAL LESN FENLMM 1.1-2.0
EXC MAL LESN SNHFG .6-1CM
EXC MAL LESN SNHFG >4 CM
EXC MAL LESN SNHFG 1.1-2.0
EXC MAL LESN SNHFG 2.1-3CM
EXC MAL LESN SNHFG 3.1-4.0CM
EXC MAL LESN TAL 0.6-1.0
EXC MAL LESN TAL 1.1-2.0CM
EXC MAL LESN TAL 2.1-3.0
EXC MAL LESN TAL 3.1-4CM
EXC MAL LESN TAL OVER 4 CM
University Medical Center So. NV.
Page 85
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,215.59
2,563.67
746.43
6,444.45
2,068.64
2,600.78
2,752.17
3,431.53
2,414.99
2,608.19
2,784.48
2,737.03
3,830.82
4,082.38
2,233.45
2,408.13
1,906.10
1,906.10
2,661.83
2,581.65
2,390.41
1,906.10
728.61
2,524.97
1,902.56
2,578.22
2,408.13
2,035.47
2,600.78
1,079.37
2,737.03
2,737.03
1,152.43
554.94
554.94
554.94
554.94
1,455.87
1,856.32
3,374.32
2,672.84
1,659.17
697.37
2,782.95
912.86
1,536.27
1,898.26
668.25
1,183.28
1,070.73
1,558.79
1,757.65
02/12/14
Charge#
--------702420561
720620061
720620044
702420532
702420940
723020150
723520136
723320120
702421314
702421249
702420958
702420609
702420956
702420540
702421527
702420591
702420589
702420134
723320119
723020013
702420392
702420960
702420963
702420391
702420253
7024EXCR2
702420081
702421295
702421200
702421203
702420567
702420084
702420258
702420347
702420586
702421508
702421247
702421251
702421252
702421254
702421225
702421224
702420959
702420580
702420955
702420951
702423552
702420950
702420086
702420952
702420418
702420495
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EXC MAL TUM FACIAL BONE WO M
EXC MALIG LES TAL <4.0 CM
EXC MALIG LES TAL 1.2-2.0 CM
EXC NAIL & NAIL MATRIX
EXC NAIL&MATRIX WAMP PHAL
EXC NAIL/MATRIX/PERM RMVL
EXC NAIL/MATRIX/PERM RMVL
EXC NAIL/MATRIX/PERM RMVL
EXC NECK ST-THORAX TUM
EXC NEUROMA HAND/FOOT EX DIG NERV
EXC NEUROMA MJR PERIPHERAL NER
EXC NEUROMA/LEMMOMA CUTANEOUS
EXC OF SPERMATOCELE W/W/O EPIDID
EXC OLECRANON BURSA
EXC PAROTID TOTAL W DISSECT NRV
EXC PAROTID TUMOR WON-DIS
EXC PILONIDAL CYST COMP
EXC PILONIDAL CYST EXTEN
EXC PILONIDAL CYST SIMPLE
EXC PILONIDAL CYST SIMPLE
EXC PILONIDAL CYST SIMPLE
EXC PO HEMORRHAGE EXT
EXC PREPATELLAR BURSA
EXC RECT TRANSANAL FULL
EXC RECT TRANSANAL PART
EXC RECTAL TUMOR ENDOSCOPIC
EXC RHINOPHEYNA
EXC SKIN ABDOMEN
EXC SKIN TAG 1-15 ANY AREA
EXC SKIN-SUBQ AXILA HYDRAD
EXC SUBLINGUAL GLAND
EXC SUBMAXILLARY GLAND
EXC THYROGLOSSAL CYST
EXC TIB FIB CYST W ALLOGRAFT
EXC TONGUE LES ANT 2/3
EXC TROCHANTERIC BURSA/CALCIFICAT
EXC TUM THIGH KNEE DEEP
EXC TUM WRIST-F/ARM DEEP S-FASCIA
EXC TUM/VAS MALIFORMHFDEEX
EXC TUMOR FLANK OR BACK
EXC TUMOR FOOT SUB-Q
EXC TUMR/VASCUL MALIFORM H-F SQ
EXC TURBINATE PARTIAL/COMPLETE
EXC URACHAL CYST SINUS
EXC URETHRAL DIVERTICULUM
EXC VAGINAL LES-TUM
EXC VARICOCEL LIG SPERM VEIN ABD
EXC VARICOCELE W/HERNIA REPAIR
EXC VARICOCELE-LIG SPERN VEIN
EXC.BARTHOLIN CYST GLAND
EXC.INTERDIGITAL NEUROMA SGL EA
EXC.SUBLINGUAL SALIVARY CYST
University Medical Center So. NV.
Page 86
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------5,720.60
1,850.63
790.83
1,365.84
1,511.97
779.40
780.84
780.84
1,959.68
2,068.64
2,046.59
2,110.37
2,726.97
2,600.78
8,144.01
5,563.82
4,939.23
2,414.99
2,805.54
2,805.54
6,064.71
3,210.08
2,408.13
5,397.36
3,617.52
4,079.28
3,609.48
3,508.34
633.64
2,414.99
2,737.03
4,484.29
5,961.40
4,363.03
1,326.89
2,565.89
3,248.38
6,064.71
2,414.99
3,708.08
2,155.99
2,608.19
2,058.59
3,500.68
3,389.43
2,801.17
4,007.45
3,500.68
2,524.97
2,362.31
4,137.28
1,906.10
02/12/14
Charge#
--------702420373
702420206
702421306
714120147
702170040
714120090
723020390
714120146
714120089
702421511
702421512
702420497
702420493
723020149
702420441
702421274
702420369
702420961
702420954
702420949
702420366
702420413
702420334
702420125
702421049
702420278
702420476
723030002
723330002
702420995
702421024
702420530
702421023
702421022
702420542
702420535
723520135
723020014
723520134
702420376
723020015
723520133
723020148
723520132
723320118
702420447
702171507
702171506
702171502
702171526
702171503
702171501
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EXC/CURET CYST OR TUMOR FOOT
EXC/LYSIS PENILE ADH PO
EXCBENIGNTUM-CYST FEMUR
EXCH CV CATH
EXCHANGER HEAT BIOTHERM
EXCHG PERM CATH
EXCHG PERM CATH
EXCHG PICC
EXCHG TEMP CATH
EXCISE CYST/TUMOR HUMERUS
EXCISE CYST/TUMOR RADIUS
EXCISION BAKERS CYST
EXCISION CYST/ADENOMA THROID
EXCISION EXT THROMB HEMORRHOID
EXCISION HYDROCELE-SPERMATIC CORD
EXCISION INF GRAFT EXT
EXCISION LESION EAR CANAL
EXCISION LESION FLOOR OF MOUTH
EXCISION LESION OF PHARYNX
EXCISION LESION OF TESTES
EXCISION LESION-SPERMATIC CORD
EXCISION LINGUAL TONSIL
EXCISION OF HYDROCELE BILATERAL
EXCISION OF HYDROCELE UNILATERAL
EXCISION VULVECTOMY-S COMPLETE
EXCISION VULVECTOMY-S PARTIAL
EXC-REPR EYELID W SK TAR CONJ CAN
EXHLD CARBON DIOXIDE TEST
EXHLD CARBON DIOXIDE TEST
EXP PEN WOUND CHEST
EXP PENT WOUND NECK
EXP REPAIR CHEST BLEED
EXP RETROPERITONEAL AREA
EXP UNDESCEND TESTING SCROTAL
EXP WOUND EXTREMITY
EXPL UNDESCEND TESTIS W/ABDOM
EXPLORATION OF WOUND CHEST
EXPLORATION OF WOUND NECK
EXPLORATION OF WOUND NECK
EXPLORATION OTHER VESSELS
EXPLORATION WOUND ABD/FLANK/BACK
EXPLORATION WOUND ABD/FLANK/BACK
EXPLORATION WOUND EXTREMITY
EXPLORATION WOUND EXTREMITY
EXPLORATION WOUND EXTREMITY
EXPLORE PARATHYROID GLAND
EXT FIX ANKLE (BI)
EXT FIX ANKLE EBI
EXT FIX CLAMP PIVOT SCHANZ (SY)
EXT FIX CONNECTION BOLT (SY)
EXT FIX FOOT RING TIT 180 LN (SY
EXT FIX HALF RING TIT 180MM (SY)
University Medical Center So. NV.
Page 87
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
Price
---------2,355.24
1,787.28
5,013.04
1,763.80
2,678.25
2,711.59
2,711.59
1,696.79
2,892.40
3,160.86
2,843.34
2,912.79
5,961.40
2,857.95
6,064.71
4,959.98
1,757.65
2,035.47
2,411.68
2,524.97
2,524.97
2,737.03
3,780.73
3,139.38
4,352.66
3,290.05
2,306.21
336.62
337.24
2,109.67
2,853.21
3,855.78
3,476.35
3,500.68
1,766.21
5,064.42
2,109.67
2,847.91
2,853.21
5,356.78
2,186.61
2,190.67
2,104.94
2,108.85
2,108.85
4,995.95
14,324.75
32,972.50
1,338.37
34.79
2,368.08
453.37
02/12/14
Charge#
--------702171519
702171509
702171510
702171525
702171537
702171520
702171512
702171511
702171534
702171513
702171527
702171536
702171538
702171533
702420501
702420119
702420075
707030715
723020147
723520131
701520021
702420040
709130020
709130021
714030034
705080062
704070002
702170987
702150078
707030754
707031007
707031009
702171154
714030038
714030039
707030388
707030390
707030742
707030391
707030392
707030393
707030394
707030396
707030743
702174026
702420445
702420492
702421025
702420528
702421032
705080346
705080345
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EXT FIX ILIZAROV HINGE
EXT FIX MINI (BI)
EXT FIX NUT 10 PACK (SY)
EXT FIX NUT EACH (SY)
EXT FIX POST TALL (SY)
EXT FIX RADIUS DISTAL (SY)
EXT FIX ROD THREAD SLOT 60MM (SY
EXT FIX ROD THREADED 120MM (SY)
EXT FIX ROD THREADED 400MM (SY)
EXT FIX STAND OFF (SY)
EXT FIX WASHER 4MM (SY)
EXT FIX WIRE BOLT OFFSET (SY)
EXT FIX WIRE BOLT SLOTTED (SY)
EXT FIX WIRE POST SHORT (SY)
EXT TEND REPR MALLET FNGR WWO PIN
EXT.TEND.REPR DOR HAND W/O GRF
EXT.TEND.REPR DORSOM FNGR W/O GRF
EXTENDED PHENOTYPE
EXTERNAL PACEMAKER
EXTERNAL PACEMAKER
EXTERNAL VERSION
EXTRACT ERUPT TOOTH OR ROOT
EXTREMITY ANGIO- BILAT S&I
EXTREMITY ANGIO-UNILAT S&I
EYE DETECTION FOREIGN BODY
EYE IRRIGATION LENS
EYE PROTECTOR OPITGUARD
EYE SHIELD
EYE SPHERE MEDPOR
EYE/EAR CULTURE
F2 GENE
F5 GENE
FACET FINDER RADIAN (NU)
FACIAL BONE COMP
FACIAL BONE LIMITED
FACTOR 10
FACTOR II
FACTOR INHIBITOR TEST
FACTOR IX ASSAY
FACTOR V ASSAY
FACTOR VIII ACTIVITY
FACTOR VIII ASSAY
FACTOR XII ASSAY
FACTOR XIII QUANTITATIVE
FALLOPIAN RING FRB-30
FASCIA PALM WWO Z PLASTY
FASCIECTOMY DUPUYTRENS Z-PLASTY
FASCIECTOMY PALMER IP JT EA DIG
FASCIECTOMY PLANTAR FAS
FASCIOTOMY PLANTAR TOE-FOOT
FAST CATH 4F 8.5CM (PICU)
FAST CATH 5F 8.5CM (PICU)
University Medical Center So. NV.
Page 88
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
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.00000
.00000
.00000
Price
---------486.26
4,298.25
123.97
258.61
680.57
5,324.83
204.93
204.93
326.37
154.33
27.83
135.36
145.48
597.08
2,068.64
2,014.96
2,201.69
310.92
1,982.85
1,986.54
1,618.30
296.26
3,434.55
3,180.14
248.45
136.74
79.51
53.77
1,787.50
327.36
60.00
60.00
1,581.78
773.81
461.29
126.72
265.43
85.14
561.54
606.46
208.85
561.54
308.06
220.31
356.35
3,824.55
3,830.64
2,030.25
2,581.65
2,581.65
141.09
141.09
02/12/14
Charge#
--------705080344
707030654
707031053
723020380
723520130
723320117
722320447
723020146
722320265
723320116
638511220
702170509
723020145
723320115
707030397
722120000
702170236
702170235
702151774
709120203
709120200
709170009
705080061
714030036
707030074
701530006
714938020
707030398
707030016
707030075
707030735
707030655
710050059
710050058
710050057
710050056
702170994
702171169
702170995
702173002
702173001
702173003
702173004
702171214
702171257
702171249
702270129
702171168
702171094
709170008
707031063
707030171
UMC Charge Master
Description
-----------------------------------------------------------------------------------------FAST CATH 6F 8.5CM (PICU)
FAT SCREEN STOOL
FATTY ACIDS NONESTERIFIED
FB REMOVAL FOOT DEEP SUB TISS BIL
FB REMOVAL FOOT SUBCUTANEOUS
FB REMOVAL FOOT SUBCUTANEOUS
FB REMOVAL FOOT SUBCUTANEOUS
FB REMOVAL FOOT SUBCUTANEOUS
FB REMOVAL FOOT SUBCUTANEOUS BIL
FB REMOVAL TONGUE
FBCC OB GENERAL ROOM
FCI DILATOR INSERTOR S1 3090U
FECAL DISIMPACTION
FECAL DISIMPACTION
FECAL-FAT QUANT
FEES W CINE OR VIDEO
FELT PATCH
FELT PLEGGETTS
FELT TEFLON 6 X 6
FEM/POP REVASC W ATHER
FEM/POP RVSC ATHER/STENT
FEMSTOP
FEMSTOP ARCH COMPRESSION
FEMUR 2 VIEW
FERRITIN
FETAL BIO PROFILE WO TEST
FETAL BIOPHYSICAL PROFILE
FETAL BLEED
FETAL BLOOD SCREEN
FETAL FIBRINECTIN
FETAL HGB SCREEN ROSETTE METHOD
FETAL LUNG MATURITY
FFP CMV
FFP CRYO POOR
FFP CRYO POOR CMV
FFP DOUBLE VOLUME CMV
FIBER CANDELLA LASER
FIBER GREENLIGHT LASER 180 WATT
FIBER HOLMIUM LASER
FIBER HOLMIUM LASER 1000U
FIBER HOLMIUM LASER 200U
FIBER HOLMIUM LASER 365U
FIBER HOLMIUM LASER 550U
FIBER KTP LASER 1250UM ACCUSTAT
FIBER KTP LASER 400 MICRON (PR)
FIBER KTP LASER 600 MICRON (PR)
FIBER SLIMLINE LASR 4.5X365 (LU
FIBER YAG LASER (PR)
FIBERWIRE (AX)
FIBRILLAR
FIBRIN DEGRADATION PRDCTS
FIBRINOGEN
University Medical Center So. NV.
Page 89
Dispense
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------130.64
46.90
9.54
2,631.60
997.02
997.02
997.02
997.02
1,495.53
509.61
1,154.00
878.45
1,347.89
1,350.39
446.61
854.29
768.23
116.81
335.50
13,334.90
1,334.90
471.25
473.35
603.58
202.60
337.42
356.07
196.23
97.90
537.03
186.34
173.40
175.39
134.06
183.11
367.31
998.16
4,809.82
3,924.99
2,449.94
1,419.44
1,108.61
1,465.03
2,662.05
929.65
929.65
2,315.30
1,388.29
244.80
581.44
34.02
153.25
02/12/14
Charge#
--------707030399
707030689
702421036
701050000
702270130
702270222
714150020
714150019
705080444
709170134
709170133
709170132
709170131
709170130
714120101
720620009
702420502
707030829
723020144
723030001
723530001
723330001
702170135
714030037
707030804
702420386
714030127
702421026
702171209
702171508
707030076
702420389
702421021
702420216
702420108
702171557
714170042
707030822
707030808
707030823
707030824
707030825
707031030
707030186
707030187
707030612
707030236
707030716
707031027
714030126
714030009
714030010
UMC Charge Master
Description
-----------------------------------------------------------------------------------------FIBRINOGEN ANTIGEN
FICIN ANTIBODY ID
FILLETED FINGER/TOE FLAP PREPSITE
FILSHIE CLIPS
FILTER APC MEMBRANE (ER)
FILTER IRRIGATION (OA)
FILTER IVC OPTEASE 55 (CS)
FILTER IVC OPTEASE 90 (CS)
FILTERLINE ETC02 H 100/CS J0312
FILTERWIRE EX
FILTERWIRE EZ 2.25X3.5X190 (BS)
FILTERWIRE EZ 2.25X3.5X300 (BS)
FILTERWIRE EZ 3.5X5.5.5X190 (BS)
FILTERWIRE EZ 3.5X5.5.5X300 (BS)
FINE NEEDLE ASP W IMAGING GUID
FINE NEEDLE ASP W/O IMAGING
FINE NEEDLE ASP WO IMAGE
FINE NEEDLE ASPIRATION
FINE NEEDLE ASPIRATION WO IMAGING
FINGER STICK FOR GLUCOSE
FINGER STICK GLUCOSE
FINGER STICK GLUCOSE
FINGER TRAP ALL SZS
FINGERS- MIN 2 VIEWS
FISH TEST- EACH PROBE
FISSURECTOMY W/WO SPHINGTEROMTOMY
FISTULA OR SINUS TRACT STUDY
FIX CONTRALATERAL TESTES
FIXATION SECURE STRAP 4MM
FIXATOR STABLE LOC (AM)
FK506 TACROLIMUS
FLAP ISLAND PEDICLE
FLEX.ORIG CP VOLKMANN-F-ARM/WRIST
FLEX.TEN REPR ADV WO GRAFT EA TEN
FLEX.TEND REPR ADV PRI EA TEN
FLO TRAC ART PRESS SENSOR
FLOSWITCH/TORQUE DEVICE
FLOW CYTOM, INTERP 9-15 MARKERS
FLOW CYTOMETRY EA ADDTL MARKER
FLOW CYTOMETRY INTERP 16&> MARKER
FLOW CYTOMETRY INTERP 2-8 MARKERS
FLOW CYTOMETRY TC, 1ST MARKER
FLT3 GENE
FLUID CELL COUNT
FLUID CRYSTALS
FLUID SPECIFIC GRAVITY
FLUID/BC CULTURE
FLUORESCENT AB- SCRN, EA AB
FLUORESCENT AB; TITER EA AB
FLUORO GUIDE NEEDLE PLACE
FLUOROSCOPY OVER 1 HOUR
FLUOROSCOPY UP TO 1 HOUR
University Medical Center So. NV.
Page 90
Dispense
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Price
---------248.72
82.90
3,399.91
196.76
60.61
45.21
3,960.00
4,195.81
49.85
13,393.26
5,778.11
5,778.11
5,778.11
5,778.11
983.19
317.71
357.73
205.64
317.12
39.07
39.16
39.16
387.43
305.17
389.18
3,376.61
960.01
2,524.97
2,301.32
5,486.25
370.42
5,429.15
5,014.33
3,163.60
3,095.64
1,529.60
52.73
57.55
27.06
57.55
44.89
27.06
1,126.13
132.12
94.59
62.21
394.05
121.39
108.49
862.93
1,717.11
910.33
02/12/14
Charge#
--------714130036
714030007
723020391
714130035
714130034
714130000
709130025
707031008
707030813
705080605
714170119
702170996
702171072
702171079
707030077
707030656
707030188
714030008
714030013
705080479
705080478
705080343
705080342
702174003
702174004
702170083
702171052
702170054
702171081
702170036
702170066
702170479
702170473
702171027
702170081
702171238
702170000
702172003
702270131
702270220
702270132
702170731
702275003
702275002
702270255
702170238
702270200
702270133
702170730
702170678
702170729
702170728
UMC Charge Master
Description
-----------------------------------------------------------------------------------------FLURO FOR NEEDLE PLACE, BX , INJ
FLURO GUIDE DX TX INJ
FLURO GUIDED VASC ACCESS
FLURO GUIDED VASC ACCESS
FLURO VERTEBROPLASTY PER VB S&I
FLURO, UP TO 1 HOUR
FLUROSCOPY UP TO 1 HR
FMR1 GENE DETECTION
FNA ASP INTERP
FOAM DONUT 14 INCH
FOGARTY EMBOLECTOMY CATH
FOGARTY INSERT 33MM
FOGERTY INSERT 61MM
FOGERTY INSERT 86 MM
FOLATE
FOLATE SERUM
FOLLICLE STIMULATING HORMONE
FOOT 2 VIEW
FOOT 3 VIEW +
FOOT ARCH SUPPORT CUSTOM (PCE)
FOOT INSERT MOLDED EACH (PCE)
FOOT WRAP FLOWTRON LARGE
FOOT WRAP PLEXI PULSE
FORCEP BIPLR HORIZ 2MMX20CM (SZ
FORCEP BIPLR VERT 1MMX20CM (SZ)
FORCEP BIPOLAR FINE 8
FORCEP BIPOLAR MED 1.5
FORCEP BX CUP ALL SIZES
FORCEP BX JAW 2MM X 155CM (EC)
FORCEP CRV PLASMA SEAL GRYUS
FORCEP CUTTING ALL SZS GYRUS
FORCEP GRASPING HOOK
FORCEP GRASPING URETERAL STONE
FORCEP JEWELER BIPOLAR
FORCEP MACALUSO STENT REMOVL
FORCEP MALIS BI POLAR 802902
FORCEP MALIS SPETZLER 1/5MM (CD)
FORCEP OPEN CURVE 9-PIN (OL)
FORCEP RAD JAW JUMBO W NDL (BS)
FORCEP RAD JAW LARGE W NDL (BS)
FORCEP RAD JAW PEDI W NDLE (BS)
FORCEP RAD JAW PEDI WO NDLE (BS)
FORCEP RADIAL JAW 4 HOT BX (BS)
FORCEP RAPTOR RAT TOOTH (UE)
FORCEP SPYBITE (BS)
FORCEPS BIOPSY DISP OSCOPY
FORCEPS BIOPSY DISP OSCOPY
FORCEPS BX HOT (BS)
FORCEPS FOR SCREWS (SY)
FORCEPS HALO CUTTING 5MM 33CM
FORCEPS REDUCT BRD RATCH 132 (SY
FORCEPS REDUCT JAW RATCH 144 (SY
University Medical Center So. NV.
Page 91
Dispense
------------.00000
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Price
---------862.93
860.33
862.93
862.93
3,674.60
1,505.06
1,505.06
236.75
175.12
109.30
497.59
49.69
48.10
47.91
214.91
214.91
214.91
473.20
509.93
80.04
337.56
148.25
217.27
1,312.71
1,312.71
293.97
216.44
2,168.49
151.34
2,068.18
2,414.03
1,226.38
1,276.18
182.89
288.19
3,113.07
1,516.62
1,010.84
241.77
85.73
201.38
201.38
149.18
452.73
2,293.60
729.32
729.32
798.91
389.83
1,595.36
2,195.56
2,478.41
02/12/14
Charge#
--------702170727
702171266
714030014
720070013
702420444
714030011
723320114
723020143
702420724
702420442
707030078
702421015
702420174
710020001
710050055
707030786
707030787
707030657
702420037
702420384
702421193
702420118
702420016
702420328
702420714
702420338
723520274
723520271
721020012
720020008
707030717
707030237
707030400
723320113
723020141
702421038
723320111
707031128
720070014
720020009
722320009
714522036
716146020
716136015
716136014
716136013
716136012
714120144
716136037
723320110
723020140
723320109
UMC Charge Master
Description
-----------------------------------------------------------------------------------------FORCEPS REDUCT NRW RATCH 132 (SY
FORCEPS TRICEPS GRASP 3FX120CM
FOREARM 2 VIEW
FOREARM CRUTCHES
FOREHEAD FLAP W/VASC PEDICLE
FOREIGN BODY REMVL W/BALLOON CATH
FORESKIN MANIP INCL LYS ADHES
FORESKIN MANIP INCL LYS ADHES
FORESKIN MANIP-LYSIS OF ADHESIONS
FREE NEEDLE WITH IMAGE
FREE T4
FRENULECTOMY
FRENULOPLASTY Z PLASTY
FROZEN BLOOD THAW
FROZEN RED BLOOD CELLS WASHED
FROZEN SECTION EA ADDITIONAL
FROZEN SECTION OR CONSULT
FRUCTOSAMINE
FT GRAFT FCCMNAGHF 20 SQCM LEG
FT GRAFT FCCMNAGHF ADDTL 20 SQ CM
FT GRAFT FREE TRUNK 20 SQ CM/LESS
FT GRAFT N E E L 20 <
FT GRAFT N E E L ADTL 20 SQ CM
FT GRAFT S A L 20 SQ CM/LESS
FT GRAFT S A L ADDTL 20 SQ CM
FULL MOUTH DEBRIDEMENT
FULL TRAUMA RESP CRITICAL CARE
FULL TRAUMA RESPONSE
FUNCT THER ACT 15 MIN GO
FUNCT THER ACT 15 MIN GP
FUNGUS AB NOS
FUNGUS CULTURE
FUNGUS CULTURE ID
FX CLSD METACARPAL W MAN
FX CLSD METACARPAL WO MAN BIL
FX NASAL TURBINATES-INFERIOR
FX TIBIA W/SKELETAL TRACTION
GABAPENTIN LEVEL SCREEN
GAIT BELT
GAIT TRAIN 15 MIN GP
GALEAZZI FX DISLOCATION
GALLBLADDER CATH CHG CT GUIDE
GALLIUM GA67 CITRATE PER MCI
GALLIUM SCAN LMTD INFLAM
GALLIUM SCAN LTD TUMOR
GALLIUM SCAN W/B INFLAM
GALLIUM SCAN W/B TUMOR
GAS FEEDING TUBE REPOS VIA DUOD
GASTRIC EMPTYING STUDY
GASTRIC LAVAGE DX
GASTRIC LAVAGE DX
GASTRIC LAVAGE THERAPEUTIC
University Medical Center So. NV.
Page 92
Dispense
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Price
---------2,195.56
932.14
380.21
436.37
5,974.07
1,162.11
1,753.97
2,626.10
1,753.97
534.07
184.09
852.71
1,482.38
80.66
528.62
185.81
243.87
57.58
3,694.62
1,654.94
2,841.22
2,838.96
1,804.10
1,948.42
1,907.40
846.18
22,284.29
22,284.29
106.60
106.60
205.30
365.63
81.73
1,522.59
2,626.10
1,906.10
2,463.74
27.14
112.48
106.60
646.24
1,711.16
131.07
1,631.80
2,238.14
3,455.95
3,254.35
1,450.38
1,966.52
83.54
83.54
83.54
02/12/14
Charge#
--------723020139
723520127
702152831
702152883
707030189
707030401
714120143
702420718
714170004
702421016
716136011
707030402
720670030
705080626
705080341
705080340
705080339
705080338
702173008
702173007
702174006
707030629
707030403
707031100
707030079
707030080
707030081
707030630
707030404
716136036
714130023
707031076
707030405
702421043
709171300
709171301
709171302
702170092
709170128
709171237
709170121
709170054
702420716
721070012
721070013
721070014
721070015
721070016
721070017
721070018
721070019
721070020
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GASTRIC LAVAGE THERAPEUTIC
GASTRIC LAVAGE TX
GASTRIC LEAD (MT)
GASTRIC STIMULATOR (MT)
GASTRIC WBC
GASTRIN
GASTRO TUBE CHANGE WO IMAG/GUIDE
GASTROCNEMIUS RECESSION
GASTROJEJUNOSTOMY SET
GASTROSTOMY OPEN
GATED SPECT WALL MOTION
GC BY GENPROBE
GEL CELLERATE RX 28GR
GEL MEDIHONEY 1.5 OZ TUBE
GEL-E-DONUT PILLOW ADULT(PICU)
GEL-E-DONUT PILLOW INFANT (NICU)
GEL-E-DONUT PILLOW PREMIE (NICU)
GEL-E-DONUT PILLOW PREMIE (PICU)
GELPOINT PATH 4X4.5CM(APM)
GELPOINT SNGL ACCESS INCIS (APM)
GELPORT ALEXIS LAP SYSTEM
GENERAL HEALTH PANEL
GENOTYPE ANALYSIS HIV1
GENOTYPE DNA HEPATITIS B
GENTAMICIN PEAK
GENTAMICIN TDM
GENTAMICIN TROUGH
GG, IGA, IGD, IGG, IGM, EA
GGTP
GI BLEEDING SCAN
GI TUBE PLACEMENT S&I
GIARDIA AG EIA
GIARDIA ANTIBODY
GINGIVECTOMY, EXC GINGIVA EA QUAD
GLIDECATH SIM 1 5FX100CM SDEWNDR
GLIDECATH SIM 2 5FX100CM SDEWNDR
GLIDECATH SIM 3 5FX100CM SDEWNDR
GLIDEWIRE ANGELED TIP 0.025
GLIDEWIRE ANGLED 035X260 (TO)
GLIDEWIRE FLEX JTIP 035X180 (TO)
GLIDEWIRE STRT 035X150 (TO)
GLIDEWIRE STRT 035X180 (TO)
GLOSSECTOMY <1/2 TONGUE
GLOVE CRUTCH/WC L/XL LEFT
GLOVE CRUTCH/WC L/XL RIGHT
GLOVE CRUTCH/WC S/M LEFT
GLOVE CRUTCH/WC S/M RIGHT
GLOVE EDEMA FULL LG LEFT
GLOVE EDEMA FULL LG RIGHT
GLOVE EDEMA FULL MD LEFT
GLOVE EDEMA FULL MD RIGHT
GLOVE EDEMA FULL SM LEFT
University Medical Center So. NV.
Page 93
Dispense
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Price
---------83.54
374.78
6,050.00
23,237.50
195.69
273.16
680.50
3,282.80
1,998.92
4,357.90
1,081.05
83.63
383.83
67.04
46.79
54.03
54.03
49.21
2,729.79
2,231.00
2,060.10
598.58
572.78
40.00
315.71
315.71
315.71
54.86
161.68
2,120.84
1,224.87
22.25
91.85
832.86
266.83
266.83
266.83
264.59
355.82
198.09
609.67
246.87
4,004.63
76.91
76.91
76.91
76.91
38.89
38.89
38.89
38.89
38.89
02/12/14
Charge#
--------721070021
721070022
721070023
721070024
721070025
721070026
721070027
721070028
721070029
721070030
721070031
721070032
721070033
707030406
705080337
705080336
707030082
707030083
707030407
707030084
707030085
787030000
701530000
707030408
707030086
707030087
707030088
707030631
707030874
707030658
707030089
702151135
702151507
702150708
702150742
702150852
702150829
702150874
702150870
702421020
702420729
702152654
702150688
702420151
702150513
702420732
702151905
702150687
702150749
702150674
702150850
702151247
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GLOVE EDEMA FULL SM RIGHT
GLOVE EDEMA OPEN LG LEFT
GLOVE EDEMA OPEN LG RIGHT
GLOVE EDEMA OPEN MD LEFT
GLOVE EDEMA OPEN MD RIGHT
GLOVE EDEMA OPEN SM LEFT
GLOVE EDEMA OPEN SM RIGHT
GLOVE EDEMA OPEN XS LEFT
GLOVE EDEMA OPEN XS RIGHT
GLOVE FLEX FINGER L/XL LEFT
GLOVE FLEX FINGER L/XL RIGHT
GLOVE FLEX FINGER S/M LEFT
GLOVE FLEX FINGER S/M RIGHT
GLUCAGON
GLUCAN PRO CREAM JAR 3.5 OZ (BCU)
GLUCAN PRO CREAM TUBE 0.9 OZ (BCU
GLUCOSE 1 HR PC
GLUCOSE 2 HR PP
GLUCOSE 6 PD
GLUCOSE CSF
GLUCOSE FASTING
GLUCOSE FINGER STICK
GLUCOSE FINGER STICK
GLUCOSE FLUID
GLUCOSE RANDOM
GLUCOSE STAT
GLUCOSE TOL 3 SPECIMENS
GLUCOSE TOL ADDTL SPECIMEN
GLUTAMYLTRANSFERASE GAMMA (GTT)
GLYCOLATED HGB TEST-REFERRED
GLYCOSYLATED HGB (HGBAIC)
GORTEX MESH DUAL 432SQCM
GRAFT VASC S0604
GRAFT AORTIC CUFF (MT)
GRAFT AORTIC EXTENDER (GM)
GRAFT BIFURCATED HDS (MT)
GRAFT BIFURCATION (GM)
GRAFT BIFURCATION AORTIC (MT)
GRAFT BIFURCATION LONG (MT)
GRAFT BONE NOSE MAX MALAR
GRAFT- COMPOSITE
GRAFT CONTRALAT LIMB (GM)
GRAFT CONTRALAT LIMB (MT)
GRAFT EAR CART TO NOSE/EAR
GRAFT FLAIRED LIMB MEDTRONIC
GRAFT FOR RECTAL INCONTINENCE
GRAFT GORE PATCH
GRAFT ILIAC BODY (GM)
GRAFT ILIAC EXTEN HDS (MT)
GRAFT ILIAC LIMB (MT)
GRAFT ILIAC TRUNK (GM)
GRAFT INTERRING 6X80
University Medical Center So. NV.
Page 94
Dispense
------------.00000
.00000
.00000
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Price
---------38.89
42.93
42.93
42.93
37.50
42.93
42.93
47.21
47.21
73.27
73.27
73.27
73.27
174.63
137.95
72.86
78.46
105.06
173.60
110.58
113.46
39.70
44.83
110.58
113.46
113.46
231.12
105.06
12.24
160.65
160.65
3,088.25
2,627.52
6,600.00
7,452.50
25,437.50
23,017.50
21,381.25
21,931.25
4,629.66
5,707.13
10,945.00
10,931.25
3,046.27
1,223.75
5,757.78
385.00
10,628.75
7,975.00
10,931.25
27,486.25
3,786.75
02/12/14
Charge#
--------702151243
702140010
702140004
702151757
702420735
702152598
702151878
702151505
702150136
702150079
702151220
702151506
702150363
702150759
702151134
702152794
702152808
702151911
702154409
702152554
702154410
702154401
702154405
702154404
702154406
702150149
702154402
702154403
702155021
702155020
702150004
702151131
702150728
702151176
702151165
702150000
702150729
702151177
702150771
702150681
702151062
702150147
702150148
702150169
702151245
702151196
702150707
702150514
702154407
702422007
707030211
710050054
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GRAFT INTERRING 80X80X80
GRAFT JACKET 2CC EXPRESS
GRAFT JACKET PER SQ CM
GRAFT PATCH GORE
GRAFT RIB CART TO FCNE
GRAFT STENT 28MMX10CM (GM)
GRAFT VASC 019579P
GRAFT VASC 06010L
GRAFT VASC 175422
GRAFT VASC 175424P
GRAFT VASC 175426
GRAFT VASC 47045
GRAFT VASC H060010A
GRAFT VASC H066080A
GRAFT VASC H470045A
GRAFT VASC HEMA GOLD 085127
GRAFT VASC HEMA GOLD 085147
GRAFT VASC HEMA GOLD 085168
GRAFT VASC HEMA GOLD 085189
GRAFT VASC HEMA GOLD 085201
GRAFT VASC HEMA GOLD 085241
GRAFT VASC HEMA STRGHT 095220
GRAFT VASC HEMA STRGHT 175308P
GRAFT VASC HEMA STRGHT 175408P
GRAFT VASC HEMA STRGHT 175424P
GRAFT VASC HEMA STRGHT 175428P
GRAFT VASC HEMA STRGHT 175432P
GRAFT VASC HEMA STRGHT 175434P
GRAFT VASC HEMA STRGT 095218
GRAFT VASC HEMA STRGT 095406
GRAFT VASC HEMA STRGT 095412
GRAFT VASC HR060545A
GRAFT VASC HT060080A
GRAFT VASC HT064050A
GRAFT VASC HT074050A
GRAFT VASC HT076080A
GRAFT VASC HT080080A
GRAFT VASC HT084050A
GRAFT VASC HT087080A
GRAFT VASC ILCH1515115 (MT)
GRAFT VASC IRST0806060L
GRAFT VASC M002020952140
GRAFT VASC M002020952160
GRAFT VASC S47045
GRAFT VASC ST0607
GRAFT VASCULAR VB060502
GRAFT VASCULAR VB061001
GRAFT VESSELGRD PRECLUDE 1PVG506
GRAFT VESSELGRD PRECLUDE 1PVG610
GRAFT, COMPOSITE
GRAM STAIN
GRANULOCYTE CONC
University Medical Center So. NV.
Page 95
Dispense
------------.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
Price
---------3,786.75
5,385.00
360.94
302.50
4,629.66
35,062.50
366.71
697.35
1,540.00
1,787.50
2,151.19
3,817.00
819.50
6,963.00
3,209.25
2,647.84
2,521.75
2,402.40
2,522.52
2,647.84
2,648.64
1,787.50
1,672.00
1,876.88
2,070.34
1,595.00
2,151.19
2,070.34
1,853.78
1,545.50
1,764.57
3,192.75
5,948.25
4,529.25
4,529.25
6,963.00
5,948.25
4,529.25
7,172.00
9,212.50
3,316.50
1,600.50
1,600.50
1,485.00
3,786.75
5,486.25
6,586.25
1,146.75
2,224.75
5,707.13
89.42
2,587.53
02/12/14
Charge#
--------710050053
702171277
702170552
707030788
707030789
707030790
707030791
707030792
707030793
707030410
702170726
702170725
702171333
723020400
723020392
709173500
702170646
702170687
702171514
702171532
702171535
702171055
702171530
702170986
702171085
702151898
702171028
702151524
702151332
702170864
702170724
702171068
702170798
705080467
705080466
705080465
705080464
702171444
709170125
709170124
702171457
702171464
702171465
714170118
709170129
714170117
714170116
702171442
714170114
714170115
714170113
714170112
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GRANULOCYTES CMV
GRASPER COAG 2.5X1650X5MM MONO
GRASPER LASER
GROSS EXAM ONLY
GROSS/MICRO LEVEL II
GROSS/MICRO LEVEL III
GROSS/MICRO LEVEL IV
GROSS/MICRO LEVEL V
GROSS/MICRO LEVEL VI
GROWTH HORMONE
GUAGE DEPTH FOR 2.7MM SCREW (SY)
GUAGE DEPTH FOR SMALL SCREW (SY)
GUIDE BALL TIP ROD 3X1000MM (SN)
GUIDE CATH FLUID DRAINAGE
GUIDE CATH FLUID DRAINAGE
GUIDE EXTENSION GUIDEZILLA
GUIDE PIN .45MM (AM)
GUIDE PIN .54MM (AM)
GUIDE PIN 1M (SY)
GUIDE PIN 2.4 (OS)
GUIDE PIN 3.2 (SN)
GUIDE PIN BIOMET
GUIDE PIN CS (OS)
GUIDE PIN POLARIUS (AM)
GUIDE PIN RND 2.4DI X 2.4MM (SO)
GUIDE PIN SET (BI)
GUIDE PIN TROC 2.4DI X 2.4MM (SO
GUIDE PIN W BALL I-M (DP)
GUIDE PINS LASER ETCHED SP PRO
GUIDE ROD 3MM (SY)
GUIDE SHAFT DHS DCS W FLATS (SY)
GUIDE SUTURE GABBY FRATTER
GUIDE WIRE ALL SIZES (MT)
GUIDEWIRE .015IN X 15CM (PICU)
GUIDEWIRE .018 IN X 40 CM (PICU)
GUIDEWIRE .021IN X 40CM (PICU)
GUIDEWIRE .035 IN X 68 CM (PICU)
GUIDEWIRE .035X4 OSTEOMED
GUIDEWIRE 100XT HYDR .014X190 (AB
GUIDEWIRE 100XT HYDR .014X300 (AB
GUIDEWIRE 2.2 STRYKER
GUIDEWIRE 3.2 X 290MM (SY)
GUIDEWIRE 3.2 X 400MM (SY)
GUIDEWIRE 3J 150 X .035 (TO)
GUIDEWIRE AMPLATZ 035X260 (AR)
GUIDEWIRE AMPLATZ CUS (CM)
GUIDEWIRE AMPLATZ SS .35X180 (BS)
GUIDEWIRE AMPLATZ SUPRSTIF (BS
GUIDEWIRE AMPLATZ US (CM)
GUIDEWIRE AMPLATZ US (CM)/1
GUIDEWIRE ANG LN 150X.035 (TO)
GUIDEWIRE ANG STF 150X.035 (TO)
University Medical Center So. NV.
Page 96
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,587.53
942.62
1,141.31
160.65
214.47
259.42
312.88
431.09
506.75
177.28
2,089.08
2,212.24
1,007.88
7,150.68
7,150.68
1,970.57
160.50
160.50
538.56
232.21
707.50
255.66
312.79
588.16
170.85
376.75
158.20
463.93
77.00
713.70
988.03
164.80
417.01
195.75
195.75
194.05
194.05
138.78
439.41
430.26
747.71
481.85
481.85
218.48
96.61
147.02
270.40
82.09
140.16
140.16
123.36
326.99
02/12/14
Charge#
--------714170111
714170110
702171449
709170123
709170122
709170916
714170109
714170108
714170107
714170106
714170105
705080142
714170104
702171455
702171459
714170103
709170661
702270156
702270157
702270158
702270159
702270160
702270161
709170662
709170120
709170119
705080141
709170118
702171429
702270256
714170102
709170117
702171451
702270257
702171435
702171436
702171476
702171482
709170116
709170115
709170114
709170113
709170112
714170101
702171471
709170111
709170110
702173301
714170100
714170099
702171008
709170109
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GUIDEWIRE ANG STFSFT 180X.035 (TO
GUIDEWIRE ANG STFSHF 260X.035 (TO
GUIDEWIRE ANGIO
GUIDEWIRE ANGLED .035X150CM (TO)
GUIDEWIRE ANGLED .035X260CM (BS)
GUIDEWIRE ANGLED 035X15
GUIDEWIRE ANGLED 150 X.018 (T0)
GUIDEWIRE ANGLED 150 X.035 (UL)
GUIDEWIRE ANGLED 180 X .018 (TO)
GUIDEWIRE ANGLED 200 X .035 (TO)
GUIDEWIRE ANGLED 50 X .035 (TO)
GUIDEWIRE ARTLINE .025
GUIDEWIRE ASAHI H2O FLX 180 (AB)
GUIDEWIRE BALL TIP 3X1000 (SK)
GUIDEWIRE BEADTIP 3MMX98CM (BI)
GUIDEWIRE BENSTON .35X145 (CM)
GUIDEWIRE BENTSON 035X150
GUIDEWIRE BLN COL 12-13.5-15 (BS
GUIDEWIRE BLN COLO 10-11-12 (BS
GUIDEWIRE BLN COLO 15-16-18 (BS
GUIDEWIRE BLN COLO 18-19-20 (BS
GUIDEWIRE BLN COLO 6-7-8 (BS)
GUIDEWIRE BLN COLO 8-9-10 (BS)
GUIDEWIRE BMW STR 014X190
GUIDEWIRE BMW UNI .014 X 190 (AB)
GUIDEWIRE BMW UNI .014 X 300 (AB)
GUIDEWIRE CENTRAL LINE
GUIDEWIRE CHOICE PT CROSSWIRE
GUIDEWIRE DASH DIRCTII 480CM (CK
GUIDEWIRE DASH DIRCTII 480CM (CK)
GUIDEWIRE DBLFLX TDOC 35X145 (CM)
GUIDEWIRE DEFLECTING TIP
GUIDEWIRE DREAM .035X450 (BS)
GUIDEWIRE DREAM .035X450(BS)
GUIDEWIRE DREAMWIRE ANG .035X260
GUIDEWIRE DREAMWIRE STR .035X260
GUIDEWIRE DRILL TIP 2.5X200 (SY)
GUIDEWIRE DRILL TIP 2.5X300 (SY)
GUIDEWIRE DX J .35 X 150 (BS)
GUIDEWIRE DX J .35 X 260 (BS)
GUIDEWIRE EXTENSION 145 CM (BS)
GUIDEWIRE FFR PRIME 185CM (VO)
GUIDEWIRE FFR PRIME 300CM (VO)
GUIDEWIRE FLEXFINDER 80X.035 (EV)
GUIDEWIRE FLUTE 2.8X330-150 (SY)
GUIDEWIRE FORTE FLOPPY 185CM (BS)
GUIDEWIRE FORTE FLOPPY 300CM (BS)
GUIDEWIRE FUSION .035 LOOP TIP
GUIDEWIRE GLIDE ANGLD .25X150 (BS
GUIDEWIRE GRANDSLAM .14X300 (CU
GUIDEWIRE IM (SN)
GUIDEWIRE IQ 185 CM (BS)
University Medical Center So. NV.
Page 97
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------326.99
345.34
76.70
270.55
289.20
421.44
379.78
297.27
72.65
171.85
217.77
59.32
430.26
1,181.68
630.06
112.37
181.34
1,208.56
1,208.56
1,208.56
1,208.56
1,208.56
1,208.56
352.10
430.26
430.26
63.13
619.73
1,377.90
1,377.90
124.22
918.17
959.80
959.80
1,572.64
1,572.64
380.73
392.04
79.17
79.17
527.96
2,427.85
2,427.85
776.66
337.34
762.37
884.33
801.59
292.20
447.64
588.16
705.89
02/12/14
Charge#
--------709170108
702270163
702270162
702270164
702270165
702270166
709170107
709170106
709170105
709170104
702171467
709170103
709170102
709170101
709170100
702171456
714170098
714170097
714170096
714170095
709170099
709170098
709170097
709170096
714170094
714170093
702171472
702171441
702171443
702171448
702270167
709170095
709170094
709170093
709170092
709170091
709170090
714170092
714170091
709170663
709170904
709170660
709170089
709170088
709170087
709170086
702270168
714170090
714170089
702171045
714170088
714170087
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GUIDEWIRE IQ 300 CM (BS)
GUIDEWIRE JAG A .035IN 450CM (BS
GUIDEWIRE JAG RX39 .025X260 (BS)
GUIDEWIRE JAG S .035IN 260CM (BS
GUIDEWIRE JAG S .035IN 450CM (BS
GUIDEWIRE JAG S 025IN 450CM (BS)
GUIDEWIRE KINET PLUS 185X.014 (BS
GUIDEWIRE KINET PLUS 300X.014 (BS
GUIDEWIRE KINETIX 185 X .014 (BS)
GUIDEWIRE KINETIX 300 X .014 (BS)
GUIDEWIRE LAG SCR 3.2X460MM (BI
GUIDEWIRE LUGE MOD SUP 182CM (BS)
GUIDEWIRE LUGE MOD SUP 300CM (BS)
GUIDEWIRE MAILMAN 182 CM (BS)
GUIDEWIRE MAILMAN 300 CM (BS)
GUIDEWIRE METTO DIR .35IN 600CM
GUIDEWIRE MICR SFT SYN 200X.14(BS
GUIDEWIRE MICRO MIRAGE .008 (EV)
GUIDEWIRE MICRO STD SYNCH 200X.14
GUIDEWIRE MICRO XPDN .014 (EV)
GUIDEWIRE MIRCL BRO3 .014X180 (AB
GUIDEWIRE MIRCL BRO3 .014X300 (AB
GUIDEWIRE MIRCL BRO6 3.014X180 AB
GUIDEWIRE MIRCL BRO6 3.014X300 AB
GUIDEWIRE NEURO H20 FLX 300 (AB)
GUIDEWIRE NITREX .018 (EV)
GUIDEWIRE NON THRD 1.1X150 (SY
GUIDEWIRE NON THRD 1.25X150 (SY
GUIDEWIRE NON THRD 2.0X230MM (SY
GUIDEWIRE OSTEOMED
GUIDEWIRE PATH FINDER (BS)
GUIDEWIRE PIL150 HYDR .014X190 AB
GUIDEWIRE PIL150 HYDR .014X300 AB
GUIDEWIRE PIL200 HYDR .014X190 AB
GUIDEWIRE PIL200 HYDR .014X300 AB
GUIDEWIRE PIL50 HYDR .014X190 (AB
GUIDEWIRE PIL50 HYDR .014X300 (AB
GUIDEWIRE PLAT TRANS 205X.014 (BS
GUIDEWIRE PLAT TRANS 300X.014 (BS
GUIDEWIRE PLT200 J014X190
GUIDEWIRE PROWATERFLEX 18
GUIDEWIRE PROWTR 300J (AB)
GUIDEWIRE PT-2 185 CM (BS)
GUIDEWIRE PT-2 LS .014X300CM (BS)
GUIDEWIRE PT-2 LS 185 CM (BS)
GUIDEWIRE PT-2 MS .014X300CM (BS)
GUIDEWIRE ROADRUNNER ST TIP (CK)
GUIDEWIRE ROSEN .35 X 260 (CM)
GUIDEWIRE ROSEN 35X180 (BS)
GUIDEWIRE SENSOR 0.035 3CM (BS)
GUIDEWIRE SS AMPLATZ .35X145 (BS)
GUIDEWIRE SS AMPLATZ .35X260 (BS)
University Medical Center So. NV.
Page 98
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------762.37
1,801.91
1,801.91
819.05
959.80
1,276.11
434.38
434.38
434.38
469.13
624.89
682.15
884.33
682.15
439.40
1,170.08
1,806.92
1,741.92
2,107.47
1,031.20
3,049.05
3,049.05
3,049.05
3,049.05
430.26
962.46
93.05
92.32
125.77
102.48
644.57
439.41
439.41
439.41
439.41
439.41
439.41
1,785.28
1,785.28
352.10
1,375.00
456.87
776.66
430.26
776.66
430.26
714.67
133.33
92.71
283.31
191.43
281.74
02/12/14
Charge#
--------714170086
714170085
714170084
702270169
709170667
709170668
702270170
714170083
709170085
709170659
709170670
709170671
702270231
714170082
702171463
702171473
702171474
702171446
702171450
702171440
702171480
714170081
709170084
709170083
714170080
702270230
702171452
709170082
709170081
709170080
709170079
714170079
702270171
714170078
707030411
707030764
702420453
702420148
714030012
714030006
721070034
702270214
702171546
702174010
702174011
702174012
702174013
702170818
702170655
702170654
702170706
702171203
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GUIDEWIRE ST THRUWAY J 5X190 (BS)
GUIDEWIRE ST THRUWAY J 5X300 (BS)
GUIDEWIRE STEERABLE TAD II (ML)
GUIDEWIRE STIFF M00556061 (BS)
GUIDEWIRE STLCOR 018X190
GUIDEWIRE STLCOR 018X300
GUIDEWIRE STR .020IN 450CM 3CM
GUIDEWIRE STRAIGHT 150 X .035 (TO
GUIDEWIRE STRAIT .035X260CM (BS)
GUIDEWIRE STRT 035X260 (TO)
GUIDEWIRE SUPCOR 035X190
GUIDEWIRE SUPCOR 035X300
GUIDEWIRE TAP .035IN 500CM (BS)
GUIDEWIRE TCMTNA 35X145 (CM)
GUIDEWIRE THD TRO PT 2.8X450 (SY
GUIDEWIRE THRD 1.1X150MM (SY)
GUIDEWIRE THRD 1.6X150MM (SY)
GUIDEWIRE THRD TROC 2.8X300 (SY)
GUIDEWIRE THREADED (DK)
GUIDEWIRE THREADED 1.25X150 (SY)
GUIDEWIRE THREADED 2.0X230 (SY)
GUIDEWIRE THRUWAY ST S 5X190 (BS)
GUIDEWIRE TRVRS HYDR .014X190 (AB
GUIDEWIRE TRVRS HYDR .014X300 (AB
GUIDEWIRE TSCFNA J .35X145X15 (CM
GUIDEWIRE ULT SHORT .035X205CM
GUIDEWIRE VIS STRT 025IN 450CM
GUIDEWIRE WHSPR HYDR .014X190 (AB
GUIDEWIRE WHSPR HYDR .014X300 (AB
GUIDEWIRE WIGGLE .014 X 190 (AB)
GUIDEWIRE WIGGLE .014 X 300 (AB)
GUIDEWIRE XPEDION .010 X 200 (EV)
GUIDEWRE JAG STRT .025IN 260CM
GUIDWIRE THRUWAY .14 X 190 (BS)
H PYLORI SPECIFIC ANTIGEN
H. PYLORI STOOL, EIA
HALLUX VALGUS W MT OSTEO
HAMMERTOE ONE TOE-INTER PHALANX
HAND 2 VIEW
HAND 3 VIEW +
HAND EXERCISER
HANDLE ALLIANCE LITH DEV (BS)
HANDLE CANN PEDIGUARD (SPG)
HANDLE RUMI 2.5CM KCRUMI25 (CU)
HANDLE RUMI 3.0CM KCRUMI30 (CU)
HANDLE RUMI 3.5CM KCRUMI35 (CU)
HANDLE RUMI 4.0CM KCRUMI40 (CU)
HANDLE SIDEKICK GUIDE (AL)
HANDLE W HEX COUPLING MED (SY)
HANDLE W QC MINI (SY)
HANDLE W QC SMALL (SY)
HANDPIECE ISOLATOR LEFT CRVD
University Medical Center So. NV.
Page 99
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------537.81
610.40
502.10
913.84
415.29
415.29
882.37
218.48
289.20
246.87
415.29
415.29
535.72
113.43
261.72
98.86
111.96
151.20
596.04
98.86
234.50
562.10
439.41
439.41
92.52
688.27
957.86
439.41
439.41
439.41
439.41
997.01
933.65
658.32
200.65
99.20
3,367.89
2,495.97
355.38
458.91
65.82
1,961.02
4,876.08
415.29
415.29
415.29
415.29
313.83
2,732.40
211.36
1,708.23
11,914.55
02/12/14
Charge#
--------707030412
707030633
702170415
707031031
707030413
707030090
707030091
718120033
709170007
702170012
714030002
705080477
705080476
705080060
718120010
718120011
707030238
707030190
707030191
720070015
702170002
719020003
707030192
707030193
702174009
702420251
702420068
702420381
702421019
702421013
702420201
702420448
707030414
709170646
702171009
709170896
702170420
702170141
702170095
707030744
707030415
716136035
707030416
707030093
707030094
707030095
707030718
707030417
707030418
707030419
707030096
707030420
UMC Charge Master
Description
-----------------------------------------------------------------------------------------HANTA VIRUS TITER
HAPTOGLOBIN
HARMONIC SCAPEL PISTOL
HBA1/HBA2 GENE
HCG BETA SUBUNIT
HCG QUANT SERUM
HDL CHOLESTEROL
HEART LUNG RESUSCITATION
HEART MANIFOLD KIT
HEAT INSUFLATOR (SK)
HEEL 2 VIEW +
HEEL LIFT TAPERED CUSTOM (PCE)
HEEL PROTECTOR WEDGE BOOT
HEIMLICH VALVE
HELI OX MED GAS GT 2HRS
HELI OX MED GAS LT 2HRS
HELICOBACTER PYLORI
HEMATOCRIT
HEMATOCRIT STAT
HEMI WALKER
HEMOCLIP ENDOSCOPIC 16X230MM
HEMODIALYSIS INPATIENT
HEMOGLOBIN
HEMOGLOBIN STAT (HGB)
HEMORRHAGE OCCLUDER CR1007
HEMORRHOID INT EXT SIMPLE
HEMORRHOID LIGATURE SIMPLE
HEMORRHOIDOPEXY BY STAPLING
HEMORROHOIDECTOMY-FISSURE
HEMORROHOIDECTOMY-FISTULA
HEMORROID INT EXT COMPLEX
HEMORROIDECTOMY EXT COMP
HEMOSIDERIN
HEMOSTASIS SET SHEATH 14FRX12
HEMOSTAT BONE WAX
HEMOSTAT FIBRILLAR ABSORB
HEMOSTAT INSTAT COLLAGEN
HEMOVAC LARGE
HEMOVAC MEDIUM
HEPARIN ASSAY
HEPARIN INDUCED ANTIBODIES
HEPATABILIARY SYST IMG W/DRUG
HEPATITIS A ANTIBODY IGM
HEPATITIS B ANTIBODY
HEPATITIS B ANTIGEN
HEPATITIS B CORE AB IGM
HEPATITIS B DNA
HEPATITIS B SURVEILLANCE
HEPATITIS BE ANTIBODY
HEPATITIS BE ANTIGEN
HEPATITIS C
HEPATITIS C GENOTYPE
University Medical Center So. NV.
Page 100
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------82.90
82.33
3,406.81
1,179.06
119.52
170.14
103.76
1,368.19
299.45
407.07
433.17
88.68
82.50
106.21
768.80
374.02
290.49
47.84
47.84
464.35
778.48
1,982.10
46.53
46.53
2,955.20
2,620.09
366.41
3,706.36
2,563.67
2,563.67
3,760.92
2,563.67
110.71
183.41
57.00
2,941.46
670.87
467.94
388.04
183.44
542.73
2,436.34
203.83
179.26
172.85
146.79
328.00
176.92
225.80
114.79
304.24
910.32
02/12/14
Charge#
--------707030421
707030422
707030423
707030424
707030425
707030097
716136034
707030805
707030426
707030427
707030719
707030720
707030428
707030877
707030876
709020035
709020036
709020037
709020038
709020039
707031010
707030659
718120012
718120035
718120013
718120036
701016004
638511200
714030003
714030000
714030130
714030001
707030429
707030430
707030765
707030431
707030766
707030721
707030433
707030434
707030098
707030747
707030767
707030768
707030435
707030436
707031038
707031014
707031015
707031039
707031011
707031013
UMC Charge Master
Description
-----------------------------------------------------------------------------------------HEPATITIS C RNA PCR QUANT
HEPATITIS C SUPPLEMENTAL
HEPATITIS C VIRAL RNA QUL
HEPATITIS CORE ANTIBODY
HEPATITIS D ANTIBODY
HEPATITIS PANEL ACUTE
HEPATOBILIARY SYSTEM IMAGING
HER2/NEU, ERA/PRA
HERPES ANTIBODY IGM
HERPES SIMPLEX SEROLOGY
HERPES SIMPLEX TYPE 1 IQG
HERPES SIMPLEX TYPE 2 IGG
HERPES SIMPLEX VIRUS AB IGM
HERPES VIRUS 6 DNA QUAL
HERPES6 NA QUANT
HFC VISIT EST LEVEL 1
HFC VISIT EST LEVEL 2
HFC VISIT EST LEVEL 3
HFC VISIT EST LEVEL 4
HFC VISIT EST LEVEL 5
HFE GENE
HGB F CHROMATOGRAPHY
HIGH FLOW HUMI O2 TX INITIAL
HIGH FLOW HUMI O2 TX INITIAL/1
HIGH FLOW HUMI O2 TX SUBSEQUENT
HIGH FLOW HUMI O2 TX SUBSEQUENT/1
HIGH RISK LABOR PER HOUR
HIGH RISK OB GENERAL
HIP 1 VIEW
HIP 2 VIEW +
HIP ARTHROGRAM
HIP DURING OPER PROCD
HISTOPLASMA AB (CF)
HISTOPLASMA AB (ID)
HISTOPLASMA ANTIGEN, EIA
HISTOPLASMA SEROLOGY
HIV 1 ANTIGEN
HIV 2
HIV III (WESTERN BLOT)
HIV RNA PCR
HIV-1
HIV-1 AG W/HIV-1&2 AB
HIV-1 AMP DNA PROBE
HIV-1 CORECEPTOR TROPISM
HIVRNA-ULTRA
HLA B-27 ANTIGEN
HLA I & II TYPING LR
HLA I TYPING 1 ALLELE LR
HLA I TYPING 1 ANTIGEN LR
HLA I TYPING 1 LOCUS LR
HLA I TYPING COMPLETE LR
HLA II TYPING 1 LOC LR
University Medical Center So. NV.
Page 101
Dispense
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Price
---------438.96
455.00
812.40
191.46
62.91
493.47
2,404.82
241.30
186.02
170.09
300.97
300.97
143.11
144.00
70.96
162.04
236.07
305.17
384.13
487.77
67.50
112.40
494.13
154.90
155.44
154.90
293.61
1,154.00
410.48
604.48
514.09
742.40
96.77
219.19
205.30
187.49
49.42
63.17
241.18
366.39
114.10
80.13
165.83
2,894.52
587.47
174.17
3,025.00
93.75
43.00
550.00
262.50
270.00
02/12/14
Charge#
--------707031040
707031012
707030722
707030437
711030003
707030660
707030438
707031026
723570009
702151168
702171084
702151952
702150054
702150067
702150066
702151947
709170039
720020010
702170629
707030439
707030440
707030878
707030441
707030442
707030900
707030858
707030859
707030854
707030443
723320108
722320387
722320388
722320389
714030004
723320301
723020003
723520003
723320003
723520354
723020005
723520008
723320005
723020410
702270172
702270173
702270174
702421526
716126001
707030879
702421037
702421029
702420333
UMC Charge Master
Description
-----------------------------------------------------------------------------------------HLA II TYPING AG EQUIV LR
HLA II TYPING LOCUS LR
HLA TYPE-DR/DQ MULTI AG
HLA TYPING CLASS 1 (A,B,C) PCR
HOLTER MONITOR
HOMOCYSTEINE
HOMOCYSTEINE, URINE
HOMOVANILLIC ACID
HOOD TRANZPORT STOP SPIT
HOOK ALL (SS)
HOOK ELECTRODE EPS01
HOOK FRONTAL LAMINA LARGE (SY)
HOOK FRONTAL TRANSV PROC LT (SY)
HOOK LAMINA LUM OFFST LT 9.1 (K2
HOOK LAMINA LUM OFFST RT 9.1 (K2
HOOK PEDICLE LEFT (SY)
HOOK SHEATH SCOUT PRO (BT)
HOT/COLD PACKS 1 AREA GP
HOVERMAT PT TRANSFER DEVICE
HSV 1&2
HSV AMP PROBE TECHNIQUE
HSV CULTURE
HSV TYPE 1 IGG ANTIBODY
HSV TYPE II IGG ANTIBODY
HTLV I & II DNA BY PCR
HTLV I IMMUNOBLOT
HTLV II IMMUNOBLOT
HTLV-I/II ANTIBODIES QUAL
HUMAN ANTI-MOUSE AB
HUMERAL FX W MANIP
HUMERAL FX W MANIP BIL
HUMERAL FX W MANIP LT
HUMERAL FX W MANIP RT
HUMERUS 2 VIEW +
HYDRATION IV INF, DIST PRO
HYDRATION IV INFUSION, EA ADDTL
HYDRATION IV INFUSION, EA ADDTL
HYDRATION IV INFUSION, EA ADDTL
HYDRATION IV INFUSION, DIST PRO
HYDRATION IV INFUSION, INIT
HYDRATION IV INFUSION, INIT
HYDRATION IV INFUSION, INIT
HYDRATION IV INFUSION, INIT DPS
HYDROTOME RX44 ST 30MM CUT (BS)
HYDROTOME RX49 ST 20MM CUT (BS)
HYDROTOME RX49 ST 30MM CUT (BS)
HYMENOTOMY
HYPERTHYROID THRPY SUBQEA
HYPOGLYCEMIC PANEL
HYPOPHARYNX LESION SIMPLE
HYPOSPADIAS REPR WWO CHORD
HYSTER REM LEIOMYOMATA
University Medical Center So. NV.
Page 102
Dispense
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Price
---------495.00
270.00
1,003.49
1,442.30
1,131.43
250.02
615.97
178.75
46.44
4,386.25
180.14
1,933.25
1,933.25
1,969.00
1,969.00
1,685.75
1,323.95
70.38
502.76
143.26
811.76
57.56
143.26
143.26
51.14
23.76
39.68
21.90
350.07
2,625.30
3,937.95
2,625.30
2,625.30
460.28
480.53
294.84
295.40
295.40
480.53
479.64
480.53
480.53
479.64
1,931.97
1,931.97
1,931.97
2,399.66
3,824.47
114.00
625.10
4,603.35
3,878.58
02/12/14
Charge#
--------714030005
702420005
702420281
702420153
702421039
702423550
702170421
716136010
702170758
726120042
726120041
714522021
714522006
702421165
702421162
723020138
723020283
723320248
723520245
723020137
723520126
723320106
723020282
723320247
723520125
723320105
723020136
702420721
723020135
723320104
723020134
702421301
702421259
702420368
702421035
723020133
723020132
723320264
723020131
723520124
723320103
723520123
723320102
723020130
702420123
702420205
702421310
702421606
702421607
714522039
702421030
702421028
UMC Charge Master
Description
-----------------------------------------------------------------------------------------HYSTEROSALPINGOGRAPHY COMPLETE
HYSTEROSCOPY BX OR POLYP W/WO D&C
HYSTEROSCOPY DIAGNOSTIC
HYSTEROSCOPY ENDOMETRAIL ABLATION
HYSTEROSCOPY REM IMP FB
HYSTEROSCOPY RESECT INTRAUT SEPT
HYSTEROSCOPY TUBING
I 131 WHOLE BODY SCAN
I PAS III DIAMOND TIP (NU)
I&D ABCESS, COMPLICATED/MULTIPLE
I&D ABCESS, SIMPLE
I&D ABCESS/HEMATOMA NECK CT GUIDE
I&D ABS DEEP SOFT TIS NECK
I&D ABS SUBQ CARBUNCLE
I&D ABSCESS COMP MULTI
I&D ABSCESS MOUTH SIMPLE
I&D ABSCESS MULT OR COMP
I&D ABSCESS MULT OR COMP
I&D ABSCESS MULT OR COMP
I&D ABSCESS PERITONSILLAR
I&D ABSCESS PERITONSILLAR
I&D ABSCESS PERITONSILLAR
I&D ABSCESS SUB Q SIMPLE
I&D ABSCESS SUB Q SIMPLE
I&D ABSCESS VULVA/PERINEAL
I&D ABSCESS VULVA/PERINEAL
I&D ABSCESS VULVA/PERINEAL
I&D BARTHOLIN GLAND ABS
I&D BARTHOLINS CYST
I&D BARTHOLINS CYST
I&D BREAST ABCESS DEEP
I&D COMPLEX POST OPWOUND
I&D DEEP INF-HEMA LEG-ANKLE
I&D DENTOALVEOLAR STRUCT
I&D EPIDIDYMIS TESTIS SCROTUM
I&D EYELID BLEPHAROTOMY
I&D FINGER TIP ABSCESS SIMPL
I&D FINGER TIP ABSCESS SIMPL
I&D GUM ABSCESS SIMPLE
I&D GUM ABSCESS SIMPLE
I&D GUM ABSCESS, SIMPLE
I&D HEMATOMA SIMPLE
I&D HEMATOMA SIMPLE
I&D HEMATOMA SIMPLE
I&D HEMATOMA,SEROMA,FLUID
I&D ISCHIO/PERIRECTAL ABSCESS
I&D KNEE ABS HEMA
I&D NASAL SEPTUM ABSCESS
I&D NASAL SEPTUM ABSCESS INT APP
I&D PELV HIP JNT ABSC DEEP
I&D PENIS DEEP
I&D PERIANAL ABS SUPRAFIC
University Medical Center So. NV.
Page 103
Dispense
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Price
---------847.21
2,629.64
2,629.64
3,309.89
2,434.85
4,414.89
327.87
2,155.22
2,141.55
721.50
163.83
4,147.16
1,948.14
1,142.56
915.35
477.17
590.58
591.68
591.68
1,616.02
1,619.01
1,619.01
522.75
523.72
494.33
494.33
494.33
491.80
439.69
440.51
1,840.69
1,340.60
2,143.49
1,959.11
3,049.87
664.36
758.07
759.49
464.82
465.68
465.68
1,527.63
1,527.63
1,527.63
2,115.84
2,768.77
2,296.56
3,027.42
2,981.55
1,858.13
2,143.49
1,588.10
02/12/14
Charge#
--------723320101
723020129
702420446
723320100
723020128
702421027
702421034
723020127
723320099
702421031
702420443
723020126
716146019
716146018
716146021
707031078
707030444
707030700
709150016
709150046
709150043
709150045
709150044
709150061
709150782
709150781
709150783
709150024
709120092
707030723
707030445
702150695
702150698
702150696
702150710
702150697
707030446
707030447
707031032
707030955
702220046
702220276
709120204
702171152
726120002
723320402
723020394
723320403
723020395
702420274
707030448
702421282
UMC Charge Master
Description
-----------------------------------------------------------------------------------------I&D PERIANAL ABSCESS
I&D PERIANAL ABSCESS
I&D PERINEAL/VULVA ABS
I&D PERIRECTAL ABSCESS
I&D PERIRECTAL ABSCESS
I&D PILONIDAL CYST COMP
I&D PILONIDAL CYST SIMPLE
I&D PILONIDAL CYST SIMPLE
I&D PILONIDAL CYST SIMPLE
I&D RECTAL ABS W/FISTULECTOMY
I&D SUBMUCOSAL ABSCESS RECTUM
I&D VAGINAL HEMATOMA NON OBSTET
I-123 MIBG IOBENGUANE
I123 SOD IOD CAP DIAG TO 999 MCI
I131 SOD IOD CAP THER EA MCI
IA BY EIA - MULTI STEP
IA NOT INFECT AGENT- RIA TECHNIQ
IA QUANT, CA 19-9
ICD ATRIAL LEAD ONLY
ICD CURRENT RF VR (SJ)
ICD DUAL ATLAS DR (SJ)
ICD DUAL CURRENT RF DR (SJ)
ICD DUAL EPIC DR (SJ)
ICD DUAL MAXIMO DRG (MT)
ICD ILESTO 7 DR-T (BT)
ICD ILESTO 7 VR-T DX (BT)
ICD ILESTO VR-T (BT)
ICD LUMAX 340 VRT W HM (BT)
ICD SNGL/DUAL SYSTEM IMPLANT
ID-GEL,QUAL-EA AB/AG
IEP SERUM
IFUSE SACRAL IMPLANT 7X30MM (SB)
IFUSE SACRAL IMPLANT 7X35MM (SB)
IFUSE SACRAL IMPLANT 7X40MM (SB)
IFUSE SACRAL IMPLANT 7X45MM (SB)
IFUSE SACRAL IMPLANT 7X50MM (SB)
IGF BINDING PROTEIN III
IGG SUBCLASSES
IGH VARI REGIONAL MUTATION
IL28B GENOTYPE TESTING
ILEOSCOPY THRU STOMA DIAG
ILEOSCOPY THRU STOMA W BX
ILIAC RVASC W STNT & PLSTY
ILLUMINATION SYSTEM 100CM (AL)
IM OR SC INJECTION
IMAGE CATH FLUID PERI/RETRO
IMAGE CATH FLUID PERI/RETRO
IMAGE CATH FLUID TRNS/VGNL
IMAGE CATH FLUID TRNS/VGNL
IMC REM SUBQ TISSUE COMP
IMM GLOBULIN D
IMMEDIATE INS BREAST PROTH
University Medical Center So. NV.
Page 104
Dispense
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Price
---------1,891.51
1,891.51
835.23
2,857.95
2,857.95
1,392.55
446.96
575.74
576.81
3,340.91
1,350.39
2,139.52
7,796.25
134.70
405.08
283.25
162.62
118.38
1,650.00
41,250.00
41,250.00
41,250.00
41,250.00
41,250.00
38,500.00
38,500.00
35,750.00
38,500.00
6,101.13
84.79
212.10
6,352.50
6,352.50
6,352.50
6,352.50
6,352.50
463.67
58.99
1,075.25
187.50
500.14
1,238.45
14,281.68
1,695.83
144.42
8,012.52
8,012.52
6,509.16
6,509.16
1,959.92
107.40
3,239.10
02/12/14
Charge#
--------705080335
705080334
705080333
705080332
705080331
705080330
705080329
705080475
705080328
705080327
705080326
702171531
707030661
722720010
722720009
707030794
707030701
707030724
707030409
707030449
707030725
707030920
707030099
707030100
707030101
707030450
702171184
702421273
702171113
702421258
702421084
702421353
702421356
702421123
702421087
702151526
702150856
702421051
716146017
716146016
702421174
702420367
718170002
718120014
723020125
720620060
702420990
702421501
702421107
714120142
707030769
707030703
UMC Charge Master
Description
-----------------------------------------------------------------------------------------IMMOBILIZER ELBOW LG PAIR (PICU)
IMMOBILIZER ELBOW MED PAIR (PICU
IMMOBILIZER ELBOW SM PAIR (PICU)
IMMOBILIZER KNEE 12 IN (PICU)
IMMOBILIZER KNEE 14 IN (PICU)
IMMOBILIZER KNEE 16 IN (PICU)
IMMOBILIZER KNEE 19 IN (PICU)
IMMOBILIZER KNEE 19 IN TRI-PANEL
IMMOBILIZER MEDI-KID MED PR (PICU
IMMOBILIZER MEDI-KID NB PR (PICU
IMMOBILIZER MEDI-KID SM PR (PICU)
IMMOBILIZER SHOULDER
IMMUNGLOB, IGE
IMMUNIZATION ADMIN EA ADD VACCINE
IMMUNIZATION ADMIN, 1 VACCINE
IMMUNO CYTO
IMMUNOASSAY AB SINGLE STEP
IMMUNOASSAY FOR TUMAR ANTIGEN
IMMUNOASSAY QUANT NOS
IMMUNOASSAY QUANT, NOS
IMMUNOFIX ELEC URINE/CSF
IMMUNOFLUORESCENT STUDY, DIRECT
IMMUNOGLOBULIN A
IMMUNOGLOBULIN G
IMMUNOGLOBULIN M
IMMUNOGLOBULIN PANEL
IMPLANT MAGNUM KNOTLESS (AC)
IMPLANT MESH/PROTH INC VENT HERN
IMPLANT MINI MAGNUM (AC)
IMPLANT NERVE END/BONE-MUSCLE
IMPLANT NEURO STIM LEAD
IMPLANT NEUROELECTRODES INCIS
IMPLANT NEUROELECTRODES PERC
IMPLANT NEUROSTIMULATOR
IMPLANT NON PROG PUMP
IMPLANT ORBIT FLOOR
IMPLANT PENILE AMS
IMPLANT PROGRAM PUMP
IN111 PENTATATE DX 0.5 MCI
IN111 PENTREOTIDE OCTREOT TO 6MCI
INC FOR VAGUS NEUROSTIM IMPLANT
INC LING FRENUM FRENOTOMY
INCENTIVE SPIROMETER DEVICE
INCENTIVE SPIROMETRY INSTRUCTION
INCISE EXTERNAL HEMORRHOID
INCISION & REMOVAL FB SUBQ, SIMPL
INCISION OF PROSTATE
INCISION OF THIGH TENDONS 1 LEG
INDUCED ABORTION BY D&E
INF TRANSCATH NON-THROMBOLYTIC
INF.AGENT NOS QUANT DNA PROBE
INFECT AGENT DETECT AMP PROBE
University Medical Center So. NV.
Page 105
Dispense
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------74.19
68.06
61.30
111.98
114.15
77.64
126.34
181.05
185.64
147.35
185.64
144.32
281.99
37.10
75.20
336.10
256.68
146.32
257.66
114.46
143.99
113.85
106.25
106.25
106.25
182.05
3,683.69
2,158.73
2,766.80
2,046.59
2,835.25
10,241.73
7,258.56
4,117.94
3,007.75
292.93
19,731.25
3,344.67
3,961.90
3,136.90
5,567.87
1,058.36
20.39
346.50
688.93
345.87
3,055.27
3,123.33
1,998.83
1,036.92
329.53
376.82
02/12/14
Charge#
--------702421100
705080604
709170038
714170041
702171039
707030451
707030452
707030755
707030770
707030453
707030681
720620010
709120112
709120113
709120051
721020018
720020011
709120050
714120045
723020501
714030159
714030158
714030157
714030156
723020124
723520122
709120049
709120048
709120029
714030135
714120044
702420991
714120141
702421307
714120043
723020123
714030136
714120042
714030139
702421069
702421156
702420225
702421265
723520359
722320137
702421159
702421147
722320008
714030140
714030151
714030152
714030155
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INFLAT PENILE PROTH
INFLATABLE DONUT 16 INCH
INFLATION DEVICE
INFLATION DEVICE CLOCK (MR)
INFLATION DEVICE ENCORE 04527-01
INFLU A SEROLOGY
INFLU B SEROLOGY
INFLUENZ IA W DO
INFLUENZA A H1N1 AMP PROBE
INFLUENZA ANTIBODY
INHIBIN A
INIT 1ST DEGREE BURN TX
INIT SECND ORDER CATH PLACE
INIT THIRD OR MORE CATH PLACE
INITIAL CATH PLACE 1ST ORDER
INITIAL EVAL GO
INITIAL EVAL GP
INITL 3RD ORDR OR MORE
INJ 4 VISUAL ILIAC CONDUIT
INJ ANES GREATER OCCIPITAL NERVE
INJ ANES TRANS C/T ADDL
INJ ANES TRANS C/T SNGL
INJ ANES TRANS L/S ADDL
INJ ANES TRANS L/S SNGL
INJ ANESTHETIC FACIAL NV
INJ ANESTHETIC FACIAL NV
INJ ANGIO L VENT/ATRIA ADDTL
INJ ANGIO R VENT/ATRIA ADDTL
INJ ANIGO AORTA ADDTL
INJ CHOLANGIOGRAPHY T-TUBE
INJ CONT FOR FLURO EXAM TUBE
INJ CONTRAST VENOGRAFTEXT
INJ CV ACCESS, EVAL
INJ DISKOGRAPHY EA LUMBAR
INJ EPIDURAL BLOOD PATCH
INJ EPIDURAL BLOOD/CLOT PATCH
INJ FOR CYSTO OR VOIDING
INJ FOR CYSTOGRAM
INJ FOR HYSTEROSALPINGOGRAPHY
INJ FORAMEN EPI EA ADD W IMAGING
INJ FORAMEN EPIDURAL W IMAGING
INJ HIP X-RAY W ANES
INJ IDENTIFY SENTINEL NODE
INJ IVP ADD SAME DRUG, DIST PRO
INJ LRG JOINT W STEROID
INJ LUMB SAC EPI EA ADD W IMAGE
INJ LUMBAR SACRAL SGL W IMAGE
INJ MED JOINT W STEROID
INJ MYELOGRAPHY/OR CAT
INJ PARAVERT F JNT CT LEVEL 2
INJ PARAVERT F JNT CT LEVEL 3
INJ PARAVERT F JNT CT SGL LEVEL
University Medical Center So. NV.
Page 106
Dispense
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Price
---------6,094.78
59.81
339.67
261.14
260.41
106.56
106.56
78.01
348.91
80.52
81.23
141.66
1,069.99
1,069.99
1,069.99
385.32
385.32
5,088.80
139.50
481.31
578.11
1,502.06
549.19
848.96
664.61
665.84
376.69
406.82
420.83
122.05
291.04
1,969.45
1,633.79
1,313.09
915.15
847.95
124.14
556.70
60.37
530.13
1,048.76
530.84
297.84
168.78
540.39
489.08
873.23
420.69
124.21
477.92
477.92
760.11
02/12/14
Charge#
--------714030160
714030153
714030154
702421116
702421140
702421128
702421141
702420406
702421138
723020297
702420989
702420399
714030138
702420701
702420403
726620013
726620012
722320150
722320007
702420404
702420696
723520121
702420994
702421011
723520234
702421000
702420097
714120140
714120139
702421139
702421144
723020122
723520120
723320098
723020412
723520356
723320302
702421616
723020121
723320097
723320304
723520006
723520358
723020120
723520017
723320096
723020414
723520009
723020281
723520232
723320246
723020413
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INJ PARAVERT F JNT LS LEVEL 2
INJ PARAVERT F JNT LS LEVEL 3
INJ PARAVERT F JNT LS SGL LEVEL
INJ PARVERT F C/T 1 LEV
INJ PARVERT F C/T 2 LEV
INJ PARVERT F C/T 3 LEV
INJ PARVERT F L/S 1 LEV
INJ PARVERT F L/S 2 LEV
INJ PARVERT F L/S 3 LEV
INJ PROC CORP CAVERN WPHARMAL
INJ PROC FOR RETROGRADE
INJ PYELOGRAPHY THRU TUBE
INJ RETROGRADE URETHROCYSTOGPHY
INJ SACROILIAC JOINT ARTHROGRAPHY
INJ SACROILIAC JOINT THERAPEUTIC
INJ SC IM TX DX PROP (OBS)
INJ SC IM TX DX PROP (TFN)
INJ SGL TENDON SHTH OR LIGAMENT
INJ SM JOINT W STEROID
INJ TEN SHEATH LIG GANG
INJ TEN SHEATH TRIG 1OR2
INJ TENDON SHEATH LIGMT GANG CYST
INJ TENDON SHEATH ORIGIN
INJ URETHROCYSTOGRAPHY
INJ/INF CONT LS SPINE VIA CATH
INJEC ANES AGNT BRACHAL PLEXUS
INJEC EPIDURAL BLOOD CLOT
INJECT CHOLANGIOGRAM T TUBE
INJECT PROCED PSEUDOANEURYSM
INJECT SPINAL CANAL C T
INJECT SPINE L/S
INJECTION IM/SUBQ
INJECTION IM/SUBQ
INJECTION IM/SUBQ
INJECTION IM/SUBQ DPS
INJECTION IM/SUBQ, DIST PRO
INJECTION IM/SUBQ, DIST PROC
INJECTION INTO SKIN LESIONS =<7
INJECTION INTRA-ARTERIAL
INJECTION INTRA-ARTERIAL
INJECTION IV PUSH ADD, DIST PRO
INJECTION IV PUSH EA AD DRUG (CCT
INJECTION IV PUSH EA ADD, DIST PR
INJECTION IV PUSH EA ADDTL
INJECTION IV PUSH EA ADDTL
INJECTION IV PUSH EA ADDTL
INJECTION IV PUSH EA ADDTL DPS
INJECTION IV PUSH SGL DRUG (CCT
INJECTION IV PUSH SINGLE
INJECTION IV PUSH SINGLE
INJECTION IV PUSH SINGLE
INJECTION IV PUSH SNGL DPS
University Medical Center So. NV.
Page 107
Dispense
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Price
---------444.96
444.96
820.92
760.11
477.92
477.92
820.92
444.96
444.96
488.27
612.50
238.90
124.21
389.07
958.33
71.81
71.81
206.67
301.00
855.40
274.98
353.71
276.77
246.11
1,502.08
1,349.23
1,619.01
680.50
2,721.91
792.95
856.38
77.55
77.69
77.69
77.55
77.69
77.69
696.39
178.49
178.81
168.78
147.43
168.78
168.48
168.78
168.78
168.48
159.22
156.00
156.27
156.27
156.00
02/12/14
Charge#
--------723520357
723320303
723520005
723520016
723020119
723320095
723020415
723320305
723520004
720620000
714120138
702421001
709120028
714120008
709120027
714120041
714120003
726820025
714120137
702421242
702420176
709120014
714120088
723020118
702421173
709120026
709120025
714120006
714120005
714120007
723520277
723520278
709120090
709120013
709120089
723520276
702421267
709120060
702421243
702421007
702421150
702420080
723520233
723320245
723020296
723520258
723320270
702423001
702421093
726120020
723320244
726120023
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INJECTION IV PUSH SNGL, DIST PRO
INJECTION IV PUSH SNGL, DIST PRO
INJECTION IVP EA AD SAME DRUG (CC
INJECTION IVP EA ADD SAME DRUG
INJECTION IVP SAME DRUG
INJECTION IVP SAME DRUG
INJECTION IVP SAME DRUG DPS
INJECTION IVP SAME DRUG, DIST PRO
INJECTION SC OR IM (CCT)
INJECTION SMALL JOINT
INJECTION THRU EXISTG CVC
INJILIOING/HYPOGAST NERV
INS CATH REANL ART 2ND BILAT
INS CATH RENAL ART 2ND BILAT
INS CATH RENAL ART 2ND UNILAT
INS CHEST TUBE W WATER SEAL
INS ENDOVAS VENA CAVA FILTER
INS FLOW DIRECTED CATH
INS FOLEY CATH COMPLICATED
INS LUMBAR SPINE PROC DEV ADDTL
INS REM SUBQ TISSUE SIMPLE
INS TEMP PACEMAKER SGL CHAMBER
INS TUNNELED PLEURAL CATH
INSERT BLADDER CATH COMPLEX
INSERT BREAST PROTH DELAYED
INSERT CATH REN ART 1ST BILAT
INSERT CATH REN ART 1ST UNILAT
INSERT CATH RENAL ART 1ST BILAT
INSERT CATH RENAL ART 1ST UNILAT
INSERT CATH RENAL ART 2ND UNILAT
INSERT CENTRAL VEN CATH <5YR (CCT
INSERT CENTRAL VEN CATH >5YR (CCT
INSERT DUAL PPM OR ICD LEADS
INSERT IA BALLOON PUMP
INSERT ICD GEN TO SINGLE LEAD
INSERT INTRAOSSEOUS NEEDLE (CCT)
INSERT INTRAPERTIONEAL CANN PERM
INSERT LV PACING ELECTRODE
INSERT MESH PELVIC FLOOR ADDON
INSERT NASAL SEP BUTTON
INSERT NEUROSTIM GENERATOR
INSERT NON TUNNEL CATH >5YRS
INSERT NONTUNNEL CV CATH <5
INSERT NONTUNNEL CV CATH <5
INSERT NONTUNNEL CV CATH >5
INSERT NONTUNNEL CV CATH >5
INSERT NONTUNNEL CV CATH >5
INSERT OF GRAFT VEIN EXT
INSERT PENILE PROTH INF
INSERT PICC <5 YRS NO PORT
INSERT PICC <5YRS
INSERT PICC >5 YRS NO PORT
University Medical Center So. NV.
Page 108
Dispense
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Price
---------156.27
156.27
147.43
168.78
168.48
168.78
168.48
168.78
73.29
313.26
2,177.54
612.23
5,873.88
5,873.88
4,699.10
1,182.10
5,244.68
1,995.39
470.63
5,938.91
2,251.75
5,256.46
6,461.05
552.77
7,223.87
3,900.08
3,524.33
3,900.08
3,524.33
4,699.10
1,570.72
1,696.38
5,875.73
5,409.31
14,625.51
605.07
3,930.46
5,018.11
3,725.20
1,853.03
27,047.37
3,596.40
1,798.16
1,798.16
1,661.88
1,664.96
1,664.96
7,514.34
7,273.22
3,628.30
1,948.87
4,169.86
02/12/14
Charge#
--------723020295
723320269
702421061
702420999
709120058
709120061
709120059
702421033
714120040
702420474
709120088
714120009
702421325
702421096
702421279
709120023
702421124
709120087
709120086
709120085
702170123
714120136
709120007
702423500
714522030
723020117
723520119
723320094
702170132
707030922
714120087
709120084
702173011
702170387
707031070
707030455
723320262
701050003
723320263
723320260
723320089
723320087
723320093
723320090
723320088
723320086
723320091
723320261
723520118
723520037
723520262
723520252
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INSERT PICC >5YRS
INSERT PICC >5YRS
INSERT PICC W PORT >5YRS
INSERT PIN RETAINED PALATE PROSTH
INSERT PPM GEN MULT LEADS
INSERT PPM GEN TO DUAL LEADS
INSERT PPM GEN TO SINGLE LEAD
INSERT REM WIRE/PIN W SKEL TRCTN
INSERT TEMP BLADDER CATHTR
INSERT TISSUE EXPANDER NOT BREAST
INSERT TRANSVEN LEAD PPM OR ICD
INSERT TUN INTRAPERITO CATH W SI
INSERT TUNNELED CATH WPORT<5YRS
INSERT TUNNELEDCVCATHWOPORT>5YRS
INSERT UTERI TANDEMS/OVOIDS
INSERT VEIN LINE
INSERT/REPLACE SPINE NEUROSTIM GE
INSERT/REPLC PPM ATRIAL & VENT
INSERT/REPLC PPM VENTRICULAR ONLY
INSERT/RPLC PPM ATRIAL
INSERTER CAPTIVE HEX 2.5MM (DP)
INSERTION NG TUBE W FLURO
INSERTION OF ARTERIAL 2IN
INSERTION OF CHEST TUBE
INSERTION OF CHEST TUBE
INSERTION OF NASOGASTRIC TUBE
INSERTION OF NASOGASTRIC TUBE
INSERTION OF NASOGASTRIC TUBE
INSERTS OCTOBASE SUTURE HOLDER
INSITU HYBRIDIZATION MANUAL
INSRT INTRAPERITONEAL CATH, PERM
INSRT LV LEAD TO EXISTING GEN
INSTERTIM BLADDER LEAD (MT)
INSTRUMENT MAGNET
INSULIN AB
INSULIN LEVEL
INTER REP FEENLMM 5.1-7.5CM
INTERCEED ADHESION BARRIER
INTERM REP FEENLMM 2.6-5.0 CM
INTERM REP FEENLMM UP TO 2.5CM
INTERM REP NHF/GENIT 7.6-12.5CM
INTERM REP NHF/GENIT UPTO 2.5CM
INTERM REP SAT 12.6-20.0 CM
INTERM REP SAT 20.1-30.0CM
INTERM REP SAT 7.6-12.5CM
INTERM REP SAT UP TO 2.5CM
INTERM REP WND NHFGENIT 2.6-7.5CM
INTERMED REP FEENLMM 7.6-12.5CM
INTERMED REP NHFGENIT 12.6-20 CM
INTERMED REP SATEXT 12.6-20CM
INTERMED REPR FACEMM 12.6-20CM
INTERMED REPR FACEMM 2.6-5.0 CM
University Medical Center So. NV.
Page 109
Dispense
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Price
---------1,529.86
1,532.69
7,537.62
1,906.10
3,785.15
11,715.19
10,351.07
2,408.13
217.53
3,414.85
6,002.00
3,857.68
6,992.48
5,831.51
3,220.80
601.94
3,344.33
9,749.20
7,534.33
7,534.33
413.32
587.94
478.57
1,371.93
1,790.58
300.35
300.91
300.91
432.32
165.00
3,543.52
4,552.92
9,033.75
154.34
55.03
281.99
1,366.28
660.00
1,072.62
938.36
1,548.48
911.79
1,129.53
1,258.00
1,241.82
862.40
1,050.23
789.78
1,944.30
1,129.53
2,022.06
1,072.62
02/12/14
Charge#
--------723520261
723520251
723520250
723520253
723020115
723020113
723020108
723020107
723020105
723020103
723020101
723020114
723020111
723020109
723020106
723020102
723020099
723520034
723520033
723520035
723020116
723020112
723320092
723020110
723020104
723020100
723520039
723520036
723520117
723520038
723520040
723520273
723520270
709130024
714130052
702421196
702421002
702173009
702173012
702173013
702153883
709120047
709170653
726820008
709130030
709130029
709120083
723520400
723020098
723520116
723320085
714120039
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INTERMED REPR FACEMM 20.1-30CM
INTERMED REPR FACEMM 5.1-7.5 CM
INTERMED REPR FACEMM 7.6-12.5CM
INTERMED REPR FACEMM UP TO 2.5CM
INTERMED REPR FMM 12.6-20CM
INTERMED REPR FMM 2.6-7.5CM
INTERMED REPR FMM 20.1-30CM
INTERMED REPR FMM 5.1-7.5CM
INTERMED REPR FMM 7.6-12.5CM
INTERMED REPR FMM OVER 30 CM
INTERMED REPR FMM UP TO 2.5CM
INTERMED REPR NHFG 12.6-20CM
INTERMED REPR NHFG 2.6-7.5CM
INTERMED REPR NHFG 20.1-30CM
INTERMED REPR NHFG 7.6-12.5CM
INTERMED REPR NHFG OVER 30CM
INTERMED REPR NHFG UP TO 2.5CM
INTERMED REPR NHFGENIT 2.6-7.5 CM
INTERMED REPR NHFGENIT 7.6-12.5CM
INTERMED REPR NHFGENIT UP TO 2.5C
INTERMED REPR SAT 12.6-20CM
INTERMED REPR SAT 2.6-7.5CM
INTERMED REPR SAT 2.6-7.5CM
INTERMED REPR SAT 20.1-30CM
INTERMED REPR SAT 7.6-12.5CM
INTERMED REPR SAT UP TO 2.5CM
INTERMED REPR SATEXT 2.6-7.5 CM
INTERMED REPR SATEXT 20.1-30 CM
INTERMED REPR SATEXT 30+CM
INTERMED REPR SATEXT 7.6-12.5 CM
INTERMED REPR SATEXT UP TO 2.5 CM
INTERMED TRAUMA RESP CRITICL CARE
INTERMED TRAUMA RESPONSE
INTERNAL CARDIOVERSION
INTERNAL MAMMARY ANGIO
INTERNAL NEUROLYSIS W M-SCOPE
INTERPHALANG TOE JNT EXC, EA SNGL
INTERSTIM 2 ANTENNA (MT)
INTERSTIM BLADER STIM (MT)
INTERSTIM INTRODUCER KIT (MT)
INTERSTIM PROGRAM PT (MT)
INTL 2ND ORDR THORACIC/BRACHI
INTRA AORTIC BALLOON
INTRA ARTERIAL INJECTION
INTRA ATRIAL PACING
INTRA ATRIAL RECORDING
INTRACARDIAC ECHOCARDIOGRAM
INTRACATH VEIN OR NDL (CCT)
INTRACATHETER VEIN OR NEEDLE
INTRACATHETER VEIN OR NEEDLE
INTRACATHETER VEIN OR NEEDLE
INTRACRANIAL STENT W ANGIOPLSTY
University Medical Center So. NV.
Page 110
Dispense
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Price
---------2,001.38
1,366.28
789.78
938.36
2,018.33
1,070.62
1,997.67
1,363.75
929.25
2,020.03
936.62
1,940.69
1,048.29
1,237.84
1,545.61
1,844.37
910.10
1,050.23
1,548.48
911.79
1,129.53
1,215.72
1,217.98
1,255.66
1,239.51
860.80
1,217.98
1,258.00
1,918.47
1,241.82
862.40
15,320.45
15,320.45
3,907.48
1,967.29
1,974.98
1,327.41
373.28
29,686.25
1,162.82
3,272.50
3,055.01
4,529.76
47.00
3,899.22
3,666.34
3,991.82
95.91
95.73
95.91
95.91
3,850.49
02/12/14
Charge#
--------702421143
702420207
702421142
702421145
714120102
709120012
709120082
709120046
707030456
709120011
714120186
714120135
714120134
714120184
714120183
714120133
714120132
714120131
714120130
714120129
714120128
714120127
714120126
714120125
714120124
714120123
714120122
714120121
714120182
709120045
723520115
723320084
723320083
714120038
702170813
702171006
702270212
702171496
702170809
702170385
702170386
702170381
702170808
714170283
714170280
714170279
714170282
714170281
702170875
705080325
705080324
702170109
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INTRAORAL FIRST FILM
INTRAORAL OCCLUSAL FILM
INTRAORAL XRAYS COMPLETE
INTRAORAL XRAYS EA ADD
INTRAPERITONEAL CATH PERMANENT
INTRAVASCULAR US NON CORONARY
INTRAVENTRICULAR PACING
INTRAVSC STRESS EA ADDL VESSEL
INTRINSIC FACTOR ANTIBODY
INTRO CATH 2ND/3RD ORD OR MORE
INTRO CATH ABD/EXT 3RD ORD
INTRO CATH AORTA TRANSLUMB
INTRO CATH AORTA/FEM APP
INTRO CATH ART ABD-EXT 2NDORDINTL
INTRO CATH ART ABDOM-EXT 1ST ORDR
INTRO CATH ART EXTREMITY
INTRO CATH ART THOR 1ST ORD INTL
INTRO CATH ART THOR 2ND ORD INTL
INTRO CATH ART THOR 3RD ORD INTL
INTRO CATH ART THOR2/3ORDEA ADDTL
INTRO CATH RET BRACH
INTRO CATH RET HRT/PUL ART
INTRO CATH SVC/IVC
INTRO CATH VENOUS 1ST ORDER
INTRO CATH VENOUS 2ND ORDER
INTRO CATH VENOUS PUL SEG
INTRO CATH VENOUS PULMONARY
INTRO CATH VENOUSMDASSIST
INTRO CATHARTABD-EXT2/3ORDEAADDTL
INTRO NDL/CATH EXTREMITY ARTERY
INTRO TRACHEAL WIRE TUBE
INTRO TRACHEAL WIRE TUBE
INTROD CATH VENA CAVA
INTROD LONG GI (DOB HOFF) TUBE
INTRODUCER 18G X 13 (SO)
INTRODUCER 9FR CHECKFLO 11
INTRODUCER 9FR X 195CM (OA)
INTRODUCER AVANTI 11FR
INTRODUCER BEVEL 11G 15CM (SO)
INTRODUCER CATHETER
INTRODUCER CHECKFLO II AL
INTRODUCER COOK
INTRODUCER DIAMOND 11G 15CM (SO)
INTRODUCER FLEXOR ANSL 6X45 (CS)
INTRODUCER FLEXOR ANSL 7X45 (CS)
INTRODUCER FLEXOR RABE6X70 (CS)
INTRODUCER FLEXOR RABE7X70 (CS)
INTRODUCER FLEXOR RABE8X70 (CS)
INTRODUCER HOWELL BILIARY (CK)
INTRODUCER INTROSYT 1.9F 26G (NIC
INTRODUCER INTROSYT 3F 20G (NIC
INTRODUCER MEDTRONIC ALL SIZES
University Medical Center So. NV.
Page 111
Dispense
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Price
---------61.64
75.03
64.98
46.16
3,547.67
1,134.75
3,394.76
1,386.62
140.79
1,175.85
1,069.99
1,763.80
5,088.80
1,155.59
1,155.59
657.89
3,055.01
3,527.42
5,088.80
1,088.75
530.41
1,175.85
3,937.89
587.94
1,088.75
1,175.85
1,175.85
587.94
1,843.46
478.57
839.91
839.91
1,078.46
927.00
295.86
544.38
437.94
227.40
319.53
173.45
544.38
926.19
319.53
338.69
338.69
264.86
264.86
264.86
580.77
195.45
213.46
256.45
02/12/14
Charge#
--------705080323
705080322
702170790
702170134
702171494
702171495
702171256
702171253
702421246
709120024
702170371
702170318
707030102
623011200
623012060
623012080
702171325
623012000
707030103
707030855
710050052
710050051
710050050
702420402
723020097
702170401
702170416
702170320
702170382
702170992
707030457
715520006
715520028
715520025
715520007
707030756
702171205
707030458
723020280
705080321
705080059
705080058
705080320
709120044
726820010
726120006
726820007
726620019
726620018
701520014
722720006
709020008
UMC Charge Master
Description
-----------------------------------------------------------------------------------------INTRODUCER NDL SPLT 1.2F 30G (NIC
INTRODUCER NDL SPLT 2.8F 22G (NIC
INTRODUCER PEEL AWAY PLVW 16.0
INTRODUCER PERC
INTRODUCER SHEATH PERITO 61CM (IA
INTRODUCER SHEATH PERITO 71CM (IA
INTRODUCER SHEATH PERITONL 31CM
INTRODUCER SHEATH PERITONL 46CM
INTUBATION ENDOTRACH ER
INTUBATION ET EMERGENT
IOBAN LARGE
IOBAN SMALL
IONTOPHORESIS SWEAT COLL
IP HOLDING GENERAL ROOM
IP HOLDING INTERMEDIATE CARE
IP HOLDING TRAUMA CRITICAL
I-PAS DIAMOND TIP (NU)
IP-HOLDING CRITICAL CARE
IRON
IRON 24HR URINE
IRRADIATED DIRECTED RBCS
IRRADIATED LEUKOPOOR RBCS
IRRADIATED SINGLE DONOR PIT
IRRIG CORP CAVERNOSA PRIAPISM
IRRIGATION CORPORA CAVERNOSA
IRRIGATION LACTATER RING
IRRIGATION SOBITAL
IRRIGATION SOLUTION NS 3000ML
IRRIGATIONGLYCINE 3000CC
IRRIGATOR ARTHRO-FLO
ISLET CELL ANTIBODY
ISODOSE PLAN INTERMED TC (NVC)
ISODOSE PLAN INTERMEDIATE (21ST)
ISODOSE PLAN SIMPLE (21ST)
ISODOSE PLAN SIMPLE TC (NVC)
ISOLATION AND ID URINE
ISOLATOR OPEN LONG (AC)
ISONIAZIDE
IUD REMOVAL
IV BLOOD & FLUID (HOT LINE)
IV BLOOD ANES Y SET W/PUMP
IV BLOOD RECIPIENT SET
IV BLOOD Y TYPE PUMP SET
IV DOPPLER INITIAL VESSEL
IV HYDRATION UP TO 1 HR
IV HYDRATION UP TO 1 HR PEDS
IV INF CONCURRENT
IV INF HYDRATION 1ST HR (OBS)
IV INF HYDRATION 1ST HR (TFN)
IV INF HYDRATION 31 TO 60 MIN
IV INF HYDRATION 31 TO 60 MIN
IV INF HYDRATION 31 TO 60 MIN
University Medical Center So. NV.
Page 112
Dispense
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Price
---------215.34
172.41
497.30
423.66
257.98
247.66
893.35
893.35
1,381.66
1,384.79
115.09
46.69
511.05
1,154.00
1,448.00
2,945.00
1,270.36
2,302.00
203.39
16.41
750.97
468.50
1,507.39
1,349.23
1,072.01
96.60
177.33
48.47
256.11
886.60
119.69
309.00
757.13
1,141.50
227.00
214.09
9,888.69
212.01
625.40
112.15
44.41
45.51
51.64
1,251.28
157.00
184.81
57.00
467.59
467.59
444.93
467.19
467.19
02/12/14
Charge#
--------726820006
726620011
726620010
726120000
709020005
701520010
726820005
726620009
726620017
726620016
726620008
726620007
726620006
726620005
726620004
726120008
701520011
709020004
726820004
726120005
701520012
701520013
726820011
701520015
709020000
722720005
709020007
709020003
709120003
722720003
709120006
709120005
709120002
722720002
726820040
709020002
709120001
709120004
701520016
705080057
702423558
705080451
726120003
726120004
726620003
726620002
726820003
726820009
726120007
726620001
726620000
726620015
UMC Charge Master
Description
-----------------------------------------------------------------------------------------IV INF HYDRATION EA ADD HR
IV INF HYDRATION EA ADD HR (OBS)
IV INF HYDRATION EA ADD HR (TFN)
IV INF HYDRATION EA ADD HR PEDS
IV INF HYDRATION EA ADDL
IV INF HYDRATION EA ADDTL HR
IV INF TX ADDTL SEQ TO 1 HR
IV INF TX DX PROP CONCURR (TFN)
IV INF TX DX PROP 1ST HR (OBS)
IV INF TX DX PROP 1ST HR (TFN)
IV INF TX DX PROP ADD SEQ (OBS)
IV INF TX DX PROP ADD SEQ (TFN)
IV INF TX DX PROP CONCURRENT
IV INF TX DX PROP EA ADD HR (OBS
IV INF TX DX PROP EA ADD HR (TFN
IV INF TX PROP DX 1ST HOUR
IV INF TX PROP DX CONC INF 1HR
IV INF TX PROP DX CONCURRENT
IV INF TX PROP DX EA ADD HR
IV INF TX PROP DX EA ADD HR
IV INF TX PROP DX EA ADDTL HR
IV INF TX PROP DX SEQ INF TO 1 HR
IV INF TX PROP DX TO 1 HR
IV INF TX PROP DX TO 1 HR
IV INF TX, PROP DX ADDL SEQ
IV INF TX, PROP DX UP TO 1 HR
IV INF TX, PROP DX UP TO 1 HR
IV INF TX, PROP EA ADDL
IV INF, HYDRATION EA ADDL
IV INF, HYDRATION EA ADDL
IV INF, HYDRATION UP TO 1 HR
IV INF, PROP DX UP TO 1 HR
IV INF, TX PROP DX EA ADDL
IV INF, TX PROP EA ADDL
IV INJ SAME DRUG EA ADDL
IV INJ TX DX PROP EA ADD
IV INJ TX, PROP DX EA ADDL
IV INJ TX, PROP DX INITIAL
IV INJ/PUSH TX PROP DX INITIAL
IV NITROGLYCERIN PUMP SET
IV OCT FOR PROC INIT VESSEL
IV PUMP SET PLAIN
IV PUSH EA ADD DIFF DRUG
IV PUSH EA ADD SAME DRUG
IV PUSH EA ADD SAME DRUG (OBS)
IV PUSH EA ADD SAME DRUG (TFN)
IV PUSH EA ADDITIONAL
IV PUSH INITIAL 1ST DRUG
IV PUSH INITIAL SINGLE DRUG
IV PUSH TX DX PROP ADD DRUG (OBS
IV PUSH TX DX PROP ADD DRUG (TFN
IV PUSH TX DX PROP INIT DRUG(OBS
University Medical Center So. NV.
Page 113
Dispense
------------.00000
.00000
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.00000
.00000
.00000
.00000
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Price
---------48.00
286.66
286.66
56.50
287.19
273.51
99.00
504.99
467.59
467.59
467.59
467.59
504.99
286.66
286.66
894.63
444.93
467.19
61.00
549.93
273.51
444.93
191.00
444.93
467.19
467.19
467.19
287.19
287.19
287.19
467.19
467.19
287.19
287.19
156.64
164.10
151.94
164.10
156.28
52.78
375.00
53.36
290.95
290.95
151.50
151.50
66.00
150.00
290.95
151.50
151.50
163.62
02/12/14
Charge#
--------726620014
722720001
722720004
705080450
705080449
726120024
705080448
709120043
709120081
714150018
714150017
714150016
709170036
702270134
707031016
718120015
718120016
702170383
702150397
702150398
702152460
702152006
702151517
702420394
702421234
719250001
719250000
716136033
714938019
702170078
702170723
702151523
702173303
702170901
702170091
702150106
702150230
714170040
705080319
714150001
702170899
702153008
702170080
702173304
702170695
702175001
702175002
702171131
702152438
702171240
702170324
702171033
UMC Charge Master
Description
-----------------------------------------------------------------------------------------IV PUSH TX DX PROP INIT DRUG(TFN
IV PUSH, EA ADDL INJECT
IV PUSH, INITIAL INJECTION
IV SOLUSET PUMP 150X15 WO FILTER
IV SOLUSET PUMP 150X60 PLAIN
IV START SEPARATE PROC
IV SYRINGE SET
IV US, CORONARY V EA ADDTL
IV US, CORONARY V INITIAL
IVC FILTER CELECT 8.5F X 65 (CM)
IVC FILTER G2 SUBCLAV OR JUG (BD)
IVC FILTER VENA TECH
IVUS PULLBACK SLED (BS)
JAGTOME RX 39 STRT 20MM CUT (BS)
JAK 2 GENE
JET VENT MGT INITIAL DAY
JET VENT MGT SUB DAY
JEUNOSTOMY FEEDING TUBE
K WIRE 3.0 MM (WM)
K WIRE 3.0 MM BEADED (WM)
K WIRE BEVEL TIP (NU)
K WIRE FACET (NU)
K WIRES HAND INO
KELLER MAYO PROCED W IMPLANT
KERATOPLASTY PENETRATING
KIDNEY ACQ CADAVER DONOR
KIDNEY ACQ LIVING DONOR
KIDNEY MULTI STUDY WWO PHARMA
KIDNEY SONOGRAM
KIT ABDOMINAL CLOSURE CANICA
KIT ABLATION NOVASURE SURE SND
KIT ACL GRAFT SET EXCEL
KIT ACROBAT V VACUUM SYSTEM
KIT ADJUSTABLE LAP BAND
KIT ANDREWS TABLE
KIT ANKLE SYNDESMOSIS TROPE (AX
KIT ANKLE SYNDESMOSIS ZTIGHT (BI
KIT ARTERIAL PRESSURE (CH)
KIT ARTERIAL RADIAL INSERTION
KIT ASPIRA DRAIN COMPLETE (BD)
KIT AUTOTRANS ORTHO (SK)
KIT AXIEM NON INVASIVE SHUNT(MT)
KIT BECKER VENTRICULOSTOMY (MT)
KIT BIO PREP BONE PREP (SK)
KIT BIO TENODESIS DISP (AX)
KIT BIOCUE PLATELET CON MINI (BI)
KIT BIOCUE PLATELET CONCEN (BI)
KIT BLUE RHINO
KIT BONE FILLER STIMULAN 10CC
KIT CAMINO POST CRAN SUBDUR
KIT CARPAL TUNNEL
KIT CATH CVP SINGLE LUMEN
University Medical Center So. NV.
Page 114
Dispense
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Price
---------163.62
151.94
164.10
68.65
51.71
366.67
54.79
1,590.73
6,450.72
3,437.50
3,162.50
2,887.50
208.10
1,448.94
213.00
2,812.83
2,405.92
768.23
728.75
728.75
187.00
338.28
38.50
3,709.16
8,983.84
95,351.23
95,351.66
1,183.21
1,241.01
7,559.28
4,936.49
2,571.47
4,588.15
621.13
246.34
1,361.25
2,530.00
180.59
192.68
1,925.00
650.53
2,485.08
1,950.13
525.53
1,164.97
5,368.96
6,181.64
1,439.88
4,661.25
2,786.55
313.87
293.97
02/12/14
Charge#
--------702171483
702170796
702170784
705080318
702170991
702170814
705080317
705080056
702150324
702171242
709170657
702171029
705080138
702270213
702250150
705080314
702170414
702171188
702171415
709170035
705080055
702171461
702171460
714170039
702170084
702171082
723370007
702170475
702152380
702170055
714170038
702174005
714170037
702170494
705080053
702170628
702170404
709170075
702270135
702270136
702270137
702171158
702270138
702270139
702270140
702270141
702170017
705080052
705080051
705080050
705080625
705080313
UMC Charge Master
Description
-----------------------------------------------------------------------------------------KIT CATH ENDOPLEDGE 9FR 60CM
KIT CATH MAHURKAR CE 10FX12CM DL
KIT CATH MAHURKAR CE 8FX12CM DL
KIT CATH. CRICOTHYROTOMY UNIV.
KIT CHONDRAL MS (AX)
KIT CLIP GUN SCALP (MT)
KIT CORDIS INSERTION
KIT CPM PAD
KIT CRANIOPLASTIC (CD)
KIT DILATOR XLIF M5 NEUROVIS (NU
KIT DRAGONFLY OCT CATH
KIT DRAINAGE BULB TLS POREX 10FR
KIT DRAINAGE EXTERNAL
KIT EMERG LITHO HANDLE (0A)
KIT EMR STRGHT HARD CAP 9.5-10MM
KIT EXTENSION VYGON (NICU)
KIT FALLOPIAN RING
KIT IM PIN & DRILL PACK (SN)
KIT INDURA IT ACCESSORY CATH
KIT INFLATION ENCORE ADV (BS)
KIT INTRACRAN PRES MONITOR BOLT
KIT INTRO 10F PSH 6F GD 320CM
KIT INTRO 8.5F PSH 5F GD 320CM
KIT INTRO ACCUSTICK II NITNL (BS
KIT INTRODUCER SHEATH 6FR
KIT JACKSON TABLE
KIT KATZ EXTRACTOR
KIT KIDNEY BX SYSTEM 18GA
KIT LAG SCREW 100-95 (SN)
KIT LAP CHOLE
KIT LIVER BIOPSY
KIT LONESTAR RETRACT GYNE (CU)
KIT LUMBAR ACCESS (IA)
KIT LUMBAR CATH ACCESSORY (IA)
KIT MATERNITY ADMIT
KIT MAXCESS4 W LIGHT GUIDE (NU)
KIT MENISCUS REPAIR
KIT MICROPUNCT 5FX.018 X4CM (CM)
KIT NAVIFLEX DELIVR SYS 8.5FR (BS
KIT NAVIFLEX DELIVRY SYS 10FR (BS
KIT NAVIFLEX DELIVRY SYS 7FR (BS
KIT NUEROVISIN ADD ON (NU)
KIT PEG BOWER 12FR (OA)
KIT PEG BOWER 16FR (OA)
KIT PEG PULL SAFETY 26FR (BD)
KIT PEG PULL STD 20FR (BS)
KIT PENILE ACCESSORY AMS
KIT PERITONL DIAL 11FRX20CM (PICU
KIT PERITONL DIAL 8.5FRX20CM(PICU
KIT PERITONL DIAL 9FRX20CM (PICU)
KIT PNEUMOTHORAX RX LF
KIT PORT ACCESS 20GAX1
University Medical Center So. NV.
Page 115
Dispense
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Price
---------8,022.50
474.18
480.08
1,539.56
8,333.43
262.85
399.49
182.45
2,271.50
2,850.79
3,196.19
200.85
1,315.37
1,836.11
847.46
96.46
1,041.52
3,759.64
436.13
253.55
2,762.71
662.14
662.14
504.08
189.24
129.08
218.76
1,729.42
2,032.25
3,487.14
1,890.18
455.05
865.41
912.73
280.15
4,306.00
2,005.51
215.56
423.90
423.90
423.90
1,380.64
796.05
796.05
1,026.05
596.70
2,057.66
593.35
593.35
593.35
411.94
65.08
02/12/14
Charge#
--------705080312
705080311
705080310
702170789
705081528
714170036
702151263
702150025
702152593
702150294
702170832
705080309
702170615
714170035
714170034
714170033
702152345
702175000
702172100
702152595
714150000
702170022
702171206
702171193
702171196
702171177
702170175
702174008
702170891
702150034
702171194
702171191
702270142
702270223
702270224
705080308
702153023
702153025
702151802
702170043
702151801
702170906
705080307
705080049
705080048
705080306
705080139
702171361
702171095
702171215
701070004
702151693
UMC Charge Master
Description
-----------------------------------------------------------------------------------------KIT PORT ACCESS 20GAX3/4
KIT PORT ACCESS POWER 20GAX1
KIT PORT ACCESS POWER 20GAX3/4
KIT PORTAL REPLACEMENT
KIT RADIAL ARTERY CATH
KIT RING TRANJUGULAR (CM)
KIT SACARAL BAR THRD 6.0X200 (SY
KIT SCREW LAG 100/95 (SN)
KIT SHIM MAXCESS 4 STERILE (NU)
KIT SHIM MAXCESS STERILE
KIT SHOULDER SUSPENSION
KIT SINGLE PRESSURE MONITOR
KIT SJ BIO TAC DISP (AX)
KIT SNARE AMPLATZ 6FX15 (EV)
KIT SNARE AMPLATZ 6FX25 (EV)
KIT SNARE AMPLATZ 6FX35 (EV)
KIT SPEEDSCREW PLUS KNOTLESS (AC
KIT SPRAY APPLICATOR
KIT SPY ELITE SINGLE VIAL (LC)
KIT STABILIT VERTEBRAL FX (DF)
KIT STABILIT VERTEBRAL FX (DF)
KIT STEALTH INT/EXT
KIT STEM CELL GRAFT LUM 1 (SH)
KIT STEM CELL GRAFT LUM 2-3 (SH)
KIT STEM CELL GRAFT LUM 4-5 (SH)
KIT STEM CELL GRFT CERVICAL (SH)
KIT STRATA SHUNT LP 44420 (MT)
KIT SUPRALOOP 120X85MM
KIT TENDON SHEATH RETRACTOR
KIT TIGHTROPE TIT AC REPAIR (AX)
KIT TISSUE PRESERVATION SCALP
KIT TMR CO2 HEARTLASER (PR)
KIT TRACH BLUE RHINO SZ8 (CK)
KIT TRACH PERC PORTEX 8.0
KIT TRACH PERCUTANEOUS7.0
KIT TRIPLE LUMEN CATH 7FR
KIT TROCAR FIX ADV 12X100(APM)
KIT TROCAR FIX ADV 5X100 (APM)
KIT TUBE BUTTON GASTRO
KIT TUBE JEJUNSTOMY 22FRX45CM
KIT TUBE MIC-KEY BUT GASTRO 14X8
KIT TUBING LAP BAND
KIT URINARY CATH 5FR (NICU)
KIT VENOUS CATH 3FRX8CM (PICU)
KIT VENTRICULAR MON CATH
KIT VENTRICULAR PRESS MONITOR
KIT VENTRICULOSTOMY
KIT VENTRICULOSTOMY RES (MT)
KIT WILSON TABLE
KIT XLIF NEUROVISION (NU)
KIWI VACUUM PUMP
KLS PLATE MAND 2.7 L-R EL
University Medical Center So. NV.
Page 116
Dispense
------------.00000
.00000
.00000
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.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------65.08
70.64
70.64
429.59
119.84
2,150.06
3,461.73
1,699.64
3,754.99
2,092.75
355.28
77.43
860.15
1,346.59
1,346.59
1,346.59
2,695.00
176.78
4,027.38
10,587.50
10,587.50
5,749.77
8,479.66
11,540.74
14,567.11
5,314.65
11,547.11
458.28
493.45
1,768.25
11,195.92
11,203.89
1,671.32
1,225.86
738.36
588.04
154.05
142.34
261.25
1,545.20
261.25
644.55
199.65
276.56
1,314.23
2,724.79
1,305.10
1,099.13
124.45
2,490.21
174.51
646.25
02/12/14
Charge#
--------702151474
714030017
714030018
714030015
702421278
714030125
705080700
707030239
705080305
702151525
702151817
702151331
702171528
714120086
714120085
714120084
709120080
707030460
707030461
707030726
701016003
707030104
707031055
707030462
702420091
702420983
702421127
702420300
702420992
702421222
707031129
702150692
702150042
702150033
702171187
702170556
702420302
702423553
702422021
702421098
702420131
702421528
702423556
702421502
702171283
702422003
702420103
702420303
702421303
702171271
702422006
702421350
UMC Charge Master
Description
-----------------------------------------------------------------------------------------KLS PLATE MINI 8-H REG
KNEE 1 OR 2 VIEW
KNEE 3 VIEW
KNEE 4 VIEW +
KNEE ARTHRO DIFF COMPART SK
KNEE ARTHROGRAPHY COMPLETE
KNEE CPM PAD KIT PH-10
KOH PREP
KOOL KIT W/ PATIENT WRAP DISP
K-WIRE (SN)
K-WIRE 03 X 285MM (SK)
K-WIRE 1.6 (ZM)
K-WIRE 1.6 DEPUY
KYOHOPLASTY, THORACIC INITIAL
KYPHOPLAST, LUMBAR INITIAL
KYPHOPLASTY EA ADDTL VERT
L ATRIAL PACING/RECORDING
L/S RATIO AMNIOTIC FLUID
L/S RATIO PG
LA CROSSE ENCEPHALITIS
LABOR PER HOUR
LACTIC ACID
LACTOFERRIN FECAL (QUANT
LAMICTAL
LAMINECTOMY 1SPC LUMB
LAMINECTOMY ADD SP CX LUM
LAMINECTOMY INSERT NEURO STIMU
LAMINECTOMY LUMBAR
LAMINOTOMY W FORAMINOTOMY CERVCL
LAMINOTOMY W NR DECOMP- LUMBAR
LAMOTRIGINE LEVEL SCREEN
LAP BAND (AP)
LAP BAND ACCESS PORT I
LAP BAND ACCESS PORT II
LAP BAND CLOSURE TOOL
LAP BAND GASTRIC SUCTCATH
LAP ESOPHAGOGASTRIC FUNDO
LAP GASTROSTOMY WO GASTRIC TUBE
LAP HYSTER T&O UT<=250G
LAP IMPLANT ELECTRODE ANTRUM
LAP INC HERNIA REPAIR
LAP INC HERNIA REPAIR COMP
LAP INSERTION PERM IP CATH
LAP JEJUNOSTOMY
LAP MINI ALLIGATOR GRASPER
LAP PLACE GASTR ADJ DEVICE
LAP REM ADNEXAL TOP S&O
LAP REPR ING HERNIA RECUR
LAP REVISION PERM IP CATH
LAP ROTICULAR DISSECTOR 5MM
LAP SLEEVE GASTRECTOMY
LAP VAG HYST W TO =<250 GM
University Medical Center So. NV.
Page 117
Dispense
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Price
---------156.75
451.64
461.81
606.08
2,446.00
639.82
67.34
88.59
1,229.15
209.99
429.00
82.50
114.29
10,052.86
9,308.20
9,308.20
4,717.62
336.95
334.25
167.19
277.03
210.34
122.38
226.77
5,150.62
2,582.58
3,760.92
5,460.50
5,803.97
6,156.63
27.14
9,886.25
1,636.25
1,773.75
4,253.09
1,518.62
7,730.84
5,752.97
8,449.07
9,166.08
5,860.22
8,449.07
4,503.96
5,752.97
1,005.54
4,429.28
6,066.05
2,314.08
4,189.03
1,039.12
19,710.00
6,713.29
02/12/14
Charge#
--------702422005
702170413
702420002
702421505
702420981
702421113
702170412
702170411
702170306
702420228
702170409
702170410
702421112
702421149
702420041
702170419
702170406
702420015
702170417
702170480
702170418
702420486
702420172
702170407
702170402
702170403
702170408
702170405
702420025
702170380
702170450
702420709
702420982
702420703
702420686
702420397
702170451
702170441
702170933
702420708
702421292
702170449
702170448
702170447
702420748
702170090
702170052
702420987
702170392
702170445
702170446
702170459
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LAP VAG HYST WTO COMP >250G
LAP VEIN HARVEST KIT OH
LAP VENT ABD HERNIA RPR
LAP W BTPL & LN BX SGLE/MULTI
LAP, ENTEROLYSIS
LAPAROSCOPY APPENDECTOMY
LAPAROSCOPY AUTO STITCH
LAPAROSCOPY BABCOCK DISP
LAPAROSCOPY BALLOON STRUC
LAPAROSCOPY BIOPSY
LAPAROSCOPY CAUTERY HAND
LAPAROSCOPY CHOLANGRAM CATH
LAPAROSCOPY CHOLE
LAPAROSCOPY CHOLE W CHOLANGIO
LAPAROSCOPY DIAGNOSTIC
LAPAROSCOPY DISSECTOR
LAPAROSCOPY DISSECTOR BALLOON
LAPAROSCOPY ECT PREG T&O
LAPAROSCOPY ENDO CLOSED DEVICE
LAPAROSCOPY ENDO RETRACTOR
LAPAROSCOPY FILTER
LAPAROSCOPY FUL EXC LES O-P-P
LAPAROSCOPY FUL OVIDUCTS
LAPAROSCOPY GIA
LAPAROSCOPY GIA RELOAD
LAPAROSCOPY GRASPERS DISP
LAPAROSCOPY GRICE NEEDLE
LAPAROSCOPY HERNIA CLIP
LAPAROSCOPY HERNIA INGUINAL
LAPAROSCOPY HOOK
LAPAROSCOPY LAY TUBAL RINGS
LAPAROSCOPY LIG SPERM VEIN
LAPAROSCOPY LYMPH NODE BX
LAPAROSCOPY LYSIS OF ADHESION
LAPAROSCOPY ORCHIOPEXY IA
LAPAROSCOPY PELVIC ASPIR
LAPAROSCOPY PREMIUM SURGIPORT
LAPAROSCOPY PUNCTUR CLOSURE DEV
LAPAROSCOPY REDUCING SLEEVE
LAPAROSCOPY REM ECTOPIC PREG
LAPAROSCOPY REM LEIOMYOMATA
LAPAROSCOPY RETRACTOR KIT
LAPAROSCOPY ROTICULAR GRASPERS
LAPAROSCOPY RT ANE APPLIR
LAPAROSCOPY SALPINGOSTOMY
LAPAROSCOPY SMOKE EVACUATOR
LAPAROSCOPY SPACEMAKERBALL
LAPAROSCOPY SPLENECTOMY
LAPAROSCOPY SPONGE PEANUT
LAPAROSCOPY TA RELOAD
LAPAROSCOPY TA STAPLE
LAPAROSCOPY THORACIC TROC
University Medical Center So. NV.
Page 118
Dispense
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Price
---------9,636.87
5,765.34
5,017.44
7,063.98
4,920.61
6,066.05
417.01
1,084.93
1,557.46
4,524.15
985.42
1,074.38
5,789.73
5,783.15
4,900.41
670.87
1,904.08
5,616.71
1,041.52
1,245.32
225.41
5,616.71
5,616.71
2,089.03
1,041.52
1,000.37
511.34
4,148.92
6,066.05
511.34
437.24
4,490.81
5,121.61
4,307.94
7,730.84
3,775.19
850.63
511.34
117.69
5,157.50
4,189.03
583.97
1,002.63
1,041.52
5,121.61
333.91
3,520.93
6,014.45
435.77
1,004.09
1,806.03
1,041.52
02/12/14
Charge#
--------702170442
702170457
702170458
702421057
702420749
702420129
702421318
702421322
702420980
702420984
702420405
702420213
702420069
723020279
723520244
723320243
702421326
726120019
723520114
702421321
702420745
723020096
723320082
702420398
702420985
702421317
702421610
702170443
702171101
702174043
702170439
702420740
702421169
702420565
702420197
702421204
702421184
702421218
702421209
702421195
702421207
702421220
702420046
702420722
702420146
702420004
702420365
702420112
701015000
707030105
707030463
707030464
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LAPAROSCOPY THORACOPORT
LAPAROSCOPY TORQUEVISE
LAPAROSCOPY TROCAR KIT
LAPAROSCOPY VAGINAL HYSTER
LAPIDUS PROC PHAL OSTEO
LAPROSCPY OVIDCT BAND CLIP F RING
LARNGOSCOPY W DILT SUBSEQ
LARYNGOSCOPY DIAG W/SCOPE
LARYNGOSCOPY DIR EXC VC
LARYNGOSCOPY DIR F/B REM SCOPE
LARYNGOSCOPY DIR REM FB
LARYNGOSCOPY DIR W BX
LARYNGOSCOPY DIR W/BXW/SCOPE
LARYNGOSCOPY DIRECT
LARYNGOSCOPY DIRECT
LARYNGOSCOPY DIRECT
LARYNGOSCOPY DIRECT DIAG
LARYNGOSCOPY DIRECT DX ONLY
LARYNGOSCOPY DIRECT FOR ASPR
LARYNGOSCOPY EXC TUMOR/VC W/SCOPE
LARYNGOSCOPY FLEX DIAG
LARYNGOSCOPY INDIRECT DX
LARYNGOSCOPY INDIRECT WFBR
LARYNGOSCOPY INJ V C W/SCOPE
LARYNGOSCOPY INJ VOCAL CORD
LARYNGOSCOPY W DIL INITIAL
LARYNOSCOPY FLEX W REM FB
LASER ARGON FOOTSWITCH PROBE
LASER FIBER SLIMLINE 365
LASER FILTER
LASER SHIELD
LASER SURG PENIS LESION
LASER VAPORIZATION PROSTATE
LATERAL CANTHOPEXY
LATERAL RETINACULAR REL
LAYER CLOSE FEENL 2.5L
LAYER CLOSE FEENLM5.1-7.5
LAYER CLOSE FEENLMM2.6-5.O
LAYER CLOSE NHF EXT GENT <2.5
LAYER CLOSE NHFG 12.6-20.
LAYER CLOSE NHFG 2.6-7.5
LAYER CLOSE NHFG 7.6-12.5
LAYER CLOSE SAT/EXT 2.6-7.5CM
LAYER CLOSE SATE 20.1-30.0
LAYER CLOSE SATEXT 12.6-20
LAYER CLOSE SAT-EXT 2.5<
LAYER CLOSE SATEXT 30CM>
LAYER CLOSURE EXT7.6-12.5
LD OBSERVATION HOURLY
LDH
LDH FLUID
LDH ISOENZYMES
University Medical Center So. NV.
Page 119
Dispense
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Price
---------417.01
128.83
1,744.64
7,730.84
4,119.21
5,616.71
1,596.85
2,963.88
3,309.89
2,587.64
2,587.64
2,794.65
2,794.65
2,032.33
2,036.09
2,036.09
2,036.09
3,714.14
2,036.09
2,794.65
1,482.38
300.35
887.54
3,340.91
3,984.63
3,431.53
3,102.48
4,732.02
2,025.89
433.80
270.29
2,115.84
7,517.70
3,492.78
3,785.22
686.30
1,853.03
728.99
1,482.38
1,482.38
686.30
1,853.03
1,482.38
1,482.38
741.20
659.78
1,600.97
1,482.38
68.96
137.18
114.10
135.86
02/12/14
Charge#
--------705080474
705080473
707030608
702152822
709150015
709150014
709150013
709150012
709150011
709150085
709150010
707030465
709150009
709150084
709150083
709150082
709150081
702152891
709150008
709150007
709150006
709150005
709150004
709150003
709150002
709170034
709150072
709150033
709150068
709150069
709150001
709150064
709150065
709150067
709150032
709150031
709150071
709150063
709150066
707030466
709150000
709120079
707030467
707030468
707030469
707030470
702420203
702421003
702420284
702421333
702420997
707030471
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LE ADD ON VARGUS VALGUS (PCE)
LE ADD PRE TIBIAL MOLDED (PCE)
LE LATEX
LEAD (CY)
LEAD ADAPTOR 2872 (MT)
LEAD ADAPTOR 5866 22 (MT)
LEAD ADAPTOR 5866 24 38 40 (MT)
LEAD ADAPTOR 5866 9 (MT)
LEAD ADAPTOR 6707 (MT)
LEAD ADAPTOR KIT BIS/BLV
LEAD ADAPTOR Y FOR DF (MT)
LEAD BLOOD
LEAD CONNECTOR UNIV (MT)
LEAD COR VEIN ATTAIN OTW (MT)
LEAD COR VEN COROX OTW BP (BT)
LEAD COR VEN COROX OTWUP (BT)
LEAD COR VEN QUICKSITE (SJ)
LEAD ENPATH EPICARDIAL (BT)
LEAD EXTENDERS 6984 6986 (MT)
LEAD ICD DUAL LINOX SD (BT)
LEAD ICD DUAL LINOX TD (BT)
LEAD ICD DUAL SPRINT RV (MT)
LEAD ICD LINOX T (BT)
LEAD ICD SGL LINOX S (BT)
LEAD ICD SGL LINOX T (BT)
LEAD PIN CONNECTOR CAP (BT)
LEAD PPM EPICARDIAL (MT)
LEAD PPM AROX (BT)
LEAD PPM CAPSURE NOVUS (MT)
LEAD PPM CAPSURE SENSE (MT)
LEAD PPM CAPSURE VDD (MT)
LEAD PPM ISOFLEX (SJ)
LEAD PPM ISOFLEX OPTIM (SJ)
LEAD PPM OPTISENSE (SJ)
LEAD PPM SELOX JT ST (BT)
LEAD PPM SETROX S (BT)
LEAD PPM SUREFIX (MT)
LEAD PPM TENDRIL (SJ)
LEAD PPM TENDRIL OPTIM (SJ)
LEAD URINE
LEAD, ICD DUAL DURATA (SJ)
LEFT HEART CATH W ANGIO & SI
LEGIONELLA AB DFA
LEGIONELLA ANTIBODY
LEGIONELLA CULTURE
LEGIONELLA URINARY ANTIGEN
LENGHT SHORT TEN LEG ANK
LENGTH HS TENDON- MULTI, BILAT
LENGTH/SHORT EF TEND FA WRIST EA
LENGTHEN THIGH TENDON
LENGTHING EXT TEN H-F EA
LEPTOSPIRA AGGLUTININS
University Medical Center So. NV.
Page 120
Dispense
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Price
---------254.90
971.19
96.67
6,445.73
1,925.00
385.00
550.00
297.00
550.00
1,787.50
220.00
153.25
363.00
5,637.50
8,222.50
5,637.50
5,637.50
2,736.25
407.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
335.65
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
1,650.00
154.56
13,200.00
7,365.96
261.18
107.06
326.60
139.40
3,568.06
5,119.42
3,568.06
3,737.37
1,836.66
95.11
02/12/14
Charge#
--------707031064
707030472
710050049
710050048
705080047
726820031
726820032
726820033
726820034
726820035
707031130
707030663
702421148
702420743
702420738
702420045
702421531
702170079
702170636
702420636
723520113
702421018
723520112
723520111
723020095
714120004
702421515
702270143
702270144
702270145
702270146
702171226
702171153
702170892
702170894
702170065
714938018
713030011
702170846
702170817
707030106
707030473
707030107
707030108
707030664
707030634
702420285
702420480
702421329
702421330
716136032
726120018
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LEUKOCYTE ALK PHOS W CNT
LEUKOCYTE ALKALINE PHOS (LAP)
LEUKOPOOR SINGLE DONOR PLT
LEUKOREDUCED RBC CMV NEG
LEVEL 1 IV SOLUTION SET
LEVEL I CLINIC VISIT
LEVEL II CLINIC VISIT
LEVEL III CLINIC VISIT
LEVEL IV CLINIC VISIT
LEVEL V CLINIC VISIT
LEVETIRACETAM LEVEL SCREEN
LIDOCAINE
LIG FALLOP TUBE VAG SPUBIC
LIG HEMORRHOID MULTI
LIG RECONST K I/E ART
LIG RECONST K INTRA ART
LIGAMENT AUGM KNEE XTRA ARTIC
LIGASURE HANDPIECE ALL SZS
LIGASURE SMALL JAW HANDPIECE (CN)
LIGATION INT HEMOORHOID
LIGATION MAJ ART CHEST
LIGATION MAJ ART CHEST
LIGATION MAJ ARTERY EXTREMITY
LIGATION MAJ ARTERY-ABDOMEN
LIGATION OF HEMORRHOID(S)
LIGATION OF INF VENA CAVA
LIGATION OR BX TEMPORAL ARTERY
LIGATOR BAND DUETTE 7FR
LIGATOR BAND SHOOTER DUAL XL6 (CK
LIGATOR BAND SHOOTER OPVU 6 (CK)
LIGATOR BAND SHOOTER UNIV 6 (CK)
LIGH SOURCE (MT)
LIGHT CABLE MAXCESS (NU)
LIGHT DISP SURG W/SUCTION (EM)
LIGHT DISP SURG W/ZIP (EM)
LIGHT MAT DISP
LIMITED OB ULTRASOUND 1+GEST
LIMITED STUDY THORAC /PAROSPINAL
LINEAR CUT STAP RELOAD TIT 75MM
LINEAR CUTTER STAPLR SELECT 75MM
LIPASE
LIPASE FLUID
LIPASE STAT
LIPID PANEL
LIPOPROTEIN BLD
LITHIUM
LITHOLAPAXY COMP 2.5CM>
LITHOLAPAXY SIMP 2.5CML<
LITHOTRIPSY, ESWL, BILATERAL
LITHOTRIPSY, EWSL UNILATERAL
LIVER & SPLEEN, W VASC FLOW
LIVER BIOPSY W/O CT GUIDE
University Medical Center So. NV.
Page 121
Dispense
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.00000
.00000
.00000
.00000
Price
---------169.13
292.09
918.17
429.66
496.12
268.13
325.37
378.00
443.65
494.88
27.50
213.97
2,555.01
1,845.47
9,574.15
10,446.48
9,671.69
4,763.05
1,942.28
928.02
4,667.11
4,667.11
1,624.70
3,180.15
645.83
3,492.75
1,850.63
1,393.77
1,386.86
1,286.38
1,191.54
2,976.20
1,551.90
493.45
493.45
286.86
589.29
193.91
472.73
315.65
172.85
133.69
172.85
246.81
164.88
202.14
3,000.32
3,091.37
17,175.89
15,891.40
2,505.54
1,891.05
02/12/14
Charge#
--------707030474
707030110
716136031
702170488
702151772
702151827
702270147
702151708
702170871
702270258
702170444
707030844
721070001
709150080
714030016
714120037
705080046
714030134
726120027
714030137
714030019
718130007
716136030
716136029
716136028
716136027
718130008
718130009
707030194
709120078
707030475
707030476
707030880
707030477
702420998
716136000
702420996
702420634
723320081
707030478
707030111
707030112
707030480
701016000
702420477
707030195
702421114
702421079
702421059
714030166
714030165
714030167
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LIVER KIDNEY MICROSOMAL ANTIBODY
LIVER SCREEN NO INTERP
LIVER/SPLEEN SCAN
LOCATOR VERI STIM
LOCK NUT TRAVERSE (NU)
LOCK NUT XLP LATERAL PLATE (NU)
LOCKING DEVICE BILIARY BX CAP (BS
LOCKING DEVICE BLACKSTONE
LOCKING DEVICE ERCP WIRES (CK)
LOCKING DEVICE ERCP WIRES (CK)
LONESTAR RETRACTOR
LONG CHAIN FATTY ACIDS
LONG HANDLE SPONGE
LOOP RECORDER REVEAL DX (MT)
LOWER EXT INF 2YR 2 VIEW +
LUMBAR DRAIN PERMANENT
LUMBAR DRAINAGE SET (IA) (MICU)
LUMBAR PUNCTURE W/CHEMO INTRO
LUMBAR PUNCTURE, DIAGNOSTIC
LUMBAR PUNCTURE/DRAINAGE
LUMBAR SPINE 1V
LUNG DIFFUSION
LUNG PERFUSION
LUNG PERFUSION/VENTILATION DIFFL
LUNG PERFUSION/VENTILATION IMAG
LUNG VENTILATION IMAGING
LUNG VITAL CAPACITY
LUNG VOLUME
LUTEINIZING HORMONE (LH)
LV PACING/RECORDING
LYME AB WESTERN BLOT
LYME DISEASE AB
LYMES AMPLIFIED NA PROBE
LYMPH CHORIOMENINGITIS
LYMPHADENECTOMY ING FEM
LYMPHOSCINTIGRAPHY
LYSIS INTRANASAL SYNECHIA
LYSIS LABIAL ADHESIONS
LYSIS OF LABIAL ADHESIONS
LYSOZYME
MAGNESIUM
MAGNESIUM STAT
MAGNESIUM URINE
MAJOR ROOM .5 HOUR
MALAR AUGMENTION W PROTH
MALARIA SMEAR
MAMMAPLASTY REDUCTION
MAMMAPLASTY W/O IMPLANT
MAMMAPLASTY WITH IMPLANT
MAMMO BOTH BREAST
MAMMO CAD DX
MAMMO CAD SCREENING ADD ON
University Medical Center So. NV.
Page 122
Dispense
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.00000
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Price
---------181.99
338.82
1,968.05
1,680.83
327.25
426.25
64.53
591.80
753.40
753.40
876.03
164.43
78.18
11,000.00
396.14
447.65
1,366.56
442.81
1,118.04
447.65
460.81
442.19
2,112.66
1,894.79
2,704.14
747.98
218.53
383.01
226.04
5,369.18
92.49
260.33
132.00
171.41
3,121.34
2,022.55
1,482.38
1,959.11
2,089.14
187.04
157.33
157.33
157.33
1,251.10
4,629.66
147.54
4,480.85
3,832.44
4,783.16
144.52
76.28
72.25
02/12/14
Charge#
--------714030164
714030201
714030168
714030088
714030089
723320080
707030481
702420239
702420132
702420249
702420626
702420621
702170059
702170980
721020013
720020012
722320128
707030921
720020037
720620029
702170806
702270221
709170074
722170000
702420289
718170003
718170004
718170005
718170006
718170007
702420282
702420252
702420988
702420628
702420644
702420364
702420641
714030086
714030087
702421146
702420246
705081545
705081543
705081544
705081537
705081546
705081547
705080045
714030111
707030871
707030826
707031000
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MAMMO ONE BREAST
MAMMO PERQ DEVICE 1ST LESION
MAMMO SCREEN BILATERAL 2V
MANDIBLE COMPLETE
MANDIBLE LIMITED
MANDIBULAR FX W/MANIP
MANGANESE
MANIP FINGER JT EA ANES
MANIP KNEE JOINT WANES
MANIPULATION ANKLE W/ANES
MANIPULATION ELBOW W ANES
MANIPULATION OF SHOULDER W/ANES
MANIPULATOR UTERINE KRONNER
MANOMETER
MANUAL THER TECH 15MIN GO
MANUAL THER TECHN 15 MIN GP
MANUAL TRACTION PER 15 MIN
MANUAL TUMOR IM HISTOCHEM EA AB
MANUAL/CHEMICAL DEBRIDEMENT
MANUAL/CHEMICAL DEBRIDEMENT
MARKER SPHERE DISP 3/PKG (ND)
MARKER SPOT ENDOSCOPIC
MARKERBAND PIGTAIL
MAROON SPOONS
MARSUPIALIZATION BARTHOLINS CYST
MASK BIPAP NASAL MED/SMALL
MASK BIPAP NASAL MEDIUM
MASK BIPAP PERFORMATRAK LARGE
MASK BIPAP PERFORMATRAK MED
MASK BIPAP PERFORMATRAK SMALL
MASTECTOMY MOD RAD W NODE
MASTECTOMY SIMPLE COMPLETE
MASTECTOMY, SUBQ
MASTOIDECTOMY COMPLETE
MASTOIDECTOMY- MOD RADICAL
MASTOIDECTOMY RADICAL
MASTOIDECTOMY SIMPLE
MASTOIDS COMPLETE
MASTOIDS LIMITED
MASTOPEXY
MASTOTOMY EXP DRAIN ABS
MATRIX BURN ACELL 10X15CM
MATRIX BURN ACELL 5X5CM
MATRIX BURN ACELL 7X10CM
MATRIX PWDR ACELL 1000MG
MATRIX PWDR ACELL 200MG
MATRIX PWDR ACELL 500MG
MATTRESS GOE-MATT FOAM
MBS / SWALLOWING W/VIDEO
MCG IN SITU 100-300 CELLS
MCG, IP SITU, 100-300 CELLS
MCG, IP SITU, 25-99 CELLS
University Medical Center So. NV.
Page 123
Dispense
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Price
---------144.52
293.76
144.52
734.13
429.81
2,548.30
170.96
833.15
2,042.14
1,721.14
1,721.14
1,858.83
1,770.76
232.16
134.24
106.60
77.17
57.15
191.24
191.24
391.50
112.32
1,060.73
24.18
3,340.91
60.39
99.52
168.32
168.32
168.32
8,037.11
4,008.99
4,008.99
3,982.74
5,521.35
4,629.66
4,629.66
501.26
461.23
3,302.66
2,673.94
6,487.89
2,667.07
3,791.65
7,665.87
2,059.39
4,410.29
176.57
818.33
21.90
111.89
71.78
02/12/14
Charge#
--------707030482
702420986
714120110
714120109
714120083
714120082
714120036
714120081
722320129
716136009
702421009
702150580
702170554
702170393
702150109
702150366
720670004
720670003
707030483
707030484
702150123
702150746
702150682
702150764
702150392
702150152
702150228
702151288
702155003
702150325
702150743
702150733
702150737
702150900
702150902
702150753
702150736
702150739
702150738
702150735
702150734
702151297
702150690
702150047
702150792
702150791
702150802
702150801
702150026
702151826
702151812
702150158
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MEASLES (RUBEOLA)
MEATOTOMY EXCEPT INFANT
MECH DECLOT CATH SAME ACCESS
MECH DECLOT CATH SEPRT ACCESS
MECH THROM VENOUS W INJ INITIAL
MECH THROM VENOUS W INJ REPEAT TX
MECH THROMB ADDTL VESSEL(S)
MECH TROMB ART GRFT W LYSIS
MECHANICAL TRACTION
MECKLES DIVERTICULUM LOCALIZATION
MEDIASTINOSCOPY W-W/O BX
MEDPORE SHEET - ALL SZS
MEDTRONIC ACCESSORY KIT
MEDTRONIC CATH PASSER
MEDTRONIC SPINAL CATH
MENISCAL CINCH CURVED TIP (AX)
MEPITEL >48 SQ IN
MEPITEL 16 SQ IN TO 48 SQ IN
MERCURY
MERCURY URINE
MESH KUGEL SM CIRCLE (DV)
MESH 10MM X 50MM (NU)
MESH 12MM X 50MM (NU)
MESH 165X95MM PREFORMD CURVD (OM
MESH 36X50 FLAT THIN SMALL (OM)
MESH 74X50 FLAT THIN LARGE (OM)
MESH 90X90 FLAT OSTEOFORM (OM)
MESH 90X90MM PREFORMED CURVD (OM)
MESH ALYTE Y ABDOMINAL (BD)
MESH COMPOSIX 6X8 VENTRAL
MESH CONT ANT PARASAGITAL LT (KL)
MESH CONT ANT PARASAGITAL RT (KL)
MESH CONT BIFRONTAL (KL)
MESH CONT FRNT TEMP PARIET L (KL
MESH CONT FRNT TEMP PARIET R (KL
MESH CONT PARIETAL LT (KL)
MESH CONT PARIETAL RT (KL)
MESH CONT PTERIONAL LT (KL)
MESH CONT PTERIONAL RT (KL)
MESH CONT SUBOCCIPITAL LT (KL)
MESH CONT SUBOCCIPITAL RT (KL)
MESH DUAL 18 X 24 (GM)
MESH GORE SZ 26X34X2 CM
MESH GRID KLS
MESH OPTIMESH 1500E 18X15 (SO)
MESH OPTIMESH 1500E 20X17 (SO)
MESH OPTIMESH 1500E 22X19 (SO)
MESH OPTIMESH 1500E 30X20 (SO)
MESH ORBITAL FLOOR 25MM (KL)
MESH PARIETEX
MESH PARIETEX FLT SHEET (CN
MESH PARIETEX PC012
University Medical Center So. NV.
Page 124
Dispense
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Price
---------212.54
2,196.06
2,177.54
2,304.22
2,073.84
4,355.07
4,333.11
10,106.75
238.03
899.38
4,417.46
1,897.50
892.51
1,320.72
1,361.25
1,122.00
166.07
65.40
178.64
168.74
1,287.00
7,947.50
9,086.00
6,875.00
852.17
1,572.04
2,681.25
4,125.00
2,337.50
2,211.00
7,686.25
7,686.25
7,686.25
15,111.25
15,111.25
7,686.25
7,686.25
7,686.25
7,686.25
7,686.25
7,686.25
4,303.75
10,796.50
1,691.25
18,425.00
18,425.00
18,425.00
18,425.00
1,716.00
426.25
360.88
1,425.60
02/12/14
Charge#
--------702150055
702150178
702150084
702150189
702151072
702151230
702151159
702151162
702150712
702150471
702155013
702155012
702155014
702150529
702150547
702150548
702150528
702150379
702150443
702150175
702150578
702150745
702170981
702171189
702150499
702171171
702171178
702171197
702150171
702150167
702151078
702151208
702151188
702152809
702150016
702151992
702151522
702151521
702150454
702150453
702150456
702151128
702154411
702150241
702151350
702150691
702150845
702150844
702150831
702150854
702150761
702150704
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MESH PARIETEX PC015 (CV)
MESH PARIETEX PC01510 (CV)
MESH PARIETEX PC01510OS (CV)
MESH PARIETEX PC02015 (CV)
MESH PARIETEX PC020150S
MESH PARIETEX PC02520 (CV)
MESH PARIETEX PC02520OS (CV)
MESH PARIETEX PC03020
MESH PARIETEX PC03728 (CV)
MESH PARIETEX PC09
MESH PARIETEX TECT1510AL
MESH PARIETEX TECT1510AR
MESH PARIETEX TECT1515 RIGID
MESH PARIETEX TEM1 409 GR
MESH PARIETEX TEM1208GL
MESH PARIETEX TEM1208GR
MESH PARIETEX TEM1409GL
MESH PARIETEX TEM1509G
MESH PARIETEX TEM1515G
MESH PARITEX W SKIRT 8CM (CN)
MESH PROCEED 1.7 X 1.7 IN (EC)
MESH PROCEED 10 X 13 OVAL
MESH PROCEED 15 X 15
MESH PROCEED 15 X 20
MESH PROCEED 2.5 X 2.5 IN (EC)
MESH PROCEED 20 X 25
MESH PROCEED 20 X 30
MESH PROCEED 26 X 34
MESH PROCEED 4 X 6
MESH PROCEED 6 X 6
MESH PROCEED 6 X 8
MESH PROCEED 8 X 10
MESH PROCEED 8 X 12
MESH PROLENE 3X6
MESH PROLENE 3X6 (BD)
MESH PROLENE 6 X 6
MESH PROLENE LG PLUG
MESH PROLENE MEDIUM PLUG
MESH PROLENE PHSE (CA)
MESH PROLENE PHSL
MESH PROLENE PHSM
MESH RESORB 2 HOLE KLS
MESH RESORBX 11X246X1MM (KL)
MESH SEPRAMESH 6X8
MESH SURGICEL PROLENE 3X6 PMII
MESH SURGIMEND 1MM 10X20CM (TB
MESH SURGIMEND 2MM 20 X25CM (TB)
MESH SURGIMEND 2MM 20 X30CM (TB)
MESH SURGIMEND 2MM16 X20CM (TB)
MESH SURGIMEND 3MM 20 X30CM (TB/1
MESH TIT 3D 120X120 X0.3MM (KL)
MESH TIT 3D 120X120 X1.0MM (KL)
University Medical Center So. NV.
Page 125
Dispense
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Price
---------1,931.27
1,475.49
1,875.12
2,366.95
2,791.80
3,597.47
4,826.11
4,752.00
5,840.51
1,039.50
507.02
507.02
382.88
962.50
935.00
935.00
962.50
880.00
907.50
1,443.75
2,110.19
7,479.29
3,112.66
5,960.18
1,184.04
6,153.53
6,714.68
9,510.89
1,516.96
1,396.95
2,991.73
4,839.12
5,280.39
973.50
973.50
171.19
760.21
1,311.26
1,142.35
1,142.35
1,142.35
3,190.00
4,387.85
2,889.81
115.50
42,900.00
35,750.00
42,900.00
22,880.00
28,600.00
7,081.25
6,861.25
02/12/14
Charge#
--------702150762
702150779
702150782
702151315
702151174
702152689
702152690
702151085
702151978
702152692
702151703
702152691
702150518
702152552
702155005
702150146
702150143
702150619
702151069
702150723
702150938
702150040
702150056
702150081
702150090
702151119
702151186
702150713
702150757
723520110
723320079
723020094
707030485
718120017
718120018
707030486
707030487
707030488
707030489
707031135
705080304
723370006
705080303
723370005
723370004
723370003
723370002
702420651
707030113
707030635
705081548
702170395
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MESH TIT 3D 120X120X 0.6MM (KL)
MESH TIT 3D 200X200 X0.6MM (KL)
MESH TIT 3D 200X200 X1.0MM (KL)
MESH TIT 3D 50 X50 X0.6MM (KL)
MESH TIT 3D 85X50X1.5MM (KL)
MESH TIT KASSAM 0.6MM LT (KL)
MESH TIT KASSAM 0.6MM RT (KL)
MESH TIT SCREEN 100X100X1.0 (SY
MESH TIT SCREEN 100X100X1.3 (SY
MESH TIT SCREEN 82X54MM (KL)
MESH TIT STRIP 2X21 HL .6MM (KL)
MESH TIT STRIP RIGID BLUE 2H (KL)
MESH ULTRAPRO UHSL 10CM (JJ)
MESH ULTRAPRO UHSM 7.5CM (JJ)
MESH ULTRAPRO UMM3 (JJ)
MESH VENTRALEX MED
MESH VENTRALEX MEDIUM
MESH VERITAS 0116 (SE)
MESH VERITAS 0608 (SE)
MESH VERITAS 0814 (SE)
MESH VERITAS 1225 (SE)
MESH VICRYL PERISPLENIC 10 X 12
MESH VICRYL SPLENIC 30 X 26
MESH-PHYSIO 10X15 OVAL (EC)
MESH-PHYSIO 15X15 SQ (EC)
MESH-PHYSIO 15X20 RCTNGL (EC)
MESH-PHYSIO 20X25 OVAL (EC)
MESH-PHYSIO 20X30 RCTNGL (EC)
MESH-PHYSIO 25X35 OVAL (EC)
METACAPOPHALNGEL DISL W AN
METACARPOPHLGL DISLOC W/MAN
METACARPOPHLGL DISLOC W/MAN BIL
METANEPHRINES
METER DOSE INHALER INITIAL
METER DOSE INHALER TX SUBQ
METHADONE
METHOTREXATE
METHYLMALONIC ACID
METHYLMALONIC HOMOCYSTEIN
MGMT GENE ANALYSIS
MICKEY EXT SET W TIP 12FR (NICU)
MICKEY EXTENSION SET
MICKEY TUBE 14FX1.0CM (NICU)
MICKEY TUBE LOW PRO 14F X 0.8CM
MICKEY TUBE LOW PRO 14F X 1.0CM
MICKEY TUBE LOW PRO 14F X 1.2CM
MICKEY TUBE LOW PRO 14F X 1.5CM
MICRO SURGERY ADD ON
MICROALBUMIN RANDOM
MICROALBUMIN- URINE, QUAN
MICROKLENZ CLNR 8OZ SPRAY
MICROWIPE
University Medical Center So. NV.
Page 126
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
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Price
---------7,081.25
18,136.25
18,136.25
3,938.00
4,565.33
5,130.81
5,130.81
2,937.00
3,099.25
1,484.95
590.21
733.04
1,208.63
968.36
1,060.29
1,535.16
1,535.16
8,778.00
2,873.75
6,063.75
16,458.75
1,661.00
1,953.60
1,813.90
1,853.91
3,294.36
5,335.00
5,868.50
7,735.75
1,721.85
1,514.51
1,511.70
179.09
355.70
222.73
160.34
155.51
181.61
627.65
1,787.50
64.52
60.02
523.17
486.67
525.60
525.60
525.60
1,959.11
107.65
51.51
23.44
53.08
02/12/14
Charge#
--------601012000
601011200
601012060
601012080
702421520
702171071
707030240
702170396
705080143
705080302
705080301
723520272
723520269
701016002
721070002
705080044
707030172
707030173
715520042
702020004
702020002
702020000
702020001
702020003
723517005
723317005
723017003
723517003
723317003
723517002
723317002
723017002
723517004
723317004
723017001
723517001
723317001
723517000
723317000
723017000
702720002
702720001
726170001
726170004
726170002
726170003
714117000
714117001
702170038
702170548
702170067
702171181
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MICU CRITICAL CARE
MICU GENERAL ROOM
MICU INTERMEDIATE CARE
MICU TRAUMA CRITICAL
MID EAR EXPL POST AUR/CANAL EXC
MIDAS REX DIFUSER AIR
MIN INHIB CNCEN
MINI CABG RETRACTOTAPE
MINILOC SAFETY INFUS 20GA X 1.5
MINILOC SAFETY INFUS 20GA X 0.75
MINILOC SAFETY INFUS 20GA X 1
MINIMAL TRAUMA RESP CRITICAL CARE
MINIMUM TRAUMA RESPONSE
MINOR ROOM .5 HOUR
MIRROR PARA/QUAD INSPECTN
MITYVAC OB DELIVERY
MIXING STUDY-PROTIME
MIXING STUDY-PTT
MLC TREATMENT DEV DESIGN TC (NVC)
MNT 2ND REF YR GROUP EA 3
MNT 2ND REF YR IND EA 15
MNT GROUP EA 30 MIN
MNT INT ASSESS IND EA 15M
MNT REASSESS IND EA 15 MI
MOD CONS SEDATION DIFF PHYS <5 YR
MOD CONS SEDATION DIFF PHYS <5 YR
MOD CONS SEDATION DIFF PHYS 5 YR+
MOD CONS SEDATION DIFF PHYS 5 YR+
MOD CONS SEDATION DIFF PHYS 5 YR+
MOD CONS SEDATION DIFF PHYS EA AD
MOD CONS SEDATION DIFF PHYS EA AD
MOD CONS SEDATION DIFF PHYS EA AD
MOD CONS SEDATION SAME PHYS <5YR
MOD CONS SEDATION SAME PHYS <5YR
MOD CONS SEDATION SAME PHYS 5 YR+
MOD CONS SEDATION SAME PHYS 5 YR+
MOD CONS SEDATION SAME PHYS 5 YR+
MOD CONS SEDATION SAME PHYS EA AD
MOD CONS SEDATION SAME PHYS EA AD
MOD CONS SEDATION SAME PHYS EA AD
MOD SEDATION SAME DOC 5YRS+ 30MIN
MOD SEDATION SAME DOC EA AD 15MIN
MODERATE SED <5 YRS EA ADD 15MIN
MODERATE SED <5YRS INIT 30 MIN
MODERATE SED >5 YRS EA ADD 15MIN
MODERATE SED >5YRS INIT 30 MIN
MODERATE SEDATION EA ADD 15 MIN
MODERATE SEDATION FIRST 15 MIN
MODULE ANT/POST LUMBAR
MODULE ARTHROSCOPY ANY JOINT
MODULE CRANIOTOMY
MODULE EMG M5 NEUROVISION (NU)
University Medical Center So. NV.
Page 127
Dispense
------------.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
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.00000
.00000
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.00000
Price
---------2,302.00
1,154.00
1,448.00
2,945.00
5,409.38
262.15
618.33
142.94
39.30
44.16
44.16
7,278.34
7,278.34
977.85
389.51
174.97
285.94
210.30
571.00
18.89
36.27
20.40
42.55
39.17
530.48
530.48
415.96
416.73
416.73
245.60
245.60
288.97
521.61
521.61
521.73
522.69
522.69
245.60
245.60
277.82
563.47
300.05
80.35
471.42
80.35
471.42
437.55
923.95
1,404.83
794.62
1,691.94
3,658.99
02/12/14
Charge#
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702170463
702170564
702170565
702171286
702171129
702171287
702170046
702171172
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702170493
702170027
702170865
702170534
702170541
702170467
702170058
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723520108
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716034084
716034083
716034082
716034073
716034072
716034071
716034070
716034069
716034068
716034081
716034067
716034066
716034065
716034064
716034063
716034062
716034061
716034080
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MODULE EXTREMITY
MODULE GEN LAPAROSCOPY
MODULE GYN LAPAROSCOPY
MODULE HEAD/NECK
MODULE LITHOTOMY MAJOR
MODULE MAJOR
MODULE MAJOR CHEST/BREAST
MODULE MAJOR GENERAL
MODULE MAJOR VASCULAR
MODULE MEP M5 NEUROVISION (NU)
MODULE MINOR GEN
MODULE MINOR VASCULAR
MODULE NEURO SPINE
MODULE OPEN HEART ADULT
MODULE ORAL NASAL ADULT
MODULE PEDS GEN UROLOGY
MODULE PLASTIC MAJOR
MODULE SHOULDER OPEN
MODULE TOTAL JOINT
MODULE UNIVERSAL DISPOSABLE (NU)
MOLD/FUNGUS ORGANISM ID
MONITOR BECKER EDMS II
MONITOR INTERST FLD PRESSURE
MONITOR QUICK SET PRESSURE
MONO TEST
MONONUCLEAR CELL ANTIGEN QUANT
MOPATH PROCEDURE LEVEL 1
MOPATH PROCEDURE LEVEL 2
MOPATH PROCEDURE LEVEL 4
MOPATH PROCEDURE LEVEL 5
MOPATH PROCEDURE LEVEL 7
MORCILLATOR GYNECARE
MORPHINE, UNRINE QUANT
MRA ABDOMEN WWO CONT LTD
MRA ABDOMEN WWO CONTRAST
MRA CHEST WWO CONT LTD
MRA CHEST WWO CONTRAST
MRA HEAD W CONTRAST
MRA HEAD W CONTRAST LTD
MRA HEAD WO CONTRAST
MRA HEAD WO CONTRAST LTD
MRA HEAD WWO CONTRAST
MRA HEAD WWO CONTRAST LTD
MRA LOWER EXT WWO CONT LTD
MRA LOWER EXT WWO CONTRAST
MRA NECK W CONTRAST
MRA NECK W CONTRAST LTD
MRA NECK WO CONTRAST
MRA NECK WO CONTRAST LTD
MRA NECK WWO CONT LTD
MRA NECK WWO CONTRAST
MRA PELVIS WWO CONT LTD
University Medical Center So. NV.
Page 128
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Price
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942.81
898.26
729.29
715.56
727.98
1,359.18
627.38
1,492.35
4,863.21
744.71
1,054.14
1,155.67
3,624.51
982.55
546.59
814.68
978.47
1,200.13
3,588.57
69.14
749.59
421.06
465.76
97.05
26.64
277.50
345.00
585.00
1,462.50
1,020.00
2,576.92
554.81
2,914.03
3,938.71
2,914.03
3,635.89
2,596.29
2,522.67
2,513.65
2,470.03
3,523.54
1,854.49
1,918.73
2,678.55
2,803.99
1,716.44
2,247.15
2,234.86
2,864.05
3,063.87
1,776.60
02/12/14
Charge#
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716034059
716034058
716034057
716034056
716034055
716034054
716034053
716034052
716034051
716034050
716034091
716034090
716034089
716034088
716034087
716034086
716034078
716034077
716034076
716034075
716034001
716034074
716034049
716034048
716034047
716034046
716034045
716034044
716034043
716034109
716034108
716034107
716034106
716034105
716034104
716034042
716034041
716034040
716034039
716034038
716034037
716034036
716034035
716034034
716034200
716034033
716034032
716034031
716034030
716034103
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MRA PELVIS WWO CONTRAST
MRA SPINAL CONTENTS WWO
MRA SPINAL CONTENTS WWO LTD
MRA UPPER EXT WWO CONT LTD
MRA UPPER EXT WWO CONTRAST
MRI ABD WWO CONTRAST
MRI ABD WWO CONTRAST LTD
MRI ABDOMEN W CONTRAST
MRI ABDOMEN W CONTRAST LTD
MRI ABDOMEN WO CONTRAST
MRI ABDOMEN WO CONTRAST LTD
MRI BONE MARROW
MRI BRAIN W CONTRAST
MRI BRAIN W CONTRAST LTD
MRI BRAIN WO CONTRAST
MRI BRAIN WO CONTRAST LTD
MRI BRAIN WWO CONTRAST
MRI BRAIN WWO CONTRAST LTD
MRI BREAST BILAT W CONT (NVC)
MRI BREAST BILAT WO CONT (NVC)
MRI BREAST BILAT WWO CONT (NVC)
MRI BREAST UNILAT WWO CONT (NVC)
MRI BREAST UNILAT W CONT (NVC)
MRI BREAST UNILAT WO CONT (NVC)
MRI CARDIAC FOR MORPH WO CONTRAST
MRI CHEST W CONTRAST
MRI CHEST W CONTRAST LTD
MRI CHEST WO CONTRAST
MRI CHEST WO CONTRAST LTD
MRI CHEST WWO CONTRAST
MRI CHEST WWO CONTRAST LTD
MRI C-SPINE W CONTRAST
MRI C-SPINE W CONTRAST LTD
MRI C-SPINE WO CONTRAST
MRI C-SPINE WO CONTRAST LTD
MRI C-SPINE WWO CONTRAST
MRI C-SPINE WWO CONTRAST LTD
MRI GUIDE NEEDLE PLACE S&I
MRI LOW JOINT WO CONT LTD
MRI LOW JOINT WWO CONT LTD
MRI LOWER EXT W CONT LTD
MRI LOWER EXT W CONTRAST
MRI LOWER EXT WO CONT LTD
MRI LOWER EXT WO CONTRAST
MRI LOWER EXT WWO CONT LTD
MRI LOWER EXT WWO CONTRAST
MRI LOWER JOINT LT WITH CONT LTD
MRI LOWER JOINT W CONT LTD
MRI LOWER JOINT W CONTRAST
MRI LOWER JOINT WO CONTRAST
MRI LOWER JOINT WWO CONTRAST
MRI L-SPINE W CONTRAST LTD
University Medical Center So. NV.
Page 129
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Price
---------2,889.42
3,869.51
2,181.11
1,918.73
3,447.50
3,337.26
3,055.01
2,309.05
1,790.93
3,206.29
2,793.03
2,088.15
2,983.90
2,968.22
3,499.85
3,454.36
4,316.37
3,820.13
2,553.74
2,758.04
2,758.04
2,358.99
2,358.99
2,184.25
1,333.00
3,636.64
2,080.74
3,163.10
2,752.03
3,729.06
3,573.95
4,460.04
2,080.74
3,554.44
3,274.28
4,484.19
7,233.80
2,230.64
2,937.17
2,815.70
2,953.92
3,578.22
2,712.15
2,871.03
2,930.11
3,412.09
2,937.17
2,015.66
3,260.64
3,113.39
2,815.70
4,440.15
02/12/14
Charge#
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716034101
716034100
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716034028
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716034018
716034000
716034017
716034016
716034093
716034092
716034015
716034014
716034097
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716034095
716034094
716034013
716034012
716034011
716034010
716034009
716034008
716034007
716034006
716034005
716034004
716034003
716034002
705080472
713020002
707030771
707031018
707030494
716136026
719020000
719020001
713020004
707030495
702420001
UMC Charge Master
Description
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MRI L-SPINE WWO CONTRAST
MRI L-SPINE WWO CONTRAST LTD
MRI LUMBAR SPINE W CONTRAST
MRI LUMBAR SPINE WO CONTRAST
MRI MODERATE SED>5YRS INIT 30 MIN
MRI ORBIT/FACE/NECK W CONTRAS
MRI ORBIT/FACE/NECK W/CONLTD
MRI ORBIT/FACE/NECK WO CO LTD
MRI ORBIT/FACE/NECK WO CONTR
MRI ORBIT/FACE/NECK WWO
MRI ORBIT/FACE/NECK WWO LTD
MRI PELVIS W CONTRAST
MRI PELVIS W CONTRAST LTD
MRI PELVIS WO CONTRAST
MRI PELVIS WO CONTRAST LTD
MRI PELVIS WWO CONTRAST
MRI PELVIS WWO CONTRAST LTD
MRI RECONSTRUCTION W IMAGE MANIP
MRI SPECTROSCOPY
MRI SPECTROSCOPY LTD
MRI THORACIC SPINE W CONT
MRI THORACIC SPINE WO CONT
MRI TMJ
MRI TMJ LTD
MRI T-SPINE W CONTRAST LTD
MRI T-SPINE WO CONT LTD
MRI T-SPINE WWO CONTRAST
MRI T-SPINE WWO CONTRAST LTD
MRI UP JOINT WWO CONT LTD
MRI UPPER EXT W CONT LTD
MRI UPPER EXT W CONTRAST
MRI UPPER EXT WO CONT LTD
MRI UPPER EXT WO CONTRAST
MRI UPPER EXT WWO CONT LTD
MRI UPPER EXT WWO CONTRAST
MRI UPPER JOINT W CONT LTD
MRI UPPER JOINT W CONTRAST
MRI UPPER JOINT WO CONT LTD
MRI UPPER JOINT WO CONTRAST
MRI UPPER JOINT WWO CONTRAST
MRI/CT PRESSURE PIN SET
MSLT/MWT
MTB- AMPLIFICATION NA PROBE
MTHFR GENE
MUCOPOLYSACCHARIDES UR QA
MUGA SCAN
MULTI EVAL ACUTE HEMODIALYSIS
MULTI EVAL ACUTE PERTIONEAL DIALY
MULTIPLE SLEEP LATENCY TEST
MUMPS SEROLOGY
MUS SKIN GRAFT HEAD NECK
University Medical Center So. NV.
Page 130
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Price
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4,413.73
3,857.90
4,562.07
3,416.15
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2,428.09
1,790.93
2,279.97
2,279.97
3,228.71
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1,776.60
2,969.95
2,814.09
3,640.97
3,397.78
1,804.57
4,005.70
2,803.99
3,061.77
2,909.53
2,407.21
1,927.27
1,891.58
2,909.53
3,768.77
3,475.43
3,276.43
1,776.60
3,019.11
6,092.14
3,277.67
2,866.07
4,460.04
1,918.73
3,188.60
2,812.81
2,981.57
3,642.34
1,863.40
341.00
321.11
105.00
100.33
2,225.05
1,982.10
988.56
378.68
222.87
4,070.94
02/12/14
Charge#
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UMC Charge Master
Description
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MUSCLE MYCUT FLAP LOW EXT
MUSCLE MYCUT FLAP UP EXT
MUSCLE MYOCUT FASCIOCUT TRUNK
MYASTHENIA GRAVIS PANEL
MYCOPHENOLATE LEVEL SCREEN
MYCOPHENOLIC ACID
MYCOPLASMA PNEUMONIA IGM
MYCOPLASMA PNEUMONIAE AB
MYCOPLASMA PNEUMONIAE SEROLOGY
MYCOPLASMA/UREAPLASMA
MYELIN BASIC PROTEIN
MYELOGRAM INJ NOT C1-C2
MYELOGRAM, LUMBAR S&I
MYELOGRAM, THORACIC S&I
MYELOGRAPHY CERVICAL COMPLETE
MYELOGRAPHY LUMBOSACRAL COMPLETE
MYELOGRAPHY SPINAL CANAL COMP
MYELOGRAPHY THORACIC COMPLETE
MYOCARDIAL ANTIBODY
MYOCARDIAL PERFUSION RESTING
MYOCARDIAL PERFUSION STRS
MYOCARDIAL PERFUSION STRS/REST
MYOGLOBIN
MYOGLOBULIN QUAL URINE
MYOMECTOMY VAGINAL APPROACH
MYRINGOPLASTY
MYRINGOTOMY
MYRINGOTOMY AND TUBE
MYRINGOTOMY AND TUBE BIL
N BLOCK INJ TRIGEMINAL
N BLOCK INJ TRIGEMINAL
NAIL FEM IM 13MMX42CM 130D R (SN
NAIL FEMORAL TIT A/R 11X380 (SK
NAIL HUMERAL (SY)
NAIL HUMERAL STRYKER
NAIL IMSH 130 (SN)
NAIL META RETRO S-N
NAIL META TIBIAL 10MMX36CM (SN
NAIL META TIBIAL 10MMX38CM (SN
NAIL PROX HUMERAL 8.0X280MM (SK)
NAIL TAN 1.5X10MMX42CM 130D R(SN
NAIL TIBIAL (SY)
NAIL TIBIAL 8.5 (SN)
NAIL TIBIAL GAMMA STD 10X375 (SK
NAIL TIBIAL STD 11X375 (SK
NAIL TIBIAL10 X 36 (SN)
NAIL TIT CAN FEM 12X360 RET (SY
NAIL TIT CAN TRO 11X170 130D (SY
NAIL TIT ELASTIC 2.0X440MM (SY)
NAIL TIT ELASTIC 2.5X440MM (SY)
NAIL TIT ELASTIC 3.0X440MM (SY)
University Medical Center So. NV.
Page 131
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Price
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4,857.73
4,589.54
4,839.12
551.75
36.95
203.33
142.99
81.46
183.70
139.91
127.84
957.27
1,922.23
1,169.08
2,643.27
2,333.26
2,769.22
1,875.47
96.77
2,567.01
2,567.01
3,972.56
98.57
157.06
3,725.20
2,737.03
529.18
2,622.93
3,934.40
509.40
510.33
6,435.00
4,872.48
4,435.09
4,802.00
4,620.00
5,156.25
5,436.75
5,436.75
5,844.63
5,885.00
3,892.63
4,881.25
4,634.58
4,634.58
5,225.00
4,998.81
4,056.14
801.27
858.88
911.27
02/12/14
Charge#
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718120020
714030090
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UMC Charge Master
Description
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NAIL TIT ELASTIC 4.0X440MM (SY)
NAIL TIT SCN SUPRACON 10X400 (SK
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NAIL TROCHANTERIC (BI)
NAIL TROCHANTERIC (SK)
NAIL VALOR SM LEFT 10X150MM (WM
NASAL BONES COMPLETE 3V
NASAL ENDO FRONTAL
NASAL ENDO REM TISS SPHEN
NASAL ENDO W ETHMOID ANT
NASAL ENDOSCOPY UNI BIL
NASAL OSCOPY CONCHA RES
NASAL SEPTAL BUTTON
NASAL SINUS ENDO MAX TISS
NASAL SINUS ENDO SPHENOID
NASAL SINUS ENDOSCOPY W/ETHM
NASAL SMEAR EOSINOPHIL
NASAL SPLINT RUETER BIVAL
NASAL SPLINT SM MD LG
NASAL TAMPON
NASAL TAMPON
NASAL TAMPON DOYLE CANNULATED
NASAL TAMPON MERCEL
NASAL TAMPON W AIRWAYTUBE
NASAL TAMPON W STRING
NASAL WIZARD CUTTER
NASAL WIZARD TUBING
NASALENDO CONT N BLEEDING
NASOENDO DIAG W MAX SCOPY
NASOPHARYNGOSCOPY W/ENDOSCOPE
NATRIUETIC PEPTIDE BNP
NEBULIZER CONT EA ADDTL HR
NEBULIZER CONTINUOUS 1ST HOUR
NECK SOFT TISSUE
NECKSEAL W/VISOR COMPLETE SET
NEEDLE ACCESS PORT LAP BAND
NEEDLE ASPIRATOR OH
NEEDLE BIOPSY CORE EUS 19G (CM)
NEEDLE BIOPSY CORE EUS 25G (CM)
NEEDLE BIOPSY QUICK CORE
NEEDLE BIOPSY TRU-CUT 4 1/2 IN
NEEDLE BIOPSY TRU-CUT 6 IN
NEEDLE BIPOLAR 33CM 9PIN
NEEDLE BM BX IMBIDE (OV)
NEEDLE BMA 6 PORT 4IN (NU)
NEEDLE BONE M1M 11 X 10 (CM)
NEEDLE BONE M1M 11 X 15 (CM)
NEEDLE BSDN 18X7 (CK)
NEEDLE BSDN ARTERIAL 19G (CM)
NEEDLE BX BN MARROW 13G 2IN (PIC
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University Medical Center So. NV.
Page 132
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Price
---------963.63
1,034.33
6,032.59
3,399.19
7,796.25
4,238.08
5,076.50
416.95
2,587.64
2,587.64
2,814.28
1,624.19
1,072.73
1,103.60
2,587.64
3,632.90
2,814.28
100.46
369.98
758.73
250.40
259.91
224.72
309.89
160.40
128.06
830.30
207.33
2,198.98
701.52
2,413.68
468.22
311.75
863.72
557.99
595.95
331.62
205.26
1,418.81
1,418.81
255.18
156.52
144.20
1,252.50
900.77
461.25
255.89
276.36
23.67
110.04
166.62
187.01
02/12/14
Charge#
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UMC Charge Master
Description
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NEEDLE BX CHIBA 22X10 (CK)
NEEDLE BX ET CHIBA 22X15 (CK)
NEEDLE BX ET CHIBA 22X20 (CK)
NEEDLE BX LYMPH NODES
NEEDLE BX PLEURA
NEEDLE BX PROSTATE
NEEDLE BX THYROID
NEEDLE CANN PEDIGUARD (SPG)
NEEDLE DELIVERY (SY)
NEEDLE ENDOPATH 3MM
NEEDLE EUS FLEX 19GA (BS)
NEEDLE EXPECT EUS 19GA
NEEDLE EXPECT EUS 22GA
NEEDLE EZIO SET ADULT
NEEDLE EZIO SET ADULT
NEEDLE EZIO SET ADULT
NEEDLE EZIO SET ADULT LG
NEEDLE EZIO SET ADULT LG
NEEDLE EZIO SET PEDIATRIC
NEEDLE EZIO SET PEDIATRIC
NEEDLE FNA EUS 22G(0A)
NEEDLE GRIPPER PLUS 20GA X 5/8
NEEDLE INTRAOSSEOUS 16X2.5 (PICU)
NEEDLE JAMSHIDI MARROW 11GAX4
NEEDLE JAMSHIDI MARROW 11GAX4 PIC
NEEDLE MAXXIM
NEEDLE MICROPUNCTURE 4F (CM)
NEEDLE MICRO-PUNCTURE 5F (CM)
NEEDLE PERC HUBER 25GA 1.5IN (MA)
NEEDLE PERCUTANEUS 19 X 7CM
NEEDLE PROBLOC II 20G X 150MM
NEEDLE SCLERO 25GA X 230CM (UE)
NEEDLE SPINAL INTRO (SN)
NEEDLE STIMULEX INSULATE
NEEDLE TRANBRONC PERIPH 21G (CO)
NEEDLE TRANS ORAL 16G 25 X1CM (MA
NEEDLE TRANSBRONCH CYTO 21G (CO)
NEEDLE TRANSBRONCH HISTO 21G(CO)
NEEDLE TRU CORE BX 16GX10CM (ANG)
NEEDLE TRU CORE BX 16GX20CM (ANG)
NEEDLE VARIES 120MM
NEEDLE VARIES ALL SIZES
NEEDLE YUEH (CM)
NEISSERIA GONORRHOEAE AMP PROBE
NEISSERIA, AMPLIF NA PROBE
NEO IRR LEUK DIR RED BLD CELL DIV
NEO LEUK DIRCTD RBCS CMV-SS
NEO LEUKPR IRRAD RED BLDCLSCMV-SS
NEO WASH IRR DIR DON LEUK RBC SS
NEONATAL BRAIN
NEOPRENE NECK SEAL
University Medical Center So. NV.
Page 133
Dispense
------------.00000
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Price
---------125.60
73.30
96.92
119.92
1,429.45
872.17
1,417.56
708.23
559.25
1,142.95
201.92
953.29
1,058.64
1,058.64
303.92
328.23
328.23
638.14
689.19
303.92
328.23
699.57
48.78
292.48
97.99
281.35
159.54
247.56
247.56
196.32
51.19
67.72
552.91
438.06
58.62
332.23
343.53
298.06
321.90
381.72
381.72
169.05
174.92
114.67
145.59
257.08
801.11
716.09
539.52
687.45
1,366.81
329.77
02/12/14
Charge#
--------707030670
702420604
714120120
714130040
714120172
723020452
714120119
714130041
702170008
713031005
713031000
713031006
713031002
713031003
713031004
702421260
702420607
702421189
702421188
702421194
702421275
702170203
702140001
702270206
702270177
702170116
702170019
722120009
702170023
702140002
721020014
720020013
713030019
707030507
702170029
702421226
702421277
702421289
702420340
702420312
702421294
702152877
702152825
702171141
702170546
702170782
702171505
702171019
702152884
702152873
702152875
702152826
UMC Charge Master
Description
-----------------------------------------------------------------------------------------NEPHELOMETRY, EA ANALYTE
NEPHRECTOMY ANY APPROACH
NEPHROSTOGRAM
NEPHROSTOGRAM S&I
NEPHROSTOMY TUBE EXCHANGE
NEPHROSTOMY TUBE EXCHANGE
NEPHROSTOMY TUBE INSERTION
NEPHROSTOMY TUBE INSRT SI
NEPTUNE FILTER (SK)
NERVE CONDUCTION 11-12 STUDIES
NERVE CONDUCTION 1-2 STUDIES
NERVE CONDUCTION 13 GT STUDIES
NERVE CONDUCTION 5-6 STUDIES
NERVE CONDUCTION 7-8 STUDIES
NERVE CONDUCTION 9-10 STUDIES
NERVE GFT AL MORETHAN 4CM
NERVE GRAFT >4CM A&L
NERVE GRAFT A-L CM/LESS
NERVE GRAFT HAND OR FOOT<4CM
NERVE GRAFT UP TO 4CM AL
NERVE REPAIR W/ALLOGRAFT
NERVE STIMULATOR DISPOSABLE
NERVE TUBE NEUROFLEX
NET FB RETRIEVER PEDS (UE)
NET FB RETRIEVER STANDARD (UE)
NEURO INTRODUCER SHEATH
NEURO PIN DISP
NEUROBEHAV(COGN)STAT EX PER HR
NEUROENDOSCOPE DISP
NEUROMEND PER 0.5 CM LENGTH (SK)
NEUROMUSC REED 15 MIN GO
NEUROMUSC REED 15 MIN GP
NEUROMUSCULAR JUNCTION TEST
NEURONTIN (GABAPENTIN)
NEUROPEN NEUROENDOSCOPY PS M
NEUROPLASTY 1 BOTH DIGIT
NEUROPLASTY NERVE HAND/FOOT
NEUROPLASTY PERP ARM/LEG OPEN
NEUROPLASTY PERP SCIATIC OPEN
NEUROPLASTY TRANSP NERV ELBOW
NEUROPLASTY/TRANSP CRANIAL NERV
NEUROSTIM GEN RECHG SINGLE
NEUROSTIM SPINE LEAD (BS)
NEUROSTIM ACESSORY KIT (MT)
NEUROSTIM ANTENNA
NEUROSTIM ANTENNA (BS)
NEUROSTIM CHARGING KIT
NEUROSTIM DURAL SEPARATOR (SJ)
NEUROSTIM GEN NON RECHG SINGLE
NEUROSTIM GEN PRECISION (BS)
NEUROSTIM GEN RECHG DUAL
NEUROSTIM LEADS
University Medical Center So. NV.
Page 134
Dispense
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Price
---------95.39
6,036.12
587.94
1,429.61
1,119.87
1,119.87
1,959.79
3,583.02
126.57
131.70
71.12
131.70
71.12
71.12
131.70
5,519.02
6,898.58
3,431.53
2,111.19
6,453.17
3,445.80
354.94
3,964.95
497.89
462.90
292.93
5,568.12
369.34
9,055.24
786.50
106.60
106.60
127.40
231.77
3,509.56
2,210.31
2,046.59
2,095.38
1,693.80
2,966.13
2,068.64
35,634.50
18,397.50
1,453.34
723.21
438.18
8,222.50
234.12
21,664.50
57,543.75
47,132.25
18,397.50
02/12/14
Charge#
--------702171493
702170120
702170807
702151098
702151125
702171439
702171438
702171437
702152874
702152878
702152872
702152871
702152824
702152830
702152823
702171319
702421008
702171180
702171179
707030857
707030848
720620030
720620031
720620032
720620033
720620034
617111710
707031057
617111730
617111720
702420608
702421125
718140000
707030727
714938016
723020091
723520107
718130010
709120042
701530010
723520243
723520290
723520242
723520291
723520241
723520292
723520106
723520294
723520105
723520295
707030508
707031034
UMC Charge Master
Description
-----------------------------------------------------------------------------------------NEUROSTIM PASSER CATH (MT)
NEUROSTIM PASSING ELEVATOR
NEUROSTIM PASSING ELEVATOR (BS)
NEUROSTIM PATIENT PROGRAMMER
NEUROSTIM PROGRAM PT (MT)
NEUROSTIM PT PROGRAMMER (BS)
NEUROSTIM PT PROGRAMMER (MT)
NEUROSTIM PT PROGRAMMER (SJ)
NEUROSTIM RESTORE ULTRA (MT)
NEUROSTIM SPINE GEN ANS (SJ)
NEUROSTIM SPINE GEN RESTORE (MT)
NEUROSTIM SPINE GEN SCS SYS (BS)
NEUROSTIM SPINE LEAD (MT)
NEUROSTIM SPINE LEAD 30CM (SJ)
NEUROSTIM SPINE LEAD 44CM (SJ)
NEUROSTIM TUNNELING TOOL (BS)
NEUROVASCULAR PEDICLEFLAP
NEUROVISION II W/O PROBE (NU)
NEUROVISION W/PROBE (NU)
NEUTROFIL FUNCTION
NEUTROPHIL COUNT TOTAL
NEW ENTEROST PROB FOCUS
NEW ENTEROSTOMAL PT (45 MIN)
NEW ENTEROSTOMAL PT (60 MIN)
NEW ENTEROSTOMAL PT 30 MIN
NEW PT ENTEROSTOMAL 20 MIN
NEWBORN NURSERY
NICOTINE
NICU INTERMED CARE
NICU MED CARE
NIPPLE EXPLOR W/DUCT
NIPPLE-AREOLA RECONSTRUCT
NITRIC OXIDE PER HOUR
NK CELLS, TOTAL COUNT
NON OB TRANSVAG ECHO
NONINV DOPPLER EXTREMITY VEINS
NONINV DOPPLER EXTREMITY VEINS
NONINVASIVE GAS MONITOR
NONSELECT CATH- AORTA
NON-STRESS TEST
NONTRAUMA ER XFER LEV 1
NONTRAUMA ER XFER LEV 1 25
NONTRAUMA ER XFER LEV 2
NONTRAUMA ER XFER LEV 2 25
NONTRAUMA ER XFER LEV 3
NONTRAUMA ER XFER LEV 3 25
NONTRAUMA ER XFER LEV 4
NONTRAUMA ER XFER LEV 4 25
NONTRAUMA ER XFER LEV 5
NONTRAUMA ER XFER LEV 5 25
NORTRIPTYLINE
NPM1 GENE
University Medical Center So. NV.
Page 135
Dispense
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Price
---------568.70
363.13
337.76
2,769.25
3,272.50
5,321.22
4,960.68
4,364.00
51,562.50
34,627.59
58,135.00
63,676.25
17,050.00
8,112.50
10,175.00
1,320.63
4,037.07
3,451.88
4,358.19
51.14
19.09
196.58
413.73
517.39
334.78
265.68
962.00
220.00
1,448.00
1,091.00
3,004.23
2,957.53
395.18
122.16
862.14
482.65
483.54
537.29
5,542.84
138.19
341.01
341.01
556.39
556.39
920.84
920.84
1,500.48
1,500.48
2,157.48
2,157.48
201.15
1,028.50
02/12/14
Charge#
--------705080294
705080293
702174035
702174036
702174037
705080292
705080136
705080290
705080289
705080288
705080287
705080286
705080285
705080137
705080284
705080283
705080282
705080281
716126000
638511710
718130011
705080690
707030749
787070002
720640001
720640002
701018000
701018001
701018002
714938015
714938027
714938026
714938025
701530007
701530004
701530008
714938014
714938013
701530009
714938024
623015000
726615000
702151825
705080119
707030242
707030643
702171198
707030509
726820036
707030875
702420336
702423506
UMC Charge Master
Description
-----------------------------------------------------------------------------------------NPWT CANISTER GO LARGE
NPWT CANISTER S 800CC
NPWT DISP PICO PUMP 4X12 (SN)
NPWT DISP PICO PUMP 4X16 (SN)
NPWT DISP PICO PUMP 4X8 (SN)
NPWT DRAPE LARGE
NPWT DRESSING ABDOMINAL
NPWT DRESSING F/P LARGE
NPWT DRESSING F/P MEDIUM
NPWT DRESSING F/P SMALL
NPWT DRESSING G MEDIUM
NPWT DRESSING G/P LARGE
NPWT DRESSING G/P MED
NPWT DRESSING G/P SMALL
NPWT DRESSING W/S COMPL
NPWT GAUZE LARGE
NPWT PORT RENASYS
NPWT Y- CONNECTOR
NUCLEAR THERAPY, THYROID
NURSERY NEWBORN
NUTRITIONAL 02 STUDY
NWPT RENASYS DRAIN 10MM
O&P STAIN
O2 HOOD NECKSEAL ONLY
OASIS WOUND MAT 3 X 3.5 PER SQ CM
OASIS WOUND MAT 7 X 20 PER SQ CM
OB PAR ACUITY I/MIN
OB PAR ACUITY II/MIN
OB PAR ACUITY III/MIN
OB T-VAG
OB ULT>14 WKS
OB ULT>OR=14WKS0DAYSEAADD GEST
OB ULTRASOUND F/U OR REPEAT
OB ULTRSND >/=14WKS SINGLE
OB US < 14 WKS, ADDL FETUS
OB US < 14 WKS, SINGLE FETUS
OB US <14 WEEKS 1 GEST
OB US <14 WEEKS ADDL FETUS
OB US >/= 14 WKS, ADDL FETUS
OB US SGL GEST W FETAL EXAM
OBSERVATION PER HOUR
OBSERVATION ROOM HOURLY
OBTURATOR RADIAN (NU)
OBTURATOR SHORT 2CM (CVCU)
OCCULT BLD FHG, QUAL, 1-3 DETERM
OCCULT BLOOD, OTHER SOURCES
OCTOPUS STABILIZER TS2500 (MT)
OLIGOCLONAL BANDS
ONC SUTURE/STAPLE REMOVER
ONCOPROTEIN HER2 NEU
ONE STAGE HYPOSPADIUS FLAP
OP TX LEFORT II FX W FIXATION
University Medical Center So. NV.
Page 136
Dispense
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Price
---------266.99
123.42
813.72
813.72
813.72
52.38
1,387.39
266.85
194.30
157.59
150.38
198.63
168.88
160.60
316.49
47.30
97.32
29.04
3,824.47
300.00
1,489.80
1,035.68
23.47
232.13
75.92
13.50
14.55
27.19
38.57
327.33
1,433.94
419.67
551.77
1,365.65
399.68
1,365.65
494.41
150.11
399.68
457.79
68.96
68.96
330.00
47.11
140.55
65.35
5,024.39
185.16
564.54
63.14
4,603.41
5,409.38
02/12/14
Charge#
--------723520104
702420316
723020090
723520103
723320077
702420167
702420149
702420018
702420600
702420860
702420859
723320076
709120301
709120302
709120300
723020278
707030510
707030114
702420904
714120201
714120202
714120203
702420113
702420861
702420067
702420313
702420603
702420210
702420620
702420158
702420869
702420195
702421276
702420145
702420627
702420622
702420019
702420458
702420617
702420858
702420862
702420450
702420431
702420907
702420427
702420613
702116001
702116002
702116003
702420294
702420854
702420180
UMC Charge Master
Description
-----------------------------------------------------------------------------------------OPEN HEART MASSAGE
OPEN HEART MASSAGE
OPEN HEART MASSAGE
OPEN TX DISTAL PHALANGEAL FX
OPEN TX DISTAL PHALANGEAL FX
OPEN TX DISTAL RAD EXTRA-ART
OPEN TX DISTAL RAD INTRA ART FX
OPEN TX DISTAL RADIUS 3+ FRAG
OPEN TX FX ULNA SHAFT
OPEN TX HUMERAL SUPRACONDYL FX
OPEN TX PROX FIB/SHAFT FX
OPEN TX RADL UNLR SHFT FX
OPEN/PERQ PLACE STNT 1ST
OPEN/PERQ PLACE STNT EA ADD
OPEN/PERQ PLCE STNT SAME
OPHTHALMOLOGICAL EXAM
OPIATES URINE QUAL
OPIATES URINE -QUAL
OPN C/O GREATER TUBEROSITY FX
OPN/PERQ PLACE STENT 1ST
OPN/PERQ PLACE STENT EA ADD
OPN/PERQ PLACE STENT SAME
OR AC DISLOCATION
OR ACUTE CHRONIC ELBOW DISLOC
OR BIMALLEOLAR FX W/WO FIX
OR CALCANEAL FRACTR WWO FIX
OR CALCANOUS W BG
OR CALVICULAR FX WWO FIX
OR CARPAL BONE EA BONE
OR CARPL SCAPHOID WWO FIX
OR CARPMETCRPL FX THUMB
OR CMC DISLOC S WWO INT EXT
OR DIST FIB FX MALLEOLUSI/E FIX
OR DIST PHALANX FX F-T
OR DIST.HUMERUS PROXULNA
OR DISTAL RADIOULNAR DISLOCATION
OR DISTAL TIB FIB JT
OR FX GR TOE PHALANX INT-EXT FIX
OR FX ORBIT WO IMPLANT
OR FX PHALANX(GES)TOES NOT GR TOE
OR HUM SHAFT FX W IM ROD
OR HUM SHAFT FX W P&S
OR HUMERAL CONDYLAR FX MED/LAT
OR HUMERAL FX MED LAT W/FIX
OR HUMERAL SUPRA/TRANSCONDYLAR FX
OR INTRPHALNGEAL JNT W FIX FING
OR LEVEL I PER MINUTE
OR LEVEL II PER MINUTE
OR LEVEL III PER MINUTE
OR LUNATE DISLOCATION
OR MALAR ZYGO ARCH&TRIP
OR MALAR ZYGOMATIC FX
University Medical Center So. NV.
Page 137
Dispense
------------.00000
.00000
.00000
.00000
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.00000
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.00000
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Price
---------2,530.62
2,530.62
2,728.00
2,813.14
2,813.14
5,797.48
5,797.00
5,802.91
4,739.29
7,471.14
4,739.29
6,917.73
14,872.95
7,192.76
14,872.95
447.49
70.74
70.74
7,854.30
8,106.24
7,192.76
8,106.24
4,098.15
5,362.40
6,102.40
7,854.30
5,023.88
7,854.30
3,800.40
5,650.37
4,739.29
2,813.14
6,102.40
3,038.19
6,917.73
2,972.26
3,370.04
3,038.19
3,701.28
3,117.29
6,106.40
6,917.73
5,366.20
5,587.25
5,482.35
3,340.91
128.73
203.36
252.65
2,837.44
2,737.03
4,068.50
02/12/14
Charge#
--------702420616
702420857
702420615
702420128
702420221
702420179
702420043
702420434
702420020
702420852
702420679
702420483
702420673
702420426
702420683
702420678
702420105
702420320
702420066
702420318
702420307
702420433
702420192
702420670
702420430
702420181
702420677
702420851
702420883
702420088
702420763
702420315
702420295
702420184
702420083
702420089
702420719
702420162
702420905
723320075
702420865
709170652
702420688
714030091
702420690
702420254
702420215
702420224
707030511
723320074
722320130
722320131
UMC Charge Master
Description
-----------------------------------------------------------------------------------------OR MAND CONDYLAR FX
OR MAND FX MULTI COMP
OR MANDBULR FX WO INTR DENTAL FIX
OR MANDIBLE W INTERDENTAL FIX
OR MCP OR IP JT FX EA
OR MED MALLEOLUS EX W/WO FIX
OR METACARPAL FX SINGL W/WO FIX
OR METACARPOPHALANGL SGL WWO FIX
OR METATARSAL WWO FIX
OR METATARSOPHALANGL JOINT DISLOC
OR MONTEGGIA FX ELBOW
OR NASAL FRACTURE UNCOMPLICATED
OR NASAL FX COMP I-E SK-FIX
OR NASAL FX W OR SEPTALFX
OR NASAL SEPTAL FX W/WO STABLE
OR ORB FX W IMPLANT
OR ORBITAL FX PERIORBITAL
OR PATELLA FX W FIX
OR PHALANGEAL SHAFT FX WWO FIX
OR PROX HUM WWO FIXATION
OR RAD HD/NECK FX WWO FIX
OR RAD SHAFT FX WWO FIX
OR RAD/ULNA SH W FIX R&U
OR RAD/ULNAR SH W/FX R&U
OR RADIAL HEAD PROTH REPLACE
OR R-I CARPAL 1OR> BONE
OR SHOULDER DISL FX TUBER W/ FIX
OR SHOULDER DISLOCATION
OR STERNOCLAVICLE ACUTE
OR TALOTARSAL JNT W/ INT-EXT FIX
OR TALUS FX W/WO INT-EXT FIX
OR TARSAL BONE WO TALUS CAL W FIX
OR TIB SHAFT WO FIB W PLTS SCREWS
OR TIBIA & FIBULA FX W/ FIX
OR TIBIA INT-EXT FIX ONLY
OR TIBIAL SHAFT FX W ROD
OR TRIMALLEOLAR POSTLIP FX
OR ULNAR FX PROX END W/WO FIX
OR ZYGOMATIC ARCH FX
ORAL SURGICAL SPLINT
ORBITAL IMPLANT REMORREV
ORBITER CATHETER
ORBITOTOMY WO BONE FLAP
ORBITS COMPLETE 4V
ORCHIECTOMY RAD TUM ING APPROACH
ORCHIECTOMY SIMPLE
ORCHIOPEXY ING W/WO HERNIA REP
ORCHIOPEXY-BILATERAL
ORGANIC ACID URINE
ORIF PHALANGEAL SHAFT FX
ORTHO EST PT VISIT LEV 1
ORTHO EST PT VISIT LEV 2
University Medical Center So. NV.
Page 138
Dispense
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Price
---------4,629.66
4,442.47
4,240.48
3,538.11
2,813.14
6,102.40
6,102.40
2,813.14
6,102.40
3,038.19
8,642.26
2,737.03
2,907.82
2,737.03
2,813.14
5,000.04
3,813.93
5,411.47
3,123.77
4,901.14
3,775.19
4,739.29
5,477.23
7,854.30
5,728.01
3,038.19
7,854.30
4,739.29
4,739.29
3,038.19
6,433.47
3,830.82
4,320.42
4,586.93
7,233.77
6,917.73
6,917.73
6,102.40
2,955.99
2,014.09
6,820.02
5,064.68
4,060.50
886.23
3,775.19
3,808.44
3,091.73
3,500.68
230.40
3,058.07
162.04
236.07
02/12/14
Charge#
--------722320132
722320133
722320134
702170533
702420226
718120021
718120022
702170512
702170205
702150249
702170213
702170210
702170211
702170212
702170209
702170217
702170218
702170219
702170216
702170144
702170207
702170481
702170206
702170491
702170204
702170208
702151498
702170163
702170167
702170168
702170169
702170166
702170153
702170152
702170150
702151482
702170154
702170162
702170160
702220030
702170164
702170165
702170161
702170170
707030115
707030637
707030116
714030080
714030081
714030078
702420682
702420685
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ORTHO EST PT VISIT LEV 3
ORTHO EST PT VISIT LEV 4
ORTHO EST PT VISIT LEV 5
ORTHOVITA BONE MARROW N
ORTRIMALLIOR FX W W/O FIX
OSCILLATOR VENT INIT DAY
OSCILLATOR VENT SUB DAY
OSCOPY BALLON QUATRO WILSN-COOK
OSCOPY BILIARY STENT INTRO
OSCOPY BILIARY STENT Z C
OSCOPY BRONCH LAVAGE
OSCOPY BRONCHO BX FORCEP DISP
OSCOPY COLON BALLOON
OSCOPY COLON RET NET
OSCOPY COMBO CATH
OSCOPY CYTOLOGY BRUSH
OSCOPY DECOMP RECTAL TUBE
OSCOPY ERCP CATH
OSCOPY ERCP DASH SYSTEM
OSCOPY ERCP LOCKING DEV
OSCOPY ERCP PUMP TUBING
OSCOPY ERCP WIRE WILSON-COOK
OSCOPY ESOPHAGEAL BALLOON
OSCOPY ESOPHAGEAL BANDING
OSCOPY ESOPHAGEAL STENT
OSCOPY EVS NEEDLE
OSCOPY GASTRIC CLIP
OSCOPY INJ SIDE ARM
OSCOPY JAG WIRE
OSCOPY LUNG BX NEEDLE
OSCOPY MAX FORCE BALLOON
OSCOPY NEEDLE KNIFE
OSCOPY OLYMPUS CLIP
OSCOPY PANCREATIC DIL CAT
OSCOPY PAPILLATOME WIRE
OSCOPY PECUT TRACH TUBE
OSCOPY PLEURAL TAP NEEDLE
OSCOPY PORTEX SWIVEL ADAPTOR
OSCOPY PYLORIC KIT
OSCOPY SB DUOD W/WO BRWASH
OSCOPY SOHENDRA BASKET
OSCOPY SPEED BANDING
OSCOPY TAPERTOME
OSCOPY TRIPOD DISP
OSMOLALITY
OSMOLALITY STOOL
OSMOLALITY URINE
OSSESOUS SURVEY COMP
OSSESOUS SURVEY INFANT
OSSESOUS SURVEY LMTD
OSTECTOMY 5TH METATARSAL
OSTECTOMY CALCANEUSHEEL
University Medical Center So. NV.
Page 139
Dispense
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Price
---------305.17
384.13
487.77
760.86
4,739.29
3,244.74
2,976.78
659.24
875.26
2,406.25
395.58
825.89
1,749.83
1,288.55
781.72
781.72
1,030.29
976.44
2,317.98
527.24
437.24
912.81
1,291.57
1,173.11
9,345.05
553.28
134.53
242.53
1,683.86
476.15
1,749.83
1,635.34
161.00
735.90
1,124.63
1,885.18
437.24
97.35
1,041.52
1,482.38
3,284.29
1,356.52
2,155.68
1,137.42
140.78
49.74
139.38
1,137.36
687.76
1,287.54
2,643.91
2,390.41
02/12/14
Charge#
--------702421319
702420672
702170145
702420877
702420694
702420693
702420664
702420855
702420881
702420876
702421514
702420660
702420680
702420856
702420882
702421536
702420655
702420566
702421256
705080280
705080133
705080134
705080132
705080130
705080131
705080279
705080041
705080278
702421048
7022BEAR2
7022BEAR1
701520000
701520001
701520002
701520003
701520004
701520005
701520006
701520007
701520008
701520009
707030512
707030513
707030842
707030514
707030515
707031132
705080123
705080040
705080125
705080039
705080037
UMC Charge Master
Description
-----------------------------------------------------------------------------------------OSTECTOMY METATARSAL HEAD
OSTECTOMY TIB FIB
OSTEOMED DRILL DISP
OSTEOPLASTY LENGTH MCP
OSTEOPLASTY RAD ULNA SHORT
OSTEOTOMY CALCANEUS
OSTEOTOMY FIBULA
OSTEOTOMY METACARPAL EACH
OSTEOTOMY METATARSAL 2,3 OR 4
OSTEOTOMY METATARSAL ANG CORRECT
OSTEOTOMY MID TARSAL BONE
OSTEOTOMY OTHER PHALANGES ANY TOE
OSTEOTOMY PHAL FINGER EA
OSTEOTOMY PHALANX DOUBLE
OSTEOTOMY PHALANX IST TOE
OSTEOTOMY RADIUS DISTAL THIRD
OSTEOTOMY SPUR W/WO PLANT
OSTEOTOMY TARSAL W AUTOGRAFT
OSTEOTOMY, MANDIBLE, SEGMENT
OSTOMY IRRIG START SET 2 3/4IN
OSTOMY POUCH EAKIN 1.8X1.2
OSTOMY POUCH EAKIN 4.3X3.0
OSTOMY POUCH EAKIN 6.9X4.3
OSTOMY POUCH EAKIN 9.7X6.3 OPEN
OSTOMY POUCH EAKIN 9.7X6.3 TUCK
OSTOMY ZASSI BAG IRRIGATION
OSTOMY ZASSI FLEXI-SEAL KIT
OSTOMY ZASSI REPLACE BAG
OTOPLASTY W/WO REDUCT
OTSC SYSTEM SET 14/6T 220CM (OEO)
OTSC TWIN GRASPER 220CM (OEO)
OUTPT VISIT EST PT LEVL 1
OUTPT VISIT EST PT LEVL 2
OUTPT VISIT EST PT LEVL 3
OUTPT VISIT EST PT LEVL 4
OUTPT VISIT EST PT LEVL 5
OUTPT VISIT NEW PT LEVL 1
OUTPT VISIT NEW PT LEVL 2
OUTPT VISIT NEW PT LEVL 3
OUTPT VISIT NEW PT LEVL 4
OUTPT VISIT NEW PT LEVL 5
OVA & PARASITE W/CRYPTO
OVA AND PARASITES
OVAL FAT BODIES
OXALATE URINE
OXAZEPAM
OXCARBAZEPINE LEVEL SCREEN
OXISENSOR ADULT
OXISENSOR ADULT BLUE
OXISENSOR INFANT
OXISENSOR INFANT ORANGE
OXISENSOR NEONATAL
University Medical Center So. NV.
Page 140
Dispense
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Price
---------2,390.41
3,521.00
695.95
3,095.64
6,838.11
5,228.63
3,431.53
3,095.64
2,864.72
2,652.51
7,139.85
2,581.65
3,095.64
4,349.07
2,390.41
5,671.20
6,380.86
5,228.63
6,549.47
91.56
35.49
50.75
68.24
101.97
101.97
42.94
1,428.66
154.81
2,737.03
2,181.28
2,038.65
162.04
236.07
305.17
384.13
487.77
196.58
265.68
334.78
413.73
517.39
227.49
230.01
112.24
86.94
69.10
27.14
43.08
85.49
51.16
85.49
85.49
02/12/14
Charge#
--------705080126
705080276
705080124
718170000
718170001
709171192
709120030
709170006
702170171
702170985
702151484
702170087
705080036
702170359
702170358
702170692
705080035
705080034
709170895
702171244
702170093
710050042
702170378
702718005
702718004
702718003
702715000
705080033
702170102
705080275
702171515
702171398
702420880
702421331
702420879
702420021
721070035
721070036
707030881
714030084
702423505
707030814
707030815
707030816
707030817
707030818
707030819
702171379
702270178
702171367
702270179
702171390
UMC Charge Master
Description
-----------------------------------------------------------------------------------------OXI-SENSOR NEONATAL
OXISENSOR PEDIATRIC DIGIT
OXISENSOR PEDS
OXYGEN 4HRS OR LESS
OXYGEN CONTINUOUS
OXYSENSOR NELCOR
PACER GENERATOR REMOVAL
PACER PACK
PACING CABLE SCREW DISP
PACING MEDRONIC
PACING WIRE MYOWIRE DISP
PACK CATARACT
PACK C-SECTION DELIVER
PACK CYSTO
PACK CYSTO CUSTOM
PACK IM PIN & DRILL (SN)
PACK LAP
PACK OB DELIVERY ROOM
PACK PERMANENT PACEMAKER
PACK SUSA STANDARD (PR)
PACK TUR CUSTOM
PACKED RED CELLS
PACKING MEROGEL
PACU ACUITY I/MIN
PACU ACUITY II/MIN
PACU ACUITY III/MIN
PACU OBSERVATION HOURLY
PAD ICE BLANKET
PAD PACING/DEFIB ADULT HVP GEL
PAD REPLACEMENT VISTA UNIVERSAL
PADS MCQUIRE TOTAL HIP
PAIN PUMP SOAKER INTRODUCER
PALATOPLASTY CLEFT PALATE
PALATOPLASTY CLEFT PALATE LENG
PALATOPLASTY CLEFT PALATE W FLAP
PALATOPLASTY CLEFT PAL-BONE GRFT
PALM GUARD PROTECT LEFT
PALM GUARD PROTECT RIGHT
PANCREATIC ELASTASE FECAL
PANOREX (MANDIBLE 1 VIEW)
PANTALAR ARTHRODESIS
PAP T/L AUTO WITH MAN RESCRN
PAP THIN LAYER AUTOMATED
PAP TL MANUAL DIAGNOSTIC
PAP TL MANUAL W RESCREEN DIAG
PAP TL RESCREEN SCREENING TEST
PAP TL SCREENING TEST
PAPILLATOME FS-OMNI
PAPILLATOME KNIFE MICROV (BS)
PAPILLATOME KNIFE ZIM 5FX320CM
PAPILLATOME NEEDLE KNIFE XL (BS)
PAPILLATOME TRI TOME 3LUMEN
University Medical Center So. NV.
Page 141
Dispense
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Price
---------51.16
85.49
43.08
93.91
424.03
74.88
6,230.01
546.06
311.44
470.18
156.70
495.78
361.35
144.79
160.82
4,060.41
94.89
217.96
351.45
2,954.06
250.14
348.78
65.04
12.01
22.36
31.75
68.96
109.18
190.94
63.94
657.31
79.64
4,629.66
5,212.67
4,629.66
6,308.30
27.97
27.97
114.00
420.59
8,477.61
48.71
39.28
102.38
108.43
108.43
102.38
933.07
780.64
1,238.22
780.64
695.60
02/12/14
Charge#
--------707030748
714928004
707030516
707030117
716136005
702420520
702420870
702420645
702420650
702420873
702420335
702420868
702420507
702153030
702421272
702421244
702420669
707030517
702170890
702170221
702171267
702170876
722170001
702151747
702155004
702150108
702151248
714170022
702151299
702150005
702150120
702151574
702150433
702150455
702151495
702150534
702150508
702150473
702150714
702150620
702154408
702420867
707030795
707030796
702422015
702422016
705080274
702420077
702420667
710050041
718120023
718120024
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PAPILLOMAVIRUS,AMP DNA PROBE
PARACENTESIS ABDOMINAL W IMAGING
PARASITE BLOOD
PARATHYROID HORMONE (INTACT)
PARATHYROID SCAN
PAROTID W NERVE DISSECTION
PART EXC BONE METACARPAL
PART EXC BONE ULNA OSTEO
PART EXC OLECRANON PROCESS
PART EXC TARSAL MT BONE
PARTIAL EXC BONE HUMERUS
PARTIAL EXC OF BONE RADIUS
PARTIAL EXC PHALANX TOE BONE
PARTIAL KNEE ALL VENDORS
PARTIAL MASTECTOMY
PARTIAL MASTECTOMY W/LYMPH
PARTIAL REM BONE TIBIA
PARVOVIRUS AB
PASSER CATH (MT)
PASSER DELTA SHUNT NEURO
PASSER LIGAMENT (AC)
PASSER SHUNT (CD)
PASSY MUIR TRACHSPKNGVALVE
PATCH BOVINE VG0106N
PATCH BOVINE VG0209N
PATCH CARDIO 1705015006 (GM)
PATCH CARDIO 1802009004 (GM)
PATCH CLOSURE HEMCON (CH)
PATCH CORMATRIX CMCV 002 406
PATCH CORMATRIX CMCV 003 401
PATCH DURA GUARD 10X16 DG-1016SN
PATCH DURA GUARD 4X4 DG-040SN
PATCH DURA GUARD 6X8 DG-0608 (SN
PATCH DURA GUARD 8X14 DG-0814SN
PATCH DURA REPAIR 4X4
PATCH DURAL REPAIR 8X14CM
PATCH HERNIA VENTRALEX SM
PATCH PERICARDIAL 10 X 15 (PM)
PATCH SOFT TISSUE 1MM 20X30 (GM)
PATCH SOFT TISSUE 2MM 20X30 (GM)
PATCH VASCU GUARD VG0108N (SV)
PATELLECTOMY OR HEMI PAT
PATH CONSULT CYTOLOGIC EXAM EA AD
PATH CONSULT CYTOLOGIC EXAM INIT
PDA REPAIR BY DIVISION<18 BDSD
PDA REPAIR BY LIGATION BDSD
PEAK FLOW METER
PECUT FIX HUM WWO EXTENSION
PECUT FIX HUMERAL COND FX
PED LO VOL RAD SDP DIVIDE
PED NEO VENT INIT DAY
PED NEO VENT SUB DAY
University Medical Center So. NV.
Page 142
Dispense
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Price
---------104.09
994.13
138.28
368.36
1,484.28
5,000.04
1,547.61
3,303.76
3,303.76
1,857.12
3,303.76
3,303.76
2,581.65
11,825.00
2,565.44
4,481.20
5,014.33
65.75
516.99
2,489.61
820.63
497.96
691.61
387.75
610.50
1,465.75
585.75
164.63
4,056.25
2,681.25
1,254.00
558.25
756.25
1,141.25
2,451.46
990.00
1,211.38
1,086.25
5,945.50
8,670.75
431.75
4,088.04
27.49
27.49
8,594.07
8,797.48
150.75
2,813.14
2,813.14
1,006.02
3,244.74
2,976.78
02/12/14
Charge#
--------710050039
714030085
612011230
722120010
723315000
612011640
612011270
726118000
702150886
702150840
702150935
702150658
702151200
702150719
702150659
702150720
702150813
702150326
702151071
702151217
702150679
702151286
702171259
702171265
702151795
702151799
702152601
702152602
702152603
702151796
702151755
702170196
702270207
702420378
714938023
714030082
714030083
714030093
702171207
702174002
702150833
702420036
707030518
718120025
718120026
714120098
714120034
714130037
702421161
714120002
714120033
714120103
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PED SDPO DIVIDE
PEDIATRIC FOREIGN BODY LOCALIZTN
PEDS GENERAL MED SURG ROOM
PEDS DEVELOPMENT TEST GN
PEDS ER OBSERVATION HOURLY
PEDS ISOLATION
PEDS ONCOLOGY ROOM
PEDS RECOVERY PER HOUR
PEEK 14MM BLACKSTONE
PEEK 17 MM (SY)
PEEK 40 X 28 16MM (BK)
PEEK ACCESS ORTHOPEDICS
PEEK CAGE 10 X 9 MM (SA)
PEEK CAGE 8MM (BK)
PEEK CAGE ALL SZS (ST)
PEEK CERVICAL AC (OF)
PEEK CLYDESDALE 12X55 (MT)
PEEK ROD 40MM (MT)
PEEK SPACER 14MM (MT)
PEEK SPACER CERVICAL (BK)
PEEK SYNTHES
PEEK VBR ALL SZS (SP)
PEFORATOR CRANIAL 11MM
PEFORATOR CRANIAL 9MM
PEG SMOOTH 2.0MM ALL LENGTH (DP
PEG SMOOTH 2.3X22MM (AM)
PEG STANDARD 4.0X30MM (DP)
PEG STANDARD 4.0X35MM (DP)
PEG STANDARD 4.0X40MM (DP)
PEG THREAD 2.5MM ALL LENGTH (DP)
PEG THREADED (DP)
PEG TRAY
PEG TRAY
PELVIC EXAM W/ANES GYN
PELVIC SONOGRAM
PELVIS & HIPS INFANT/CHILD
PELVIS 1 OR 2 VIEW
PELVIS 3 TO 5 VIEWS
PEN ISOLATOR ATRICURE
PEN ISOLATOR COOLRAIL (AI)
PENILE PROTHESIS MENTOR
PENIS PLASTIC SURG
PENTOBARBITAL
PEP THERAPY INITIAL
PEP THERAPY SUBSEQUENT
PERC DEEP BONE BX
PERC DIL BILAIRY STRICTR W/STENT
PERC DRAIN PLCMT GUIDANCE S&I
PERC IMPL NEUROSTIM ELECTRODE EPI
PERC NDL BX OF SPINAL CORD
PERC NEEDLE BX LUNG
PERC PORTAL VEIN CATH
University Medical Center So. NV.
Page 143
Dispense
------------.00000
.00000
.00000
.00000
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.00000
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Price
---------972.32
1,162.11
1,154.00
497.24
74.40
1,341.00
1,341.00
373.18
13,612.50
22,850.96
16,087.50
11,687.50
5,500.00
5,808.00
11,654.50
5,775.00
17,050.00
2,200.00
2,877.88
5,162.85
9,719.33
4,114.69
871.14
940.84
264.00
258.50
285.67
285.67
285.67
264.00
302.50
1,581.40
1,581.40
2,362.31
1,115.67
603.77
398.11
726.57
10,425.35
8,095.88
25,162.50
4,119.87
134.34
537.83
336.44
1,827.25
2,645.04
2,561.21
2,672.84
1,114.62
2,721.91
2,731.79
02/12/14
Charge#
--------714120080
714120032
702420874
702220129
702420681
702420863
702420837
702420662
702420822
702421042
702421077
709170031
702420832
702421176
702170496
702170024
702170127
709170030
723020089
723520102
709120010
723520101
709170643
709170644
723020088
723520100
723320073
702421117
723520015
714120079
714120171
714120031
702140005
702140007
702140006
702423559
716136054
716136053
716136052
716136051
716136057
716136050
716136056
716136055
716136049
716136048
716136047
716136046
716136045
709120111
707030613
707030614
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PERC REM/REP NEPHRO URET STENT UN
PERC REMOVE URETERAL STENT UNILAT
PERC SK FIX MTP JNT DISLOC W/MAN
PERC TRACH PUNCTURE BDSD
PERCUT FIX DIST RADIOULNA
PERCUT FIX EPICHOND HUMFX
PERCUT FIX FEM FX, PROX END NECK
PERCUT FIX FEMORAL FX
PERCUT FIX GREAT TOE FX
PERCUT KYPHOPLASTY, LUMBAR
PERCUT VERTEBROPLASTY (L)
PERCUTAN NEEDLE
PERCUTANEOUS LITHOTOMY 2CM<
PERDONTAL SCAL ROOT PLAN
PERFORATOR NEURO DISPOSABLE
PERI STRIPS STAPLE 6 FIRE
PERI STRIPS STAPLE LINE REF
PERICARDIO TRAY
PERICARDIOCENTESIS
PERICARDIOCENTESIS
PERICARDIOCENTESIS
PERICARDIOTOMY TO REM CLOT/FB
PERIPH BALLOON OPTA
PERIPH BALLOON SLALOM
PERIPHERAL NERVE BLOCK OTHER
PERIPHERAL NERVE BLOCK OTHER
PERIPHERAL NERVE BLOCK OTHER
PERIPROTHETIC CAP BREAST
PERITONEAL LAVAGE W/WO GUIDE
PERM CATH <5
PERM CATH >5
PERM CATH REMOVE
PERMACOL .5 PER SQ CM
PERMACOL 1.0 (PER SQ CM)
PERMACOL 1.5 (PER SQ CM)
PERQ STABLI SACROILIAC JOINT
PET BRAIN PERFUSION EVAL
PET BREAST EVAL TO TREAT
PET BREAST RECURRENCE
PET IMAGE METABOLIC BRAIN PREOP
PET IMAGE MYOCARDIAL VIABILITY
PET INITIAL DX BREAST
PET MYOCARD PERF MULTREST/STRES
PET MYOCARDIAL PERF 1REST/STRES
PET PULMONARY NODULE
PET WB RESTAGE MELANOMA
PET WHOLE BODY (LYMPHOMA)
PET WHOLE BODY (MELANOMA)
PET WHOLE BODYCOLRCTLMETS
PFO CLOSURE OF ASD
PH DIPSTICK, NOT URINE OR BLOOD
PH FLUID
University Medical Center So. NV.
Page 144
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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Price
---------2,722.56
3,266.30
3,878.47
2,872.92
2,651.86
2,813.14
4,546.87
3,229.97
1,526.82
9,574.15
3,303.76
46.81
3,968.05
351.97
1,042.00
803.95
961.62
1,080.89
985.91
987.75
5,078.64
7,470.01
1,180.92
2,099.22
464.82
465.68
465.68
4,008.99
665.61
3,266.30
3,527.60
2,351.74
118.53
35.06
33.14
6,129.74
5,742.09
10,607.68
10,607.68
7,624.60
10,607.68
10,607.68
10,607.68
10,607.68
10,607.68
10,607.68
4,036.35
4,036.35
4,036.35
17,835.29
59.22
138.85
02/12/14
Charge#
--------702420175
702420245
707030118
707030519
707031059
707030520
707030521
707030873
707030119
710020000
707030746
707030120
707030121
707030122
707030123
702270260
702171024
702170195
720020014
714120170
714120169
714120107
714120100
714150095
714150094
714150015
714120030
613012070
613012030
613011230
613012060
613012080
702170879
702170507
702151746
702170722
702170923
702151487
702170821
702170826
702151431
702170978
702171516
702151489
702170975
702170614
702170976
702151541
702170895
702151492
702170873
702171137
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PHARYNGOPLASTY
PHARYNGOSTOMY CONTROL BLEED 2ND
PHENCYCLIDINE URINE-QUAL
PHENOBARBITAL TDM
PHENOTHIAZINE
PHENOTYPE ANALYSIS 1-10 DRUGS
PHENOTYPE ANALYSIS EA ADDTL
PHENOTYPE INFECT AGENT
PHENYTOIN TDM
PHERESIS CANCELLATION
PHOSPHOLIPID NEUTRALIZATION
PHOSPHORUS
PHOSPHORUS STAT
PHOSPHORUS URINE
PHOSPHORUS URINE 24 HR
PHOTO ENDOSCOPY
PHOTO ENDOSCOPY
PHOTOS-PICTURES
PHYSICAL THERAPY MAINTENANCE
PICC INSERT <5
PICC INSERT <5 BEDSIDE
PICC INSERT >5
PICC INSERT >5 BEDSIDE
PICC POWERLINE 5F 2LUM (BD)
PICC POWERLINE 6F 3LUM (BD)
PICC SINGLE LUMEN 3 FR (BD)
PICC/CVP RESPOS W FLURO
PICU BURN CRITICAL
PICU CRITICAL CARE
PICU GENERAL ROOM
PICU INTERMEDIATE CARE
PICU TRAUMA CRITICAL
PILLOW ABDUCTION
PILLOW ABDUCTION SHOULDER
PIN 5 X 180 STRYKER
PIN CAPS FOR 4.0 FIXATN PINS (SY
PIN CAPS ILIZAROV (SN)
PIN C-WIRE
PIN DISTRACTION RUGGLES 12MM
PIN DISTRACTION RUGGLES 14MM
PIN DISTRACTOR (SY)
PIN END COVERS (ZM)
PIN FIXATOR S-N
PIN GUIDE (SY)
PIN GUIDE 2.0 (SN)
PIN GUIDE SHOULDER 2MM (DP)
PIN HALF PIN ALL SZS (SN)
PIN HALF S-N
PIN PUSH 3.2MM (SB)
PIN STEINMAN
PIN STEINMANN 3.2MM (SB)
PIN STEINMANN 3.2MM BLUNT (SB)
University Medical Center So. NV.
Page 145
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
Price
---------2,865.86
3,742.60
76.40
231.09
367.81
1,087.19
139.35
221.54
231.09
325.89
310.75
114.10
114.10
140.78
140.78
102.13
182.13
220.14
85.98
1,894.74
1,894.74
2,177.54
2,177.54
935.00
935.00
297.00
1,633.15
2,945.00
2,302.00
1,154.00
1,448.00
2,945.00
798.91
767.79
308.39
139.59
58.36
72.38
588.16
286.01
195.25
268.82
232.49
265.27
329.91
196.22
1,132.75
544.50
479.88
140.03
615.08
1,404.31
02/12/14
Charge#
--------702151783
702151886
702151914
702152156
702152657
702151406
702420417
723523000
723023000
702170958
702151290
702150461
702152636
707030846
710050038
710050037
710050036
710050035
710050034
709120501
709120508
709120500
714120029
714120028
723520265
714132104
709131005
709131021
723020087
723520021
723320268
723020086
723520099
723320072
702420382
714522003
710050033
707030522
710020002
710050032
710050031
702170570
707030523
702170202
702420512
702420509
702151771
702151092
702152384
702151095
702151102
702150731
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PIN STEINMANN 5.0X180MM (SY)
PIN STEINMANN THRD 5.0X225MM (SY
PIN STEINMANN THRD 5.0X275MM (SY
PIN STEINMANN THRD 5.0X300MM (SY
PIN TEMPORARY FIXATION (NU)
PIN TIT BUTTRESS 1.8X12MM (SY)
PINCH GRAFT 1 OR MORE 2CM DIAM
PINCH GRAFT 1 OR MORE 2CM DIAM
PINCH GRAFT 1 OR MORE 2CM DIAM
PINS MAYFIELD ADULT
PINS SONIC RESORBX 1X4 20PK (KL
PINS SONIC RESORBX 1X4 5PK (KL)
PINS SONIC RESORBX 2X4 20PK (KL)
PINWORM EXAM
PIT PHERESIS HLA MATCH LEUKO
PIT PHERESIS LEUKO CMV LOW YIELD
PIT PHERESIS LEUKO IRRAD LOW YLD
PIT PHERESIS LEUKO LOW YIELD
PIT PHERESIS LEUKO POOR CMV
PLACE DES WANGIO ADDL ARTERY
PLACE DES WANGIO ADDTL
PLACE DES WANGIO SNGL ARTERY
PLACE DUOD/JEJ TUBE PERC
PLACE GASTROSTOMY TUBE PERC
PLACE ICP MONITOR
PLACE STENT WANGIO ADDL ARTERY
PLACE STENT WANGIO ADDL ARTERY
PLACE STENT WANGIO SNGL ARTERY
PLACE VENOUS CATH JUGULAR/RENL
PLACE VENOUS CATH JUGULAR/RENL
PLACE VENOUS CATH JUGULAR/RENL
PLACEMENT NEEDLE INTRAOSSEOUS
PLACEMENT NEEDLE INTRAOSSEOUS
PLACEMENT NEEDLE INTRAOSSEOUS
PLACEMENT OF SETON
PLACEMENT PANCREATIC DRAIN
PLASMA FRESH FROZEN AUTO
PLASMA HEMOGLOBIN QUANT
PLASMA PHERESIS
PLASMA, FRESH FROZEN
PLASMA, SOLVENT/DETERGENT
PLASMACORD MORCELLATOR BIPOL
PLASMINOGEN
PLASTIBELL-CIRC BELL
PLASTIC REPAIR CANALICULI
PLASTIC REPR PENIS INJURY
PLATE X STD (TM)
PLATE 1 LVL 34MM (AO)
PLATE 1 LVL ANTER CERV 22MM (SA)
PLATE 1 LVL ANTER CERV 24MM (SA)
PLATE 1 LVL ANTER CERV 26MM (SA)
PLATE 1 LVL AVIATOR 18MM (SK)
University Medical Center So. NV.
Page 146
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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Price
---------227.81
387.56
387.56
387.56
539.00
187.22
2,272.01
2,272.01
2,272.01
315.24
3,787.33
1,008.87
4,353.25
23.11
1,507.39
972.32
1,093.56
918.17
972.32
12,807.39
12,807.39
12,807.39
1,788.97
1,788.97
1,759.80
10,080.77
10,080.77
10,080.77
1,545.61
1,548.48
1,548.48
640.19
641.38
641.38
1,874.53
45.79
430.53
156.98
3,182.64
128.31
253.96
2,652.26
167.65
81.20
2,306.21
3,932.00
324.50
2,750.00
2,750.00
2,750.00
2,750.00
6,050.00
02/12/14
Charge#
--------702152377
702151754
702151407
702151432
702151663
702151890
702151636
702151891
702151638
702151779
702151055
702152007
702151096
702151087
702151404
702151413
702151088
702151061
702151090
702150769
702151160
702151163
702151446
702150496
702150652
702150653
702151565
702151593
702151851
702151555
702151608
702151841
702151551
702150035
702150080
702152637
702150635
702151198
702151493
702152269
702152270
702150328
702152157
702150046
702152628
702152634
702152631
702152571
702152630
702150770
702151211
702151227
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE 1 LVL CERVICAL 18MM (OD)
PLATE 1.2MM 18HOLE STRAIGHT (OM)
PLATE 1.2MM 2HOLE STRAIGHT (OM)
PLATE 1.2MM 2HOLE STRAIT LNG (OM
PLATE 1.2MM 2X4 HOLE QUAD (OM)
PLATE 1.2MM 5HOLE STRAIGHT (OM)
PLATE 1.2MM DBL Y EXTENDED (OM)
PLATE 1.2MM EXTENDED X (OM)
PLATE 1.2MM SQAURE (OM)
PLATE 1/4 TUBE W COL 4H 31MM (SY
PLATE 2 LEVEL 34MM (GO)
PLATE 2 LVL 34MM (AO)
PLATE 2 LVL ANTER CERV 40MM (SA)
PLATE 2 LVL ANTER CERV 43MM (SA)
PLATE 2HOLE LONG LOW PRO (OM)
PLATE 2HOLE MED LOW PRO (OM)
PLATE 2LVL 38MM ACDF (LX)
PLATE 3.5 LOCK MEDIAL DISTAL TIB
PLATE 4 LVL CERVICAL 50MM (OD)
PLATE 62MM (OX)
PLATE 6H ACROM RT (AM)
PLATE 6H LOCKING DIST MEDIAL (SK
PLATE ACP 7-8 HOLE DEPUY
PLATE ADAPTION PLATE SYNTHES
PLATE AFFIX II 35 (NU)
PLATE AFFIX II 45
PLATE BUR HOLE 1.6MM GROOVED (OM
PLATE BUR HOLE 1.6MM LARGE (OM)
PLATE BUR HOLE 1.6MM SMALL (OM)
PLATE BUR HOLE 1.6MM X LARGE (OM
PLATE BUR HOLE MED LOW PROF (OM)
PLATE BUR HOLE SMALL LO PRO (OM)
PLATE BUR HOLE X LRG LO PRO (OM)
PLATE BUTRS 7H 133MM ANG LT (SY
PLATE BUTRS 8H 149MM ANG LT (SY
PLATE BUTTRESS 25MM (SA)
PLATE BUTTRESS ALTIVA
PLATE BUTTRESS SEASPINE
PLATE CALCANEAL LG DEPUY
PLATE CALCANEAL LOC EX LNG L (SY
PLATE CALCANEAL LOC EX LNG R (SY
PLATE CALCANEAL LOCK LONG RT (SY
PLATE CALCANEAL LOCK SHRT RT (SY
PLATE CALCANEAL Y 87MM (SY)
PLATE CERV 1LVL 32MM (K2)
PLATE CERV 2 LEVEL 30MM (GO)
PLATE CERV 2 LVL 37MM (SS)
PLATE CERV 3 LVL 66MM (SS)
PLATE CERV 4LVL 85MM (SS)
PLATE CERV HALLMARK 60MM (BK)
PLATE CERVICAL BLACKSTONE
PLATE CERVICAL SEASPINE
University Medical Center So. NV.
Page 147
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,750.00
286.00
187.00
198.69
617.10
388.03
490.88
411.13
490.88
256.63
3,300.00
2,750.00
2,750.00
2,750.00
178.75
171.88
2,750.00
3,326.95
2,750.00
7,323.25
4,705.25
4,716.33
146.03
1,238.57
12,237.50
12,237.50
550.00
483.31
440.00
529.10
181.25
460.63
522.50
1,733.49
1,819.90
5,912.50
8,075.38
5,500.00
2,598.59
2,225.77
2,225.77
2,225.77
2,084.36
1,628.74
2,750.00
3,300.00
3,300.00
3,300.00
3,300.00
7,323.25
4,936.69
3,739.75
02/12/14
Charge#
--------702151919
702150428
702151967
702151920
702150057
702151089
702151681
702151594
702150358
702151928
702150141
702151923
702151924
702151166
702152629
702151749
702151833
702150208
702150243
702150246
702151129
702150952
702151226
702152385
702151662
702152193
702152194
721070003
702152599
702151053
702151045
702151044
702151047
702151048
702150990
702150981
702150972
702151049
702151050
702151046
702151052
702151054
702151051
702150975
702150989
702153021
702150983
702150986
702152658
702152659
702150305
702150320
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE COBRAHEAD 9H 186MM (SY)
PLATE CONDYL 7H 2.0X39MM LT (SY)
PLATE CONDYL 8H 2.4X57MM LT (SY)
PLATE CONDYL BUTRSS 11H 22MM (SY
PLATE COVER 40 MM (BK)
PLATE COVER 42 MM (BK)
PLATE COVER BLACKSTONE
PLATE CVD SAGITTAL 6H 2.0MM (KL)
PLATE DCP BROAD 8H 4.5X135MM (SY
PLATE DCP NARROW 4H 4.5X71MM (SY
PLATE DHS STD 135D 14H 238MM (SY
PLATE DHS STD 150D 10H 174MM (SY
PLATE DHS STD 150D 12H 206MM (SY
PLATE DIST RADIAL DIA (SY)
PLATE DISTAL FIB 6HOLE LFT (AX)
PLATE DOGBONE TIMESH
PLATE DOUBLE Y 1.6MM (OM)
PLATE DVR DEPUY
PLATE DVR SHORT LEFT (DP)
PLATE DVR SHORT RIGHT (DP)
PLATE DVR WIDE RT (AM)
PLATE ENDPLATE ALL SZS DEPUY
PLATE FEMORAL 9 HOLE RT DEPUY
PLATE FEMUR DISTAL 8H LT (SN)
PLATE FRACTURE ST KLS
PLATE GRADIENT FIX 1LVL 22 (NU
PLATE GRADIENT FIX 5LVL 100 (NU
PLATE GUARD
PLATE H 14MM (RR)
PLATE HELIX 1 LVL 20MM (NU)
PLATE HELIX 1 LVL 22MM (NU)
PLATE HELIX 1 LVL 24MM (NU)
PLATE HELIX 1 LVL 26MM (NU)
PLATE HELIX 2 LVL 40MM (NU)
PLATE HELIX 2 LVL 42MM (NU)
PLATE HELIX 2 LVL 44MM (NU)
PLATE HELIX 2 LVL 46MM (NU)
PLATE HELIX 2 LVL 52MM (NU)
PLATE HELIX 3 LVL 56MM (NU)
PLATE HELIX 3 LVL 58MM (NU)
PLATE HELIX 3 LVL 60MM (NU)
PLATE HELIX 3 LVL 62MM (NU)
PLATE HELIX 3 LVL 64MM (NU)
PLATE HELIX 3 LVL 66MM (NU)
PLATE HELIX 3 LVL 68MM (NU)
PLATE HELIX 4 LVL 70MM(NU)
PLATE HELIX 4 LVL 74MM (NU)
PLATE HELIX 4 LVL 78MM (NU)
PLATE HELIX R 2 LVL 38MM (NU)
PLATE HELIX R 2 LVL 46MM (NU)
PLATE J LOCK LP 10H 3.5MM RT (SY
PLATE J LOCK LP 12H 3.5MM RT (SY
University Medical Center So. NV.
Page 148
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,819.90
759.39
832.70
2,477.15
1,960.75
2,750.00
687.50
486.75
806.52
426.83
1,534.47
2,039.84
2,039.84
4,524.85
2,849.00
313.50
453.75
2,310.00
2,450.25
2,450.25
3,162.50
15,413.75
3,753.75
4,702.50
618.75
3,300.00
3,300.00
186.73
1,278.75
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
2,118.41
2,236.25
02/12/14
Charge#
--------702150190
702150261
702150262
702150210
702150699
702150506
702151925
702151879
702151900
702151957
702151887
702150532
702150429
702150539
702151927
702151828
702150438
702151570
702152158
702153000
702151621
702151624
702151559
702151571
702150460
702155000
702150493
702152159
702154012
702152346
702150384
702152347
702150522
702152271
702150466
702150452
702151953
702151084
702152348
702152160
702151210
702151212
702150494
702151984
702151169
702152349
702151043
702151059
702151164
702151173
702151222
702151190
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE J LOCK LP 14H 3.5MM RT (SY
PLATE J LOCK LP 16H 3.5MM LT (SY
PLATE J LOCK LP 16H 3.5MM RT (SY
PLATE KANEDA R S (DP)
PLATE KEEL 45 (NU)
PLATE L BUTRS 4H 85MM ANG R (SY)
PLATE L BUTRS 8H 149MM ANG R (SY
PLATE LC DCP 2H 3.5X25MM (SY)
PLATE LC DCP 3H 3.5X16MM (SY)
PLATE LC DCP 4H 2.4X35MM (SY)
PLATE LC DCP 4H 3.5X51MM (SY)
PLATE LC DCP BRD 11H 4.5X196 (SY
PLATE LC DCP BRD 6H 4.5X196 (SY
PLATE LC DCP BRD 8H 4.5X142 (SY
PLATE LC DCP NRW 2H 4.5X34MM (SY
PLATE LC DCP ST 5H 3.5X64MM (SY)
PLATE LC-DCP ECCE SYNTHES
PLATE LCP 1/3 TUBE 10H 117M (SY)
PLATE LCP 1/3 TUBE 12H 141M (SY)
PLATE LCP 1/3 TUBE 5H 57MM (SY)
PLATE LCP 1/3 TUBE 5H 61MM (SY)
PLATE LCP 1/3 TUBE 6H 69MM (SY)
PLATE LCP 1/3 TUBE 7H 81MM (SY
PLATE LCP 1/3 TUBE 8H 93MM (SY)
PLATE LCP 10H 3.5 X 137MM (SY)
PLATE LCP 11H 3.5 X 150MM (SY)
PLATE LCP 12H 3.5 X 163MM (SY)
PLATE LCP 14H 3.5 X 189MM (SY)
PLATE LCP 3.5MM 2HL OLECRAN (SY)
PLATE LCP 4H 1.5MM (SY)
PLATE LCP 5H 3.5 X 72MM (SY)
PLATE LCP 6H 1.5MM (SY)
PLATE LCP 6H 3.5 X 85MM (SY)
PLATE LCP 7H 3.5 X 98MM (SY)
PLATE LCP 8H 3.5 X 111MM (SY)
PLATE LCP 9H 3.5 X 124MM (SY)
PLATE LCP ADAPTION 6H 1.5MM (SY)
PLATE LCP BRD CV 16H 4.5X300 (SY
PLATE LCP CLV HK 7H 3.5X86 L (SY
PLATE LCP COND 8H 4.5X206 R (SY)
PLATE LCP COND CV 10H 4.5X242(SY
PLATE LCP COND CV 6H 4.5X159(SY
PLATE LCP EXTEND H 1.5MM LT (SY)
PLATE LCP EXTEND H 1.5MM RT (SY)
PLATE LCP FEM PRX 6H 4.5X211 (SY
PLATE LCP HOOK 3H 3.5MM (SY)
PLATE LCP HUM D 7H 3.5X110 L (SY
PLATE LCP HUM D 7H 3.5X110 R (SY
PLATE LCP HUM D ART 10H 3.5 L(SY
PLATE LCP HUM D ART 10H 3.5 R(SY
PLATE LCP HUM D ART 12H 3.5 L(SY
PLATE LCP HUM D ART 14H 3.5 L(SY
University Medical Center So. NV.
Page 149
Dispense
------------.00000
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Price
---------2,356.70
2,492.85
2,492.85
2,310.00
6,402.00
1,178.35
1,819.90
369.22
377.08
887.70
387.56
987.20
762.00
919.11
497.53
418.96
767.25
557.76
578.71
521.10
521.10
521.10
531.58
557.76
1,170.81
1,138.50
1,246.44
1,872.26
2,707.57
638.94
903.40
638.94
963.63
1,005.51
1,055.29
1,099.78
1,180.96
2,940.63
2,581.89
4,726.48
4,949.07
4,930.97
1,238.57
1,238.57
4,391.31
1,728.24
3,414.59
3,414.59
4,616.51
4,616.51
5,132.35
5,648.23
02/12/14
Charge#
--------702151269
702151270
702151283
702151293
702151294
702151246
702150010
702151152
702152414
702152161
702150255
702151929
702150094
702151972
702152162
702152163
702152164
702151295
702152165
702151278
702151298
702151171
702152166
702151296
702173010
702151292
702152272
702150021
702150495
702150523
702150448
702150449
702150517
702150515
702150023
702151983
702150565
702151832
702150083
702151926
702152778
702152776
702152777
702152779
702152780
702151699
702151989
702151941
702151291
702151497
702151910
702151592
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE LCP HUM D ART 4H 3.5 L (SY
PLATE LCP HUM D ART 4H 3.5 R (SY
PLATE LCP HUM D ART 6H 3.5 R (SY
PLATE LCP HUM D ART 8H 3.5 L (SY
PLATE LCP HUM D ART 8H 3.5 R (SY
PLATE LCP HUM D MED 14H 3.5L (SY
PLATE LCP HUM D MED 5H 3.5 L (SY
PLATE LCP HUM P ART 2H 3.5 R (SY
PLATE LCP HUM POSLT 7H 3.5 L (SY
PLATE LCP METAPHY 9H 4.5-3.5 (SY
PLATE LCP NARROW 16H 4.5X296 (SY
PLATE LCP NRW 14H 4.5X260MM (SY)
PLATE LCP RAD DIS L 2X3H 90D (SY
PLATE LCP T 4X8H 1.5MM (SY)
PLATE LCP TIB ANTLT 13H 3.5 L(SY
PLATE LCP TIB ANTLT 5H 3.5 L (SY
PLATE LCP TIB ANTLT 5H 3.5 R (SY
PLATE LCP TIB B 6H 3.5X102 R (SY
PLATE LCP TIB MDI 12H 3.5MM R(SY
PLATE LCP TIB MPRX 4H 3.5MM R(SY
PLATE LCP TIB MPRX 4H 4.5MM L(SY
PLATE LCP TIB P 10H 4.5X190R (SY
PLATE LCP TIB P 12H 4.5X226R (SY
PLATE LCP TIB P 4H 3.5X81 L (SY
PLATE LCP TIB P 6H 3.5X107 L(SY)
PLATE LCP TIB P 6H 4.5X118 L (SY
PLATE LCP TIB P 8H 3.5X133 L (SY
PLATE LCP VOLAR DIST RADIUS (SY)
PLATE LCP Y 3X8HOLE 1.5MM (SY)
PLATE LCPT 3X3H 3.5X50 R ANG (SY
PLATE LCPT 3X3H 3.5X52 OBL L (SY
PLATE LCPT 3X3H 3.5X52 OBL R (SY
PLATE LCPT 3X5H 3.5X74 OBL L (SY
PLATE LCPT 3X5H 3.5X74 OBL R (SY
PLATE LCPT 3X7H 3.5X87 R ANG (SY
PLATE LCPT 3X8H 1.5MM (SY)
PLATE LCPT 4X4H 3.5X56 R ANG (SY
PLATE LEFORTE ORB 7HOLE RT (KL)
PLATE LOCK CALCAN MINI LEFT (SY)
PLATE LOCK CALCAN MINI RIGHT (SY
PLATE LOCK FX 1.5 CURVED SHRT (KL
PLATE LOCK FX 1.5X28MM 4H (KL)
PLATE LOCK FX 1.5X43MM 6H (KL)
PLATE LOCK MAND 1.5MM 3X3 ANG (KL
PLATE LOCK MAND 2.0MM 26H ANG (KL
PLATE LOCKING BLACKSTONE
PLATE MEDIAL WALL 1.0MM LT (SY)
PLATE MESH CONT 100X100X1.3 (SY
PLATE MESH RESORB X 22H
PLATE MINI L-MED 3X3 KLS
PLATE MMF 4 HOLE (KL)
PLATE NEURO 16 HOLE ST (KL)
University Medical Center So. NV.
Page 150
Dispense
------------.00000
.00000
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.00000
.00000
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.00000
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Price
---------3,592.66
3,592.66
4,108.50
4,362.52
4,362.52
3,794.29
3,102.99
4,916.31
3,414.59
2,749.48
2,508.58
2,147.20
1,335.46
1,238.57
4,658.39
4,467.24
4,467.24
4,357.27
4,388.70
4,208.02
4,307.52
4,588.35
4,482.97
4,304.91
4,357.27
4,336.31
4,407.01
1,717.87
1,238.57
966.24
1,097.17
1,094.56
1,199.30
1,194.05
1,610.40
1,238.57
1,008.15
453.75
1,861.78
1,861.78
1,350.20
749.21
1,191.19
1,883.81
5,233.69
591.25
2,997.50
6,157.25
4,354.00
760.49
382.25
483.89
02/12/14
Charge#
--------702151459
702151460
702151441
702152430
702151442
702151639
702151831
702151630
702151720
702151727
702150408
702152429
702151837
702152604
702152432
702150045
702150155
702150209
702151912
702152196
702152350
702152351
702151840
702152416
702150231
702150229
702150168
702152170
702150151
702152171
702152172
702152173
702152174
702152175
702150133
702150134
702150163
702152176
702151933
702151934
702151935
702151930
702150501
702150097
702151969
702152167
702152168
702152169
702150295
702150293
702150310
702150319
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE NEURO 2 HOLE ST LONG (KL)
PLATE NEURO 2 HOLE ST SHRT (KL)
PLATE NEURO 3 HOLE ST REG (KL)
PLATE NEURO 4 HOLE ST REG (KL)
PLATE NEURO 4 HOLE ST XLNG (KL)
PLATE NEURO DBL Y SHAPE LNG (KL
PLATE NEURO SQ 0.5 X 1.5 MM (KL)
PLATE NEURO SQ 0.6 X 1.5 MM (KL)
PLATE NEURO SQ 3 X 2 HL CV (KL)
PLATE NEURO SQ 4 X 2 HL (KL)
PLATE NEURO SQ 5 X 2 HL CV (KL)
PLATE NEURO X 4HOLE 1.5MM (KL)
PLATE NEURO Y SHAPE LONG (KL)
PLATE O 16MM (RR)
PLATE ORBITAL 10HOLE 1.5MM (KL)
PLATE OSTEO 45X8MM 90DEG (SY)
PLATE OSTEO ADULT 15X60 90 D (SY
PLATE PUBIC SYMPHYSIS 4H 3.5 (SY
PLATE PUBIC SYMPHYSIS 6H 3.5 (SY
PLATE PYRENEES 1 LVL 20MM (K2)
PLATE QUAD LONG 3.5MM STERL (SY
PLATE QUAD STD 3.5MM STERL (SY
PLATE QUAD1.6MM 2X4 HOLE (OM)
PLATE RADIUS DIST XLONG RT (SD
PLATE RADIUS DISTAL LT (AM)
PLATE RADIUS DISTAL RT (AM)
PLATE RECO LP CV 10H 3.5X108 (SY
PLATE RECO LP CV 10H 3.5X88 (SY
PLATE RECO LP CV 12H 3.5X108 (SY
PLATE RECO LP CV 12H 3.5X88 (SY
PLATE RECO LP CV 14H 3.5X108 (SY
PLATE RECO LP CV 14H 3.5X88 (SY
PLATE RECO LP CV 16H 3.5X108 (SY
PLATE RECO LP CV 16H 3.5X88 (SY
PLATE RECO LP CV 6H 3.5X108 (SY
PLATE RECO LP CV 6H 3.5X88 (SY
PLATE RECO LP CV 8H 3.5X108 (SY
PLATE RECO LP CV 8H 3.5X88 (SY
PLATE RECON 12H 3.5X118MM (SY)
PLATE RECON 14H 3.5X166MM (SY)
PLATE RECON 4H 3.5X46MM (SY)
PLATE RECON 4H 4.5X61MM (SY)
PLATE RECON 5H 4.5X77MM (SY)
PLATE RECON 7H 4.5X109MM (SY)
PLATE RECON 8H 3.5X94MM (SY)
PLATE RECON LO PRO 3H 3.5MM (SY)
PLATE RECON LO PRO 4H 3.5MM (SY)
PLATE RECON LO PRO 8H 3.5MM (SY)
PLATE RECON LP LOC 10H 3.5MM (SY
PLATE RECON LP LOC 11H 3.5MM (SY
PLATE RECON LP LOC 12H 3.5MM (SY
PLATE RECON LP LOC 13H 3.5MM (SY
University Medical Center So. NV.
Page 151
Dispense
------------.00000
.00000
.00000
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.00000
.00000
.00000
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Price
---------134.67
134.67
203.14
214.50
203.14
495.30
445.50
520.41
579.76
604.86
700.73
528.00
470.20
1,278.75
528.00
1,641.83
1,576.36
2,309.56
2,529.53
2,750.00
1,264.75
1,149.56
470.61
3,286.25
2,530.00
2,530.00
1,487.34
1,487.34
1,607.79
1,607.79
1,728.24
1,728.24
1,848.69
1,848.69
1,270.01
1,270.01
1,377.37
1,377.37
1,306.66
1,555.43
989.81
1,091.94
1,188.83
1,317.14
1,264.75
945.29
989.81
1,249.05
2,037.23
2,107.93
2,176.02
2,249.34
02/12/14
Charge#
--------702150211
702150193
702150259
702150144
702150091
702150052
702150077
702150060
702150068
702152810
702152266
702151765
702151936
702151798
702150987
702151232
702151229
702150726
702151491
702151834
702151881
702151895
702151844
702151352
702151322
702151425
702151794
702151880
702151473
702151471
702151904
702151405
702151496
702152660
702152661
702151488
702151976
702150375
702150419
702152386
702151277
702151079
702151056
702151625
702151626
702151572
702150549
702150458
702150157
702150170
702150153
702150119
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE RECON LP LOC 14H 3.5MM (SY
PLATE RECON LP LOC 15H 3.5MM (SY
PLATE RECON LP LOC 16H 3.5MM (SY
PLATE RECON LP LOC 3H 3.5MM (SY)
PLATE RECON LP LOC 4H 3.5MM (SY)
PLATE RECON LP LOC 5H 3.5MM (SY)
PLATE RECON LP LOC 7H 3.5MM (SY)
PLATE RECON LP LOC 8H 3.5MM (SY)
PLATE RECON LP LOC 9H 3.5MM (SY)
PLATE RESORB X MESH (KL)
PLATE SAGITAL 6 HOLE (KL)
PLATE SEMI TUBULAR 12H 199MM (SY
PLATE SEMI TUBULAR 4H 71MM (SY)
PLATE SEMI TUBULAR 7H 119MM (SY)
PLATE SPIDER 1LVL 22MM (ME)
PLATE SPINE 12MM (DP)
PLATE SPINE 16MM (DP)
PLATE SPINE 38MM (OX)
PLATE SQ 8MM OSTEOMED
PLATE SQUARE 1.6 X 9MM (OM)
PLATE SQUARE 10 H OSTEOMED
PLATE SQUARE 4 (TM)
PLATE SQUARE LOW PROFILE (OM)
PLATE ST 4H MF (OM)
PLATE ST 4MM (TM)
PLATE ST STD 2.5 (TM)
PLATE STRAIGHT (TM)
PLATE STRAIGHT 1.6MM 10HOLE (OM)
PLATE STRAIGHT 1.6MM 2H LNG (OM)
PLATE STRAIGHT 1.6MM 2H MED (OM)
PLATE STRAIGHT 1.6MM 5HOLE (OM)
PLATE STRAIGHT 4H 2.0X23MM (SY)
PLATE STRAIGHT KLS
PLATE STRAIT 2H 1.5MM RESORB (SY
PLATE STRAIT 8H 1.5MM RESORB (SY
PLATE STRUT M-F SYNTHES
PLATE T 3 HOLES 2.7X32MM (SY)
PLATE T 3 HOLES 68MM (SY)
PLATE T 3X5H 3.5MM OBL ANG (SY)
PLATE TIBIAL 4.5MM LP 10H (SN)
PLATE TIBIAL 8 HOLE S-N
PLATE TIBIAL LOCKING S-N
PLATE TIBIAL LOCKING STRYKER
PLATE TIT 1/3TUBE 4H 4.5X150 (SY
PLATE TIT 1/3TUBE CO 5H 57MM (SY
PLATE TIT 1/3TUBE CO 8H 93MM (SY
PLATE TIT ADAPT 20H 1.5X90 (SY)
PLATE TIT ADAPT 20H 2.0X100 (SY)
PLATE TIT ADAPT 20H 2.0X119 (SY)
PLATE TIT ADAPT 30H 1.0X100 (SY)
PLATE TIT ADAPT 34H 1.3X95 (SY)
PLATE TIT ADAPT B 30H 2.0X193 SY
University Medical Center So. NV.
Page 152
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
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.00000
Price
---------2,322.65
2,393.35
2,464.06
1,537.09
1,610.40
1,683.72
1,822.51
1,895.82
1,966.53
5,043.50
486.75
353.51
222.59
260.54
3,300.00
3,638.25
3,638.25
6,314.00
703.01
453.75
371.25
407.00
467.50
118.25
90.20
222.20
264.00
371.39
165.00
165.00
385.00
185.93
463.93
357.50
596.75
946.99
187.22
788.18
712.25
5,733.75
4,221.25
3,055.25
3,368.75
521.10
521.10
557.76
932.25
1,149.50
1,526.25
1,520.75
1,570.25
1,256.75
02/12/14
Charge#
--------702150138
702151575
702151573
702151988
702150082
702151945
702150125
702150377
702150378
702150376
702151979
702151100
702150459
702150509
702151986
702151651
702150411
702150405
702150396
702150584
702151917
702150510
702150418
702152791
702152790
702152787
702152788
702152785
702152789
702152786
702151950
702151697
702152436
702152464
702151971
702152465
702152466
702152662
702152663
702152467
702152468
702152469
702152470
702152471
702151977
702151922
702150140
702150049
702151830
702151842
702150520
702150139
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE TIT ADAPT LO PRO 20H (SY)
PLATE TIT BOX 4H 1.3X13X18 (SY)
PLATE TIT BOX 4H 13X13X1.3MM (SY
PLATE TIT BROAD 6H 2.0X42MM (SY)
PLATE TIT CALCANEAL Y 87MM (SY)
PLATE TIT CHIN 5H 2MM 8 OFST (SY
PLATE TIT CLOVERLEAF 5H 120 (SY
PLATE TIT CONDYL 7H 1.5X36 L (SY
PLATE TIT CONDYL 7H 1.5X36 R (S/1
PLATE TIT CONDYL 7H 1.5X36 R (SY
PLATE TIT CONDYL 7H 2.7X57 R (SY
PLATE TIT CSLP SM STATR 36MM (SY
PLATE TIT CVD BRD 4H 2.0X29 (SY
PLATE TIT CVD BRD 6H 2.0X41 (SY
PLATE TIT DBL Y 1X2H 1.0MM (SY)
PLATE TIT DBL Y 6H 1.3X15MM (SY)
PLATE TIT DBL Y LPRO 6H 18MM (SY
PLATE TIT DBL Y MATNEU 6H 18 (SY
PLATE TIT DCP 4H 2.0X30MM (SY)
PLATE TIT DCP 6H 2.0X42MM (SY)
PLATE TIT DCP ANG 4X4H 21MM (SY)
PLATE TIT DCP MF 4H 2.0X22MM (SY
PLATE TIT EXTEND H 1.5MM RT (SY
PLATE TIT FX 2.3MM CRVD LONG (KL
PLATE TIT FX 2.3MM CRVD SHORT (KL
PLATE TIT FX 2.3X103MM 16H (KL)
PLATE TIT FX 2.3X28MM 4H (KL)
PLATE TIT FX 2.3X37.8MM 6H (KL)
PLATE TIT FX 2.3X43MM 6H (KL)
PLATE TIT FX 2.3X52MM 8H (KL)
PLATE TIT FX ANG 4X4H 2.4X32 (SY
PLATE TIT H 9 HOLES 2.0MM (SY)
PLATE TIT K ORBITAL 0.2MM (KL)
PLATE TIT L OBL 2X3H 1.5MM L (SY
PLATE TIT L OBL 2X3H 1.5MM R (SY
PLATE TIT L OBL 2X3H 2.0MM R (SY
PLATE TIT L OBL 3X3H 1.3MM R (SY
PLATE TIT L OBL 3X4H .8MM L (SY
PLATE TIT L OBL 3X4H .8MM R (SY
PLATE TIT L OBL 3X4H 1.3MM L (SY
PLATE TIT L OBL 3X4H 1.3MM R (SY
PLATE TIT L OBL 3X4H 1.5MM R (SY
PLATE TIT L OBL 3X4H 2.0MM R (SY
PLATE TIT L OBL 4X6H 2.0MM R (SY
PLATE TIT LC DCP 10H 3.5X129 (SY
PLATE TIT LC DCP 4H 2.4X35 (SY
PLATE TIT LC DCP 5H 2.4X39 (SY
PLATE TIT LC DCP 6H 2.4X51 (SY
PLATE TIT LC DCP 6H 3.5X77 (SY
PLATE TIT LC DCP 7H 3.5X90 (SY
PLATE TIT LC DCP 8H 2.4X63 (SY
PLATE TIT LCDCP CR 4H 3.5X51 (SY
University Medical Center So. NV.
Page 153
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
Price
---------1,553.75
558.25
558.25
1,075.25
1,801.55
811.25
1,290.93
874.58
874.58
874.58
1,010.76
2,750.00
1,135.75
1,210.00
643.50
618.75
698.50
739.75
852.50
998.25
1,350.25
1,219.74
709.64
733.04
733.04
1,126.51
649.50
838.15
805.81
951.34
2,799.50
643.50
1,531.75
668.25
1,539.70
605.00
624.25
899.25
899.25
624.25
624.25
706.75
635.25
695.75
523.71
1,410.75
1,556.50
1,691.25
450.40
466.10
1,201.92
1,556.50
02/12/14
Charge#
--------702151970
702152273
702152352
702152353
702152274
702152354
702150566
702152275
702152276
702150031
702151931
702150050
702150048
702152277
702150524
702151635
702151916
702150722
702150700
702151918
702151153
702152472
702150257
702152781
702152733
702152732
702151915
702152734
702151076
702151266
702151889
702151683
702151680
702151605
702151860
702151848
702151849
702151861
702151862
702152774
702152773
702152772
702152771
702151859
702152775
702152783
702152782
702152784
702152792
702152793
702151964
702151963
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE TIT LCDCP CR 6H 2.4X50 (SY
PLATE TIT LCDCP NW 2H 4.5X34 (SY
PLATE TIT LCP 10H 3.5X137MM (SY)
PLATE TIT LCP 11H 3.5X150MM (SY)
PLATE TIT LCP 12H 3.5X163MM (SY)
PLATE TIT LCP 14H 3.5X189MM (SY)
PLATE TIT LCP 7H 3.5X90MM (SY)
PLATE TIT LCP 8H 3.5X111MM (SY)
PLATE TIT LCP 9H 3.5X124MM (SY)
PLATE TIT LCP RE 10H 3.5X140 (SY
PLATE TIT LCP RE 12H 3.5X168 (SY
PLATE TIT LCP RE 7H 3.5X98 (SY)
PLATE TIT LCP RE 8H 3.5X112 (SY)
PLATE TIT LCP RE 9H 3.5X126 (SY)
PLATE TIT LCPT 3X3H 3.5X50 R (SY
PLATE TIT LO ORB .70X2.0 12H (KY
PLATE TIT LOC 4X4H AN LG 2MM (SY
PLATE TIT LOC DBLANG 4X20X4H (SY
PLATE TIT LOC DBLANG 5X22X5H (SY
PLATE TIT LOC DBLANG 6X24X6H (SY
PLATE TIT LOC LG 6X21H 2.0 L (SY
PLATE TIT LOC LG 6X21H 2.0 R (SY
PLATE TIT LOC RECO 12H 96MM (SY
PLATE TIT LOCK 20H 2.0MM STRT (KL
PLATE TIT LOCK 4H 1.0MM LONG (KL)
PLATE TIT LOCK 4H 1.0MM REG (KL)
PLATE TIT LOCK 5X8H ANG RT (SY)
PLATE TIT LOCK 6H 1.0MM LONG (KL)
PLATE TIT LOCK LRG 20H 2.0MM (SY
PLATE TIT LOCK RE ANG 5X8H L (SY
PLATE TIT LP 0.6MM 16H REG ST (KL
PLATE TIT LP 1.0MM 17H STRAIT (KL
PLATE TIT LP 1.0MM 20H STRAIT (KL
PLATE TIT LP DBL Y 0.6MM REG (KL)
PLATE TIT LP L .70MM 5H LT (KL)
PLATE TIT LP L .70MM 5H RT (KL)
PLATE TIT LP L .70MM 7H LT (KL)
PLATE TIT LP L .70MM 7H RT (KL)
PLATE TIT LP L .70MM 9H LT (KL)
PLATE TIT LP L 0.6MM LONG LT (KL)
PLATE TIT LP L 0.6MM LONG RT (KL)
PLATE TIT LP L 0.6MM MED LT (KL
PLATE TIT LP L 0.6MM MED RT (KL)
PLATE TIT LP Y 0.6MM REG (KL)
PLATE TIT LP Z 0.6MM LONG LT (KL)
PLATE TIT MAND 2.0 26H ANG LT (KL
PLATE TIT MAND 2.0 26H ANG RT (KL
PLATE TIT MAND 2.0 32H ANGLED (KL
PLATE TIT MAND 2.3MM 3X3 ANG (KL
PLATE TIT MAND 2.3MM 4X4 ANG (KL
PLATE TIT MAND 20H 2.8MM (SY)
PLATE TIT MAND CV STRU 2.0MM (SY
University Medical Center So. NV.
Page 154
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,691.25
497.53
1,131.21
1,178.35
1,246.44
1,872.26
1,005.51
1,055.29
1,099.78
1,754.42
1,906.30
1,623.49
1,694.19
1,730.85
966.24
490.49
2,648.25
6,066.50
6,402.00
6,759.50
4,633.75
4,633.75
2,513.00
2,306.92
749.21
706.09
3,539.25
821.98
2,805.00
3,539.25
388.08
649.50
692.62
477.02
444.68
444.68
444.68
444.68
444.68
444.68
444.68
444.68
444.68
444.68
444.68
3,678.68
3,678.68
4,325.48
1,024.16
1,024.16
4,716.25
1,350.25
02/12/14
Charge#
--------702151954
702152527
702152528
702152529
702152534
702152535
702152536
702152537
702152538
702152539
702151086
702151070
702151191
702150154
702151960
702152473
702152524
702151961
702152474
702152475
702152476
702152477
702152478
702151161
702152664
702152665
702151942
702152525
702152526
702152711
702152712
702152695
702152697
702152696
702152698
702152710
702152707
702152705
702152702
702152703
702152713
702152715
702152709
702152714
702152700
702152701
702152699
702152716
702152706
702152708
702152704
702150354
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE TIT MAND DBLANG SM 2.5 (SY
PLATE TIT MAT NEUR ADAP 20H (SY
PLATE TIT MAT NEUR BOX 10X16 (SY
PLATE TIT MAT NEUR BOX 16X16 (SY
PLATE TIT MAT NEUR ST 2H 12 (SY
PLATE TIT MAT RIB 3 15H LT (SY)
PLATE TIT MAT RIB 3 15H RT (SY)
PLATE TIT MAT RIB 4-5 16H LT (SY
PLATE TIT MAT RIB 4-5 16H RT (SY
PLATE TIT MAT RIB 6-7 17H LT (SY
PLATE TIT MAT RIB UNIV 8H (SY)
PLATE TIT MESH 1.3ORB 0.3THK (SY
PLATE TIT MESH 1.5 X100 DIA (SY)
PLATE TIT MESH 85X50 SM (KL
PLATE TIT MF ADAPT 20H 0.7MM (SY
PLATE TIT MF ADAPT 20H 0.8MM (SY
PLATE TIT MF H 11H 0.7MM (SY)
PLATE TIT MF L OB 2X3H 0.7 L (SY
PLATE TIT MF L OB 2X3H 0.7 R (SY
PLATE TIT MF L OB 3X4H 0.7 L (SY
PLATE TIT MF L OB 3X4H 0.8 L (SY
PLATE TIT MF L OB 3X4H 0.8 R (SY
PLATE TIT MF L OB 4X6H 0.7 R (SY
PLATE TIT MF ORB PREFRM LG L (SY
PLATE TIT MF ORB PREFRM LG R (SY
PLATE TIT MF ORB PREFRM SM R (SY
PLATE TIT MF ORB RIM 12H 0.5 (SY
PLATE TIT MF T 3X4H 0.8MM (SY)
PLATE TIT MF Y 1X3H 0.7MM (SY)
PLATE TIT MICRO 24H STRAIT (KL)
PLATE TIT MICRO 34H 1.0 STRT (KL
PLATE TIT MICRO 4H STRAIT MED (KL
PLATE TIT MICRO 6H STRAIT MED (KL
PLATE TIT MICRO 6H STRAIT REG (KL
PLATE TIT MICRO 8H STRAIT REG (KL
PLATE TIT MICRO BONE 16H STRT (KL
PLATE TIT MICRO BONE 4H STRT (KL
PLATE TIT MICRO DBL Y LONG (KL)
PLATE TIT MICRO L 3X2 100D LL (KL
PLATE TIT MICRO L 3X2 100D LR (KL
PLATE TIT MICRO L 3X3 100D LL (KL
PLATE TIT MICRO L 3X3 100D LR (KL
PLATE TIT MICRO L 7H 1.5MM L (KL
PLATE TIT MICRO L 7H 1.5MM R (KL
PLATE TIT MICRO L LONG LEFT (KL)
PLATE TIT MICRO L LONG RIGHT (KL)
PLATE TIT MICRO L MED LEFT (KL)
PLATE TIT MICRO ORBITAL 8H (KL)
PLATE TIT MICRO X REG (KL)
PLATE TIT MICRO Y 5H 1.5MM (KL)
PLATE TIT MICRO Y LONG (KL)
PLATE TIT MIN MAND 2X2H 1.0 (SY)
University Medical Center So. NV.
Page 155
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------6,622.00
1,647.25
706.75
739.75
200.75
3,899.50
3,899.50
3,899.50
3,899.50
3,899.50
2,788.50
2,887.50
5,593.00
1,564.06
1,826.00
1,826.00
822.25
822.25
822.25
844.25
844.25
844.25
871.75
4,994.00
4,994.00
4,826.25
1,006.50
731.50
808.50
706.09
792.33
215.60
272.20
272.20
301.84
619.85
202.13
547.09
477.02
477.02
503.97
503.97
503.97
503.97
477.02
477.02
477.02
490.49
517.44
503.97
493.19
1,251.25
02/12/14
Charge#
--------702152479
702152480
702150550
702152481
702151429
702151428
702152717
702152431
702152004
702152769
702152770
702150395
702150545
702150546
702151943
702151981
702151678
702150388
702151653
702152482
702150512
702150308
702150059
702150537
702151982
702150401
702151704
702150420
702150484
702150096
702150165
702151968
702150421
702152666
702150516
702152807
702150581
702150476
702152483
702151671
702151710
702151577
702151921
702151932
702151655
702151732
702150362
702151674
702152484
702151672
702150977
702150980
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE TIT MIN NARROW 6H 2.0 (SY)
PLATE TIT MIN NRW MAL 4H 2.0 (SY
PLATE TIT MIN NRW MAL 6H 2.0 (SY
PLATE TIT MIN TENBAND 4H 2.0 (SY
PLATE TIT MINI 2.0MM 4H REG (KL)
PLATE TIT MINI 4 HOLES LONG (KL)
PLATE TIT MINI 6 HOLES LONG (KL)
PLATE TIT MINI 8H REG 2.0MM (KL)
PLATE TIT MINI BRD 4H 2.0MM (SY
PLATE TIT MINI SAG 6H CV LNG (KL
PLATE TIT MINI SAG 6H CV XLNG (KL
PLATE TIT NRW 6H 2.0X42MM (SY
PLATE TIT NRW 8H 2.0X55MM (SY
PLATE TIT NRW CV 4H 2.0X29 (SY)
PLATE TIT ORB FLOR 1.3MM MED (SY
PLATE TIT ORB MESH 1.0MM (SY
PLATE TIT ORB RIM 11H 1.0MM (SY
PLATE TIT ORB RIM 12H 1.5MM (SY)
PLATE TIT ORB RIM 9H 1.3MM (SY)
PLATE TIT ORB UNIVERSL 1.5MM (SY
PLATE TIT ORBIT FLOOR .3X1.5 (KL
PLATE TIT RADIUS VOLR DIS R (SY)
PLATE TIT SM NOTCH 2H 12MM (SY
PLATE TIT SPOON 5 HOLES (SY)
PLATE TIT SPOON 6 HOLES (SY)
PLATE TIT STRAIT 12H 1.5X59M (SY
PLATE TIT STRAIT 6H 1.5X29MM (SY
PLATE TIT STRAIT 6H 2.4X36MM (SY
PLATE TIT STRUT 16 H 1.0MM (SY)
PLATE TIT STRUT 18H 1.3X43 (SY)
PLATE TIT STRUT 24H 1.0MM (SY)
PLATE TIT T 2H X 8H 2.4X54MM (SY
PLATE TIT T 2X8 HOLES 2.0MM (SY)
PLATE TIT T 3X4H .8MM (SY)
PLATE TIT T 3X4H 3.5X74 OB R (SY
PLATE TIT T 3X8 HOLES 2.0MM (SY)
PLATE TIT TEN BAND 4H 2.4X26 (SY
PLATE TIT TEN BAND 6H 2.4X36 (SY
PLATE TIT X 4 HOLES 1.3MM (SY)
PLATE TIT X 4 HOLES 1.5MM (SY)
PLATE TIT X 4 HOLES 2.0MM (SY)
PLATE TIT X 5 HOLES 1.0MM (SY)
PLATE TIT Y 1X3 HOLES 1.5MM (SY)
PLATE TIT Y 1X3 HOLES 2.0MM (SY)
PLATE TIT Y 2X4 HOLES 2.0MM (SY)
PLATE TIT Y 2X5 HOLES 2.0MM (SY)
PLATE TIT Y 3X8 H 2.4X56MM (SY)
PLATE TIT Y 3X8 HOLES 1.5MY (SY)
PLATE TIT ZYGOMA 4H 2.0X22MM (SY
PLATE TIT ZYGOMA 6H 2.0X32MM (SY
PLATE TRANS 2 LVL 46MM (NU)
PLATE TRANSLATIONL 1LVL 22MM (NU
University Medical Center So. NV.
Page 156
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,001.00
918.50
1,001.00
1,221.00
220.00
220.00
242.55
156.31
1,179.75
477.02
477.02
852.50
926.75
926.75
2,761.00
3,126.75
671.00
844.25
624.25
2,997.50
1,226.23
2,121.02
1,958.00
979.33
1,044.81
741.04
589.19
709.64
1,234.75
1,309.00
1,386.00
796.04
709.64
781.00
1,194.05
775.09
995.50
1,072.50
572.00
676.50
572.00
544.50
676.50
613.25
629.75
607.75
822.22
680.82
602.25
673.75
3,300.00
3,300.00
02/12/14
Charge#
--------702150979
702150978
702151015
702151018
702151013
702151012
702151017
702151008
702151007
702151016
702151009
702150993
702150890
702150887
702150885
702150673
702150672
702150668
702150670
702152422
702151201
702151103
702150568
702151835
702150176
702152447
702152448
702150118
702150098
702150166
702150177
702150137
702150028
702150051
702150030
702150076
702150544
702150533
702150467
702150472
702150447
702150505
702150507
702152262
702152265
702150677
702150680
702150683
702150686
702150685
702150684
702151804
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATE TRANSLATIONL 1LVL 24MM (NU
PLATE TRANSLATIONL 1LVL 26MM (NU
PLATE TRANSLATIONL 2LVL 42MM (NU
PLATE TRANSLATIONL 2LVL 44MM (NU
PLATE TRANSLATIONL 2LVL 52MM (NU
PLATE TRANSLATIONL 3LVL 58MM (NU
PLATE TRANSLATIONL 3LVL 60MM (NU
PLATE TRANSLATIONL 4LVL 74MM (NU
PLATE TRANSLATIONL 4LVL 78MM (NU
PLATE TRANSLATIONL 4LVL 82MM (NU
PLATE TRANSLATIONL 4LVL 90M (NU
PLATE TRANSLATIONL 5LVL 95MM (NU
PLATE TRAVERSE COMP 50MM (NU)
PLATE TRAVERSE COMP 55MM (NU)
PLATE TRAVERSE COMP 60MM (NU)
PLATE TRAVERSE FIXED 35MM (NU)
PLATE TRAVERSE FIXED 40MM (NU)
PLATE TRAVERSE FIXED 50MM (NU)
PLATE TRAVERSE FIXED SZ 65 (NU)
PLATE ULNA DISTAL 5H RT (SD)
PLATE UNITY COVER BLACKSTONE
PLATE UNITY LOCKING BLACKSTONE
PLATE VARIAX 1.7MM 16 HOLE (SK)
PLATE VARIAX 1.7MM 4 HOLE (SK)
PLATE VHS KEYLESS 4 HOLE BIOMET
PLATE VOL DR 2.7 8H NRW XXL L(SK
PLATE VOL DR 2.7 8H NRW XXL R(SK
PLATE WIDE ANG LP 10H 3.5MM (SY)
PLATE WIDE ANG LP 11H 3.5MM (SY)
PLATE WIDE ANG LP 12H 3.5MM (SY)
PLATE WIDE ANG LP 13H 3.5MM (SY)
PLATE WIDE ANG LP 14H 3.5MM (SY)
PLATE WIDE ANG LP 15H 3.5MM (SY)
PLATE WIDE ANG LP 16H 3.5MM (SY)
PLATE WIDE ANG LP 18H 3.5MM (SY)
PLATE WIDE ANG LP 20H 3.5MM (SY)
PLATE WIDE ANG LP 3H 3.5MM (SY)
PLATE WIDE ANG LP 4H 3.5MM (SY)
PLATE WIDE ANG LP 5H 3.5MM (SY)
PLATE WIDE ANG LP 6H 3.5MM (SY)
PLATE WIDE ANG LP 7H 3.5MM (SY)
PLATE WIDE ANG LP 8H 3.5MM (SY)
PLATE WIDE ANG LP 9H 3.5MM (SY)
PLATE X 1.5MM (KL)
PLATE X 2.0MM (KL)
PLATE XLP LATERAL 10MM (NU)
PLATE XLP LATERAL 12MM (NU)
PLATE XLP LATERAL 14MM (NU)
PLATE XLP LATERAL 16MM (NU)
PLATE XLP LATERAL 6MM (NU)
PLATE XLP LATERAL 8MM (NU)
PLATE Y MF (OM)
University Medical Center So. NV.
Page 157
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
13,623.50
13,623.50
13,623.50
12,886.50
12,886.50
12,886.50
12,886.50
2,736.25
5,500.00
2,750.00
1,022.07
469.92
1,452.00
5,198.49
5,198.49
1,262.14
1,327.62
1,403.55
1,476.86
1,539.70
1,613.04
1,686.36
1,759.67
1,825.12
945.29
989.81
1,034.33
1,078.85
1,123.35
1,167.87
1,215.01
220.00
486.75
9,256.50
9,256.50
9,256.50
9,256.50
9,256.50
9,256.50
272.25
02/12/14
Charge#
--------707030728
710050030
707030199
707030200
707030201
707030202
702170018
707030524
710050029
710050028
710050027
710050026
702151518
702170705
710050025
710050024
710050023
710050022
710050021
710050020
702170900
702150260
702152584
702151707
702155017
702155016
702155015
714150503
714150501
714150502
707031035
707030882
702420325
713020001
707030690
707030525
707030526
707030527
726820002
726120001
702152893
714150014
714150013
714150012
714150011
714120108
702421095
702421131
702718002
702718006
702418000
709118000
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PLATELET ASSOC IMMUNOGLO
PLATELET CONC
PLATELET COUNT
PLATELET COUNT STAT
PLATELET FUNCTION TEST ADP
PLATELET FUNCTION TEST EPI
PLATELET GEL SYSTEM
PLATELET NEUTRALIZATION
PLATELETS HLA MATCHED
PLATELETS LOW VOLUME
PLATELETS SINGLE DONOR
PLATELETS, IRRAD LEUKO REDUCED
PLEDGET TEFLON ROUND 3MMX6MM
PLIERS TAB BENDING (SY)
PLT PHERES LEUKO CMV IRRD LOW YD
PLT PHERES LEUKO IRRD LOW YLD VRD
PLT PHERES LEUKO LOW YLD VL RED
PLT PHERES LEUKO LW YLD VL RD CMV
PLT PHERESIS LEUKO CMV IRRAD
PLT PHERESIS LEUKO LW YLD VL RED
PLUG 3.5MM THRDED STARDRIVE (SY
PLUG ANAL FISTULA (SU)
PLUG PERFIX MARLEX MESH LG (BD)
PLUG PERFIX MARLEX MESH MED (BD)
PLUG ULTRAPRO LG UPPM
PLUG ULTRAPRO MED UPPL
PLUG ULTRAPRO SM UPPS
PLUG VASC AMPLATZI IV 4MM
PLUG VASC AMPLATZI IV 6MM
PLUG VASC AMPLATZI IV 8MM
PML/RARALPHA COM BREAKPNTS
PNEUMOCYSTIS SMEAR DFA
POLYDACTYL RECONST TOES
POLYSOM SLEEP STAGE ATTENDED
POOLING BLOOD PRODUCTS
PORPHOBILINOGEN
PORPHYRIN TOTAL URINE
PORPHYRIN URINE
PORT FLUSH
PORT FLUSH PEDS
PORT IMPLANTABLE 6FR TIT
PORT INDWELLING POWER 6FR (BD)
PORT INDWELLING POWER 8FR (BD)
PORT INDWELLING POWER ISP 8FR (BD
PORT INDWELLING X 6 FR (BD)
PORT REMOVE
POST >=4SRFC RESINBASE CMPST
POST 1 SRFC RESINBASED CMPST
POST ANES CARE OP BY PACU
POST ANES CARE PER HOUR
POST ANES CARE PER HOUR
POST ANESTH CARE PER HOUR
University Medical Center So. NV.
Page 158
Dispense
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Price
---------185.29
113.35
118.56
148.86
151.12
151.12
3,889.96
310.75
1,507.39
946.07
1,616.77
1,093.56
28.05
1,939.89
1,006.02
1,093.56
918.17
1,006.02
1,006.02
972.32
363.50
2,461.25
387.75
591.94
442.20
446.68
437.77
2,612.50
2,612.50
2,612.50
1,567.50
32.78
2,548.30
695.50
109.13
138.85
147.74
102.77
73.00
85.93
1,361.25
1,347.50
1,347.50
1,347.50
770.00
2,351.74
471.95
129.57
129.30
259.22
259.22
371.20
02/12/14
Charge#
--------702151885
702420834
707030124
707030528
707030125
707030126
705080272
705080271
720670031
720670032
702170597
705080270
705080269
709150058
709150027
709150026
709150038
709150060
709150036
709150050
709150052
709150051
709150059
709150053
709150054
709150039
709150070
709150035
709150029
709150037
709150040
709150041
709150042
709150023
709150030
709150057
709150055
709150056
707030127
702421041
702421126
707030615
707030128
707031060
707030017
702430000
702170626
702170919
702170625
705080032
705080031
709170005
UMC Charge Master
Description
-----------------------------------------------------------------------------------------POST OUTRIGGER STRAIGHT11MM (SY)
POSTERIOR REPR RECTOCELE
POTASSIUM
POTASSIUM STOOL
POTASSIUM URINE
POTASSIUM URINE 24 HR
POUCH ILLEOSTOMY HI OUTPUT
POUCH ILLEOSTOMY MED OUTPUT
POWDER CELLERATE RX 1GM
POWDER SURG CELLERATE RX 1GM
POWERLOC INFUS LINE 20G
POWERLOC SAFETY INFUS 20GA X 1
POWERLOC SAFETY INFUS 20GA X .75
PPM DUAL ADAPTA DR (MT)
PPM DUAL CYLOS DR (BT)
PPM DUAL CYLOS DRT W HM (BT)
PPM DUAL CYLOS II DR (BT)
PPM DUAL ENRHYTHM DR (MT)
PPM DUAL EVIA (BT)
PPM DUAL IDENTITY ADX DR (SJ)
PPM DUAL IDENTITY DC (SJ)
PPM DUAL IDENTITY DR (SJ)
PPM DUAL SENSIA DR (MT)
PPM DUAL VERITY DC (SJ)
PPM DUAL ZEPHYR SR (SJ)
PPM DUAL ZYPHER DR (SJ)
PPM LEAD CAPSURE FIX (MT)
PPM PHILOS II DR (BT)
PPM SGL CYLOS VR (BT)
PPM SGL EVIA (BT)
PPM SGL IDENTITY ADX SR (SJ)
PPM SGL IDENTITY SR (SJ)
PPM SGL MICRONY SR (SJ)
PPM SGL PHILOS II SR (BT)
PPM SGL PHILOS SR (BT)
PPM SGL SENSIA SR (MT)
PPM SGL ZEPHYR SR (SJ)
PPM SGL ZEPHYR SR (SJ)/1
PRE-ALBUMIN
PREFAB SS CROWN PERMANANT
PREFABRICATED SS CROWN EA
PREG TEST URINE
PREGNANCY BLOOD TEST
PREGNENOLONE
PRENATAL PANEL
PREOP EKG
PREP CHLORAPREP 26ML ORANGE
PREP DURAPREP 3ML
PREP SKIN PURE GEL (IA)
PRESSURE INFUSER BAG 1000CC
PRESSURE INFUSER BAG 500CC
PRESSURE INJECTOR TUBG
University Medical Center So. NV.
Page 159
Dispense
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Price
---------400.65
3,557.99
114.10
115.08
140.78
140.78
75.90
73.77
538.94
1,049.04
643.54
45.66
45.66
15,400.00
11,550.00
15,400.00
11,550.00
15,400.00
11,550.00
11,550.00
11,550.00
11,550.00
11,550.00
11,550.00
11,550.00
11,550.00
1,650.00
11,550.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
196.54
319.95
399.96
110.95
165.65
202.13
79.15
480.48
46.82
24.86
80.37
109.14
76.28
76.71
02/12/14
Charge#
--------707030691
702140003
707030529
702171202
702270180
702171183
702171186
702171176
702171174
702171175
702171233
702171282
702171316
702170913
702171280
702153011
702270181
714170003
702170711
702171208
702170977
702170572
702170571
702170812
702174038
702174039
702174040
702170074
702270182
702170001
702170476
702171356
702171201
702170560
702170525
702270228
702270229
702171166
702171431
705080029
705080030
702170076
702170013
702270183
702170056
702170691
705080268
702171294
702170035
702421064
707030883
702220039
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PRETREAT RBC- CHEM OR DRUGS
PRIMATRIX DERM SCAFF PER SQ CM
PRIMIDONE TDM
PROBE ABLATION (OH)
PROBE APC 7FR 2.3MMX220CM (ER)
PROBE ARC LASER ENT CURVED (PR)
PROBE ARC LASER ENT STRAIGHT
PROBE ARC LASER NEURO 38MM ST
PROBE ARC LASER NEURO 51MM ST
PROBE ARC LASER NEURO 79MM ST
PROBE ARC LASER STAPEDECTOMY
PROBE BALL TIP (MT)
PROBE BALL TIP 1.0 (MT)
PROBE BALL TIP 2.3 (MT)
PROBE BALL TIP 2.3MM PSP 1002
PROBE BALL TIP 9450015(MT)
PROBE CIRC OD 2.3 220CM (ER)
PROBE COVER (AE)
PROBE CRYO ABLATION 10CM
PROBE CYBERWAND SET (GY)
PROBE ELEC THERM (SN)
PROBE ENDO 5MM RT ANGLE (EC)
PROBE ENDO PENCIL FOOT CONT (EC)
PROBE FLEXIBLE 1.3 X 2.6MM (ER)
PROBE FLOW COUPLER 2.0MM (SV)
PROBE FLOW COUPLER 2.5MM (SV)
PROBE FLOW COUPLER 3.0MM (SV)
PROBE FROSTBYTE CRYO
PROBE GOLD INJECTOR 10FR (BS)
PROBE L TIP 32CM (SK)
PROBE LITHO ULTRASONIC BURR O
PROBE LITHOCLAST 840-733 (BS)
PROBE MICROWAVE 17X3.7CM
PROBE MIZUNO NEURO DOPPLER
PROBE MONOPOLAR STIMULATOR XOMED
PROBE OD 1.5 4.5FX150CM (ER)
PROBE OD 2.3 6.9FX220CM (ER)
PROBE PARSONNET VASCULAR
PROBE PEDICLE JJB (NU)
PROBE PH <15CM ESOPHAGEAL (PICU)
PROBE PH 15-18CM ESOPHAGEAL (PICU
PROBE RITA HABIB
PROBE SERF 9.0 (SK)
PROBE SIDEFIRE OD 2.5 X 220CM
PROBE STIMULATOR FACIAL NERVE
PROBE SURE SHOT EXTENDED (SN)
PROBE TEMP RECTAL / ESOPHAGEAL
PROBE VULCAN ABLATION (SN)
PROBE VULCAN TAC S STRAIGHT
PROBING NASOLACRIMAL
PROCALCITONIN
PROCTOSIG REM MULTI P-T-L
University Medical Center So. NV.
Page 160
Dispense
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Price
---------172.10
77.00
213.97
10,461.98
1,083.52
3,720.44
3,720.44
5,944.10
6,306.58
6,667.18
3,339.29
824.54
766.01
566.44
922.42
785.54
1,151.44
67.27
8,463.74
3,617.48
2,968.16
176.36
299.86
338.44
3,006.99
3,006.99
3,006.99
13,928.16
1,737.95
329.72
1,381.04
1,108.65
8,102.79
767.49
547.69
1,012.04
1,012.04
519.82
1,121.71
405.48
437.92
10,577.86
1,453.27
1,065.62
1,819.17
1,462.13
39.77
813.00
2,068.18
2,306.21
101.58
1,322.98
02/12/14
Charge#
--------702220057
702420466
702220021
702220040
702420510
702420070
707030672
709120077
707030531
707030129
702421089
702421065
707030130
707030131
707030132
720020015
702170925
707030532
707030133
707030533
707030534
707030535
707030536
707030134
707030673
707030203
707030174
726830001
707030537
714938012
713020000
714120168
709120076
714120167
709120020
714130022
714130021
714120078
714120027
714120077
714120076
714120075
714120074
714120073
714120072
714130032
709120019
714130033
714120071
714120070
714120069
714120068
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PROCTOSIGMOID REM FB
PROCTOSIGMOIDOSCOPY BX
PROCTOSIGMOIDOSCOPY DX RIGID
PROCTOSIGMOIDOSCOPY W DIL
PROFUNDS TEN REPR ADV2ND
PROFUNDS TENDON REP ADV PRI (F)
PROGESTERONE
PROGRMD STIMULATN AFTR IV MEDS
PROINSULIN
PROLACTIN
PROPHLAXIS ADULT
PROPHYLAXIS CHILD
PROPOXYPHENE URINE-QUAL
PROSTATIC ACID PHOSPHATASE (PAP)
PROSTATIC SPECIFIC ANTIGEN (PSA)
PROSTHETIC TRAINING EA 15 MIN
PROTECTOR EYE OPTIGUARD
PROTEIN C
PROTEIN CSF
PROTEIN ELECTRO CSF/URINE
PROTEIN ELECTROPHORESIS
PROTEIN S
PROTEIN S ANTIGEN FREE
PROTEIN TOTAL
PROTEIN TOTAL URINE
PROTEIN URINE
PROTHROMBIN TIME
PROTIME ONC
PSA FREE
PSEUDOANEURYSM COMPRESION
PSG CPAP BIPAP
PTA AORTA
PTA AORTIC
PTA BRACHIOCEPHALIC
PTA BRACHIOCEPHALIC TRUNK
PTA EA ADD PERIPH ARTRY S&I
PTA EA ADD VISCERAL ART S&I
PTA FEM POP REVASC
PTA FEM POP REVASC W ATHR
PTA FEM POP REVASC W ATHR & STENT
PTA FEM POP REVASC W STENT
PTA ILIAC REVASC
PTA ILIAC REVASC EA ADDTL VESSEL
PTA ILIAC REVASC W STENT
PTA ILIAC REVASC W STENT EA ADDTL
PTA PERIPHERAL ARTERY S&I
PTA RENAL OR VISCERAL ART
PTA RENAL VISCERAL ART S&I
PTA RENAL/VISCERAL ARTERY
PTA TIB PER REVASC
PTA TIB PER REVASC EA ADDTL
PTA TIB PER REVASC W ATH&STNT EA
University Medical Center So. NV.
Page 161
Dispense
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Price
---------559.93
1,142.56
1,165.72
2,498.58
4,513.58
3,123.16
79.67
3,130.02
148.38
235.07
422.35
281.58
76.40
106.56
310.79
106.60
29.99
345.46
114.10
147.12
347.51
607.80
418.30
114.10
30.48
114.10
110.71
89.65
130.58
1,388.14
639.80
6,674.39
7,192.65
7,192.65
7,192.65
1,487.85
1,827.20
6,829.60
14,499.07
20,750.77
14,499.07
6,829.60
6,829.60
6,829.60
6,829.60
5,198.06
7,192.65
1,487.85
7,192.65
6,829.60
6,829.60
6,829.60
02/12/14
Charge#
--------714120026
714120067
714120025
714120065
714120066
709120018
714120166
714130031
709120202
709131007
714132107
709131006
714132106
714131017
709131010
714131016
709131009
709120502
714131009
709131004
714131018
709131011
707030175
718130012
702421067
702170201
718130013
718130014
713030000
702170200
702270216
702270215
702151906
702171290
702171130
702151836
702152894
702152880
702170007
702171086
702170886
702170908
702420836
714120104
723020085
723520098
723320071
702170721
723320242
707030538
707030539
702420827
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PTA TIB PER REVASC W ATHR
PTA TIB PER REVASC W ATHR & STENT
PTA TIB PER REVASC W ATHR EA ADD
PTA TIB PER REVASC W STENT
PTA TIB PER REVASC W STENT/1
PTA VENOUS
PTA VENOUS
PTA VENOUS S&I
PTA, STENT & ATHER
PTCA ADDL ARTERY
PTCA ADDL ARTERY
PTCA ANGIO ADDL ARTERY
PTCA ANGIO ADDL ARTERY
PTCA ANGIO SINGLE ARTERY
PTCA ANGIO SINGLE ARTERY
PTCA SINGLE ARTERY
PTCA SINGLE ARTERY
PTCA W DES/ANGIO ADDL ARTERY
PTCA W STENT/ANGIO ADDL ARTERY
PTCA W STENT/ANGIO ADDL ARTERY
PTCA W STENT/ANGIO SINGLE ARTERY
PTCA W STENT/ANGIO SINGLE ARTERY
PTT
PULMONARY STRESS TEST SIMPLE
PULPAL THERAPY ANTERIOR
PULSE IRRIG TUBE/TIP (SK)
PULSE OX, MULTIPLE
PULSE OXIMETRY SINGLE
PULSE OXIMETRY SINGLE
PUMP BIO BP80 OH
PUMP PNEUMATIC PINS (BS)
PUMP PNEUMO ALLIANCE II DEV (BS)
PUMP PRESSURE PAIN 100ML
PUMP PRESSURE PAIN 270ML
PUMP PRESSURE PAIN 400ML
PUMP PRESSURE PAIN DL 270ML (IF
PUMP PRESSURE PAIN DUAL 400ML
PUMP SYNCHROMED II (MT)
PUMP TUBE SET (SK)
PUNCH AORTIC ROTATING 6MM (MT)
PUNCH CORKSCREW (AX)
PUNCH MAGNUM BONE (AC)
PUNCT ASP ABS CYST H-TOMA
PUNCT ASP-ABSC HEMAT CYST
PUNCTURE ASPIRATION CYST
PUNCTURE ASPIRATION CYST
PUNCTURE ASPIRATION CYST
PUSH PULL REDUCTION DEVICE (SY)
PUSH TRANSFUSION CHILD<2YRS
PYRUVATE
Q-FEVER ANTIBODY
QUADRICEPS PLASTY
University Medical Center So. NV.
Page 162
Dispense
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Price
---------14,499.07
20,750.77
14,499.07
14,499.07
6,829.60
6,283.64
7,192.65
1,487.85
23,406.53
6,637.07
6,637.07
12,655.61
12,655.61
12,655.61
12,655.61
6,637.07
6,637.07
12,807.39
10,080.77
10,080.77
10,080.77
10,080.77
151.12
93.44
281.58
210.67
167.29
162.59
231.10
4,905.82
933.43
933.43
385.00
746.55
1,341.23
467.50
907.50
30,800.00
479.35
151.01
465.42
644.55
759.68
163.70
590.98
592.08
592.08
1,278.41
728.44
91.78
336.95
6,090.85
02/12/14
Charge#
--------721070004
707031056
707030638
707030540
707030541
709130028
709120074
715520089
702420668
702420255
702423509
702421263
715520021
715520004
715520073
715520074
715520083
715520058
715520081
715520041
715520084
715520005
715520000
715520002
715520033
715520022
715520024
715520043
715520031
715520030
715520003
715520032
715520080
715520070
715520020
715520054
715520079
715520053
715520110
715520057
715520088
715520092
715520096
715520001
715520048
715520038
715520040
715520059
715520068
715520060
715520078
715520077
UMC Charge Master
Description
-----------------------------------------------------------------------------------------QUADWASH MITT
QUAN MASS SPECT EA SPECIM
QUANT SERUM ACETONE/KETONES
QUANTITATION DRUG NOS
QUINIDINE TDM
R VENTRICULAR RECORDING
R&L HEART CATH W ANGIO & SI
RAD TX MANAGEMENT 5TX (21ST)
RAD EXC BURSA SYN FARM WR
RAD EXC EXT W WO TRANSPOS
RAD REMOVE FOOT PLANTAR FASCIA
RAD RESECT TUMOR- ST HAND/FINGER
RAD TX SPECIAL TREATMENTS (21ST)
RAD TX SPECIAL TX PROC TC (NVC)
RAD TX 11-19 MV LIN ACC-C (21ST)
RAD TX 11-19 MVLIN ACC I (21ST)
RAD TX 2 AREA 3PRT 6-10 MEV (21ST
RAD TX BASIC DOSIMETRY CALC (21ST
RAD TX BASIC DOSMTRY CALC TC (NVC
RAD TX BRACH ISODOSE SIMP TC (NVC
RAD TX BRACHTHERAPY SIMPLE (21ST)
RAD TX BRCH ISODOSE COMP TC (NVC)
RAD TX BRCHY ISODOSE COMP (21ST)
RAD TX BRCHY ISODOSE INT (21ST)
RAD TX BRCHY ISODOSE INT TC (NVC)
RAD TX CONT PHYS CONSULT (21ST)
RAD TX DEVICES COMPLEX (21ST)
RAD TX DEVICES COMPLEX TC (NVC)
RAD TX DEVICES INTERMED (21ST)
RAD TX DEVICES INTERMED TC (NVC)
RAD TX DEVICES SIMPLE (21ST)
RAD TX DEVICES SIMPLE TC (NVC)
RAD TX DLVR 3 OR MORE 20MEV (21ST
RAD TX IMRT PLAN INC DVH (21ST)
RAD TX IMRT TRT DELIVERY (21ST)
RAD TX INTENSTIY MOD PLAN TC (NVC
RAD TX ISODOSE PLAN COMPLEX (21ST
RAD TX ISODOSE PLAN COMPX TC (NVC
RAD TX MLC DEVICE FOR IMRT (21ST)
RAD TX MULT AREAS 6-10MEV (21ST)
RAD TX PHYS TRT PLAN COMP (21ST)
RAD TX PHYS TRT PLAN INTER (21ST)
RAD TX PHYS TRT PLAN SIMPLE (21ST
RAD TX SBRT MGMT TO 5 FRAC (21ST)
RAD TX SBRT UP TO 5 FRACTION (21ST
RAD TX SGL AREA >=20 MEV (21ST)
RAD TX SGL AREA 11-19 MEV (21ST)
RAD TX SIMULATION 3D (21ST)
RAD TX SIMULATION 3D TC (NVC)
RAD TX SIMULATION COMPLEX (21ST)
RAD TX SIMULATION COMPLX TC (NVC)
RAD TX SIMULATION INTERM TC (NVC)
University Medical Center So. NV.
Page 163
Dispense
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.00000
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.00000
.00000
.00000
.00000
Price
---------213.38
446.88
94.12
332.27
150.99
3,394.76
9,640.78
2,809.15
3,120.59
3,593.04
2,789.73
3,014.78
1,835.37
268.00
890.15
479.00
663.00
326.60
79.00
118.00
183.49
268.00
763.00
548.00
178.00
686.06
1,248.40
159.00
636.00
108.00
211.00
69.00
988.72
6,046.76
2,045.09
1,023.00
928.00
200.00
480.06
1,089.25
882.33
123.30
81.84
1,721.00
3,839.00
257.55
307.00
6,554.00
583.00
1,971.21
200.00
135.00
02/12/14
Charge#
--------715520072
715520056
715520076
715520023
715520045
715520044
715520075
715520034
715520085
723320070
702420826
714170002
702421264
702420829
702150414
707030542
707030135
723070004
723070003
705080267
705080266
705080265
702170199
707030543
710050019
710050018
710050017
710050016
710050015
707030544
710050014
710050013
710050012
710050011
710050010
710050009
710050008
710050007
710050006
710050005
721070005
702420831
702170613
702170972
702171106
702421334
702420467
702421012
702420830
702420833
702420828
702420170
UMC Charge Master
Description
-----------------------------------------------------------------------------------------RAD TX SIMULATION INTERMED (21ST)
RAD TX SIMULATION SIMPLE (21ST)
RAD TX SIMULATION SIMPLE TC (NVC
RAD TX SINGLE AREA 6-10MEV (21ST)
RAD TX SPECIAL DOSIMETRY (21ST)
RAD TX SPECIAL DOSIMETRY TC (NVC)
RAD TX SPECIAL PHYS CONS (21ST)
RAD TX STEREO X-RAY GUIDE (21ST)
RAD TX STEREOTACT 1 SESSION (21ST
RADIAL HEAD SUBLUX W MAN
RADIAL STYLOIDECTOMY
RADIATION GLOVES
RADICAL EXC TUMOR LEGANKLE
RADICAL RES ELBOW
RADIESSE VOICE GEL IMP 1CC (MA)
RAJICELL-IMM COMP
RAPAMYCIN
RAPID RHINO 5.5CM
RAPID RHINO 7.5CM
RAPID RHINO ANT/POST 7.5CM
RAPID RHINO ANTERIOR 5.5CM
RAPID RHINO POSTERIOR 9.0CM
RASP DISP WRIGHT
RAST-COMPREHENSIVE PROFILE
RBC AUTOLOGOUS LEUKO CMV
RBC DEGLYC LEUKO CMV
RBC DEGLYCEROLIZED
RBC DEGLYCEROLIZED CMV
RBC DEGLYCEROLIZED LEUKO
RBC FOLATE
RBC LEUKO WASHED CMV IRRAD
RBCS AUTOLOGOUS LEUKO
RBCS IRRAD LEUKO REDUCED
RBCS IRRADIATED
RBCS LEUKO IRRAD DIRECT
RBCS WASHED
RBCS, AUTOLOGOUS
RBCS, DIRECTED DONATION
RBCS, FROZEN
RBCS, LEUKO-POOR
REACHER
REALIGMENT EXT TEN H EA
REAMER 4MM (AX)
REAMER ENDO (AX)
REAMER SHAFT 8.0 X 448 MM (SK)
RECONST =<2/3 EYELID
RECONST ANG DEF TONG 2&5
RECONST EXT EAR CANAL
RECONST MAND/MAXILLA- COMPL
RECONST MANDIBLE WO INT FIX
RECONST NAIL BED W GRAFT
RECONST PATELLA W EXT
University Medical Center So. NV.
Page 164
Dispense
------------.00000
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.00000
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Price
---------606.21
1,285.18
90.00
1,117.87
446.97
111.00
750.58
312.06
978.00
641.38
3,303.76
1,011.75
4,410.05
4,006.60
715.00
271.26
257.97
92.07
96.44
189.21
181.07
338.69
3,296.88
35.57
716.09
539.52
611.46
539.52
611.46
206.14
563.50
667.05
708.46
433.80
750.97
529.71
667.05
667.05
348.78
376.68
214.78
2,555.35
1,219.87
588.16
1,612.35
4,174.17
2,581.65
4,629.66
6,104.91
6,099.38
1,514.72
5,415.48
02/12/14
Charge#
--------702420843
702420846
702420649
702421332
702420518
723020084
702420849
702420848
709120009
709120017
714170077
707030204
702420182
707030545
723020600
721020019
720020016
707030797
726820001
726820000
702170582
702170586
702170583
702170587
702170686
702170581
702170585
702170584
702170588
702170518
702170523
7024EYEFB
702421516
702421055
709170029
702420661
702420314
723320069
723020083
723520097
723320068
723320067
702420866
723320066
723020082
723020081
723520096
723020080
723520095
723320259
702421601
702420485
UMC Charge Master
Description
-----------------------------------------------------------------------------------------RECONST REV ORBIT CRAINO
RECONST TEN PULLEY EA TEN
RECONSTR EXT AUDITORY CANAL
RECONSTR EYELID 2ND STAGE
RECONSTRUCT CAPSULECTOMY WRIST
RECONSTRUCT EXT AUDITORY CANAL
RECONSTRUCT POLYDACT FINGER
RECONSTRUCT RAD ULNA DIST
RECORDER DEVICE EXPLANT
RECORDER DEVICE IMPLANT
RECOVERY CONE RETRIEVAL SYS (BD)
RED CELL COUNT
REDUC TORSION TESTISWWOFIX
REDUCING SUBSTANCES STOOL
REDUCTION OF PROCIDENTIA W ANES
RE-EVAL GO
RE-EVALUATION GP
REFERRED CONSULTATION
REFILL MAIN IMPLANTED PUMP
REFILL/MAINT PORTABLE PUMP
RELOAD ECH BLUE ECR45B
RELOAD ECH BLUE ECR60B
RELOAD ECH GOLD ECR45D
RELOAD ECH GOLD ECR60D
RELOAD ECH GRAY ECR60M
RELOAD ECH GREEN ECR45G
RELOAD ECH GREEN ECR60G
RELOAD ECH WHITE ECR45W
RELOAD ECH WHITE ECR60W
RELOAD GIA 75MM
RELOAD GIA 75MM THICK
REM ANT EYE IMPLANT
REM B TUMOR CONTOUR FACE BONE
REM BREAST IMPLANTS
REM ELECTRODE
REM EXT EAR COMP AMP
REM EXTERNAL FIXATOR
REM FB ARM SUBQ
REM FB AUDITORY CANAL
REM FB AUDITORY CANAL
REM FB AUDITORY CANAL
REM FB CORNEA COMPLX SLTLAMP
REM FB CORNEA W/O SLIT
REM FB CORNEA WO SLITLAMP
REM FB CORNEAL CMPLX SLTLAMP
REM FB CORNEAL WO SLITLAMP
REM FB CORNEAL WO SLITLAMP
REM FB EMBEDDED CONJUNCTIVA
REM FB EMBEDDED CONJUNCTIVA
REM FB ESOPHAGUS
REM FB EXT AUDITORY CANAL WO ANE
REM FB EXT EAR CANAL ANES
University Medical Center So. NV.
Page 165
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------4,629.66
1,939.99
5,976.59
3,898.95
5,014.33
3,753.83
6,079.25
5,014.33
6,450.43
7,825.87
2,717.91
98.10
2,524.97
58.16
1,976.40
199.21
217.53
332.37
288.00
365.00
616.46
655.47
616.46
627.04
661.38
622.05
661.38
622.05
661.38
683.59
725.32
4,165.83
3,498.63
3,721.21
46.64
2,653.99
6,010.19
625.52
379.04
379.74
379.74
482.25
585.97
440.51
482.25
439.69
440.51
344.64
345.29
1,388.93
1,588.77
2,414.99
02/12/14
Charge#
--------723020079
723520094
723320258
723020078
723320065
723320298
723020408
723020077
723320064
722320448
722320449
702421180
702421257
723020076
723520093
723320063
702421605
723320062
723520092
723320061
723020294
702422000
723520091
723320060
723320059
702420853
723320282
723020075
723020074
723520260
723320257
723320058
722320418
722320419
702421181
722320201
702421047
702420078
723020277
723520240
723320241
702420864
702420053
720620045
702420085
702421063
702421221
702420301
714120024
702420306
714120023
702420844
UMC Charge Master
Description
-----------------------------------------------------------------------------------------REM FB EYE EXTERNAL
REM FB EYE EXTERNAL
REM FB EYE EXTERNAL
REM FB EYELID
REM FB EYELID
REM FB EYELID BIL
REM FB EYELID BIL
REM FB FOOT DEEP, SUBQ TISSUE
REM FB FOOT DEEP, SUBQ TISSUE
REM FB FOOT DEEP, SUBQ TISSUE
REM FB FOOT DEEP, SUBQ TISSUE BIL
REM FB FOOT SUB Q
REM FB HIP PELVIS DEEP
REM FB INTRANASAL
REM FB INTRANASAL
REM FB INTRANASAL
REM FB INTRANASAL
REM FB LARYNX
REM FB MUSCLE/TEND SHEATH
REM FB MUSCLE/TEND SHEATH
REM FB MUSCLE/TENDON SHEATH
REM FB NASAL W/ANES
REM FB PHARYNX
REM FB PHARYNX
REM FB SHOULDER SUBQ
REM FB SHOULDER SUB-Q
REM FB SHOULDER SUBQ BIL
REM FB SUBQ TISSUE COMPLICATED
REM FB SUBQ TISSUE SIMPLE
REM FB SUBQ TISSUE SIMPLE
REM FB SUBQ TISSUE SIMPLEE
REM FB THIGH OR KNEE
REM FB THIGH OR KNEE
REM FB THIGH OR KNEE BIL
REM FB UP-ARM ELBOW SUBQ
REM GAUNTLET BOOT OR BODY CAST
REM IMP TOOTH MUCOPER FLAP
REM IMPACT TOOTH COM BONE
REM IMPACTED CERUMEN
REM IMPACTED CERUMEN
REM IMPACTED CERUMEN
REM IMPLANT EPIDURAL CATH
REM IMPLT DEEP PLATE ROD
REM IMPLT WIRE PIN OR ROD SUPER
REM IMPLT WIRE PIN ROD
REM IUD
REM LUNG SINGLE SEGMENT
REM MYRINGOTOMY TUBE
REM NEPHROSTOMY TUBE W FLURO
REM NON TUNNELED CATH
REM OBS FROM TUBE W/WO FLURO
REM PENILE PROTH NONINFLA
University Medical Center So. NV.
Page 166
Dispense
------------.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
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Price
---------377.45
378.16
378.16
563.70
564.75
847.13
2,937.83
1,754.40
1,757.65
1,757.65
2,636.48
2,115.84
3,022.01
400.61
401.36
401.36
3,023.25
1,027.08
912.48
912.48
2,410.52
1,853.73
450.30
450.30
1,057.93
1,057.93
1,586.90
1,754.40
600.92
602.04
602.04
2,414.99
2,414.99
3,622.49
1,799.44
117.30
813.00
1,058.36
300.35
300.91
300.91
876.71
3,137.40
1,757.65
2,136.07
1,488.65
6,703.52
1,906.10
986.33
2,168.38
681.25
3,932.00
02/12/14
Charge#
--------702421058
714120022
702421097
702420675
702420840
722320202
720620046
702420835
702420262
702421308
702420079
714120021
722320006
709120041
709120114
709120040
702421327
714120020
702421102
714120019
709120039
702420432
702421182
702420390
722320203
723020073
702421517
702421255
723520090
723320057
723020072
702420298
723320401
723020393
702420684
702420841
702422018
702422017
709120201
726120016
714120118
714130020
707030136
714120117
714130045
716136023
707030546
707030547
702421513
702421525
702421510
702422019
UMC Charge Master
Description
-----------------------------------------------------------------------------------------REM REPLACE PENILE PROTH
REM REPLC URETERAL STENT UNILAT
REM REPR PENILE PROTHINFL
REM RES & PUMP EPIDURAL
REM REV SLING INCONTINENCE
REM SHOULDER OR HIP SPICA
REM SKIN TAG OR LES <15
REM SUTURE W ANES OTHSURG
REM TISS EXPANDER WO PROTH
REM TUMOR DEEP NECK/THORAX
REM TUNNELED CATH
REM URET STENT TRANSURET WO CYSTO
REMOV OR BIVAL FULL EXT CAST
REMOVAL CARDIO DEFIB ELEC
REMOVAL CARDIO DEFIB GEN
REMOVAL DUAL PACE ELECTRO
REMOVAL EAR WAX
REMOVAL IVC FILTER ENDO APPROACH
REMOVAL OF LUNG TOTAL
REMOVAL PLEURAL CATH
REMOVAL SINGLE PACE ELECT
REMOVE ANAL FISTULA COMP
REMOVE FB FOOT DEEP
REMOVE FECAL IMPACTION OR FB
REMOVE FULL ARM OR LEG CAST
REMOVE IMPACTED FB VAGINA
REMOVE IMPLANT FINGER OR HAND
REMOVE LUNG 1 LOBE
REMOVE NAIL BED W TIP AMPUTATION
REMOVE NAIL BED/FINGER TIP
REMOVE NAIL BED/FINGER TIP
REMOVE PERITONEAL CATH/CN
REMOVE SHOULDER FB DEEP
REMOVE SHOULDER FB DEEP
REMOVE SHUNT WO REPLACE
REMOVE VAGUS NEUROSTIM SYSTEM
REMOVE VP SHUNT W/O REPLC BDSD
REMOVE VP SHUNT W/REPLCMNT BDSD
REMOVE/REPLC PPM DUAL GEN
RENAL BIOPSY, PERCUTANEOUS
RENAL CYST ASPIRATION PERC
RENAL CYST ASPIRATNPERCSI
RENAL FUNCTION PANEL
RENAL TRACT DILITION
RENAL TRACT DILITION S&I
RENALGRAM W FLOW & PHARM INTERV
RENIN
REOVIRUS SEROLOGY
REP ANT PALATE INC VOMER FLAP
REP INITL INCARC FEM HERNIA REDUC
REP REC INC HERNIA STRANG/INCARC
REP/REV VP SHUNT/VALVE OR BDSD
University Medical Center So. NV.
Page 167
Dispense
------------.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
.00000
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.00000
.00000
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.00000
Price
---------5,214.70
3,811.32
8,634.53
2,681.00
3,788.96
139.64
167.44
1,322.98
2,608.19
2,532.46
4,009.12
1,256.78
212.23
2,812.23
4,702.03
4,139.65
476.01
3,596.48
7,436.54
1,633.28
5,698.16
2,563.67
1,898.26
1,458.42
106.13
2,427.45
1,850.63
7,640.38
2,807.08
2,807.08
2,807.08
2,158.73
4,215.24
4,215.24
2,068.56
4,832.16
4,840.52
9,315.54
11,907.06
2,511.93
1,111.98
2,025.11
261.19
2,020.07
4,593.23
1,367.37
235.33
171.41
3,340.17
4,136.64
6,476.01
5,400.89
02/12/14
Charge#
--------702420614
702420606
702420457
702420847
723020071
723520089
723520088
723020070
702420624
723020069
723520087
723320056
702420204
723020068
723320055
723020067
723520086
723320054
702421518
714120064
702420823
702420619
702421099
702421060
714120018
714120016
723020388
714120017
723020293
723320267
714120015
709120038
709120037
702420271
702420460
702420222
702420223
702420482
723520085
702421094
702420478
723520084
702420238
702420073
702420601
702420121
702420272
702420602
702420610
702420168
702421217
702420190
UMC Charge Master
Description
-----------------------------------------------------------------------------------------REPAIR BLOOD VESSEL INTRA ABDOM
REPAIR CHORDEE W/SKIN GRF
REPAIR CVA DEVICE W/PORT/PORT
REPAIR DISLOC PERONEAL TENDONS
REPAIR EYELID WOUND FULL THICK
REPAIR EYELID WOUND FULL THICK
REPAIR EYELID WOUND PART THICK
REPAIR EYELID WOUND PARTL THICK
REPAIR FIBULA NONUNION
REPAIR NAILBED
REPAIR NAILBED
REPAIR NAILBED
REPAIR OF BROW PTOSIS
REPAIR OF EYE WOUND
REPAIR OF EYE WOUND
REPAIR OF VAGINA INJURY
REPAIR OF VAGINA INJURY
REPAIR OF VAGINA INJURY
REPAIR REC ING HERNIA ANY AGE INC
REPLACE PERIPH VAD W PORT
REPLACE REVISE SPINAL SH
REPLACE TISS EXP W PROTH
REPLACE TUNNELED CV CATH
REPLACE VENOUS ACCESS DEV W/PORT
REPLC DUOD/JEJU TUBE PERC W FLURO
REPLC GAST/CECO TUBE PERC W FLURO
REPLC GAST/CECO TUBE PERC W FLURO
REPLC G-J TUBE PER W FLURO INC IN
REPOSITION GASTROSTOMY TUBE
REPOSITION GASTROSTOMY TUBE
REPOSITION IVC FILTER ENDO APPRCH
REPOSITION LEAD
REPOSITION LEFT VENT LEAD
REPR 2ND LIG ANKLE COLLRT
REPR ACHILLES TEN 2NDWWOG
REPR ACHILLES TENDON REPT
REPR ANKLE LIGAMENT BOTH
REPR BICEP TRICIP TENDON
REPR BLOOD VESSEL FING/HAND
REPR BLOOD VESSEL LOW EXI
REPR BLOOD VESSEL UP EXT
REPR BLOOD VESSEL UPPER EXT
REPR CLEFT LIP PRI ISTOF2
REPR CLEFT LIP SECONDARY
REPR CLEFT LIP W ABBEFLAP
REPR CLEFT LIP/NOSE DEF UNI
REPR CLEFT PALATE SOFT/HARD
REPR CLELF LIP BIL/STAGE
REPR COLLATER LIG MCP W/TISSUE
REPR COLLATERAL LIG MCP IP
REPR COMP ENEL 2.6-7.5 CM
REPR COMP FCCMNAGHF 2.6-7.5 CM
University Medical Center So. NV.
Page 168
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------8,499.40
6,064.71
3,392.90
2,408.13
1,595.24
2,866.87
2,135.38
2,131.43
6,007.92
842.34
843.91
843.91
3,108.17
1,724.03
1,785.89
2,183.28
2,187.32
2,187.32
4,787.16
5,071.86
4,648.11
3,656.40
2,754.67
3,552.06
681.25
735.75
735.75
735.75
863.47
894.46
3,596.48
5,698.16
16,053.94
3,312.14
5,014.33
5,486.22
3,568.06
5,014.33
3,759.83
5,198.62
5,649.70
4,283.30
4,356.28
4,150.48
4,735.46
5,218.84
5,246.30
4,629.66
1,919.00
3,717.44
1,934.91
779.62
02/12/14
Charge#
--------702420842
702420173
702420461
702420163
702420122
702420643
702420236
702420152
702420270
702420470
702420637
702421185
702420327
702420845
702420878
702420919
723520083
702423000
702420362
702420918
723520082
702420917
702421187
702421186
702421191
702420625
702420623
702420647
702420635
702420923
702420291
702420370
702420630
702420922
702420737
702420920
702420165
702420733
702420100
702420227
702421153
702421109
702421066
702421168
702420047
702420189
702420283
702420293
702423511
702420916
702420275
702420751
UMC Charge Master
Description
-----------------------------------------------------------------------------------------REPR COMP FCCMNAGHF ADD 5
REPR COMP FCCMNAGHF1.1TO2.5CM
REPR COMP SAL 1.1-2.5
REPR COMP SAL 2.6-7.5 CM
REPR COMP SAL ADD 5CM
REPR COMP TRUNK 1.1-2.5
REPR COMP TRUNK 2.6-7.5CM
REPR COMP TRUNK EA AD5CM<
REPR CYSTOCELE WWO URETHO
REPR ELBOW LAT LIGMNT W/TISS
REPR ELBW MED LIGMNT W LCL TISS
REPR ENEL 1.1CM-2.5CM
REPR EPIGAST HERNIA REDUCE
REPR EXT TEN 2ND HF EA
REPR EXT TEN LEG EA WO GR
REPR EXT TEN MALLET FING
REPR EXT TEND FINGR WO GRFT EA
REPR EXT TENDON 2ND F ARM
REPR EXT TENDON PRIMARY F ARM
REPR EXT TENDON, LEG- 2NDARY
REPR EXTENSOR TENDON HAND
REPR EYE MUS TEN TENONCAP
REPR FEENL MM SIMP 2.5<
REPR FEENL MUC MEMSIMP 2.6-5.0
REPR FEENLMM 7.6-12.5 SIMP
REPR FISTULA OROMAXILLARY
REPR FISTULA ORONASAL
REPR FLEX TEN LEG WOGR EA
REPR FLEX TENDON 2ND FARM
REPR FLEX TENDON HANDFINGR W GRAF
REPR FLEX TENDON W/GRAFT F ARM
REPR HALLUX RIGIDUS
REPR HUMERUS NON/UNION
REPR HUMERUS W BONE GRAFT
REPR HYDROCELE TUNICA VAG
REPR HYPOSPADIS W URETHRA
REPR HYPOSPADIUS
REPR HYPOSPHADIAS W CHORDEE
REPR INCISIONAL VENT HERNIA
REPR INCOMPLETE CIRCUMSION
REPR ING HERNIA 6M< H CEL
REPR ING HERNIA I-S PREMIE
REPR ING HERNIA WWO HCELE
REPR INGUINAL HERNIA 6M0S-5YRS
REPR INGUINAL HERNIA AGE 5+
REPR INGUINAL HERNIA RECURRENT
REPR INGUINAL HERNIA SLIDING
REPR INGUINAL HERNIA STRANG >5YRS
REPR INTL FEM HERN ANY AGE REDUC
REPR KNEE LIG COLLAT CRUC
REPR LAC CORNEA SCLERA
REPR LAC CORNEA SCLERA GLUE
University Medical Center So. NV.
Page 169
Dispense
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Price
---------387.27
1,853.03
747.52
1,654.94
634.41
1,103.72
2,068.64
568.29
3,725.20
2,285.15
3,803.60
736.70
3,500.68
3,343.29
2,600.78
2,030.25
2,038.60
798.43
3,303.76
3,303.76
2,282.74
3,545.20
1,482.38
1,853.03
1,026.30
4,719.06
3,775.19
2,408.13
3,303.76
3,245.72
3,495.53
2,581.65
10,446.48
10,446.48
2,829.41
5,610.56
6,064.71
3,932.00
3,375.64
2,024.27
3,500.68
4,499.13
3,580.40
3,120.56
3,374.16
3,780.73
3,780.73
4,108.35
4,007.45
10,446.48
5,501.57
2,497.98
02/12/14
Charge#
--------702420750
702420741
702421199
723520081
723320053
723520080
723320052
702420653
702420720
702421198
723020066
723320051
723020065
723520078
723320050
723020064
723520077
723320049
702420889
702420736
702420212
702420728
702420031
702420909
702421017
702420393
702420706
702420908
702420712
702420911
702420705
702420932
702420921
702420076
702420401
702420395
702420196
702420930
702420933
702420297
702420033
702420475
702420936
702421192
702421179
702421210
702420064
702420479
702420935
702420164
702420699
702420689
UMC Charge Master
Description
-----------------------------------------------------------------------------------------REPR LAC CORNEA WWO REMFB
REPR LAC DIAPHRAGM
REPR LAC PALATE <2CM COMP
REPR LAC TONGUE <2.5 CM
REPR LACERATN MOUTH/TONGUE<2.5
REPR LACRTN MOUTH/TONGUE>2.6
REPR LACRTN MOUTH/TONGUE>2.6
REPR LIGAMENT ANKLE COLLETERAL
REPR LIGAMENT FINGER/THUMB
REPR LIP 2.5CM OR COMPLEX
REPR LIP COMPLEX
REPR LIP COMPLEX
REPR LIP FULL THICK
REPR LIP FULL THICK
REPR LIP FULL THICK
REPR LIP HALF VERTICAL HT
REPR LIP HALF VERTICAL HT
REPR LIP HALF VERTICAL HT
REPR LIP>1/2 VERTICAL HEIGHT
REPR LUMBAR HERNIA
REPR METATARSAL W/WO BG
REPR N UNION MC PHALWWOBG
REPR NAIL BED
REPR NASAL SEPTAL PERFORATIONS
REPR NASAL STENOSIS
REPR NON MALUNION TIBWOBG
REPR NON/MALUNION TARSAL BONES
REPR NONMALUNION TIBWS GR
REPR NONUNION RAD&ULNA
REPR NONUNION RAD&ULNA BG
REPR NONUNION SCAPHOID
REPR OF ENTEROCELE-VAGINAL
REPR ORBIT OSTEOTOMIESWBG
REPR PRI LIGCAP KNEE COL
REPR RADIUS ULNA W BG
REPR RADIUS ULNA W/O GRAFT
REPR RECONST FINGER IP JT
REPR RECTAL VAGINAL FIST
REPR REPT GLOBE-COR-SCL
REPR ROT CUFF ACROMIOPL
REPR ROTATOR CUFF CHRONIC
REPR RUPT ACHILLES TEN GR
REPR RUPT ROT CUFF ACUTE
REPR SIMPLE SNAG 2.6-7.5
REPR SIMPLE SNAGT EXT2.5<
REPR SNAGTE 7.6-12.5 SIMP
REPR TEN MUS FLEX FA WREA
REPR TEN MUS U-ARM ELBOW EA
REPR TEN SHEATH F/W W GR
REPR TENDON EXTENSOR EACH TENDON
REPR TENDON FLEXOR EACH TENDON
REPR TENDON FLEXOR W/GRAFT EACH
University Medical Center So. NV.
Page 170
Dispense
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Price
---------2,853.39
4,666.82
1,853.03
510.27
510.27
1,027.81
1,027.81
2,787.89
3,343.29
1,079.37
2,477.82
2,482.41
2,374.12
2,378.52
2,378.52
1,756.55
1,759.80
1,759.80
2,482.41
3,500.68
4,995.95
3,095.64
1,165.72
3,224.21
3,185.87
5,583.81
5,228.63
6,917.73
9,445.92
9,574.15
5,910.89
4,187.89
6,686.50
5,014.33
7,362.34
10,446.48
3,700.74
3,725.20
2,665.97
4,434.23
4,441.98
6,769.33
5,014.33
686.30
408.72
1,439.55
3,634.61
4,471.64
3,303.76
2,652.51
2,390.41
2,390.41
02/12/14
Charge#
--------723520450
723020063
723020062
702420269
702421166
702420042
702420925
702420924
702420725
723020061
723520076
723320048
723020060
723520075
723320047
702170197
702421357
702421506
702420927
702420008
702420929
702170198
702151157
702171326
702154014
702421062
702421137
702421154
707030243
707031002
707030244
705081532
705080603
705080602
705080601
705080600
702770000
702151713
714170001
714170021
702174044
702174007
702173005
702173006
702170786
702170057
702171103
702171014
702171015
702175004
701073006
701073008
UMC Charge Master
Description
-----------------------------------------------------------------------------------------REPR TENDON/MUS FLEX
REPR TENDON/MUS FLEX
REPR TENDON/MUSC EXT
REPR UMB HERNIA INC/STRAN 5YR>
REPR UMB HERNIA UNDER 5 YRS
REPR UMBILICAL HERNIA AGE 5/OVER
REPR VAG LAC COLPORRHAPHY
REPR VENT HERNIA INC RECUR
REPR VENT INC HERNIA RECURRENT
REPR VESTIBULE 2.5CM <
REPR VESTIBULE 2.5CM <
REPR VESTIBULE 2.5CM <
REPR VESTIBULE 2.5CM >
REPR VESTIBULE 2.5CM >
REPR VESTIBULE 2.5CM >
RES PLEUROVAC PEDI
RESECT FACE TUM < 2 CM
RESECT LEG/ANKLE TUM 5 CM >
RESECT LIP>1/4 WO RECONT
RESECT SUBMUCUS TURBNTE PRT/COMP
RESECTION OF SCROTUM
RESERVOIR OMAYA
RESERVOIR PENILE AMS 700
RESERVOIR VENT CSF 28MM (MT)
RESERVOIR VENT CSF 6MM 44210 (MT)
RESIN BASE 2 SURF COMPOSITE POST
RESIN BASE COMP 1 SURG (A)
RESIN BASE COMP 3SURF (A)
RESP SYNCYTIAL VIRUS
RESP VIRUS 12-25 TARGETS
RESPIRATORY CULTURE
RESTRAINT MITTEN POSEY
RESTRAINT SOFT LIMB HOLDER
RESTRAINT VEST POSEY LARGE
RESTRAINT VEST POSEY MEDIUM
RESTRAINT VEST POSEY SMALL
RESTRAINTS PEDI-INFANT
RETAINER ELASTOMER CANICA ABRA
RETAINING DEVICE
RETENTION DEVICE CATH (UL)
RETRACTOR ABD FISH DISP
RETRACTOR ALEXIS WND MED (APM)
RETRACTOR ALEXIS WND XLG (APM)
RETRACTOR ALEXIS WND XSML(APM)
RETRACTOR DISP (KL)
RETRACTOR SCROTAL SYSTEM
RETRACTOR SERENGETI MI (K2)
RETRACTOR SGL SITE ENDO 2CM
RETRACTOR SGL SITE ENDO 4CM
RETRACTOR SOFT TISSUE (EL)
RETRACTOR WND XSML (APM)
RETRACTOR WOUND LARGE (APM)
University Medical Center So. NV.
Page 171
Dispense
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Price
---------3,297.63
3,297.63
3,297.63
3,780.73
3,500.68
3,374.50
1,959.11
3,780.73
3,780.73
925.10
926.81
926.81
1,009.21
1,011.07
1,011.07
727.15
4,107.45
8,185.71
3,427.70
2,737.03
1,998.83
1,176.34
4,757.50
1,361.90
421.36
236.00
228.08
281.58
236.64
859.37
327.36
97.56
53.63
78.85
78.85
74.69
225.88
75.00
59.65
85.19
150.94
274.56
369.05
208.43
552.44
1,226.21
1,616.11
208.10
208.10
1,162.82
208.43
300.71
02/12/14
Charge#
--------701073009
701073007
714170076
714170075
702120000
702420455
702420071
702420734
702421299
702420723
714522020
702420969
702420423
702420388
702420928
709120506
714131008
709131003
714131019
709131012
709120503
709131008
714132108
714131021
709131014
709120505
714131020
709131013
709120504
702421122
702420726
709120036
709120035
702420727
702420449
702420147
702420931
709120507
707030692
707030693
707030018
707030137
707030847
702420715
702421071
702421167
702421082
702420106
702421103
702421074
702421151
707030019
UMC Charge Master
Description
-----------------------------------------------------------------------------------------RETRACTOR WOUND XLARGE (APM)
RETRACTOR WOUNDC MED (APM)
RETRIEVAL DEVICE ATTRACTER 18 (BS
RETRIEVER DEVICE FILTER (CM)
RETRIEVER SUTURE HEWSON
REV AMP METACARPAL OR SCAR REV
REV AV FISTUWOTHROMBECTOMY
REV CLOSE ART VEN EXT
REV IMP REP EPICATH IMFPUMP
REV MIDDLE EAR & MASTOID
REV REINS TRNHEP DRAIN CT GUID
REV REM CRANIAL STIMULATOR
REV REM PERIPHRL NEUROSTIM ELECT
REV/REM SPINAL STIMULATOR
REV/REP VAGUS NEUROSTIM ELECTRD
REVASC BYP GRFT W/DES ADDTL ART
REVASC BYPASS GRAFT ADDL ARTERY
REVASC BYPASS GRAFT ADDL ARTERY
REVASC BYPASS GRAFT SINGLE ARTERY
REVASC BYPASS GRAFT SINGLE ARTERY
REVASC BYPASS GRF W/DES SGL ART
REVASC CHRONIC ADDL ARTERY
REVASC CHRONIC ADDL ARTERY
REVASC CHRONIC SINGLE ARTERY
REVASC CHRONIC SINGLE ARTERY
REVASC CHRONIC SNGL ARTW/DES
REVASC MI SINGLE ARTERY
REVASC MI SINGLE ARTERY
REVASC MI SINGLE ARTERYW/DES
REVISE BREAST RECONSTRUCT
REVISE ILEOSTOMY- SIMPLE
REVISE POCKET ICD
REVISE PPM POCKET
REVISE ULNA NERVE WR
REVISE VAG GRAFT VIA VAGINA
REVISION AV FIST W/WO THROMB
REVISION COLOSTOMY-SIMPL
REVSC CHRNC ADDL ARTW/DES
RH GROUPING
RH PHENOTYPE
RH TYPE
RHEUMATOID FACTOR
RHEUMATOID FACTOR IGA
RHINECTOMY- PARTIAL
RHINOPLASTY COMPLETE PRIMARY
RHINOPLASTY MAJOR SEPTAL REPR 1ST
RHINOPLASTY MINOR NASAL TIP
RHINOPLASTY NASAL DEF 2ND
RHINOPLASTY NASAL TIP & OSTEO 2ND
RHINOPLASTY OSTEOTOMIES 2ND
RHINOPLASTY PRIM LAT & ALAR CART
RHO IMMUNE PANEL
University Medical Center So. NV.
Page 172
Dispense
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Price
---------369.05
274.56
3,883.32
1,193.58
350.26
2,685.45
6,253.40
3,759.72
2,745.16
5,421.15
4,082.27
3,528.03
1,438.08
3,050.99
5,488.42
12,807.39
10,080.77
10,080.77
10,080.77
10,080.77
12,807.39
10,080.77
10,080.77
10,080.77
10,080.77
12,807.39
10,080.77
10,080.77
12,807.39
4,112.47
3,947.44
7,652.74
6,971.03
2,210.31
2,950.94
3,996.80
3,618.14
10,080.77
74.63
110.55
77.85
212.21
223.81
5,968.62
5,384.85
6,898.84
2,737.03
3,778.08
4,629.66
4,629.66
4,629.66
202.13
02/12/14
Charge#
--------723030005
723330003
714030104
714030105
707030884
709120073
709170028
702151180
702151178
702151182
702151183
702151181
702151197
702151187
702150642
702150645
702150644
702150640
702150627
702150643
702150649
702150639
702150641
702150634
702150629
702150636
702150637
702150646
702150632
702150631
702150647
702150638
702150628
702150633
702150630
702151991
702151998
702152000
7021TRI30
7021TRI32
7021TRI34
7021TRI36
707030550
709120600
709120601
709120057
707030551
702151566
702151563
702152625
702150450
702150439
UMC Charge Master
Description
-----------------------------------------------------------------------------------------RHYTHM ECG TRACING
RHYTHM ECG TRACING
RIBS BILATERAL
RIBS/CHEST 3 VIEW +
RIFAMPIN LEVEL
RIGHT HEART CATH
RIGHT HEART KIT
RING ANNULO TAILOR 25MM (SJ)
RING ANNULO TAILOR 27MM (SJ)
RING ANNULO TAILOR 29MM (SJ)
RING ANNULO TAILOR 31MM (SJ)
RING ANNULO TAILOR 33MM (SJ)
RING ANNULO TAILOR 35MM (SJ)
RING ANNULOPLASTYST JUDE
RING MITRAL 24MM ANNULO PHYS (EL)
RING MITRAL 26MM ANNULO PHYS (EL)
RING MITRAL 28MM ANNULO PHYS (EL)
RING MITRAL 30MM ANNULO PHYS (EL)
RING MITRAL 32MM ANNULO PHYS (EL)
RING MITRAL 34MM ANNULO PHYS (EL)
RING MITRAL 36MM ANNULO PHYS (EL)
RING MITRAL 38MM ANNULO PHYS (EL)
RING MITRAL 40MM ANNULO PHYS (EL)
RING MITRAL ANNULOFLEX 26MM (SG)
RING MITRAL ANNULOFLEX 28MM (SG)
RING MITRAL ANNULOFLEX 30MM (SG)
RING MITRAL ANNULOFLEX 32MM SG)
RING MITRAL ANNULOFLEX 34MM SG)
RING MITRAL ANNULOFLEX 36MM SG)
RING MITRAL ANNULOFLOW 26MM (SG)
RING MITRAL ANNULOFLOW 28MM (SG)
RING MITRAL ANNULOFLOW 30MM (SG)
RING MITRAL ANNULOFLOW 32MM (SG)
RING MITRAL ANNULOFLOW 34MM (SG)
RING MITRAL ANNULOFLOW 36MM (SG)
RING TRICUSPID 24MM ANNULO (EL)
RING TRICUSPID 26MM ANNULO (EL)
RING TRICUSPID 28MM ANNULO (EL)
RING TRICUSPID 30MM ANNULO (EL)
RING TRICUSPID 32MM ANNULO (EL)
RING TRICUSPID 34MM ANNULO (EL)
RING TRICUSPID 36MM ANNULO (EL)
RISTOCITIN-VON WILLE FACTOR
RMV GEN & RPLC W MULT LD
RMV GEN & RPLC W SNGL LD
RMVL & RPLC CRTD DUAL SYSTEM
ROCKY MT SPOTTED FEVER AB
ROD 3.5X 120MM (AP)
ROD 3.5X 90MM (AP)
ROD 5.5X70MM (OD)
ROD 6.0 MM (OD)
ROD 70 MM (MT)
University Medical Center So. NV.
Page 173
Dispense
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Price
---------181.66
182.00
850.65
626.05
70.87
4,926.55
404.21
5,962.00
5,962.00
5,962.00
5,962.00
5,962.00
5,962.00
5,302.00
8,937.50
8,937.50
8,937.50
8,937.50
8,937.50
8,937.50
8,937.50
8,937.50
8,937.50
8,153.75
8,153.75
6,888.75
8,153.75
8,153.75
8,153.75
8,153.75
8,153.75
8,153.75
8,153.75
8,153.75
8,153.75
7,975.00
7,975.00
7,975.00
7,975.00
7,975.00
7,975.00
7,975.00
321.17
37,139.46
37,139.46
4,080.19
93.67
550.00
550.00
481.25
1,099.31
765.13
02/12/14
Charge#
--------702151658
702151652
702151649
702151603
702151602
702151612
702152197
702151601
702151604
702151611
702151589
702151586
702151587
702150406
702151959
702150404
702152198
702150374
702152199
702152278
702152200
702151714
702151585
702151583
702151599
702151597
702151595
702151607
702152201
702151614
702151610
702151615
702151616
702150527
702151137
702152564
702151172
702152563
702170888
702151590
702152541
702152580
702151075
702150037
702152387
702150053
702151094
702151091
702152202
702150417
702151892
702150173
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ROD ATOLL 3.5 X 120MM (IA)
ROD ATOLL 3.5 X 240MM (IA)
ROD ATOLL 3.5 X 80MM (IA)
ROD BULLET HEX END 5.5X150MM (K2
ROD BULLET HEX END 5.5X35MM (K2)
ROD BULLET HEX END 5.5X45MM (K2)
ROD BULLET HEX END 5.5X50MM (K2)
ROD BULLET HEX END 5.5X55MM (K2)
ROD BULLET HEX END 5.5X60MM (K2)
ROD BULLET HEX END 5.5X65MM (K2)
ROD BULLET HEX END 5.5X70MM (K2)
ROD BULLET HEX END 5.5X90MM (K2)
ROD BULLET HEX END 5.5X95MM (K2)
ROD CARBON FIBER 11X100MM (SY)
ROD CARBON FIBER 11X200MM (SY)
ROD CARBON FIBER 11X250MM (SY)
ROD CARBON FIBER 11X300MM (SY)
ROD CARBON FIBER 11X350MM (SY)
ROD CARBON FIBER 11X400MM (SY)
ROD CARBON FIBER 8.0X240MM (SY)
ROD CARBON FIBER 8X220MM (SY)
ROD CARBON STRYKER
ROD CONTOURED 5.5 X 65MM (K2)
ROD CONTOURED 5.5 X 100MM (K2)
ROD CONTOURED 5.5 X 125MM (K2)
ROD CONTOURED 5.5 X 35 MM (K2)
ROD CONTOURED 5.5 X 40 MM (K2)
ROD CONTOURED 5.5 X 45 MM (K2)
ROD CONTOURED 5.5 X 60 MM (K2)
ROD CONTOURED 5.5 X 70 MM (K2)
ROD CONTOURED 5.5 X 75MM (K2)
ROD CONTOURED 5.5 X 85MM (K2)
ROD CONTOURED 5.5X150MM (K2)
ROD CONTOURED SP SOL
ROD DB SPHERX DBR II 22.5MM (NU)
ROD DB SPHERX DBR II 60MM (NU)
ROD DB SPHERX DBR II 65MM (NU)
ROD DB SPHERX DBR II 70MM (NU)
ROD GUIDE IM PIN (BI)
ROD HARD 6.0X50MM (SY)
ROD HARD 6.0X75MM (SY)
ROD HEX END 5.5X150MM (SS)
ROD MAC 29-30MM STRYKER
ROD MANTIS RAD 6.0X40MM (SK)
ROD MANTIS STRAIT 6.0X130MM (SK)
ROD MANTIS STRAIT 6.0X40MM (SK)
ROD OASYS VITALLIUM 3.5X120 (SK)
ROD OASYS VITALLIUM 3.5X350 (SK)
ROD PREBENT 3.5X100MM 115D (K2)
ROD PREBENT 5.5X100MM (ON)
ROD PREBENT 6.0 X 70MM (AO)
ROD PREBENT SPHERX DBRII 140 (NU
University Medical Center So. NV.
Page 174
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------618.75
618.75
618.75
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
735.82
735.82
735.82
735.82
788.18
866.75
494.92
494.92
569.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
481.25
962.50
3,074.50
4,534.75
4,534.75
4,534.75
613.29
481.25
481.25
275.00
2,808.44
1,622.50
1,622.50
1,622.50
2,750.00
2,750.00
550.00
709.50
412.50
1,446.50
02/12/14
Charge#
--------702152667
702153022
702154001
702171261
702150304
702150303
702150129
702150132
702150117
702150114
702150115
702150131
702150116
702150130
702150121
702150122
702150111
702150112
702150113
702150159
702150160
702150485
702150095
702150105
702150498
702150511
702150486
702152540
702151679
702151701
702151545
702151609
702151600
702151883
702150464
702150371
702150416
702151580
702151568
702151819
702151824
702152620
702151818
702151823
702151822
702151560
702171145
702171038
702170819
702171517
702150444
702150463
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ROD PREBENT SPHERX DBRII 80 (NU
ROD PRECEPT PREBENT 25MM (NU)
ROD PRECEPT PREBENT 35MM (NU)
ROD REAMING 3X950 ST BALLTIP (SY
ROD SB BENT SPHERXII 5.5X100 (NU
ROD SB BENT SPHERXII 5.5X110 (NU
ROD SB BENT SPHERXII 5.5X25 (NU)
ROD SB BENT SPHERXII 5.5X30 (NU)
ROD SB BENT SPHERXII 5.5X35 (NU)
ROD SB BENT SPHERXII 5.5X40 (NU)
ROD SB BENT SPHERXII 5.5X45 (NU)
ROD SB BENT SPHERXII 5.5X50 (NU)
ROD SB BENT SPHERXII 5.5X55 (NU)
ROD SB BENT SPHERXII 5.5X60 (NU)
ROD SB BENT SPHERXII 5.5X65 (NU)
ROD SB BENT SPHERXII 5.5X70 (NU)
ROD SB BENT SPHERXII 5.5X80 (NU)
ROD SB BENT SPHERXII 5.5X85 (NU)
ROD SB BENT SPHERXII 5.5X95 (NU)
ROD SB SPHERXII 5.5X100MM (NU)
ROD SB SPHERXII 5.5 X 140MM (NU)
ROD SB SPHERXII 5.5 X 25 MM (NU)
ROD SB SPHERXII 5.5 X 60MM (NU)
ROD SB SPHERXII 5.5 X 80MM (NU)
ROD SB SPHERXII 5.5X30MM (NU)
ROD SB SPHERXII 5.5X35MM (NU)
ROD SB SPHERXII 5.5X40MM (NU)
ROD SOFT 6.0X150MM (SY)
ROD SPINE (BK)
ROD SPINE 120MM (BK)
ROD SPINE 40MM (SY)
ROD SPINE 5.5 X 75 MM (OD)
ROD SPINE 5.5 X 80 MM (OD)
ROD SPINE 50MM SYNTHES
ROD SPINE BLACKSTONE
ROD SPINE DANEK
ROD SPINE PB 5.5 X 100 MM (ON)
ROD STRAIGHT 3.5 X 120 MM (K2)
ROD STRAIGHT 3.5 X 80 MM (K2)
ROD STRAIGHT 5.5 X 150 MM (K2)
ROD STRAIGHT 5.5 X 200 MM (K2)
ROD STRAIGHT 5.5 X 50 MM (K2)
ROD STRAIGHT 5.5 X 70 MM (K2)
ROD STRAIGHT 5.5 X 80 MM (K2)
ROD STRAIGHT 5.5 X 90 MM (K2)
ROD STRAIGHT 5.5X350MM (SS)
ROD TEMPLATE 250MM (NU)
ROD TEMPLATE VUEPOINT 120MM (NU)
ROD TEMPLATE VUEPOINT 240MM (NU)
ROD THREADED 200-400 S-N
ROD TIT ALLOY HEX END 500MM (K2)
ROD TIT CURVED 60X100MM (SY)
University Medical Center So. NV.
Page 175
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,109.28
1,903.00
1,903.00
811.84
2,109.25
2,109.25
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,265.00
1,441.00
1,441.00
1,229.25
1,350.25
1,350.25
1,229.25
1,229.25
1,229.25
481.25
687.50
585.75
538.89
481.25
481.25
399.74
1,049.13
794.78
709.50
550.00
550.00
412.50
412.50
412.50
412.50
412.50
412.50
550.00
1,453.18
237.25
268.97
278.14
1,105.50
1,047.42
02/12/14
Charge#
--------702152668
702150390
702150292
702151582
702151581
702152203
702151579
702150482
702150488
702150487
702150480
702150483
702150481
702150479
702150478
702421072
702421091
709170654
709170073
709170072
709170071
709170070
709170069
709170068
709170067
709170066
709170065
709170064
709170063
709170062
709170061
709170004
707030245
709170060
709170059
702170033
723030000
723330000
716136042
707030610
707030552
709120071
709120070
709120069
709120068
707030138
707030553
702170471
723020059
709130012
709130003
709130002
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ROD TIT PRECEPT 300MM ST (NU)
ROD TIT STRAIGHT 60X100MM (SY)
ROD TRANSITION 3.5-5.5 X 500 (K2
ROD VUEPOINT 3.5MM X 120MM (NU)
ROD VUEPOINT 3.5MMX60MM (NU)
ROD VUEPT PRE CURVE 240MM (NU)
ROD VURPOINT 3.5MM X 240MM (NU)
ROD XIA3 TIT ALLOY 150MM (SK)
ROD XIA3 TIT ALLOY 480MM (SK)
ROD XIA3 TIT ALLOY 60MM (SK)
ROD XIA3 TIT CP 150MM (SK)
ROD XIA3 TIT CP 480MM (SK)
ROD XIA3 TIT CP 60MM (SK)
ROD XIA3 TIT RAD 50MM (SK)
ROD XIA3 TIT RAD 60MM (SK)
ROOT CANAL ANTERIOR
ROOT CANAL BICUSPID
ROTALINK ADVANCER (BS)
ROTALINK BURR 1.25 (BS)
ROTALINK BURR 1.5 (BS)
ROTALINK BURR 1.75 (BS)
ROTALINK BURR 2.0 (BS)
ROTALINK BURR 2.15 (BS)
ROTALINK BURR 2.25 (BS)
ROTALINK PLUS 1.25 (BS)
ROTALINK PLUS 1.5 (BS)
ROTALINK PLUS 1.75 (BS)
ROTALINK PLUS 2.0 (BS)
ROTALINK PLUS 2.15 (BS)
ROTALINK PLUS 2.25 (BS)
ROTALINK PLUS 2.5 (BS)
ROTARY STOPCOCK 3-WAY
ROTAVIRUS
ROTAWIRE FLOPPY .018 (BS)
ROTAWIRE XTRA SUP .018 ((BS)
ROTIC STAPLER RELOAD ALL SZ
ROUTINE VENIPUNCTURE
ROUTINE VENIPUNCTURE
RP THERAPY METS THYRO
RPR SYPHILIS SEROLOGY
RSV ANTIBODY
RT HEART CONGENITAL ANOMALIES
RT&LT HEART CONGENITAL ANOMALIES
RTLT HT CATH INTACT SEPTUM CONG
RTLT HT CATH SEPTAL OPEN CONGE
RUBELLA SCREEN
RUBELLA TITER
RUGGLES TWIST DRILL
RUST RING REMOVAL
S&I AORIOGRAPHY, ABD
S&I INTRAVASCULAR ULT NON
S&I NON SELECT ART PUNCTU
University Medical Center So. NV.
Page 176
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,878.25
829.84
2,070.75
550.00
550.00
618.75
550.00
1,237.50
1,237.50
1,237.50
1,237.50
1,237.50
1,237.50
1,237.50
1,237.50
492.76
492.76
3,145.60
3,763.36
3,763.36
3,763.36
3,763.36
3,763.36
3,763.36
3,559.94
3,559.94
3,559.94
3,559.94
3,559.94
3,559.94
3,559.94
26.85
298.46
644.83
644.83
2,010.84
27.21
27.26
3,824.47
101.88
108.64
4,220.73
7,371.71
6,894.12
6,584.98
202.13
190.87
1,893.54
849.45
3,180.14
2,406.24
198.37
02/12/14
Charge#
--------709130009
709130001
709130008
709130007
709130006
709130000
707030956
714030102
714030103
714532009
714532008
707030139
707030885
7021BRSA
702170983
702170984
702170215
702220032
702420007
723520073
723520074
709120000
702170214
702171221
702171110
702171042
702170047
702170904
714030108
702170220
702170635
707030554
714030109
709170027
702220200
702151354
702151351
702150389
702151504
702150253
702150251
702151705
702151838
702151752
702152811
702152812
702152605
702151499
702151700
702151020
702150232
702150092
UMC Charge Master
Description
-----------------------------------------------------------------------------------------S&I PTA BRACHIOCEPH TRUNK
S&I PTA EA ADDTL PERIPH ARTRY
S&I PTA FEMPOP
S&I PTA RENAL / VISCERAL ART
S&I PTA VENOUS
S&I VENA CAVA ANGIOGRAM
S. PNEUMONIAE AG DETECTION
SACROILIAC JOINTS
SACRUM/COCCYX
SAG CORONAL RECON W 3D RECON
SAG CORONAL RECON W/O IMAGE MANIP
SALICYLATE-TDM
SALMONELLA GROUP WIDAL TEST
SAVI SPACER BREAST BRACH DEV (CI)
SAW BLADE (BI)
SAW BLADE (SN)
SAW BLADES
SB END 2ND PORT DUODENUM
SB ENDO W BX SINGLE MULTI
SBI AUDIT/DAST >30 MIN
SBI AUDIT/DAST 15-30 MIN
SC OR IM INJECTION
SCALPEL HARMONIC 5MM ENT
SCALPEL HARMONIC LONG (EC)
SCALPEL HARMONIC SHEARS
SCALPEL HARMONIC SWTCH ADPT
SCALPEL HARMONIC WAVE 18CM
SCALPEL TIP (PR)
SCAPULA COMPLETE
SCD STOCKING
SCISSOR BIPOLAR LAP 5MM 33CM
SCLERODERMA ANTIBODY
SCOLIOSIS STUDYSUP & ERECT
SCOUT PRO DEL SYS COR SINUS (BT)
SCREEN COLONSCOPY HI RISK
SCREW 3.0 X 28 MM (SK)
SCREW 1.6 X 3.5 (TM)
SCREW 13MM TI STALIF C (CE)
SCREW 2.3 (KL)
SCREW 3.5 X 12MM SPINE (BK)
SCREW 3.5 X 18MM SPINE (BK)
SCREW 30MM S-N
SCREW 4.0 CANNULATED (DP)
SCREW 4.2 IM (HW)
SCREW 4.5X24MM (RR)
SCREW 4.5X32MM (RR)
SCREW 4.5X36MM (RR)
SCREW 5.0 CANELLOUS (DP)
SCREW 5.0 CAP TIT S-N
SCREW 5.0 X 40 MM (SF)
SCREW 5.5 SPINE (DK)
SCREW 6.2 TO 7.0 CLICK (SY)
University Medical Center So. NV.
Page 177
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,487.85
950.43
1,487.85
3,198.50
1,487.85
260.27
59.65
561.22
587.69
485.93
466.14
183.70
240.00
837.14
1,916.79
729.32
723.26
1,413.14
1,970.37
356.19
178.09
71.97
1,257.96
2,381.36
1,924.12
283.83
1,681.08
621.05
569.15
953.08
825.19
285.92
272.38
3,934.94
1,459.64
61.68
113.19
825.00
165.11
2,414.50
2,414.50
588.50
475.20
316.25
632.50
632.50
632.50
1,045.94
588.50
3,437.50
2,538.13
1,336.50
02/12/14
Charge#
--------702150238
702150236
702150237
702150599
702150526
702150525
702151110
702150278
702150289
702150280
702150286
702150339
702150283
702150284
702150282
702151458
702151455
702151454
702151478
702151480
702151481
702152606
702150431
702150296
702150569
702151402
702152456
702152455
702152449
702152623
702152572
702152624
702152622
702151894
702152669
702151644
702151647
702151645
702151643
702151646
702151665
702152558
702153016
702152566
702152670
702170974
702150022
702151349
702151353
702152177
702151347
702151346
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW 6.5 X 35 MM (MT)
SCREW 6.5 X 40 MM (MT)
SCREW 6.5 X 45 MM (MT)
SCREW 7.5 X 40 MM (MT)
SCREW ACUTRAK 2 SP PROD
SCREW ALL SZS ACUTRAK
SCREW ASSEMB END CONS 7.5X45 (K2
SCREW ATOLL POLYAX 3.5X10MM (IA)
SCREW ATOLL POLYAX 3.5X12MM (IA)
SCREW ATOLL POLYAX 3.5X14MM (IA)
SCREW ATOLL POLYAX 3.5X16MM (IA)
SCREW ATOLL POLYAX 3.5X18MM (IA)
SCREW ATOLL POLYAX 3.5X20MM (IA)
SCREW ATOLL POLYAX 3.5X22MM (IA)
SCREW ATOLL POLYAX 3.5X8MM (IA)
SCREW AUTO DRIVE 1.6 X 4MM (OM)
SCREW AUTO DRIVE 1.6 X 5MM (OM)
SCREW AUTO DRIVE 1.6 X 6MM (OM)
SCREW AUTODRIVE 1.2 X 3MM (OM)
SCREW AUTODRIVE 1.2 X 4MM (OM)
SCREW AUTODRIVE 1.2 X 5MM (OM)
SCREW BC TENODESIS (AX)
SCREW BIO 10 X 35 ARTHREX
SCREW BIO CORK ALL SZS (AX)
SCREW BIOCORK ARTHREX
SCREW BONE 1.7X9MM (SK)
SCREW BONE 2.3X14MM (SK)
SCREW BONE 2.7X12MM (SK)
SCREW BONE 2.7X14MM (SK)
SCREW BONE 4.0X12MM (SS)
SCREW BONE 4.0X14MM (SS)
SCREW BONE 4.5X12MM (SS)
SCREW BONE 4.5X14MM (SS)
SCREW BONE 6MM STRYKER
SCREW BONE INTRLCK 4.0X14 SM (NU
SCREW BONE VA 4.0 X12MM LNG (NU)
SCREW BONE VA 4.0 X14MM LNG (NU)
SCREW BONE VA 4.5 X12MM LNG (NU)
SCREW BONE VA 4.5 X14MM LNG (NU
SCREW BONE VAR 4.0X12MM (GO)
SCREW BONE VAR 4.0X14MM (GO)
SCREW BRIGADE 4.5X25MM (NU)
SCREW BRIGADE 4.5X27.5MM(NU)
SCREW BRIGADE 4.5X30MM (NU)
SCREW BRIGADE 4.5X35MM (NU)
SCREW BUTTRESS 25MM (DP)
SCREW BUTTRESS 5.5MM SEASPINE
SCREW CANC 16MM THD 6.5X40 (SY)
SCREW CANC 32MM THD 6.5X110 (SY)
SCREW CANC 32MM THD 6.5X55 (SY)
SCREW CANC 32MM THD 6.5X70 (SY)
SCREW CANC 32MM THD 6.5X80 (SY)
University Medical Center So. NV.
Page 178
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,748.16
2,748.16
2,748.16
2,748.16
962.50
962.50
3,253.14
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
134.75
134.75
134.75
154.28
154.28
154.28
1,237.50
764.50
2,035.00
1,017.50
185.02
367.13
367.13
367.13
618.75
618.75
618.75
618.75
404.94
778.25
618.75
618.75
618.75
618.75
618.75
618.75
2,406.25
2,406.25
2,406.25
2,406.25
855.98
1,718.75
102.14
109.97
102.14
102.14
102.14
02/12/14
Charge#
--------702151364
702151937
702152019
702152020
702152021
702152022
702152023
702152024
702152025
702152026
702152027
702152028
702152029
702152030
702152031
702152094
702151966
702152095
702152096
702151516
702152097
702152098
702152099
702152100
702152101
702151434
702151619
702151502
702152124
702150423
702150006
702152118
702152119
702152120
702152121
702152122
702152123
702151994
702152127
702150422
702152126
702150368
702150367
702152125
702152279
702150424
702152798
702150364
702152131
702152132
702150369
702152128
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW CANC FULL THD 4.0X10 (SY)
SCREW CANC FULL THD 4.0X14 (SY)
SCREW CANC FULL THD 4.0X16 (SY)
SCREW CANC FULL THD 4.0X18 (SY)
SCREW CANC FULL THD 4.0X20 (SY)
SCREW CANC FULL THD 4.0X24 (SY)
SCREW CANC FULL THD 4.0X26 (SY)
SCREW CANC FULL THD 4.0X28 (SY)
SCREW CANC FULL THD 4.0X30 (SY)
SCREW CANC FULL THD 4.0X35 (SY)
SCREW CANC FULL THD 4.0X40 (SY)
SCREW CANC FULL THD 4.0X45 (SY)
SCREW CANC FULL THD 4.0X50 (SY)
SCREW CANC FULL THD 4.0X55 (SY)
SCREW CANC FULL THD 4.0X60 (SY)
SCREW CANC PRT THD 4.0X10MM (SY)
SCREW CANC PRT THD 4.0X12MM (SY)
SCREW CANC PRT THD 4.0X14MM (SY)
SCREW CANC PRT THD 4.0X26MM (SY)
SCREW CANC PRT THD 4.0X30MM (SY)
SCREW CANC PRT THD 4.0X40MM (SY)
SCREW CANC PRT THD 4.0X45MM (SY)
SCREW CANC PRT THD 4.0X50MM (SY)
SCREW CANC PRT THD 4.0X55MM (SY)
SCREW CANC PRT THD 4.0X60MM (SY)
SCREW CANCEL 2.5 (DP)
SCREW CANCELL ALL SZS ACCUMED
SCREW CANCELS 6.5 THRDS SYNTHES
SCREW CANN 16MM THD 6.5X100 (SY
SCREW CANN 16MM THD 6.5X50 (SY)
SCREW CANN 16MM THD 6.5X55 (SY)
SCREW CANN 16MM THD 6.5X60 (SY)
SCREW CANN 16MM THD 6.5X70 (SY)
SCREW CANN 16MM THD 6.5X75 (SY)
SCREW CANN 16MM THD 6.5X80 (SY)
SCREW CANN 16MM THD 6.5X85 (SY)
SCREW CANN 16MM THD 6.5X90 (SY)
SCREW CANN 16MM THD 6.5X95 (SY)
SCREW CANN 16MM THD 7.3X105 (SY
SCREW CANN 16MM THD 7.3X110 (SY
SCREW CANN 16MM THD 7.3X95 (SY)
SCREW CANN 32MM THD 6.5X125 (SY
SCREW CANN 32MM THD 6.5X55 (SY)
SCREW CANN 32MM THD 6.5X60 (SY)
SCREW CANN 32MM THD 6.5X65 (SY)
SCREW CANN 32MM THD 6.5X80 (SY)
SCREW CANN 32MM THD 6.5X85 (SY)
SCREW CANN 32MM THD 6.5X90 (SY)
SCREW CANN 32MM THD 7.3X100 (SY)
SCREW CANN 32MM THD 7.3X125 (SY)
SCREW CANN 32MM THD 7.3X140 (SY)
SCREW CANN 32MM THD 7.3X55 (SY)
University Medical Center So. NV.
Page 179
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
53.02
53.02
53.02
53.02
53.02
53.02
53.02
53.02
53.02
53.02
192.50
500.94
265.27
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
02/12/14
Charge#
--------702152129
702152130
702150426
702150425
702152355
702152356
702151549
702151557
702151548
702151550
702151556
702151744
702152111
702152178
702152112
702152113
702151742
702152114
702152115
702151743
702152116
702152117
702151740
702151733
702151734
702152179
702152180
702152181
702152182
702152183
702152102
702152103
702152104
702152105
702152106
702151738
702152107
702152108
702152109
702152110
702151739
702152819
702152820
702152818
702152607
702151501
702152458
702152457
702151500
702151538
702151539
702151542
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW CANN 32MM THD 7.3X80 (SY)
SCREW CANN 32MM THD 7.3X85 (SY)
SCREW CANN 32MM THD 7.3X90 (SY)
SCREW CANN 32MM THD 7.3X95 (SY)
SCREW CANN CON PT THD 7.3X85 (SY
SCREW CANN CON PT THD 7.3X95 (SY
SCREW CANN CONICAL 5.0X50MM (SY)
SCREW CANN CONICAL 5.0X65MM (SY)
SCREW CANN CONICAL 5.0X80MM (SY)
SCREW CANN CONICAL 5.0X85MM (SY)
SCREW CANN CONICAL 5.0X95MM (SY)
SCREW CANN LONG THRD 4.0X20 (SY)
SCREW CANN LONG THRD 4.0X32 (SY)
SCREW CANN LONG THRD 4.0X34 (SY
SCREW CANN LONG THRD 4.0X36 (SY)
SCREW CANN LONG THRD 4.0X38 (SY)
SCREW CANN LONG THRD 4.0X40 (SY)
SCREW CANN LONG THRD 4.0X42 (SY)
SCREW CANN LONG THRD 4.0X44 (SY)
SCREW CANN LONG THRD 4.0X46 (SY)
SCREW CANN LONG THRD 4.0X48 (SY)
SCREW CANN LONG THRD 4.0X60 (SY)
SCREW CANN LONG THRD 4.0X72 (SY)
SCREW CANN PART THRD 4.5X24 (SY)
SCREW CANN PART THRD 4.5X30 (SY)
SCREW CANN PART THRD 4.5X32 (SY)
SCREW CANN PART THRD 4.5X34 (SY)
SCREW CANN PART THRD 4.5X38 (SY)
SCREW CANN PART THRD 4.5X40 (SY)
SCREW CANN PART THRD 4.5X52 (SY)
SCREW CANN SHORT THD 4.0X14 (SY)
SCREW CANN SHORT THD 4.0X16 (SY)
SCREW CANN SHORT THD 4.0X18 (SY)
SCREW CANN SHORT THD 4.0X20 (SY)
SCREW CANN SHORT THD 4.0X24 (SY)
SCREW CANN SHORT THD 4.0X32 (SY)
SCREW CANN SHORT THD 4.0X34 (SY)
SCREW CANN SHORT THD 4.0X36 (SY)
SCREW CANN SHORT THD 4.0X40 (SY)
SCREW CANN SHORT THD 4.0X42 (SY)
SCREW CANN SHORT TRD 4.0X10 (SY)
SCREW CANN VA LOCK 5.0X70 (SY)
SCREW CANN VA LOCK 5.0X75(SY)
SCREW CANN VA LOCK 5.0X80 (SY)
SCREW CANNU PT 4.5X50MM (AX)
SCREW CANNULATED (SN)
SCREW CANNULATED 3.0X24MM (SK)
SCREW CANNULATED 3.0X40MM (SK)
SCREW CANNULATED 3.5 (SY)
SCREW CANNULATED 4.0X22MM (SK)
SCREW CANNULATED 4.0X36MM (SK)
SCREW CANNULATED 4.0X40MM (SK)
University Medical Center So. NV.
Page 180
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------782.95
782.95
782.95
782.95
793.43
793.43
528.94
528.94
528.94
528.94
528.94
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
604.89
604.89
604.89
604.89
604.89
604.89
604.89
288.75
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
594.41
728.64
728.64
728.64
591.25
662.53
602.09
602.09
485.82
540.40
540.40
540.40
02/12/14
Charge#
--------702151540
702152553
702152799
702152550
702150385
702150387
702150381
702150386
702150383
702150380
702151564
702152280
702152032
702152033
702152034
702152035
702152036
702151664
702152357
702152037
702152038
702152039
702152040
702151729
702151725
702152358
702151731
702151723
702151737
702151730
702151741
702151728
702151724
702152041
702152042
702152043
702152044
702152045
702152046
702152047
702152048
702152049
702152050
702150382
702151789
702150554
702150576
702150596
702150597
702150582
702150595
702150593
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW CANNULATED 4.0X48MM (SK)
SCREW CANNULATED 4X50MM (AX)
SCREW CANNULATED 4X50MM (AX)/1
SCREW CANNULATED 4X60MM (AX)
SCREW CANNULATED 7.3 X 20 MM (SY
SCREW CANNULATED 7.3 X 25 MM (SY
SCREW CANNULATED 7.3 X 30 MM (SY
SCREW CANNULATED 7.3 X 35 MM (SY
SCREW CANNULATED 7.3 X 40 MM (SY
SCREW CANNULATED 7.3 X 45 MM (SY
SCREW CANNULATED ALL SZS SYNTHES
SCREW CANNULTD CONNECTING IM (SY
SCREW CANNULTD LOCK 5.0X100 (SY)
SCREW CANNULTD LOCK 5.0X105 (SY)
SCREW CANNULTD LOCK 5.0X110 (SY)
SCREW CANNULTD LOCK 5.0X115 (SY)
SCREW CANNULTD LOCK 5.0X120 (SY)
SCREW CANNULTD LOCK 5.0X125 (SY)
SCREW CANNULTD LOCK 5.0X130 (SY)
SCREW CANNULTD LOCK 5.0X135 (SY)
SCREW CANNULTD LOCK 5.0X140 (SY)
SCREW CANNULTD LOCK 5.0X145 (SY)
SCREW CANNULTD LOCK 5.0X25 (SY)
SCREW CANNULTD LOCK 5.0X4O (SY)
SCREW CANNULTD LOCK 5.0X50 (SY)
SCREW CANNULTD LOCK 5.0X55 (SY)
SCREW CANNULTD LOCK 5.0X60 (SY)
SCREW CANNULTD LOCK 5.0X65 (SY)
SCREW CANNULTD LOCK 5.0X70 (SY)
SCREW CANNULTD LOCK 5.0X75 (SY)
SCREW CANNULTD LOCK 5.0X80 (SY)
SCREW CANNULTD LOCK 5.0X85 (SY)
SCREW CANNULTD LOCK 5.0X90 (SY)
SCREW CANNULTD LOCK 7.3X100 (SY)
SCREW CANNULTD LOCK 7.3X105 (SY)
SCREW CANNULTD LOCK 7.3X110 (SY)
SCREW CANNULTD LOCK 7.3X115 (SY)
SCREW CANNULTD LOCK 7.3X120 (SY)
SCREW CANNULTD LOCK 7.3X125 (SY)
SCREW CANNULTD LOCK 7.3X130 (SY)
SCREW CANNULTD LOCK 7.3X135 (SY)
SCREW CANNULTD LOCK 7.3X140 (SY)
SCREW CANNULTD LOCK 7.3X145 (SY)
SCREW CANNULTD LOCK 7.3X50 (SY)
SCREW CAP (SS)
SCREW COMP HDLS LONG 3.0X16 (SY
SCREW COMP HDLS LONG 3.0X17 (SY
SCREW COMP HDLS LONG 3.0X18 (SY
SCREW COMP HDLS LONG 3.0X19 (SY
SCREW COMP HDLS LONG 3.0X20 (SY
SCREW COMP HDLS LONG 3.0X21 (SY
SCREW COMP HDLS SHRT 3.0X10 (SY
University Medical Center So. NV.
Page 181
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------540.40
591.25
591.25
591.25
890.31
890.31
890.31
890.31
890.31
890.31
554.07
1,184.17
615.37
615.37
615.37
615.37
615.37
615.37
615.37
615.37
615.37
615.37
602.28
602.28
602.28
602.28
602.28
602.28
602.28
602.28
602.28
602.28
602.28
911.27
911.27
911.27
911.27
911.27
911.27
911.27
911.27
911.27
911.27
890.31
275.00
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
02/12/14
Charge#
--------702150592
702150575
702150594
702150598
702150573
702150583
702150574
702150577
702150572
702150571
702150559
702150556
702150553
702150557
702150558
702150585
702150588
702150587
702150586
702150555
702150590
702150589
702150570
702150591
702151503
702152204
702152205
702152070
702151324
702151323
702152281
702154009
702154011
702154010
702151328
702151327
702151995
702151393
702151399
702151397
702151400
702151401
702151359
702151357
702151362
702151392
702151390
702151391
702152068
702151389
702152069
702151395
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW COMP HDLS SHRT 3.0X12 (SY
SCREW COMP HDLS SHRT 3.0X13 (SY
SCREW COMP HDLS SHRT 3.0X14 (SY
SCREW COMP HDLS SHRT 3.0X15 (SY
SCREW COMP HDLS SHRT 3.0X16 (SY
SCREW COMP HDLS SHRT 3.0X17 (SY
SCREW COMP HDLS SHRT 3.0X18 (SY
SCREW COMP HDLS SHRT 3.0X19 (SY
SCREW COMP HDLS SHRT 3.0X20 (SY
SCREW COMP HDLS SHRT 3.0X21 (SY
SCREW COMP HDLS SHRT 3.0X22 (SY
SCREW COMP HDLS SHRT 3.0X23 (SY
SCREW COMP HDLS SHRT 3.0X24 (SY
SCREW COMP HDLS SHRT 3.0X25 (SY
SCREW COMP HDLS SHRT 3.0X26 (SY
SCREW COMP HDLS SHRT 3.0X27 (SY
SCREW COMP HDLS SHRT 3.0X28 (SY
SCREW COMP HDLS SHRT 3.0X29 (SY
SCREW COMP HDLS SHRT 3.0X30 (SY
SCREW COMP HDLS SHRT 3.0X32 (SY
SCREW COMP HDLS SHRT 3.0X34 (SY
SCREW COMP HDLS SHRT 3.0X36 (SY
SCREW COMP HDLS SHRT 3.0X38 (SY
SCREW COMP HDLS SHRT 3.0X40 (SY
SCREW CORT 3.5 ST ZIMMER
SCREW CORT OCCIPTL 4.5 X12 L (NU
SCREW CORT OCCIPTL 4.5 X14 L (NU
SCREW CORT SLFTP T8RE 2.7X14 (SY
SCREW CORTEX 2.7 X 10 MM (SY)
SCREW CORTEX 2.7 X 14 MM (SY)
SCREW CORTEX 3.5 X 40 MM (SY)
SCREW CORTEX 4.5X28MM (SN)
SCREW CORTEX 4.5X32MM (SN)
SCREW CORTEX 4.5X60MM (SN)
SCREW CORTEX SLF TAP 2.0X16 (SY)
SCREW CORTEX SLF TAP 2.0X18 (SY)
SCREW CORTEX SLF TAP 2.7X36 (SY)
SCREW CORTEX SLF TAP 3.5X10 (SY)
SCREW CORTEX SLF TAP 3.5X18 (SY
SCREW CORTEX SLF TAP 3.5X20 (SY)
SCREW CORTEX SLF TAP 3.5X22 (SY)
SCREW CORTEX SLF TAP 3.5X24 (SY)
SCREW CORTEX SLF TAP 3.5X26 (SY)
SCREW CORTEX SLF TAP 3.5X28 (SY)
SCREW CORTEX SLF TAP 3.5X30 (SY)
SCREW CORTEX SLF TAP 3.5X32 (SY)
SCREW CORTEX SLF TAP 3.5X34 (SY)
SCREW CORTEX SLF TAP 3.5X36 (SY)
SCREW CORTEX SLF TAP 3.5X38 (SY)
SCREW CORTEX SLF TAP 3.5X40 (SY)
SCREW CORTEX SLF TAP 3.5X42 (SY
SCREW CORTEX SLF TAP 4.5X14 (SY)
University Medical Center So. NV.
Page 182
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
1,000.29
190.96
684.75
684.75
109.97
92.95
92.95
49.09
88.83
88.83
88.83
95.59
95.59
100.82
67.43
67.43
67.43
67.43
67.43
67.43
67.43
67.43
67.43
67.43
67.43
69.80
67.43
67.43
68.09
02/12/14
Charge#
--------702151394
702151382
702151396
702151373
702151372
702151368
702151370
702151371
702151374
702151377
702150003
702151376
702151375
702151380
702152283
702151369
702151383
702152051
702152052
702152053
702152054
702152055
702152056
702152057
702152058
702152059
702152060
702152061
702152062
702152063
702152064
702152065
702152066
702152067
702151386
702151385
702151384
702151388
702152282
702151398
702151387
702152284
702152285
702152286
702152287
702152288
702152289
702152290
702152291
702152292
702152293
702152359
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW CORTEX SLF TAP 4.5X22 (SY)
SCREW CORTEX SLF TAP 4.5X26 (SY)
SCREW CORTEX SLF TAP 4.5X28 (SY)
SCREW CORTEX SLF TAP 4.5X30 (SY)
SCREW CORTEX SLF TAP 4.5X32 (SY)
SCREW CORTEX SLF TAP 4.5X34 (SY)
SCREW CORTEX SLF TAP 4.5X36 (SY)
SCREW CORTEX SLF TAP 4.5X38 (SY)
SCREW CORTEX SLF TAP 4.5X40 (SY)
SCREW CORTEX SLF TAP 4.5X42 (SY)
SCREW CORTEX SLF TAP 4.5X48 (SY)
SCREW CORTEX SLF TAP 4.5X50 (SY)
SCREW CORTEX SLF TAP 4.5X54 (SY)
SCREW CORTEX SLF TAP 4.5X56 (SY)
SCREW CORTEX SLF TAP 4.5X60 (SY)
SCREW CORTEX SLF TAP 4.5X70 (SY)
SCREW CORTEX SLFATAP 3.5X12 (SY)
SCREW CORTEX SLFTP 2.7X10MM (SY)
SCREW CORTEX SLFTP 2.7X12MM (SY)
SCREW CORTEX SLFTP 2.7X14MM (SY)
SCREW CORTEX SLFTP 2.7X16MM (SY)
SCREW CORTEX SLFTP 2.7X18MM (SY)
SCREW CORTEX SLFTP 2.7X20MM (SY)
SCREW CORTEX SLFTP 2.7X24MM (SY)
SCREW CORTEX SLFTP 2.7X26MM (SY)
SCREW CORTEX SLFTP 2.7X28MM (SY)
SCREW CORTEX SLFTP 2.7X30MM (SY)
SCREW CORTEX SLFTP 2.7X32MM (SY)
SCREW CORTEX SLFTP 2.7X34MM (SY)
SCREW CORTEX SLFTP 2.7X38MM (SY)
SCREW CORTEX SLFTP 2.7X40MM (SY)
SCREW CORTEX SLFTP 2.7X45MM (SY)
SCREW CORTEX SLFTP 2.7X50MM (SY)
SCREW CORTEX SLFTP 2.7X55MM (SY)
SCREW CORTEX SLFTP 3.5X14MM (SY)
SCREW CORTEX SLFTP 3.5X16MM (SY)
SCREW CORTEX SLFTP 3.5X44MM (SY)
SCREW CORTEX SLFTP 3.5X45MM (SY)
SCREW CORTEX SLFTP 3.5X46MM (SY
SCREW CORTEX SLFTP 3.5X48MM (SY)
SCREW CORTEX SLFTP 3.5X60MM (SY)
SCREW CORTEX SLFTP T4 1.5X10 (SY
SCREW CORTEX SLFTP T4 1.5X11 (SY
SCREW CORTEX SLFTP T4 1.5X12 (SY
SCREW CORTEX SLFTP T4 1.5X13 (SY
SCREW CORTEX SLFTP T4 1.5X14 (SY
SCREW CORTEX SLFTP T4 1.5X15 (SY
SCREW CORTEX SLFTP T4 1.5X16(SY
SCREW CORTEX SLFTP T4 1.5X18 (SY
SCREW CORTEX SLFTP T4 1.5X20 (SY
SCREW CORTEX SLFTP T4 1.5X22 (SY
SCREW CORTEX SLFTP T4 1.5X24 (SY
University Medical Center So. NV.
Page 183
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------68.09
68.09
68.09
68.09
68.09
70.48
68.09
68.09
68.09
68.09
68.09
68.09
68.09
68.09
68.09
68.09
67.43
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
100.82
67.43
67.43
67.43
67.43
67.43
67.43
67.43
130.93
130.93
130.93
130.93
130.93
130.93
130.93
130.93
130.93
130.93
130.93
02/12/14
Charge#
--------702152294
702152295
702152296
702152297
702151461
702151463
702151465
702151464
702151466
702152427
702151403
702151360
702151792
702151422
702152590
702152419
702151424
702152608
702152591
702152426
702151418
702152609
702151788
702152610
702151423
702151419
702151420
702150407
702150415
702151479
702151381
702151793
702171518
702151439
702152388
702152389
702152391
702152392
702152390
702152393
702152394
702152395
702152396
702152397
702151356
702151358
702151378
702151379
702151718
702152206
702152207
702151082
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW CORTEX SLFTP T4 1.5X6 (SY
SCREW CORTEX SLFTP T4 1.5X7 (SY
SCREW CORTEX SLFTP T4 1.5X8 (SY
SCREW CORTEX SLFTP T4 1.5X9 (SY
SCREW CORTEX SLFTP T8 2.4X12 (SY
SCREW CORTEX SLFTP T8 2.4X14 (SY
SCREW CORTEX SLFTP T8 2.4X16 (SY
SCREW CORTEX SLFTP T8 2.4X22 (SY
SCREW CORTEX SLFTP T8 2.4X40 (SY
SCREW CORTICAL 2.3X20MM (SD)
SCREW CORTICAL 3.5 (SR)
SCREW CORTICAL 3.5 X 36 (SK)
SCREW CORTICAL 3.5X10MM (DP)
SCREW CORTICAL 3.5X12MM (AM)
SCREW CORTICAL 3.5X12MM (DP)
SCREW CORTICAL 3.5X12MM (SD)
SCREW CORTICAL 3.5X14MM (AM)
SCREW CORTICAL 3.5X14MM (AX)
SCREW CORTICAL 3.5X14MM (DP)
SCREW CORTICAL 3.5X14MM (SD)
SCREW CORTICAL 3.5X16MM (AM)
SCREW CORTICAL 3.5X16MM (AX)
SCREW CORTICAL 3.5X16MM (DP)
SCREW CORTICAL 3.5X22MM (AX)
SCREW CORTICAL 3.5X32MM (AM)
SCREW CORTICAL 3.5X38MM (AM)
SCREW CORTICAL 3.5X45MM (AM)
SCREW CORTICAL 5X32MM (BI)
SCREW CORTICAL 5X36MM (BI)
SCREW CORTICAL ALL SZS ACCUMED
SCREW CORTICAL ALL SZS S-N
SCREW CORTICAL DEPUY
SCREW CORTICAL EBI
SCREW CORTICAL LOCKING SBI
SCREW CORTICAL SLFTAP 4.5X26 (SN
SCREW CORTICAL SLFTAP 4.5X28 (SN
SCREW CORTICAL SLFTAP 4.5X32 (SN
SCREW CORTICAL SLFTAP 4.5X34 (SN
SCREW CORTICAL SLFTAP 4.5X38 (SN
SCREW CORTICAL SLFTAP 4.5X42 (SN
SCREW CORTICAL SLFTAP 4.5X44 (SN
SCREW CORTICAL SLFTAP 4.5X60 (SN
SCREW CORTICAL SLFTAP 4.5X70 (SN
SCREW CORTICAL SLFTAP 4.5X76 (SN
SCREW CORTX SLFTP 3.5X50MM (SY)
SCREW CORTX SLFTP 3.5X55MM (SY)
SCREW CORTX SLFTP 4.5X44MM (SY)
SCREW CORTX SLFTP 4.5X46MM (SY)
SCREW CROSS LOCK 4.0 STRYKER
SCREW DBR II POLYAX 5.5X40 (NU)
SCREW DBR II POLYAX 5.5X45 (NU)
SCREW DBR II POLYAX 6.5X40 (NU)
University Medical Center So. NV.
Page 184
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------130.93
130.93
130.93
130.93
162.36
162.36
162.36
162.36
162.36
258.50
181.50
61.68
279.84
211.75
279.84
206.25
211.75
137.50
279.84
206.25
211.75
137.50
279.84
137.50
211.75
211.75
211.75
720.50
720.50
151.25
68.75
247.50
723.53
206.25
88.83
88.83
88.83
88.83
88.83
88.83
88.83
88.83
88.83
88.83
67.43
67.43
68.09
68.09
581.52
2,934.25
2,934.25
2,934.25
02/12/14
Charge#
--------702152208
702152671
702152298
702151477
702152264
702150427
702151250
702151253
702151251
702151261
702151252
702150279
702150281
702150441
702151591
702150440
702151584
702150442
702151598
702152815
702150436
702151561
702152011
702152012
702151596
702152009
702152010
702151195
702151192
702151189
702150717
702150128
702151657
702152672
702152673
702152674
702150412
702150410
702152398
702152428
702151687
702151686
702151745
702151490
702170006
702150198
702150535
702150716
702150715
702151194
702151193
702150971
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW DBR II POLYAX 6.5X45 (NU)
SCREW DBRII POLYA CAN 6.5X40 (NU
SCREW DHS SCD COUPLING (SY)
SCREW DRILL FREE 2.0X5MM (KL)
SCREW EMERGENCY 2.0X5MM (KL)
SCREW EXPAN HEAD 4.35 (SY)
SCREW FACET RADIAN 4.5X25 (NU)
SCREW FACET RADIAN 4.5X35 (NU)
SCREW FACET RADIAN 5.25X25 (NU)
SCREW FACET RADIAN 5.25X30 (NU)
SCREW FACET RADIAN TH 4.5X25 (NU
SCREW FAV ANGL 3.5X10 LONG (NU
SCREW FAV ANGL 3.5X12 LONG (NU
SCREW FIXD SLF DRL 4.0X11MM (NU
SCREW FIXD SLF DRL 4.0X12MM (SA)
SCREW FIXD SLF DRL 4.0X13MM (NU)
SCREW FIXD SLF DRL 4.0X14MM (SA)
SCREW FIXD SLF DRL 4.0X15MM (NU)
SCREW FIXD SLF DRL 4.0X16MM (SA)
SCREW FIXD SLF DRL 4.0X17MM (NU)
SCREW FIXD SLF DRL 4.5X13MM (NU)
SCREW FIXED 4.3 X 20MM (AO)
SCREW FIXED 4.3 X 22MM (AO)
SCREW FIXED 4.3 X 24MM (AO)
SCREW FIXED ANG 4.0X14MM (AO)
SCREW FIXED ANG 4.25X14MM (AO)
SCREW FIXED ANG 4.5X14MM (AO)
SCREW FULL THRD 5.25 X 20MM (SO)
SCREW FULL THRD 5.25 X 25MM (SO)
SCREW FULL THRD 5.25 X 30MM (SO)
SCREW FULL THRD 5.25 X 35MM (SO)
SCREW HEAD 3D (SY)
SCREW HEADLESS 4.0 OSTEOMED
SCREW HELIX R VARI SD 4.0X15 (NU
SCREW HELIX R VARI ST 4.0X17 (NU
SCREW HELIX R VARI ST 4.5X17 (NU
SCREW HEX INT CAP 5.0X32.5MM (SN
SCREW HEX INT CAP 5.0X37.5MM (SN
SCREW HEX INT CAP 5.0X42.5MM (SN
SCREW HEX INT CAP 5.0X45MM (SN)
SCREW HEX INT CAP 5.0X55MM (SN)
SCREW HEX INT CAP 5.0X70MM (SN)
SCREW IMF SELF DRL 2.0X8 EA (SY)
SCREW LAG (SN)
SCREW LAG 10.5X110 (SK)
SCREW LAG 100MM (BI)
SCREW LAG 12.7 THRD 100MM (SY)
SCREW LAG 25MM (SO)
SCREW LAG 30MM (SO)
SCREW LAG 35MM (SO)
SCREW LAG 40MM (SO)
SCREW LAG 45MM (SO)
University Medical Center So. NV.
Page 185
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,934.25
4,532.00
476.44
148.50
178.75
761.53
3,487.00
3,487.00
3,487.00
3,487.00
3,487.00
2,131.25
2,131.25
778.25
481.25
778.25
481.25
778.25
481.25
778.25
778.25
550.00
550.00
550.00
481.25
481.25
481.25
5,706.25
5,706.25
5,706.25
5,706.25
1,298.00
621.50
778.25
778.25
778.25
695.75
695.75
695.75
695.75
635.25
635.25
313.50
847.83
2,697.63
2,340.25
976.72
5,706.25
5,706.25
5,706.25
5,706.25
5,706.25
02/12/14
Charge#
--------702150038
702151426
702151494
702150150
702150470
702152308
702152309
702152310
702152311
702152312
702152313
702152314
702152315
702152316
702152317
702152318
702152362
702152363
702152364
702152365
702151808
702151567
702152443
702152445
702152485
702150504
702150013
702151768
702151764
702150012
702150011
702151769
702151760
702151866
702151864
702151863
702152133
702151867
702151865
702152134
702152135
702152136
702152137
702151901
702152138
702151873
702151870
702151875
702151869
702151871
702151868
702151876
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW LAG 95MM BIOMET
SCREW LAG ALL SZS OSTEOMED
SCREW LAG BIOMET
SCREW LAG STRYKER
SCREW LAG VHS
SCREW LOC SLFTP T4REC 1.5X10 (SY
SCREW LOC SLFTP T4REC 1.5X11 (SY
SCREW LOC SLFTP T4REC 1.5X12 (SY
SCREW LOC SLFTP T4REC 1.5X13 (SY
SCREW LOC SLFTP T4REC 1.5X14 (SY
SCREW LOC SLFTP T4REC 1.5X15 (SY
SCREW LOC SLFTP T4REC 1.5X16 (SY
SCREW LOC SLFTP T4REC 1.5X18 (SY
SCREW LOC SLFTP T4REC 1.5X20 (SY
SCREW LOC SLFTP T4REC 1.5X22 (SY
SCREW LOC SLFTP T4REC 1.5X24 (SY
SCREW LOC SLFTP T4REC 1.5X6 (SY)
SCREW LOC SLFTP T4REC 1.5X7 (SY)
SCREW LOC SLFTP T4REC 1.5X8 (SY)
SCREW LOC SLFTP T4REC 1.5X9 (SY)
SCREW LOCK ASSEMBLY (IA)
SCREW LOCK DBR II (NU)
SCREW LOCK FUL THD 5.0X40MM (SK
SCREW LOCK FULTHD 5.0X100MM (SK
SCREW LOCK FULTHD 5.0X37.5MM (SK
SCREW LOCK LARGE XCORE (NU)
SCREW LOCK SLF TAP T8 2.7X18 (SY
SCREW LOCK SLF TAP T8 2.7X24 (SY
SCREW LOCK SLF TAP T8 2.7X26 (SY
SCREW LOCK SLF TAP T8 2.7X36 (SY
SCREW LOCK SLF TAP T8 2.7X38 (SY
SCREW LOCK SLFTP REC 2.4X14 (SY)
SCREW LOCK SLFTP REC 2.4X20 (SY)
SCREW LOCK SLFTP REC 3.5X10 (SY)
SCREW LOCK SLFTP REC 3.5X12 (SY)
SCREW LOCK SLFTP REC 3.5X14 (SY)
SCREW LOCK SLFTP REC 3.5X16 (SY)
SCREW LOCK SLFTP REC 3.5X18 (SY)
SCREW LOCK SLFTP REC 3.5X20 (SY)
SCREW LOCK SLFTP REC 3.5X22 (SY)
SCREW LOCK SLFTP REC 3.5X24 (SY)
SCREW LOCK SLFTP REC 3.5X26 (SY)
SCREW LOCK SLFTP REC 3.5X28 (SY)
SCREW LOCK SLFTP REC 3.5X30 (SY)
SCREW LOCK SLFTP REC 3.5X32 (SY)
SCREW LOCK SLFTP REC 3.5X34 (SY)
SCREW LOCK SLFTP REC 3.5X35 (SY)
SCREW LOCK SLFTP REC 3.5X36 (SY)
SCREW LOCK SLFTP REC 3.5X38 (SY)
SCREW LOCK SLFTP REC 3.5X40 (SY)
SCREW LOCK SLFTP REC 3.5X42 (SY)
SCREW LOCK SLFTP REC 3.5X45 (SY)
University Medical Center So. NV.
Page 186
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,650.00
224.95
1,729.86
1,600.67
1,039.50
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
327.33
275.00
550.00
581.52
581.52
581.52
1,157.75
356.13
356.13
356.13
356.13
356.13
343.04
343.04
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
374.44
02/12/14
Charge#
--------702151874
702152139
702152299
702151962
702152140
702152360
702152361
702151872
702152141
702151850
702151852
702151847
702152142
702152143
702152144
702152145
702152146
702152147
702152148
702152149
702152150
702152151
702152152
702152153
702152154
702152155
702152300
702152301
702151816
702151815
702151814
702152302
702152303
702152304
702152305
702152306
702152307
702151767
702151766
702151763
702150503
702151553
702151576
702152675
702150519
702151780
702151781
702151776
702152796
702152417
702152418
702152425
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW LOCK SLFTP REC 3.5X48 (SY)
SCREW LOCK SLFTP REC 3.5X50 (SY)
SCREW LOCK SLFTP REC 3.5X52 (SY)
SCREW LOCK SLFTP REC 3.5X54 (SY)
SCREW LOCK SLFTP REC 3.5X55 (SY)
SCREW LOCK SLFTP REC 3.5X56 (SY)
SCREW LOCK SLFTP REC 3.5X58 (SY)
SCREW LOCK SLFTP REC 3.5X60 (SY)
SCREW LOCK SLFTP REC 3.5X65 (SY)
SCREW LOCK SLFTP REC 3.5X70 (SY)
SCREW LOCK SLFTP REC 3.5X75 (SY)
SCREW LOCK SLFTP REC 3.5X80 (SY)
SCREW LOCK SLFTP REC 3.5X85 (SY)
SCREW LOCK SLFTP REC 3.5X90 (SY)
SCREW LOCK SLFTP REC 3.5X95 (SY)
SCREW LOCK SLFTP REC 5.0X14 (SY)
SCREW LOCK SLFTP REC 5.0X16 (SY)
SCREW LOCK SLFTP REC 5.0X28 (SY)
SCREW LOCK SLFTP REC 5.0X30 (SY)
SCREW LOCK SLFTP REC 5.0X32 (SY)
SCREW LOCK SLFTP REC 5.0X34 (SY)
SCREW LOCK SLFTP REC 5.0X36 (SY)
SCREW LOCK SLFTP REC 5.0X38 (SY)
SCREW LOCK SLFTP REC 5.0X42 (SY)
SCREW LOCK SLFTP REC 5.0X50 (SY)
SCREW LOCK SLFTP REC 5.0X55 (SY)
SCREW LOCK SLFTP T25 3.5X44 (SY
SCREW LOCK SLFTP T25 3.5X46 (SY
SCREW LOCK SLFTP T25 4.0X20 (SY
SCREW LOCK SLFTP T25 4.0X24 (SY
SCREW LOCK SLFTP T25 4.0X60 (SY
SCREW LOCK SLFTP T25 5.0X18 (SY
SCREW LOCK SLFTP T25 5.0X20 (SY
SCREW LOCK SLFTP T25 5.0X26 (SY
SCREW LOCK SLFTP T25 5.0X40 (SY
SCREW LOCK SLFTP T25 5.0X44 (SY
SCREW LOCK SLFTP T25 5.0X90 (SY
SCREW LOCK SLFTP T8 2.7X10 (SY)
SCREW LOCK SLFTP T8 2.7X12 (SY)
SCREW LOCK SLFTP T8 2.7X14 (SY)
SCREW LOCK SMALL XCORE (NU)
SCREW LOCK SPHERX (NU)
SCREW LOCK SPHERX II (NU)
SCREW LOCK XCORE II ENDCAP (NU)
SCREW LOCKING ALTIVA
SCREW LOCKING 1.7X10MM (SK)
SCREW LOCKING 1.7X8MM (SK)
SCREW LOCKING 1.7X9MM (SK)
SCREW LOCKING 2.3 X 20MM (AM)
SCREW LOCKING 2.3 X 22MM (AM)
SCREW LOCKING 2.3 X 24MM (AM)
SCREW LOCKING 2.3X14MM (AM)
University Medical Center So. NV.
Page 187
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------374.44
374.44
374.44
377.08
374.44
377.08
377.08
374.44
442.53
442.53
442.53
442.53
442.53
442.53
442.53
439.92
439.92
439.92
439.92
439.92
439.92
439.92
439.92
439.92
439.92
439.92
374.44
374.44
432.05
432.05
432.05
439.92
439.92
439.92
439.92
439.92
439.92
356.13
356.13
356.13
1,157.75
533.50
550.00
871.75
1,203.13
185.02
185.02
185.02
286.00
286.00
286.00
286.00
02/12/14
Charge#
--------702152611
702152452
702152612
702152450
702152613
702152451
702152614
702152453
702152615
702152454
702151438
702152421
702152423
702152420
702152424
702151856
702151858
702151857
702151855
702151853
702151854
702152399
702152400
702152401
702152402
702152403
702152404
702151719
702154000
702151722
702151717
702152442
702151716
702151715
702152446
702151712
702151631
702151888
702151520
702151206
702152405
702150740
702151285
702152433
702152434
702152435
702152693
702152694
702152263
702151475
702152209
702151341
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW LOCKING 2.7X12MM (AX)
SCREW LOCKING 2.7X12MM (SK)
SCREW LOCKING 2.7X14MM (AX)
SCREW LOCKING 2.7X14MM (SK)
SCREW LOCKING 2.7X16MM (AX)
SCREW LOCKING 2.7X16MM (SK)
SCREW LOCKING 2.7X18MM (AX)
SCREW LOCKING 2.7X18MM (SK)
SCREW LOCKING 2.7X20MM (AX)
SCREW LOCKING 2.7X20MM (SK)
SCREW LOCKING 3.5 (SR)
SCREW LOCKING 3.5X10MM (SD)
SCREW LOCKING 3.5X12MM (SD)
SCREW LOCKING 3.5X14MM (SD)
SCREW LOCKING 3.5X16MM (SD)
SCREW LOCKING 4.0 X 26 MM(SK)
SCREW LOCKING 4.0 X 28 MM (SK)
SCREW LOCKING 4.0 X 36 MM (SK)
SCREW LOCKING 4.0 X 46 MM (SK)
SCREW LOCKING 4.0 X 48 MM (SK)
SCREW LOCKING 4.0 X 50 MM (SK)
SCREW LOCKING 4.5X36MM (SN)
SCREW LOCKING 4.5X68MM (SN)
SCREW LOCKING 4.5X70MM (SN)
SCREW LOCKING 4.5X72MM (SN)
SCREW LOCKING 4.5X78MM (SN)
SCREW LOCKING 4.5X85MM (SN)
SCREW LOCKING 5.0 STRYKER
SCREW LOCKING 5.0 X 30 MM (SK)
SCREW LOCKING 5.0 X 40 MM (SK)
SCREW LOCKING 5.0 X 45 MM (SK)
SCREW LOCKING 5.0 X 50 MM (SK)
SCREW LOCKING 5.0 X 55 MM (SK)
SCREW LOCKING 5.0 X 60 MM (SK)
SCREW LOCKING 5.0 X 70 MM (SK)
SCREW LOCKING ALL SZS SY
SCREW LOCKING THR STRYKER
SCREW LOCKING-ALL SIZES S-N
SCREW MALLELAR (SY)
SCREW MANTIS POLYAX 6.5X35 (SK)
SCREW MANTIS POLYAX 6.5X40 (SK)
SCREW MANTIS REDUCTN 6.5X35 (SK
SCREW MATRIX SYNTHES
SCREW MAX DRIVE DF 1.5X4MM (KL)
SCREW MAX DRIVE DF 1.5X5MM (KL)
SCREW MAX DRIVE DF 1.5X7MM (KL)
SCREW MAX DRIVE DF 2.0X12 (KL)
SCREW MAX DRIVE DF 2.0X16 (KL)
SCREW MAX DRIVE MIN DF 2.0X5 (KL
SCREW MAX DRIVE MIN DF 2.0X7 (KL
SCREW MESA UNI PLAN 4.5X35 (K2)
SCREW MINI CROSS DRIVE KLS
University Medical Center So. NV.
Page 188
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------412.50
425.87
412.50
425.87
412.50
425.87
412.50
425.87
412.50
425.87
206.25
299.75
299.75
299.75
299.75
445.45
445.45
445.45
445.45
445.45
445.45
541.75
541.75
541.75
541.75
541.75
541.75
581.52
581.52
581.52
581.52
581.52
581.52
581.52
581.52
564.30
499.29
387.75
184.25
5,018.75
5,018.75
7,425.00
4,070.00
151.25
159.50
159.50
253.00
244.17
151.25
151.25
3,253.14
129.25
02/12/14
Charge#
--------702150186
702150200
702150196
702151021
702151019
702151259
702151035
702151033
702151030
702151031
702151257
702151032
702151036
702151040
702151258
702151034
702152210
702151039
702151038
702151042
702151260
702151022
702151023
702152211
702151041
702151037
702151785
702150269
702150267
702151440
702150265
702150264
702150272
702152676
702150299
702152576
702150306
702150301
702150273
702150302
702150300
702152577
702151287
702151408
702151409
702151343
702151342
702151641
702151268
702151249
702151058
702151060
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW MINI DEN POLY 3.5X10 (K2)
SCREW MINI DEN POLY 3.5X12 (K2)
SCREW MINI DEN POLY 3.5X16 (K2)
SCREW MINI POLY 3.5X10 60 DG (K2
SCREW MINI POLY 3.5X10 90 DG (K2
SCREW MINI POLY 3.5X12 60 DG (K2
SCREW MINI POLY 3.5X12 90 DG (K2
SCREW MINI POLY 3.5X14 60 DG (K2
SCREW MINI POLY 3.5X14 90 DG (K2
SCREW MINI POLY 3.5X16 90 DG (K2
SCREW MINI POLY 3.5X18 60 DG (K2
SCREW MINI POLY 3.5X18 90 DG (K2
SCREW MINI POLY 3.5X20 60 DG (K2
SCREW MINI POLY 3.5X24 90 DG (K2
SCREW MINI POLY 3.5X25 60 DG (K2
SCREW MINI POLY 3.5X26 90 DG (K2
SCREW MINI POLY 4.0X14 90 DG (K2
SCREW MINI POLY 4.0X16 90 DG (K2
SCREW MINI POLY 4.0X20 60 DG (K2
SCREW MINI POLY 4.0X20 90 DG (K2
SCREW MINI POLY 4.0X24 90 DG (K2
SCREW MINI POLY 4.0X25 60 DG (K2
SCREW MINI POLY 4.0X26 90 DG (K2
SCREW MINI POLY 4.0X28 90 DG (K2
SCREW MINI POLY 4.0X30 60 DG (K2
SCREW MINI POLY 4.0X30 90 DG (K2
SCREW MMF 13MM (KL)
SCREW MONOAXIAL 8.5 X 40MM (K2)
SCREW MONOAXIAL 8.5 X 85MM (K2)
SCREW MTF 2.0 KLS
SCREW MULTI AX VUPT 3.5X10 L (NU
SCREW MULTI AX VUPT 3.5X12 L (NU
SCREW MULTI AX VUPT 3.5X14 L (NU
SCREW MULTI AX VUPT 3.5X18 L (NU
SCREW MULTI AX VUPT 3.5X24 L (NU
SCREW MULTI AX VUPT 3.5X28 L (NU
SCREW MULTI AX VUPT 3.5X34 L (NU
SCREW MULTI AX VUPT 4.0X36 L (NU
SCREW MULTI AX VUPT 4.0X38 L (NU
SCREW MULTI AX VUPT 4.0X40 L (NU
SCREW MULTI AX VUPT 4.5X12 L (NU
SCREW MULTI AX VUPT 4.5X30 L (NU
SCREW MULTIANGLE DANEK
SCREW NEURO DFS ER 1.8X4MM (KL)
SCREW NEURO DFS ER 1.8X5MM (KL)
SCREW NEURO MICRO 1.5X4MM (KL)
SCREW NEURO MICRO 1.5X5MM (KL)
SCREW NUT 5.0MM (SY)
SCREW OASYS ANG 4.5X32MM (SK)
SCREW OASYS ANG 4.5X36MM (SK)
SCREW OASYS BIAS ANG 3.5X12 (SK)
SCREW OASYS BIAS ANG 3.5X14 (SK)
University Medical Center So. NV.
Page 189
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,337.50
2,337.50
2,337.50
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
3,458.65
242.00
2,131.25
2,131.25
200.75
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
2,131.25
4,177.25
173.25
173.25
121.28
121.28
492.28
3,594.28
3,594.28
3,411.51
3,411.51
02/12/14
Charge#
--------702151254
702151273
702151255
702151256
702152212
702151112
702151142
702151141
702152813
702151111
702151114
702151107
702151106
702150290
702150335
702150338
702150337
702150195
702152014
702152015
702152016
702152017
702152018
702150180
702150199
702150197
702150194
702150258
702151113
702151116
702151115
702151144
702151143
702151146
702151133
702151132
702151145
702151149
702151139
702151138
702151140
702151148
702151147
702152570
702151124
702151109
702151122
702151123
702151108
702151105
702152213
702151334
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW OASYS BIAS ANG 4.0X12 (SK)
SCREW OASYS BIAS ANG 4.0X14 (SK)
SCREW OASYS BIAS ANG 4.0X16 (SK)
SCREW OASYS BIAS ANG 4.0X30 (SK)
SCREW PED CANN POLYAX 5.5X40 (K2
SCREW PED CANN POLYAX 5.5X45 (K2
SCREW PED CANN POLYAX 6.5X45 (K2
SCREW PED CANN POLYAX 6.5X50 (K2
SCREW PED CANN POLYAX 7.5X40 (K2
SCREW PED CANN POLYAX 7.5X45 (K2
SCREW PED CANN POLYAX 7.5X50 (K2
SCREW PED CANN POLYAX 8.5X50 (K2
SCREW PED CANN POLYAX 8.5X55 (K2
SCREW PEDICLE 3.5X10MM (AO)
SCREW PEDICLE 3.5X12MM (AO)
SCREW PEDICLE 3.5X20MM (AO)
SCREW PEDICLE 3.5X22MM (AO)
SCREW PEDICLE 5.5 X 30MM (AO)
SCREW PEDICLE 5.5 X 35MM (AO)
SCREW PEDICLE 5.5 X 40MM (AO)
SCREW PEDICLE 5.5 X 45MM (AO)
SCREW PEDICLE 5.5 X 50MM (AO)
SCREW PEDICLE 5.5 X 55MM (AO)
SCREW PEDICLE 6.5 X 40MM (OD)
SCREW PEDICLE 6.5 X 45MM (OD)
SCREW PEDICLE 6.5 X 50MM (OD)
SCREW PEDICLE 6.5 X 55MM (OD)
SCREW PEDICLE ALL SZS SP SOL
SCREW PEDICLE POLYAX 4.5X30 (K2)
SCREW PEDICLE POLYAX 4.5X35 (K2)
SCREW PEDICLE POLYAX 4.5X40 (K2)
SCREW PEDICLE POLYAX 4.5X45 (K2)
SCREW PEDICLE POLYAX 4.5X50 (K2)
SCREW PEDICLE POLYAX 5.5X30 (K2)
SCREW PEDICLE POLYAX 5.5X35 (K2)
SCREW PEDICLE POLYAX 5.5X40 (K2)
SCREW PEDICLE POLYAX 5.5X45 (K2)
SCREW PEDICLE POLYAX 5.5X50 (K2)
SCREW PEDICLE POLYAX 5.5X55 (K2)
SCREW PEDICLE POLYAX 6.5X40 (K2)
SCREW PEDICLE POLYAX 6.5X45 (K2)
SCREW PEDICLE POLYAX 6.5X50 (K2
SCREW PEDICLE POLYAX 6.5X55 (K2
SCREW PEDICLE POLYAX 7.5X40 (K2
SCREW PEDICLE POLYAX 7.5X45 (K2
SCREW PEDICLE POLYAX 7.5X50 (K2
SCREW PEDICLE POLYAX 7.5X55 (K2
SCREW PEDICLE POLYAX 8.5X45 (K2
SCREW PEDICLE POLYAX 8.5X50 (K2
SCREW PEDICLE POLYAX 8.5X55 (K2
SCREW PEDICLE POLYAX 8.5X85 (K2
SCREW PELVIC CORTX 3.5X100MM (SY
University Medical Center So. NV.
Page 190
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,489.72
3,489.72
3,489.72
3,489.72
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
2,131.25
2,131.25
2,131.25
2,131.25
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,475.00
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
3,253.14
85.75
02/12/14
Charge#
--------702151337
702152002
702151335
702151336
702151326
702152071
702152072
702151329
702152073
702152074
702151694
702151692
702151695
702150252
702150287
702150297
702150201
702150222
702150218
702150184
702151101
702150220
702150219
702150188
702150187
702150182
702151099
702150185
702150225
702151319
702151064
702151057
702151066
702152574
702150221
702152573
702150224
702150214
702150217
702151093
702150216
702150215
702150183
702151318
702151065
702152579
702151104
702150204
702150223
702150206
702150207
702150202
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW PELVIC CORTX 3.5X40MM (SY
SCREW PELVIC CORTX 3.5X45MM (SY
SCREW PELVIC CORTX 3.5X50MM (SY
SCREW PELVIC CORTX 3.5X55MM (SY
SCREW PELVIC CORTX 3.5X60MM (SY
SCREW PELVIC CORTX 3.5X65MM (SY
SCREW PELVIC CORTX 3.5X70MM (SY
SCREW PELVIC CORTX 3.5X75MM (SY
SCREW PELVIC CORTX 3.5X80MM (SY
SCREW PELVIC CORTX 3.5X95MM (SY
SCREW PERI PROSTHETIC 5.0X10 (SY
SCREW PERI PROSTHETIC 5.0X12 (SY
SCREW PERIPROSTHETIC 5.0X8 (SY
SCREW POLY/ MONOAXI ALL SZ (SP)
SCREW POLYAXIAL 3.5X12MM (AP)
SCREW POLYAXIAL 4.5X25MM (NU)
SCREW POLYAXIAL 4.5X30MM (NU)
SCREW POLYAXIAL 4.5X35MM (NU)
SCREW POLYAXIAL 4.5X40MM (NU)
SCREW POLYAXIAL 4.5X45MM (NU)
SCREW POLYAXIAL 4.5X45MM (SS)
SCREW POLYAXIAL 4.5X50MM (NU)
SCREW POLYAXIAL 5.5X30MM (NU)
SCREW POLYAXIAL 5.5X35MM (NU)
SCREW POLYAXIAL 5.5X40MM (NU)
SCREW POLYAXIAL 5.5X45MM (NU)
SCREW POLYAXIAL 5.5X45MM (SS)
SCREW POLYAXIAL 5.5X50MM (NU)
SCREW POLYAXIAL 5.5X55MM (NU)
SCREW POLYAXIAL 6.0 X 50MM (ON)
SCREW POLYAXIAL 6.0X40MM (SY)
SCREW POLYAXIAL 6.0X45MM (SY)
SCREW POLYAXIAL 6.0X50MM (SY)
SCREW POLYAXIAL 6.5X30MM (MT)
SCREW POLYAXIAL 6.5X30MM (NU)
SCREW POLYAXIAL 6.5X35MM (MT)
SCREW POLYAXIAL 6.5X35MM (NU)
SCREW POLYAXIAL 6.5X40MM (NU)
SCREW POLYAXIAL 6.5X45MM (NU)
SCREW POLYAXIAL 6.5X45MM (SS)
SCREW POLYAXIAL 6.5X50MM (NU)
SCREW POLYAXIAL 6.5X55MM (NU)
SCREW POLYAXIAL 6.5X60MM (NU)
SCREW POLYAXIAL 7.0 X 40MM (ON)
SCREW POLYAXIAL 7.0X40MM (SY)
SCREW POLYAXIAL 7.2X 50MM (SS)
SCREW POLYAXIAL 7.2X45MM (SS)
SCREW POLYAXIAL 7.5 X 35MM (NU)
SCREW POLYAXIAL 7.5 X 40MM (NU)
SCREW POLYAXIAL 7.5 X 45MM (NU)
SCREW POLYAXIAL 7.5 X 50MM (NU)
SCREW POLYAXIAL 8.5 X 50MM (NU)
University Medical Center So. NV.
Page 191
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------85.75
85.75
85.75
85.75
85.75
85.75
85.75
85.75
85.75
85.75
646.77
646.77
646.77
2,415.88
2,131.25
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,750.00
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,750.00
2,337.50
2,337.50
4,023.25
3,347.19
3,347.19
3,347.19
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
2,750.00
2,337.50
2,337.50
2,337.50
4,023.25
3,347.19
2,750.00
2,750.00
2,337.50
2,337.50
2,337.50
2,337.50
2,337.50
02/12/14
Charge#
--------702151126
702152677
702152678
702152679
702152680
702152681
702151361
702151702
702150531
702151656
702151748
702150538
702151673
702150393
702151588
702152682
702151175
702152683
702150748
702151417
702151476
702152184
702152545
702152547
702152185
702152546
702152795
702151633
702152186
702152187
702152188
702151782
702151659
702151660
702152378
702151654
702151670
702151669
702152003
702151753
702151759
702151807
702151562
702151806
702170611
702151751
702151544
702151908
702170874
702152556
702152214
702152562
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW POLYAXIAL ALL SZS (SS)
SCREW PRECEPT POLYAX 5.5X45 (NU
SCREW PRECEPT POLYAX 5.5X50 (NU
SCREW PRECEPT POLYAX 6.5X45 (NU
SCREW PRECEPT POLYAX 6.5X50 (NU
SCREW PRECEPT POLYAX 7.5X55 (NU
SCREW PRT THRD 4.0 X 32 MM (SK)
SCREW RECON 5.0 S-N
SCREW RECON 6.4 S-N
SCREW RESCUE 14MM (DP)
SCREW RESCUE 16 BLACKSTONE
SCREW RESCUE 16 MM (OX)
SCREW RESCUE 25 MM (OX)
SCREW RESCUE 30MM BLACKSTONE
SCREW RESCUE 4.35X12MM (LX)
SCREW RESORB CORTX 1.5X3 4PK (SY
SCREW RESORB CORTX 1.5X3 STR (SY
SCREW RESORB CORTX 1.5X4 4PK (SY
SCREW RESORB MESH 1.5X110X5 (SY)
SCREW SAFETY 1.5 X 3 MM (OM)
SCREW SAFETY 1.9 X 4MM (OM)
SCREW SCHANZ 20MM TH 4.0X80 (SY
SCREW SCHANZ 35MM TH 5.2X180 (SY
SCREW SCHANZ 35MM TH 7.0X180 (SY
SCREW SCHANZ 40MM TH 5.0X125 (SY
SCREW SCHANZ 55MM TH 6.2X200 (SY
SCREW SCHANZ 60MM TH 5.0X150 (SY
SCREW SCHANZ 60MM TH 5.0X175 (SY
SCREW SCHANZ 60MM TH 6.0X175 (SY
SCREW SCHANZ 60MM TH 6.0X200 (SY
SCREW SCHANZ 80MM TH 5.0X200 (SY
SCREW SCHANZ SPADE 6.0X190 (SY
SCREW SELF DRILL 4.0 X 12MM (OD)
SCREW SELF DRILL 4.0 X 14MM (OD)
SCREW SELF DRILL 4.0 X 16MM (OD)
SCREW SELF DRILLING 14MM (DP)
SCREW SEMI CONSTRAINED 14MM (OX)
SCREW SEMI CONSTRAINED 16MM (OX)
SCREW SET (AP)
SCREW SET (BK)
SCREW SET (MT)
SCREW SET (SS)
SCREW SET ALPHATECH
SCREW SET CASPIAN (K2)
SCREW SET PRECEPT (NU)
SCREW SET REDUCTIVE DANEK
SCREW SET SEASPINE
SCREW SET SPINE (MT)
SCREW SET VUPT TUL/LAM HOOK (NU
SCREW SI RESCUE 3.5X13MM (NU)
SCREW SI RESCUE 4.0X12MM (NU)
SCREW SI RESCUE 4.0X13MM (NU)
University Medical Center So. NV.
Page 192
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,286.25
3,437.50
3,437.50
3,437.50
3,437.50
3,437.50
61.68
588.50
987.25
628.38
308.55
924.25
676.50
851.13
481.25
962.50
4,565.00
962.50
7,898.00
175.31
148.50
437.31
1,419.00
825.00
492.28
1,419.00
492.28
492.28
526.32
526.32
492.28
253.99
618.75
618.75
618.75
628.38
618.75
618.75
550.00
305.25
348.26
275.00
550.00
275.00
871.75
319.50
539.00
379.50
282.77
1,078.00
1,078.00
1,078.00
02/12/14
Charge#
--------702153018
702151944
702151690
702150064
702151617
702151265
702151805
702151803
702150254
702151029
702151820
702150044
702150227
702152621
702152215
702152817
702151279
702152755
702152756
702152757
702152758
702152753
702152754
702152216
702151355
702152217
702152218
702152219
702152220
702152221
702152222
702152223
702152224
702152261
702152260
702152225
702152226
702152366
702152227
702152228
702152229
702155001
702155002
702152230
702152231
702152232
702150008
702152233
702150007
702152234
702152235
702152236
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW SI RESCUE 4.0X15MM(NU)
SCREW SIDE OPENING 5.0X30MM (SY)
SCREW SPIDER VARI 4X12MM (ME)
SCREW SPINE 5.5 DEPUY
SCREW SPINE 1.3 DANEK
SCREW SPINE 12MM (BK)
SCREW SPINE 12MM BLACKSTONE
SCREW SPINE 14MM BLACKSTONE
SCREW SPINE 3.5 X 20MM (BK)
SCREW SPINE 4.5 X 30 (SP)
SCREW SPINE BLACKSTONE
SCREW SPINE FIXED 5.0 DANEK
SCREW SPINE REDUCTIVE 5.5 DANEK
SCREW STATIC SLFTP 4.0X10MM (K2)
SCREW STATIC SLFTP 4.0X14MM (K2)
SCREW STATIC SLFTP 4.0X16MM (K2)
SCREW SYNAPSE 12 MM (SY)
SCREW TIT BONE MAX DRV 2.3X11 (KL
SCREW TIT BONE MAX DRV 2.3X13 (KL
SCREW TIT BONE MAX DRV 2.3X15 (KL
SCREW TIT BONE MAX DRV 2.3X19 (KL
SCREW TIT BONE MAX DRV 2.3X5 (KL
SCREW TIT BONE MAX DRV 2.3X9 (KL
SCREW TIT CANC FL THD 4.0X10 (SY
SCREW TIT CANC FL THD 4.0X12 (SY
SCREW TIT CANC FL THD 4.0X14 (SY
SCREW TIT CANC FL THD 4.0X16 (SY
SCREW TIT CANC FL THD 4.0X18 (SY
SCREW TIT CANC FL THD 4.0X20 (SY
SCREW TIT CANC FL THD 4.0X22 (SY
SCREW TIT CANC FL THD 4.0X24 (SY
SCREW TIT CANC FL THD 4.0X45 (SY
SCREW TIT CANC FL THD 4.0X50 (SY
SCREW TIT CANC FL THD 4.0X55 (SY
SCREW TIT CANC FL THD 4.0X60 (SY
SCREW TIT CANC FL THD 6.5X25 (SY
SCREW TIT CANC PT THD 4.0X40 (SY
SCREW TIT CANC PT THD 4.0X45 (SY
SCREW TIT CANC PT THD 4.0X50 (SY
SCREW TIT CANC PT THD 4.0X55 (SY
SCREW TIT CANC PT THD 4.0X60 (SY
SCREW TIT CANCEL FL THRD 4.0X55 (
SCREW TIT CANCEL FL THRD 4.0X60 (
SCREW TIT CANN 16THD 6.5X145 (SY
SCREW TIT CANN 16THD 7.3X40 (SY
SCREW TIT CANN 16THD 7.3X55 (SY
SCREW TIT CANN 16THD 7.3X75 (SY
SCREW TIT CANN 16THD 7.3X80 (SY
SCREW TIT CANN 16THD 7.3X85 (SY
SCREW TIT CANN 32THD 6.5X140 (SY
SCREW TIT CANN 32THD 6.5X145 (SY
SCREW TIT CANN 32THD 6.5X90 (SY)
University Medical Center So. NV.
Page 193
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,078.00
2,249.50
632.50
1,996.50
506.00
3,542.00
275.00
275.00
2,414.50
3,437.50
412.50
1,646.23
2,684.94
481.25
481.25
481.25
4,248.75
175.18
175.18
175.18
175.18
175.18
175.18
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
55.63
102.14
53.02
53.02
53.02
55.63
55.63
53.76
53.76
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
782.95
02/12/14
Charge#
--------702152319
702152407
702152816
702152408
702152406
702152320
702151706
702152321
702152322
702152323
702152324
702152325
702152486
702152487
702152488
702151938
702152237
702152238
702152326
702151784
702152239
702151448
702151449
702151447
702152240
702152804
702152800
702152805
702152801
702152806
702152802
702152803
702152241
702151958
702152242
702152243
702152244
702152245
702152246
702152247
702152248
702152249
702152250
702152730
702152729
702151726
702152075
702151462
702151956
702151985
702151955
702151939
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW TIT CANN 32THD 7.3X45 (SY
SCREW TIT CANN FL THD 6.5X70 (SY
SCREW TIT CANN FL THD 6.5X80 (SY
SCREW TIT CANN FL THD 6.5X85 (SY
SCREW TIT CANN FL THD 7.3X80 (SY
SCREW TIT CANN LN THD 4.0X28 (SY
SCREW TIT CANN LN THD 4.0X36 (SY
SCREW TIT CANN LN THD 4.0X38 (SY
SCREW TIT CANN LN THD 4.0X42 (SY
SCREW TIT CANN SH THD 4.0X14 (SY
SCREW TIT CANN SH THD 4.0X16 (SY
SCREW TIT CANN SH THD 4.0X20 (SY
SCREW TIT CORSE PITCH 2.0X10 (SY
SCREW TIT CORSE PITCH 2.0X12 (SY
SCREW TIT CORSE PITCH 2.0X6 (SY
SCREW TIT CORTX SLFTP 1.0X12 (SY
SCREW TIT CORTX SLFTP 1.3X10 (SY
SCREW TIT CORTX SLFTP 1.3X11 (SY
SCREW TIT CORTX SLFTP 1.3X6 (SY
SCREW TIT CORTX SLFTP 1.3X7 (SY)
SCREW TIT CORTX SLFTP 1.5X10 (SY
SCREW TIT CORTX SLFTP 1.5X12 (SY
SCREW TIT CORTX SLFTP 1.5X7 (SY)
SCREW TIT CORTX SLFTP 1.5X8 (SY)
SCREW TIT CORTX SLFTP 1.5X9 (SY)
SCREW TIT CORTX SLFTP 2.0X10 (SY)
SCREW TIT CORTX SLFTP 2.0X12 (SY)
SCREW TIT CORTX SLFTP 2.0X14 (SY)
SCREW TIT CORTX SLFTP 2.0X16 (SY)
SCREW TIT CORTX SLFTP 2.0X18 (SY)
SCREW TIT CORTX SLFTP 2.0X8 (SY)
SCREW TIT CORTX SLFTP 2.0X9 (SY)
SCREW TIT CORTX SLFTP 2.4X14 (SY
SCREW TIT CORTX SLFTP 2.4X16 (SY
SCREW TIT CORTX SLFTP 3.5X10 (SY
SCREW TIT CORTX SLFTP 3.5X14 (SY
SCREW TIT CORTX SLFTP 3.5X24 (SY
SCREW TIT CORTX SLFTP 3.5X26 (SY
SCREW TIT CORTX SLFTP 3.5X30 (SY
SCREW TIT CORTX SLFTP 3.5X32 (SY
SCREW TIT CORTX SLFTP 3.5X36 (SY
SCREW TIT CORTX SLFTP 3.5X38 (SY
SCREW TIT CORTX SLFTP 3.5X45 (SY
SCREW TIT CRS DRV 2.7X12MM (KL
SCREW TIT CRS DRV 2.7X8MM (KL
SCREW TIT DUL COR LOC 5.0X45 (SY
SCREW TIT DUL COR T25 5.0X55 (SY
SCREW TIT EMERG 2.4X8MM (SY)
SCREW TIT EMERG 2.7X10MM (SY)
SCREW TIT EMERG FLUTE 1.2X4 (SY
SCREW TIT EMERG FLUTE 1.2X5 (SY
SCREW TIT EMERG FLUTE 1.2X6 (SY
University Medical Center So. NV.
Page 194
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------782.95
782.95
782.95
782.95
782.95
594.41
594.41
594.41
594.41
594.41
594.41
594.41
178.75
178.75
178.75
217.33
227.81
227.81
227.81
227.81
146.63
146.63
146.63
146.63
146.63
125.70
125.70
125.70
125.70
125.70
125.70
125.70
242.22
254.38
67.43
67.43
67.43
67.43
67.43
67.43
67.43
67.43
67.43
247.94
247.94
602.28
602.28
162.25
277.75
236.50
236.50
236.50
02/12/14
Charge#
--------702152490
702151535
702152728
702152727
702152731
702152767
702152768
702151990
702152489
702152759
702152760
702152762
702152761
702151668
702151940
702151661
702152256
702152257
702152258
702152259
702152251
702152252
702152253
702152327
702152328
702151975
702152254
702152738
702152739
702152735
702152736
702152737
702152743
702152740
702152741
702152742
702152744
702152745
702151348
702152491
702151543
702151546
702152076
702152077
702151537
702152078
702152079
702152080
702152081
702152082
702152083
702151536
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW TIT EMERG FLUTE 1.7X3 (SY
SCREW TIT EMERG FLUTE 1.7X5 (SY
SCREW TIT ER CRS DRV 2.5X13 (KL
SCREW TIT ER CRS DRV 2.5X9 (KL
SCREW TIT ER CRS DRV 2.7X12 (KL
SCREW TIT ER DF MAX DRV 2.3X5 (KL
SCREW TIT ER DF MAX DRV 2.3X7 (KL
SCREW TIT ER FLUT TIP 2.0X10 (SY
SCREW TIT ER FLUT TIP 2.0X6 (SY
SCREW TIT ER MAX DRV 2.3X5 (KL
SCREW TIT ER MAX DRV 2.3X9 (KL
SCREW TIT ER MAX DRV 2.5X13 (KL
SCREW TIT ER MAX DRV 2.5X9 (KL
SCREW TIT EXPAND HEAD 4.0X12 (SY
SCREW TIT EXPAND HEAD 4.0X14 (SY
SCREW TIT EXPAND HEAD 4.0X16 (SY
SCREW TIT LOC FR NAIL 5.0X34 (SY
SCREW TIT LOC FR NAIL 5.0X38 (SY
SCREW TIT LOC FR NAIL 5.0X40 (SY
SCREW TIT LOC FR NAIL 5.0X46 (SY
SCREW TIT LOC SFTP RC 3.5X10 (SY
SCREW TIT LOC SFTP RC 3.5X16 (SY
SCREW TIT LOC SFTP RC 3.5X24 (SY
SCREW TIT LOC SFTP RC 3.5X26 (SY
SCREW TIT LOC SFTP RC 3.5X28 (SY
SCREW TIT LOC SFTP RC 3.5X32 (SY
SCREW TIT LOC SFTP RC 3.5X38 (SY
SCREW TIT LOCK CRS DRV 2.0X11 (KL
SCREW TIT LOCK CRS DRV 2.0X13 (KL
SCREW TIT LOCK CRS DRV 2.0X5 (KL
SCREW TIT LOCK CRS DRV 2.0X7 (KL
SCREW TIT LOCK CRS DRV 2.0X9 (KL
SCREW TIT LOCK CRS DRV 2.3X11 (KL
SCREW TIT LOCK CRS DRV 2.3X5 (KL
SCREW TIT LOCK CRS DRV 2.3X7 (KL
SCREW TIT LOCK CRS DRV 2.3X9 (KL
SCREW TIT LOCK CRS DRV 2.7X17 (KL
SCREW TIT LOCK CRS DRV 2.7X19 (KL
SCREW TIT LOCKING 1.8MM (SY)
SCREW TIT LOCKING 2.4X12MM (SY)
SCREW TIT LOCKING T25 4.0X24 (SY
SCREW TIT LOCKING T25 4.0X28 (SY
SCREW TIT LOCKING T25 5.0X30 (SY
SCREW TIT LOCKING T25 5.0X32 (SY
SCREW TIT LOCKING T25 5.0X34 (SY
SCREW TIT LOCKING T25 5.0X36 (SY
SCREW TIT LOCKING T25 5.0X38 (SY
SCREW TIT LOCKING T25 5.0X44 (SY
SCREW TIT LOCKING T25 5.0X46 (SY
SCREW TIT LOCKING T25 5.0X48 (SY
SCREW TIT LOCKING T25 5.0X50 (SY
SCREW TIT LOCKING T25 5.0X64 (SY
University Medical Center So. NV.
Page 195
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------225.50
225.50
180.57
180.57
277.59
156.31
156.31
162.25
162.25
175.18
180.40
180.40
180.40
618.75
618.75
618.75
544.67
544.67
544.67
544.67
374.44
374.44
374.44
374.44
374.44
374.44
374.44
285.67
285.67
285.67
285.67
285.67
315.32
315.32
315.32
315.32
347.66
347.66
104.50
429.00
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
02/12/14
Charge#
--------702152084
702152085
702152086
702152087
702152088
702152089
702152090
702152091
702152092
702152093
702152531
702152532
702152533
702152493
702152494
702152495
702152496
702152497
702152498
702151637
702152499
702152500
702151632
702151627
702152684
702152501
702152502
702152503
702152504
702152514
702152515
702152516
702152463
702152505
702152506
702152507
702152508
702152509
702152510
702152511
702152512
702152513
702152718
702152719
702152722
702152720
702152721
702152723
702152763
702152764
702152765
702152766
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW TIT LOCKING T25 5.0X66 (SY
SCREW TIT LOCKING T25 5.0X74 (SY
SCREW TIT LOCKING T25 5.0X80 (SY
SCREW TIT LOCKING T5 4.0X30 (SY)
SCREW TIT LOCKING T5 4.0X32 (SY)
SCREW TIT LOCKING T5 4.0X36 (SY)
SCREW TIT LOCKING T5 4.0X38 (SY)
SCREW TIT LOCKING T5 4.0X40 (SY)
SCREW TIT LOCKING T5 4.0X44 (SY)
SCREW TIT LOCKING T5 4.0X48 (SY)
SCREW TIT MAT NEUR SLF DRL 3 (SY
SCREW TIT MAT NEUR SLF DRL 4 (SY
SCREW TIT MAT NEUR SLF DRL 5 (SY
SCREW TIT MATRIX MAND 2.0X10 (SY
SCREW TIT MATRIX MAND 2.0X12 (SY
SCREW TIT MATRIX MAND 2.0X6 (SY)
SCREW TIT MATRIX MAND 2.0X8 (SY)
SCREW TIT MATRIX MAND 2.4X10 (SY
SCREW TIT MATRIX MAND 2.4X14 (SY
SCREW TIT MATRIX RIB 2.9X10 (SY)
SCREW TIT MATRIX RIB 2.9X12 (SY)
SCREW TIT MATRIX RIB 2.9X14 (SY)
SCREW TIT MATRIX RIB 2.9X6 (SY)
SCREW TIT MATRIX RIB 2.9X8 (SY)
SCREW TIT MF EMERG 5MM (SY)
SCREW TIT MF EMERG 6MM (SY)
SCREW TIT MF SELF DRILL 4MM (SY
SCREW TIT MF SELF DRILL 5MM (SY
SCREW TIT MF SELF DRILL 6MM (SY
SCREW TIT MF SLFTP FL 1.5X10 (SY
SCREW TIT MF SLFTP FL 1.5X12 (SY
SCREW TIT MF SLFTP FL 1.5X18 (SY
SCREW TIT MF SLFTP FLT 1.0X3 (SY
SCREW TIT MF SLFTP FLT 1.0X4 (SY
SCREW TIT MF SLFTP FLT 1.0X5 (SY
SCREW TIT MF SLFTP FLT 1.0X6 (SY
SCREW TIT MF SLFTP FLT 1.3X3 (SY
SCREW TIT MF SLFTP FLT 1.3X4 (SY
SCREW TIT MF SLFTP FLT 1.3X5 (SY
SCREW TIT MF SLFTP FLT 1.5X4 (SY
SCREW TIT MF SLFTP FLT 1.5X6 (SY
SCREW TIT MF SLFTP FLT 2.0X6 (SY
SCREW TIT MICRO CTRDV 1.0X3MM (KL
SCREW TIT MICRO CTRDV 1.0X4MM (KL
SCREW TIT MICRO CTRDV 1.0X5MM (KL
SCREW TIT MICRO CTRDV 1.0X6MM (KL
SCREW TIT MICRO CTRDV 1.0X7MM (KL
SCREW TIT MICRO ER CTRD 1.0X5 (KL
SCREW TIT MICRO MAXDV 1.5X3.5 (KL
SCREW TIT MICRO MAXDV 1.5X4 (KL
SCREW TIT MICRO MAXDV 1.5X5 (KL
SCREW TIT MICRO MAXDV 1.5X6 (KL
University Medical Center So. NV.
Page 196
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
534.19
242.00
242.00
242.00
185.63
185.63
185.63
185.63
429.00
429.00
492.25
492.25
492.25
492.25
517.00
255.75
239.25
255.75
255.75
255.75
151.25
151.25
151.25
236.50
236.50
236.50
236.50
215.88
215.88
215.88
151.25
151.25
154.00
188.65
188.65
188.65
188.65
188.65
194.04
137.45
137.45
137.45
137.45
02/12/14
Charge#
--------702152725
702152726
702152724
702152749
702152750
702152751
702152752
702152746
702152747
702152748
702151787
702152492
702151472
702152518
702152517
702152519
702152520
702152521
702152522
702152523
702152329
702152330
702152331
702152332
702152333
702152334
702152335
702152336
702152337
702152338
702152339
702152340
702152341
702152342
702152544
702152543
702152542
702151735
702150497
702152586
702150492
702150491
702150490
702151951
702151696
702151684
702152409
702151691
702152410
702151685
702150355
702150359
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW TIT MINI CRS DRV 2.0X11 (KL
SCREW TIT MINI CRS DRV 2.0X13 (KL
SCREW TIT MINI CRS DRV 2.0X9 (KL
SCREW TIT MINI MAX DRV 2.0X11 (KL
SCREW TIT MINI MAX DRV 2.0X13 (KL
SCREW TIT MINI MAX DRV 2.0X15 (KL
SCREW TIT MINI MAX DRV 2.0X17 (KL
SCREW TIT MINI MAX DRV 2.0X5 (KL)
SCREW TIT MINI MAX DRV 2.0X7 (KL)
SCREW TIT MINI MAX DRV 2.0X9 (KL)
SCREW TIT MMF 10THD 2.0X15 (KL
SCREW TIT MTRIB NO LOC 2.9X6 (SY
SCREW TIT NEURO MAX 1.5X7MM (KL)
SCREW TIT PD CRS PICH 2.0X12 (SY
SCREW TIT PD CRS PTCH 2.0X10 (SY
SCREW TIT PD SLFDRL 1.5X4 RC (SY
SCREW TIT PD SLFDRL 1.5X5 RC (SY
SCREW TIT PD SLFTP 2.0X12 RC (SY
SCREW TIT PD SLFTP 2.0X6 RC (SY
SCREW TIT PD SLFTP 2.0X8 RC (SY)
SCREW TIT RECON T25 6.5X100 (SY)
SCREW TIT RECON T25 6.5X110 (SY)
SCREW TIT RECON T25 6.5X115 (SY)
SCREW TIT RECON T25 6.5X120 (SY)
SCREW TIT RECON T25 6.5X125 (SY)
SCREW TIT RECON T25 6.5X130 (SY)
SCREW TIT RECON T25 6.5X60 (SY)
SCREW TIT RECON T25 6.5X65 (SY)
SCREW TIT RECON T25 6.5X70 (SY)
SCREW TIT RECON T25 6.5X75 (SY)
SCREW TIT RECON T25 6.5X80 (SY)
SCREW TIT RECON T25 6.5X85 (SY)
SCREW TIT RECON T25 6.5X90 (SY)
SCREW TIT RECON T25 6.5X95 (SY)
SCREW TIT SCNZ 35 TH 6.0X180 (SY
SCREW TIT SYNFX FN TP 4.0X25 (SY
SCREW TIT SYNFX FN TP 4.0X30 (SY
SCREW TIT SYNTHES ALL SZS
SCREW TRAVERSE BONE 5.5X30 (NU
SCREW TRAVERSE BONE 5.5X35 (NU
SCREW TRAVERSE BONE 5.5X40 (NU
SCREW TRAVERSE BONE 5.5X45 (NU
SCREW TRAVERSE BONE 6.5X35 (NU
SCREW TRIGEN CAPTUR 5.0X30MM (SN
SCREW TRIGEN CAPTUR 5.0X35MM (SN
SCREW TRIGEN CAPTUR 5.0X40MM (SN
SCREW TRIGEN CAPTUR 5.0X45MM (SN
SCREW TRIGEN CAPTUR 5.0X50MM (SN
SCREW TRIGEN CAPTUR 5.0X55MM (SN
SCREW TRIGEN CAPTUR 5.0X60MM (SN
SCREW VALOR 5.0 X 30MM (WM)
SCREW VALOR 5.0 X 35MM (WM)
University Medical Center So. NV.
Page 197
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------137.45
137.45
137.45
137.45
137.45
137.45
137.45
137.45
137.45
137.45
237.16
308.00
165.00
174.63
174.63
189.75
189.75
332.75
174.63
174.63
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
549.89
825.00
687.50
687.50
605.00
1,245.75
1,245.75
1,245.75
1,245.75
1,245.75
635.25
635.25
635.25
635.25
635.25
635.25
635.25
811.25
811.25
02/12/14
Charge#
--------702150361
702150360
702150357
702151648
702150135
702150164
702151666
702151667
702151650
702150102
702150099
702150107
702152594
702152596
702150435
702151606
702152008
702151028
702151204
702151203
702151312
702151313
702151309
702151241
702151240
702151304
702151303
702151300
702151307
702151308
702151311
702151305
702151306
702151301
702151302
702152685
702151791
702170720
702170653
702170652
702170651
702170650
702170649
702170719
702171210
702170704
702170718
702170717
702170716
702170715
702170714
702170511
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREW VALOR 5.0 X 45MM (WM)
SCREW VALOR 5.0 X 65MM (WM)
SCREW VALOR 5.0 X 75MM (WM)
SCREW VAR 4X16MM (GO)
SCREW VAR INDEPENDENCE 25MM (GL)
SCREW VAR INDEPENDENCE 30MM (GL)
SCREW VAR SELF DRILL 4X12MM (SA)
SCREW VAR SELF DRILL 4X14MM (SA)
SCREW VAR SELF DRILL 4X16MM (SA)
SCREW VAR SLFTP AVIATOR 4X14 (SK
SCREW VAR SLFTP AVIATOR 4X16 (SK
SCREW VAR SLFTP AVIATOR 4X18 (SK
SCREW VARI ANG 4.0X12MM (LX)
SCREW VARI ANG 4.0X14MM (LX)
SCREW VARI SELF TAP 4.0X13 (NU
SCREW VARIABLE ANG 4.0X14MM (AO)
SCREW VARIABLE ANG 4.25X12MM (AO
SCREW WASHERLESS 5.0 X 30MM (SF)
SCREW XIA CANNULATED 6.5X45 (SK)
SCREW XIA CANNULATED 6.5X50 (SK)
SCREW XIA3 TIT MULTI 4.5 X30 (SK
SCREW XIA3 TIT MULTI 4.5 X35 (SK
SCREW XIA3 TIT MULTI 5.0 X40 (SK
SCREW XIA3 TIT MULTI 5.5 X30 (SK
SCREW XIA3 TIT MULTI 5.5 X35 (SK
SCREW XIA3 TIT MULTI 5.5 X40 (SK
SCREW XIA3 TIT MULTI 6.5 X35 (SK
SCREW XIA3 TIT MULTI 6.5 X45 (SK
SCREW XIA3 TIT POLY 4.0 X 30 (SK
SCREW XIA3 TIT POLY 4.5 X 35 (SK
SCREW XIA3 TIT POLY 5.0 X 40 (SK
SCREW XIA3 TIT POLY 5.5 X 30 (SK
SCREW XIA3 TIT POLY 5.5 X 35 (SK
SCREW XIA3 TIT POLY 5.5 X 45 (SK
SCREW XIA3 TIT POLY 6.5 X 45(SK
SCREW XLFW FIXED 5.5X45MM (NU)
SCREW ZURIC DIFFUSER KLS
SCREWDRIVER BLAD 1.0 W SLEV (SY
SCREWDRIVER BLAD CRUC 1.3 (SY)
SCREWDRIVER BLAD MAT HEX MED (SY
SCREWDRIVER BLAD MAT HEX SHT (SY
SCREWDRIVER BLADE PD 1.0X75 (SY
SCREWDRIVER BLADE PD 1.5X76 (SY)
SCREWDRIVER CANNU HEX 4.0MM (SY)
SCREWDRIVER HEX T25 3.5X165 (SY
SCREWDRIVER SHAFT HEX 3.5MM (SY)
SCREWDRIVER SHAFT HEX 4.0MM (SY)
SCREWDRIVER SHAFT HEX LARGE (SY)
SCREWDRIVER SHAFT HEX SML (SY)
SCREWDRIVER SHAFT QC T15 (SY)
SCREWDRIVER SHAFT QC T25 165 (SY
SCREWDRIVER STRYKER
University Medical Center So. NV.
Page 198
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------811.25
811.25
811.25
618.75
1,375.00
1,375.00
618.75
618.75
618.75
1,375.00
1,375.00
1,375.00
481.25
481.25
778.25
481.25
481.25
3,437.50
4,950.00
4,950.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
3,850.00
2,629.00
280.50
4,169.84
4,082.99
2,232.14
2,232.14
2,315.52
2,315.52
1,832.14
2,256.61
1,505.02
1,126.42
330.92
324.05
1,552.12
1,493.20
638.95
02/12/14
Charge#
--------702170703
702170576
702170688
702170647
702420498
702420440
702420419
702171370
702421175
702420585
707030205
709120034
702170305
707030674
721020015
705080129
705080264
705080128
705080127
701050001
702150014
702151676
702420030
702420926
720020001
721020000
721020001
720020002
702171252
707030555
707031036
702420554
702170177
702170526
714522001
720020038
720620036
720020039
720620035
702421613
702421612
702421529
702421530
723020058
702170176
702171218
702171359
702171144
702171143
714170263
714170264
714170255
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SCREWDRIVER T15 STARDRIVE (SY)
SCREWDRIVER TENODESIS DISP (AX)
SCREWDRIVER TIP 1.5MM (AM)
SCREWDRIVER TIP 2.5MM (AM)
SCROTAL EXPLORATION
SCROTOPLASTY COMPLICATED
SCROTOPLASTY SIMPLE
SEAL CAP SGL SITE ENDO SYSTEM
SEALANT PER TOOTH
SECONDARY CLOSE WD DEHIS
SED RATE (ESR)
SEL CATH,ART LEXTREM 1ST ORDER
SELECTOR TUBING
SELENIUM
SENS INTEGR 15 MIN GO
SENSOR ACOUSTIC RESPIRATION
SENSOR ARTERIAL PRESS FLO-TRAC
SENSOR RAINBOW ADULT
SENSOR RAINBOW INFANT
SEPRAFILM
SEPRAFILM 3X5IN 6PK MULTI (GZ)
SEPRAFILM 5X6IN SINGLE (GZ)
SEPTOPLASTY SMR W/WO CARTILAGE
SEQUESTRECTOMY CALCANEUS
SER CAST FINGER
SER CAST FINGER
SER CAST HAND
SER CAST SH LEG 1JT ADULT GP
SERFAS ALL SZS (SK)
SEROTONIN
SERPINA1 GENE
SESAMOIDECTOMY 1ST TOE
SET CARDIOLPEGIA POLYTUBING
SET QUICK PRESSURE MONITOR
SFT TISS BX - NECK/THORAX
SHARP WOUND DEBRIDE > 20 SQ CM
SHARP WOUND DEBRIDE > 20 SQ CM
SHARP WOUND DEBRIDE 20 CM OR <
SHARP WOUND DEBRIDE 20 CM OR <
SHAVE LES FENL .5CM <
SHAVE LES SNHFG .5CM <
SHAVE LES T/A/L, 0.6-1.0CM
SHAVE LES T/A/L, 1.1-2.0CM
SHAVING LESION .5CM
SHEARS DISP OSCOPY
SHEARS HARMONIC CRVD 5MMX45CM
SHEATH 12FR (GM)
SHEATH 18FR (GM)
SHEATH 20FR (GM)
SHEATH BRITETIP 10 X 11 (CS)
SHEATH BRITETIP 11 X 11 (CS)
SHEATH BRITETIP 4 X 11 (CS)
University Medical Center So. NV.
Page 199
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------2,564.58
1,257.75
803.27
381.56
2,524.97
2,524.97
2,524.97
1,101.76
152.05
4,004.51
134.26
3,055.01
2,653.63
60.22
124.91
144.90
1,481.37
246.36
376.83
610.50
1,809.50
739.75
2,955.99
3,646.02
161.69
161.69
398.49
281.94
947.92
287.87
484.69
3,297.65
1,054.33
1,101.93
1,528.05
406.59
406.59
319.70
319.70
1,430.31
1,230.15
375.30
437.85
275.09
1,054.33
2,381.36
1,078.68
1,253.76
1,253.76
190.59
190.59
190.59
02/12/14
Charge#
--------714170256
714170257
714170265
714170258
714170259
714170266
714170260
714170261
714170262
714170284
709171218
709170605
709171219
709170606
709170607
709170608
709170609
709170610
709170611
709171220
709170612
709171082
714170291
714170292
714170294
714170295
714170296
714170285
702170504
702170492
709170365
709171238
709170366
709171239
709170037
702171324
702151333
714170286
714170288
714170287
714170289
702170097
714170303
714170299
714170300
714170301
714170302
714170290
714170297
714170298
702171034
702170550
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SHEATH BRITETIP 5 X 11 (CS)
SHEATH BRITETIP 6 X 11 (CS)
SHEATH BRITETIP 6 X 23 (CS)
SHEATH BRITETIP 6 X 5.5 (CS)
SHEATH BRITETIP 7 X 11 (CS)
SHEATH BRITETIP 7 X 45 (CS)
SHEATH BRITETIP 7 X 5.5 (CS)
SHEATH BRITETIP 8 X 11 (CS)
SHEATH BRITETIP 9 X 11 (CS)
SHEATH BRITETIP 9 X 23 (CS)
SHEATH BT 5F X 23CM (CS)
SHEATH BT 6F X 23CM (CS)
SHEATH BT 6F X 35CM (CS)
SHEATH BT 6F X 45CM (CS)
SHEATH BT 6F X 90CM (CS)
SHEATH BT 7F X 23CM (CS)
SHEATH BT 7F X 45CM (CS)
SHEATH BT 7F X 90CM (CS)
SHEATH BT 8F X 23CM (CS)
SHEATH BT 8F X 23CM (CS)
SHEATH BT 8F X 35CM (CS)
SHEATH BT 8X45CM (CS)
SHEATH CHECKFLO 5FR (CM)
SHEATH CHECKFLO 6FR (CM)
SHEATH CHECKFLO ANL2 5FR (CM)
SHEATH CHECKFLO ANL2 6FR (CM)
SHEATH CHECKFLO ANL2 7FR (CM)
SHEATH CHECKFLO KCFW 10X35 (CM)
SHEATH COOK 16FR
SHEATH COOK 22FR
SHEATH GLIDE 5F X 10CM (TO)
SHEATH GLIDE 5F X 21GA (TO)
SHEATH GLIDE 6F X 10CM (TO)
SHEATH GLIDE 6F X 21GA (TO)
SHEATH INTRO BRITE TIP 6FRX11
SHEATH INTRO PEELAWAY 14FR
SHEATH INTRODUCER 46CM
SHEATH KCFW 6 X 38 X 45 (CM)
SHEATH KCFW 7 X 38 X 45 (CM)
SHEATH KCFW 9 X 38 X 45 (CM)
SHEATH KSAW 6 X 38 X 90 (CM)
SHEATH PEELAWAY
SHEATH PEELAWAY 20 X 13 (CM)
SHEATH PEELAWAY 10.2 X 30 (CM)
SHEATH PEELAWAY 11 X 30 (CM)
SHEATH PEELAWAY 13 X 30 (CM)
SHEATH PEELAWAY 16 X 30 (CM)
SHEATH PEELAWAY 22 X 13 (CM)
SHEATH PEELAWAY 9 X 38 (CM)
SHEATH PEELAWAY 9 X 47 (CM)
SHEATH PERITONEAL 12IN 990012
SHEATH PINNACLE BRITE TIP
University Medical Center So. NV.
Page 200
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------190.59
190.59
214.35
190.59
190.59
237.80
190.59
190.59
190.59
198.47
198.47
198.47
198.47
220.19
302.58
198.47
220.19
302.58
198.47
198.47
198.47
248.41
181.91
261.14
392.67
264.28
264.28
451.82
591.80
1,172.84
247.66
287.73
266.68
287.73
417.49
1,188.44
78.65
338.71
338.71
451.82
616.41
373.27
244.60
300.17
300.17
395.93
271.76
244.60
271.76
498.68
183.79
842.06
02/12/14
Charge#
--------709171084
709170664
709170665
709170666
709170624
709170625
709170626
709170621
709170622
709170623
714170293
709170903
705080028
707031077
702171135
705080263
705080262
705080261
705080260
705080259
705080258
721070006
714030106
714030107
714030119
722320127
702150437
702150475
702153013
702151797
709130023
702151800
702153012
702170524
702151231
702150724
702152828
702151486
702150618
702150693
716136004
702150751
714030096
702220304
702220306
702421521
702421503
707031065
625012000
625011200
625012060
625012080
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SHEATH PRELUDE 5FR (ME)
SHEATH PRELUDE 6FR (ME)
SHEATH PRELUDE 7FR (ME)
SHEATH PRELUDE 8FR (ME)
SHEATH SSV 10FR (BD)
SHEATH SSV 11FR (BD)
SHEATH SSV 12FR (BD)
SHEATH SSV 7FR (BD)
SHEATH SSV 8FR (BD)
SHEATH SSV 9FR (BD)
SHEATH TISCHLER 5.5FR (CM)
SHEATH TRIO (TRIPORT)14F
SHEEPSKIN 30 X 40
SHIGA-LIKE TOXIN AG EIA
SHIM MAXCESS FIXATION PAIR (NU)
SHOE POST OP MENS LG
SHOE POST OP MENS MED
SHOE POST OP MENS SM
SHOE POST OP WOMENS LG
SHOE POST OP WOMENS MED
SHOE POST OP WOMENS SM
SHOEHORN
SHOULDER 1 VIEW
SHOULDER 2 VIEW +
SHOULDER ARTHROGRAPHY COMPLETE
SHOULDER JOINT MANIP W ANES
SHUNT BECKER EXTERNAL
SHUNT CAROTID PRUIT INHARA (IE)
SHUNT CERTAS PROG W BACT (CD)
SHUNT CORONARY ALL SIZES
SHUNT DET COOXMTY
SHUNT FLO COIL ALL SIZES
SHUNT HAKIM PROG W SIPHON (CD)
SHUNT JAVID CAROTID
SHUNT NEONATE DELTA SNAP (MT)
SHUNT PROGRAMABLE V-P MED
SHUNT PROGRAMMABLE VALVE (CD)
SHUNT SPETZLER LP (IT)
SHUNT STRATA II REG 46866 (MT)
SHUNT STRATA SNAP 27823 (MT)
SHUNT STUDY LP
SHUNT VP CODMAN
SHUNTOGRAM
SI ENDO TO IL W BLEED CONTRL
SI ENDO W BX SINGLE OR MULTI
SIALOLITHOTOMY PAROTID EXTR COMP
SIALOLITHOTOMY SM COMPLICATED
SICKLING OF RBC REDUCTION
SICU NSCU CRITICAL CARE
SICU NSCU GENERAL ROOM
SICU NSCU INTERMEDIATE CARE
SICU NSCU TRAUMA CRITICAL
University Medical Center So. NV.
Page 201
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------47.02
47.02
47.02
47.02
234.77
234.77
234.77
234.77
234.77
234.77
293.44
563.75
95.13
220.00
3,620.06
49.40
49.40
64.27
41.70
41.70
53.51
116.42
392.45
480.30
691.00
1,825.61
767.25
1,289.75
11,710.88
261.25
134.68
261.25
11,132.55
434.24
3,595.13
6,050.00
11,781.00
1,707.75
9,933.33
10,318.00
1,556.28
7,700.00
650.48
2,969.04
1,238.45
1,968.24
2,969.21
7.15
2,302.00
1,154.00
1,448.00
2,945.00
02/12/14
Charge#
--------702220053
702220190
702220113
702220125
702220114
702220036
702220124
702170180
702220037
702420062
702220128
702220127
702220035
702220107
702220137
702220004
702420345
702220084
702220115
702220016
702220005
702420348
702220188
702420885
721070007
705081556
705081554
705081555
723520041
723320046
723320045
723320044
723320043
723320042
723020057
723020055
723020052
723020050
723020049
723520254
723520257
723520259
723520256
723520255
723520042
723020450
723320041
723020056
723520044
723020054
723520046
723320040
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SIG W/BALLOON DILATION
SIGMOID ABLATE TUMOR BDSD
SIGMOID ABLATIONS TUMOR
SIGMOID CONTROL BLEED BDSD
SIGMOID CONTROL BLEEDING
SIGMOID TUM POLYPS SNARE
SIGMOID W SUBMUCOSAL INJ BDSD
SIGMOIDOSCOPE DISPOSABLE
SIGMOIDOSCOPY ABL TUMPOLYP
SIGMOIDOSCOPY FLEX DIAGNOSTIC
SIGMOIDOSCOPY FLEX DX
SIGMOIDOSCOPY FLEX DX BDSD
SIGMOIDOSCOPY POLYPS HFCPS
SIGMOIDOSCOPY REM FB
SIGMOIDOSCOPY SCREENING
SIGMOIDOSCOPY US GUIDE BX
SIGMOIDOSCOPY US GUIDE BX
SIGMOIDOSCOPY W BIOPSY BDSD
SIGMOIDOSCOPY W BX
SIGMOIDOSCOPY W SUBMUC INJ
SIGMOIDOSCOPY W ULTRASOUND
SIGMOIDOSCOPY W ULTRASOUND
SIGMOIDSCOPY W/REM FB BDSD
SIJ ANESTH STEROID INJ
SILICONE SHEET
SILVASORB GEL 16OZ JAR
SILVASORB GEL ANIMICROBIAL 3OZ
SILVASORB GEL ANIMICROBIAL 8OZ
SIMPLE FENLMM UP TO 2.5CM/<
SIMPLE REPR FEENL 12.6-20.0CM
SIMPLE REPR FEENL 2.6-5.0CM
SIMPLE REPR FEENL 5.1-7.5CM
SIMPLE REPR FEENL 7.6-12.5CM
SIMPLE REPR FEENL UP TO 2.5CM
SIMPLE REPR FENLM 12.6-20CM
SIMPLE REPR FENLM 2.6-5CM
SIMPLE REPR FENLM 5.1-7.5CM
SIMPLE REPR FENLM 7.6-12.5CM
SIMPLE REPR FENLM TO 2.5CM
SIMPLE REPR FENLMM 12.6-20CM
SIMPLE REPR FENLMM 2.6-5.0 CM
SIMPLE REPR FENLMM 20.1-30CM
SIMPLE REPR FENLMM 5.1-7.5CM
SIMPLE REPR FENLMM 7.6-12.5 CM
SIMPLE REPR SNAGTRE >30CM
SIMPLE REPR SNAGTRE >30CM
SIMPLE REPR SNAGTRE 12.6-20.0 CM
SIMPLE REPR SNAGTRE 12.6-20.0CM
SIMPLE REPR SNAGTRE 12.6-20.0CM
SIMPLE REPR SNAGTRE 2.6-7.5CM
SIMPLE REPR SNAGTRE 2.6-7.5CM
SIMPLE REPR SNAGTRE 2.6-7.5CM
University Medical Center So. NV.
Page 202
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
Price
---------1,009.70
2,022.58
2,028.21
1,216.57
1,219.97
2,047.57
818.63
36.08
1,887.20
1,051.94
1,051.94
1,051.94
2,414.23
1,644.78
992.69
1,607.85
1,607.85
1,237.59
1,151.45
647.39
1,032.20
1,032.20
1,283.63
389.07
103.79
501.48
85.19
339.33
732.78
1,937.68
851.06
1,029.26
1,336.92
732.78
1,934.08
849.48
1,027.35
1,334.44
731.43
1,937.68
851.06
1,935.51
1,029.26
1,336.92
2,031.42
2,031.42
1,227.82
1,225.56
1,227.82
771.90
773.34
773.34
02/12/14
Charge#
--------723320039
723520043
723020053
723020051
723520045
723320038
723020048
723320037
723520047
702172004
702421509
702420230
702420884
714030097
714030094
702420895
702420894
702420850
702420229
707030639
702171046
702171053
702171054
707030556
726120034
702140008
705080257
705081557
714030095
714030100
709120055
722120007
702150403
702170771
702170772
702170773
705080256
705080255
705080254
705080253
702170702
702152892
702170942
702173000
702151236
720070000
702151167
702151185
702150191
702151080
702151237
702151081
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SIMPLE REPR SNAGTRE 20.0-30.0CM
SIMPLE REPR SNAGTRE 20.1-30CM
SIMPLE REPR SNAGTRE 20.1-30CM
SIMPLE REPR SNAGTRE 7.6-12.5CM
SIMPLE REPR SNAGTRE 7.6-12.5CM
SIMPLE REPR SNAGTRE 7.6-12.5CM
SIMPLE REPR SNAGTRE TO 2.5CM
SIMPLE REPR SNAGTRE UP TO 2.5CM
SIMPLE REPR UP TO 2.5CM/1
SINGLE PORT DEVICE RD180 (LS)
SINUS ENDO W/BLN DIL MAX SINUS
SINUS ENDO W/MAX ANTROSTOMY
SINUS ENDOSCOPY DIAG W SPHENOID
SINUSES LIMITED <3V
SINUSES PARANASAL COMPLETE
SINUSOTOMY FRONTAL EXT S
SINUSOTOMY MAXILLIARY
SINUSOTOMY MUS STRIP POLY
SINUS-SCOPE BX-POLY-DEB
SIROLIMUS
SIZER BREAST ALL SZS (MN)
SIZER BREAST SALINE ALL SZS (AG)
SIZER BREAST SILICONE ALL SZ (AG)
SJOGRENS AB
SKIN BIOPSY SINGLE
SKIN DERMAL/EPIDERMAL IMPLANT
SKIN PROTECTANT NUTRASHIELD
SKINTEGRITY CLNR 8OZ SPRAY
SKULL COMPLETE 4V
SKULL LIMITED
SLCT CATHART; BRACH-CEPH 1ST ORD
SLEEP THERAPY INDIV GN
SLEEVE CABLE STRYKER
SLEEVE CERVICAL SMIT 40MM
SLEEVE CERVICAL SMIT 60MM
SLEEVE CERVICAL SMIT CTMR
SLEEVE FLOWTRON CALF LARGE
SLEEVE FLOWTRON SCD CALF STD
SLEEVE FLOWTRON SCD THIGH STD
SLEEVE FLOWTRON THIGH LARGE
SLEEVE HOLDING (SY)
SLIDING CORE 8.5 SMALL (DP)
SLING SWATHE ARM LG
SLING ADJUST (BD)
SLING APOGEE SYSTEM W/INTERPRO
SLING ARM
SLING ELEVATE 720093-01 (AM)
SLING ELEVATE 720127-01 (AM)
SLING GYNECARE PROFIT
SLING GYNECARE SECUR ITEM
SLING MINI ARC 720191-01 (AM)
SLING MONARCH SUBFACL HAMOCK (AM
University Medical Center So. NV.
Page 203
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------837.65
837.65
985.59
944.15
945.90
945.90
690.95
692.23
692.23
1,331.54
3,343.77
3,632.90
2,548.30
218.83
687.91
2,737.03
2,737.03
4,629.66
2,783.15
278.60
244.00
221.84
1,049.04
173.40
292.46
3,238.73
43.41
19.37
810.52
618.71
5,088.80
423.92
750.75
421.10
421.10
1,440.83
177.10
116.71
153.53
271.84
785.11
1,828.75
290.43
3,355.00
3,836.25
242.85
6,050.00
5,139.75
2,378.75
3,011.25
4,446.75
3,011.25
02/12/14
Charge#
--------702421170
702150721
702150774
702150311
702170943
702150314
702170155
702170156
702420564
723320350
702220300
702220038
702220301
702220305
714030101
702170811
702170882
702170465
702270184
702270185
702270001
714170074
702270261
702270218
702170157
702270219
721070008
707030140
707030141
707030142
707030143
707030557
705080252
705080027
705080468
707030886
702170531
707030558
702171409
702171400
702171404
702171402
702171401
702171410
702171408
702171411
702171405
702171406
702171407
702171412
702171403
702171399
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SLING OP STRESS INCONTIN
SLING PERIGEE SYSTEM W/INTEXEN
SLING PROLIFT PFRT02 (JJ)
SLING SPARC
SLING SWATHE ARM MEDIUM
SLING TVTRL PELVIC EXACT (EC)
SLING ULTRA II
SLING W/VELCRO
SLITTING PREPUCE ADULT
SLITTING PREPUCE PEDS NOT NEWBORN
SM INT ENDO W REM T/P/L W SNARE
SM INTEST ENDO W/ABLATION
SMALL BOWEL ENDOSCOPY/STENT
SMALL INTESTINE ENDO W REM FB
SMALL INTESTINE W/MULTIPLE FILMS
SMARTCARD VERI-Q
SMOKE EVCUATOR CO2 LASER (PR)
S-N PIN DRILL PACK
SNARE 20MM OVAL W SPIRAL WIRE
SNARE CAPTIVATOR II RND LG (BS)
SNARE EXACTO COLD 24X230X9 (UE)
SNARE EXPRO ELITE 15MM (AB)
SNARE GI SPIRAL 20MMX230CM
SNARE PED WIDE OVAL 27 X 240
SNARE POLYP DISP OSCOPY
SNARE SENSATN STD OVAL 27X240
SOCK AID
SODIUM
SODIUM STAT
SODIUM URINE 24HR
SODIUM URINE RANDOM
SODIUM, STOOL
SOFTSHELL INVERTED NIPPLE
SOFTSHELL SORE NIPPLE KIT
SOLE WEDGE OUTSIDE L3360 (PCE)
SOMA (CARISOPRODOL)
SOMANETICS
SOMATOMEDIN-C
SONOPET 25KHZ PAYNER 360 TIP (SK
SONOPET 25KHZ PAYNER S LG TIP (SK
SONOPET 25KHZ SPTZLER BAR LG (SK
SONOPET 25KHZ SPTZLER OA CLAW (SK
SONOPET 25KHZ SPTZLER SL CLAW (SK
SONOPET 25KHZ SPTZLR A M CLAW (SK
SONOPET 25KHZ SPTZLR BARCUDA (SK
SONOPET 25KHZ SPTZLR MIC CLAW (SK
SONOPET 25KHZ STRAIGHT TIP (SK
SONOPET 25KHZ STRT LG TIP (SK
SONOPET 25KHZ STRT MICRO TIP (SK
SONOPET DISP TUBING W/EXT SET (SK
SONOPET UNIV NAKAGAWA KNIFE (SK
SONOPET UNIV SUP LG STRT TIP (SK)
University Medical Center So. NV.
Page 204
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,721.80
5,761.25
7,218.75
2,186.25
54.91
3,455.65
1,846.53
155.84
2,546.54
2,546.54
1,828.11
1,908.14
3,492.57
1,455.33
819.67
374.00
520.47
2,151.37
195.01
158.69
114.22
2,021.43
1,453.34
154.33
437.24
116.30
284.84
114.10
114.10
140.44
140.44
106.56
54.44
53.73
20.08
70.87
633.89
186.11
2,428.83
2,428.83
2,428.83
2,428.83
2,428.83
2,428.83
2,428.83
2,726.31
2,127.90
2,127.90
2,127.90
1,324.08
2,428.83
2,903.33
02/12/14
Charge#
--------702151011
702152635
702152632
702151010
702151014
702151001
702151000
702151067
702151002
702151121
702150970
702150954
702150950
702150951
702150955
702150956
702150949
702150948
702150945
702150944
702150943
702150964
702150967
702150947
702150966
702150965
702150953
702150946
702152013
702150924
702151004
702150996
702151005
702152647
702150929
702150930
702150939
702152645
702150611
702150604
702150602
702150600
702150615
702150617
702150625
702150601
702150605
702150606
702150621
702150603
702150623
702150614
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SPACER CALIX 11X14X6 LO 7D (ME)
SPACER CERV 10MM MED LORD (GO)
SPACER CERV 6MM MED LORD (GO)
SPACER CESPACE 13.5X16MM 5D (AP)
SPACER CESPACE 14X11MM 5D (AP)
SPACER CESPACE 14X7MM 5D (AP)
SPACER CESPACE 16X13MM 5D (AP)
SPACER CESPACE 16X5MM 5 DEG (AP)
SPACER CESPACE 16X6MM 5 DEG (AP)
SPACER CESPACE 16X8MM 5 DEG (AP)
SPACER CM LRG ALIF 16MM 12D (SS)
SPACER CM LRG ALIF 16MM 6D (SS)
SPACER CM LRG ALIF 18MM 12D (SS)
SPACER CM LRG ALIF 18MM 6D (SS)
SPACER CM LRG ALIF 20MM 12D (SS)
SPACER CM LRG ALIF 20MM 6D (SS)
SPACER CM MED ALIF 16MM 12D (SS)
SPACER CM MED ALIF 16MM 6D (SS)
SPACER CM MED ALIF 18MM 12D (SS)
SPACER CM MED ALIF 18MM 6D (SS)
SPACER CM MED ALIF 20MM 12D (SS)
SPACER CM MED ALIF 20MM 6D (SS)
SPACER CM SML ALIF 16MM 12D (SS)
SPACER CM SML ALIF 16MM 6D (SS)
SPACER CM SML ALIF 18MM 12D (SS)
SPACER CM SML ALIF 18MM 6D(SS)
SPACER CM SML ALIF 20MM 12D (SS)
SPACER CM SML ALIF 20MM 6D (SS)
SPACER CORPECTOMY 24MM 5D MD (AO
SPACER CORPECTOMY 24MM 5D SM (AO
SPACER CS 6MM LORDOTIC 7 D (OD)
SPACER CS 7MM LORDOTIC 7 D (OD)
SPACER CS 9MM LORDOTIC 7 D (OD)
SPACER ENDOSKEL TA 14MM STD (TS)
SPACER ENDOSKEL TA 17MM LRG (TS)
SPACER ENDOSKEL TA 17MM STD (TS)
SPACER ENDOSKEL TA 17MM XLG (TS)
SPACER ENDOSKEL TA 18MM STD (TS)
SPACER ENDOSKEL TC 10MM MD 6 (TS
SPACER ENDOSKEL TC 10MM SM 6 (TS
SPACER ENDOSKEL TC 7MM LF 0D (TS
SPACER ENDOSKEL TC 7MM MD 0D (TS
SPACER ENDOSKEL TC 7MM SM 0D (TS
SPACER ENDOSKEL TC 8MM LG 0D (TS
SPACER ENDOSKEL TC 8MM MD 0D (TS
SPACER ENDOSKEL TC 8MM MD 6D (TS
SPACER ENDOSKEL TC 8MM SM 0D (TS
SPACER ENDOSKEL TC 9MM LG 0D (TS
SPACER ENDOSKEL TC 9MM LG 6D (TS
SPACER ENDOSKEL TC 9MM MD 0D (TS
SPACER ENDOSKEL TC 9MM MD 6D (TS
SPACER ENDOSKEL TC 9MM SM 0D (TS
University Medical Center So. NV.
Page 205
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
15,578.75
13,200.00
13,200.00
3,300.00
3,300.00
3,300.00
16,351.50
16,351.50
16,351.50
16,351.50
16,351.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
8,651.50
02/12/14
Charge#
--------702150622
702171236
702150857
702152569
702152568
702150818
702150821
702150822
702150608
702150610
702150613
702150768
702150702
702150766
702150765
702152643
702152644
702152646
702151003
702150607
702150609
702151006
702150995
702150998
702150997
702150999
702150994
702153020
702153019
702152686
702152559
702151120
702152561
702152555
702152195
702152560
702151973
702151974
702150616
702152411
702152412
702150626
702150624
702152413
702150922
702150923
702150907
702150904
702150908
702150909
702150925
702150916
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SPACER ENDOSKEL TC 9MM SM 6 D(TS
SPACER FRONT SINUS STRATUS (AL)
SPACER HYPERLO 18X22X60 30 D (NU
SPACER INDEPEND 15MM LRG 15D (GL
SPACER INDEPEND 15MM LRG 8D (GL
SPACER INDEPEND 15MM SML 8D (GL
SPACER INDEPEND 17MM LRG 8D (GL
SPACER INDEPEND 17MM MED 8D (GL
SPACER L C 14X11X25 8 DEG (NU)
SPACER L O 10X10X30 5 DEG (NU)
SPACER L O 12X10X30 5 DEG (NU)
SPACER L T 10X9X20 15 DEG (NU)
SPACER L T 10X9X20 8 DEGREE (NU)
SPACER L T 14X9X20 8 DEGREE (NU)
SPACER L T 8X9X20 15 DEGREE (NU)
SPACER LORDOTIC 16MM LG (TS)
SPACER LORDOTIC 18MM LG (TS)
SPACER LORDOTIC 20MM LG (TS)
SPACER PEEK 15 X 12MM 7L (OX)
SPACER POST LUMB LO 11X10X27 (K2
SPACER POST LUMB LO 9X10X27 (K2
SPACER S 8X11X14 (NU)
SPACER S L 8X11X14 (NU)
SPACER S L 9X11X14 (NU)
SPACER S L 10X11X14 (NU)
SPACER S L 6X11X14 (NU)
SPACER S L 7X11X14 (NU)
SPACER S L PLUS 6X13X15(NU)
SPACER S L PLUS 6X13X15(NU)
SPACER S L PLUS 7X13X15 (NU)
SPACER S L PLUS 8X13X15 (NU)
SPACER S L PLUS 9X13X15 (NU)
SPACER SI LORDOTIC 17X14X6(NU)
SPACER SI LORDOTIC 17X14X7(NU)
SPACER SI LORDOTIC 17X14X8 (NU)
SPACER SI LORDOTIC 17X14X9(NU)
SPACER SYNFX LR 26X32X19 12D (SY
SPACER SYNFX LR 30X38X15 12D (SY
SPACER VAL ACIF 10X16X12 6D (SS
SPACER VAL ACIF 17X36X28 12D (SS
SPACER VALEO ACIF 8X16X12 6D (SS
SPACER VALEO ACIF 9X16X12 0D (SS
SPACER VALEO ACIF 9X16X12 6D (SS
SPACER VBR ALIF 14MM 10 DEG (SS)
SPACER XL 08X18X40 (NU)
SPACER XL 08X18X45 (NU)
SPACER XL 08X18X50 (NU)
SPACER XL 08X18X55(NU)
SPACER XL 10X18X40 (NU)
SPACER XL 10X18X45 (NU)
SPACER XL 10X18X50 (NU)
SPACER XL 10X18X55 (NU)
University Medical Center So. NV.
Page 206
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------8,651.50
3,192.22
20,295.00
17,875.00
17,875.00
17,875.00
17,875.00
17,875.00
8,525.00
8,525.00
8,525.00
6,875.00
6,875.00
6,875.00
6,875.00
16,351.50
16,351.50
16,351.50
3,300.00
8,525.00
8,525.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
3,300.00
7,301.25
7,301.25
7,301.25
7,301.25
19,800.00
19,800.00
8,651.50
16,351.50
8,651.50
8,651.50
8,651.50
15,125.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
02/12/14
Charge#
--------702150917
702150921
702150919
702150927
702150928
702150918
702150926
702150667
702152687
702152688
702150664
702150665
702150666
702150663
702150671
702150661
702150662
702150912
702150913
702150914
702150905
702150906
702150910
702150911
702150915
702150880
702150881
702150882
702150879
702150888
702150891
702150894
702150892
702150896
702150897
702152641
702150968
702150969
702150932
702150754
702150933
702150942
702150931
702150936
702150937
702150934
702150957
702150958
702150959
702150960
702150961
702150962
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SPACER XL 12X18X45 (NU)
SPACER XL 12X18X50 (NU)
SPACER XL 12X18X55 (NU)
SPACER XL 14X18X45 (NU)
SPACER XL 14X18X50 (NU)
SPACER XL 14X18X55 (NU)
SPACER XL 16X18X45 (NU)
SPACER XL 16X18X50 (NU)
SPACER XL H 10X22X60 20 DEG (NU)
SPACER XL H 8X22X55 20 DEG (NU)
SPACER XL L 10X18X45 10 DEG (NU)
SPACER XL L 10X18X50 10 DEG (NU)
SPACER XL L 10X18X55 10 DEG (NU)
SPACER XL L 12X18X45 10 DEG (NU)
SPACER XL L 12X18X50 10 DEG (NU)
SPACER XL L 12X18X55 10 DEG (NU)
SPACER XL L 14X18X40 10 DEG (NU)
SPACER XL L 14X18X45 10 DEG (NU)
SPACER XL L 14X18X50 10 DEG (NU)
SPACER XL L 14X18X55 10 DEG (NU)
SPACER XL L 16X18X50 10 DEG (NU)
SPACER XL L 16X18X55 10 DEG (NU)
SPACER XL L 8X18X45 10 DEG (NU)
SPACER XL L 8X18X50 10 DEG(NU)
SPACER XL L 8X18X55 10 DEG (NU)
SPACER XL T 10X16X40 (NU)
SPACER XL T 6X16X30 (NU)
SPACER XL T 6X16X35 (NU)
SPACER XL T 6X16X40 (NU)
SPACER XL T 8X16X40 (NU)
SPACER XLCT 10X18X45MM (NU)
SPACER XLCT 10X18X45MM 10 DG (NU
SPACER XLCT 10X18X50MM 10 DG (NU
SPACER XLCT 10X18X55MM 10 DG (NU
SPACER XLCT 12X18X45MM (NU)
SPACER XLIF 22X45X12MM LORD (K2)
SPACER XLW 10X22X45 10 DEG (NU)
SPACER XLW 10X22X50 10 DEG (NU)
SPACER XLW 10X22X55 10 DEG (NU)
SPACER XLW 10X22X60 10 DEG (NU)
SPACER XLW 12X22X45 10 DEG (NU)
SPACER XLW 12X22X50 10 DEG (NU)
SPACER XLW 12X22X55 10 DEG (NU)
SPACER XLW 12X22X60 10 DEG (NU)
SPACER XLW 14X22X45 10 DEG (NU)
SPACER XLW 14X22X50 10 DEG (NU)
SPACER XLW 14X22X60 10 DEG (NU)
SPACER XLW 16X22X50 10 DEG (NU)
SPACER XLW 8X22X40 10 DEG (NU)
SPACER XLW 8X22X45 10 DEG (NU)
SPACER XLW 8X22X50 10 DEG (NU)
SPACER XLW 8X22X55 10 DEG (NU)
University Medical Center So. NV.
Page 207
Dispense
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.00000
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.00000
.00000
.00000
.00000
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Price
---------13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
20,295.00
20,295.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,200.00
13,898.50
13,898.50
13,898.50
13,898.50
13,898.50
15,221.25
15,221.25
15,221.25
15,221.25
15,221.25
13,200.00
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
15,977.50
02/12/14
Charge#
--------702150963
702152367
702150878
702150941
702152368
702152369
702152370
702152371
702152372
702152373
702152374
702152375
702152376
702170117
702170677
715520019
714030098
716136025
707030676
722120019
702420551
702170151
702270198
702270199
702420473
716136043
723020047
723520072
723320036
702420573
723020046
714030099
714030077
714030054
714030055
714030052
714030053
714030058
714030059
723030003
718130016
702421160
702170966
702170963
721070037
721070038
721070039
721070040
721070041
721070042
721070043
721070044
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SPACER XLW 8X22X60 10 DEG (NU)
SPACER XLXW 10X26X45 10 DEG(NU)
SPACER XLXW 10X26X50 10 DEG (NU)
SPACER XLXW 10X26X55 10 DEG(NU)
SPACER XLXW 10X26X60 10 DEG(NU)
SPACER XLXW 12X26X45 10 DEG(NU)
SPACER XLXW 12X26X50 10 DEG (NU)
SPACER XLXW 12X26X55 10 DEG (NU)
SPACER XLXW 12X26X60 10 DEG (NU)
SPACER XLXW 8X26X45 10 DEG(NU)
SPACER XLXW 8X26X50 10 DEG(NU)
SPACER XLXW 8X26X55 10 DEG (NU)
SPACER XLXW 8X26X60 10 DEG(NU)
SPATULA OSCOPY
SPATULA PLASMA W CORD
SPECIAL TX PORT PLAN TC (NVC)
SPECIMEN RADIOGRAPH
SPECT BONE ANDOR JOINT
SPECTROPHOTOMETRY, ANALYTE
SPEECH SOUND LANG COMP
SPHINCTEROPLASTY, ANAL/ADULT
SPHINCTEROTOME OSCOPY
SPHINCTERTOME 3V 7MM NOSE (OA)
SPHINCTERTOME 44 WIRE 0.35X450
SPINAL DRAIN SPINAL FLUID
SPINAL PUNCTURE LUMBAR
SPINAL PUNCTURE LUMBAR
SPINAL PUNCTURE LUMBAR
SPINAL PUNCTURE LUMBAR
SPINAL PUNCTURE LUMBAR DIAGNOSTIC
SPINAL PUNCTURE, THER DRAIN CSF
SPINE 1 VIEW
SPINE CERVICAL 2/3 V
SPINE CERVICAL 4V>
SPINE CERVICAL W/FLEX & EXT
SPINE ENTIRE AP & LAT
SPINE L-S COMP W/BENDING
SPINE LUMBOSACRAL COMPLETE
SPINE LUMBOSACRAL LIMITED
SPIROMETRY
SPIROMETRY BEFORE AND AFTER
SPLEENECTOMY TOTAL
SPLINT ALUMA FOAM
SPLINT AQUAPLAST
SPLINT ARTHRITIS LG LEFT
SPLINT ARTHRITIS LG RIGHT
SPLINT ARTHRITIS MD LEFT
SPLINT ARTHRITIS MD RIGHT
SPLINT ARTHRITIS SM LEFT
SPLINT ARTHRITIS SM RIGHT
SPLINT BURN KYDEX LG LEFT
SPLINT BURN KYDEX LG RIGHT
University Medical Center So. NV.
Page 208
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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Price
---------15,977.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
16,890.50
366.51
1,470.40
402.00
548.66
521.62
47.74
225.12
5,085.57
1,269.10
832.83
1,788.86
238.99
328.14
435.02
435.84
435.84
969.27
464.82
460.81
604.48
719.77
825.49
879.12
953.13
762.32
605.30
382.53
749.31
3,540.70
37.88
125.65
203.25
203.25
203.25
203.25
196.19
196.19
160.50
160.50
02/12/14
Charge#
--------721070045
721070046
721070047
721070048
721070049
721070050
721070051
721070052
721070053
721070054
702170947
720070003
721070055
720070004
721070084
705080251
705080026
705080025
702170968
702170961
720070005
721070085
721020003
721020004
720020003
720020004
721020005
720020005
720070001
721070056
721070057
721070058
721070059
721070060
721070061
721020020
720020006
721070086
721020006
721020007
702170962
702170159
702170366
702170158
721070062
721070063
721070064
721070065
721070066
721070067
702170969
721020008
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SPLINT BURN KYDEX MD LEFT
SPLINT BURN KYDEX MD RIGHT
SPLINT BURN KYDEX SM LEFT
SPLINT BURN KYDEX SM RIGHT
SPLINT BURN LARGE LEFT
SPLINT BURN LARGE RIGHT
SPLINT BURN MED LEFT
SPLINT BURN MED RIGHT
SPLINT BURN SMALL LEFT
SPLINT BURN SMALL RIGHT
SPLINT DENVER
SPLINT ELBOW
SPLINT ELBOW
SPLINT ELBOW AND HAND
SPLINT ELBOW AND HAND
SPLINT ELBOW/ARM LARGE
SPLINT ELBOW/ARM MEDIUM
SPLINT ELBOW/ARM SMALL
SPLINT FINGER METAL
SPLINT FINGER PLASTIC
SPLINT FINGER STATIC
SPLINT FINGER STATIC
SPLINT FOREARM BASED DYN
SPLINT FOREARM BASED DYN OUTR
SPLINT FOREARM BASED DYN OUTR GP
SPLINT FOREARM BASED DYNAMIC GP
SPLINT FOREARM BASED STATIC
SPLINT FOREARM BASED STATIC GP
SPLINT FUNCTIONAL POSITION
SPLINT HAND FUNCTIONAL LG LEFT
SPLINT HAND FUNCTIONAL LG RIGHT
SPLINT HAND FUNCTIONAL MD LEFT
SPLINT HAND FUNCTIONAL MD RIGHT
SPLINT HAND FUNCTIONAL SM LEFT
SPLINT HAND FUNCTIONAL SM RIGHT
SPLINT HAND STATIC
SPLINT HAND STATIC
GP
SPLINT HANDBASE NEUTRAL CONE
SPLINT LONG LEG ADULT
SPLINT LONG LEG PEDS
SPLINT NAIL
SPLINT NASAL BIVALVE
SPLINT NASAL DOYLE
SPLINT NASAL PLASTER
SPLINT NEUTRAL POS CONE LG L
SPLINT NEUTRAL POS CONE LG R
SPLINT NEUTRAL POS CONE MD L
SPLINT NEUTRAL POS CONE MD R
SPLINT NEUTRAL POS CONE SM L
SPLINT NEUTRAL POS CONE SM R
SPLINT ORTHOGLASS
SPLINT SHORT LEG ADULT
University Medical Center So. NV.
Page 209
Dispense
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Price
---------160.50
160.50
160.50
160.50
160.50
160.50
160.50
160.50
160.50
160.50
523.45
415.03
488.54
502.15
502.15
99.89
114.68
114.68
37.88
58.07
237.66
237.66
436.21
592.31
592.31
436.21
317.30
317.30
314.84
130.44
130.44
130.44
130.44
130.44
130.44
228.23
211.33
371.80
516.39
449.91
553.57
360.11
134.54
89.92
167.68
167.68
167.68
167.68
167.68
167.68
285.60
399.44
02/12/14
Charge#
--------721020009
702170183
721070068
721070069
721070070
721070071
705080471
705080470
702420044
702420059
702420187
713020003
702170469
702170506
718130004
707030559
713030004
713030003
709170056
714030056
702420891
702423513
702150542
702170182
702170045
702170192
702170191
702170063
702170048
702170867
702170181
702170186
702170502
702170760
702171142
702170187
702170278
702150244
702170272
702170284
702170271
702170273
702171354
702170034
702170483
702170044
702170042
702170482
702170484
702170073
702170842
702171211
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SPLINT SHORT LEG PEDS
SPLINT THERMOPLAST NASAL
SPLINT ULNAR DEV MD LEFT
SPLINT ULNAR DEV MD RIGHT
SPLINT ULNAR DEV SM LEFT
SPLINT ULNAR DEV SM RT
SPLINT WRIST COCK-UP LT
SPLINT WRIST COCK-UP RT
SPLIT GRAFT FSMNE 1ST 100SQ
SPLIT GRAFT TAL 100CM<INF-CHILD
SPLIT GRAFT TSALHF ADDL 100 SQ CM
SPLIT NIGHT SLEEP STUDY
SPONGE TONSIL SM MD LG
SPRAY AEROSOL STERILE POWDER
SPUTUM INDUCTION
SSB ANTIBODY
SSEP/ANY/ALL/UE
SSEP/TRUNK/HEAD
SSV SHEATH PEEL AWAY
STANDING AP KNEES BILAT
STAPEDECTOMY
STAPES MOBILIZATION
STAPLE ARTHREX
STAPLE EEA DISPOSABLE
STAPLE GIA DISPOSABLE
STAPLE GIA PREMIUM
STAPLE GIA REFILL
STAPLE HEMORRHOID
STAPLE LDS DISPOSABLE
STAPLE LIG SPIKED ARTHREX
STAPLE POLYSORB
STAPLE POLYSORB RELOAD
STAPLE PURSE STRING
STAPLE RELOAD GIA ENDO 30 2.5MM
STAPLE RELOAD GIA ENDO 60 3.5MM
STAPLE ROTICULATOR TA
STAPLE SKIN
STAPLE SPINE (DK)
STAPLE SUB Q DISPOSABLE
STAPLE TA 30-55-90 DISP REFILL
STAPLE T-A RELOAD FISHER
STAPLE TA W/DISPOSABLE HANDLE
STAPLER 174233
STAPLER 55 STD
STAPLER ARTIC 55MM THK STD
STAPLER ARTIC FLEX 45 X 340 (EC)
STAPLER ARTIC FLEX 45 X 440 (EC)
STAPLER ARTICULATION 45MM
STAPLER ARTICULATION 55MM THICK
STAPLER CONTOUR CRVD CUTTER
STAPLER DST EEA ORVIL
STAPLER DST EEA XL
University Medical Center So. NV.
Page 210
Dispense
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.00000
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Price
---------378.60
373.69
80.46
80.46
80.46
80.46
46.50
46.50
3,447.40
3,695.95
2,329.03
690.98
1,334.99
760.86
224.29
119.52
585.53
1,249.59
443.24
460.71
4,629.66
5,409.38
940.50
2,625.97
1,924.18
1,517.69
875.26
2,935.33
1,335.58
641.90
727.15
608.70
799.39
1,378.23
1,359.17
1,868.90
437.24
2,444.75
674.67
852.10
1,875.64
1,096.27
1,110.50
1,851.87
1,457.07
1,444.28
1,444.28
1,132.77
1,559.66
2,351.77
368.91
2,543.67
02/12/14
Charge#
--------702170591
702170592
702170594
702170589
702170590
702170593
702171132
702171159
702170499
701070000
702170032
702170050
702170060
702170468
702151758
702170681
702170768
702170827
702171273
702171272
705080250
705080249
701070007
702170039
707030144
707030616
707030246
705080120
709170905
705080248
702151281
702152616
709150389
702250072
702250073
702250074
702250075
702250076
702250078
702250079
702250080
702250081
702250082
702250083
702250084
702250130
702250125
702250126
702250123
702250124
702250122
702250120
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STAPLER ECH FLEXPWR COMP 45A
STAPLER ECH FLEXPWR COMP 60A
STAPLER ECH FLEXPWR LONG 45A
STAPLER ECH FLEXPWR LONG 60A
STAPLER ECH FLEXPWR STD 45A
STAPLER ECH FLEXPWR STD 60A
STAPLER ENDO ARTICULATING LONG
STAPLER ENDO CURVED 29MM LP (EC)
STAPLER GIA ALL SIZES
STAPLER INSORB SUBCUT SKIN
STAPLER INSORB SUBCUTICULAR SKIN
STAPLER INTERDERMAL ALL SZS
STAPLER PROTAC
STAPLER RELOAD CV CUTTER
STAPLER RELOAD END 45
STAPLER RELOAD ENDOGIA 30MM
STAPLER RELOAD TCR75
STAPLER RELOAD TR45W
STAPLER SC45
STAPLER SC60
STAPLER SKIN 35 REGULAR
STAPLER SKIN 35 WIDE
STAPLER SUBCUTANEOUS
STAPLER TA 90
STAT LAB PREGNANCY SERUM
STAT LAB PREGNANCY URINE
STAT LAB WET PREP
STATLOCK CV PLUS
STATLOCK FOR IAPB
STATLOCK ULTRA NEO (NICU)
STEM RADIAL WRIGHT
STEM TIT HUM PRES SZ8 120MM (SY
STENT VISION 2.75 X 15 (AB)
STENT BILI ADV DB 10FRX12CM (BS
STENT BILI ADV DB 10FRX5CM (BS)
STENT BILI ADV DB 10FRX7CM (BS)
STENT BILI ADV DB 10FRX9CM (BS)
STENT BILI ADV DB 7FRX12CM (BS)
STENT BILI ADV DB 7FRX15CM (BS)
STENT BILI ADV DB 7FRX18CM (BS)
STENT BILI ADV DB 7FRX5CM (BS)
STENT BILI ADV DB 7FRX8CM (BS)
STENT BILI ADV DB 7FRX9CM (BS)
STENT BILI ADV DB PTAL 7FX5CM (BS
STENT BILI ADV DB PTAL 7FX9CM (BS
STENT BILI CLSD 8.5F X 5CM (CK)
STENT BILI CLSO 10F X 10CM (CK)
STENT BILI CLSO 10F X 12CM (CK)
STENT BILI CLSO 10F X 5CM (CK)
STENT BILI CLSO 10F X 7CM (CK)
STENT BILI CLSO 7F X 10CM (CK)
STENT BILI CLSO 7F X 5CM (CK)
University Medical Center So. NV.
Page 211
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,941.30
1,941.30
1,941.30
1,923.80
1,941.30
1,941.30
1,431.15
1,385.07
1,369.45
256.23
965.14
2,154.02
1,866.97
1,215.64
291.42
1,378.23
403.85
287.79
1,053.54
1,053.54
47.20
55.88
271.60
1,988.64
165.65
137.11
88.59
34.28
1,105.50
55.84
4,276.25
10,411.36
2,475.00
154.00
154.00
154.00
154.00
154.00
154.00
154.00
154.00
154.00
154.00
154.00
154.00
165.96
144.05
144.05
144.05
144.05
176.06
144.05
02/12/14
Charge#
--------702250121
702250127
702250128
702250129
702250131
702250132
702250133
702250134
702250031
702250032
702250033
702250034
702250035
702250036
702250041
702250029
702250030
702250028
702250085
702250086
702250087
702250039
702250038
702151777
702250040
702250037
702250056
702250057
702250052
702250053
702250054
702250055
702250048
702250045
702250046
702250047
702250049
702250042
702250043
702250044
702250059
702250058
702250051
702250050
714150183
714150184
714150171
714150170
714150173
714150172
714150174
714150135
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT BILI CLSO 7F X 7CM (CK)
STENT BILI CLSO 8.5F X 10CM (CK)
STENT BILI CLSO 8.5F X 11CM (CK)
STENT BILI CLSO 8.5F X 12CM (CK)
STENT BILI CLSO 8.5F X 6CM (CK)
STENT BILI CLSO 8.5F X 7CM (CK)
STENT BILI CLSO 8.5F X 8CM (CK)
STENT BILI CLSO 8.5F X 9CM (CK)
STENT BILI FLEXIMA 10F 10CM (BS)
STENT BILI FLEXIMA 10F 15CM (BS)
STENT BILI FLEXIMA 10F 5CM (BS)
STENT BILI FLEXIMA 10F 7CM (BS)
STENT BILI FLEXIMA 12F 10CM (BS)
STENT BILI FLEXIMA 7F 10CM (BS)
STENT BILI FLEXIMA 7F 12CM (BS)
STENT BILI FLEXIMA 7F 15CM (BS)
STENT BILI FLEXIMA 7F 5CM (BS)
STENT BILI FLEXIMA 7F 7CM (BS)
STENT BILI PERMALUME 10X40MM (BS)
STENT BILI PERMALUME 10X60MM (BS)
STENT BILI PERMALUME 10X80MM (BS)
STENT BILI RX 8.5 X7X .035 (BS)
STENT BILI RX 8.5X10X .035 (BS)
STENT BILI RX 8.5X12X .035 (BS)
STENT BILI RX 8.5X15X .035 (BS)
STENT BILI RX 8.5X5X .035 (BS)
STENT BILI RX DB 10FR X 12CM
STENT BILI RX DB 10FR X 12CM/1
STENT BILI RX DB 10FR X 15CM
STENT BILI RX DB 10FR X 5CM (BS)
STENT BILI RX DB 10FR X 7CM (BS)
STENT BILI RX DB 10FR X 8CM (BS)
STENT BILI RX DB 7FR X 12CM (BS)
STENT BILI RX DB 7FR X 15CM (BS)
STENT BILI RX DB 7FR X 18CM (BS)
STENT BILI RX DB 7FR X 5CM (BS)
STENT BILI RX DB 7FR X 7CM (BS)
STENT BILI RX DB 7FR X 9CM (BS)
STENT BILI RX DB 8.5FRX12CM (BS)
STENT BILI RX DB 8.5FRX15CM (BS)
STENT BILI RX DB 8.5FRX18CM (BS)
STENT BILI RX DB 8.5FRX5CM (BS)
STENT BILI RX DB 8.5FRX7CM (BS)
STENT BILI RX DB 8.5FRX9CM (BS)
STENT BILI VISIPRO 10X27X80 (EV)
STENT BILI VISIPRO 10X37X80 (EV)
STENT BILI VISIPRO 9X27X135 (EV)
STENT BILI VISIPRO 9X27X80 (EV)
STENT BILI VISIPRO 9X37X135 (EV)
STENT BILI VISIPRO 9X37X80 (EV)
STENT BILI VISIPRO 9X57X135 (EV)
STENT BILI VISIPRO5X12X80 (EV)
University Medical Center So. NV.
Page 212
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------144.05
165.96
165.96
60.35
165.96
165.96
165.96
165.96
286.00
286.00
286.00
286.00
286.00
286.00
286.00
286.00
286.00
286.00
8,410.77
8,410.77
8,410.77
244.75
244.75
244.75
244.75
244.75
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
595.64
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
02/12/14
Charge#
--------714150134
714150136
714150137
714150138
714150139
714150140
714150157
714150159
714150158
714150161
714150160
714150163
714150162
714150165
714150164
714150167
714150166
714150169
714150168
702250006
702250088
702250200
702250201
702250135
702250089
702253000
702250090
702250091
702250092
702250007
702250093
702250094
702250095
702250096
702152895
702170542
709150201
702250097
702150703
702250098
702152889
709150159
709150160
709150161
709150162
709150163
709150158
709150165
709150166
709150167
709150168
709150169
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT BILI VISIPRO5X17X80 (EV)
STENT BILI VISIPRO5X27X80 (EV)
STENT BILI VISIPRO6X17X80 (EV)
STENT BILI VISIPRO6X27X80 (EV)
STENT BILI VISIPRO6X37X80 (EV)
STENT BILI VISIPRO6X57X80 (EV)
STENT BILI VISIPRO7X17X80 (EV)
STENT BILI VISIPRO7X27X135 (EV)
STENT BILI VISIPRO7X27X80 (EV)
STENT BILI VISIPRO7X37X135 (EV)
STENT BILI VISIPRO7X37X80 (EV)
STENT BILI VISIPRO7X57X135 (EV)
STENT BILI VISIPRO7X57X80 (EV)
STENT BILI VISIPRO8X27X135 (EV)
STENT BILI VISIPRO8X27X80 (EV)
STENT BILI VISIPRO8X37X135 (EV)
STENT BILI VISIPRO8X37X80 (EV)
STENT BILI VISIPRO8X57X135 (EV)
STENT BILI VISIPRO8X57X80 (EV)
STENT BILI W FLEX PTCOV10X60(BS
STENT BILI WALLFLEX 10X100MM (BS
STENT BILI WALLFLEX 10X60MM (BS)
STENT BILI WALLFLEX 10X80MM (BS)
STENT BILI WALLFLEX 8 X 60MM (BS)
STENT BILI WALLFLEX 8 X 80MM (BS)
STENT BILI WALLFLEX 8X100MM(BS)
STENT BILI WFLEX COVD 10X40MM (BS
STENT BILI WFLEX COVD 10X60MM (BS
STENT BILI WFLEX COVD 8X60MM (BS)
STENT BILI WFLEX PTCOV10X80(BS
STENT COLON WALLFLEX 22X120MM (BS
STENT COLON WFLEX 22X90MM (BS)
STENT COLON WFLEX 25 X 90MM (BS)
STENT COLON WFLEX 25X120MM (BS)
STENT DBL J M0061451480 (BS)
STENT DOUBLE J
STENT DRIVER 3.5 X 24 (MT)
STENT DUOD ENDOPROSTH 20X60MM (BS
STENT DUOD WFLEX 22 X 120MM (BS)
STENT DUOD WFLEX 22 X 60MM (BS)
STENT DUOD WFLEX 22 X 90MM (BS)
STENT ENDEAVOR SPRINT 2.5X12 (MT)
STENT ENDEAVOR SPRINT 2.5X14 (MT)
STENT ENDEAVOR SPRINT 2.5X18 (MT)
STENT ENDEAVOR SPRINT 2.5X24 (MT)
STENT ENDEAVOR SPRINT 2.5X30 (MT)
STENT ENDEAVOR SPRINT 2.5X8 (MT)
STENT ENDEAVOR SPRINT 3 X 12 (MT)
STENT ENDEAVOR SPRINT 3 X 15 (MT)
STENT ENDEAVOR SPRINT 3 X 18 (MT)
STENT ENDEAVOR SPRINT 3 X 24 (MT)
STENT ENDEAVOR SPRINT 3 X 30 (MT)
University Medical Center So. NV.
Page 213
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
1,842.50
6,943.75
4,812.50
4,812.50
4,812.50
4,812.50
4,812.50
4,812.50
6,943.75
6,943.75
6,943.75
6,943.75
6,861.25
6,861.25
6,861.25
6,861.25
552.39
1,089.43
1,856.25
7,136.25
6,861.25
6,861.25
6,861.25
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
02/12/14
Charge#
--------709150164
709150171
709150172
709150173
709150174
709150175
709150170
714150084
702250005
702250004
702250003
702250002
702250060
702250061
702250099
702250100
702152890
702250101
702250102
702250103
702250203
702250105
702250106
702250107
702250108
702250109
702250110
702250111
709170055
709170775
709170778
709170777
714150093
714150091
714150092
714150086
714150087
714150088
714150089
714150090
714150108
709171118
709171119
709171120
709171121
709171122
709171117
709171124
709171125
709171087
709171088
709171089
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT ENDEAVOR SPRINT 3 X 9 (MT)
STENT ENDEAVOR SPRINT 3.5 X12 (MT
STENT ENDEAVOR SPRINT 3.5 X15 (MT
STENT ENDEAVOR SPRINT 3.5 X18 (MT
STENT ENDEAVOR SPRINT 3.5 X24 (MT
STENT ENDEAVOR SPRINT 3.5 X30 (MT
STENT ENDEAVOR SPRINT 3.5 X9 (MT)
STENT ENTERPRISE 4.5 X 22MM (CD)
STENT ESOPH COV WFLEX 18X10 (BS)
STENT ESOPH COV WFLEX 18X15 (BS)
STENT ESOPH COV WFLEX 23X10 (BS)
STENT ESOPH COV WFLEX 23X12 (BS)
STENT ESOPH COV WFLX 18-23X12.3
STENT ESOPH COV WFLX 23-28X15.5
STENT ESOPH POLYFLEX 12X16MM (BS)
STENT ESOPH POLYFLEX 18MMX8CM (BS
STENT ESOPH POLYFLEX 18X120MM (BS
STENT ESOPH POLYFLEX 18X150MM (BS
STENT ESOPH POLYFLEX 18X90MM (BS)
STENT ESOPH POLYFLEX 20MMX8CM (BS
STENT ESOPH POLYFLEX 21X120MM(BS)
STENT ESOPH POLYFLEX 21X90MM (BS)
STENT ESOPH WALLFLEX 18X23X10 (BS
STENT ESOPH WALLFLEX 18X23X12 (BS
STENT ESOPH WALLFLEX 18X23X15 (BS
STENT ESOPH WALLFLEX 23X28X10 (BS
STENT ESOPH WALLFLEX 23X28X12 (BS
STENT ESOPH WALLFLEX 23X28X15 (BS
STENT EXPRESS MR 2.25X8 (BS)
STENT EXPRESS2 MR 2.25 X 16
STENT EXPRS 2 MRI 2.25X12
STENT EXPRS 2 MRI 2.25X20
STENT FLUENCY 9F 6X80 (BD)
STENT FLUENCY COV 9F 10X40 (BD)
STENT FLUENCY COV 9F 10X80 (BD)
STENT FLUENCY COV 9F 6X40 (BD)
STENT FLUENCY COV 9F 6X60 (BD)
STENT FLUENCY COV 9F 8X40 (BD)
STENT FLUENCY COV 9F 8X60 (BD)
STENT FLUENCY COV 9F 8X80 (BD)
STENT GENESIS 4 X 15 X 80 (CS)
STENT INTEGRITY 2.25X12 (MT)
STENT INTEGRITY 2.25X14 (MT)
STENT INTEGRITY 2.25X18(MT)
STENT INTEGRITY 2.25X22(MT)
STENT INTEGRITY 2.25X26(MT)
STENT INTEGRITY 2.25X8 (MT)
STENT INTEGRITY 2.5X12(MT)
STENT INTEGRITY 2.5X14(MT)
STENT INTEGRITY 2.5X18(MT)
STENT INTEGRITY 2.5X22 (MT)
STENT INTEGRITY 2.5X26 (MT)
University Medical Center So. NV.
Page 214
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
4,468.75
14,300.00
6,462.50
6,462.50
6,462.50
6,462.50
6,462.50
6,462.50
7,016.79
6,181.64
5,472.50
5,472.50
5,472.50
6,181.64
5,472.50
5,472.50
5,912.50
5,912.50
5,912.50
5,912.50
5,912.50
5,912.50
2,880.49
2,131.25
2,131.25
2,131.25
6,586.25
6,627.50
6,723.75
6,173.75
6,173.75
6,173.75
6,311.25
6,586.25
2,728.69
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
02/12/14
Charge#
--------709171123
709171091
709171092
709171093
709171094
709171095
709171090
709171104
709171105
709171106
709171107
709171108
709171109
709171103
709171097
709171098
709171099
709171100
709171101
709171102
709171096
709171111
709171112
709171113
709171114
709171115
709171116
709171110
702151775
702151532
714150156
714150154
714150155
714150152
714150153
714150151
702250027
702250018
702250014
702250013
702250016
702250023
702250022
702250021
702250020
702250017
702250025
702250015
702250012
702250026
702250011
702250024
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT INTEGRITY 2.5X8(MT)
STENT INTEGRITY 2.75X12 (MT)
STENT INTEGRITY 2.75X14 (MT)
STENT INTEGRITY 2.75X18 (MT)
STENT INTEGRITY 2.75X22 (MT)
STENT INTEGRITY 2.75X26 (MT)
STENT INTEGRITY 2.75X8 (MT)
STENT INTEGRITY 3.5X12(MT
STENT INTEGRITY 3.5X15(MT
STENT INTEGRITY 3.5X18MT
STENT INTEGRITY 3.5X22MT
STENT INTEGRITY 3.5X26MT
STENT INTEGRITY 3.5X30MT
STENT INTEGRITY 3.5X9(MT)
STENT INTEGRITY 3X12 (MT)
STENT INTEGRITY 3X15(MT)
STENT INTEGRITY 3X18(MT)
STENT INTEGRITY 3X22(MT)
STENT INTEGRITY 3X26(MT)
STENT INTEGRITY 3X30(MT)
STENT INTEGRITY 3X9 (MT)
STENT INTEGRITY 4X12(MT)
STENT INTEGRITY 4X15(MT)
STENT INTEGRITY 4X18(MT)
STENT INTEGRITY 4X22(MT)
STENT INTEGRITY 4X26(MT)
STENT INTEGRITY 4X30(MT)
STENT INTEGRITY 4X9(MT)
STENT MARDIS URETERAL
STENT NASAL FRONTAL
STENT NEPHRO URTRL 10FX28 (BS)
STENT NEPHRO URTRL 8FX22 (BS)
STENT NEPHRO URTRL 8FX24 (BS)
STENT NEUROFRM 4.5X20 (BS)
STENT NEUROFRM 4.5X30 (BS)
STENT NEUROFRM 4X20 (BS)
STENT PANCR GEENEN 5.0 X 7CM (CK
STENT PANCR NF ZIM 3.0X10CM (CK)
STENT PANCR NF ZIM 3.0X11CM (CK)
STENT PANCR NF ZIM 3.0X4CM (CK)
STENT PANCR NF ZIM 3.0X6CM (CK)
STENT PANCR NF ZIM 3.0X8CM (CK)
STENT PANCR ZIMMON 5.0X10CM (CK
STENT PANCR ZIMMON 5.0X11CM (CK
STENT PANCR ZIMMON 5.0X12CM (CK
STENT PANCR ZIMMON 5.0X2CM (CK
STENT PANCR ZIMMON 5.0X3CM (CK
STENT PANCR ZIMMON 5.0X4CM (CK
STENT PANCR ZIMMON 5.0X5CM (CK
STENT PANCR ZIMMON 5.0X6CM (CK
STENT PANCR ZIMMON 5.0X7CM (CK
STENT PANCR ZIMMON 5.0X8CM (CK
University Medical Center So. NV.
Page 215
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
1,856.25
337.84
568.70
386.65
386.65
386.65
14,368.75
14,368.75
14,368.75
314.77
144.05
144.05
144.05
144.05
144.05
144.05
144.05
144.05
144.05
165.96
144.05
165.96
149.82
165.96
165.96
02/12/14
Charge#
--------702250019
709150225
709150227
709150230
709150238
709150242
709150243
709150244
709150761
709150247
709150249
709150250
709150766
709150768
709150785
709150786
709150787
709150789
709150790
709150788
709150784
709150792
709150793
709150794
709150795
709150796
709150797
709150798
709150791
709150801
709150802
709150803
709150804
709150805
709150806
709150807
709150799
709150817
709150818
709150819
709150820
709150821
709150822
709150823
709150816
709150809
709150810
709150811
709150812
709150813
709150814
709150815
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT PANCR ZIMMON 5.0X9CM (CK
STENT PROMUS PE+ MR 2.5 X 20 (BS)
STENT PROMUS PE+ MR 2.5 X 28 (BS)
STENT PROMUS PE+ MR 2.75 X 16 (BS
STENT PROMUS PE+ MR 3 X 24 (BS)
STENT PROMUS PE+ MR 3.5 X 15 (BS)
STENT PROMUS PE+ MR 3.5 X 20 (BS)
STENT PROMUS PE+ MR 3.5 X 24 (BS)
STENT PROMUS PE+ MR 3X32(BS)
STENT PROMUS PE+ MR 4 X 12 (BS)
STENT PROMUS PE+ MR 4 X 20 (BS)
STENT PROMUS PE+ MR 4 X 24 (BS)
STENT PROMUS PE+ MR 4X32(BS)
STENT PROMUS PE+ MR 4X38(BS)
STENT PROMUS PRMR 2.25X12(BS)
STENT PROMUS PRMR 2.25X16(BS)
STENT PROMUS PRMR 2.25X20(BS)
STENT PROMUS PRMR 2.25X24(BS)
STENT PROMUS PRMR 2.25X28(BS)
STENT PROMUS PRMR 2.25X32(BS)
STENT PROMUS PRMR 2.25X8(BS)
STENT PROMUS PRMR 2.5X12(BS)
STENT PROMUS PRMR 2.5X16(BS)
STENT PROMUS PRMR 2.5X20(BS)
STENT PROMUS PRMR 2.5X24(BS)
STENT PROMUS PRMR 2.5X28(BS)
STENT PROMUS PRMR 2.5X32(BS)
STENT PROMUS PRMR 2.5X38(BS)
STENT PROMUS PRMR 2.5X8(BS)
STENT PROMUS PRMR 2.75X12(BS)
STENT PROMUS PRMR 2.75X16(BS)
STENT PROMUS PRMR 2.75X20(BS)
STENT PROMUS PRMR 2.75X24(BS)
STENT PROMUS PRMR 2.75X28(BS)
STENT PROMUS PRMR 2.75X32(BS)
STENT PROMUS PRMR 2.75X38(BS)
STENT PROMUS PRMR 2.75X8(BS)
STENT PROMUS PRMR 3.5X12(BS)
STENT PROMUS PRMR 3.5X16(BS)
STENT PROMUS PRMR 3.5X20(BS)
STENT PROMUS PRMR 3.5X24(BS)
STENT PROMUS PRMR 3.5X28(BS)
STENT PROMUS PRMR 3.5X32(BS)
STENT PROMUS PRMR 3.5X38(BS)
STENT PROMUS PRMR 3.5X8(BS)
STENT PROMUS PRMR 3X12(BS)
STENT PROMUS PRMR 3X16(BS)
STENT PROMUS PRMR 3X20(BS)
STENT PROMUS PRMR 3X24(BS)
STENT PROMUS PRMR 3X28(BS)
STENT PROMUS PRMR 3X32(BS)
STENT PROMUS PRMR 3X38(BS)
University Medical Center So. NV.
Page 216
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------144.05
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,950.00
4,262.50
4,950.00
4,950.00
4,950.00
4,262.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
02/12/14
Charge#
--------709150808
709150825
709150826
709150827
709150828
709150829
709150830
709150831
709150824
714150110
714150111
714150112
714150113
714150114
714150115
714150116
714150117
714150118
714150119
714150120
714150121
714150185
714150186
714150187
714150106
714150107
714150098
714150100
714150099
714150102
714150101
714150104
714150103
714150122
714150105
714150123
714150125
714150124
714150127
714150126
714150128
714150129
714150130
714150131
714150132
714150133
702250062
702250063
702151531
709150411
709150412
709150413
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT PROMUS PRMR 3X8(BS)
STENT PROMUS PRMR 4X12(BS)
STENT PROMUS PRMR 4X16(BS)
STENT PROMUS PRMR 4X20(BS)
STENT PROMUS PRMR 4X24(BS)
STENT PROMUS PRMR 4X28(BS)
STENT PROMUS PRMR 4X32(BS)
STENT PROMUS PRMR 4X38(BS)
STENT PROMUS PRMR 4X8(BS)
STENT PROTEGE 12X40X120 (EV)
STENT PROTEGE 12X40X80 (EV)
STENT PROTEGE 12X60X120 (EV)
STENT PROTEGE 12X60X80 (EV)
STENT PROTEGE 12X80X120 (EV)
STENT PROTEGE 12X80X80 (EV)
STENT PROTEGE 14X40X120 (EV)
STENT PROTEGE 14X40X80 (EV)
STENT PROTEGE 14X60X120 (EV)
STENT PROTEGE 14X60X80 (EV)
STENT PROTEGE 14X80X120 (EV)
STENT PROTEGE 14X80X80 (EV)
STENT PROTEGE 10X40X120 (EV)
STENT PROTEGE 10X40X80 (EV)
STENT PROTEGE 10X60X120 (EV)
STENT PROTEGE 10X80X120 (EV)
STENT PROTEGE 10X80X80 (EV)
STENT PRTGE EVRFLX6X20X80 (EV)
STENT PRTGE EVRFLX6X30X120 (EV)
STENT PRTGE EVRFLX6X30X80 (EV)
STENT PRTGE EVRFLX6X40X120 (EV)
STENT PRTGE EVRFLX6X40X80 (EV)
STENT PRTGE EVRFLX6X60X120 (EV)
STENT PRTGE EVRFLX6X60X80 (EV)
STENT PRTGE EVRFLX6X80X120 (EV)
STENT PRTGE EVRFLX6X80X80 (EV)
STENT PRTGE EVRFLX7X20X80 (EV)
STENT PRTGE EVRFLX7X30X120 (EV)
STENT PRTGE EVRFLX7X30X80 (EV)
STENT PRTGE EVRFLX7X40X120 (EV)
STENT PRTGE EVRFLX7X40X80 (EV)
STENT PRTGE EVRFLX7X60X80 (EV)
STENT PRTGE EVRFLX7X80X80 (EV)
STENT PRTGE EVRFLX8X30X80 (EV)
STENT PRTGE EVRFLX8X40X80 (EV)
STENT PRTGE EVRFLX8X60X80 (EV)
STENT PRTGE EVRFLX8X80X80 (EV)
STENT PULM NOCOV WLFLX 20X40 (BS
STENT PULM NOCOV WLFLX 8X20 (BS
STENT RAINS FRONTAL SINUS
STENT RESOLUTE 2.25 X 12 (MT)
STENT RESOLUTE 2.25 X 14 (MT)
STENT RESOLUTE 2.25 X 18 (MT)
University Medical Center So. NV.
Page 217
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
3,987.50
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
2,266.00
6,803.50
6,803.50
342.87
4,262.50
4,262.50
4,262.50
02/12/14
Charge#
--------709150414
709150415
709150416
709150417
709150418
709150419
709150420
709150421
709150422
709150423
709150424
709150425
709150426
709150427
709150428
709150429
709150767
709150430
709150431
709150778
709150772
709150432
709150433
709150434
709150435
709150436
709150437
709150438
709150439
709150440
709150441
709150442
709150443
709150444
709150773
709150777
709150445
709150771
709150775
709150776
709150446
709150447
709150448
709150449
709150450
709150451
709150452
702151547
709150303
702250000
702250001
702250112
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT RESOLUTE 2.25 X 22 (MT)
STENT RESOLUTE 2.25 X 26 (MT)
STENT RESOLUTE 2.25 X 30 (MT)
STENT RESOLUTE 2.25 X 8 (MT)
STENT RESOLUTE 2.50 X 12 (MT)
STENT RESOLUTE 2.50 X 14 (MT)
STENT RESOLUTE 2.50 X 18 (MT)
STENT RESOLUTE 2.50 X 22 (MT)
STENT RESOLUTE 2.50 X 26 (MT)
STENT RESOLUTE 2.50 X 30 (MT)
STENT RESOLUTE 2.50 X 8 (MT)
STENT RESOLUTE 2.75 X 12 (MT)
STENT RESOLUTE 2.75 X 14 (MT)
STENT RESOLUTE 2.75 X 18 (MT)
STENT RESOLUTE 2.75 X 22 (MT)
STENT RESOLUTE 2.75 X 24 (MT)
STENT RESOLUTE 2.75 X 26 (MT)
STENT RESOLUTE 2.75 X 30 (MT)
STENT RESOLUTE 2.75 X 8 (MT)
STENT RESOLUTE 3 X 34 (MT)
STENT RESOLUTE 3 X 38 (MT)
STENT RESOLUTE 3.0 X 12 (MT)
STENT RESOLUTE 3.0 X 15 (MT)
STENT RESOLUTE 3.0 X 18 (MT)
STENT RESOLUTE 3.0 X 22(MT)
STENT RESOLUTE 3.0 X 26(MT)
STENT RESOLUTE 3.0 X 30(MT)
STENT RESOLUTE 3.0 X 9(MT)
STENT RESOLUTE 3.5 X 12(MT)
STENT RESOLUTE 3.5 X 15(MT)
STENT RESOLUTE 3.5 X 18(MT)
STENT RESOLUTE 3.5 X 22(MT)
STENT RESOLUTE 3.5 X 26(MT)
STENT RESOLUTE 3.5 X 30(MT)
STENT RESOLUTE 3.5 X 34 (MT)
STENT RESOLUTE 3.5 X 38 (MT)
STENT RESOLUTE 3.5 X 9(MT)
STENT RESOLUTE 4 X 22 (MT)
STENT RESOLUTE 4 X 34 (MT)
STENT RESOLUTE 4 X 38 (MT)
STENT RESOLUTE 4.0x12(MT)
STENT RESOLUTE 4.0x15(MT)
STENT RESOLUTE 4.0x18(MT)
STENT RESOLUTE 4.0x22(MT)
STENT RESOLUTE 4.0x26(MT)
STENT RESOLUTE 4.0x30(MT)
STENT RESOLUTE 4.0x9(MT)
STENT SINGLE J (MT)
STENT TAXLIB MR 4 X 38 (BS)
STENT TB DYNAMIC Y 13MM (BS)
STENT TB DYNAMIC Y 15MM (BS)
STENT TB ULTRAFLEX 10MMX4CM (BS)
University Medical Center So. NV.
Page 218
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
3,987.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
3,987.50
4,262.50
3,987.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
4,262.50
528.00
4,950.00
9,625.00
9,625.00
7,353.50
02/12/14
Charge#
--------702250113
702250114
702250115
702250116
702250117
702250118
702250119
702250009
702250010
702250008
702150758
714150147
714150148
714150149
714150150
714150143
714150144
714150145
714150146
714150141
714150142
702152904
702153886
702153885
702152870
702153887
702153888
702152905
702152897
702152896
702152899
702152898
702151770
709170907
709170909
709170785
709170910
709150127
709150128
709150129
709150130
709150131
709150132
709150360
709150134
709150135
709150136
709150139
709150137
709150138
709150133
709150141
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT TB ULTRAFLEX 10X30MM (BS)
STENT TB ULTRAFLEX 12MMX4CM (BS)
STENT TB ULTRAFLEX 12X30MM (BS)
STENT TB ULTRAFLEX 16X40MM (BS)
STENT TB ULTRAFLEX 18X80MM (BS)
STENT TB ULTRAFLEX 20MMX4CM (BS)
STENT TB ULTRAFLEX 20X80MM (BS)
STENT TB ULTRAFLEX 8MMX4CM (BS)
STENT TB ULTRAFLEX COV 14MMX4CM
STENT TB ULTRAFLEX COV 16MMX4CM
STENT TB ULTRAFLEX COV 18MMX4CM
STENT URETERAL 10.2FX22(CM)
STENT URETERAL 10.2FX24(CM)
STENT URETERAL 10.2FX26(CM)
STENT URETERAL 10.2FX28(CM)
STENT URETERAL 8.5FX22 (CM)
STENT URETERAL 8.5FX24 (CM)
STENT URETERAL 8.5FX25 (CM)
STENT URETERAL 8.5FX28 (CM)
STENT URETERAL 8.5X12 (CM)
STENT URETERAL 8.5X20 (CM)
STENT URETERAL CONTOUR
STENT URETERAL INLAY 6FX20CM(BD)
STENT URETERAL INLAY 6FX22CM(BD)
STENT URETERAL INLAY 6FX24CM(BD)
STENT URETERAL INLAY 6FX26CM(BD)
STENT URETERAL INLAY6X28CM(BD)
STENT URETERAL POLARIS
STENT URETERL DJ CLSD 6FX12CM (GY
STENT URETERL DJ CLSD 7FX12CM (GY
STENT URETERL OPN 4.5F X18CM (GY
STENT URETERL OPN 4.5F X20CM (GY
STENT URETR DB PIG 4.5FX12CM (GY
STENT VERIFLEX MONORAIL
STENT VERIFLEX MONORAIL 2
STENT VERIFLEX MONORAIL 2
STENT VERIFLEX MONORAIL 3
STENT VERIFLEX MR 2.75 X 12 (BS)
STENT VERIFLEX MR 2.75 X 16 (BS)
STENT VERIFLEX MR 2.75 X 20 (BS)
STENT VERIFLEX MR 2.75 X 24 (BS)
STENT VERIFLEX MR 2.75 X 28 (BS)
STENT VERIFLEX MR 2.75 X 32 (BS)
STENT VERIFLEX MR 2.75 X 8 (BS)
STENT VERIFLEX MR 3 X 12 (BS)
STENT VERIFLEX MR 3 X 16 (BS)
STENT VERIFLEX MR 3 X 20 (BS)
STENT VERIFLEX MR 3 X 21 (BS)
STENT VERIFLEX MR 3 X 24 (BS)
STENT VERIFLEX MR 3 X 28 (BS)
STENT VERIFLEX MR 3 X 8 (BS)
STENT VERIFLEX MR 3.5 X 12 (BS)
University Medical Center So. NV.
Page 219
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------5,955.11
7,353.00
5,955.11
5,955.11
5,955.11
7,353.50
5,955.11
7,353.50
7,353.50
7,353.50
7,353.50
341.61
341.61
331.65
341.61
341.61
341.61
341.61
341.61
331.65
331.65
493.63
275.00
275.00
422.87
275.00
275.00
1,819.17
550.00
550.00
467.50
467.50
324.91
1,993.75
1,993.75
5,472.50
1,993.75
4,400.00
4,523.75
4,812.50
4,922.50
2,816.25
6,160.00
4,523.75
4,400.00
4,523.75
4,523.75
6,160.00
5,472.50
5,816.25
7,235.00
4,400.00
02/12/14
Charge#
--------709150142
709150143
709150144
709150145
709150146
709150140
709150148
709150149
709150150
709150151
709150152
709150147
709150153
709150154
709150155
709150361
709150368
709150364
709150365
709150363
709150369
709150366
709150367
709150362
714150182
714150177
714150181
714150180
714150179
714150178
714150176
714150175
714150085
702170312
722320213
722320214
722320215
714030057
714030046
702420363
702150676
702170311
702170775
709120303
714120208
714120200
702170341
705080463
705080462
705080461
705080460
705080459
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STENT VERIFLEX MR 3.5 X 16 (BS)
STENT VERIFLEX MR 3.5 X 20 (BS)
STENT VERIFLEX MR 3.5 X 24 (BS)
STENT VERIFLEX MR 3.5 X 28 (BS)
STENT VERIFLEX MR 3.5 X 32 (BS)
STENT VERIFLEX MR 3.5 X 8 (BS)
STENT VERIFLEX MR 4 X 16 (BS)
STENT VERIFLEX MR 4 X 20 (BS)
STENT VERIFLEX MR 4 X 24 (BS)
STENT VERIFLEX MR 4 X 28 (BS)
STENT VERIFLEX MR 4 X 32 (BS)
STENT VERIFLEX MR 4 X 8 (BS)
STENT VERIFLEX MR 4.5 X 12 (BS)
STENT VERIFLEX MR 4.5 X 16 (BS)
STENT VERIFLEX MR 4.5 X 20 (BS)
STENT VERIFLEX MR 4.5 X 24 (BS)
STENT VERIFLEX MR 4.5 X 28 (BS)
STENT VERIFLEX MR 4.5 X 32 (BS)
STENT VERIFLEX MR 5 X 12 (BS)
STENT VERIFLEX MR 5 X 16 (BS)
STENT VERIFLEX MR 5 X 20 (BS)
STENT VERIFLEX MR 5 X 24 (BS)
STENT VERIFLEX MR 5 X 28 (BS)
STENT VERIFLEX MR 5 X 32 (BS)
STENT VIABAHN 8 X 5 (GM)
STENT VIATORR 10 X 4 (GM)
STENT VIATORR 10 X 5 (GM)
STENT VIATORR 10 X 6 (GM)
STENT VIATORR 10 X 7 (GM)
STENT VIATORR 10 X 8 (GM)
STENT VIATORR 12 X 6 (GM)
STENT VIATORR COVERED 12X8 (GM)
STENT WINGSPAN (BS)
STERNAL CRIMPS OH
STERNOCLAV DISC W/MANIP BIL
STERNOCLAV DISC W/MANIP LT
STERNOCLAV DISC W/MANIP RT
STERNOCLAVICULAR JOINT(S)
STERNUM MIN 2V
STIMULATION SPINAL CORD
STIMULATOR BONE GROWTH SURG SOL
STIMULATOR PROBE FACIAL N
STIRRUP (SN)
STNT PERQ WPLSTY EA ADD
STNT PERQ WPLSTY EA ADD
STNT PLCMT RETRO CAROTID
STOCKINETTE ALL SIZES
STOCKING TED THI HI LRG LONG
STOCKING TED KNEE HI LRG
STOCKING TED KNEE HI MED
STOCKING TED KNEE HI SM
STOCKING TED THI HI LR REG
University Medical Center So. NV.
Page 220
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------4,523.75
4,812.50
5,472.50
5,816.25
6,160.00
7,235.00
4,523.75
4,812.50
5,472.50
5,816.25
5,816.25
7,235.00
4,400.00
4,523.75
4,812.50
5,472.50
5,816.25
6,160.00
4,400.00
4,523.75
4,523.75
5,472.50
5,816.25
6,160.00
6,751.25
9,963.25
9,963.25
9,963.25
9,212.50
9,963.25
9,963.25
9,212.50
16,486.25
297.35
2,249.18
1,499.45
1,499.45
466.47
532.63
2,046.59
9,350.00
970.37
675.26
7,192.76
7,197.26
10,530.00
154.34
55.32
50.53
50.53
45.86
55.96
02/12/14
Charge#
--------705080458
705080457
705080456
705080455
705080454
705080453
705080452
707030560
707030247
707030561
702421309
722320005
722320004
722320462
722320463
722320003
722320526
722320138
723320035
723320034
723320033
722320514
722320515
722320516
722320517
722320518
722320520
722320521
722320522
722320523
722320519
723320032
722320513
723520071
723320031
722320002
722320460
722320461
722320001
702150650
707031080
707030957
714030110
702420186
702171364
709170026
702171111
702170310
701520019
702421052
726820026
722720000
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STOCKING TED THI HI LRG SHORT
STOCKING TED THI HI MED LONG
STOCKING TED THI HI MED REG
STOCKING TED THI HI MED SHORT
STOCKING TED THI HI SM LONG
STOCKING TED THI HI SM REG
STOCKING TED THI HI SM SHORT
STONE ANALYSIS NON KIDNEY
STOOL FOR WBCS
STOOL LYTES
STRABISMU ONE MUSCLE
STRAPPING ANKLE
STRAPPING ELBOW OR WRIST
STRAPPING ELBOW OR WRIST LT
STRAPPING ELBOW OR WRIST RT
STRAPPING FINGER OR HAND
STRAPPING FINGER OR HAND BIL
STRAPPING KNEE
STRAPPING OF CHEST
STRAPPING OF ELBOW OR WRIST
STRAPPING OF HAND OR FINGER
STRAPPING OF LT HAND 2ND DIGIT
STRAPPING OF LT HAND 3RD DIGIT
STRAPPING OF LT HAND 4TH DIGIT
STRAPPING OF LT HAND 5TH DIGIT
STRAPPING OF LT HAND THUMB
STRAPPING OF RT HAND 2ND DIGIT
STRAPPING OF RT HAND 3RD DIGIT
STRAPPING OF RT HAND 4TH DIGIT
STRAPPING OF RT HAND 5TH DIGIT
STRAPPING OF RT HAND THUMB
STRAPPING OF SHOULDER
STRAPPING OF SHOULDER BIL
STRAPPING OF TOES
STRAPPING OF TOES
STRAPPING SHOULDER
STRAPPING SHOULDER LT
STRAPPING SHOULDER RT
STRAPPING TOES
STRATA II SNAP SHUNT ASSEMBLY
STREP B IA W DO
STREP PNEUMO ANTIGEN
STRESS VIEW X-RAY
STSG FSEMNEOGHF ADD 100CM
STYLET 1MM EVD W BACTI
STYLET BRADY ALL (BT)
STYLET GUIDING BRAINLAD
STYLET SHAPEABLE OH
SUB CUT OR IM INJ TX PROP DX INIT
SUB Q INJ >10CC FILL
SUBQ OR IM INJECTION
SUBQ OR IM INJECTION
University Medical Center So. NV.
Page 221
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------56.68
60.84
60.84
60.84
55.32
55.32
55.32
185.29
134.56
73.69
2,818.94
182.67
115.54
115.54
115.54
95.72
599.58
146.09
231.98
215.97
400.47
399.72
399.72
399.72
399.72
399.72
399.72
399.72
399.72
399.72
399.72
260.77
390.44
150.38
150.38
114.62
114.62
114.62
95.72
8,448.99
59.40
59.65
357.50
2,881.05
1,279.66
335.65
1,753.00
184.17
68.91
655.00
53.00
71.97
02/12/14
Charge#
--------702420537
702420522
702170307
702170374
702170309
702170323
702270187
707031061
702170308
722370008
722370009
722370010
722370011
722370007
722370012
722370006
722370005
722370004
722370013
722370003
722370002
722370001
722370000
721070072
721070073
721070074
702170920
702171128
718130015
702170946
707030798
702170094
701050002
702150017
702150018
702150019
702150020
709175005
705080247
705080246
705080245
705080244
707030562
707030248
702421240
702171541
702171540
702420383
702420277
702421298
702420199
702421239
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SUBTALAR ARTHRO W/DEB
SUBTALAR ARTHRO W/EXC
SUCTION KARNS I-M
SUCTION MACRO 20 FR (OH)
SUCTION SIGMOID
SUCTION TUBE SOFTIP OH
SUCTION VALVE PEDI BRONCH
SUGARS; SINGLE QUAN EA SPEC
SUMP PERICARDIAL ALL SIZES
SUPPLY ACE WRAP
SUPPLY ARM SLING
SUPPLY CANE
SUPPLY CAST SHOE
SUPPLY CLAVICLE STRAP
SUPPLY CRUTCHES
SUPPLY GEL CAST
SUPPLY IMMOBILIZER/SHOLDR
SUPPLY KNEE IMMOBILIZER
SUPPLY KNEE SLEEVES
SUPPLY POST-OP SHOE
SUPPLY SLING & SWATHE
SUPPLY SOFT CERVICAL COLLAR
SUPPLY WRIST IMMOBILIZER
SUPPORT NEOPRENE THUMB/WRIST LG
SUPPORT NEOPRENE THUMB/WRIST MD
SUPPORT NEOPRENE THUMB/WRIST SM
SUPPORTER SCROTAL-ALL SIZES
SURE CLOSURE SYSTEM 50/75MM
SURFACTANT ADMINISTRATION
SURFIT 70 MM
SURG CONSULT
SURGIBRA - ALL SIZES
SURGICAL SNOW 4X4 IN
SURGICEL FIBRILLAR 1 X 2
SURGICEL FIBRILLAR 4X4
SURGICEL NUKNIT 6X9
SURGICEL SNOW 4X4
SURGIFLO WTHROMBIN 8ML
SURGIFOAM 100
SURGIFOAM 12-7
SURGIFOAM POWDER
SURGIFOAM SPONGE
SUSCEPTIBILITY MIC
SUSCEPTIBILTY DISK DIFF MTD
SUT ADDL NERVE ARM LEG
SUT EVERPOINT 7-0 PRO 2X60CM (JJ)
SUT EVERPOINT 7-0 PRO 4X60CM (JJ)
SUT INFRAPATELLA TEN PRI
SUT LIVER BLEEDING SIMPLE
SUT MAJ PERIPHERAL NER AL
SUT PHARYNX WOUND INJURY
SUT P-PHERAL NER AL WO
University Medical Center So. NV.
Page 222
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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Price
---------4,006.69
3,807.85
284.63
146.46
53.08
270.29
59.13
137.50
247.11
29.87
51.04
198.20
135.54
127.05
250.57
72.19
169.32
268.02
212.99
77.45
132.72
73.46
177.57
57.84
66.22
66.22
44.39
3,161.41
46.46
58.34
249.61
433.88
355.30
157.25
361.79
329.84
361.79
754.97
146.84
45.52
375.60
146.84
139.38
129.06
3,975.80
256.63
512.90
2,408.13
4,443.56
3,431.53
1,322.41
2,745.96
02/12/14
Charge#
--------702420342
709171212
702170014
702421287
702421293
702421235
702421304
709171208
702151512
702171601
702150399
702170939
702171167
702421233
702170328
702170103
702421285
702170355
702170136
702170329
702170759
702170365
702170569
702170110
702152001
702171544
723570003
723070000
702171032
702173312
702170051
702150560
702422020
702170354
709170901
702170612
702171289
702171291
702170363
702170514
709171207
709171205
709171206
702421215
702172002
702172001
723020009
723520012
723320007
723020409
723320300
723520353
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SUT QUADRICEPS OR HAM MUS
SUTRE UNDYED 2.0 CT2 27IN
SUTTER STRYKER ANG TOMCAT
SUTURE 1 DIG NERVE HAND/FOOT
SUTURE 1 NERVE HAND/FOOT COMN SEN
SUTURE 1 NERVE HAND/FOOT MED MOT
SUTURE 1 NERVE HAND/FOOT ULNR MOT
SUTURE 3.0 SH UND 27IN
SUTURE ANCHOR BIOMET
SUTURE ANCHOR BIOSUTURETAK (AX)
SUTURE ANCHOR DUET
SUTURE BACKGROUND
SUTURE BIO TAC 3.0 (AX)
SUTURE BLADDER WOUND COMPLY
SUTURE BOOT
SUTURE CAPIO 2/0 TAPER
SUTURE DIGITAL NRVE HAND/FOOT ADD
SUTURE ENDOLOOP PDSII 18
SUTURE ETHIBOND ALL SIZES
SUTURE GUIDE-CARDIO
SUTURE LASSO 90 DEGREE (AX)
SUTURE LOOP POLYSORB SURGITIE
SUTURE MAGNUM WIRE (AC)
SUTURE MAXI BRAID
SUTURE MITEK QUICK ANCHOR 3-0
SUTURE MONOGLIDE 2-0 (LS)
SUTURE PACKAGE
SUTURE PACKAGE
SUTURE PASSING SYST (LV)
SUTURE POLYPRO RD180 (LS)
SUTURE QUICK ANCHOR MINI #2
SUTURE QUIKANCHOR MICRO 3 (DP)
SUTURE REMOVAL W/ ANESTHESIA
SUTURE RETRIEVER S-N
SUTURE SILK BLACK 2/0 FS 18"
SUTURE SJ BIO TAC 3.0 (AX)
SUTURE SMART STICH (AC)
SUTURE SPEED STITCH
SUTURE STEEL #6 CCS B&S 19
SUTURE U-CLIP PROXIMAL ALL SZS
SUTURE UNDYED 2.0 CT1 36IN
SUTURE UNDYED 3.0 CT2 27IN
SUTURE UNDYED 3.0 SH 27IN
SUTURE WOUND EYELID FT
SUTURING DEVICE 10MM RD180 (LS)
SUTURING DEVICE 5MM RD180 (LS)
SVN TREATMENT
SVN TREATMENT
SVN TREATMENT
SVN TREATMENT ADDTL
SVN TREATMENT REPEAT
SVN TREATMENT, REPEAT
University Medical Center So. NV.
Page 223
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,734.19
15.95
582.06
3,124.22
3,340.91
6,064.71
3,309.89
16.23
1,706.05
1,029.96
728.75
61.11
1,584.90
4,252.40
77.13
194.59
4,375.80
150.02
429.17
226.36
982.70
166.36
132.08
124.61
970.75
163.04
132.01
142.30
182.72
163.04
1,474.40
1,028.50
510.28
308.61
174.65
1,931.80
557.83
806.27
124.67
830.04
18.73
17.30
16.78
2,135.38
953.29
953.29
293.89
294.44
294.44
2,937.83
294.44
294.44
02/12/14
Charge#
--------722120008
709120033
709170025
702150851
702420515
702420135
702420548
702151965
702152548
702420886
702420906
702420136
707030206
702150500
702270188
702270189
702170348
702270190
702270191
714170020
714170019
702270192
707030563
714170017
714170018
714170016
707030145
707030548
707030564
707030640
707030146
707030147
702151344
702170851
702153006
716136003
716136002
702170694
723570005
702170610
702170609
702170713
702170648
702171243
702171372
702170070
702151907
702171204
702170563
702420380
724520009
707030565
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SWALLOWING TREATMENT GN
SWAN INSERT ONLY
SWAN SLEEVE
SYNCROMED PAIN PUMPS MT
SYNDACTYL TOES EA WEBB
SYNDACTYLY FINGERS FLAPSG
SYNDACTYLY-WEB FINGER EA
SYNMESH TIT 4MM W 12MM DIA (SY)
SYNMESH TIT 88MM W 15MM DIA (SY)
SYNOVECTOMY MCP JT EA DIGIT
SYNOVECTOMY MTP JT EA
SYNOVECTOMY TENDON SHEATH RADICAL
SYNOVIAL CELL COUNT
SYNPOR SMOOTH 50X50X0.8MM (SY)
SYRINGE 10ML CONTROL ERBELIFT
SYRINGE 60ML ALLIANCE II (BS)
SYRINGE ALLIANCE OSCOPY
SYRINGE AUX H20 (OA)
SYRINGE INFLATION DEVICE (BS)
SYRINGE LUERLOCK 1ML (AD)
SYRINGE PERCISION INJ 1ML (EV)
SYRINGE RAPID REFILL (BS)
T CELLS TOTAL COUNT
T FASTENER (KC)
T FASTENER (KC)/1
T FASTENER GASTRO ANCHOR
T3 FREE
T3 FREE/1
T3 HORMONE
T3 OR T4 UPTAKE
T3 UPTAKE
T-4
TACK PLATE (AM)
TACK TEMPORARY (NU)
TACKER FIXATION DEVICE
TAGGED WBC SCAN LIMITED AREA
TAGGED WBC SCAN WHOLE BODY
TAMP BONE STANDARD (SY)
TAMPON NASAL CANNULATED 8.0 DBL
TAP 1.5X3MM SELF DRILL (SY)
TAP 1.5X4MM SELF DRILL (SY)
TAP 4.0 X 110 MM (SY)
TAP 4.0MM HEX STERILE (SY)
TAP BONE SOLID 4.5X50 MM (SF)
TAP CALIBRATED 3.5X175-140 (SY
TAP STRYKER
TAPE FIBER ARTHREX
TAPE GLIDEPATH R/L ATRICURE
TARGETING DEVICE HM GAMMA
TARSAL TUNNEL RELEASE
TAXI TRANSPORT INTRACITY
TB SMEAR FLUORESC
University Medical Center So. NV.
Page 224
Dispense
------------.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------314.47
2,993.59
110.39
25,698.75
2,697.82
3,449.73
2,068.64
6,191.33
14,575.00
3,095.64
2,390.41
1,836.66
132.12
1,182.50
50.67
180.56
435.77
315.89
398.33
615.21
513.39
134.80
126.72
216.99
216.99
586.29
274.38
284.28
284.79
167.35
135.42
114.10
129.25
595.87
1,986.28
1,631.80
3,455.95
934.63
45.49
1,428.96
1,428.96
637.02
1,354.06
3,143.07
1,031.73
2,365.61
385.00
10,997.82
1,171.74
3,079.61
27.07
93.65
02/12/14
Charge#
--------707030729
719230000
716146014
716146012
716146011
716146013
716146010
716146009
716146008
716146007
716146006
716146005
716146004
716146003
716146002
787030002
787070010
787030001
709020013
709020012
709530001
709530000
702421177
714120063
714120185
702420875
702170753
702170701
702170700
702170712
702170763
702170679
702170761
702170598
709170003
714030050
702420527
702420531
702151077
702420102
702420257
702420887
702420159
702420408
702420185
702420890
702420897
702420896
702420412
702420539
702420133
723020330
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TB TEST, CELL IMMUN MEASURE
TB TEST, INTRADERMAL
TC 99M MEDRONATE TO 30MCI
TC99M ALBUMIN AGGR TO 20 MCI
TC99M CARDIOLITE TO 40MCI
TC-99M CERETEC LABLED WBC
TC99M CERETEC TO 25 MCI
TC99M CHOLETEC TO 15 MCI
TC99M DTPA TO 25 MCI
TC99M LABELED RBC TO 30MCI
TC99M MAG3 TO 15 MCI PER STUDY
TC99M PENT AEROSOL TO 75MCI
TC99M SOD GLUCEPTATE DX TO 25MCI
TC99M SULFUR COLLOID TO 20MCI
TC99M TC04
TCP02 STUDY BILATERAL COMPLETE
TCPO2 ELECTRODE EACH
TCPO2 STUDY UNILAT OR LIMITED
TEE FOR MONITORING
TEE W CONT AND PROBE PLCMNT
TELEMETRY 24 HR
TELEMETRY 4 HRS
TEMP BONE IMP W/O MASTOIDECT
TEMP CATH INS <5
TEMP CATH INS >5
TEMP CLOSURE EYELID SUT
TEMPLATE BEND 16H 3.5X108 (SY)
TEMPLATE BEND CALCANL LNG (SY
TEMPLATE BEND CALCANL MINI (SY
TEMPLATE BEND CALCANL SHRT (SY
TEMPLATE BEND MT MAND ANGL (SY
TEMPLATE BEND MT MAND STRAT (SY
TEMPLATE LP CV 16H 3.5X108 (SY)
TEMPLATE MAND 32H R&L ANG (KL
TEMPORARY PACING WIRE
TEMPOROMANDIBULAR JOINT
TEN LENGTHING UARM/ELB EA
TEN SHEATH INC WRIST
TENDON IMPLANT TRAY
TENDON SHEATH INC TRIGGER FING
TENDON TRANSLPT EA AM-WR
TENODESIS DISTAL JOINT EACH
TENODESIS LONG TEN BICEPS
TENOLYSIS EXT TEN H-F EA
TENOLYSIS FLEX P-F SINGEA
TENOLYSIS FLEX TEN P-F EA
TENOLYSIS FLEXOR EXTENSOR ARM
TENOLYSIS FLEXOR MULTIPLE
TENOLYSIS MULTI TENDONLEG
TENOLYSIS MULTI TENDONS
TENOTOMY ACHILLES TEND GA
TENOTOMY ACHILLES TENDON W ANES
University Medical Center So. NV.
Page 225
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
Price
---------125.10
87.27
50.19
39.13
323.58
3,163.96
2,315.47
80.88
101.89
1,711.69
650.54
114.07
78.23
147.13
78.23
1,554.43
12.47
885.47
1,935.57
4,721.49
193.58
72.96
11,211.96
2,177.54
2,351.74
919.11
594.11
430.08
430.08
430.08
416.87
416.87
489.90
285.23
498.16
818.44
3,818.43
3,007.75
2,994.75
1,983.59
4,607.34
2,890.65
5,014.33
1,983.59
2,294.71
3,095.64
2,408.13
2,390.41
3,568.06
2,390.41
2,600.78
2,613.12
02/12/14
Charge#
--------702420248
702420901
702420900
702422001
702420110
702420594
702420305
709030009
726130001
718120027
718120028
716136017
714938011
707030148
707030566
707030567
714170000
710050071
707030249
707030677
707030149
721020016
720020017
709020006
723020002
723520001
723320002
723020001
723520000
723320001
723020411
723020000
723520002
723320000
723020004
723520007
723320004
723520355
705081538
705081539
705081541
705081542
705081540
714030051
726820029
722170002
721070009
707031062
714532101
714932102
714132102
714522038
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TENOTOMY ELBOW DEBRIDE/REPR OPEN
TENOTOMY ELBOW W/DEBRID OPEN
TENOTOMY FLEXOR TOE SINGLE
TENOTOMY OPEN EXTENSOR FT/TOE
TENOTOMY WRIST FOREARM FLEX/EXTEN
TENOTOMY, PERC HIP ADDUCTOR
TENOTYSIS EXTENSOR SINGLE
TENSILON TEST
TENSILON TEST
TENT HOOD MED GAS GT 4HRS
TENT HOOD MED GAS LT 4HRS
TESTICULAR SCAN W/FLOW
TESTICULAR SONOGRAM
TESTOSTERONE BLOOD
TESTOSTERONE-FREE
TETANUS ANTITOXIN
T-FASTNER
THAWING PLASMA ONLY
THAYER MARTIN INO
THC
THEOPHYLLINE TDM
THER EX 15 MIN GO
THER EXER 15 MIN GP
THER/PROPH INITIAL, IV PUSH
THER/PROPH/DIAG IV INF ADDTL SEQ
THER/PROPH/DIAG IV INF ADDTL SEQ
THER/PROPH/DIAG IV INF ADDTL SEQ
THER/PROPH/DIAG IV INF CONCURRENT
THER/PROPH/DIAG IV INF CONCURRENT
THER/PROPH/DIAG IV INF CONCURRENT
THER/PROPH/DIAG IV INF, INIT DPS
THER/PROPH/DIAG IV INFUS EA ADDTL
THER/PROPH/DIAG IV INFUS EA ADDTL
THER/PROPH/DIAG IV INFUS EA ADDTL
THER/PROPH/DIAG IV INFUS, INIT
THER/PROPH/DIAG IV INFUS, INIT
THER/PROPH/DIAG IV INFUS, INIT
THER/PROPH/DIAG IV, DIST PRO
THERABOND 3D WRAP 4X72IN
THERABOND 3D WRAP 6X96IN
THERABOND CONTACT 16X16IN
THERABOND CONTACT 24X24IN
THERABOND CONTACT 8X16IN
THERAP ENEMA REDUC INTUSSUCEPTION
THERAPEUTIC PHLEBOTOMY
THICK IT 8OZ
THIGH LIFTERS/LOOPS
THIOCYANATE
THORACENTESIS ASP W IMAGING
THORACENTESIS ASP W IMAGING
THORACENTESIS FOR ASP W IMAGE
THORACENTESIS FOR ASP W/O IMG GUI
University Medical Center So. NV.
Page 226
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------3,748.61
3,303.76
2,390.41
2,579.64
3,785.22
2,408.13
2,581.65
282.61
541.18
927.36
686.90
1,191.23
1,169.58
285.52
247.19
135.29
401.51
89.57
69.71
128.55
231.09
106.60
106.60
164.10
479.64
480.53
480.53
479.64
480.53
480.53
479.64
294.84
295.40
295.40
479.64
480.53
480.53
480.53
579.50
1,113.65
352.10
643.81
190.41
1,017.99
150.00
40.26
195.95
110.00
680.34
680.34
907.12
1,790.48
02/12/14
Charge#
--------714030048
714030049
714030060
723020041
723520018
723320028
723520275
723020407
723520352
723320297
723520068
723520067
702421291
714120014
702420559
714120165
714120114
707030569
714130003
714131003
714131001
714131002
707030570
716136100
702420871
707030571
707030150
716132100
702421164
702420299
707030572
716146001
707031133
723320026
714030071
723320025
606012000
606011200
606012060
606012080
702150242
702152617
702171551
702171550
702171549
702174014
702174015
702174016
702174019
702174020
702174021
702174017
UMC Charge Master
Description
-----------------------------------------------------------------------------------------THORACIC SPINE 1V
THORACOLUMBAR 2V STANDING
THORACOLUMBAR VIEWS AP&LAT SPINE
THORACOSTOMY TUBE
THORACOSTOMY TUBE
THORACOSTOMY TUBE
THORACOSTOMY TUBE (CCT)
THORACOSTOMY TUBE BIL
THORACOSTOMY TUBE BIL
THORACOSTOMY TUBE BIL
THORACOTOMY W CONTROL HEMMORAGE
THORACOTOMY W EXLPORATION
THROMBECTOMY AV FISTULA
THROMBECTOMY AV FISTULA PERC
THROMBECTOMY AV FISTWOREV
THROMBECTOMY EXT CATH W BALOON
THROMBECTOMY EXT CATH WOBALLN
THROMBIN TIME
THROMBOLYSIS INF TRANS CATH S&I
THROMBOLYTIC ART THERAPY W SI
THROMBOLYTIC ART/VEN THX W SI
THROMBOLYTIC VEN THERAPY W SI
THYROGLOBULIN
THYROID IMAGING
THYROID LOBE UNI W/WO ISTHMUS
THYROID STIM IMMUNOGLOB
THYROID STIMULATING HORMONE
THYROID UPTAKE MEASUREMENT
THYROIDECTOMY TOTAL COMP
THYROIDECTOMY UNILATERAL
THYROXINE BINDING GLOBULIN (TBG)
TI201 THALLOUS CHLORIDE PER MCI
TIAGABINE LEVEL SCREEN
TIBIA DISTAL W/MANIP
TIBIA/FIBULA2 VIEW
TIBIAL SHAFT W/MANIP
TICU CRITICAL CARE
TICU GENERAL
TICU INTERMEDIATE CARE
TICU TRAUMA CRITICAL
TIGHTROPE AR-8947DS (AX)
TIGHTROPE KNOTLS AR-8926SS (AX
TIP PEDIGUARD TRI 2.5MM (SPG)
TIP PEDIGUARD TRI 3.2MM (SPG)
TIP PEDIGUARD TRI 4.0MM (SPG)
TIP RUMI BLUE UMB678 (CU)
TIP RUMI GREEN UMG670 (CU)
TIP RUMI ORANGE UM0672 (CU)
TIP RUMI SACRO CONCAVE DE (CU)
TIP RUMI SACROCOLPO LG (CU)
TIP RUMI SACROCOLPO SML (CU)
TIP RUMI WHITE UMW676 (CU)
University Medical Center So. NV.
Page 227
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Price
---------460.81
559.32
614.31
1,958.55
1,962.18
1,962.18
1,851.11
2,937.83
2,943.27
2,943.27
5,559.89
5,027.66
3,651.23
5,438.96
3,347.97
5,184.60
2,721.91
110.95
6,604.29
1,729.12
1,729.12
1,729.12
122.14
384.20
5,961.40
498.58
200.38
188.12
4,719.06
5,096.59
144.41
78.57
221.35
2,197.12
433.44
2,197.12
2,302.00
1,154.00
1,448.00
2,945.00
2,736.25
3,341.25
4,544.99
4,544.99
4,544.99
216.80
216.80
216.80
282.74
282.74
282.74
216.80
02/12/14
Charge#
--------702174018
702420292
702153054
702153055
702153056
702420024
702421504
702420090
702420219
702420268
702420563
702420154
702420587
702420244
702170139
707030840
707030839
707030806
707030827
707030807
702150172
702151234
702154015
702150612
702150889
702150853
702150846
702150849
702153034
702150767
702150648
702153026
702150660
702150657
702421519
702151202
702152618
707030695
702171543
702423514
702420429
707030151
707030152
707030153
702420912
714030072
702173305
702170147
721070010
723570002
723520064
723020012
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TIP RUMI YELLOW UMY514 (CU)
TISS GRAFT-FAT DERMIS
TISS MATRX STRAT LAP 10X16CM (LC)
TISS MATRX STRAT LAP 16X20CM (LC)
TISS MATRX STRAT LAP 20X20CM (LC)
TISS TRAN FCCMNAHFG 10CM<
TISS TRANS ROT FLAP 30.01-60SQCM
TISS TRNS ENEL 10 SQ CM LESS
TISS TRNS ENEL 10.1 TO 30 SQ CM
TISS TRNS FCCMNAGHE 10.1-30 SQ CM
TISS TRNS SAL 10.1 TO 30 SQ CM
TISS TRNS SAL<10 SQ CM
TISS TRNS TRUNK 10.1 TO 30 SQ CM
TISS TRNS TRUNK 10CM LESS
TISSELL SPRAY SET
TISSUE CULT CHORIONIC VILLUS
TISSUE CULTURE AMNIOTIC FLUID
TISSUE CULTURE BONE MARROW
TISSUE CULTURE LYMPHOCYTE
TISSUE CULTURE SKIN OR SOLID BX
TISSUE EXPANDER (MN)
TISSUE EXPANDER BREAST (AG)
TISSUE EXPANDER BREAST (MN)
TISSUE MATRIX STRAT 10X10CM (LC)
TISSUE MATRIX STRAT 10X16CM (LC)
TISSUE MATRIX STRAT 16X20CM (LC)
TISSUE MATRIX STRAT 20X25CM (LC
TISSUE MATRIX STRAT 20X30CM (LC
TISSUE MATRIX STRAT 25X40CM (LC
TISSUE MATRIX STRAT 5X16CM (LC)
TISSUE MATRIX STRAT 6X16CM (LC)
TISSUE MATRIX STRAT 6X8CM (LC)
TISSUE MATRIX STRAT 8X16CM (LC)
TISSUE MATRIX STRAT 8X8CM (LC)
TISSUE TRANS ROT FLAP ADDL 30SQCM
TISSUEMEND 6CM X 6CM (SK)
TIT ECCENTER (SY)
TITRATION STUDIES
TK KNOT QUICK LOAD (LS)
TLH UTERUS 250 G OR LESS
TMT JT WWO TNT EXT FIX
TOBRAMYCIN PEAK
TOBRAMYCIN TDM
TOBRAMYCIN TROUGH
TOE WEBBING OP
TOE(S), MIN 2 VIEWS
TOGA HOOD
TOGA SPACESUIT
TOILET AID
TONG SET
TONOMETRY
TONOMETRY
University Medical Center So. NV.
Page 228
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Price
---------216.80
1,333.97
12,111.00
24,219.25
30,272.00
2,401.10
5,275.05
2,598.29
3,947.42
3,252.15
2,842.15
3,026.89
2,397.49
1,766.21
295.46
164.38
164.38
316.45
81.21
286.63
1,650.00
4,386.25
3,162.50
8,461.75
12,111.00
24,219.25
37,840.00
45,402.50
75,671.75
6,055.50
7,268.25
3,641.00
9,691.00
5,189.25
2,491.26
5,211.25
1,589.47
177.66
199.44
6,621.96
3,830.82
231.09
231.09
231.09
2,213.34
293.87
115.08
513.96
56.59
4,894.97
469.16
505.76
02/12/14
Charge#
--------702421283
702420049
702420111
702420436
702420698
702421088
723520239
723020276
723320240
702420211
702421053
707030678
714170015
709170024
707030154
707030573
702152885
702153028
702153033
702421354
702150884
702153027
702153029
702421352
707030679
702420595
702170351
707030574
707030575
707030576
707030577
707030579
707030580
707030730
707030731
710050004
705080024
702718001
702718000
705080243
705080242
705080241
705080240
705080239
705080238
705080237
705080236
705080235
705080234
705080233
705080232
705080231
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TONSIL-ADENOIDECTOMY <12YRS
TONSILLECTOMYTONSILLECTOMY OVER 12
TONSILLECTOMY UNDER 12
TOOTH EXT IMPACTED
TOOTH FILLING
TOOTH REIMPLANT AND/OR STABILZ
TOOTH REIMPLANTATION
TOOTH REIMPLANTATION
TOOTH ROOT REMOVAL
TOPICAL FLOURIDE VARNISH
TOPIRAMATE
TORQUE DEVICE (ML)
TORQUE WRENCH 2 (BT)
TOTAL CO2
TOTAL COMPLEMENT
TOTAL HIP HYBRID ALL VENDORS
TOTAL HIP HYBRID W MDM
TOTAL HIP TREATD HEAD ALL VENDORS
TOTAL HYST W TO UTERUS OVER 250 G
TOTAL KNEE ALL VENDORS
TOTAL KNEE CUSTOM BLOCK
TOTAL KNEE HYBRID ALL VENDORS
TOTAL LAP HYS W TO 250GM OR LESS
TOTAL PROTEIN- OTHER
TOTAL THYROID SUBLOBE 1ST
TOURNIQUE CUFF STERILE
TOXIC SCREEN BLOOD
TOXIC SCREEN CONFIRMATION
TOXIC SCREEN GASTRIC
TOXIC SCREEN MECONIUM
TOXOPLASMA AB IGG
TOXOPLASMA AB IGM
TOXOPLASMA IGG
TOXOPLASMA IGM
TPL VOLUME FFP
T-POD TRAUMA PELVIC DEVICE
TR PAR ACUITY II/MIN
TR PAR ACUITY III/MIN
TRACH 60XLT DISTAL 6.0 CUFFED
TRACH 60XLT PROXIMAL 6.0 CUFFED
TRACH 70XLT DISTAL 7.0 CUFFED
TRACH 70XLT PROXIMAL 7.0 CUFFED
TRACH 80XLT DISTAL 8.0 CUFFED
TRACH 80XLT PROXIMAL 8.0 CUFFED
TRACH PERCUTANEOUS KIT 8.0
TRACH TUBE CUFFED FEN #10
TRACH TUBE CUFFED FEN #4
TRACH TUBE CUFFED FEN #6
TRACH TUBE CUFFED FEN #8
TRACH TUBE CUFFED NONFEN #10
TRACH TUBE CUFFED NONFEN #4
University Medical Center So. NV.
Page 229
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Price
---------2,737.03
3,288.98
2,737.03
2,737.03
559.94
129.57
1,854.04
1,850.60
1,854.04
1,259.94
228.48
114.23
65.21
310.79
94.53
100.29
17,875.00
19,250.00
17,050.00
9,636.87
10,175.00
2,475.00
13,475.00
7,225.39
107.24
6,943.91
381.04
422.44
30.48
640.88
248.83
66.93
101.85
32.96
101.85
433.80
1,261.55
22.36
31.75
347.28
347.28
347.28
347.28
347.28
347.28
1,421.96
307.36
228.39
228.39
228.39
216.48
216.48
02/12/14
Charge#
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705080229
705080228
705080227
705080226
705080225
705080224
705080223
705080222
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705080218
705080217
705080216
705080215
705080214
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705080212
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705080210
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705080206
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718170008
702420261
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702420220
702420588
702420910
723020039
723320024
702420597
723320009
702170062
702170114
726120025
709020022
714130038
702421524
702420914
714130018
714131004
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TRACH TUBE CUFFED NONFEN #6
TRACH TUBE CUFFED NONFEN #8
TRACH TUBE FOAM-CUFF 6MM #5
TRACH TUBE FOAM-CUFF 7MM #6
TRACH TUBE FOAM-CUFF 8MM #7
TRACH TUBE NEO 3.0 X 4.5 (NICU)
TRACH TUBE NEO 3.0 X 4.5 (PICU)
TRACH TUBE NEO 3.5 X 5.2 (NICU)
TRACH TUBE NEO 4.0 UNCUF (NICU)
TRACH TUBE SHILEY CUF 4.5 (NICU)
TRACH TUBE SHILEY CUF 5.0 (NICU)
TRACH TUBE SHILEY NEO 3.5X5.2 PIC
TRACH TUBE SHILEY NEO 4.0 (PICU)
TRACH TUBE SHILEY NEO 4.5 (NICU)
TRACH TUBE SHILEY NEO 4.5 (PICU)
TRACH TUBE UNCUFF #0 PEDS 3.0
TRACH TUBE UNCUFF #00 PEDS 3.5
TRACH TUBE UNCUFF #1 PEDS 4.0
TRACH TUBE UNCUFF #2 PEDS 4.5
TRACH TUBE UNCUFF #3 PEDS 5.0
TRACH TUBE UNCUFF #4 PEDS 5.5
TRACH TUBE UNCUFFED FEN #6
TRACH TUBE UNCUFFED FEN #8
TRACH TUBE UNCUFFED NONFEN #4
TRACH TUBE UNCUFFED NONFEN #6
TRACH TUBE UNCUFFED NONFEN #8
TRACHCARE SUCTION BALARD 10FR
TRACHCARE SUCTION BALLARD 14FR
TRACHCARE SUCTION BALLARD 16FR
TRACHCARE SUCTION BALLARD 6FR
TRACHCARE SUCTION BALLARD 8FR
TRACHCARE SUCTION SYSTEM 12FR
TRACHCARE SUCTN CLOSD NEO 8F (NIC
TRACHCARE SUCTN CLOSED NEO 6F
TRACHEAL PUNCTURE PERCUT
TRACHEOBRONCH THRU OLD INCSN
TRACHEOSTOMA REV COMP
TRACHEOSTOMA REV SIMPLE
TRACHEOSTOMY PLANNED>2YRS
TRACHEOTOMY TUBE CHANGE
TRACHEOTOMY TUBE CHANGE
TRACHEOTOMY TUBE CHANGE
TRACTION MECHANICAL
TRACTION TOWER MDS
TRANDUCER BIFURCTD SAFESET W2 BL
TRANS DRAIN OF PELVIC ABSCESS
TRANS ESOPH ECHO
TRANS JUG CATH FOR BIOP S&I
TRANS OR AVUL OTH SPINAL NERVE
TRANS/TRANSP SINGLE TEND EA ADD
TRANSCATH EMBO ANY METHOD S&I
TRANSCATH REM INTRVAS FB W SI
University Medical Center So. NV.
Page 230
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Price
---------216.48
216.48
518.40
518.40
518.40
188.34
203.41
188.34
213.46
231.46
231.46
188.34
188.34
189.21
189.21
188.34
188.34
188.34
188.34
188.34
188.34
216.48
216.48
215.14
205.79
205.79
123.15
338.53
365.61
85.70
89.65
60.25
102.93
88.66
2,737.03
2,297.67
3,431.53
2,737.03
2,737.03
374.33
375.03
812.09
127.60
3,697.48
231.03
2,812.11
4,730.95
2,315.00
3,269.28
5,014.33
6,364.95
4,900.88
02/12/14
Charge#
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714938037
714938036
705080204
705080018
705080203
705080202
705080201
705080200
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702170331
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702420409
702420472
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714120112
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724520012
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724520004
724520002
724520000
724520005
724520001
724520011
709170002
702420357
702420500
723020038
723520063
722370014
723515000
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723520237
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723520236
723520362
723520062
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723520061
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TRANSCATHETER BIOPSY
TRANSCRANIAL DOPPLER COMPLETE
TRANSCRANIAL DOPPLER LIMIT
TRANSDUCER DOUBLE VAMP
TRANSDUCER INTRAUTERINE
TRANSDUCER NEO SINGLE VAMP
TRANSDUCER NEONATE PX12 IN (NICU
TRANSDUCER PX NEURO PX6001
TRANSDUCER SINGLE VAMP
TRANSDUCER TRIPLE VAMP
TRANSECT AVUL CRANIALNERVE
TRANSFER BOARD OR DEVICE
TRANSFER BOARD OR DEVICE
TRANSFER PACK 300 CC
TRANSFER PACKS 1000 CC
TRANSFER PEDCL FLAP ANY LOCATION
TRANSFER TRANSPLANT TEN S
TRANSFER/PLANT TENDON LEG
TRANSFERRIN
TRANSFUSION EXCHANGE TRAY (NICU)
TRANSJUG INTRAHEP SHUNT COMP
TRANSJUG INTRAHEP SHUNT REV
TRANSMITTER (MT)
TRANSPL CMC WO GRAFT EA
TRANSPORT OUT OF AREA NV PER MI
TRANSPORT OUT OF STATE PER MI
TRANSPORT STRETCHER NO O2 IN CITY
TRANSPORT STRETCHER O2 BOLDR CITY
TRANSPORT STRETCHER O2 INTRA CITY
TRANSPORT STRETCHER O2 OUT AREAS
TRANSPORT WC NO O2 BOULDER CITY
TRANSPORT WC NO O2 INTRA CITY
TRANSPORT WC NO O2 OUTLYING AREAS
TRANSPORT WC O2 BOULDER CITY
TRANSPORT WC O2 INTRA CITY
TRANSPORT WC O2 OUTLYING AREAS
TRANSRADIAL KIT
TRANSURETHRAL RES PTOSTATE
TRANSURTHRAL RES PROSTAT
TRANSVENOUS PACEMAKER
TRANSVENOUS PACEMAKER
TRAPEZE
TRAUMA OBSERVATION HOURLY
TRAUMA1-MINIMAL HOSP (LEVEL I)
TRAUMA1-MINIMAL HOSP W/PROC
TRAUMA2-BRIEF HOSP (LEVEL II)
TRAUMA2-BRIEF HOSP W/PROC
TRAUMA3-LIMITED HOSP (LEVEL III)
TRAUMA3-LIMITED HOSP W/PROC
TRAUMA4-INTERMED HOSP (LEVEL IV)
TRAUMA4-INTERMED HOSP W/PROC
TRAUMA5-EXTENDED (LEVEL V)
University Medical Center So. NV.
Page 231
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Price
---------2,073.84
1,456.03
970.71
180.23
166.82
124.13
261.72
264.62
112.26
244.21
2,046.59
265.82
265.82
89.92
145.27
3,140.44
5,014.33
5,014.33
210.34
469.67
7,076.98
6,000.42
771.76
2,407.23
.61
.61
161.46
169.53
167.81
176.30
141.05
83.11
157.41
147.04
104.34
180.52
286.05
4,672.85
3,521.05
3,007.84
3,013.41
85.77
68.96
392.96
392.96
620.10
620.10
982.34
982.34
1,602.65
1,602.65
2,374.65
02/12/14
Charge#
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705080016
705080198
705080196
705080569
705080568
705080567
705080195
705080194
705080193
705080192
705080566
705080135
705080596
702170529
705080015
705080191
705080190
705080189
705080188
705080187
705080186
705080565
705080564
705080563
705080562
705080561
705080560
705080559
705080558
705080557
705080556
705080555
705080554
705080553
705080552
705080185
705080551
705080550
705080184
705080183
705080182
702270193
705080180
705080014
705080179
705080013
705080178
723570013
723570012
723570011
709170902
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TRAUMA5-EXTENDED W/PROC
TRAY AMNIOCENTESIS
TRAY ANESTH EPIDURAL BURRON
TRAY ARROW LARGE BORE LUMEN CVC
TRAY ARTERY CATH 2.5F 2.5CM (PICU
TRAY ARTERY CATH 2.5F 5CM (PICU)
TRAY ARTERY CATH 3F 5CM (PICU)
TRAY BONE MARROW JAMSHIDI
TRAY CATH FEMORAL ARTERIAL
TRAY CATH FOLEY 16FR WO BAG SILIC
TRAY CATH FOLEY CLOSED 16FR
TRAY CATH MULTI LUMEN CV 7FR
TRAY CATH TRIALYSIS 13FR 15CM
TRAY CENTRAL VEIN 16GA X 20
TRAY CENTRAL VENOUS CATHETER
TRAY CHEST TUBE INSERTION
TRAY CHESTTUBE THALQUICK 12F (PIC
TRAY CHESTTUBE THALQUICK 16F (PIC
TRAY CHESTTUBE THALQUICK 20F (PIC
TRAY CHESTTUBE THALQUICK 24F (PIC
TRAY CHESTTUBE THALQUICK 28F (PIC
TRAY CHESTTUBE THALQUICK 36F (PIC
TRAY CV 4F 12CM 2 LUMEN (PICU)
TRAY CV 4F 20CM 2 LUMEN (PICU)
TRAY CV 4F 8CM 2 LUMEN (PICU)
TRAY CV 5F 15CM 2 LUMEN (PICU)
TRAY CV 5F 15CM 3 LUMEN (PICU)
TRAY CV 5F 30CM 2 LUMEN (PICU)
TRAY CV 5F 30CM 3 LUMEN (PICU)
TRAY CV 5F 35CM 3 LUMEN (PICU)
TRAY CV 5F 40CM 3 LUMEN (PICU)
TRAY CV 5F 45CM 2 LUMEN (PICU)
TRAY CV 5F 45CM 3 LUMEN (PICU)
TRAY CV 5F 8CM 2 LUMEN (PICU)
TRAY CV 5F 8CM 3 LUMEN (PICU)
TRAY CV 7F 15CM 3 LUMEN (PICU)
TRAY CV 7F 20 CM 3 LUMEN
TRAY CV 7F 25CM 3 LUMEN (PICU)
TRAY CV 7F 30CM 3 LUMEN (PICU)
TRAY DRESSING CVC W BIOPATCH
TRAY INTUBATION ADULT
TRAY INTUBATION PEDS
TRAY JAMSHIDI SOFT TISSUE BX
TRAY JAMSHIDI SOFT TISSUE BX (PIC
TRAY LACERATION
TRAY LUMBAR PUNCTURE ADULT
TRAY LUMBAR PUNCTURE NEO
TRAY LUMBAR PUNCTURE PED & INFANT
TRAY MRI PIN SET LARGE
TRAY MRI PIN SET MEDIUM
TRAY MRI PIN SET SMALL
TRAY PERICARDIOCENTESIS 3
University Medical Center So. NV.
Page 232
Dispense
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Price
---------2,374.65
110.38
152.00
356.23
129.25
129.25
131.31
301.15
167.44
90.83
119.32
89.54
972.83
76.23
512.19
195.54
619.62
598.00
619.62
619.62
645.84
645.84
211.75
245.93
314.41
314.41
320.07
238.78
252.45
219.81
277.75
238.78
277.75
314.41
219.53
320.07
399.99
320.07
334.40
65.23
676.17
283.85
28.37
171.36
47.64
102.19
109.93
72.83
2,241.25
2,351.25
1,938.75
1,265.00
02/12/14
Charge#
--------705080549
705080177
705080176
705080175
705080173
705080174
705080172
705080171
705080170
705080169
705080168
705080011
705080447
705080167
705080166
705080165
705080164
705080010
705080009
705080122
702170082
705080163
723320022
723320019
723020030
723520057
723320018
726821000
702423557
723320017
723020029
707030732
707031037
714170014
702420124
707030155
707030581
702420892
709170053
702170513
702171548
702171547
702170350
702170343
702170128
702171219
702170833
702170072
707030156
707030157
707030158
707030159
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TRAY PICC 1.2FX25 W WING (NICU)
TRAY PICC 3FR SGL LUMEN
TRAY PICC NEO VYGON (NICU)
TRAY PICC NEONATAL (NICU)
TRAY POWERPICC DBL 5FR
TRAY POWERPICC TRPL 5FR
TRAY POWERPICC TRPL 6FR
TRAY SAFE T CENTENSIS CATH 6FR
TRAY SPINAL ANES 22GA
TRAY SPINAL ANES 25GA
TRAY SPINAL ANES 26GA
TRAY THORACENTESIS
TRAY THORACENTESIS ARROW (CVCU)
TRAY UMB CATH 3.5F ARGYLE (PICU)
TRAY UMB CATH 5F ARGYLE (PICU)
TRAY UMBILICAL CATH 3.5FR (NICU)
TRAY UMBILICAL CATH 5FR (NICU)
TRAY UROLOGY DISP
TRAY VAG BLEED
TRAY VASCATH INSERTION 12FR
TRAY VITALMETRIC
TRAY VITALMETRIC TEMPERATURE
TREAT DISLOCATION/FRACTURE MANIP
TREAT LOWER LEG DISLOCATION
TREAT VAGINAL BLEEDING NON OB
TREAT VAGINAL BLEEDING NON OB
TREAT VAGINAL BLEEDING NON OB
TREATMENT OF BLADDER LESION
TREATMENT OF BLADDER LESION
TREATMENT OF WOUND DEHISCENCE
TREATMENT OF WOUND DEHISCENCE
TREPONEMA PALLIDUM AB
TRG GENE REARRANGEMENT ANAL
TRI HOOK PRONG (BS)
TRI MISSD ABORTION ANYTRI
TRIGLYCERIDES
TRIGLYCERIDES FLUID
TRIPLE ARTHRODESIS
TRIPORT SHEATH 14FR
TROCAR RFP 10-15MM
TROCAR CANN PEDGRD STYL 1050 (SPG
TROCAR CANN PEDGRD STYL 1060 (SPG
TROCAR DEPUY
TROCAR DISP OSCOPY
TROCAR LAPAROSCOPY OPTIVIEW
TROCAR SILS SILSPT12 (CO)
TROCAR SLEEVE 5MM SHORT
TROCAR THORAPORT 5.5MM
TROPONIN I
TROPONIN I 1
TROPONIN I 2
TROPONIN I 3
University Medical Center So. NV.
Page 233
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------242.17
631.47
102.69
222.61
337.13
387.59
387.59
330.83
118.18
67.35
114.49
187.48
635.41
450.18
450.18
185.15
185.15
1,392.28
47.30
598.50
312.03
226.54
2,335.73
2,197.12
630.76
631.94
631.94
625.50
625.50
503.84
554.08
99.58
412.50
1,009.53
2,427.45
172.85
116.17
4,971.69
457.33
838.34
352.10
352.10
312.39
825.89
619.53
2,456.02
415.41
2,524.71
241.75
241.75
239.77
220.09
02/12/14
Charge#
--------707030160
723320016
723320280
723320015
723320281
702420464
702420035
702420456
702420260
707030250
714030047
714030045
702170342
702170352
702270034
702270037
702270035
702270036
702170106
714170073
714170072
714170071
702270203
702270202
702270205
702270204
702171051
702171018
702171016
702170555
705080162
705080161
705080160
705080159
705080158
705080157
704070000
705081529
702170353
714170013
702270194
702270021
702152900
702152901
702170332
705080156
705080155
705080154
705080153
705080152
705080151
705080150
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TROPONIN REPEAT
TRT CLSD/FX RIB UNCOMPLIC
TRT FX ORBIT WO MANIP BIL
TRT FX ORBIT WO MANIP LT
TRT FX ORBIT WO MANIP RT
TRT HIP DISLOC CONGWANE
TRT MISSED ABORTION 1ST TRI
TRT MISSED ABORTION 2NDTRI
TRT WOUND DEHISCIENCESIMP
TRX CULTURE
T-SPINE 3V
T-SPINE AP & LAT
TUBE 12MM T-TUBE SILICONE
TUBE 12MM VENT TUBE FLURO
TUBE BUTN GASTR 18FX2.4CM 000283
TUBE BUTN GASTR 18FX3.4CM 000284
TUBE BUTN GASTR 24FX2.4CM 000286
TUBE BUTN GASTR 24FX3.4CM 000287
TUBE BUTTERFLY VENT
TUBE CHEST THAL QUICK 18FR (CM)
TUBE CHEST THAL QUICK 28FR (CM)
TUBE CHEST THAL QUICK 32FR (CM)
TUBE DECOMP GAST BUTN 18F 1.2 (BD
TUBE DECOMP GAST BUTN 18F 1.7 (BD
TUBE DECOMP GAST BUTN 22F 1.2 (BD
TUBE DECOMP GAST BUTN 22F 1.7 (BD
TUBE ENDOTRACH ETT 7.0
TUBE ENDOTRACH ETT 7.5
TUBE ENDOTRACH ETT 8.0
TUBE ENDOTRACH LASER SHIELD
TUBE ENTERAL FEEDING 8FR 45 IN
TUBE ENTRL FEED 6F 1.5G 30IN (PIC
TUBE ENTRL FEED 8F 3.3G 45IN (PIC
TUBE ET REPLACE OBTURATR 11F (PIC
TUBE ET REPLACE OBTURATR 14F (PIC
TUBE ET REPLACE OBTURATR 19F (PIC
TUBE EXCHANGE TRACH COOK
TUBE FEEDING ENTERAL 8FR
TUBE FLEXIFLO GASTROSTOMY
TUBE GASTRO 16FR (KM)
TUBE IRRIGATION ASSEMBLY (OA)
TUBE JEJUNAL FEED 8.5 FR (BS)
TUBE JEJUNOSTOMY BAKER 12FR
TUBE JEJUNOSTOMY BAKER 20FR
TUBE MODIFIED T-TUBE SIL
TUBE NASOGASTRIC 10F VYGON (NICU)
TUBE NASOGASTRIC 10F VYGON (PICU)
TUBE NASOGASTRIC 12F VYGON (NICU)
TUBE NASOGASTRIC 12F VYGON (PICU)
TUBE NASOGASTRIC 14F VYGON (PICU)
TUBE NASOGASTRIC 6F VYGON (NICU)
TUBE NASOGASTRIC 6F VYGON (PICU)
University Medical Center So. NV.
Page 234
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------241.75
394.52
1,249.29
832.86
832.86
2,497.98
2,362.31
2,187.32
1,972.65
293.90
614.46
526.38
417.01
26.12
1,078.32
1,078.32
1,164.58
1,164.58
216.85
670.80
640.96
475.91
79.75
79.75
79.75
79.75
234.12
234.12
234.12
905.51
72.53
89.71
106.32
276.71
276.71
276.71
250.63
60.58
193.57
200.54
69.74
653.61
426.44
426.44
417.01
33.16
33.16
46.09
46.09
28.37
47.51
47.30
02/12/14
Charge#
--------705080149
705080148
702150235
702170364
702170339
705080008
702170338
702170340
702171140
702151613
702170896
702171250
702170105
702170379
714170012
702170566
702170644
702170645
702170130
702171417
702170334
702170936
702170929
702171062
702170844
702171035
709170894
702170520
714170011
702270195
702171040
702170887
716136001
716136044
702170634
702170801
702171318
702174045
702174046
702420536
702420508
709171126
709171127
709171128
702170025
701020000
701520101
701020001
701520100
723320014
723320013
709020001
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TUBE NASOGASTRIC 8F VYGON (NICU)
TUBE NASOGASTRIC 8F VYGON (PICU)
TUBE NERVE NEURO-GEN
TUBE PAPARELLA EAR
TUBE POPE VENT POLYETHLEN
TUBE RECTAL
TUBE SHEEHY COLLAR BUTTON
TUBE SHEPARD GROMMET VENT
TUBE TEFLON (SK)
TUBE TEFLON STRYKER
TUBE TRACH BIVONA 7.0
TUBE TRACH BIVONA OR HYPERFLES
TUBE TRACH SHILEY-ALL SZS
TUBE TRACHAEL ENDOTROL ALL SIZES
TUBE TRU CLOSE SUCTION (UL)
TUBE UNIVENT PHYCON ALL SIZES
TUBE VAG GYNE BONG MED
TUBE VAG GYNE BONG SM
TUBE VENT ACTIVENT
TUBE VENT MORETZTYTAN .76MM
TUBING 1/2 X 3/32 X 10 (OH)
TUBING 1/4 X 1/16 X 8 OH
TUBING 3/8 X 3/32 X 12 OH
TUBING EXT HIGH PRESSURE (AL)
TUBING FLOSTEADY
TUBING HEATED INSUFFLATOR
TUBING HIGH PRESS FLEXCIL
TUBING HIGH PRESSURE
TUBING HIGH PRESSURE (MR)
TUBING IRRIG SPYGLASS (BS)
TUBING MALIS IRRIGATION 809102
TUBING SMOKE EVACUATOR
TUMOR LOCALIZATION SPECT CCTREO
TUMORIMAGEPET/CTSKULL-THIGH
TUNNELER 45CM MALLABLE (IA)
TUNNELER DISP 65CM 990010
TUNNELER LONG PRECISION
TUNNELER ONQ SHEATH 12IN
TUNNELER ONQ SHEATH 8IN
TUR PO BLADDER CONTRACTURE
TUR RES BLADDER NECK
TURBOHAWK LX-M (EV)
TURBOHAWK SS-CL (EV)
TURBOHAWK SX-C (EV)
TVT OBTURATOR
TX PROP DX IV INJ ADDTL NEW DRUG
TX PROP DX IV INJ ADDTL NEW DRUG
TX PROP DX IV INJ ADDTL SAME DRUG
TX PROP DX IV INJ ADDTL SAME DRUG
TX THUMB DISLOCATION W/MANIP
TX WRIST DISLOCATION W MANIP
TX/PROPH INJ EA ADDL NEW DRUG
University Medical Center So. NV.
Page 235
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------37.66
37.62
2,747.25
192.12
51.63
139.52
115.27
26.12
1,348.88
481.25
519.37
1,066.80
185.89
101.96
170.13
968.39
343.53
343.53
572.25
126.90
359.44
134.80
270.29
91.17
358.99
325.51
26.40
513.45
47.74
349.51
241.96
509.18
2,137.95
7,776.90
2,410.50
422.61
1,320.63
265.96
740.46
3,907.60
3,055.27
11,662.12
11,662.12
11,662.12
6,022.12
144.71
144.71
144.71
144.71
1,574.23
1,146.72
164.10
02/12/14
Charge#
--------702420379
702420525
702420899
702420898
702420893
702420526
702420009
702420377
702170137
702170362
702220138
714030069
702220006
702220007
702220067
726120029
714030070
714938010
714938009
714938028
714978000
714928010
714928011
714928012
714928013
714938035
714938008
714532063
714928005
714928000
714938007
702170140
714938034
714938033
702170337
714938006
714938005
714130076
714938004
716146000
702170486
714938032
714938003
702170330
714938031
721070011
709170001
720020075
720670001
720670005
721070075
721070076
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TYMPANOMAST WO OSSICULAR
TYMPANOPLASTY W OC RECON
TYMPANOPLASTY W RECONST
TYMPANOPLASTY W/WO PATCH
TYMPANOPLASTY WO OSSICULAR
TYMPANOPLASTYWTORPORPORP
TYMPANOSTOMY
TYPANOPLASTY WO RECONSTRUCT
U CLIP REMOVER OH
U CLIPS OPEN HEART
UGI GASTRIC OUTLET OBSTRUCT
UGI W AIR AND SBFT
UGI W EUS
UGI W US FNA OF ESOPH
UGI W USG FNA OR BX
UGI W/BX SGL/MULTIPLE
UGI WITH AIR
ULT ABDOMEN LIMITED
ULT ABDOMEN SURVEY GENERAL
ULT ABDOMINAL DOPPLER
ULT BIOPSY TRAY GENERAL
ULT BREAST BX 1ST LESION
ULT BREAST BX ADD LESION
ULT BREAST PERQ DEVICE 1ST LESION
ULT BREAST PERQ DEVICE ADD LESION
ULT CAROTID DOPPLER LMTD
ULT EXTREMITY, NONVASC, COMPLETE
ULT EXTREMITY, NONVASC, LIMITED
ULT FINE NEEDLE ASP GUIDED
ULT FNA W GUIDANCE
ULT HEAD AND NECK W IMAGE
ULTRA SLING - ALL SZS
ULTRASND LWR EXT ARTERL/GRAFT UNL
ULTRASNDUPREXTARTER/GRFBL
ULTRASONIC LITHO PROBE
ULTRASOUND BIOPSY/ASPIRATION
ULTRASOUND CHEST
ULTRASOUND GUIDED NEEDLE PLACEMT
ULTRASOUND SPINAL CORD & CONTENT
ULTRATAG KIT
ULTRAVAC ARTHROCARE ASC5000-1
ULTRSND LWR EXT ARTER/GRAFT
UMBILICAL ARTERY ECHO
UMBILICAL TAPE
UNILAT VENOUS DOPPLER LTD
UNIVERSAL CUFF
UNIVERSAL DRAPE PACK
UNNA BOOT STRAPPING
UNNAFLEX CONVENIENCE PAK
UNNAFLEX SINGLE
UNTENSIL EXTENSION FORK
UNTENSIL EXTENSION TEASPOON
University Medical Center So. NV.
Page 236
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------4,629.66
5,362.59
5,927.33
2,737.03
4,629.66
4,629.66
3,146.63
4,076.20
627.71
207.16
1,459.64
1,128.04
2,060.43
1,992.94
2,898.10
973.82
1,237.16
1,139.91
1,295.11
818.89
88.39
2,099.16
1,145.00
293.76
160.23
677.14
1,000.57
261.92
403.60
519.23
842.70
381.23
916.03
719.02
2,034.30
1,041.24
626.91
944.12
367.60
248.88
1,556.33
1,334.70
791.91
85.36
693.08
105.30
183.11
154.19
67.08
33.37
57.84
57.09
02/12/14
Charge#
--------709120063
714030075
714030076
714030073
714938030
702171126
702423510
714120111
714130046
714120163
723020025
723520053
723020024
723520048
723320256
723020291
723520248
723320255
714120011
714030074
714030063
714130017
702420273
702420545
707030162
707030584
707030585
707030617
707030775
707030618
707030619
707030620
707030621
707030251
707030622
707030163
707030164
707030680
707030623
702170579
714030064
714030061
714030062
714938002
701530005
709130022
714130077
714938001
714938000
714938029
702420437
702170333
UMC Charge Master
Description
-----------------------------------------------------------------------------------------UPGRAD PMKR SNGL TO DUAL.
UPPER EXT INF 2YR 2 VIEW +
UPPER G I TRACT W/SMALL BOWEL
UPPER GI W KUB
UPPEREXTART/BYPASSGRFTUNI
URCHIN POSITIONER HP3500 (MT)
URETER ENDO THRU EST URETROSTMY
URETERAL PERC STENT PLACEMENT
URETERAL PERC STNTPLACESI
URETEROSTOMY EXT URET STENT CHG
URETHRA CATH COMPLICATED
URETHRA CATH COMPLICATED
URETHRA CATH SIMPLE
URETHRA CATH SIMPLE
URETHRA CATH SIMPLE
URETHRA CATH STRAIGHT
URETHRA CATH STRAIGHT
URETHRA CATH STRAIGHT
URETHROCYSTOGRAM RET
URETHROCYSTOGRAPHY RETROGRADE
URETHROCYSTOGRAPHY VOIDING
URETHROGRAM, RETROGRADE S & I
URETHROMEATOPLASTY W ADV
URETHROPLASTY ONE STAGE MALE
URIC ACID
URIC ACID URINE
URIC ACID URINE 24 HR
URINALYSIS CHEMICAL ONLY
URINALYSIS MICRO ONLY
URINALYSIS ROUTINE
URINALYSIS ROUTINE W/MIC
URINALYSIS STAT
URINALYSIS STAT W/O MICRO
URINE CULTURE + GRAM ST
URINE DIPSTICK NO MICROSCOPY
URINE DRUG SCREEN MULT
URINE DRUG SCREEN SINGLE
URINE SULFATE
UROBILINOGEN SCREEN
URODRAIN BAG (OW)
UROGRAPHY
UROGRAPHY INTRAVENOUS
UROGRAPHY RETROGRADE WWO KUB
US EXAM K TRANSPLANT W/ DOPPLER
US GUIDED AMNIOCENTESIS
US GUIDED NEEDLE PLACEMENT
US GUIDED VASC ACCESS
US INF HIPS LMTD WO PHYS MANIP
US INF HIPS W/PHYS MANIP
USLOWER ARTDOPPLER STRESS
UTERINE EVAC HYDATIDIFMOLE
UTERINE MANIPULATOR
University Medical Center So. NV.
Page 237
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------10,102.31
381.81
1,521.27
1,049.27
907.15
3,006.99
2,431.11
1,959.79
7,130.94
3,810.67
552.77
553.79
181.02
181.35
181.35
246.35
246.81
246.81
474.63
895.32
1,140.76
1,122.75
2,745.16
5,288.64
114.10
154.43
172.10
48.09
52.97
92.86
92.86
92.86
48.09
325.73
50.95
391.15
70.74
85.20
53.85
57.72
1,134.83
1,310.50
1,086.99
688.96
68.91
944.12
952.12
337.86
943.91
457.73
1,959.11
451.51
02/12/14
Charge#
--------702421110
702420141
702421351
723020023
702421040
702420504
702420902
702421213
707030165
702150041
702150780
702150800
702150803
702150798
702150797
702150893
702150824
702150823
702150826
702150810
702150809
702150825
702150828
702150777
702150776
702153003
702153004
702150785
702153001
702153002
702150788
702150787
702150778
702153005
702150655
702150841
702150883
702151996
702151999
702151997
702150839
702150837
702150836
702150838
702150869
702150855
702150876
702150865
702150877
702150867
702150875
702150866
UMC Charge Master
Description
-----------------------------------------------------------------------------------------UVULECTOMY
UVULOPHARYNGOPLASTY
VAG HYSTO W TO =<250 GM
VAGINAL DELIVERY ONLY
VAGINAL HYSTERECTOMY
VAGINAL PACK 4 HEMORRHAGE
VAGINECTOMY PARTIAL
VAGINOSCOPY-COLPOSCPY WBX
VALPROIC ACID TDM
VALVE AHMED GLAUCOMA FP7 (NW)
VALVE AORT FLEX CUFF 19MM (SJ)
VALVE AORT FLEX CUFF 21MM (SJ)
VALVE AORT FLEX CUFF 23MM (SJ)
VALVE AORT FLEX CUFF 25MM (SJ)
VALVE AORT FLEX CUFF 27MM (SJ)
VALVE AORT HP VALVED 19MM (SJ)
VALVE AORT STD CUFF 19MM (SJ)
VALVE AORT STD CUFF 21MM (SJ)
VALVE AORT STD CUFF 23MM (SJ)
VALVE AORT STD CUFF 25MM (SJ)
VALVE AORT STD CUFF 27MM (SJ)
VALVE AORT STD CUFF 29MM (SJ)
VALVE AORT STD CUFF 31MM (SJ)
VALVE AORT STNTD 19MM EPIC (SJ)
VALVE AORT STNTD 21MM EPIC (SJ)
VALVE AORT STNTD 23MM EPIC (SJ)
VALVE AORT STNTD 25MM EPIC SJ)
VALVE AORT STNTD 29MM EPIC (SJ)
VALVE AORT SUPSTNT 19MM EPIC (SJ)
VALVE AORT SUPSTNT 21MM EPIC (SJ)
VALVE AORT SUPSTNT 23MM EPIC (SJ)
VALVE AORT SUPSTNT 25MM EPIC (SJ)
VALVE AORT SUPSTNT 27MM EPIC (SJ
VALVE AORT SUPSTNT 27MM EPIC(SJ)
VALVE AORTIC 19MM MAGNA EASE (EL)
VALVE AORTIC 21MM MAGNA EASE (EL)
VALVE AORTIC 23MM MAGNA EASE (EL)
VALVE AORTIC 25MM MAGNA EASE (EL)
VALVE AORTIC 27MM MAGNA EASE (EL)
VALVE AORTIC 29MM MAGNA EASE (EL)
VALVE AORTIC FREESTYLE (MT)
VALVE AORTIC HP VALVED 21MM (SJ)
VALVE AORTIC HP VALVED 23MM (SJ)
VALVE AORTIC HP VALVED 25MM (SJ)
VALVE AORTIC HP VALVED 27MM (SJ)
VALVE AORTIC HP VALVED 29MM (SJ)
VALVE AORTIC MITR0FLOW 19MM (SG)
VALVE AORTIC MITR0FLOW 21MM (SG)
VALVE AORTIC MITR0FLOW 23MM (SG)
VALVE AORTIC MITR0FLOW 25MM (SG)
VALVE AORTIC MITR0FLOW 27MM (SG)
VALVE AORTIC MITR0FLOW 29MM (SG)
University Medical Center So. NV.
Page 238
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
.00000
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.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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Price
---------1,443.32
2,955.99
6,328.18
3,996.72
4,316.84
508.39
2,425.98
1,057.93
231.09
1,636.25
19,863.25
19,863.25
19,863.25
19,863.25
19,863.25
24,431.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
19,511.25
19,511.25
19,511.25
19,511.25
19,511.25
19,511.25
22,550.00
24,431.00
24,431.00
24,431.00
24,431.00
24,431.00
21,386.75
21,386.75
21,386.75
21,386.75
21,386.75
21,386.75
02/12/14
Charge#
--------702150820
702150872
702153007
702154013
702150861
702150859
702150858
702150864
702150863
702155006
702155007
702155008
702155009
702155010
702155011
714170010
702270196
702270197
709170022
702153010
702153051
702153052
702153053
702150781
702150799
702154400
702150862
702150796
702150795
702150790
702150793
702150860
702150794
702150816
702150817
702150814
702150811
702150806
702150807
702150805
702150808
702150815
702150804
702150784
702150783
702150786
702150789
702150903
702270226
702170327
702150756
702150763
UMC Charge Master
Description
-----------------------------------------------------------------------------------------VALVE AORTIC MITROFLOW 27MM (SG)
VALVE AORTIC MOSAIC U MEDTRONIC
VALVE AORTIC MOSAIC ULT 305(MT)
VALVE AORTIC REDUCED 27MM (SG)
VALVE AORTIC TOP HAT 19MM (SG)
VALVE AORTIC TOP HAT 21MM (SG)
VALVE AORTIC TOP HAT 23MM (SG)
VALVE AORTIC TOP HAT 25MM (SG)
VALVE AORTIC TOP HAT 27MM (SG)
VALVE AORTIC TRIFECTA 19MM (SJ)
VALVE AORTIC TRIFECTA 21MM (SJ)
VALVE AORTIC TRIFECTA 23MM (SJ)
VALVE AORTIC TRIFECTA 25MM (SJ)
VALVE AORTIC TRIFECTA 27MM (SJ)
VALVE AORTIC TRIFECTA 29MM (SJ)
VALVE BIG EASY
VALVE BIOPSY (OA)
VALVE BIOPSY BIOSHIELD (UE)
VALVE CONTROL CO-PILOT (AB)
VALVE CSF FLOW CONTROL (MT)
VALVE IBV SYS 5MM HU-VS-5 (SPI)
VALVE IBV SYS 6MM HU-VS-6 (SPI)
VALVE IBV SYS 7MM HU-VS-7 (SPI)
VALVE MITRAL HP MASTER 23MM (SJ)
VALVE MITRAL HP MASTER 25MM (SJ)
VALVE MITRAL MOSAIC 31MM (MT)
VALVE MITRAL MOSAIC MEDTRONIC
VALVE MITRAL OPTIFORM 23MM (SG)
VALVE MITRAL OPTIFORM 25MM (SG)
VALVE MITRAL OPTIFORM 27MM (SG)
VALVE MITRAL OPTIFORM 29MM (SG)
VALVE MITRAL OPTIFORM 31MM (SG)
VALVE MITRAL OPTIFORM 33MM (SG)
VALVE MITRAL STD CUFF 19MM (SJ)
VALVE MITRAL STD CUFF 21MM (SJ)
VALVE MITRAL STD CUFF 23MM (SJ)
VALVE MITRAL STD CUFF 25MM (SJ)
VALVE MITRAL STD CUFF 27MM (SJ)
VALVE MITRAL STD CUFF 29MM (SJ)
VALVE MITRAL STD CUFF 31MM (SJ)
VALVE MITRAL STD CUFF 33MM (SJ)
VALVE MITRAL STD CUFF 35MM (SJ)
VALVE MITRAL STNTD 25MM EPIC (SJ
VALVE MITRAL STNTD 27MM EPIC (SJ)
VALVE MITRAL STNTD 29MM EPIC (SJ)
VALVE MITRAL STNTD 31MM EPIC (SJ)
VALVE MITRAL STNTD 33MM EPIC (SJ)
VALVE MITRAL T510 MEDTRONIC
VALVE PED BIOPSY BRONCH (OA)
VALVE SAFETY PRESSURE OH
VALVE STRATA 42355 (MT)
VALVE STRATA II REG 42866 (MT)
University Medical Center So. NV.
Page 239
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
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.00000
.00000
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.00000
.00000
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.00000
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Price
---------17,861.25
21,230.00
21,780.00
18,438.75
19,417.75
19,417.75
19,417.75
19,417.75
19,417.75
20,900.00
20,900.00
20,900.00
20,900.00
20,900.00
20,900.00
181.07
15.81
17.93
250.62
2,279.97
7,562.50
7,562.50
7,562.50
19,863.25
19,863.25
21,450.00
19,717.50
18,438.75
18,438.75
18,438.75
18,438.75
18,438.75
18,438.75
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,481.00
19,684.50
19,684.50
19,684.50
19,684.50
19,684.50
13,475.00
345.85
315.93
7,749.50
10,102.13
02/12/14
Charge#
--------702150760
702270227
702270225
702150086
702150871
707030166
707030167
707030168
707030586
707030587
709030000
714120205
714120207
714120206
714120204
702421045
707030588
714170009
707030589
707030590
707030611
723520235
723020022
723520052
709120032
726830000
709020009
707030253
726130000
723020021
723520051
723320011
726630000
701530001
723320239
714130016
714130015
714130014
714130002
714130013
714130012
714130001
714130011
714130010
714130009
714130008
714130007
714030067
714030068
714120010
709120008
714130006
UMC Charge Master
Description
-----------------------------------------------------------------------------------------VALVE STRATA II SML 42856 (MT)
VALVE SUC CLEANING BRONCH (OA)
VALVE SUC PEDS BRONCH BX (OA)
VALVE VENTRIC 120-170 STRAIGHT
VALVED GRFT AORT HEMI 33MM (SJ)
VANOMYCIN PEAK
VANOMYCIN TDM
VANOMYCIN TROUGH
VARICELLA ZOSTER
VARICELLA ZOSTER (FA)
VASC ECHO INTRAOPERATIVE
VASC EMBO/CLUDE ARTERY
VASC EMBO/CLUDE BLEED
VASC EMBO/CLUDE ORGAN
VASC EMBO/CLUDE VENOUS
VASECTOMY BILATERAL/UNILATERAL
VASOPRESSIN
VASULAR PLUG (CM)
VDRL CSF
VDRL TITER
VDRL, RPR, STS- QUAN
VEIN ACCESS CUTDOWN <1YR
VEIN ACCESS CUTDOWN >1YR
VEIN ACCESS CUTDOWN >1YR
VENA CAVA ANGIOGRAM
VENIPUNCTURE
VENIPUNCTURE
VENIPUNCTURE
VENIPUNCTURE BLOOD DRAW
VENIPUNCTURE OVER AGE 3
VENIPUNCTURE OVER AGE 3
VENIPUNCTURE OVER AGE 3
VENIPUNCTURE ROUTINE
VENIPUNCTURE ROUTINE
VENIPUNCTURE UNDER AGE 3
VENOGRAM ADRENAL BIL S&I
VENOGRAM ADRENAL UNIL S&I
VENOGRAM EXTREM BIL S&I
VENOGRAM EXTREM UNIL S&I
VENOGRAM HEPATIC W HEMODYN S&I
VENOGRAM HEPATIC WO HEMODYN S&I
VENOGRAM IVC S&I
VENOGRAM RENAL BIL S&I
VENOGRAM RENAL UNIL S&I
VENOGRAM SINUS OR JUGUL S&I
VENOGRAM SUP SAG SINUS S&I
VENOGRAM SVC
VENOGRAPHY BILATERAL COMPLETE
VENOGRAPHY UNILATERAL
VENOUS CATH FOR SAMPLING
VENOUS CUTDOWN
VENOUS SAMPLING RADIOLOGICAL S&I
University Medical Center So. NV.
Page 240
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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.00000
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Price
---------10,102.13
187.50
53.25
1,875.50
21,758.00
231.09
231.09
231.09
170.09
186.02
467.82
14,421.14
14,421.14
14,421.14
14,421.14
2,524.97
385.46
1,785.28
101.88
101.88
53.30
668.72
166.06
166.38
5,495.43
8.00
25.00
25.24
50.74
88.64
88.81
88.81
25.24
25.24
51.78
4,725.24
7,050.20
2,881.40
2,041.45
3,350.04
3,375.18
2,929.12
4,725.24
1,606.79
3,042.59
4,725.24
260.27
2,457.32
1,755.20
394.29
177.17
3,180.14
02/12/14
Charge#
--------718120029
718120030
718120031
718120032
723020020
723520050
713030002
702170021
714532000
714120160
714120159
714120158
714532057
718170009
718170010
702420913
707030591
707030773
707030774
707030592
709020025
709020024
709020023
719220000
719220001
719220002
719220003
719220004
719220005
719220006
719220007
719220008
719220009
707030593
707030594
707030169
707030595
707030596
707030598
707030642
707030599
707030600
707030601
702152876
702152827
702171163
714130005
707030602
707030603
705080007
707030604
702150394
UMC Charge Master
Description
-----------------------------------------------------------------------------------------VENT MGT INIT DAY HOME EQUIP
VENT MGT SUB DAY HOME EQUIP
VENTILATOR INIT DAY
VENTILATOR SUB DAY
VENTRICULOCISTERNOSTOMY
VENTRICULOCISTERNOSTOMY
VEP
VERSAJET DISPOABL HANDPIECE (SN)
VERTEBROPLASTY CT GUIDANCE S&I
VERTEBROPLASTY EA ADDTL VERT
VERTEBROPLASTY LUMBAR W/WO BX
VERTEBROPLASTY THOR W/WO BX
VERTEBROPLASTY UNDER CT GUIDANCE
VEST DISPOSABLE MEDIUM
VEST DISPOSABLE SMALL
VESTIBULOPLASTY ANTERIOR
VIRAL CULTURE MISCELLANEOUS
VIRAL ID CENTRIFUGE ENHANCED
VIRAL ID OTHER
VISCOSITY
VISIT EST LEVEL 1
VISIT EST LEVEL 2
VISIT EST LEVEL 3
VISIT ESTAB LEVEL 1
VISIT ESTAB LEVEL 2
VISIT ESTAB LEVEL 3
VISIT ESTAB LEVEL 4
VISIT ESTAB LEVEL 5
VISIT NEW LEVEL 1
VISIT NEW LEVEL 2
VISIT NEW LEVEL 3
VISIT NEW LEVEL 4
VISIT NEW LEVEL 5
VITAMIN A
VITAMIN B 1 (THIAMINE)
VITAMIN B 12
VITAMIN B12 BINDING CAPAC
VITAMIN B6
VITAMIN D 1 25-DIHYDROXY
VITAMIN D 25 HYDROXY
VITAMIN E
VITAMIN K
VMA
VNS GENERATOR MODEL 102 (CY)
VNS LEAD PERENNIAL FLEX (CY)
VNS TUNNELER (CY)
VOIDING URETHROCYSTOGRAM S&I
VON WILLEBRAND FACTOR
VON WILLEBRANDS, 910
VONSONENBRG CHST DR 12-14
VONWILLIBRANDS FACTOR MULTIMERS
VULCAN TAC-C II (SN)
University Medical Center So. NV.
Page 241
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
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.00000
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.00000
.00000
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Price
---------1,610.14
1,229.16
3,244.74
2,976.78
6,041.35
6,052.55
1,158.87
2,627.15
765.09
839.92
2,519.74
2,519.74
765.37
365.19
365.19
2,970.27
413.04
190.38
190.38
101.12
162.04
236.07
305.17
365.86
461.91
461.91
600.34
759.97
365.86
461.91
600.34
758.86
1,001.88
97.85
350.98
211.63
77.44
239.38
307.30
103.26
109.30
765.22
143.43
39,062.35
13,558.30
1,417.19
1,175.02
321.17
445.10
546.91
378.42
855.25
02/12/14
Charge#
--------721070088
720070017
720070018
720070019
721070089
721070090
720070020
720070021
720070022
705080599
723370014
705080598
721070091
720070024
720070025
721070092
720070026
705080597
720070027
720070023
720070028
720070029
723370013
721070093
720070030
720070031
702171343
702171331
702171321
702171395
702171263
702175006
702175005
702171155
702171185
702171330
707030605
710050003
702151330
702152619
702151339
702152549
702152255
702171522
702171523
702150543
702171524
702151877
702151338
716136020
702420888
723020019
UMC Charge Master
Description
-----------------------------------------------------------------------------------------WALKER ADULT FOLD WHEEL
WALKER ADULT FOLDING WHEELED
WALKER ADULT PICKUP FOLDING
WALKER ATTACH PLATFORM
WALKER ATTACH PLATFORM
WALKER CHILD FOLD WHEEL
WALKER CHILD FOLDING WHEELED
WALKER CHILD PICKUP FOLDING
WALKER EXT WIDE ADU PICKUP
WALKER FOLDING ADULT
WALKER PEDITODDLER ADJ
WALKER PLATFORM ATTACH
WALKER TODDLER FOLD WHEL
WALKER TODDLER FOLDING WHEELD
WALKER TODDLER PICKUP FOLDING
WALKER TYKE W FOLD WHEEL
WALKER TYKE W FOLDING WHEELS
WALKER WHEELED FOOT PIECE
WALKER WHEELS
WALKER WIDE ADULT FOLDING WHEEL
WALKER X-LONG NON WHEELD EXT
WALKER X-LONG WHEELED EXT
WALKER YOUTH FOLD ADJ
WALKER YOUTH FOLD WHEEL
WALKER YOUTH FOLDING WHEELD
WALKER YOUTH PICKUP FOLDING
WAND ABLATE TONSIL/ADEN PROCISE
WAND AMBIENT SUPER 90 DEG (AC)
WAND COVAC AMBIENT 70 (AC)
WAND COVAC AMBIENT 70 FINGER
WAND PLASMA COBLATOR ALL SZS
WAND PLASMA MICRO LARYNG LW
WAND PLASMA MICRO LARYNG MLW
WAND SUPER MULTIVAC (RR)
WAND TOPAZ TENDONOP IRRIG (A0)
WAND TURBOVAC SUPER 90 (AC)
WARFARIN (COUMADIN)
WASHED DIRECTD RED BLOOD CELLS
WASHER 10.0MM (SY)
WASHER 10.0MM TIT (AX)
WASHER 13.0MM (SY)
WASHER 7.0MM (AX)
WASHER 7.0MM (SY)
WASHER CAN SCREW S-N
WASHER DEPUY
WASHER LOC SCREW ARTHROTEK
WASHER SLOTTED S-N
WASHER SPIKED 13.5 X 4.0 MM (SY)
WASHER TIT 13.0MM (SY)
WB TUMOR IMAGING 2 DAYS/>
WEDGE EXC SKIN NAIL FOLD
WEDGE RESECTION SKIN NAILFOLD
University Medical Center So. NV.
Page 242
Dispense
------------.00000
.00000
.00000
.00000
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.00000
.00000
.00000
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.00000
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.00000
.00000
.00000
.00000
Price
---------471.36
471.36
447.38
447.38
483.17
613.28
567.85
539.22
539.22
205.54
189.87
204.94
567.85
567.85
539.22
942.31
872.51
79.86
178.44
567.85
133.85
265.82
517.25
471.36
471.36
447.38
1,019.72
1,172.36
1,121.71
1,140.15
1,279.65
1,516.62
1,880.65
1,571.29
3,932.72
1,172.36
131.55
807.65
79.86
316.25
83.79
118.25
75.93
213.90
201.25
954.25
83.82
371.83
83.79
3,225.10
2,448.90
340.12
02/12/14
Charge#
--------723320012
723020018
707030733
707030734
707030252
721020017
720020018
707030207
710050002
710050001
710050000
723020017
702151366
702170356
702152461
702152462
702151436
702152415
702170427
709170021
709170020
702170993
709171210
709170862
709171209
709170863
702171454
702171023
702170641
702170948
702171091
714170070
702151415
702151365
702151884
702151340
702151367
702151846
702151902
702151620
702152655
702151811
702151809
702151810
702152189
702170122
702170041
709170866
709170658
702150409
702170098
702151435
UMC Charge Master
Description
-----------------------------------------------------------------------------------------WEDGE RESECTION SKIN NAILFOLD
WEDGING OF CAST
WEST NILE VIRUS AB
WEST NILE VIRUS IgM
WET PREP
WHEEL CHAIR TRAIN 15M
WHEELCHAIR TRNG 15 MIN GP
WHITE CELL COUNT
WHOLE BLOOD
WHOLE BLOOD, AUTOLOGOUS
WHOLE BLOOD, DIR DONATION
WINDOWING OF CAST
WIRE K (DP)
WIRE BENTSON
WIRE CERCLAGE 0.5 X 175MM (SY)
WIRE CERCLAGE 0.6 X 175MM (SY)
WIRE CERCLAGE 1.0MM 10 MTR (SY)
WIRE COIL CERCLAGE 1.0MM 10M (SY
WIRE CUTTER
WIRE EXCHANGE J .025 X 260 (CS)
WIRE EXCHANGE J .035 X 260 (CS)
WIRE FIX BOLT EXT FIX (SN)
WIRE GD ANGIO .035X145 (NA)
WIRE GD FC STR 035X150 (AR)
WIRE GD PROWTRFLX 180 (AB)
WIRE GD TRAVERS 300(AB)
WIRE GLIDE ANGLED .35 (46-154B)
WIRE GUIDE (AX)
WIRE GUIDE 1.35MM (AX)
WIRE GUIDE 1.6MM (AX)
WIRE GUIDE CURVED ROSEN
WIRE INFUSION KATZEN 12X145 (BS)
WIRE K (DP)
WIRE K (SI)
WIRE K (SK)
WIRE K (SN)
WIRE K 1.6 (DP)
WIRE K 3.0 X 285 MM (SK)
WIRE K 3.2 X 450 MM (SK)
WIRE K THRD TROC PNT 1.6X150 (SY
WIRE K THREADED PRECEPT (NU)
WIRE K TROC POINT 1.0X150MM (SY
WIRE K TROC POINT 1.25X150MM (SY
WIRE K TROC POINT 1.6X150MM (SY
WIRE K TROC POINT 2.0X150MM (SY
WIRE LUNDERQUIST SUPERSTIFF
WIRE MEIER
WIRE PCING JTIP 5FR BLN (SJ)
WIRE PRESSURE AERIS (SJ)
WIRE REDUCTION 1.8 X 400MM (SY)
WIRE SENSOR
WIRE SMOOTH (SN)
University Medical Center So. NV.
Page 243
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
Price
---------340.76
386.43
171.41
171.41
88.59
106.60
106.60
87.34
348.78
667.05
667.05
263.48
55.00
107.76
254.38
254.38
205.56
205.56
270.29
34.08
36.80
293.90
28.88
69.51
275.00
456.87
747.71
524.23
165.67
63.47
123.10
1,004.19
176.00
55.00
401.50
84.70
55.00
442.75
801.99
500.14
352.10
264.47
264.47
264.47
264.47
365.64
1,622.75
394.34
2,590.22
705.87
342.40
194.01
02/12/14
Charge#
--------702171275
709170672
702151515
702421270
702421223
702421302
702421269
702470000
705080005
720020035
720620038
720020036
720620039
709170052
702170841
714030065
714030066
721070077
721070078
721070079
721070080
721070081
721070082
709170000
707030606
707030607
707030849
707030850
707031134
40003
40002
40004
40005
40006
40007
40008
42540
40012
40013
40009
40015
42371
40010
40011
40014
40017
40018
40019
40020
40021
42162
42161
UMC Charge Master
Description
-----------------------------------------------------------------------------------------WIRE TORQUE DEVICE
WIRE ZIP 035X260 (BS)
WIRES PACING FLEXON
WND PREP BY EXC- F/N/HF/G
WND PREP BY EXC- F/N/HF/G ADD CM
WND PREP BY EXC T/A/L EA ADD 100
WND PREP BY EXC TAL 1ST 100SQCM
WOUND CARE SET NEG PRESSURE
WOUND MNGR NDC0003037407
WOUND VAC <50 SQ CM
WOUND VAC <50 SQ CM
WOUND VAC >50 SQ CM
WOUND VAC >50 SQ CM
WOVEN DX EP CATHETER
WRENCH HEX (PR)
WRIST 2 VIEW
WRIST 3 VIEW +
WRIST BRACE LARGE LEFT
WRIST BRACE LARGE RIGHT
WRIST BRACE MED LEFT
WRIST BRACE MED RIGHT
WRIST BRACE SMALL LEFT
WRIST BRACE SMALL RIGHT
Y-CONNECTOR KIT
YO AB (PURKINJE CELL AB)
ZINC
ZINC PROTOPORPHYRIN
ZINC URINE
ZONISAMIDE LEVEL SCREEN
ABACAVIR
TAB
300 MG
ABACAVIR ORAL
SOLN
20 MG/ML
ABACAVIR-LAMIVUDINE 600-300 MG
TAB
600-300 MG
ABACAVIR-LAMIVUDINE-ZIDOVUDINE
TAB
300-150-300 MG
ABCIXIMAB
SOLN
10 MG/5 ML
ACEBUTOLOL
CAP
200 MG
ACETAMIN-CODEINE 120-12 MG/5ML
ELIX
120-12 MG/5 ML
ACETAMINOPHEN
SOLN
160 MG/5 ML
ACETAMINOPHEN
TAB
325 MG
ACETAMINOPHEN
TAB
500 MG
ACETAMINOPHEN IV
SOLN
1000 MG/100 ML (10 MG/ML)
ACETAMINOPHEN ORAL
SOLN
650 MG/20.3 ML
ACETAMINOPHEN PED
SUSP
160 MG/5 ML
ACETAMINOPHEN SUPP
SUPP
120 MG
ACETAMINOPHEN SUPP
SUPP
325 MG
ACETAMINOPHEN SUPP
SUPP
650 MG
ACETAMINOPHEN-CODEINE 300-15MG
TAB
300-15 MG
ACETAMINOPHEN-CODEINE 300-30MG
TAB
300-30 MG
ACETAMINOPHEN-CODEINE 300-60MG
TAB
300-60 MG
ACETAZOLAMIDE
TAB
125 MG
ACETAZOLAMIDE
TAB
250 MG
ACETAZOLAMIDE PED
SUSP
25 MG/ML
ACETAZOLAMIDE PED 5 MG/ML
SOLN
5 MG/ML
University Medical Center So. NV.
Page 244
Dispense
------------.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
.00000
1.00000
5.00000
1.00000
1.00000
5.00000
1.00000
12.50000
5.00000
1.00000
1.00000
100.00000
20.30000
60.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
100.00000
Price
---------934.84
160.28
171.93
592.11
548.25
548.25
1,482.17
1,967.92
1,082.54
549.75
549.75
606.87
606.87
1,705.05
363.13
398.75
520.56
55.24
55.24
55.24
55.24
55.24
55.24
367.52
524.91
125.38
54.00
125.38
27.14
125.93
68.80
356.82
297.92
2,231.10
7.64
33.16
17.40
3.70
3.70
191.09
20.11
69.89
14.24
22.03
26.03
7.29
5.90
8.94
22.24
21.78
19.34
272.28
02/12/14
Charge#
--------40022
40023
40024
40026
40025
40027
40028
50001
50012
50003
50004
50005
50006
50000
50002
40030
40029
40031
40032
40033
40034
40036
40035
42529
42334
40037
42665
40038
40040
40041
40039
42557
42556
40132
42496
40043
40042
40044
40046
40045
40053
40049
40048
40052
42250
40047
40054
40051
40050
40055
40058
40059
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ACETAZOLAMIDE SODIUM
SOLR
500 MG
ACETIC ACID 0.25 %
SOLN
0.25 %
ACETIC ACID 0.25 %
SOLN
0.25 %
ACETYLCYSTEINE
SOLN
0.2 GM/ML
ACETYLCYSTEINE 10%
SOLN
100 MG/ML (10 %)
ACETYLCYSTEINE 20%
SOLN
200 MG/ML (20 %)
ACETYLCYSTEINE 20%
SOLN
200 MG/ML (20 %)
ACTICOAT
BNDG
4 X 4 "
ACTICOAT 7
BNDG
4 X 5 "
ACTICOAT ABSORBEN
BNDG
4 X 5 "
ACTICOAT FLEX 3
BNDG
16 X 16"
ACTICOAT FLEX 3
BNDG
4 X 48"
ACTICOAT FLEX 7
BNDG
16 X 16"
ACTICOAT MOISTURE CONTROL
BNDG
16 X 16 "
ACTICOAT MOISTURE CONTROL
BNDG
8 X 16 "
ACTIVATED CHARCOAL
SUSP
25 GRAM/120 ML
ACTIVATED CHARCOAL
SUSR
25 GRAM
ACTIVATED CHARCOAL-SORBITOL
SUSP
25 GRAM/120 ML
ACTIVATED CHARCOAL-SORBITOL
SUSP
50 GRAM/240 ML
ACYCLOVIR
CAP
200 MG
ACYCLOVIR
SUSP
200 MG/5 ML
ACYCLOVIR
TAB
800 MG
ACYCLOVIR 5% OINT
OINT
5 %
ACYCLOVIR 5% OINT
OINT
5 %
ACYCLOVIR PED 5 MG/ML
SOLN
5 MG/ML
ACYCLOVIR SODIUM
SOLN
50 MG/ML
ACYCLOVIR SODIUM MDV
SOLN
50 MG/ML
ADEFOVIR
TAB
10 MG
ADENOSINE
SOLN
3 MG/ML
ADENOSINE
SYRG
3 MG/ML
ADENOSINE (DIAGNOSTIC)
SOLN
3 MG/ML
ADO-TRASTUZUMAB EMTANSINE
SOLR
100 MG
ADO-TRASTUZUMAB EMTANSINE
SOLR
160 MG
ADVATE (RECOMB) 1 UNIT
SOLR
1 UNIT
ALBENDAZOLE (NF)
TAB
200 MG
ALBUMIN, HUMAN 25 % (12.5 GM)
SOLP
25 %
ALBUMIN, HUMAN 25 % (25 GM)
SOLP
25 %
ALBUMIN, HUMAN 5 % (12.5 GM)
SOLP
5 %
ALBUMIN, HUMAN 5 % (2.5 GM)
SOLP
5 %
ALBUMIN, HUMAN 5 % (25 GM)
SOLP
5 %
ALBUTEROL SULFATE
NEBU
5 MG/ML
ALBUTEROL SULFATE
TAB
2 MG
ALBUTEROL SULFATE 0.083 %
NEBU
2.5 MG /3 ML (0.083 %)
ALBUTEROL SULFATE 0.5 %
NEBU
2.5 MG/0.5 ML (0.5 %)
ALBUTEROL SULFATE 90 MCG/PUFF 18 GM
HFAA
90 MCG/ACTUATION
ALBUTEROL SULFATE 90 MCG/PUFF 6.7 GM
HFAA
90 MCG/ACTUATION
ALBUTEROL SULFATE 90 MCG/PUFF 8 GM
HFAA
90 MCG/ACTUATION
ALBUTEROL SULFATE ER
TB12
4 MG
ALBUTEROL SULFATE SYRP
SYRP
2 MG/5 ML
ALDESLEUKIN
SOLR
22 MILLION UNIT
ALFENTANIL
SOLN
500 MCG/ML
ALITRETINOIN 0.1% GEL
GEL
0.1 %
University Medical Center So. NV.
Page 245
Dispense
------------1.00000
1,000.00000
250.00000
30.00000
4.00000
4.00000
30.00000
1.00000
1.00000
1.00000
6.00000
1.00000
1.00000
1.00000
1.00000
120.00000
1.00000
120.00000
240.00000
1.00000
5.00000
1.00000
30.00000
15.00000
100.00000
10.00000
10.00000
1.00000
2.00000
4.00000
30.00000
1.00000
1.00000
1.00000
1.00000
50.00000
100.00000
250.00000
50.00000
500.00000
20.00000
1.00000
3.00000
.50000
18.00000
6.70000
8.00000
1.00000
5.00000
1.00000
2.00000
60.00000
Price
---------272.28
59.90
92.43
546.91
68.00
69.35
120.92
44.28
97.98
55.15
1,901.67
436.05
1,106.31
364.74
203.73
135.50
226.71
219.35
269.41
5.87
23.67
8.09
2,657.55
1,616.04
80.15
10.73
10.73
361.93
6.79
187.94
898.15
7,940.53
12,203.70
2.89
475.56
103.35
199.84
103.35
82.50
199.84
110.39
98.00
8.46
8.51
395.97
500.65
209.50
34.05
12.42
4,332.54
68.00
9,102.50
02/12/14
Charge#
--------50036
50037
50038
50039
50045
50046
50047
40060
40061
42266
40062
40135
40063
40064
40065
40066
42636
42635
42628
42629
42239
40067
40068
40069
40070
40071
40072
40073
40074
40075
40076
40077
40078
40079
42117
40080
42530
40082
40081
40083
40086
40087
40085
40088
40089
42623
42624
40091
40092
40090
42385
42637
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ALLODERM IMPLANT THICK
BNDG
12 X 12 CM
ALLODERM IMPLANT THICK
BNDG
16 X 20 CM
ALLODERM IMPLANT THICK
BNDG
6 X 16 CM
ALLODERM IMPLANT X-THICK
BNDG
4 X 16 CM
ALLODERM RTM 4 X 7 CM
BNDG
4 X 7 CM
ALLODERM RTU 16 X 20 CM
BNDG
16 X 20 CM
ALLODERM RTU 8 X 16 CM
BNDG
8 X 16 CM
ALLOPURINOL
TAB
100 MG
ALLOPURINOL
TAB
300 MG
ALLOPURINOL PED
SUSP
20 MG/ML
ALLOPURINOL SODIUM
SOLR
500 MG
ALPHANATE (VWF) 1 UNIT
SOLR
1 UNIT
ALPRAZOLAM
TAB
0.25 MG
ALPRAZOLAM
TAB
0.5 MG
ALPRAZOLAM
TAB
1 MG
ALPROSTADIL
SOLN
500 MCG/ML
ALPROSTADIL NICU 250 MCG/25 ML 1/2NS (PMX)
SYRG
10 MCG/ML
ALPROSTADIL NICU 30 MCG/3 ML 1/2NS (PMX)
SYRG
10 MCG/ML
ALPROSTADIL PED 250 MCG/25 ML NS (PMX)
SYRG
10 MCG/ML
ALPROSTADIL PED 500 MCG/25 ML NS (PMX)
SYRG
20 MCG/ML
ALTEPLASE
SOLN
1 MG/ML
ALTEPLASE
SOLR
100 MG
ALTEPLASE
SOLR
2 MG
ALTEPLASE
SOLR
50 MG
ALTRETAMINE
CAP
50 MG
ALUMINUM HYDROXIDE GEL
SUSP
320 MG/5 ML
ALUMINUM HYDROXIDE GEL
SUSP
320 MG/5 ML
ALUM-MAG HYDROXIDE-SIMETH
SUSP
400-400-40 MG/5 ML
ALVIMOPAN
CAP
12 MG
AMANTADINE
CAP
100 MG
AMANTADINE
SYRP
50 MG/5 ML
AMIFOSTINE CRYSTALLINE
SOLR
500 MG
AMIKACIN
SOLN
1,000 MG/4 ML
AMIKACIN
SOLN
500 MG/2 ML
AMIKACIN PED 5 MG/ML
SOLN
5 MG/ML
AMILORIDE
TAB
5 MG
AMILORIDE PED
SUSP
1 MG/ML
AMINO ACID INFUSION 10 %
SOLP
10 %
AMINO ACID INFUSION 10 %
SOLP
50 GM/500 ML
AMINO ACID INFUSION 15 %
SOLP
15 %
AMINOCAPROIC ACID
SOLN
250 MG/ML
AMINOCAPROIC ACID
TAB
500 MG
AMINOCAPROIC ACID 25 % ORAL
SOLN
250 MG/ML
AMINOPHYLLINE
SOLN
250 MG/10 ML
AMINOPHYLLINE
SOLN
500 MG/20 ML
AMINOPHYLLINE PED 250 MG/250 ML NS (PMX)
BAG
1 MG/ML
AMINOPHYLLINE PED 500 MG/500 ML NS (PMX)
BAG
1 MG/ML
AMIODARONE
SOLN
50 MG/ML
AMIODARONE
SOLN
50 MG/ML
AMIODARONE
TAB
200 MG
AMIODARONE 900MG/500ML D5W AVIVA (PMX)
SOLN
900 MG/500 ML
AMIODARONE NICU 45 MG/25 ML D5W (PMX)
SYRG
1.8 MG/ML
University Medical Center So. NV.
Page 246
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
25.00000
3.00000
25.00000
25.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
30.00000
30.00000
1.00000
1.00000
10.00000
1.00000
4.00000
2.00000
20.00000
1.00000
5.00000
2,000.00000
500.00000
2,000.00000
20.00000
1.00000
5.00000
10.00000
20.00000
250.00000
500.00000
3.00000
18.00000
1.00000
500.00000
25.00000
Price
---------14,693.25
31,314.25
9,460.00
5,973.00
468.88
7,986.69
6,388.25
4.34
5.61
4.33
1,594.83
2.12
4.48
3.70
4.35
345.75
652.50
161.15
217.88
345.75
416.04
16,613.52
294.28
8,306.76
8.49
3.70
22.02
27.99
710.78
28.78
43.46
770.00
191.31
77.45
47.46
19.32
22.82
255.15
308.29
377.19
33.82
86.65
184.53
37.56
57.61
48.56
53.62
41.26
65.30
9.91
65.30
18.57
02/12/14
Charge#
--------42333
42576
42577
42578
40093
40094
40096
40097
40098
40095
40099
40100
42114
40102
40104
40106
40103
40105
40107
40108
40109
42534
42718
40110
40111
40112
40113
40116
40114
40115
40117
40118
40119
40120
40121
40122
40123
40124
40125
40126
40127
40128
40129
40138
42515
40139
40140
42625
42626
40142
40141
40143
UMC Charge Master
Description
-----------------------------------------------------------------------------------------AMIODARONE PED
SUSP
5 MG/ML
AMIODARONE PED 150MG/83ML D5W (PMX)
BAG
1.8 MG/ML
AMIODARONE PED 450MG/250ML D5W (PMX)
BAG
1.8 MG/ML
AMIODARONE PED 900MG/500ML D5W AVIVA (PMX)
BAG
1.8 MG/ML
AMITRIPTYLINE
TAB
10 MG
AMITRIPTYLINE
TAB
25 MG
AMLODIPINE
TAB
10 MG
AMLODIPINE
TAB
2.5 MG
AMLODIPINE
TAB
5 MG
AMLODIPINE PED
SUSP
1 MG/ML
AMMONIA AROMATIC
SOLN
15 % (W/V)
AMMONIUM CHLORIDE
SOLN
5 MEQ/ML
AMMONIUM LACTATE 12 %
LOTN
12 %
AMMONIUM MOLYBDATE
SOLN
25 MCG/ML
AMOXICILLIN
CAP
250 MG
AMOXICILLIN
CAP
500 MG
AMOXICILLIN
SUSR
125 MG/5 ML
AMOXICILLIN
SUSR
250 MG/5 ML
AMOXICILLIN-CLAV 200MG/5ML
SUSR
200-28.5 MG/5 ML
AMOXICILLIN-CLAV 250MG/5ML
SUSR
250-62.5 MG/5 ML
AMOXICILLIN-CLAV 400MG/5ML
SUSR
400-57 MG/5 ML
AMOXICILLIN-CLAV 600MG/5ML
SUSR
600-42.9 MG/5 ML
AMOXICILLIN-CLAV 600MG/5ML
SUSR
600-42.9 MG/5 ML
AMOXICILLIN-CLAVUL 250MG
TAB
250-125 MG
AMOXICILLIN-CLAVUL 400MG CHEW
CHEW
400-57 MG
AMOXICILLIN-CLAVUL 500MG
TAB
500-125 MG
AMOXICILLIN-CLAVUL 875MG
TAB
875-125 MG
AMPHETAMINE-DEXTROAMPHETAMINE
TAB
5 MG
AMPHETAMINE-DEXTROAMPHETAMINE XR
CP24
20 MG
AMPHETAMINE-DEXTROAMPHETAMINE XR
CP24
30 MG
AMPHOTERICIN B
SOLR
50 MG
AMPHOTERICIN B LIPOSOME
SUSR
50 MG
AMPICILLIN SODIUM
SOLR
1 GRAM
AMPICILLIN SODIUM
SOLR
125 MG
AMPICILLIN SODIUM
SOLR
2 GRAM
AMPICILLIN SODIUM
SOLR
250 MG
AMPICILLIN SODIUM
SOLR
500 MG
AMPICILLIN-SULBACTAM
SOLR
1.5 GRAM
AMPICILLIN-SULBACTAM
SOLR
3 GRAM
ANAGRELIDE
CAP
0.5 MG
ANASTROZOLE
TAB
1 MG
ANIDULAFUNGIN
SOLR
100 MG
ANIDULAFUNGIN
SOLR
50 MG
ANTIPYRINE-BENZOCAINE 5.4-1.4% OTIC
DROP
5.4-1.4 %
ANTITHROMBIN III (HUMAN)
SOLR
1 UNIT
ANTI-THYMOCYTE GLOB (RABBIT)
SOLR
25 MG
ANTIVENIN LATRODECTUS MACTANS
CMPK
APIXABAN
TAB
2.5 MG
APIXABAN
TAB
5 MG
APRACLONIDINE 0.5% 10ML OPHT
DROP
0.5 %
APRACLONIDINE 0.5% 5ML OPHT
DROP
0.5 %
APREPITANT
CAP
125 MG
University Medical Center So. NV.
Page 247
Dispense
------------40.00000
83.00000
250.00000
500.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.50000
.33000
20.00000
227.00000
10.00000
1.00000
1.00000
100.00000
100.00000
75.00000
75.00000
75.00000
200.00000
75.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
1.00000
2.50000
1.00000
1.00000
10.00000
5.00000
1.00000
Price
---------10.10
41.30
41.30
65.30
4.57
3.70
6.28
7.22
4.91
7.40
13.95
65.44
88.79
62.60
4.36
5.86
68.13
77.72
127.27
367.22
137.66
601.95
122.14
67.29
26.56
21.98
23.55
35.90
77.43
123.66
198.50
144.38
51.68
74.97
66.65
26.34
28.10
40.40
62.75
9.68
20.03
199.38
99.69
94.33
10.45
1,733.00
304.75
75.38
75.38
876.95
511.50
450.08
02/12/14
Charge#
--------40144
40145
50007
50008
50009
50010
50011
50040
50013
50014
50015
50016
40147
40148
41487
40149
40152
40150
40151
42503
40153
40154
40155
40156
41646
40160
40157
40158
40159
40161
42705
40164
40167
40163
40166
40162
40165
40168
40169
40170
40171
40172
40173
40175
40176
40177
40178
40179
40180
42391
40181
40182
UMC Charge Master
Description
-----------------------------------------------------------------------------------------APREPITANT
CAP
40 MG
APREPITANT
CAP
80 MG
AQUACEL AG
BNDG
21 X16"
AQUACEL AG
BNDG
5 X 4"
AQUACEL AG
BNDG
6.7 X 6"
AQUACEL AG
BNDG
9 X 12"
AQUACEL AG
BNDG
9 X 39"
AQUACEL AG
GLOV
SZ 1
AQUACEL AG
GLOV
SZ 2
AQUACEL AG
GLOV
SZ 3
AQUACEL AG
GLOV
SZ 4
AQUACEL AG
GLOV
SZ 5
ARGATROBAN
SOLN
100 MG/ML
ARGININE HCL (L-ARGININE) 10 %
SOLP
10 %
ARGININE PKT
PACK
ARGININE-GLUTAMINE-CALCIUM HMB 7-7-1.5 GM
PWPK
7-7-1.5 GRAM
ARIPIPRAZOLE
SOLN
9.75 MG/1.3 ML
ARIPIPRAZOLE
TAB
10 MG
ARIPIPRAZOLE
TAB
15 MG
ARIPIPRAZOLE
TAB
2 MG
ARSENIC TRIOXIDE
SOLN
10 MG/10 ML
ARTEMETHER-LUMEFANTRINE 20-120 MG
TAB
20-120 MG
ARTIFICIAL SALIVA (YERBAS-LYT)
SPRA
ARTIFICIAL TEAR OPHT OINT
OINT
83-15 %
ARTIFICIAL TEARS 1.4% OPTH DRPS
DROP
1.4 %
ASCORBIC ACID
SOLN
500 MG/ML
ASCORBIC ACID
TAB
250 MG
ASCORBIC ACID
TAB
500 MG
ASCORBIC ACID SYRP
SYRP
500 MG/5 ML
ASPARAGINASE
SOLR
10,000 UNIT
ASPARAGINASE (ERWINIA CHRYSAN)
SOLR
10,000 UNIT
ASPIRIN
TAB
325 MG
ASPIRIN CHEWABLE
CHEW
81 MG
ASPIRIN EC
TBEC
325 MG
ASPIRIN EC
TBEC
81 MG
ASPIRIN SUPP
SUPP
300 MG
ASPIRIN SUPP
SUPP
600 MG
ASPIRIN, BUFFERED
TAB
325 MG
ATAZANAVIR
CAP
100 MG
ATAZANAVIR
CAP
150 MG
ATAZANAVIR
CAP
200 MG
ATENOLOL
TAB
25 MG
ATENOLOL
TAB
50 MG
ATOMOXETINE
CAP
10 MG
ATOMOXETINE
CAP
18 MG
ATOMOXETINE
CAP
25 MG
ATORVASTATIN
TAB
10 MG
ATORVASTATIN
TAB
20 MG
ATORVASTATIN
TAB
40 MG
ATORVASTATIN
TAB
80 MG
ATOVAQUONE
SUSP
750 MG/5 ML
ATOVAQUONE-PROGUANIL 250-100 MG
TAB
250-100 MG
University Medical Center So. NV.
Page 248
Dispense
------------1.00000
1.00000
3.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.50000
300.00000
1.00000
1.00000
1.30000
1.00000
1.00000
1.00000
10.00000
1.00000
60.00000
3.50000
15.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
Price
---------155.41
288.04
3,073.98
82.91
188.90
268.25
1,038.38
1,118.67
1,158.82
1,198.97
1,279.27
1,379.65
3,353.75
324.59
7.23
56.13
251.90
262.87
262.87
262.88
1,293.60
74.78
100.80
51.86
45.04
9.52
3.70
3.70
6.29
167.50
9,013.01
4.62
3.70
3.70
4.74
42.57
43.66
3.70
231.94
231.94
231.94
4.41
3.70
119.30
119.30
119.30
13.95
14.63
117.53
22.08
294.10
93.58
02/12/14
Charge#
--------40183
40184
40187
40190
40185
40186
40188
40189
40192
40193
42338
40194
40195
40201
40198
40199
40200
40202
40196
42667
40197
40203
40204
42668
40205
40206
40209
40208
40207
40212
42240
40211
40213
40216
40214
40215
41803
40217
40218
40219
40220
40221
40222
40223
42554
42555
40224
40225
40226
40227
40457
40228
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ATRACURIUM
SOLN
10 MG/ML
ATRACURIUM
SOLN
10 MG/ML
ATROPINE
SOLN
0.4 MG/ML
ATROPINE
SOLN
1 MG/ML
ATROPINE
SYRG
0.1 MG/ML
ATROPINE
SYRG
0.1 MG/ML
ATROPINE 1% OPHT DRPS
DROP
1 %
ATROPINE 1% OPHT OINT
OINT
1 %
AZACITIDINE
SOLR
100 MG
AZATHIOPRINE
TAB
50 MG
AZATHIOPRINE PED
SUSP
10MG/ML
AZATHIOPRINE SODIUM
SOLR
100 MG
AZELASTINE 137 MCG/SPRY NASL
SPRA
137 MCG
AZITHROMYCIN
SOLR
500 MG
AZITHROMYCIN
SUSR
100 MG/5 ML
AZITHROMYCIN
SUSR
200 MG/5 ML
AZITHROMYCIN
TAB
250 MG
AZITHROMYCIN
TAB
600 MG
AZITHROMYCIN 1 % OPHT
DROP
1 %
AZITHROMYCIN MDV
SOLR
500 MG
AZITHROMYCIN PACKET
PACK
1 GRAM
AZTREONAM
SOLR
1 GRAM
AZTREONAM
SOLR
2 GRAM
AZTREONAM MDV
SOLR
10 GRAM
B COMPLEX-VIT C-FOLIC (RENAL CAP)
CAP
1 MG
BACITRACIN
SOLR
50,000 UNIT
BACITRACIN 500 UNIT/G OINT PKT
PACK
500 UNIT/GRAM
BACITRACIN 500 UNIT/GM OINT TUBE
OINT
500 UNIT/GRAM
BACITRACIN 500 UNIT/GM OPHT OINT
OINT
500 UNIT/GRAM
BACITRA-POLYMYX 500-10K UNIT/G PKT
PACK
500-10,000 UNIT/GRAM
BACITRA-POLYMYX 500-10K UNIT/G PWD
POWD
500-10,000 UNITS/GM
BACITRA-POLYMYX 500-10K UNIT/G TUBE
OINT
500-10,000 UNIT/GRAM
BACITRA-POLYMYX-NEO-HC 1% OINT
OINT
1 %
BACLOFEN
SOLN
40,000 MCG/20ML (2,000 MCG/ML)
BACLOFEN
TAB
10 MG
BACLOFEN
TAB
20 MG
BACLOFEN PED 10 MG/ML
SUSP
10MG/ML
BACTERIOSTATIC SALINE 0.9 %
SOLN
0.9 %
BALANCED SALT IRRIG SOLN COMB2 OPHT
SOLN
BALANCED SALT SOLN NON-SURG #3 OPHT
SOLN
BARIUM SULFATE 2 %
SUSP
2.1 % (W/V), 2.0 % (W/W)
BASILIXIMAB
SOLR
20 MG
BCG LIVE
SUSR
50 MG
BECLOMETHASONE 0.042% NASL SPRY
SPRY
42 MCG (0.042 %)
BELIMUMAB (NF)
SOLR
120 MG
BELIMUMAB (NF)
SOLR
400 MG
BELLADON ALKA-OPIUM 16.2-30 MG
SUPP
16.2-30 MG
BENAZEPRIL (NF)
TAB
10 MG
BENAZEPRIL (NF)
TAB
5 MG
BENDAMUSTINE
SOLR
100 MG
BENEFIX (RECOMB FCTR 9) 1UNIT
KIT
1 UNIT
BENZOCAINE 20% SPRY
SPRA
20 %
University Medical Center So. NV.
Page 249
Dispense
------------10.00000
5.00000
1.00000
1.00000
5.00000
10.00000
2.00000
3.50000
1.00000
1.00000
5.00000
1.00000
30.00000
1.00000
15.00000
15.00000
1.00000
1.00000
2.50000
1.00000
1.00000
1.00000
1.00000
.10000
1.00000
1.00000
1.00000
30.00000
3.50000
1.00000
10.00000
28.35000
15.00000
20.00000
1.00000
1.00000
1.00000
30.00000
15.00000
30.00000
450.00000
1.00000
1.00000
25.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
60.00000
Price
---------154.53
127.54
54.50
57.88
132.53
67.86
81.23
209.66
1,509.75
8.91
8.95
519.75
416.66
8.08
149.54
292.74
32.07
63.82
693.95
8.08
200.33
314.75
446.03
314.75
6.48
86.50
8.69
69.28
528.90
9.49
157.64
125.55
645.55
1,729.75
6.50
9.76
6.64
27.88
61.12
215.32
75.97
6,744.21
399.02
1,055.75
1,237.03
4,123.41
247.97
7.53
3.70
5,637.50
3.25
279.93
02/12/14
Charge#
--------42402
40230
40232
40231
40234
40235
40236
40237
40238
40239
40240
40241
40242
40243
40244
40245
40246
40247
50017
50041
50018
50043
50044
50042
50019
40249
40248
40250
40251
40252
42378
40253
40254
40255
40256
42353
40258
40259
40261
40260
42522
40262
40263
40264
40265
40266
42504
42547
40267
40268
40269
42167
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BENZOCAINE 20% UD SPRY
SPRY
20 %
BENZONATATE
CAP
100 MG
BENZTROPINE
SOLN
2 MG/2 ML
BENZTROPINE
TAB
1 MG
BETAMETHASONE ACETATE-NA PHOS INJ
SUSP
6 MG/ML
BETAMETHASONE DIPROPION 0.05% CREAM
CREA
0.05 %
BETAMETHASONE DIPROPION 0.05% LOTN
LOTN
0.05 %
BETAMETHASONE VALERATE 0.1% CREAM
CREA
0.1 %
BETAMETHASONE VALERATE 0.1% OINT
OINT
0.1 %
BETAXOLOL 0.25% OPHT
DRPS
0.25 %
BETHANECHOL CHLORIDE
TAB
10 MG
BETHANECHOL CHLORIDE
TAB
25 MG
BETHANECHOL CHLORIDE
TAB
5 MG
BEVACIZUMAB
SOLN
25 MG/ML
BEVACIZUMAB
SOLN
25 MG/ML
BICALUTAMIDE
TAB
50 MG
BIMATOPROST 0.01% OPHT
DROP
0.01 %
BIMATOPROST 0.03% OPHT
DROP
0.03 %
BIOBRANE
BNDG
10 X 15 "
BIOBRANE
BNDG
5 X 15 "
BIOBRANE
BNDG
5 X 5 "
BIOBRANE GLOVE LARGE
BNDG
BIOBRANE GLOVE MEDIUM
BNDG
BIOBRANE GLOVE PEDIATRIC
BNDG
BIOBRANE GLOVE SMALL
BNDG
BISACODYL
TBEC
5 MG
BISACODYL SUPP
SUPP
10 MG
BISACODYL-MAGNESIUM CITRATE
KIT
BISMUTH SUBSALICYLATE
SUSP
262 MG/15 ML
BIVALIRUDIN
SOLR
250 MG
BIVALIRUDIN 250 MG/50 ML NS (PMX)
SOLN
250 MG/50 ML
BLEOMYCIN
SOLR
15 UNIT
BLEOMYCIN
SOLR
30 UNIT
BOCEPREVIR
CAP
200 MG
BORTEZOMIB
SOLR
3.5 MG
BRENTUXIMAB
SOLR
50 MG
BRIMONIDINE 0.15 % OPHT
DROP
0.15 %
BRIMONIDINE 0.2 % OPHT
DROP
0.2 %
BROMOCRIPTINE
CAP
5 MG
BROMOCRIPTINE
TAB
2.5 MG
BUDESONIDE
CECX
3 MG
BUDESONIDE
NBSP
0.25 MG/2 ML
BUDESONIDE
NBSP
0.5 MG/2 ML
BUDESONIDE 180 MCG/ACTUATION
AEPB
180 MCG/ACTUATION
BUDESONIDE 32 MCG/SPRY NASL
SPRY
32 MCG/ACTUATION
BUDESONIDE 90 MCG/ACTUATION
AEPB
90 MCG/ACTUATION
BUDESONIDE-FORMOTEROL 160-4.5 MG-MCG/ACT
HFAA
160-4.5 MCG/ACTUATION
BUDESONIDE-FORMOTEROL 80-4.5 MG-MCG/ACT
HFAA
80-4.5 MCG/ACTUATION
BUMETANIDE
SOLN
0.25 MG/ML
BUMETANIDE
SOLN
0.25 MG/ML
BUMETANIDE
TAB
0.5 MG
BUMETANIDE MDV
SOLN
0.25 MG/ML
University Medical Center So. NV.
Page 250
Dispense
------------1.00000
1.00000
2.00000
1.00000
5.00000
15.00000
60.00000
15.00000
45.00000
15.00000
1.00000
1.00000
1.00000
16.00000
4.00000
1.00000
2.50000
2.50000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
237.00000
1.00000
50.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
5.00000
1.00000
1.00000
1.00000
2.00000
2.00000
1.00000
8.60000
1.00000
6.00000
6.90000
2.00000
4.00000
1.00000
2.00000
Price
---------157.03
13.30
413.95
8.37
303.13
312.97
346.99
191.29
297.31
1,417.65
13.33
17.08
6.48
6,983.46
1,745.87
32.86
763.70
724.90
790.16
432.95
317.22
1,487.47
1,332.00
858.48
1,293.40
3.70
8.71
108.37
43.94
2,187.63
2,036.38
226.40
687.10
217.70
4,246.00
13,829.75
588.75
203.93
18.41
13.79
190.82
125.07
142.32
1,034.65
908.90
833.45
535.00
535.00
29.31
25.90
10.02
11.33
02/12/14
Charge#
--------42638
42639
40271
40273
40272
40274
40275
40270
40276
40277
41254
41255
41256
42168
41809
40278
40279
40282
40280
40281
40283
40284
40285
40286
40287
40288
40289
42169
40290
40291
40293
40292
40294
40295
40296
40297
40298
40299
40300
40302
40301
40303
42351
40308
40306
40305
40307
40309
40310
40311
40312
40313
UMC Charge Master
Description
-----------------------------------------------------------------------------------------BUMETANIDE NICU 0.3 MG/3 ML 1/2NS (PMX)
SYRG
0.1 MG/ML
BUMETANIDE NICU 2.5 MG/25 ML 1/2NS (PMX)
SYRG
0.1 MG/ML
BUPIVACAINE (PF) 0.25 %
SOLN
0.25 % (2.5 MG/ML)
BUPIVACAINE (PF) 0.25 %
SOLN
0.25 % (2.5 MG/ML)
BUPIVACAINE (PF) 0.25 % AMP
SOLN
0.25 % (2.5 MG/ML)
BUPIVACAINE (PF) 0.5 %
SOLN
0.5 % (5 MG/ML)
BUPIVACAINE (PF) 0.75 % AMP
SOLN
0.75 % (7.5 MG/ML)
BUPIVACAINE 0.25 % MDV
SOLN
0.25 % (2.5 MG/ML)
BUPIVACAINE 0.5% MDV
SOLN
0.5 % (5 MG/ML)
BUPIVACAINE-DEX-H2O SPINAL (PF) 0.75 %
SOLN
0.75 %
BUPIVACAINE-EPI (PF) 0.25%
SOLN
0.25 %-1:200,000
BUPIVACAINE-EPI (PF) 0.25%
SOLN
0.25 %-1:200,000
BUPIVACAINE-EPI (PF) 0.5%
SOLN
0.5 %-1:200,000
BUPIVACAINE-EPI (PF) 0.5%
SOLN
0.5 %-1:200,000
BUPIVACAINE-EPI (PF) 0.75%
SOLN
0.75 %-1:200,000
BUPIVACAINE-EPI 0.25% MDV
SOLN
0.25 %-1:200,000
BUPROPION
TAB
100 MG
BUPROPION
TAB
75 MG
BUPROPION SR
TBER
100 MG
BUPROPION SR
TBER
150 MG
BUSPIRONE
TAB
5 MG
BUTALBITAL-ACET-CAFF 50-325-40 MG
TAB
50-325-40 MG
BUTALBITAL-ASA-CAFF 50-325-40 MG
CAP
50-325-40 MG
BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14%
SPRA
2-2-14 % (200 MG/SEC)
BUTOCONAZOLE NITRATE 2 %
CMER
2 %
BUTORPHANOL TARTRATE
SOLN
1 MG/ML
BUTORPHANOL TARTRATE
SOLN
2 MG/ML
BUTORPHANOL TARTRATE
SOLN
2 MG/ML
CABAZITAXEL
SOLN
60 MG/1.5 ML (10 MG/ML FINAL)
CADEXOMER IODINE 0.9 %
GEL
0.9 %
CAFFEINE BASE EQ 10MG/ML INJ
SOLN
30 MG/3 ML
CAFFEINE BASE EQ ORAL
SOLN
30 MG/3 ML
CAFFEINE-SODIUM BENZOATE
SOLN
250 MG/ML (125 MG/ML CAFFEINE)
CALAMINE
LOTN
8-8 %
CALCIPOTRIENE 0.005% CREA
CREA
0.005 %
CALCIPOTRIENE 0.005% TOPL SOLN
SOLN
0.005 %
CALCITONIN (SALMON)
SOLN
200 UNIT/ML
CALCITONIN 200 UNIT/ACT
SPRY
200 UNIT/ACTUATION
CALCITRIOL
CAP
0.25 MCG
CALCITRIOL
SOLN
1 MCG/ML
CALCITRIOL INJ
SOLN
1 MCG/ML
CALCIUM ACETATE
CAP
667 MG
CALCIUM ACETATE ORAL
SOLN
667 MG (169 MG CALCIUM)/5 ML
CALCIUM CARB-MAG HYDROX 700-300MG
CHEW
700-300 MG
CALCIUM CARBONATE (ELEM)
SUSP
500 MG/5 ML
CALCIUM CARBONATE (ELEM)
TAB
500 MG
CALCIUM CARBONATE (ELEM)
TAB
600 MG
CALCIUM CARB-VIT D3 500 MG-200 UNIT
TAB
500 MG-200 UNIT
CALCIUM CHLORIDE 10 %
SOLN
100 MG/ML (10 %)
CALCIUM CHLORIDE 10 %
SYRG
100 MG/ML (10 %)
CALCIUM CITRATE
TAB
950 MG
CALCIUM GLUBIONATE
SYRP
115 MG/5 ML (1.8 GRAM/5 ML)
University Medical Center So. NV.
Page 251
Dispense
------------3.00000
25.00000
30.00000
10.00000
20.00000
10.00000
30.00000
50.00000
50.00000
2.00000
30.00000
10.00000
30.00000
10.00000
30.00000
50.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
56.00000
5.80000
1.00000
1.00000
2.00000
1.50000
10.00000
3.00000
3.00000
2.00000
180.00000
60.00000
60.00000
2.00000
3.70000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
5.00000
1.00000
1.00000
1.00000
10.00000
10.00000
1.00000
5.00000
Price
---------21.72
49.00
44.60
40.20
81.36
42.18
116.47
75.69
52.52
80.61
56.93
39.32
65.16
47.24
153.19
91.63
24.63
13.90
19.69
17.87
5.04
9.63
10.61
415.50
615.00
65.97
68.94
71.91
23,122.22
175.41
134.96
135.04
162.50
42.84
1,541.90
1,492.02
186.95
496.35
21.72
100.69
95.00
18.23
29.10
3.70
20.20
3.70
3.70
6.15
51.20
67.86
3.70
7.63
02/12/14
Charge#
--------40315
40316
40317
40314
40318
40319
40320
40321
40322
40323
40324
40325
42429
40326
40330
40328
40327
40329
40331
40332
40333
40334
40335
40336
40337
40338
42171
42172
40339
42527
40340
40341
40342
40343
40344
40345
40346
42267
40347
40348
40349
40351
40350
40352
40353
42524
40354
40355
42663
40356
42516
40358
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CALCIUM GLUCONATE
SOLN
100 MG/ML (10%)
CALCIUM GLUCONATE
TAB
45 MG (500 MG)
CALCIUM GLUCONATE
TAB
60 MG (648 MG)
CALCIUM GLUCONATE MDV
SOLN
100 MG/ML (10%)
CALFACTANT (IN SALINE)
SUSP
35 MG/ML
CANDIDA ALBICANS SKIN TEST
ALRG
FDA STANDARD
CAPECITABINE
TAB
150 MG
CAPECITABINE
TAB
500 MG
CAPSAICIN 0.025% CREA
CREA
0.025 %
CAPTOPRIL
TAB
12.5 MG
CAPTOPRIL
TAB
25 MG
CAPTOPRIL
TAB
50 MG
CAPTOPRIL PED
SUSP
1MG/ML
CARBAMAZEPINE
CHEW
100 MG
CARBAMAZEPINE
SUSP
200 MG/10 ML
CARBAMAZEPINE
TAB
200 MG
CARBAMAZEPINE ER
TB12
100 MG
CARBAMAZEPINE ER
TB12
200 MG
CARBAMAZEPINE XR
CP12
300 MG
CARBAMIDE PEROXIDE 6.5% OTIC
DROP
6.5 %
CARBIDOPA-LEVODOPA 10-100 MG
TAB
10-100 MG
CARBIDOPA-LEVODOPA 25-100 MG
TAB
25-100 MG
CARBIDOPA-LEVODOPA 25-100MG ER
TBER
25-100 MG
CARBIDOPA-LEVODOPA 25-250 MG
TAB
25-250 MG
CARBIDOPA-LEVODOPA 50-200MG ER
TBER
50-200 MG
CARBOPLATIN
SOLN
10 MG/ML
CARBOPLATIN
SOLN
10 MG/ML
CARBOPLATIN
SOLN
10 MG/ML
CARBOPROST TROMETHAMINE
SOLN
250 MCG/ML
CARFILZOMIB (NF)
SOLR
60 MG
CARISOPRODOL
TAB
350 MG
CARMUSTINE
SOLR
100 MG
CARMUSTINE IN POLIFEPROSAN
WAFR
7.7 MG
CARVEDILOL
TAB
12.5 MG
CARVEDILOL
TAB
25 MG
CARVEDILOL
TAB
3.125 MG
CARVEDILOL
TAB
6.25 MG
CARVEDILOL PED
SUSP
0.1MG/ML
CASPOFUNGIN (NF)
SOLR
50 MG
CASPOFUNGIN (NF)
SOLR
70 MG
CEFAZOLIN
SOLR
1 GRAM
CEFAZOLIN
SOLR
500 MG
CEFAZOLIN MDV
SOLR
10 GRAM
CEFAZOLIN PED 50 MG/ML
SOLN
50MG/ML
CEFDINIR
SUSR
125 MG/5 ML
CEFDINIR
SUSR
250 MG/5 ML
CEFEPIME
SOLR
1 GRAM
CEFEPIME
SOLR
2 GRAM
CEFEPIME MDV
SOLR
10 GRAM
CEFEPIME PED 40 MG/ML
SOLN
40 MG/ML
CEFIXIME
SUSR
100 MG/5 ML
CEFOTAXIME
SOLR
1 GRAM
University Medical Center So. NV.
Page 252
Dispense
------------10.00000
1.00000
1.00000
10.00000
6.00000
1.00000
1.00000
1.00000
60.00000
1.00000
1.00000
1.00000
25.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
15.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
5.00000
5.00000
1.00000
1.00000
1.00000
1.00000
8.00000
1.00000
1.00000
1.00000
1.00000
125.00000
1.00000
1.00000
1.00000
1.00000
.10000
10.00000
60.00000
60.00000
1.00000
1.00000
.10000
12.50000
50.00000
1.00000
Price
---------54.77
11.89
3.70
24.93
2,211.40
835.00
27.42
91.38
81.63
3.70
22.16
5.30
4.71
7.03
67.73
5.80
25.19
33.09
38.04
41.96
10.35
8.48
11.37
10.89
21.31
10.50
23.43
19.86
927.78
4,559.50
7.97
471.38
79,844.88
7.83
5.23
5.27
5.62
6.25
927.77
963.96
24.61
27.75
22.72
25.90
379.31
467.19
81.50
122.67
75.09
49.22
951.55
34.92
02/12/14
Charge#
--------40361
40359
42105
40362
40363
42664
42269
40365
40366
40368
40364
40367
40369
40371
40370
40372
40373
40374
42669
40375
40376
40377
40378
40379
40381
40382
40383
40380
40384
40385
40386
40210
40229
40387
40389
40388
40233
40390
40391
40393
40394
40396
40397
40398
42431
40399
40360
40400
40401
40402
40403
40405
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CEFOTAXIME
SOLR
500 MG
CEFOTAXIME MDV
SOLR
10 GRAM
CEFOTAXIME PED 50 MG/ML
SOLN
50 MG/ML
CEFOXITIN
SOLR
1 GRAM
CEFOXITIN
SOLR
2 GRAM
CEFOXITIN MDV
SOLR
10 GRAM
CEFOXITIN PED 40 MG/ML
SOLN
40 MG/ML
CEFPODOXIME
SUSR
100 MG/5 ML
CEFPODOXIME
SUSR
100 MG/5 ML
CEFPODOXIME
SUSR
50 MG/5 ML
CEFPODOXIME
TAB
100 MG
CEFPODOXIME
TAB
200 MG
CEFPROZIL
SUSR
125 MG/5 ML
CEFPROZIL
SUSR
250 MG/5 ML
CEFPROZIL
TAB
250 MG
CEFPROZIL
TAB
500 MG
CEFTAROLINE FOSAMIL
SOLR
400 MG
CEFTAROLINE FOSAMIL
SOLR
600 MG
CEFTAROLINE FOSAMIL MDV
SOLR
2000 MG
CEFTAZIDIME
SOLR
1 GRAM
CEFTAZIDIME
SOLR
2 GRAM
CEFTAZIDIME MDV
SOLR
6 GRAM
CEFTAZIDIME PED 40 MG/ML
SOLN
40 MG/ML
CEFTRIAXONE
SOLR
1 GRAM
CEFTRIAXONE
SOLR
2 GRAM
CEFTRIAXONE
SOLR
250 MG
CEFTRIAXONE
SOLR
500 MG
CEFTRIAXONE MDV
SOLR
10 GRAM
CEFTRIAXONE PED 40 MG/ML
SOLN
40 MG/ML
CELECOXIB (NF)
CAP
100 MG
CELECOXIB (NF)
CAP
200 MG
CENTRUROIDES(SCORPN) ANTIVENOM
SOLR
120 MG
CEPACOL BLIST PACK (8)
LOZG
15-3.6 MG
CEPHALEXIN
CAP
250 MG
CEPHALEXIN
CAP
500 MG
CEPHALEXIN
SUSR
250 MG/5 ML
CETIRIZINE (NF)
SOLN
1 MG/ML
CETUXIMAB
SOLN
100 MG/50 ML
CETUXIMAB
SOLN
200 MG/100 ML
CHLORAMBUCIL
TAB
2 MG
CHLORAMPHENICOL SOD SUCCINATE
SOLR
1 GRAM
CHLORDIAZEPOXIDE HCL
CAP
25 MG
CHLORDIAZEPOXIDE HCL
CAP
5 MG
CHLORHEXIDINE GLUC 0.12%
MWSH
0.12 %
CHLORHEXIDINE GLUC 4% TOPL
LIQD
4 %
CHLORHEXIDINE GLUC 4% TOPL PKT
LIQD
4 %
CHLORHEXIDINE GLUCONATE 0.12 %
MWSH
0.12 %
CHLOROPROCAINE (PF) 3 %
SOLN
30 MG/ML (3 %)
CHLOROTHIAZIDE
SUSP
250 MG/5 ML
CHLOROTHIAZIDE SODIUM
SOLR
500 MG
CHLORPHENIRAMINE MALEATE
TAB
4 MG
CHLORPROMAZINE
SOLN
25 MG/ML
University Medical Center So. NV.
Page 253
Dispense
------------1.00000
.10000
20.00000
1.00000
1.00000
.10000
25.00000
100.00000
50.00000
100.00000
1.00000
1.00000
75.00000
75.00000
1.00000
1.00000
1.00000
1.00000
.20000
1.00000
1.00000
.16700
12.50000
1.00000
1.00000
1.00000
1.00000
.10000
6.25000
1.00000
1.00000
1.00000
8.00000
1.00000
1.00000
100.00000
5.00000
50.00000
100.00000
1.00000
1.00000
1.00000
1.00000
473.00000
118.00000
15.00000
15.00000
20.00000
5.00000
1.00000
1.00000
1.00000
Price
---------33.60
43.08
43.06
76.08
118.37
16.26
94.73
792.00
530.10
584.65
88.44
103.99
242.67
423.87
23.73
119.07
135.39
471.56
135.39
69.35
127.40
60.35
39.10
32.26
64.04
27.59
28.32
42.53
19.33
74.64
104.81
10,395.00
24.19
4.53
5.87
91.90
9.02
1,401.01
2,802.03
25.26
321.96
7.47
8.49
51.47
53.40
32.95
23.79
244.53
34.70
1,095.00
3.70
219.90
02/12/14
Charge#
--------40404
42174
42501
40406
40407
40408
40409
40410
40411
40412
40413
40414
40422
40419
40417
40418
40415
40416
40420
40421
40423
40424
40425
42175
42176
40426
40427
40428
40429
40430
42177
42178
40431
42179
40432
40433
40434
41381
40438
40435
40436
40437
42670
40439
42180
40440
40441
40442
42339
40443
40445
40447
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CHLORPROMAZINE
TAB
25 MG
CHLORTHALIDONE
TAB
25 MG
CHLORTHALIDONE
TAB
50 MG
CHOLECALCIFEROL (VITAMIN D3)
TAB
1,000 UNIT
CHOLECALCIFEROL (VITAMIN D3)
TAB
400 UNIT
CHOLESTYRAMINE-SUCROSE
PWPK
4 GRAM
CHORIONIC GONADOTROPIN, HUMAN
SOLR
10,000 UNIT
CHROMIUM CHLORIDE
SOLN
4 MCG/ML
CIDOFOVIR
SOLN
75 MG/ML
CILOSTAZOL
TAB
100 MG
CILOSTAZOL
TAB
50 MG
CINACALCET
TAB
30 MG
CIPRO-DEXAMETH 0.3-0.1% OTIC
DRPS
0.3-0.1 %
CIPROFLOXACIN
SUMC
500 MG/5 ML
CIPROFLOXACIN
TAB
250 MG
CIPROFLOXACIN
TAB
500 MG
CIPROFLOXACIN 0.3% OPHT DRPS
DROP
0.3 %
CIPROFLOXACIN 0.3% OPHT OINT
OINT
0.3 %
CIPROFLOXACIN IN D5W
PGBK
200 MG/100 ML
CIPROFLOXACIN IN D5W
PGBK
400 MG/200 ML
CISATRACURIUM
SOLN
10 MG/ML
CISATRACURIUM
SOLN
2 MG/ML
CISPLATIN
SOLN
1 MG/ML
CISPLATIN
SOLN
1 MG/ML
CISPLATIN
SOLN
1 MG/ML
CITALOPRAM
TAB
10 MG
CITALOPRAM
TAB
20 MG
CITALOPRAM
TAB
40 MG
CITRATE DEXTROSE SOLUTION
SOLN
CLADRIBINE
SOLN
10 MG/10 ML
CLARITHROMYCIN (NF)
SUSR
250 MG/5 ML
CLARITHROMYCIN (NF)
TAB
250 MG
CLARITHROMYCIN (NF)
TAB
500 MG
CLARITHROMYCIN ER (NF)
TB24
500 MG
CLEVIDIPINE (PMX)
EMUL
25 MG/50 ML
CLINDAMYCIN HCL
CAP
150 MG
CLINDAMYCIN PALMITATE
SUSR
75 MG/5 ML
CLINDAMYCIN PED 10 MG/ML
SOLN
10 MG/ML
CLINDAMYCIN PHOS 2% CREA
CREA
2 %
CLINDAMYCIN PHOSPHATE
SOLN
150 MG/ML
CLINDAMYCIN PHOSPHATE
SOLN
150 MG/ML
CLINDAMYCIN PHOSPHATE
SOLN
150 MG/ML
CLINDAMYCIN PHOSPHATE MDV
SOLN
150 MG/ML
CLOBAZAM (NF)
TAB
5 MG
CLOBETASOL-EMOLLIENT 0.05%
CREA
0.05 %
CLOFARABINE
SOLN
20 MG/20 ML
CLONAZEPAM
TAB
0.5 MG
CLONAZEPAM
TAB
1 MG
CLONAZEPAM PED
SUSP
0.1MG/ML
CLONIDINE
TAB
0.1 MG
CLONIDINE
TAB
0.2 MG
CLONIDINE
TAB
0.3 MG
University Medical Center So. NV.
Page 254
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
5.00000
1.00000
1.00000
1.00000
7.50000
100.00000
1.00000
1.00000
5.00000
3.50000
100.00000
200.00000
20.00000
5.00000
50.00000
200.00000
100.00000
1.00000
1.00000
1.00000
100.00000
10.00000
100.00000
1.00000
1.00000
1.00000
50.00000
1.00000
100.00000
30.00000
40.00000
2.00000
4.00000
6.00000
8.00000
1.00000
15.00000
20.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
Price
---------32.83
17.70
21.26
3.70
3.70
24.31
587.85
41.96
2,200.31
5.87
5.86
210.36
958.15
841.15
8.34
9.73
183.00
806.65
50.98
58.82
1,584.95
211.50
246.16
373.65
402.33
4.56
4.41
4.89
28.14
488.40
562.50
33.25
58.09
78.19
565.13
11.65
426.27
61.79
615.20
49.31
56.61
67.19
85.71
77.39
229.50
6,892.55
5.87
5.01
4.71
3.70
4.91
5.10
02/12/14
Charge#
--------40444
40446
40448
42263
40449
40450
40451
40452
42181
40453
42537
40454
42497
40459
40461
40460
40462
40463
40464
42671
40465
42350
40466
40467
40470
40468
40469
40472
40473
40474
40475
40477
40476
40478
40479
40480
40481
42662
40482
40483
40484
40485
40486
40488
40487
40489
40490
40491
42386
40492
42719
40495
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CLONIDINE 0.1 MG/24 HR
PTWK
0.1 MG/24 HR
CLONIDINE 0.2 MG/24 HR
PTWK
0.2 MG/24 HR
CLONIDINE 0.3 MG/24 HR
PTWK
0.3 MG/24 HR
CLONIDINE PED
SUSP
0.1MG/ML
CLOPIDOGREL
TAB
300 MG
CLOPIDOGREL
TAB
75 MG
CLOSTRIDIUM BOTULINUM TOXIN TY
SOLR
100 UNIT
CLOTRIMAZOLE
TROC
10 MG
CLOTRIMAZOLE 1% CREAM
CREA
1 %
CLOTRIMAZOLE-BETAMETH 1-0.05% CREA
CREA
1-0.05 %
CLOTRIMAZOLE-BETAMETHASONE
CREA
1-0.05 %
CLOZAPINE (NF)
TAB
100 MG
CLOZAPINE (NF)
TAB
25 MG
COAL TAR (CRUDE) 20 %
SOLN
20 %
CODEINE SULFATE
TAB
30 MG
CODEINE-BUTALB-ACETAM-CAF
CAP
30-50-325-40 MG
CODEINE-GUAIFEN 10-100MG/5ML
LIQD
10-100 MG/5 ML
COLCHICINE
TAB
0.6 MG
COLISTIMETHATE SODIUM
SOLR
150 MG
COLISTIMETHATE SODIUM MDV
SOLR
150 MG
COLLAGENASE 250 UNIT/G OINT
OINT
250 UNIT/GRAM
COLLODION FLEXIBLE (BULK)
LIQD
CONIVAPTAN IN D5W
SOLN
20 MG/100 ML
CONJUGATED ESTROGEN 0.625 MG/G CREA
CREA
0.625 MG/GRAM
CONJUGATED ESTROGENS
SOLR
25 MG
CONJUGATED ESTROGENS
TAB
0.3 MG
CONJUGATED ESTROGENS
TAB
0.625 MG
COSYNTROPIN
SOLR
0.25 MG
CROMOLYN (NF)
NEBU
20 MG/2 ML
CROTALIDAE POLYVAL IMMUNE FAB
SOLR
1 GM
CUPRIC CHLORIDE
SOLN
0.4 MG/ML
CYANOCOBALAMIN
SOLN
1,000 MCG/ML
CYANOCOBALAMIN
TAB
1,000 MCG
CYANOCOBALAMIN
TAB
100 MCG
CYANOCOBALAMIN
TAB
500 MCG
CYCLOBENZAPRINE
TAB
10 MG
CYCLOBENZAPRINE
TAB
5 MG
CYCLOPENTOLATE - PHENYLEPH 0.5% - 1.25% OPHT
DROP
0.5%-1.25 %
CYCLOPENTOLATE 1 % OPHT
DROP
1 %
CYCLOPENTOLATE 2 % OPHT
DROP
2 %
CYCLOPENTOLATE-PHENYLEPH 0.2-1% OPHT
DROP
0.2-1 %
CYCLOPHOSPHAMIDE
SOLR
1 GRAM
CYCLOPHOSPHAMIDE
SOLR
2 GRAM
CYCLOPHOSPHAMIDE
SOLR
500 MG
CYCLOPHOSPHAMIDE
TAB
25 MG
CYCLOSPORINE
SOLN
100 MG/ML
CYCLOSPORINE
SOLN
250 MG/5 ML
CYCLOSPORINE MODIFIED
CAP
100 MG
CYCLOSPORINE MODIFIED
CAP
25 MG
CYCLOSPORINE MODIFIED
SOLN
100 MG/ML
CYCLOSPORINE OPHT (NF)
DPET
0.05 %
CYPROHEPTADINE
TAB
4 MG
University Medical Center So. NV.
Page 255
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
15.00000
15.00000
45.00000
1.00000
1.00000
473.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
30.00000
100.00000
100.00000
42.50000
1.00000
1.00000
1.00000
1.00000
2.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.00000
2.00000
2.00000
2.00000
1.00000
1.00000
1.00000
1.00000
50.00000
5.00000
1.00000
1.00000
50.00000
1.00000
1.00000
Price
---------216.69
301.30
383.11
3.70
208.08
12.46
1,443.75
26.77
46.14
209.35
382.25
28.94
21.26
253.22
17.80
12.66
21.73
94.28
189.43
189.43
1,124.60
149.00
2,506.27
1,486.39
433.32
65.88
65.88
168.51
44.31
13,823.20
94.19
30.30
3.70
3.70
3.70
4.38
5.69
234.00
144.14
288.94
248.88
1,480.96
2,961.89
740.46
3.30
2,156.46
241.20
86.85
34.69
554.81
94.53
10.48
02/12/14
Charge#
--------40494
40496
40499
40497
40498
40500
40501
40502
40528
40529
40530
40531
40532
40533
40534
40535
40536
40537
40539
40540
40538
40541
40542
42106
40543
42666
40544
40545
40546
40548
40549
40551
40547
40550
40552
40553
42541
40493
42538
40554
40555
40556
40557
40558
40559
40560
42182
40564
40565
40562
40563
40561
UMC Charge Master
Description
-----------------------------------------------------------------------------------------CYPROHEPTADINE 0.4 MG/ML
SYRP
2 MG/5 ML
CYSTEINE (L-CYSTEINE)
SOLN
50 MG/ML
CYTARABINE
SOLN
2 GRAM/20 ML (100 MG/ML)
CYTARABINE
SOLR
1 GRAM
CYTARABINE
SOLR
100 MG
CYTARABINE
SOLR
500 MG
CYTARABINE LIPOSOME
SUSP
50 MG/5 ML (10 MG/ML)
CYTOMEGALOVIRUS IMMUNE GLOB
SOLN
50 MG/ML
DABIGATRAN ETEXILATE
CAP
150 MG
DABIGATRAN ETEXILATE
CAP
75 MG
DACARBAZINE
SOLR
200 MG
DACTINOMYCIN
SOLR
0.5 MG
DALTEPARIN (PORCINE) (NF)
SYRG
5,000 UNIT/0.2 ML
DALTEPARIN (PORCINE) (NF)
SYRG
7,500 UNIT/0.3 ML
DANAZOL
CAP
100 MG
DANAZOL
CAP
200 MG
DANAZOL
CAP
50 MG
DANTROLENE
CAP
100 MG
DANTROLENE
CAP
25 MG
DANTROLENE
CAP
50 MG
DANTROLENE
SOLR
20 MG
DAPSONE
TAB
100 MG
DAPSONE
TAB
25 MG
DAPSONE PED
SUSP
2MG/ML
DAPTOMYCIN
SOLR
500 MG
DAPTOMYCIN MDV
SOLR
500 MG
DARBEPOETIN ALFA IN POLYSORBAT
SOLN
100 MCG/ML
DARBEPOETIN ALFA IN POLYSORBAT
SOLN
150 MCG/0.75 ML
DARBEPOETIN ALFA IN POLYSORBAT
SOLN
200 MCG/ML
DARBEPOETIN ALFA IN POLYSORBAT
SOLN
300 MCG/ML
DARBEPOETIN ALFA IN POLYSORBAT
SOLN
40 MCG/ML
DARBEPOETIN ALFA IN POLYSORBAT
SOLN
60 MCG/ML
DARBEPOETIN ALFA IN POLYSORBAT
SYRG
25 MCG/0.42 ML
DARBEPOETIN ALFA IN POLYSORBAT
SYRG
500 MCG/ML
DARUNAVIR
TAB
400 MG
DARUNAVIR
TAB
600 MG
DARUNAVIR
TAB
800 MG
DASATINIB
TAB
20 MG
DASATINIB
TAB
50 MG
DAUNORUBICIN
SOLN
5 MG/ML
DECITABINE
SOLR
50 MG
DEFEROXAMINE
SOLR
2 GRAM
DEFEROXAMINE
SOLR
500 MG
DEMECLOCYCLINE
TAB
150 MG
DENOSUMAB
SOLN
120 MG/1.7 ML (70 MG/ML)
DESFLURANE
LIQD
DESIPRAMINE
TAB
25 MG
DESMOPRESSIN
SOLN
4 MCG/ML
DESMOPRESSIN
SOLN
4 MCG/ML
DESMOPRESSIN
TAB
0.1 MG
DESMOPRESSIN 10 MCG/SPRY 5ML NASL
SPRY
0.1 MG/ML
DESMOPRESSIN 100 MCG/ML NASL 2.5ML
SOLN
100 MCG/ML
University Medical Center So. NV.
Page 256
Dispense
------------5.00000
50.00000
20.00000
1.00000
1.00000
1.00000
5.00000
50.00000
1.00000
1.00000
1.00000
1.00000
.20000
.30000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
12.50000
1.00000
1.00000
1.00000
.75000
1.00000
1.00000
1.00000
1.00000
.42000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
4.00000
1.00000
1.00000
1.00000
1.00000
1.70000
.57000
1.00000
1.00000
10.00000
1.00000
5.00000
2.50000
Price
---------12.27
305.81
40.70
54.86
9.38
16.25
7,207.75
2,831.62
74.08
74.08
182.92
1,443.61
282.32
378.50
47.96
72.58
39.88
42.44
27.64
36.17
561.25
34.33
29.93
29.86
876.42
876.42
990.53
1,485.79
1,981.05
2,971.59
396.24
594.29
247.63
4,952.64
222.42
230.89
371.78
608.16
976.31
154.00
2,874.99
330.10
116.73
67.23
4,623.85
16.08
43.41
104.05
1,600.19
29.90
789.45
1,063.35
02/12/14
Charge#
--------42631
40566
40567
40568
42708
42107
40571
40572
42184
40569
40570
42183
40573
42379
42579
42580
40574
40575
40576
40577
40578
40503
40504
40505
40506
42500
40522
40523
40511
40704
40705
40520
40521
40517
42428
40580
40581
40525
40526
40507
42190
40508
40527
40584
40585
40587
40590
40586
40588
40589
42191
40591
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DESVENLAFAXINE SUCCINATE (NF)
TB24
100 MG
DEXAMETHASONE
TAB
0.5 MG
DEXAMETHASONE
TAB
0.75 MG
DEXAMETHASONE
TAB
4 MG
DEXAMETHASONE PED ORAL
SOLN
0.2 MG/ML
DEXAMETHASONE PED ORAL
SOLN
4 MG/ML
DEXAMETHASONE SOD PHOS
SOLN
10 MG/ML
DEXAMETHASONE SOD PHOS
SOLN
4 MG/ML
DEXAMETHASONE SOD PHOS (PF)
SOLN
10 MG/ML
DEXAMETHASONE SOD PHOS 0.1% OPHT
DROP
0.1 %
DEXAMETHASONE SOD PHOS MDV
SOLN
10 MG/ML
DEXAMETHASONE SOD PHOS MDV
SOLN
4 MG/ML
DEXMEDETOMIDINE
SOLN
200 MCG/2 ML
DEXMEDETOMIDINE 200MCG/50ML NS (PMX)
SOLN
200 MCG/50 ML
DEXMEDETOMIDINE PED 200 MCG/50 ML NS (PMX)
SYRG
4 MCG/ML
DEXMEDETOMIDINE PED 400 MCG/100 ML NS (PMX)
BAG
4 MCG/ML
DEXRAZOXANE
SOLR
250 MG
DEXRAZOXANE
SOLR
500 MG
DEXTRAN 40 IN D5W
SOLP
10 %
DEXTRAN 40 IN NS
SOLP
10 %
DEXTROMETH-GUAIFEN 10-100 MG/5ML
SYRP
10-100 MG/5 ML
DEXTROSE 10% IN WATER (D10W)
SOLP
DEXTROSE 10% IN WATER (D10W)
SOLP
DEXTROSE 10% IN WATER (D10W)
SOLP
DEXTROSE 25% IN WATER (D25W)
SYRG
2.5 GM/10 ML
DEXTROSE 40% GEL (NF)
GEL
40 %
DEXTROSE 5% IN NORMAL SALINE (D5NS)
SOLP
DEXTROSE 5% IN NORMAL SALINE (D5NS)
SOLP
DEXTROSE 5% IN WATER (D5W)
SOLP
DEXTROSE 5% IONOSOL
SOLP
5 %
DEXTROSE 5% IONOSOL
SOLP
5 %
DEXTROSE 5%-1/2 NORMAL SALINE
SOLP
DEXTROSE 5%-1/2 NORMAL SALINE
SOLP
DEXTROSE 5%-1/3 NORMAL SALINE
SOLP
DEXTROSE 5%-1/3 NORMAL SALINE
SOLP
DEXTROSE 5%-1/4 NORMAL SALINE
SOLP
DEXTROSE 5%-1/4 NORMAL SALINE
SOLP
DEXTROSE 5%-LACTATED RINGERS
SOLP
DEXTROSE 5%-LACTATED RINGERS
SOLP
DEXTROSE 50% IN WATER (D50W)
SOLP
25 GM/50 ML
DEXTROSE 50% IN WATER (D50W)
SOLP
25 GM/50 ML
DEXTROSE 50% IN WATER (D50W)
SYRG
25 GM/50 ML
DEXTROSE 70% IN WATER (D70W)
SOLP
350 GM/500 ML
DIATRIZOATE MEGLUM + NA 66-10%
SOLN
66-10 %
DIATRIZOATE MEGLUM + NA 66-10%
SOLN
66-10 %
DIAZEPAM
KIT
2.5 MG
DIAZEPAM
SYRG
5 MG/ML
DIAZEPAM
TAB
2 MG
DIAZEPAM
TAB
5 MG
DIAZEPAM 1 MG/ML ORAL
SOLN
5 MG/5 ML
DIAZOXIDE (DIABETIC USE)
SUSP
50 MG/ML
DIBUCAINE 1% OINT
OINT
1 %
University Medical Center So. NV.
Page 257
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
2.00000
50.00000
50.00000
100.00000
1.00000
1.00000
500.00000
500.00000
10.00000
1,000.00000
250.00000
500.00000
10.00000
1.00000
1,000.00000
500.00000
1,000.00000
500.00000
250.00000
1,000.00000
500.00000
500.00000
1,000.00000
500.00000
1,000.00000
1,000.00000
500.00000
50.00000
500.00000
50.00000
500.00000
120.00000
30.00000
1.00000
2.00000
1.00000
1.00000
5.00000
30.00000
28.35000
Price
---------107.00
5.04
6.90
7.28
3.70
27.66
32.06
20.70
42.40
128.07
7.93
9.87
617.45
617.45
617.45
994.90
339.63
679.25
255.15
265.69
22.38
112.50
116.46
111.46
98.24
6.15
107.28
106.27
105.21
138.93
133.60
108.19
103.87
106.27
123.28
106.27
107.28
105.30
117.45
50.76
90.81
87.44
91.33
182.93
20.63
1,224.30
139.55
4.66
3.70
68.45
1,301.91
103.92
02/12/14
Charge#
--------42324
40592
40593
40594
40596
40597
40595
40598
40599
40600
40601
40609
40607
40608
40611
40606
40610
42519
40612
40613
40614
40615
40617
40605
40618
40619
40616
40621
40622
40620
40623
42340
40624
40625
40626
40627
40631
40632
40630
42193
40633
40634
40636
40635
40637
40628
40687
40629
42100
40639
40640
40642
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DICLOFENAC SODIUM
TBEC
25 MG
DICLOFENAC SODIUM
TBEC
75 MG
DICLOXACILLIN
CAP
250 MG
DICYCLOMINE
CAP
10 MG
DICYCLOMINE
SOLN
10 MG/ML
DICYCLOMINE
TAB
20 MG
DICYCLOMINE 2 MG/ML
SYRP
10 MG/5 ML
DIDANOSINE
CPDR
125 MG
DIDANOSINE
CPDR
200 MG
DIFLORASONE 0.05% CREAM
CREA
0.05 %
DIFLORASONE 0.05% OINT
OINT
0.05 %
DIGOXIN
SOLN
250 MCG/ML
DIGOXIN
TAB
125 MCG
DIGOXIN
TAB
250 MCG
DIGOXIN IMMUNE FAB 40MG/VIAL
SOLR
40 MG
DIGOXIN PED 100 MCG/ML
SOLN
100 MCG/ML
DIGOXIN PED 50 MCG/ML
SOLN
50 MCG/ML
DIGOXIN UD ORAL
SOLN
250 MCG/5 ML
DIHYDROERGOTAMINE MESYLATE
SOLN
1 MG/ML
DILTIAZEM ER
CP24
120 MG
DILTIAZEM ER
CP24
180 MG
DILTIAZEM ER
CP24
240 MG
DILTIAZEM ER
CP24
300 MG
DILTIAZEM ER
CP24
360 MG
DILTIAZEM HCL
SOLN
5 MG/ML
DILTIAZEM HCL
SOLN
5 MG/ML
DILTIAZEM HCL
TAB
30 MG
DILTIAZEM HCL
TAB
60 MG
DILTIAZEM HCL
TAB
90 MG
DILTIAZEM HCL SDV
SOLN
5 MG/ML
DILTIAZEM IN D5W (PMX)
SOLN
125 MG/125 ML (1 MG/ML)
DILTIAZEM PED
SUSP
12MG/ML
DIMENHYDRINATE
TAB
50 MG
DIMERCAPROL
SOLN
100 MG/ML
DINOPROSTONE 0.5MG/3G CERVCL GEL
GEL
0.5 MG/3 G
DINOPROSTONE VAGNL INSERT
INER
10 MG
DIPHENHYDRAMINE HCL
CAP
25 MG
DIPHENHYDRAMINE HCL
CAP
50 MG
DIPHENHYDRAMINE HCL
ELIX
12.5 MG/5 ML
DIPHENHYDRAMINE HCL
LIQD
12.5 MG/5 ML
DIPHENHYDRAMINE HCL
SOLN
50 MG/ML
DIPHENHYDRAMINE-ZINC 2-0.1%
CREA
2-0.1 %
DIPHENOXYLATE-ATROP 2.5-0.025 MG
TAB
2.5-0.025 MG
DIPHENOXYL-ATR 5-0.05MG/10ML
LIQD
2.5-0.025 MG/5 ML
DIPHTH, PERTUS(ACEL), TET
INJ
2.5-8-5 LF-MCG-LF/0.5ML
DIPHTH, PERTUS(ACEL), TET (PF)
INJ
25-58-10 LF-MCG-LF/0.5ML
DIPHTH, PERTUS(ACEL), TET, POL, HIB
KIT
15-20-5 LF-MCG-LF
DIPHTH, PERTUS(ACEL), TET, POLIO (PF)
SYRG
25 LF-58 MCG-10 LF/0.5 ML
DIPYRIDAMOLE
TAB
25 MG
DIPYRIDAMOLE-ASPIRIN 200-25 MG
CM12
200-25 MG
DISOPYRAMIDE
CAP
100 MG
DISOPYRAMIDE
CAP
150 MG
University Medical Center So. NV.
Page 258
Dispense
------------1.00000
1.00000
1.00000
1.00000
2.00000
1.00000
5.00000
1.00000
1.00000
15.00000
15.00000
2.00000
1.00000
1.00000
1.00000
1.00000
5.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
25.00000
10.00000
1.00000
1.00000
1.00000
5.00000
125.00000
5.00000
1.00000
3.00000
3.00000
1.00000
1.00000
1.00000
5.00000
5.00000
1.00000
28.40000
1.00000
10.00000
.50000
.50000
1.00000
.50000
1.00000
1.00000
1.00000
1.00000
Price
---------30.83
18.05
13.95
5.70
343.44
7.57
30.18
63.94
80.85
578.20
598.85
76.33
8.56
7.38
3,286.25
107.68
52.94
82.49
501.16
19.34
11.92
23.11
50.25
67.57
105.80
55.36
4.67
5.88
8.31
49.20
145.76
5.87
3.70
235.47
1,808.78
1,346.40
3.70
3.70
13.49
3.70
26.56
49.77
7.34
37.08
378.30
250.97
642.14
130.76
13.44
85.87
11.55
14.33
02/12/14
Charge#
--------40641
42194
40644
40645
40647
40646
40648
40643
40649
40650
40651
42642
42640
40652
40653
40654
40655
40656
40657
40658
40659
40660
42701
40661
40662
40663
40664
40665
40666
42643
42644
40667
40668
40669
40670
40671
40672
40673
40674
40675
40676
40677
40678
40679
40680
40681
40683
42195
40682
40684
40685
40686
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DISOPYRAMIDE ER
CPER
100 MG
DISOPYRAMIDE ER
CPER
150 MG
DIVALPROEX DELAYED-RELEASE
TBEC
125 MG
DIVALPROEX DELAYED-RELEASE
TBEC
250 MG
DIVALPROEX DELAYED-RELEASE
TBEC
500 MG
DIVALPROEX ER
TB24
250 MG
DIVALPROEX ER
TB24
500 MG
DIVALPROEX SPRINKLES
CPSP
125 MG
DOBUTAMINE
SOLN
250 MG/20 ML (12.5 MG/ML)
DOBUTAMINE IN D5W (PMX)
SOLP
250 MG/250 ML (1 MG/ML)
DOBUTAMINE IN D5W (PMX)
SOLP
500 MG/250 ML (2,000 MCG/ML)
DOBUTAMINE NICU 50 MG/25 ML D5W (PMX)
SYRG
2 MG/ML
DOBUTAMINE NICU 6 MG/3 ML D5W (PMX)
SYRG
2 MG/ML
DOCETAXEL
SOLN
20 MG/ML
DOCETAXEL
SOLN
80 MG/4 ML (20 MG/ML)
DOCUSATE CALCIUM
CAP
240 MG
DOCUSATE SODIUM
CAP
100 MG
DOCUSATE SODIUM
CAP
50 MG
DOCUSATE SODIUM LIQD
LIQD
50 MG/5 ML
DOFETILIDE
CAP
125 MCG
DOFETILIDE
CAP
250 MCG
DOFETILIDE
CAP
500 MCG
DOLUTEGRAVIR
TAB
50 MG
DONEPEZIL
TAB
5 MG
DOPAMINE
SOLN
200 MG/5 ML (40 MG/ML)
DOPAMINE
SOLN
400 MG/10 ML (40 MG/ML)
DOPAMINE IN D5W (PMX)
SOLN
200 MG/250 ML (800 MCG/ML)
DOPAMINE IN D5W (PMX)
SOLN
400 MG/250 ML (1,600 MCG/ML)
DOPAMINE IN D5W (PMX)
SOLN
800 MG/250 ML (3,200 MCG/ML)
DOPAMINE NICU 4.8 MG/3 ML D5W (PMX)
SYRG
1.6 MG/ML
DOPAMINE NICU 40 MG/25 ML D5W (PMX)
SYRG
1.6 MG/ML
DORIPENEM (NF)
SOLR
250 MG
DORIPENEM (NF)
SOLR
500 MG
DORNASE ALFA
SOLN
1 MG/ML
DORZOLAMIDE 2 % OPHT
DROP
2 %
DORZOLAMIDE-TIMOLOL 2-0.5 % OPHT
DROP
2-0.5 %
DOXAPRAM
SOLN
20 MG/ML
DOXAZOSIN
TAB
1 MG
DOXAZOSIN
TAB
4 MG
DOXEPIN
CAP
10 MG
DOXEPIN
CAP
25 MG
DOXEPIN 5% CREAM
CREA
5 %
DOXERCALCIFEROL
CAP
0.5 MCG
DOXERCALCIFEROL
CAP
2.5 MCG
DOXERCALCIFEROL
SOLN
4 MCG/2 ML
DOXORUBICIN
SOLN
2 MG/ML
DOXORUBICIN
SOLN
2 MG/ML
DOXORUBICIN
SOLN
2 MG/ML
DOXORUBICIN
SOLR
50 MG
DOXORUBICIN LIPOSOMAL
SOLN
2 MG/ML
DOXYCYCLINE HYCLATE
CAP
100 MG
DOXYCYCLINE HYCLATE
SOLR
100 MG
University Medical Center So. NV.
Page 259
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
20.00000
250.00000
250.00000
25.00000
3.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
10.00000
250.00000
250.00000
250.00000
3.00000
25.00000
1.00000
1.00000
2.50000
10.00000
10.00000
20.00000
1.00000
1.00000
1.00000
1.00000
45.00000
1.00000
1.00000
2.00000
100.00000
25.00000
75.00000
1.00000
10.00000
1.00000
1.00000
Price
---------57.73
63.23
7.40
8.63
10.38
14.07
68.43
20.53
72.32
81.31
113.60
25.24
5.48
1,189.24
1,189.22
4.33
3.70
10.31
20.76
83.48
83.48
83.48
393.64
7.64
3.80
33.16
12.19
15.46
22.27
3.70
13.18
253.37
387.06
634.92
185.17
229.81
399.61
23.68
24.34
7.30
8.86
1,184.55
180.12
298.78
186.88
465.95
232.83
439.68
137.36
2,638.07
5.35
174.86
02/12/14
Charge#
--------42672
40688
40689
40690
40691
40692
40693
40694
42514
40695
40696
40697
40698
40699
42633
42364
40707
40708
40709
40710
40711
40712
41545
40713
40714
40715
40716
40717
40718
40719
40720
42513
42197
40721
40722
40724
40725
40723
40726
40728
40729
40727
42645
42581
42583
42582
42198
40730
40731
40732
40733
40735
UMC Charge Master
Description
-----------------------------------------------------------------------------------------DOXYCYCLINE HYCLATE MDV
SOLR
500 MG
DRONABINOL
CAP
2.5 MG
DRONABINOL
CAP
5 MG
DRONEDARONE
TAB
400 MG
DROPERIDOL
SOLN
2.5 MG/ML
DULOXETINE
CPDR
20 MG
DULOXETINE
CPDR
30 MG
ECHOTHIOPHATE IODIDE 0.125 % OPHT
DROP
0.125 %
ECULIZUMAB
SOLN
300 MG/30 ML
EDROPHONIUM CHLORIDE
SOLN
10 MG/ML
EFAVIRENZ
CAP
200 MG
EFAVIRENZ
CAP
50 MG
EFAVIRENZ
TAB
600 MG
EFAVIRENZ-EMTRICITABIN-TENOFOV 600-200-300 MG
TAB
600-200-300 MG
ELTROMBOPAG
TAB
25 MG
ELVITEGR-COBICIST-EMTRIC-TENOF (150-150-200-300 MG)
TAB
150-150-200-300 MG
EMTRICITABINE
CAP
200 MG
EMTRICITABIN-TENOFOV 200-300MG
TAB
200-300 MG
EMTR-RILPIV-TENOF 200-25-300MG
TAB
200-25-300 MG
ENALAPRIL MALEATE (NF)
TAB
10 MG
ENALAPRIL MALEATE (NF)
TAB
2.5 MG
ENALAPRIL MALEATE (NF)
TAB
5 MG
ENALAPRIL PED
SUSP
1MG/ML
ENALAPRILAT
INJ
1.25 MG/ML
ENOXAPARIN
SYRG
100 MG/ML
ENOXAPARIN
SYRG
120 MG/0.8 ML
ENOXAPARIN
SYRG
150 MG/ML
ENOXAPARIN
SYRG
30 MG/0.3 ML
ENOXAPARIN
SYRG
40 MG/0.4 ML
ENOXAPARIN
SYRG
60 MG/0.6 ML
ENOXAPARIN
SYRG
80 MG/0.8 ML
ENOXAPARIN PED 100 MG/ML
SOLN
300 MG/3 ML
ENTACAPONE (NF)
TAB
200 MG
ENTECAVIR
TAB
0.5 MG
EPHEDRINE SULFATE
SOLN
50 MG/ML
EPINEPHRINE
ATIN
0.15 MG/0.3 ML (1:2,000)
EPINEPHRINE
ATIN
0.3 MG/0.3 ML (1:1,000)
EPINEPHRINE (PF)
SOLN
1 MG/ML (1:1,000)
EPINEPHRINE (PF)
SOLN
1 MG/ML (1:1,000)
EPINEPHRINE 0.1% NASL
SOLN
1:1,000 (0.1 %)
EPINEPHRINE HCL
SYRG
0.1 MG/ML (1:10,000)
EPINEPHRINE MDV
SOLN
1 MG/ML (1:1,000)
EPINEPHRINE NICU 0.25 MG/25 ML 1/2NS (PMX)
SYRG
0.01 MG/ML
EPINEPHRINE PED 1 MG/50 ML NS (PMX)
SYRG
0.02 MG/ML
EPINEPHRINE PED 12 MG/50 ML NS (PMX)
SYRG
0.24 MG/ML
EPINEPHRINE PED 6 MG/50 ML NS (PMX)
SYRG
0.12 MG/ML
EPIRUBICIN
SOLN
200 MG/100 ML
EPIRUBICIN
SOLN
50 MG/25 ML
EPLERENONE
TAB
25 MG
EPOETIN ALFA
SOLN
10,000 UNIT/ML
EPOETIN ALFA
SOLN
2,000 UNIT/ML
EPOETIN ALFA
SOLN
3,000 UNIT/ML
University Medical Center So. NV.
Page 260
Dispense
------------.20000
1.00000
1.00000
1.00000
2.00000
1.00000
1.00000
5.00000
1.00000
15.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.50000
2.00000
1.00000
.80000
1.00000
.30000
.40000
.60000
.80000
.10000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
10.00000
1.00000
25.00000
50.00000
50.00000
50.00000
100.00000
25.00000
1.00000
1.00000
1.00000
1.00000
Price
---------174.86
77.24
131.32
96.63
70.70
114.98
125.64
683.35
542.81
258.95
125.74
50.55
259.19
553.04
664.48
630.41
213.60
406.02
562.75
4.49
7.20
4.46
4.33
59.23
210.13
233.38
270.58
90.33
111.20
153.05
186.10
44.63
64.98
358.58
123.96
901.25
901.25
43.50
35.14
492.25
82.72
8.62
17.03
36.90
53.18
31.84
449.76
104.36
69.35
287.05
105.25
157.88
02/12/14
Charge#
--------40736
40737
40734
40739
40738
40740
40741
40742
40743
40744
40745
40746
42673
40747
40750
40749
40748
42363
40752
42119
40753
40756
40754
40755
40757
40257
42646
42560
40758
40760
40759
40761
40762
40763
40764
40765
42526
42622
40766
40767
40751
40768
40769
40770
40771
40772
40773
42502
40774
40775
40776
40777
UMC Charge Master
Description
-----------------------------------------------------------------------------------------EPOETIN ALFA
SOLN
4,000 UNIT/ML
EPOETIN ALFA
SOLN
40,000 UNIT/ML
EPOETIN ALFA MDV
SOLN
20,000 UNIT/ML
EPTIFIBATIDE
SOLN
2 MG/ML
EPTIFIBATIDE (PMX)
SOLN
0.75 MG/ML
ERGOCALCIFEROL (VIT D2)
CAP
50,000 UNIT
ERGOCALCIFEROL (VIT D2)
DROP
8,000 UNIT/ML
ERGOTAMINE-CAFFEINE 1-100 MG
TAB
1-100 MG
ERLOTINIB
TAB
100 MG
ERLOTINIB
TAB
150 MG
ERLOTINIB
TAB
25 MG
ERTAPENEM
SOLR
1 GRAM
ERTAPENEM MDV
SOLR
10 GRAM
ERYTHROMYCIN
TAB
250 MG
ERYTHROMYCIN
TAB
500 MG
ERYTHROMYCIN
TBPT
500 MG
ERYTHROMYCIN 5 MG/G OPHT OINT
OINT
ERYTHROMYCIN ES 200 MG/5 ML
SUSR
200 MG/5 ML
ERYTHROMYCIN LACT.
SOLR
500 MG
ERYTHROMYCIN LACT. PED 5 MG/ML
SOLN
5 MG/ML
ERYTHRO-SULFISOX 200-600MG/5ML
SUSR
200-600 MG/5 ML
ESCITALOPRAM
SOLN
5 MG/5 ML
ESCITALOPRAM
TAB
10 MG
ESCITALOPRAM
TAB
20 MG
ESMOLOL
SOLN
100 MG/10 ML
ESMOLOL IN NS (PMX)
SOLP
2,500 MG/250 ML (10 MG/ML)
ESMOLOL NICU 250 MG/25 ML (PMX)
SYRG
10 MG/ML
ESOMEPRAZOLE 80 MG/250 ML NS (PMX)
SOLN
80 MG/250 ML
ESOMEPRAZOLE CAP
CPDR
20 MG
ESOMEPRAZOLE CAP
CPDR
40 MG
ESOMEPRAZOLE PACKET
GRPK
20 MG
ESOMEPRAZOLE PACKET
GRPK
40 MG
ESOMEPRAZOLE SODIUM
SOLR
40 MG
ESTRADIOL
TAB
0.5 MG
ETANERCEPT
KIT
25 MG (1 ML)
ETHACRYNATE SODIUM (NF)
SOLR
50 MG
ETHACRYNIC ACID
TAB
25 MG
ETHAMBUTOL
SUSP
80 MG/ML
ETHAMBUTOL
TAB
100 MG
ETHAMBUTOL
TAB
400 MG
ETHANOL (ETHYL ALCOHOL) 98 %
SOLN
98 %
ETHANOL (ETHYL ALCOHOL) 98 %
SOLN
98 %
ETHANOLAMINE OLEATE 5 %
SOLN
5 %
ETHIONAMIDE
TAB
250 MG
ETHOSUXIMIDE
CAP
250 MG
ETIDRONATE DISODIUM
TAB
200 MG
ETODOLAC
TAB
400 MG
ETODOLAC (NF)
TAB
500 MG
ETODOLAC ER
TB24
400 MG
ETODOLAC ER
TB24
500 MG
ETODOLAC ER
TB24
600 MG
ETOMIDATE
SOLN
2 MG/ML
University Medical Center So. NV.
Page 261
Dispense
------------1.00000
1.00000
1.00000
10.00000
100.00000
1.00000
60.00000
1.00000
1.00000
1.00000
1.00000
1.00000
.10000
1.00000
1.00000
1.00000
1.00000
100.00000
1.00000
100.00000
100.00000
5.00000
1.00000
1.00000
10.00000
250.00000
25.00000
250.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
300.00000
1.00000
1.00000
5.00000
1.00000
2.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
20.00000
Price
---------210.50
1,148.20
574.10
346.80
1,085.37
14.73
496.55
68.43
466.16
527.26
169.72
593.37
593.37
65.72
72.42
95.59
102.26
832.00
304.67
205.55
268.56
97.11
8.12
9.11
80.56
1,087.90
160.21
97.70
19.59
19.59
68.71
68.71
106.12
4.90
812.43
3,768.08
93.66
589.50
19.54
36.13
356.83
155.75
794.02
74.98
24.48
69.50
7.28
16.85
35.14
17.63
54.26
112.55
02/12/14
Charge#
--------40778
40781
40779
40780
40782
50026
50027
50028
50029
50030
50031
50032
50033
50034
50035
40783
40784
40785
40786
40789
40790
40788
40787
42199
42120
40791
40792
42434
40793
40794
40137
40796
40795
40797
40798
40799
40800
40801
40802
40803
40804
40805
40806
40807
40808
40810
40811
40813
40814
40809
42648
42647
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ETOMIDATE
SOLN
2 MG/ML
ETOPOSIDE
CAP
50 MG
ETOPOSIDE
SOLN
20 MG/ML
ETOPOSIDE
SOLN
20 MG/ML
ETRAVIRINE
TAB
100 MG
EXSALT T7
BNDG
16 X 16"
EXSALT T7
BNDG
4 X 5"
EXSALT T7
BNDG
4 X 8"
EXSALT T7
BNDG
6 X 6"
EXSALT T7
BNDG
6 X 9"
EXSALT T7
BNDG
8 X 16"
EZ DERM
BNDG
3 X 12"
EZ DERM
BNDG
3 X 24"
EZ DERM
BNDG
3 X 4"
EZ DERM
BNDG
3 X 48"
EZETIMIBE
TAB
10 MG
EZETIMIBE-SIMVASTATIN 10-20 MG
TAB
10-20 MG
EZETIMIBE-SIMVASTATIN 10-40 MG
TAB
10-40 MG
EZETIMIBE-SIMVASTATIN 10-80 MG
TAB
10-80 MG
FAMOTIDINE
SOLN
10 MG/ML
FAMOTIDINE
SUSP
40 MG/5 ML
FAMOTIDINE
TAB
20 MG
FAMOTIDINE MDV
SOLN
10 MG/ML
FAMOTIDINE MDV
SOLN
10 MG/ML
FAMOTIDINE PED 2 MG/ML
SOLN
2 MG/ML
FAT EMULSION 20 %
EMUL
20 %
FAT EMULSION 20 %
EMUL
20 %
FAT EMULSION 20% 10ML
EMUL
FEBUXOSTAT
TAB
40 MG
FEBUXOSTAT
TAB
80 MG
FEIBA
SOLR
1 UNIT
FELBAMATE
SUSP
600 MG/5 ML
FELBAMATE
TAB
600 MG
FELODIPINE (NF)
TB24
10 MG
FELODIPINE (NF)
TB24
2.5 MG
FENOFIBRATE
TAB
160 MG
FENOFIBRATE MICRONIZED
CAP
134 MG
FENOFIBRATE MICRONIZED
CAP
200 MG
FENOFIBRATE MICRONIZED
CAP
67 MG
FENOFIBRATE NANOCRYSTALLIZED
TAB
145 MG
FENOFIBRATE NANOCRYSTALLIZED
TAB
48 MG
FENTANYL 100 MCG/HR
PT72
100 MCG/HR
FENTANYL 25 MCG/HR
PT72
25 MCG/HR
FENTANYL 50 MCG/HR
PT72
50 MCG/HR
FENTANYL 75 MCG/HR
PT72
75 MCG/HR
FENTANYL CITRATE (PF)
SOLN
50 MCG/ML
FENTANYL CITRATE (PF)
SOLN
50 MCG/ML
FENTANYL CITRATE (PF)
SOLN
50 MCG/ML
FENTANYL CITRATE (PF)
SOLN
50 MCG/ML
FENTANYL CITRATE (PF) (PMX)
SOLN
2500 MCG/50 ML
FENTANYL NICU 250 MCG/25 ML 1/2NS (PMX)
SYRG
10 MCG/ML
FENTANYL NICU 30 MCG/3 ML 1/2NS (PMX)
SYRG
10 MCG/ML
University Medical Center So. NV.
Page 262
Dispense
------------10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.00000
5.00000
1.00000
1.00000
1.00000
1.00000
500.00000
250.00000
10.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
50.00000
20.00000
2.00000
5.00000
50.00000
25.00000
3.00000
Price
---------106.20
155.89
34.70
33.51
125.12
134.52
36.05
52.85
52.85
67.74
134.52
352.91
431.76
122.93
628.89
97.57
98.50
98.50
98.50
22.16
199.70
4.51
7.07
19.72
7.07
169.11
140.25
72.60
118.36
118.36
4.15
160.26
110.70
46.84
23.84
33.31
40.67
57.27
26.77
72.04
53.25
168.96
65.00
95.59
130.88
39.05
74.34
13.18
15.88
189.28
15.88
5.87
02/12/14
Charge#
--------42585
42584
40819
41417
42674
40816
40820
40822
40821
42121
40823
40824
40825
40826
40827
40828
42341
42713
42688
40834
40831
40832
40833
40602
40603
40604
40835
42342
40836
40837
40838
40839
40840
40841
40843
40842
40844
40845
40846
40850
40847
40848
40849
40851
40852
40853
42201
40854
40855
40856
40857
40858
UMC Charge Master
Description
-----------------------------------------------------------------------------------------FENTANYL PED 1,000 MCG/40 ML NS (PMX)
SYRG
25 MCG/ML
FENTANYL PED 250 MCG/25 ML NS (PMX)
SYRG
10 MCG/ML
FENTANYL-ROPIV IN NS 5MCG/ML-0.2% (PMX)
BAG
5 MCG/ML-0.2 %
FERRIC GLUC CPLX IN SUCROSE
SOLN
62.5 MG/5 ML
FERRIC GLUC CPLX IN SUCROSE MDV
SOLN
62.5 MG/5 ML
FERRIC SUBSULFATE PASTE
SOLN
FERROUS GLUCONATE
TAB
325 MG (37.5 MG IRON)
FERROUS SULFATE
TBEC
325 MG (65 MG IRON)
FERROUS SULFATE LIQD
LIQD
300 MG (60 MG IRON)/5 ML
FIBRIN SEALANT KIT
SOLN
1 EA
FIDAXOMICIN (NF)
TAB
200 MG
FILGRASTIM
SOLN
300 MCG/ML
FILGRASTIM
SOLN
480 MCG/1.6 ML
FINASTERIDE
TAB
5 MG
FLECAINIDE
TAB
100 MG
FLECAINIDE
TAB
150 MG
FLECAINIDE PED
SUSP
20MG/ML
FLU VACCCINE 2013-14 (6-35MO)
SYRG
30 MCG (7.5 MCG X 4)/0.25 ML
FLU VACCINE 2013-14 (3YR+) (PF)
SYRG
60 MCG(15 MCG X 4)/0.5 ML
FLUCONAZOLE
SUSR
40 MG/ML
FLUCONAZOLE
TAB
100 MG
FLUCONAZOLE
TAB
150 MG
FLUCONAZOLE
TAB
200 MG
FLUCONAZOLE IN NS
PGBK
100 MG/50 ML
FLUCONAZOLE IN NS
PGBK
200 MG/100 ML
FLUCONAZOLE IN NS
PGBK
400 MG/200 ML
FLUCYTOSINE
CAP
500 MG
FLUCYTOSINE PED
SUSP
10MG/ML
FLUDARABINE
SOLN
50 MG/2 ML
FLUDROCORTISONE
TAB
0.1 MG
FLUMAZENIL
SOLN
0.1 MG/ML
FLUNISOLIDE 25MCG/SPRY (0.025%)
SPRY
25 MCG (0.025 %)
FLUOCINOLONE 0.01% CREAM
CREA
0.01 %
FLUOCINOLONE 0.025% CREAM
CREA
0.025 %
FLUOCINONIDE 0.05 %
CREA
0.05 %
FLUOCINONIDE 0.05% CREAM
CREA
0.05 %
FLUOCINONIDE 0.05% GEL
GEL
0.05 %
FLUORESCEIN
STRP
1 MG
FLUORESCEIN 10%
SOLN
500 MG/5 ML (10 %)
FLUOROURACIL
SOLN
5 GRAM/100 ML
FLUOROURACIL 1% CREAM
CREA
1 %
FLUOROURACIL 2 %
SOLN
2 %
FLUOROURACIL 5 %
SOLN
5 %
FLUOXETINE
CAP
10 MG
FLUOXETINE
CAP
20 MG
FLUOXETINE
SOLN
20 MG/5 ML
FLUPHENAZINE DECANOATE
SOLN
25 MG/ML
FLUPHENAZINE HCL
TAB
1 MG
FLUPHENAZINE HCL
TAB
2.5 MG
FLUTICASONE 110 MCG/ACT
AERO
110 MCG/ACT
FLUTICASONE 220 MCG/ACT
AERO
220 MCG/ACT
FLUTICASONE 44 MCG/ACT
AERO
44 MCG/ACT
University Medical Center So. NV.
Page 263
Dispense
------------40.00000
25.00000
100.00000
5.00000
5.00000
8.00000
1.00000
1.00000
5.00000
5.00000
1.00000
1.00000
1.60000
1.00000
1.00000
1.00000
5.00000
.25000
.50000
35.00000
1.00000
1.00000
1.00000
50.00000
100.00000
200.00000
1.00000
50.00000
2.00000
1.00000
5.00000
25.00000
15.00000
15.00000
15.00000
60.00000
15.00000
100.00000
5.00000
10.00000
30.00000
10.00000
10.00000
1.00000
1.00000
5.00000
5.00000
1.00000
1.00000
12.00000
12.00000
10.60000
Price
---------38.44
15.88
359.31
194.63
194.63
220.48
3.70
13.14
20.34
2,209.73
765.00
776.49
1,236.38
29.14
11.13
17.78
11.25
52.99
42.43
670.45
49.24
51.59
62.10
111.20
80.15
96.48
323.40
510.75
174.24
23.23
71.44
515.00
377.83
308.09
159.67
270.65
231.83
47.53
110.25
5.67
1,091.75
139.70
196.63
5.75
5.60
7.97
608.15
5.81
7.91
1,041.30
1,423.88
838.45
02/12/14
Charge#
--------40859
40860
40861
40862
40864
40863
42108
40865
40866
40867
40868
40869
40870
42397
42396
42395
42398
40871
40872
42122
40873
40874
40875
42675
40876
40877
40878
40879
42203
40881
40882
42381
42649
42650
40880
42569
42575
40883
40884
40885
40886
42468
42423
40887
40888
40889
40890
40891
40892
40893
42123
40894
UMC Charge Master
Description
-----------------------------------------------------------------------------------------FLUTICASONE 50 MCG/SPRAY
SPSN
50 MCG/SPRAY
FLUTICASONE-SALMETEROL 100-50 (NF)
DSDV
100-50 MCG/DOSE
FLUTICASONE-SALMETEROL 250-50 (NF)
DSDV
250-50 MCG/DOSE
FLUTICASONE-SALMETEROL 500-50 (NF)
DSDV
500-50 MCG/DOSE
FOLIC ACID
SOLN
5 MG/ML
FOLIC ACID
TAB
1 MG
FOLIC ACID PED
SUSP
1MG/ML
FOLIC ACID-VIT B6-VIT B12 (2.5-25-2 MG)
TAB
2.5-25-2 MG
FOMEPIZOLE
SOLN
1 GRAM/ML
FONDAPARINUX
SYRG
10 MG/0.8 ML
FONDAPARINUX
SYRG
2.5 MG/0.5 ML
FONDAPARINUX
SYRG
5 MG/0.4 ML
FONDAPARINUX
SYRG
7.5 MG/0.6 ML
FORTIFIED CEFAZOLIN EYE DROPS 50MG/ML
DROP
50MG/ML
FORTIFIED GENTAMICIN EYE DROPS 14MG/ML
DROP
14MG/ML
FORTIFIED TOBRAMYCIN EYE DROP 14MG/ML
DROP
14MG/ML
FORTIFIED VANCOMYCIN EYE DROPS 50MG/ML
DROP
50MG/ML
FOSAMPRENAVIR
TAB
700 MG
FOSAPREPITANT
SOLR
150 MG
FOSCARNET SODIUM
SOLN
24 MG/ML
FOSFOMYCIN TROMETHAMINE (NF)
PACK
3 GRAM
FOSPHENYTOIN
SOLN
100 MG PE/2 ML
FOSPHENYTOIN
SOLN
500 MG PE/10 ML
FOSPHENYTOIN MDV
SOLN
1000 MG PE/20 ML
FULVESTRANT
SYRG
250 MG/5 ML
FUROSEMIDE
SOLN
10 MG/ML
FUROSEMIDE
SOLN
10 MG/ML
FUROSEMIDE
SOLN
10 MG/ML
FUROSEMIDE
SYRG
10 MG/ML
FUROSEMIDE
TAB
20 MG
FUROSEMIDE
TAB
40 MG
FUROSEMIDE 100 MG/110 ML NS (PMX)
SOLN
100 MG/110 ML
FUROSEMIDE NICU 1.5 MG/3 ML 1/2NS (PMX)
SYRG
0.5 MG/ML
FUROSEMIDE NICU 12.5 MG/25 ML 1/2NS (PMX)
SYRG
0.5 MG/ML
FUROSEMIDE ORAL
SOLN
10 MG/ML
FUROSEMIDE PED 12.5 MG/25 ML NS (PMX)
SYRG
0.5 MG/ML
FUROSEMIDE PED 50 MG/50 ML NS (PMX)
SYRG
1 MG/ML
FUROSEMIDE PED 8 MG/ML
SOLN
8 MG/ML
GABAPENTIN
CAP
100 MG
GABAPENTIN
CAP
300 MG
GABAPENTIN
CAP
400 MG
GABAPENTIN
SOLN
250 MG/5 ML
GABAPENTIN PED
SUSP
100 MG/ML
GADOBUTROL
SOLN
10 MMOL/10 ML (1 MMOL/ML)
GADOBUTROL
SOLN
7.5 MMOL/7.5 ML (1 MMOL/ML)
GADOPENTETATE DIMEGLUMIN 46.9%
SOLN
10 MMOL/20 ML (469.01 MG/ML)
GADOPENTETATE DIMEGLUMIN 46.9%
SOLN
5 MMOL/10 ML (469.01 MG/ML)
GADOVERSETAMIDE
SOLN
10 MMOL/20 ML
GADOVERSETAMIDE
SYRG
10 MMOL/20 ML
GADOVERSETAMIDE
SYRG
7.5 MMOL/15 ML
GANCICLOVIR PED 10 MG/ML
SOLN
10 MG/ML
GANCICLOVIR SODIUM
SOLR
500 MG
University Medical Center So. NV.
Page 264
Dispense
------------16.00000
14.00000
14.00000
14.00000
1.00000
1.00000
1.00000
1.00000
1.50000
.80000
.50000
.40000
.60000
10.00000
7.00000
7.00000
10.00000
1.00000
1.00000
250.00000
1.00000
2.00000
10.00000
1.00000
5.00000
10.00000
2.00000
4.00000
4.00000
1.00000
1.00000
110.00000
3.00000
25.00000
1.00000
25.00000
50.00000
5.00000
1.00000
1.00000
1.00000
5.00000
1.00000
10.00000
7.50000
20.00000
10.00000
20.00000
20.00000
15.00000
50.00000
1.00000
Price
---------276.00
750.35
750.35
806.45
52.37
4.99
5.10
24.77
2,946.37
97.87
30.59
97.87
97.87
28.98
51.20
79.88
77.05
202.40
705.92
1,342.64
219.42
62.87
186.49
37.89
2,413.37
27.88
23.04
24.80
110.53
3.70
3.70
27.88
4.33
16.26
5.72
23.04
41.96
40.92
5.23
6.70
8.18
22.50
5.10
228.25
171.19
228.25
118.25
111.65
111.65
83.74
603.15
677.41
02/12/14
Charge#
--------40895
42206
42205
40896
40897
40898
40899
40900
40908
40909
40901
40902
40903
40904
40905
40906
42207
40907
40910
42124
40911
40912
40915
40913
40914
40916
40917
42368
40918
40919
40920
40921
40922
40923
42208
40924
42209
40925
40926
42424
40927
40928
40930
42218
40929
42219
42520
40933
40932
40931
40934
40937
UMC Charge Master
Description
-----------------------------------------------------------------------------------------GEL DRESSING
GEL
GEMCITABINE
SOLN
1 GRAM/26.3 ML (38 MG/ML)
GEMCITABINE
SOLN
200 MG/5.26 ML (38 MG/ML)
GEMCITABINE
SOLR
1 GRAM
GEMCITABINE
SOLR
2 GRAM
GEMCITABINE
SOLR
200 MG
GEMFIBROZIL
TAB
600 MG
GENT VIOLET-BRLNT GRN-PROFLAV
SWAB
2.29-2.29-1.14 MG/ML
GENTAMICIN
SOLN
40 MG/ML
GENTAMICIN
SOLN
40 MG/ML
GENTAMICIN (PEDIATRIC)
SOLN
20 MG/2 ML
GENTAMICIN 0.1 % CREAM
CREA
0.1 %
GENTAMICIN 0.1 % OINT
OINT
0.1 %
GENTAMICIN 0.3% OPHT DROPS
DROP
0.3 %
GENTAMICIN 0.3% OPHT OINT
OINT
0.3 % (3 MG/GRAM)
GENTAMICIN IN SALINE (ISO-OSM)
PGBK
100 MG/100 ML
GENTAMICIN IN SALINE (ISO-OSM)
PGBK
100 MG/50 ML
GENTAMICIN IN SALINE (ISO-OSM)
PGBK
120 MG/100 ML
GENTAMICIN IN SALINE (ISO-OSM)
PGBK
80 MG/100 ML
GENTAMICIN PED 2 MG/ML
SOLN
2 MG/ML
GENTIAN VIOLET 1 %
SOLN
1 %
GLATIRAMER
SYKT
20 MG/ML
GLIPIZIDE
TAB
5 MG
GLIPIZIDE ER
TR24
10 MG
GLIPIZIDE ER
TR24
2.5 MG
GLUCAGON (HUMAN RECOMBINANT)
KIT
1 MG/ML
GLUTAMINE
PACK
10 GRAM
GLUTAMINE
PWPK
5 GRAM
GLYBURIDE
TAB
2.5 MG
GLYBURIDE
TAB
5 MG
GLYBURIDE-METFORMIN 1.25-250MG
TAB
1.25-250 MG
GLYBURIDE-METFORMIN 2.5-500 MG
TAB
2.5-500 MG
GLYBURIDE-METFORMIN 5-500 MG
TAB
5-500 MG
GLYCERIN (ADULT)
SUPP
GLYCERIN (BULK)
SOLN
99.5 %
GLYCERIN (CHILD)
SUPP
1.2 GM
GLYCINE IRRIGATION 1.5 %
SOLN
1.5 %
GLYCOPYRROLATE
SOLN
0.2 MG/ML
GLYCOPYRROLATE
TAB
1 MG
GLYCOPYRROLATE PED
SUSP
500 MCG/ML
GOSERELIN
IMPL
10.8 MG
GOSERELIN
IMPL
3.6 MG
GRANISETRON
SOLN
1 MG/ML
GRANISETRON
SOLN
1 MG/ML
GRANISETRON
TAB
1 MG
GRANISETRON (PF)
SOLN
1 MG/ML
GRISEOFULVIN MICROSIZE
SUSP
125 MG/5 ML
GUAIFENESIN
TBER
600 MG
GUAIFENESIN 10 ML
LIQD
100 MG/5 ML
GUAIFENESIN 5 ML
LIQD
100 MG/5 ML
GUANFACINE
TAB
1 MG
HAEMOPHILUS B CONJ-TET TOX VAC
SOLR
10 MCG/0.5 ML
University Medical Center So. NV.
Page 265
Dispense
------------90.00000
26.30000
5.26000
1.00000
1.00000
1.00000
1.00000
500.00000
1.00000
2.00000
2.00000
15.00000
15.00000
5.00000
3.50000
100.00000
50.00000
100.00000
100.00000
10.00000
59.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
480.00000
1.00000
3,000.00000
1.00000
1.00000
2.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
10.00000
5.00000
1.00000
.50000
Price
---------108.91
115.11
23.02
2,037.61
230.26
396.11
9.85
1,025.00
21.86
26.78
46.80
174.78
169.82
80.96
129.02
39.45
39.45
39.45
39.45
46.80
104.86
12,662.35
5.05
20.51
13.54
299.75
3.70
70.70
10.81
13.52
5.17
5.83
5.58
5.38
207.41
6.94
102.53
25.07
29.08
29.20
2,760.72
920.23
13.81
202.38
4.61
70.56
19.32
19.23
20.40
18.50
4.67
191.57
02/12/14
Charge#
--------40938
40939
40940
40941
40942
42221
42222
40944
40943
40134
40945
40948
42641
40949
40950
42572
40951
42714
40952
42115
40953
40955
40956
40958
40959
42536
40961
42126
40947
42224
40962
40964
40965
40936
40136
42388
42125
40966
42559
40968
40967
40969
40970
42109
40971
40972
42113
41228
40974
40975
40976
40973
UMC Charge Master
Description
-----------------------------------------------------------------------------------------HALOPERIDOL
TAB
0.5 MG
HALOPERIDOL
TAB
1 MG
HALOPERIDOL
TAB
2 MG
HALOPERIDOL
TAB
5 MG
HALOPERIDOL DECANOATE
SOLN
50 MG/ML
HALOPERIDOL DECANOATE
SOLN
50 MG/ML
HALOPERIDOL LACTATE
CONC
2 MG/ML
HALOPERIDOL LACTATE
SOLN
5 MG/ML
HALOPERIDOL LACTATE ORAL
CONC
2 MG/ML
HELIXATE FS (RECOMB FCTR 8) 1 UNIT
SOLR
1 UNIT
HEMIN
SOLR
313 MG
HEPARIN (PORCINE)
SOLN
1,000 UNIT/ML
HEPARIN (PORCINE)
SOLN
1,000 UNIT/ML
HEPARIN (PORCINE)
SOLN
20,000 UNIT/ML
HEPARIN (PORCINE)
SOLN
5,000 UNIT/ML
HEPARIN (PORCINE) IN 0.45% NACL (PMX)
SOLP
25,000 UNIT/250 ML
HEPARIN (PORCINE) IN D5W(PMX)
SOLP
25,000 UNIT/250 ML(100UNIT/ML)
HEPARIN (PORCINE) IN NS (PMX)
SOLN
25,000 UNIT/250 ML
HEPARIN (PORCINE) IN NS (PMX)
SOLP
1,000 UNIT/500 ML
HEPARIN PF
SOLN
100 UNIT/ML
HEPATITIS A VACCINE
SYRG
1,440 ELISA UNIT/ML
HEPATITIS A VACCINE
SYRG
720 EL UNIT/0.5 ML
HEPATITIS A/B VACCINE (PF)
INJ
720-20 EL UNIT-MCG/ML
HEPATITIS B IMMUN GLOB-MALTOSE (PF)
SOLN
HEPATITIS B IMMUN GLOB-MALTOSE (PF)
SOLN
HEPATITIS B VACCINE (DIALYSIS)
SUSP
40 MCG/ML
HEPATITIS B VACCINE ADULT
SYRG
20 MCG/ML
HEPATITIS B VACCINE PED
INJ
10 MCG/0.5 ML
HEPATITIS B, DTAP, POLIO
SYRG
10-25-25-10-80 MCG-LF-MCG-LF-D
HES 130/0.4 IN 0.9% NS
SOLN
6 %
HETASTARCH 6 % IN NS
SOLN
6 %
HOMATROPINE HBR 5 % OPHT
DROP
5 %
HUMAN PAPILLOMAVIRUS BVAL
SYRG
20-20 MCG/0.5 ML
HUMAN PAPILLOMAVIRUS QVAL
INJ
20-40-40-20 MCG/0.5 ML
HUMATE-P (FACTOR 8) 1 UNIT
SOLR
1 UNIT
HUMATE-P (VWF) 1 UNIT
SOLR
1 UNIT
HYALURONATE OPHT VISCOSURGICAL DEVICE
INJ
10MG/ML
HYALURONIDASE (OVINE)
SOLN
200 UNIT/ML
HYALURONIDASE, HUMAN RECOMB.
SOLN
150 UNIT/ML
HYDRALAZINE
SOLN
20 MG/ML
HYDRALAZINE
TAB
10 MG
HYDRALAZINE
TAB
25 MG
HYDRALAZINE
TAB
50 MG
HYDRALAZINE PED
SUSP
4MG/ML
HYDROCHLOROTHIAZIDE
CAP
12.5 MG
HYDROCHLOROTHIAZIDE
TAB
25 MG
HYDROCHLOROTHIAZIDE PED
SUSP
5MG/ML
HYDROCOD-ACETAM 2.5-167 MG/5ML
SOLN
2.5-167 MG/5 ML
HYDROCODONE-ACETAMIN 10-325 MG
TAB
10-325 MG
HYDROCODONE-ACETAMIN 5-325 MG
TAB
5-325 MG
HYDROCODONE-ACETAMIN 7.5-325MG
TAB
7.5-325 MG
HYDROCODONE-HOMAT 5-1.5 MG/5 ML
SYRP
5-1.5 MG/5 ML
University Medical Center So. NV.
Page 266
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
5.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
250.00000
250.00000
250.00000
500.00000
1.00000
1.00000
.50000
1.00000
1.00000
5.00000
1.00000
1.00000
.50000
.50000
500.00000
500.00000
5.00000
.50000
.50000
1.00000
1.00000
.40000
1.20000
1.00000
1.00000
1.00000
1.00000
1.00000
12.50000
1.00000
1.00000
5.00000
5.00000
1.00000
1.00000
1.00000
5.00000
Price
---------4.50
5.32
6.18
6.47
109.85
774.60
5.61
25.01
36.90
2.53
13,743.15
60.17
37.78
100.00
36.24
108.50
140.00
16.09
60.17
3.70
555.45
310.56
251.87
462.50
2,024.00
277.06
131.64
40.62
590.25
465.56
174.40
196.56
877.35
883.97
2.15
1.08
454.25
557.10
361.41
75.56
9.01
8.54
10.69
10.87
6.42
3.70
4.33
62.52
11.91
6.03
6.79
64.44
02/12/14
Charge#
--------42225
40980
40983
40977
40978
40979
40981
40982
40984
42116
42127
40985
40986
40987
40988
40989
40990
40991
42551
42185
42170
40996
40999
40992
40994
40995
40997
42204
40993
40998
42437
42586
42367
41001
42430
42630
41002
42343
41006
41004
41003
41005
41007
41008
42227
41009
41010
41011
41012
41013
41014
41442
UMC Charge Master
Description
-----------------------------------------------------------------------------------------HYDROCODONE-HOMAT 5-1.5 MG/5ML
SYRP
5-1.5 MG/5 ML
HYDROCORTISONE
TAB
10 MG
HYDROCORTISONE
TAB
5 MG
HYDROCORTISONE 0.5% CREAM
CREA
0.5 %
HYDROCORTISONE 1 % CREAM
CREA
1 %
HYDROCORTISONE 1% OINT
OINT
1 %
HYDROCORTISONE 100 MG/60 ML
ENEM
100 MG/60 ML
HYDROCORTISONE 2.5 %
CREA
2.5 %
HYDROCORTISONE ACETATE
SUPP
25 MG
HYDROCORTISONE PED 1 MG/ML
SUSP
1MG/ML
HYDROCORTISONE PED 1MG/ML
SOLN
1 MG/ML
HYDROCORTISONE PRAMOX 2.5-1%
CREA
2.5-1 %
HYDROCORTISONE SOD SUCC (PF)
SOLR
1,000 MG/8 ML
HYDROCORTISONE SOD SUCC (PF)
SOLR
100 MG/2 ML
HYDROCORTISONE SOD SUCC (PF)
SOLR
250 MG/2 ML
HYDROCORTISONE VALERATE 0.2% CREAM
CREA
0.2 %
HYDROCORTISONE VALERATE 0.2% OINT
OINT
0.2 %
HYDROCORTISONE-ACET ACID 1-2 % OTIC
DROP
1-2 %
HYDROCORTISONE-PRAMOXINE
FOAM
1-1 %
HYDROMORPHONE
PCAS
30 MG/30 ML
HYDROMORPHONE
SOLN
2 MG/ML
HYDROMORPHONE
TAB
2 MG
HYDROMORPHONE
TAB
4 MG
HYDROMORPHONE (PF)
SOLN
1 MG/ML
HYDROMORPHONE (PF)
SOLN
10 MG/ML
HYDROMORPHONE (PF)
SOLN
10 MG/ML
HYDROMORPHONE (PF)
SOLN
2 MG/ML
HYDROMORPHONE (PF)
SOLN
2 MG/ML
HYDROMORPHONE (PF)
SYRG
1 MG/ML
HYDROMORPHONE (PF)
SYRG
2 MG/ML
HYDROMORPHONE 6,000 MCG/30 ML NS
PCAS
200 MCG/ML
HYDROXOCOBALAMIN
SOLN
1,000 MCG/ML
HYDROXOCOBALAMIN
SOLR
5 GRAM
HYDROXYCHLOROQUINE
TAB
200 MG
HYDROXYCHLOROQUINE PED
SUSP
25MG/ML
HYDROXYPROGESTERONE CAPROATE
OIL
250 MG/ML
HYDROXYUREA
CAP
500 MG
HYDROXYUREA PED 40MG/ML
SOLN
40MG/ML
HYDROXYZINE HCL
SOLN
25 MG/ML
HYDROXYZINE HCL
SYRP
10 MG/5 ML
HYDROXYZINE HCL
TAB
10 MG
HYDROXYZINE HCL
TAB
25 MG
HYDROXYZINE PAMOATE
CAP
25 MG
HYDROXYZINE PAMOATE
CAP
50 MG
HYOSCYAMINE SULFATE (NF)
TAB
0.125 MG
HYOSCYAMINE SULFATE (NF)
TBDL
0.125 MG
IBUPROFEN
SUSP
100 MG/5 ML
IBUPROFEN
SUSP
100 MG/5 ML
IBUPROFEN
TAB
400 MG
IBUPROFEN
TAB
600 MG
IBUPROFEN
TAB
800 MG
IBUPROFEN LYSINE (PF)
SOLN
20 MG/2 ML
University Medical Center So. NV.
Page 267
Dispense
------------5.00000
1.00000
1.00000
28.35000
28.00000
28.35000
60.00000
20.00000
1.00000
5.00000
100.00000
30.00000
8.00000
2.00000
2.00000
15.00000
15.00000
10.00000
10.00000
30.00000
20.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
1.00000
1.00000
1.00000
8.00000
1.00000
1.00000
12.50000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
5.00000
1.00000
1.00000
1.00000
1.00000
Price
---------17.12
22.36
19.15
54.93
41.96
74.70
83.35
52.30
71.35
17.80
83.80
309.40
1,714.53
177.57
245.78
216.17
597.90
917.30
558.15
217.33
153.32
7.57
10.04
30.52
136.72
55.38
37.45
35.38
53.62
55.85
37.78
27.75
3,105.01
13.82
9.72
1,555.95
20.25
18.57
61.25
11.17
10.98
11.25
6.25
6.72
19.03
8.62
32.72
19.30
3.70
3.70
4.53
1,440.06
02/12/14
Charge#
--------41015
41016
41017
41018
41019
41020
41021
41022
41023
41024
41025
41035
41026
41027
41028
41029
41030
41036
41031
41032
42254
42228
41033
41034
41037
41038
41039
41040
42229
41041
42369
42651
42652
42587
42432
41042
42157
50021
50020
50022
50023
50024
50025
41043
41044
41046
41047
41048
41049
41050
41051
41052
UMC Charge Master
Description
-----------------------------------------------------------------------------------------IBUTILIDE FUMARATE
SOLN
0.1 MG/ML
IDARUBICIN
SOLN
1 MG/ML
IDARUBICIN
SOLN
1 MG/ML
IFOSFAMIDE
SOLR
1 GRAM
IFOSFAMIDE
SOLR
3 GRAM
IMATINIB
TAB
100 MG
IMATINIB
TAB
400 MG
IMIGLUCERASE
SOLR
200 UNIT
IMIGLUCERASE
SOLR
400 UNIT
IMIPRAMINE HCL
TAB
50 MG
IMIQUIMOD 5%
CRPK
5 %
IMMUNE GLOBULIN HUMAN (IGG)
SOLR
5 GRAM
IMMUNE GLOBULIN HUMAN (IGG) 10%
SOLN
10 %
IMMUNE GLOBULIN HUMAN (IGG) 10%
SOLN
10 %
IMMUNE GLOBULIN HUMAN (IGG) 10%
SOLN
10 %
INDAPAMIDE
TAB
2.5 MG
INDIGOTINDISULFONATE SODIUM
SOLN
8 MG/ML
INDINAVIR
CAP
400 MG
INDOCYANINE GREEN
SOLR
25 MG
INDOMETHACIN
CAP
25 MG
INDOMETHACIN
SUPP
50 MG
INDOMETHACIN
SUSP
25 MG/5 ML
INDOMETHACIN SODIUM
SOLR
1 MG
INFLIXIMAB
SOLR
100 MG
INSULIN GLARGINE
INPN
100 UNIT/ML (3 ML)
INSULIN GLULISINE (NF)
SOLN
100 UNIT/ML
INSULIN LISPRO PEN
INPN
100 UNIT/ML
INSULIN LISPRO VIAL
SOLN
100 UNIT/ML
INSULIN LISPRO VIAL
SOLN
100 UNIT/ML
INSULIN NPH HUMAN RECOMB
INPN
100 UNIT/ML (3 ML)
INSULIN REG 100 UNIT/100 ML NS (PMX)
SOLN
100 UNIT/100 ML
INSULIN REG NICU 1.5 UNIT/3 ML NS (PMX)
SYRG
0.5 UNIT/ML
INSULIN REG NICU 12.5 UNIT/25 ML NS (PMX)
SYRG
0.5 UNIT/ML
INSULIN REG PED 5 UNIT/25 ML NS (PMX)
SYRG
0.2 UNIT/ML
INSULIN REG PED 50 UNIT/250 ML NS (PMX)
SOLN
50UNIT/250ML
INSULIN REGULAR HUMAN
SOLN
100 UNIT/ML
INSULIN REGULAR HUMAN
SYRG
10 UNIT/0.1ML
INTEGRA BMWD
BANDG
4 X 5"
INTEGRA BMWD
BNDG
4 X 10"
INTEGRA BMWD
BNDG
8 X 10"
INTEGRA DRT
BNDG
4 X 5"
INTEGRA MWD
BNDG
4 X 10"
INTEGRA MWD
BNDG
4 X 5"
INTERFERON ALFA-2B
SOLR
10 MILLION UNIT (1 ML)
INTERFERON ALFA-2B
SOLR
18 MILLION UNIT (1 ML)
INTERFERON ALFA-2B
SOLR
50 MILLION UNIT (1 ML)
INTERFERON BETA-1A
SYRG
44 MCG/0.5 ML
INTERFERON BETA-1B
KIT
0.3 MG
IODINE STRONG (LUGOLS) 5 %
SOLN
5 %
IODIXANOL
SOLN
320 MG IODINE/ML
IODIXANOL
SOLN
320 MG IODINE/ML
IODIXANOL
SOLN
320 MG IODINE/ML
University Medical Center So. NV.
Page 268
Dispense
------------10.00000
20.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
50.00000
200.00000
100.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
3.00000
10.00000
3.00000
3.00000
1.00000
3.00000
100.00000
3.00000
25.00000
25.00000
250.00000
1.00000
.10000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
.50000
1.00000
14.00000
150.00000
100.00000
200.00000
Price
---------622.25
426.77
106.67
101.04
287.73
562.41
1,368.39
2,180.75
4,361.50
14.93
202.68
2,497.56
973.90
4,505.30
1,947.83
7.56
124.70
61.76
226.24
8.77
169.99
93.62
1,913.25
2,344.32
474.96
464.48
224.46
197.57
89.98
175.25
45.70
3.70
8.56
37.56
45.70
37.56
17.03
8,745.00
12,536.70
11,797.50
7,150.00
5,995.00
8,140.00
512.00
921.63
2,560.36
1,035.83
846.52
226.40
260.72
185.26
326.21
02/12/14
Charge#
--------41053
41054
41055
41056
41057
42142
41058
41059
41060
41063
42230
42257
42258
42259
41061
41062
41065
41064
42506
42531
42374
41066
41067
41068
41069
41070
41071
42573
41072
41073
42232
41074
41075
42494
42420
41076
41077
42676
41078
41079
41081
41082
41080
41083
42698
42697
42588
42589
42590
41084
41085
41086
UMC Charge Master
Description
-----------------------------------------------------------------------------------------IOHEXOL
SOLN
180 MG IODINE/ML
IOHEXOL
SOLN
240 MG IODINE/ML
IOHEXOL
SOLN
300 MG IODINE/ML
IOTHALAMATE MEGLUMINE 17.2 %
SOLN
17.2 %
IOTHALAMATE MEGLUMINE 60 %
SOLN
60 %
IOVERSOL
SOLN
240 MG IODINE/ML
IOVERSOL
SOLN
320 MG IODINE/ML
IOVERSOL
SOLN
320 MG IODINE/ML
IOVERSOL
SOLN
320 MG IODINE/ML
IOVERSOL
SOLN
350 MG IODINE/ML
IOVERSOL
SOLN
350 MG IODINE/ML
IOVERSOL
SOLN
350 MG IODINE/ML
IOVERSOL
SOLN
350 MG IODINE/ML
IOVERSOL
SOLN
350 MG IODINE/ML
IOVERSOL
SYRG
320 MG IODINE/ML
IOVERSOL
SYRG
320 MG IODINE/ML
IOVERSOL
SYRG
350 MG IODINE/ML
IOVERSOL PWR INJ
SYRG
350 MG IODINE/ML
IOVERSOL PWR INJ
SYRG
350 MG IODINE/ML
IOVERSOL UJ HANDHELD
SYRG
320 MG/ML
IOVERSOL UJ HANDHELD
SYRG
350 MG IODINE/ML
IPRATROPIUM BROMIDE 0.02 %
NEBU
0.5 MG/2.5 ML
IPRATROPIUM BROMIDE 0.03% NASAL
SPRY
0.03 %
IPRATROPIUM BROMIDE 0.06% NASAL
SPRY
0.06 %
IPRATROPIUM BROMIDE 17 MCG/ACT
HFAA
17 MCG/ACTUATION
IPRATROPIUM-ALBUTEROL (0.5-2.5 MG/3 ML)
NEBU
0.5 MG-3 MG(2.5 MG BASE)/3 ML
IPRATROPIUM-ALBUTEROL (18-103 MCG/ACT)
AERO
18-103 MCG/ACTUATION
IPRATROPIUM-ALBUTEROL (20-100 MCG/ACT)
AERO
20-100 MCG/ACTUATION
IRBESARTAN (NF)
TAB
150 MG
IRINOTECAN
SOLN
100 MG/5 ML
IRINOTECAN
SOLN
300 MG/15 ML
IRINOTECAN
SOLN
40 MG/2 ML
IRON DEXTRAN
SOLN
50 MG/ML
IRON ELEM (FERROUS SULF) LIQD
LIQD
60 MG/5 ML
IRON ELEM (FERROUS SULF) PED
LIQD
12 MG/ML
IRON SUCROSE
SOLN
100 MG/5 ML IRON
IRON SUCROSE
SOLN
200 MG/10 ML IRON
IRON SUCROSE MDV
SOLN
500 MG/25 ML
ISOFLURANE 99.9 %
LIQD
99.9 %
ISONIAZID
TAB
100 MG
ISONIAZID
TAB
300 MG
ISONIAZID 10 MG/ML
SOLN
50 MG/5 ML
ISONIAZID MDV
SOLN
100 MG/ML
ISOPROTERENOL HCL
SOLN
0.2 MG/ML
ISOPROTERENOL NICU 500 MCG/25 ML 1/2NS (PMX)
SYRG
20 MCG/ML
ISOPROTERENOL NICU 60 MCG/3 ML 1/2NS (PMX)
SYRG
20 MCG/ML
ISOPROTERENOL PED 0.5 MG/25 ML NS (PMX)
SYRG
0.02 MG/ML
ISOPROTERENOL PED 2 MG/50 ML NS (PMX)
SYRG
0.04 MG/ML
ISOPROTERENOL PED 3 MG/50 ML NS (PMX)
SYRG
0.06 MG/ML
ISOSORBIDE DINITRATE
TAB
10 MG
ISOSORBIDE DINITRATE
TAB
20 MG
ISOSORBIDE DINITRATE
TAB
5 MG
University Medical Center So. NV.
Page 269
Dispense
------------20.00000
10.00000
10.00000
250.00000
50.00000
100.00000
100.00000
50.00000
150.00000
50.00000
150.00000
75.00000
100.00000
200.00000
125.00000
50.00000
125.00000
50.00000
100.00000
50.00000
50.00000
2.50000
30.00000
15.00000
12.90000
3.00000
14.70000
4.00000
1.00000
5.00000
15.00000
2.00000
2.00000
5.00000
5.00000
5.00000
10.00000
.20000
.23000
1.00000
1.00000
5.00000
10.00000
5.00000
25.00000
3.00000
25.00000
50.00000
50.00000
1.00000
1.00000
1.00000
Price
---------66.00
64.22
59.30
39.60
18.98
43.75
51.45
30.74
74.06
32.53
78.65
42.87
56.18
99.77
74.77
36.66
76.50
39.19
271.50
35.34
37.56
9.18
117.41
122.67
1,310.85
12.15
1,213.40
1,314.67
27.74
56.02
204.19
26.68
64.63
20.34
20.34
90.75
176.05
3.63
3.70
5.42
8.63
18.27
1,521.84
442.70
266.39
64.49
266.39
695.10
922.65
24.12
25.48
22.06
02/12/14
Charge#
--------42234
41087
41088
41089
41090
41092
41091
42235
41093
42706
40519
40510
42099
40524
40518
40509
40000
41096
41097
41098
41101
41099
41100
41103
41104
41102
40133
41094
41105
41106
41107
41108
41109
42270
42592
42591
41111
41110
41112
41113
41114
41115
42236
41116
42394
41117
41119
41118
41120
41121
41122
41123
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ISOSORBIDE DINITRATE SR
TBER
40 MG
ISOSORBIDE MONONITRATE
TAB
10 MG
ISOSORBIDE MONONITRATE ER
TB24
30 MG
ISOSORBIDE MONONITRATE ER
TB24
60 MG
ISOSULFAN BLUE 1 %
SOLN
1 %
ITRACONAZOLE
CAP
100 MG
ITRACONAZOLE
SOLN
10 MG/ML
IVERMECTIN
TAB
3 MG
IXABEPILONE
SOLR
45 MG
KCENTRA (NF)
KIT
500 UNIT (FACTOR IX)
KCL 10 MEQ (20MEQ/L) IN D5W-1/2NS
SOLP
20 MEQ/L
KCL 10 MEQ (20MEQ/L) IN D5W-1/4NS
SOLP
20 MEQ/L
KCL 20 MEQ/L IN 1/2 NS
SOLP
20 MEQ/L
KCL 20 MEQ/L IN D5NS
SOLP
20 MEQ/L
KCL 20 MEQ/L IN D5W-1/2NS
SOLP
20 MEQ/L
KCL 20 MEQ/L IN D5W-1/4NS
SOLP
20 MEQ/L
KCL 20 MEQ/L IN NS
SOLP
20 MEQ/L
KETAMINE MDV
SOLN
10 MG/ML
KETAMINE MDV
SOLN
100 MG/ML
KETAMINE MDV
SOLN
50 MG/ML
KETOCONAZOLE
TAB
200 MG
KETOCONAZOLE 2% CREAM
CREA
2 %
KETOCONAZOLE 2% SHAMPOO
SHAM
2 %
KETOROLAC TROMETHAMINE
SOLN
30 MG/ML (1 ML)
KETOROLAC TROMETHAMINE
SOLN
60 MG/2 ML
KETOROLAC TROMETHAMINE 0.5 % OPHT
DROP
0.5 %
KOGENATE FS (RECOMB FCTR 8) 1 UNIT
SOLR
1 UNIT
KPHOS MONO - NAPHOS MONO+DI
TAB
250 MG
LABETALOL
TAB
100 MG
LABETALOL
TAB
200 MG
LABETALOL
TAB
300 MG
LABETALOL MDV
SOLN
5 MG/ML
LABETALOL MDV
SOLN
5 MG/ML
LABETALOL PED
SUSP
10MG/ML
LABETALOL PED 300 MG/300 ML NS (PMX)
BAG
1 MG/ML
LABETALOL PED 50 MG/50 ML NS (PMX)
SYRG
1 MG/ML
LACOSAMIDE
TAB
50 MG
LACOSAMIDE SDV
SOLN
10 MG/ML
LACTATED RINGERS
SOLP
LACTATED RINGERS
SOLP
LACTOBACILLUS ACIDOPH + BULGAR CHEW
TAB
1 MILLION CELL
LACTOBACILLUS ACIDOPH + BULGAR PKT
GRPK
100 MILLION CELL
LACTULOSE
SOLN
10 GRAM/15 ML
LACTULOSE
SOLN
20 GRAM/30 ML
LACTULOSE ENEMA
ENEM
200GM/1000ML
LAMIVUDINE
SOLN
10 MG/ML
LAMIVUDINE
TAB
150 MG
LAMIVUDINE HBV
TAB
100 MG
LAMIVUDINE-ZIDOVUDIN 150-300MG
TAB
150-300 MG
LAMOTRIGINE
TAB
100 MG
LAMOTRIGINE
TAB
150 MG
LAMOTRIGINE
TAB
200 MG
University Medical Center So. NV.
Page 270
Dispense
------------1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
10.00000
1.00000
1.00000
1.00000
500.00000
500.00000
1,000.00000
1,000.00000
1,000.00000
1,000.00000
1,000.00000
20.00000
5.00000
10.00000
1.00000
15.00000
120.00000
1.00000
2.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
20.00000
40.00000
10.00000
300.00000
50.00000
1.00000
20.00000
1,000.00000
500.00000
1.00000
1.00000
30.00000
30.00000
1,000.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
Price
---------34.70
21.22
11.97
12.73
2,248.25
100.40
208.36
90.31
8,234.38
3.04
128.34
128.34
128.34
119.62
113.08
134.64
114.40
176.88
131.18
61.61
7.18
67.06
137.53
21.65
19.34
109.85
2.67
7.51
13.36
17.87
21.38
43.50
66.25
12.80
103.91
41.30
103.29
72.23
107.35
103.15
6.24
22.32
21.05
19.94
92.98
58.68
80.38
195.10
206.43
7.56
8.74
9.97
02/12/14
Charge#
--------41125
41124
41126
41127
42528
42128
41128
41129
42523
42265
42600
42421
41132
42166
42433
41133
41134
41135
41136
41138
42238
41137
41139
41144
41147
41140
42241
41143
41145
41141
41142
41146
41148
41149
41150
41152
41153
41154
42677
42358
41151
41156
41157
41155
42242
42243
42244
42245
41158
41159
42246
41170
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LAMOTRIGINE
TAB
25 MG
LAMOTRIGINE CHEW
TCHD
25 MG
LAMOTRIGINE CHEW
TCHD
5 MG
LANOLIN
CREA
LANOLIN 1.5 GM PKT
CREA
LANOLIN 2 GM PKT
CREA
LANOLIN-MINERAL OIL
LOTN
LANOLIN-MINERAL OIL-NACL-W.PET
LOTN
LANSOPRAZOLE (NF)
CPDR
15 MG
LANSOPRAZOLE (NF)
CPDR
30 MG
LANSOPRAZOLE PED
SUSR
3 MG/ML
LANSOPRAZOLE PED ORAL
SUSP
3 MG/ML
LATANOPROST 0.005 %
DROP
0.005 %
LC BEAD MICROSPHERES 100/300
SOLN
2ML
LEECHES LIVE
MISC
LEFLUNOMIDE
TAB
10 MG
LEPIRUDIN
SOLR
50 MG
LETROZOLE
TAB
2.5 MG
LEUCOVORIN CALCIUM
SOLR
100 MG
LEUCOVORIN CALCIUM
SOLR
350 MG
LEUCOVORIN CALCIUM
SOLR
50 MG
LEUCOVORIN CALCIUM
TAB
25 MG
LEUCOVORIN CALCIUM
TAB
5 MG
LEUPROLIDE
SYKT
3.75 MG
LEUPROLIDE
SYRG
7.5 MG
LEUPROLIDE (3 MONTH)
SYKT
11.25 MG
LEUPROLIDE (3 MONTH)
SYKT
22.5 MG
LEUPROLIDE (3 MONTH)
SYRG
22.5 MG
LEUPROLIDE (4 MONTH)
SYRG
30 MG
LEUPROLIDE (PED)
KIT
11.25 MG
LEUPROLIDE (PED)
KIT
15 MG
LEUPROLIDE (PED)
KIT
7.5 MG
LEVALBUTEROL HCL 0.63 MG/3 ML (NF)
NEBU
0.63 MG/3 ML
LEVALBUTEROL HCL 1.25 MG/3ML (NF)
NEBU
1.25 MG/3 ML
LEVALBUTEROL TARTR 45 MCG/ACT (NF)
HFAA
45 MCG/ACTUATION
LEVETIRACETAM
TAB
250 MG
LEVETIRACETAM
TAB
500 MG
LEVETIRACETAM INJ
SOLN
500 MG/5 ML
LEVETIRACETAM MDV
SOLN
1000 MG/10 ML
LEVETIRACETAM ORAL
SOLN
100 MG/ML
LEVETIRACETAM ORAL UD
SOLN
500 MG/5 ML
LEVOCARNITINE
SOLN
200 MG/ML
LEVOCARNITINE
TAB
330 MG
LEVOCARNITINE 10% ORAL
SOLN
100 MG/ML
LEVOFLOXACIN (NF)
SOLN
250 MG/10 ML
LEVOFLOXACIN IN D5W (NF)
PGBK
250 MG/50 ML
LEVOFLOXACIN IN D5W (NF)
PGBK
500 MG/100 ML
LEVOFLOXACIN IN D5W (NF)
PGBK
750 MG/150 ML
LEVONORGESTREL
TAB
1.5 MG
LEVOTHYROXINE
SOLR
100 MCG
LEVOTHYROXINE
SOLR
200 MCG
LEVOTHYROXINE
SOLR
500 MCG
University Medical Center So. NV.
Page 271
Dispense
------------1.00000
1.00000
1.00000
28.00000
1.50000
2.00000
240.00000
180.00000
1.00000
1.00000
90.00000
10.00000
2.50000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
3.00000
1.00000
15.00000
1.00000
1.00000
5.00000
5.00000
5.00000
5.00000
5.00000
1.00000
1.00000
10.00000
50.00000
100.00000
150.00000
1.00000
1.00000
1.00000
1.00000
Price
---------6.10
13.13
13.04
86.76
13.20
11.43
59.09
65.71
33.34
29.56
316.30
30.74
121.59
5,983.04
86.82
2.29
1,480.17
50.75
112.55
229.50
99.05
104.76
36.90
2,204.78
360.25
6,614.49
7,882.08
1,080.75
1,441.00
4,815.39
5,303.65
2,652.38
111.33
115.09
462.00
11.37
14.11
15.84
14.47
9.45
42.50
101.08
20.13
8.80
159.81
90.34
90.34
96.96
316.69
504.85
418.91
527.10
02/12/14
Charge#
--------41160
41161
41162
41163
41164
41165
41166
41167
41168
41169
41171
41172
42131
41179
41173
41174
41184
41185
41176
41177
42247
41175
41178
41183
42248
41182
41190
41189
42249
41186
41188
41187
41191
41192
41180
41195
41181
41193
41194
42699
42594
42595
42593
42422
41196
41197
41198
42080
42078
41199
42079
41200
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LEVOTHYROXINE
TAB
100 MCG
LEVOTHYROXINE
TAB
112 MCG
LEVOTHYROXINE
TAB
125 MCG
LEVOTHYROXINE
TAB
137 MCG
LEVOTHYROXINE
TAB
150 MCG
LEVOTHYROXINE
TAB
175 MCG
LEVOTHYROXINE
TAB
200 MCG
LEVOTHYROXINE
TAB
25 MCG
LEVOTHYROXINE
TAB
300 MCG
LEVOTHYROXINE
TAB
50 MCG
LEVOTHYROXINE
TAB
75 MCG
LEVOTHYROXINE
TAB
88 MCG
LEVOTHYROXINE PED
SUSP
25 MCG/ML
LIDOCAINE (PF) 0.5 %
SOLN
5 MG/ML (0.5 %)
LIDOCAINE (PF) 1 %
SOLN
10 MG/ML (1 %)
LIDOCAINE (PF) 1 %
SOLN
10 MG/ML (1 %)
LIDOCAINE (PF) 1 %
SOLN
10 MG/ML (1 %)
LIDOCAINE (PF) 1 %
SOLN
10 MG/ML (1 %)
LIDOCAINE (PF) 2 %
SOLN
20 MG/ML (2 %)
LIDOCAINE (PF) 2 %
SOLN
20 MG/ML (2 %)
LIDOCAINE (PF) 2 %
SOLN
20 MG/ML (2 %)
LIDOCAINE (PF) 2 %
SYRG
100 MG/5 ML (2 %)
LIDOCAINE (PF) 4 %
SOLN
40 MG/ML (4 %)
LIDOCAINE 1 %
SOLN
10 MG/ML (1 %)
LIDOCAINE 1 %
SOLN
10 MG/ML (1 %)
LIDOCAINE 1 % MDV
SOLN
10 MG/ML (1 %)
LIDOCAINE 2 % MDV
SOLN
20 MG/ML (2 %)
LIDOCAINE 2 % VISCOUS
SOLN
20 MG/ML
LIDOCAINE 2 % VISCOUS
SOLN
20 MG/ML
LIDOCAINE 2% GEL
GEL
2 %
LIDOCAINE 2% GEL
JELP
2 %
LIDOCAINE 2% GEL TUBE
GEL
2 %
LIDOCAINE 4%
SOLN
4 %
LIDOCAINE 4% 50 ML
SOLN
4 %
LIDOCAINE 4% CREAM
CREA
4 %
LIDOCAINE 5 % IN D7.5W (PF)
SOLN
50 MG/ML (5 %)
LIDOCAINE 5% (700MG/PATCH)
PTMD
5 %(700 MG/PATCH)
LIDOCAINE 5% OINT
OINT
5 %
LIDOCAINE IN D5W (PMX)
SOLP
8 MG/ML (0.8 %)
LIDOCAINE NICU 50 MG/25 ML 1/2NS (PMX)
SYRG
2 MG/ML
LIDOCAINE PED 200 MG/50 ML NS (PMX)
SYRG
4 MG/ML
LIDOCAINE PED 400 MG/50 ML NS (PMX)
SYRG
8 MG/ML
LIDOCAINE PED 50 MG/25 ML NS (PMX)
SYRG
2 MG/ML
LIDOCAINE/EPINEPHRINE TOPL
SOLN
3 ML
LIDOCAINE-EPI 0.5%-1:200,000 MDV
SOLN
0.5 %-1:200,000
LIDOCAINE-EPI 1%-1:100,000 MDV
SOLN
1 %-1:100,000
LIDOCAINE-EPI 1%-1:100,000 MDV
SOLN
1 %-1:100,000
LIDOCAINE-EPI 1%-1:200,000 SDV
SOLN
1 %-1:200,000
LIDOCAINE-EPI 1.5 %-1:200,000 SDV
SOLN
1.5 %-1:200,000
LIDOCAINE-EPI 2%-1:100,000 MDV
SOLN
2 %-1:100,000
LIDOCAINE-EPI 2%-1:200,000 SDV
SOLN
2 %-1:200,000
LIDOCAINE-PRILOCAINE 2.5-2.5 %
CREA
2.5-2.5 %
University Medical Center So. NV.
Page 272
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
4.00000
50.00000
10.00000
2.00000
30.00000
5.00000
10.00000
5.00000
5.00000
5.00000
5.00000
20.00000
10.00000
50.00000
20.00000
20.00000
10.00000
30.00000
5.00000
5.00000
4.00000
50.00000
5.00000
2.00000
1.00000
35.44000
250.00000
25.00000
50.00000
50.00000
25.00000
3.00000
50.00000
20.00000
30.00000
30.00000
30.00000
20.00000
20.00000
5.00000
Price
---------8.32
11.66
9.34
9.87
9.55
10.90
11.17
7.19
14.33
7.64
8.20
8.26
8.17
59.63
62.06
26.34
103.77
29.42
55.58
39.32
55.85
55.71
65.57
29.64
36.02
47.68
32.28
28.77
7.79
106.61
77.31
63.02
81.37
61.52
68.81
114.84
143.33
540.00
58.91
2.61
500.00
760.00
256.63
8.56
57.34
34.92
64.09
102.56
95.81
55.04
121.73
101.18
02/12/14
Charge#
--------41201
41203
41202
41204
42518
41205
41206
41207
41208
41209
41210
41211
41212
41214
41215
42495
41217
41216
42387
41218
41219
41221
41220
41224
41213
41225
41226
41227
42251
41222
41223
40174
42344
41229
41230
42345
41231
41232
41233
41234
42252
41235
41236
41237
41238
40084
41239
41240
41241
41242
41243
41249
UMC Charge Master
Description
-----------------------------------------------------------------------------------------LINEZOLID
SUSR
100 MG/5 ML
LINEZOLID
TAB
600 MG
LINEZOLID (PMX)
SOLP
200 MG/100 ML
LINEZOLID (PMX)
SOLP
600 MG/300 ML
LIOTHYRONINE (NF)
TAB
25 MCG
LIPASE-PROTEASE-AMYLASE (12,000-38,000-60,000 UNIT)
CPDR
12,000-38,000 -60,000 UNIT
LIPASE-PROTEASE-AMYLASE (24,000-76,000-120,000 UNIT)
CPDR
24,000-76,000 -120,000 UNIT
LIPASE-PROTEASE-AMYLASE (6,000-19,000-30,000 UNIT)
CPDR
6,000-19,000 -30,000 UNIT
LISINOPRIL
TAB
10 MG
LISINOPRIL
TAB
2.5 MG
LISINOPRIL
TAB
20 MG
LISINOPRIL
TAB
5 MG
LITHIUM CARBONATE
CAP
300 MG
LITHIUM CARBONATE ER
TBER
450 MG
LODOXAMIDE TROMETHAMINE 0.1 % OPHT
DROP
0.1 %
LOMUSTINE
CAP
40 MG
LOPERAMIDE
CAP
2 MG
LOPERAMIDE
LIQD
1 MG/5 ML
LOPERAMIDE
LIQD
1 MG/5 ML
LOPINAVIR-RITONAVIR 200-50 MG
TAB
200-50 MG
LOPINAV-RITONAV 400-100MG/5ML
SOLN
400-100 MG/5 ML
LORATADINE
SOLN
5 MG/5 ML
LORATADINE
TAB
10 MG
LORAZEPAM
CONC
2 MG/ML
LORAZEPAM
SOLN
2 MG/ML
LORAZEPAM
SOLN
2 MG/ML
LORAZEPAM
SOLN
4 MG/ML
LORAZEPAM
SOLN
4 MG/ML
LORAZEPAM
SYRG
2 MG/ML
LORAZEPAM
TAB
0.5 MG
LORAZEPAM
TAB
1 MG
LORAZEPAM IN NS (PMX)
SOLN
100 MG/100 ML (1 MG/ML)
LORAZEPAM PED
SUSP
1MG/ML
LOSARTAN
TAB
25 MG
LOSARTAN
TAB
50 MG
LOSARTAN PED
SUSP
2.5MG/ML
LOSARTAN-HCTZ 100-25 MG
TAB
100-25 MG
LOSARTAN-HCTZ 50-12.5 MG
TAB
50-12.5 MG
LOVASTATIN (NF)
TAB
20 MG
LOVASTATIN (NF)
TAB
40 MG
LURASIDONE (NF)
TAB
40 MG
LYMPHOCYTE,ANTI-THYMO IMM GLOB
INJ
50 MG/ML
MAFENIDE ACETATE 5% 50GM PKT
PACK
50 GRAM
MAFENIDE ACETATE 8.5% (16 OZ)
CREA
85 MG/G
MAFENIDE ACETATE 8.5% (57GM)
CREA
85 MG/G
MAG PLUS PROTEIN
TAB
1 TAB
MAGNESIUM CITRATE
SOLN
MAGNESIUM GLUCONATE
LIQD
54 MG/5 ML (1,000 MG/5 ML)
MAGNESIUM HYDROXIDE
SUSP
2400 MG/30 ML
MAGNESIUM OXIDE
TAB
400 MG
MAGNESIUM SULFATE (LAXATIVE) 100 %
GRAN
MAGNESIUM SULFATE 1 % IN D5W
PGBK
1 GRAM/100 ML
University Medical Center So. NV.
Page 273
Dispense
------------150.00000
1.00000
100.00000
300.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
1.00000
10.00000
5.00000
1.00000
5.00000
10.00000
1.00000
30.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
100.00000
1.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
453.60000
56.70000
1.00000
300.00000
5.00000
30.00000
1.00000
454.00000
100.00000
Price
---------2,392.74
778.11
534.75
829.60
38.78
53.11
77.79
34.42
3.70
3.70
4.47
3.70
4.76
13.56
824.30
73.06
6.85
39.32
35.47
114.01
183.11
15.55
3.70
211.44
26.91
30.74
113.36
48.12
56.80
4.44
4.69
404.26
6.25
7.82
3.70
4.33
7.14
5.74
9.66
5.15
228.55
2,027.30
64.15
1,361.14
349.00
4.86
35.14
3.70
18.53
5.23
35.36
74.48
02/12/14
Charge#
--------41245
42490
41244
41246
41247
41248
42253
42362
41250
41251
41252
41253
41257
41258
42704
41260
41261
41262
41263
41265
42276
41264
41266
41267
41268
41269
41270
41271
41272
41273
41275
41276
41274
42512
41277
41278
41279
42132
41281
41280
42278
41282
41283
41284
41285
41286
41289
41287
41288
41291
41290
41294
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MAGNESIUM SULFATE 20 GM/500 ML(PMX)
SOLN
20 GRAM/500 ML (4 %)
MAGNESIUM SULFATE 4 %
SOLP
40 GRAM/1,000 ML (4 %)
MAGNESIUM SULFATE 4 % IN SWI
PGBK
2 GRAM/50 ML (4 %)
MAGNESIUM SULFATE 4 % IN SWI
PGBK
4 GRAM/100 ML (4 %)
MAGNESIUM SULFATE 50 %
SOLN
500 MG/ML (4 MEQ/ML)
MAGNESIUM SULFATE 50 %
SOLN
500 MG/ML (4 MEQ/ML)
MAGNESIUM SULFATE 50 %
SOLN
500 MG/ML (4 MEQ/ML)
MAGNESIUM SULFATE PED 50MG/ML IN SWI
SOLN
50 MG/ML
MANGANESE CHLORIDE
SOLN
0.1 MG/ML
MANNITOL 20 %
SOLP
100 GM/500 ML
MANNITOL 25 %
SOLN
12.5 GM/50 ML
MARAVIROC
TAB
150 MG
MEASLES, MUMPS, RUB
SOLR
1,000-12,500 TCID50/0.5 ML
MEASLES, MUMPS, RUB, VARICEL
SUSR
10EXP3-4.3-3- 3.99 TCID50/0.5
MECHLORETHAMINE
SOLR
10 MG
MECLIZINE
TAB
12.5 MG
MEDIUM CHAIN TRIGLYCERIDES (7.7 KCAL/ML)
OIL
7.7 KCAL/ML
MEDROXYPROGESTERONE
TAB
2.5 MG
MEDROXYPROGESTERONE(CONTRACEP)
SUSP
150 MG/ML
MEGESTROL
SUSP
400 MG/10 ML (40 MG/ML)
MEGESTROL
SUSP
400 MG/10 ML (40 MG/ML)
MEGESTROL
TAB
40 MG
MELPHALAN
TAB
2 MG
MEMANTINE
TAB
10 MG
MEMANTINE
TAB
5 MG
MENING VAC A,C,Y,W135 DIP (PF)
SOLN
4 MCG/0.5 ML
MENING VAC A,C,Y,W135 DIP PF
KIT
10-5 MCG/0.5 ML
MEPERIDINE (PF)
SOLN
100 MG/ML
MEPERIDINE (PF)
SOLN
25 MG/ML
MEPERIDINE (PF)
SOLN
50 MG/ML
MEPIVACAINE 1 %
SOLN
10 MG/ML (1 %)
MEPIVACAINE 1.5 %
SOLN
15 MG/ML (1.5 %)
MEPIVACAINE 2 %
SOLN
20 MG/ML (2 %)
MERCAPTOPURINE
TAB
25 MG
MERCAPTOPURINE
TAB
50 MG
MEROPENEM
SOLR
1 GRAM
MEROPENEM
SOLR
500 MG
MEROPENEM PED 50 MG/ML
SOLN
50 MG/ML
MESALAMINE
ENEM
4 GRAM/60 ML
MESALAMINE CAP
CPER
250 MG
MESALAMINE SUPP
SUPP
1,000 MG
MESALAMINE TAB (NF)
TBEC
400 MG
MESNA
SOLN
100 MG/ML
METAPROTERENOL
TAB
10 MG
METAXALONE (NF)
TAB
800 MG
METFORMIN
TAB
500 MG
METFORMIN
TAB
850 MG
METFORMIN XR
TB24
500 MG
METFORMIN XR
TB24
750 MG
METHADONE
SOLN
10 MG/5 ML
METHADONE
TAB
10 MG
METHADONE
TAB
5 MG
University Medical Center So. NV.
Page 274
Dispense
------------500.00000
50.00000
50.00000
100.00000
2.00000
1.00000
10.00000
10.00000
10.00000
500.00000
50.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
1.00000
1.00000
10.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
30.00000
20.00000
1.00000
1.00000
1.00000
1.00000
10.00000
60.00000
1.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
Price
---------76.23
11.08
104.72
60.71
25.24
4.83
32.06
4.33
94.33
157.72
31.62
229.67
509.92
961.95
409.53
3.70
56.97
3.70
314.75
61.15
25.16
11.02
146.16
86.62
86.62
1,324.75
251.27
34.22
30.99
31.63
85.95
138.47
118.36
43.94
43.97
575.57
107.55
241.75
180.51
45.25
223.10
53.49
29.09
25.86
81.86
4.54
5.29
5.16
9.93
22.17
14.12
10.48
02/12/14
Charge#
--------41293
41292
42274
42272
42273
42275
41295
41296
41297
41298
41299
42678
41300
41302
41303
41305
41301
42279
42280
41304
41306
41307
41308
41310
41309
42282
42281
41311
41316
41312
41314
41315
41317
41313
41318
41319
41320
42133
42352
41321
41322
41323
41324
41325
42284
42679
41328
41326
41327
42134
41329
42135
UMC Charge Master
Description
-----------------------------------------------------------------------------------------METHADONE
TBSO
40 MG
METHADONE MDV
SOLN
10 MG/ML
METHADONE ORAL
SOLN
30 MG/15 ML
METHADONE PED 1 MG/0.5 ML
SOLN
1 MG/0.5 ML
METHADONE PED 2 MG/1 ML
SOLN
2 MG/1 ML
METHADONE PED 4 MG/2 ML
SOLN
4 MG/2 ML
METHIMAZOLE
TAB
10 MG
METHIMAZOLE
TAB
5 MG
METHOCARBAMOL
SOLN
100 MG/ML
METHOCARBAMOL
TAB
500 MG
METHOCARBAMOL
TAB
750 MG
METHOCARBAMOL MDV
SOLN
100 MG/ML
METHOHEXITAL
SOLR
500 MG
METHOTREXATE NA (PF)
SOLN
25 MG/ML
METHOTREXATE NA (PF)
SOLN
25 MG/ML
METHOTREXATE NA (PF)
SOLN
25 MG/ML
METHOTREXATE NA (PF)
SOLR
1 GRAM
METHOTREXATE SODIUM
SOLN
25 MG/ML
METHOTREXATE SODIUM
SOLN
25 MG/ML
METHOTREXATE SODIUM
TAB
2.5 MG
METHYL SALICYLATE-MENTHOL
OINT
METHYLDOPA
TAB
250 MG
METHYLENE BLUE (ANTIDOTE) 1 %
SOLN
1 %
METHYLERGONOVINE MALEATE
SOLN
0.2 MG/ML (1 ML)
METHYLERGONOVINE MALEATE
TAB
0.2 MG
METHYLNALTREXONE (NF)
SOLN
12 MG/0.6 ML
METHYLNALTREXONE (NF)
SYRG
12 MG/0.6 ML
METHYLPHENIDATE
TAB
10 MG
METHYLPHENIDATE
TAB
5 MG
METHYLPHENIDATE ER
TR24
18 MG
METHYLPHENIDATE ER
TR24
27 MG
METHYLPHENIDATE ER
TR24
36 MG
METHYLPHENIDATE ER
TR24
54 MG
METHYLPHENIDATE SR
TBER
20 MG
METHYLPREDNISOLONE
TAB
16 MG
METHYLPREDNISOLONE
TAB
4 MG
METHYLPREDNISOLONE ACETATE
SUSP
40 MG/ML
METHYLPREDNISOLONE NICU 1 MG/ML
SOLN
1 MG/ML
METHYLPREDNISOLONE PED 40 MG/ML
SOLN
40 MG/ML
METHYLPREDNISOLONE SOD SUC(PF)
SOLR
125 MG/2 ML
METHYLPREDNISOLONE SOD SUC(PF)
SOLR
40 MG/ML
METHYLPREDNISOLONE SOD SUC(PF)
SOLR
500 MG/4 ML
METHYLPREDNISOLONE SOD SUCC
SOLR
1,000 MG
METHYLPREDNISOLONE SOD SUCC
SOLR
2 GRAM
METHYLPREDNISOLONE SOD SUCC
SOLR
500 MG
METHYLPREDNISOLONE SOD SUCC MDV
SOLR
5,000 MG
METOCLOPRAMIDE
SOLN
5 MG/ML
METOCLOPRAMIDE
TAB
10 MG
METOCLOPRAMIDE ORAL
SOLN
5 MG/5 ML
METOCLOPRAMIDE PED 1 MG/ML
SOLN
1 MG/ML
METOLAZONE
TAB
2.5 MG
METOLAZONE PED
SUSP
1 MG/ML
University Medical Center So. NV.
Page 275
Dispense
------------1.00000
1.00000
15.00000
.50000
1.00000
2.00000
1.00000
1.00000
10.00000
1.00000
1.00000
50.00000
1.00000
10.00000
2.00000
40.00000
1.00000
2.00000
10.00000
1.00000
30.00000
1.00000
10.00000
1.00000
1.00000
.60000
.60000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
40.00000
1.00000
2.00000
1.00000
4.00000
1.00000
1.00000
1.00000
.20000
2.00000
1.00000
10.00000
10.00000
1.00000
2.50000
Price
---------12.24
128.21
45.92
4.71
6.64
10.87
16.05
13.15
411.21
7.71
9.33
1,284.22
442.47
92.57
80.42
226.63
393.03
6.08
197.65
1.97
32.80
8.10
88.25
90.17
96.81
537.70
537.74
28.84
23.36
91.18
99.25
101.51
108.03
57.50
61.04
42.60
63.71
50.10
50.10
107.77
51.58
590.20
200.90
366.68
161.96
200.90
23.48
5.32
16.00
23.26
19.52
19.72
02/12/14
Charge#
--------42136
41330
41331
41332
41335
41333
41334
41336
41340
42137
41338
41339
41337
41342
41341
42138
41343
41344
41345
41346
42680
41348
41347
41349
41350
41352
41353
41351
42384
42655
42656
42596
41354
41355
41356
41357
41358
41359
41360
42657
42658
42597
42598
42549
41361
41362
41363
41365
41364
42681
41366
41367
UMC Charge Master
Description
-----------------------------------------------------------------------------------------METOPROLOL PED
SUSP
10 MG/ML
METOPROLOL SUCC. XL
TB24
100 MG
METOPROLOL SUCC. XL
TB24
25 MG
METOPROLOL SUCC. XL
TB24
50 MG
METOPROLOL TARTRATE
SOLN
5 MG/5 ML
METOPROLOL TARTRATE
TAB
100 MG
METOPROLOL TARTRATE
TAB
25 MG
METOPROLOL TARTRATE
TAB
50 MG
METRONIDAZOLE
TAB
250 MG
METRONIDAZOLE
TAB
500 MG
METRONIDAZOLE 0.75% GEL
GEL
0.75 %
METRONIDAZOLE 0.75% LOTN
LOTN
0.75 %
METRONIDAZOLE 0.75% VAGINAL GEL
GEL
0.75 %
METRONIDAZOLE IN NACL (ISO-OS)
PGBK
500 MG/100 ML
METRONIDAZOLE PED
SUSP
50 MG/ML
METRONIDAZOLE PED 5 MG/ML
SOLN
5 MG/ML
MEXILETINE
CAP
150 MG
MEXILETINE
CAP
200 MG
MICAFUNGIN
SOLR
100 MG
MICAFUNGIN
SOLR
50 MG
MICAFUNGIN MDV
SOLR
500 MG
MICONAZOLE NITRATE
SUPP
200 MG
MICONAZOLE NITRATE 2%
CREA
2 %
MIDAZOLAM
SOLN
1 MG/ML
MIDAZOLAM
SOLN
1 MG/ML
MIDAZOLAM
SOLN
5 MG/ML
MIDAZOLAM
SOLN
5 MG/ML
MIDAZOLAM 2 MG/ML
SYRP
10 MG/5 ML (2 MG/ML)
MIDAZOLAM 50 MG/60 ML NS (PMX)
SOLN
50 MG/60 ML
MIDAZOLAM NICU 1.5 MG/3 ML 1/2NS (PMX)
SYRG
0.5 MG/ML
MIDAZOLAM NICU 12.5 MG/25 ML 1/2NS (PMX)
SYRG
0.5 MG/ML
MIDAZOLAM PED 50 MG/50 ML NS (PMX)
SYRG
1 MG/ML
MIDODRINE
TAB
10 MG
MIDODRINE
TAB
2.5 MG
MILNACIPRAN
TAB
12.5 MG
MILNACIPRAN
TAB
25 MG
MILNACIPRAN
TAB
50 MG
MILRINONE
SOLN
1 MG/ML
MILRINONE IN D5W (PMX)
SOLN
20 MG/100 ML (200 MCG/ML)
MILRINONE NICU 0.6 MG/3 ML 1/2NS (PMX)
SYRG
0.2 MG/ML
MILRINONE NICU 5 MG/25 ML 1/2NS (PMX)
SYRG
0.2 MG/ML
MILRINONE PED 10 MG/50 ML NS (PMX)
SYRG
0.2 MG/ML
MILRINONE PED 20 MG/50 ML NS (PMX)
SYRG
0.4 MG/ML
MINERAL OIL
ENEM
MINERAL OIL
OIL
MINERAL OIL STERILE
OIL
MINOCYCLINE
CAP
100 MG
MINOCYCLINE
CAP
50 MG
MINOCYCLINE
SOLR
100 MG
MINOCYCLINE MDV
SOLR
500 MG
MINOXIDIL
TAB
10 MG
MINOXIDIL
TAB
2.5 MG
University Medical Center So. NV.
Page 276
Dispense
------------10.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
45.00000
59.00000
70.00000
100.00000
10.00000
100.00000
1.00000
1.00000
1.00000
1.00000
.20000
1.00000
118.00000
5.00000
2.00000
10.00000
1.00000
5.00000
60.00000
3.00000
25.00000
50.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
100.00000
3.00000
25.00000
50.00000
50.00000
133.00000
30.00000
10.00000
1.00000
1.00000
1.00000
.20000
1.00000
1.00000
Price
---------5.10
36.01
27.88
28.58
23.70
4.92
4.44
3.70
15.75
25.06
923.40
1,000.00
257.56
33.60
22.38
39.98
11.81
15.38
609.35
376.21
609.35
181.40
113.50
21.94
15.88
74.48
27.00
71.78
99.18
.74
3.58
13.34
77.94
14.22
62.26
62.26
62.26
111.88
171.06
17.03
69.75
111.88
186.88
36.90
8.27
127.13
10.24
7.22
536.60
2,577.22
20.79
18.35
02/12/14
Charge#
--------41368
41369
41370
41371
42285
41372
41373
41374
41375
41376
41377
41378
41379
40130
40458
41382
41383
41380
41395
41389
41390
41394
42286
41398
41388
42287
41392
42427
42401
42425
42426
41384
41385
41386
42139
41387
41391
41393
41396
41399
42653
42654
42599
42601
41400
41401
40191
41402
41403
41404
41406
41407
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MIRTAZAPINE
TAB
15 MG
MISOPROSTOL
TAB
100 MCG
MISOPROSTOL
TAB
200 MCG
MITOMYCIN
SOLR
20 MG
MITOMYCIN
SOLR
40 MG
MITOMYCIN
SOLR
5 MG
MITOXANTRONE
CONC
2 MG/ML
MITOXANTRONE
CONC
2 MG/ML
MITOXANTRONE
CONC
2 MG/ML
MODAFINIL
TAB
100 MG
MOMETASONE 0.1% CREAM
CREA
0.1 %
MOMETASONE 0.1% OINT
OINT
0.1 %
MOMETASONE 50MCG/SPRY
SPRY
50 MCG/ACTUATION
MONOCLATE-P (HUMAN FCTR 8) 1 UNIT
SOLR
1 UNIT
MONONINE
KIT
1 UNIT
MONTELUKAST
CHEW
4 MG
MONTELUKAST
CHEW
5 MG
MONTELUKAST
TAB
10 MG
MORPHINE
PCAS
150 MG/30 ML
MORPHINE
SOLN
10 MG/5 ML
MORPHINE
SOLN
10 MG/ML
MORPHINE
SOLN
15 MG/ML
MORPHINE
SOLN
15 MG/ML
MORPHINE
SOLN
5 MG/ML
MORPHINE
SOLN
50 MG/ML
MORPHINE
SOLN
50 MG/ML
MORPHINE
TAB
15 MG
MORPHINE (PF)
CRTG
10 MG/ML
MORPHINE (PF)
CRTG
2 MG/ML
MORPHINE (PF)
CRTG
4 MG/ML
MORPHINE (PF)
CRTG
8 MG/ML
MORPHINE (PF)
SOLN
0.5 MG/ML
MORPHINE (PF)
SOLN
1 MG/ML
MORPHINE (PF)
SOLN
1 MG/ML
MORPHINE (PF) 1 MG/ML
SYRG
1 MG/ML
MORPHINE (PF) PED 1 MG/ML
PCAS
30 MG/30 ML
MORPHINE ER
TBER
100 MG
MORPHINE ER
TBER
15 MG
MORPHINE ER
TBER
30 MG
MORPHINE ER
TBER
60 MG
MORPHINE NICU 0.3 MG/3 ML 1/2NS (PMX)
SYRG
0.1 MG/ML
MORPHINE NICU 2.5 MG/25 ML 1/2NS (PMX)
SYRG
0.1 MG/ML
MORPHINE PED 2.5 MG/25 ML NS (PMX)
SYRG
0.1 MG/ML
MORPHINE PED 40 MG/40 ML NS (PMX)
SYRG
1 MG/ML
MOXIFLOXACIN
TAB
400 MG
MOXIFLOXACIN HCL 0.5 % OPHT
DROP
0.5 %
MOXIFLOXACIN IN SALINE
PGBK
400 MG/250 ML
MULTIVITAMIN
LIQD
MULTIVITAMIN, STRESS FORMULA
TAB
MULTIVITAMIN-MIN
TAB
MULTIVITS-MIN-FA-COENZYME Q10
CAP
100-10 MCG-MG
MULTIVITS-MINS-COENZYME Q10
DROP
400 MCG/ML
University Medical Center So. NV.
Page 277
Dispense
------------1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
15.00000
1.00000
15.00000
15.00000
17.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
5.00000
1.00000
1.00000
20.00000
1.00000
2.00000
20.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
10.00000
2.00000
2.00000
30.00000
1.00000
1.00000
1.00000
1.00000
3.00000
25.00000
25.00000
40.00000
1.00000
3.00000
250.00000
5.00000
1.00000
1.00000
1.00000
60.00000
Price
---------7.92
52.17
27.92
261.25
522.61
96.11
287.84
25.57
396.80
168.49
101.75
191.52
906.75
1.57
2.26
18.20
18.20
19.24
176.95
23.99
31.85
32.47
131.18
31.42
29.77
169.90
13.52
47.68
47.68
47.68
44.38
101.08
108.77
149.94
47.46
113.09
46.31
13.91
17.20
27.03
40.64
177.88
31.40
79.88
62.60
715.60
157.33
5.62
5.44
3.70
19.58
233.61
02/12/14
Charge#
--------41408
41410
41411
42289
41413
41412
41414
42682
41415
41416
41418
41419
41420
41421
42683
42140
41422
41424
41423
42602
42603
42604
41425
41426
41427
41428
41429
42709
41430
41431
41432
41433
41434
42293
41435
41436
41437
41438
41441
41440
41439
41443
41444
41445
41446
41448
41447
41449
41451
41450
41453
41452
UMC Charge Master
Description
-----------------------------------------------------------------------------------------MUPIROCIN 2 %
OINT
2 %
MVI, ADULT NO.1 WITH VIT K
SOLN
3,300 UNIT-200 UNIT-150 MCG/10
MVI, PEDI NO.1 WITH VIT K
SOLN
80 MG-400 UNIT- 200 MCG/5 ML
MVI, PEDI NO.1 WITH VIT K
SOLN
80 MG-400 UNIT- 200 MCG/5 ML
MYCOPHENOLATE MOFETIL
CAP
250 MG
MYCOPHENOLATE MOFETIL
SUSR
200 MG/ML
MYCOPHENOLATE MOFETIL HCL
SOLR
500 MG
MYCOPHENOLATE MOFETIL HCL MDV
SOLR
1000 MG
MYCOPHENOLATE SODIUM
TBEC
180 MG
MYCOPHENOLATE SODIUM
TBEC
360 MG
NABUMETONE
TAB
500 MG
NABUMETONE
TAB
750 MG
NAFCILLIN
SOLR
1 GRAM
NAFCILLIN
SOLR
2 GRAM
NAFCILLIN MDV
SOLR
10 GRAM
NAFCILLIN PED 40 MG/ML
SOLN
40 MG/ML
NALBUPHINE
SOLN
10 MG/ML
NALOXONE
SYRG
1 MG/ML
NALOXONE MDV
SOLN
0.4 MG/ML
NALOXONE PED 10 MG/100 ML NS (PMX)
BAG
0.1 MG/ML
NALOXONE PED 20 MG/100 ML NS (PMX)
BAG
0.2 MG/ML
NALOXONE PED 40 MG/100 ML (PMX)
BAG
0.4 MG/ML
NAPHAZOLINE 0.1 % OPHT
DROP
0.1 %
NAPROXEN
SUSP
125 MG/5 ML
NAPROXEN
TAB
250 MG
NAPROXEN
TAB
375 MG
NATALIZUMAB
SOLN
300 MG/15 ML
NATAMYCIN (NF)
DRPS
5 %
NELARABINE
SOLN
250 MG/50 ML
NELFINAVIR
TAB
250 MG
NELFINAVIR
TAB
625 MG
NEOMYCIN
TAB
500 MG
NEOMYCIN-BACITRACIN-POLY-HC OPHT
OINT
3.5-400-10,000 MG-UNIT/G-1%
NEOMYCIN-POLYMYX-B GU
SOLN
40-200,000 MG-UNIT/ML
NEOMYCIN-POLYMYX-B GU 40-200K MG-UNIT/ML
SOLN
40-200,000 MG-UNIT/ML
NEOMYCIN-POLYMYXIN-DEXAMETH OPHT
DRPS
3.5-10,000-0.1 MG/ML-UNIT/ML-%
NEOMYCIN-POLYMYXIN-DEXAMETH OPHT
OINT
3.5-10,000-0.1 MG-UNIT/G-%
NEOMYCIN-POLYMYXIN-GRAMICIDIN OPHT
DROP
1.75-10K-0.025 MG-UNIT-MG/ML
NEOMYCIN-POLYMYXIN-HC OPHT
DRPS
3.5-10,000-10 MG-UNIT-MG/ML
NEOMYCIN-POLYMYXIN-HC OTIC
SOLN
3.5-10,000-1 MG-UNIT/ML-%
NEOMYCIN-POLYMYXIN-HC OTIC
SUSP
3.5-10,000-1 MG-UNIT/ML-%
NEOSTIGMINE METHYLSULFATE
SOLN
0.5 MG/ML
NEOSTIGMINE METHYLSULFATE
SOLN
1 MG/ML
NESIRITIDE
SOLR
1.5 MG
NEVIRAPINE
TAB
200 MG
NIACIN
TAB
100 MG
NIACIN ER
TB24
1,000 MG
NIACIN ER
TB24
500 MG
NIACIN ER
TB24
750 MG
NIACIN SR (NF)
TBER
750 MG
NICARDIPINE
SOLN
25 MG/10 ML
NICARDIPINE (NF)
CAP
20 MG
University Medical Center So. NV.
Page 278
Dispense
------------22.00000
10.00000
5.00000
1.00000
1.00000
160.00000
1.00000
.50000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
.10000
25.00000
1.00000
2.00000
1.00000
100.00000
100.00000
100.00000
15.00000
5.00000
1.00000
1.00000
15.00000
15.00000
50.00000
1.00000
1.00000
1.00000
3.50000
20.00000
1.00000
5.00000
3.50000
10.00000
7.50000
10.00000
10.00000
10.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
Price
---------104.18
121.19
174.09
113.36
16.13
3,905.36
622.46
622.48
84.67
141.85
9.63
10.05
153.19
208.51
705.50
150.48
32.50
194.55
94.49
860.25
1,421.13
2,252.27
67.33
15.33
3.70
5.60
12,138.50
1,417.65
1,744.41
65.51
122.53
24.70
472.46
620.00
115.25
213.15
185.79
419.53
700.25
226.32
226.25
70.56
41.52
3,525.94
8.96
3.70
112.73
75.69
96.24
4.71
180.38
20.67
02/12/14
Charge#
--------41454
42382
42702
41455
42690
41456
41457
41458
41459
41460
41461
41462
41463
41464
41467
41466
41468
41469
41473
41470
41471
41472
41474
42294
41475
41476
41477
41479
41480
41481
42605
41478
41482
42383
42691
42692
42607
42606
42101
42102
42103
41483
42694
42693
42608
42610
42609
41484
42548
42488
41485
41486
UMC Charge Master
Description
-----------------------------------------------------------------------------------------NICARDIPINE (NF)
CAP
30 MG
NICARDIPINE 25 MG/250 ML NS (PMX)
SOLN
25 MG/250 ML
NICARDIPINE IN NACL (PMX)
SOLN
20 MG/200 ML
NICARDIPINE IN NS (PED) (PMX)
PGBK
40 MG/200 ML
NICARDIPINE NICU 2.5 MG/25 ML 1/2NS (PMX)
SYRG
0.1 MG/ML
NICOTINE 14 MG/24 HR
PT24
14 MG/24 HR
NICOTINE 21 MG/24 HR
PT24
21 MG/24 HR
NICOTINE 7 MG/24 HR
PT24
7 MG/24 HR
NIFEDIPINE (NF)
CAP
10 MG
NIFEDIPINE XL
TR24
30 MG
NIFEDIPINE XL
TR24
60 MG
NIFEDIPINE XL
TR24
90 MG
NIMODIPINE
CAP
30 MG
NITAZOXANIDE (NF)
TAB
500 MG
NITROFURANTOIN
SUSP
25 MG/5 ML
NITROFURANTOIN (MACROCRYST25%)
CAP
100 MG
NITROFURANTOIN MACROCRYSTAL
CAP
100 MG
NITROFURANTOIN MACROCRYSTAL
CAP
50 MG
NITROGLYCERIN
SUBL
0.4 MG
NITROGLYCERIN 0.1 MG/HR
PT24
0.1 MG/HR
NITROGLYCERIN 0.2 MG/HR
PT24
0.2 MG/HR
NITROGLYCERIN 0.3 MG/HR
PT24
0.3 MG/HR
NITROGLYCERIN 0.4 MG/DOSE
SPRY
0.4 MG/DOSE
NITROGLYCERIN 0.4 MG/DOSE
SPRY
0.4 MG/DOSE
NITROGLYCERIN 0.4 MG/HR
PT24
0.4 MG/HR
NITROGLYCERIN 0.6 MG/HR
PT24
0.6 MG/HR
NITROGLYCERIN 2 %
OINT
2 %
NITROGLYCERIN ER
CPER
6.5 MG
NITROGLYCERIN IN D5W
SOLN
25 MG/250 ML (100 MCG/ML)
NITROGLYCERIN IN D5W (PMX)
SOLN
50 MG/250 ML (200 MCG/ML)
NITROGLYCERIN PED 100 MG/250 ML D5W (PMX)
BAG
0.4 MG/ML
NITROGLYCERIN SDV
SOLN
50 MG/10 ML (5 MG/ML)
NITROPRUSSIDE
SOLN
25 MG/ML
NITROPRUSSIDE 50 MG/250 ML D5W (PMX)
SOLN
50 MG/250 ML
NITROPRUSSIDE NICU 0.6 MG/3 ML D5W (PMX)
SYRG
0.2 MG/ML
NITROPRUSSIDE NICU 5 MG/25 ML D5W (PMX)
SYRG
0.2 MG/ML
NITROPRUSSIDE PED 100 MG/250 ML D5W (PMX)
BAG
0.4 MG/ML
NITROPRUSSIDE PED 50 MG/250 ML D5W (PMX)
BAG
0.2 MG/ML
NON FORMULARY MED
EA
1 EA
NON FORMULARY MED
GM
1 GM
NON FORMULARY MED
ML
1 ML
NOREPINEPHRINE BITARTRATE
SOLN
1 MG/ML
NOREPINEPHRINE NICU 400 MCG/25 ML D5W (PMX)
SYRG
16 MCG/ML
NOREPINEPHRINE NICU 48 MCG/3 ML D5W (PMX)
SYRG
16 MCG/ML
NOREPINEPHRINE PED 1 MG/50 ML NS (PMX)
SYRG
0.02 MG/ML
NOREPINEPHRINE PED 12 MG/50 ML NS (PMX)
SYRG
0.24 MG/ML
NOREPINEPHRINE PED 6 MG/50 ML NS (PMX)
SYRG
0.12 MG/ML
NOREPINEPHRINE-D5W (PMX)
SOLN
8 MG/250 ML (32 MCG/ML)
NORETHINDRONE (NF)
TAB
0.35 MG
NORGESTR-E ESTRADIOL 0.3-30MG-MCG (NF)
TAB
0.3-30 MG-MCG
NORTRIPTYLINE
CAP
10 MG
NORTRIPTYLINE
CAP
25 MG
University Medical Center So. NV.
Page 279
Dispense
------------1.00000
250.00000
200.00000
200.00000
25.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
25.00000
1.00000
1.00000
1.00000
12.00000
4.90000
1.00000
1.00000
1.00000
1.00000
10.00000
250.00000
250.00000
10.00000
2.00000
250.00000
3.00000
25.00000
250.00000
250.00000
1.00000
1.00000
1.00000
4.00000
25.00000
3.00000
50.00000
50.00000
50.00000
250.00000
1.00000
1.00000
1.00000
1.00000
Price
---------25.45
219.12
666.40
1,081.58
36.24
48.18
62.04
50.95
29.30
28.15
40.43
54.22
125.42
273.93
147.13
49.76
40.46
37.81
160.75
23.90
22.72
82.23
1,542.24
1,175.30
18.06
27.16
45.80
15.59
7.58
75.16
161.15
94.33
437.12
405.58
22.38
87.98
647.20
405.58
3.70
3.70
3.70
48.34
9.33
3.70
38.00
205.55
128.21
170.60
17.84
28.48
7.32
10.74
02/12/14
Charge#
--------40455
40456
42220
42295
41489
41490
41491
41492
41493
41494
41497
41498
41496
41499
41500
42296
41495
42696
42695
41501
41502
41503
41504
41506
41507
41509
41510
41505
42297
41508
41511
41512
41513
41514
41518
41516
42298
41517
41519
42141
41515
41520
42435
42164
41824
42545
41522
41523
41524
41525
41527
41526
UMC Charge Master
Description
-----------------------------------------------------------------------------------------NOVOSEVEN RT
SOLR
1,000 MCG
NOVOSEVEN RT
SOLR
5,000 MCG
NUTRISOURCE FIBER
PACK
NYSTATIN 100,000 UNIT/G
OINT
100,000 UNIT/GRAM
NYSTATIN 100,000 UNIT/G CREAM
CREA
100,000 UNIT/GRAM
NYSTATIN 100,000 UNIT/G OINT
OINT
100,000 UNIT/GRAM
NYSTATIN 100,000 UNIT/G PWDR
POWD
100,000 UNIT/GRAM
NYSTATIN 5 ML
SUSP
100,000 UNIT/ML
NYSTATIN 60 ML
SUSP
100,000 UNIT/ML
NYSTATIN-TRIAMCINOLONE 100K UNIT/GM-0.1 %
OINT
100,000-0.1 UNIT/GRAM-%
OCTREOTIDE ACETATE
KIT
20 MG
OCTREOTIDE ACETATE
KIT
30 MG
OCTREOTIDE ACETATE
SOLN
100 MCG/ML
OCTREOTIDE ACETATE
SOLN
50 MCG/ML
OCTREOTIDE ACETATE
SOLN
500 MCG/ML
OCTREOTIDE ACETATE
SYRG
500 MCG/ML
OCTREOTIDE ACETATE MDV
SOLN
1,000 MCG/ML
OCTREOTIDE NICU 250 MCG/25 ML 1/2NS (PMX)
SYRG
10 MCG/ML
OCTREOTIDE NICU 30 MCG/3 ML 1/2NS (PMX)
SYRG
10 MCG/ML
OFATUMUMAB
SOLN
1,000 MG/50 ML
OFATUMUMAB
SOLN
100 MG/5 ML
OFLOXACIN 0.3 % OTIC
DROP
0.3 %
OLANZAPINE
SOLR
10 MG
OLANZAPINE
TAB
10 MG
OLANZAPINE
TAB
2.5 MG
OLANZAPINE
TAB
5 MG
OLANZAPINE
TAB
7.5 MG
OLANZAPINE ZYDIS
TBDL
10 MG
OLANZAPINE ZYDIS
TBDL
15 MG
OLANZAPINE ZYDIS
TBDL
5 MG
OLMESARTAN (NF)
TAB
20 MG
OLOPATADINE 0.1 % OPHT
DROP
0.1 %
OMALIZUMAB
SOLR
150 MG
OMEGA-3 ACID ETHYL ESTERS
CAP
1 GRAM
ONDANSETRON HCL
TAB
4 MG
ONDANSETRON HCL (PF)
SOLN
4 MG/2 ML
ONDANSETRON HCL (PF)
SYRG
4 MG/2 ML
ONDANSETRON HCL MDV
SOLN
2 MG/ML
ONDANSETRON HCL ORAL
SOLN
4 MG/5 ML
ONDANSETRON HCL PED 1 MG/ML
SOLN
1 MG/ML
ONDANSETRON ODT
TBDL
4 MG
OPIUM 10 %
TINC
10 MG/ML
OPRELVEKIN
SOLR
5 MG
OPTICHAMBER DIAMOND
DEVI
ORAL VEHICLE
LIQD
ORPHENADRINE CIT (NF)
TBER
100 MG
ORPHENADRINE CITRATE
SOLN
30 MG/ML
OSELTAMIVIR
SUSR
6 MG/ML
OSELTAMIVIR PHOSPHATE
CAP
75 MG
OXACILLIN
SOLR
1 GRAM
OXACILLIN
SOLR
2 GRAM
OXACILLIN MDV
SOLR
10 GRAM
University Medical Center So. NV.
Page 280
Dispense
------------1.00000
1.00000
1.00000
30.00000
15.00000
15.00000
15.00000
5.00000
60.00000
15.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
25.00000
3.00000
50.00000
5.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
2.00000
2.00000
1.00000
5.00000
1.00000
1.00000
.60000
1.00000
1.00000
5.00000
1.00000
2.00000
60.00000
1.00000
1.00000
1.00000
.10000
Price
---------4,020.00
20,100.00
21.41
252.75
139.82
137.66
212.37
33.93
188.35
687.50
7,278.12
10,898.47
71.10
57.61
202.38
235.70
305.54
19.94
3.69
12,619.25
1,261.92
204.31
291.27
20.21
8.59
15.81
205.41
57.16
82.10
51.67
72.45
904.15
2,054.58
46.25
16.58
18.17
35.14
17.51
51.53
7.02
57.76
69.90
770.47
46.86
6.61
31.08
76.45
793.20
175.75
156.10
229.50
149.75
02/12/14
Charge#
--------42104
41528
41529
42361
42360
41530
41531
41534
41532
41533
41535
41537
41536
41543
41539
41542
41538
41540
41541
41544
41546
41547
41548
41549
41638
41550
41551
41552
41553
41554
41555
41556
42303
41557
41558
41559
41560
40146
41561
41562
41563
42355
42356
41564
41565
41566
41567
41568
41569
41405
41571
41570
UMC Charge Master
Description
-----------------------------------------------------------------------------------------OXACILLIN PED 40 MG/ML
SOLN
40 MG/ML
OXALIPLATIN
SOLN
100 MG/20 ML
OXALIPLATIN
SOLN
50 MG/10 ML (5 MG/ML)
OXALIPLATIN
SOLR
100 MG
OXALIPLATIN
SOLR
50 MG
OXANDROLONE
TAB
10 MG
OXANDROLONE
TAB
2.5 MG
OXCARBAZEPINE
SUSP
300 MG/5 ML
OXCARBAZEPINE
TAB
150 MG
OXCARBAZEPINE
TAB
300 MG
OXCARBAZEPINE
TAB
600 MG
OXYBUTYNIN CHLORIDE
SYRP
5 MG/5 ML
OXYBUTYNIN CHLORIDE
TAB
5 MG
OXYCODONE
SOLN
5 MG/5 ML
OXYCODONE
TAB
15 MG
OXYCODONE
TAB
5 MG
OXYCODONE 12HR (NF)
TB12
10 MG
OXYCODONE 12HR (NF)
TB12
20 MG
OXYCODONE 12HR (NF)
TB12
40 MG
OXYCODONE-ACETAMIN 5-325 MG
TAB
5-325 MG
OXYCODONE-ACETAMIN 5-325MG/5ML
SOLN
5-325 MG/5 ML
OXYCODONE-ASPIRIN 4.8-325 MG
TAB
4.8-325 MG
OXYMETAZOLINE 0.05 %
SPRA
0.05 %
OXYTOCIN
SOLN
10 UNIT/ML
OXYTOCIN IN NORMAL SALINE
SOLN
30 UNIT/500 ML
PACLITAXEL
CONC
6 MG/ML
PACLITAXEL-PROTEIN BOUND
SOLR
100 MG
PALIVIZUMAB
SOLN
100 MG/ML
PALIVIZUMAB
SOLN
50 MG/0.5 ML
PALONOSETRON
SOLN
250 MCG/5 ML
PAMIDRONATE
SOLN
30 MG/10 ML (3 MG/ML)
PAMIDRONATE
SOLN
60 MG/10 ML (6 MG/ML)
PAMIDRONATE
SOLN
90 MG/10 ML (9 MG/ML)
PAMIDRONATE
SOLR
90 MG
PANITUMUMAB
SOLN
100 MG/5 ML (20 MG/ML)
PANITUMUMAB
SOLN
400 MG/20 ML (20 MG/ML)
PANTOPRAZOLE (NF)
SOLR
40 MG
PANTOTHENIC AC-MIN OIL-PET,HYD
OINT
41 %
PAPAVERINE
SOLN
30 MG/ML
PAPAVERINE (300 MG/10 ML) MDV
SOLN
30 MG/ML
PARAB-CETY+STEA ALC-PRO GL-SLS
CLSR
PARENTERAL NUTRITION ADULT/PEDS
SOLN
PARENTERAL NUTRITION NICU
SOLN
PAROMOMYCIN
CAP
250 MG
PAROXETINE HCL
TAB
10 MG
PAROXETINE HCL
TAB
20 MG
PAROXETINE HCL
TAB
30 MG
PED MULTIVITAMIN-FL-IRON
DROP
0.25-10 MG/ML
PEDIATRIC MULTIVITAMINS
DROP
PEDIATRIC MULTIVITAMINS-FL
DROP
0.25 MG/ML
PEDIATRIC MULTIVITAMINS-IRON
CHEW
PEDIATRIC MULTIVITAMINS-IRON
DROP
University Medical Center So. NV.
Page 281
Dispense
------------6.25000
20.00000
10.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
5.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
1.00000
15.00000
1.00000
500.00000
5.00000
1.00000
1.00000
.50000
5.00000
10.00000
10.00000
10.00000
1.00000
5.00000
20.00000
1.00000
50.00000
2.00000
1.00000
237.00000
3,000.00000
500.00000
1.00000
1.00000
1.00000
1.00000
50.00000
50.00000
50.00000
1.00000
50.00000
Price
---------58.01
367.35
3,319.20
320.10
160.05
160.03
59.59
68.39
10.81
16.16
26.89
5.97
4.83
74.16
7.48
7.00
57.05
83.98
110.86
5.93
36.80
19.99
26.78
25.46
135.50
82.23
2,617.31
6,788.87
3,595.24
384.89
32.86
43.48
164.86
156.61
2,447.39
9,789.56
73.13
85.01
61.25
27.00
114.71
985.80
609.50
65.82
5.63
10.27
13.18
120.25
82.31
154.67
3.70
84.61
02/12/14
Charge#
--------41572
41573
41574
41575
41576
41577
41578
41580
41581
41582
41579
41585
41586
41583
42268
42370
41584
41588
41587
41589
41590
42611
41591
41592
41593
42661
41594
41595
42305
41596
41597
41598
42404
41465
41599
41600
41601
41603
41604
41605
41606
42145
40395
41607
42146
42155
42376
41614
42306
41608
41609
41610
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PEGASPARGASE
SOLN
750 UNIT/ML
PEG-ELECTROLYTE SOLN
SOLR
420 GRAM
PEGFILGRASTIM (NF)
SYRG
6 MG/0.6ML
PEGINTERFERON ALFA-2A
SOLN
180 MCG/ML
PEMETREXED
SOLR
100 MG
PEMETREXED
SOLR
500 MG
PENICILLAMINE
CAP
250 MG
PENICILLIN G BENZATHINE
SYRG
1,200,000 UNIT/2 ML
PENICILLIN G BENZATHINE
SYRG
2,400,000 UNIT/4 ML
PENICILLIN G BENZATHINE
SYRG
600,000 UNIT/ML
PENICILLIN G BENZATHINE + PROC
SYRG
1,200,000 UNIT/ 2ML(600K/600K)
PENICILLIN G PROCAINE
SYRG
1.2 MILLION UNIT/2 ML
PENICILLIN G PROCAINE
SYRG
600,000 UNIT/ML
PENICILLIN GK
SOLR
20 MILLION UNIT
PENICILLIN GK
SOLR
5 MILLION UNIT
PENICILLIN GK 2.5 MU/50 ML NS
PGBK
2.5 MU/50 ML
PENICILLIN GK PED 50,000 UNIT/ML
SOLN
50,000 UNIT/ML
PENICILLIN VK
TAB
250 MG
PENICILLIN VK ORAL
SOLR
125 MG/5 ML
PENICILLIN VK ORAL
SOLR
250 MG/5 ML
PENTAMIDINE
SOLR
300 MG
PENTOBARBITAL PED 2.5 GM/50 ML (PMX)
SYRG
0.05 GM/ML
PENTOBARBITAL SODIUM
SOLN
50 MG/ML
PENTOBARBITAL SODIUM MDV
SOLN
50 MG/ML
PENTOSAN POLYSULFATE SODIUM
CAP
100 MG
PENTOSTATIN
SOLR
10 MG
PENTOXIFYLLINE
TBER
400 MG
PERFLUTREN LIPID MICROSPHERES
SUSP
1.1 MG/ML
PERFLUTREN PROTEIN-A MICROSPHR
SUSP
0.22 MG/ML
PERMETHRIN 1 %
LIQD
1 %
PERMETHRIN 5 %
CREA
5 %
PERPHENAZINE
TAB
2 MG
PERTUZUMAB
SOLN
420 MG/14 ML (30 MG/ML)
PH TEST 15 FEET
TEST
15 FEET
PHENAZOPYRIDINE
TAB
100 MG
PHENOBARB-BELLADONNA ALKALOIDS
TAB
16.2-0.1037 -0.0194 MG
PHENOBARBITAL
ELIX
20 MG/5 ML
PHENOBARBITAL
TAB
32.4 MG
PHENOBARBITAL
TAB
97.2 MG
PHENOBARBITAL SODIUM
SOLN
130 MG/ML
PHENOBARBITAL SODIUM
SOLN
65 MG/ML
PHENOBARBITAL SODIUM PED 10 MG/ML
SOLN
10 MG/ML
PHENOL 1.4 %
SPRA
1.4 %
PHENOXYBENZAMINE
CAP
10 MG
PHENTOLAMINE
SOLN
5 MG/ML (1 ML)
PHENTOLAMINE
SOLR
5 MG
PHENYLEPHRINE 50 MG/100 ML NS (PMX)
SOLN
50 MG/100 ML
PHENYLEPHRINE HCL
SOLN
10 MG/ML
PHENYLEPHRINE HCL
SOLN
10 MG/ML
PHENYLEPHRINE HCL 0.125% DROPS
DROP
0.125 %
PHENYLEPHRINE HCL 0.25% NASL
SPRY
0.25 %
PHENYLEPHRINE HCL 0.25% SUPP
SUPP
0.25 %
University Medical Center So. NV.
Page 282
Dispense
------------5.00000
4,000.00000
.60000
1.00000
1.00000
1.00000
1.00000
2.00000
4.00000
1.00000
2.00000
2.00000
1.00000
1.00000
1.00000
50.00000
10.00000
1.00000
100.00000
100.00000
1.00000
50.00000
20.00000
50.00000
1.00000
1.00000
1.00000
2.00000
3.00000
59.00000
60.00000
1.00000
14.00000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
13.00000
20.00000
1.00000
1.00000
1.00000
100.00000
5.00000
10.00000
15.00000
15.00000
1.00000
Price
---------15,903.25
180.91
9,511.12
3,004.71
1,609.46
8,047.33
185.44
545.11
865.23
363.03
466.97
308.53
221.24
223.38
70.34
48.34
15.49
7.82
72.05
62.73
631.00
4,819.20
3,080.19
4,819.20
103.41
4,092.00
21.77
171.88
401.50
98.24
597.60
32.66
11,208.07
385.66
8.52
77.56
25.70
7.87
14.62
286.86
157.05
286.85
53.18
149.00
763.75
689.75
118.76
118.82
157.10
80.02
79.61
6.57
02/12/14
Charge#
--------41611
41612
41615
41616
42308
42684
42716
42717
42715
41613
41618
42535
41619
41620
41621
41622
41617
41623
41624
42307
41626
41625
41627
42346
41630
41628
41629
41631
41632
41633
41634
41635
41636
41637
40700
40701
40702
40703
41639
41640
41641
41642
41643
41644
41645
42574
41647
41648
41649
41650
41651
42309
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PHENYLEPHRINE HCL 0.5% NASL
SPRY
0.5 %
PHENYLEPHRINE HCL 1% NASL
SPRY
1 %
PHENYLEPHRINE HCL 2.5 % OPHT
DROP
2.5 %
PHENYLEPHRINE HCL 2.5 % OPHT
DROP
2.5 %
PHENYLEPHRINE HCL 2.5 % OPHT
DROP
2.5 %
PHENYLEPHRINE HCL MDV
SOLN
10 MG/ML
PHENYLEPHRINE PED 16 MG/100 ML NS (PMX)
BAG
0.16 MG/ML
PHENYLEPHRINE PED 32 MG/100 ML NS (PMX)
BAG
0.32 MG/ML
PHENYLEPHRINE PED 5 MG/100 ML NS (PMX)
BAG
0.05 MG/ML
PHENYLEPHRINE SDV
SOLN
10 MG/ML
PHENYTOIN
CHEW
50 MG
PHENYTOIN (BULK BOTTLE)
SUSP
100 MG/4ML
PHENYTOIN SODIUM
SOLN
50 MG/ML
PHENYTOIN SODIUM
SOLN
50 MG/ML
PHENYTOIN SODIUM EXTENDED
CAP
100 MG
PHENYTOIN SODIUM EXTENDED
CAP
30 MG
PHENYTOIN UD
SUSP
100 MG/4ML
PHOSPHORATED CARBOHYDRATE
SOLN
PHYSOSTIGMINE SALICYLATE
SOLN
1 MG/ML
PHYTONADIONE
SOLN
1 MG/0.5 ML
PHYTONADIONE
SOLN
10 MG/ML
PHYTONADIONE
SYRG
1 MG/0.5 ML
PHYTONADIONE
TAB
5 MG
PHYTONADIONE PED
SUSP
1MG/ML
PILOCARPINE HCL
TAB
5 MG
PILOCARPINE HCL 1 % OPHT
DROP
1 %
PILOCARPINE HCL 2 % OPHT
DROP
2 %
PINDOLOL (NF)
TAB
10 MG
PIOGLITAZONE
TAB
15 MG
PIPERACILLIN-TAZOBACTAM
SOLR
2.25 GRAM
PIPERACILLIN-TAZOBACTAM
SOLR
3.375 GRAM
PIPERACILLIN-TAZOBACTAM
SOLR
4.5 GRAM
PIPERACILLIN-TAZOBACTAM MDV
SOLR
40.5 GRAM
PIROXICAM
CAP
10 MG
PLASMALYTE-148
SOLP
PLASMALYTE-148
SOLP
PLASMALYTE-7.4
SOLP
PLASMALYTE-7.4
SOLP
PNEUMOC 13-VAL CONJ-DIP CR(PF)
SYRG
0.5 ML
PNEUMOCOCCAL 23-VALPS VACCINE
INJ
25 MCG/0.5 ML
PODOFILOX 0.5 %
SOLN
0.5 %
POLIOVIRUS VACCINE, IPV
SYRG
40-8-32 UNIT/0.5 ML
POLYETHYLENE GLYCOL-3350
POWD
17 GRAM/DOSE
POLYETHYLENE GLYCOL-3350 17GM PKT
PWPK
17 GRAM
POLYMYXIN B SULFATE
SOLR
500,000 UNIT
PONATINIB
TAB
45 MG
PORACTANT ALFA
SUSP
120 MG/1.5 ML
POSACONAZOLE 40 MG/ML (NF)
SUSP
200 MG/5 ML
POT + SOD CITRATE-CITRIC ACID
SOLN
550-500-334 MG/5 ML
POT CIT-CITRC AC 1100-334 MG/5
SOLN
1,100-334 MG/5 ML
POTASSIUM +NA PHOS 278-164-250
PWPK
280-160-250 MG
POTASSIUM ACETATE
SOLN
2 MEQ/ML
University Medical Center So. NV.
Page 283
Dispense
------------15.00000
15.00000
3.00000
15.00000
2.00000
20.00000
100.00000
100.00000
100.00000
1.00000
1.00000
4.00000
2.00000
5.00000
1.00000
1.00000
4.00000
118.00000
2.00000
.50000
1.00000
.50000
1.00000
5.00000
1.00000
15.00000
15.00000
1.00000
1.00000
1.00000
1.00000
1.00000
.05556
1.00000
1,000.00000
500.00000
500.00000
1,000.00000
.50000
.50000
3.50000
.50000
255.00000
1.00000
1.00000
1.00000
1.50000
5.00000
5.00000
30.00000
1.00000
20.00000
Price
---------79.61
85.95
141.31
644.70
173.31
299.72
45.70
85.82
21.65
32.50
27.11
9.85
27.66
34.70
23.00
21.26
39.10
51.60
85.95
73.81
122.81
77.99
169.63
141.98
31.31
610.15
618.60
36.87
11.10
71.98
90.95
112.55
82.70
30.06
128.42
123.76
121.30
123.75
352.45
175.39
500.80
302.64
131.45
46.25
162.50
1,691.86
1,665.15
423.70
5.31
22.77
10.27
17.80
02/12/14
Charge#
--------42310
41652
41655
41656
42311
41654
41653
42372
41657
41658
41659
41661
41660
42335
41662
41663
41664
41665
41666
41667
41668
42660
41669
41670
41671
41672
41673
41674
41675
41676
41677
41678
41679
41680
41681
41682
41683
41684
41685
41686
41687
41688
41689
41690
41691
41692
41693
41694
41695
42700
42614
42612
UMC Charge Master
Description
-----------------------------------------------------------------------------------------POTASSIUM ACETATE
SOLN
2 MEQ/ML
POTASSIUM ACETATE
SOLN
4 MEQ/ML
POTASSIUM CHLORIDE
SOLP
2 MEQ/ML
POTASSIUM CHLORIDE
SOLP
2 MEQ/ML
POTASSIUM CHLORIDE
SOLP
2 MEQ/ML
POTASSIUM CHLORIDE
TBTQ
10 MEQ
POTASSIUM CHLORIDE 20MEQ/15ML (10%)
LIQD
10 %
POTASSIUM CHLORIDE IN NS 500ML
PGBK
40 MEQ/500 ML
POTASSIUM CHLORIDE IN SWI 100ML
PGBK
20 MEQ/100 ML
POTASSIUM CHLORIDE IN SWI 100ML
PGBK
40 MEQ/100 ML
POTASSIUM IODIDE (1 GM/ML)
SOLN
1 GRAM/ML
POTASSIUM PHOS IN NS 250ML
PGBK
40 MMOL/250 ML
POTASSIUM PHOSPHATE
SOLP
3 MMOL/ML
POTASSIUM PHOSPHATE
SOLP
4.4 MEQ/ML
POTASSIUM PHOSPHATE
TBSO
500 MG
POVIDONE-IODINE 10% OINT
OINT
10 %
PRALIDOXIME
SOLR
1 GRAM
PRAMIPEXOLE
TAB
0.125 MG
PRAMIPEXOLE
TAB
0.25 MG
PRAMIPEXOLE
TAB
0.5 MG
PRAMIPEXOLE
TAB
1.5 MG
PRAMOXINE 1% CRM
CREA
1 %
PRAMOXINE 1% FOAM
FOAM
1 %
PRAMOXINE-CALAMINE-CAMPHOR LOTN
LOTN
1-3-0.3 %
PRAMOXINE-MINERAL OIL-ZINC OINT
OINT
1-12.5 %
PRASUGREL
TAB
10 MG
PRASUGREL
TAB
5 MG
PRAVASTATIN (NF)
TAB
10 MG
PRAVASTATIN (NF)
TAB
40 MG
PRAZIQUANTEL
TAB
600 MG
PRAZOSIN
CAP
1 MG
PRAZOSIN
CAP
5 MG
PREDNISOLONE
SOLN
15 MG/5 ML
PREDNISOLONE ACETATE 1 % OPHT
DRPS
1 %
PREDNISONE
TAB
1 MG
PREDNISONE
TAB
10 MG
PREDNISONE
TAB
20 MG
PREDNISONE
TAB
5 MG
PREDNISONE
TAB
50 MG
PREGABALIN
CAP
25 MG
PREGABALIN
CAP
50 MG
PREGABALIN
CAP
75 MG
PRENAT VIT-IRON CB-FA-DOCUSATE
TAB
90-1-50 MG
PRIMAQUINE
TAB
26.3 MG
PRIMIDONE
TAB
250 MG
PRIMIDONE
TAB
50 MG
PROBENECID
TAB
500 MG
PROCAINAMIDE
SOLN
100 MG/ML
PROCAINAMIDE
SOLN
500 MG/ML
PROCAINAMIDE NICU 50 MG/25 ML D5W (PMX)
SYRG
2 MG/ML
PROCAINAMIDE PED 400 MG/50 ML NS (PMX)
SYRG
8 MG/ML
PROCAINAMIDE PED 50 MG/25 ML NS (PMX)
SYRG
2 MG/ML
University Medical Center So. NV.
Page 284
Dispense
------------50.00000
50.00000
20.00000
1.00000
30.00000
1.00000
15.00000
500.00000
100.00000
100.00000
30.00000
250.00000
50.00000
50.00000
1.00000
28.35000
1.00000
1.00000
1.00000
1.00000
1.00000
28.00000
15.00000
118.00000
28.30000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
5.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
2.00000
25.00000
50.00000
25.00000
Price
---------41.52
74.75
27.66
3.70
57.20
14.92
15.86
147.65
43.12
43.12
170.91
88.25
61.92
61.92
9.10
36.90
238.43
11.08
10.05
11.08
5.38
120.92
299.25
99.72
83.53
127.78
127.78
11.25
11.36
201.54
6.92
15.55
131.88
117.82
7.66
3.70
4.54
3.70
10.28
76.95
81.89
81.89
6.47
43.31
21.57
16.80
24.36
195.17
177.42
25.46
100.80
25.46
02/12/14
Charge#
--------41696
41698
42313
41699
41697
41700
41705
41704
41702
41703
42314
41701
41706
41707
41708
41709
41711
41710
41712
41715
41713
41714
41716
41717
41718
41719
41720
41721
41722
41723
41724
41725
41726
41727
42491
42493
42492
41728
41730
41731
41729
41732
41733
42147
41734
41735
41736
41737
41738
41739
41741
41740
UMC Charge Master
Description
-----------------------------------------------------------------------------------------PROCARBAZINE
CAP
50 MG
PROCHLORPERAZINE EDISYLATE
SOLN
5 MG/ML
PROCHLORPERAZINE EDISYLATE
SOLN
5 MG/ML
PROCHLORPERAZINE MALEATE
TAB
5 MG
PROCHLORPERAZINE SUPP
SUPP
25 MG
PROGESTERONE MDV
OIL
50 MG/ML
PROMETHAZINE
SYRP
6.25 MG/5 ML
PROMETHAZINE
TAB
25 MG
PROMETHAZINE SUPP
SUPP
12.5 MG
PROMETHAZINE SUPP
SUPP
25 MG
PROMETHAZINE SUPP
SUPP
50 MG
PROMETHAZINE-COD 6.25-10 MG/5ML
SYRP
6.25-10 MG/5 ML
PROMETHAZINE-DM 6.25-15 MG/5ML
SYRP
6.25-15 MG/5 ML
PROPAFENONE
TAB
150 MG
PROPAFENONE
TAB
225 MG
PROPARACAINE 0.5 % OPHT
DROP
0.5 %
PROPOFOL
EMUL
10 MG/ML
PROPOFOL (PMX)
EMUL
10 MG/ML
PROPRANOLOL
SOLN
1 MG/ML
PROPRANOLOL
SOLN
20 MG/5 ML
PROPRANOLOL
TAB
10 MG
PROPRANOLOL
TAB
20 MG
PROPRANOLOL
TAB
40 MG
PROPRANOLOL ER
CS24
60 MG
PROPRANOLOL ER
CS24
80 MG
PROPYLTHIOURACIL
TAB
50 MG
PROTAMINE
SOLN
10 MG/ML
PROTAMINE
SOLN
10 MG/ML
PROTEIN
POWD
PROTEIN SUPPLEMENT
PACK
PSEUDOEPHEDRINE 12HR
TBER
120 MG
PSEUDOEPHEDRINE HCL
TAB
30 MG
PSEUDOEPHEDRINE HCL
TAB
60 MG
PSYLLIUM HUSK (ASPARTAME)
PWPK
3.5 GRAM
PUMP PRESSURE PAIN 100ML
PUMP
100 ML
PUMP PRESSURE PAIN DUAL 270ML
PUMP
270ML
PUMP PRESSURE PAIN DUAL 400ML
PUMP
400ML
PYRAZINAMIDE
TAB
500 MG
PYRIDOSTIGMINE BROMIDE
SOLN
5 MG/ML
PYRIDOSTIGMINE BROMIDE
TAB
60 MG
PYRIDOSTIGMINE BROMIDE ER
TBER
180 MG
PYRIDOXINE
SOLN
100 MG/ML
PYRIDOXINE
TAB
50 MG
PYRIDOXINE PED 1 MG/ML
SOLN
1 MG/ML
PYRIMETHAMINE
TAB
25 MG
QUETIAPINE
TAB
100 MG
QUETIAPINE
TAB
25 MG
QUETIAPINE
TAB
300 MG
QUETIAPINE XR
TB24
300 MG
QUETIAPINE XR
TB24
50 MG
QUINIDINE GLUCONATE
SOLN
80 MG/ML
QUINIDINE GLUCONATE ER
TBER
324 MG
University Medical Center So. NV.
Page 285
Dispense
------------1.00000
2.00000
10.00000
1.00000
1.00000
10.00000
5.00000
1.00000
1.00000
1.00000
1.00000
5.00000
15.00000
1.00000
1.00000
15.00000
20.00000
100.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
25.00000
5.00000
7.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.00000
1.00000
1.00000
1.00000
1.00000
2.50000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
Price
---------499.05
82.85
238.03
12.53
140.77
303.51
4.90
10.51
159.09
140.77
198.98
4.48
10.68
17.26
22.10
66.65
53.53
178.35
47.68
15.71
3.70
3.70
4.56
30.52
22.94
17.03
240.35
114.71
17.19
6.03
14.87
3.70
3.70
9.05
475.75
683.25
883.25
26.44
303.26
22.56
91.54
135.63
3.70
10.10
181.35
117.50
12.70
39.39
217.90
113.48
229.27
30.24
02/12/14
Charge#
--------41742
41743
41744
41745
41746
41747
41749
41748
41750
41751
41752
41753
42315
41757
41754
41755
41756
42271
41758
41759
41760
41761
41762
41763
41766
41765
41764
41767
41768
42316
41769
41770
42685
42165
41771
41772
41773
42317
41774
41777
41775
41776
41779
41778
41780
41781
41782
42256
42255
41783
41785
41784
UMC Charge Master
Description
-----------------------------------------------------------------------------------------QUINIDINE SULFATE
TAB
200 MG
QUINIDINE SULFATE
TAB
300 MG
QUININE SULFATE
CAP
324 MG
QUINUPRISTIN-DALFOPRISTIN (NF)
SOLR
500 MG
RABIES IMMUNE GLOBULIN
SOLN
150 UNIT/ML
RABIES IMMUNE GLOBULIN
SOLN
150 UNIT/ML
RABIES VACCINE, HDC
SOLR
2.5 UNIT
RABIES VACCINE, PCEC
KIT
2.5 UNIT
RACEPINEPHRINE 2.25 %
NEBU
5.625 MG/0.5 ML
RALOXIFENE
TAB
60 MG
RALTEGRAVIR
TAB
400 MG
RAMIPRIL (NF)
CAP
2.5 MG
RANITIDINE HCL (NF)
SOLN
25 MG/ML
RANITIDINE HCL (NF)
SOLN
50 MG/2 ML (25 MG/ML)
RANITIDINE HCL (NF)
SYRP
15 MG/ML
RANITIDINE HCL (NF)
TAB
150 MG
RANITIDINE HCL (NF)
TAB
300 MG
RANITIDINE PED 2 MG/ML
SOLN
2MG/ML
RANOLAZINE 12HR
TB12
500 MG
RASBURICASE
SOLR
1.5 MG
RASBURICASE
SOLR
7.5 MG
REGADENOSON
SYRG
0.4 MG/5 ML
REMIFENTANIL
SOLR
2 MG
REPAGLINIDE
TAB
0.5 MG
RHO D IMMUNE GLOBULIN
SYRG
1,500 UNIT (300 MCG)
RHO(D) IMMUNE GLOBULIN-MALTOSE
SOLN
1,000 MCG/4.4 ML
RHO(D) IMMUNE GLOBULIN-MALTOSE
SOLN
3,000 MCG/13 ML
RIBAVIRIN
CAP
200 MG
RIFABUTIN
CAP
150 MG
RIFAMPIN
CAP
150 MG
RIFAMPIN
CAP
300 MG
RIFAMPIN
SOLR
600 MG
RIFAMPIN MDV
SOLR
600 MG
RIFAMPIN PED
SUSP
10 MG/ML
RIFAXIMIN (NF)
TAB
200 MG
RIFAXIMIN (NF)
TAB
550 MG
RILPIVIRINE
TAB
25 MG
RILUZOLE
TAB
50 MG
RISEDRONATE (NF)
TAB
35 MG
RISPERIDONE
SOLN
1 MG/ML
RISPERIDONE
TAB
0.25 MG
RISPERIDONE
TAB
1 MG
RITONAVIR
SOLN
80 MG/ML
RITONAVIR
TAB
100 MG
RITUXIMAB
CONC
10 MG/ML
RITUXIMAB
CONC
10 MG/ML
RIVAROXABAN
TAB
10 MG
RIVAROXABAN
TAB
15 MG
RIVAROXABAN
TAB
20 MG
RIVASTIGMINE
CAP
1.5 MG
RIVASTIGMINE
CAP
3 MG
RIVASTIGMINE
SOLN
2 MG/ML
University Medical Center So. NV.
Page 286
Dispense
------------1.00000
1.00000
1.00000
1.00000
10.00000
2.00000
1.00000
1.00000
.50000
1.00000
1.00000
1.00000
1.00000
2.00000
10.00000
1.00000
1.00000
12.50000
1.00000
1.00000
1.00000
5.00000
1.00000
1.00000
1.00000
4.40000
13.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.00000
1.00000
1.00000
5.00000
1.00000
10.00000
50.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
Price
---------9.43
15.42
103.79
1,280.80
7,003.48
1,128.35
592.05
714.20
36.17
108.58
228.74
6.62
30.71
62.80
77.26
4.78
7.59
39.54
81.92
1,752.16
8,761.03
560.17
685.90
80.12
250.58
3,562.32
10,686.97
15.40
207.33
45.53
22.35
1,030.50
1,030.50
22.35
193.59
260.69
274.25
358.15
370.08
28.07
10.88
15.79
322.53
143.23
1,836.26
9,181.29
94.25
96.85
95.72
60.22
91.57
79.90
02/12/14
Charge#
--------41786
41787
42318
41788
41789
41790
41791
41792
42319
41793
42320
42498
41794
41795
42571
41796
41797
41798
41799
41800
41801
41802
41805
41806
41807
41808
41810
41811
41812
41813
41814
41815
41816
41817
42148
41818
41819
42712
41820
41821
41822
41823
41825
41826
41827
41828
41830
41829
41831
42499
42707
41832
UMC Charge Master
Description
-----------------------------------------------------------------------------------------RIZATRIPTAN
TAB
10 MG
ROCURONIUM
SOLN
10 MG/ML
ROFLUMILAST
TAB
500 MCG
ROMIPLOSTIM
SOLR
250 MCG
ROPINIROLE
TAB
0.25 MG
ROPINIROLE
TAB
1 MG
ROPIVACAINE
SOLN
2 MG/ML (0.2 %)
ROPIVACAINE
SOLN
2 MG/ML (0.2 %)
ROPIVACAINE
SOLN
2 MG/ML (0.2 %)
ROPIVACAINE
SOLN
5 MG/ML (0.5 %)
ROPIVACAINE
SOLN
5 MG/ML (0.5 %)
ROSUVASTATIN (NF)
TAB
10 MG
ROTAVIRUS VAC, LIVE ATT, 89-12
SUSR
10EXP6 CCID50/ML
ROTAVIRUS VACCINE LIVE, PENTA (NF)
SUSP
2 ML
SACCHAROMYCES BOULARDII (NF)
CAP
250 MG
SALMETEROL 50 MCG/DOSE
DSDV
50 MCG/DOSE
SALSALATE
TAB
500 MG
SALSALATE
TAB
750 MG
SAQUINAVIR MESYLATE
CAP
200 MG
SAQUINAVIR MESYLATE
TAB
500 MG
SARGRAMOSTIM
SOLR
250 MCG
SCOPOLAMINE BASE
PT72
1.5 MG
SCOPOLAMINE HBR
SOLN
0.4 MG/ML
SELEGILINE HCL
CAP
5 MG
SELENIOUS ACID
SOLN
40 MCG/ML
SENNOSIDE-DOCUSAT NA 8.6-50 MG
TAB
8.6-50 MG
SERTRALINE
TAB
100 MG
SERTRALINE
TAB
50 MG
SEVELAMER CARBONATE PKT
PWPK
0.8 GRAM
SEVELAMER CARBONATE PKT
PWPK
2.4 GRAM
SEVELAMER CARBONATE TAB
TAB
800 MG
SEVELAMER HCL TAB
TAB
400 MG
SEVOFLURANE
LIQD
SILDENAFIL
TAB
20 MG
SILDENAFIL PED
SUSP
2.5 MG/ML
SILVER NITRATE 0.5 %
SOLN
0.5 %
SILVER NITRATE 10 APPLICATORS
STCK
75-25 %
SILVER SULFADIAZINE 1% 20GM
CREA
1 %
SILVER SULFADIAZINE 1% 400GM
CREA
1 %
SILVER SULFADIAZINE 1% 50GM
CREA
1 %
SIMETHICONE
DRPS
40 MG/0.6 ML
SIMETHICONE CHEW
CHEW
80 MG
SIMVASTATIN
TAB
10 MG
SIMVASTATIN
TAB
20 MG
SIMVASTATIN
TAB
5 MG
SINCALIDE
SOLR
5 MCG
SIROLIMUS
SOLN
1 MG/ML
SIROLIMUS
TAB
1 MG
SIROLIMUS
TAB
2 MG
SITAGLIPTIN (NF)
TAB
100 MG
SITAGLIPTIN (NF)
TAB
50 MG
SODIUM ACETATE
SOLN
2 MEQ/ML
University Medical Center So. NV.
Page 287
Dispense
------------1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
20.00000
100.00000
10.00000
20.00000
100.00000
1.00000
1.00000
2.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
.23000
1.00000
8.00000
960.00000
10.00000
20.00000
400.00000
50.00000
30.00000
1.00000
1.00000
1.00000
1.00000
1.00000
60.00000
1.00000
1.00000
1.00000
1.00000
20.00000
Price
---------342.45
64.63
115.85
3,204.03
17.27
16.85
123.62
265.46
78.94
172.54
459.67
104.56
290.15
190.43
28.20
81.08
9.16
12.28
73.23
132.64
838.08
206.64
133.75
40.24
57.20
3.70
5.83
5.87
145.26
145.26
66.75
50.48
5.55
19.76
235.16
216.94
78.66
136.44
399.07
151.70
51.20
3.70
5.91
6.07
10.28
637.25
3,403.06
38.50
306.98
143.60
143.60
25.24
02/12/14
Charge#
--------42321
41833
41835
41837
41838
41834
41836
41839
41853
41840
41841
41842
42322
41843
41844
41845
42163
42436
41850
42323
41851
41852
42325
41855
41854
42357
41856
42558
42505
41857
41858
42550
42326
42336
41860
42328
41861
42329
41863
41864
41866
41865
41867
41868
41869
41870
42149
41872
41873
41874
41871
41875
UMC Charge Master
Description
-----------------------------------------------------------------------------------------SODIUM ACETATE
SOLN
2 MEQ/ML
SODIUM ACETATE
SOLN
4 MEQ/ML
SODIUM BICARBONATE
SYRG
4.2 % (0.5 MEQ/ML)
SODIUM BICARBONATE
SYRG
8.4 % (1 MEQ/ML)
SODIUM BICARBONATE
SYRG
8.4 % (1 MEQ/ML)
SODIUM BICARBONATE
TAB
325 MG
SODIUM BICARBONATE
TAB
650 MG
SODIUM BICARBONATE 8.4 % VIAL
SOLN
8.4 %
SODIUM CHLORIDE
TAB
1 GRAM
SODIUM CHLORIDE 0.45 %
SOLP
0.45 %
SODIUM CHLORIDE 0.45 %
SOLP
0.45 %
SODIUM CHLORIDE 0.45 %
SOLP
0.45 %
SODIUM CHLORIDE 0.45 %
SOLP
0.45 %
SODIUM CHLORIDE 0.65% NASL
SPRA
0.65 %
SODIUM CHLORIDE 0.9 %
NEBU
0.9 %
SODIUM CHLORIDE 0.9 %
SOLP
0.9 %
SODIUM CHLORIDE 0.9 %
SYRG
0.9%
SODIUM CHLORIDE 0.9 % (FRIG)
SOLP
0.9%
SODIUM CHLORIDE 0.9 % (PF)
SOLN
0.9 %
SODIUM CHLORIDE 0.9 % (PF)
SOLN
0.9 %
SODIUM CHLORIDE 0.9 % IRRIGATION
SOLN
0.9 %
SODIUM CHLORIDE 0.9 % IRRIGATION
SOLN
0.9 %
SODIUM CHLORIDE 0.9 % IRRIGATION
SOLN
0.9 %
SODIUM CHLORIDE 23.4 %
SOLP
4 MEQ/ML
SODIUM CHLORIDE 3 %
SOLP
3 %
SODIUM CHLORIDE PED 4MEQ/ML
SOLN
4MEQ/ML
SODIUM CITRATE-CITRIC ACID
SOLN
500-334 MG/5 ML
SODIUM GLYCEROPHOSPHATE
SOLN
1 MMOL/ML
SODIUM HYPOCHLORITE 0.125%
SOLN
0.125 %
SODIUM HYPOCHLORITE 0.25 %
SOLN
0.25 %
SODIUM HYPOCHLORITE 0.5 %
SOLN
0.5 %
SODIUM PHOS (ENEMA)
ENEM
118 ML
SODIUM PHOSPHATE
SOLN
3 MMOL/ML
SODIUM PHOSPHATE
SOLN
4 MEQ/ML
SODIUM POLYSTYRENE SULFONATE
SUSP
15 GRAM/60 ML
SODIUM TETRADECYL SULF
SOLN
10MG/ML
SODIUM THIOSULFATE 10 % (1 GM) SDV
SOLN
100 MG/ML
SODIUM THIOSULFATE 25% (12.5 GM) SDV
SOLN
250 MG/ML
SOMATROPIN
SOLR
6 MG
SORAFENIB
TAB
200 MG
SORBITOL
SOLN
70 %
SORBITOL 70 %
SOLN
70 %
SOTALOL
TAB
120 MG
SOTALOL
TAB
80 MG
SPIRONOLACTONE
TAB
100 MG
SPIRONOLACTONE
TAB
25 MG
SPIRONOLACTONE PED
SUSP
2 MG/ML
STAVUDINE
CAP
15 MG
STAVUDINE
CAP
20 MG
STAVUDINE
CAP
30 MG
STAVUDINE
SOLR
1 MG/ML
STREPTOMYCIN (NF)
SOLR
1 GRAM
University Medical Center So. NV.
Page 288
Dispense
------------100.00000
50.00000
10.00000
10.00000
50.00000
1.00000
1.00000
50.00000
1.00000
1,000.00000
50.00000
500.00000
250.00000
45.00000
3.00000
1,000.00000
125.00000
1,000.00000
10.00000
20.00000
1,000.00000
3,000.00000
250.00000
30.00000
500.00000
1.00000
30.00000
20.00000
473.00000
480.00000
473.00000
133.00000
15.00000
15.00000
60.00000
1.00000
10.00000
50.00000
1.00000
1.00000
30.00000
30.00000
1.00000
1.00000
1.00000
1.00000
12.50000
1.00000
1.00000
1.00000
200.00000
1.00000
Price
---------55.85
72.05
110.66
170.37
94.05
3.70
4.94
32.06
6.09
105.81
115.80
104.80
123.06
24.45
83.62
103.95
188.81
103.95
98.86
30.08
119.76
164.64
32.17
50.10
111.99
4.97
21.94
175.17
134.82
137.10
135.50
27.00
94.19
24.36
108.49
211.09
198.50
625.00
944.46
647.94
9.62
35.99
7.35
38.33
28.01
9.36
8.56
37.21
44.90
34.34
668.05
176.80
02/12/14
Charge#
--------41876
41877
41879
41878
41880
41881
41882
41883
41884
42347
41885
41886
41887
41889
41888
41890
41894
41895
41896
41891
41892
41893
42158
41897
41898
41899
41900
41901
41902
41903
41904
41905
41906
42659
41907
41908
41909
41910
41911
41913
41912
41914
41915
42616
42615
41916
41917
41918
41919
41920
41921
41922
UMC Charge Master
Description
-----------------------------------------------------------------------------------------STREPTOZOCIN
SOLR
1 GRAM
SUCCINYLCHOLINE CHLORIDE
SOLN
20 MG/ML
SUCRALFATE
SUSP
100 MG/ML
SUCRALFATE
TAB
1 GRAM
SUFENTANIL CITRATE
SOLN
50 MCG/ML
SUFENTANIL CITRATE
SOLN
50 MCG/ML
SULFACETAMIDE SODIUM 10 % OPHT
DROP
10 %
SULFADIAZINE
TAB
500 MG
SULFASALAZINE
TAB
500 MG
SULFASALAZINE PED
SUSP
100MG/ML
SULINDAC
TAB
200 MG
SUMATRIPTAN 20 MG/SPRY NASL
SPRY
20 MG/ACTUATION
SUMATRIPTAN 5 MG/SPRY NASL
SPRY
5 MG/ACTUATION
SUMATRIPTAN SUCCINATE
SOLN
6 MG/0.5 ML
SUMATRIPTAN SUCCINATE
TAB
25 MG
SUNITINIB
CAP
12.5 MG
TACROLIMUS
CAP
0.5 MG
TACROLIMUS
CAP
1 MG
TACROLIMUS
SOLN
5 MG/ML
TACROLIMUS 0.03% OINT
OINT
0.03 %
TACROLIMUS 0.1% 100GM OINT
OINT
0.1 %
TACROLIMUS 0.1% 30GM OINT
OINT
0.1 %
TACROLIMUS PED
SUSP
0.5 MG/ML
TAMOXIFEN
TAB
10 MG
TAMSULOSIN
CP24
0.4 MG
TAPENTADOL
TAB
50 MG
TELAPREVIR (NF)
TAB
375 MG
TEMAZEPAM
CAP
15 MG
TEMAZEPAM
CAP
7.5 MG
TEMOZOLOMIDE
CAP
100 MG
TEMOZOLOMIDE
CAP
20 MG
TEMOZOLOMIDE
CAP
250 MG
TEMOZOLOMIDE
CAP
5 MG
TEMOZOLOMIDE
SOLR
100 MG
TEMSIROLIMUS
SOLR
30 MG/3 ML (10 MG/ML) (FINAL)
TENECTEPLASE
KIT
50 MG
TENOFOVIR DISOPROXIL FUMARATE
TAB
300 MG
TERAZOSIN
CAP
1 MG
TERAZOSIN
CAP
5 MG
TERBINAFINE
TAB
250 MG
TERBINAFINE 1% CREAM
CREA
1 %
TERBUTALINE
SOLN
1 MG/ML
TERBUTALINE
TAB
2.5 MG
TERBUTALINE PED 100 MG/100 ML (PMX)
BAG
1 MG/ML
TERBUTALINE PED 50 MG/100 ML NS (PMX)
BAG
0.5 MG/ML
TERCONAZOLE 0.4% CREAM
CREA
0.4 %
TERCONAZOLE 0.8% CREAM
CREA
0.8 %
TERCONAZOLE SUPP
SUPP
80 MG
TESTOSTERONE 1% (50MG/5GM)
GEL
50 MG/5 GRAM (1 %)
TESTOSTERONE 4 MG/24 HR
PT24
4 MG/24 HR
TESTOSTERONE CYPIONATE
OIL
200 MG/ML
TETANUS IMMUNE GLOBULIN
SYRG
250 UNIT
University Medical Center So. NV.
Page 289
Dispense
------------1.00000
10.00000
10.00000
1.00000
1.00000
5.00000
15.00000
1.00000
1.00000
5.00000
1.00000
6.00000
6.00000
.50000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
100.00000
30.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
15.00000
1.00000
1.00000
100.00000
100.00000
45.00000
20.00000
1.00000
5.00000
1.00000
1.00000
1.00000
Price
---------768.29
81.09
73.48
10.69
45.70
214.00
462.16
68.83
9.58
7.79
16.87
1,321.04
1,424.15
580.66
25.70
300.87
5.45
10.90
375.71
1,119.25
2,553.67
1,119.25
54.06
17.13
17.37
59.82
896.30
5.35
177.78
617.40
119.32
1,491.73
29.98
1,361.80
3,788.26
10,477.01
305.02
6.95
6.93
6.81
97.30
44.82
19.66
1,020.00
630.00
367.68
341.18
203.64
180.01
178.40
169.13
938.58
02/12/14
Charge#
--------41923
42507
41925
41927
42331
41928
41930
41931
41934
41932
41933
42521
42553
41935
42112
41936
41937
41939
41938
41940
42489
42111
41941
41942
41943
41944
41945
41946
41947
42686
41948
41949
41950
41951
41952
41959
41960
41953
42150
41958
41956
41954
41955
41957
41961
41962
41963
41965
41964
41966
41967
41969
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TETANUS TOXOID ADSORBED
SUSP
5 LF UNIT/0.5 ML
TETANUS-DIPHTHERIA TOXOID PED
SUSP
5-25 LF UNIT/0.5 ML
TETANUS-DIPHTHERIA TOXOIDS-TD
SYRG
5-2 LF UNIT/0.5 ML
TETRACAINE HCL 0.5 % OPHT
DROP
0.5 %
TETRACAINE HCL 0.5 % OPHT
DROP
0.5 %
TETRACAINE HCL 1 %
SOLN
1 % (10 MG/ML)
TETRACYCLINE
CAP
250 MG
TETRAHYDROZOLINE 0.05 % OPHT
DROP
0.05 %
THEOPHYLLINE
ELIX
80 MG/15 ML
THEOPHYLLINE 12HR
TB12
100 MG
THEOPHYLLINE 12HR
TB12
300 MG
THEOPHYLLINE PED (NO ETOH)
SUSP
5 MG/ML
THEOPHYLLINE UD
SOLN
80 MG/15 ML
THIAMINE HCL
SOLN
100 MG/ML
THIAMINE HCL
TAB
100 MG
THIAMINE HCL
TAB
50 MG
THIOGUANINE
TAB
40 MG
THROMBIN (BOVINE)
SOLR
20,000 UNIT
THROMBIN (BOVINE)
SPRY
20,000 UNIT
THROMBIN (BOVINE) EPISTAXIS
SOLR
5,000 UNIT
THROMBIN (BOVINE) SPRY KIT
SOLR
5,000 UNIT
THROMBIN (BOVINE) VIAL
SOLR
5,000 UNIT
THYROID
TAB
120 MG
THYROID
TAB
15 MG
THYROID
TAB
30 MG
THYROID
TAB
60 MG
TICAGRELOR
TAB
90 MG
TICLOPIDINE
TAB
250 MG
TIGECYCLINE
SOLR
50 MG
TIGECYCLINE MDV
SOLR
500 MG
TIMOLOL MALEATE 0.25 % OPHT
DROP
0.25 %
TIMOLOL MALEATE 0.5 % OPHT
DROP
0.5 %
TIOTROPIUM BROMIDE
CPDV
18 MCG
TIPRANAVIR
CAP
250 MG
TIZANIDINE
TAB
2 MG
TOBRA-DEXAMETH 0.3-0.1% OPHT DRPS
DRPS
0.3-0.1 %
TOBRA-DEXAMETH 0.3-0.1% OPHT OINT
OINT
0.3-0.1 %
TOBRAMYCIN 300 MG/5 ML
NEBU
300 MG/5 ML
TOBRAMYCIN PED 2 MG/ML
SOLN
2 MG/ML
TOBRAMYCIN SULFATE
SOLN
40 MG/ML
TOBRAMYCIN SULFATE
SOLR
1.2 G
TOBRAMYCIN SULFATE 0.3 % OPHT
DROP
0.3 %
TOBRAMYCIN SULFATE 0.3 % OPHT
OINT
0.3 %
TOBRAMYCIN SULFATE MDV
SOLN
40 MG/ML
TOLCAPONE (NF)
TAB
100 MG
TOLNAFTATE 1% CREAM
CREA
1 %
TOLTERODINE
TAB
1 MG
TOLTERODINE
TAB
2 MG
TOLTERODINE ER
CP24
2 MG
TOLVAPTAN
TAB
15 MG
TOPIRAMATE
TAB
100 MG
TOPIRAMATE
TAB
200 MG
University Medical Center So. NV.
Page 290
Dispense
------------.50000
.50000
.50000
2.00000
15.00000
2.00000
1.00000
15.00000
15.00000
1.00000
1.00000
60.00000
15.00000
2.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
.10000
5.00000
5.00000
1.00000
1.00000
1.00000
5.00000
3.50000
5.00000
40.00000
2.00000
1.00000
5.00000
3.50000
1.00000
1.00000
15.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
Price
---------388.12
376.10
238.24
87.71
117.82
120.37
3.70
44.16
60.05
7.54
9.69
9.72
152.42
119.97
3.70
3.70
27.34
1,367.50
1,406.39
540.15
540.15
534.25
12.28
6.50
7.21
7.74
80.62
23.20
674.93
674.93
62.60
67.73
191.74
160.18
24.78
611.65
1,033.00
836.14
39.32
27.54
590.00
68.81
704.65
17.58
204.55
42.62
82.07
82.93
120.22
1,550.44
10.10
18.47
02/12/14
Charge#
--------41971
42349
41968
41970
42226
41972
41976
41978
41973
41974
41975
41977
41980
41981
42525
41982
41983
41984
41985
41986
41994
41987
41988
41989
41990
41991
41992
41993
41995
41996
41997
41998
41999
42000
42001
42003
42002
42005
42004
42710
42332
42009
42008
42007
42010
42011
42012
42013
42014
42015
42156
42016
UMC Charge Master
Description
-----------------------------------------------------------------------------------------TOPIRAMATE
TAB
25 MG
TOPIRAMATE PED
SUSP
6MG/ML
TOPIRAMATE SPRINKLE CAP
CPSP
15 MG
TOPIRAMATE SPRINKLE CAP
CPSP
25 MG
TOPOTECAN
SOLN
4 MG/4 ML (1 MG/ML)
TOPOTECAN
SOLR
4 MG
TORSEMIDE
SOLN
20 MG/2 ML (10 MG/ML)
TORSEMIDE
SOLN
50 MG/5 ML (10 MG/ML)
TORSEMIDE
TAB
10 MG
TORSEMIDE
TAB
100 MG
TORSEMIDE
TAB
20 MG
TORSEMIDE
TAB
5 MG
TRACE ELEMENTS CR-CU-MN-ZN
SOLN
0.01-1-0.5-5 MG/ML
TRAMADOL
TAB
50 MG
TRANEXAMIC ACID (NF)
SOLN
1,000 MG/10 ML (100 MG/ML)
TRASTUZUMAB
SOLR
440 MG
TRAVOPROST 0.004 % OPHT
DROP
0.004 %
TRAZODONE
TAB
50 MG
TRETINOIN (CHEMOTHERAPY)
CAP
10 MG
TRETINOIN MICROSPHERE 0.04 %
GEL
0.04 %
TRIAMCINOLONE ACETONIDE
SUSP
40 MG/ML
TRIAMCINOLONE ACETONIDE 0.025% CREAM
CREA
0.025 %
TRIAMCINOLONE ACETONIDE 0.025% OINT
OINT
0.025 %
TRIAMCINOLONE ACETONIDE 0.1% CREAM
CREA
0.1 %
TRIAMCINOLONE ACETONIDE 0.1% LOTN
LOTN
0.1 %
TRIAMCINOLONE ACETONIDE 0.1% OINT
OINT
0.1 %
TRIAMCINOLONE ACETONIDE 0.1% PASTE
PSTE
0.1 %
TRIAMCINOLONE ACETONIDE 0.5% OINT
OINT
0.5 %
TRIAMTERENE
CAP
100 MG
TRIAMTERENE
CAP
50 MG
TRIAMTERENE-HCTZ 37.5-25 MG
CAP
37.5-25 MG
TRIAMTERENE-HCTZ 75-50 MG
TAB
75-50 MG
TRIAZOLAM
TAB
0.25 MG
TRIFLURIDINE 1 % OPHT
DROP
1 %
TRIHEXYPHENIDYL
TAB
2 MG
TRIMETHOBENZAMIDE
CAP
300 MG
TRIMETHOBENZAMIDE
SOLN
100 MG/ML
TRIMETHOPRIM
SOLN
50 MG/5 ML
TRIMETHOPRIM
TAB
100 MG
TRIMETHOPRIM-POLYMYXIN B (NF)
DROP
0.1-10,000 %-UNIT/ML
TRIMETHOPRIM-SULFAMETHOXAZOLE
SOLN
80-400 MG/5 ML
TRIMETHOPRIM-SULFAMETHOXAZOLE 160-800 MG
TAB
160-800 MG
TRIMETHOPRIM-SULFAMETHOXAZOLE 80-400 MG
TAB
80-400 MG
TRIMETHOPRIM-SULFAMETHOXAZOLE(40-200/5 ML)
SUSP
40-200 MG/5 ML
TROMETHAMINE (0.3 MOLAR)
SOLN
36 MG/ML (0.3 M)
TROPICAMIDE 0.5 % OPHT
DROP
0.5 %
TROPICAMIDE 1 % OPHT
DROP
1 %
TRYPSIN-BALSAM-CASTOR OIL
OINT
90-87-788 UNIT-MG-MG/GRAM
TUBERCULIN PPD
SOLN
5 TUB. UNIT /0.1 ML
TUBERCULIN PPD
SOLN
5 TUB. UNIT /0.1 ML
UNASYN PED 45 MG/ML
SOLN
45 MG/ML
URSODIOL
CAP
300 MG
University Medical Center So. NV.
Page 291
Dispense
------------1.00000
16.67000
1.00000
1.00000
4.00000
4.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
10.00000
1.00000
10.00000
.02273
2.50000
1.00000
1.00000
20.00000
1.00000
15.00000
15.00000
15.00000
60.00000
15.00000
5.00000
15.00000
1.00000
1.00000
1.00000
1.00000
1.00000
7.50000
1.00000
1.00000
2.00000
5.00000
1.00000
10.00000
10.00000
1.00000
1.00000
20.00000
500.00000
15.00000
15.00000
60.00000
.10000
.10000
33.34000
1.00000
Price
---------6.95
10.10
19.67
22.97
620.43
1,401.40
56.19
35.93
6.05
11.67
7.44
5.71
82.18
4.78
427.13
213.14
719.35
3.70
218.85
1,532.15
121.87
62.73
91.76
60.85
261.51
65.57
337.38
132.53
69.35
69.35
7.21
5.56
13.72
882.95
10.74
37.29
173.08
66.03
11.26
104.58
114.37
9.66
4.73
61.10
1,352.26
106.75
105.13
188.12
73.94
61.61
64.90
27.47
02/12/14
Charge#
--------42151
42017
42019
42018
42021
42022
42020
42023
42024
42025
42027
42026
42562
42373
42110
42028
42029
42030
42032
42377
42031
42617
42618
42619
42620
42033
42034
42035
42037
42036
42038
42042
42260
42044
42543
42040
42041
42043
42039
42544
42045
42046
42047
42048
42223
42049
42052
42053
42054
42051
42050
42055
UMC Charge Master
Description
-----------------------------------------------------------------------------------------URSODIOL PED
SUSP
20 MG/ML
VALACYCLOVIR (NF)
TAB
500 MG
VALGANCICLOVIR
SOLR
50 MG/ML
VALGANCICLOVIR
TAB
450 MG
VALPROATE SODIUM
SOLN
100 MG/ML
VALPROIC ACID
CAP
250 MG
VALPROIC ACID ORAL
SYRP
250 MG/5 ML
VALSARTAN (NF)
TAB
40 MG
VALSARTAN (NF)
TAB
80 MG
VANCOMYCIN
SOLR
1,000 MG
VANCOMYCIN
SOLR
500 MG
VANCOMYCIN MDV
SOLR
5 GRAM
VANCOMYCIN ORAL BULK
SOLN
50 MG/ML
VANCOMYCIN ORAL SYRINGE
SOLN
50 MG/ML
VANCOMYCIN PED 5 MG/ML
SOLN
5 MG/ML
VARENICLINE
TAB
0.5 MG
VARENICLINE
TAB
1 MG
VARICELLA VIRUS VACC LIVE (PF)
SUSR
1,350 UNIT/0.5 ML
VASOPRESSIN
SOLN
20 UNIT/ML
VASOPRESSIN 200 UNIT/250 ML D5W (PMX)
SOLN
200 UNIT/250 ML
VASOPRESSIN MDV
SOLN
20 UNIT/ML
VASOPRESSIN PED 1 UNIT/100 ML NS (PMX)
BAG
0.01 UNIT/ML
VASOPRESSIN PED 10 UNIT/100 ML NS (PMX)
BAG
0.1 UNIT/ML
VASOPRESSIN PED 20 UNIT/100 ML NS (PMX)
BAG
0.2 UNIT/ML
VASOPRESSIN PED 40 UNIT/100 ML NS (PMX)
BAG
0.4 UNIT/ML
VECURONIUM BROMIDE
SOLR
10 MG
VECURONIUM BROMIDE
SOLR
20 MG
VENLAFAXINE
TAB
25 MG
VENLAFAXINE
TAB
37.5 MG
VENLAFAXINE ER
CP24
37.5 MG
VENLAFAXINE ER
CP24
75 MG
VERAPAMIL
SOLN
2.5 MG/ML
VERAPAMIL
TAB
120 MG
VERAPAMIL
TAB
80 MG
VERAPAMIL 1MG/10ML
SYRG
1 MG/10 ML
VERAPAMIL ER
TBER
120 MG
VERAPAMIL ER
TBER
180 MG
VERAPAMIL ER
TBER
240 MG
VERAPAMIL PED
SUSP
50 MG/ML
VERAPAMIL SDV
SOLN
2.5 MG/ML
VINBLASTINE
SOLN
1 MG/ML
VINBLASTINE
SOLR
10 MG
VINCRISTINE
SOLN
1 MG/ML
VINCRISTINE
SOLN
2 MG/2 ML
VINORELBINE
SOLN
10 MG/ML
VINORELBINE
SOLN
50 MG/5 ML
VITAMIN A
CAP
10,000 UNIT
VITAMIN A
CAP
8,000 UNIT
VITAMIN A PALMITATE
SOLN
50,000 UNIT/ML
VITAMIN A+D 5GM OINT PKT
OIPK
VITAMIN A+D 60GM OINT
OINT
VITAMIN E
CAP
100 UNIT
University Medical Center So. NV.
Page 292
Dispense
------------15.00000
1.00000
88.00000
1.00000
5.00000
1.00000
5.00000
1.00000
1.00000
1.00000
1.00000
.10000
100.00000
10.00000
100.00000
1.00000
1.00000
1.00000
1.00000
250.00000
1.00000
100.00000
100.00000
100.00000
100.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
2.00000
1.00000
1.00000
10.00000
1.00000
1.00000
1.00000
1.60000
4.00000
10.00000
1.00000
1.00000
2.00000
1.00000
5.00000
1.00000
1.00000
2.00000
5.00000
56.70000
1.00000
Price
---------26.78
61.85
2,983.58
535.11
59.22
9.18
19.52
64.21
77.91
67.73
57.34
51.11
233.06
68.13
48.12
75.25
75.25
258.63
57.36
208.19
44.05
5.87
29.42
48.34
73.81
60.75
113.13
14.72
16.47
12.68
14.98
85.41
5.82
5.18
25.02
12.71
9.53
9.19
5.10
129.56
272.98
172.15
77.72
323.27
143.06
275.00
3.70
3.70
347.07
9.19
53.12
3.70
02/12/14
Charge#
--------42056
42057
42058
42060
42059
42061
42152
42062
42153
42063
42064
42065
42066
42067
42068
42069
42070
42071
42073
42215
42216
42217
42072
42074
42213
42214
42144
42075
42076
40131
42077
42403
42082
42081
42212
42083
42084
42154
42085
42087
42086
42088
42089
42090
42091
42092
42093
42094
42687
42211
42095
42096
UMC Charge Master
Description
-----------------------------------------------------------------------------------------VITAMIN E
CAP
400 UNIT
VITAMIN E
DROP
50 UNIT/ML
VORICONAZOLE
SOLR
200 MG
VORICONAZOLE
SUSR
200 MG/5 ML (40 MG/ML)
VORICONAZOLE
TAB
200 MG
VORICONAZOLE
TAB
50 MG
WARFARIN
TAB
0.5 MG
WARFARIN
TAB
1 MG
WARFARIN
TAB
1.25 MG
WARFARIN
TAB
10 MG
WARFARIN
TAB
2 MG
WARFARIN
TAB
2.5 MG
WARFARIN
TAB
3 MG
WARFARIN
TAB
4 MG
WARFARIN
TAB
5 MG
WARFARIN
TAB
6 MG
WARFARIN
TAB
7.5 MG
WATER FOR INJ BACTERIOSTAT (MDV)
SOLN
WATER FOR INJECTION, STERILE
SOLN
WATER FOR INJECTION, STERILE
SOLN
WATER FOR INJECTION, STERILE
SOLN
WATER FOR INJECTION, STERILE
SOLN
WATER FOR INJECTION, STERILE
SOLP
WATER FOR IRRIGATION, STERILE
SOLN
WATER FOR IRRIGATION, STERILE
SOLN
WATER FOR IRRIGATION, STERILE
SOLN
WHITE PETROLATUM 5GM GEL PKT
GEL
WHITE PETROLATUM GEL JAR
GEL
WHITE PETROLATUM-MINERAL OIL
CREA
WILATE 1 UNIT
SOLR
1 UNIT
WITCH HAZEL-GLYCERIN (HAMAMEL) 12.5-50 %
PADM
12.5-50 %
ZANAMIVIR 5MG/PUFF
DSDV
5 MG/ACTUATION
ZIDOVUDINE
CAP
100 MG
ZIDOVUDINE
SOLN
10 MG/ML
ZIDOVUDINE
SYRP
10 MG/ML
ZIDOVUDINE
TAB
300 MG
ZINC CHLORIDE
SOLN
1 MG/ML
ZINC ELEMENTAL PED
SUSP
5 MG/ML
ZINC OXIDE 13% OINT
OINT
13 %
ZINC OXIDE 20% OINT 30GM
OINT
20 %
ZINC OXIDE 20% OINT JAR
OINT
20 %
ZINC OXIDE-PETROLATUM 20-51 %
PSTE
20-51 %
ZINC OXIDE-PETROLATUM 20-51 %
PSTE
20-51 %
ZINC SULFATE
CAP
220 (50) MG
ZIPRASIDONE HCL
CAP
20 MG
ZIPRASIDONE HCL
CAP
40 MG
ZIPRASIDONE MESYLATE (NF)
SOLR
20 MG
ZOLEDRONIC ACID
SOLN
4 MG/5 ML
ZOLEDRONIC ACID MDV
SOLN
4 MG/5 ML
ZOLEDRONIC ACID-MANNITOL+WATER
SOLN
5 MG/100 ML
ZOLPIDEM
TAB
5 MG
ZONISAMIDE
CAP
100 MG
University Medical Center So. NV.
Page 293
Dispense
------------1.00000
30.00000
1.00000
75.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
1.00000
30.00000
10.00000
50.00000
20.00000
100.00000
1,000.00000
1,000.00000
1,500.00000
3,000.00000
5.00000
453.60000
57.00000
1.00000
40.00000
1.00000
1.00000
20.00000
5.00000
1.00000
10.00000
10.00000
60.00000
30.00000
454.00000
170.00000
71.00000
1.00000
1.00000
1.00000
1.00000
5.00000
5.00000
100.00000
1.00000
1.00000
Price
---------5.78
269.02
640.00
3,670.43
283.20
144.89
3.70
3.70
3.70
4.56
3.70
3.70
3.70
41.78
3.70
4.41
4.48
29.20
26.78
46.80
30.74
68.27
44.90
47.02
52.74
87.03
.49
96.31
26.64
2.06
43.28
66.93
43.82
316.22
27.05
30.21
94.05
7.09
73.67
54.64
101.08
169.20
110.66
7.09
56.57
82.69
245.30
453.48
453.48
4,138.62
3.70
23.10
02/12/14
Charge#
--------42097
42517
42098
42337
42419
40815
UMC Charge Master
Description
-----------------------------------------------------------------------------------------ZONISAMIDE
CAP
25 MG
ZONISAMIDE PED
SYRP
10 MG/ML
ZOSTER VACCINE LIVE (PF)
SUSR
19,400 UNIT
ZOSYN PED 22.5 MG/ML
SOLN
22.5 MG/ML
ZZFLU VACCINE 2012(6-35MO)
SYRG
22.5 MCG/0.25 ML
ZZFLU VACCINE 2012-13(3 YR+)
SYRG
45 MCG (15 MCG X 3)/0.5 ML
University Medical Center So. NV.
Page 294
Dispense
------------1.00000
10.00000
1.00000
100.00000
.25000
.50000
Price
---------4.64
23.04
455.19
73.67
36.27
29.09

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8ply ST 2/pk 50pk/bx 3