St. Bonaventure Hospital

All Charges

Charge

Type

Price

CATH MALE EXTERNAL LARGE

None None

$4.00

Hospital Charge Code	100590
Hospital Revenue Code	270
Max. Negotiated Rate	-$1.00

CATH RED RUBBER 18 FR

None None

$1.00

Hospital Charge Code	100842
Hospital Revenue Code	270
Min. Negotiated Rate	-$2.00
Max. Negotiated Rate	-$3.00

CATH SUCTION RED RUBBER 10FR

None None

$2.00

Hospital Charge Code	100401
Hospital Revenue Code	270
Min. Negotiated Rate	-$2.00
Max. Negotiated Rate	-$3.00

CATH SUCTION RED RUBBER 16FR

None None

$2.00

Hospital Charge Code	100404
Hospital Revenue Code	270
Min. Negotiated Rate	-$2.00
Max. Negotiated Rate	-$3.00

CATH SUCTION RED RUBBER 20FR

None None

$3.00

Hospital Charge Code	100405
Hospital Revenue Code	270
Min. Negotiated Rate	-$1.00
Max. Negotiated Rate	-$2.00

CATH THORACIC TPR TIP 20FR

None None

$9.00

Hospital Charge Code	100704
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$4.00

CATH THORACIC TPR TIP 24FR

None None

$9.00

Hospital Charge Code	100649
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$4.00

CATH THORACIC TPR TIP 32FR

None None

$9.00

Hospital Charge Code	100461
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$4.00

CATH THORACIC TPR TIP 36FR

None None

$9.00

Hospital Charge Code	100168
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$4.00

CATH THORACIC TROCAR TPR 24FR

None None

$61.00

Hospital Charge Code	100651
Hospital Revenue Code	270
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$56.00

CATH THORACIC TROCAR TPR 28FR

None None

$25.00

Hospital Charge Code	100705
Hospital Revenue Code	270
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$20.00

CATH THORACIC TRP TIP 28FR

None None

$85.00

Hospital Charge Code	100256
Hospital Revenue Code	270
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$80.00

CATH TROCAR 20FR 16 L

None None

$85.00

Hospital Charge Code	100258
Hospital Revenue Code	270
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$80.00

CATH TROCAR 24FR 16 L

None None

$85.00

Hospital Charge Code	100259
Hospital Revenue Code	270
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$80.00

CATH TROCAR 28FR 16 L

None None

$85.00

Hospital Charge Code	100260
Hospital Revenue Code	270
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$80.00

CATH TROCAR 32FR 16 L

None None

$85.00

Hospital Charge Code	100257
Hospital Revenue Code	270
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$80.00

CATH URETERAL 5FR

None None

$170.00

Hospital Charge Code	100638
Hospital Revenue Code	270
Min. Negotiated Rate	$148.00
Max. Negotiated Rate	$165.00

CATH URETHRAL RED RUBBER 12FR

None None

$6.00

Hospital Charge Code	100402
Hospital Revenue Code	270
Max. Negotiated Rate	$1.00

CATH URETHRAL RED RUBBER 14FR

None None

$3.00

Hospital Charge Code	100403
Hospital Revenue Code	270
Min. Negotiated Rate	-$1.00
Max. Negotiated Rate	-$2.00

CEMENT BONE FULL SIMPLEX

None None

$229.00

Hospital Charge Code	100387
Hospital Revenue Code	270
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$224.00

CHEST DRAINAGE SYSTEM

None None

$225.00

Hospital Charge Code	100519
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$220.00

CHLORAPREP W/TINT 10.5ML

None None

$25.00

Hospital Charge Code	100365
Hospital Revenue Code	270
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$20.00

CHLORAPREP W/TINT 10.5ML

None None

$49.00

Hospital Charge Code	100708
Hospital Revenue Code	270
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$44.00

CLEANSER ANTIMICROBIAL

None None

$15.00

Hospital Charge Code	100136
Hospital Revenue Code	270
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$10.00

CLIP BINDER MINI

None None

$10.00

Hospital Charge Code	100724
Hospital Revenue Code	270
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$5.00

St. Bonaventure Hospital

Price Transparency.

All Charges