Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov Greenwich Hospital Price Master - CT.gov
27200215 HC TRAY FOLEY W/URINE METER 16FR 56.07 4/1/2013 27200216 HC SPLINT WRIST LG RT 56.01 4/1/2013 27200217 HC SPLINT WRIST BLACK 8 INCH WITH 56.01 4/1/2013 27200218 HC NEEDLE POWERLOC SAFE SET 20GA 51.40 4/1/2013 27200219 HC POWERLOC SAFE INF. SET 20GA X 51.40 4/1/2013 27200220 HC TRAY LUMBAR PUNCTURE ADULT 51.09 4/1/2013 27200221 HC OXISENSOR MDL NEONATAL 47.30 4/1/2013 27200222 HC SHOE POST OP MALE SM 42.91 4/1/2013 27200224 HC KIT PX SINGLE LINE DPT 60 INCH 41.68 4/1/2013 27200226 HC CATHETER COUDE 16FR 5CC 40.39 4/1/2013 27200227 HC CATHETER COUDE 18FR 5CC 40.39 4/1/2013 27200228 HC CATHETER FOLEY IRRG 3WAY 39.70 4/1/2013 27200229 HC SHOE POST OP MALE LG 39.11 4/1/2013 27200230 HC SHOE POST OP WOMENS LG 39.11 4/1/2013 27200231 HC SHOE POST OP WOMANS SM 39.11 4/1/2013 27200232 HC CATHETER FOLEY BARDEX 5CC 14FR 36.59 4/1/2013 27200233 HC OXISENSOR MDL PEDIATRIC 36.39 4/1/2013 27200234 HC TRAY FOLEY 16FR 5CC 32.21 4/1/2013 27200235 HC TRAY FOLEY 18FR 5CC 32.21 4/1/2013 27200237 HC CHLORAPREP 26ML APPLICATOR W O 30.40 4/1/2013 27200238 HC CATHETER SET RADIAL ARTERY 29.96 4/1/2013 27200239 HC BAG DRAIN METER URINE 350CC 29.32 4/1/2013 27200241 HC CATHETER PEDIATRIC 3CC 8FR 28.73 4/1/2013 27200242 HC CAUTERY HIGH-TEMP LOOP TIP 25.31 4/1/2013 27200244 HC TRAY FOLEY W/O CATHETER 22.58 4/1/2013 27200247 HC DEVICE BIOPSY 9GX10CM 12MM 1,142.71 4/1/2013 27200248 HC DEVICE BIOPSY 9GX13CM 20MM 1,142.71 4/1/2013 27200249 HC KYPHX LATITUDE CURETTE 8.0MM 840.06 4/1/2013 27200254 HC BIOPSY SITE ID EVIVA 13CM 282.10 4/1/2013 27200260 HC KIT MULTICARE DRAPING 78.59 4/1/2013 27200262 HC GUIDE NEEDLE 9G EVIVA LORAD 40.30 4/1/2013 27200266 HC BARRIER INTERCEED ABSORB TC-7 945.61 4/1/2013 27200277 HC CATH EP NON 3D
27800067 HC STAPLER SKIN ROYAL 35 25.89 4/1/2013 27800139 HC 8.5FR 22CM NEPHROUT SET 240735 539.60 4/1/2013 27800158 HC CATHETER FEMORAL LEFT 254.34 4/1/2013 27800163 HC CATH FLEXXICON 12X24 TMP DLSYS 215.39 4/1/2013 27800204 HC BARE METAL STENT 2,483.00 4/1/2013 27800211 HC DRUG ELUTING STENT SGL VS 5,309.80 4/1/2013 27850001 HC SUP OTHER IMPLANT 68.42 4/1/2013 27850004 HC SUP CATH DRAINAGE C1729 80.22 4/1/2013 27850015 HC SUP PACEMAKER DUAL CHAMBER RATE-RESPONSIVE C1785 17,572.00 4/1/2013 27850025 HC SUP CATH SUPRAPUBIC/CYSTOSCOPIC C2627 46.18 4/1/2013 27850035 HC SUP LEAD PACEMAKER UNIPASS C1779 3,476.20 4/1/2013 27850039 HC SUP LEAD ICD ENDOCARDIAL DUAL C1895 15,241.80 4/1/2013 29000002 HC WALKER, WHEELED, ADULT 635.85 4/1/2013 29000004 HC WALKER, SINGLE RELEASE ADULT 414.46 4/1/2013 29000006 HC CRUTCHES,ADULT 32.80 4/1/2013 29000007 HC CRUTCHES,MEDIUM 32.80 4/1/2013 29000008 HC CRUTCHES,CHILD 32.80 4/1/2013 29000011 HC CRUTCH ADLT MED 5'2-5'10 39.22 4/1/2013 29000012 HC CRUTCH ADULT LG 39.16 4/1/2013 30000001 HC COLLECTION OF VENOUS BLOOD BY VENIPUN 34.51 4/1/2013 30000002 HC COLL BL CENTRAL/PERIPHERAL CATH VENOUS 142.00 4/1/2013 30000003 HC BASIC METABOLIC PANEL 62.06 4/1/2013 30000005 HC ELECTROLYTE PANEL 50.99 4/1/2013 30000006 HC CMPRH METABOLIC PANEL 76.45 4/1/2013 30000009 HC RENAL FUNCTION PANEL 80.00 4/1/2013 30000010 HC ACUTE HEP PANEL 422.22 4/1/2013 30000016 HC DRUG SCRN QL MULTI CLASS NON EA PROC 174.96 4/1/2013 30000020 HC CARBAMAZEPINE (TEGRETOL) TOTAL 112.00 4/1/2013 30000022 HC CYCLOSPORINE 202.96 4/1/2013 30000023 HC DESIPRAMINE (NORPRAMIN) 31.00 4/1/2013 30000024 HC DIGOXIN (LANOXIN) 96.35 4/1/2013 30000025 HC DIPROPYLACETIC ACID (VALPROIC) 99.00 4/1/2013 30000028 HC GENTAMICIN 223.00 4/1/2013 30000031 HC IMIPRAMINE 31.00 4/1/2013 30000033 HC LITHIUM 52.00 4/1/2013 30000034 HC NORTRIPTYLINE 180.00 4/1/2013 30000035 HC PHENOBARBITAL 146.00 4/1/2013 30000036 HC PHENYTOIN (DILANTIN) TOTAL 139.00 4/1/2013 30000037 HC PHENYTOIN (DILANTIN) FREE 120.00 4/1/2013 30000041 HC ASSAY OF SIROLIMUS 209.00 4/1/2013 30000043 HC TACROLIMUS (FK-506) 278.00 4/1/2013 30000044 HC THEOPHYLLINE 145.00 4/1/2013 30000047 HC VANCOMYCIN 189.00 4/1/2013 30000051 HC URINALYSIS AUTO W/MICRO 65.00 4/1/2013 30000052 HC URINALYSIS NONAUTO W/O MICRO 25.37 4/1/2013 30000053 HC URINALYSIS AUTO W/O MICRO 29.91 4/1/2013 30000056 HC URINE PREGNANCY VISUAL 126.00 4/1/2013 30000057 HC URINE VOLUME MEASURE 15.00 4/1/2013 30000058 HC ACETAMINOPHEN (TYLENOL) 258.00 4/1/2013 30000060 HC BETA HYDROXYBUTYRATE QN SERUM 194.00 4/1/2013 30000067 HC MICROALBUMIN QN URINE 101.92 4/1/2013 30000068 HC ALCOHOL (ETHANOL) SERUM/PLASMA 161.00 4/1/2013 30000069 HC ALCOHOL (ETHANOL) BREATH 234.33 4/1/2013 30000073 HC ALPHA-1 ANTITRYPSIN PHENOTYPE 353.90 4/1/2013 30000080 HC AMINOLEVULINIC ACID (ALA) 147.00 4/1/2013 30000082 HC AMINO ACID SCREEN, PLASMA 741.00 4/1/2013 30000083 HC AMMONIA 135.00 4/1/2013 30000086 HC AMYLASE BODY FLUID 97.00 4/1/2013 30000087 HC ANDROSTANEDIOL GLUCURONIDE 332.56 4/1/2013 30000093 HC VITAMIN C (ASCORBIC ACID) 174.00 4/1/2013 30000098 HC BILE ACIDS,FRACTIONATED/TOTAL 321.00 4/1/2013 30000099 HC BILIRUBIN; TOTAL 51.00 4/1/2013 30000102 HC OCCU BL FECES COLORECTAL CANCER SCRN 81.37 4/1/2013 30000103 HC OCCULT BL PEROXIDASE ACT QL OTHER SRCS 42.00 4/1/2013 30000104 HC OCCULT BL FECES PEROXIDASE ACT QL SNGL 38.01 4/1/2013 30000106 HC CADMIUM 197.04 4/1/2013 30000111 HC CALCIUM IONIZED 169.49 4/1/2013 30000112 HC CALCIUM QN TIMED URINE 102.38 4/1/2013 30000117 HC CARCINOEMBRYONIC ANTIGEN (CEA) 152.49 4/1/2013 30000118 HC CARNITINE TOTAL AND FREE QN 304.95 4/1/2013 30000126 HC CHLORIDE URINE 97.00 4/1/2013 30000127 HC CHLORIDE OTHER SRCE 46.00 4/1/2013 30000139 HC COCAINE QN 217.00 4/1/2013 30000140 HC N-TELOPEPTIDE, URINE, 24 HOUR 254.00 4/1/2013 30000142 HC COICOSTERONE 135.00 4/1/2013 30000144 HC CORTISOL; TOTAL 119.00 4/1/2013 30000150 HC CREATINE KINASE (CPK) TOTAL 56.50 4/1/2013 30000152 HC CREATINE KINASE (CPK) MB ONLY 166.33 4/1/2013 30000155 HC CREATININE CLEARANCE 65.00 4/1/2013 30000159 HC VITAMIN B-12 (CYANCOBALAMIN) 166.12 4/1/2013 30000170 HC DIHYDROTESTOSTERONE 233.00 4/1/2013 30000172 HC ELASTASE PANCREATIC EL-1 FECAL 495.68 4/1/2013 30000180 HC ESTRIOL (SO) 208.00 4/1/2013 30000184 HC FECAL FAT,QUAL 120.00 4/1/2013 30000189 HC FETAL FIBRONECTIN CERVICOVAG SECRETIONS 482.00 4/1/2013 30000191 HC FOLIC ACID SERUM 157.29 4/1/2013 30000198 HC GAMMAGLOBULIN (IMMNUOGLOBULIN) IGE 112.00 4/1/2013 30000201 HC BL GAS PH PO2 &/OR PCO2 467.00 4/1/2013 30000202 HC BL GAS W/O2 SAT 626.38 4/1/2013 30000203 HC BL GAS O2 SAT ONLY 467.00 4/1/2013
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- Page 3: 27200017 HC ELECTRODE TRANSVENOUS P
- Page 7 and 8: 30000464 HC ACTIVATED PROTEIN C RES
- Page 9 and 10: 30001771 HC CYSTIC FIBROSIS NEWBORN
- Page 11 and 12: 30100318 HC MOL DIA;SEP BY GEL E4,E
- Page 13 and 14: 30600038 HC PAPILLOMAVIRUS, HUMAN:A
- Page 15 and 16: 32000101 HC XR ANKLE 2 VIEWS 406.00
- Page 17 and 18: 36000178 HC BX BREAST NDL PERC W/GU
- Page 19 and 20: 40000043 HC US GUIDANCE INTRAOPERAT
- Page 21 and 22: 61000039 HC MRI UPR EXTREM JT W/O C
- Page 23 and 24: 98100016 HCPR REPAIR LAC SIMPLE SCA
- Page 25 and 26: 27250001628 SUTURE SILK 6-0 S1769K
- Page 27 and 28: 250000051465 CEFUROXIME SODIUM 750
- Page 29 and 30: 270500013282 INDERMIL TISSUE ADHESI
- Page 31 and 32: 272500012059 BLANKET WARMER BAIR HU
- Page 33 and 34: 272500015138 BLADE DIEGO SERRATED 4
- Page 35 and 36: 276500023575 LENSE SN60WF18.5 569.1
- Page 37 and 38: 278500015237 CUP BIPOLAR 5001-53-28
- Page 39 and 40: 278500232831 POLARIS STENT KIT 7FR
- Page 41 and 42: 637000017753 TEMAZEPAM 15 MG CAPSUL
- Page 43 and 44: 2500000433512 ESCITALOPRAM 10 MG TA
- Page 45 and 46: 2705000126822 TUBE VACUUM AQUILEX H
- Page 47 and 48: 6370000111218 PSYLLIUM ORAL PACKET
- Page 49 and 50: 6370000129858 METOPROLOL SUCCINATE
- Page 51 and 52: 25000005113667 SODIUM CHLORIDE 0.9
27200215 HC TRAY FOLEY W/URINE METER 16FR 56.07 4/1/2013<br />
27200216 HC SPLINT WRIST LG RT 56.01 4/1/2013<br />
27200217 HC SPLINT WRIST BLACK 8 INCH WITH 56.01 4/1/2013<br />
27200218 HC NEEDLE POWERLOC SAFE SET 20GA 51.40 4/1/2013<br />
27200219 HC POWERLOC SAFE INF. SET 20GA X 51.40 4/1/2013<br />
27200220 HC TRAY LUMBAR PUN<strong>CT</strong>URE ADULT 51.09 4/1/2013<br />
27200221 HC OXISENSOR MDL NEONATAL 47.30 4/1/2013<br />
27200222 HC SHOE POST OP MALE SM 42.91 4/1/2013<br />
27200224 HC KIT PX SINGLE LINE DPT 60 INCH 41.68 4/1/2013<br />
27200226 HC CATHETER COUDE 16FR 5CC 40.39 4/1/2013<br />
27200227 HC CATHETER COUDE 18FR 5CC 40.39 4/1/2013<br />
27200228 HC CATHETER FOLEY IRRG 3WAY 39.70 4/1/2013<br />
27200229 HC SHOE POST OP MALE LG 39.11 4/1/2013<br />
27200230 HC SHOE POST OP WOMENS LG 39.11 4/1/2013<br />
27200231 HC SHOE POST OP WOMANS SM 39.11 4/1/2013<br />
27200232 HC CATHETER FOLEY BARDEX 5CC 14FR 36.59 4/1/2013<br />
27200233 HC OXISENSOR MDL PEDIATRIC 36.39 4/1/2013<br />
27200234 HC TRAY FOLEY 16FR 5CC 32.21 4/1/2013<br />
27200235 HC TRAY FOLEY 18FR 5CC 32.21 4/1/2013<br />
27200237 HC CHLORAPREP 26ML APPLICATOR W O 30.40 4/1/2013<br />
27200238 HC CATHETER SET RADIAL ARTERY 29.96 4/1/2013<br />
27200239 HC BAG DRAIN METER URINE 350CC 29.32 4/1/2013<br />
27200241 HC CATHETER PEDIATRIC 3CC 8FR 28.73 4/1/2013<br />
27200242 HC CAUTERY HIGH-TEMP LOOP TIP 25.31 4/1/2013<br />
27200244 HC TRAY FOLEY W/O CATHETER 22.58 4/1/2013<br />
27200247 HC DEVICE BIOPSY 9GX10CM 12MM 1,142.71 4/1/2013<br />
27200248 HC DEVICE BIOPSY 9GX13CM 20MM 1,142.71 4/1/2013<br />
27200249 HC KYPHX LATITUDE CURETTE 8.0MM 840.06 4/1/2013<br />
27200254 HC BIOPSY SITE ID EVIVA 13CM 282.10 4/1/2013<br />
27200260 HC KIT MULTICARE DRAPING 78.59 4/1/2013<br />
27200262 HC GUIDE NEEDLE 9G EVIVA LORAD 40.30 4/1/2013<br />
27200266 HC BARRIER INTERCEED ABSORB TC-7 945.61 4/1/2013<br />
27200277 HC CATH EP NON 3D
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