UH & UHM Supply Charges

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: Charge displayed on these documents include: procedure, anesthesia and recovery time if applicable, some medications and supplies, laboratory tests and room & board. Not included are physician fees.

Charge Code Supply Description Charge
27000002 HC TRACH EXTENDED LENGTH 7.0 FR $345
27000003 HC TRACH EXTENDED LENGTH 8.0 FR $345
27000004 HC CANNULA INNER EXT LENGTH 8.0FR $39
27000005 HC PNEUMOSTAT CHEST DRAIN VALVE 123 $333
27000006 HC CATHETER FOLEY ANTI INFECTIVE $209
27000007 HC CANNULA INNER EXT LENGTH 7.0FR $39
27000008 HC ADAPTER 4 IN 1 PD SAFE $80
27000009 HC SWEET EASE $8
27000010 HC CABLE EXT DISP FOR TEMP PACING 002953A $104
27000011 HC BAIR HUGGER $150
27000012 HC DRESS AQUACEL Ag 14in 013542 $168
27000013 HC BIS SENSOR OR PROBE DISPOSABLE $110
27000014 HC NEEDLE ADULT BONE V-9001 $258
27000015 HC RETROGRADE INTUBATION SET 003992 $290
27000016 HC CATH IV PROTECT 14G X 1.25 S 0290 $20
27000017 HC WICK EAR 10699 $10
27000018 HC SUT 4-0 VICRYL RAPIDE PS2 ND 005906 $16
27000019 HC SUT 5-0 VICRYL RAPIDE VR933 005905 $16
27000020 HC SUTURE 5-0 MONOCRYL PC-3 20736A $18
27000021 HC 40 MNOCRYL PC-3 $17
27000022 HC SUTURE 3-0 MONOCRYL FS-2 025534 $16
27000023 HC SUTURE 6-0 PLAIN GUT G-6 005903 $48
27000024 HC SUTURE 5.0 PLAIN GUT G-3 020208 $34
27000025 HC SUTURE 5-0 PLAIN GUT PS-3 20209 $15
27000026 HC SUTURE 3-0 GUT PLAIN SH 07949A $18
27000027 HC SUTURE 4-0 PDS PS-2 005907A $16
27000028 HC SUTURE 3-0 PDS PS-2 8375A $16
27000029 HC SUT 5-0 VICRYL PS-4 J506G 1 20210A $15
27000030 HC SUT 5-0 VICRYL COATED J493G 9858A $15
27000031 HC SUTURE 3-0 VICRYL SH 300502A $8
27000032 HC SUTURE 6-0 ETHILON P-1 005901 $14
27000033 HC SUT 5-0 ETHILON PS-3 1668G 20145 $14
27000034 HC SUT 3-0 ETHILON FS-1 663G 66 9561A $7
27000035 HC SUT 4-0 ETHILON BLK MONO PS- 300444 $14
27000036 HC SUTURE 6-0 PROLENE P-3 8371A $16
27000037 HC SUT PROLENE 5-0 8681G 8370 $16
27000038 HC SUTURE 5-0 ETHILON P-3 005902 $14
27000039 HC SUT 3-0 PROLENE FS-1 8684G 20179 $9
27000040 HC SUTURE 2-10 SILK FS SP0010 $7
27000041 HC 4-0 PROLENE P-3 $16
27000042 HC RHINO ROCKET LARGE 17199 $40
27000043 HC KIT RAPE EVIDENCE GA GBI200/RC 000179 $27
27000044 HC OXYGEN ONLY PER HOUR(ER) $26
27000045 HC OPTIPORE SPONGE 8637 $8
27000046 HC WORD CATHETER 6967 $94
27000047 HC TUBE GAUZE FINGER 7667 $18
27000048 HC PLASTIC TRAY SP0011 $47
27000049 HC PERITONEAL LAVAGE KIT 9532 $109
27000050 HC MOUTHPIECE 6955 $13
27000051 HC MORGAN LENS 006909 $60
27000052 HC GASTRIC LAVAGE KIT 006148 $67
27000053 HC ENT TRAY-MINOR SP0015 $47
27000054 HC ENT TRAY-MAJOR SP0013 $60
27000055 HC ICE PACK DISP 5781 $19
27000056 HC CAUTERY SURGICARE 8636 $25
27000057 HC STAPLER SKIN MULTI DIR REL PMR 000238 $37
27000058 HC GOWN UP $13
27000059 HC EYE SHIELD ALUMINUN $13
27000060 HC ADENOID SPONGES PK5 $13
27000061 HC GARDNER WELLS TONG $34
27000062 HC SUTURE TRAY MAJOR SP0001 $47
27000063 HC SPLINT RHINO ROCKET SL 20427 $35
27000064 HC TRAY EXTRACTION SP0009 $60
27000066 HC SUTURES $15
27000067 HC PACE AIDE PHYSO CONTROL $175
27000068 HC I / D TRAY $27
27000069 HC SUTURE TRAY $47
27000070 HC PLASTIC TRAY MINOR $47
27000071 HC PELVIC TRAY DISPOSABLE $47
27000072 HC NASOSTAT LARGE 20363A $107
27000073 HC GASTROSTOMY TUBE $109
27000074 HC PRESSPATCH $16
27000075 HC SUTURE 4-0 PROLENE PS-2 08472A $16
27000076 HC NASOSTAT SLIMLINE 14077 $94
27000077 HC RHINO ROCKET X-LARGE $51
27000078 HC TRANSCRIROTHYRTOMY CATH SET $163
27000079 HC TRAUMA TRAY MAJOR SP0002 $60
27000080 HC WOUND CLEANING SOLUTION $13
27000081 HC BURR OPT 007612 $29
27000082 HC NOSOSTATS-EPISTAT CATH $166
27000083 HC 6-0 PROLENE P-1 $16
27000084 HC SUTURE 7-0 PROLENE P-6 8369 $17
27000085 HC SUTURE 5-0 MERSILENE P-3 07941A $14
27000086 HC SUT 5-0 PROLENE P3 ND 8698G 000158A $16
27000087 HC SUT 5-0 PDS CLEAR MON Z493G 006317 $16
27000088 HC SUTURE 6.0 VICRYL P-3 NEE J4 9749 $15
27000089 HC SUT 4-0 CT VICRYL W/NDL J422 7375A $9
27000090 HC PNEUMOTHORAX KIT 8 FR $234
27000091 HC TRAY CRICOTHYROTOMY ADULT 020324 $423
27000092 HC 6-0 PLAIN GUT G-1 $48
27000093 HC IV CATH 16 X 1 1/4 $20
27000094 HC EPISTAXIS CATH 003046 $286
27000095 HC IV ANGIOCATH 14 GA 16925 $12
27000096 HC NASOSTATS REG 14076 $94
27000097 HC THORACIC CATHETER 36FR $163
27000098 HC ZOLL ADULT OXISENSOR $39
27000099 HC XOMED EPISTAXIS CATHETER $143
27000100 HC ZOLL PED OXISENSOR $55
27000101 HC FROVA INTUBATING SET 009399 $223
27000102 HC NOSE BLEED TRAY DYND07800 $27
27000103 HC SUTURE 4-0 MERSILENE P-3 300389A $14
27000104 HC NASAL CANNULA-PED $6
27000105 HC AIRWAY LARYNGEAL MASK $25
27000106 HC ZOLL NEONATE OXISENSOR $56
27000107 HC DERMABOND ADHESIVE TOPICAL 000334 $181
27000108 HC KIT SUTURE REMOVAL 06-0044 006314 $79
27000109 HC IRRIGATION SET ER $18
27000110 HC MONITOR INTRACOMPARTMENTAL $437
27000111 HC OCL SPLINT $59
27000112 HC SPICA LIGHTCAST UNIL CHILD $473
27000113 HC MEDIAL AND LATERIAL SPLINT $42
27000114 HC 1 1/2 SPICA $130
27000115 HC BODY LIGHTCAST ADULT $506
27000116 HC BODY LIGHTCAST CHILD $419
27000117 HC CYLINDER LIGHTCAST CHILD $212
27000118 HC POSTERIOR LIGHTSPLINT ADULT $70
27000119 HC SPICA LIGHTCAST BIL CHILD $581
27000120 HC PIN / DRILL TRAY $47
27000121 HC POSTERIOR LIGHTSPLINT CHILD $70
27000122 HC SLING AND SWATH $30
27000123 HC ELECTRIC TOURNIQUET CUFF $73
27000124 HC CERVICAL HALTER PADDED $42
27000125 HC ROM BRACE LONG 000511 $384
27000126 HC LONG LEG LIGHTCAST CHILD $251
27000127 HC LONG ARM LIGHTCAST CHILD $188
27000128 HC SHORT LEG LIGHTCAST CHILD $172
27000129 HC SHORT ARM LIGHTCAST $111
27000130 HC LONG LEG LIGHTCAST ADULT $321
27000131 HC LONG ARM LIGHTCAST ADULT $188
27000132 HC CYLINDER LIGHTCAST ADULT $252
27000133 HC SHORT LEG LIGHTCAST ADULT $212
27000134 HC SHORT LEG CAST $83
27000135 HC SHORT ARM CAST $42
27000136 HC REINFORCE PLASTER CAST $26
27000137 HC LONG ARM CAST $59
27000138 HC BODY JACKET CAST $114
27000139 HC HANGING ARM CAST $59
27000140 HC CYLINDER CAST $59
27000141 HC LONG LEG CAST $75
27000142 HC FINGER SPLINT WITH VELCRO $27
27000143 HC SHORT ARM LIGHTCAST CHILD $111
27000144 HC SPICA LIGHTCAST UNIL ADULT $626
27000145 HC HALO AND VEST NEW $4,081
27000146 HC SPICA LIGHTCAST BIL ADULT $711
27000147 HC BAIR HUGGER PACU 16502-315 $147
27000148 HC TRAY INFANT RESUSCITATION $176
27000149 HC ELECT SPIRAL DISP 301013 $32
27000150 HC LATEX FREE VAGINAL DELIVERY KT $388
27000151 HC AMNIOSWAB $5
27000152 HC AMNIHOOK DISP ST 300963 $12
27000153 HC VACUUM EXTRACTOR $181
27000154 HC SUTURE-L/D $19
27000155 HC INFANT TRANSPORT MATRESS $93
27000156 HC DISPOSABLE VAGINAL EXAM TRAY $67
27000157 HC LABOR/DELIVERY WHITE PAD $32
27000158 HC VACURETTE TIP $20
27000159 HC INFANT SUCTION $14
27000160 HC NDL TUOHY EPIDURAL 18G 003187 $29
27000161 HC ISLAND DRESSING - 4X8 $10
27000162 HC ISLAND DRESSING - 4X10 $12
27000163 HC TRAY NEONATAL RESUSCITATION $176
27000164 HC INFANT WARMER $0
27000165 HC SUTURES PK $19
27000166 HC PARACERVICAL BLOCK T $27
27000167 HC SPONGE $6
27000168 HC CATH DUAL LUMEN 5FR 013127 $251
27000169 HC SWEET EASE SUCROSE/WATER 010633 $8
27000170 HC KIT UMBILICAL SECTION 006168 $240
27000171 HC CATH SIL UVC 3.5FR SGL LUM SCN1 $120
27000172 HC Umbilical Artery Cath Tray 013268 $266
27000173 HC DRESS AQUACEL Ag 9 x 25 013374 $245
27000174 HC DRESS AQUACEL SIL 9X15 013373 $196
27000175 HC BINDER ABD 12 75 TO 84 4 PANL 013132 $143
27000176 HC ET TUBE FASTENER 013219 $68
27000177 HC PLEURX VALVE CAP REPLACEMENT 011783 $24
27000178 HC DRESSING ISLAND2X3.75MINI 800481 $24
27000179 HC SET PRISMAFLEX HF1400 012590 $852
27000180 HC SET PRISMAFLEX HF1000 012564 $764
27000181 HC SUT 6-0 PROLENE 8697G 8368 $8
27000182 HC SUT 5-0 PROLENE 8698G 000158 $8
27000183 HC SUT 4-0 PROLENE 8699G 6063 6063 $8
27000184 HC SUT 4-0 PROLENE 8682G 8372 $8
27000185 HC SYT 4-0 VICRYL CT W/NDL J422H 7375 $8
27000186 HC SUT 3-0 VICRYL COATED J416H 36 300502 $8
27000187 HC ACAPELLA HIGH FLOW GREEN M 005635 $268
27000188 HC ACAPELLA LOW FLOW BLUE MRH 005634 $270
27000189 HC SURGICAL SKIN ADHESION 007372 $181
27000190 HC DRESSING ISLAND 4X10 22186 $24
27000191 HC NDL HUBER 19X3/4 W/O Y SAFESTE 011735 $23
27000192 HC SLEEVE SCD KNEE LXRG 012483 $388
27000193 HC TRAY URINEMETER IC 18FR W/TEMP 012052 $219
27000194 HC TRAY URINEMETER IC 16FR W/TEMP 012051 $219
27000195 HC TRAY SPINAL PENCAN 27G 010494 $114
27000196 HC BASIC NEONATAL RESUSCITATI 007416 $176
27000197 HC NDL HUER W/O Y SAFESTEP 20X1 011185 $23
27000198 HC HUBER - POWERLOC 20GX1 SAF 011173 $59
27000199 HC HUBER - POWERLOC 19GX1 SAF 011172 $59
27000200 HC NDL HUBER 22X1/2 W/O Y SAFESTE 011103 $23
27000201 HC NDL HUBER W/O Y SAFESTEP 20X0. 011102 $23
27000202 HC CANNULA ETCO2 REGULAR $117
27000203 HC SENSOR LNOP INF-L ADHESIVE 010677 $95
27000204 HC SENSOR LNOP NEO-L ADHESI 010666 $95
27000205 HC SENSOR LNOP NEO-PT-L ADHESI 010665 $97
27000206 HC ELECTRODE PEDIATRIC MULTI 000683 $162
27000207 HC SHURCLENS WOUND CLEANING S 301431 $15
27000208 HC TRAY VAG SPECULUM 301457 $50
27000209 HC DRESSING CVAD SLVR IMPREGNATED $55
27000210 HC PLASTIBELL 1.4 CM 010467 $29
27000211 HC SENSOR ADULT ADHESIVE 010184 $170
27000212 HC SENSOR NEONATAL ADHESIVE 010229 $167
27000213 HC SENSOR INFANT ADHESIVE 010186 $147
27000214 HC SENSOR PEDIATRIC ADHESIVE 010185 $147
27000215 HC TUBE FF ENT 10FR 109CM VIA 009326 $155
27000216 HC VALVE ADULT LOPEZ LF 009065 $20
27000217 HC MASK NEONATAL SZ 3 SGL USE 008309 $44
27000218 HC MASK NEONATAL SZ 2 SGL USE 006809 $44
27000219 HC CANNULA NASAL PEDIATRIC SA 005497 $13
27000220 HC SILVASORB SILVER HYDROGEL 007709 $139
27000221 HC SLEEVE SCD EXPRESS THIGH LENGT LG 007660 $299
27000222 HC SLEEVE SCD EXPRESS THIGH L 007659 $238
27000223 HC SLEEVE SCD LG KNEE EXPRESS LE 007661 $255
27000224 HC IMPAD A-V IMPULSE X-LARGE 007657 $334
27000225 HC FLEXI-SEAL FMS COLLECT BAG 007630 $310
27000226 HC FLEXI-SEAL FMS CONVATEC 41 007629 $980
27000227 HC VAC CANISTER WITH GEL 007568 $311
27000228 HC VAC LARGE DRESSING 007567 $338
27000229 HC VAC MEDIUM DRESSING 007566 $281
27000230 HC VAC SMALL DRESSING 007565 $254
27000231 HC NEOPUFF CIRCUIT W/TERM MAS 007107 $97
27000232 HC NEOPUFF CIRCUIT W/ PREMIE 007106 $97
27000233 HC THERAPEP WITH MOUTHPIECE 000668 $156
27000234 HC SET PRISMA PRE-DIL CVVH M- 004492 $760
27000235 HC PAD OB PEACH SANITARY 003642 $20
27000236 HC CREAM SKIN REPAIR 2 OZ REM 003220 $11
27000237 HC TUBE FEEDING 8FR.X 90 CM SILIC 010626 $167
27000238 HC STATLOCK PICC PLUS SLIDNG 000981 $58
27000239 HC PD INITATION SETUP KIT $497
27000240 HC SPRAY MEDICAL ADHESIVE $229
27000241 HC NEOFIT ENDOTRACH TUBE HOLD 004982 $91
27000242 HC MASK OXY W/TUBING PED 301189 $12
27000243 HC ORAL CARE Q4 W/PEROX SAGE 006607 $243
27000244 HC AQUACEL 6X6 EACH $102
27000245 HC AQUACEL 4X4 EACH $57
27000246 HC SILVER AQUACEL HYDROFIBER ROPE DRESSING EACH $98
27000247 HC TUBE EVAC HI-LO SZ 8.5 1 005766 $170
27000248 HC TUBE EVAC HI-LO SZ 8.0 12 005765 $170
27000249 HC TUBE EVAC HI-LO SZ 7.5 1 005764 $170
27000250 HC TUBE EVAC HI-LO SZ 7.0 005763 $170
27000251 HC BAG EFFLUENT 5L CVHH 815165 $58
27000252 HC TRAY CATH CTRL 3 LU 7X16 S 005220 $450
27000253 HC KIT CVAD SAN21CVUH 005440 $271
27000254 HC TEGADERM INFANT IV SITE DRESS 010635 $8
27000255 HC TEGADERM INFANT CVL DRESSING 010634 $7
27000256 HC SET IV PLUG MAXPLUS 012775 $19
27000257 HC CATH IV 20X1-1/4 INTROCAN 004923 $25
27000258 HC TRAY 24CM 12FR STRAIGHT MA 004986 $567
27000259 HC TRAY 20CM 12FR STRAIGHT MA 004985 $567
27000260 HC TRAY 12FRX20CM CURVED MAH 004984 $523
27000261 HC TRAY 12FRX16CM CURVED MAH 004983 $523
27000262 HC BOOT ANKLE CONTRACTURE XL 004772 $420
27000263 HC BOOT ANKLE CONTRACTURE LG 004771 $420
27000264 HC BOOT ANKLE CONTRACTURE MD 004770 $420
27000265 HC SOL SKIN PREP MASTISOL 5 004914 $88
27000266 HC WOUND CARE: IRRIGATION SA 004870 $12

See Part 2 of this list.