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: Costs 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 | Price |
|---|---|---|
| 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 |
