St. Jude Medical Ctr Non-Pharm by keb35299

VIEWS: 666 PAGES: 344

									St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291100100 ADAPTOR BROCHOSCOPIC                $135.00
        291100101 ADAPTOR-ACCUSEAL                     $16.00
        291100102 ADAPTER DUO PORT FEEDING             $48.00
        291100103 ADAPTOR BOLT                        $271.00
        291100104 ARCH FEMOSTOP                       $448.00
        291100105 ICE COLLAR SMALL                     $29.00
        291100106 ICE COLLAR LARGE                     $22.00
        291100107 ADAPTER REPLACEMENT G TUBE           $41.00
        291100115 AIRWAY NASOPHARYNGEAL                $51.00
        291100116 BP CUFF NEONATE-DISP-5CM             $41.00
        291100117 BP CUFF NEONATE-DISP 2.5CM           $46.00
        291100118 BP CUFF NEONATE-DISP-3CM             $41.00
        291100119 BP CUFF NEONATE-DISP-4CM             $35.00
        291100121 VALVE-HEIMLICK DISP                 $140.00
        291100124 ANESTHESIA BREATH CIRCUIT PEDS       $44.00
        291100125 ANESTHESIA REBREATH UNIT             $36.00
        291100128 ANESTHESIA BREATH CIRCUIT LONG       $34.00
        291100133 ASPIRATOR-MECONIUM                   $38.00
        291100134 AUTOTRANS REPLACEMENT BAG           $274.00
        291100135 AUTOTRANSFUSION SYSTEM              $274.00
        291100140 BAG BILE                             $35.00
        291100142 BAG BLOOD WARMER                    $112.00
        291100145 BAG BLOOD WARMER(TRAVENOL)          $112.00
        291100160 SET FEED PUMP SPIKE                  $24.00
        291100165 TUBE,FEEDING CLEAN/CLEAR DEVIC      $135.00
        291100170 BAG FEEDING W/TUBING 500CC           $35.00
        291100180 BAG FEEDING W/TUBING 1200CC          $49.00
        291100189 BAG- LEG                             $31.00
        291100190 BAG INCONTINENT MALE                 $28.00
        291100200 BAG PED.URINE COLLECTOR 24 HR        $36.00
        291100202 BAG SPEC. COLL. NEWBORN              $16.00
        291100203 BAG SPEC. COLL. PREMIE               $22.00
        291100210 BAG URINE DRAIN                      $43.00
        291100220 BAG URINE DRAIN LEG LARGE            $35.00
        291100223 BAG URINE DRAIN LEG MEDUIM           $35.00
        291100226 BAG URINE DRAIN LEG SMALL            $35.00
        291100230 BAG URINE DRAIN W/METER              $72.00
        291100235 BAG VENTRICULAR DRAINAGE            $140.00
        291100240 BANDAGE CAST PER ROLL 4 IN           $23.00
        291100250 BANDAGE CAST PER ROLL 6 IN.          $31.00
        291100260 BANDAGE ELASTIC 2INCH                $20.00
        291100270 BANDAGE ELASTIC 3 INCH               $22.00
        291100280 BANDAGE ELASTIC 4 INCH               $23.00
        291100285 BANDAGE ELASTIC 4 IN STERILE         $29.00
        291100290 BANDAGE ELASTIC 6 INCHES             $26.00
        291100295 BANDAGE ELASTIC 6 IN STERILE         $36.00
        291100300 BANDAGE PLASTER ROLL 2X3             $20.00
        291100301 BANDAGE SUPPORT FULL LEG XLG         $38.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          1
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291100302 BANDNET TORSO-REG                    $21.00
        291100303 BANDAGE PROFANE 4 LAYER             $140.00
        291100304 BANDNET THIGH HIP                    $15.00
        291100305 BANDAGE SETIPREN HIGH COMP           $70.00
        291100306 BANDAGE SUPPORT TUBIGRIP            $341.00
        291100307 BANDAGE SHAPED SUPPORT FULL LG      $429.00
        291100308 BANDAGE TUBULAR ELASTIC SIZE E       $14.00
        291100309 BANDAGE TUBULAR SUPPORT SIZE D       $14.00
        291100310 BANDAGE TUBE NET PER YD #1           $19.00
        291100315 BANDAGE TUBE NET PER YARD #2         $19.00
        291100320 BANDAGE TUBE NET PER YD#3            $20.00
        291100326 BANDAGE UNNA-FLEX 4INX10YDS          $46.00
        291100330 BANDAGE TUBE NET PER YD #4           $20.00
        291100340 BANDAGE TUBE NET PER YD #5           $22.00
        291100350 BANDAGE TUBE NET PER YD #5.5         $21.00
        291100360 BANDAGE TUBE NET PER YD #6           $26.00
        291100370 BANDAGE TUBE NET PER YD #7           $29.00
        291100380 BANDAGE TUBE NET PER YD #8           $32.00
        291100390 BELT PELVIC 1 STRAP UNIVERSAL        $84.00
        291100410 BELT RIB FEMALE 26-30                $41.00
        291100411 BELT RIB FEMALE 30-36                $46.00
        291100412 BELT RIB FEMALE 36-42                $44.00
        291100413 BELT RIB FEMALE 42-48                $36.00
        291100414 BELT RIB MALE 24-30                  $38.00
        291100415 BELT RIB MALE 30-36                  $41.00
        291100416 BELT RIB MALE 36-42                  $36.00
        291100417 BELT RIB MALE 42-48                  $44.00
        291100431 BIOPSY SYSTEM SOFT TISSUE           $458.00
        291100432 BOOT ORTHO                          $318.00
        291100435 BINDER, ABD SPECIAL                 $206.00
        291100461 BODY HOLDER MED                      $84.00
        291100462 BODY HOLDER LARGE                    $86.00
        291100464 CATH VENTRICULAR                    $568.00
        291100535 CANNULA-IV THREADED LOCK             $10.00
        291100600 CATHETER BLADDER DRAIN              $338.00
        291100603 CATHETER BLADDER PRESSURE            $70.00
        291100604 CATHETER BONNANO                    $269.00
        291100610 CATHETER COUDE FOLEY 5CC 14FR.       $83.00
        291100611 CATHETER COUDE FOLEY 5CC 18 FR      $140.00
        291100612 CATHETER COUDE FOLEY 5CC 16 FR       $83.00
        291100614 CATHETER COUDE FOLEY 5CC BAG 2      $135.00
        291100616 CATHETER COUDE FOLEY 30CC 14FR      $140.00
        291100617 CATHETER COUDE FOLEY 30CC 16FR      $140.00
        291100626 CATHETER-CV-SINGLE LUMEN LONGT    $1,312.00
        291100629 CATHETER-EPIDUARL-L-L ADAPTOR        $66.00
        291100630 CATHETER EXTERNAL MALE 28MM          $23.00
        291100631 CATHETER EXTERNAL MALE 31MM          $24.00
        291100632 CATHETER-EXTERNAL MALE 35MM          $29.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          2
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291100633 CATHETER-EXTERNAL-PEDS               $24.00
        291100640 CATHETER FEMALE 50/PKG              $197.00
        291100650 CATHETER FEMORAL                    $135.00
        291100660 CATHETER FLOW-DIRECTED MONITOR      $197.00
        291100670 CATHETER FOGARTY EMB 4AE            $458.00
        291100680 CATHETER FOGARTY EMB# 80 CM         $306.00
        291100681 CATHETER FOGARTY EMB AE3            $262.00
        291100682 CATHETER FOGARTY EMB 4EM            $306.00
        291100683 CATHETER FOGARTY EMB 4AE            $306.00
        291100684 CATHETER FOGARTY EMB AE             $306.00
        291100685 CATHETER FOGARTY EMB #6             $262.00
        291100690 CATHETER FOGARTY IRRIGATING #4      $140.00
        291100691 CATHETER FOGARTY IRRIGATING #6      $135.00
        291100700 CATHETER FOLEY 3CC BAG 8FR           $60.00
        291100701 CATHETER FOLEY 3CC BAG 10FR          $60.00
        291100702 CATH, FOLEY 3WAY 5CC                 $70.00
        291100710 CATHETER FOLEY 3 WAY 30 CC 18F      $130.00
        291100711 CATHETER FOLEY 3 WAY 30CC 20 F       $78.00
        291100712 CATHETER FOLEY 3 WAY 30CC 22FR      $140.00
        291100713 CATHETER FOLEY 3 WAY 30CC 24FR      $130.00
        291100714 CATHETER FOLEY 3 WAY 30CC BAG       $135.00
        291100719 CATHETER FOLEY 5CC BAG/18FR          $56.00
        291100720 CATHETER FOLEY 5CC BAG 12FR          $72.00
        291100721 CATHETER FOLEY 5CC BAG 14FR          $56.00
        291100722 CATHETER FOLEY 5CC BAG 16FR          $56.00
        291100723 CATHETER FOLEY 5CC BAG 20FR          $62.00
        291100724 CATHETER FOLEY 5CC BAG 22FR          $62.00
        291100725 CATHETER FOLEY 5CC BAG 24FR          $48.00
        291100726 CATHETER FOLEY 5CC BAG 26FR          $46.00
        291100727 CATHETER FOLEY 5CC BAG 28FR          $38.00
        291100728 CATHETER FOLEY 5CC BAG 30 FR         $38.00
        291100730 CATHETER FOLEY 30CC BAG 14FR         $46.00
        291100731 CATHETER FOLEY 30CC BAG 16FR         $66.00
        291100732 CATHETER FOLEY 30CC BAG 18 FR        $46.00
        291100733 CATHETER FOLEY 30CC BAG 20FR         $64.00
        291100734 CATHETER FOLEY 30CC BAG 22FR         $64.00
        291100735 CATHETER FOLEY 30CC BAG 24FR         $60.00
        291100736 CATHETER FOLEY 30CC BAG 26FR         $64.00
        291100800 IV PLACE 18 GA INSYTE                $22.00
        291100801 CATHETER IV PLACE 20 GA INSYTE       $22.00
        291100802 CATHETER IV PLACE 22GA INSYTE        $22.00
        291100803 CATHETER IV PL 24GA WINGED 3/4       $22.00
        291100804 CATHETER-IV PLACE 14GA               $21.00
        291100805 CATHETER IV PL 16GA                  $22.00
        291100806 CATHETER IV PLACE 18GA               $22.00
        291100807 CATHETER IV PLACE 20GA               $22.00
        291100808 CATHETER IV PLACE 22GA               $20.00
        291100809 CATHETER IV 24GA WRINGED             $24.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          3
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291100810 CATH IV 5 1/4IN ANGIO                $31.00
        291100812 CATH IV 14X 3 1/4                    $35.00
        291100825 CATHETER MALECOT 22FR                $72.00
        291100826 CATHETER MALECOT 24FR                $66.00
        291100827 CATHETER MALECOT                     $72.00
        291100828 CATHETER MALECOT WINGED             $135.00
        291100830 CATH IV W/SYR TEFLON 18GA Q/C        $20.00
        291100831 CATH IV W/SYR TEFLON 24GA QUIK       $22.00
        291100835 CATH DUAL LUMEN 18 X 1 3/4           $62.00
        291100839 CATH FIBER Q W/J TIP              $1,312.00
        291100845 CATHETER PACEPORT 7.5               $274.00
        291100862 CATHETER - POST CRAN.PRESS.MON    $2,418.00
        291100863 CATHETER PERMCATH DUAL LUMEN L      $592.00
        291100864 CATHETER PERMCATH DUAL LUMEN R    $1,312.00
        291100867 CATH-BROVIAC 2.7FR PED VASCULA      $568.00
        291100870 CATHETER ROBINSON 8FR                $19.00
        291100871 CATHETER ROBINSON 10FR               $19.00
        291100873 CATHETER ROBINSON 14FR               $19.00
        291100874 CATHETER ROBINSON 16FR               $19.00
        291100875 CATHETER ROBINSON 18FR               $19.00
        291100876 CATHETER ROBINSON 20FR               $19.00
        291100877 CATHETER ROBINSON 22FR               $19.00
        291100878 CATHETER ROBINSON 22FR               $28.00
        291100880 CATHETER ROBINSON 24FR               $38.00
        291100882 CATHETER ROBINSON 26 FR              $44.00
        291100890 CATHETER ROBINSON COUDE              $40.00
        291100896 CATH SECURE                          $23.00
        291100900 CATHERTER SUBCLAVIAN 16GAX12IN       $34.00
        291100920 CATHETER TRIPLE LUMEN               $211.00
        291100929 CATH SUCTION W/O AIRPORT 14FR        $20.00
        291100930 CATHETER SUCTION W/AIRPORT 10F       $19.00
        291100931 CATHETER SUCTION W/AIRPORT 14F       $19.00
        291100932 CATHETER SUCTION W/AIRPORT 18F       $17.00
        291100933 CATH SUCTION W/O AIRPORT 8FR         $22.00
        291100934 CATH SUCTION W/O AIRPORT 18FR        $20.00
        291100935 CATH TEMPORARY BIOPOLAR PACING    $1,312.00
        291100936 CATHETER-SUCTION 12FR X 22IN         $17.00
        291100960 CATHETER THROMBOSHIELD PACING     $1,312.00
        291100962 CATHETER URODYNAMIC                 $140.00
        291100963 CATHETER URODYNAMIC SINGLE LUM       $64.00
        291100964 CATHETER URODYNAMIC TRIPLE LUM      $140.00
        291100965 CATHETER UMBILICAL 3.5-8             $52.00
        291100967 CATHETER-UMBILICAL VESSEL           $124.00
        291100980 CLEANSER WOUND                        $8.00
        291100991 DISK-COMPRESSOR COMFORT LG           $46.00
        291100992 DISK COMPRESSOR COMFORT SM           $59.00
        291101000 COLLAR CERVICAL                      $26.00
        291101015 CONNECTOR URTERAL CATH DISP          $23.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          4
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291101028 COUPLER SAMPLING SITE                $15.00
        291101030 CLEANSER SKIN/PERISENSI CARE          $8.00
        291101040 CREAM SKIN 2 OZ                      $43.00
        291101045 BARRIER WIPE                          $9.00
        291101050 CYSTOMETER                           $70.00
        291101052 RESUSCI MASK-DISP FILT/VALVE        $124.00
        291101053 RESUSITATION BAG W/MASK             $136.00
        291101054 PROBE PREMIE                         $64.00
        291101055 DOME TRANSDUCER                      $41.00
        291101057 DRAPE-HYSTER LAP DISP               $135.00
        291101060 DRESSING ABDOMINAL PER BOX           $28.00
        291101070 DRESSING ABDOMINAL SURG              $46.00
        291101071 DRESSING ABDOMINAL WET-PRUF/CS      $327.00
        291101080 DRESSING ADH. GAUZE 12 IN.           $53.00
        291101090 DRESSING ADH. GAUZE 4 IN             $28.00
        291101100 DRESSING ADH. GAUZE 6 IN             $35.00
        291101110 DRESSING ADH. GAUZE 8 IN             $41.00
        291101120 DRESSING ADH. GAUZE 12IN             $46.00
        291101130 DRESSING ARD ANOPERINEAL             $44.00
        291101135 DRESSING ELASTIC GAUZE 2IN           $19.00
        291101140 DRESSING ELASTIC GUAZE 3IN           $20.00
        291101160 DRESSING 3X3 10P/PKG                 $35.00
        291101170 DRESSING WOUND GAUZE 4X4 P/PKG       $21.00
        291101180 DRESSING GUAZE 4X4 10 PER/PKG        $19.00
        291101190 DRESSING GAUZE 4X4 25 PKG PER        $41.00
        291101200 DRESSING GUAZE 4 IN                  $19.00
        291101201 DRESSING GUAZE 3IN STERILE           $19.00
        291101210 DRESSING BANDAGE BULKY               $20.00
        291101211 IMMOBILIZER UNIV                    $140.00
        291101219 IMMOBILIZER,KNEE LG 16IN            $130.00
        291101220 IMMOBILIZER,KNEE UNIV 16IN          $130.00
        291101221 IMMOBILIZER,KNEE LUNIV 20IN         $192.00
        291101222 IMMOBILIZER,KNEE MED 16IN           $130.00
        291101223 IMMOBILIZER,KNEE MED 20IN           $192.00
        291101224 IMMOBILIZER,KNEE SMALL 16IN         $130.00
        291101225 IMMOBILIZER.KNEE XLG 20IN           $192.00
        291101226 IMMOBILIZER,KNEE XX-LG 20IN         $192.00
        291101227 DRESSING CUSTOM KNEE                 $41.00
        291101240 DRESSING NONADHERING 3X3             $17.00
        291101250 DRESSING NONADHERING 3X8             $29.00
        291101260 DRESSING NONADHERING PACKING         $35.00
        291101270 DRESSING PACKING IODOPHOR 1/4        $35.00
        291101280 DRESSING PACKING IODOPHOR 1/2        $36.00
        291101290 DRESSING PACKING IODOPHOR 1IN        $38.00
        291101300 DRESSING PACKING IODOPHOR 2IN        $46.00
        291101310 DRESSING PACKING PLAIN 1/4IN         $32.00
        291101320 DRESSING PACKING PLAIN 1/2IN         $32.00
        291101330 DRESSING PACKING PLAIN 1IN           $35.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          5
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291101340 DRESSING PACKING PLAIN 2IN           $41.00
        291101350 DRESSING PETROLEUM GAUZE 1X36        $20.00
        291101360 DRESSING PETROLEUM GAUZE 1/2X7       $23.00
        291101365 DRESSING CARDOFLEX 3.2 ODOR          $22.00
        291101370 DRESSING PETROLEUM GAUZE 3X9         $20.00
        291101380 DRESSING XEROFORM                    $22.00
        291101381 DRESSING PETROLEUM 1X8               $20.00
        291101385 DRESSING PRIMARY WOUND 4X4           $41.00
        291101400 DRESSING COMBIDERM STLR              $20.00
        291101405 BANDAGE RETENTION BLUE               $66.00
        291101406 BANDAGE RETENTION GREEN              $53.00
        291101410 DRESSING SKIN CLOSURE 1              $31.00
        291101420 DRESSING SKIN CLOSURE 1/2            $22.00
        291101425 DRESSING SKIN CLOSURE                $20.00
        291101426 DRESSING-TOPICAL WND 1/2 I/PAC       $53.00
        291101427 DRESSING TOPICAL WOUND 4X4           $45.00
        291101428 DRESSING,TOPICAL WOUND 2X2           $34.00
        291101430 DRESSING OWENS 3X8                   $15.00
        291101450 DRESSING SPONGE SUPER 6X7            $23.00
        291101464 DRESSING SURGICAL 4X4 O.R.            $9.00
        291101468 DRESSING SURGICAL 4X6                $19.00
        291101470 DRESSING SURGICAL 4X8                $22.00
        291101480 DRESSING SURGICAL 4X10               $22.00
        291101490 DRESSING SURGICAL 4X14               $29.00
        291101500 DRESSING SURGICAL 5X8                $24.00
        291101510 DRESSING TRANSPARENT 14X25C          $31.00
        291101520 DRESSING TRANSPARENT 10X14C          $22.00
        291101525 DRESSING DUODERM 4 X 4               $29.00
        291101530 DRESSING VAGINAL PACKAGE             $29.00
        291101535 DRESSING ROPE SORBSAN 3/4 X 18       $43.00
        291101536 DRILL, HAND STERIL DISP             $262.00
        291101539 ELECTRODE AV SEQUENTIAL PACER     $1,312.00
        291101547 ELECTRODE INFANT LEADS               $22.00
        291101550 ENEMA OIL RETENTION                  $23.00
        291101560 ENEMA WITH PHOSPHATE                 $22.00
        291101572 BLOCKER.PAIN DISP                   $592.00
        291101575 FILTER BLOOD                         $50.00
        291101577 FILTER BLOOD HEMONATE                $35.00
        291101580 SET Y BLOOD W/ FILTER                $62.00
        291101581 DRESSING TEGADERM 6CM X 17CM         $17.00
        291101585 SET Y BLOOD W/O FILTER               $50.00
        291101591 DRESSING-GEL WOUND                   $50.00
        291101650 GEL DUODERM                          $29.00
        291101665 GUIDEWIRE ANGLED                    $274.00
        291101670 HALTER HEAD ADULT W/O BAR            $75.00
        291101682 MACHINE WARMING BLANKET DISP         $44.00
        291101683 HOLDER LIMB INFANT DISP              $29.00
        291101690 IMMOBILIZER SHOULDER                 $64.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          6
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291101691 ORTHO IMMOB SHOULDER-UNIVERSAL      $130.00
        291101696 EXTACTOR MUCAID                      $35.00
        291101697 INTERMITTENT INFUSION PLUG           $24.00
        291101698 INTERMITTENT INFUS PLUG-HICKMA       $22.00
        291101702 INTRAUTERINE PRESSURE TRANSDUC      $208.00
        291101720 INTRODUCER PERCUTANEOUS CATH        $135.00
        291101740 KIT ARTERIAL LINE                    $70.00
        291101745 KIT-AUTOLOGOUS BLOOD COLLECTIO      $197.00
        291101750 KIT BALELECTRODE PACINS           $1,312.00
        291101751 KIT CANISTER WOUND VAC              $194.00
        291101752 KIT UNIVERSAL BREAST PUMP           $206.00
        291101755 KIT CENTRAL VENDOUS CATH 8.01       $274.00
        291101756 KIT CENTRAL VENOUS CATH 24 FR       $136.00
        291101757 KIT CENTRAL VENOUS 5 FR             $140.00
        291101759 IMMOBILIZER SHOULDER XL              $38.00
        291101760 KIT ARTERIAL LINE                    $19.00
        291101765 KIT CATH PED 8 FR                    $48.00
        291101768 KIT-INTERCRANIAL PRESS.MON.       $2,418.00
        291101785 KIT CRANIAL ACCESS                $1,312.00
        291101790 KIT IV START                         $22.00
        291101800 CATH, REPLOGLE SUCT 10 FR            $70.00
        291101801 KIT CATHETER INSERTION PERCUT       $429.00
        291101804 KIT REPAIR DUAL ADAPTOR             $429.00
        291101805 KIT REPAIR DUAL LUMEN 9.0           $429.00
        291101806 KIT REPAIR 2 FR PER Q CATH           $17.00
        291101807 KIT REPAIR SINGLE LUMEN             $429.00
        291101808 KIT REPAIR DUAL ADAPTER              $70.00
        291101809 KIT REPAIR SINGLE LUMEN             $269.00
        291101810 KIT MICRO VENTRICULAR BOT         $2,418.00
        291101811 CATH, QUINTON 13.5 CM               $592.00
        291101815 CATH.QUINTON CURVED 13.5CM          $556.00
        291101820 CATH CVP DUAL LUMEN 4 FR          $2,418.00
        291101830 KIT TRACHEAL SUCTION                 $26.00
        291101835 KIT TRANSDUCER NEO-NATAL            $140.00
        291101837 KIT VENTRICULAR PRESS.MON         $1,312.00
        291101838 LINER BOOT DISP                      $27.00
        291101839 LINE PRESSURE MON 2 MALE LL          $36.00
        291101840 BOOT FOOT ORTHO BOTTOM               $38.00
        291101850 KIT LG DRESSING                     $274.00
        291101880 SPLINT FOOT ORTHO ALL               $204.00
        291101890 STAPLER SKIN DISP                    $77.00
        291101911 MATRESS DISP ICM BASSINETT           $72.00
        291101912 MISC                                $651.60
        291101917 NATURAL EYEPATCH-DISPOSABLE          $28.00
        291101919 NEEDLE CANNULA PARA                  $74.00
        291101920 NEEDLE BIOPSY DISPOSABLE 14GA       $124.00
        291101925 NEEDLE BIOPSY CORE                  $341.00
        291101930 NEEDLE BIOPSY STERNAL / IHEA        $124.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          7
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291101940 NEEDLE BX MONPTY 18X20              $197.00
        291101941 NEEDLE PORTA CATH 22X1               $41.00
        291101942 NEEDLE, INTRAOSSEOUS                $197.00
        291101943 NEEDLE PERCUTANEOUS ENTRY            $24.00
        291101950 NEEDLE PORTA CATH RT ANG 19X1        $38.00
        291101951 NEEDLE 20X1 RT ANGLE                 $26.00
        291101952 NEEDLE 1IN LP MYELO-NATE             $24.00
        291101957 NEEDLE INTRODUCER PERCUT 22GA       $140.00
        291101958 SET INFUSION 20X3/4                  $46.00
        291101959 SET INFUSION 20 X 1                  $48.00
        291101960 SET INFUSION Y 20 X 1 1/2            $46.00
        291101970 OINTMENT PERI-CARE 2 OZ              $35.00
        291101973 SET INFUSION Y 22 X 1                $29.00
        291101981 DRAPE CYSTO & TUR                   $207.00
        291101983 OINTMENT PROTECTIVE ALOE VESTA       $12.00
        291101985 TRAY C-SECTION                      $274.00
        291101988 PACK OBSTETRIC                      $206.00
        291101989 PACK EYE CS                         $197.00
        291101990 PACK COLD PERINEAL                   $21.00
        291102001 SET-IV SCALP 21GA                    $15.00
        291102013 PACK PERI-CARE W/U PAD               $58.00
        291102020 TRANSDUCER PRESS KIT DISP            $72.00
        291102030 PACK TRANSFER                        $36.00
        291102033 PAD MONITOR DEFIB PACER ADULT       $140.00
        291102036 AIR MATTRESS EQUIP-DAILY             $46.00
        291102040 PAD ALARM SENSOR DISPOSABLE         $116.00
        291102050 PAD AQUAMATIC DISPOSABLE             $50.00
        291102057 CAUTERY GROUND                       $38.00
        291102060 PAD HYPOTHERMIA DISP                $140.00
        291102063 PAD PERI PKG 12                      $28.00
        291102075 PLEDGETS SKIN PREOP 50 PER BOX       $56.00
        291102080 ABDUCTION BOLSTER-HIP               $124.00
        291102089 MATTRESS-PORTA WARMING              $154.00
        291102090 PROBE TEMPERATURE DISPOSABLE         $29.00
        291102095 PUMP ANALGESIA                       $46.00
        291102096 PROBE VENT PACING                 $1,312.00
        291102100 PUMP BREAST-DISP                     $59.00
        291102110 REMOVER SKIN STAPLER                 $23.00
        291102111 REP CONNECTOR SINGLE LUMEN           $53.00
        291102112 CONNECTOR DUAL LUMEN REDUCER         $53.00
        291102113 REP CONNECTOR DUAL LUMEN REDUC       $53.00
        291102120 RESERVOIR WOUND DRAIN                $66.00
        291102125 SET ARTHROSCOPY TUBING               $28.00
        291102130 SET AUTOTRANSFUSER DRAIN            $135.00
        291102136 KIT ARTERIAL CATH MIN                $72.00
        291102150 SYSTEM CLOSED INJ                   $130.00
        291102160 CATH ARTERIAL VENOUS                 $84.00
        291102165 SET CATH EXT LARGE BORE              $32.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          8
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291102167 SET COLON DECOMPRESSION             $568.00
        291102170 SET EXT 60IN ENTERAL                 $15.00
        291102180 SET CYSTO                            $29.00
        291102183 SET CYSTO IRRIGATING                 $35.00
        291102184 SET DRAIN VENTRICULAR             $1,817.00
        291102185 SET DRAINAGE PEDIATRIC               $72.00
        291102186 CONNECTOR T W/MALE LS                $19.00
        291102187 SET INDWELLING SLIT CATH            $327.00
        291102188 SET INFANT SUCTION CATH              $15.00
        291102190 SET IV ADMIN NON-VENTED              $28.00
        291102191 SET-ADM MINI TRIFUSE-3               $28.00
        291102192 MICRO VOL BURRETTE                  $135.00
        291102200 ST IV SCALP VEIN 19 X 1/8            $22.00
        291102201 SET-IV SCALP VEIN 21GA X 3/4         $22.00
        291102202 SET-IV SCALP VIEN 23GA X 3/4         $22.00
        291102203 SET-IV SCALP VIEN 25GA X 1/2         $22.00
        291102204 SET-IV SCALP VEIN 27GA X 3/8         $22.00
        291102205 SET IV NEONATE PRIMARY               $48.00
        291102207 SET MINI TRIFUSE 3 TO 1              $29.00
        291102209 SET-MINI VOL EXTENSION               $35.00
        291102210 KIT ARTERIAL CATH 101                $72.00
        291102211 SET-MICRO PRIME Y NON PVC            $24.00
        291102212 KIT ARTERIAL CATH 105                $60.00
        291102213 SET BURRETTE SELF PRIME              $84.00
        291102214 SET-MICRO PRIME TRI                  $40.00
        291102215 SET PERCUTANEOUS CATH INTRODUC      $214.00
        291102220 SET PLATELET RECIPIENT               $46.00
        291102225 SET PRESSURE TRANSDUCER MONITO      $140.00
        291102229 SET RADIAL ARTERY CATHERER 18G      $140.00
        291102230 SET RADIAL ART CATHETER 20 GA       $140.00
        291102235 SET TUR 4 LEAD                       $78.00
        291102240 TUBING PCA PUMP                      $83.00
        291102250 KIT SUTURE REMOVAL DISPOSABLE        $36.00
        291102251 SET PNEUMOTHORAX                    $477.00
        291102253 SET SYRINGE PUMP 50ML                $26.00
        291102255 SET THROAT SUCTION TUBING            $28.00
        291102260 SET T.U.R. IRRIGATION                $34.00
        291102265 SET TUBING/ANALGESIA                 $80.00
        291102270 SET TRANSTHORACIC PACING LEAD       $691.00
        291102280 DRAIN UNDERWATER DRAIN ADULT        $206.00
        291102290 DRAIN UNDERWATER                    $262.00
        291102295 MONITOR QUICK PRESSURE              $204.00
        291102300 SET VAGINAL IRRIGATION               $28.00
        291102310 SET VENOUS PRESSURE MONITOR          $60.00
        291102320 DRAIN OSTOMY WOUND                  $130.00
        291102322 PCA EXT                              $28.00
        291102323 DRAIN WOUND COLLECTOR               $130.00
        291102330 BAG DRAIN 1000ML                    $135.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          9
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291102340 BAG DRAIN 600 ML                     $84.00
        291102345 SET Y/ANALGESIA PCA                  $46.00
        291102351 SHOE CAST MENS LARGE                 $46.00
        291102352 SHOW CAST MENS MEDIUM                $46.00
        291102353 SHOE CAST MENS SMALL                 $58.00
        291102354 SHOE CAST WOMENS LARGE               $46.00
        291102356 SHOE CAST WOMENS SMALL               $46.00
        291102360 SHOE ORTHO FOOT IMMOBILIZER CH       $46.00
        291102362 SHOE ORTHO FT IMMOBILIZER M/M        $46.00
        291102363 SHOE ORTHO FT IMMOBILIZER M/S        $46.00
        291102365 SHOE ORTHO FT IMMOBILIZER W/M        $46.00
        291102366 SHOE ORTHO FT IMMOBILIZER W/S        $46.00
        291102370 SHUNT INFUSION T                     $28.00
        291102380 SIGMOIDOSCOPY NON-DISP               $28.00
        291102381 SPLINT.BUCKS TXT PED                $135.00
        291102382 SLEEVE SEPTI SHEILD                  $62.00
        291102383 SLING.RUSSEL SM                      $71.00
        291102384 SLEEVE DISP 14IN                    $197.00
        291102385 SLING.RUSSEL PILE LG                $135.00
        291102386 SLEEVE SCD                          $448.00
        291102390 SLING ARM TRIANGULAR                 $17.00
        291102400 SLING HEMI LEFT                     $140.00
        291102401 SLING HEMI RIGHT                    $140.00
        291102410 SLING ARM HEMI UNIV                  $66.00
        291102415 SLING TROUGH                         $26.00
        291102420 SPLINT PLASTER PER BOX               $62.00
        291102530 SPLINT PLASTER PER BOX 5X30         $135.00
        291102535 SPLINT AIR BOOT                     $206.00
        291102540 SPLINT UNIV. BUCKS TRACTION         $204.00
        291102545 SOLUTION IRR H2O 1000CC FLEX         $24.00
        291102550 SOLUTION IRR H2O-1000CC              $20.00
        291102560 SOLUTION IRR H2O-3000CC              $41.00
        291102570 SOLUTOIN IRR NACL 1000CC RIGID       $20.00
        291102580 SOLUTION IRR NACL 3000 FLEX          $43.00
        291102581 SOLUTION IRRIG NACL 1000 FLEX        $22.00
        291102582 SOLUTION IRRIG NACL 1,500 RIGI       $16.00
        291102583 SOLUTION RINGERS 3000 CC             $45.00
        291102585 SOLUTION H2O 1500CC                  $23.00
        291102586 SOLUT SORTBITAL MANITOL FLEX         $72.00
        291102590 SPRAY MEDICAL ADHESIVE              $135.00
        291102600 SPRAY SKIN PREP 4.2 OZ               $53.00
        291102610 STOCKINETTE BIAS PER YD              $16.00
        291102620 STOCKINETTE TUBULAR PER YD           $19.00
        291102630 STOCKING ATIEM KNEE PR               $32.00
        291102631 STOCKING ANTIEMB KNEE PR L/REG       $41.00
        291102632 STOCKING ANTIEMB KNEE PR XLG/R       $41.00
        291102640 STOCKING ANTIEMB THIGH               $46.00
        291102660 STOPCCOCK IV 3WAY W/EXTENSION        $20.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          10
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291102670 STOPCOCK 3 WAAY DISPOSABLE           $20.00
        291102671 STOPCOCK 3 WAY W/MALE LL ADAPT       $28.00
        291102672 STOPCOCK 4WAY MALE LL                $22.00
        291102680 STRAP CATHETER                       $28.00
        291102681 STRAP CATHETER                       $35.00
        291102690 STRAP CLAVICLE                       $53.00
        291102691 STRAP CLAVICLE SMALL                 $66.00
        291102692 STRAP CLAVICLE MEDIUM                $66.00
        291102693 STRAP CLAVICLE LARGE                $130.00
        291102700 STRAP MONTGOMERY                     $26.00
        291102710 STRIP TRACTION HYPOALLERGENIC        $28.00
        291102712 LINER SUCT 1000CC W/TUBE             $26.00
        291102715 SYRING BULB 2 OZ DISP                $31.00
        291102720 STYLET FEEDING TUBE 30IN             $31.00
        291102721 STYLET DISP ENDOTRACH 14MM           $31.00
        291102722 STYLET DISP ENDOTRACH PEDS 6MM       $31.00
        291102725 SYRINGE IRRIGATING DISPOSABLE        $19.00
        291102726 SET SYRINGE PUMP                     $40.00
        291102730 SYTLET TUBE FEEDING 43IN             $28.00
        291102735 TAPE HYPOALLERGENIC                 $124.00
        291102746 KIT PERI CARE GYN                    $56.00
        291102747 SUPPORT BACK MED                    $116.00
        291102750 SUPPORT ELASTIC ABDOMINAL            $71.00
        291102751 SUPPORT ELAS ABD XLG                 $89.00
        291102752 SUPPORT HARNESS STERNUM             $475.00
        291102760 TRAY AMNIOCENTESIS DISPOSABLE        $84.00
        291102761 SUTURE 4-0 SILK CE4                  $15.00
        291102762 SUTURE 4-0 SILK PRE2                 $28.00
        291102765 SUSPENSORY MED W/STRAP               $59.00
        291102771 SUSPENSORY XLG                       $69.00
        291102772 TOWELS-DISPO STERILE O.R.            $38.00
        291102773 TRANSDUCER WITH FLUSH               $135.00
        291102775 TRAY AORTIC BALLOON INSERT          $341.00
        291102794 TRAY-BONE MARROW DISPO.             $165.00
        291102800 TRAY CATH W/16 FR. FOLEY            $130.00
        291102810 TRAY CATH W/O CATHETER               $62.00
        291102820 TRAY CATH W/ROBINSON CATH 15FR       $29.00
        291102900 TRAY EPIDURAL BLOCK DISP            $206.00
        291102910 TRAY EXCHANGE TRANSFUSION           $320.00
        291102920 CATH TEMP PROBE 16FR                $130.00
        291102930 TRAY FOLEY W/URINE METER            $140.00
        291102935 TRAY TEMP PROBE 16FR                $140.00
        291102940 TRAY, IRRIGATION PISTON              $16.00
        291102960 TRAY LUMBAR PUNCTURE DISP           $140.00
        291102974 TRAY SOFT TISSUE BX DISP            $206.00
        291103028 TRAY PERCUTANEOUS CATH INSERT       $197.00
        291103040 TRAY PRUDENDAL BLOCK DISP            $62.00
        291103070 TRAY SPINAL DISP                     $72.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          11
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291103080 TRAY BONME MARROW BIOPSY DISP        $46.00
        291103086 TRAY-MYLEO NATE LP                  $140.00
        291103090 TRAY SUBCLAVIAN                     $318.00
        291103091 CATH COUDE SUCT 14FR                 $14.00
        291103092 CATH SUCT 6FR /GLOVES                $24.00
        291103093 CATH INFANT 5FR                      $22.00
        291103100 TRAY SUCTION CATH 8FR                $26.00
        291103101 TRAY SUCTION CATH 10FR               $28.00
        291103102 TRAY SUCTION CATH 14FR               $24.00
        291103110 TRAY SUTURE/LACERATION DISP          $77.00
        291103140 TRAY THORACENTESIS W/ASP.CATH       $256.00
        291103150 TRAY THORACENTESIS W/NED 16X13      $140.00
        291103190 TRAY TRACHEOTOMY CARE                $26.00
        291103195 CATHETER UMBILICAL                   $53.00
        291103196 TRAY-UMBILICAL CATH DISP            $334.00
        291103200 TRAY TPN/CVP                         $31.00
        291103210 TUBE ASPIRATING 3 1/4 IN.            $43.00
        291103220 TUBE ASPIRATING 6 1/4 IN.            $47.00
        291103230 TUBE NG 20FR                      $1,817.00
        291103240 TUBE BLAKEMORE ESOPHOGEAL CHIL      $568.00
        291103250 TUBE BREATHING 60IN                  $15.00
        291103251 TUBE BUTTON CONT.FEEDING             $35.00
        291103252 TUBE BUTTON GASTROSTOMY           $1,312.00
        291103260 TUBE CHAFFIN PRATT                  $135.00
        291103270 TUBE CHEST REGULAR 16FR              $46.00
        291103271 TUVE CHEST REGULAR 20FR              $46.00
        291103272 TUBE CHEST REGULAR 24FR              $43.00
        291103273 TUBE CHEST REGUALR 28FR              $48.00
        291103274 TUBE CHEST REGULAR 36FR              $46.00
        291103275 TUBE CHEST REGULAR 32FR              $43.00
        291103280 TUBE CHEST RIGHT ANGLE               $66.00
        291103289 TUBE CHEST W/TROCAR                 $135.00
        291103290 CATH TROCAR 10FR                     $78.00
        291103291 TUBE CHEST W/TROCAR 12FR            $135.00
        291103292 TUBE CHEST W/TROCAR 28FR             $94.00
        291103293 TUBE CHEST W/TROCAR 32FR             $94.00
        291103300 TUBE CONNECTING 3/16 X 6'            $19.00
        291103305 TUBE CONNECTING 3/16 X 10'           $22.00
        291103320 TUBE ENDOTRAC 9.5MM LO PRO           $24.00
        291103321 TUBE ENDOTRAC 5.0 LO PRO             $24.00
        291103322 TUBE ENDDTRACH 5.5 LO PRO            $24.00
        291103323 TUBE ENDOTRACH 6.0 LO PRO            $26.00
        291103324 TUBE ENDOTRACH 6.5 LO PRO            $26.00
        291103325 TUBE ENDOTRACH UNCUFFED              $23.00
        291103326 TUBE ENDOTRACH UNCUFFED              $23.00
        291103328 TUBE ENDOTRACH 4. UNCUFF             $36.00
        291103329 TUBE ENDOTRACH 7.0MM UNCUFF          $26.00
        291103330 TUBE EXTENSION W/ADAPTOR             $24.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          12
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291103331 TUBE ENDOTRACH 7.5MM                 $26.00
        291103332 TUBE ENDOTRACH 8                     $26.00
        291103335 TUBE ENDOTRACH 9.0                   $53.00
        291103340 TUBE FEEDING WEIGHTED 30IN          $135.00
        291103350 TUBE FEEDING WEIGHED 43IN 5FR       $130.00
        291103351 TUBE FEEDING 8FR 43IN                $82.00
        291103355 TUBE FEEDING ENTERAL                $130.00
        291103359 TUBE HEMOCOIL FLUID WARMING         $135.00
        291103360 TUBE INFANT FEED 8FR X 15            $19.00
        291103361 TUBE INFANT FEED 8FRX42              $19.00
        291103362 TUBE INFANT FEED 5FRX15              $21.00
        291103363 TUBE INFANT FEED 8FRX36              $19.00
        291103364 TUBE INFANT FEED 5FRX36              $17.00
        291103370 TUBE IV EXTENSION                    $21.00
        291103380 TUBE WOUND DRAIN                     $66.00
        291103387 TUBE GASTROSTOMY 16FR               $341.00
        291103388 TUBE GASTROSTOMY                    $274.00
        291103389 TUBE JEJUNAL FEEDING                $327.00
        291103390 TUBE KALSOW NASOGASTRIC              $72.00
        291103400 TUBE LINTON ESOPHAGEAL            $1,312.00
        291103410 TUBE MILLER ABBOTT NASOGASTRIC      $135.00
        291103420 TUBE NASPGASTRIC AN 20               $43.00
        291103430 TUBE NASOGASTRIC AN 20              $135.00
        291103460 TUBE RECTAL/FLATUS BAG               $15.00
        291103480 TUBE STOMACH 12 FR DISPOSABLE        $19.00
        291103481 TUBE STOMACH 16 FR DISP              $19.00
        291103483 TUBING SALEM SUMP                    $24.00
        291103490 TUBE CONN 24FR 30CC                 $124.00
        291103493 TUBE URETERAL CONNECTING 14FR       $130.00
        291103495 LINE PRESS. MONT 6FT                 $38.00
        291103497 VALVE HEIMLICH                       $28.00
        291103498 KIT DELIVERY OB VACUUM              $140.00
        291103500 DRAIN VENTRICULAR SYSTEM             $14.00
        291103501 WRAP COBAN SELFADH 3IN X 5 YD        $22.00
        291103502 WRAP COBAN SELFADH 4IN X 5 YD        $16.00
        291103530 SET BLOOD COLLECTION                 $15.00
        291103540 SET BLOOD FILTER/IN LINE             $41.00
        291103545 SET BLOOD W/REMOV FILTER            $262.00
        291103550 SET BLOOD PUMP                       $35.00
        291103560 SET BLOOD Y-TYPE WITH PUMP           $50.00
        291103561 SET Y BLD W/LEUKICYTE FILTER        $231.00
        291103562 SET EXTERNAL VENTRICULAR/CATH       $568.00
        291103563 SET BLOOD W/LEUKOCYTE FILTER         $94.00
        291103564 SET LUMBAR DRAINAGE DISP            $568.00
        291103566 SET PLEURAL DRAINAGE PEDIATRIC      $947.00
        291103567 SET HEMO-NATE SYRINGE INFUST         $35.00
        291103570 SET HYPODERMOCLYSIS                  $35.00
        291103580 SET IV ANESTHESIA ADMINS             $28.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          13
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291103590 SET IV BURETROL WITH BALL VALV       $28.00
        291103600 OINTMENT (ALDE VISTA)                $22.00
        291103610 SET CONTINU-FLO WITH FILTER          $53.00
        291103620 SET IV INLINE BURETROL               $21.00
        291103630 SET IV EXTENSION TUBE 30IN           $22.00
        291103631 SET IV EXTENSION WITH TUBE 60        $46.00
        291103632 SET-IV MINI INFUSEE EXTENSION        $46.00
        291103640 SET IV EXTENSION TUBE W/FILTER       $28.00
        291103650 SET IV EXT TUBE W/2 INJ. SITE        $26.00
        291103660 SET IV MINIDRIP                      $21.00
        291103670 SET IV PRIMARY CONT LATEX FREE       $41.00
        291103671 SET-VOL INFUSION 3 SITES             $35.00
        291103675 SET-CONNECTOR LOOP IV                $26.00
        291103680 SET SEC MACRO                        $23.00
        291103681 LEVER LOCK CANNULA                   $17.00
        291103682 IV-NEEDELOCK DEVICE                  $21.00
        291103683 SET-IV-TPN                           $44.00
        291103684 SET-IV TPN CHECK                     $58.00
        291103685 SET-IV TPN EXTENSION TUBE            $22.00
        291103690 SET IV WITH ONE INJ. SITE            $35.00
        291103700 SET IV WITH TWO INJ.SITE 84IN        $15.00
        291103710 SITE IV TRIPLE INJECTION             $29.00
        291103720 SET IV BURETROL W/MEMBRANE VAL       $28.00
        291103730 SET IV MINIDRIP W/TWO INJ SITE       $14.00
        291103740 SET IV 70IN                          $35.00
        291103745 OX. SENSOR                          $130.00
        291103747 OXISENSOR                            $76.00
        291103749 CATHETER SUPRAPUBIC                 $245.00
        291103751 SHIELD PHOTOTHERAPY EVE              $32.00
        291103760 TRANSDUCER L/D                      $197.00
        291103790 TRANSDUCER L/D                      $327.00
        291103950 VALVE-HEIMLECA CHEST DRAIN           $56.00
        291104500 ALIGNER BODY                        $135.00
        291104520 CAST ELEVATOR                       $135.00
        291104550 EYE SHIELD METAL                     $21.00
        291104560 FOOT CRADLE BOOT EACH                $84.00
        291104610 PROTECTOR HEEL/ELBOW PAIR            $35.00
        291104620 RESTRAINT WRIST DISPOSABLE           $29.00
        291104630 SHIELD FULLER                        $35.00
        291104640 BATH SITZ DISPOSABLE                 $29.00
        291104650 SLEEVE PROTECTIVE                    $15.00
        291104680 STRAP SAFETY W/RESTRAINT            $135.00
        291104920 CANE STANDARD                        $76.00
        291104930 CRUTCH ADJUSTABLE PAIR              $130.00
        291107051 RESTRAINT JACKET-MEDIUM             $135.00
        291109000 SKIN BOND                            $56.00
        291109040 BELT COLOSTOMY                       $43.00
        291109050 BELT PELVIC FELT LINED            $1,312.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          14
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291109110 BOOT AIRSHU                         $318.00
        291109359 CAP FLANGE 1 3/4IN DISP              $21.00
        291109430 CATHETER ILEAL RESERVOIR             $55.00
        291109432 CATHETER SELF MALE/FEMALE            $19.00
        291109433 CATHETER-SELF MALE                   $22.00
        291109440 CLAMP COLOSTOMY POUCH EACH           $29.00
        291109500 DEODORANT APPLIANCE                  $41.00
        291109510 DEODORANT BAG FILTER                 $41.00
        291109520 DEODORANT OSTOMY SPRAY               $36.00
        291109530 DISPERSANT MUCOUS                    $28.00
        291109540 DRAIN OPEN END 10/PKG                $46.00
        291109541 POUCH UROSTOMY W/FLAN EA 1 1/2       $28.00
        291109542 POUCH UROSTOMY W/FLAN EA 1 3/4       $28.00
        291109550 DUODERM 6X6 THIN EACH                $44.00
        291109551 DRESSING-DUODERM BORDER              $84.00
        291109552 DUODERM CFG 6X8 EACH                $100.00
        291109575 IMPRESSIONS/ADVANCED 2000            $41.00
        291109810 PAD FOAM SELF-ADHESIVE EACH          $35.00
        291109820 PASTE STOMACHESIVE                   $58.00
        291109830 PASTE DUODERM                        $41.00
        291109835 PROTECTANT-PROTECTIVE BARRIER        $40.00
        291109851 POUCH COLOSTOMY W/KARAYA 1 1/4       $21.00
        291109852 POUCH COLOSTOMY W/KARAYA 1 1/2       $21.00
        291109853 POUCH COLOSTOMY W/KARAYA 1 3/4       $15.00
        291109854 POUCH COLOSTOMY W/KARAYA 2 DR        $28.00
        291109855 POUCH COLOSTOMY W/KARAYA 2 1/2       $15.00
        291109856 POUCH COLOSTOMY W/KARAYA 3 DR        $15.00
        291109860 POUCH COVER EACH                     $46.00
        291109861 POUCH-DRAINABLE                      $22.00
        291109865 WAFER-FLEXIBLE                       $28.00
        291109870 POUCH DRAIN 10 PER PKG              $135.00
        291109880 POUCH FECAL INCONTINENCE 10/PE      $138.00
        291109890 POUCH ILEOSTOMY EACH                 $35.00
        291109900 POUCH OSTOMY OPEN DRAIN LARGE        $46.00
        291109901 POUCH OSTOMY OPEN DRAIN SMALL        $46.00
        291109902 DRESSING-WOUND 4 X 4                 $41.00
        291109903 DRESSING-COLOSTOMY 2X2               $28.00
        291109904 DRESS-OSTOMY COMPRESSION BANDA      $135.00
        291109910 POUCH OSTOMY SELF ADHESIVE           $46.00
        291109915 POUCH OSTOMY URINARY DRAIN          $135.00
        291109920 POUCH OSTOMY W/FLANG DRAINABLE       $29.00
        291109921 POUCH OSTOMY W/FLANGE EA 1 3/4       $28.00
        291109922 POUCH OSTOMY W/FLANGE EA 2 1/4       $28.00
        291109923 PUOCH OSTOMY W/FLANGE EA 2 1/4       $29.00
        291109924 POUCH MINI 1 3/4IN                   $21.00
        291109925 POUCH DRAIN W/DURAHESIVE 1 1/4       $53.00
        291109926 POUCH DRAIN W/DURAHESIVE 1 3/4       $53.00
        291109927 DRAIN CONVEX 1 3/8 INCH              $68.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          15
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291109928 POUCH DRAIN CONVEX 1INCH             $64.00
        291109930 POUCH STOMA URINE 5 PER/PKG         $135.00
        291109935 POUCH DRAINABLE TRANSPARENT          $29.00
        291109940 POUCH UROSTOMY 10 PER/PKG           $135.00
        291109941 POUCH UROSTOMY 1INCH                 $68.00
        291109942 POUCH UROSTOMY 1 3/8 INCH            $35.00
        291109948 POUCH UROSTOMY 1 1/8IN               $31.00
        291109949 POUCH UROSTOMY 1 1/2IN               $46.00
        291109950 POUCH URINARY POST-OP 1 1/2IN        $50.00
        291109951 POUCH URINARY POST-OP 1 1/4IN        $36.00
        291109952 POUCH UROSTOMY W/ACCUSSEAL TIP       $70.00
        291109955 POWDER STOMA KARAYA                  $60.00
        291109960 POWDER STOMA PROTECTIVE              $28.00
        291109961 SYSTEM-NIGHT CONTINENCE DRAINA      $172.00
        291109966 PRETIBIAL SHELL                   $3,504.00
        291110180 SET IRRIGATION                      $204.00
        291110190 SET IRRIG PACK-OSTOMY               $327.00
        291110195 SET-ANESTHESIA DOUBLE LUMEN         $327.00
        291110200 SHELL QUADRILATERAL THIGH (CAS    $2,418.00
        291110342 SIGVARIS VAS COMP STOCKING-T.H      $568.00
        291110350 TRANSDUCER REPLACEMENT PROT          $17.00
        291110360 SLEEVE IRRIGATOR 10 PER PKG          $84.00
        291110375 SLING PELVIC                        $568.00
        291110758 WAFER DURAHESIVE W/FALANGE 1.7       $36.00
        291110760 WAFER STOMA ADHESIVE W/FLANGE        $29.00
        291110761 WAFER STOMA ADHESIVE W/FLANGE        $29.00
        291110762 WAFER STOMA ADHESIVE W/FLANGE        $29.00
        291110763 WAFER STOMA ADHESIVE W/FLANGE        $32.00
        291110770 WAFER STOMA ADHESIVE 4X4 EACH        $29.00
        291110780 WAFER STOMA ADHESIVE 8X8             $35.00
        291110781 DRESSING AQUACEL 6X6                 $64.00
        291110782 DRESSING LYOFOAM 8X6 STR             $64.00
        291110783 DRESSING AQUACEL 4X4                 $32.00
        291110784 BANDAGE PORFORE CONTACT LAYER         $9.00
        291110785 DRESSING EXU-DRY 4X6IN STERILE       $14.00
        291110786 DRESSING WOUND OASIS DRY SHEET      $334.00
        291118025 KIT-LARYNGOJET                       $72.00
        291118060 EXERCISER DEEP BREATHING             $44.00
        291118061 TRAY CATH LUMEN 4FR SINGLE PIC      $477.00
        291118062 COVER WOUND WARM-UP                 $949.00
        291118063 SLEEVE KNEE                         $125.00
        291118064 TUBE LAVAGE #24-#32                  $28.00
        291118065 KIT GASTRIC LAVAGE                   $78.00
        291118066 TAMPON NASAL                        $130.00
        291118067 PACK NASAL                           $43.00
        291118068 PACK KENNEDY SINUS                  $131.00
        291118069 COAGULATOR SUCTION DISP ENT          $44.00
        291118070 PENCIL SURGICAL                      $24.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          16
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291118071 HANDLE YANKAUER                       $8.00
        291118072 CAUTERY HIGH TEMP LOOP TIP STR       $50.00
        291118073 CATHETER NASAL EPISTAT 2 CUFF       $246.00
        291118074 BURR OPTHALMIC C-LINE STER          $130.00
        291118075 INTERCEPTOR URINARY STONE            $24.00
        291118076 SPLINT ARM COLLIES                   $40.00
        291118077 TRAY CATH GROSHANG PICC DBLE        $593.00
        291118078 CLAMP PICC STATLOCK UNIVERSAL        $32.00
        291118079 SET ANESTHESIA LATEX-FREE           $186.00
        291118080 DRESSING HYPAFIX 4INX10YDS           $55.00
        291118081 DRESSING HYPAFIX 2INX10YDS           $27.00
        291118082 BOOT MPO ACTIVE 2000                $334.00
        291118083 BAG RED BLOOD CELL ORTHOPAT          $51.00
        291118084 BAG BLOOD WASTE ORTHOPAT             $50.00
        291118085 TUBING SUCTION POSTOP ORTHOPAT       $55.00
        291118086 KIT L-CATH SM. VEIN PICC 24X30      $322.00
        291118087 CATH IV SAFETY 166A-226A             $24.00
        291118088 CATH IV SAFETYWINGED 186A-246A       $24.00
        291118089 TUBIFAST 4 7/8X33IN YELLOW          $124.00
        291118090 WRAP COBAN 1IN X 5YDS.               $14.00
        291118091 KIT CCU OPEN HEART                  $124.00
        291118092 ELECTRODE PRE-JELLED DISP            $19.00
        291118093 CATH SEN/SINGLE NO LUMEN ADOM       $185.00
        291118094 CATH SEN/DUAL W/LUMEN               $245.00
        291118095 KIT L-CATH SMOVEIN PICC/24X30       $320.00
        291118096 SET WARMING HOT FLUID               $124.00
        291118097 KIT RHINO ANTR/POSTERIOR 7.5CM      $124.00
        291118098 KIT RHINO INTERIOR 5.5CM            $124.00
        291118099 PAD POYMEM 6.5X 7.5 PINK            $124.00
        291118100 TRAY CATH BLADDER L/F S/C           $124.00
        291118101 CATH IV INTROCAN 16G X 1 1/4         $19.00
        291118102 CATH IV INTROCAN 18G X 1 3/4         $19.00
        291118103 CATH IV INTROCAN 18G X 1 1/4         $19.00
        291118104 CATH IV INTROCAN 20G X 1 1/4         $19.00
        291118105 CATH IV INTROCAN 22G X 1             $19.00
        291118106 CATH IV INTROCAN WNG 24G X 3/4       $19.00
        291118107 SET UNRY COLL W/DRA CATH 8FR        $185.00
        291118108 SET UNRY COLL W/DRA CATH 5FR        $185.00
        291118109 CENTRAL VENOUS CATH KIT             $140.00
        291118110 COLLAR ACE ADJUSTABLE               $124.00
        291118111 COLLAR MINI ADJUSTABLE              $124.00
        291118112 ELECTRODE STIMCARE PLUS              $19.00
        291118113 SHOE P/O PEDS W/WOOD INSOLE M        $60.00
        291118114 SHIELD SPLASH COMBIGUARD             $12.00
        291118115 BAG HYPERINFLATION SYSTEM           $124.00
        291118116 KIT LOWER EXT. BANDAGING            $380.00
        291118117 KIT FULL ARM LYMP. BANDAGING        $267.00
        291118118 KIT NEEDLE GUIDE STERILE            $104.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          17
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291118119 CATH IV NSYT ATGD WGD 24X0.75        $15.00
        291118120 CATH IV NSYT ATGD WGD 22X1.0         $15.00
        291118121 CATH IV NSYT ATGD WGD 24X0.56        $15.00
        291118122 DRESSING PROFORE LIGHT               $21.00
        291118123 KIT PERICARDIOCENTESIS              $444.00
        291118125 TRAY CATH LUMEN 12FR/20CM           $790.00
        291118126 TRAY CATH LUNEM 12FR/13CM           $790.00
        291118127 DRESSING TRANSPARENT FILM 5X8         $5.00
        291118128 TRAY AMNIOCENTESIS                    $9.00
        291118129 FILTER DIALYZER PSN120               $56.00
        291118130 CATH INTRODUCER 5FR EXCALIBUR       $154.00
        291118131 CATH INTRODUCER 4FR EXCALIBUR       $154.00
        291118132 TUBING BLOOD W/40/160MICRON          $51.00
        291118133 FILTER DIALYZER PSN140              $104.00
        291118134 KIT NIPPLE SOFTSHELL INVERTED        $46.00
        291118135 CATH INTRAUTERINE                   $140.00
        291118136 SOL SODIUM CHLORIDE 500CC             $9.00
        291118137 SLEEVE SEQ COMPRESSION REPROCE       $94.00
        291118138 SLEEVE COMPRESSION KNEE LENGTH       $94.00
        291118145 TUBE FEEDING DUAL PORT 10X55         $94.00
        291118164 SLEEVE FOOT SEQUENTIAL              $170.10
        291118167 PROBE CATH LICOX 02 DBL LUMEN     $2,889.60
        291118168 CAMINO ICP MONITRING CTH LICOX    $1,577.10
        291200302 BANDAGE PORFORE CONTACT LAYER        $15.00
        291200389 BELT GAIT                            $60.00
        291200463 BREAST SHIELD PAIR                   $55.00
        291200566 CARE PADS-PKG                        $36.00
        291200801 CATHETER IV PLACE 20 GA INSYTE       $22.00
        291200845 CATHETER PACEPORT 7.5               $262.00
        291200864 CATH PERMCATH DUAL LUMEN 28CM       $592.00
        291201350 DRESSING AQUACEL 4 X 4               $35.00
        291201360 DRESSING AQUACEL 6X6                 $66.00
        291201580 SET Y BLOOD W/ FILTER                $59.00
        291201670 LYDFOAM 8X6 STERILE FOAM             $59.00
        291201731 VEST TIEBACK SMALL                   $72.00
        291201732 VEST TIEBACK                         $72.00
        291201733 VEST RESTRAINT-LARGE                 $72.00
        291201734 VEST,RESTRAINT X LG                 $130.00
        291201807 KIT REPAIR WHITE ADAPT CATH         $429.00
        291201983 PACK EYE                            $327.00
        291202100 REMOVER ADHESIVE                      $9.00
        291202225 SET PRESSURE TRANSDUCER MONITO      $140.00
        291202250 KIT SUTURE REMOVAL DISPOSABLE        $35.00
        291202280 DRAIN UNDERWATER DRAIN ADULT        $197.00
        291202350 SHOE CAST CHILD                      $68.00
        291202355 SHOE CAST                            $76.00
        291202361 SHOE, POST-OP LADIES/MEN             $55.00
        291202364 SHOE POST OP WOMEN                   $55.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          18
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291202386 SLEEVE SCD                          $429.00
        291203190 TRAY TRACHEOTOMY CARE                $16.00
        291203631 SET IV EXTENSION WITH TUBE 60        $40.00
        291203685 SET-IV TPN EXTENSION TUBE            $19.00
        291204510 PANTIES, PERI                        $22.00
        291204530 CUSHION FOAM RUBBER RING            $206.00
        291204580 PAD NURSING 12 PER BOX               $22.00
        291204600 PAD WHEELCHAIR                       $22.00
        291204690 TAMPON W/APPLICATOR EACH             $10.00
        291204700 TOOTHBRUSH SUCTION                   $62.00
        291204710 UNDERPADS 5 PER PKG LG               $22.00
        291204800 CREAM BODY MOIST                     $29.00
        291218138 VENTRICULAR CATHETER KIT 3X3.5      $346.00
        291218139 PACIFIERS NUBORN                      $5.00
        291218140 RESTRAINT SM 2-5YRS                 $933.00
        291218141 RESTRAINT LARGE 5-12YR              $933.00
        291218142 MASK INFANT CUSHION                  $14.00
        291218143 MASK CUSHION FACE NEONATAL           $14.00
        291218144 SEAL COHESIVE EAKIN 2IN SMALL        $32.00
        291218146 T CONNECTOR GIN                       $9.00
        291218147 NEEDLE GRIPPER SAFETY20GAX11/4       $32.00
        291218148 NEEDLE GRIPPER SAFETY 20GAX1         $32.00
        291218149 NEEDLE GRIPPER SAFETY 20GAX3/4       $32.00
        291218150 NEEDLE GRIPPER SAFETY 22GAX3/4       $32.00
        291218151 NEEDLE GRIPPER SAFETY 22GAX1         $32.00
        291218152 NEEDLE GRIPPER SAFETY22GAX11/4       $32.00
        291218153 DRESSING ACTICOAT AG MOISTURE       $140.00
        291218154 DRESSING ACTICOAT AG ABSORBANT       $94.00
        291218155 DRESSING W/AG AQUACEL 8X12 IN       $185.00
        291218156 DRESSING W/AG AQUACEL 3/4X18 I       $94.00
        291218157 DRESSING W/AG AQUACEL 6X6 IN        $140.00
        291218158 DRESSING W/AE AQUAEL 4X4 1M          $50.00
        291218159 CUSHION AIR FOOT W/LINING LG        $140.00
        291218160 CUSHION AIR FOOT W/LINING MED       $140.00
        291218161 CUSHION AIR FOOT W/LINING SM        $140.00
        291218162 FOOT COVER IMPAD RIGID LARGE        $222.60
        291218163 FOOT COVER IMPAD RIGID REG          $222.60
        291218165 DRESSING PROMOGRAN                   $42.00
        291218166 WOUND DRAINAGE DEVICE SNYDER        $170.00
        291218169 CONNECTOR Y TRAC                     $12.00
        291218170 SUBDURAL DRAINAGE CATHETER KIT      $855.75
        291218171 SUCTION RESERVOIR KIT               $369.60
        291218172 DETECTOR CARBON DIOXIDE ADULT        $86.10
        291218173 DETECTOR CARBON DIOXIDE PEDS         $86.10
        291218174 COVER PROBE ULTRASOUND               $36.00
        291218175 CAPNOLINE SMART O2+ ADULT            $86.10
        291218176 FILTERLINE H SET ADULT/PED           $86.10
        291218184 INTRODUCER MICROPUNCTURE 15FR       $128.10
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          19
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
        291400108 ELEC FEEDING PUMP DAILY             $29.00
        291400129 AQUAMATIC DAILY                     $28.00
        291400130 AQUAMATIC SET UP                    $28.00
        291400385 BED ALERT DAILY                     $28.00
        291400386 BED ALERT-SET UP                    $22.00
        291400460 BLOOD WARMER                        $26.00
        291401568 EXT COMPRESSION SYSTEM DAILY        $44.00
        291401569 EXT COMPRESSION SYSTEM SETUP        $44.00
        291401570 ENTERAL FEED PUMP                   $29.00
        291401677 HUMIDIFIER DAILY                    $28.00
        291401678 HUMIDIFIER-SET UP                   $28.00
        291401679 HYPOTHERMIA MACH DAILY              $60.00
        291401680 HYPOTHERMIA MACHINE SET UP          $53.00
        291401681 MACHINE WARMING                    $140.00
        291401780 KIT ISOLATION MAJOR                $461.00
        291401980 PACEMAKER EXTERNAL PER DAY         $144.00
        291402740 SUCTION MACHINE DAILY               $64.00
        291402741 CHEST SUCTION SET UP               $135.00
        291402742 CHEST SUCTION DAILY                 $46.00
        291402745 TRACTION                           $140.00
        291402840 TRAY CIRCUMCISION                  $170.00
        291403496 LINE PRESSURE MONITOR               $36.00
        291404800 BED SPECIAL FIRST STEP SELECT      $143.00
        291404802 BED SPECIAL FIRST STEP HD          $143.00
        291404804 BED SPECIAL BURKE                  $568.00
        291404806 BED SPECIAL BARI                 $1,094.00
        291404808 BED SPECIAL BARIKARE               $416.00
        291404810 BED SPECIAL TRIADYNE               $416.00
        291404900 BED AIR FLUIDIZED PER DAY          $143.00
        291404902 BED ROTOREST                     $1,312.00
        291404903 BED KINAIR III W/SCALES            $880.00
        291404904 BED SPECIALTY                    $1,312.00
        291404905 BED SPEC THERAPULSE W/SCALE        $143.00
        291404906 MATTRESS-RIK                       $262.00
        291404907 BED ROTATION QZ                    $568.00
        291404908 BED SPEC KIN AIR3 W/O SCALE        $143.00
        291404909 FLUIDAIR PLUS WITH SCALE           $568.00
        291404910 PUMP VAC ASSISTED SYSTEM           $320.00
        291404911 BED VAIL 1000                      $267.00
        291404912 BED BARIMAX 11                     $403.00
        291404913 BED FLEXICARE ECLIPSE              $190.00
        291404914 BED FLEXICARE MC3                  $307.00
        291404915 BED SPECIALTY DYNAPULSE            $143.00
        291404916 BED TOTAL CARE SPORT               $765.00
        291404917 BED CLINITRON RITE HITE            $362.00
        291404918 BED MAGNUM 11                      $362.00
        291404919 BED V-CUE                          $362.00
        291404921 BED FLEXICARE ECLIPSE UL           $254.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         20
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291404922 BED ACUCAIR                         $140.00
        291404923 BED TOTAL CARE SPORT BARIATRIC      $933.00
        291409575 IMPRESSIONS OVERLAY                 $246.00
        291410800 OR INSTRUMENT PROCESSING CHG         $72.00
        291410801 LDRP INSTRUMENT PROCESSING CHG       $70.00
        291410802 OR STERSIS PROCESSING                $82.00
        291410803 UNIT TENS SX PLUS                   $458.00
        291608990 A/C SPLINT                        $1,312.00
        291608995 AIRPLANE SPLINT                   $3,691.00
        291609000 APPLIANCE ADHESIVE                   $41.00
        291609015 AK STOCKING                         $327.00
        291609023 OFFSET KNEE JOINT                   $655.00
        291609024 BAIL LOCK OFFSET                  $1,312.00
        291609025 HEAVY DUTY OFFSET                   $568.00
        291609026 BAIL LOCK ST. EACH                  $568.00
        291609035 BELOW KNEE REGID DRESSING         $2,418.00
        291609070 BELT PELVIC PADDED                $1,312.00
        291609090 BELT WAIST                          $429.00
        291609100 BELT WAIST UNILATERAL               $429.00
        291609103 BK STOCKING                         $262.00
        291609105 BODY JACKET                       $6,520.00
        291609106 ORTHO CERVICAL HALO               $7,708.00
        291609107 ORTHOSIS-KNEE/ANKLE/FOOT          $6,520.00
        291609110 BOOT SUPPORT W/LINER SET            $327.00
        291609111 ORTHO OVERDOOR CERVICAL TRACT       $327.00
        291609112 ORTHOSIS-HIP ABDUCTION            $8,373.00
        291609113 ORTHO-MOLDED PELVIC BAND          $3,504.00
        291609114 ORTHO ADJ MOTION HIP JOINT        $2,418.00
        291609115 ORTHO ADJ MOTION HIP JOINT        $6,520.00
        291609116 ORTHOTIC MOLDED THIGHT SECTION    $4,430.00
        291609117 ORTHO FULL LENGTH COMPRESSION       $568.00
        291609119 ORTHOTIC DOUBLE UPRIGHT ANGLE     $2,418.00
        291609121 ORTHOTIC EXTENDED STEEL SHANK       $429.00
        291609122 ORTHO HEEL&SOLE BUILDUP-NEOPRE      $568.00
        291609123 ORTHO CONVERT INSTEP TO VELCRO      $197.00
        291609124 ORTHOPEDIC SHOE                     $568.00
        291609125 ORTHO PLASTIC AFO W/ANKLE JOIN    $3,504.00
        291609126 ORTHO POST PLASTIC SHELL MJP      $2,418.00
        291609127 ORTHO DORSIFELX/PLANTARFELX AK    $2,418.00
        291609128 ORTHOTIC THERMOPLASTIC T CAST     $4,430.00
        291609129 ORTHOTIC SEMIRIGID CUST FT/AFO    $2,418.00
        291609131 ORTHOTIC RIGID CUSTOM FITTED      $4,430.00
        291609132 ORTHOTIC SEMIRIGID CUS FT KAFO    $4,512.00
        291609133 ORTHOTIC SHOE INSERT              $1,094.00
        291609134 ORTHO OFFSET KNEE JOINT-EACH        $568.00
        291609135 ORTHO OFFSET KNEE JOINT HEAVY     $1,312.00
        291609136 ORTHO DROP LOCK-EACH JOINT          $429.00
        291609137 ORTHOTIC FULL KNEE CAP              $568.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          21
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291609138 ORTHOTIC KNEE CAP-MED/LAT           $568.00
        291609139 ORTHOTIC CONDYLAR PAD             $1,312.00
        291609141 ORTHORTIC EMERG/RUSH SEVICE       $1,312.00
        291609142 ORTHO LMTD-APPLICATION/ADJUST       $327.00
        291609143 ORTHO INTERMED-APPLICATION/ADJ      $568.00
        291609144 ORTHO EXTN-APPLICATION/ADJUST     $1,312.00
        291609145 ORTHO COMP-APPLICATION/ADJUST     $2,418.00
        291609146 ORTHOTIC WKND OR HOLIDAY SERV     $1,312.00
        291609147 ORTHOSIS LMTD MOTION KNEE JOIN      $429.00
        291609149 ORTHOTIC AFO PLASTIC TYPE MOLD    $1,312.00
        291609345 BUILDUP SOLE & HEEL- CORK         $1,312.00
        291609346 BUILDUP-SOLE/HEEL/NEOPRENE          $568.00
        291609360 CAST ANKLE                          $429.00
        291609370 CAST FOOT                           $197.00
        291609380 CAST FOOT/ANKLE/CALF                $429.00
        291609390 CAST FULL LEG & FOOT                $568.00
        291609400 CAST HAND/WRIST/FOREARM             $327.00
        291609410 CAST PELVIC GIRDLE                $1,312.00
        291609420 CAST THIGH                          $429.00
        291609435 CHAIRBACK SPINAL ORTHOSIS CUST    $2,014.00
        291609460 CLOSURE VELCRO LEG BRACE            $135.00
        291609470 CONTROL BRACE ANKLE               $2,418.00
        291609475 CONVERT INSTEP TO VELCRO            $165.00
        291609488 CORSET FRONT                        $568.00
        291609524 DAIL LOCK ST EACH                 $1,312.00
        291609532 DORSAL LUMBAR CORSET              $1,094.00
        291609533 DORSAL/PLANTER CONT/ANKLE JOIN      $429.00
        291609534 DORSI ASSIST ANKLE JOINTS           $429.00
        291609535 DOUBLE UPRIGHT AFO                $2,418.00
        291609536 DOUBLE UPRIGHT KAFO               $8,373.00
        291609544 ELEVATING PROXIMAL ARM            $2,418.00
        291609555 DROP LOCK OFFSET                  $1,312.00
        291609556 DROP LOCK-ST EACH                   $262.00
        291609557 EXTENDED STEEL SHANK                $327.00
        291609558 FEMORAL FX BRACE-SOLID ANKLE      $4,512.00
        291609560 FINISH NON-CORROSIVE                $429.00
        291609562 FOAM COLLAR NON-ADJUSTABLE          $262.00
        291609563 FITTING SOCKS-AK                     $59.00
        291609564 FOOT PLATE-MOLDED TO PT MODEL     $2,418.00
        291609565 FITTING SOCKS-BK                     $46.00
        291609566 FREE KNEE JOINT OFFSET              $429.00
        291609570 GAUNTLEY WRIST MOLDED             $2,418.00
        291609596 HALO TRACTION AND VEST            $8,384.00
        291609597 HELL WEDGE                          $135.00
        291609600 HELMUT PROTECTIVE                   $568.00
        291609606 HIGH ROLL CUFF                    $2,014.00
        291609610 HINGE STUMP LOCKING               $2,418.00
        291609612 HIP ABDUCTION ORTHOSIS            $6,520.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          22
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291609613 HIP ABDUCTION ORTHOSIS FTP        $4,056.00
        291609614 HIP JOINT                         $2,418.00
        291609620 HOOK DORRANCE #7 SS               $2,418.00
        291609630 HOOK DORRANCE #555 SS             $2,418.00
        291609635 HUMERAL FRACTURE                  $2,418.00
        291609723 KNEE CONTROL STRAP                  $568.00
        291609725 KNIGHT-TAYLOR SPINAL ORTHOSIS     $2,418.00
        291609745 ORTHOSIS-NORTON BROWN SPINAL      $4,512.00
        291609763 LEMOX HILL ORTHOSIS               $4,430.00
        291609768 LIFT-HEEL + SOLE NEOPRENE           $429.00
        291609773 LONG ARCH SUPPORT                   $568.00
        291609774 ORTHOSIS/X-TRA DEPTH SHOES        $1,312.00
        291609775 LONG TONGUE STRIPPUP W/STRUT B    $2,418.00
        291609785 LUMBO-SACRAL CORSET               $1,094.00
        291609787 MOBILE ARM SUPPORT                $3,504.00
        291609788 MOLDED INSERT                       $429.00
        291609789 NEW HEEL-RUBBER                     $175.00
        291609791 NEW SCALE                           $197.00
        291609794 ORTHOPEDIC SHOES-MENS               $568.00
        291609797 OPPONENS LONG                     $2,418.00
        291609798 OPPONENS SHORT                    $1,312.00
        291609799 ORTHO SHOES-EXTRA DEPTH           $1,312.00
        291609801 ORTHO SHOES-OXFORD WOMENS         $1,312.00
        291609831 PELVIC BAND & BELT - UNILATERA    $1,312.00
        291609832 PAVLIK HARNESS                    $1,312.00
        291609834 COLLAR-WIRE FRAME                   $415.00
        291609835 PHIL COLLAR                       $1,094.00
        291609836 PLASTAZOTE SHOE EACH                $568.00
        291609837 PLASTIC AFO-CUSTOM FIT            $1,312.00
        291609838 PLASTIC AFO MOLDED TO PT          $2,014.00
        291609839 PLASTIC AFO-POST SOLID ANKLE-M    $2,014.00
        291609842 POLYCENTRIC KNEE JOINTS           $1,094.00
        291609850 POUCH COLOSTOMY W/KARAYA 1 DR        $28.00
        291610085 QUAD BRIM CUSTOM FITTED           $2,418.00
        291610086 QUAD BRIM - MOLDED                $4,430.00
        291610087 RADIUS/ULNAR FRACTURE             $2,418.00
        291610125 REPAIR ORTHOSIS/PER HOUR            $429.00
        291610126 REPAIR PROSTHESIS-PER HOUR          $429.00
        291610175 SACH SHELL                          $429.00
        291610176 PAAD REPLACE/CERVICAL ORTHOSIS    $1,312.00
        291610421 SOLE WEDGE                          $135.00
        291610422 SOMI CERVICAL OTHOSIS             $2,418.00
        291610426 SPINAL EXTENSION ORTHOSIS         $5,435.00
        291610555 STAINLESS STEEL BAR                 $273.00
        291610642 STUMP SHRINKER-BK                   $219.00
        291610643 STUMP SHRINKER-AK                   $473.00
        291610644 STUMP SOCKS-BK                      $138.00
        291610645 STUMP SOCKS-AK                      $135.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          23
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
        291610648 SUPINATOR                         $1,312.00
        291610670 SUPPORT FOOT ARCH CORRECTIVE E      $429.00
        291610702 TAYLOR SPINAL ORTHOSIS            $2,418.00
        291610711 T-STRAP INSTEP STRAP                $358.00
        291610712 THIGH LACEER MOLDED TO PATIENT    $4,512.00
        291610713 TIBIAL FX BRACE-PLASTER           $2,418.00
        291610714 TIBIAL FX BRACE-THERMO PLAST      $3,504.00
        291610715 TIBIAL LACER-MOLDED               $2,418.00
        291610716 TIBIAL FX. BRACE MOLDED CAST      $4,496.00
        291610720 TRACTION CERVICAL HALD            $6,520.00
        291610735 UCB INSERT                        $1,312.00
        291610736 SHOE LIFT BULILDUP SOLE & HEEL      $568.00
        291610790 WILLIAMS SPINAL ORTHOSIS          $2,418.00
        291610795 WRIST DRIVEN FLEXOR HINGE         $4,430.00
        411145123 STRAPPING: KNEE                     $191.00
       1011000100 LDRP-12 HOUR STAY                   $978.00
       1011000110 DELIVERY LEVEL 1                  $1,681.00
       1011000130 FETAL MONITOR INTERNAL              $521.00
       1011000140 SURGERY PROC LEVEL II BASE 30     $1,592.00
       1011000150 SURGERY PROC LEVEL II EA 15MIN      $795.00
       1011000160 SURGERY PROC LEVEL I BASE 30MI    $1,103.00
       1011000170 SURGERY PROC LEVEL I EA 15 MIN      $550.00
       1011000180 PROCEDURE BASE 30 MIN               $284.00
       1011000185 PROCEDURE EACH ADDL 15 MIN          $116.00
       1011000190 LABOR LEVEL II EACH 4 HR            $521.00
       1011000210 LABOR LEVEL 1 EACH 4 HR             $440.00
       1011000220 DELIVERY CESAREAN SECTION         $2,830.00
       1011000230 DELIVERY LEVEL II                 $2,012.00
       1011000270 RECOVERY LEVEL II BASE 2 HR         $391.00
       1011000275 RECOVERY LEVEL II EACH ADDL HR      $198.00
       1011000280 RECOVERY LEVEL I BASE 2 HR          $204.00
       1011000285 RECOVERY LEVEL 1 EACH ADDL HR        $99.00
       1011000290 PERINATAL CARE LEVEL II           $1,136.00
       1011000300 CESAREAN PRE OP CARE TREATMENT      $391.00
       1011000310 CARDIAC MONITORING                   $85.00
       1011000330 ULTRASOUND REAL TIME                $193.00
       1011000340 BREAST PUMP DAILY ELECTRIC           $26.00
       1011002000 CAUTERY PENCIL                       $66.00
       1011002100 GROUNDING PAD                        $74.00
       1011002560 L&D OBSERVATION FIRST HOUR          $728.00
       1011002561 L&D OBSERVATION ADD HOUR            $104.00
       1011008200 STAPLE SKIN 3M                       $94.00
       1018000350 ULTRASOUND AFI BPP                  $188.00
       1018000400 ULTRASOUND-LIMITED                  $188.00
       1018000420 ULTRASOUND-FOLLOW-UP                $133.00
       1018000440 ULTRASOUND FOLLOW-UP MULTI          $133.00
       1018000460 AMNIOCENTESIS ULTRASOUND GUIDE      $211.00
       1018000480 CHORONIC VILLUS SAMPLE U-SOUND      $211.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          24
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1018001460 AMNIOCENTESIS                       $501.00
       1018001480 CHORONIC VILLUS SAMPLING            $252.00
       1018001500 CORDOCENTESIS                       $378.00
       1018001560 ULTRASOUND-MULTIPLE                 $376.00
       1018001580 ECHO PREGNANT UTERUS B-SCAN         $284.00
       1018001600 ULTRASOUND-FETAL BIOPHYSICAL        $193.00
       1018001620 CONTRACTION STRESS TEST              $92.00
       1018002530 NON STRESS TEST                     $439.00
       1018002540 ANTEPARTUM STRESS TEST              $362.00
       1018002560 USE OF TREATMNT RM EACH ADD HR      $290.00
       1018002561 USE OF TREATMENT RM FIRST HOUR      $728.00
       1111000117 SPINAL SYSTEM ORATEC                $945.00
       1111000118 PUMP PAIN CONTROL                 $1,283.00
       1111000120 PERFUSIONIST AUTOTRANSFUSER       $4,374.00
       1111000121 IMAGE GUIDANCE SET                $2,725.00
       1111000122 IMAGE GUIDANCE TECHNICAL FEE        $491.00
       1111000123 NEURO MONITOR IN O.R. 1-3 HRS     $2,246.00
       1111000124 NEURO MONITOR IN OR ADD HOURS       $749.00
       1111000126 BRAINSTEM AUDITORY (BAEP)           $623.00
       1111000127 VISUAL EVOKED RESPONSE EVAL         $501.00
       1111000128 SOMATOSENSORY UPPER 1-2 NERVE       $749.00
       1111000129 SOMATOSENSORY LOWER 1-2 NERVE       $749.00
       1111000130 LVAD FIRST HOUR                   $6,901.00
       1111000131 SENSORY EACH ADDITIONAL NERVE       $282.00
       1111000132 PEDICLE OR MOTOR EACH NERVE         $749.00
       1111000136 VENTRICULAR ASSIST PUMP SET      $17,713.00
       1111000139 PERFUSIONIST H/L PUMP SJMC        $5,694.00
       1111000140 BALLOON PUMP FIRST HOUR           $2,780.00
       1111000142 PERFUSIONIST AUTOTRSFUSR SJMC     $4,374.00
       1111000145 BALLOON PUMP INSERT TRAY            $623.00
       1111000150 BALLOOON PUMP ADDITIONAL HOUR       $350.00
       1111000160 CPS FIRST HOUR                    $2,323.00
       1111000170 CPS ADDITIONAL HOUR                 $801.00
       1111000171 NEURO MONITORING SET              $1,283.00
       1111000179 HEART SIZING TOOL DISP               $43.00
       1111000180 PERFUSIONIST HEART LUNG PUMP      $5,694.00
       1111000181 ARGON BEAM COAGULATOR SET-UP      $1,151.00
       1111000189 BAG LEG                              $50.00
       1111000190 SURGERY USE PTCA                  $2,743.00
       1111000204 HEART LUNG PUMPVACUMN KIT           $501.00
       1111000205 HEART SVO2 DISP CARTRIDGE           $360.00
       1111000206 ARMBOARD UNIVERSAL                   $29.00
       1111000207 HEART LUNG PUMP VALVE               $206.00
       1111000208 ORTHOPAT AUTOTRANSFUSION          $2,522.00
       1111000209 HEART POSITIONER                  $3,792.00
       1111000210 HEART POSITIONER                  $1,283.00
       1111000211 HEART PUMP TUBING PACK              $501.00
       1111000216 HEART OFF PUMP TECHNICAL FEE        $576.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          25
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                         PRICING
       1111000217 HEART OFF PUMP SYSTEM            $623.00
       1111000219 CARDIOPLEGIA DELIVERY SET      $1,244.00
       1111000220 CARDIOPLEGIA LINE                $155.00
       1111000221 CARDIOPLEGIA LINE                $203.00
       1111000222 CARDIOPLEGIA SET                 $501.00
       1111000223 CARDIOPLEGIA LINE                 $64.00
       1111000224 CARDIOPLEGIA SET                 $623.00
       1111000225 CARDIOPLEGIA SET               $1,283.00
       1111000226 FILTER BLOOD                      $46.00
       1111000227 STERNABAND                       $210.00
       1111000228 CARDIOPLEGIA EXT LINE            $155.00
       1111000229 CARDIOPLEGIA BLOOD FILTER      $1,283.00
       1111000246 HEART POSITIONER                 $374.00
       1111000247 HEART POSITIONER                 $623.00
       1111000251 STERILE SUPPLY DISPOSABLE        $768.84
       1111000264 CAST PADDING                      $16.00
       1111000265 STOCKINETTE SYNTHETIC             $19.00
       1111000266 CAST TAPE                         $19.00
       1111000267 CAST TAPE                         $24.00
       1111000268 CAST TAPE                         $29.00
       1111000269 CAST TAPE                         $43.00
       1111000270 GUIDE PIN                        $203.00
       1111000272 CAST PLASTER STRIP                $11.00
       1111000273 CAST PADDING                       $9.00
       1111000274 EYE PREP DISP TRAY                $62.00
       1111000275 PREP SOLUTION                     $43.00
       1111000276 CAST PADDING                      $19.00
       1111000277 APPLICATOR TIP                   $282.00
       1111000298 GUIDE WIRE                       $623.00
       1111000299 GUIDE PIN                        $282.00
       1111000300 GUIDE PIN                        $501.00
       1111000303 STAPLER INTRALUMINAL           $2,522.00
       1111000304 STAPLER ENDO LINEAR              $501.00
       1111000305 WRENCH DISP                      $374.00
       1111000306 ARTHROSCOPY KIT                $2,522.00
       1111000307 WRENCH DISP                      $501.00
       1111000308 ENDO SYSTEM BACK               $4,386.00
       1111000309 WRENCH DISP                      $623.00
       1111000310 ARTHROSCOPY TENDON STRIPPER       $57.00
       1111000311 ARTHROSCOPY KIT                $1,283.00
       1111000312 ARTHROSCOPY PIN PASSER           $623.00
       1111000313 ARTHROSCOPY CUTTER             $2,522.00
       1111000314 ARTHROSCOPY DEL TUBE             $623.00
       1111000315 ARTHROSCOPY GRAFT HARVEST        $623.00
       1111000318 ARTHROSCOPY RESECTOR           $1,283.00
       1111000319 ARTHROSCOPY SUTURE GRASPER     $1,283.00
       1111000320 ARTHROSCOPY REAMER               $501.00
       1111000321 ARTHROSCOPY CANNULA              $203.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                       26
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                         PRICING
       1111000322 ARTHROSCOPY DISP INST          $1,283.00
       1111000323 ARTHROSCOPY DISP INST            $623.00
       1111000324 ARTHROSCOPY SLEEVE               $501.00
       1111000325 ARTHROSCOPY THERMAL PROBE      $2,522.00
       1111000326 ARTHROSCOPY SLEEVE               $374.00
       1111000327 ARTHROSCOPY SLEEVE               $282.00
       1111000328 ARTHROSCOPY LIGAMENT CHISEL      $623.00
       1111000329 ARTHROSCOPY SLEEVE               $623.00
       1111000330 STAPLE ARTHROSCOPY               $623.00
       1111000331 ARTHROSCOPY DART INSERTER        $623.00
       1111000332 ARTHROSCOPY DRIVER               $623.00
       1111000333 ARTHROSCOPY SMOOTHER           $1,283.00
       1111000334 ARTHROSCOPY LIGAMNT CHISL      $1,232.00
       1111000335 ARTHROSCOPY SHOULDER CLIP        $623.00
       1111000336 ARTHROSCOPY TISSUE REPAIR        $623.00
       1111000337 ARTHROSCOPY SUTURE               $155.00
       1111000338 ARTHROSCOPY GRAFT HARVEST      $2,522.00
       1111000339 ARTHROSCOPY LIGAMENT CHISEL      $374.00
       1111000340 INTRODUCER                     $1,283.00
       1111000341 INTRODUCER SHEATH                $155.00
       1111000342 CORONARY DILATOR                 $374.00
       1111000343 INTRODUCER SHEATH                $282.00
       1111000344 INTRODUCER SHEATH                $374.00
       1111000345 STAPLER INSERT                   $501.00
       1111000346 ARTHROSCOPY SUTURE               $203.00
       1111000349 ELECTRODE CUT/COAG                $19.00
       1111000350 CATH PERITONEAL                $2,522.00
       1111000351 SMOKE EVACUATOR KIT              $203.00
       1111000352 ELECTRODE CUT/COAG               $623.00
       1111000353 SUTURE PASSER                    $623.00
       1111000354 ELECTRODE CUT/COAG             $2,522.00
       1111000355 ELECTRODE CUT/COAG             $1,283.00
       1111000356 ELECTRODE CUT/COAG                $24.00
       1111000357 ELECTRODE CUT/COAG               $155.00
       1111000358 ELECTRODE CUT/COAG                $55.00
       1111000359 BLADE                             $29.00
       1111000360 BLADE                             $57.00
       1111000362 BURR                              $29.00
       1111000370 PRESSURE MONITOR LINE             $19.00
       1111000378 PACEMAKER TEMP PACING WIRE       $155.00
       1111000379 PACEMAKER TEMP PACING WIRE       $374.00
       1111000380 PACEMAKER TEMP PACING WIRE        $75.00
       1111000381 TUBING ULTRASONIC ASP          $1,283.00
       1111000382 TUBING ULTRASONIC ASP            $203.00
       1111000384 FILTER BERKELEY                   $46.00
       1111000385 SPECIMEN COLLECTOR               $155.00
       1111000386 TUBING ULTRASONIC ASP             $29.00
       1111000390 ANGIOSCOPE DISP                $3,792.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                       27
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       1111000395 CATH PA W/PACEPORT                $282.00
       1111000399 LATEX FREE CART                 $2,522.00
       1111000401 GRAFT CORNEAL TRANSPLANT        $7,776.00
       1111000402 GRAFT CORNEAL TRANSPLANT       $10,090.00
       1111000430 PROST EAR                         $501.00
       1111000440 PROST EAR                       $1,283.00
       1111000441 PROST EAR                       $2,522.00
       1111000444 TUBE LARYNGECTOMY                 $374.00
       1111000445 TUBE LARYNGECTOMY                 $623.00
       1111000446 TUBE NASOPHARYNGEAL                $74.00
       1111000447 TUBE LARYNGECTOMY                 $155.00
       1111000448 TRACHEOSTOMY COLLAR                $20.00
       1111000449 TUBE LARYNGECTOMY                 $203.00
       1111000450 TUBE LARYNGECTOMY                 $282.00
       1111000451 TUBE LARYNGECTOMY               $1,283.00
       1111000460 DRESSING FACIAL BAND              $150.00
       1111000461 STENT NASAL                       $155.00
       1111000464 PACK PROCEDURE CLOSURE            $623.00
       1111000465 PACK HAND ASSIST PROC           $3,792.00
       1111000466 PACK HAND ASSIST PROC           $2,522.00
       1111000470 BOLT                              $282.00
       1111000479 SURGICAL ILLUMINATOR              $374.00
       1111000480 IMPLANT EYE                     $2,522.00
       1111000481 BONE HARVESTER                  $1,283.00
       1111000482 BONE GRAFT PROCESSING KIT       $3,792.00
       1111000483 CARTILAGE BIOPSY KIT            $2,522.00
       1111000490 DRESSING SHOULDER ABDUCTOR        $623.00
       1111000491 AUTOTRANSFUSION SEQUESTERING      $279.00
       1111000492 DRESSING SHOULDER IMMOBILIZ       $155.00
       1111000493 DRESSING SHOULDER IMMOBILIZ        $46.00
       1111000494 DRESSING SHOULDER IMMOBILIZ       $501.00
       1111000510 CATH EPIDURAL                      $55.00
       1111000511 CATH EPIDURAL                   $2,522.00
       1111000512 CATH EPIDURAL                     $282.00
       1111000513 CATH EPIDURAL                      $66.00
       1111000520 ENDO SCOPE DISP                 $1,283.00
       1111000530 PROST PENILE CYLINDER           $7,776.00
       1111000540 PROST PENILE ACCESSORIES          $501.00
       1111000550 PROST PENILE ACCESSORIES        $1,283.00
       1111000560 NEEDLE LUMBER PUNCTURE             $55.00
       1111000570 INTRODUCER SHEATH                 $501.00
       1111000571 NEEDLE EPIDURAL                   $140.00
       1111000572 CATH DIALYSIS                   $1,232.00
       1111000573 CATH DIALYSIS                   $2,522.00
       1111000574 NEEDLE SPINAL                      $20.00
       1111000575 NEEDLE DISP NERVE STIMULATOR       $66.00
       1111000579 BURR                               $64.00
       1111000580 BURR                               $43.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        28
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                      PRICING
       1111000581 BURR                           $46.00
       1111000582 BURR                           $55.00
       1111000590 BURR                           $57.00
       1111000600 BURR                          $155.00
       1111000601 BURR                           $76.00
       1111000610 BLADE                          $24.00
       1111000611 BLADE                          $19.00
       1111000612 BLADE                          $43.00
       1111000620 BLADE                          $46.00
       1111000621 BLADE                          $64.00
       1111000625 TUBING IRRIGATING              $64.00
       1111000630 TUBE FEEDING                   $57.00
       1111000631 TUBE FEEDING                  $155.00
       1111000632 TUBE FEEDING                   $64.00
       1111000640 EDWARDS CLIP                  $155.00
       1111000641 EDWARDS CLIP                  $203.00
       1111000650 SUTURE SPECIAL                 $75.00
       1111000655 URETEROSCOPE ADAPTOR          $155.00
       1111000656 URETEROSCOPE SHEATH           $623.00
       1111000660 URO ENDOPYELOTOMY KIT       $6,990.00
       1111000661 URO ENDOPYELOTOMY KIT       $7,776.00
       1111000665 URO TUNA SYSTEM KIT         $4,386.00
       1111000670 IRRIGATION SET                $282.00
       1111000680 ENDO COAGULATING SHEARS     $2,522.00
       1111000681 ENDO COAGULATING SHEARS       $623.00
       1111000682 ENDO COAGULATING SHEARS     $1,283.00
       1111000683 ENDO CLIP APPLIER             $282.00
       1111000685 BLADE STRAIGHT SHOT         $2,522.00
       1111000700 PROST PENILE CYLINDER      $12,285.00
       1111000701 PROST PENILE CYLINDER      $13,783.00
       1111000702 PROST PENILE CYLINDER      $14,217.00
       1111000705 PROST PENILE RESERVOIR      $5,851.00
       1111000710 PROST PENILE CYLINDER      $12,559.00
       1111000711 PROST PENILE CYLINDER      $12,314.00
       1111000712 PROST PENILE CYLINDER      $11,869.00
       1111000718 PROST PENILE CYLINDER      $13,066.00
       1111000719 PROST PENILE PUMP          $10,090.00
       1111000721 CATH FILLIFORM                $592.00
       1111000731 CATH CVP SWAN GANZ          $1,283.00
       1111000732 DRAIN VENTRICULAR SET       $1,283.00
       1111000741 FINGER TRAP W/ROPE            $149.00
       1111000781 INTRODUCER SHEATH              $21.00
       1111000801 PERFLURON KIT               $2,522.00
       1111000810 IMPLANT OCCULAR               $155.00
       1111000820 ENDOVASCULAR SNARE          $2,522.00
       1111000821 ENDOVASCULAR SHEATH         $1,283.00
       1111000822 CATH ANGIOGRAM EXTENSION      $155.00
       1111000823 CATH ANGIOGRAM              $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                    29
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111000824 CATH ANGIOGRAM                     $623.00
       1111000825 CATH ANGIOGRAM                     $155.00
       1111000826 CATH ANGIOGRAM EXTENSION            $56.00
       1111000827 CATH ANGIOGRAM                      $46.00
       1111000830 ENDOVASCULAR GRAFT              $22,890.00
       1111000831 ENDOVASCULAR STENT              $18,530.00
       1111000832 ENDOVASCULAR STENT              $10,090.00
       1111000833 ENDOVASCULAR HANDLE                $374.00
       1111000834 ENDOVASCULAR CUFF EXTENSION     $10,090.00
       1111000901 TUBE NASAL                          $29.00
       1111000929 AIRWAY ORAL                         $64.00
       1111000930 AIRWAY ORAL                         $29.00
       1111000931 AIRWAY ORAL                         $14.00
       1111000932 AIRWAY ORAL                         $26.00
       1111000933 AIRWAY ORAL                         $56.00
       1111000934 CRICOTHYROTOMY KIT                 $501.00
       1111000970 TRANSDUCER DBL                     $155.00
       1111001000 LASER FILTER                        $75.00
       1111001010 SUCT IRRIG TIP                     $203.00
       1111001050 TUBE ET NERVE MONITOR            $1,283.00
       1111001062 ELECTRODE NERVE MONITOR            $495.00
       1111001063 BLADDER SUSP KIT                 $3,792.00
       1111001070 BALLOON INTRA-AORTIC             $3,792.00
       1111001400 ARTHROSCOPY THERMAL PROBE        $1,283.00
       1111001401 ARTHROSCOPY ENDO TACKER          $2,522.00
       1111001402 ARTHROSCOPY CANNULA                $623.00
       1111001403 ARTHROSCOPY CANNULA              $1,283.00
       1111001501 PROST EAR BONE                   $1,177.00
       1111001502 IMPLANT EAR SOFT TISSUE          $1,223.00
       1111001503 IMPLANT EAR TUBE                   $155.00
       1111001504 IMPLANT NASAL                    $1,063.00
       1111001510 IMPLANT SILASTIC SHEET              $75.00
       1111001511 IMPLANT SILICONE                 $3,792.00
       1111001516 IMPLANT OCCULAR                    $621.00
       1111001521 IMPLANT UROLOGY SUTURE ANCHOR    $7,830.50
       1111001529 IMPLANT NERVE GUIDE              $4,386.00
       1111001530 IMPLANT NEURO CSF CATHETER       $1,743.80
       1111001531 IMPLANT NEURO CSF RESERVOIR      $1,177.00
       1111001532 IMPLANT NEURO SHUNT COMPONENT    $1,177.00
       1111001535 NEURO STIM PROGRAMMER            $5,368.00
       1111001540 IMPLANT VASCULAR GRAFT          $19,803.42
       1111001541 IMPLANT ANGIOPLASTY STENT       $25,070.00
       1111001542 PROST HEART VALVE               $17,978.00
       1111001544 IMPLANT VASCULAR SEALER          $5,851.00
       1111001545 IMPLANT VASCULAR SEALER          $1,283.00
       1111001550 IMPLANT SOFT TISSUE GRAFT        $3,305.50
       1111001551 IMPLANT VASCULAR ACCESS CATH     $3,149.33
       1111001552 IMPLANT MESH IMPLANTABLE         $4,191.66
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         30
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111001555 IMPLANT VAGINAL TISSUE           $5,302.75
       1111001556 PROST HIP SHELL COMPONENT        $5,218.72
       1111001557 PROST HIP LINER COMPONENT        $4,543.40
       1111001558 PROST HIP HEAD COMPONENT         $3,724.55
       1111001559 PROST HIP STEM EXTENSION COMP    $4,278.00
       1111001560 IMPLANT BOLT FIXATION COMP       $1,177.00
       1111001561 IMPLANT ROD FIXATION COMP        $4,153.00
       1111001562 IMPLANT NAIL FIXATION COMP       $6,195.36
       1111001563 IMPLANT PIN FIXATION COMP          $820.16
       1111001564 IMPLANT STAPLE FIXATION COMP     $4,669.25
       1111001565 IMPLANT WIRE FIXATION COMP         $763.36
       1111001566 IMPLANT BONE GRAFT TISSUE        $9,456.22
       1111001567 IMPLANT LIGAMENT GRAFT           $4,386.00
       1111001568 IMPLANT SUTURE ANCHOR            $3,227.77
       1111001569 BONE GROWTH STIMULATOR          $13,783.00
       1111001570 PROST HIP CUP COMPONENT          $3,278.59
       1111001571 PROST HIP STEM COMPONENT         $6,356.45
       1111001572 PROST KNEE FEMORAL COMP          $7,132.21
       1111001573 PROST KNEE TIBIAL COMP           $5,552.96
       1111001574 PROST KNEE INSERT                $4,777.54
       1111001575 PROST KNEE PATELLA               $3,247.32
       1111001576 PROST SHOULDER GLENOID COMP      $4,197.40
       1111001577 PROST SHOULDER HUMERAL COMP      $7,648.14
       1111001578 PROST ANKLE COMPONENT            $2,314.00
       1111001582 PROST FINGER COMPONENT           $5,851.00
       1111001583 PROST ELBOW COMPONENT           $13,783.00
       1111001584 PROST SHOULDER HUMERAL HEAD      $6,109.50
       1111001586 IMPLANT BRONCHIAL STENT $       $10,030.50
       1111001601 IMPLANT VASCULAR SEALER            $282.00
       1111001602 IMPLANT LACRIMAL DUCT              $623.00
       1111001610 IMPLANT URETERAL STENT           $3,014.57
       1111001612 IMPLANT UTERINE SUSPENSION       $4,386.00
       1111001620 IMPLANT DURA PATCH               $5,368.00
       1111001625 IMPLANT ANNULOPLASTY RING        $8,547.33
       1111001640 SPINAL FIXATION ASSEMBLY        $12,620.00
       1111001642 SPINAL FIXATION CABLE            $2,522.00
       1111001643 SPINAL FIXATION CONNECTOR        $8,772.00
       1111001644 SPINAL FIXATION NUT              $2,522.00
       1111001645 SPINAL FIXATION LINK             $7,132.62
       1111001646 SPINAL FIXATION HOOK             $4,423.50
       1111001647 SPINAL FIXATION CAGE            $16,661.81
       1111001648 SPINAL FIXATION ROD              $3,706.13
       1111001649 SPINAL FIXATION PLATFORM         $4,386.00
       1111001660 IMPLANT TENDON GRAFT             $5,223.14
       1111001665 PROST HIP INSERT                 $6,213.12
       1111002000 PROBE NERVE MONITOR                $623.00
       1111002003 PACK VASC SUCTION                  $319.00
       1111002009 ENDO WOUND CLOSURE               $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         31
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                         PRICING
       1111002010 ENDO SUTURE DEVICE               $203.00
       1111002030 STAPLER ENDO LINEAR            $3,792.00
       1111002050 COLLAGEN IMPLANT KIT             $203.00
       1111002089 ENDO TISSUE TACKER             $1,283.00
       1111002090 ENDO PROC DISP INST               $46.00
       1111002091 ENDO TISSUE TACKER             $2,522.00
       1111002100 ENDO SUTURE DEVICE               $623.00
       1111002101 ENDO SUTURE DEVICE             $1,283.00
       1111002102 ENDO SUTURE SYSTEM             $2,522.00
       1111002103 ENDO SUTURE SYSTEM REFIL         $374.00
       1111002104 ENDO SUTURE                      $203.00
       1111002105 ENDO GRASPER                   $1,283.00
       1111002106 ENDO BABCOCK                     $203.00
       1111002110 ENDO BASKET                    $1,283.00
       1111002120 ENDO BALLOON                   $1,283.00
       1111002121 ENDO BALLOON                   $2,522.00
       1111002122 ENDO BALLOON                   $3,792.00
       1111002130 ENDO GUIDE WIRE                  $374.00
       1111002140 ENDO TROCAR HOLDER                $16.00
       1111002141 ENDO CUTTING FORCEP            $1,283.00
       1111002142 ENDO CUTTING FORCEP            $2,522.00
       1111002143 ENDO CUTTING FORCEP              $501.00
       1111002150 ENDO SUTURE DEVICE               $501.00
       1111002152 SUTURE ANCHOR                    $374.00
       1111002161 ENDO KITNER                      $155.00
       1111002162 ENDO KITNER                       $46.00
       1111002163 ENDO KITNER                      $203.00
       1111002165 ENDO RETRACTOR                   $282.00
       1111002166 ENDO RETRACTOR                 $1,283.00
       1111002167 ENDO RETRACTOR                   $623.00
       1111002190 GRAFT BONE/TISSUE             $12,285.00
       1111002202 EPIDURAL CERVICAL ,LEVEL 2     $1,194.00
       1111002210 PROST EAR TORP                 $2,522.00
       1111002217 EPIDURAL LUMBER LEVEL 2        $1,194.00
       1111002237 BURR                              $24.00
       1111002238 BURR                             $203.00
       1111002239 BURR                             $282.00
       1111002240 BURR                             $374.00
       1111002241 BURR                             $501.00
       1111002242 BURR                             $623.00
       1111002243 BURR                           $1,283.00
       1111002260 SURGERY USE 1 ADDL 15 MINS       $386.00
       1111002261 SURGERY USE 1A ADDL 15 MINS      $386.00
       1111002270 SURGERY USE 1 BASE             $1,997.00
       1111002280 SURGERY USE 2 ADDL 15 MINS       $506.00
       1111002281 SURGERY USE 2A ADDL 15 MINS      $506.00
       1111002290 SURGERY USE 2 BASE             $2,705.00
       1111002300 SURGERY USE 3 ADDL 15 MIN        $667.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                       32
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111002310 SURGERY USE 3 BASE               $3,194.00
       1111002311 SURGERY USE 3A ADDL 15 MINS        $667.00
       1111002320 SURGERY USE 4 ADDL 15 MINS         $856.00
       1111002330 SURGERY USE 4 BASE              $11,286.00
       1111002340 SURGERY 1 ER-FEE ADDL 15 MIN       $450.00
       1111002350 SURGERY 1 ER-FEE BASE            $2,140.00
       1111002360 SURGERY 2 ER-FEE ADDL 15 MIN       $620.00
       1111002370 SURGERY 2 ER-FEE BASE            $2,963.00
       1111002380 SURGERY 3 ER-FEE ADDL 15 MIN       $781.00
       1111002390 SURGERY 3 ER-FEE BASE            $3,565.00
       1111002400 SURGERY 4 ER-FEE ADDL 15 MINS    $1,002.00
       1111002410 SURGERY 4 ER FEE BASE           $12,159.00
       1111002415 COMPRESSION SLEEVE                 $203.00
       1111002416 COMPRESSION SLEEVE                 $282.00
       1111002498 ENDO CHOLE KIT CUSTOM DISP       $1,283.00
       1111002499 ENDO CHOLE KIT CUSTOM DISP       $3,792.00
       1111002502 ENDO CHOLE KIT CUSTOM DISP       $2,522.00
       1111002506 ENDO TROCAR DISP                   $501.00
       1111002507 NEEDLE DISP ENDO                   $203.00
       1111002513 ENDO TROCAR HOLDER                  $46.00
       1111002515 ENDO PROC INST DISP              $1,283.00
       1111002516 ENDO TROCAR HOLDER                  $55.00
       1111002517 ENDO SUTURE                        $158.00
       1111002518 ENDO GAUGE                         $158.00
       1111002520 ENDO SUTURE                        $282.00
       1111002521 ENDO PROC INST DISP                $623.00
       1111002522 ENDO PROC DISP INST                $203.00
       1111002523 ENDO PROC DISP INST                $282.00
       1111002524 ENDO PROC INST DISP                 $75.00
       1111002525 ENDO SUTURE                        $623.00
       1111002527 NEEDLE DISP ENDO                    $55.00
       1111002530 ENDO TROCAR DISP                   $623.00
       1111002531 ENDO SCISSOR DISP                  $623.00
       1111002532 ENDO TROCAR DISP                 $1,283.00
       1111002533 ENDO SCISSOR                        $43.00
       1111002534 ENDO SCISSOR                       $203.00
       1111002535 ENDO SCISSOR                       $282.00
       1111002536 ENDO SCISSOR                       $501.00
       1111002537 ENDO SCISSOR                       $374.00
       1111002539 SUTURE RETRIEVER                   $282.00
       1111002543 SUTURE ANCHOR                    $1,283.00
       1111002546 NEEDLE DISP ENDO                   $282.00
       1111002547 KNEE MENISCUS REPAIR KIT           $657.00
       1111002551 KNEE AUTOGRAFT SYSTEM            $2,522.00
       1111002552 NEEDLE DISP ENDO                   $501.00
       1111002553 KNEE JIG COMPONENT                 $623.00
       1111002559 SUTURE ANCHOR                      $623.00
       1111002562 K PAD                               $66.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         33
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                       PRICING
       1111002563 SUTURE ANCHOR                $3,792.00
       1111002564 SUTURE ANCHOR                $2,522.00
       1111002565 SUTURE ANCHOR                  $501.00
       1111002581 ENDO PROC DISP INST          $4,386.00
       1111002582 ENDO PROC DISP INST          $7,776.00
       1111002591 SUTURE RETRIEVER               $203.00
       1111002592 SUTURE RETRIEVER               $501.00
       1111002626 WASHER                       $1,283.00
       1111002638 NEEDLE DISP BIOPSY           $1,283.00
       1111002639 NEEDLE SILICONE                $155.00
       1111002640 NEEDLE DISP BIOPSY             $203.00
       1111002641 NEEDLE SILICONE                 $55.00
       1111002642 NEEDLE SILICONE                 $71.00
       1111002643 SUCT TIP                        $19.00
       1111002644 SUCT TUBING                     $19.00
       1111002645 NEEDLE DISP BIOPSY             $623.00
       1111002647 NEEDLE INJECTABLE GEL          $282.00
       1111002651 STERIS PROCESS OR               $88.00
       1111002682 CATH LEG STRAP                  $16.00
       1111002683 CATH LEG STRAP                  $24.00
       1111002700 ABD BINDER UNIVERSAL            $57.00
       1111002701 ABD BINDER                     $206.00
       1111002706 IV EXT SET                      $16.00
       1111002707 IV INFUSION PUMP TUBING        $155.00
       1111002710 ANES CIRCUIT                    $70.00
       1111002711 ANES CIRCUIT BAIN               $48.00
       1111002712 ANES CIRCUIT                    $43.00
       1111002713 ANES CIRCUIT                   $155.00
       1111002714 IV INFUSION PUMP TUBING         $70.00
       1111002715 ANES CATH AIRWAY EXCHANGE      $282.00
       1111002716 ANES CIRCUIT                    $26.00
       1111002717 ANES CIRCUIT                   $203.00
       1111002720 BAG URINARY DRAIN               $75.00
       1111002721 BAG URINARY DRAIN               $50.00
       1111002722 BAG URINARY DRAIN               $29.00
       1111002729 DRESSING DUODERM                $29.00
       1111002730 BANDAGE ELASTIC                 $16.00
       1111002731 BANDAGE ELASTIC                 $19.00
       1111002732 BANDAGE ELASTIC                 $24.00
       1111002733 BANDAGE ELASTIC                 $29.00
       1111002740 BANDAGE KERLIX WRAP             $17.00
       1111002741 BANDAGE KLING                   $12.00
       1111002744 BAG VENTRICULAR DRAIN          $203.00
       1111002745 BELT CESIUM IMPLANT             $75.00
       1111002746 BELT OSTOMY                     $48.00
       1111002747 BAG BILE                        $44.00
       1111002748 BAG VENTRICULAR DRAIN           $24.00
       1111002750 NEEDLE DISP BIOPSY             $155.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                     34
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                         PRICING
       1111002751 PUNCH CORNEAL                    $374.00
       1111002753 NEEDLE DISP BIOPSY               $282.00
       1111002754 CATH ATRIAL VENT                 $203.00
       1111002756 PUNCH CORNEAL                    $501.00
       1111002757 CATH ATRIAL VENT                 $142.00
       1111002758 CATH ADAPTER                      $16.00
       1111002759 CATH CONN TUBE                   $155.00
       1111002760 CATH ADAPTER                      $13.00
       1111002761 CATH RADIAL                       $75.00
       1111002762 CATH SUPRAPUBIC                  $282.00
       1111002763 CATH SUPRAPUBIC                  $501.00
       1111002764 CATH ADAPTER                      $38.00
       1111002765 IV CATHETER                       $17.00
       1111002766 IV CATHETER                       $24.00
       1111002767 CATH ANGIOGRAM                    $64.00
       1111002768 CATH SUPRAPUBIC                  $374.00
       1111002769 CATH TRAY SUPRAPUBIC             $501.00
       1111002770 CATH ILEAL                        $50.00
       1111002771 CATH SECURE                       $16.00
       1111002772 CATH SUPRAPUBIC                  $203.00
       1111002773 CATH TRAY W/ FOLEY                $75.00
       1111002774 CATH TRAY W/O CATHETER            $55.00
       1111002775 CATH TRAY CATH/URI               $155.00
       1111002776 CATH TRAY CATH/TEMP/URI          $282.00
       1111002777 CATH TRAY CATH/TEMP/URI          $203.00
       1111002778 CATH TRAY W/FOLEY                $155.00
       1111002781 CHEST TUBE                        $64.00
       1111002784 DRAIN MEDIASTINAL                $155.00
       1111002785 CHEST TUBE                        $50.00
       1111002786 CHEST TUBE                        $57.00
       1111002787 CHEST TUBE                       $155.00
       1111002788 CATH TRAY W/RED RUBBER CATH       $20.00
       1111002789 FORCEP DISP BIPOLAR              $282.00
       1111002790 CLAMP OSTOMY BAG                  $16.00
       1111002791 FORCEP DISP                    $1,283.00
       1111002792 FORCEP DISP BIOPSY               $501.00
       1111002793 CHEST TUBE                        $29.00
       1111002794 CATH SPINAL IMPLANT            $3,792.00
       1111002795 STERI STRIP                       $19.00
       1111002796 STERI STRIP                       $16.00
       1111002799 CATH SPINAL IMPLANT            $2,522.00
       1111002800 CATH CVP SWANGANZ                $623.00
       1111002802 CATH GROSHONG                  $2,522.00
       1111002804 CATH CVP                         $155.00
       1111002810 CVP PRESSURE MONITOR DISP        $155.00
       1111002811 CATH BROVIAC                   $1,283.00
       1111002812 CATH CVP                         $203.00
       1111002814 CATH CVP                       $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                       35
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       1111002820 TUNNELER                          $623.00
       1111002821 INTRODUCER                        $374.00
       1111002822 TUNNELER                        $1,283.00
       1111002824 DRAPE OCCULAR OCCLUDER             $35.00
       1111002825 DRAPE STRABISMUS                   $57.00
       1111002826 DRAIN PENROSE                      $12.00
       1111002827 CHEST TUBING TRAY                 $131.00
       1111002828 TUBING POLYETHEYLENE               $24.00
       1111002830 DRAPE CYSTO/LINGEMAN              $240.00
       1111002832 DRAPE HYST/LAPAROSCOPY            $158.00
       1111002833 ADAPTER 3 PORT                     $24.00
       1111002834 DRAPE LAVH                        $282.00
       1111002835 DRESSING ADAPTIC                   $12.00
       1111002836 DRESSING ADAPTIC                   $17.00
       1111002838 DRESSING ARM SLING                 $16.00
       1111002841 DRESSING COVERLET                  $16.00
       1111002844 BANDAGE COBAN 3IN                  $16.00
       1111002848 DRESSING DR CHEN                   $50.00
       1111002850 DRESSING DR WILLIAMS               $72.00
       1111002851 IV EXTENSION SET                   $24.00
       1111002855 DRESSING EYE SHIELD                $12.00
       1111002856 DRESSING GAUZE                     $16.00
       1111002857 DRESSING GAUZE                     $12.00
       1111002858 DRESSING MONTGOMERY STRAP          $16.00
       1111002859 DRESSING MONTGOMERY STRAP          $19.00
       1111002860 DRESSING TRANSPARENT               $16.00
       1111002861 DRESSING TRANSPARENT               $23.00
       1111002862 DRESSING TRANSPARENT               $24.00
       1111002863 DRESSING TRANSPARENT              $155.00
       1111002864 DRESSING POST KNEE SPLINT         $204.00
       1111002866 DRESSING POST KNEE SPLINT         $155.00
       1111002867 DRESSING SHOULDER IMMOBILIZE       $70.00
       1111002868 DRESSING OWENS GAUZE               $29.00
       1111002870 DRESSING SURGINET                  $19.00
       1111002871 DRESSING TROUGH ARM SLING          $16.00
       1111002875 DRESSING VASALINE GUAZE            $17.00
       1111002876 DRESSING VASALINE GAUZE            $11.00
       1111002877 DRESSING XEROFORM                  $16.00
       1111002878 DRESSING XEROFORM                  $19.00
       1111002879 DRESSING HOLDER NASAL              $19.00
       1111002880 FASTENS UNIT DISPOSABLE           $623.00
       1111002881 FILTER BLOOD                       $72.00
       1111002882 FILTER BLOOD                      $155.00
       1111002883 FILTER AORTIC                   $2,522.00
       1111002884 NEEDLE LARYNGEAL INJ              $374.00
       1111002885 HEAD HALTER                        $75.00
       1111002886 HEELBO PROTECTOR                   $29.00
       1111002888 NEEDLE DURASHPERE INJ             $203.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        36
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       1111002890 HYPOTHERMIA BLANKET               $164.00
       1111002891 CATH CVP                          $623.00
       1111002892 CVP PRESSURE MONITOR DISP          $46.00
       1111002898 MASK ANESTHESIA                    $19.00
       1111002899 MASK ANESTHESIA                    $29.00
       1111002900 INFUSION PLUG INTERMITTENT         $16.00
       1111002901 INSERTION TRAY PERCUTANEOUS       $192.00
       1111002902 CLIP RANEY                        $282.00
       1111002903 MASK LARYNGEAL                    $206.00
       1111002904 OXIMETRY SENSOR                    $64.00
       1111002905 IV ADAPTER VENTED                  $15.00
       1111002906 INTRODUCER                        $282.00
       1111002908 THERAPY PAC SWISS                 $203.00
       1111002909 IRRIGATION TUR SET                 $64.00
       1111002910 IRRIGATION TUR SET                 $43.00
       1111002911 IRRIGATION CYSTO SET               $24.00
       1111002913 IRRIGATION SET                    $623.00
       1111002914 IRRIGATION SET                    $501.00
       1111002915 LTA LARYNGO-TRACHEAL ANES          $23.00
       1111002916 LR 1000CC IRRIG                    $19.00
       1111002917 LR 3000CC IRRIG                    $43.00
       1111002919 MASK RESUSITATION                  $72.00
       1111002920 MASK O2                            $17.00
       1111002921 NEEDLE SCALP VEIN                  $12.00
       1111002923 NS IRRIG                           $16.00
       1111002924 NS IRRIG                           $19.00
       1111002925 OXIMETRY SENSOR                   $131.00
       1111002926 OTOFOAM                            $23.00
       1111002927 PACK HEART PERFUSION            $2,522.00
       1111002928 PACK MINOR SUCTION                $155.00
       1111002929 PACK MAJOR SUCTION                $155.00
       1111002930 PACK CATARACT                     $519.00
       1111002931 PACK CUSTOM CRANIOTOMY          $1,523.00
       1111002932 PACK EENT                         $222.60
       1111002933 PACK HEART SUTURE               $1,283.00
       1111002934 PACK LAMINECTOMY                  $658.35
       1111002935 PACK HIP/KNEE                     $240.00
       1111002936 PACK OPEN HEART BASIC SUPPLY      $658.35
       1111002938 PACK LAPAROSCOPY                  $305.00
       1111002939 PACK CUSTOM SINUS                 $658.35
       1111002941 PACK RADIOPAQUE VAG                $15.00
       1111002942 PACK TOTAL JOINT                $1,283.00
       1111002944 PACKING NASAL                      $55.00
       1111002945 PACKING IODOPHOR                   $24.00
       1111002947 PACKING IODOPHOR                   $19.00
       1111002948 PACKING IODOPHOR                   $29.00
       1111002949 PACK CUSTOM GYN                   $282.00
       1111002950 PACKING PLAIN                      $29.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        37
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111002951 PACKING PLAIN                       $19.00
       1111002953 PACKING PLAIN                       $43.00
       1111002954 PERI PANTS                          $17.00
       1111002957 DRAPE GYN FLUID CONTROL            $164.00
       1111002958 PACK CUSTOM EAR                    $317.00
       1111002959 BOOT ABDUCTION                     $498.00
       1111002960 PILLOW ABDUCTION                   $203.00
       1111002961 PLEUREVAC                          $282.00
       1111002962 POUCH OSTOMY W/FLANGE               $16.00
       1111002963 POUCH UROSTOMY W/ACCUSEAL TIP       $23.00
       1111002964 PROBE SWAN GANZ V-PACING           $623.00
       1111002965 BAG OSTOMY                          $16.00
       1111002966 PACK CUSTOM LAP CHOLE              $282.00
       1111002969 ANESTHESIA SPINAL SET              $203.00
       1111002971 BLOOD WARMING SET                   $75.00
       1111002972 IV BLOOD WITH Y                     $36.00
       1111002973 CARDIAC OUTPUT SET                 $158.00
       1111002974 IV SET                              $16.00
       1111002975 LACRIMAL INTUBATION SET            $498.00
       1111002976 ANES EPIDURAL SET                  $155.00
       1111002977 IV EXTENSION SET                    $43.00
       1111002978 IV MINIDRIP SET                     $17.00
       1111002979 DRAPE W/FLUID CONTROL POUCH         $29.00
       1111002980 ANESTHESIA SPINAL SET               $75.00
       1111002982 HEPARIN LOCK INJ SITE               $16.00
       1111002983 IV SET                              $17.00
       1111002984 IV SET                              $29.00
       1111002986 SHOE POST OP                        $68.00
       1111002987 SIGMOIDOSCOPE DISPOSABLE            $19.00
       1111002991 SORBITOL 3000CC IRRIG               $36.00
       1111002993 NEURO HOOK DISP                    $283.00
       1111002994 ANES EPIDURAL SET                  $203.00
       1111003000 STAPLER REMOVER                     $16.00
       1111003001 SUCT TIP                           $155.00
       1111003002 SUCT CATH                           $12.00
       1111003003 SUCT TIP                            $16.00
       1111003004 SUCT TUBING                         $16.00
       1111003005 EXTENSION TUBE LATEX BARD           $23.00
       1111003006 SUCT TIP                            $43.00
       1111003007 SUPPORT ATHLETIC/SCROTAL            $43.00
       1111003008 SUPPORT ATHLETIC/SCROTAL            $24.00
       1111003009 SYRINGE ASEPTO                      $16.00
       1111003010 SUPPORT ATHLETIC/SCROTAL           $155.00
       1111003011 SUPPORT ATHLETIC/SCROTAL            $29.00
       1111003013 SYRINGE OPTIRAY                    $203.00
       1111003014 SYRINGE MEDRAD                      $31.00
       1111003015 SYRINGE BLOOD GAS SAMPLE            $16.00
       1111003016 SYRINGE BULB/EAR                    $17.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         38
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                       PRICING
       1111003017 SYRINGE PISTON IRRIG            $17.00
       1111003018 SYRINGE TOOMEY DISP             $19.00
       1111003019 ENDO BIPOLAR INSERT            $446.00
       1111003023 TEMP PROBE DISP                 $43.00
       1111003025 WRIST RESTRAINTS                $24.00
       1111003026 INTRODUCER                      $75.00
       1111003031 TRANSDUCER DBL                 $203.00
       1111003032 TRANSDUCER                      $57.00
       1111003033 TRANSFER PACK                   $24.00
       1111003034 TRANSFER PACK                   $46.00
       1111003035 TRANSFER PACK                   $16.00
       1111003036 TUBE ANDERSON                   $29.00
       1111003037 TUBE CHANGER ET                 $55.00
       1111003038 TRANSFER PACK                   $19.00
       1111003039 TUBE ET JET VENT               $327.00
       1111003041 TUBE FEEDING                    $12.00
       1111003042 TUBE NASOGASTRIC                $12.00
       1111003043 TUBE LUKI                       $43.00
       1111003044 TUBE O2 CONN                    $12.00
       1111003045 TUBE O2 CONN                    $17.00
       1111003046 TUBE NASOGASTRIC                $16.00
       1111003047 TUBING IRRIGATING               $43.00
       1111003048 NEEDLE MENISCUS REPAIR         $203.00
       1111003049 TUBING IRRIGATING              $374.00
       1111003050 TUBING IRRIGATING              $203.00
       1111003052 VESSEL LOOPS                    $16.00
       1111003053 VESSEL LOOPS                    $46.00
       1111003054 VESSEL LOOPS                    $43.00
       1111003055 WAFER STOMA BAG                 $16.00
       1111003056 WAFER STOMA BAG                 $20.00
       1111003057 WAFER STOMA BAG                 $26.00
       1111003058 VESSEL LOOPS                    $19.00
       1111003060 WATER IRRIG                     $16.00
       1111003062 WATER IRRIG                     $29.00
       1111003065 WRIST RESTRAINTS                $19.00
       1111003066 CATH CONNECTOR                  $55.00
       1111003098 CATH SPINE ELECTROTHERMAL    $2,522.00
       1111003099 CATH SPINE ELECTROTHERMAL    $4,386.00
       1111003100 TUBE ET DBL LUMEN              $501.00
       1111003101 NS IRRIG                        $29.00
       1111003105 TUBE ET UNIVENT              $1,283.00
       1111003106 TUBE ET DBL LUMEN              $374.00
       1111003108 MASK LARYNGEAL                 $155.00
       1111003109 ENDO ABLATION BIPOLAR       $11,869.00
       1111003110 DRAIN WOUND                     $46.00
       1111003111 DRAIN SUMP                   $1,283.00
       1111003112 DRAIN WOUND                    $282.00
       1111003113 DRAIN WOUND                     $29.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                     39
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                        PRICING
       1111003115 DRAIN PENROSE                    $16.00
       1111003120 DRAPE CAMERA                     $43.00
       1111003121 DRAPE CAMERA                     $29.00
       1111003124 DRAPE PROBE                      $55.00
       1111003125 DRAPE ENDODRAPE                  $70.00
       1111003126 DRAPE ORTHO                      $43.00
       1111003127 DRAPE C-ARM                      $29.00
       1111003128 DRAPE PROBE                     $155.00
       1111003129 DRAPE ORTHO                      $24.00
       1111003130 DRAPE ORTHO                      $19.00
       1111003135 DRESSING KNEE                    $29.00
       1111003136 DRESSING TOTAL KNEE             $155.00
       1111003137 DRESSING FACE LIFT COTTON        $62.00
       1111003138 DRESSING ADHESIVE                $17.00
       1111003139 SPLINT FIBERGLASS                $46.00
       1111003140 SPLINT ALUMINUM COLLES           $43.00
       1111003141 SPLINT FIBERGLASS               $155.00
       1111003142 DRESSING ADHESIVE                $12.00
       1111003149 SYRING TOOMEY DISP               $24.00
       1111003150 KYPHON SYRINGE                $1,283.00
       1111003151 KYPHOPLASTY TAMP              $3,625.00
       1111003152 KYPHON INTRODUCER KIT         $3,625.00
       1111003153 KYPHON BONE FILLER DEVICE       $623.00
       1111003154 KYPHOPLASTY BARIUM              $501.00
       1111003155 KYPHOPLASTY FRACTURE KIT     $12,285.00
       1111003156 KYPHOPLASTY FRACTURE KIT     $10,090.00
       1111003157 KYPHOPLASTY BARIUM              $623.00
       1111003158 KYPHON BONE BIOPSY              $623.00
       1111003159 KYPHOPLASTY SYSTEM            $3,792.00
       1111003160 TRACTION KIT                    $623.00
       1111003161 KYPHOPLASTY SYSTEM            $2,522.00
       1111003162 KYPHOPLASTY TAMP              $1,283.00
       1111003163 KYPHOPLASTY FRACTURE KIT     $12,314.00
       1111003164 KYPHON BONE FILLER DEVICE     $1,283.00
       1111003165 KYPHOPLASTY SYSTEM            $5,851.00
       1111003166 KYPHOPLASTY TAMP              $5,851.00
       1111003167 KYPHOPLASTY BONE BIOPSY       $1,177.00
       1111003168 KYPHON INTODUCER KIT          $5,851.00
       1111003175 PROSTHESIS INSERTER SLEEVE      $155.00
       1111003176 PROSTHESIS INSERTER SLEEVE      $203.00
       1111003198 ENDO ABLATION SYSTEM          $3,792.00
       1111003199 ENDO ABLATION SYSTEM          $4,386.00
       1111003200 ENDO SHEATH                     $206.00
       1111003201 ENDO SPECIMEN BAG               $374.00
       1111003202 ENDO SPECIMEN BAG             $1,283.00
       1111003203 ENDO SPECIMEN BAG               $501.00
       1111003204 ENDO ANTIFOG AGENT               $29.00
       1111003205 ENDO SPECIMEN BAG               $282.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                      40
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111003206 ENDO BALLOON CATH                 $4,512.00
       1111003207 ENDO SLEEVE                         $282.00
       1111003208 ENDO SLEEVE                         $155.00
       1111003209 ENDO SPECIMENT BAG                  $623.00
       1111003210 PORT ADVANCED ACCESS              $3,792.00
       1111003211 ENDO SLEEVE                         $374.00
       1111003212 NEEDLE PERCUTANEOUS ENTRY            $24.00
       1111003214 ENDO SEAL                         $3,792.00
       1111003215 ENDO SEAL                            $19.00
       1111003216 ENDO SEAL                            $43.00
       1111003217 ENDO SEAL                           $155.00
       1111003220 METRX ENDOSCOPE SYSTEM            $1,283.00
       1111003221 METRX ENDOSCOPE BLADE             $1,283.00
       1111003222 METRX ENDOSCOPE GUIDEWIRE           $282.00
       1111003223 METRX ENDOSCOPE PROC KIT          $2,522.00
       1111003225 ENDO BABCOCK                        $282.00
       1111003226 ENDO BABCOCK                        $623.00
       1111003229 ENDO INFLATION SYRINGE              $282.00
       1111003230 LACRIMAL DUCT CATH                $1,283.00
       1111003231 LACRIMAL DUCT INFLATION DEVICE      $501.00
       1111003232 LACRIMAL DUCT CATH                  $282.00
       1111003240 TUBING IRRIGATING                   $623.00
       1111003244 TUBING INSUFFLATOR                   $57.00
       1111003245 TUBING INSUFFLATOR                   $75.00
       1111003246 TUBING INSUFFLATOR                   $46.00
       1111003250 GUIDE PIN                         $1,283.00
       1111003251 GUIDE WIRE                           $24.00
       1111003252 GUIDE WIRE                           $43.00
       1111003255 TUNNELER                            $282.00
       1111003256 TUNNELER                            $155.00
       1111003257 TUNNELER                          $2,522.00
       1111003260 GLOVE RADIATION SHIELD              $501.00
       1111003261 INTRODUCER                           $43.00
       1111003270 BLADE                                $55.00
       1111003280 PACKING NASAL                       $155.00
       1111003285 CATH CVP                             $55.00
       1111003286 CATH SUPRAPUBIC                     $155.00
       1111003287 CATH ANGIOGRAM                       $29.00
       1111003290 MAMMARY IMPLANT SIZER DISP          $282.00
       1111003291 MAMMARY IMPLANT SIZER DISP          $374.00
       1111003300 INSTATRAK HEADSET                   $274.00
       1111003301 INSTATRAK NOSEPIECE                  $29.00
       1111003302 INSTATRAK HANDPIECE                 $501.00
       1111003310 BLADE STRAIGHT SHOT               $1,283.00
       1111003320 BONE GRAFT DELIVERY NEEDLE          $282.00
       1111003321 BONE GRAFT DELIVER SYRINGE        $1,283.00
       1111003349 DEFIBRILLATOR IMP LEAD           $16,895.00
       1111003350 DEFIBRILLATOR IMP LEAD           $12,314.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          41
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                        PRICING
       1111003351 DEFIBRILLATOR IMP LEAD        $4,386.00
       1111003352 DEFIBRILLATOR IMPLANT        $65,400.00
       1111003353 DEFIBRILLATOR IMP CABLE         $203.00
       1111003354 DEFIBRILLATOR IMP SLEEVE        $155.00
       1111003355 DEFIBRILLATOR IMP END CAP       $203.00
       1111003356 DEFIBRILLATOR IMP LEAD       $12,285.00
       1111003357 DEFIBRILLATOR IMP LEAD       $18,530.00
       1111003358 DEFIBRILLATOR IMP LEAD       $12,559.00
       1111003359 DEFIBRILLATOR IMP LEAD        $7,776.00
       1111003360 DEFIBRILLATOR IMP ACTIVATR    $3,792.00
       1111003361 DEFIBRILLATOR IMP LEAD       $10,090.00
       1111003362 DEFIBRILLATOR IMP LEAD       $11,869.00
       1111003363 DEFIBRILLATOR IMPLANT        $52,320.00
       1111003364 DEFIBRILLATOR IMPLANT        $41,420.00
       1111003365 DEFIBRILLATOR IMPLANT        $43,600.00
       1111003366 DEFIBRILLATOR IMPLANT        $45,780.00
       1111003367 DEFIBRILLATOR IMPLANT        $46,870.00
       1111003368 DEFIBRILLATOR IMPLANT        $47,960.00
       1111003369 DEFIBRILLATOR IMPLANT        $49,050.00
       1111003370 DRAPE SLUSH MACHINE              $23.00
       1111003371 DRAPE SLUSH MACHINE             $282.00
       1111003372 DEFIBRILLATOR IMPLANT        $53,410.00
       1111003373 DEFIBRILLATOR IMPLANT        $56,680.00
       1111003374 DEFIBRILLATOR IMPLANT        $63,220.00
       1111003375 DEFIBRILLATOR IMPLANT        $64,310.00
       1111003376 DEFIBRILLATOR IMPLANT        $73,030.00
       1111003377 DEFIBRILLATOR IMPLANT        $58,860.00
       1111003378 DEFIBRILLATOR IMP LEAD       $14,217.00
       1111003379 DEFIBRILLATOR IMP LEAD       $13,783.00
       1111003385 DEFIBRILLATOR IMPLANT        $51,230.00
       1111003386 DEFIBRILLATOR IMPLANT        $54,500.00
       1111003399 INTRODUCER                       $46.00
       1111003400 INTRODUCER                      $623.00
       1111003401 PACEMAKER WRENCH                $501.00
       1111003402 INTRODUCER                      $155.00
       1111003403 PACEMAKER WRENCH                $374.00
       1111003404 INTRODUCER                      $501.00
       1111003450 SUCT IRRIG                      $623.00
       1111003451 SUCT FLOOR DEVICE               $155.00
       1111003452 SUCT FLOOR DEVICE                $55.00
       1111003460 ENDO BRONCHIAL BLOCKER        $1,283.00
       1111003461 ENDO MORCELATOR               $2,522.00
       1111003462 ENDO TROCAR                     $158.00
       1111003499 CATH REPAIR KIT                 $623.00
       1111003500 CATH EMBOLECTOMY/IRRIG        $1,283.00
       1111003501 CATH EMBOLECTOMY/IRRIG        $2,522.00
       1111003502 CATH EMBOLECTOMY/IRRIG          $203.00
       1111003503 CATH EMBOLECTOMY/IRRIG          $501.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                      42
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111003510 CATH FOLEY                          $75.00
       1111003520 IMPLANT LARYNGEAL INJ            $2,522.00
       1111003530 IMPLANT LOOP RECORDER           $12,285.00
       1111003540 COLD THERAPY                        $46.00
       1111003541 COLD THERAPY                     $1,283.00
       1111003631 IV MINI INFUSEE EXTENSION SET       $56.00
       1111003632 FILTER SYSTEM ORTHO                $203.00
       1111003633 FILTER SYSTEM ORTHO                $623.00
       1111003650 THERAPY PAC SWISS                  $155.00
       1111003700 BURR HOLE COVER                    $623.00
       1111003701 BURR HOLE COVER                  $1,283.00
       1111003705 DRILL BIT                          $374.00
       1111003711 PLATE FIXATION                   $5,851.00
       1111003712 PLATE FIXATION                   $7,776.00
       1111003750 IMPLANT KNOTLESS FIXATION        $2,522.00
       1111003800 DRILL BIT                          $282.00
       1111003801 DRILL BIT                        $2,522.00
       1111003802 DRILL BIT                           $46.00
       1111003804 DRILL BIT                           $29.00
       1111003805 DRILL BIT                          $155.00
       1111003806 DRILL BIT                           $24.00
       1111003807 DRILL BIT                           $43.00
       1111003809 SCREW FIXATION                      $57.00
       1111003849 ANGIOPLASTY KIT                    $203.00
       1111003850 ANGIOPLASTY STENT                $5,851.00
       1111003851 ANGIOPLASTY STENT                $4,386.00
       1111003852 ANGIOPLASTY TAPE                   $155.00
       1111003853 ANGIOPLASTY DILATE CATH          $1,283.00
       1111003854 ANGIOPLASTY IMAGING CATH         $2,522.00
       1111003855 ANGIOPLASTY STENT                $7,776.00
       1111003856 ANGIOPLASTY STENT               $10,090.00
       1111003860 ANGIOPLASTY DILATE CATH          $2,522.00
       1111003870 PROST SHOULDER GLENOID           $4,386.00
       1111003880 PROST PENILE ACCESSORIES         $2,522.00
       1111003900 GUIDE WIRE                          $46.00
       1111003901 GUIDE WIRE                          $52.00
       1111003902 GUIDE WIRE                          $75.00
       1111003903 GUIDE WIRE                         $501.00
       1111003904 GUIDE PIN                          $374.00
       1111003905 GUIDE WIRE                          $29.00
       1111003920 GUIDE WIRE ADAPTER                  $48.00
       1111003950 OXYGENATOR                       $2,522.00
       1111003960 IMAGE GUIDANCE BIOPSY KIT        $4,386.00
       1111003961 IMAGE GUIDANCE SPHERES             $203.00
       1111003962 IMAGE GUIDANCE SPHERES             $623.00
       1111003963 IMAGE GUIDANCE SPHERES           $1,283.00
       1111003964 IMAGE GUIDANCE DRAPE               $282.00
       1111003965 IMAGE GUIDANCE BIOPSY NEEDLE     $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         43
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                         PRICING
       1111003966 IMAGE GUIDANCE FIDUCIALS         $203.00
       1111003967 IMAGE GUIDANCE FIDUCIALS       $1,283.00
       1111003968 IMAGE GUIDANCE ENT SET           $282.00
       1111003969 IMAGE GUIDANCE ENT GUIDE       $4,386.00
       1111003970 IMAGE GUIDANCE ENT SET           $203.00
       1111003999 EYE SCISSORS DISP              $1,283.00
       1111004001 EYE VITRECTOMY LASER             $164.00
       1111004002 EYE VITRECTOMY GAS               $161.00
       1111004003 EYE VITRECTOMY SILICONE OIL    $2,522.00
       1111004004 EYE VITRECTOMY LIGHT FIBER       $154.00
       1111004005 EYE VITRECTOMY FIBER OPTIC       $487.00
       1111004006 EYE VITRECTOMY DISP RET          $487.00
       1111004007 EYE VITRECTOMY TUBING            $350.00
       1111004008 EYE VITRECTOMY PACK            $2,522.00
       1111004009 EYE VITRECTOMY ACCESSORY PK      $508.00
       1111004010 EYE VITRECTOMY INJECTOR PK       $487.00
       1111004011 EYE RET DISP                     $623.00
       1111004012 EYE VITRECTOMY DISP LENS         $203.00
       1111004013 EYE VITRECTOMY LIGHT FIBER       $203.00
       1111004014 EYE VITRECTOMY PACK            $3,792.00
       1111004015 EYE VITRECTOMY PACK            $1,283.00
       1111004016 EYE VITRECTOMY TUBING            $501.00
       1111004017 EYE VITRECTOMY FIBER OPTIC       $374.00
       1111004018 EYE VITRECTOMY FIBER OPTIC       $203.00
       1111004019 EYE VITRECTOMY LENS              $155.00
       1111004020 EYE VITRECTOMY LIGHT FIBER        $57.00
       1111004021 EYE VITRECTOMY DISP FORCEP       $501.00
       1111004022 EYE VITRECTOMY SOFT TIP          $203.00
       1111004023 EYE VITRECTOMY LASER             $623.00
       1111004024 EYE VITRECTOMY TROCAR            $374.00
       1111004100 PROST METATARSAL COMP          $3,792.00
       1111004120 PROST PHALANGEAL COMP          $4,386.00
       1111004130 EXT FIX SCREW                    $501.00
       1111004131 EXT FIX                        $1,283.00
       1111004132 EXT FIX                       $10,090.00
       1111004200 NEURO ELECTA TIP               $2,522.00
       1111004300 PACKING NASAL                    $501.00
       1111004310 PROST TRAPEZIUM                $3,792.00
       1111004311 PROST TRAPEZIUM                $5,851.00
       1111004400 CATH GROSHONG                  $1,283.00
       1111004401 CONN HEMLICH VALVE               $155.00
       1111004410 CATH BROVIAC                   $2,522.00
       1111004561 BLOOD PRESSURE CUFF DISP          $55.00
       1111004562 BLOOD PRESSURE CUFF DISP          $31.00
       1111004563 BLOOD PRESSURE CUFF DISP         $155.00
       1111004564 BLOOD PRESSURE CUFF DISP          $46.00
       1111004570 IMPLANT EAR TUBE               $1,283.00
       1111004580 WARMING BLANKET                  $155.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                       44
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                  PRICING
       1111004581 WARMING BLANKET            $55.00
       1111004582 WARMING BLANKET            $57.00
       1111004583 WARMING BLANKET           $374.00
       1111004600 SUTURE                     $19.00
       1111004601 SUTURE                     $24.00
       1111004602 SUTURE                     $29.00
       1111004603 SUTURE                     $43.00
       1111004604 SUTURE                     $46.00
       1111004605 SUTURE                     $55.00
       1111004606 SUTURE                     $57.00
       1111004607 SUTURE                     $64.00
       1111004608 SUTURE                     $75.00
       1111004609 SUTURE                    $155.00
       1111004610 SUTURE                    $203.00
       1111004611 SUTURE                    $282.00
       1111004612 SUTURE                    $374.00
       1111004613 SUTURE                    $501.00
       1111004614 SUTURE                    $623.00
       1111004615 SUTURE                  $1,283.00
       1111004699 SPINAL FIX BOLT         $2,522.00
       1111004700 SPINAL FIX COMPONENT      $155.00
       1111004701 SPINAL FIX COMPONENT      $203.00
       1111004702 SPINAL FIX COMPONENT      $282.00
       1111004703 SPINAL FIX COMPONENT      $374.00
       1111004704 SPINAL FIX COMPONENT      $501.00
       1111004705 SPINAL FIX COMPONENT      $623.00
       1111004706 SPINAL FIX COMPONENT    $1,283.00
       1111004707 SPINAL FIX COMPONENT    $2,522.00
       1111004708 SPINAL FIX COMPONENT    $7,776.00
       1111004709 SPINAL FIX NUT          $1,283.00
       1111004710 SPINAL FIX CONN         $2,522.00
       1111004711 SPINAL FIX COMPONENT   $10,090.00
       1111004712 SPINAL FIX COMPONENT    $4,386.00
       1111004713 SPINAL FIX COMPONENT   $12,285.00
       1111004714 SPINAL FIX ASSEMBLY     $2,522.00
       1111004715 SPINAL FIX COMPONENT    $3,792.00
       1111004716 SPINAL FIX COMPONENT   $12,559.00
       1111004717 SPINAL FIX CONN         $5,851.00
       1111004718 SPINAL FIX HOOK         $5,851.00
       1111004720 SPINAL FIX HOOK         $2,522.00
       1111004721 SPINAL FIX HOOK         $3,792.00
       1111004722 SPINAL FIX CAGE        $12,285.00
       1111004724 SPINAL FIX CAGE        $12,314.00
       1111004725 SPINAL FIX LINK         $2,522.00
       1111004726 SPINAL FIX LINK         $1,283.00
       1111004727 SPINAL FIX BOLT         $1,283.00
       1111004728 SPINAL FIX CONN         $1,283.00
       1111004729 SPINAL FIX ROD          $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                45
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111004730 SPINAL FIX ROD                      $623.00
       1111004731 SPINAL FIX COMPONENT              $5,851.00
       1111004733 SPINAL FIX ROD                    $2,522.00
       1111004734 SPINAL FIX COMPONENT              $3,427.00
       1111004735 SPINAL FIX COMPONENT             $11,869.00
       1111004736 SPINAL FIX ROD                    $3,792.00
       1111004737 SPINAL FIX CONN                   $3,792.00
       1111004738 SPINAL FIX HOOK                   $1,283.00
       1111004739 SPINAL FIX NUT                      $374.00
       1111004740 SPINAL FIX NUT                      $623.00
       1111004742 SPINAL FIX CONN                   $4,386.00
       1111004743 SPINAL FIX CAGE                   $7,776.00
       1111004744 SPINAL FIX CAGE                  $10,090.00
       1111004745 SPINAL FIX LINK                   $4,386.00
       1111004746 SPINAL FIX CAGE                  $11,869.00
       1111004747 SPINAL FIX CAGE                  $13,066.00
       1111004748 SPINAL FIX NUT                      $282.00
       1111004750 SPINAL FIX NUT                      $501.00
       1111004751 SPINAL FIX HOOK                   $4,386.00
       1111004752 SPINAL FIX CLAMP                  $2,522.00
       1111004753 SPINAL FIX CLAMP                  $5,851.00
       1111004754 SPINAL FIX CLAMP                  $3,792.00
       1111004755 SPINAL FIX CAGE                   $5,851.00
       1111004756 SPINAL FIX CAGE                  $16,895.00
       1111005010 BONE GRAFT TREPHINE               $4,386.00
       1111005011 BONE GRAFT CURETTE                $4,386.00
       1111005012 BONE GRAFT RESERVOIR                $374.00
       1111005013 BONE GRAFT RESERVOIR                $501.00
       1111005014 BONE GRAFT RESERVOIR              $1,283.00
       1111005092 SUCT CANNISTER                      $155.00
       1111005093 SUCT CANNISTER                       $19.00
       1111005195 STAPLE ABSORBABLE                 $1,283.00
       1111005200 ADAPTER FEMALE                       $16.00
       1111005205 ADAPTOR SWIVEL                      $155.00
       1111005210 CATH ADAPTER                        $623.00
       1111005211 FORMALDEHYDE 4% SOLUTION            $231.00
       1111005212 ANESTHESIA GASES-TO 30 MINUTES      $101.00
       1111005213 ANESTHESIA GASES-31 TO 60 MINU      $195.00
       1111005214 ANESTHESIA GASES-EA ADDL 15 MI       $43.00
       1111005226 ARM POSITIONING SUPPLY              $282.00
       1111005227 ARM POSITIONING SUPPLY              $501.00
       1111005228 ARM POSITIONING SUPPLY              $374.00
       1111005229 ARM POSITIONING SUPPLY              $155.00
       1111005240 ARTERIAL LINE                       $158.00
       1111005250 ARTHROSCOPY CANNULA SET             $155.00
       1111005261 STENT ESOPHAGEAL                  $7,776.00
       1111005270 BAG URETERAL DISP                    $29.00
       1111005271 BAG URETERAL DISP                    $57.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          46
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                      PRICING
       1111005281 BALLOON PUMP INSERT TRAY    $1,283.00
       1111005283 DRILL BIT                      $64.00
       1111005284 DRILL BIT                      $57.00
       1111005285 DRILL BIT                      $76.00
       1111005286 DRILL BIT                     $623.00
       1111005287 DRILL BIT                     $501.00
       1111005288 DRILL BIT                     $203.00
       1111005290 BLADE BEAVER                   $46.00
       1111005291 BLADE BEAVER                  $155.00
       1111005300 BLADE CRANIOTOME DISP       $1,283.00
       1111005304 BLADE                         $282.00
       1111005305 BLADE                         $374.00
       1111005306 BLADE                         $501.00
       1111005307 BLADE                          $75.00
       1111005308 BLADE                       $1,283.00
       1111005310 BLADE                         $155.00
       1111005311 BLADE BEAVER                   $29.00
       1111005314 EYE MEMBRANE SCRAPER        $1,283.00
       1111005315 EYE MEMBRANE SCRAPER          $282.00
       1111005316 EYE MEMBRANE SCRAPER          $501.00
       1111005320 BLADE ARTHROPLASTY            $501.00
       1111005321 BLADE ACL DISP KNIFE          $282.00
       1111005322 BLADE                         $623.00
       1111005324 BLADE ARTHROPLASTY            $203.00
       1111005330 BLADE SUPERBLADE               $43.00
       1111005360 BLADE                         $203.00
       1111005361 PIN HEMMORRHAGE OCCLUDER    $1,283.00
       1111005364 DRILL BIT                   $1,283.00
       1111005365 PIN HEMMORRHAGE OCCLUDER    $2,522.00
       1111005370 BLADE GRIESHABER EYE          $164.00
       1111005397 BONE GROWTH STIMULATOR     $13,783.00
       1111005398 BONE GROWTH STIMULATOR     $13,066.00
       1111005399 BONE GROWTH STIMULATOR     $12,559.00
       1111005400 BONE GROWTH STIMULATOR     $12,314.00
       1111005402 VALVE NEURO                 $3,792.00
       1111005403 VALVE NEURO                 $4,386.00
       1111005406 BRONCH SUCTION VALVE           $60.00
       1111005407 BRONCH BIOPSY VALVE            $19.00
       1111005409 CONN BRONCH ANES               $16.00
       1111005410 BRUSH MICROBIOLOGY             $64.00
       1111005411 BRUSH MICROBIOLOGY            $155.00
       1111005430 BRUSH MICROBIOLOGY            $282.00
       1111005431 BRUSH MICROBIOLOGY            $501.00
       1111005440 LIGAMENT REPAIR BUTTON        $158.00
       1111005450 CANNULA AORTIC ARCH           $155.00
       1111005451 CANNULA ARTERIAL              $155.00
       1111005461 CANNULA AORTIC ARCH           $206.00
       1111005465 CANNULA ARTERIAL              $282.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                    47
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                        PRICING
       1111005466 CANNULA VENOUS                $1,283.00
       1111005470 CANNULA AORTIC ROOT             $155.00
       1111005471 CANNULA CORONARY SINUS          $623.00
       1111005481 CANNULA DLP                      $74.00
       1111005490 CANNULA HUMI                    $203.00
       1111005491 CANNULA PERFUSION               $501.00
       1111005492 CANNULA PERFUSION               $155.00
       1111005493 CANNULA PERFUSION               $203.00
       1111005494 CANNULA ARTERIAL              $1,283.00
       1111005501 CANNULA TWO STAGE VENOUS        $203.00
       1111005509 CANNULA VENOUS                  $282.00
       1111005510 CANNULA VENOUS                  $155.00
       1111005511 CANNULA VENOUS                  $203.00
       1111005512 CATH FOLEY                       $43.00
       1111005513 CATH FOLEY                       $24.00
       1111005514 CATH                            $155.00
       1111005515 CATHETER                        $413.00
       1111005516 CATH FOLEY                      $155.00
       1111005517 CATH FOLEY                       $57.00
       1111005518 CATH FOLEY                       $55.00
       1111005521 CATH FOLEY                       $66.00
       1111005522 CATH FOLEY                       $29.00
       1111005523 CATH ROBINSON                    $24.00
       1111005524 CATH ROBINSON                    $12.00
       1111005526 CATH EMBOLECTOMY/IRRIG          $158.00
       1111005527 CATH EMBOLECTOMY/IRRIG          $374.00
       1111005528 CATH OCCLUSION                  $501.00
       1111005529 CATH OCCLUSION                $1,283.00
       1111005530 CATH EMBOLECTOMY/IRRIG          $282.00
       1111005531 CATH                             $75.00
       1111005532 CATH SLEEVE                      $50.00
       1111005533 CATH FOLEY                       $46.00
       1111005534 CATH URETERAL                    $46.00
       1111005535 CATH ANGIOGRAM                  $501.00
       1111005536 CATH ANGIOGRAM                   $75.00
       1111005540 SHUNT CAROTID                   $155.00
       1111005542 CATH BALLOON DILATION           $623.00
       1111005544 ENDO URETERAL VALVE             $155.00
       1111005545 CATH CHOLANGIOGRAM CANNULA      $155.00
       1111005550 CATH FEEDING IMPLANT          $1,283.00
       1111005560 CANNULATION SET                 $501.00
       1111005570 IV BURETTE SET                  $154.00
       1111005571 CATH URETERAL                   $623.00
       1111005572 CATH URETERAL                    $52.00
       1111005573 CATH URETERAL                   $282.00
       1111005580 CATH URETERAL                 $1,283.00
       1111005581 CATH URETERAL                 $2,522.00
       1111005585 CATH NASAL EPISTAT              $282.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                      48
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       1111005586 CATH NASAL EPISTAT                $374.00
       1111005590 CATH JEJUNOSTOMY                  $623.00
       1111005600 CATH JEJUNOSTOMY KIT              $131.00
       1111005601 CATH GASTROJEJUNOSTOMY SET      $1,283.00
       1111005605 ENDO CHOLANDIOCATH                $501.00
       1111005606 ENDO CHOLANGIOCATH                $374.00
       1111005610 CATH MALECOT                      $155.00
       1111005611 CATH MALECOT                      $203.00
       1111005612 CATH MALECOT                       $60.00
       1111005613 CATH MALECOT                       $60.00
       1111005614 CATH PASSER                       $623.00
       1111005615 CATH PASSER                       $203.00
       1111005616 CATH PERITONEAL                 $2,314.00
       1111005618 CATH PERITONEAL DIALYSIS        $1,283.00
       1111005619 CATH PERITONEAL DIALYSIS          $623.00
       1111005620 CATH PORT-A-CATH                $2,522.00
       1111005621 CATH PERITONEAL DIALYSIS          $501.00
       1111005622 CATH PASSER                       $501.00
       1111005630 CATH STONE BASKET                 $501.00
       1111005631 ENDO URETERAL ACCESSORY KIT       $147.00
       1111005632 CATH STONE BASKET               $1,283.00
       1111005651 CATH STONE BASKET                 $374.00
       1111005659 CATH BALLOON DILATION           $2,522.00
       1111005660 CATH BALLOON DILATION           $1,283.00
       1111005661 CATH URETERAL                     $623.00
       1111005662 CATH PERITONEAL CAP                $29.00
       1111005663 CATH PERITONEAL TRANSFER SET      $283.00
       1111005664 CATH PERITONEAL VP              $1,283.00
       1111005665 CATH QUINTON                      $623.00
       1111005666 CATH ASH HEMODIALYSIS           $2,522.00
       1111005670 CATH URETERAL                      $57.00
       1111005671 CATH URETERAL                     $501.00
       1111005672 CATH URETERAL                     $155.00
       1111005673 CATH URETERAL                     $203.00
       1111005680 CATH URETERAL                     $374.00
       1111005690 CATH VENTRICULAR                  $155.00
       1111005691 CATH VENTRICULAR                  $282.00
       1111005692 CATH VENTRICULAR                  $501.00
       1111005695 CATH VENTRICULAR                $1,283.00
       1111005696 BAG GRAVITY DRAIN                  $75.00
       1111005697 BAG OSTOMY                         $20.00
       1111005698 BAG OSTOMY                         $24.00
       1111005700 ENDO URETERAL DILATOR             $474.00
       1111005710 CEMENT OBTURATOR                   $24.00
       1111005720 CLIP ABSORBABLE LIGATING          $474.00
       1111005740 CLIP ANEURYSM                   $1,283.00
       1111005741 CLIP ANEURYSM                   $2,522.00
       1111005750 CLIP SCOVILLE ANEURYSM             $82.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        49
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                      PRICING
       1111005755 ANGIOSCOPE DISP             $2,522.00
       1111005756 ALLOPREP                      $231.00
       1111005760 EDWARDS CLIP                   $35.00
       1111005761 HYDROGRIP INSERT              $164.00
       1111005765 ENDO CLIP APPLIER           $1,283.00
       1111005766 ENDO CLIP APPLIER             $501.00
       1111005767 ENDO CLIP APPLIER             $374.00
       1111005768 ENDO CLIP APPLIER             $623.00
       1111005769 ENDO CLIP APPLIER           $2,522.00
       1111005770 CLIP RANEY                     $75.00
       1111005771 CLIP RANEY                     $43.00
       1111005772 CLIP RANEY                    $501.00
       1111005773 CLIP RANEY                     $46.00
       1111005774 CLIP RANEY                    $155.00
       1111005801 DRAPE MICROSCOPE              $203.00
       1111005830 SHUNT COMPONENT               $155.00
       1111005831 SHUNT COMPONENT               $203.00
       1111005832 SHUNT COMPONENT               $374.00
       1111005835 SHUNT COMPONENT               $282.00
       1111005836 SHUNT COMPONENT            $10,090.00
       1111005841 DRAIN WOUND                   $203.00
       1111005850 CONN Y                         $29.00
       1111005860 CONN Y                         $24.00
       1111005861 CONN Y                         $43.00
       1111005865 TUBING PUMP                    $43.00
       1111005866 DEFIB PADS EXTERNAL           $131.00
       1111005870 CONN STRAIGHT                  $24.00
       1111005871 CONN STRAIGHT                  $43.00
       1111005890 CONN STRAIGHT                  $19.00
       1111005895 TIP MANULATOR                 $278.00
       1111005905 BURR HOLE COVER               $158.00
       1111005910 IMPLANT BONE CEMENT         $2,522.00
       1111005911 ELECTRODE CUT/COAG             $64.00
       1111005912 ELECTRODE CUT/COAG            $501.00
       1111005913 ELECTRODE CUT/COAG             $46.00
       1111005915 ELECTRODE CUT/COAG            $282.00
       1111005916 BAG DECANTER                   $17.00
       1111005917 FORCEP THERMA JAW BIOPSY    $1,283.00
       1111005918 ELECTRODE CUT/COAG            $203.00
       1111005919 ELECTRODE CUT/COAG            $374.00
       1111005921 DRAPE STERI                    $55.00
       1111005930 DRAPE CASSETE UNIVERSAL        $29.00
       1111005940 DRAPE MICROSCOPE              $155.00
       1111005941 DRAPE MICROSCOPE              $194.00
       1111005942 DRAPE MICROSCOPE               $64.00
       1111005943 DRAPE MICROSCOPE              $282.00
       1111005950 DRAPE ORTHO                    $64.00
       1111005951 DRAPE NEUROSURGICAL           $203.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                    50
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                        PRICING
       1111005960 DRAPE SHEA DRILL                 $29.00
       1111005961 SUTURE PASSER                   $374.00
       1111005963 SUTURE PASSER                   $282.00
       1111005964 SUTURE PASSER                   $501.00
       1111005970 DRAPE STERI                      $29.00
       1111005971 DRAPE STERI                      $16.00
       1111005972 DRAPE STERI                      $46.00
       1111005980 DRAPE STERI                      $57.00
       1111005990 DRAPE STERI                      $43.00
       1111005991 DRAPE STERI                     $155.00
       1111005995 DRAPE ULTRASOUND COVER           $75.00
       1111006000 DRAPE UROLOGY OCONNER            $29.00
       1111006008 DRESSING RIB BELT                $43.00
       1111006009 DERMATOME CARRIER               $202.00
       1111006010 DRESSING GLASSCOCK EAR          $131.00
       1111006011 DERMATOME CARRIER               $155.00
       1111006012 ENDO LOOP                       $164.00
       1111006013 FELT ORTHO                      $158.00
       1111006014 ELECTRODE CUT/COAG               $43.00
       1111006016 ESHMARKS                         $75.00
       1111006020 ESHMARKS                         $36.00
       1111006021 ESHMARKS                         $29.00
       1111006022 ELECTRODE CUT/COAG               $29.00
       1111006030 FILTER BLOOD                     $56.00
       1111006040 FILTER SWINNEX MILLIPORE         $19.00
       1111006041 TAP                             $623.00
       1111006042 TAP                             $374.00
       1111006043 DILATOR CV                       $43.00
       1111006044 TAP                           $1,283.00
       1111006045 TAP                             $155.00
       1111006046 TAP                             $203.00
       1111006049 IMPLANT VENA CAVA FILTER      $5,851.00
       1111006050 IMPLANT VENA CAVA FILTER      $1,283.00
       1111006051 MESH IMPLANTABLE                $501.00
       1111006052 IMPLANT TACK ABSORBABLE       $1,283.00
       1111006053 GRAFT DURA                    $5,851.00
       1111006055 GRAFT DURA                    $2,522.00
       1111006057 GRAFT DURA                    $3,792.00
       1111006060 GRAFT CARDIOVASC PATCH        $3,792.00
       1111006082 GRAFT SOFT TISSUE PATCH       $1,283.00
       1111006091 OTOFOAM                         $155.00
       1111006099 IMPLANT AORTIC CONNECTOR      $2,522.00
       1111006100 GRAFT CARDIOVASC PATCH        $4,386.00
       1111006101 GRAFT SOFT TISSUE PATCH         $623.00
       1111006105 GRAFT CARDIOVASC PATCH        $2,522.00
       1111006106 GRAFT VASCULAR                $7,776.00
       1111006107 GRAFT VENTRICULAR ANEURYSM   $12,314.00
       1111006119 BLADE GIGLE SAW                  $50.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                      51
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                       PRICING
       1111006120 GRAFT VASCULAR               $1,283.00
       1111006121 GRAFT VASCULAR               $5,851.00
       1111006130 GRAFT VASCULAR               $2,522.00
       1111006140 GRAFT VASCULAR               $3,792.00
       1111006160 GRAFT VASCULAR               $4,386.00
       1111006161 GRAFT VASCULAR              $10,090.00
       1111006210 GRAFT VASCULAR                 $623.00
       1111006217 DRESSING DUO DERM               $64.00
       1111006225 DRESSING DUO DERM               $44.00
       1111006250 GRAFT CARDIOVASC PATCH       $1,283.00
       1111006259 GRAFT AUTOLOGUS GENERATED   $26,705.00
       1111006300 GRAFT BONE/TISSUE              $203.00
       1111006301 GRAFT BONE/TISSUE              $282.00
       1111006302 GRAFT BONE/TISSUE              $374.00
       1111006303 GRAFT BONE/TISSUE              $501.00
       1111006304 GRAFT BONE/TISSUE              $623.00
       1111006305 GRAFT BONE/TISSUE            $1,283.00
       1111006306 GRAFT BONE/TISSUE           $13,066.00
       1111006310 GRAFT BONE/TISSUE            $2,522.00
       1111006311 GRAFT BONE/TISSUE            $3,792.00
       1111006312 GRAFT BONE/TISSUE            $4,386.00
       1111006313 GRAFT BONE/TISSUE            $5,851.00
       1111006314 GRAFT BONE/TISSUE            $7,776.00
       1111006315 GRAFT BONE/TISSUE           $10,090.00
       1111006316 GRAFT BONE/TISSUE           $13,783.00
       1111006317 GRAFT BONE/TISSUE           $14,217.00
       1111006318 GRAFT BONE/TISSUE           $12,559.00
       1111006320 GRAFT BONE/TISSUE           $11,869.00
       1111006321 GRAFT BONE INJECTABLE        $5,851.00
       1111006322 GRAFT BONE INJECTABLE        $1,283.00
       1111006331 CLIP LIGATION                   $64.00
       1111006332 CLIP LIGATION                   $75.00
       1111006333 CLIP LIGATION                   $43.00
       1111006334 CLIP LIGATION                   $57.00
       1111006335 CLIP LIGATION                   $45.00
       1111006336 CLIP LIGATION                  $203.00
       1111006337 CLIP LIGATION                  $374.00
       1111006338 CLIP LIGATION                  $501.00
       1111006348 NEEDLE PERCUTANEOUS ENTRY       $19.00
       1111006349 GUIDE WIRE                      $57.00
       1111006350 GUIDE WIRE                     $155.00
       1111006351 INTRODUCER                      $57.00
       1111006352 GUIDE WIRE                     $374.00
       1111006353 HELMETS SURGICAL               $164.00
       1111006354 INTRODUCER                     $206.00
       1111006356 GUIDE WIRE                     $203.00
       1111006357 GUIDE WIRE                   $1,283.00
       1111006358 GUIDE WIRE                      $64.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                     52
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                       PRICING
       1111006361 CLIP LIGATION                  $154.00
       1111006365 HEMO CONCENTRATOR              $686.00
       1111006369 CAUTERY CORD                    $24.00
       1111006370 CAUTERY CORD                    $57.00
       1111006371 CAUTERY CORD                   $158.00
       1111006372 CAUTERY CORD                    $55.00
       1111006373 CAUTERY CORD                    $19.00
       1111006374 CAUTERY CORD                    $46.00
       1111006375 CAUTERY CORD                    $12.00
       1111006376 CAUTERY CORD                    $16.00
       1111006384 LASER CO2 CARTRIDGE             $24.00
       1111006389 INFLATION GUAGE DISP           $231.00
       1111006391 ANDREWS TABLE KIT              $282.00
       1111006392 INFUSAID PUMP                $2,522.00
       1111006393 IRRIGATION SET                 $374.00
       1111006396 IMPLANT EAR TUBE                $57.00
       1111006397 ENDO CARPAL TUNNEL KIT       $1,283.00
       1111006398 ANDREWS TABLE KIT              $158.00
       1111006399 JACKSON TABLE KIT              $282.00
       1111006400 IRRIG HANDPIECE/TIP            $155.00
       1111006401 IRRIG HANDPIECE/TIP             $57.00
       1111006402 IRRIG HANDPIECE/TIP             $43.00
       1111006410 LENS GLIDE                      $24.00
       1111006420 LENS INTRAOCULAR             $1,283.00
       1111006421 LENS INTRAOCULAR             $2,522.00
       1111006422 CLIP LIGACLIP APPLIER          $501.00
       1111006423 CLIP LIGACLIP RELOAD           $231.00
       1111006424 CLIP APPLIER                   $282.00
       1111006426 IV BLOOD SET W/LUER            $203.00
       1111006428 ARCH BAR                       $158.00
       1111006429 MESH AQUAPLAST SPLINT ENT       $17.00
       1111006431 WIRE FIXATION                $1,283.00
       1111006432 MESH IMPLANTABLE             $5,851.00
       1111006433 MESH IMPLANTABLE            $12,285.00
       1111006434 MESH IMPLANTABLE            $13,066.00
       1111006435 MESH IMPLANTABLE            $14,217.00
       1111006436 MESH IMPLANTABLE            $12,314.00
       1111006437 MESH IMPLANTABLE            $11,869.00
       1111006439 MESH IMPLANTABLE            $10,090.00
       1111006440 MESH IMPLANTABLE               $158.00
       1111006441 MESH IMPLANTABLE             $3,792.00
       1111006442 MESH IMPLANTABLE               $203.00
       1111006443 MESH IMPLANTABLE             $4,386.00
       1111006445 MESH IMPLANTABLE               $623.00
       1111006450 MESH IMPLANTABLE             $1,283.00
       1111006451 MESH IMPLANTABLE               $282.00
       1111006452 MESH IMPLANTABLE               $374.00
       1111006453 MESH IMPLANTABLE             $2,522.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                     53
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111006454 HEAT PACK LACTOSORB                 $268.00
       1111006455 HEAT PACK LACTOSORB                 $623.00
       1111006456 MESH IMPLANTABLE                 $12,559.00
       1111006473 MESH IMPLANTABLE                  $7,776.00
       1111006484 LVAD TUBING PACK & PUMP HEAD      $2,803.00
       1111006488 SYRINGE CONTROL DISP                 $16.00
       1111006490 NAIL TIBIAL                       $2,522.00
       1111006491 NAIL HUMERAL                      $5,851.00
       1111006492 NAIL HUMERAL                      $7,776.00
       1111006500 NAIL FEMORAL                      $2,522.00
       1111006501 NAIL RECONSTRUCTION               $5,851.00
       1111006502 NAIL FEMORAL                      $3,792.00
       1111006503 NAIL RECONSTRUCTION COMP          $2,522.00
       1111006504 NAIL RECONSTRUCTION COMP          $1,283.00
       1111006505 NAIL RECONSTRUCTION COMP            $623.00
       1111006506 NAIL RECONSTRUCTION COMP            $501.00
       1111006507 NAIL FEMORAL                      $7,776.00
       1111006515 NEURO STIMULATOR IMPLANT         $26,160.00
       1111006516 NEURO SIGNAL LEAD                $12,285.00
       1111006517 NEURO STIMULATOR REVISION         $2,522.00
       1111006518 NEURO STIMULATOR SCREENER         $4,386.00
       1111006519 NEURO STIMULATOR SCREENER         $5,851.00
       1111006520 NEURO SPRING CLIP                   $623.00
       1111006521 NEURO SIGNAL GENERATOR           $17,713.00
       1111006522 NEURO SIGNAL GEN LEAD            $10,090.00
       1111006523 NEURO SIGNAL GEN ACCES PK         $2,522.00
       1111006524 NEURO STIMULATOR IMPLANT         $10,090.00
       1111006525 NEURO STIMULATOR IMPLANT         $26,705.00
       1111006526 NEURO SIGNAL GEN LEAD             $7,776.00
       1111006527 NEURO SIGNAL GEN LEAD EXT         $2,522.00
       1111006528 EURO SIGNAL GEN LEAD              $5,851.00
       1111006529 NEURO SIGNAL GEN ACC PK           $1,283.00
       1111006530 NEURO STIMULATOR IMPLANT         $18,530.00
       1111006531 NEURO STIMULATOR IMPLANT         $25,070.00
       1111006532 NEURO SIGNAL GEN LEAD            $11,869.00
       1111006533 NEURO STIM PROGRAMMER             $4,708.00
       1111006534 NEURO STIMULATOR LEAD KIT        $13,783.00
       1111006535 NEURO STIMULATOR TRANSMIT        $18,530.00
       1111006536 NEURO STIMULATOR HYPAFIX TAPE       $305.00
       1111006537 NEURO STIMULATOR SKIN ADHESIVE      $305.00
       1111006538 NEURO STIMULATOR ELASTIC BELT       $305.00
       1111006539 NEURO STIMULATOR IMPLANT         $22,890.00
       1111006540 NEURO STIMULATOR IMPLANT         $23,435.00
       1111006541 NEURO STIMULATOR IMPLANT         $27,795.00
       1111006542 NEURO SIGNAL GEN LEAD EXT         $3,792.00
       1111006543 NEURO STIMULATOR IMPLANT         $18,857.00
       1111006544 NERVE BLOCK KIT                     $623.00
       1111006551 NEURO STIMULATOR LEAD            $12,314.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          54
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111006553 BOWL CEMENT                         $501.00
       1111006554 BOWL CEMENT                         $623.00
       1111006555 BOWL CEMENT                       $1,283.00
       1111006556 BOWL CEMENT                         $374.00
       1111006557 NERVE STIMULATOR                    $374.00
       1111006558 NERVE STIMULATOR                    $282.00
       1111006559 NERVE STIMULATOR                    $203.00
       1111006560 NERVE STIMULATOR DISP               $155.00
       1111006561 NERVE STIMULATOR                 $18,125.00
       1111006563 ADAPTER NEURO MONITOR               $312.00
       1111006564 NERVE TEST ELECTRODE              $2,522.00
       1111006566 NERVE TEST MODULE                 $5,851.00
       1111006567 SPINAL PUMP REFILL KIT              $203.00
       1111006569 NEURO STIMULATOR IMPLANT         $12,285.00
       1111006571 PUMP SPINAL INFUSOR W/CATH       $23,760.00
       1111006572 PUMP SPINAL INFUSOR PROGRAMMER    $1,283.00
       1111006573 PUMP INFUSION W/FILTER           $19,620.00
       1111006574 PUMP INFUSION W/FILTER           $20,383.00
       1111006575 CATH CARDIOPLEGIA                 $1,283.00
       1111006576 CATH CARDIOPLEAGIA                  $623.00
       1111006577 PUMP INFUSION W/FILTER           $22,890.00
       1111006578 PUMP INFUSION W/FILTER           $23,435.00
       1111006581 OCCLUDERS VASCULAR                  $282.00
       1111006608 PACEMAKER LEAD                   $10,090.00
       1111006609 PACEMAKER LEAD                    $2,522.00
       1111006610 PACEMAKER LEAD ADAPTOR           $10,090.00
       1111006611 PACEMAKER LEAD EXTENDER           $1,283.00
       1111006612 PACEMAKER LEAD ADAPTOR           $11,869.00
       1111006613 PACEMAKER LEAD                   $11,869.00
       1111006614 PACEMAKER PACING CABLE              $203.00
       1111006615 PACEMAKER PACING CABLE              $155.00
       1111006616 PACEMAKER LEAD CAP                  $282.00
       1111006617 PACEMAKER LEAD REPAIR               $623.00
       1111006618 PACEMAKER GENERATOR              $12,285.00
       1111006619 PACEMAKER GENERATOR              $10,090.00
       1111006620 PACEMAKER GENERATOR              $14,464.57
       1111006621 PACEMAKER GENERATOR              $17,713.00
       1111006622 PACEMAKER GENERATOR              $13,783.00
       1111006623 PACEMAKER GENERATOR              $12,314.00
       1111006624 PACEMAKER GENERATOR              $12,559.00
       1111006625 PACEMAKER GENERATOR              $16,895.00
       1111006626 PACEMAKER GENERATOR              $13,066.00
       1111006627 PACEMAKER GENERATOR              $14,217.00
       1111006628 PACEMAKER GENERATOR              $11,869.00
       1111006629 PACEMAKER COMPONENT               $5,263.66
       1111006630 PACEMAKER LEAD                    $3,873.09
       1111006631 PACEMAKER LEAD TEMP               $1,283.00
       1111006632 PACEMAKER LEAD                    $4,386.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          55
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111006634 PACEMAKER LEAD                    $3,792.00
       1111006636 PACEMAKER PACING CATH               $623.00
       1111006637 PACEMAKER PACING CATH             $1,283.00
       1111006638 PACEMAKER GENERATOR              $18,530.00
       1111006639 PACEMAKER LEAD                    $5,851.00
       1111006641 PACEMAKER LEAD ADAPTOR            $2,522.00
       1111006660 PACEMAKER PINCH-ON TOOL             $190.00
       1111006661 PACEMAKER LEAD STYLET               $282.00
       1111006662 PACEMAKER LEAD INTRODUCER           $501.00
       1111006663 PACEMAKER LEAD STYLET               $374.00
       1111006664 PACEMAKER LEAD STYLET               $501.00
       1111006670 PACEMAKER TEMP PACING WIRE          $623.00
       1111006685 DEFIBRILLATOR IMP LEAD           $19,620.00
       1111006687 DEFIBRILLATOR IMPLANT            $61,560.00
       1111006688 DEFIBRILLATOR IMPLANT            $35,640.00
       1111006689 DEFIBRILLATOR IMPLANT            $38,880.00
       1111006691 DEFIBRILLATOR IMPLANT            $37,605.00
       1111006692 DEFIBRILLATOR IMPLANT            $42,510.00
       1111006693 DEFIBRILLATOR IMP LEAD            $5,851.00
       1111006694 DEFIBRILLATOR IMP LEAD           $17,713.00
       1111006695 DEFIBRILLATOR IMPLANTABLE        $40,810.20
       1111006696 DEFIBRILLATOR IMP LEAD            $8,549.00
       1111006697 DEFIBRILLATOR IMPLANT            $44,690.00
       1111006698 DEFIBRILLATOR IMPLANT            $55,590.00
       1111006699 DEFIBRILLATOR SERVICE KIT           $327.00
       1111006700 PACK AUTOTRANSFUSER               $1,283.00
       1111006701 AUTOTRANSFUSER CELL SAVER TUBI      $203.00
       1111006702 PACK AUTOTRANSFUSOR                 $623.00
       1111006703 CARDIOTOMY RESERVOIR                $501.00
       1111006704 CARDIOTOMY RESERVOIR                $374.00
       1111006705 CARDIOTOMY RESERVOIR              $1,283.00
       1111006706 CARDIOTOMY RESERVOIR VALVE          $161.00
       1111006707 CARDIOTOMY RESERVOIR                $623.00
       1111006709 CARDIOTOMY RESERVOIR                $282.00
       1111006720 PACK HEART LUNG PERFUSION         $3,792.00
       1111006729 SUTURE PACK BLANCHE               $1,262.10
       1111006731 KIT, ANESTHESIA                      $33.60
       1111006732 KIT, ABDOMINAL HYSTERECTOMY         $317.10
       1111006733 KIT, CERVICAL SPINE, ST JUDE        $658.35
       1111006734 KIT ENDO NEPHRECTOMY              $2,417.10
       1111006735 EYE KIT CUSTOM                       $46.00
       1111006736 EYE MEMBRANE SCRAPER                $623.00
       1111006737 KIT, HYSTEROSCOPY                   $658.35
       1111006738 KIT, MAJOR BREAST                   $317.10
       1111006739 CONTACT LENS REMOVER                 $16.00
       1111006740 PACK I/A                            $380.00
       1111006741 KIT, RADICAL PROSTATECTOMY          $658.35
       1111006742 KIT, SHOULDER                       $317.10
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          56
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111006743 KIT, CAROTID                       $317.10
       1111006744 KIT, CYSTO URO                     $212.10
       1111006745 PACK CUSTOM LAP CHOLE              $658.35
       1111006746 PACK CUSTOM CRANIOTOMY             $623.00
       1111006747 PACK TOTAL JOINT                   $501.00
       1111006748 KIT, LOWER EXTREMITY               $222.60
       1111006749 KIT, MAJOR PROCEDURE               $222.60
       1111006750 PACK UNIPACK                     $1,283.00
       1111006751 KIT,MAJOR PROCEDURE W/O DRAPE      $212.10
       1111006752 KIT, MINOR LITHOTOMY               $170.10
       1111006753 KIT, MINOR PROCEDURE               $212.10
       1111006754 KIT,PACEMAKER AND AICD             $212.10
       1111006755 KIT, THORACOTOMY                   $317.10
       1111006756 KIT, UPPER EXTREMITY               $222.60
       1111006757 KIT, VASCULAR ARM AND LEG          $212.10
       1111006758 D&C PACK                            $86.10
       1111006759 AORTIC ANEURYSM PACK               $658.35
       1111006760 EGGCRATE PAD                        $46.00
       1111006761 PILLOW PRONE POSITION               $44.00
       1111006766 CAUTERY GROUND PAD                  $29.00
       1111006768 CANNULA THREADED                   $158.00
       1111006769 DIGIT TRAP                          $16.00
       1111006770 PIN CALIBRATED GUIDE                $56.00
       1111006775 IMPLANT ABSORBABLE PIN             $623.00
       1111006776 IMPLANT ABSORBABLE PIN SET       $2,522.00
       1111006777 IMPLANT FIBRIN SEALANT           $1,283.00
       1111006800 PIN FIXATION                        $43.00
       1111006801 PIN FIXATION                        $24.00
       1111006810 PIN FIXATION                        $64.00
       1111006812 PIN FIXATION                     $1,283.00
       1111006813 PIN FIXATION                       $623.00
       1111006814 PIN FIXATION PEG                   $501.00
       1111006820 PLASTER PER ROLL                    $17.00
       1111006830 PLATE FIXATION                     $203.00
       1111006840 PLATE FIXATION                     $501.00
       1111006850 PLATE FIXATION                     $282.00
       1111006861 PLATE FIXATION                   $1,283.00
       1111006863 PLATE FIXATION                   $2,522.00
       1111006890 PLATE FIXATION                     $623.00
       1111006891 PLATE FIXATION                   $4,386.00
       1111006912 PLATE FIXATION                     $374.00
       1111006915 POLISHER CORNEA DISP                $24.00
       1111006925 PRINT PICTURE                       $17.00
       1111006926 PRINT ROLL 10-20                   $149.00
       1111006927 PRESSURE MONITOR NEURO           $1,283.00
       1111006928 PRESSURE MONITOR LINE               $24.00
       1111006930 PROBE ESOPHAGEAL TEMP               $43.00
       1111006931 PROBE ULTRASONIC                 $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         57
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                  PRICING
       1111006932 PROBE ULTRASONIC          $623.00
       1111006935 PROST HIP CUP COMP      $4,386.00
       1111006936 PROST HIP HEAD          $2,522.00
       1111006939 IMPLANT BONE CEMENT       $623.00
       1111006940 IMPLANT BONE CEMENT       $501.00
       1111006941 GRAFT BONE ALLOGENIC    $3,792.00
       1111006942 GRAFT BONE ALLOGENIC    $4,386.00
       1111006943 GRAFT BONE PLUG           $155.00
       1111006944 GRAFT BONE ALLOGENIC      $623.00
       1111006945 BONE FLAP CLAMP           $623.00
       1111006946 GRAFT BONE ALLOGENIC    $1,283.00
       1111006947 BONE FLAP CLAMP         $1,283.00
       1111006948 GRAFT BONE ALLOGENIC    $5,851.00
       1111006949 IMPLANT BONE CEMENT     $3,792.00
       1111006950 IMPLANT BONE CEMENT     $1,283.00
       1111006990 PROST CARPAL LUNATE     $1,283.00
       1111006995 EXT FIX BOLT              $203.00
       1111006999 EXT FIX                $12,285.00
       1111007000 PROST EAR H.I.P.        $1,283.00
       1111007001 EXT FIX CUBE              $623.00
       1111007002 EXT FIX NUT                $16.00
       1111007003 EXT FIX SOCKET            $155.00
       1111007004 EXT FIX SLEEVE            $501.00
       1111007005 EXT FIX BOLT              $155.00
       1111007006 EXT FIX WASHER             $16.00
       1111007007 EXT FIX RING            $2,522.00
       1111007008 EXT FIX PIN               $623.00
       1111007009 EXT FIX ROD               $155.00
       1111007010 PROST EAR STAPES        $1,283.00
       1111007011 EXT FIX WIRE            $1,283.00
       1111007012 EXT FIX SOCKET            $203.00
       1111007013 EXT FIX NUT               $282.00
       1111007014 EXT FIX BOLT               $17.00
       1111007015 EXT FIX SCREW              $19.00
       1111007016 EXT FIX SCREW             $623.00
       1111007017 EXT FIX ROD               $623.00
       1111007018 EXT FIX CAP                $19.00
       1111007019 EXT FIX CLAMP           $3,792.00
       1111007021 EXT FIX CLAMP           $4,386.00
       1111007022 EXT FIX                $11,869.00
       1111007023 EXT FIX CLAMP           $2,522.00
       1111007024 EXT FIX CLAMP           $1,283.00
       1111007025 EXT FIX                $13,783.00
       1111007026 EXT FIX ROD             $1,283.00
       1111007027 EXT FIX RING            $1,283.00
       1111007028 EXT FIX CAP                $55.00
       1111007029 EXT FIX WIRE              $203.00
       1111007030 EXT FIX WIRE              $623.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                58
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                   PRICING
       1111007031 EXT FIX HINGE              $374.00
       1111007032 EXT FIX                  $7,776.00
       1111007033 EXT FIX                  $5,851.00
       1111007034 PROST HIP COMPONENT        $460.00
       1111007035 PROST HIP HEAD           $3,792.00
       1111007036 PROST HIP HEAD COMP      $9,172.00
       1111007037 PROST HIP STEM           $7,776.00
       1111007038 EXT FIX                  $4,386.00
       1111007039 PROST HIP CUP COMP       $5,851.00
       1111007041 PROST FINGER JOINT       $3,792.00
       1111007042 PROST FINGER JOINT       $2,522.00
       1111007043 PROST FINGER JOINT       $5,851.00
       1111007044 PROST FINGER JOINT       $7,776.00
       1111007050 PROST TOE GREAT          $2,522.00
       1111007051 PROST TOE GREAT          $3,792.00
       1111007052 PROST TOE                $2,522.00
       1111007053 PROST TOE                $3,792.00
       1111007054 GUIDE WIRE                  $19.00
       1111007055 PROST HIP COMPONENT      $4,637.67
       1111007056 PROST HIP COMPONENT        $374.00
       1111007057 PROST HIP HEAD COMP      $4,386.00
       1111007058 PROST HIP HEAD COMP      $2,522.00
       1111007059 PROST HIP COMPONENT        $623.00
       1111007060 PROST EAR                  $623.00
       1111007061 CABLE SYSTEM             $1,283.00
       1111007062 CABLE SYSTEM               $623.00
       1111007063 CABLE SYSTEM             $2,522.00
       1111007064 CABLE SYSTEM             $3,792.00
       1111007065 CABLE SYSTEM             $4,386.00
       1111007068 PROST HIP COMP           $1,283.00
       1111007069 PROST HIP CUP COMP      $11,869.00
       1111007070 PROST HIP HEAD           $4,386.00
       1111007071 PROST HIP COMPONENT     $12,559.00
       1111007072 PROST HIP STEM          $13,066.00
       1111007073 PROST HIP CUP COMP       $3,792.00
       1111007074 PROST HIP HEAD COMP      $5,851.00
       1111007075 PROST HIP STEM          $12,559.00
       1111007076 PROST HIP STEM          $12,285.00
       1111007080 GRAFT FELT                  $45.00
       1111007081 GRAFT FELT               $1,283.00
       1111007082 GRAFT FELT                 $203.00
       1111007083 GRAFT FELT                 $623.00
       1111007084 GRAFT FELT                  $57.00
       1111007085 GRAFT FELT                  $55.00
       1111007086 GRAFT BONE INJECTABLE    $4,386.00
       1111007090 IRRIG HANDPIECE/TIP        $203.00
       1111007095 EXT FIX CLIP             $1,283.00
       1111007096 EXT FIX WASHER             $501.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                 59
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                     PRICING
       1111007100 PROST HIP STEM             $2,522.00
       1111007120 PROST HIP STEM             $5,851.00
       1111007121 RETRACTOR DISP             $3,792.00
       1111007123 RETRACTOR DISP             $4,386.00
       1111007124 RETRACTOR DISP             $5,851.00
       1111007125 RETRACTOR DISP               $282.00
       1111007126 RETRACTOR DISP             $1,283.00
       1111007127 RETRACTOR DISP             $2,522.00
       1111007128 RETRACTOR DISP               $203.00
       1111007130 GRAFT FELT                   $155.00
       1111007150 GRAFT CARDIOVASC PATCH       $501.00
       1111007151 GRAFT CARDIOVASC PATCH       $623.00
       1111007160 VALVE W/GRAFT             $13,066.00
       1111007161 VALVE W/GRAFT             $13,783.00
       1111007162 VALVE AORTIC              $13,066.00
       1111007163 VALVE MITRAL              $13,066.00
       1111007164 VALVE MITRAL              $13,783.00
       1111007169 PACKING EAR                   $19.00
       1111007170 PACKING EAR                   $45.00
       1111007190 PROST TENDON/SPACER        $1,283.00
       1111007191 PROST KNEE PATELLA         $1,283.00
       1111007195 PROST KNEE COMPONENT       $5,690.57
       1111007196 PROST KNEE TIBIAL          $7,776.00
       1111007210 SUCT IRRIG NEEDLE             $43.00
       1111007218 COLLAGEN IMPLANT SINGLE    $2,522.00
       1111007219 PROST KNEE FEMORAL         $4,386.00
       1111007221 PROST KNEE FEMORAL         $5,851.00
       1111007222 PROST KNEE FEMORAL         $7,776.00
       1111007223 PROST KNEE FEM COMP        $1,283.00
       1111007224 PROST KNEE FEM COMP       $12,285.00
       1111007225 PLATE FIXATION             $3,792.00
       1111007230 ENDO TROCAR DISP             $203.00
       1111007231 ENDO CANNULA                 $623.00
       1111007239 PROST KNEE FEM COMP        $3,792.00
       1111007240 ENDO CANNULA                  $46.00
       1111007241 PROST KNEE COMP            $4,386.00
       1111007242 PROST KNEE COMP            $2,522.00
       1111007243 PROST KNEE COMP            $1,283.00
       1111007244 PROST KNEE COMP              $623.00
       1111007245 PROST KNEE FEM COMP       $10,090.00
       1111007246 PROST KNEE TIBIAL          $4,386.00
       1111007247 PROST KNEE FEM COMP       $11,869.00
       1111007248 PROST KNEE PATELLA         $5,851.00
       1111007249 PROST KNEE COMP           $11,869.00
       1111007251 PROST KNEE PATELLA         $4,386.00
       1111007252 PROST KNEE FEM COMP       $12,314.00
       1111007253 PROST KNEE COMP            $5,851.00
       1111007254 PROST KNEE PATELLA           $623.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                   60
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111007260 ROD FIXATION                      $4,386.00
       1111007261 ROD FIXATION                      $3,792.00
       1111007262 ROD FIXATION                      $5,851.00
       1111007263 ROD FIXATION TEMPLATE               $501.00
       1111007264 ROD FIXATION TEMPLATE               $374.00
       1111007265 PROST KNEE PATELLA                $2,522.00
       1111007266 ROD FIXATION EXCHANGE TUBE        $1,232.00
       1111007267 ROD FIXATION TEMPLATE               $623.00
       1111007268 ROD FIXATION GUIDE                $1,283.00
       1111007270 EAR COLLECTOR SCREEN                 $45.00
       1111007271 EAR COLLECTOR SCREEN                $282.00
       1111007277 PROST KNEE PATELLA                $3,792.00
       1111007280 NEEDLE PORT A CATH                   $29.00
       1111007290 DRAPE STOCKINET                      $45.00
       1111007295 INST DISP BIOPSY                    $177.00
       1111007300 PROST SPHINCTER PUMP             $10,090.00
       1111007301 PROST SPHINCTER BALLOON           $5,851.00
       1111007310 PROST SPHINCTER CUFF              $5,851.00
       1111007311 PROST URETHRAL                    $5,851.00
       1111007314 PROST KNEE TIBIAL                 $3,792.00
       1111007315 PROST KNEE TIBIAL                 $5,851.00
       1111007316 IMPLANT MENISCUS                  $1,283.00
       1111007317 PROST KNEE TIBIAL                $10,090.00
       1111007320 PROST SPHINCTER BALLOON           $4,386.00
       1111007330 PROST SPHINCTER ACCESSORIES/PK      $628.00
       1111007333 PROST KNEE INSERT                 $3,792.00
       1111007334 PROST KNEE INSERT                 $2,522.00
       1111007340 IMPLANT ADHESION CONTROL          $2,522.00
       1111007341 IMPLANT DENTAL                    $1,283.00
       1111007342 IMPLANT DENTAL SCREW                $374.00
       1111007343 COUNTERSINK                         $207.00
       1111007344 TAP                                 $282.00
       1111007350 IMPLANT MAMMARY                   $4,386.00
       1111007351 IMPLANT MAMMARY                   $4,386.00
       1111007352 IMPLANT MANDIBULAR                $2,522.00
       1111007353 STENT URETERAL                      $623.00
       1111007354 PROST KNEE TIBIAL                $11,869.00
       1111007355 IMPLANT MAMMARY                   $3,792.00
       1111007356 IMPLANT MAMMARY                   $4,386.00
       1111007357 IMPLANT VAGINAL TVT               $3,792.00
       1111007358 IMPLANT MAMMARY                   $5,851.00
       1111007359 IMPLANT VAGINAL TVT               $4,386.00
       1111007360 PROST METACARPAL MAYO             $2,803.00
       1111007361 IMPLANT FIBRIN SEALANT            $2,522.00
       1111007362 PROST METATARSAL COMP             $4,386.00
       1111007363 PROST PHALANGEAL COMP             $2,522.00
       1111007368 PROST SPHINCTER CUFF              $7,776.00
       1111007370 PROST PENILE RESERVOIR            $4,386.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          61
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                       PRICING
       1111007371 PROST PENILE CYLINDER        $5,851.00
       1111007372 PROST PENILE RESERVOIR       $3,792.00
       1111007373 PROST PENILE PUMP            $2,522.00
       1111007374 PROST PENILE ACCSSORIES        $623.00
       1111007375 PROST PENILE COMPONENT       $7,776.00
       1111007376 PLATE FIXATION COMPONENT     $4,158.97
       1111007377 PROST PENILE PUMP            $7,776.00
       1111007378 PROST PENILE CYLINDER        $9,172.00
       1111007380 PROST ELBOW RADIAL HEAD      $1,283.00
       1111007381 PROST ELBOW RADIAL HEAD      $2,522.00
       1111007382 PROST ELBOW RADIAL HEAD      $4,386.00
       1111007383 PROST ELBOW STEM COMP        $5,851.00
       1111007384 PROST ELBOW RADIAL HEAD      $5,851.00
       1111007385 PROST ELBOW RADIAL HEAD      $7,776.00
       1111007387 IMPLANT FASCIAL SLING        $4,386.00
       1111007388 IMPLANT FASCIAL SLING       $11,869.00
       1111007389 EXT FIX $                    $7,426.00
       1111007390 IMPLANT EYE RETINAL             $48.00
       1111007391 IMPLANT FASCIAL SLING        $1,283.00
       1111007392 IMPLANT FASCIAL SLING        $3,792.00
       1111007393 IMPLANT FASCIAL SLING KIT    $7,776.00
       1111007394 IMPLANT FASCIAL SLING        $2,522.00
       1111007395 IMPLANT OCULAR                 $282.00
       1111007396 IMPLANT OCULAR               $3,792.00
       1111007397 IMPLANT OCULAR COMPONENT       $374.00
       1111007398 IMPLANT OCULAR               $2,522.00
       1111007399 IMPLANT LACRIMAL DUCT          $203.00
       1111007400 IMPLANT EYE RETINAL             $56.00
       1111007405 IMPLANT EYE                  $3,792.00
       1111007406 IMPLANT EYE RETINAL            $155.00
       1111007407 IMPLANT EYE RETINAL             $64.00
       1111007410 IMPLANT EYE RETINAL             $75.00
       1111007411 IMPLANT EYELID               $1,283.00
       1111007412 PROST SHOULDER HUMERAL       $7,776.00
       1111007413 PROST SHOULDER GLENOID       $7,776.00
       1111007414 PROST SHOULDER HUMERAL       $2,522.00
       1111007415 PROST SHOULDER COMPONENT    $13,043.00
       1111007416 PROST SHOULDER SCREW           $623.00
       1111007417 PROST SHOULDER GLENOID       $5,851.00
       1111007418 PROST SHOULDER HUMERAL       $5,851.00
       1111007419 PROST SHOULDER GLENOID       $3,792.00
       1111007420 PROST SHOULDER HUMERAL       $3,792.00
       1111007421 SPINAL FIXATION COMPONENT    $9,084.36
       1111007422 PROST SHOULDER HUMERAL      $11,869.00
       1111007423 PROST HIP STEM              $11,869.00
       1111007424 PROST HIP STEM               $9,172.00
       1111007425 PROST HIP STEM               $3,792.00
       1111007426 PROST HIP STEM COMP          $2,522.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                     62
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                     PRICING
       1111007427 PROST HIP STEM             $4,386.00
       1111007428 PROST HIP NECK COMP          $623.00
       1111007429 PROST HIP CEMENT SPACER      $501.00
       1111007430 PROST TESTICLE             $1,283.00
       1111007436 PROST TOE GREAT            $4,386.00
       1111007437 PROST SHOULDER HEAD        $6,378.00
       1111007438 PROST SHOULDER HEAD        $3,792.00
       1111007440 PROST TOE                  $1,283.00
       1111007442 PROST HIP COMPONENT          $282.00
       1111007443 PROST HIP CUP COMP         $2,522.00
       1111007444 PROST HIP HEAD COMP        $1,283.00
       1111007446 NAIL TIBIAL                $4,386.00
       1111007447 NAIL TIBIAL                $3,479.00
       1111007448 PROST HIP HEAD COMP        $7,776.00
       1111007449 PROST TRAPEZIUM            $2,522.00
       1111007450 PROST TRAPEZIUM            $1,283.00
       1111007451 PROST SHOULDER STEM        $7,776.00
       1111007452 PROST SHOULDER HUMERAL     $4,386.00
       1111007453 CEMENT RESTRITOR             $623.00
       1111007454 PROST SHOULDER STEM       $10,090.00
       1111007455 PROST SHOULDER STEM        $4,386.00
       1111007456 PROST SHOULDER ASSEMBLY    $7,776.00
       1111007457 PROST SHOULDER HEAD        $4,386.00
       1111007460 PROST HIP COMPONENT       $12,285.00
       1111007461 NAIL HUMERAL               $4,386.00
       1111007465 PROST WRIST                $3,792.00
       1111007470 PROST WRIST                $1,283.00
       1111007480 PROST WRIST COMPONENT      $5,851.00
       1111007481 NAIL FEMORAL               $4,386.00
       1111007482 PROST HIP STEM            $12,314.00
       1111007490 RETRACTOR DISP                $55.00
       1111007499 DRAPE 3M 1FT SECTION          $16.00
       1111007501 CENTRIFUGAL PUMP           $1,283.00
       1111007502 VASCULAR PUNCH               $282.00
       1111007503 CENTRIFUGAL PUMP             $623.00
       1111007504 VASCULAR PUNCH               $203.00
       1111007505 VASCULAR PUNCH               $155.00
       1111007510 DRAIN RESEVOIR               $155.00
       1111007511 RETRACTOR DISP                $75.00
       1111007512 DRAPE STERI                   $64.00
       1111007520 RING MARKING                  $55.00
       1111007530 COLOSTOMY ROD                 $16.00
       1111007531 COLOSTOMY ROD                 $19.00
       1111007561 BOLT                         $623.00
       1111007570 ROD FIXATION                  $56.00
       1111007581 ROD FIXATION TEMPLATE      $1,283.00
       1111007590 ROD FIXATION                 $623.00
       1111007594 BOLT                       $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                   63
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                      PRICING
       1111007595 SCREW FIXATION COMPONENT    $4,755.88
       1111007596 BOLT                          $374.00
       1111007597 CATH QUINTON                $1,283.00
       1111007598 BOLT                          $501.00
       1111007599 SCREW FIXATION              $2,522.00
       1111007600 SCREW FIXATION              $5,851.00
       1111007601 SCREW FIXATION              $3,792.00
       1111007602 SCREW FIXATION             $11,869.00
       1111007605 SCREW FIXATION                $501.00
       1111007606 SCREW FIXATION              $4,386.00
       1111007610 SCREW FIXATION                $203.00
       1111007620 SCREW FIXATION              $1,283.00
       1111007627 SCREW FIXATION                 $29.00
       1111007628 SCREW FIXATION                 $41.00
       1111007629 SCREW FIXATION                 $46.00
       1111007630 SCREW FIXATION                 $55.00
       1111007635 SCREW FIXATION                 $75.00
       1111007640 SCREW FIXATION                $155.00
       1111007641 SCREW FIXATION                $623.00
       1111007650 SCREW FIXATION                 $64.00
       1111007660 SCREW FIXATION                $374.00
       1111007670 SCREW FIXATION                $282.00
       1111007671 CATH STONE BASKET             $623.00
       1111007673 TED HOSE                      $282.00
       1111007674 PROBE INSERT                  $203.00
       1111007680 IMPLANT SILASTIC SHEET        $282.00
       1111007681 IMPLANT SILASTIC SHEET         $46.00
       1111007682 IMPLANT SILASTIC SHEET         $64.00
       1111007683 IMPLANT SILASTIC SHEET        $155.00
       1111007689 IMPLANT SILICONE ENT           $46.00
       1111007690 IMPLANT SILICONE BLOCK      $1,283.00
       1111007691 TRACTION KIT                  $282.00
       1111007692 IMPLANT SILICONE BLOCK      $3,792.00
       1111007693 IMPLANT SILICONE               $57.00
       1111007701 SHUNT COMPONENT             $3,792.00
       1111007702 CRANIAL ACCESS KIT            $623.00
       1111007703 CRANIAL ACCESS KIT          $1,283.00
       1111007708 SHUNT CAROTID                 $623.00
       1111007709 SHUNT CAROTID                 $203.00
       1111007710 SHUNT CAROTID                 $501.00
       1111007711 SHUNT CAROTID                 $282.00
       1111007712 SHUNT CARDIOVASCULAR          $350.00
       1111007720 SHUNT COMPONENT               $501.00
       1111007730 SHUNT CAROTID               $1,283.00
       1111007731 SHUNT DENVER                $3,792.00
       1111007740 SHUNT COMPONENT             $1,283.00
       1111007741 SHUNT COMPONENT             $4,386.00
       1111007750 SHUNT COMPONENT             $2,522.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                    64
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       1111007780 SHUNT VENOUS PERITONEAL         $2,522.00
       1111007790 SKIN ARTIFICIAL                   $203.00
       1111007800 SKIN ARTIFICIAL                    $55.00
       1111007810 SKIN PORCINE PER ROLL             $305.00
       1111007820 CRANIOTOME WIRE PASSER            $231.00
       1111007830 SPLINT DENVER NASAL               $158.00
       1111007834 IMPLANT BIOGLUE                 $2,522.00
       1111007835 IMPLANT NASAL SPLINT              $155.00
       1111007836 IMPLANT NASAL                   $2,522.00
       1111007837 IMPLANT NASAL FOIL                 $38.00
       1111007838 IMPLANT BIOGLUE                $10,090.00
       1111007839 IMPLANT BIOGLUE                 $7,776.00
       1111007840 SPLINT HODGES NASAL                $24.00
       1111007841 BIOGLUE DELIVERY DEVICE           $155.00
       1111007842 BIOGLUE APPLICATION TIP           $155.00
       1111007843 BIOGLUE APPLICATION TIP           $203.00
       1111007861 STAPLE BONE                       $158.00
       1111007862 STAPLE BONE                       $282.00
       1111007867 STAPLER ENDO                    $3,792.00
       1111007869 STAPLIZER CARTRIDGE ORTHO 3M    $1,283.00
       1111007871 STAPLER ENDO RELOAD             $1,283.00
       1111007872 STAPLER ENDO LINEAR             $1,283.00
       1111007874 STAPLER ENDO GIA                $1,283.00
       1111007875 ENDO GAUGE                         $82.00
       1111007877 STAPLER LINEAR RELOAD           $1,283.00
       1111007883 STAPLER ENDO RELOAD               $623.00
       1111007884 STAPLER ROTICULAR               $1,283.00
       1111007886 STAPLER SGIA                    $1,283.00
       1111007887 STAPLER SGIA REFILL               $623.00
       1111007890 STAPLER ENDO                    $2,522.00
       1111007891 STAPLER ROTICULAR                 $623.00
       1111007895 STAPLER ENDO LINEAR               $623.00
       1111007896 STAPLER ENDO                      $623.00
       1111007902 STAPLER LINEAR RELOAD             $623.00
       1111007905 STAPLER ENDO MULTIFEED          $1,283.00
       1111007906 STAPLER ENDO HERNIA RELOAD        $374.00
       1111007907 TUBING IRRIGATING                 $155.00
       1111007909 TUBING INSUFFLATOR                $155.00
       1111007911 STAPLER ENDO HERNIA             $1,283.00
       1111007915 STAPLER SQS                       $374.00
       1111007916 STAPLER FASCIA DISP               $498.00
       1111007921 STAPLER ENDO GIA REFILL         $1,283.00
       1111007922 STAPLER LINEAR RELOAD             $374.00
       1111007925 STAPLER ENDO TA                 $1,283.00
       1111007927 STAPLER ENDO TA                 $2,522.00
       1111007928 STAPLER ENDO TA REFILL          $1,283.00
       1111007929 STAPLER PURSE STRING              $498.00
       1111007931 STAPLER ENDO                    $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        65
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                     PRICING
       1111007932 STAPLER LINEAR               $623.00
       1111007935 STAPLER SKIN                 $203.00
       1111007937 STAPLER SKIN                  $64.00
       1111007938 STAPLER SKIN                  $29.00
       1111007939 STAPLER SKIN                  $46.00
       1111007940 STAPLE BONE                  $203.00
       1111007941 STAPLER SKIN                  $57.00
       1111007942 STAPLER SKIN                 $155.00
       1111007951 STAPLER LINEAR               $374.00
       1111007955 STAPLER LINEAR RELOAD        $282.00
       1111007956 STAPLER LINEAR RELOAD        $203.00
       1111007957 STAPLER LINEAR RELOAD        $155.00
       1111007960 STAPLER LINEAR             $1,283.00
       1111007961 STAPLER LINEAR RELOAD        $501.00
       1111007962 STAPLER LINEAR             $2,522.00
       1111007985 STAPLER INSERTS              $623.00
       1111007987 STAPLER LIGATE DIVIDE      $1,283.00
       1111007989 STENT URETERAL               $501.00
       1111007990 STENT URETERAL             $2,522.00
       1111007991 STENT URETERAL             $1,283.00
       1111007992 SHUNT COMPONENT              $623.00
       1111007994 TUBING IRRIGATING            $282.00
       1111007995 TUBING IRRIGATING             $46.00
       1111008000 STENT VAGINAL              $1,283.00
       1111008002 SUCT TUBING                  $203.00
       1111008003 SUCT TUBING                   $57.00
       1111008004 SUCT TIP                      $12.00
       1111008005 SUCT TUBING                  $374.00
       1111008006 SUCT TUBING                   $40.00
       1111008007 SUCT TUBING                  $282.00
       1111008008 SUCT TUBING                   $28.00
       1111008009 SUCT TUBING                   $55.00
       1111008010 STOPCOCK                      $16.00
       1111008011 SUCT TUBING                  $155.00
       1111008012 SUCT TIP                      $29.00
       1111008015 NEEDLE DISP ENDO             $155.00
       1111008016 ENDO TROCAR DISP             $374.00
       1111008017 STOPCOCK                      $19.00
       1111008018 ENDO TROCAR DISP             $282.00
       1111008019 SUTURE KIT MITEK             $623.00
       1111008021 SUCT IRRIG                 $1,283.00
       1111008022 SUCT IRRIG                   $282.00
       1111008023 SUCT IRRIG                   $374.00
       1111008040 SUTURE EYE                   $155.00
       1111008041 SUTURE GORTEX                $155.00
       1111008050 SUTURE NYLON FINE            $155.00
       1111008054 SUTURE BASIC PER NEEDLE       $24.00
       1111008056 SUTURE EYE                    $75.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                   66
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1111008057 SUTURE EYE                         $282.00
       1111008059 SUTURE VALVE NEEDLES                $43.00
       1111008060 SUTURE VALVE PER PACK              $498.00
       1111008062 SYRINGE LE VEEN DISP UROLOGY       $380.00
       1111008063 SUTURE KIT MITEK                 $1,283.00
       1111008064 SUTURE HEART                       $501.00
       1111008065 CATH TRAY CATH/TEMP                $158.00
       1111008066 SUTURE HEART                       $203.00
       1111008070 SUCT TIP                            $64.00
       1111008072 SYRINGE MARROW ASPIRATION        $2,522.00
       1111008073 CATH VASCULAR ACCESS             $3,792.00
       1111008074 GUIDE WIRE                         $282.00
       1111008077 CATH VASCULAR ACCESS             $1,283.00
       1111008078 CATH VASCULAR ACCESS               $623.00
       1111008079 CATH VASCULAR ACCESS             $2,522.00
       1111008080 TUBE CELESTINE                   $1,283.00
       1111008081 CATH VENOUS CLOSURE SYSTEM       $3,792.00
       1111008087 LASER ET TUBE                    $1,283.00
       1111008088 LASER ET TUBE                      $374.00
       1111008089 LASER ET TUBE                      $501.00
       1111008090 SHUNT DENVER                       $158.00
       1111008091 LASER VACUMN TUBING                 $29.00
       1111008094 TUBE ENDOTRACHEAL                  $282.00
       1111008095 TUBE ENDOTRACHEAL                  $155.00
       1111008096 TUBE ENDOTRACHEAL                   $22.00
       1111008097 TUBE ENDOTRACHEAL                   $29.00
       1111008098 TUBE ENDOTRACHEAL                   $43.00
       1111008099 TUBE ENDOTRACHEAL                   $75.00
       1111008100 TUBE ENDOTRACHEAL                   $58.00
       1111008101 INTUBATION SET ORAL                $305.00
       1111008102 AIRWAY ORAL                         $76.00
       1111008103 LASER FIBER                      $3,792.00
       1111008104 LASER FILTER                       $155.00
       1111008105 LASER ET TUBE                      $623.00
       1111008106 LASER VACUMN TUBING                $155.00
       1111008107 LASER FIBER                      $1,283.00
       1111008108 LASER SLT FLUID/GAS CARTRIDGE      $498.00
       1111008109 LASER FIBER                      $2,522.00
       1111008111 LASER PROBE ENDO EYE             $1,283.00
       1111008112 LASER EYE PROTECTOR                $155.00
       1111008116 TUBE ENDOTRACHEAL                  $501.00
       1111008117 DRAIN WOUND                         $57.00
       1111008120 TUBING IRRIGATING                  $501.00
       1111008139 IMPLANT EAR TUBE                   $203.00
       1111008140 IMPLANT EAR TUBE                    $64.00
       1111008142 INJECTION INTRA CORDAL           $7,560.00
       1111008150 TUBE BILIARY T-TUBE                $131.00
       1111008151 TUBE BILIARY T TUBE                 $55.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         67
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       1111008160 IMPLANT EAR TUBE                  $282.00
       1111008165 IMPLANT TYMPANOPLASTY           $1,283.00
       1111008170 IMPLANT EAR TUBE                  $155.00
       1111008171 IMPLANT EAR TUBE                   $48.00
       1111008172 IMPLANT EAR TUBE                   $75.00
       1111008173 IMPLANT EAR TUBE                   $55.00
       1111008175 TUBE GASTROSTOMY                  $282.00
       1111008176 TUBE GASTROSTOMY                  $203.00
       1111008178 DRAIN PNEUMONECTOMY BALANCED    $1,283.00
       1111008179 DRAIN DAVOL TRIPLE LUMEN          $282.00
       1111008180 DRAIN WOUND                       $155.00
       1111008181 TUBE GASTROSTOMY                  $501.00
       1111008182 TOURNIQUET STERILE DISP           $282.00
       1111008183 TOURNIQUET STERILE DISP           $203.00
       1111008184 TOURNIQUET STERILE DISP           $155.00
       1111008185 TOURNIQUET TUBING STERILE          $43.00
       1111008186 TOURNIQUET VENA CAVA               $38.00
       1111008187 TOURNIQUET STERILE DISP            $64.00
       1111008188 TOURNIQUET STERILE DISP            $75.00
       1111008190 DRAIN WOUND                        $64.00
       1111008201 TUBE CULTURE                       $29.00
       1111008202 TUBE LUKI                          $29.00
       1111008210 VALVE AORTIC                    $7,776.00
       1111008211 VALVE AORTIC                   $17,713.00
       1111008212 VALVE AORTIC                   $16,895.00
       1111008240 VALVE AORTIC                   $12,314.00
       1111008241 VALVE AORTIC                   $12,559.00
       1111008242 VALVE AORTIC                   $13,783.00
       1111008243 VALVE AORTIC                   $14,217.00
       1111008257 VALVE AORTIC                   $12,285.00
       1111008258 VALVE MITRAL                   $12,285.00
       1111008259 VALVE MITRAL                   $16,895.00
       1111008270 VALVE MITRAL                    $7,776.00
       1111008300 VALVE MITRAL                   $12,314.00
       1111008301 PROST ANNULOPLASTY RING        $10,090.00
       1111008302 VALVE MITRAL                   $12,559.00
       1111008303 PROST ANNULOPLASTY RING         $5,851.00
       1111008304 VALVULOTOME                       $623.00
       1111008305 VALVULOTOME                     $1,283.00
       1111008306 VALVULOTOME                     $2,522.00
       1111008307 PROST ANNULOPLASTY RING         $7,776.00
       1111008308 VALVULOTOME                     $3,792.00
       1111008309 PROST ANNULOPLASTY RING        $12,285.00
       1111008310 VEIN STRIPPER DISP                 $75.00
       1111008315 DRAIN VENTRICULAR SET             $501.00
       1111008316 VIDEO TAPE                         $35.00
       1111008317 DRAIN VENTRICULAR SET             $623.00
       1111008320 VITROPHAGE                      $1,283.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        68
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1111008330 VITROPHAGE MINI                   $1,283.00
       1111008333 BOOTS MOON WALKER                   $623.00
       1111008350 WASHER                               $75.00
       1111008351 WASHER                              $155.00
       1111008352 WASHER                              $623.00
       1111008361 WIRE FIXATION                        $24.00
       1111008362 WIRE FIXATION                        $16.00
       1111008363 WIRE FIXATION                        $19.00
       1111008364 WIRE FIXATION                        $46.00
       1111008365 WIRE FIXATION                        $43.00
       1111008366 WIRE FIXATION                       $374.00
       1111008367 WIRE FIXATION                       $203.00
       1111008368 WIRE FIXATION                       $501.00
       1111008369 WIRE FIXATION                       $155.00
       1111008371 WIRE FIXATION                       $623.00
       1111008372 WIRE FIXATION                       $282.00
       1111008373 WIRE FIXATION                        $29.00
       1111008380 DRAIN WOUND SUCT SET                $203.00
       1111008390 SUCT TIP                             $24.00
       1111008399 HAIR CLIPPER DISP HEAD               $64.00
       1111008400 HAIR CLIPPER DISP HEAD               $24.00
       1111008401 SUCT CAUTERY                         $43.00
       1111008402 SUCT CAUTERY                         $48.00
       1111008403 SUCT CAUTERY                         $59.00
       1111008805 CPS CENTRIMED PUMP                $1,283.00
       1111008809 CPS CANNULA                       $2,522.00
       1111008810 CPS/VAD TUBING PACK               $5,851.00
       1111008811 CPS/VAD PERFUSION PACK            $1,283.00
       1117004505 SERVICES OUTSIDE REGULAR HOURS      $524.00
       1117004680 PACU LEVEL 1 FIRST 30 MIN           $744.00
       1117004690 PACU LEVEL 1 EACH ADD 15 MIN        $195.00
       1117004700 PACU LEVEL 2 1ST 30 MIN             $901.00
       1117004710 PACU LEVEL 2 EACH ADD 15 MIN        $247.00
       1117004720 PACU LEVEL 3 1ST 30 MIN           $1,014.00
       1117004730 PACU LEVEL 3 EACH ADD 15 MIN        $303.00
       1117004740 EXTENDED CARE 30 MIN                $118.00
       1117004750 BAIR HUGGER BLANKET                 $232.00
       1117004790 CARDIOVERSION                       $790.00
       1211000210 PREOP PROCEDURE LEVEL 1             $642.00
       1211000220 PREOP PROCEDURE LEVEL 2             $825.00
       1211000230 PREOP PROCEDRUE LEVEL 3             $968.00
       1211000240 POST PROC RECOVERY LEVEL 1STHR      $160.00
       1211000250 POST PROC RECOVERY LVL 2 1STHR      $299.00
       1211000260 POST PROC RECOVERY LVL 3 1STHR      $570.00
       1211000270 ADD HR POST PROC LEVEL 1            $118.00
       1211000280 ADD HR POST PROCEDURE LEVEL 2       $167.00
       1211000290 ADD HR POST PROC LEVEL 3            $165.00
       1211000310 EVAL IMPL PUMP W REPROGRAMMING      $109.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          69
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1214005000 LASER SURGERY 1 EYE               $1,318.00
       1214005010 LASER SURGERY 2 EYES              $1,494.00
       1214005060 LASER SURGERY OTHER                 $525.00
       1214005062 ENDO TRAC HEAL TUBE                 $526.00
       1214005075 CONTACT LASER PROBE                 $584.00
       1214005085 LASER SCALPEL                       $569.00
       1214006387 CO2 LASER OP DEPT                   $772.00
       1214006388 ARGON LASER OP DEPT                 $773.00
       1218000201 PRE PROCEDURE LEVEL II              $411.00
       1218000202 O/P OBSERVATION LEVEL I           $1,135.00
       1218000203 O/P OBSERVATION LEVEL II          $1,869.00
       1218000204 SPECIAL PROCEDURE                   $411.00
       1218000205 CARDIAC MONITOR PER HOUR             $45.00
       1218000206 DINAMAP                             $108.00
       1218000207 OP-A LEVEL I                         $52.00
       1218000208 OP-B LEVEL I                         $68.00
       1218000209 OP-C LEVEL I                         $85.00
       1218000210 OP-D LEVEL I                        $128.00
       1218000211 OP-E LEVEL I                        $166.00
       1218000212 OP-A LEVEL II                        $85.00
       1218000213 OP-B LEVEL II                       $128.00
       1218000214 OP-C LEVEL II                       $166.00
       1218000215 OP-D LEVEL II                       $210.00
       1218000216 OP-E LEVEL II                       $251.00
       1218000217 TRANSFUSION CARE 4 TO 8 HOURS       $728.00
       1218000218 TRANSFUSION CARE > 8 HOURS          $969.00
       1218000219 PRE PROCEDURE LEVEL I               $366.00
       1218000221 TRANSFUSION CARE < 4 HOURS          $384.00
       1218000599 HI RISK OBSRV,MIN 8 HRS PER HR      $102.00
       1218000600 PREOP PROCEDURE LEVEL 1             $642.00
       1218000601 PREOP PROCEDURE LEVEL 2             $825.00
       1218000602 PREOP PROCEDURE LEVEL 3             $968.00
       1218000603 POST PROC RECOVERY LVL1 1ST HR      $160.00
       1218000604 POST PROC RECOVERY LVL2 1ST HR      $299.00
       1218000605 POST PROC RECOVERY LVL3 1ST HR      $570.00
       1218000606 ADD HR POST PROC LEVEL 1            $108.00
       1218000607 ADD HR POST PROCEDURE LEVEL 2       $145.00
       1218000608 ADD HR POST PROCEDURE LEVEL 3       $165.00
       1218000610 EXTENDED RECOVERY PER HOUR          $299.00
       1218000611 IV THERAPY ADMIN UP TO 1 HOUR       $382.00
       1218000612 IV THERAPY ADMIN 1 TO 2 HOURS     $1,020.00
       1218000613 IV THERAPY ADMIN 2 TO 3 HOURS     $1,166.00
       1218000614 IV THERAPY 3 TO 4 HOURS           $1,315.00
       1218000615 IV THERAPY ADMIN 4 TO 5 HOURS     $1,462.00
       1218000616 IV THERAPY ADMIN 5 TO 6 HOURS     $1,611.00
       1218000617 IV THERAPY ADMIN 6 TO 7 HOURS     $1,758.00
       1218000618 IV THERAPY 7 TO 8 HOURS           $1,526.00
       1218000619 CIRCUMCISION NEWBORN                $699.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          70
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1218000620 BONE MARROW ASPIRATION              $930.00
       1218000621 DECLOTTING SHUNT                    $699.00
       1218000622 PARACENTESIS                      $1,393.00
       1218000623 IV INF EA ADDTL HR TO 8 HR           $97.00
       1218000624 THORACENTESIS                     $1,351.00
       1218000625 DECLOTTING CATHETER                 $945.00
       1218000626 INSERTION QUINTON CATHETER        $1,381.00
       1218000627 EXCHANGE OF G TUBE                  $755.00
       1218000628 INSERTION G TUBE                  $1,307.00
       1218000629 WET PHOLEBOTOMY                   $1,307.00
       1218000630 LUMBAR SACRAL INJECTION           $1,869.00
       1218000631 ADMINISTRATION INJECTION            $414.00
       1218000632 PELVIS LESION BIOPSY                $930.00
       1218000633 LYMPHO NODE BIOPSY                  $930.00
       1218000634 TUBE THORACOSTOMY W/WO H2OSEAL      $638.00
       1218000635 BONE BIOPSY                         $930.00
       1218000636 INSERTION CVP LINE                  $930.00
       1218000637 EPIDURAL BLOOD PATCH              $1,221.00
       1218000638 SPINAL TAP                        $1,163.00
       1218000639 LUNG MASS BIOPSY                    $755.00
       1218000641 EXCHANGE OF FOLEY CATHETER          $524.00
       1218000642 THORACIC EPIDURAL INJECTION       $1,869.00
       1218000643 ADMINIST SERIES INJECTION           $110.00
       1218000649 CHEMO INFUS. 1-8H EA ADD HR          $97.00
       1218000650 IV CHEMO ADMIN UP TO 1 HOUR         $382.00
       1218000651 IV CHEMO ADM ADDL 1 TO 2 HOURS    $1,020.00
       1218000652 IV CHEMO ADM ADDL 2 TO 3 HOURS      $933.00
       1218000653 IV CHEMO ADM ADDL 3 TO 4 HOURS    $1,052.00
       1218000654 IV CHEMO ADM ADDL 4 TO 5 HOURS    $1,462.00
       1218000655 IV CHEMO ADM ADDL 5 TO 6 HOURS    $1,288.00
       1218000656 IV CHEMO ADM ADDL 6 TO 7 HOURS    $1,758.00
       1218000657 IV CHEMO ADM ADDL 7 TO 8 HOURS    $1,908.00
       1218000658 RED BLOOD CELL ADMIN ONE UNIT     $1,309.00
       1218000659 RED BLOOD CELL ADMIN TWO UNITS    $1,744.00
       1218000660 RED BLOOD CELL ADM THREE UNITS    $2,179.00
       1218000661 REDBLOODCELL 1U ADM W DYSFEROL    $1,221.00
       1218000662 REDBLOODCELL 2U ADM W DYSFEROL    $1,961.00
       1218000663 REDBLOODCELL 3U ADM W DYSFEROL    $1,916.00
       1218000664 PLATELET ONE UNIT ADMIN             $524.00
       1218000665 PLATELET TWO UNITS ADMIN            $699.00
       1218000666 FRESH FROZEN PLASMA 1 UNIT ADM      $699.00
       1218000667 FRESH FROZN PLASMA 3 UNITS ADM    $1,155.00
       1218000668 FRESH FROZEN PLASMA 2 UNIT ADM      $930.00
       1218000669 OBSERVATION FIRST HOUR              $728.00
       1218000700 OBSERVATION EACH ADD HR             $290.00
       1218000701 PLATELET THREE UNIT ADMIN         $1,155.00
       1218000702 USE TREATMENT ROOM FIRST HOUR       $382.00
       1218000703 USE TREATMENT ROOM EACH ADD HR       $97.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          71
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       1218003011 OBSERVATION 1ST HR CCU             $165.00
       1218003035 OBSERVATION 1ST HR CAR             $102.00
       1218003037 OBSERVATION 1ST HR SDU              $55.00
       1218003071 OBSERVATION 1ST HR NICU             $67.00
       1218003173 OBSERVATION 1ST HR 5N.ONC           $76.00
       1218003182 OBSERVATION 1ST HR 4W.MS            $67.00
       1218003183 OBSERVATION 1ST HR 2M.MS            $63.00
       1218003184 OBSERVATION 1ST HR 2W.MS            $67.00
       1218003291 OBSERVATION 1ST HR PEDS             $65.00
       1218003402 OBSERVATION 1ST HR PERI             $55.00
       1218003441 OBSERVATION 1ST HR REHAB            $55.00
       1218003582 OBSERVATION 1ST HR TCC              $28.00
       1218093011 OBSERVATION ADD HR CCU             $165.00
       1218093035 OBSERVATION ADD HR CAR             $102.00
       1218093037 OBSERVATION ADD HR SDU              $55.00
       1218093071 OBSERVATION ADD HR NICU             $67.00
       1218093173 OBSERVATION ADD HR 5N.ONC           $76.00
       1218093182 OBSERVATION ADD HR 4W.MS            $67.00
       1218093183 OBSERVATION ADD HR 2M.MS            $67.00
       1218093184 OBSERVATION ADD HR 2W.MS            $67.00
       1218093291 OBSERVATION ADD HR PEDS             $65.00
       1218093402 OBSERVATION ADD HR PERI             $55.00
       1218093441 OBSERVATION ADD HR REHAB            $55.00
       1218093582 OBSERVATION ADD HR TCC              $28.00
       1411000110 EKG 12 LEAD COMPLETE               $324.00
       1411000111 EKG TECH ONLY                      $270.00
       1411000112 EKG 15 LEAD COMPLETE               $354.00
       1411000113 EKG 15 LEAD TECHNICAL ONLY         $300.00
       1411000114 EKG PEDIATRIC                      $300.00
       1411000115 EKG STAT COMPLETE                  $371.00
       1411000125 ECHO INTRAOPERATIVE                $744.00
       1411000130 STRESS TEST COMPLETE               $611.00
       1411000131 TILT TABLE STUDY                   $847.00
       1411000550 SIGNAL AVE EKG W/WO EKG            $359.00
       1411000560 ECHO DOPPLER INTERPRET/REP         $331.00
       1411000561 ECHO COLOR FLOW INTERPRET/REP      $488.00
       1411000565 ECHO TEE COMPLETE                $1,691.00
       1411000566 INTRA OP TEE                     $1,691.00
       1411000570 ECHO 2D WITH/WITHOUT M MODE      $1,026.00
       1411000572 ECHO STUDY LTD INTERPRET/RPT     $1,026.00
       1411000575 ECHO STRESS                      $1,090.00
       1411000576 ECHO CONGENITAL CARDIAC          $1,207.00
       1411000577 ECHO STRESS W PHARM INTER/RPT    $1,052.00
       1411000580 HOLTER 24 HR HOOK UP REC DIS       $887.00
       1411100125 ECHO INTRAOPERATIVE                $744.00
       1411100565 ECHO TEE COMPLETE                $1,691.00
       1411100566 INTRA OP TEE                     $1,691.00
       1411100570 ECHO 2D WITH/WITHOUT M MODE      $1,026.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         72
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       1411100575 ECHO STRESS                       $1,188.00
       1411100576 ECHO CONGENITAL CARDIAC           $1,207.00
       1411100577 ECHO STRESS W PHARM INTER/RPT     $1,052.00
       1416000535 DOPPLER SEG (PLETHSMOGRAPHY)        $717.00
       1416000540 DOPPLER W AND WO EXERCISE           $924.00
       1416000586 DUPLEX LOW EXT ART UNI LTD -RT    $1,227.00
       1416000588 DUPLEX AV SHUNT                     $653.00
       1416000590 DUPLEX LOW EXT ART UNI LTD -LT    $1,131.00
       1416000604 DUPLEX EXTREM VEN BILAT COMP      $1,305.00
       1416000606 DUPLEX LOW EXT ART BILAT COMP     $2,275.00
       1416000607 DUPLEX UP EXT ART BILAT COMP      $1,269.00
       1416000608 DUPLEX UP EXT ART UNI LTD-LEFT      $634.00
       1416000609 DUPLEX UP EXT ART UNI LTD - RT      $634.00
       1416000610 DUPLEX EXTREM VEN UNI LTD LEFT      $653.00
       1416000611 DUPLEX EXTREM VEN UNI LTD - RT      $653.00
       1416000650 CAROTID DOPPLER                   $1,448.00
       1416000652 DUPLEX CAROTID LIMITED - LEFT       $493.00
       1416000653 DUPLEX CAROTID LIMITED - RIGHT      $493.00
       1611000200 EEG 1.5 HR                          $537.00
       1611000201 SER-DERMATONE 1-5 NERVES            $317.00
       1611000207 EEG PORTABLE 1.8 HR                 $582.00
       1611000210 EEG SLEEP 2.75 HR                   $555.00
       1611000211 EEG SLEEP DEPRIVED 2.75 HR          $541.00
       1611000220 BSER EVALUATION NEURO .5-2 HR       $440.00
       1611000230 SOMATOSENSORY EP UPPER 1.5 HR       $324.00
       1611000240 VISUAL EVOKED RESPONSE EVAL         $284.00
       1611000250 EEG CEREBRAL DEATH EVAL             $554.00
       1611000270 SOMATOSENSORY E.P. LOWER            $354.00
       1611000280 SURG MONT OF EP/HR                  $492.00
       1611000281 24 HR EEG                         $1,055.00
       1611000400 EMG TWO EXTREMITIES                 $427.00
       1611000430 EMG ONE EXTREMITY                   $275.00
       1611000440 EMG THREE EXTREMITIES               $464.00
       1611000450 NERVE CONDUCTION MOTOR E NERVE       $82.00
       1611000460 NERVE CONDUCTION SENSORY E NRV       $82.00
       2213001570 PREOP NEEDLE PLACEMENT SINGLE       $133.00
       2213001571 PREOP NEEDLE PLACEMENT ADDL         $133.00
       2213001572 BREAST NEEDLE LOCAL SINGLE          $180.00
       2213001573 BREAST NEEDLE LOCAL MULTI SITE      $580.00
       2213001574 BREAST NEEDLE LOCAL SINGLE -LT      $180.00
       2213001575 BREAST NEEDLE LOCAL MULTI-LEFT      $580.00
       2213001576 BREAST NEEDLE LOCAL SINGLE -RT      $180.00
       2213001577 BREAST NEEDLE LOCAL MULTI - RT      $580.00
       2213001580 PULSE OXIMETRY                       $51.00
       2213001581 CARDIAC MONITORING                   $51.00
       2213001590 SPINAL CANAL & CONTENTS             $513.00
       2213001599 CEREBRAL CONTENTS                   $308.00
       2213001610 BIOPSY BREAST - CORE                $211.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          73
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2213001611 CORE NEEDLE                         $396.00
       2213001612 BIOPSY BREAST CORE - LEFT           $211.00
       2213001613 CORE NEEDLE - LEFT                  $396.00
       2213001614 BIOPSY BREAST CORE - RIGHT          $211.00
       2213001615 CORE NEEDLE - RIGHT                 $396.00
       2213001620 BIOPSY ASPIRATION ABDOMEN           $211.00
       2213001621 BIOPSY ABDOMEN PERC NEEDLE          $412.00
       2213001632 BIOPSY ASPIRATION LIVER             $211.00
       2213001633 BIOPSY LIVER PERC NEEDLE            $412.00
       2213001640 BIOPSY ASP RETROPERITONEAL          $211.00
       2213001641 BIOPSY RETROPERITONEAL MASS         $396.00
       2213001642 BIOPSY ASP THYROID                  $211.00
       2213001643 BIOPSY THYROID PERC NEEDLE          $412.00
       2213001644 BIOPSY ASP SALIVARY                 $211.00
       2213001645 BIOPSY SALIVARY PERC NEEDLE         $396.00
       2213001700 ABDOMEN COMPLETE                    $631.00
       2213001705 US GUIDED PERC CHOL TUBE PLACE      $559.00
       2213001706 PERC CHOLECYSTOTOMY TUBE PLACE    $1,459.00
       2213001710 ABDOMEN LIMITED                     $405.00
       2213001715 APPENDIX                            $405.00
       2213001720 AORTA                               $562.00
       2213001726 BREAST UNILATERAL - LEFT            $268.00
       2213001727 BREAST BILATERAL                    $404.00
       2213001728 BREAST UNILATERAL - RIGHT           $268.00
       2213001730 EXTREMITY NON VASCULAR              $399.00
       2213001750 RENAL                               $549.00
       2213001755 RENAL TRANSPLANT                    $549.00
       2213001780 NEONATAL HEAD                       $513.00
       2213001790 OB COMPLETE                         $615.00
       2213001791 BIOPHYSICAL PROFILE                 $319.00
       2213001805 OB MULTI GESTATION                  $805.00
       2213001810 OB LIMITED                          $321.00
       2213001811 OB FOLLOW-UP/REPEAT                 $307.00
       2213001820 UNLISTED ULTRASOUND PROCEDURE       $408.00
       2213001830 OPHTHALMIC BIOMETRY ECHOGRAPHI      $222.00
       2213001840 OPHTHALMIC ECHOGRAPHY BILATERA      $500.00
       2213001850 OPTHALMIC ECHOGRAPHY UNI            $409.00
       2213001870 PELVIC                              $592.00
       2213001871 HYSTERO SONOGRAPHY                  $213.00
       2213001872 INJECTION HYSTERO                   $440.00
       2213001875 TRANSVAGINAL PELVIS                 $213.00
       2213001880 DUPLEX ABDOMEN/PELVIS               $728.00
       2213001881 DUPLEX ABDOMEN/PELVIS LTD           $581.00
       2213001882 BIOPSY ASP RENAL - LEFT             $211.00
       2213001883 GUIDE CYST ASP KIDNEY - LEFT        $211.00
       2213001888 GUIDE THORACENTESIS - RIGHT         $211.00
       2213001889 AMNIOCENTESIS ANY METHOD            $211.00
       2213001890 AMNIOCENTESIS                       $440.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          74
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2213001891 BIOPSY ASP RENAL                    $211.00
       2213001892 GUIDE CYST ASP BREAST               $211.00
       2213001894 GUIDE CYST ASP BREAST - LEFT        $211.00
       2213001895 CHEST                               $181.00
       2213001896 GUIDE ABSCESS SUBDIAPHRAGM          $434.00
       2213001897 BIOPSY ASP RENAL - RIGHT            $211.00
       2213001898 GUIDE CYST ASP BREAST - RIGHT       $211.00
       2213001899 PUNCTURE/ASPIR BREAST - LEFT        $322.00
       2213001901 GUIDE CYST ASP KIDNEY               $211.00
       2213001902 ASPIR AND/OR INJ RENAL CYST         $309.00
       2213001903 GUIDE CYST ASPIRATION LIVER         $211.00
       2213001904 DRAINAGE ABSCESS OR CYST            $309.00
       2213001905 ASP AND/OR INJ RENAL CYST-LEFT      $309.00
       2213001906 GUIDE CYST ASP KIDNEY - RIGHT       $211.00
       2213001907 GUIDE CYST ASPIRATION PANCREAS      $211.00
       2213001908 DRAINAGE PSEUDOCYST PANCREAS        $309.00
       2213001909 GUIDE CYST ASP THYROID              $211.00
       2213001910 PUNCTURE/ASPIR BREAST - RIGHT       $322.00
       2213001911 CYST ASPIRATION THYROID             $309.00
       2213001913 ASP AND/OR INJ RENAL CYST - RT      $309.00
       2213001914 DRAIN SUBDIAPHRAGMATIC ABSCESS      $348.00
       2213001915 GUIDE ABSCESS LIVER                 $434.00
       2213001916 DRAINAGE LIVER ABSCESS              $348.00
       2213001917 GUIDE RETROPERITONEAL ABCESS        $434.00
       2213001918 DRAINAGE RETROPERITONEAL ABSCE      $348.00
       2213001919 GUIDE CYST ASP THYROID - LEFT       $211.00
       2213001920 GUIDE CYST ASP THYROID - RIGHT      $211.00
       2213001921 CYST ASPIRATION THYROID - LT        $309.00
       2213001922 CYST ASPIRATION THYROID - RT        $309.00
       2213001923 GUIDE PERITONEAL ABSCESS            $434.00
       2213001924 DRAINAGE PERITONEAL                 $348.00
       2213001930 GUIDE PARACENTESIS/ABDOMEN          $211.00
       2213001931 ABDOMINAL PARACENTESIS              $276.00
       2213001934 DRAIN/FLUID COLLECTION              $354.00
       2213001935 THORACENTESIS - RIGHT               $276.00
       2213001940 SCROTUM                             $607.00
       2213001950 NECK SOFT TISSUES                   $562.00
       2213001994 DUPLEX UP EXT/ART/UNI/LTD           $481.00
       2213001995 DUPLEX UP/EXT/ART BILAT/COM         $684.00
       2213001996 PSEUDOANEURYSM COMPRESS             $894.00
       2213001997 DUPLEX UP EXT/ART/UNI/LTD - RT      $481.00
       2213002000 DUPLEX LOW EXT/ART/BILAT/COM        $684.00
       2213002001 GUIDE THORACENTESIS - LEFT          $211.00
       2213002002 DUPLEX UP EXT/ART/UNI/LTD-LEFT      $481.00
       2213002003 DUPLEX EXT/VEN/UNI/LTD - LEFT       $505.00
       2213002004 THORACENTESIS - LEFT                $276.00
       2213002010 TRANSRECTAL PROSTATE                $615.00
       2213002020 ECHO TRANSVAGINAL                   $370.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          75
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2213002030 INTRAOPERATIVE SONOGRAM             $314.00
       2213002034 DUPLEX EXT/VEN/UNI/LTD - RIGHT      $505.00
       2213002035 DUPLEX EXT/VEN/UNI/LTD              $505.00
       2213002036 DULEX LOW EXT ART UNI LTD           $505.00
       2213002040 DUPLEX AORTA/IVC/ILIACS             $705.00
       2213002045 GUIDANCE VASCULAR ACCESS            $609.00
       2213002050 BIOPSY ASP THYROID - RIGHT          $211.00
       2213002055 BIOPSY THYROID PERC NEEDLE -RT      $396.00
       2213002056 BIOPSY THYROID PERC NEEDLE -LT      $396.00
       2213002060 BIOPSY ASP THYROID - LEFT           $211.00
       2213002070 BLADDER ULTRASOUND                  $592.00
       2213002100 BIOPSY TRAY                         $198.00
       2213002110 BIOPSY INSTRUMENT                   $228.00
       2213002120 BIOPSY NEEDLE                       $131.00
       2213101572 BREAST NEEDLE LOCAL SINGLE          $404.00
       2213101573 BREAST NEEDLE LOCAL MULTI SITE      $580.00
       2213101574 BREAST NEEDLE LOCAL SINGLE -LT      $422.00
       2213101575 BREAST NEEDLE LOCAL MULTI-LEFT      $605.00
       2213101576 BREAST NEEDLE LOCAL SINGLE -RT      $422.00
       2213101577 BREAST NEEDLE LOCAL MULTI - RT      $580.00
       2213101610 BIOPSY BREAST - CORE                $211.00
       2213101611 CORE NEEDLE                         $396.00
       2213101612 BIOPSY BREAST CORE - LEFT           $211.00
       2213101614 BIOPSY BREAST CORE - RIGHT          $211.00
       2213101620 BIOPSY ASPIRATION ABDOMEN           $211.00
       2213101632 BIOPSY ASPIRATION LIVER             $211.00
       2213101640 BIOPSY ASP RETROPERITONEAL          $211.00
       2213101642 BIOPSY ASP THYROID                  $211.00
       2213101644 BIOPSY ASP SALIVARY                 $211.00
       2213101700 ABDOMEN COMPLETE                    $631.00
       2213101705 US GUIDED PERC CHOL TUBE PLACE      $606.00
       2213101720 AORTA                               $562.00
       2213101750 RENAL                               $549.00
       2213101871 HYSTERO SONOGRAPHY                  $213.00
       2213101882 BIOPSY ASP RENAL - LEFT             $211.00
       2213101883 GUIDE CYST ASP KIDNEY - LEFT        $211.00
       2213101888 GUIDE THORACENTESIS - RIGHT         $211.00
       2213101891 BIOPSY ASP RENAL                    $211.00
       2213101892 GUIDE CYST ASP BREAST               $211.00
       2213101894 GUIDE CYST ASP BREAST - LEFT        $211.00
       2213101897 BIOPSY ASP RENAL - RIGHT            $211.00
       2213101898 GUIDE CYST ASP BREAST - RIGHT       $211.00
       2213101901 GUIDE CYST ASP KIDNEY               $211.00
       2213101903 GUIDE CYST ASPIRATION LIVER         $211.00
       2213101906 GUIDE CYST ASP KIDNEY               $211.00
       2213101907 GUIDE CYST ASPIRATION PANCREAS      $211.00
       2213101909 GUIDE CYST ASP THYROID              $211.00
       2213101915 GUIDE ABSCESS LIVER                 $434.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          76
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2213101917 GUIDE RETROPERITNEAL ABCESS         $434.00
       2213101919 GUIDE CYST ASP THYROID - LEFT       $211.00
       2213101920 GUIDE CYST ASP THYROID - RIGHT      $211.00
       2213101923 GUIDE PERITONEAL ABSCESS            $434.00
       2213101930 GUIDE PARACENTESIS/ABDOMEN          $211.00
       2213101940 SCROTUM                             $607.00
       2213102001 GUIDE THORACENTESIS - LEFT          $211.00
       2213102050 BIOPSY ASP THYROID - RIGHT          $211.00
       2213102060 BIOPSY ASP THYROID - LEFT           $211.00
       2611001700 ABDOMINAL AORTOGRAPHY             $1,736.00
       2611001710 ABDOMINAL AORTOGRAM W/RUNOFF      $1,972.00
       2611001720 ANGIO EXTREMITY UNILATERAL LT     $1,892.00
       2611001730 ANGIO EXTREMITY UNILATERAL RT     $1,892.00
       2611001740 ANGIO EXTREMITY BILATERAL         $1,903.00
       2611001900 SUPERIOR VENACAVAGRAM               $893.00
       2611001901 CENTRAL VENOUS CATHETER PLACE       $893.00
       2611001902 PERCUTANEOUS DRAINAGE ABSCESS     $1,473.00
       2611008100 GLUCAGON 1MG                        $373.00
       2612000107 ABDOMEN COMPLETE-FLAT/UPRIGHT       $271.00
       2612000110 ABDOMEN/OBLIQUE/CONE                $260.00
       2612000120 ABDOMEN COMPLETE W PA CHEST         $352.00
       2612000130 ABDOMEN 1 VIEW                      $183.00
       2612000141 AC JOINTS - LEFT                    $315.00
       2612000142 AC JOINTS - RIGHT                   $315.00
       2612000150 ANGIOGRAM OPERATIVE EA VESSEL     $1,736.00
       2612000151 ANGIOGRAM OP EXTREM RT UPPER      $1,736.00
       2612000152 ANGIOGRAM OP EXTREM LT UPPER      $1,736.00
       2612000153 ANGIOGRAM OP EXTREM RT LOWER      $1,736.00
       2612000154 ANGIOGRAM OP EXTREM LT LOWER      $1,736.00
       2612000160 ANKLE ARTHROGRAM                    $290.00
       2612000161 ANKLE ARTHROGRAM - LEFT             $290.00
       2612000162 ARTHROGRAM ANKLE INJ                $221.00
       2612000163 ARTHROGRAM ANKLE INJ - LEFT         $221.00
       2612000164 ANKLE ARTHROGRAM - RIGHT            $290.00
       2612000165 ARTHROGRAM ANKLE INJ - RIGHT        $221.00
       2612000171 ANKLE COMPLETE MIN 3 VIEW-LEFT      $263.00
       2612000172 ANKLE COMPLETE MIN 3 VIEWS -RT      $263.00
       2612000181 ANKLE AP & LAT - LEFT               $197.00
       2612000182 ANKLE AP & LAT - RIGHT              $197.00
       2612000190 BONE AGE STUDIES                    $271.00
       2612000200 BONE SCANOGRAM LENGTH STUDIES       $319.00
       2612000205 BONE SURVEY METABOLIC               $386.00
       2612000210 BONE SURVEY                         $624.00
       2612000211 BONE SURVEY INFANT                  $546.00
       2612000230 BRONCHOGRAM BILATERAL               $305.00
       2612000240 BRONCHOGRAM UNILATERAL              $201.00
       2612000243 INJ PROC BRONCHOGRAM                $382.00
       2612000245 SPINE SINGLE PROJECTION             $209.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          77
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612000250 CERVICAL SPINE AP & LAT             $277.00
       2612000255 CERVICAL SPINE FLEX & EXT ONLY      $270.00
       2612000260 CERVICAL SPINE COMPLETE             $449.00
       2612000270 CERVICAL SPINE W FLEX/EXT           $550.00
       2612000280 CHEST COMPLETE 4 VIEWS              $306.00
       2612000300 CHEST 1 VIEW                        $179.00
       2612000306 CHEST DECUBITUS 1 VIEW              $183.00
       2612000307 CHEST DECUBITUS BILATERAL           $253.00
       2612000308 CHEST W APICAL LORDOTIC             $277.00
       2612000310 CHEST W OBLIQUES                    $299.00
       2612000320 CHEST TWO VIEWS AP/PA & LAT         $252.00
       2612000330 CHOLANGIOGRAM IV                    $652.00
       2612000338 ENDOSCOPIC CATH BILIARY             $434.00
       2612000339 ENDOSCOPIC CATH PANCREATIC          $434.00
       2612000340 ENDOSCOPIC CATH BILIARY/PA          $434.00
       2612000341 ENDOSCOPIC PROCEDURE                $557.00
       2612000350 CHOLANGIOGRAM - OPERATIVE           $561.00
       2612000360 CHOLANGIOGRAM-TRANSHEPATIC          $434.00
       2612000361 INJ PROC TRANS HEPATIC CHOLE        $622.00
       2612000370 CHOLANGIOGRAM-T-TUBE                $109.00
       2612000371 INJ PROC T-TUBE                     $413.00
       2612000390 CHOLECYSTOGRAM-ORAL CONTRAST        $396.00
       2612000400 CISTERNOGRAPHY                      $205.00
       2612000401 INJ FOR CISTERNOGRAPHY              $485.00
       2612000411 CLAVICLE - LEFT                     $238.00
       2612000412 CLAVICLE - RIGHT                    $238.00
       2612000420 BARIUM ENEMA W AIR CONTRAST         $696.00
       2612000430 BARIUM ENEMA-COLON                  $506.00
       2612000440 BARIUM ENEMA GASTRO/HYPAQUE         $572.00
       2612000450 CYSTOGRAM                           $145.00
       2612000451 CYSTOGRAM/POUCHOGRAM                $322.00
       2612000452 CYSTOGRAM INJECTION PROCEDURE       $236.00
       2612000471 ARTHROGRAM ELBOW - LEFT             $337.00
       2612000472 ARTHROGRAM ELBOW INJECTION          $283.00
       2612000473 ARTHROGRAM ELBOW INJ - LEFT         $283.00
       2612000474 ARTHROGRAM ELBOW - RIGHT            $337.00
       2612000475 ARTHROGRAM ELBOW INJ - RIGHT        $283.00
       2612000481 ELBOW COMPLETE MIN 3 VIEW-LEFT      $277.00
       2612000482 ELBOW COMPLETE MIN 3 VIEWS -RT      $277.00
       2612000491 ELBOW 2 VIEWS - LEFT                $209.00
       2612000492 ELBOW 2 VIEWS - RIGHT               $209.00
       2612000510 ESOPHAGRAM                          $359.00
       2612000520 ESOPHAGRAM/GASTRO                   $511.00
       2612000560 FACIAL BONES COMPLETE               $429.00
       2612000570 FACIAL BONES LIMITED                $315.00
       2612000580 NASAL BONES COMPLETE                $271.00
       2612000591 FEMUR - LEFT                        $273.00
       2612000592 FEMUR - RIGHT                       $273.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          78
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612000601 FINGER MIN 2 VIEW -LEFT THUMB       $173.00
       2612000602 FINGER MIN 2 VIEW-LEFT SECOND       $173.00
       2612000603 FINGER MIN 2 VIEW - LEFT THIRD      $173.00
       2612000604 FINGER MIN 2 VIEW-LEFT FOURTH       $173.00
       2612000605 FINGER MIN 2 VIEW - LEFT FIFTH      $173.00
       2612000606 FINGER MIN 2 VIEW-RIGHT SECOND      $173.00
       2612000607 FINGER MIN 2 VIEW-RIGHT THIRD       $173.00
       2612000608 FINGER MIN 2 VIEW-RIGHT FOURTH      $173.00
       2612000609 FINGER MIN 2 VIEW-RIGHT FIFTH       $173.00
       2612000610 FISTULA SINUS TRACT                 $145.00
       2612000611 FISTULA SINUS TRACT INJECTION       $489.00
       2612000612 FINGER MIN 2 VIEW -RIGHT THUMB      $173.00
       2612000620 CHEST LOC TRANS BX BRUSHING         $173.00
       2612000630 FLUORO-LOC NEEDLE BIOPSY            $859.00
       2612000640 FLUOROSCOPY LESS 15 MIN             $390.00
       2612000645 FLUOROSCOPY MORE THAN 1 HR        $1,137.00
       2612000646 FLUOROSCOPIC GUIDANCE               $233.00
       2612000647 SPINAL PUNCTURE LUMBAR DIAG          $70.00
       2612000655 FLUOROSCOPY UP TO 1 HR              $213.00
       2612000667 FACET INJ FLUORO                    $158.00
       2612000681 FOOT COMPLETE MIN 3 VIEWS-LEFT      $251.00
       2612000682 FOOT COMPLETE MIN 3 VIEWS -RT       $251.00
       2612000691 FOOT LIMITED 2 VIEWS - LEFT         $187.00
       2612000692 FOOT LIMITED 2 VIEWS - RIGHT        $187.00
       2612000701 FOREARM - LEFT                      $220.00
       2612000702 FOREARM - RIGHT                     $220.00
       2612000711 HAND-COMPLETE MIN 3 VIEWS-LEFT      $261.00
       2612000712 HAND-COMPLETE MIN 3 VIEWS -RT       $261.00
       2612000721 HAND-LIMITED 2 VIEWS - LEFT         $187.00
       2612000722 HAND-LIMITED 2 VIEWS - RIGHT        $187.00
       2612000740 ARTHROGRAM HIP                      $290.00
       2612000742 ARTHROGRAM HIP - LEFT               $290.00
       2612000743 ARTHROGRAM HIP INJ - LEFT           $198.00
       2612000744 ARTHROGRAM HIP - RIGHT              $290.00
       2612000745 ARTHROGRAM HIP INJ - RIGHT          $198.00
       2612000751 HIP COMP-INC AP PELVIS - LEFT       $315.00
       2612000752 HIP COMP-INC AP PELVIS -RIGHT       $315.00
       2612000771 HIP IN SURGERY - LEFT               $526.00
       2612000772 HIP IN SURGERY - RIGHT              $526.00
       2612000779 HIP UNILATERAL 2 VIEWS - LEFT       $243.00
       2612000782 HIP UNILAT 1 VIEW - LEFT            $162.00
       2612000783 HIP UNILATERAL 2 VIEWS - RIGHT      $243.00
       2612000784 HIP UNILAT 1 VIEW - RIGHT           $162.00
       2612000790 HIPS BILAT COMPLETE INC PELVIS      $415.00
       2612000800 HIP BILAT INFANT OR CHILD           $194.00
       2612000811 HUMERUS - LEFT                      $220.00
       2612000812 HUMERUS - RIGHT                     $220.00
       2612000820 HYSTEROSALPINGOGRAM                 $180.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          79
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612000821 HYSTEROSALPINGOGRAM INJ             $513.00
       2612000840 ARTHROGRAM KNEE                     $363.00
       2612000841 ARTHROGRAM KNEE - LEFT              $363.00
       2612000842 ARTHROGRAM KNEE INJ                 $156.00
       2612000843 ARTHROGRAM KNEE INJ - LEFT          $150.00
       2612000844 ARTHROGRAM KNEE - RIGHT             $363.00
       2612000845 ARTHROGRAM KNEE INJ - RIGHT         $150.00
       2612000851 KNEE MIN 4 VIEWS - LEFT             $277.00
       2612000852 KNEE MIN 4 VIEWS - RIGHT            $277.00
       2612000855 KNEE COMPLETE MIN 3 VIEW            $223.00
       2612000856 KNEE COMPLETE MIN 3 VIEW-LEFT       $233.00
       2612000857 KNEE COMP MIN 3 VIEW - RIGHT        $233.00
       2612000861 KNEE 2 VIEWS - LEFT                 $194.00
       2612000862 KNEE 2 VIEWS - RIGHT                $194.00
       2612000863 KNEES AP STANDING ONLY              $101.00
       2612000870 LARYNGOGRAPHY/CONTRAST              $246.00
       2612000871 INSTILLATION CONTRAST               $176.00
       2612000880 LUMBAR SPINE AP/LAT                 $315.00
       2612000885 LUMBAR SPINE-BEND ONLY 4 VIEWS      $403.00
       2612000890 LUMBAR SPINE W BENDING VIEWS        $662.00
       2612000900 LUMBAR SPINE W OBLIQUES             $483.00
       2612000910 LYMPHANGIOGRAM EXTREMITY UNI        $751.00
       2612000912 LYMPHANGIOGRAM EXTREMITY LEFT       $751.00
       2612000913 LYMPHANGIOGRAM INJ PROC - LEFT      $408.00
       2612000914 LYMPHANGIOGRAM EXTREM UNI - RT      $751.00
       2612000915 LYMPHANGIOGRAM INJECT PROC -RT      $408.00
       2612000920 LYMPHANGIOGRAM PEL/BILAT/AB         $841.00
       2612000930 MANDIBLE COMPLETE MIN 4 VIEWS       $424.00
       2612000940 MANDIBLE LESS THAN 4 VIEWS          $277.00
       2612000950 MASTOIDS COMPLETE MIN 3 VIEWS       $506.00
       2612000960 MASTOIDS LESS THAN 3 VIEWS          $252.00
       2612000980 MYELOGRAM ENTIRE SPINAL CAN         $841.00
       2612000990 MYELOGRAM-CERVICAL                  $654.00
       2612000992 MYELOGRAM-THORACIC                  $597.00
       2612000994 MYELOGRAM-LUMBAR                    $562.00
       2612000996 INJ PROCEDURE MYELOGRAM             $527.00
       2612001020 NECK SOFT TISSUES                   $194.00
       2612001030 NEPHROTOMOGRAPHY                    $797.00
       2612001040 OPTIC FORAMEN                       $162.00
       2612001041 ORBITS                              $429.00
       2612001050 ORTHOPANTOMOGRAM                    $175.00
       2612001061 HEEL OS CALCIS/CALCANEUS-LEFT       $194.00
       2612001062 HEEL OS CALCIS/CALCANEUS - RT       $194.00
       2612001070 SINUS SERIES MIN 3 VIEWS            $460.00
       2612001080 SINUS SERIES LESS THAN 3 VIEWS      $228.00
       2612001100 PELVIS COMPLETE                     $352.00
       2612001110 PELVIS AP                           $220.00
       2612001115 PERITONEOGRAM AIR                   $180.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          80
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612001116 INJ PROC FOR PERITONEOGRAM          $436.00
       2612001130 TOMOGRAM INDEPEND PROCEDURE         $210.00
       2612001150 PYELOGRAM-ANTEGRADE                 $180.00
       2612001151 INJ PROC PYELOGRAPHY                $374.00
       2612001160 RETROGRADE UROGRAPHY                $610.00
       2612001166 GUIDE PERITONEAL ABSCESS            $434.00
       2612001170 RIBS BILAT 3 VIEWS                  $391.00
       2612001181 RIBS UNILATERAL 2 VIEWS - LEFT      $322.00
       2612001182 RIBS UNILATERAL 2 VIEWS -RIGHT      $322.00
       2612001190 SACROILIAC JOINTS MIN 3 VIEWS       $337.00
       2612001200 SACRUM/COCCYX                       $297.00
       2612001210 SALIVARY GLANDS FOR CALCULUS        $167.00
       2612001221 SCAPULA - LEFT                      $277.00
       2612001222 SCAPULA - RIGHT                     $277.00
       2612001230 SCOLIOSIS SERIES ERECT/SUPINE       $255.00
       2612001240 SELLA TURCICA                       $155.00
       2612001250 SHOULDER ARTHROGRAM                 $290.00
       2612001251 SHOULDER ARTHROGRAM - LEFT          $290.00
       2612001252 SHOULDER INJ ARTHROGRAM -RIGHT      $207.00
       2612001254 SHOULDER INJ ARTHROGRAM - LEFT      $207.00
       2612001256 SHOULDER COMP MIN 2 VIEWS-LEFT      $273.00
       2612001257 SHOULDER ARTHROGRAM - RIGHT         $290.00
       2612001258 SHOULDER COMP MIN 2 VIEWS - RT      $273.00
       2612001261 SHOULDER 1 VIEW - LEFT              $197.00
       2612001262 SHOULDER 1 VIEW - RIGHT             $197.00
       2612001270 SIALOGRAM                           $246.00
       2612001271 INJ PROC SIALOGRAPHY                $271.00
       2612001280 SKULL COMPLETE MIN 4 VIEWS          $365.00
       2612001290 SKULL LESS THAN 3 VIEWS             $263.00
       2612001300 SMALL BOWEL SERIES                  $797.00
       2612001310 SMALL BOWEL SERIES-GASTRO           $689.00
       2612001321 STERNOCLAVICULAR JTS-MIN 3 -LT      $190.00
       2612001322 STERNOCLAVICULAR JTS MIN 3 -RT      $190.00
       2612001330 STERNUM                             $273.00
       2612001340 SURGICAL SPECIMEN                   $340.00
       2612001345 ESOPHAGRAM SWALLOW FUNCTION         $276.00
       2612001350 TEMPOROMANDIBULAR JOINT BILAT       $397.00
       2612001360 THORACIC AP/LAT INC SWIM VIEW       $315.00
       2612001370 THORACIC-LUMBAR SPINE AP/LAT        $315.00
       2612001381 TIBIA/FIBULA - LEFT                 $228.00
       2612001382 TIBIA/FIBULA - RIGHT                $228.00
       2612001392 TOE - LEFT GREAT                    $173.00
       2612001393 TOE - LEFT SECOND                   $173.00
       2612001394 TOE - LEFT THIRD                    $173.00
       2612001395 TOE - LEFT FOURTH                   $173.00
       2612001396 TOE - LEFT FIFTH                    $173.00
       2612001397 TOE - RIGHT SECOND                  $173.00
       2612001398 TOE - RIGHT THIRD                   $173.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          81
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612001399 TOE - RIGHT FOURTH                  $173.00
       2612001400 TRANSLUMBAR RENAL CYST STUDY        $265.00
       2612001401 TOE - RIGHT FIFTH                   $173.00
       2612001402 TOES - GREAT RIGHT                  $173.00
       2612001410 UPPER GI SERIES W KUB               $565.00
       2612001411 INTRODUCTION LONG GI TUBE           $363.00
       2612001412 INTRO GI TUBE                       $209.00
       2612001420 UPPER GI W GASTRO                   $568.00
       2612001425 UPPER GI SERIES W AIR CON KUB       $587.00
       2612001430 UPPER GI SERIES & SMALL BOWEL       $772.00
       2612001435 UPPER GI & SMALL BOWEL W/AIR        $774.00
       2612001440 URETHROCYSTOGRAM RETROGRAM          $201.00
       2612001441 INJ PROC URETHROCYSTOGRAPHY         $374.00
       2612001450 VOIDING CYSTOURETHROGRAM            $219.00
       2612001451 INJ PROC VOID/URET/CYSTO            $527.00
       2612001460 IVP - LIMITED                       $371.00
       2612001475 IVP WITH TOMO                     $1,139.00
       2612001480 INTRAVENOUS PYELOGRAM               $673.00
       2612001501 VENOGRAM UNILATERAL - LEFT          $131.00
       2612001502 VENOGRAM UNILATERAL - RIGHT         $131.00
       2612001511 VENOGRAM BILATERAL                  $204.00
       2612001515 SINUS WATERS VIEW                   $150.00
       2612001521 ARTHROGRAM WRIST - LEFT             $353.00
       2612001522 ARTHROGRAM WRIST INJECTION          $458.00
       2612001523 ARTHROGRAM WRIST INJ - LEFT         $458.00
       2612001524 ARTHROGRAM WRIST - RIGHT            $353.00
       2612001525 ARTHROGRAM WRIST INJECT -RIGHT      $458.00
       2612001531 WRIST COMPLETE MIN 3 VIEWS-LT       $277.00
       2612001533 NAVICULAR SERIES - LEFT             $271.00
       2612001534 WRIST COMPLETE MIN 3 VIEWS -RT      $277.00
       2612001535 NAVICULAR SERIES - RIGHT            $271.00
       2612001541 WRIST 2 VIEWS - LEFT                $187.00
       2612001542 WRIST 2 VIEWS - RIGHT               $187.00
       2612001545 CONSULTING RPT OUTSIDE FILM          $79.00
       2612001603 INJECTION PROCEDURE - LEFT           $53.00
       2612001604 INJECTION PROCEDURE - RIGHT          $53.00
       2612001615 PULSE OXIMETRY                       $51.00
       2612001620 CARDIAC MONITORING                   $51.00
       2612001668 EPIDURAL - LUMBAR INJ (FLUORO)      $178.00
       2612001669 EPIDURAL - CERV INJ (FLUORO)        $178.00
       2612001670 EPIDURAL INJECTION (CERVICAL)       $845.00
       2612001700 MYELOGRAM TRAY 20 G                  $59.00
       2612001701 MYELOGRAM TRAY 18 G                  $58.00
       2612001702 ARTHROGRAM TRAY                      $53.00
       2612001770 EPIDURAL INJECTION (LUMBAR)         $920.00
       2612001771 DACROCYSTOGRAPHY - LEFT             $154.00
       2612001772 INJECT PROC DACROCYSTOGRAPHY        $244.00
       2612001773 DACROCYSTOGRAPHY - RIGHT            $154.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          82
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612001800 CHEST WITH FLUOROSCOPY              $296.00
       2612001810 EMPLOYEE CHEST X-RAY                $101.00
       2612001820 CHEST X-RAY (PORTABLE 1 VIEW)       $377.00
       2612001830 UPPER GI SERIES W/O KUB             $538.00
       2612001840 UPPER GI SERIES W/AIR-W/O KUB       $538.00
       2612001850 INJECTION MAJOR JOINT OR BURSA      $197.00
       2612001851 PERC DRAIN OR INJ RENAL PELVIS    $1,079.00
       2612001852 DILAT NEPH\URETER\URETHRA RT        $436.00
       2612001853 DILAT NEPH\URETER\URETHRA LT        $436.00
       2612001854 PERC INTRO GUIDE RENAL\URET LT    $1,043.00
       2612001855 PERC INTRO GUIDE RENAL\URET RT    $1,043.00
       2612001856 PERC NEPHROSTOMY DRAIN\INJ RT       $562.00
       2612001857 PERC NEPHROSTOMY DRAIN\INJ LT       $562.00
       2612001858 PERC DRAIN\INJ RENAL PELVIS RT      $573.00
       2612001859 PERC DRAIN\INJ RENAL PELVIS LT      $573.00
       2612001860 PERC DRAIN AND OR STENT URETER      $565.00
       2612001903 THORACIC EPIDURAL INJ (FLUORO)      $178.00
       2612001904 PICC LINE FLUORO                    $213.00
       2612001905 PERC PLACEMENT GI TUBE              $473.00
       2612002000 NEPHROSTOGRAM LEFT                  $287.00
       2612002001 NEPHROSTOGRAM RIGHT                 $287.00
       2612004920 SINGLE SHOT EPIDURAL TRAY #20        $60.00
       2612005018 SINGLE SHOT EPIDURAL TRAY #18        $97.00
       2612007325 SPINE SINGLE VIEW                   $200.00
       2612008000 OPTIRAY 320 100 ML VIAL             $489.00
       2612008001 OPTIRAY 320 150 ML VIAL             $633.00
       2612008002 OPTIRAY 320 200 ML VIAL             $859.00
       2612008003 OPTIRAY 320 50 ML VIAL              $357.00
       2612008004 OPTIRAY 320 50 ML SYRINGE           $386.00
       2612008005 HEXABRIX 100 ML BOTTLE              $539.00
       2612008006 HEXABRIX 150 ML BOTTLE              $750.00
       2612008007 HEXABRIX 20 ML BOTTLE               $377.00
       2612008008 HEXABRIX 50 ML BOTTLE               $409.00
       2612008009 OMNIPAQUE 240                       $466.00
       2612008010 OMNIPAQUE 300                       $373.00
       2612008015 OMNIPAQUE 180                       $365.00
       2612008540 8540 CATHETER ACCESS PORT KIT       $100.00
       2612100160 ANKLE ARTHROGRAM                    $290.00
       2612100164 ANKLE ARTHROGRAM - RIGHT            $290.00
       2612100230 BRONCHOGRAM BILATERAL               $305.00
       2612100240 BRONCHOGRAM UNILATERAL              $201.00
       2612100338 ENDOSCOPIC CATH BILIARY             $434.00
       2612100339 ENDOSCOPIC CATH PANCREATIC          $434.00
       2612100340 ENDOSCOPIC CATH BILIARY/PA          $434.00
       2612100360 CHOLANGIOGRAM-TRANSHEPATIC          $434.00
       2612100370 CHOLANGIOGRAM-T-TUBE                $109.00
       2612100400 CISTERNOGRAPHY                      $205.00
       2612100450 CYSTOGRAM                           $145.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          83
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2612100451 CYSTOGRAM/POUCHOGRAM                $201.00
       2612100471 ARTHROGRAM ELBOW - LEFT             $337.00
       2612100474 ARTHROGRAM ELBOW - RIGHT            $337.00
       2612100610 FISTULA SINUS TRACT                 $145.00
       2612100740 ARTHROGRAM HIP                      $290.00
       2612100742 ARTHROGRAM HIP - LEFT               $290.00
       2612100744 ARTHROGRAM HIP - RIGHT              $290.00
       2612100820 HYSTEROSALPINGOGRAM                 $180.00
       2612100840 ARTHROGRAM KNEE                     $363.00
       2612100841 ARTHROGRAM KNEE - LEFT              $363.00
       2612100844 ARTHROGRAM KNEE - RIGHT             $363.00
       2612100870 LARYNGOGRAPHY/CONTRAST              $246.00
       2612100910 LYMPHANGIOGRAM EXTREMITY UNI        $868.00
       2612100912 LYMPHANGIOGRAM EXTREMITY LEFT       $868.00
       2612100914 LYMPHANGIOGRAM EXTREM UNI - RT      $868.00
       2612100920 LYMPHANGIOGRAM PEL/BILAT/AB         $841.00
       2612100980 MYELOGRAM ENTIRE SPINAL CAN         $841.00
       2612100990 MYELOGRAM-CERVICAL                  $654.00
       2612100992 MYELOGRAM-THORACIC                  $597.00
       2612100994 MYELOGRAM-LUMBAR                    $562.00
       2612101115 PERITONEOGRAM AIR                   $180.00
       2612101150 PYELOGRAM-ANTEGRADE                 $180.00
       2612101210 SALIVARY GLANDS FOR CALCULUS        $167.00
       2612101250 SHOULDER ARTHROGRAM                 $290.00
       2612101251 SHOULDER ARTHROGRAM - LEFT          $290.00
       2612101257 SHOULDER ARTHROGRAM - RIGHT         $290.00
       2612101270 SIALOGRAM                           $246.00
       2612101411 INTRODUCTION LONG GI TUBE           $434.00
       2612101440 URETHROCYSTOGRAM RETROGRAM          $201.00
       2612101450 VOIDING CYSTOURETHROGRAM            $219.00
       2612101501 VENOGRAM UNILATERAL - LEFT          $463.00
       2612101502 VENOGRAM UNILATERAL - RIGHT         $742.00
       2612101511 VENOGRAM BILATERAL                $1,107.00
       2612101521 ARTHROGRAM WRIST - LEFT             $353.00
       2612101524 ARTHROGRAM WRIST - RIGHT            $353.00
       2612101668 EPIDURAL - LUMBAR INJ (FLUORO)      $178.00
       2612101669 EPIDURAL - CERV INJ (FLUORO)        $178.00
       2612101771 DACROCYSTOGRAPHY - LEFT             $154.00
       2612101773 DACROCYSTOGRAPHY - RIGHT            $154.00
       2612101850 INJECTION MAJOR JOINT OR BURSA      $197.00
       2612101852 DILAT NEPH\URETER\URETHRA RT        $436.00
       2612101853 DILAT NEPH\URETER\URETHRA LT        $436.00
       2612101856 PERC NEPHROSTOMY DRAIN\INJ RT       $562.00
       2612101857 PERC NEPHROSTOMY DRAIN\INJ LT       $562.00
       2612101860 PERC DRAIN AND OR STENT URETER      $565.00
       2615000100 MAMMOGRAM SCREENING                 $181.00
       2615000101 MAMMOGRAM BILATERAL                 $222.00
       2615000102 MAMMOGRAM UNILATERAL                $136.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          84
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2615000103 ADD VIEWS BILATERAL                 $222.00
       2615000104 MAMMOGRAM ADD VIEW                  $136.00
       2615000106 BREAST ULTRASOUND UNILATERAL        $370.00
       2615000108 BREAST PUNCTURE CYST MULTIPLE       $450.00
       2615000109 STEREOTACTIC BIOPSY CORE            $993.00
       2615000110 DUCTOGRAM MAMMARY SINGLE            $365.00
       2615000111 DUCTOGRAM MAMMARY MULTIPLE          $507.00
       2615000113 PUNCTURE ASPIRATION CYST ADDL       $220.00
       2615000114 CORE NEEDLE                       $1,068.00
       2615000115 BREAST SURGICAL SPECIMEN            $228.00
       2615000116 STEREOTACTIC BIOPSY ADDITIONAL      $868.00
       2615000118 BREAST ULTRASOUND BILATERAL         $553.00
       2615000150 MAMMOTOME CLIP                      $198.00
       2615000151 MANNOTOME PROBE 11 GAUGE            $554.00
       2615000152 MAMMOTOME PROBE 14 GAUGE            $350.00
       2615000153 MANAN NEEDLE                         $53.00
       2615000200 BREAST PUNCTURE CYST SINGLE         $211.00
       2615000225 STEREOTAXIC BIOPSY INCISION         $993.00
       2615000230 INCISIONAL                        $1,237.00
       2615007207 BREAST NEEDLE LOCAL SINGLE          $180.00
       2615007208 *BREAST NEEDLE LOC 2615007342       $580.00
       2615007342 BREAST NEEDLE LOCAL MULTI SITE      $605.00
       2615100109 STEREOTACTIC BIOPSY CORE            $993.00
       2615100110 DUCTOGRAM MAMMARY SINGLE            $365.00
       2615100111 DUCTOGRAM MAMMARY MULTIPLE          $507.00
       2615100132 BREAST PUNCTURE CYST SINGLE         $185.00
       2615100139 STEREOTAXIC BIOPSY INCISIONAL       $993.00
       2615100200 BREAST PUNCTURE CYST SINGLE         $185.00
       2615100225 STEREOTAXIC BIOPSY INCISIONAL       $993.00
       2615107207 BREAST NEEDLE LOCAL SINGLE          $388.00
       2712000100 RAD TX DEL SIMPLE <=5 MEV           $311.00
       2712000101 RAD TX DEL SIMPLE 6-10 MEV          $344.00
       2712000102 RAD TX DEL SIMPLE 11-19 MEV         $375.00
       2712000105 RAD TX DEL INTERMED <=5 MEV         $363.00
       2712000106 RAD TX DEL INTERMED 6-10 MEV        $403.00
       2712000107 RAD TX DEL INTERMED 11-20 MEV       $461.00
       2712000109 RAD TX IMRT 1-5MEV                $1,139.00
       2712000110 RAD TX DEL COMPLEX 1-5 MEV          $462.00
       2712000111 RAD TX DEL COMPLEX 6-10 MEV         $508.00
       2712000112 RAD TX DEL COMPLEX 11-19 MEV        $557.00
       2712000113 RAD TX DEL COMPLEX =>20             $588.00
       2712000120 STRONTIUM 90                        $187.00
       2712000123 SKULL INSERTION CONSULT             $478.00
       2712000124 SKULL SCREW FIXATION DEVICE         $450.00
       2712000125 TALON COMPLEX TX DEVICE             $568.00
       2712000160 TELETHERAPY ISODOSE PLAN-SIMP       $987.00
       2712000165 TELETHERAPY ISODOSE PLAN-INTER    $1,233.00
       2712000170 TELETHERAPY ISODOSE PLAN-COMP     $1,539.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          85
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2712000171 SPECIAL TELETHERAPY PORT PLAN     $1,769.00
       2712000172 SPECIAL THERAPY PORT PLAN IMRT    $2,049.00
       2712000174 3D DRR BLOCK CHECK                  $419.00
       2712000175 PORT VERICATION FILM                $167.00
       2712000176 BAT US. PLACEMENT FOR RX FLDS.      $180.00
       2712000180 CONSULT PROCEDURE/EXAM 15 MIN       $145.00
       2712000181 FOLLOW-UP VISIT L-2 11-15 MIN       $184.00
       2712000190 CONSULT PROCEDURE/EXAM 30 MIN       $146.00
       2712000191 FOLLOW UP VISIT L-3 20-40 MIN       $216.00
       2712000200 CONSULT PROCEDURE/EXAM 1 H          $189.00
       2712000201 FOLLOW UP VISIT L-4 30-40 MINS      $203.00
       2712000202 SPECIAL REPORTS/INSURANCE           $130.00
       2712000210 MED RAD PHYSICS WEEKLY MGMT         $364.00
       2712000220 TX DEVICE SIMPLE                    $625.00
       2712000221 BOLUS SIMPLE                        $186.00
       2712000222 TX DEVEL IMMOB. CONSTR SIMPLE       $186.00
       2712000223 TX DEVICE SIMPLE MEV MASK           $265.00
       2712000230 TX DEVICE INTERMEDIATE BLOCKS       $312.00
       2712000231 INTERMEDIATE BOLUS, STENT           $264.00
       2712000232 INTERMEDIATE IMMOBILIZATION         $316.00
       2712000233 TX DEVICE INTERM MEV MASK           $265.00
       2712000236 TX DEVICE(C)SHIELD,WEDGE,MOLD       $450.00
       2712000237 TX DEVISE (C) IMMOBILIZATION        $450.00
       2712000238 TX DEVICE COMPLEX MEV MASK          $450.00
       2712000239 MULTI LEAF COLLIMATION BLKING       $450.00
       2712000240 THER RAD SIMULATION-SIMPLE          $419.00
       2712000245 THER RAD SIMULATION-INTERMED        $673.00
       2712000250 THER RAD SIMULATION-COMPLEX         $783.00
       2712000255 3D/BEV SIMULATION                 $3,380.00
       2712000260 BRACHY ISODOSE CALC SIMPLE          $750.00
       2712000270 BRACHY ISODOSE CALC INTERMED      $1,060.00
       2712000280 BRACHY ISODOSE CALC COMPLEX       $2,208.00
       2712000300 SPECIAL DOSIMETRY-MICRO/TLD         $561.00
       2712000301 SPECIAL DOSIM.IMRT QA WEEKLY        $638.00
       2712000305 CONSULT MED RAD PHYSICS-SPEC      $1,518.00
       2712000310 DOSIMETRY BASIC CALC                $496.00
       2712000311 OUT PUT FACTOR CALCULATIONS         $462.00
       2712000312 GAP CALCULATIONS                    $462.00
       2712000313 OFF-AXIS CALCULATIONS               $462.00
       2712000314 TISSUE INHOMOGENEITY CALC           $462.00
       2712000315 IMPAC VERIFICATION                  $478.00
       2712000320 UNLISTED RADIOTHER PHYSICS PR       $477.00
       2712000321 HDR FLUORO UP TO 1 HR               $187.00
       2712000322 HDR SPECIAL TX PROCEDURE          $1,592.00
       2712000323 SPECIAL TX PROC CARDIA AC         $1,592.00
       2712000333 HDR REMOTE AFTERLOAD 9-12 POSI    $2,901.00
       2712000335 HDR EXAM TREATMENT PREP ROOM        $353.00
       2712000336 HDR REMOTE AFTLOAD >12 POSIT      $2,751.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          86
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2712000502 OP CONSULTATION - EXPANDED          $146.00
       2712000503 OP CONSULTATION-COMPREHENSIVE       $189.00
       2712000504 SUBCUTANEOUS INJECTION               $63.00
       2712000505 OFFICE VISIT COMP HIGH COMPLEX       $72.00
       2712000506 SPECIAL TX PROC AMIFOSTINE        $1,345.00
       2712000507 SPECIAL TX PROCEDURE RAD /CHEM    $1,345.00
       2712000513 IMRT DOSEMIETRY PLANNING          $3,688.00
       2712000514 IMRT DAILY TX                     $2,129.00
       2712000515 ECHO GUIDANCE RADIOTHERAPY          $800.00
       2712000516 TREATMENT DEVICES SIMPLE HDR        $200.00
       2712000517 TREATMENT DEVICE COMPLEX HDR        $450.00
       2712000518 BRACHYTHERAPY NEEDLES               $300.00
       2712000519 BRACHYTHERAPY CATHETERS             $150.00
       2712000520 BRACHYTHERAPY APP PLACMNT T&O       $800.00
       2712000521 BRACHYTHERAPY TRANSPER PLACMNT    $3,000.00
       2712000522 BRACHYTHERAPY INTR/INTRA GYN        $800.00
       2712000523 BRACHYTHERAPY INTRSTTIAL BREAS    $3,000.00
       2712000524 PROSTATE VOLUME STUDY BRACHYTX      $330.00
       2712000525 BRACHYTHERAPY INTRSTIAL L BRST    $6,000.00
       2712000526 BRACHYTHERAPY INTRSTIAL R BRST    $6,000.00
       2712000527 RADIOPHARMACEUTICAL THERAPY         $642.13
       2712100109 RAD TX IMRT 1-5MEV                $1,139.00
       2810000301 ISOTOPE 1 MCI SULPHUR TC 99M        $201.00
       2810000302 ISOTOPE 20 MCI SESTAMIBI TC 99      $787.00
       2810000303 ISOTOPE 25 MCI MYOVIEW TC 99        $787.00
       2810000304 HMPAO WBC TC 99M PER UNIT DOSE    $1,827.00
       2810000305 ISOTOPE 8 MCI HMPAO WBL TC 99M    $1,601.00
       2810000308 SAMARIUM SM 153 PER 50 MCI        $4,916.00
       2810000309 STRONTIUM 89 CHLORIDE PER MCI     $2,027.00
       2810000310 STRONTIUM 89 CHLORIDE 1 MCI       $2,027.00
       2810000320 ISOTOPE GOLD SEED 198             $1,206.00
       2810000330 ISOTOPE IODINE SEED 125             $356.00
       2810000340 ISOTOPE IRADIUM 192                 $356.00
       2810000349 20 MCI TC 99M APCITIDE INJ        $1,487.00
       2810000350 ISOTOPE 0-5 UCI CO 57/58            $553.00
       2810000355 HMPAO TC 99M PER UNIT DOSE        $1,221.00
       2810000360 ISOTOPE 1.5 MCI IN DTPA           $1,486.00
       2810000370 ISOTOPE 10 UCI ALB I 125          $1,066.00
       2810000380 ISOTOPE 10 MCI P32                $6,354.00
       2810000381 ISOTOPE 1 MCI P32                   $598.00
       2810000390 ISOTOPE CHOLETEC 1 VIAL             $538.00
       2810000395 ISOTOPE 5 MCI IN 111 ONCOSCINT    $3,651.00
       2810000400 ISOTOPE DTPA 1 VIAL                 $288.00
       2810000402 TH I 131 PER MCI, 6-15 CAPSULE       $84.00
       2810000405 ISOTOPE TC MAG 3 1 VIAL             $822.00
       2810000407 I 131 CAPSULE PER MCI 1-5           $145.00
       2810000408 ISOTOPE 12 MCI I 131 CAPSULE        $852.00
       2810000409 TH I 131 CAPSULE PER MCI 16-29       $44.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          87
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2810000410 ISOTOPE 10 MCI I 131 SOLUTION       $905.00
       2810000411 TH I131 CAP PER MCI 101-200          $29.00
       2810000412 ISOTOPE 25 MCI I 131 ORAL SOLN    $1,197.00
       2810000413 TH I131 CAPSULE PER MCI 30-100       $38.00
       2810000414 ISOTOPE 50 MCI I 131 SOLUTION     $1,860.00
       2810000415 ISOTOPE 25 MCI I 131 CAPSULE      $1,273.00
       2810000416 ISOTOPE 150 MCI I 131 SOLUTION    $5,008.00
       2810000417 ISOTOPE 50 MCI I 131 CAPSULE      $1,860.00
       2810000419 ISOTOPE 100 MCI I 131 CAPSULE       $201.00
       2810000420 ISOTOPE 10 MCI TC 99M               $112.00
       2810000421 ISOTOPE 150 MCI I 131 CAPSULE     $5,008.00
       2810000422 I 131 MIBG IOBENQUANE SULFATE     $5,008.00
       2810000430 ISOTOPE 20 MCI XE 133               $366.00
       2810000440 ISOTOPE 200 UCI I 123 CAPSULE       $772.00
       2810000450 ISOTOPE 100 UCI I 125               $758.00
       2810000460 ISOTOPE 100 MCI I 131 SOLUTION    $3,434.00
       2810000470 ISOTOPE 100 UCI TRIOL               $638.00
       2810000480 ISOTOPE GLUCO TC 1 VIAL             $201.00
       2810000481 ARCITUOMAB/CEA SCAN 1 VIAL        $1,573.00
       2810000490 ISOTOPE 20 MCI MDP TC 99M           $424.00
       2810000491 ISOTOPE 1 MCI HDP TC 99M             $23.00
       2810000500 ISOTOPE PYRO TC 99M 1 VIAL          $404.00
       2810000505 ULTRA TAG 20 MCI TC 99M RBC         $685.00
       2810000506 ULTRA TAG 1 MCI TC 99M RBC           $33.00
       2810000510 ISOTOPE 15 MCI TC 99M               $201.00
       2810000520 ISOTOPE 3 MCI TL 201                $758.00
       2810000521 ISOTOPE 1 MCI TL 201                $251.00
       2810000525 ISOTOPE 1.5 MLI TL 201              $328.00
       2810000530 ISOTOPE 25 MCI PYRO TC 99M          $440.00
       2810000540 ISOTOPE 25 MCI TC 99M               $201.00
       2810000550 ISOTOPE 250 UCI HIPURRAN I 131      $587.00
       2810000560 ISOTOPE 250 UCI RBC CR 51         $1,680.00
       2810000570 ISOTOPE MAA TC 99M 1 VIAL           $315.00
       2810000580 ISOTOPE GA 67 PER MCI               $159.00
       2810000581 ISOTOPE 1 MCI GA 67                 $141.00
       2810000590 ISOTOPE 5 MCI SULPHUR TC 99M        $213.00
       2810000600 ISOTOPE 5 MCI 1-131 SOLUTION        $692.00
       2810000610 ISOTOPE 5 MCI P-32                $2,647.00
       2810000620 ISOTOPE 5 MCI TC 99M                $201.00
       2810000625 OCTREOSCAN 6 MCI IN 111           $2,162.00
       2810000630 ISOTOPE 500 UCI IN 111            $1,766.00
       2810000635 ISOTOPE 600 UCI I-123               $828.00
       2810000640 ISOTOPE DTPA AEROSOL                $613.00
       2810000650 I 123 MIBG PER 0.5 MCI              $201.00
       2810000700 RX Y-90 ZEVALIN DOSE             $30,800.00
       2810000710 ZEVALIN IN-111                    $3,630.00
       2810001100 FDG 18                              $728.00
       2811000100 ABSCESS LOCALIZATION LIMITED        $689.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          88
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2811000104 NEUTROSPEC INFECTION LIMITED        $689.00
       2811000105 ABSCESS LOCALIZATION WHOLE BOD      $994.00
       2811000106 NEUTROSPEC INFECTION WHOLE BOD      $994.00
       2811000107 ADRENAL IMAGING                     $994.00
       2811000110 PLASMA VOLUME SINGLE DETERM         $176.00
       2811000115 WHOLE BLOOD VOLUME DETERM           $639.00
       2811000120 BONE AND/OR JOINT IMAGING LTD       $428.00
       2811000124 BONE MARROW IMAGING                 $428.00
       2811000125 BONE AND/OR JOINT 3 PHASE           $906.00
       2811000130 BONE AND/OR JOINT MULTIPLE          $830.00
       2811000135 BONE AND/OR JOINT IMAGING SPEC    $1,071.00
       2811000140 BONE AND/OR JOINT WHOLE BODY      $1,081.00
       2811000150 BRAIN IMAGING LTD W VASC FLOW       $566.00
       2811000165 BRAIN SPECT                         $817.00
       2811000170 CARDIAC BLOOD POOL 1ST PASS         $719.00
       2811000175 CSF LEAKAGE DETECTION LP            $635.00
       2811000176 SPINAL PUNCTURE LUMBAR DIAG         $650.00
       2811000180 CEREBRAL FLUID FLOW LUMBAR PU       $691.00
       2811000190 THYROID CARC MET IM WHOLE BODY      $776.00
       2811000196 GEN AUTOMATED DATE OVER 30 MIN      $309.00
       2811000200 GASTROESOPHAGEAL REFLUX STUDY       $589.00
       2811000201 GASTRIC EMPTYING STUDY              $498.00
       2811000205 MECKEL'S LOCALIZATION               $859.00
       2811000210 ACUTE GI BLOOD LOSS IMAGING         $675.00
       2811000215 GI PROTEIN LOSS LTD                 $387.00
       2811000220 GI PROTEIN LOSS STUDY               $883.00
       2811000230 KIDNEY IMAGING W/VASCULAR FLOW      $487.00
       2811000233 KIDNEY TOMOGRAPHIC SPECT            $819.00
       2811000235 KIDNEY FUNCTION RENOGRAM/FLOW       $842.00
       2811000236 KIDNEY FUNCT INC PHARMACOL        $1,084.00
       2811000238 LYMPHATIC/LYMPH GLAND IMAGING       $851.00
       2811000239 SENTINEL NODE INJECTION             $109.00
       2811000240 LIVER SPLEEN W/VASCULAR FLOW        $976.00
       2811000248 SMALL BOWEL TRANSIT                 $929.00
       2811000249 GALLBLADDER EMPTYING EF             $929.00
       2811000250 LIVER W/HEPATOBILIARY AGENTS        $662.00
       2811000260 LIVER SPLEEN STATIC ONLY            $704.00
       2811000265 LIVER SPECT (HEMANGIOMA RBC)        $938.00
       2811000280 CARDIAC IMAGING INFARCT             $666.00
       2811000300 CARDIAC SPECT STRESS                $970.00
       2811000301 ISOTOPE 1 MCI SULPHUR TC 99M        $201.00
       2811000302 ISOTOPE 10 MCI SESTAMIBI TC 99      $535.00
       2811000303 ISOTOPE 25 MCI SESTAMIBI TC 99      $535.00
       2811000304 ISOTOPE 8 MCI HMPAO WBL TC 99M    $1,754.00
       2811000305 CARDIAC SPECT REST                  $970.00
       2811000306 CARDIAC STRESS/REST               $2,007.00
       2811000307 SAMARIUM SM 153                   $4,916.00
       2811000308 CARDIAC STRESS PHARMACOLOGIC      $2,399.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          89
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2811000309 STRONTIUM 89 CHLORIDE PER MCI     $2,027.00
       2811000310 CARDIAC REST THALLIUM               $363.00
       2811000320 ISOTOPE GOLD SEED 198             $1,206.00
       2811000330 ISOTOPE IODINE SEED 125             $201.00
       2811000340 ISOTOPE IRRIDIUM 192                $201.00
       2811000349 20 MCI TC 99M APCITIDE INJ        $1,487.00
       2811000350 ISOTOPE 0-5 UCI CO 57               $883.00
       2811000355 20 MCI HMPAO CERETEC TC 99M       $1,172.00
       2811000360 ISOTOPE 1.5 MCI IN DTPA           $1,426.00
       2811000370 ISOTOPE 10 UCI ALB I 125          $1,066.00
       2811000380 ISOTOPE 10 MCI P32                $6,354.00
       2811000390 ISOTOPE 5 MCI CHOLETEC              $516.00
       2811000395 ISOTOPE 5 MCI IN 111 ONCOSCINT    $3,651.00
       2811000400 ISOTOPE 10 MCI DTPA                 $288.00
       2811000405 ISOTOPE 10 MCI TC MAG 3             $790.00
       2811000407 ISOTOPE 2 MCI I 131 CAPSULE         $484.00
       2811000408 ISOTOPE 12 MCI I 131 CAPSULE      $1,060.00
       2811000409 ISOTOPE 15 MCI I 131 CAPSULE      $1,204.00
       2811000410 ISOTOPE 10 MCI I 131 SOLUTION     $1,111.00
       2811000411 ISOTOPE 5 MCI I 131 CAPSULE         $369.00
       2811000412 ISOTOPE 25 MCI I 131 ORAL SOL     $1,403.00
       2811000413 ISOTOPE 10 MCI I 131 CAPSULE      $1,009.00
       2811000414 ISOTOPE 50 MCI I 131 SOLUTION     $2,067.00
       2811000415 ISOTOPE 25 MCI I 131 CAPSULE      $1,480.00
       2811000416 ISOTOPE 150 MCI I 131 SOLUTION    $5,215.00
       2811000417 ISOTOPE 50 MCI I 131 CAPSULE      $2,067.00
       2811000420 ISOTOPE 10 MCI TC 99M               $370.00
       2811000421 ISOTOPE 150 MCI I 131 CAPSULE     $5,008.00
       2811000422 I 131 MIBG IOBENQUANE SULFATE     $5,008.00
       2811000430 ISOTOPE 20 MCI XE 133               $366.00
       2811000440 ISOTOPE 200 UCI I 123               $742.00
       2811000450 ISOTOPE 100 UCI I 125               $758.00
       2811000460 ISOTOPE 100 MCI I 131 SOLUTION    $3,434.00
       2811000470 ISOTOPE 100 UCI TRIOL               $638.00
       2811000480 ISOTOPE 15 MCI GLUCO TC             $201.00
       2811000481 25 MCI ARCITUOMAB/CEA SCAN        $2,515.00
       2811000482 20MCI TC99M NEOTECT               $1,710.00
       2811000490 ISOTOPE 20 MCI MDP TC 99M           $424.00
       2811000500 ISOTOPE 15 MCI PYRO TC 99M          $404.00
       2811000505 ULTRA TAG 20 MCI TC 99M RBC         $685.00
       2811000510 ISOTOPE 15 MCI TC 99M               $201.00
       2811000520 ISOTOPE 3 MCI TL 201                $758.00
       2811000525 ISOTOPE 1.5 MLI TL 201              $328.00
       2811000530 ISOTOPE 25 MCI PYRO TC 99M          $440.00
       2811000540 ISOTOPE 25 MCI TC 99M               $201.00
       2811000550 ISOTOPE 250 UCI HIPURRAN I 131      $587.00
       2811000560 ISOTOPE 250 UCI RBC CR 51         $1,306.00
       2811000570 ISOTOPE 3 MCI MAA TC 99M            $302.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          90
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2811000580 ISOTOPE 5 MCI GA 67                 $715.00
       2811000590 ISOTOPE 5 MCI SULPHUR TC 99M        $201.00
       2811000600 ISOTOPE 5 MCI 1-131 SOLUTION        $692.00
       2811000610 ISOTOPE 5 MCI P32                 $2,647.00
       2811000620 ISOTOPE 5 MCI TC 99M                $201.00
       2811000625 OCTREOSCAN 6 MCI IN 111           $1,876.00
       2811000630 ISOTOPE 500 UCI IN 111 WBC        $1,601.00
       2811000632 NEUTROSPEC PER DOSE               $2,400.00
       2811000635 ISOTOPE 600 UCI I-123               $828.00
       2811000640 ISOTOPE DTPA AEROSOL                $588.00
       2811000650 PULMONARY PERFUSION PARTICLE        $835.00
       2811000655 PULMONARY V/Q QUANTITATIVE FUN      $855.00
       2811000660 PULMONARY VENT AEROSOL MULTI        $645.00
       2811000662 PULMONARY PERF VENT MULTI VIEW    $1,541.00
       2811000665 PULMONARY VENT GAS/SING BREATH    $1,736.00
       2811000670 RED CELL VOLUME SINGLE SAMPLE       $237.00
       2811000680 RED CELL SURVIVAL STUDY             $395.00
       2811000690 RED CELL SEQUESTRATION              $675.00
       2811000700 KIDNEY FUNCT W/WO CAPTOPRIL       $1,503.00
       2811000705 THERAPY ADMIN MONOCLONAL IV         $750.00
       2811000710 SCHILLING TEST WITH INTRINSIC       $200.00
       2811000715 SCHILLING TEST COMBINED W/WO        $375.00
       2811000720 SCHILLING TEST WO INTRINSIC         $188.00
       2811000729 PERITONEAL VENOUS SHUNT PATEN       $537.00
       2811000730 SHUNT STUDY VIA TUBING              $691.00
       2811000731 PUNCTURE SHUNT TUBING INJ           $137.00
       2811000735 SALIVARY GLAND IMAGING              $357.00
       2811000750 TESTICULAR IMAGING W/VASC FLOW      $440.00
       2811000760 THYROID IMAGING ONLY                $359.00
       2811000765 THYROID UPTAKE W IMAGING MULTI      $753.00
       2811000770 THYROID UPTAKE MULTI DETERM         $515.00
       2811000775 PARATHYROID IMAGING                 $251.00
       2811000780 VASCULAR FLOW ART/VENOGRAPHY        $256.00
       2811000785 TUMOR LOCALIZATION SPECT          $1,035.00
       2811000790 VENOUS THROMBOSIS UNILATERAL        $491.00
       2811000791 VENOUS THROMBOSIS BILAT             $753.00
       2811000792 VENOUS THROMBOSIS UNIL - LEFT       $491.00
       2811000793 VENOUS THROMBOSIS UNILAT-RIGHT      $491.00
       2811000795 ADDITIONAL SPECT IMAGING            $584.00
       2811000800 MYOCARDIAL PERFUSION MUGA         $1,112.00
       2811000810 MYOCARDIAL PERFUSION EJF            $362.00
       2811000812 MYOCARDIAL PERF WALL MOTION         $362.00
       2811000820 CARDIAC MUGA SINGLE STUDY           $779.00
       2811000825 TUMOR LOCALIZATION LTD AREA         $714.00
       2811000830 TUMOR LOCALIZATION WHOLE BODY     $1,124.00
       2811000839 URINARY BLADDER REFLUX STUDY        $420.00
       2811000850 PET SCAN BRAIN (METABOLIC)        $4,401.00
       2811000870 PET HEAD AND NECK DIAGNOSIS       $4,023.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          91
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2811000900 PULSE OXIMETRY                       $46.00
       2811000901 IV INF/INJ FOR DIAG EXAM             $51.00
       2811000902 CARDIAC MONITORING                  $266.00
       2811000910 BIOPSY TRAY                         $190.00
       2811001000 GASTRIC EMPTYING                    $790.00
       2811001010 PET LUNG (SPN)                    $4,023.00
       2811001020 PET LUNG DIAGNOSIS (NSC)          $4,023.00
       2811001030 PET LUNG INITIAL STAGING (NSC)    $4,192.00
       2811001040 PET LUNG RESTAGING (NSC)          $4,192.00
       2811001050 PET ESOPHAGEAL DIAGNOSIS          $4,023.00
       2811001060 PET ESOPHAGEAL INITIAL STAGING    $4,192.00
       2811001070 PET SCAN MYOCARDIAL VIABILITY     $4,023.00
       2811001080 PET ESOPHAGEAL RESTAGING          $4,192.00
       2811001090 PET COLORECTAL DIAGNOSIS          $4,023.00
       2811001100 FDG F 18 PER DOSE                   $728.00
       2811001952 GENERATION AUTOMATED DATA           $174.00
       2811002000 PET COLORECTAL INITIAL STAGING    $4,023.00
       2811002001 PET COLORECTAL RESTAGING          $4,192.00
       2811002002 PET LYMPHOMA DIAGNOSIS            $4,023.00
       2811002003 PET LYMPHOMA INITIAL STAGING      $4,192.00
       2811002004 PET LYMPHOMA RESTAGING            $4,192.00
       2811002005 PET MELANOMA DIAGNOSIS            $4,192.00
       2811002006 PET MELANOMA INITIAL STAGING      $4,023.00
       2811002007 PET MELANOMA RESTAGING            $4,023.00
       2811002008 PET MELANOMA NONCOVERED INDI      $4,023.00
       2811002009 PET HEAD/NECK INITIAL STAGING     $4,192.00
       2811002010 PET HEAD AND NECK RESTAGING       $4,192.00
       2811002020 PET WHOLE BODY (METABOLIC)        $4,192.00
       2811002030 HYPERTHYROID THERAPY INITIAL        $776.00
       2811002040 HYPERTHYROID THERAPY SUBSEQUEN      $744.00
       2811002050 THERAPY/ABLATION THYROID CA         $776.00
       2811002060 THERAPY/METASTASES THYROID CA       $744.00
       2811002070 PET BREAST INITIAL STAGING        $3,260.00
       2811002080 PET BREAST RESTAGING              $4,023.00
       2811100175 CSF LEAKAGE DETECTION LP            $635.00
       2811100180 CEREBRAL FLUID FLOW LUMBAR PU       $691.00
       2811100238 LYMPHATIC/LYMPH GLAND IMAGING       $886.00
       2811100265 LIVER SPECT (HEMANGIOMA RBC)        $941.00
       2811100730 SHUNT STUDY VIA TUBING              $691.00
       2813000309 STRONTIUM-89 CHLORIDE PER MCI     $2,027.00
       2813000402 TH I 131 CAPSULE PER MCI 6-15        $84.00
       2813000409 TH I 131 CAPSULE PER MCI 16-29       $44.00
       2813000411 TH I 31 CAP PER MCI 101-200          $29.00
       2813000413 TH 131 CAPSULE PER MCI 30-100        $38.00
       2813000700 RX Y-90 ZEVALIN DOSE             $30,800.00
       2813000705 THERAPY ADMIN MONOCLONAL IV         $750.00
       2813000850 PET BRAIN METABOLIC EVALUATION    $4,401.00
       2813001070 PET SCAN MYOCARDIAL VIABILITY     $4,023.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          92
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       2813001100 FDG F 18 PER DOSE                   $728.00
       2813002011 PT CT WHOLE BODY TUMOR            $4,192.00
       2813002012 PET CT LIMITED AREA TUMOR         $3,260.00
       2813002013 PET CT SKULL BASE TO MID THIGH    $4,023.00
       2813002014 PET NOT OTHERWISE SPECIFIED       $4,023.00
       2911004920 CANE                                 $72.00
       3116000100 ACID HEMOLYSIN                       $92.00
       3116000110 GTT-ONE HOUR                        $180.00
       3116000120 ANTI THROMBIN III                   $158.00
       3116000130 ASPIRIN TOLERANCE                   $106.00
       3116000150 URINE BILIRUBIN                      $42.00
       3116000160 BLEEDING TIME                       $215.00
       3116000170 BLOOD COUNT DIFF-WHITE BLD CEL       $77.00
       3116000180 EOSINOPHIL COUNT                     $91.00
       3116000190 HEMATOCRIT                           $59.00
       3116000200 HEMOGLOBIN                           $49.00
       3116000210 RED BLOOD COUNT                      $49.00
       3116000220 RETICULOCYTE COUNT                   $91.00
       3116000230 BLOOD COUNT-WHITE BLOOD CELL         $49.00
       3116000240 CELL COUNT DIFF MIS BODY FLUID      $252.00
       3116000250 CELL COUNT MISC BODY FLUID          $130.00
       3116000260 MIX STUDY-INHIBITORS-PTT            $176.00
       3116000270 CLOT RETRACTION                      $94.00
       3116000280 CLOTTING FACTOR II PROTHROM SP      $249.00
       3116000290 CLOTTING FACTOR V                   $249.00
       3116000300 CLOTTING FACTOR VII                 $249.00
       3116000303 DIALYSIS A.C.T.                      $41.00
       3116000305 ACTIVATED CLOTTING TIME             $245.00
       3116000310 CLOTTING FACTOR VIII ONE STAGE      $249.00
       3116000320 CLOTTING FACTOR IX                  $275.00
       3116000330 CLOTTING FACTOR X                   $249.00
       3116000340 CLOTTING FACTOR XI                  $249.00
       3116000350 CLOTTING FACTOR XII                 $249.00
       3116000355 D-DIMER                             $108.00
       3116000360 CLOTTING FACTOR XIII SCREEN         $170.00
       3116000370 CLO-TEST                             $68.00
       3116000372 CLO WITH FOLLOW-UP PATH IF NEG       $68.00
       3116000390 CBC AUTO DIFFERENTIAL               $100.00
       3116000392 CBC-PPE                              $34.00
       3116000395 COMPLETE BLOOD COUNT MANUAL DF      $164.00
       3116000400 CRYOFIBRINOGEN                       $86.00
       3116000430 FACTOR VIII RELATED ANTIGEN         $296.00
       3116000440 FAT QUAL-STOOL                       $74.00
       3116000450 FIBRIN MONOMER SCREEN               $175.00
       3116000460 FIBRINOGEN                          $176.00
       3116000470 FIBRINOLYSIS PANEL                   $80.00
       3116000480 GLUCOSE-QUAL URINE                   $43.00
       3116000485 FOLIC ACID                           $71.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          93
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116000490 REDUCING SUBSTAIN STOOL/URINE        $49.00
       3116000500 URINE PREGNANCY TEST                $127.00
       3116000510 HEINZ BODIES DIRECT                  $41.00
       3116000520 HEMOGRAM                             $68.00
       3116000530 HEMOSIDERIN URINE                    $83.00
       3116000540 REPTILASE-R TIME                    $167.00
       3116000550 IRON STAIN RBC/BONE MARROW           $81.00
       3116000560 KETONE URINE                         $30.00
       3116000570 LEUCOCYTE ALK P'TASE                 $87.00
       3116000580 LE PREP                             $190.00
       3116000610 MYOGLOBIN-URINE                      $98.00
       3116000620 NASAL SMEAR FOR EOSNOPHILS           $75.00
       3116000628 EOSINOPHILS,URINE(BODY FLUIDS)       $83.00
       3116000639 OCCULT BLD- BODY FLUID               $63.00
       3116000640 OCCULT BLD STOOL                     $63.00
       3116000645 INDUSTRIAL OCCULT BLOOD SCREEN       $19.00
       3116000650 OSMOTIC FRAGILITY                    $75.00
       3116000660 PARASITES BLOOD-MALARIAL            $215.00
       3116000670 PH URINE                             $33.00
       3116000680 HEMOGRAM                             $68.00
       3116000730 PLATELET COUNT                      $176.00
       3116000740 PORPHOBILINOGEN URINE QUANT          $55.00
       3116000760 PROTAMINE SULFATE                    $42.00
       3116000770 PROTEIN BENCH JONES                  $74.00
       3116000780 PROTIEN OR ALB-URINE QUAL            $59.00
       3116000790 PROTHROMBIN CONSUMPTION             $106.00
       3116000800 PROTHROMBIN TIME                     $75.00
       3116000810 PARTIAL THROMBOPLASTIN TIME'         $75.00
       3116000840 ERYTHROCYTE SEDIMENTATION RATE       $75.00
       3116000850 SICKLE CELL INDENT                   $86.00
       3116000860 SPECIFIC GRAVITY URINE               $23.00
       3116000880 STARCH GRANULES FECES                $48.00
       3116000890 SUCROSE HEMOLYSIS                    $92.00
       3116000900 SULFA-URINE                          $53.00
       3116000920 CRYSTAL EXAM, FLUIDS                $114.00
       3116000930 THROMBIN TIME PLASMA                $163.00
       3116000940 THROMBOPLASTIN TIME PT PLASMA       $121.00
       3116000950 URINALYSIS MICROSCOPIC ONLY          $55.00
       3116000955 URINALYSIS W/ MICROSCOPIC EXAM      $139.00
       3116000960 URINALYSIS                          $112.00
       3116000962 URINALYSIS, MICROSCOPIC ONLY         $36.00
       3116000965 PHENOLPHTHALEIN-STOOL                $79.00
       3116000970 UROBILINOGEN URINE SEMI-QUANT        $35.00
       3116000990 WBC-STOOL/URINE                      $70.00
       3116001905 CALCIUM, BLOOD GAS                   $74.00
       3116001915 SMEAR BUFFY COAT/OTHER               $95.00
       3116001989 MYOGLOBIN - SERUM                   $159.00
       3116002090 AFB CULTURE & SMEAR                 $341.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          94
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116002092 AFB CULTURE & SMEAR,BODY FLUID      $341.00
       3116002095 AFB SMEARS                          $138.00
       3116002097 AFB CULTURE & SMEAR,CSF             $388.00
       3116002100 AFB SMEAR, KINYOUN                   $74.00
       3116002101 AFB DIRECT SMEAR,STAT                $84.00
       3116002105 AFB SMEAR, FLOURCHROME              $108.00
       3116002109 ANTI DNA AB TITER                   $128.00
       3116002110 ANTI DNA AB SCREEN                  $131.00
       3116002114 ANTI MITOCHONDRIAL AB SCRN          $120.00
       3116002115 ANTI MITOCHONDRIAL AB TITER         $116.00
       3116002117 ANTI NUCLEAR AB SCREEN              $133.00
       3116002118 ANTI NUCLEAR AB TITER               $152.00
       3116002119 ANTI PARIETAL CELL AB SCRN          $120.00
       3116002120 ANTI PARIETAL CELL AB TITER         $145.00
       3116002129 ANTI SMOOTH MUSCLE AB SCRN          $120.00
       3116002130 ANTI SMOOTH MUSCLE AB TITER         $151.00
       3116002143 GIARDIA LAMBLIA ANTIGEN (EIA)        $76.00
       3116002144 CLOS. DIFFICILE TOXIN A&B           $125.00
       3116002145 O&P DIRECT & CONC EXAMS             $194.00
       3116002146 CRYPTOCOCCAL ANTIGEN (LA)           $127.00
       3116002147 O&P CONCENTRATE EXAM                 $97.00
       3116002148 CLOSTRIDIUM DIFFICILE TOXIN         $116.00
       3116002149 CRYTOSPORIDIUM EXAM                 $104.00
       3116002150 RESPIRATORY CULTURE                 $137.00
       3116002151 NOSE CULTURE                        $115.00
       3116002152 RESPIRATORY CULTURE & GRAM STA      $204.00
       3116002153 NASOPHARYNGEAL CULTURE              $150.00
       3116002154 NASOPHARYNGEAL CULT & GRAM STA      $223.00
       3116002155 AFB CULTURE,BLOOD                   $171.00
       3116002156 SPUTUM CULTURE & GRAM STAIN         $204.00
       3116002157 SPUTUM CULTURE                      $137.00
       3116002159 ROTAVIRUS ASSAY                     $118.00
       3116002160 AFB CULTURE,ANY SOURCE              $194.00
       3116002163 BODY FLUID CULT & GRAM STAIN        $235.00
       3116002164 GC CULTURE & GRAM STAIN             $136.00
       3116002165 GC CULTURE                           $58.00
       3116002168 BONE MARROW CULT & GRAM STAIN       $235.00
       3116002169 BRONCH CULTURE & GRAM STAIN         $235.00
       3116002170 ANAEROBIC CULTURE                   $236.00
       3116002171 BLOOD BANK CULTURE                  $154.00
       3116002172 TISSUE (BX) CULT & GRAM STAIN       $286.00
       3116002173 TISSUE CULTURE (BIOPSY)             $222.00
       3116002174 BACTERIAL VAGINOSIS SCREEN          $107.00
       3116002175 BODY FLUID CULTURE                  $185.00
       3116002176 ENVIRONMENTAL CULTURE                $23.00
       3116002178 EAR / EYE CULTURE                   $205.00
       3116002179 EAR CULTURE & GRAM STAIN            $247.00
       3116002180 STOOL CULTURE                       $210.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          95
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       3116002181 EYE CULTURE & GRAM STAIN          $247.00
       3116002185 MRSA SCREEN CULTURE                $71.00
       3116002190 FUNGUS CULTURE, OTHER             $243.00
       3116002195 FUNGUS CULTURE,BLOOD              $243.00
       3116002200 FUNGUS CULTURE, SKIN              $205.00
       3116002205 FUNGUS CULTURE,SKIN & SMEAR       $242.00
       3116002217 CSF CULTURE & GRAM STAIN          $247.00
       3116002218 CSF CULTURE                       $205.00
       3116002220 STREP SCREEN CULTURE               $38.00
       3116002228 WOUND CULTURE & GRAM STAIN        $284.00
       3116002230 WOUND CULTURE                     $205.00
       3116002231 THROAT CULTURE                    $105.00
       3116002238 BLOOD CULTURE                     $184.00
       3116002239 BLOOD CULTURE SPECIAL STUDY       $184.00
       3116002240 BLOOD CULTURE                     $239.00
       3116002242 CATHETER TIP CULTURE               $61.00
       3116002244 DEVICE CULTURE                     $88.00
       3116002246 DIALYSIS CULTURE                   $97.00
       3116002260 URINE CULTURE                     $175.00
       3116002262 URINE CULTURE, SUPRA/KIDNEY       $175.00
       3116002265 GROUP B STREP SCREEN CULTURE       $56.00
       3116002270 CULTURE BACT. OTHER SOURCE         $74.00
       3116002288 GENITAL CULTURE & GRAM STAIN      $179.00
       3116002290 GENITAL CULTURE                   $116.00
       3116002295 VAGINAL CULTURE                    $52.00
       3116002300 PROCAINAMIDE + NAPA                $81.00
       3116002305 YEAST SCREEN CULTURE               $32.00
       3116002308 HOMOGENIZATION, TISSUE             $28.00
       3116002310 INDIA INK                          $63.00
       3116002312 KOH PREP                          $114.00
       3116002320 FUNGAL SMEAR (WET MOUNT)          $114.00
       3116002321 VAGINAL CULTURE                    $97.00
       3116002322 FUNGAL SMEAR, CALCOFLUOR          $102.00
       3116002325 VRE SCREEN CULTURE                 $71.00
       3116002330 GRAM STAIN                        $121.00
       3116002335 CRYSTAL ARBORIZ-FERNING            $79.00
       3116002336 STREP GROUP A (OIA) RAPID          $44.00
       3116002340 LPCB/SALINE MOUNT/FUNGUS           $36.00
       3116002350 AFB CONCENTRATION                  $68.00
       3116002358 O&P COMPLETE EXAM,FRESH           $331.00
       3116002359 O&P COMPLETE EXAM,PRESERVED       $237.00
       3116002360 O&P DIRECT MOUNT                  $125.00
       3116002361 O&P MACRO EXAM,PARASITE            $43.00
       3116002362 O&P PERMANENT SMEAR               $125.00
       3116002370 PINWORM EXAM                       $51.00
       3116002371 O&P MACRO EXAM,ARTHROPOD           $56.00
       3116002380 O&P TRICHROME                     $125.00
       3116002385 O&P TRICHOMONAS CULTURE           $177.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        96
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116002387 O&P TRICHOMONAS CULTURE              $82.00
       3116002388 O&P TRICHOMONAS DIRECT EXAM         $125.00
       3116002390 OVA & PARASITES CONCENTRATED        $184.00
       3116002395 RESPIRATORY PROCESSING               $21.00
       3116002398 INFECT AGENT AG HPYLORI STOOL       $180.00
       3116002400 ROTAVIRUS STUDY                     $180.00
       3116002401 RESP. SYNCYTIAL VIRUS ANTIGEN       $189.00
       3116002405 VIBRIO CULTURE                       $33.00
       3116002450 YERSINIA SCREEN CULTURE              $38.00
       3116002500 BACTERIAL ID,AEROBIC                 $39.00
       3116002502 FUNGAL ID, YEAST                     $37.00
       3116002504 SPUTUM PROCESSING CHARGE GS          $91.00
       3116002506 AFB CONCENTRATION & ISOLATION        $70.00
       3116002508 ORGANISM ID (URINE)                  $75.00
       3116002510 BACTERIAL ID, ANAEROBIC              $72.00
       3116002680 FUNGAL ID, MOLD                      $50.00
       3116002710 PEN BINDING PROTEIN (PBP2)LA         $30.00
       3116002720 SUSCEPT, KIRBY BAUER (1 DISK)       $126.00
       3116002732 SENSITIVITY, MICROTITER MIC         $131.00
       3116002734 SENSITIVITY, DISK METHOD            $131.00
       3116002755 ETEST SENSITIVITY SPNE              $100.00
       3116002801 ETEST SENSITIVITY STRVIR            $100.00
       3116002830 SENSITIVITY,DISK STREP PNEUMO        $67.00
       3116002845 SENSITIVITY,DISK STREP SPECIES       $67.00
       3116002920 INFLUENZAE VIRUS ANTIGEN (A&B)       $90.00
       3116004997 IMMUNO SAL-SHIG TYPING               $52.00
       3116004998 ACETAMINOPHEN                       $182.00
       3116004999 IMMUNO BACTERIAL TYPING              $52.00
       3116005000 ACETONE - SERUM                     $131.00
       3116005015 ALB/GLOBULIN RATIO                  $131.00
       3116005020 ALBUMIN                             $104.00
       3116005029 VARICELLA ZOSTER ANTIBODY           $113.00
       3116005030 ALCOHOL ETHYL                       $129.00
       3116005040 AMMONIA                             $127.00
       3116005050 AMYLASE                              $75.00
       3116005060 BILIRUBIN DIRECT                     $75.00
       3116005070 BILIRUBIN TOTAL                     $106.00
       3116005090 BLOOD UREA NITROGEN                  $71.00
       3116005099 COMPAT TEST AHG (ADDITIONAL)        $191.00
       3116006000 CALCIUM                              $75.00
       3116006010 CALCIUM URINE (24 HR)               $217.00
       3116006020 CARBAMAZEPINE (TEGRETOL),TOTAL      $187.00
       3116006029 PSA FREE & TOTAL                    $124.00
       3116006030 CO2                                  $45.00
       3116006039 CARDIAC RISK FACTOR                  $18.00
       3116006040 CARDIAC PROFILE                     $200.00
       3116006060 CHLORIDE                             $44.00
       3116006070 CHLORIDE, URINE                     $104.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          97
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116006080 IONIZED CALCIUM                     $133.00
       3116006089 LIPID PANEL                         $189.00
       3116006090 CHOLESTEROL, SERUM                  $107.00
       3116007010 CORTISOL                            $170.00
       3116007030 CREATINE KINASE                      $75.00
       3116007040 CREATININE CLEARANCE                $215.00
       3116007050 CREATININE                           $82.00
       3116007059 CREATININE- URINE 24 HOUR           $198.00
       3116007060 CREATININE- URINE                    $81.00
       3116007070 DIASTASE-URINE                      $150.00
       3116007080 DIGOXIN                             $175.00
       3116007090 ELECTROLYTE PANEL                   $177.00
       3116007095 FERRITIN                            $207.00
       3116007099 VLDL-VERY LOW DENSITY LIPOPROT       $19.00
       3116008000 GGT                                 $113.00
       3116008010 GASTRIC ACID FREE/TOTAL              $69.00
       3116008020 GENTAMICIN LEVEL                    $210.00
       3116008022 GENERAL HEALTH PANEL                $403.00
       3116008025 GLUCOSE-POCT                         $74.00
       3116008030 GLUCOSE                              $75.00
       3116008035 GLUCOSE TOLERANCE 3 HRS             $216.00
       3116008036 GLUCOSE,URINE(RANDOM)                $95.00
       3116008040 GLUCOSE ADDL SPECIMEN                $46.00
       3116008045 GLUCOSE ADDL SPECIMEN                $46.00
       3116008047 GLUCOSE ADDL SPECIMEN                $46.00
       3116008049 GLUCOSE ADDL SPECIMEN                $41.00
       3116008050 GLUCOSE-BODY FLUID                  $109.00
       3116008060 GLUCOSE TOLERANCE 4 HRS             $253.00
       3116008070 GLUCOSE TOLERANCE 5 HRS             $290.00
       3116008075 GLUCOSE TOLERANCE 6 HRS             $326.00
       3116008080 GLUCOSE TOLERANCE 2 HRS             $214.00
       3116008082 LACTOSE TOLERANCE TEST              $260.00
       3116008091 HDL CHOLESTEROL                     $108.00
       3116008092 PERCENT SATURATION                   $18.00
       3116008093 IRON                                 $75.00
       3116008094 IRON % SAT                           $74.00
       3116008095 TOTAL IRON BINDING CAPACITY          $82.00
       3116009000 LACTIC ACID                          $81.00
       3116009009 LDL CHOLESTEROL                      $19.00
       3116009010 LDH                                  $75.00
       3116009019 URINE TOTAL VOLUME                   $23.00
       3116009020 LIDOCAINE - AR                       $64.00
       3116009030 LIPASE                               $75.00
       3116009040 LITHIUM                             $118.00
       3116009049 D-DIMER QUANTITATIVE                $127.00
       3116009060 MAGNESIUM                            $75.00
       3116009090 OSMOLALITY,SERUM                    $160.00
       3116010000 OSMOLALITY,URINE                    $160.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          98
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116010020 PH ONLY-BODY FLUID                   $63.00
       3116010030 PHENOBARBITOL                       $179.00
       3116010035 PLATLET FUNTION AGR 2ND AGONIS       $65.00
       3116010040 PHENYTOIN (DILANTIN)                $177.00
       3116010060 ALK PHOSPHATASE                     $125.00
       3116010068 PHOSPHORUS-URINE 24 HOUR            $190.00
       3116010070 PHOSPHORUS                          $106.00
       3116010080 POTASSIUM                            $83.00
       3116010090 POTASSIUM,URINE                      $75.00
       3116010100 PRIMODONE/MYSOLINE                   $38.00
       3116010130 COMPREHENSIVE METABOLIC PANEL       $200.00
       3116010160 PROTEIN URINE QUANT (24 HR)         $121.00
       3116010165 RENAL PANEL                         $155.00
       3116010170 PROTEIN-BODY FLUID                  $108.00
       3116010180 TOTAL PROTEIN                       $108.00
       3116010185 REFERENCE LAB-STAT PROCEDURE        $101.00
       3116010190 SALICYLATES-QUANT                    $97.00
       3116010200 SODIUM                               $87.00
       3116010210 SODIUM URINE                         $78.00
       3116010220 SPECIAL DISPATCH                     $52.00
       3116010230 SPECIAL PREP &/OR COMPLEX HAND       $54.00
       3116010240 THEOPHYLLINE                         $93.00
       3116010250 THYROID STIMULATING HORMONE          $75.00
       3116010260 THYROXINE-T4 RIA                     $75.00
       3116010270 TOBRAMYCIN LEVEL                     $75.00
       3116010279 AST (SGOT)                          $100.00
       3116010289 ALT (SGPT)                          $100.00
       3116010300 TRIGLYCERIDES                       $113.00
       3116010310 T3 UPTAKE RIA                        $75.00
       3116010320 UREA NITROGEN CLEARANCE (24HR)      $100.00
       3116010330 URIC ACID                            $75.00
       3116010350 BASIC METABOLIC PANEL               $100.00
       3116010351 DRUG OF ABUSE SCREEN (URINE)        $122.00
       3116010390 LIVER PANEL                         $100.00
       3116020320 LUTEINIZING HORMONE                 $112.00
       3116020330 ESTRADIOL                           $192.00
       3116020520 PLATLET FUNTION AGR 1ST AGONIS       $65.00
       3116020585 BLADDER TUMOR ANTIGEN URINE         $101.00
       3116020645 PREALBUMIN                          $120.00
       3116020720 CALCIUM - IONIZED                   $112.00
       3116020800 URINE 24 HR URIC ACID               $147.00
       3116021120 FOLLICLE STIMULATING HORMONE        $112.00
       3116021295 HEPATITIS C VIRUS AB                $114.00
       3116021521 LIPID PANEL                         $158.00
       3116021620 MYOGLOBIN 2 HOUR                    $141.00
       3116021700 PROLACTIN                           $127.00
       3116021705 PROSTATIC SPECIFIC ANTIGEN           $75.00
       3116021730 QUINIDINE                            $71.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          99
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116021800 VALPROIC ACID                        $93.00
       3116021831 VITAMIN B12                          $72.00
       3116021875 HIV ANTIBODY 1 & 2                   $95.00
       3116021892 CKMB                                $498.00
       3116021895 TROPONIN-I                          $150.00
       3116022270 PARATHYROID HORMONE                  $58.00
       3116022271 BETA 2 MICROGLOBULIN SERUM           $58.00
       3116022272 PARATHYROID HORMONE INTRA-OPER      $258.00
       3116022295 ERYTHROPOIETIN                       $58.00
       3116030120 HEPATITIS A ANTIBODY IGM             $70.00
       3116030140 HEPATITIS B CORE TOTAL              $159.00
       3116030150 HEPATITIS B SURFACE ANTIBODY        $116.00
       3116030170 ANTI-STREPTOLYSIN O SCREEN          $105.00
       3116030180 ANTI-STREPTOLYSIN O TITER           $216.00
       3116030250 ANTIBODY ELUTION PREP/ACID          $219.00
       3116030300 ANTIBODY ID COLD PANEL EXTEND       $206.00
       3116030310 ANTIBODY ID COOMBS IGG              $312.00
       3116030380 ANTIBODY SCREEN                     $165.00
       3116030400 ANTIBODY TITRATION AHG               $92.00
       3116030440 ANTIGEN BLOOD GROUP-AHG              $61.00
       3116030460 OBSTETRIC PANEL                     $198.00
       3116030475 HCG QUALITATIVE                     $171.00
       3116030477 HCG QUANTITATIVE                    $209.00
       3116030478 MICROALBUMIN 24 HR URINE            $113.00
       3116030490 C REACTIVE PROTEIN                  $120.00
       3116030495 ULTRA-SENSITIVE CRP                 $100.00
       3116030510 COMPAT TEST IS (INITIAL)            $198.00
       3116030511 COMPAT TEST AHG (INITIAL)           $198.00
       3116030530 BLOOD TYPE ABO                       $72.00
       3116030531 COMPAT TEST IS (ADDITIONAL)         $181.00
       3116030533 BLOOD TYPE RH (D)                    $79.00
       3116030541 AR-ALPHA FETOPROTEIN                $100.00
       3116030549 PROGESTERONE                        $131.00
       3116030554 VANCOMYCIN                          $139.00
       3116030555 CARCINOEMBRYONIC ANTIGEN            $173.00
       3116030560 COLD AGGLUTININ TITER               $142.00
       3116030580 DIFFER/DIRECT/COOMBS                 $99.00
       3116030590 DIFFERENTIAL ANTIBODY ABSORPTI      $106.00
       3116030591 HEMOGLOBIN AIC                       $61.00
       3116030600 DIRECT COOMBS                       $126.00
       3116030605 DONATH-LANDSTEINER(COLD HEMOLY      $141.00
       3116030610 DRUG SENS I.D.                      $299.00
       3116030620 DU                                   $75.00
       3116030665 CYCLOSPORIN                          $87.00
       3116030720 APT TEST-FETAL HEMOGLOBIN           $230.00
       3116030730 FETAL MATERIAL BLEED SCREEN         $141.00
       3116030740 FRESH FROZEN PLASMA THAWING          $55.00
       3116030750 HAPTOGLOBIN                          $72.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          100
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3116030760 H.PYLORI ANTIBODY IgG                $71.00
       3116030770 HEPATITIS ACUTE SCREEN PANEL        $330.00
       3116030780 HEPATITIS B SURFACE ANTIGEN          $84.00
       3116030830 IMMUNE ANTI A & OR/ B               $110.00
       3116030850 MONOSCREEN                          $104.00
       3116030851 MICROALBUMIN QUALITATIVE UR          $75.00
       3116030853 MICROALBUMIN/CREA RATIO (UA)         $95.00
       3116030890 PLATELET CONC PREP FOR INFUS         $28.00
       3116030930 RPR QUALITATIVE                      $77.00
       3116030940 RPR TITER                           $124.00
       3116030950 RED BLOOD CELL PACKED PREP SED       $44.00
       3116030970 RHEUMATOID FACTOR                   $120.00
       3116030980 RHEUMATOID FACTOR TITER             $205.00
       3116030990 GLOBULIN RH IMMUNE                  $208.00
       3116031000 RUBELLA IMMUNITY SCREEN             $125.00
       3116031010 SCREEN FOR COMPATIBLE UNIT           $50.00
       3116031040 SEP OF BLOOD UNIT TO ALIQUOT        $131.00
       3116031070 WARM ANTIBODY ABSORPTION             $88.00
       3116031071 WARM ANTIBODY ABSORPTION (STAT       $88.00
       3116031081 WEIL-FELIX AGLUTINING (STAT)        $113.00
       3116040050 DEPRE EMPLOYMENT LAB WORK            $64.00
       3116040152 B-TYPE NATRIURETIC PEPTIDE          $164.00
       3116040190 PLATELET FUNCTION AGGR ASPIRIN       $65.00
       3116040225 THYROGLOBULIN                        $79.00
       3116040260 FETAL FIBRONECTIN                   $225.00
       3116040340 POTASSIUM 24 HR URINE                $81.00
       3116040345 VISCOSITY-SERUM                      $57.00
       3116040545 THYROGLOBULIN ANTIBODY               $55.00
       3116040633 CLOST.DIFFICLE CULTURE               $66.00
       3116040655 RUBEOLA ANTIBODY IGG                $113.00
       3116041940 HEPARIN LOW MOLECULAR WT ASSAY      $140.00
       3116041970 HEPARIN UNFRACTIONATED ASSAY        $140.00
       3116042011 VENOUS/SPECIMEN COLLECTION           $37.00
       3117000300 U - FACTOR 7, COAG                   $65.10
       3117000310 SL-CHROMOSOME ANALYSIS CONGBLD      $316.00
       3117000311 SL - CONGBLD TISSUE CULTURE         $158.00
       3117000312 SL-CONGBLD CHROMOSOME ANALYSIS      $158.00
       3117000400 SL-COX VIRUS A ABS.,7,9,10,16        $88.00
       3117000401 SL - COXSACKIEVIRUS A7 ABS.          $22.00
       3117000402 SL - COXSACKIEVIRUS A9 ABS.          $22.00
       3117000403 SL - COXSACKIEVIRUS A10 ABS.         $22.00
       3117000404 SL - COXSACKIEVIRUS A16 ABS.         $22.00
       3117000420 SL - ECHOVIRUS ABS, 4,9,11,30        $57.00
       3117000421 SL - ECHOVIRUS TYPE 4 ABS             $9.50
       3117000422 SL - ECHOVIRUS TYPE 9 ABS             $9.50
       3117000423 SL - ECHOVIRUS TYPE 11 ABS            $9.50
       3117000424 SL - ECHOVIRUS TYPE 30 ABS            $9.50
       3117000425 SL - ECHOVIRUS TYPE 11 ABS            $9.50
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          101
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117000426 SL - ECHOVIRUS TYPE 30 ABS            $9.50
       3117000427 SL-PHEOCHROMOCYTOMA EVAL             $73.14
       3117000428 SL-CATECHOLAMINES                    $24.38
       3117000429 SL-CREATINE; NOT BLOOD               $24.38
       3117000430 SL-METANEPHRINES                     $24.38
       3117000500 SL-PARALYTIC VIRAL AB. EVAL          $98.00
       3117000501 SL-PARALY EVAL COXVIRUS B1 ABS        $5.76
       3117000502 SL-PARALY EVAL COXVIRUS B2 ABS        $5.76
       3117000503 SL-PARALY EVAL COXVIRUS B3 ABS        $5.76
       3117000504 SL-PARALY EVAL COXVIRUS B4 ABS        $5.76
       3117000505 SL-PARALY EVAL COXVIRUS B5 ABS        $5.76
       3117000506 SL-PARALY EVAL COXVIRUS B6 ABS        $5.76
       3117000507 SL-PARALY EVAL ECHOVIRUS 4 ABS        $5.76
       3117000508 SL-PARALY EVAL ECHOVIRUS 9 ABS        $5.76
       3117000509 SL-PARALY EVAL ECHOVIRUS 11ABS        $5.76
       3117000510 SL-PARALY EVAL ECHOVIRUS 4 ABS        $5.76
       3117000511 SL-PARALY EVAL POLIVIRUS 1 ABS        $5.76
       3117000512 SL-PARALY EVAL POLIVIRUS 2 ABS        $5.76
       3117000513 SL-PARALY EVAL POLIVIRUS 3 ABS        $5.76
       3117000514 SL-PARALY EVAL COXVIRUS A7 ABS        $5.76
       3117000515 SL-PARALY EVAL COXVIRUS A9 ABS        $5.76
       3117000516 SL-PARALY EVAL COXVIRUS A10ABS        $5.76
       3117000517 SL-PARALY EVAL COXVIRUS A16ABS        $5.76
       3117000600 SL-COMPLEMANT EVAL CH50              $58.58
       3117000601 SL - COMPLEMENT EVAL CH50            $14.00
       3117000602 SL-COMP EVAL C50 C3 COMPLEMENT       $14.00
       3117000603 SL-COMP EVAL CH50 C4 COMPLEMEN        $5.00
       3117000604 SL - COMP EVAL CH50 FACTOR B         $14.00
       3117000650 PARANEOPLASTIC PROFILE              $390.00
       3117000651 SL - HU IMMUNOREACTIVITY            $195.00
       3117000652 SL - YO IMMUNOREACTIVITY            $195.00
       3117000675 SL - PAROXYSMAL NOCTURN HGB EV      $200.00
       3117000676 SL - CD55 RBC                       $100.00
       3117000677 SL - CD59 RBC                       $100.00
       3117000700 U - PLATELET AGGREGATION            $117.00
       3117000701 UI - PLATAGR ADP                     $29.25
       3117000702 UI - PLATAGR COLLAGEN                $29.25
       3117000703 UI - PLATAGR EPINEPHRINE             $29.25
       3117000704 UI - PLATAGR RISTOCETIN              $29.25
       3117000705 SL - PEANUT IGE                       $4.98
       3117000710 SL-PHOSPHATIDYLSERINE AUTOABS        $95.20
       3117000711 SL-PHOSABS PHOSPHATIDYLSER IGG       $31.73
       3117000712 SL-PHOSABS PHOSPHATIDYLSER IGM       $31.73
       3117000713 SL-PHOSABS PHOSPHATIDYLSER IGA       $31.74
       3117000715 SUPPLEMENTAL PKU SCREENING           $25.00
       3117000720 SL-PLATELET IGG IGM IGA AUTOAB       $34.00
       3117000721 SL-PLATABS PLATELET IGG AUTOAB       $11.00
       3117000722 SL-PLATABS PLATELET IGM AUTOAB       $11.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          102
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117000723 SL-PLATABS PLATELET IGA AUTOAB       $11.00
       3117000728 SL-PLATELET AUTOANTIBODY EVAL        $53.43
       3117000729 SL-PLATEV PLATELET IGG AUTOAB         $8.90
       3117000730 SL-PLATEV PLATELET IGM AUTOAB         $8.90
       3117000731 SL-PLATEV PLATELET IGA AUTOAB         $8.90
       3117000732 SL-PLATEV PLATELET ASSOC IGG          $8.91
       3117000733 SL-PLATEV PLATELET ASSOC IGM          $8.91
       3117000734 SL-PLATEV PLATELET ASSOC IGA          $8.91
       3117000736 SL-PLATELET ASSOCIATED AUTOABS      $225.00
       3117000737 SL-PLATASSO PLATELET ASSOC IGG       $75.00
       3117000738 SL-PLATASSO PLATELET ASSOC IGM       $75.00
       3117000739 SL-PLATASSO PLATELET ASSOC IGA       $75.00
       3117000740 AR - PORPHOBILINOGEN (24HR-UA)       $24.00
       3117000760 U - PROTAMINE SULFATE                $20.00
       3117000800 SL-EPSTEIN-BARR VIRUS EVALUATI       $36.97
       3117000801 SL-EBV VIRAL CAPSID ANT IgG AB        $9.24
       3117000802 SL-EBV VIRAL CAPSID ANT IgM AB        $9.24
       3117000803 SL-EBV EARLY ANTIGEN IgG AB           $9.24
       3117000804 SL-EBV NUCLEAR ANTIGEN IgG AB         $9.25
       3117000809 SL-EPSTEIN-BARR DNA ULTRAQUANT      $224.00
       3117001920 SL- FILASIASIS IgG4 ANTIBODY         $59.00
       3117001930 SL - ENTAMOEBA HISTOLYTICA ABS       $20.67
       3117001931 SL - E.HISTOLYTICA AB IGA             $6.89
       3117001932 SL - HISTOLYTICA AB IGG               $6.89
       3117001933 SL - E. HISTOLYTICA AB IGM            $6.89
       3117002137 RISTOCETIN COFACTOR                  $60.90
       3117002486 AR - AMOIDARONE & METABOLITE         $33.15
       3117002640 AR - ADVENOVIRUS AB-CF               $45.00
       3117002650 SL-ALUMINUM WB                       $15.40
       3117002660 AR - ASPERGILLUS AB (ID)             $23.00
       3117002665 SL-BK VIRUS BLOOD QUANTITATION      $190.00
       3117002670 AR - BLASTOMYCES AB ID               $34.40
       3117002675 BLASTOMYCES AB CF                    $20.65
       3117002685 SL - CHLAMYDIA AG (EIA)              $10.14
       3117002690 SL - COCCIDIODES AB CF               $20.29
       3117002693 SL- COCCI ABS CSF (CF)               $20.29
       3117002695 SL - COCCIDOIDES TOTAL ABS.          $33.00
       3117002696 SL - COCCIDOIDES ABS., DD            $11.00
       3117002697 SL - COCCIDOIDES ABS. LPA            $11.00
       3117002698 SL - COCCIDOIDES ABS., CF            $11.00
       3117002700 SL - COCCI AB LA                     $35.00
       3117002701 SL - COCCI ANTIBODY (ID)             $52.00
       3117002705 SL - COCCI AB IGG & IGM              $57.20
       3117002706 SL - COCCI AB IGG                    $28.60
       3117002707 SL - COCCI AB IGM                    $28.60
       3117002710 SL-COXSACKIE GRP B AB-CF (1-6)      $100.80
       3117002711 SL - COXSACKIEVIRUS B2 ABS.          $16.80
       3117002712 SL - COXSACKIEVIRUS B2 ABS.          $16.80
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          103
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117002713 SL - COXSACKIEVIRUS B3 ABS.          $16.80
       3117002714 SL - COXSACKIEVIRUS B4 ABS.          $16.80
       3117002715 SL - COXSACKIEVIRUS B5 ABS.          $16.80
       3117002716 SL - COXSACKIEVIRUS B6 ABS.          $16.80
       3117002750 SL - ECHOVIRUS AB                    $22.00
       3117002760 AR - HISTOPLASMOSIS AB - CF          $13.67
       3117002770 AR - HISTOPLASMOSIS AB (ID)         $115.50
       3117002780 SL-HERPES SIMPLEX DNA DTCR PCR      $115.50
       3117002785 SL - HSV TYPE 1 IGG ABS              $31.85
       3117002790 SL - HSC II AB IGM                   $59.15
       3117002795 SL - HSV TYPE 2 IGG ABS              $31.85
       3117002810 SL - LEGIONNAIRES AB - IFA           $21.00
       3117002840 SL-MYCOPLASMA PNEUMONIA AB IFA       $23.02
       3117002845 M.PNEUMONIAE DNA DETECTR            $249.00
       3117002850 MYOSITIS ASSESSR PLUS               $246.72
       3117002851 PL-7 AUTOABS                         $30.84
       3117002852 PL-12 AUTOABS                        $30.84
       3117002853 MI-2 AUTOABS                         $30.84
       3117002854 KU AUTOABS                           $30.84
       3117002855 EJ AUTOABS                           $30.84
       3117002856 OJ AUTOABS                           $30.84
       3117002857 SRP AUTOABS                          $30.84
       3117002858 JO-1 AUTOABS                         $30.84
       3117002870 SL - Q FEVER AB IGG & IGM            $42.35
       3117002871 SL - COXIELLA BURNETII IgG ABS        $7.05
       3117002872 SL - COXIELLA BURNETII IgG ABS        $7.06
       3117002873 SL - COXIELLA BURNETII IgM ABS        $7.06
       3117002874 SL - COXIELLA BURNETII IgM ABS        $7.06
       3117002875 SL - COXIELLA BURNETII IgA ABS        $7.06
       3117002876 SL - COXIELLA BURNETII IgA ABS        $7.06
       3117002905 SL - SACCHAROMYCES IGG IGA ABS      $127.00
       3117002906 SL - SACCHAROMYCES IGG ABS           $63.50
       3117002907 SACCHAROMYCES IGA ABS                $63.50
       3117002910 SL - TORCH PANEL                     $43.31
       3117002911 SL - TORCH CYTOMEGALOVIRUS IgG        $4.33
       3117002912 SL - TORCH CYTOMEGALOVIRUS IgM        $4.33
       3117002913 SL - TORCH HSV 1 IgG ABS              $4.33
       3117002914 SL - TORCH HSV 1 IgM ABS              $4.33
       3117002915 SL - TORCH HSV 2 IgG ABS              $4.33
       3117002916 SL-TORCH HSV 2 IgM ANTIBODUIES        $4.33
       3117002917 SL-TORCH TOXOPLASMA IgG ANTIBO        $4.33
       3117002918 SL-TORCH TOXOPLASMA IgM ANTIBO        $4.33
       3117002919 SL-TORCH RUBELLA IgG ANTIBODIE        $4.33
       3117002920 SL-TORCH RUBELLA IgM ANTIBODIE        $4.34
       3117002930 SL - TRICHINELLA AB - LA             $59.00
       3117002960 SL - VIRUS CULTURE                   $19.20
       3117002970 HEP C RNA ULTRAQUANT                $120.00
       3117002990 HIV1 RNA ULTRAQUANT                  $99.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          104
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117005033 P - BLOOD ALCOHOL (INDUST)           $22.00
       3117005055 INDUST - BASIC COLLECTION FEE        $12.00
       3117005057 INDUST - HANDLING FEE                $18.00
       3117006095 CITY OF FULLERTON LAB SERVICES       $71.00
       3117009000 SJ - LACTIC ACID SERUM               $37.70
       3117009005 LAMOTRIGINE                          $26.95
       3117009006 LIPROPROTEIN ELECTROPHORESES         $36.00
       3117009007 CHOLESTEROL, SERUM TOTAL             $12.00
       3117009008 TRIGLYCERIDES                        $12.00
       3117009009 LIPROTEIN, BLOOD; ELECTROPHORE       $12.00
       3117009070 SJ - MUCIN CLOT                      $21.50
       3117009083 GC - TRANS / PCKG - NOW CHARGE       $18.00
       3117010009 CH - BONE MARROW CELLS              $130.00
       3117010010 CH - ADDITIONAL KARYOTYPE            $41.00
       3117010029 CH - ADDITIONAL CELLS                $13.00
       3117010049 CH - CNT CELLA KARYO BAND           $285.00
       3117010050 SJ - ACID PHOSPHATASE,TOTAL          $18.00
       3117010059 GC - CNT. CELLS KARYO BANK          $286.00
       3117010069 GC - ADDITIONAL KARYOTYPE            $41.00
       3117010071 U - PORPHYRINS QUAL VE - URINE       $16.00
       3117010079 GC - ADDITIONAL CELLS               $133.00
       3117010089 GC - BONE MARROW CELLS              $130.00
       3117010099 GC - 15-20 CELLS CARYO BAND         $201.00
       3117010100 SL - PRIMIDONE / MYSOLINE            $19.00
       3117010120 NI - VOLATILES                       $26.00
       3117010122 NI - ACETONE / KET BODIES QL          $8.00
       3117010124 SL - ANDROSTANEDIOL GLUCRONIDE       $73.64
       3117010135 AR - PYRUVIC ACID                    $17.00
       3117010139 NI - COMPLEMENT AG                   $21.00
       3117010140 SL - JO - 1 AB IGG                   $42.35
       3117010142 SL - DNA AB                          $23.00
       3117010144 AR - EXTRACTABLE NUCLEAR AG          $19.03
       3117010145 AR - FENTANYL                        $62.10
       3117010146 SL - LIVER/KIDNEY MICROSOME AB       $16.60
       3117010150 SL - COMPLEMENT AG                   $21.00
       3117010152 SL - RHEUMATOID FACTOR DWT            $9.00
       3117010153 SL - IFA AB EACH ANTIBODY            $20.00
       3117010156 SL - CARDIOLIPIN ABS COMPONENT       $27.00
       3117010159 SL - ANTIBODY ID LEUKOCYTE           $25.00
       3117010170 SL - THYROID STIM IMMUNOGLOBNS       $73.00
       3117010171 SL - TSI QUAL                        $33.33
       3117010172 SL - TSI QUANT                       $33.33
       3117010173 SL - THYROID STIMULATING HORM.       $33.34
       3117010179 SL - IMMUNOASSAY                     $22.00
       3117010181 NI-TRANS/PCKG-RIGHTWAY CHARGE        $52.00
       3117010189 SL - TITER EACH ANTIBODY             $20.00
       3117010199 AR - BORDETELLA PERTUSSIS DFA        $28.35
       3117010209 SL - CLAMYDIA IgM                    $22.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          105
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117010220 SL-CHLAMYDIAPNEUMO IGG.M.A ABS       $53.95
       3117010221 SL-CHLAMYDIA AB                      $35.96
       3117010222 SL-CHLAMYDIA AB IGM                  $17.99
       3117010239 SL - 15-20 CELLS KARYO BAND         $201.00
       3117010266 SL - SILICON SENS DET               $354.00
       3117010267 AR - IMMUNOGLOBULIN E                 $9.75
       3117010268 SL - ADDITIONAL KARYOTYPE            $41.00
       3117010269 SL - ADDITIONAL CELLS                $13.00
       3117010275 SIROLIMUS MONITR                     $95.00
       3117010280 SL - CNT CELLS KARYO BAND           $286.00
       3117010290 SL - ADENOVIRUS                      $22.00
       3117010299 SL - ENTEROVIRUS                     $22.00
       3117010329 SL - EB VIRUS NUCLEAR AG             $25.00
       3117010332 U - SCHICHTER ASSAY - PEAK           $51.00
       3117010333 U - SCHILICHTER ASSAY - TROUGH       $51.00
       3117010339 SL - EB VIRUS VIRAL CAPSID           $25.00
       3117010345 SL - NUCLER MOLECULAR DAIG            $7.00
       3117010349 SL - PCR EACH                        $44.00
       3117010359 SL - NUCLEIC ACID PROBE EA            $7.00
       3117010389 SL - SEPARATION                       $7.00
       3117010399 SL - A B OR C MULTIPLE AGS           $67.00
       3117010400 SL - DR/DQSINGLE ANTIGEN             $44.00
       3117010410 SL - HERPES SIMPLEX TYPE 1           $22.00
       3117010415 SL - SCHISTOSOMA ABS EVAL            $75.00
       3117010416 SCHISTOSOMA IgG ABS                   $9.37
       3117010417 SL - SCHISTOSOMA IgM ABS              $9.37
       3117010418 SL - SCHIST IgG SUBCLASS 1            $9.37
       3117010419 SL - SCHIST IgG SUBCLASS 2            $9.37
       3117010420 SL - SCHIST IgG SUBCLASS 3            $9.37
       3117010421 SL - SCHIST IgG SUBCLASS 4            $9.38
       3117010422 SL - SCHIST IgG TOTAL                 $9.38
       3117010423 SL - SCHISTOSOMA IgE ABS              $9.38
       3117010430 SL - SILICONE SENS IgA TOTAL          $8.00
       3117010431 SL - SILICONE SENS IgG TOTAL          $8.00
       3117010432 SL - SILICONE SENS IgM TOTAL          $8.00
       3117010433 SL - SILICONE SENS CBC                $8.00
       3117010434 SL - SILISENS ANTINUCLEAR ABS         $8.00
       3117010435 SL - SILISENS dsDNA AABS              $8.00
       3117010436 SL - SILISENS U1 RNP/snRNP IgG        $8.00
       3117010437 SL - SILISENS U1 RNP/snRNP IgG        $8.00
       3117010438 SL - SILISENS SM IgG AABS             $8.00
       3117010439 SL - SILISENS SM IgG AABS             $8.00
       3117010440 SL - SILISENS C4 COMPLEMENT           $8.00
       3117010441 SL - SILISENS C3 COMPLEMENT           $8.00
       3117010442 SL - SILISENS RHEUM. FACTR IgM        $8.00
       3117010443 SL - SILISENS SCI-70 IgG AABS         $8.00
       3117010444 SL - SILISENS SCI-70 IgG AABS         $8.00
       3117010445 SL - SILISENS SS-A IgG AUTOABS        $8.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          106
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117010446 SL - SILISENS SS-A IgG AUTOABS        $8.00
       3117010447 SL - SILISENS SS-B IgG AUTOABS        $8.00
       3117010448 SL - SILISENS SS-B IgG AUTOABS        $8.00
       3117010449 SL - SILISENS MITOCHOND. AABS         $8.00
       3117010450 SL - SILISENS MYOCARDIAL AABS         $8.00
       3117010451 SL - SILISENS PARIETAL CELL AA        $8.00
       3117010452 SL - SILISENS RETICULIN AABS          $8.00
       3117010453 SL - SILISENS SMOOTH MUSCLE AA        $8.00
       3117010454 SL - SILISENS STRIATIONAL AABS        $8.00
       3117010455 SL - SILISENS THYROID PEROX AA        $8.00
       3117010456 SL - SILICONE SENS IgE                $8.00
       3117010457 SL - SILISENS U1 RNP/snRNP AAB        $8.00
       3117010458 SL - SILISENS SILICATE IgG AAB        $8.00
       3117010459 SL - SILISENS SILICATE IGM AAB        $8.00
       3117010460 SL - SILISENS %CD3 (MATURE T-C        $8.00
       3117010461 SL - SILISENS %CD4 (HELPER/IND        $8.00
       3117010462 SL - SILISENS ABSOLUTE CD4            $8.00
       3117010463 SL - SILISENS %CD8 (CYTO/SUPPR        $8.00
       3117010464 SL - SILISENS CD4/CD8 RATIO           $8.00
       3117010465 SL - SILISENS SILICON DIOXIDE         $8.00
       3117010466 SL - SILISENS SILICATE                $8.00
       3117010467 SL - SILISENS SILICATE GEL            $8.00
       3117010468 SL - SILISENS PHYTOHEMAGGLUTIN        $8.00
       3117010470 SL - SILITCEL SILICON DIOXIDE        $56.00
       3117010471 SL - SILITCEL SILICATE               $56.00
       3117010472 SL - SILITCEL SILICATE GEL            $8.00
       3117010473 SL - SILITCEL PHYTOHEMAGGLUTIN        $8.00
       3117020000 NI - PKU NEONATAL SCREEN             $46.00
       3117020001 PHENYLKETONURIA SCREEN (PKU)         $77.00
       3117020002 PHENYLALANINE                        $15.40
       3117020003 TYROSINE                             $15.40
       3117020004 TRANSFERASE                          $15.40
       3117020005 SL - VARICELLA ZOSTER                $22.00
       3117020006 THYROID STIM HORM                    $15.40
       3117020007 HGB CHROMATOGRAPHY                   $15.40
       3117020010 SL - RUBEOLA                         $22.00
       3117020016 UL - ACETONE QUANT SERUM/URINE       $14.00
       3117020020 SL - CYTOMEGALOVIRUS                 $24.00
       3117020025 CRYPTOSPORIDIUM AG. DET.             $24.50
       3117020030 SL - LUMPH CHORIOMENINGITIS          $22.00
       3117020035 SL - HSV NON SPECIFIC TEST           $24.00
       3117020040 SL - COMP FIX TEST EA AG             $15.00
       3117020050 SL - EST EQUINE ENCHEP               $22.00
       3117020059 SL - CALIF ENCEPHALITIS              $22.00
       3117020060 AR-AMITRIPTYLINE/ELAVIL              $65.00
       3117020061 ST - ST. LOUIS ENCEDHALCTIS          $22.00
       3117020063 SL - WEST EQUINE ENCEPH              $22.00
       3117020065 SL - INFLUENZA VIRUS                 $23.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          107
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117020070 SL - NEPH EA. ANALYTE                $23.00
       3117020090 AR - ASCORBIC ACID                   $45.88
       3117020095 SL - OLIGOCLONAL IMMUNOGLOB          $32.00
       3117020097 AR - MYELIN BASIC PROT CSF           $78.65
       3117020098 SL -MUMPS                            $22.00
       3117020099 SL - IMMUNOFIATION ELECTRO           $37.00
       3117020100 SL - DILUTED                         $14.00
       3117020110 AR - CARBOXYHEMOGLOBIN               $28.75
       3117020111 AR - CHLAMYDIA ANTIGEN (EIA)         $12.00
       3117020115 SL - PROTHROMBIN TIME                 $7.00
       3117020120 UL - CHLORDIAZEPOXIDE                $18.00
       3117020125 AR - CHLORAZEPATE / TRANXENE         $96.96
       3117020140 AR - CHOLINESTERASE RBC              $14.35
       3117020143 KKI-CHOLEST 8(9) EN-3B-OL           $150.00
       3117020150 SL - PLATE ASSOC Ig ASSAY            $19.00
       3117020155 SL - PLATELET ANTIBODIES             $30.00
       3117020160 AR - CLONAZEPAM                      $26.95
       3117020170 SL - BUFFY COAT WBC COUNT             $7.00
       3117020180 SL - ESTIMATE ON SMEAR ONLY           $6.00
       3117020185 SL -FLOW CYTOMETRY EA CELL           $27.00
       3117020190 SL - IGG HU AUTOANTIBODIES          $215.00
       3117020200 AR - PROGRAF / TACROLIMUS            $37.00
       3117020202 SL - 5 - FLUOROCYTOSINE              $72.00
       3117020204 HEPATITIS B VIRUS DNA ULTRAQNT      $225.00
       3117020205 SL - HEP B VIRAL DNA DETECTOR        $50.00
       3117020206 SL - HEPATITIS B DNA QUAL PCR       $118.00
       3117020210 SL - CHLAMYDIA PSITTACI ABS          $58.10
       3117020211 SL - C. PSITTACI TOTAL ABS.          $29.05
       3117020212 SL - C. PSITTACI IgM ABS.            $29.05
       3117020220 SL - LEUK/LYMPH EVAL - BLOOD        $163.00
       3117020230 AR - 17-CORTICOSTEROIDS 17OH         $98.00
       3117020240 U - CNT CELLS KARYO BAND            $286.00
       3117020250 U - ADDITIONAL KARYOTYPE             $95.00
       3117020260 UL - CPK ISONEZYME                   $24.00
       3117020270 U - ADDITIONAL CELLS                 $13.00
       3117020273 SL - CREUTZFELDT JAKOB DISEASE       $30.00
       3117020275 SL- CREATINE KINASE ISOENZYMES       $37.09
       3117020276 SL- CPK; TOTAL                       $18.54
       3117020277 SL- CPK; ISOENZYMES                  $18.55
       3117020280 AR - CRYOGLOBULINS QUALITATIVE       $11.55
       3117020285 AR - CMG IgG AB (CE)                  $9.51
       3117020290 AR - CYANIDE                         $29.64
       3117020297 AR - DIAZEPAN /VALIUM                $29.75
       3117020300 AR - DIGITOXIN                       $85.00
       3117020310 SL - T-CELLS-TOTAL COUNT             $59.00
       3117020320 AR - LUTEINIZING HORMONE              $5.00
       3117020330 AR - ESTRADIOL                        $8.00
       3117020335 AR - ENCANIDE LEVEL                  $67.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          108
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117020340 SL - T-4 & T-8 - INCL. RATIO         $72.00
       3117020345 SL - LEVK/LYMPH EVAL B MARROW       $278.00
       3117020350 SL - CELL CYCLE OR DNA ANA          $163.00
       3117020360 CH - LEUK/LYMPH EVAL BLOOD          $451.00
       3117020361 SL-LEUKBL TOTAL WBC COUNT             $7.00
       3117020362 SL-LEUKBL PLATELET COUNT              $7.00
       3117020363 SL-LEUKBL %CD2(PAN T-CELL NK)         $7.00
       3117020364 SL-LEUKBL %CD5(TOTAL T CELLS          $7.00
       3117020365 SL-LEUKBL %CD7(EARLIEST T-CELL        $7.00
       3117020366 SL-LEUKBL CD4/CD8 RATIO               $7.00
       3117020367 SL-LEUKBL %CD38(ACT/IMMATURITY        $7.00
       3117020368 SL-LEUKBL %HLA-DR (la)                $7.00
       3117020369 SL-LEUKBL %CD10 (CALLA)               $7.00
       3117020370 CH - BUFFY COAT WBC COUNT             $6.00
       3117020380 CH - T-CELLS TOTAL COUNT             $62.00
       3117020385 CH - T4 & T8 INCLD. RATIO            $72.00
       3117020390 CH - FLOW CYTOMETR EA. CELL          $27.00
       3117020400 CH - LEUK/LYMPH EVAL B MARROW       $451.00
       3117020401 SL-LEUKBM %CD2(T-CELL:SOME NK)       $19.00
       3117020402 SL-LEUKBM %CD5 (TOTAL T-CELL)        $19.00
       3117020403 SL-LEUJBM %CD7 (EARLIEST T-CEL       $19.00
       3117020404 SL-LEUKBM CD4/CD8 RATIO              $19.00
       3117020405 SL-LEUKBM %CD38(ACT/IMMATURITY       $19.00
       3117020406 SL-LEUKBM %HLA-DR (LA)               $19.00
       3117020407 SL-LEUKBM %CD10 (CALLA)              $19.00
       3117020408 SL-LEUKBM %CD20 (TOTAL B-CELL)       $19.00
       3117020409 SL-LEUKBM %CD19 (B-CELL)             $19.00
       3117020410 B - GALACTOSE QUANTITATIVE           $29.00
       3117020420 CH - CELL CYCLE OR DNA ANAL         $163.00
       3117020425 AR-GLUC-6-PHOSPHATE DEHYDROGEN       $16.60
       3117020426 GLUTAMIC ACID DECARBOXYLASE          $67.55
       3117020430 SL-THYROTROPIN RELEASE HORMONE      $200.00
       3117020440 NI - PYRIDINIUM CROSS LINKS          $59.00
       3117020450 NI - N TELOPEPTID AUSTIO MARK        $83.00
       3117020460 SJ - MAGNESIUM UR (RANDOM)           $20.29
       3117020470 AR - MAGNESIUM URINE (24 HR)         $20.29
       3117020475 B - HALCION / TRIAZOLAM             $123.00
       3117020480 SL - RAFAMPIN                        $88.00
       3117020490 AR - ISONIAZID                       $69.72
       3117020500 SL - HELP A ABS TOTAL                $67.00
       3117020510 AR - MICROSPORIDIA                   $29.05
       3117020525 B - LOXAPINE / LOXITANE              $77.00
       3117020528 SL - INTERFERON BETA AUTOABS         $89.25
       3117020530 SL - INTERFERON-GAMMA               $165.75
       3117020540 SL - CALCIUM IONIZED                 $38.00
       3117020550 AR-METHEMOGLOBIN QUANTITATIVE       $103.30
       3117020560 SL - CHL. SSP. TOTAL & IgM ABS       $47.00
       3117020561 SL - C. PNEUMONIAE TOTAL ABS.         $6.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          109
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117020562 SL - C. PNEUMONIAE IgM ABS.           $6.00
       3117020563 SL - C. TRACH B COMPLEX TOT AB        $6.00
       3117020564 SL - C. TRACH B COMPLEX IgM AB        $6.00
       3117020565 SL - C. TRACH C COMPLEX TOT AB        $6.00
       3117020566 SL - C. TRACH C COMPLEX IgM AB        $6.00
       3117020567 SL - C. TRACH G/F/K TOTAL ABS.        $6.00
       3117020568 SL - C. TRACH G/F/K IgM ABS.          $6.00
       3117020570 SL - C. TRACH IgG, IgM, IgA          $53.95
       3117020571 SL - CHLAMYDIA IgG ABS.              $17.98
       3117020572 SL - CHLAMYDIA IgM ABS.              $17.98
       3117020573 SL - CHLAMYDIA IgA ABS.              $17.99
       3117020575 CHLAMYDIA TRAC DET TMA.SWAB          $46.00
       3117020577 GONORRHOEAE RNA UA                   $43.00
       3117020578 CHLAMYDIA GONORRHOEAE TMA UA         $92.00
       3117020579 CHLAMYDIA RNA UA                     $43.00
       3117020580 CHLAMYDIA GONORRHOEAE TMA SWAB       $92.00
       3117020581 GONORRHOEAE RNA SWAB                 $43.00
       3117020582 CHLAMYDIA RNA SWAB                   $43.00
       3117020610 AR - PHENOL (RANDOM UA)              $56.65
       3117020630 UL - PORPHYRIN QUAL                  $11.00
       3117020640 AR - PORPHYRINS FECES               $296.20
       3117020675 SL - PROTEIN C                       $36.27
       3117020676 SL - PROTEIN S                       $36.97
       3117020701 UL - TOCAINIDE                       $45.76
       3117020704 UL-TPMT ENZYME ACTIVITY QUANT       $127.44
       3117020705 TOPIRAMATE                           $26.95
       3117020706 UL - REDUCING SUBSTANCES             $25.00
       3117020707 UL - VIT BI2 BIND CAPACITY           $62.00
       3117020770 SL - UROBILINOGEN 24 HR URINE        $60.00
       3117020771 PROTHROMBIN 20210 MUTATION          $314.00
       3117020775 SL - VITAMINE B1 (THIAMINE)          $40.59
       3117020776 SL - VITAMINE B6                     $39.76
       3117020778 SL - WIDAL EVALUATION                $53.00
       3117020779 SL-WI SALMON TYPE O GROUP D AB        $8.00
       3117020780 SL-WI SALMON TYPE H GROUP A AB        $8.00
       3117020781 SL-WI SALMON TYPE H GROUP B AB        $8.00
       3117020782 SL-WI SALMON TYPE H GROUP D AB        $8.00
       3117020820 AR - ALDOLASE                        $52.88
       3117020889 ALPHA 1 ANTITRYPSIN PHENOTYPE        $74.44
       3117020890 AR - ANTIRYPSIN ALPHA                $11.20
       3117020891 A1-ANTITRYPSIN                       $37.22
       3117020892 PHENOTYPE                            $37.22
       3117020900 AR - ARSENIC URINE/BLOOD             $26.95
       3117020920 SL - C4 COMPLEMENT SERUM             $21.00
       3117020925 AR - COMPLEMENT SERUM                 $6.83
       3117020928 CHROMOGRANIN-A                       $30.32
       3117020935 SL-CHARCOT MARIE TOOTH 1A FISH      $487.50
       3117020936 SL- TISSUE CULTURE LYMPHOCYTES      $121.87
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          110
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117020937 SL- MCG,DNA PROBE, EA               $121.87
       3117020938 SL- MCG; IP SITU 25-99 CELLS        $121.88
       3117020939 SL- CG, MCG, INT & REP              $121.88
       3117020960 AR - CERULOPLASMIN                   $11.60
       3117020965 SL - CMV ABS (EIA)                   $34.00
       3117020970 NI - COMPLEMENT PROFILE             $141.00
       3117020971 NI COMPRO ANTI,EA COM C3 C4 C5      $106.00
       3117020972 NI-COMPRO NEPHELOMETRY,EA ANAL       $36.00
       3117021011 AR - EBV AB. IgM VCA                 $19.59
       3117021021 AR - NAVANE / THIOTHIXENE            $55.56
       3117021030 SL - CHR ANAL, HEM DIS II, BM       $244.00
       3117021031 SL - CHROBM ENZYMATIC DIGESTIO       $31.00
       3117021032 SL - CHROBM SEPARATION               $31.00
       3117021033 SL - CHROBM MOLECULAR DIAGNOST       $31.00
       3117021034 SL - CHROBM AMPLIFICATION            $31.00
       3117021035 SL - CHROBM INTERPRET AND REPO       $31.00
       3117021036 SL - CHROBM BM (MYELOID) CELLS       $31.00
       3117021037 SL - CHROBM CNT 15-20, 2 KARY        $31.00
       3117021038 SL - CHROBM EXTRACTION               $31.00
       3117021042 SL - DIHYDROTESTOSTERONE             $70.00
       3117021071 UL - FSH-LH-ESTRADIOL PANEL          $30.00
       3117021080 SL - CELIAC DISEASE ABS EVAL        $436.00
       3117021081 SL - CELIAC RETICULIN IgA AABS      $109.00
       3117021082 SL - CELIAC ENDOMHSIAL IgA AAB      $109.00
       3117021083 SL - CELIAC GLIADIN IgG ABS         $109.00
       3117021084 SL - CELIAC GLIADIN IgA ABS         $109.00
       3117021085 C.JEJUNI TOTAL ABS.                  $89.50
       3117021101 AR - DISOPYRAMIDE / NORPACE          $29.41
       3117021110 UL - FOLIC ACID                      $18.00
       3117021111 AR - CMV TgM (EIA)                    $9.52
       3117021120 AR-FOLLICLE STIMULATING HORMON        $5.00
       3117021170 UL - GLYCOHEMOGLOBIN                 $10.00
       3117021190 AR - HAPTOGLOBIN                      $6.00
       3117021230 SL - HEAVY METALS URINE 24 HR        $15.44
       3117021231 SL - HVYMUR ARSENIC URINE            $12.00
       3117021232 SL - HVYMUR LEAD URINE               $12.00
       3117021233 SL - HVYMUR MERCURY URINE            $12.00
       3117021270 AR - HEMOGLOBIN ELECT                $13.00
       3117021290 AR - SICKLE CELL HEMOGLOBIN          $37.09
       3117021292 HER 2 NEU SERUM MONITR              $125.00
       3117021297 SL - HEPATITUS C ABS PCR            $125.00
       3117021300 SL - HEPCRNA DETECTOR                $90.00
       3117021301 SL- HEPATITIS C VIRUS RNA            $11.25
       3117021302 SL - HEPCRNA ISOLATION               $11.25
       3117021303 SL - HEPCRNA DIGESTION               $11.25
       3117021304 SL- HEPCRNA HYBRIDIZE                $11.25
       3117021305 SL - HEPCRNA REVERXE T               $11.25
       3117021306 SL - HEPCRNA HCV                     $11.25
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          111
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117021307 SL - HEPCRNA PCR                     $11.25
       3117021308 SL - HEPCRNA REPORT                  $11.25
       3117021365 SL-LEUKBL %CD7 (EARLIEST T-CEL        $7.00
       3117021370 SL-LEUKBL %CD20 (TOTAL B-CELL)        $7.00
       3117021371 SL-LEUKBL %CD19(B-CELL)               $7.00
       3117021372 SL-LEUKBL %DUAL CD5/CD19(B-CLL        $7.00
       3117021373 SL-LEUKBL %IgG HEAVY CHA IF NE        $7.00
       3117021374 SL-LEUKBL %IgM HEAVY CH-IF NEE        $7.00
       3117021375 SL-LEUKBL %IgD HEAVY CHA-IF NE        $7.00
       3117021376 SL-LEUKBL %KAPPA LIGHT CHAINS         $7.00
       3117021377 SL-LEUKBL %LAMDA LIGHT CHAINS         $7.00
       3117021378 SL-LEUKBL %CD14(MYOCYTIC CELLS        $7.00
       3117021379 SL-LEUKBL %CD13(MYELOID CELLS)        $7.00
       3117021381 SL-LEUKBL %CD11C                      $7.00
       3117021382 SL-LEUKBL %CD45(pPAN LEUKOCYTE        $7.00
       3117021383 SL-LEUKBL %CD34(PROGENITOR CEL        $7.00
       3117021384 SL-LEUKBL %CD33(MYELOID CELLS)        $7.00
       3117021390 AR - IMMUNOGLOBULIN G                 $3.96
       3117021392 AR - IMMUNOGLOBULIN A                 $5.58
       3117021400 AR - IMMUNOGLOBULIN M                 $5.58
       3117021410 SL-LEUKBM %IgG HEAVY CHAINS          $19.00
       3117021411 SL-LEUKBM %IgG HEAVY VHAINS          $19.00
       3117021412 SL-LEUKBM %IgD HEAVY CHAINS          $19.00
       3117021413 SL-LEUKBM %KAPPA LIGHT CHAINS        $19.00
       3117021414 SL-LEUKBM %LAMBDA LIGHT CHAINS       $19.00
       3117021415 SL-LEUKBM %CD14 (MYOCYTIC)           $19.00
       3117021416 SL-LEUKBM %CD13 (MYELOID)            $19.00
       3117021417 SL-LEUKBM %CD33 (MYOCYTIC)           $19.00
       3117021418 SL-LEUKBM %CD45 (PAN LEUKOCYTE       $19.00
       3117021419 SL-LEUKBM %CD34(PROGENITOR CEL       $19.00
       3117021420 SL-LEUKBM DNA INDEX                  $19.00
       3117021430 SL-IMMUNOELECTROPHORESIS SERUM       $14.26
       3117021440 SL - IMMUNOELECTROPHORESIS CSF       $60.90
       3117021450 AR - IMMUNOGLOBULIN G,A,M            $13.02
       3117021480 SL-17 KETOGENIC STEROIDS URINE       $13.00
       3117021490 AR - 17-KETOSTEROID                  $65.00
       3117021495 SL - 18-HYDROXYCORTOCOSTERONE       $172.00
       3117021500 AR - LDH ISOENZYMES                  $40.59
       3117021505 LDL DIRECT CHOLESTEROL               $17.50
       3117021510 AR - LEAD                             $6.60
       3117021520 AR - LEAD(INDUSTRIAL)                $14.70
       3117021539 SL - LH/FSH PROFILE                  $38.00
       3117021560 NI - LIPOPROTEIN BLOOD ELECT         $26.00
       3117021570 U - LS RATIO                         $54.00
       3117021581 AR - LYME DIS AB S/WEST BLT1         $56.70
       3117021590 SL - LUTEINIZING HORMONE             $20.00
       3117021630 AR - MERCURY URINE                   $37.79
       3117021635 SL-METANEPHRINES FRACT PLASMA       $205.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          112
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117021636 SL-6MP DRUG MONITR                  $205.00
       3117021640 SL - METANEPHRINES TOTAL             $31.29
       3117021660 UL PHOSPHATE PROS FRAC (RIA)          $6.00
       3117021666 E - 17 OH PREGNENOLONE               $61.00
       3117021700 AR - PROCLACTIN                       $5.00
       3117021710 AR - PROTEIN ELECTROPHORESES          $8.37
       3117021715 AR-PROTEIN ELECTROPHORESIS(CSF       $26.95
       3117021720 SL-PROTEIN ELECTROPHORESIS-UR         $9.07
       3117021725 SL-PROTEIN ELECTRO 24 HR URINE       $77.00
       3117021726 SL- URINE TOTAL PROTEIN              $38.50
       3117021727 SL- PROTEIN EP FRAC & QUAN           $38.50
       3117021735 AR - RIBOSOMAL AB                    $26.60
       3117021736 SL - RHEUMATOID FACTOR - FLUID       $14.70
       3117021740 UL - RENIN PLASMA                    $17.67
       3117021770 SL - T3-RIA                          $21.00
       3117021775 SL - TOXOPLASMA - IgG & IgM          $54.00
       3117021780 SL - TOXOPLAMSA ANTIBODY EVAL        $61.50
       3117021781 SL - TOXOPLASMA IgG ABS              $15.37
       3117021782 SL - TOXOPLASMA IgM ABS              $15.37
       3117021783 SL - TOXOPLASMA IgM ABS              $15.38
       3117021784 SL - TOXOPLASMA IgA ABS              $15.38
       3117021810 AR - VANILLYL MANDELIC ACID          $30.25
       3117021845 SL - VORL CSF                         $6.90
       3117021850 SL - VDRL SERUM                      $13.30
       3117021870 AR - 5-HIAA URINE                    $34.65
       3117021880 SL - HLA A B C TYPING COMPLETE      $442.00
       3117021881 CH - LEUKEMIA PANEL                 $451.00
       3117021882 CH - LEUKEMIA PANEL                 $429.00
       3117021883 CH-CHROMOSONE ANALYSIS-TISSUE       $163.00
       3117021884 CH-CHROMOS ANA BLD/BONE NAR/TI      $130.00
       3117021885 CH-CHROM ANALYSIS BONE MARROW       $201.00
       3117021886 SH - CHROM ANALYSIS TISSUE          $163.00
       3117021907 SL-HLA TYPING A/B/C/DR COMPLET      $400.00
       3117021908 SL - HLA ABC TYPING COMPLETE        $297.00
       3117021909 SL - HLA-DR TYPING                  $104.00
       3117021914 SL - ANTI LKM AB                     $28.00
       3117021915 ALK. PHOS.,BONE SPECIFIC             $47.95
       3117021916 INSULIN TOLERANCE 3 HR              $254.96
       3117021917 SL - INSULIN                          $9.07
       3117021918 APOLIPOPROTEIN EVALUATION            $91.00
       3117021920 LIPOPROTEIN A                        $17.73
       3117021923 AR - PURKINJE CELL AB                $38.00
       3117021924 AR-TREPONEMA PALLIDUM(MHA-TP)        $16.60
       3117021925 SJ - LUPUS ANTICOAGULANT              $8.62
       3117021926 SL - IGG SUBCLASS (1-2-3-4)          $33.66
       3117021927 SL-ANTINEUTROPHIL CYTOPLASM AB       $71.10
       3117021928 SL - IGA SUBCLASSES 1 & 2            $79.79
       3117021929 SL - NEURONAL AB                    $143.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          113
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117021930 SL - ANCA TOTAL ABS                  $22.97
       3117021932 SL - UI-RNP/SN RNP AB IGG            $18.54
       3117021933 AR - ANTI CETROMERE                  $19.24
       3117021934 SL - GM1 = GANGLIOSIDE AUTOABS      $154.00
       3117021935 SL - NARCOLEPSY EVAL - LMC          $248.00
       3117021936 SL - NARCO HLA-DR2 TYPING           $248.00
       3117021937 AR - ASCARIS AB                       $4.98
       3117021938 IS - ANT MYELIN BASIC PROT          $114.00
       3117021939 AR - OSTEOCALCIN                     $39.54
       3117021942 DS - PSA HYPERSENSITIVE              $83.00
       3117021943 DS - HUMAN ANTIMOUSE AB              $80.14
       3117021946 SL - TSI(THYROID STIM IGG)           $88.00
       3117021951 ACID. PHOS. TARTRATE RESIST.        $106.90
       3117021952 UL - MICROALBUMIN (24 HR)            $40.00
       3117021955 BETA-THALASSEMIA HGB. SCRN.          $19.53
       3117021956 SL - NEOPTERIN                      $131.00
       3117021957 BARTONELLA HENSELAE IGG & IGM        $35.15
       3117021962 FD - PROSPHATIDYLGYCEROL             $26.00
       3117021966 E - 17 OH PROGESTERONE               $61.00
       3117021967 AR - SPERM ABS                       $93.00
       3117021968 FB - FELBAMATE ASSAY                 $44.00
       3117021969 FD - FETAL LUNG PROFILE G. ASP      $213.00
       3117021971 FD - ANALYTE THIN LAYER              $29.00
       3117021972 SL - PARVOVIRUS B-19 DET DNA         $52.25
       3117021975 SL-PARVOVIRUS B19 IGG & IGM AB       $37.20
       3117021976 SL - PARVOVIRUS B19 IGG AB           $18.60
       3117021977 SL - PARVOVIRUS B19 IGM AB           $18.60
       3117021980 SL - ANCA IgG AUTOANTIBODIES         $11.85
       3117021981 SL - ANCA IgM AUTOANTIBODIES         $11.85
       3117021982 SL - ANCA IgA AUTOANTIBODIES         $11.85
       3117021984 SL - ANCA MYELOPEROXIDASE AAB        $11.85
       3117021985 SL - ANCA PROTEINASE-3 AAB           $11.85
       3117021986 SL - ANCA ANTINUCLEAR AB (ANA)       $11.85
       3117021991 FL - FLMG PHOSPHATIDYLGLYCEROL       $71.00
       3117021992 FL - FLMG THIN LAYER (LECITHIN       $71.00
       3117021993 FL - FLMG THIN LAYER SPHINGOMY       $71.00
       3117022001 AR - HOMOCYSTEINE                    $14.85
       3117022002 AR - GLIADIN ABS IGG & IGM           $33.75
       3117022003 SL - ENDOMYSIAL ANTIBODIES           $13.72
       3117022004 SL - UREA NITROGEN CLEARANCE         $31.00
       3117022005 SL - GIARDIA LAMBLIA ELISA           $25.00
       3117022006 AR - GLIADIN AB IGG                  $16.87
       3117022007 AR - GLIADIN AB IGM                  $16.88
       3117022010 SL - IgA SUBCLASS 1                  $39.89
       3117022011 SL - IgA SUBCLASS 2                  $39.90
       3117022012 SL - TOTAL IgA                       $23.00
       3117022020 SL - IgG SUBCLASS 1                   $8.41
       3117022021 SL - IgG SUBCLASS 2                   $8.41
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          114
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117022022 SL - IgG SUBCLASS 4                   $8.42
       3117022023 SL - TOTAL IgG                        $8.42
       3117022040 HEMOLYTIC ANEMIA EVAL.              $513.70
       3117022041 G6PD                                 $68.70
       3117022042 PYRUVATE KINASE RBC                  $76.90
       3117022043 OSMOTIC FRAGILITY RBC               $101.50
       3117022044 GLUCOSE PHOSPHATE ISOMER.            $96.80
       3117022045 HGB ELECTROPHOR CASCADE              $74.80
       3117022046 HGB ELECT CASCADE LEV 2              $95.00
       3117022050 LEUKOCYTE ALKALINE PHOS STAIN        $96.20
       3117022060 SL - GLUTEN SENSITIVITY PNL         $169.00
       3117022070 CARNITINE                            $61.25
       3117022071 SL - SKIN ABS IFA                    $30.10
       3117022072 SL - SKIN AUTOABS INTERCELL          $15.05
       3117022073 SL - SKIN AUTOABS EPIDERMAL          $15.05
       3117022074 CHLAMYDIA SPP AB EVAL.               $48.21
       3117022075 HYPERSENSITIVITY PNEUMO EVAL        $141.75
       3117022090 GC - CHROM. ANALYSIS BLOOD          $286.00
       3117022091 GC - CHROM ANALYSIS B/MARROW        $201.00
       3117022092 INTRINSIC FACTOR                     $42.35
       3117022093 HIV-1 ABS. CONFIRMATION              $14.50
       3117022100 GC - CHROM ANALYSIS (FRAG X)        $157.00
       3117022101 CMV DNA ULTRAQUANT. PCR             $145.75
       3117022107 DIPHTHERIA (CORYNEBAC) CULTURE       $39.00
       3117022110 CHOLINESTERASE W/DIBUCAINE INH       $48.00
       3117022120 AR-ADRENOCORTICOTROPHIC HORMON       $26.97
       3117022125 SJ - PRE ALBUMIN                     $28.00
       3117022128 AR - ALCOHOLS                        $22.00
       3117022129 NI - 3 ALPHA DIOL G                  $67.00
       3117022130 AR - ALDOSTERONE - SERUM             $31.51
       3117022131 SL-ALDOSTERONE\RENIN RATIO           $52.88
       3117022132 AR - AMINO ACIDS PLASMA             $177.10
       3117022133 UL - AMINO ACIDS FRACTION            $42.00
       3117022134 STONE-A-LYZER                         $9.82
       3117022135 SL-ALDOSTERONE                       $26.44
       3117022136 SL-RENIN                             $26.44
       3117022140 DEOXYPYRIDINOLINE X-LINKS           $107.90
       3117022150 AR - ANDROSTENDIONE                  $21.34
       3117022155 AR-ANGIOTENSIN CONVERTING ENZY       $20.75
       3117022159 SL-BORDETELLA PERT\PARA PCR         $226.00
       3117022160 AR - ARGININE VASOPRESSIN HORM       $60.20
       3117022161 BCR ABL GENE REARANGEMENT FISH      $314.00
       3117022162 TISSUE CULTURE FOR NEOPLASTIC        $78.50
       3117022163 MOLECULAR CYTOGENETICS,DNA PRO       $78.50
       3117022164 BETA HYDROXYBUTYRATE                $226.00
       3117022165 BETA-2-GLYCOPROTEIN I ABS            $63.35
       3117022166 SL - BC R/ABL GENE REARRANGE        $185.00
       3117022167 AR-BETA 2 MICROGLOB SERUM            $11.16
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          115
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117022168 BENCE-JONES PROTEIN                  $24.30
       3117022169 ELECTROPHORETIC TECHNIQUE            $12.15
       3117022170 GRANULOCYTE AUTOABS                  $62.65
       3117022171 GAMMAGLOBULIN IGA,IGD,IGG,IGM        $12.15
       3117022172 MOL CYTO-INTERFACE SITU HYBRID       $78.50
       3117022173 CYTO AND MOL CYTO INTER&REPORT       $78.50
       3117022175 FETAL FIBRONECTIN                   $182.00
       3117022180 AR - C-PEPTIDE                       $15.15
       3117022190 AR - CALCITONIN                      $18.55
       3117022200 FACTOR V MUTATION                    $99.00
       3117022208 AR - CATECHOLAMINES FRACT            $22.00
       3117022210 AR - CATECHOLAMINES FRACT URIN       $16.74
       3117022220 NI - METOPIRONE (COMPOUND S)         $46.00
       3117022225 CYSTIC FIBROSIS ANALYSIS            $200.00
       3117022227 SL -CHROMOSOME ANAL BLOOD           $130.00
       3117022228 SL - CHROM ANALYSIS B / MARR        $130.00
       3117022230 AR - 11 DEOXYCORTISOL                $31.25
       3117022235 FACTOR IX ACTIVITY                   $65.10
       3117022236 FACTOR XII ACTIVITY                  $65.10
       3117022237 FACTOR XI ACTIVITY                   $65.10
       3117022240 FEBRILE AGGLUTININS                 $192.00
       3117022242 N-TELOPEPTIDES W/CREAT               $14.88
       3117022244 CHLAMYDIA GC DNA PROBE               $22.72
       3117022245 N-TELOPEPTIDE,SERUM                 $139.00
       3117022246 SL - CHLAMYDIA DNA PROB              $11.36
       3117022247 SL - GONORRHOEAE DNA PROBE           $11.36
       3117022249 DENGUE VIRUS TOTAL ABS               $42.35
       3117022250 AR - DHEA SULFATE                    $20.00
       3117022255 AR - DOXEPIN / SINEQUAN              $35.00
       3117022260 SL - ESTRADIOL RIA                   $29.00
       3117022261 SL - ESTRIOL                         $36.04
       3117022265 UL - RBC FOLATE                      $22.00
       3117022270 PTH,INTACT ONLY                      $52.00
       3117022280 HIV-1 ANTI-VIRAL DRUG STUDY       $1,012.00
       3117022285 SL - SQUAMOUS CELL ANTIGEN           $31.00
       3117022295 AR - ERYTHROPOIETIN                  $17.67
       3117022300 AR - GROWTH HORMONE                  $10.70
       3117022305 SL - HEPATITIS DELTA                 $30.45
       3117022307 HIV-1 GENOTYPR PLUS                 $395.00
       3117022308 H.PYLORI AG.                         $35.35
       3117022309 SL-HELICOBACTER PYLORI IGM ABS       $39.54
       3117022310 AR - INSULIN FREE & TOTAL            $30.25
       3117022315 HEREDITARY HEMO. DNA PROBE          $109.90
       3117022318 HEREDITATRY PALSY NEUROPATHY        $487.50
       3117022320 ALPHA THALASSEMIA GENE              $409.60
       3117022321 INTERPRETATION & REPORT             $123.75
       3117022322 NUCLEIC ACID PROBE, EACH            $123.75
       3117022323 SEPARATION BY GEL ELECTROPHOES      $123.75
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          116
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117022324 MOLECULAR DIAGNOSTIC                $123.75
       3117022333 KAPPA & LAMBDA LT CHAIN 24 HR        $75.24
       3117022334 KAPPA/LAMBDA LT CHAIN QNT UA         $75.24
       3117022335 KAPPA LAMBDA FREE LIGHT CHAINS      $250.00
       3117022338 UW - MACRO CK                        $30.00
       3117022340 AR - ERV ABS IGG VCA                 $19.59
       3117022350 SL - MYOPERICARDITIS VIRAL           $21.00
       3117022354 SL - MYELOPEROXIDASE ABS             $20.59
       3117022355 SL- MYOGLOBIN UA RANDOM              $33.25
       3117022356 SL - MYELIN ASSOC GLYCOPROTEIN       $58.00
       3117022357 AR - NORTRIPTYLINE / AVENTYL         $61.75
       3117022358 SL - INTROBLUE TETRAZOLIUM           $83.00
       3117022360 SL-PTH INTACT & CALCIUM              $61.00
       3117022361 SL-PTHI PARATHYROID HORM INTAC       $13.70
       3117022362 SL-PTHI CALCIUM                      $13.70
       3117022364 SL-PTHI & IONIZED/TOTAL CA           $33.36
       3117022365 SL-PTHIC PARATHYROID HORM INTA       $11.12
       3117022366 SL-PTHIC CALCIUM                     $11.12
       3117022367 SL-PTHIC IONIZED CALCIUM             $11.12
       3117022370 UL-PLASMA CATECHOLAMINE FRACTI       $27.44
       3117022375 SL- PROINSULIN                       $70.00
       3117022383 HEPATITIS C VIRUS GENOTYPR          $295.00
       3117022385 INSULIN GROWTH FACTOR BP-1           $38.35
       3117022390 INSULIN-LIKE GROWTH FACTOR BP3       $21.81
       3117022400 FELBAMATE (FELBATOL)                 $49.68
       3117022402 SL- PTH BIO INTACT 1 84              $50.75
       3117022403 SL - PTH C TERMINAL & CALCIUM        $30.92
       3117022404 SL-PTHC PARATHYROID HORM C TER       $15.46
       3117022405 SL-PTHC CALCIUM                      $15.46
       3117022407 SL - PTH RELATED PROTEIN             $73.84
       3117022408 SL - PTH,MID-MOLE,W ION&TOT CA       $58.00
       3117022409 SL - PTHCALC PTH MID MOLECULE        $20.00
       3117022410 SL - PTHCALC CALCIUM                 $20.00
       3117022411 SL - PTHCALC CALCIUM (IONIZED)       $20.00
       3117022415 AR - TESTERONE, TOTAL & FREE         $32.37
       3117022416 SM SMITH IGG AUTOABS                 $18.54
       3117022417 AR - SEROTONIN SERUM                 $60.90
       3117022418 ULJ - SERTONIN - WHOLE BLOOD         $60.90
       3117022419 AR - SOMATOMEDIN-C                   $43.34
       3117022420 AR - TESTOSTERONE - TOTAL            $13.90
       3117022421 AR - TETNUS TOXOID ABS IGG           $18.23
       3117022423 AR - TESTOSTERONE - FREE             $23.37
       3117022425 FUNGUS SUSCEPTIBILITY:MIC PNL       $134.75
       3117022431 AR - TAMBOCOR / FLECAINIDE           $24.50
       3117022433 AR - TRAZODONE / DESYREL             $26.95
       3117022435 SL- TRYPSINOGEN                      $75.00
       3117022450 AR - THYROXINE BIND GLOBULIN         $10.00
       3117022460 SL-T3 AUTOANTIBODY RIA              $118.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          117
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117022465 SL - T3 FREE-BY-DIALYSIS              $9.85
       3117022469 SL - T4 FREE BY DIALYSIS             $26.20
       3117022475 SL - TDT TERM DEDXYTIDYL.NULL        $84.00
       3117022477 AR - RAJI CELL IMMUNE COMP.DET       $24.09
       3117022505 AR - ZINC SERUM                      $20.65
       3117022511 AR - ZINC URINE                      $20.65
       3117022515 SL-ZONISAMIDE \ ZONEGRAN            $165.00
       3117022582 U - BM CHRIOM ANAL                  $163.00
       3117022590 AR - RAST TEST 1 ALLERGEN             $6.00
       3117022593 SL - TREES MIX                        $8.14
       3117022595 SL - RAST: HOUSE DUST MIX            $38.00
       3117024444 AR - PROGRF / TACROLIMUS             $67.00
       3117024445 FATTY ACID PANEL                    $155.00
       3117024500 SL-FOL-STIM HORMON &LUT HORMON       $43.00
       3117024510 SL-FSHLH LUTEINIZING HORMONE         $22.00
       3117024520 SL-FSHLH FOLLICLE STIM HORMONE       $22.00
       3117024600 SL - ANALYZER                        $44.35
       3117024601 SL - ANA ANTINUCLEAR AB (ANA)         $3.69
       3117024602 SL - ds DNA AUTOABS                   $3.69
       3117024603 SL-ANA nRNP(U1RNP/snRNP)IgG AB        $3.69
       3117024604 SL-ANA U1 sn RNP Ab QUANTITATI        $3.69
       3117024605 SL - ANA Sm IgG AUTOABS               $3.69
       3117024606 SL - ANA Sm IgG IB                    $3.69
       3117024607 SL - ANA Sm Ab QUANTITATION           $3.69
       3117024608 SL - ANA SS-A (RO) IgG AUTOABS        $3.69
       3117024609 SL - ANA SS-A (RO) IgG ABS IB         $3.69
       3117024610 SL - ANA SS-B (LA) IgG AUTOABS        $3.69
       3117024611 SL - ANA SS-B (LA) IgG ABS IB         $3.69
       3117024612 SL - ANA SL-70 IgG AUTOABS            $3.69
       3117024613 SL - ANA SCL-70 IgG ABS IB            $3.69
       3117024614 SL-ANA THYROID PEROXIDASE AUTO        $3.69
       3117024615 SL - ANA C3                           $3.69
       3117024616 SL - ANA C4                           $3.69
       3117024617 SL - ANA RHEUMATOID FACTOR IgM        $3.69
       3117024618 SL - ANA MITOCHONDRIAL AUTOABS        $3.69
       3117024619 SL - ANA MYOCARDIAL AUTOABS           $3.69
       3117024620 SL - ANA PARIETAL CEL AUTOABS         $3.69
       3117024621 SL - ANA RETICULIN AUTOABS            $3.69
       3117024622 SL - ANA SMOOTH MUSCLE AUTOABS        $3.69
       3117024623 SL - ANA STRIATIONAL AUTOABS          $3.69
       3117024624 SL-ANA RIBOSOMAL P PROTEIN AUT        $3.69
       3117024700 SL-LYMPHOCYTE ENUMERATION,BASI       $47.86
       3117024701 SL - LEB TOTAL WBC COUNT             $11.97
       3117024702 SL - LEB %CD3 (MATURE T CELLS)       $11.97
       3117024703 SL - LEB%CD4 (HELPER/INDUCER)         $9.00
       3117024704 SL - LEB CD4/CD8 RATIO               $11.96
       3117024705 SL-LEB %CD19 (EARLIEST B-CELL)       $11.96
       3117024800 SL-LYMPHOCYTE ENUMERATION,T&BC      $360.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          118
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117024801 SL - LEUTBL TOTAL WBC COUT           $90.00
       3117024802 SL-LEUTBL%CD3(mMATURE T CELLS)       $90.00
       3117024803 AL-LEUTBC %CD19(EARLIEST B CEL       $90.00
       3117024804 SL-FLW CYTO INTRP, 16&> MARKER       $90.00
       3117024870 MYCOBACTERIUM TUBERC PCR            $212.00
       3117024900 SL - MALARIA IgG & IgM ABS.          $86.00
       3117024901 SL - MALA MALARIA IGG ABS            $43.00
       3117024902 SL - MALA MALARIA IgM ABS            $43.00
       3117025000 SL-MNING VIRAL AB EVALUATION        $160.00
       3117025001 SL - MENING ADENOVIRUS ABS            $6.00
       3117025002 SL-MENING COXSACKIEVIRUS B1 AB        $6.00
       3117025003 SL-MENING COXSACKIEVIRUS B2 AB        $6.00
       3117025004 SL-MENING COXSACKIEVIRUS B3 AB        $6.00
       3117025005 SL-MENING COXSACKIEVIRUS B4 AB        $6.00
       3117025006 SL-MENING COXSACKIEVIRUS B5 AB        $6.00
       3117025007 SL-MENING COXSACKIEVIRUS B6 AB        $6.00
       3117025008 SL-MENING CYTOMEGALOVIRUS ABS         $6.00
       3117025009 SL-MENING ECHOVIRUS TYPE 4 ABS        $6.00
       3117025010 SL-MENING ECHOVIRUS TYPE 9 ABS        $6.00
       3117025011 SL-MENING ECHOVIRUS TYPE 11ABS        $6.00
       3117025012 SL-MENING ECHOVIRUS TYPE 30ABS        $6.00
       3117025013 SL - MENING HERPES SIMPLEX ABS        $6.00
       3117025014 SL - MENING INFLUENZA A ABS           $6.00
       3117025015 SL - INFLUENZA A ABS                  $6.00
       3117025016 SL-MENNG LYMPHO CHORIOMEN ABS         $6.00
       3117025017 SL-MENING MUMPS SOLUBLE ABS           $6.00
       3117025018 SL - MENING MUMPS VIRAL ABS           $6.00
       3117025019 SL-MENING VARICELLA-ZOS VIRUS         $6.00
       3117025020 SL-MENING COXSACKIEVIRUS A7 AB        $6.00
       3117025021 SL-MENING COXSACKIEVIRUS A9 AB        $6.00
       3117025022 SL-MENING COXSACKIEVIRUS A10AB        $6.00
       3117025023 SL-MENING COXSACKIEVIRUS A16AB        $6.00
       3117025024 SL-MENING LA CROSSE VIRUS ABS         $6.00
       3117025025 SL-MENING EAST EQ ENCEPH ABS          $6.00
       3117025026 SL-MENING St. LOUIS ENCEPH ABS        $6.00
       3117025027 SL-MENING WEST EQ ENCEPH ABS          $6.00
       3117025028 SL-MENING MEASLES IgG ABS             $6.00
       3117025040 MENINGOENCEPHALOMYELITIS PANEL      $826.40
       3117025041 CALIF. ENCEPHALITIS AB, IFA          $51.66
       3117025042 E EQUINE ENCEPH AB PANEL IFA         $51.66
       3117025043 HSV TYPE 1                           $51.66
       3117025044 HSV TYPE 2                           $51.66
       3117025045 LYMPHOCYTIC CHORLOMENIGITIS          $51.66
       3117025046 MUMPS AB.                            $51.66
       3117025047 ST. LOUIS ENCEPHALITIS AB.           $51.66
       3117025048 WESTERN EQUINE ENCEPHALITIS AB       $51.66
       3117025100 SL - ENCEPHALITIS VIRAL ABS         $108.00
       3117025101 SL-ENCEPH HERPEX SIMPLEX ABS         $18.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          119
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117025102 SL-ENCEPH LYMPHO CHORIOMEN ABS       $18.00
       3117025103 SL-ENCEPH MUMPS SOLUABLE ABS         $18.00
       3117025104 SL-ENCEPH MUMPS VIRAL ABS            $18.00
       3117025105 SL-ENCEPH VARICLLA-ZOS VIRUS A       $18.00
       3117025106 SL-ENCEPH MEASLES IgG ABS            $18.00
       3117025200 SL-MULTIPLE SCLEROSIS EVALUATI       $67.07
       3117025201 SL-MSE OLIGOCLONAL LG BANDS(MI        $6.70
       3117025202 SL-MSE MYELIN BASIC PROTEIN(MB        $6.70
       3117025203 SL - MSE IgG CSF                      $6.70
       3117025204 SL - MSE IgG SERUM                    $6.71
       3117025205 SL - MSE IMG CSF                      $6.71
       3117025206 SL - MSE IgM SERUM                    $6.71
       3117025207 SL - MSE IgA SERUM                    $6.71
       3117025208 SL - MSE IgA SERUM                    $6.71
       3117025209 SL - MSE ALBUMIN CSF                  $6.71
       3117025210 SL - MSE ALBUMIN SERUM                $6.71
       3117025220 MUMPSIGG ABS                         $22.75
       3117025300 SL-MYOPERICARDITIS VIRAL ANTI       $119.00
       3117025301 SL-MYOP COXSACKIEVIRUS B1 ABS        $10.00
       3117025302 SL-MYOP COXSACKIEVIRUS B2 ABS        $10.00
       3117025303 SL-MYOP COXSACKIEVIRUS B3 ABS        $10.00
       3117025304 SL-MYOP COXSACKIEVIRUS B4 ABS        $10.00
       3117025305 SL-MYOP COXSACKIEVIRUS B5 ABS        $10.00
       3117025306 SL-MYOP COXSACKIEVIRUS B6 ABS        $10.00
       3117025307 SL-MYOP ECHOVIRUS TYPE 4 ABS         $10.00
       3117025308 SL-MYOP ECHOVIRUS TYPE 9 ABS         $10.00
       3117025309 SL-MYOP ECHOVIRUS TYOE 11 ABS        $10.00
       3117025310 SL-MYOP ECHOVIRUS TYPE 30 ABS        $10.00
       3117025311 SL-MYOP INFLUENZA A ABS              $10.00
       3117025312 SL-MYOP INFLUENZA B ABS              $10.00
       3117025400 SL-MOTOR & SENSORY NEURO EVAL       $118.55
       3117025401 SL - MSN GM1 AUTOABS                 $11.85
       3117025402 SL - MSN ASIALO-GM1 ABS              $11.85
       3117025403 SL - MSN MAG IGM AUTOABS             $11.85
       3117025404 SL - MSN SGPG IgM AUTOABS            $11.85
       3117025405 SL - MSN GD1a AUTOABS                $11.85
       3117025406 SL - MSN GD1b AUTOABS                $11.86
       3117025407 SL - MSN SULFATE AUTOABS             $11.86
       3117025408 SL-MSN NEURONAL NUCLEAR(HU)ABS       $11.86
       3117025409 SL - MSN GQ1b AUTOABS                $11.86
       3117025410 SL - MSN IFE PARAPROTEIN             $11.86
       3117025500 GL - CHROMOSOME ANALYSIS BLOOD      $411.00
       3117025501 GL - ANALBLD TISSUE CULTURE          $23.00
       3117025502 GL - ANALBLD COUNT 5 CELLS, KA       $23.00
       3117025503 GL - ANALBLD ADD KARYO STUDY 1       $23.00
       3117025504 GL - ANALBLD ADD KARYO STUDY 2       $23.00
       3117025505 GL - ANALBLD ADD CELLS STUDY1        $22.00
       3117025506 GL - ANALBLD ADD CELLS STUDY2        $22.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          120
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117025507 GL - ANALBLD ADD CELLS STUDY3        $22.00
       3117025508 GL - ANALBLD ADD CELLS STUDY4        $22.00
       3117025509 GL - ANALBLD ADD CELLS STUDY5        $22.00
       3117025510 GL - ANALBLD ADD CELLS STUDY6        $22.00
       3117025511 GL - ANALBLD ADD CELLS STUDY7        $22.00
       3117025512 GL - ANALBLD ADD CELLS STUDY8        $22.00
       3117025513 GL - ANALBLD ADD CELLS STUDY9        $22.00
       3117025514 GL - ANALBLD ADD CELLS STUDY10       $22.00
       3117025515 GL - ANALBLD ADD CELLS STUDY11       $22.00
       3117025516 GL - ANALBLD ADD CELLS STUDY12       $22.00
       3117025517 GL - ANALBLD ADD CELLS STUDY13       $22.00
       3117025518 GL - ANALBLD ADD CELLS STUDY14       $22.00
       3117025519 GL - ANALBLD ADD CELLS STUDY15       $22.00
       3117025600 GL - CHROANAL, BONE MARROW          $480.00
       3117025601 GL - CHROANAL BONE MARROW CELL       $40.00
       3117025602 GL - CHROANAL COUNT 5 CELL, KA       $40.00
       3117025603 GL - CHROANAL ADD KARYO STUDY1       $40.00
       3117025604 GL - CHROANAL ADD KARYO STUDY2       $40.00
       3117025605 GL -CHROANAL ADD CELLS STUDY1        $22.00
       3117025606 GL -CHROANAL ADD CELLS STUDY2        $22.00
       3117025607 GL -CHROANAL ADD CELLS STUDY3        $22.00
       3117025608 GL -CHROANAL ADD CELLS STUDY4        $22.00
       3117025609 GL -CHROANAL ADD CELLS STUDY5        $22.00
       3117025610 GL -CHROANAL ADD CELLS STUDY6        $22.00
       3117025611 GL -CHROANAL ADD CELLS STUDY7        $22.00
       3117025612 GL -CHROANAL ADD CELLS STUDY8        $22.00
       3117025613 GL -CHROANAL ADD CELLS STUDY9        $22.00
       3117025614 GL -CHROANAL ADD CELLS STUDY10       $22.00
       3117025615 GL -CHROANAL ADD CELLS STUDY11       $22.00
       3117025616 GL -CHROANAL ADD CELLS STUDY12       $22.00
       3117025617 GL -CHROANAL ADD CELLS STUDY13       $22.00
       3117025618 GL -CHROANAL ADD CELLS STUDY14       $22.00
       3117025619 GL -CHROANAL ADD CELLS STUDY15       $22.00
       3117026100 SL-TERMINAL DEOXY TRANSFERASE        $96.00
       3117026200 SL - VON WILLEBRAND FACTOR Ag.       $34.50
       3117026210 VON WILLEBRAND EVAL,MULTIMERS       $297.16
       3117026211 FACTOR VIII, ONE STAGE               $74.29
       3117026212 FACTOR VIII, RISTOCETIN COFACT       $74.29
       3117026213 FACTOR VIII, FACTOR ANTIGEN          $74.29
       3117026214 FACTOR VIII, MULTIMETRIC ANALY       $74.29
       3117026300 SL - CITRATE URINE, 24 HR UR         $62.30
       3117026301 SL - CIRATE 24 HR URINE              $31.15
       3117026302 SL-CITRATE CREATININE 24HR URI       $31.15
       3117026395 SL- HEP C VIRUS RNA QT PCR          $110.00
       3117026400 SL-HEPATITIS C VIRUS ACCUQUANT      $339.00
       3117026401 SL - HEPA ISOLATION                  $67.80
       3117026402 SL - HEPA HYBRIDIZATION              $67.80
       3117026403 SL - HEPA REVERSE T                  $67.80
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          121
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117026404 SL - HEPA HCV PCR                    $67.80
       3117026405 SL - HEPA REPORT                     $67.80
       3117030110 SL - HELP A ABS TOTAL                $11.55
       3117030111 AR - HEPATITIS DELTA                 $22.00
       3117030130 AR - HEP B CORE ANTIBODY IGM         $19.24
       3117030150 SL - HEP B VIR NEUTRLIZATI AG         $6.46
       3117030160 AR - HEPATITIS BE ANTIBODY           $17.85
       3117030533 CO- HEPARIN ASSAY CHROMOGENIC        $60.90
       3117030534 CO - HEPARIN INDUCED AB             $157.50
       3117030535 CO - HEPARIN INDUCED AB TITER       $213.00
       3117030541 AR - ALPHA FETOPROTEIN                $9.90
       3117030542 AR - AMIKACIN / AMIKIN(RANDOM)       $26.95
       3117030543 SL - CHLAMYDIA DNA PROBE             $11.36
       3117030544 UL - COMPLEMENT TOTAL CH100          $21.00
       3117030545 CHLAMYDIA TRAC DNA DET. TMA          $46.00
       3117030546 AR - GASTRIN                         $33.25
       3117030547 AR - PENTOBARBITAL / NEMBUTAL        $41.40
       3117030548 AR - 5 NUCLEOTIDASE                  $18.37
       3117030549 AR - PROGESTERONE                     $8.00
       3117030550 SL - ORGANIC ACIDS URINE ONT        $200.00
       3117030551 UL - ORGANIC ACIDS PLASMA           $200.00
       3117030552 UL - ORGANIC ACIDS QUANT             $26.00
       3117030556 SL - CARDIOLIPIN ABS                 $25.34
       3117030558 SL - MYELIN BASIC PROTEIN            $58.00
       3117030559 SL-OLIGOCLONAL IMMUNOGLOBULINS      $116.90
       3117030561 SL - PLATELET ASSOCIATED IGG        $103.00
       3117030562 SL - PLATELET ANTIBODY PANEL         $18.00
       3117030563 LS - PLATELET ANTIBODY (IPA)         $38.00
       3117030566 SL - HIV-1 ACCUQUANT RNA QNT        $228.00
       3117030567 SL - HIV 1 DNA PCR                    $7.00
       3117030571 SL - MOLECULAR DIAGNOSTICS            $7.00
       3117030592 MRL - MALARIA IGG                    $54.00
       3117030593 MALARIA AB SCREEN                   $196.00
       3117030622 SL - CATECHOLAMINE - PLASMA          $79.00
       3117030623 AR - CORTISOL FREE URINE             $30.00
       3117030664 CYCLIC CITRULLINATED PEPTIDE         $75.00
       3117030665 SJ - CYCLOSPORINE                    $60.90
       3117030673 AR - CYSTINE - URINE QUANT           $53.00
       3117030781 SL - HIV 1 P24 AG QUANT              $39.00
       3117030790 AR - HPATITIS BE ANTIGEN             $17.85
       3117030820 N.GONORRHOEAE RNA TMA.SWAB           $46.00
       3117030821 SL - GONORRHEA DNA PROBE             $11.36
       3117030822 GONORRHORAE DNA TMA                  $46.00
       3117030823 AR - HSV CULTURE                     $20.65
       3117030824 SL - CARDILIPIN IgG AB                $8.45
       3117030825 SL - CARDIOLIPIN IgM AB               $8.45
       3117030826 SL - CARDIOLIPIN IgA AB               $8.45
       3117030832 SL-IMMUNOELECTROPHORESIS URINE       $17.62
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          122
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117030851 MICROALBUMIN QUALITATIVE             $44.00
       3117030911 SL - PNEUMOCYSTIS CARINII Ag         $62.00
       3117030913 SL-PNEUMOCYCSTIS CARININ (DFA)       $22.00
       3117030981 AR - NEURONTIN / GABAPENTIN          $23.25
       3117031004 AR - ANTI - THROMBIN III             $15.25
       3117031005 SC - HEPARIN ASSAY                   $46.00
       3117031007 U - FACTOR 8, COAG                   $36.46
       3117031008 U - VON WILLIBRAND FACTOR B         $268.00
       3117031010 SL- FACTOR X ACTIVITY                $65.10
       3117031011 AR - NORDIAZEPAM / LIBRIUM           $35.70
       3117031012 SL- FACTOR II ACTIVITY               $65.10
       3117031040 ANTITHROMBIN III EVALUATION          $36.13
       3117031041 ANTITHROMBIN III ACTIVITY            $18.07
       3117031042 ANTITHROMBIN III AG, ASSAY           $18.06
       3117031062 U - URINE DRUG SCREEN                $27.00
       3117031065 DRUGS OF ABUSE SCREEN, UA            $17.80
       3117031068 SL - DRUGS OF ABUSE, SERUM           $17.80
       3117031111 AR - HISTAMINE (WHOLE BLOOD)         $62.65
       3117034197 E - PREGANETRIOL URINE               $55.00
       3117034200 SL- PREGNENOLONE                     $42.25
       3117040015 SL-LEGIONELLA PNEUMOPHILA DNA       $206.00
       3117040020 SL - L. PNEUMOPHILA ABS, 1-6         $15.81
       3117040021 SL - L. PNEUM. AB TYPE 1 IgG          $1.32
       3117040022 SL - L. PNEUM. AB TYPE 1 IgM          $1.32
       3117040023 SL - L. PNEUM. AB TYPE 2 IgG          $1.32
       3117040024 SL - L. PNEUM. AB TYPE 2 IgM          $1.31
       3117040025 SL - L. PNEUM. AB TYPE 3 IgG          $1.31
       3117040026 SL - L. PNEUM. AB TYPE 3 IgM          $1.31
       3117040027 SL - L. PNEUM. AB TYPE 4 IgG          $1.31
       3117040028 SL - L. PNEUM. AB TYPE 4 IgM          $1.31
       3117040029 SL - L. PNEUM. AB TYPE 5 IgG          $1.31
       3117040030 SL - L. PNEUM. AB TYPE 5 IgM          $1.31
       3117040031 SL - L. PNEUM. AB TYPE 6 IgG          $1.31
       3117040032 SL - L. PNEUM. AB TYPE 6 IgM          $1.31
       3117040035 SL - PSA, FREE & TOTAL               $97.00
       3117040036 SL - PSA FREE                        $49.00
       3117040037 SL - PSA                             $49.00
       3117040040 U - KLEIHAUER-BETKE                  $43.00
       3117040041 SL-KEPRA \ LEVETIRACETAM            $150.00
       3117040042 SL-ANTIPHOSPHOLIPID SYND EVAL        $39.01
       3117040043 PHOSYND LUPUS ANTICOAGULANT           $5.57
       3117040044 SL-PHOSYND CARDIOLIPIN IGG AB         $5.57
       3117040045 SL-PHOSYND CARDIOLIPIN IGM            $5.57
       3117040046 SL-PHOSYND CARDIOLIPIN IGA            $5.57
       3117040047 SL-PHOSYND PHOSPHATIDYLSER IGG        $5.57
       3117040048 SL-PHOSYND PHOSPHATIDYLSER IGM        $5.57
       3117040049 SL-PHOSYND PHOSPHATIDYL IGA           $5.59
       3117040053 SL-PHENYTOIN FREE                    $14.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          123
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117040075 UL - PARATHYROID HORMONE             $22.00
       3117040076 SL - ACHR MODULATING AB             $115.00
       3117040077 AR-ACETYCHOLINE RECEPTOR AB BI       $22.21
       3117040078 AChR BLOCKING ABS.                   $65.10
       3117040079 ACTIVATED PROTEIN C RESISTANCE       $56.40
       3117040080 AR - ALDOSTERONE (24HR URINE)        $59.85
       3117040081 AR - ALKALINE PHOS ISOENZYME         $14.51
       3117040085 SL - ALPHA-2 MACROCLOBULIN           $25.20
       3117040090 APOE GENOTYPE ALZHEIMERS            $299.00
       3117040091 MOLECULAR DIAGNOSTIC/ISOLATION      $149.50
       3117040092 ENZYMATIC DIGESTION                 $149.50
       3117040101 AR - ATIVAN / LORAZEPAM              $42.71
       3117040111 AR - BRUCELLA CULTURE                $52.00
       3117040120 UL - CLACIUM IONIZED                 $20.00
       3117040125 AR - CA 125                          $10.70
       3117040127 AR - CA 27, 29                       $10.70
       3117040128 AR - CELONTIN METHSUXIMIDE           $74.08
       3117040130 AR - CA 19-9                         $10.70
       3117040134 SL - CAROTENE                        $26.95
       3117040136 NI - CALCIUM-TOTAL BY AA             $11.00
       3117040140 AR - DEHYDROEPIANDROSTERONE          $23.70
       3117040150 AR - ESTRONE                         $42.35
       3117040151 AR - FECAL FAT (QUANT) 72HR          $42.35
       3117040155 AR - HLA B27                         $13.49
       3117040165 SL-CIRC IMMUNECOMPLEX DETECTOR      $250.83
       3117040166 SL-CIRCD C1q BINDING IMM COMPL       $41.80
       3117040167 SL-CIRCD CONGLUTININ IMM COMPL       $41.80
       3117040168 SL-CIRCD PEG IMM COMPLEX ASSAY       $41.80
       3117040169 SL-CIRCD RAJI CELL IMM COMPLEX       $41.81
       3117040170 SL - CIRCD C3 COMPLEMENT             $41.81
       3117040171 SL - CIRCD C4 COMPLEMENT             $41.81
       3117040173 AR - IMMUNOGLOBULIN D (IGD)          $11.72
       3117040175 AR - INSULIN ANTIBODY                $37.79
       3117040196 AR - LYSOZYME SERUM                  $46.00
       3117040200 SL - MYASTHENIA GRAVIS PROFILE       $67.71
       3117040201 SL-MYGE ACHR BINDING AUTOABS         $33.85
       3117040202 SL - MYGE STRIATIONAL AUTOABS        $33.86
       3117040203 AR - OXALATE (24HR URINE)            $31.50
       3117040205 SL - OXCARBAZEPINE TRILEPTAL         $52.50
       3117040220 NI-REVERSE TRIIODOTHYRONINR T3       $42.35
       3117040223 AR - SCLERODERMA AB (SCL-70)         $18.54
       3117040225 SL - THYROGLOBULIN                   $38.00
       3117040228 SL - SEX HORMONE BIND GLOB           $25.55
       3117040229 SL - SILICON SPECIFIC T-CELL        $228.00
       3117040230 SJ - TRANSFERRIN                     $18.54
       3117040233 SL-TRANSGLUTAMINASE IGG&A AUTO       $85.12
       3117040235 SL - VITAMIN D 1.25 DIHYDROXY        $32.55
       3117040238 VITAMIN A                            $37.79
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          124
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117040240 SL - VIT D 25 HYDROXY                $27.81
       3117040245 VITAMIN E                            $37.79
       3117040246 CHROMATOGRAPHY, QUANTITATIVE         $18.89
       3117040247 VITAMIN 3, ALPHA                     $18.90
       3117040255 UL - COMPLEMENT TOTAL (CH50)         $26.00
       3117040265 AR - LEAD URINE                      $17.85
       3117040267 AR - COPPER SERUM                    $20.29
       3117040270 AR - COPPER (24HR URINE)             $20.29
       3117040275 AR - COMPLEMENT C2                   $42.35
       3117040280 AR - COMPLEMENT C5                   $42.35
       3117040285 SL - C6 COMPLEMENT                   $36.00
       3117040286 SL - COMPLEMENT C7                   $34.00
       3117040287 SL - COMPLEMENT CB                   $36.00
       3117040290 AR - C1 ESTERASE INHIBITOR           $42.35
       3117040300 AR - DESIPRAMINE / NORPRAMINE        $22.75
       3117040305 SL - ESTROGEN TOTAL                  $20.46
       3117040310 HANTAVIRUS IGG & IGM                 $68.00
       3117040311 HANTA VIRUS IGG                      $34.00
       3117040312 HANTA VIRUS IGM                      $34.00
       3117040315 AR - HALOPERIDOL (HALDOL)            $42.00
       3117040320 AR - MERCURY - BLOOD                 $31.50
       3117040330 AR - METHOTREXATE                    $44.20
       3117040343 SL - VISCOSITY SERUM                 $15.00
       3117040350 AR-17-ALP HYDROXYPROGESTERONE        $37.79
       3117040370 AR - D - XYLOSE                     $234.00
       3117040375 SL - XYLOSE URINE                    $76.00
       3117040495 SL - HEAVY METALS - BLOOD            $17.33
       3117040496 SL - HVYMB ARSENIC WHOLE BLOOD       $12.00
       3117040497 SL - HVYMB MERCURY WHOLE BLOOD       $12.00
       3117040498 SL - HVYMB LEAD WHOLE BLOOD          $12.00
       3117040503 SL - ADENOVIRUS ANTIBODY             $29.05
       3117040505 AR - AMEBIASIS                       $65.00
       3117040509 NI - BRUCELLA CANIS AB DA            $64.00
       3117040511 AMYLASE ISOENZYMES                   $67.55
       3117040513 SL - ANTI - ENA ANTIBODY             $31.00
       3117040515 AR-ANTI GLOMERULAR BASE AB           $29.76
       3117040518 AR - ANTI HISTONE AB. (IgG)          $56.35
       3117040520 HISTOPLASMA AG                      $127.00
       3117040523 SL - HYALURONIDASE AB                $16.00
       3117040525 SL - MYOCARDIAL ANTIBODY             $29.90
       3117040535 AR-ANTI SKELETAL MUSCLE ANTIBO       $45.50
       3117040545 SL - THYROGLOBULIN ANTIBODY          $14.00
       3117040550 SL - ANTI THYROID AB GROUP           $13.02
       3117040553 SL-THYROTROPIN RECEPTOR AUTOLB       $76.29
       3117040555 AR - ANTI MICROSOMAL ANTIBODY        $10.00
       3117040560 SL-ASPRGLLUS GALACTOMANNAN AG       $200.00
       3117040565 AR - ASPERGILLUS AB (CF)             $47.20
       3117040584 AR - BUPROPION                       $60.14
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          125
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117040586 SL - BORRELIA AB (EIA)               $78.00
       3117040590 AR-CALIF ENCEPHALITIS AB. IgG        $51.80
       3117040593 SL - CANNABINOIDS SERUM              $23.80
       3117040594 SPL-CANNABINOIDS URINE               $23.80
       3117040595 SL - CANDIDA ANTIBODY                $22.00
       3117040600 AR - CANDIDA ANTIGEN                 $35.70
       3117040605 AR-CAT SCRATCH FEVER ANTIBODY        $33.00
       3117040610 AR - CHLAMYDIA CULTURE               $10.14
       3117040616 SLJ - CHLAMYDIA AB PANEL             $22.00
       3117040625 SL CHLAMYDIA AB (IgG/IgM)            $22.00
       3117040635 SL - C. DIFFICILE CYTOTOXIN          $60.90
       3117040636 AR - CMV CULTURE                     $16.14
       3117040637 SL-CMV ANTIGEN DERECTION (DFA)       $20.65
       3117040638 SL - CMV AB AFA                      $16.00
       3117040661 SL - COXSACKIE A (1-6) AB            $32.00
       3117040662 SL - COXSACKIE A & B ABS             $39.00
       3117040670 SL - CYSTICERCOSIS ANTIBODY          $63.00
       3117040680 SL-EASTERN EQUINE ENCEPHALLITI       $71.00
       3117040683 AR - EBV AB NUCLEAR AG (EBNA)        $19.59
       3117040685 AR-ECHINOCOCCUS ANTIBODY (IgG)       $44.55
       3117040695 SL - ENTEROVIRUS PANEL               $22.00
       3117040698 SL - MEN VIRAL AB EVAL PANEL         $22.00
       3117040699 SL - ENZYMATIC DIGESTION              $7.00
       3117040720 SL - FRANCISELLA TULARENSIS AB       $63.00
       3117040724 AR - FRUCTOSAMINE                    $17.85
       3117040725 NI - HIV-I RNA BDNA SIGNAL          $216.00
       3117040730 NI NUCLEAR MOLECULAR DIAG             $7.00
       3117040735 NI - NUCLEIC ACID PROBE-EACH          $7.00
       3117040740 NI - PCR-EACH                        $42.00
       3117040745 NI - HEMILUMINESCENT ASSAY           $22.00
       3117040755 SL - HEAPATITIS C (RIBA)            $100.00
       3117040760 AR - HSV DIRECT AB. (DFA)            $18.89
       3117040763 SL - HIV AB WESTERN BLOT             $23.00
       3117040770 SL - HSV TYPE 1 & 2 ABS. (IgM)       $22.00
       3117040775 NI - HYPERSENSITIVITY PHEUMO         $67.00
       3117040780 SL - HIV 1 P24 ANTIGEN QUAL          $23.00
       3117040783 SL - HIV-I AB                        $44.00
       3117040785 SL - HTLV I & II AB IGM              $33.25
       3117040787 AR - INFLUENZA A VIRUS - CF          $53.95
       3117040788 AR-HELICOBACTER PYLORI AB IGG         $5.00
       3117040790 AR - INFLUENZA A & B ANTIBODY        $22.00
       3117040791 AR - INFLUENZA B AB                  $53.95
       3117040798 AR - LCM ANTIBODY                    $85.00
       3117040800 SL - HIV-1 RNA QUANT BY ROCHE       $155.00
       3117040801 SL- HIV-1 RNA BY PCR QUANT          $155.00
       3117040810 SL - LEGIONELLA CULTURE              $29.05
       3117040812 SL - LEGIONELLA DNA PROBE            $63.00
       3117040815 SL - LEGIONELLA (DFA)                $25.26
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          126
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117040820 AR - LEPTOSPIRA ANTBODIES            $45.00
       3117040824 AR - LEGINONELLA AG. (URINE)         $81.90
       3117040826 AR - LYME DISEASE ANTIBODY           $40.00
       3117040831 AR - EHRLICHIA ABS IGG & IGM        $121.80
       3117040832 AR - EHRLICHIA AB IGG                $60.90
       3117040833 AR - EHRLICHIA AB IGM                $60.90
       3117040834 SL - MENINGITIS PANEL                $15.00
       3117040835 SL - RUBELLA AB IGG & IGM            $49.00
       3117040836 AR - RUBEOLA AB IGG (EMP)             $5.00
       3117040838 AR - MOTRIN / IBUPROFIN              $43.58
       3117040840 AR - MUMPS VIRUS ANTIBODY            $24.50
       3117040845 SL - MYCOPLASMA CULTURE              $42.35
       3117040858 AR - PROZAC / FLUOXETINE             $35.00
       3117040860 SL - RESP.SYNCTIAL VIRUS             $26.00
       3117040862 SL-RHEUMATOID FACTOR                 $14.00
       3117040863 SL-ROTAVIRUS ANTIGEN DETECTION       $21.00
       3117040864 NI - DOT/NIDA DRUG PANEL INDUS       $43.00
       3117040865 SL - RSV AB - CF                     $30.00
       3117040867 SJ - RESP. SYNCTIAL VIRUS (EIA       $43.00
       3117040868 SJ - RESP.SYNCTIAL VIRUS (DFA)       $31.50
       3117040870 SLJ -RICKETTSIAL DISEASE PANEL      $113.40
       3117040871 SL - RICKETTSIA TYPHI IgG ABS        $28.35
       3117040872 SL - RICKETTSIA TYPHI IgM ABS        $28.35
       3117040873 SL - RICKET RICKETTSII IgG ABS       $28.35
       3117040874 SL - RICKET RICKETTSII IgM ABS       $28.35
       3117040875 NI-ROCKY MTN SPOTTED FEVER ANT       $49.00
       3117040878 AR - RUBEOLA IGG & IGM               $50.16
       3117040880 AR - RUBEOLA AB IGG                   $5.00
       3117040882 AR - RUBEOLA AB IGM                  $10.00
       3117040885 UL - SJOGERENS ANTIBODIES            $37.09
       3117040886 SL - SJOGREN'S SS-A IgG AABS          $9.27
       3117040887 SL - SJOGREN'S SS-A IgG AABS          $9.27
       3117040888 SL - SJOGREN'S SS-B IgG AABS          $9.27
       3117040889 SL - SJOGREN'S SS-B IgG AABS          $9.28
       3117040895 SL - ST LOUIS ENCEPHALITIS IGM       $51.80
       3117040898 SL - STREP PNEUMONIAE 1GG ABS       $175.70
       3117040900 SL - STREPTOZYME                     $17.85
       3117040901 SL-SELENIUM WB                       $42.35
       3117040903 SL - STRONGYLODES AB IGG             $69.00
       3117040904 SL-SULFONAMIDES URINE                $63.19
       3117040905 SL - LYMPH / ENUMER BASIC             $5.00
       3117040908 SL - LYMPHO TRANSFORMATION           $76.00
       3117040910 SL - LUMPH ENUMER T & B CELL          $5.00
       3117040915 SL - TEICHOIC ACID ANTIBODIES        $57.60
       3117040924 SL - TOXOCARA AB                     $55.00
       3117040925 SL - TOXOCARA IgG ANTIBODIES         $14.92
       3117040926 SL - TOXOCARA IgM ANTIBODIES         $14.92
       3117040927 SL - TOXOCARA IgA ANTIBODIES         $14.92
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          127
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117040930 SL- UREOPLASMA/MYCOPLASMA CULT       $42.35
       3117040931 SL - VAP CHOLESTEROL                 $36.00
       3117040932 SL - VARICELLA ZOSTER AG.(DFA)       $29.05
       3117040935 SL - VARICELLA ZOSTER AB.(IgG)       $18.00
       3117040937 SL - VARICELLA ZOSTER AB.(IgM)       $24.50
       3117040940 VERY LONG CHAIN FATTY ACIDS         $165.00
       3117040941 WEST NILE VIRUS, PCR                 $52.50
       3117040943 SL-WEST NILE VIRUS IGG & IGM        $150.00
       3117040945 SL-WESTERN EQUINE ENCEPHALITIS       $42.35
       3117040950 SL - HIV-1 DNA DETECTOR              $96.65
       3117040951 SL - HIV-1 DNA BY PCR               $121.00
       3117040960 SL - HIV-1 RNA QUANT BY BCH DN       $99.00
       3117040961 SL - HIV-1 RNA BY bDNA              $143.00
       3117040965 HSV DNA ULTRAPIC CSF                $260.00
       3117040970 SL - HSV TYPES 1-2 IgG-IgM ABS       $45.81
       3117040971 SL - HSV-1 IgG ABS                   $11.45
       3117040972 SL - HSV-1 IgM ABS                   $11.45
       3117040973 SL - HSV-2 IgG ABS                   $11.45
       3117040974 SL - HSV-2 IgM ABS                   $11.46
       3117040980 SL - INFLUENZA DETECT A & B          $65.10
       3117040981 SL - INFLUENZA A DETECTION           $32.55
       3117040982 SL - INFLUENZA B DETECTION           $32.55
       3117041010 SL-LIPOPROTEIN ELECTROPHORESIS       $36.04
       3117041011 AR - LIPID ASSOC SIALIC ACID         $55.00
       3117041012 LIPOPROTEIN PROFILE                 $166.00
       3117041013 CHOLESTEROL, SERUM TOTAL             $26.08
       3117041014 TRIGLYCERIDES                        $26.08
       3117041015 ELECTROPHORETIC TECHNIGQUE           $26.08
       3117041016 HIGH RESOLUTION FRACTIONATION        $26.08
       3117041017 LIPOPROTEIN, DIRECT MEASURMENT       $26.08
       3117041018 SL - SERUM/WB TOT CHOLEST            $12.01
       3117041019 SL - LIPOPROTEIN, BLOOD; EP          $12.01
       3117041020 SL - TRIGLYCERIDES                   $12.02
       3117041514 DS DNA AUTOABS                       $30.55
       3117041515 SL - DNASE B ANTIBODY                $19.59
       3117041523 AR - BORDETELLA PERTUSSSIS AB        $96.95
       3117041525 UL - COCAINE URINE                    $7.00
       3117041527 U - COMPREHENSIVE DRUG SCREEN       $124.00
       3117041528 UI - COS BARBITURATES                $16.00
       3117041529 UI - CDS CHROMATOGRAPHY              $16.00
       3117041530 U - CDS CONFIRMATION                 $31.00
       3117041531 UI-CDS EA DRUG CLS(1,2,3,4,5)        $32.00
       3117041532 PL - FLORENSIC DRU SCREEN            $46.00
       3117041536 UL - HEMOGLOBIN - FREE               $34.00
       3117041538 SL - FOLATE RBC                      $18.37
       3117041539 U - FOAM STABILITY INDEX             $42.00
       3117041540 U - CAFFEINE                         $28.00
       3117041542 UL - PCP (URINE)                      $7.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          128
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3117041543 U - PHOSPATIDYLGLYCEROL              $23.00
       3117041545 SL - TRIFLUOPERAZINE                 $54.47
       3117041556 AR - BORDETELLA PERTUSSIS CULT       $25.55
       3117041561 SL - BORD. PERTUSSIS IgG AB          $32.31
       3117041562 SL - BORD. PERTUSSIS IgM AB          $32.32
       3117041563 SL - BORD. PERTUSSIS IgA AB          $32.32
       3117041905 AR - AMINO ACID URINE - QUANT       $524.00
       3117041915 AR - AMINDLEVULNIC ACID              $85.00
       3117041920 B - CIMETIDINE (TAGMENT)             $85.00
       3117041925 UL - CODINE / MORPHINE               $18.00
       3117041930 B - COPROPORHYRIN-QUANT URINE        $93.00
       3117041945 AR - IMIPRAMINE / TOFRANIL           $40.25
       3117041975 AR-PROPHYRINS-FRACTIONATED(URI      $140.00
       3117041990 UL - SALICYLATES - URINE              $8.00
       3117042000 AR - THICYANATE                      $39.22
       3117042010 UL - MARIJUANA URINE QUANT            $4.00
       3117044540 AR - METHEMALBUMIN                   $59.91
       3117044545 SL - METHYLMALONIC SERUM ACID        $65.10
       3117044550 SL - METHYLMALONIC ACID URINE        $67.55
       3117047023 AR - FTA/ABS                         $29.75
       3117086708 HEPATITIS A VIRUS TOTAL ABS          $11.55
       3167000392 CBC-PPE                              $15.00
       3214000112 CYTOLOGY THIN LAYER EXAM            $160.00
       3214000142 PAP SMEAR INTERP/LIQ-BASED           $47.00
       3214000144 PAP SMEAR INTERP THIN-PREP           $47.00
       3214000152 PAP SMEAR CORRELATION                $41.00
       3214000295 H - SPECTROGRAPHIC ANALYSIS          $22.00
       3214000344 IMMUNOPEROXIDASE EA AB (BDL)         $45.00
       3214000348 IMPATH IMMUNOHISTOCHEM STUDIES      $250.00
       3214000350 IMPATH IMH FISH (HER2) STUDY        $300.00
       3214000352 IMPATH IMH FLOW CYTOMETRY           $350.00
       3214000354 IMPATH IMH STAIN ONLY                $35.00
       3214000356 CONSULT BETH ISRAEL MED CTR         $200.00
       3214000358 CONSULT - CLEVELAND CLINIC          $225.00
       3214000360 IMPATH MICROSAT INSTABILITY         $295.00
       3214000362 IMPATH EGFR(HER1) ASSAY             $200.00
       3214000400 LB-MUSCLE/ALKALINE PHOSPHATASE       $62.50
       3214000401 LB-MUSCLE/PH4.3 STAIN                $62.50
       3214000402 LB-MUSCLE/PH4.6 STAIN                $62.50
       3214000403 LB-MUSCLE/PH9.4 STAIN                $62.50
       3214000404 LB-MUSCLE/GOMORI TRICHROME STN       $62.50
       3214000405 LB-MUSCLE/MYOPHOSPHORYLASE STN       $62.50
       3214000406 LB-MUSCLE/NADH-TR STAIN              $62.50
       3214000407 LB-MUSCLE/OIL RED O STAIN            $62.50
       3214000408 LB-MUSCLE/PAS WITH DIGESTION         $62.50
       3214000409 LB-MUSCLE/OSMIUM TETROXIDE STN       $62.50
       3214000410 MUSCLE/OS-PPH                        $62.50
       3214000411 LB-MUSCLE/MORPHOMETRIC ANALYS       $230.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          129
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3214000412 LB-SPECIMEN TRANSPORTATION           $36.80
       3214000413 LB-NERVE BIOPSY                     $414.00
       3214000414 LB-NERVE/LUXOL FAST STAIN            $50.50
       3214000415 LB-NERVE/CONGO RED STAIN             $50.50
       3214000416 LB-NERVE/MASSON TRICHROME STN        $50.50
       3214000417 LB-NERVE/IMF-C1Q                     $88.00
       3214000418 LB-NERVE/IMF-C3                      $88.00
       3214000419 LB-NERVE/IMF-FIBRINOGEN              $88.00
       3214000421 LB-NERVE/IMF-IGG                     $88.00
       3214000422 LB-NERVE/IMF-IGM                     $88.00
       3214000423 LB-NERVE/IMF-IGA                     $88.00
       3214000424 LB-RENAL/JONES SILVER                $50.50
       3214000425 IRON QUANTITATION - MAYO            $131.40
       3214000426 LB-RENAL/PAS STAIN                   $50.50
       3214000427 OUTSIDE CONSULT - AFIP              $208.80
       3214000428 LB-RENAL/IMF-LAMBDA                  $88.00
       3214000429 LB-RENAL/ELECTRON MICROSCOPY        $480.00
       3214000430 LB-RENAL/IMF-KAPPA                   $88.00
       3214000431 LB-RENAL/TRICHROME                   $50.50
       3214000432 LB-LBMMC/RENAL BX/GM LEVEL IV       $125.00
       3214000433 SLIDE CONSULT MAYO CLINIC           $258.50
       3214000434 LB-MUSCLE/CYTOCHROME OXIDASE         $62.50
       3214000435 CONSULT/JOHNS HOPKINS HOSPITAL      $250.00
       3214000436 CONSULT/MASS GEN HOSP               $200.00
       3214000437 LBMMC ELECTRON MICRO-TC(MC)         $390.00
       3214000438 AFIP CONSULT IMMUNO STAIN            $49.25
       3214000439 CEDARS-SINAI RENAL BIOPSY-TC        $375.00
       3214000440 ST JUDE PATH ER/PR/H2N EA           $125.00
       3214000500 CITY OF HOPE IMMUNO PANEL #1        $250.00
       3214000502 CITY OF HOPE IMMUNO PANEL #2        $350.00
       3214000504 CITY OF HOPE HER-2 BY FISH          $300.00
       3214000506 CITY OF HOPE IMMUNO STAIN ONLY       $35.00
       3214000508 EMORY CLINIC CONSULT                $250.00
       3214000510 CITY OF HOPE MOLECULAR STUDIES      $250.00
       3214000512 VANDERBILT UNIVERSITY CONSULT       $175.00
       3214001105 BONE MARROW SMEAR INTERP             $65.00
       3214001136 PERIPHERAL SMEAR INTERP              $38.00
       3214001140 OUTSIDE SLIDE CONSULTATION           $41.00
       3214001144 CONSULT/RPT W/SLIDE PREP             $52.00
       3214001148 SLIDE CONSULTATION - EXTENDED        $41.00
       3214001160 OPERATIVE CONSULTATION,INITIAL       $55.00
       3214001180 DECALCIFICATION                      $44.00
       3214001200 FROZEN SECTION, INITIAL              $82.00
       3214001210 FROZEN SECTION, ADDITIONAL           $82.00
       3214001220 GROSS/MICRO EXAM LEVEL VI           $203.00
       3214001225 GROSS/MICRO EXAM LEVEL VI ADDL       $75.00
       3214001240 GROSS/MICRO EXAM LEVEL II            $76.00
       3214001245 GROSS/MICRO EXAM LEVEL II ADDL       $32.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          130
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3214001250 GROSS/MICRO EXAM LEVEL III          $108.00
       3214001255 GROSS/MICRO LEVEL III ADDL           $40.00
       3214001260 GROSS/MICRO EXAM LEVEL V            $172.00
       3214001265 GROSS/MICRO EXAM LEVEL V ADDL        $60.00
       3214001280 GROSS/MICRO EXAM LEVEL IV           $136.00
       3214001285 GROSS/MICRO EXAM LEVEL IV ADDL       $40.00
       3214001290 GROSS EXAM ONLY LEVEL 1              $59.00
       3214001310 IMMUNOFLUORESCENT EACH AB            $99.00
       3214001311 SJ PATH IMMUNOHISTOCHEM(EA AB)      $125.00
       3214001315 CYTOLOGY CONCENTRATION, SMEARS       $68.00
       3214001320 NON-GYN PREP & INTERPRETATION        $29.00
       3214001330 CYTOLOGY GYN PAP SMEAR               $29.00
       3214001335 CELL BLOCK INTERPRETATION            $93.00
       3214001342 FINE NEEDLE ASPIRATE BY PATH         $50.00
       3214001346 FINE NEEDLE ASPIRATE EVAL            $55.00
       3214001348 FINE NEEDLE ASPIRATE INTERP          $68.00
       3214001360 SPECIAL STAINS I MICROBIO            $65.00
       3214001370 SPECIAL STAINS II OTHER              $65.00
       3214001400 CHROMOSOME ANALYSIS GC              $568.00
       3511000100 A-CRYOPRECIPITATE                    $37.00
       3511000101 LEUKOREDUCED PHERESIS PLTS          $525.00
       3511000102 RECONST WHOLE BLOOD                 $400.00
       3511000103 RH IMMUNE GLOBULIN (RHOGAM)         $208.00
       3511000106 A-AUTOLOGOUS PRBC/WH BLD            $249.00
       3511000107 A-CMV SCREEN ON BLOOD PRODUCT        $40.00
       3511000110 A-FRESH FROZEN PLASMA                $44.00
       3511000111 CRYO-POOR PLASMA, NOT USED           $80.00
       3511000112 FFP - CHARGE ONLY                    $43.00
       3511000113 PLASMA, CRYO POOR, FROZEN            $80.00
       3511000114 FRESH FROZEN PLASMA                  $43.00
       3511000115 FRESH FROZEN PLASMA - PART 2         $43.00
       3511000116 PLASMA, CRYO POOR THAWED             $80.00
       3511000135 A-PLATELET AB SCREEN                $110.00
       3511000140 A-PLATELET CONCENTRATE               $76.00
       3511000145 A-PLA 1 AB SCREEN                   $227.00
       3511000150 A-PLATELETPHERESIS SINGLE DON       $525.00
       3511000155 A-PLATELET XMATCH                   $227.00
       3511000160 A-FRESH FROZEN PLASMA TYPE AB        $44.00
       3511000180 A-RED CELLS FROZEN THAW/DEGLYC      $674.00
       3511000190 A-RED BLOOD CELLS PACKED            $236.00
       3511000191 RED CELL UNIT CHARGE ONLY           $249.00
       3511000192 WHOLE BLOOD                         $330.93
       3511000200 A-RED CELLS TRIPLE PACK             $281.00
       3511000210 A-RED CELLS SALINE WASHED           $468.00
       3511000211 S/W RED CELL UNIT CHARGE ONLY       $450.33
       3511000212 WASHED RED BLOOD CELLS              $435.33
       3511000214 A-ANTIGEN TYPING EACH UNIT           $52.00
       3511000215 A-HLA ABC TYPING                    $285.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          131
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3511000240 A-WHOLE BLOOD SINGLE UNIT           $345.93
       3511000392 PI-DIR DONOR WHOLE BLD UNIT         $176.00
       3511000393 A-ANTIBODY ID WARM RED X             $31.00
       3511000405 PI-AUTO CRYOPRECIPITATE              $61.00
       3511000435 STERILE DOCKING SERVICE              $46.00
       3511000460 A-FIBRIN SURG ADHES DIR DONOR        $28.00
       3511000470 FIBRIN SURG ADHES-HOMOLOGOUS         $37.00
       3511000490 DUOFLO APP KIT-FIB SURG ADHES.       $83.00
       3511000685 A-PLA 1 ANTIGEN TYPE                $116.00
       3511001005 SJ-AUTOLOGOUS RBC/WHOLE BLD         $236.00
       3511001015 SJ-DIRECT DONOR RBC                 $236.00
       3511001025 SJ-IRRADIATED RBC/PHERESIS           $32.00
       3511001035 PI-IRRAD WB/RBC/PHERESIS             $39.00
       3511001070 SJ-CMV SCREEN-EACH UNIT              $41.00
       3511001145 PI-FRESH FROZEN PLASMA               $61.00
       3511001150 PI-RBC TRIPLE PACK                  $222.00
       3511001155 A-RBC LEUKOCYTE DEPLETED            $264.00
       3511001160 JUMBO FRESH FROZEN PLASMA            $88.00
       3511010000 A-HLA MATCHED COMPONENT             $312.00
       3511010001 A-SAMPLE TRANSPORTATION FEE          $29.00
       3511010002 A-THAWING/PREP RARE RBCS             $58.00
       3511010005 A-MONOCYTE MONOLAYER ASSAY          $575.00
       3511010011 A-SPEC ANTIGLOBULIN TEST DAT N      $260.00
       3511015660 A-HEMOGLOBIN S TEST PER UNIT         $29.00
       3511016021 A-HLA ANTIBODY IDENTIFICATION       $240.00
       3511016850 A-ANTIBODY SCREEN EACH TECHNIQ       $23.50
       3511016860 A-ANTIBODY ELUTION EA ELUTION        $58.00
       3511016870 A-ANTIBODY IDENTIFICATION            $29.00
       3511016880 A-DAT EACH ANTISERA                   $9.00
       3511016886 A-TITRATION INDIRECT ANTIGLOBU       $58.00
       3511016900 A-ABO TYPE                           $17.25
       3511016901 A-RH TYPE                             $8.50
       3511016904 A-ANTIGEN SCREEN W/PATIENT SER       $34.50
       3511016905 A-PATIENT RBC ANTIGENS EACH          $14.00
       3511016906 A-RH PHENOTYPE COMPLETE DCCE         $23.50
       3511016941 A-HEMOLYSINS/AGGLUTININS INCUB       $80.00
       3511016970 A-PRETREATMENT WITH DRUGS/CHEM       $29.00
       3511016971 A-PRETREATMENT WITH ENZYMES          $17.25
       3511016972 A-RETICULOCYTE SEPARATION            $78.00
       3511016975 A-PRETREAT SERUM W/DURGS/CHEMS      $115.00
       3511016976 A-PRETREAT SERUM BY DILUTION         $34.50
       3511016977 A-PRETREAT SERUM BY INHIBITION       $34.50
       3511016978 A-PRETREAT SERUM BY DIF ADSORB       $34.50
       3511019001 A-SAMPLE TRANSPORT FEE STAT          $86.00
       3511019050 A-CALL-BACK FEE HOURLY RATE/HR      $140.00
       3511020520 A-DIRECT DONOR RBC/WB               $264.00
       3511021936 ARC REF LAB PLT XM                  $104.00
       3511021951 ARC REF LAB AG NEG PLT COMP         $104.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          132
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3511021955 ARC REF LAB PLATLET AB ID           $215.00
       3511030075 A-PLATELET CONC IRRADIATED           $44.00
       3511030080 A-IRRAD APHERESIS/WH BLD/RBC         $40.00
       3511030085 A-LEUKOPHERESIS WK END/HOLID      $1,650.00
       3511030090 A-PLATELETPHERESIS WK END/HOLI    $1,650.00
       3511030092 H-PLATELETPHERESIS                  $633.00
       3511030095 A-PLATPHER DD SPEC HANDLING         $138.00
       3511030100 A-HLA TYPING APHERESIS PLATE        $297.00
       3511030481 DES/AUTO DONOR PROCESSING            $61.00
       3511030482 ARC AUTOL UNIT HANDLING FEE         $125.00
       3511030483 AUTOLOG/DIRECT HANDLING FEE          $65.00
       3511030484 ARC DIR DONR UNIT HANDLING FEE      $125.00
       3511030500 A-AUTOLOGOUS SURCHARGE (SUR-8)      $125.00
       3511030550 A-DIRECTED DONOR SURCHARGE 9        $125.00
       3511047050 PI-DIR DONOR PRBC UNIT              $195.00
       3511047060 PI-AUTOLOGOUS WB UNIT               $176.00
       3511047080 PI-AUTOLOGOUS PRBC UNIT             $200.00
       3611000105 CAPNOGRAPHY CO2 PER HOUR             $70.00
       3611000106 CAPNOGRAPHY SETUP                   $160.00
       3611000108 CPAP INITIAL                        $645.00
       3611000110 CARBOGEN 95-5 PR TREATMENT           $93.00
       3611000120 COMPRESSED AIR PER HOUR              $27.00
       3611000121 COMPRESSED AIR SETUP                $100.00
       3611000125 MASK CPAP                            $45.00
       3611000130 OXIMETRY PER HOUR                    $50.00
       3611000131 OXIMETRY INITIAL                    $123.00
       3611000145 INLINE TREATMENT VENTILATOR         $100.00
       3611000150 IPPB SUBSEQUENT                     $107.00
       3611000155 ED IPPB TREATMENTS                  $207.00
       3611000158 OXYGEN SETUP PACU FLAT RATE         $118.00
       3611000162 OXYGEN SETUP ED FLAT RATE           $118.00
       3611000164 OXYGEN SETUP L&D FLAT RATE          $118.00
       3611000166 OXYGEN SETUP GI LAB FLAT RATE       $118.00
       3611000168 OXYGEN AEROSOL SETUP PACU FLAT      $118.00
       3611000180 MIST COOL PER HOUR                  $100.00
       3611000190 MIST COOL TREATMENT-ED              $211.00
       3611000195 AEROSOL TREATMENT 20 MINUTES        $100.00
       3611000200 MIST HEATED PER HOUR                 $76.00
       3611000210 MIST HEATED TREATMENT-ED            $225.00
       3611000220 NEBULIZER TREATMENT HAND            $123.00
       3611000221 NEBULIZER TREATMENT HAND-ED         $159.00
       3611000222 MDI W/AEROCHAMBER                    $48.00
       3611000223 NEBULIZER TREATMENT (STAT)          $159.00
       3611000225 OXIMETRY/OXYGEN SATURATION EA       $118.00
       3611000226 ED OXIMETRY/OXYGEN SATURATION       $119.00
       3611000230 OXYGEN PER HOUR                      $26.00
       3611000231 OXYGEN ADMINISTRATION INITIAL       $104.00
       3611000234 OXYGEN CAM TENT INITIAL             $218.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          133
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3611000235 OXYGEN CAM TENT PER HOUR             $31.00
       3611000240 POSTURAL DRAINAGE                   $113.00
       3611000243 OXYGEN HOOD PER HOUR                 $26.00
       3611000244 OXYGEN HOOD INITIAL                 $104.00
       3611000245 NEWBORN DELIVERY CARE               $229.00
       3611000250 POSTURAL DRAINAGE W/CUP & VIBR      $129.00
       3611000253 EXTUBATION                          $160.00
       3611000254 INTUBATION ASSIST                   $160.00
       3611000255 RESP CARE SERVICE EACH 15 MIN       $168.00
       3611000256 SUCTION                             $160.00
       3611000258 RESUSCITATION TRSPORT RESPCR/H      $583.00
       3611000265 BREATHING EX INCENT SPIROMETRY       $95.00
       3611000290 VENTILATOR PER HOUR                 $133.00
       3611000291 VENTILATOR INITIAL                  $242.00
       3611000295 NEONATE VENTILATOR PER HOUR         $198.00
       3611000296 SURFAC TANT ADMINSTRATION           $336.00
       3611000300 BIPAP VENT PER HOUR                 $128.00
       3611000301 BIPAP VENT INITIAL                  $619.00
       3611000310 TIMED SLEEP STUDY PER 12H NURS    $1,546.00
       3611000320 TRANSCUTANEOUS O2 PER HOUR           $81.00
       3611000321 TCOM SET UP                         $170.00
       3611000350 INITIAL RESP. EVALUATION            $178.00
       3611000355 RESP REEVALUATION                    $53.00
       3611000360 CPR RESUSCITATION EACH 15MIN        $240.00
       3611000361 ED CPR RESUSCITATION EA 15MIN       $240.00
       3611000370 BRONCHOSCOPY ASSIST EACH 15MIN      $240.00
       3611000375 TRACH ASSIST X15MIN                 $101.00
       3611000380 TRACH CARE                          $143.00
       3611000390 AIRWAY MANAGEMENT 15 MIN            $168.00
       3611000391 EQUIPMENT MANAGEMENT EA 15MIN       $168.00
       3611000392 CPAP PER HOUR                       $135.00
       3611000393 AMBUL ASSESS EA 15MIN               $168.00
       3611000500 PROVENTIL                            $21.00
       3611000501 ATROVENT                             $21.00
       3611000502 MUCOMYST 10%                         $53.00
       3611000503 MUCOMYST 20%                         $62.00
       3611000504 ALUPENT                              $16.00
       3611000505 SALINE                                $9.00
       3611000506 WATER                                 $9.00
       3611000507 TERBUTALINE                          $87.00
       3611000508 ATROPINE                             $66.00
       3611000509 INTAL                                $15.00
       3611000510 HYPERTONIC SALINE 3%                  $9.00
       3611000511 VAPONEPHRINE                          $9.00
       3611000512 XOPENEX                              $23.00
       3611000513 LIDOCAINE 1%                         $89.00
       3611000514 LIDOCAINE 2%                         $71.00
       3611000515 LIDOCAINE MPF 4%                     $38.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          134
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       3611000516 PULMICORT .25MG/2ML                $36.00
       3611000520 UD ATROVENT/ALBUTEROL              $21.00
       3611000715 PFT AIRWAY RESISTANCE             $158.00
       3611005080 ANALYSIS BLOOD GAS PER EACH       $421.00
       3611005081 SL ANALYSIS BLOOD GAS PER EA      $491.00
       3611005082 BLOOD GAS ANALYSIS (STAT)         $462.00
       3611005083 COOXIMETRY                        $104.00
       3611005085 OP ANALYSIS OF BLOOD GAS          $421.00
       3611017182 POLYSOMNAGRAPHY-NEONATE         $2,209.00
       3611017183 BIVONA TRACH TUBE                 $261.00
       3611018010 ADAPTOR VENTILATOR SWIVEL          $51.00
       3611018011 BAG INFANT RESUSCITATOR           $170.00
       3611018012 BAG RESUSCITATOR EA ADULT         $116.00
       3611018013 ADAPTOR BODAI                      $53.00
       3611018014 BAG-VENTI-COMP                     $13.00
       3611018015 CANNULA CPAP                      $158.00
       3611018016 ADAPTOR-ETCO2                      $23.00
       3611018017 PEEP VALVE                         $40.00
       3611018018 TRANSBRONCHAIL NEEDLE             $255.00
       3611018019 FORCEPS-RADIAL JAW                $480.00
       3611018020 CANOPY CAM TENT                   $143.00
       3611018045 HUMIDIFIER HYGROSCOPIC             $23.00
       3611018050 HUMIDIFIER DISP. EACH              $49.00
       3611018060 INSPIROMETER INCENTIVE            $124.00
       3611018070 MASK FACE TENT                     $34.00
       3611018080 MASK NON-REBREATHING               $48.00
       3611018090 MASK OXYGEN CUSHION                $39.00
       3611018100 MASK VENTURI                       $27.00
       3611018110 NEBULIZER MIST                     $66.00
       3611018130 MOUTHPIECE P-FLEX                  $48.00
       3611018140 MOUTHPIECE SEALED                  $27.00
       3611018145 MOUTHPIECE TVS                     $33.00
       3611018150 HOOD OXYGEN                       $135.00
       3611018160 SENSOR TEMPERATURE                 $24.00
       3611018171 AEROVENT                           $26.00
       3611018172 PASSY VALVE                       $416.00
       3611018173 MICRO BRUSH                        $82.00
       3611018174 CYTOLOGY BRUSH                     $56.00
       3611018175 TUBE CHANGER-ENDOTRACHEAL          $34.00
       3611018182 TUBE TRACH INNER CANNULA           $64.00
       3611018190 TUBE TRACH FENESTRATED            $642.00
       3611018200 TUBE TRACH METAL PUR OR DC        $191.00
       3611018210 TUBE TRACH METAL                  $201.00
       3611018220 TUBE TRACH SILICONE               $375.00
       3611018240 PLUG TRACHEOSTOMY                  $76.00
       3611018241 PLUG-TRACHEOSTOMY SHILEY           $45.00
       3611018250 TAPE TWILL DISP                    $41.00
       3611018255 OXIMETRY PROBE                    $198.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        135
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3611018258 PENTAM ADINE                         $52.00
       3611018259 HHN CIRCUIT                          $44.00
       3611018260 IPPB CIRCUIT                         $66.00
       3611018265 SPIROMETRY FILTER                    $64.00
       3611018280 TUBING VENTILATOR DISP               $99.00
       3611018281 ADAPTER VALVED TEE                   $17.00
       3611018285 TUBING VENTILATOR NEONATAL DIS      $214.00
       3611018300 CANNULA OXYGEN DISPOSABLE ADU        $26.00
       3611018301 CANNULA OXYGEN 25FT                  $28.00
       3611018303 CANNULA OXYGEN INFANT DISP           $50.00
       3611018307 CANNULA OXYGEN CHILD DISP            $25.00
       3611018310 MASK OXYGEN ADULT DISP               $44.00
       3611018320 MASK CHILD                           $44.00
       3611018340 TUBE OXYGEN CONNECTING               $25.00
       3611018350 MASK AEROSOL ADULT DISP              $44.00
       3611018360 MASK AEROSOL TRACH ADULT DISP        $44.00
       3611018370 MASK AEROSOL CHILD DISP              $44.00
       3611018380 MASK AEROSOL TRACH CHILD DISP        $44.00
       3611018390 TUBE CORRUGATED BREATHING            $89.00
       3611018400 SUCTION CATHETER 24 HOUR            $193.00
       3611018401 SURVAN TA CATHETER                  $116.00
       3611018450 EQP RESPIRATORY                     $600.00
       3611018500 ABG KIT                              $35.00
       3611018505 AEROCHAMBER MDI SPACER               $95.00
       3611018511 PEAK FLOW METER DISP                 $81.00
       3611018600 BRONCHODILATOR                       $74.00
       3611018601 ANESTHESIA BAG NEONATE               $68.00
       3611018602 TRACH BUTTON                        $404.00
       3611018603 OXYGENATOR                           $16.00
       3611018604 VENT HUMIDIFIER SYSTEM               $94.00
       3611800010 OXYGEN THERAPY-SET UP                $55.94
       3613000233 NEBULIZER TREATMENT HAND O/P        $159.00
       3613000710 PULM FUNC COMPLETE                  $557.00
       3613000711 PULM FUNC FLOW VOLUME LOOP          $411.00
       3613000712 NITROGEN WASHOUT FRC                $177.00
       3613000713 DLCO                                $294.00
       3613000714 PFT THRACIC GAS VOLUME              $294.00
       3613000812 IPPB TREATMENT                      $183.00
       3613000813 OXIMETRY/OXYGEN SATURATION EA       $106.00
       3613000814 POSTURAL DRAINAGE W/CUP & VI        $102.00
       3613000819 PENTAMADINE TREATMENT               $283.00
       3613000820 COMPLETE PULMONARY SCREEN           $473.00
       3613000830 PULMONARY SCREEN                    $303.00
       3613000840 SPIROMETRY W/O MEDICATION           $613.00
       3613000860 VITAL CAPACITY                       $58.00
       3613000875 OP TRACH. CARE                      $208.00
       3613000880 INIT. PULMONARY EVAL.               $158.00
       3614000620 COMPLETE PULMONARY SCREEN           $473.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          136
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3614000622 MDI                                  $78.00
       3614000624 POSTURAL DRAINAGE                   $129.00
       3614000630 PULMONARY SCREEN                    $303.00
       3614000632 IPPB TREATMENT                      $199.00
       3614000633 NEBULIZER TREATMENT                 $159.00
       3614000636 PULSE OXIMETRY CHECK                $119.00
       3614000660 BR/EX PRS LIP BREATH                 $81.00
       3614000661 BREATHING EXCERCISE DIAPHRAGM        $76.00
       3614000662 COUGH TECH/BR HYG                    $64.00
       3614000665 BREATHING EXCERCISE                  $90.00
       3614000694 6 MINUTE WALK W/OXIMETRY            $399.00
       3614000695 PULMONARY EXERCISE/15 MIN           $315.00
       3614006070 ARTERIAL PUNCTURE                   $126.00
       3614006080 ANALYSIS BLOOD GAS                  $404.00
       3614006081 CO OXIMETRY                         $100.00
       3614038060 INCENTIVE SPIROMETER                $135.00
       3614038511 PEAK FLOWMETER                       $81.00
       3614040105 THERAPEUTIC PROCEDURE                $75.00
       3614068000 OXYGEN CYLINDER                      $51.00
       3614068265 SPIROMETRY FILTER                    $64.00
       3614068500 ABG KIT                              $34.00
       3614068505 AEROCHAMBER                          $95.00
       3614360200 EVAL AND REPORT OT                  $147.00
       3614360206 TREATMENT 30 MIN RW OT               $75.00
       3713000100 HEMODIALYSIS TREATMENT ACUTE      $1,542.00
       3713000101 HEMODIALYSIS SET UP                 $850.00
       3713000102 EMERG DIALYSIS ESRD PT            $1,542.00
       3713000103 EMERG DIALYSIS ESRD PT CONTRAC    $1,542.00
       3713000105 KIDNEY DIALYZER                     $177.00
       3713000110 PERITONEAL DIALYSIS               $1,619.00
       3713000111 HEMODIALYSIS TREAT CONTRACT       $1,542.00
       3713000115 SORB CARTRIDGE                      $223.00
       3713000125 BLOOD LINES REDI                    $132.00
       3713000140 AV CANNULA REPLACEMENT              $187.00
       3713000200 CARTRIDGES D-31 ADDITIONAL          $280.00
       3713000210 CARTRIGES D32 ADDITIONAL            $307.00
       3713000220 K 1 ADDITIVE                         $20.00
       3713000230 SODIUM CHLORIDE 21 GMS                $4.00
       3713000240 SODIUM BICARB 30 GMS                 $20.00
       3713000250 SODIUM CHLORIDE 7GMS                 $20.00
       3713000270 DEXTROSE 24GMS                       $20.00
       3713000310 ASCORBIC ACID 0.18 GRAMS             $20.00
       3713000370 AMICON DIAFILTER                    $597.00
       3713000380 AMICON BLOOD LINES                  $184.00
       3713000401 MAGNESIUM CHLORIDE 12.2GMS           $20.00
       3713005001 ALBUMIN UNITS                       $299.00
       3713005005 CATHETER DRESSING KIT                $35.00
       3713005006 CATHETER INSERTION KIT              $211.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          137
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3713005007 CATHETER SUBCLAVIAN                 $148.00
       3713005100 PLASMAPHERESIS                    $3,577.00
       3713005190 WEEKEND HOLIDAY CHARGE              $810.00
       3713005210 DIALYZER 500 HG                      $34.00
       3713006104 MACHINE SET UP                    $1,208.00
       3713006105 SET UP CANCEL HEMO                  $336.00
       3713006106 NURSE CONSULT                       $273.00
       3713006108 OVERTIME RATE PER HOUR              $111.00
       3713006113 SET UP CANCEL APHERESIS             $320.00
       3713006115 HD STAFF SUPP PER TRMT              $252.00
       3713006300 CONTINUOUS DIALYSIS               $2,756.00
       3813001444 SELECTIVE DEBRIDEMENT < 20CM        $245.00
       3813001455 SELECTIVE DEBRIDEMENT >= 20CM       $300.00
       3813001466 NEGATIVE PRESSURE THER 50CM         $325.00
       3813001477 NEGATIVE PRESSURE THER >= 50CM      $375.00
       3813010010 BIOFEEDBACK                          $61.00
       3813010012 PT EVAL                             $290.00
       3813010014 TRACTION MECHANICAL                  $87.00
       3813010016 VASOPNEUMATIC COMPRESSION            $49.00
       3813010018 WHIRLPOOL                            $76.00
       3813010026 COMMUNITY WORK RE INTEGRATION        $61.00
       3813010028 GAIT TRAINING                        $61.00
       3813010040 REASSESSMENT                        $183.00
       3813010043 COGNITIVE RETRAINING                 $61.00
       3813010044 CONTRAST BATH                        $83.00
       3813010045 ULTRASOUND                           $61.00
       3813010046 PROCEDURE UNLISTED                   $80.00
       3813010051 ADVANCED ERGONOMICS TEST             $47.00
       3813010052 POOL THERAPY                         $71.00
       3813010055 MANUAL THERAPY                       $61.00
       3813010056 MANUAL THERAPY EA ADD'L AREA         $61.00
       3813010063 ADL SELF CARE SKILLS                 $66.00
       3813010065 WORK HARDENING COND INIT 2 HR       $237.00
       3813010066 WORK HARDENING COND ADDL HOURS      $121.00
       3813010073 GROUP TREATMENT                      $41.00
       3813010079 STANDARDIZED TEST OF PHYS PERF       $74.00
       3813010086 UNLISTED PHY MED/REHAB SER           $61.00
       3813010115 ELECTRICAL STIM UNATTENDED           $73.00
       3813010117 PARAFFIN BATH                        $49.00
       3813010119 MODALITY UNLISTED                    $80.00
       3813010121 EVALUATION ESTAB EXTENDED           $245.00
       3813010122 EVAL NEW EXTENDED                   $386.00
       3813010124 THERAPEUTIC EXERCISES                $66.00
       3813010125 NEUROMUSCULAR REEDUCATION            $61.00
       3813010127 FUNCTIONAL ACTIVITIES                $61.00
       3813010131 ELEC STIM MANUAL                     $73.00
       3813010132 IONTOPHORESIS                        $96.00
       3813010133 TRACTION MANUAL                      $61.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          138
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3813010134 MASSAGE                              $61.00
       3813010141 SPLINTING CASTING                    $73.00
       3813010147 PHY MED PROC ONE AREA ADD'L 15       $61.00
       3813010148 HUBBARD TANK                        $105.00
       3813010149 HUBBARD TANK ADDL 15 MIN            $105.00
       3813010153 POOL ADDL 15 MIN                     $71.00
       3813010157 ORTHOTIC TRAIN FIT                   $66.00
       3813010158 ORTHOTIC TRAINING ADD 15 MIN         $66.00
       3813010159 PROSTHETIC TRAINING                  $61.00
       3813010160 PROTHETIC TRAINING ADD 15 MIN        $61.00
       3813010161 THERAPEUTIC ACTIVITIES               $66.00
       3813010162 THERAPEUTIC ACTIVITIES ADDL 15       $66.00
       3813010164 ADL ADDITIONAL 15 MIN                $61.00
       3813010167 SOFT TISSUE MOBILIZATION             $61.00
       3813010168 INDIVIDUAL INSTRUCTION               $61.00
       3813010169 ORTHOTIC FABRICATION                 $61.00
       3813010170 JOINT MOBILIZATION                   $61.00
       3813010171 TAPING THERAPEUTIC                   $70.00
       3813010172 COMPUTER ASSISTED TRAINING          $143.00
       3813010174 GROUP TREATMENT ADDL 15              $41.00
       3813010175 PATIENT EDUCATION GROUP              $80.00
       3813010176 WORK TOLERANCE TESTING              $579.00
       3813010178 JOB SITE ASSESSMENT                 $422.00
       3813010180 STND TEST OF PHYS PERF ADDL 15       $70.00
       3813010181 VISIT ORTHOTIC CHECKOUT              $74.00
       3813010182 VISIT ORTHOTIC CHECK ADDL 15         $70.00
       3813010183 EXTREMITY TESTING                   $153.00
       3813010184 EXTREMITY TESTING ADDL 15            $70.00
       3813010185 COMPUTERIZED TEST                    $83.00
       3813010187 EVAL NEW BRIEF                      $130.00
       3813010188 EVAL NEW LIMITED                    $210.00
       3813010189 EVAL NEW INTERMEDIATE               $290.00
       3813010190 EVAL NEW COMPREHENSIVE              $514.00
       3813010191 EVALUATION ESTAB LIMITED            $141.00
       3813010192 EVAL ESTAB INTERMEDIATE             $210.00
       3813010193 EVAL ESTABLISH COMPREHENSIVE        $386.00
       3813010198 TNS INITIAL SETUP 1                  $61.00
       3813010277 FUNCTIONAL CAPICTITY MEASURE         $30.00
       3813010311 HOME EVALUATION                     $290.00
       3813010377 FUNCTIONAL CAPACITY MEASURE          $30.00
       3813010800 EVALUATION                          $290.00
       3813010802 CPM INITIAL SETUP                    $61.00
       3813010807 PRE EMPLOYMENT SCREEN                $47.00
       3813010820 COMPRESSION GARMENT MEASURE          $61.00
       3813010829 EDEMA CONTROL                        $61.00
       3813010835 DEVELOPMENTAL THERAPY                $61.00
       3813010837 EMPLOYEE PLACEMENT EVALUATION        $61.00
       3813010838 FITNESS CONSULTATION                 $61.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          139
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3813011124 THERAPEUTIC EXERCISES WORKERS       $132.00
       3813011125 NEUROMUSCULAR REEDUCATION WC        $121.00
       3813011127 FUNCTIONAL ACTIVITIES WORKERS       $121.00
       3813011128 GAIT TRAINING WORKERS COMP          $121.00
       3813011131 ELEC STIM MANUAL WORKERS COMP       $145.00
       3813011132 IONTOPHORESIS WORKERS COMP          $191.00
       3813011133 TRACTION MANUAL WORKERS COMP        $121.00
       3813011134 MASSAGE WORKERS COMP                $121.00
       3813011145 ULTRASOUND WORKERS COMP             $121.00
       3813011146 PROCEDURE UNLISTED                  $132.00
       3813011148 HUBBARD TANK WORKERS COMP           $209.00
       3813011152 POOL THERAPY WORKERS COMP           $131.00
       3813011157 ORTHOTIC TRAIN/FIT WORKERS COM      $121.00
       3813011159 PROSTHETIC TRAINING WORK COMP       $121.00
       3813011161 THERAPEUTIC ACTIVITIES WORK CO      $132.00
       3813011163 ADL SELF CARE SKILLS WORK COMP      $132.00
       3813011165 MANUAL THERAPY WORKERS COMP         $121.00
       3813011167 SOFT TISSUE MOBILIZATION WC         $121.00
       3813011168 INDIVIDUAL INSTRUCTION WC           $121.00
       3813011170 JOINT MOBILIZATION WORKERS COM      $121.00
       3813011173 GROUP THERAPY                        $85.00
       3813011179 STANDARIZED TEST PHYS PERF WC       $148.00
       3813011181 VISIT ORTHOTIC CHECKOUT WC          $148.00
       3813020030 COMMUNITY EXERCISE GROUP             $66.00
       3813020199 DEBRIDEMENT NON SELECTING           $245.00
       3813030301 PRELIMINARY EVALUATION 60 MIN       $267.00
       3813434343 EXTREMITY TESTING WORKERS COMP      $147.00
       3813999901 ELECTRODES                           $27.00
       3813999903 EXERCISE BAND                        $12.00
       3813999904 PUTTY                                $21.00
       3813999905 CPM PADS                             $58.00
       3813999907 TUBIFAST GREEN                       $20.00
       3813999908 TUBIGRIP FULL LEG                    $47.00
       3813999909 SETOPRESS                            $35.00
       3813999910 BANDNET SIZES 6 & 7 & 8              $17.00
       3813999911 BANDNET SIZES 4 & 5                  $12.00
       3813999912 BANDNET SIZES 2 & 3                   $7.00
       3813999913 STOCKINETTE                           $5.00
       3813999914 FOOT ORTHOTIC COMPONENTS              $8.00
       3813999915 LEG LOOPS/LADDERS                    $27.00
       3813999925 PULSEVAC UNIT                       $111.00
       3813999926 SPLINT SUPPLY                         $5.00
       3813999932 DYCEM                                 $9.00
       3813999933 WALKER SPLINT                        $68.00
       3813999934 COBAN                                 $9.00
       3815317234 COMPUTER ASSISTED TRN W C           $143.00
       3915013205 EDEMA GLOVE                          $46.00
       3915016030 BRUSH SUCTION                        $46.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          140
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3915016040 BUTTON AID RUBBER HANDLE             $11.00
       3915016055 CARD HOLDER                          $10.00
       3915016060 DENTURE BRUSH SUCTION                $16.00
       3915016080 FOOD GUARD PLASTIC                   $12.00
       3915016100 HAND CONE                            $26.00
       3915016104 HOLDER DRINKING STRAW                $11.00
       3915016106 HOLDER SANDWICH QUAD QUIP            $26.00
       3915016110 JAR LID OPENER                       $26.00
       3915016120 KNIFE ROCKER                         $25.00
       3915016130 KNIFE QUAD QUIP                      $21.00
       3915016135 LAP BOARD                            $37.00
       3915016138 MASSAGE TOOL                         $11.00
       3915016140 MIRROR PARA INSPECTION               $28.00
       3915016150 MIRROR QUAD INSPECTION               $51.00
       3915016155 MITT WASH QUAD QUIP                  $23.00
       3915016160 PARING BOARD                         $64.00
       3915016170 PUTTY                                $17.00
       3915016180 DRESSING STICK                       $10.00
       3915016190 REACHER                              $31.00
       3915016200 SCRUB SPONGE LONG                     $9.00
       3915016220 SHOE HORN 24 IN STAINLESS            $22.00
       3915016230 SOCK AID                             $22.00
       3915016245 TOILET AID                           $55.00
       3915016250 UTENSIL HOLDER                       $10.00
       3915016260 SPLINT FINGER MULTIPLE              $129.00
       3915016270 SPLINT FINGER SINGLE                 $87.00
       3915016280 FABRICATED HAND SPLINT              $114.00
       3915016290 FABRICATED WRIST SPLINT              $86.00
       3915016320 DELUX POWER GRIP HAND EXERCISE       $45.00
       3915016330 HAND EXERCISER--RUBBER BAND          $28.00
       3915016340 LONG REACHER                         $50.00
       3915016350 HEMI ARM SLING                       $56.00
       3915016360 AIRSPLINT ELBOW                      $71.00
       3915016380 REGULAR BUTTON AID                    $8.00
       3915016430 WRIST SUPPORT                        $46.00
       3915016460 ARM TROUGH                          $112.00
       3915016470 MINI VIBRATOR                        $46.00
       3915016501 BAG ECONOMY WALKER                   $28.00
       3915016502 BASKET ADAPTABLE WALKER              $45.00
       3915016503 DEVICE LOADING INSULIN SYRINGE       $43.00
       3915016504 AIRSPLINT-FULL ARM                   $87.00
       3915016505 FLOSS AID                            $10.00
       3915016506 ELEVATOR FOAM REPLACEMENT            $23.00
       3915016507 GLOVE FINGER FLEXION                 $46.00
       3915016508 TRIANGULAR GRIPS                      $4.00
       3915016509 HOLDER ELECTRIC RAZOR                $36.00
       3915016510 HOLDER FONE                          $73.00
       3915016511 HOLDER INSULIN TABLE STAND           $81.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          141
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3915016512 HOLDER INSULIN WALL MOUNTED          $60.00
       3915016513 HOLDER QUAD PHONE                    $21.00
       3915016514 DOOR KNOB STEEL EXTENSION            $17.00
       3915016515 MUG T HANDLE                         $12.00
       3915016517 SUPPASERT AND DIGISERT COMBO         $84.00
       3915016518 SHOE BUTTON EACH                      $8.00
       3915016520 SHOE HORN PLASTIC                     $7.00
       3915016521 SHOE LACES ELASTIC PR                 $7.00
       3915016522 SPONGE QUAD FLEX                     $71.00
       3915016523 WRIST SUPPORT ECONOMY                $27.00
       3915016524 TOILET AID TONGS                     $16.00
       3915016525 WRITER WANCHICKS                     $51.00
       3915100177 FUNCTIONAL CAPACITY MEASURE          $30.00
       3915100377 FUNCTIONAL CAPACITY MEASURE          $30.00
       3915310015 ELECTRICAL STIM UNATTENDED           $41.00
       3915310016 VASOPNEUMONIC COMPRESSION            $39.00
       3915310024 THERAPEUTIC EXERCISES                $66.00
       3915310040 REASSESSMENT                        $183.00
       3915310061 THERAPEUTIC KINETIC ACTIVITIES       $66.00
       3915310078 JOB SITE ASSESSMENT                 $343.00
       3915310079 STANDARDIZED TEST OF PHYS PERF       $69.00
       3915310117 PARAFFIN BATH                        $45.00
       3915310121 COGNITIVE RE-TRAINING                $64.00
       3915310125 NEURO MUSCULAR REEDUCATION           $66.00
       3915310126 COMMUNITY WORK REINTEGRATION         $47.00
       3915310132 IONTOPHORESIS                        $89.00
       3915310134 MASSAGE                              $61.00
       3915310144 CONTRAST BATH                        $66.00
       3915310145 ULTRASOUND                           $61.00
       3915310146 PROCEDURE UNLISTED                   $80.00
       3915310147 PHYS MED ONE AREA ADD'L 15 MIN       $61.00
       3915310158 ORTHOTIC TRAINING ADDL 15            $44.00
       3915310159 PROSTHETIC TRAIN FIT                 $49.00
       3915310160 PROSTHETIC TRAINING ADDL 15          $44.00
       3915310162 THERAPEUTIC ACTIVITIES ADDL 15       $57.00
       3915310163 ADL SELF CARE HOME MANAGEMENT        $66.00
       3915310164 ADL ADDL 15 MIN                      $66.00
       3915310165 WORK HARDENING INITIAL 2 HOURS      $222.00
       3915310166 WORK HARDENING ADDL HOUR            $113.00
       3915310167 SOFT TISSUE MOBILIZATION             $61.00
       3915310173 GROUP TREATMENT                      $41.00
       3915310174 GROUP EXERCISES ADDL 15              $32.00
       3915310176 WORK TOLERANCE TESTING              $472.00
       3915310180 STND TEST OF PHY PERF ADDL 15        $69.00
       3915310181 VISIT ORTHOTIC CHECK OUT             $60.00
       3915310182 VISIT ORTHOTIC CHECK OUT ADD15       $74.00
       3915310183 EXTREMITY TESTING                   $124.00
       3915310184 EXTREMITY TESTING ADDL 15            $57.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          142
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3915310186 UNLISTED PHYS MED REHAB SERVIC       $49.00
       3915310190 ULTRA SOUND WORKERS COMP             $98.00
       3915310192 VISION SCREENING                     $97.00
       3915310410 HOME EVALUATION                     $218.00
       3915310905 KITCHEN GROUP                       $129.00
       3915311124 THERAPEUTIC EXERCISES               $132.00
       3915311125 NEUROMUSCULAR REEDUCATION           $121.00
       3915311127 FUNCTIONAL ACTIVITIES                $98.00
       3915311132 IONTOPHORESIS                       $178.00
       3915311134 MASSAGE                              $98.00
       3915311146 PROCEDURE UNLISTED                   $98.00
       3915311159 PROSTHETIC TRAIN/FIT                 $98.00
       3915311161 THERAPEUTIC KINETIC ACTIVITIES      $132.00
       3915311163 ADL SELF CARE SKILLS                $132.00
       3915311167 MANUAL THERAPY                      $121.00
       3915311169 ORTHOTIC FABRICATION                 $98.00
       3915311173 GROUP TREATMENT                      $63.00
       3915311179 STANDARDIZED TEST PHY PERF          $120.00
       3915311181 VISIT ORTHOTIC CHECK OUT            $120.00
       3915320057 ORTHOTIC TRAIN FIT                   $66.00
       3915320490 WORK HARDENING EACH 1 HR             $98.00
       3915321127 ORTHOTIC TRAIN/FIT                  $121.00
       3915321168 INDIVIDUALIZED INST                 $113.00
       3915333333 PRE EMPLOYMENT SCREEN                $37.00
       3915340412 DRIVER ASSESSMENT LIMITED           $327.00
       3915340802 DRIVER EVALUATION CAR               $540.00
       3915340814 DRIVER EVALUATION VAN               $616.00
       3915350900 EVALUATION                          $290.00
       3915374855 ELECTRICAL STIMULATION WC            $59.00
       3915400751 EDUCATION PATIENT/FAMILY             $61.00
       3915434343 EXTREMITY TESTING WORKERS COMP      $119.00
       3915520110 BIOFEEDBACK                          $97.00
       3915520119 MODALITY UNLISTED                    $80.00
       3915777777 DEBRIDEMENT NON SELECTIVE           $209.00
       3915916526 HAND EXERCISER--DELUXE               $41.00
       3915999901 PRE FABRICATED HAND SPLINT           $81.00
       3915999902 FABRICATED THUMB/FINGER SPLINT       $58.00
       3915999903 LAPTRAY--HALF                        $69.00
       3915999904 EXERCISE BAND                        $10.00
       3915999905 SPLINT SUPPLY                         $4.00
       3915999906 PREFABRICATED THUMB SPLINT           $46.00
       3915999907 LEG LOOPS                            $23.00
       3915999908 LONG HANDLED SPONGE                   $4.00
       3915999909 EATING UTENSIL                        $8.00
       3915999910 FINGER FLEXION STRAP                 $13.00
       3915999911 FABRICATED DIGIT SPLINT               $7.00
       3915999912 FABRICATED HAND BASE SPLINT          $23.00
       3915999913 FABRICATED FOREARM BASE SPLINT       $35.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          143
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3915999914 FABRICATED ELBOW BASE SPLINT         $40.00
       3915999915 FABRIFOAM WRIST WRAP                 $46.00
       3915999916 THERMAL RX WRIST WRAP                $28.00
       3915999917 GEL SHELL                            $49.00
       3915999918 LIBERTY WRIST SPLINT                 $53.00
       3915999919 TUBI-GRIP                            $12.00
       3915999920 CYLINDRICAL FOAM                      $1.00
       3915999921 DIGI SLEEVE                           $3.00
       3915999922 COBAN                                 $8.00
       3915999923 HEELBO                               $24.00
       3915999924 THERAGEL DIGITAL PAD                 $11.00
       3915999925 ADJUSTABLE OUTRIGGER KIT             $90.00
       3915999926 KNUCKLE BENDER HAND SPLINT           $38.00
       3915999927 REVERSE KNUCKLE BENDER SPLINT        $51.00
       3915999928 THOMAS SUSPENSION SPLINT             $52.00
       3915999929 KNUCKLE BENDER FINGER SPLINT         $32.00
       3915999930 REV KNUCKLE BEND FINGER SPLINT       $33.00
       3915999931 SAFETY PIN SPLINT                    $28.00
       3915999932 LMB FINGER EXTENSION SPLINT          $39.00
       3915999933 LMB FINGER FLEXION SPLINT            $39.00
       3915999934 MURPHY RING                          $56.00
       3915999935 ELASTOMER                            $19.00
       3915999936 CICA GEL                              $4.00
       3915999937 CASTING MATERIAL                      $4.00
       3915999939 DYCEM                                 $8.00
       3915999940 WALKER SPLINT                        $80.00
       3915999941 CELLELO SUP/PRONATOR SPLINT          $92.00
       3915999942 DYNAMIC SUP/PRONATOR COMPONENT       $83.00
       3915999943 DESENSITIZATION SUPPLIES             $17.00
       3915999944 IROM ELBOW BRACE                    $149.00
       3921000021 RECREATIONAL EVALUATION             $218.00
       3921310061 THERAPEUTIC ACTIVITIES               $49.00
       3921310127 FUNCTIONAL ACTIVITIES                $49.00
       3921310147 PHYSICAL MEDICINE ADD'L 15 MIN       $39.00
       3921310162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       3921310163 ACTIVITIES OF DAILY LIVING           $49.00
       3921310164 ADL ADD'L 15 MIN                     $44.00
       3921310174 GROUP ACTIVITIES ADD'L 15 MIN        $36.00
       3921310409 COOKING GROUP                       $129.00
       3921310903 COMMUNITY WORK RE INTEGRATION        $64.00
       3921310907 SUPERVISED TREATMENT                 $59.00
       3921310909 GROUP TREATMENT                      $41.00
       3921310916 COGNITIVE STIMULATION IND            $64.00
       3921311109 GROUP TREATMENT                      $73.00
       3921311127 FUNCTIONAL ACTIVITIES                $98.00
       3921311161 THERAPEUTIC ACTIVITIES               $98.00
       3921311163 ADL SELF CARE SKILLS                 $98.00
       3921320075 LEISURE EDUCATION GROUP              $44.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          144
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       3921320410 COGNITIVE STIMULATION GROUP          $44.00
       3921320906 PET FACILITATION THERAPY             $47.00
       3921330409 COMMUNITY WORK RE INTEG GROUP        $44.00
       3921330906 COMPUTER FACILITATED TREATMENT      $116.00
       3921340409 PET FACILITATION GROUP               $44.00
       3921340906 AQUATIC ACTIVITIES                  $109.00
       4014000680 HEARING THERAPY                     $174.00
       4014107104 VOICE THERAPY                       $174.00
       4014110103 SWALLOWING EVALUATION               $300.00
       4014110104 SPEECH LANGUAGE TREATMENT           $174.00
       4014110105 SPEECH LANGUAGE GROUP                $74.00
       4014110110 TRACH SPEAKING VALVE EVAL           $231.00
       4014110111 TRACH SPEAKING VALVE TREATMENT      $174.00
       4014110113 SWALLOW FEED TREATMENT              $174.00
       4014110308 EVAL FOR VOICE PROSTHETIC           $231.00
       4014110401 PEDIATRIC EVALUATION                $343.00
       4014110402 PEDIATRIC TREATMENT                 $174.00
       4014110412 COGNITIVE STIMULATION GROUP          $74.00
       4014110414 SWALLOW MODIFIED BARIUM             $344.00
       4014110501 PEDIATRIC GROUP TREATMENT            $74.00
       4014111015 AUGMENTATIVE EVALUATION             $231.00
       4014111018 COGNITIVE RETRAINING                $174.00
       4014111019 COMA STIMULATION                    $174.00
       4014111020 COMMUNICATION SCREEN                $126.00
       4014111021 COMMUNITY WORK REINTEGRATION        $174.00
       4014111029 PALATAL LIFT PROSTHESIS EVAL        $231.00
       4014111035 SPEECH AID PROSTHESIS EVAL          $231.00
       4014111038 SWALLOW FEED SCREEN                 $174.00
       4014111039 VELOPHARYNGEAL EVAL VIDEO           $344.00
       4014120100 SPEECH LANGUAGE EVALUATION          $231.00
       4014140308 VOICE GROUP                          $74.00
       4014897898 VITAL STIM APPLICATION               $44.00
       4014998877 SWALLOWING FEEDING GROUP             $74.00
       4017000001 OSTOMY EVALUATION EXTENDED          $276.00
       4017000002 OSTOMY EVALUATION LIMITED           $140.00
       4017001400 ENTEROSTOMAL THERAPY (OTHER)         $80.00
       4017001401 COLOSTOMY IRRIG. TRAIN/EDUC          $80.00
       4017001402 COLOSTOMY PROSTHESIS FITTING         $80.00
       4017001403 COLOSTOMY PROSTHESIS EDUC/TRN        $80.00
       4017001404 ILEOSTOMY PROSTHESIS FITTING         $80.00
       4017001405 ILEOSTOMY PROSTHESIS EDUC/TRN        $80.00
       4017001406 INTERMITTENT SELF-CATH ED/TRN        $80.00
       4017001407 OSTOMY/WOUND PROSTHESIS FITTIN       $80.00
       4017001408 OSTOMY/WOUND PROSTHESIS ED/TRN       $80.00
       4017001409 UROSTOMY PROSTHESIS FITTING          $80.00
       4017001410 UROSTOMY PROSTHESIS EDUC/TRN         $80.00
       4017001411 ENTEROSTOMAL EVAL NO INTERVENT       $80.00
       4017001412 SKIN/DERMAL ULCER EVAL/PREVENT       $80.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          145
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4017001413 EDUCATIONAL BOOKLET MATERIAL         $16.00
       4017001414 SKIN/PRESSURE ULCER EVAL/TRT         $80.00
       4017001415 SKIN/SKIN TEAR EVAL/TREATMENT        $80.00
       4017001416 SKIN/DIABETIC FOOT ULCER EVAL        $80.00
       4017001417 SKIN/DIABETIC FOOT ULCER TX          $80.00
       4017001418 SKIN/ARTERIAL ULCER EVAL             $80.00
       4017001419 SKIN/ARTERIAL ULCER TX               $80.00
       4017001420 SKIN/VENOUS STASIS ULCER EVAL        $80.00
       4017001421 SKIN/VENOUS STASIS ULCER TX          $80.00
       4017001422 BOWEL/BLADDER INCONTINENT EV/T       $80.00
       4017001423 CONT. URINARY DIVERSION TR/ED        $80.00
       4017001424 CONTINENT ILEOSTOMY TRAIN/ED         $80.00
       4017001428 NON SURGICAL DEBRIDEMENT             $80.00
       4017001429 ABI TESTING                         $277.00
       4017001430 MONOFILAMENT TESTING                $173.00
       4017001431 DOPPLER EXAM                        $202.00
       4017001432 UNNA BOOT APPLICATION                $80.00
       4017001434 TCPO2 TESTING                       $404.00
       4111000101 LEVEL 1                             $154.00
       4111000102 LEVEL 2                             $283.00
       4111000103 LEVEL 3                             $447.00
       4111000104 LEVEL 4                             $670.00
       4111000105 LEVEL 5                             $937.00
       4111019020 SPLINT FINGER                        $24.00
       4111019070 COMPRESSION DRESSING                 $52.00
       4111019210 CAST SPLINT FIBERGLASS MEDIUM       $240.00
       4111019220 CAST SPLINT FIBERGLASS SMALL        $179.00
       4111019230 CAST SPLINT PLASTER LARGE           $334.00
       4111019250 CAST SPLINT PLASTER MEDIUM          $240.00
       4111019260 CAST SPLINT PLASTER SMALL           $179.00
       4111019810 CAST SPLINT FIBERGLASS LARGE        $707.00
       4111045002 PULSE OXIMETRY                      $124.00
       4111045003 REPR EXT TNDN-HND PRI/SEC WOGR    $1,981.00
       4111045004 LAYER FACE/EARS/NOSE/LIPS12.6-      $401.00
       4111045005 LAYER NECK/HANDS/FT/GENIT12.6-      $401.00
       4111045006 LAYER SCLP/AX/TRUNK/EXT 12.6-       $425.00
       4111045007 LAYER SCLP/AX/TRUNK/EXT 20.1-       $401.00
       4111045008 LAYER NECK/HANDS/FT/GENIT20.1-      $401.00
       4111045009 LAYER FACE/EARS/NOSE/LIPS20.1-      $401.00
       4111045010 LAYER NECK/HANDS/FT/GENIT>30.0    $1,998.00
       4111045011 LAYER SCLP/AX/TRUNK/EXT >30.0     $1,998.00
       4111045012 LAYER FACE/EARS/NOSE/LIPS>30.0    $1,998.00
       4111045013 LAYER NECK/HANDS/FT/GENIT <2.5      $425.00
       4111045014 LAYER SCLP/AX/TRUNK/EXT <2.5        $425.00
       4111045015 S RPR FACE/EARS/NOSE/MUC 12.6-      $279.00
       4111045016 SRPR SCLP/AX/GEN/TRNK/EXT12.6-      $425.00
       4111045017 SRPR SCLP/AX/GEN/TRNK/EXT 2.6-      $425.00
       4111045018 SRPR SCLP/AX/GEN/TRNK/EXT20.1-      $401.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          146
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045019 SRPR FACE/EARS/NOSE/MUC 12.6-       $425.00
       4111045020 SRPR FACE/EARS/NOSE/MUC <2.5CM      $425.00
       4111045021 SRPR SCLP/AX/GEN/TRNK/EXT <2.5      $425.00
       4111045022 VENIPUNCTURE CUTDOWN UNDR 1 YR      $892.00
       4111045023 LAYER NECK/HANDS/FT/GEN 2.6-        $425.00
       4111045024 LAYER FACE/EARS/NOSE/LIPS 2.6-      $425.00
       4111045025 LAYER SCLP/AX/TRNK/EXT 2.6-7.5      $425.00
       4111045026 LAYER FACE/EARS/NOSE/LIPS 5.1-      $425.00
       4111045027 LAYER SCLP/AX/TRNK/EXT7.6-12.5      $425.00
       4111045028 LAYER NECK/HANDS/FT/GEN 7.6-        $401.00
       4111045029 LAYER FACE/EARS/NOSE/LIPS 7.6-      $425.00
       4111045030 LAYER FACE/EARS/NOSE/LIPS <2.5      $425.00
       4111045031 SRPR FACE/EARS/NOSE/MUC 2.6-        $425.00
       4111045032 SRPR FACE/EARS/NOSE/MUC 20.1-       $401.00
       4111045033 SRPR FACE/EARS/NOSE/MUC 5.1-        $425.00
       4111045034 SRPR FACE/EARS/NOSE/MUC 7.6-        $425.00
       4111045035 SRPR FACE/EARS/NOSE/MUC >30.0       $401.00
       4111045036 SRPR SCLP/AX/GEN/TRNK/EXT>30.0      $425.00
       4111045037 THORACENTESIS W/INSRT TUBE          $521.00
       4111045038 I&D ABSCESS;SIMPLE/SINGLE           $350.00
       4111045039 I&D ABSCESS; COMPLIC/MX             $350.00
       4111045040 I&D PILONIDAL CYST; SIMPLE          $350.00
       4111045041 INCS & REMOV FB SUBQ TISS;SIMP      $350.00
       4111045042 INCS & REMOV FB SUBQ TISS;COMP    $1,139.00
       4111045043 I&D HEMATOMA/SEROMA/FL COLLECT      $643.00
       4111045044 PUNCT ASPIRAT ABS/HEM/BULL/CYS      $350.00
       4111045045 DEBRID/EXT/ECZ/INF SKIN 10%SUR      $311.00
       4111045046 DEBRID EXT ECZ/INF SKIN ADD10%      $293.00
       4111045047 DEBRID INCL REMV FORGN MAT;TIS    $2,061.00
       4111045048 DEBRID INCL RMV FORGN MAT;MUSC    $2,061.00
       4111045049 DEBRD INCL RMF FRGN MAT;MUSCBN    $2,061.00
       4111045050 DEBRID; SKIN PART THICK             $311.00
       4111045051 DEBRID; SKIN FULL THICK             $293.00
       4111045052 DEBRID; SKIN & SUBQ TISS            $618.00
       4111045053 DEBRID; SKIN-SUBQ TISS-MUSCL        $583.00
       4111045054 DEBRID;SKIN-SUBQ TISS-MUS-BONE    $2,178.00
       4111045055 DEBRID NAIL(S) ANY METHD;1-5        $131.00
       4111045056 AVULSION NAIL PLTE PT/COMP;SNG      $159.00
       4111045057 EVACUATION SUBUNGUAL HEMATOMA       $131.00
       4111045058 REPR NAIL BED                       $425.00
       4111045059 REPR COMPLX TRUNK; 1.1 TO 2.5       $618.00
       4111045060 REPR COMPLX TRUNK; 2.6 TO 7.5       $618.00
       4111045061 REPR COMPLX SCLP/ARMS/LEGS1.1-      $655.00
       4111045062 REPR COMPLX SCLP/ARMS/LEGS2.6-      $655.00
       4111045063 REPR COMPLX-SCLP/ARMS/LEGS <5       $655.00
       4111045064 RPR CMP FRHD/CHN/AX/GEN/FT1.1-      $655.00
       4111045065 RPR CMP FRHD/CHN/AX/GEN/FT2.6-      $655.00
       4111045066 RPR CMP FACE/NECK/HAND/FEET <5      $618.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          147
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045067 RPR CMP LIDS/NOSE/EARS/LIPS <1    $2,118.00
       4111045068 RPR CMP LIDS/NOSE/EARS/LIP1.1-      $618.00
       4111045069 RPR CMP LIDS/NOSE/EARS/LIP2.6-      $655.00
       4111045070 RPR CMP EYE/NOSE/EARS/LIPS2.6-      $618.00
       4111045071 DSG&OR DEBRID IN/SUBS;WO ANS S      $311.00
       4111045072 DSG &OR DEBRID IN/SUB;WO ANS M      $263.00
       4111045073 DSG &OR DEBRID IN/SUB;WO ANS L      $293.00
       4111045074 REMOV FB MUS/ENDON SHEATH SIMP      $659.00
       4111045075 REMOV FB MUS/TENDON SHEATH CMP    $2,184.00
       4111045076 ARTHRO/ASPIR/INJ SM JT/BUR/CYS      $368.00
       4111045077 ARTHRO/ASPIR/INJ INT JT/BUR/CY      $368.00
       4111045078 ARTHRO/ASPIR/INJ MJR JT/BURSA       $368.00
       4111045079 CLO TX TEMP DISLOC;INIT/SUBSQT      $294.00
       4111045080 CLO TX RIB FX UNCOMP EA             $288.00
       4111045081 CLO TX CLAV FX;WO MANIP             $288.00
       4111045082 TX SHLDR DISLOC W/MANIP WO/ANS      $288.00
       4111045083 CLO TX HUMERAL SHAFT FX WO/MAN      $359.00
       4111045084 TX SUPRA TRANS HUMERAL FX WO/M      $380.00
       4111045085 TX CLO ELBOW DISLOC; WO ANES        $380.00
       4111045086 TX RADIAL HEAD SUBL CHILD W/MA      $380.00
       4111045087 TX RADIAL HEAD/NECK FX; WO/MAN      $359.00
       4111045088 TX ULNAR RX PROX END; WO MANIP      $359.00
       4111045089 TX DIST RAD RX W/WO FX UL WO/M      $380.00
       4111045090 TX DIST RAD FX W/WO FX UL W/MA      $380.00
       4111045091 TX RADIO/INT DISLOC 1MORE W/MA      $359.00
       4111045092 DRAINAGE FINGER ABSCESS;SIMPLE      $330.00
       4111045093 TX METACARPAL FX SNGL; WO/MANI      $380.00
       4111045094 TX MCP DISLOC SNGL W/M WO/ANES      $288.00
       4111045095 CLO TX PHAL SHFT FX PRO/MID WO      $288.00
       4111045096 CLO TX DIST PHAL FX FINGER/TUM      $288.00
       4111045097 OPEN TX DIST PHAL FX W/WO INT/    $3,678.00
       4111045098 CLO TX IP JT DISLOC SNGL W/MAN      $288.00
       4111045099 CLO TX HIP DISLOC TRAUMA:WO AN      $380.00
       4111045100 CLO TX POST HIP ARTHROPLASTY        $380.00
       4111045102 CLO TX KNEE DISLOC: WO ANES         $380.00
       4111045103 CLO TX PATELL DISLCO : WO ANES      $380.00
       4111045104 CLO TX MEDIAL MALLEO FX: WO MA      $380.00
       4111045105 CLO TX MED MALLEO FX: W/MANIP       $380.00
       4111045106 CLO TX PROX FIB/SHAFT FX:WO MA      $359.00
       4111045107 CLO TX DISTAL FIB FX: WO MANIP      $380.00
       4111045108 CLO TX BIMALLEO ANK FX: WO MAN      $359.00
       4111045109 CLO TX TRIMALLEO ANK FX: WO MA      $380.00
       4111045110 CLO TX ANK DISLOC: WO ANES          $380.00
       4111045111 REMOV FB FT: SUBQ                   $659.00
       4111045112 CLO TX CALCAN FX: WO MANIP          $359.00
       4111045113 CLO TX METATAR FX: WO MANIP EA      $380.00
       4111045114 CLO TX FX GREAT TOE PHALA:WO M      $288.00
       4111045115 CLO TX FX PHAL OTH THAN GR TOE      $288.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          148
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045116 CLO TX METATARSOPHALANG JT DIS      $288.00
       4111045117 APPLIC LONG ARM SPLINT              $304.00
       4111045118 APPLIC SHORT ARM SPLINT: STATI      $304.00
       4111045119 APPLIC FINGER SPLINT: STATIC        $304.00
       4111045120 STRAPPING: HAND/FINGER              $304.00
       4111045121 APPLIC LONG LEG SPLINT              $191.00
       4111045122 APPLIC SHORT LEG SPLINT             $191.00
       4111045123 STRAPPING; KNEE                     $191.00
       4111045124 STRAPPING; ANK                      $191.00
       4111045125 REMOV/BIVALVING;GAUNTLET BOOT       $180.00
       4111045126 WEDGING CAST                        $180.00
       4111045127 REMOV FB INTRANASAL; OFFIC TYP      $294.00
       4111045128 CONTRL NASAL HEMORR-ANT-SIMPL       $432.00
       4111045129 CONTRL NASAL HEMORR-ANT-COMPLX      $387.00
       4111045130 CONTRL NASAL HEMOR-POST; INIT       $387.00
       4111045131 CONTRL NASAL HEMOR-POST; SUBSQ      $387.00
       4111045132 INTUBATION ETT EMERG PROC           $790.00
       4111045133 LARYNGOSCOPY INDIRECT; DX (SEP      $220.00
       4111045134 LARYNGOSCOPY DIRECT OR W/FB RE    $3,244.00
       4111045135 TUBE THORACOSTOMY W/WO H20SEAL      $638.00
       4111045136 PERICARDIOCENTESIS; INIT            $638.00
       4111045137 INSRT/REPLAC TEMP ONE CHMBR       $3,128.00
       4111045139 TRANSFUSION BLD/BLD COMPONENTS    $1,020.00
       4111045140 PLCMT CENTRL VENOUS CATH: <2YR      $945.00
       4111045141 PLCMT CENTRL VENOUS CATH > 2YR      $945.00
       4111045143 PLCMT NEEDLE INTRAOSSEOUS INF       $274.00
       4111045144 CLO LAC VESTIBULE MOUTH:<2.5CM      $278.00
       4111045145 REPR LAC <2.5CM ANT 2/3 TONGUE      $294.00
       4111045146 I&D ABCESS; PERITONSILLAR           $294.00
       4111045147 REMOV FB FROM PHARYNX               $294.00
       4111045148 CHANGE GASTROSTOMY TUBE             $413.00
       4111045149 I&D PERIANAL ABCESS SUPERF          $678.00
       4111045150 INCS THROMBOSED HEMORRHOID EXT      $410.00
       4111045151 PERITONEOCENTESIS-ABD; INIT         $638.00
       4111045152 ASP BLADDER: W/INSRT SUPRAPUBI      $642.00
       4111045153 CHANGE CYSTOSTOMY TUBE; SIMPLE      $413.00
       4111045155 CATH URETHRA; COMPLIC               $359.00
       4111045156 I&D EPIDIDYMIS TESTIS &/OR SCR    $3,195.00
       4111045157 I&D VUVA/PERINEAL ABCESS            $416.00
       4111045158 I&D BARTHOLIN'S GLAND ABCESS        $416.00
       4111045159 SPINAL PUNCT LUMBAR DX              $525.00
       4111045160 INJ ANES AGENT: FACIAL NREV         $548.00
       4111045161 INJ ANES AGENT; OTH PERIF NERV      $581.00
       4111045162 REMOV FB EXT EYE; CONJ SUPERF       $462.00
       4111045163 REMOV FB EXT EYECORNEAL WO/SLI      $462.00
       4111045164 REMOV FB EXT EYE;CORNEAL W/SLI      $462.00
       4111045165 REMOV CORNEAL EPITHELIUM;W/WO     $1,033.00
       4111045166 DRAINAGE EXT EAR ADSCESS/HEMAT      $350.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          149
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045167 REMOV FB-EXT AUDITORY CANAL;        $182.00
       4111045168 REMOV IMPACTED CERUMEN 1/BOTH       $182.00
       4111045169 IMMUNIZ ADMIN; 1 VACCINE             $13.00
       4111045170 TETANUS TOXOID ABSORBED-IM/JET       $63.00
       4111045171 TD ADSORB-USE INDVIV .7YRS IM/       $63.00
       4111045172 THERAP/PROPHYLACTIC/DX INJ;SUB       $69.00
       4111045173 THERAP/PROPHYLACTIC/DX INJ;INT       $69.00
       4111045174 THERAP/PROPHYLACTIC/DX INJ; IV       $69.00
       4111045175 IM INJ ANTIBIOTIC                    $69.00
       4111045176 PSYCH DX INTERVIEW EXAM             $325.00
       4111045177 GASTRIC INTUBATION & ASPIRAT/L      $242.00
       4111045178 CARDIOPULMONARY RESUSCITATION       $790.00
       4111045179 TEMP TRANSCUTANEOUS PACING          $790.00
       4111045180 CARDIOVERSION ELECTIVE              $790.00
       4111045181 THROMBOLYSIS COROMARY; IV INF       $290.00
       4111045185 SEDATION W/WO ANALGESIA 1V/IM/       $25.00
       4111045186 CRITICAL CARE E&M-CRIT ILL/INJ    $1,504.00
       4111045187 IV INF TX/DX UND MD SUP <1HR        $432.00
       4111045189 DIP, TET TOX, DTAP FOR IM USE        $24.00
       4111045191 TIG, HUMAN, FOR IM USE              $156.00
       4111045192 THORAC, PUNC O PL CAV FOR ASP       $801.00
       4111045193 STRAPPING: UNNA BOOT                $223.00
       4111045194 SPLRPR SCLP/AC/GENT/TRNK/EX7.6      $398.00
       4111045195 STRAPPING: SHOULDER                 $223.00
       4111045196 RIG, HUMAN, FOR IM USE              $148.00
       4111045199 HBIG, HUMAN, FOR IM USE             $148.00
       4111045200 HEPATITIS B VAC, ADULT DOS, IM      $157.00
       4111045201 CLOSED TX FOR META FX, SNGL         $355.00
       4111045202 WOUND CLOS UTIL TISSUE ADH(S)        $71.00
       4111045203 EXC, BEN LES, EX SKN TAG <0.5       $737.00
       4111045204 CLSD TX OF MONTEGGIA TYPE FX        $443.00
       4111045205 CLO TX FX GR TOE PHALX/PHALNG       $443.00
       4111045206 APPLIC SHORT ARM SPLINT; DYNAM      $223.00
       4111045207 APPLIC SHORT LEG CAST               $223.00
       4111045208 LARYNGOSCOPY, FLEX FIBEROPTIC       $182.00
       4111045211 BLADDER IRRIG, SIMP, LAVA/INST      $429.00
       4111045212 DPT FOR IM USE                       $33.00
       4111045214 EXC NAIL,NAIL MATRX PERM REMOV      $737.00
       4111045215 REP OF EXT TEND, DIS INSERT       $2,044.00
       4111045216 CLOSED TX OF HIP DIS, TRAUM       $2,040.00
       4111045217 APPLIC, PLASTER FIG 0F 8 LONG       $388.00
       4111045218 REM OF BIVALV,FULL ARM OR LEG       $223.00
       4111045219 INJ EPIDURAL OF BLOOD OR CLOT       $630.00
       4111045221 CLOS TX PHALANG FX PROX/MID         $569.00
       4111045222 CLOS TX BIMALLEOLAR ANK FRACT       $335.00
       4111045223 APP OF FINGER SPLINT,DYNAMIC        $190.00
       4111045224 STRAPPING;ELBOW OF WRIST            $190.00
       4111045225 I&D OF ISCHIOREC/PERIREC ABCSS      $785.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          150
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045226 ENUCLEATE/EXC EXT THROMB HEMRD      $785.00
       4111045229 REMOV FB MUSCLE/TENDON SHEATH       $695.00
       4111045230 APP OF HIP SPICA CAST; ONE LEG      $223.00
       4111045231 CLOS TX MONTEGGIA TYPE FX DIS       $443.00
       4111045233 1ST TX 1 DG BURN/ LOC TX REQ        $279.00
       4111045234 INJEC THERAPEUTIC CARPAL TUNNL      $195.00
       4111045236 DRAIN OF FNGR ABSCSS, COMP          $750.00
       4111045237 CLOS TX CMC DISLOC NO THUMB         $251.00
       4111045238 CLOS TX DISTAL FIBULAR FRACT        $237.00
       4111045239 STRAPPING, TOES                     $126.00
       4111045240 IPECAC/SIMILR ADM FOR EMESIS         $33.00
       4111045241 TX OF SUPERFICIAL WOUND DEHIS       $320.00
       4111045243 CLSD TX OF CARPOMETACARPAL DIS      $354.00
       4111045244 HEMORRHOIDECTOMY BY SIMP LIGAT      $699.00
       4111045245 REP OF LAC;CONJ W/WO NONPERF      $1,832.00
       4111045246 LARYNGOSCOPY DIRECT DIAG          $1,797.00
       4111045247 REP BLOOD VESSEL,DIRCET;UPPER     $2,248.00
       4111045248 CONT OROPHARYNGEAL HEMOR; SIMP      $334.00
       4111045249 INSERT NON-DWELL BLADDER CATH       $173.00
       4111045250 INSERT TEMP DWELL BLADDER CATH      $173.00
       4111045251 CLSD TRTMNT OF FX W/ MANIPULAT    $1,323.00
       4111045252 CL TRTMNT OF RADL & ULNAR FX      $1,618.00
       4111045253 CL TRTMNT OF CLAV FX W/ MANIP     $2,694.00
       4111045254 INC & DRAIN OF PILONIDIAL CYST    $3,177.00
       4111045255 REMOVE SKIN TAGS UP TO 15 LESN      $399.00
       4111045256 REMOV FORGN BODY, EXT EYE           $231.00
       4111045257 INJ, THERAPEUTIC SING OR MULTI      $632.00
       4111045258 BLADDER, IRR, SIMP, LAV/INSTAL      $145.00
       4111045259 CYSTOSTOMY W/ DRAINAGE            $4,333.00
       4111045260 REM LES TRNK/ARM/LEG 1.1-2.0CM    $1,504.00
       4111045261 CL TX HUM EPICOND FX, MED/LAT     $1,507.00
       4111045262 I&D OF SUBMUCOSAL ABSC, RECTUM      $749.00
       4111045263 INJ PYELOGR NEPH/PYE TUBE/INDW      $273.00
       4111045264 CL TX RAD HEAD OR NECK FX W MA    $1,194.00
       4111045265 RED FX WT BEAR ARTIC PORT DIST      $785.00
       4111045266 REP PRIM TORN LIG AND/OR CAPSU    $1,431.00
       4111045267 REM LES TRNK/ARM/LEG 2.1 TO 3     $3,834.00
       4111045268 WEDGE EXC SKIN NAIL FOLD            $267.00
       4111045269 TX SUPERF WOUND DEHIS;CLS W PK      $668.00
       4111045270 CL TX INTRPHL JNT DISLC W ANES    $3,404.00
       4111045271 NASAL ENDO; DIAG; UNI OR BILAT      $474.00
       4111045272 TRACH TUBE CHNG PRE FIST TRACT      $594.00
       4111045273 INTRO CATH PROLONG INFUS TX         $273.00
       4111045274 ART CATH PROLONG INFUS TX         $5,894.00
       4111045276 IMMUNE GLOB, HUMAN IM               $273.00
       4111045277 NON-SELECT WOUND DEBRID             $649.00
       4111045278 EXC BENIGN SK LES,W MARG 0.5 <      $867.00
       4111045279 CL TX MAND FX,MCP/IP JNT W FIX    $7,308.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          151
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045280 CL TX ARTIC FX,MCP/IP JNT MANI    $1,177.00
       4111045281 CL TX DIS PHAL FX, W MANIP        $1,867.00
       4111045282 CL TX, TALUS FX W/O MANIP           $638.00
       4111045283 PUSH TRANS, BLOOD, AGE 2 OR <       $869.00
       4111045284 INC, THROMB HEMORRHOID, EXT         $858.00
       4111045285 IV INFUS TX UNDER MD UP TO 8HR      $136.00
       4111045289 CL TX GREAT HUM TUB FX; W MANI    $2,542.00
       4111045290 CL TX PROX HUM FX;W/WO SKEL TX    $2,542.00
       4111045291 TRACH EMERG CRICOTHYRIOD MEMB     $4,088.00
       4111045292 HEMOST AGNT PACK NONOB VAG HEM    $1,447.00
       4111045293 LIG OR BX, TEMP ARTERY            $4,088.00
       4111045294 CL TX FEM FX W MANIP W WO TRAC    $1,790.00
       4111045295 CL TX PATEL DISLOC W ANESTH       $4,088.00
       4111045297 INJ, ANES AGNT, TRIGEM NRV          $796.00
       4111045298 REP TEND MUSC UPPER ARM ELBOW     $5,450.00
       4111045299 DRAIN EXT EAR ABSC HEMA COMPL     $4,842.00
       4111045300 DIL URETH STRICT BY DILA, MALE    $4,088.00
       4111045301 OPEN TX JNT DISL W MANIP ANEST    $5,450.00
       4111045302 AMP FING OR THUMB W DIR CLOS      $5,235.00
       4111045303 FINE NEEDLE ASP WO IMAG GUID        $275.00
       4111045304 CL TX SHOULDER DISL FX W MANIP    $8,099.00
       4111045305 PERC PLACE GASTRO TUBE            $5,396.00
       4111045306 INJ ANESTH AGENT TRIGEM NRV         $796.00
       4111045307 CL TX OF RAD SHAFT FX W MANIP     $1,591.00
       4111045308 EXP PENETRAT WND CHEST            $1,177.00
       4111045309 CL TX JNT DISLOC WO ANESTH          $741.00
       4111045310 TRANSFUSION, INTRAUTERIN FETAL    $1,155.00
       4111045311 TRTMT OF RADL AND ULNR W/O MAN      $299.00
       4111045312 ARTHRO, MIDTARSAL OR TARSOMETA    $4,251.00
       4111045313 TRTMNT OF ULNAR SHAFT W MANIP       $629.00
       4111045314 CL TX SHLDR DISL,W MANIP;W ANE    $3,239.00
       4111045316 CL TX PATELLAR DISL, W ANESTH     $1,635.00
       4111045318 RHO IG, HUMAN, MINI-DOSE, IM         $33.00
       4111045319 PARACENT ANT EYE;W REM OF VITR    $1,962.00
       4111045320 BX-SKIN, SQ/MM; SGL                 $175.00
       4111045321 FASCECTOMY PALM;EA ADDTL DIGIT    $2,398.00
       4111045322 SQ EXC LES, HAND/FINGER           $2,216.00
       4111045323 EXPL P WND; CHEST                 $1,652.00
       4111045324 LYSIS OF LABIAL ADHESIONS         $2,289.00
       4111045325 CL TX SCAPULAR FX; WO MANIP         $447.00
       4111045326 PERITONEOCENTESIS; SUBSEQUENT       $302.00
       4111045327 REPOSITION CVC W FLUORO GUIDAN    $1,175.00
       4111045330 I&D DEEP ABSC,INF B;THIGH/KNEE    $4,624.00
       4111045331 DT IM < 7YEARS OF AGE                $16.00
       4111045332 SPLINTING CASTING                   $194.00
       4111045333 CL TX CARPEL SCAPHOID FX;WO MA      $318.00
       4111045334 CL TX PROX THIBIAL FX;WO MANIP      $462.00
       4111045335 REMOVE IUD                          $292.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          152
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045336 LARYNGOSCOPY DIRECT,W OP MICRO    $2,398.00
       4111045337 THROMBOLYSIS,CEREBRAL,BY IV IN      $109.00
       4111045338 REP SPICA, BODY CAST OR JACKET      $140.00
       4111045339 ARTERIAL CATH-SAMPL/MONITR/TRN      $109.00
       4111045340 INS PICC AGE > 5 YEARS            $1,308.00
       4111045341 CL TX PROX HUMERAL FX,WO MANIP      $262.00
       4111045342 INS TUNNELED CV CATH AGE >5YRS      $491.00
       4111045343 CL TX HUMERAL C FX; W MANIP         $709.00
       4111045345 CL TX P HIP ARTHO DISL W ANES     $1,673.00
       4111045346 IGIV, HUMAN FOR IV USE               $33.00
       4111045347 WINDOWING OF CASTING                $155.00
       4111045348 GALEAZZI FX/DISLOC                  $765.00
       4111045349 DECLOT IMPL VAD/CATH W THROMBO      $494.00
       4111045350 PERC SK FIX DIT RAD FX/EPIPHYS    $1,853.00
       4111045351 IVC FILTER PLACEMENT              $1,744.00
       4111045352 CL TX NASAL BONE FX;WO STABILI      $124.00
       4111045353 INTROD LONG GI TUBE                 $164.00
       4111045354 RHO IG, HUMAN, FULL DOSE, IM         $22.00
       4111045355 REPAIR LIP,FR;>1/2 V HGT OR CO    $1,652.00
       4111045356 ABD, PERITONEUM                   $1,635.00
       4111045357 DENTOALVEOLAR STRUCTURES          $2,616.00
       4111045358 DR ABSC,CYST,HEMAT-MOUTH,SIMPL      $331.00
       4111045359 CL TX MANDIBULAR FX, W MANIP      $1,663.00
       4111045360 ESOPHAGOSCOPY W FB REMOVAL        $1,255.00
       4111045361 CL TX HUMERAL EC FX; WO MANIP       $342.00
       4111045363 IRRIG CORP CAVERNOSA FOR PRIAP      $852.00
       4111045364 CL TX HUMERAL SFT FX; W MANIP       $632.00
       4111045365 REP BLOOD VESSEL,DIR,HAND,FING    $3,270.00
       4111045366 INTESTINE PROCEDURE               $1,521.00
       4111045367 CL TX SC/TC HUMERUS FX W MANIP      $716.00
       4111045368 CL TX ACLAV DISLOC; WO MANIP        $273.00
       4111045369 CL TX TRANS-SPL FX DIST;W MANI      $732.00
       4111045370 DRAINAGE OF SCROTAL WALL ABSCS    $1,772.00
       4111045371 SPL AVULSA NP; EA ADDTL             $105.00
       4111045372 LARYNGOSCOPY, FLEX; W REM FB        $599.00
       4111045373 DIL URETH STRICT,SOUND;MALE;IN      $510.00
       4111045374 CL TX ORBIT FX,NOT BOT;WO MANI      $729.00
       4111045375 REP ET, FINGER;WO FG,EA TENDON    $1,941.00
       4111045376 UNLISTED PROC,SKIN,MM & SQ TIS      $307.00
       4111045377 CLOSED TX PATELLAR FX,WO MANIP      $321.00
       4111045378 ENDOSCOPIC US EXAM, ESOPH         $1,271.00
       4111045379 CL TX DIST RADIOULNAR DISL W M      $524.00
       4111045380 CEREBR SAIZURE,8-CH;EA 24 HRS       $496.00
       4111045381 CL TX CARP B FX (NOT NAV):WO M      $323.00
       4111045382 EXTENDED STAY AWAITING DISPO         $55.00
       4111045383 CL TX OF NASAL BONE FX;W STABL      $140.00
       4111045384 ARTERIAL PUNCTURE,BLOOD FOR DX       $30.00
       4111045385 C REP TRUNK; EA ADDTL 5 CM/<        $126.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          153
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4111045386 VENIPUNCTURE AGE 3YRS/>              $30.00
       4111045387 CL TX ULNAR SHAFT FX;WO MANIP       $234.00
       4111045388 CL TX TRIMALL ANKLE FIX;W MANI      $617.00
       4111045389 CL TX LUNATE DISLOCAT;W MANIP       $617.00
       4111045390 FORESKIN MANIPULATION               $472.00
       4111045391 IMMUNIZATION ADM; EA ADDL VACC       $15.00
       4111045392 SURG TX INCOMPL ABORTION          $2,400.00
       4111045393 CL TX TIBIAL SHAFT FX;WO MANIP      $358.00
       4111045394 COLONOSCOPY, TRANSABDOMINAL       $1,078.00
       4111045395 CL TX ART FX,MCP/IP JNT;WO MAN      $429.00
       4111045396 ARTHROTOMY, KNEE,W DR/REM FB      $4,700.00
       4111045397 BLEPHAROTOMY,DRAIN ABSC,EYELID      $481.00
       4111045398 ELECTRO-OCULOGRAPHY W/INT&REP       $158.00
       4111045399 I&D UPPER ARM OR ELBOW; BURSA       $780.00
       4111045400 LARYGOSCOPY,IND, W REM OF FB        $321.00
       4111045401 CLSD TX OF ULNAR STYLOID FX         $315.00
       4111045402 DRNGE ABCSS/HMATMA,NASAL SEPTM      $330.00
       4111045403 UNLSTD PRC,PHRYX,ADENDS,TONSLS      $330.00
       4111045404 MASTOTOMY W EXPL, DEEP            $1,958.00
       4111045405 REP,TENDN/MSCL-FOREARM, WRIST     $3,868.00
       4111045406 AMP FING/TH,SGL W/LOC ADV FLAP    $2,439.00
       4111045407 REPAIR LIP,FT, VERMILION ONLY     $1,114.29
       4611001055 PRE PROCEDURE EVAL                  $119.00
       4611001056 ABORTED CASE                        $652.00
       4611001206 EXTENDED-RECOVERY 1 HOUR LVL 2      $275.00
       4611001209 COLONOSCOPY ABLATION OF TUMOR     $2,438.00
       4611001210 COLONOSCOPY                       $1,955.00
       4611001211 COLON W BICAP BLEED CONTROL       $2,438.00
       4611001213 COLON VIA COLOSTOMY                 $983.00
       4611001214 COLON W FOREIGN BODY REMOVAL      $1,763.00
       4611001215 COLON W BIOPSY                    $1,955.00
       4611001216 COLON W BIPOLAR OR HOT BX         $2,034.00
       4611001217 COLON W SNARE POLYP               $2,034.00
       4611001218 COLO VIA STOMA DX                 $1,636.00
       4611001219 COLO VIA STOMA W/ BX              $1,636.00
       4611001220 SCOPE EACH ADDL                     $108.00
       4611001221 COLO VIA STOMA FOREIGN BODY RE    $1,393.00
       4611001222 COLONSC THRU STOMA CONTROL BLD    $1,564.00
       4611001223 COLONSC/STOMA REMOVAL TUMOR       $1,564.00
       4611001224 COLONOSC-STOMA ABLAT TUMOR        $1,955.00
       4611001225 DILATION UNGUIDED BOUGIE            $134.00
       4611001226 ACHALASIA BALLOON                 $1,510.00
       4611001227 BLAKEMORE BALLOON CONTROL BLED      $186.00
       4611001228 COLONOSC-STOMA-REM TUMOR-SNARE    $1,955.00
       4611001230 EGD W REMOVAL OF FOREIGN BODY     $1,925.00
       4611001240 EGD W OR WO BRSHNG OR WSHNG       $1,529.00
       4611001250 EGD W PEG                         $1,974.00
       4611001251 EGD W TUBE PLACEMENT              $1,300.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          154
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4611001260 EGD W BX                          $1,743.00
       4611001261 EGD W HOT BX OR BIPOLAR           $1,770.00
       4611001262 EGD W SNARE                       $1,445.00
       4611001270 EGD W BALLOON DILATION < 30MM     $1,955.00
       4611001271 EGD W DILATION OF GOO             $1,955.00
       4611001272 EGD W DILATION OVER GUIDEWIRE     $1,955.00
       4611001280 EGD W CONTROL OF BLEEDING         $2,091.00
       4611001281 ESOPH BAND LIGATION               $2,048.00
       4611001282 EGD WITH ABLATION                 $1,806.00
       4611001285 EGD W SCLERO                      $2,123.00
       4611001286 ENTERYX                           $2,597.00
       4611001298 ERCP W NASOBILIARY TUBE           $3,105.00
       4611001320 FLEX SIG W OR WO BRSHNG WSHNG     $1,346.00
       4611001325 FLEX SIG-ABLATION                 $1,413.00
       4611001330 FLEX SIG W BX                     $1,473.00
       4611001331 FLEX SIG W CONTROL OF BLEEDING    $1,473.00
       4611001332 FLEX SIG W DECOMP VOLVULUS        $1,226.00
       4611001333 FLEX SIG W SNARE                  $1,533.00
       4611001334 FLEX SIG W FOREIGN BODY REM       $1,178.00
       4611001340 FLEX SIG W HOT BX OR BIPOLAR      $1,533.00
       4611001350 SIGMOID RIGID                       $665.00
       4611001360 SIGMOID RIGID W BX                  $665.00
       4611001370 SIG RIGID W BIPOLAR OR HOT BX     $1,152.00
       4611001371 SIGMOID RIGID W SNARE             $1,152.00
       4611001372 SIG RIGID W FOREIGN BODY REM      $1,152.00
       4611001373 SIG RIGID W CONTROL BLEEDING      $1,152.00
       4611001374 SIG RIGID W DECOMP VOLVULUS       $1,152.00
       4611001376 SIGMOID RIGID W DILATION          $1,152.00
       4611001380 INSERTION OF PH CAPSULE GERD      $1,505.00
       4611001381 ACID REFLUX TEST 24 HR PH MON       $855.00
       4611001383 RECTAL MANOMETRY                    $435.00
       4611001384 ANO RECTAL BIOFEEDBACK              $401.00
       4611001385 ESOPHAGEAL MOTILITY                 $725.00
       4611001391 SM BOWEL ENDO W ILEUM DIAG        $2,657.00
       4611001392 SM BOWEL ENDO W ILEUM & BX        $2,657.00
       4611001393 SMALL BOWEL ENDO DIAG             $1,564.00
       4611001394 SMALL BOWEL ENDO W BX             $1,564.00
       4611001396 LIVER BIOPSY                      $1,351.00
       4611001397 CHANGE GASTROSTOMY TUBE             $189.00
       4611001398 G-TUBE REMOVAL                      $218.00
       4611001400 TREATMENT ROOM                       $92.00
       4611001402 SMALL BOWEL W FBR                 $1,763.00
       4611001403 SM BOWEL ENDO W REM TUMOR/SNAR    $1,500.00
       4611001404 SM BOWEL ENDO W REM TUM-HOT BX    $1,627.00
       4611001405 SM BOWEL ENDO W CONTROL BLEED     $2,657.00
       4611001406 SM BOWEL W ABLATION               $1,994.00
       4611001451 THORACENTESIS                     $1,080.00
       4611001452 PARACENTESIS                      $1,393.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          155
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4611001505 ENTERYX KIT                       $5,670.00
       4611001506 DELIVERY DEVICE-(ONLY) ENTERYX      $888.00
       4611001516 CATHETER, BALLOON DILATION CRE    $1,360.00
       4611001538 MAXFORCE BILIARY DILATOR            $816.00
       4611001585 SUCTION COAGULATOR FOR RIGID        $463.00
       4611001598 ARGON PLASMA COAGULATOR PROBE     $1,295.00
       4611001599 BANDS-ESOPHAGEAL LIGATION         $1,295.00
       4611001601 CLIP                                $384.00
       4611001602 BIPOLAR HEMOSTASIS/NEEDLE           $888.00
       4611901375 DISPOSABLE ENDOSCOPY FORCEP         $155.00
       4611901500 SPECIALTY ITEM                       $22.00
       4611901501 HOT BIOPSY FORCEP                   $258.00
       4611901502 RETRIEVAL BASKET                    $311.00
       4611901505 CYTOLOGY BRUSH                      $126.00
       4611901511 RETRIEVAL NET                       $310.00
       4611901515 BALLOON DILATOR                   $1,295.00
       4611901545 PEG KIT                           $1,295.00
       4611901546 JEJUNOSTOMY FEEDING TUBE            $403.00
       4611901560 INJECTION NEEDLE                    $323.00
       4611901565 SNARE                               $132.00
       4611901600 BICAP PROBE                       $1,295.00
       4611901601 INTRALUMINAL PH CAPSULE             $888.00
       4611901606 EQUIPMENT 1                         $411.00
       4611901607 EQUIPMENT 2                       $1,037.00
       4611901608 EQUIPMENT 3                       $1,752.00
       4611901609 EQUIPMENT 4                       $2,539.00
       4611901610 EQUIPMENT 5                       $3,268.00
       4611901611 EQUIPMENT 6                       $4,725.00
       4611901612 EQUIPMENT 7                       $6,066.00
       4611901613 EQUIPMENT 8                       $7,291.00
       4611901614 EQUIPMENT 9                       $8,398.00
       4612000400 PHYS SERV-OP CARD REH: W/MONIT      $157.00
       4612000411 PHYS SERV-OP CARD REH: W/MONIT      $302.00
       4612000416 PHYS SERV-OP CARD REH: W/MONIT      $287.00
       4613006020 CONTINUAL ASSESSMENT EA 6 HR        $242.00
       4613006040 NEWBORN ADMISSION ASSESSMENT        $182.00
       4614001055 PRE PROCEDURE EVAL                  $129.00
       4614001056 ABORTED CASE                        $707.00
       4614001190 BRONCH W WO WSHNG                 $1,561.00
       4614001191 BRONCH-ASPIRATION-INITIAL         $1,561.00
       4614001192 BRONCH-ASPIRATION-SUBSEQUENT      $1,248.00
       4614001193 BRONCHOSCOPY WITH BRUSHING        $1,602.00
       4614001194 BRONCHOSCOPY WITH LAVAGE          $1,602.00
       4614001195 BRONCH WITH BIOPSY                $1,639.00
       4614001196 BRONCH W TRANSBRONCH BX           $1,754.00
       4614001197 BRONCH W NEEDLE ASPIRATION        $1,754.00
       4614001198 BRONCH W FOREIGN BODY REMOVAL     $1,832.00
       4614001199 BRONCH-TUMOR REMOVAL-ARGON        $1,699.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          156
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4614001206 EXTENDED-RECOVERY 1 HOUR LVL 2      $299.00
       4614001208 COLONOSCOPY WITH STENT            $2,094.00
       4614001209 COLONOSCOPY ABLATION OF TUMOR     $2,438.00
       4614001210 COLONOSCOPY                       $1,955.00
       4614001211 COLON W BICAP BLEED CONTROL       $2,438.00
       4614001213 COLON VIA COLOSTOMY                 $983.00
       4614001214 COLON W FOREIGN BODY REMOVAL      $1,763.00
       4614001215 COLON W BIOPSY                    $1,955.00
       4614001216 COLON W BIPOLAR OR HOT BX         $2,034.00
       4614001217 COLON W SNARE POLYP               $2,034.00
       4614001218 COLO VIA STOMA DX                 $1,636.00
       4614001219 COLO VIA STOMA W/ BX              $1,636.00
       4614001220 SCOPE EACH ADDL                     $117.00
       4614001221 COLO VIA STOMA FOREIGN BODY RE    $1,393.00
       4614001222 COLONSC THRU STOMA CONTROL BLD    $1,564.00
       4614001223 COLONSC/STOMA REMOVAL TUMOR       $1,564.00
       4614001224 COLONOSC-STOMA ABLAT TUMOR        $1,955.00
       4614001225 DILATION UNGUIDED BOUGIE            $134.00
       4614001226 ACHALASIA BALLOON                 $1,638.00
       4614001227 BLAKEMORE BALLOON CONTROL BLED      $186.00
       4614001228 COLONOSC-STOMA-REM TUMOR-SNARE    $1,955.00
       4614001230 EGD W REMOVAL OF FOREIGN BODY     $1,925.00
       4614001240 EGD W OR WO BRSHNG OR WSHNG       $1,529.00
       4614001250 EGD W PEG                         $1,974.00
       4614001251 EGD W TUBE PLACEMENT              $1,300.00
       4614001252 EGD W STENT PLACEMENT             $1,955.00
       4614001260 EGD W BX                          $1,743.00
       4614001261 EGD W HOT BX OR BIPOLAR           $1,770.00
       4614001262 EGD W SNARE                       $1,445.00
       4614001270 EGD W BALLOON DILATION < 30MM     $1,955.00
       4614001271 EGD W DILATION OF GOO             $1,955.00
       4614001272 EGD W DILATION OVER GUIDEWIRE     $1,955.00
       4614001280 EGD W CONTROL OF BLEEDING         $2,091.00
       4614001281 ESOPH BAND LIGATION               $2,048.00
       4614001282 EGD WITH ABLATION                 $1,806.00
       4614001285 EGD W SCLERO                      $2,123.00
       4614001286 ENTERYX                           $2,597.00
       4614001290 ERCP W OR WO BRSHNG OR WSHNG      $2,597.00
       4614001291 ERCP W BALLOON DILATION           $3,880.00
       4614001292 ERCP W BASKET LITHOTRIPSY         $3,880.00
       4614001293 ERCP W STENT PLACEMENT            $3,880.00
       4614001294 ERCP W STENT CHANGE               $3,304.00
       4614001295 ERCP W SPHINCTEROTOMY             $3,880.00
       4614001296 ERCP W BIOPSY                     $2,597.00
       4614001297 ERCP WITH STONE REMOVAL           $3,880.00
       4614001298 ERCP W NASOBILIARY TUBE           $3,105.00
       4614001299 ERCP-ABLATION                     $2,643.00
       4614001320 FLEX SIG W OR WO BRSHNG WSHNG     $1,346.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          157
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4614001325 FLEX SIG-ABLATION                 $1,413.00
       4614001330 FLEX SIG W BX                     $1,473.00
       4614001331 FLEX SIG W CONTROL OF BLEEDING    $1,473.00
       4614001332 FLEX SIG W DECOMP VOLVULUS        $1,226.00
       4614001333 FLEX SIG W SNARE                  $1,533.00
       4614001334 FLEX SIG W FOREIGN BODY REM       $1,178.00
       4614001340 FLEX SIG W HOT BX OR BIPOLAR      $1,533.00
       4614001350 SIGMOID RIGID                       $665.00
       4614001360 SIGMOID RIGID W BX                  $665.00
       4614001370 SIG RIGID W BIPOLAR OR HOT BX     $1,152.00
       4614001371 SIGMOID RIGID W SNARE             $1,152.00
       4614001372 SIG RIGID W FOREIGN BODY REM      $1,152.00
       4614001373 SIG RIGID W CONTROL BLEEDING      $1,152.00
       4614001374 SIG RIGID W DECOMP VOLVULUS       $1,152.00
       4614001376 SIGMOID RIGID W DILATION          $1,152.00
       4614001381 ACID REFLUX TEST 24 HR PH MON       $855.00
       4614001383 RECTAL MANOMETRY                    $435.00
       4614001384 ANO RECTAL BIOFEEDBACK              $435.00
       4614001385 ESOPHAGEAL MOTILITY                 $725.00
       4614001391 SM BOWEL ENDO W ILEUM DIAG        $2,657.00
       4614001392 SM BOWEL ENDO W ILEUM & BX        $2,657.00
       4614001393 SMALL BOWEL ENDO DIAG             $1,564.00
       4614001394 SMALL BOWEL ENDO W BX             $1,564.00
       4614001396 LIVER BIOPSY                      $1,351.00
       4614001397 CHANGE GASTROSTOMY TUBE             $189.00
       4614001398 G-TUBE REMOVAL                      $237.00
       4614001400 TREATMENT ROOM                       $99.00
       4614001402 SMALL BOWEL W FBR                 $1,763.00
       4614001403 SM BOWEL ENDO W REM TUMOR/SNAR    $1,627.00
       4614001404 SM BOWEL ENDO W REM TUM-HOT BX    $1,627.00
       4614001405 SM BOWEL ENDO W CONTROL BLEED     $2,657.00
       4614001406 SM BOWEL W ABLATION               $1,994.00
       4614001451 THORACENTESIS                     $1,080.00
       4614001452 PARACENTESIS                      $1,393.00
       4614001504 WALLSTENT ENTERAL MICROVASV       $7,534.00
       4614001505 ENTERYX KIT                       $5,670.00
       4614001506 DELIVERY DEVICE-(ONLY) ENTERYX      $888.00
       4614001516 CATHETER, BALLOON DILATION CRE    $1,476.00
       4614001538 MAXFORCE BILIARY DILATOR            $886.00
       4614001539 RAPID EX BILIARY BALLOON DIL        $886.00
       4614001541 STONETOME                         $1,737.00
       4614001572 RAPID EX BILIARY STENT SYSTEM       $886.00
       4614001573 FLEXIMA BILIARY STENT SYSTEM      $1,180.00
       4614001574 ULTRAFLEX BILIARY STENT           $7,173.00
       4614001576 BILIARY MESH STENT WALLSTENT      $7,173.00
       4614001577 BILIARY WALLSTENT COVERED         $5,867.00
       4614001585 SUCTION COAGULATOR FOR RIGID        $502.00
       4614001591 JAGWIRE                             $458.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          158
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       4614001592 ZEBRA WIRE                         $384.00
       4614001598 ARGON PLASMA COAGULATOR PROBE    $1,405.00
       4614001599 BANDS-ESOPHAGEAL LIGATION        $1,405.00
       4614001601 CLIP                               $384.00
       4614001602 BIPOLAR HEMOSTASIS/NEEDLE          $888.00
       4614901375 DISPOSABLE ENDOSCOPY FORCEP        $168.00
       4614901500 SPECIALTY ITEM                      $24.00
       4614901501 HOT BIOPSY FORCEP                  $281.00
       4614901502 RETRIEVAL BASKET                   $337.00
       4614901503 ESOPHAGEAL MESH STENT            $4,190.00
       4614901505 CYTOLOGY BRUSH                     $136.00
       4614901510 COLON DECOMPRESSION TUBE           $486.00
       4614901511 RETRIEVAL NET                      $336.00
       4614901515 BALLOON DILATOR                  $1,405.00
       4614901520 LITHOTRIPSY SET                  $2,072.00
       4614901525 ERCP CATHETER                      $350.00
       4614901535 NASO BILIARY CATHETER              $903.00
       4614901536 BILIARY DILATION CATHETER          $329.00
       4614901537 BILIARY DILATION BALLOON         $1,554.00
       4614901540 PAPILLOTOME                      $1,405.00
       4614901545 PEG KIT                          $1,405.00
       4614901546 JEJUNOSTOMY FEEDING TUBE           $437.00
       4614901550 STONE RETRIEVAL BALLOON            $607.00
       4614901560 INJECTION NEEDLE                   $350.00
       4614901565 SNARE                              $143.00
       4614901570 STENT ONLY                       $1,405.00
       4614901575 STENT SET                        $1,405.00
       4614901580 STENT RETRIEVER                  $1,285.00
       4614901585 SUCTION COAGULATOR                 $502.00
       4614901590 WIRE GUIDE ERCP                  $1,405.00
       4614901595 ERCP BASKET                      $1,554.00
       4614901600 BICAP PROBE                      $1,405.00
       4614901605 BILIARY CYTOLOGY BRUSH             $458.00
       4614901606 EQUIPMENT 1                        $486.00
       4614901607 EQUIPMENT 2                      $1,032.00
       4614901608 EQUIPMENT 3                      $1,901.00
       4614901609 EQUIPMENT 4                      $2,754.00
       4614901610 EQUIPMENT 5                      $3,545.00
       4614901611 EQUIPMENT 6                      $5,127.00
       4614901612 EQUIPMENT 7                      $6,581.00
       4614901613 EQUIPMENT 8                      $7,910.00
       4614901614 EQUIPMENT 9                      $9,111.00
       4615000100 ROOM CARE 4-8 HOURS                $601.00
       4615000110 ROOM & CARE LESS THAN 4 HOURS      $317.00
       4615000120 ROOM CARE MORE THAN 8 HOURS        $805.00
       4616008005 OFFICE CONSULTATION                $435.00
       4616008006 FOLLOW UP VISIT                    $174.00
       4616008007 CONTINUOUS EKG                     $651.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         159
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                           PRICING
       4616008008 ALL NIGHT EEG                      $356.00
       4616008009 LEFT ANTERIOR TIBIALIS             $275.00
       4616008011 ALL NIGHT EOG                      $216.00
       4616008012 ALL NIGHT O2 SAT ANALYSIS          $316.00
       4616008013 MENTALIS/SUBMENTALIS               $326.00
       4616008014 ALL NIGHT RESPIRATORY EFFORT       $254.00
       4616008015 ALL NIGHT RESPIRATORY AIRFLOW      $254.00
       4616008025 PULSE OXIMETRY-PORTABLE STUDY      $351.00
       4616008026 TRANSDUCER OXYGEN DISPOSABLE        $95.00
       4616008100 MULTIPLE SLEEP LATENCY TEST      $1,655.00
       4616008135 OXIMETRY INITIAL                   $109.00
       4616008145 OXIMETRY PER EACH HR OF SLEEP       $49.00
       4616008201 OXYGEN CANNULA ADULT                $26.00
       4616008202 OXYGEN CANNULA PEDIATRIC            $25.00
       4616008210 PTAF2 CANNULA ADULT                 $32.00
       4616008212 PTAF2 CANNULA PEDIATRIC             $27.00
       4616008220 OXYGEN TANK E CYLINDER              $51.00
       4616008230 OXIMETER PROBE ADULT                $32.00
       4616008231 OXIMETER PROBE PEDIATRIC            $27.00
       4616008808 SLEEP STUDY                      $2,846.00
       4616008809 SLEEP STUDY WITH CPAP            $3,005.00
       4616008810 SPLIT NIGHT STUDY WITH CPAP      $3,423.00
       4616008888 ABORTED SLEEP STUDY              $1,468.00
       4616008908 PROFESSIONAL FFE-SLEEP LAB         $543.00
       4616008909 PROFESSIONAL FEE - SLEEP LAB       $568.00
       4619010000 CMG-COMPLEX                        $695.00
       4619010010 CMG--SIMPLE                        $350.00
       4619010020 EMG-ANAL SPHINCTER                 $593.00
       4619010030 EMG--URETHRAL SPHINCTER            $578.00
       4619010040 INTRA-ABD VOIDING PRESS            $818.00
       4619010050 URETHRAL PRESSURE PROCEDURE        $585.00
       4619010060 UROFLOMETRY-COMPLEX                $464.00
       4619010075 UPP/GYN                            $257.00
       4619010080 VOIDING PRESSURE STUDY             $292.00
       4619010090 **POST VOID RESIDUAL               $246.00
       4620076000 LITHOTRIPSY ESWL                 $6,500.00
       4711002000 CORONARY CALCIUM SCREENING         $395.00
       4711002007 ANGIO UPPER EXTREMITY LT W/WO    $2,391.00
       4711002100 LUNG HEART SCREENING               $595.00
       4711002200 WHOLE BODY SCREENING               $795.00
       4712000460 BIOPSY ASPIRATION LIVER          $1,137.00
       4712000461 BIOPSY ASP LYMPH NODE            $1,137.00
       4712000462 BIOPSY ASP MUSCLE DEEP           $1,137.00
       4712000463 BIOPSY ASP MUSCLE SUPERFICIAL    $1,137.00
       4712000464 BIOPSY ASP PANCREAS              $1,137.00
       4712000465 BIOPSY ASP RENAL                 $1,137.00
       4712000466 BIOPSY ASP RETROPERITONEAL       $1,137.00
       4712000467 BIOPSY ASP RENAL - RIGHT         $1,137.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                         160
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4712000470 BIOPSY SALIVARY PERC NEEDLE         $261.00
       4712000472 BIOPSY THYROID PERC NEEDLE          $261.00
       4712000500 ABDOMEN W/WO CONTRAST             $2,372.00
       4712000510 ABDOMEN W/CONTRAST                $1,950.00
       4712000520 ABDOMEN W/O CONTRAST              $1,492.00
       4712000530 ABDOMEN LIMITED                     $751.00
       4712000531 BIOPSY ASP ABDOMEN                $1,137.00
       4712000550 VTI INSTATRAK                       $276.00
       4712000560 UNLISTED CT PROCEDURE             $1,259.00
       4712000589 MULTIPLANAR/3D RECON COMPLEX        $630.00
       4712000590 MULTIPLANAR/3D RECONSTRUCTION       $480.00
       4712000600 BODY-TWO ADDITIONAL SLICES           $70.00
       4712000610 LUNG/CHEST LIMITED                  $765.00
       4712000612 BIOPSY ASP PLEURA                 $1,137.00
       4712000613 BIOPSY ASP MEDIAST LUNG -RIGHT    $1,137.00
       4712000614 BIOPSY ASP PLEURA - RIGHT         $1,137.00
       4712000620 BODY-DYNAMIC SERIES                 $939.00
       4712000630 LOWER EXTREMITY W/CONTRAST        $1,900.00
       4712000631 LOWER EXTREMITY W/CONTRAST-LT     $1,900.00
       4712000632 LOWER EXTREM W/CONTRAST -RIGHT    $1,900.00
       4712000640 LOWER EXTREMITY WO/CONTRAST       $1,474.00
       4712000641 LOWER EXTREMITY WO/CONT - LEFT    $1,474.00
       4712000642 LOWER EXTREM WO/CONTRAST-RIGHT    $1,474.00
       4712000650 PELVIS WITH CONTRAST              $1,802.00
       4712000654 SACROILIAC JOINT UNILAT -RIGHT      $938.00
       4712000655 PELVIS LIMITED                      $812.00
       4712000656 INJ/ANESTHESIA/JOINT UNILATERA      $555.00
       4712000657 INJ/ANESTHESIA/JOINT BILATERAL    $1,107.00
       4712000658 SACROILIAC JOINT UNILATERAL         $938.00
       4712000659 SACROILIAC JOINT BILATERAL          $938.00
       4712000660 PELVIS WITHOUT CONTRAST           $1,632.00
       4712000661 BIOPSY ASP BONE DEEP              $1,137.00
       4712000663 BIOPSY/ASP/BONE SUPERFICIAL       $1,137.00
       4712000664 THORACIC SPINE W/INTRATHECAL      $2,238.00
       4712000665 SACROILIAC JOINT UNILATERAL-LT      $938.00
       4712000666 THORACIC SPINE LIMITED              $830.00
       4712000668 THORACIC SPINE W/IV CONTRAST      $2,148.00
       4712000670 CERVICAL SPINE WO/CONTRAST        $2,037.00
       4712000671 THORACIC SPINE WO/CONTRAST        $1,815.00
       4712000672 LUMBAR SPINE WO/CONTRAST          $2,087.00
       4712000674 LUMBAR SPINE W/INTRATHECAL        $2,092.00
       4712000676 LUMBAR SPINE W/IV CONTRAST        $2,092.00
       4712000678 LUMBAR SPINE LIMITED                $883.00
       4712000680 CERVICAL SPINE LIMITED              $903.00
       4712000681 CERVICAL SPINE W/INTRATHECAL      $2,044.00
       4712000683 CERVICAL SPINE W/IV CONTRAST      $2,044.00
       4712000685 DISCOGRAM LUMBAR SPINE              $883.00
       4712000687 DISCOGRAM CERVICAL SPINE            $848.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          161
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4712000690 LUNG/CHEST W/CONTRAST             $2,237.00
       4712000700 LUNG/CHEST WO/CONTRAST            $1,462.00
       4712000711 UPPER EXTREMITY W/CONTRAST -LT    $1,900.00
       4712000712 LUNG/CHEST W/WO CONTRAST          $2,824.00
       4712000714 LUNG/CHEST HIGH RES W/WO/CONTR    $2,942.00
       4712000715 UPPER EXTREM W/CONTRAST -RIGHT    $1,900.00
       4712000716 LUNG/CHEST HIGH RES WO/CONTRAS    $2,180.00
       4712000721 UPPER EXTREMITY WO/CONT - LEFT    $1,474.00
       4712000722 UPPER EXTREM WO/CONTRAST-RIGHT    $1,474.00
       4712000725 BONE DENSITY                        $485.00
       4712000730 HEAD-HR ADDITIONAL RECONSTRUCT      $480.00
       4712000740 BRAIN/HEAD W/WO CONTRAST          $2,290.00
       4712000760 BRAIN/HEAD W/CONTRAST             $1,541.00
       4712000770 BRAIN/HEAD W/O CONTRAST           $1,360.00
       4712000778 PITUITARY/SELLA W/O CONTRAST      $2,199.00
       4712000780 PITUITARY/SELLA W/WO CONTRAST     $2,243.00
       4712000790 IAC W/WO CONTRAST                 $2,298.00
       4712000792 IAC WO/CONTRAST                   $2,252.00
       4712000810 SOFT TISSUE NECK W/CONTRAST       $2,237.00
       4712000820 SOFT TISSUE NECK WO/CONTRAST      $2,095.00
       4712000830 ORBIT W/WO CONTRAST               $2,487.00
       4712000831 ORBIT WITH CONTRAST               $1,687.00
       4712000832 ORBIT WO/CONTRAST                 $1,258.00
       4712000834 ORBIT LIMITED                       $442.00
       4712000840 HEAD-PARASELLAR W/WO CONTRAST     $1,623.00
       4712000850 HEAD-POST FOSSA W/WO CONTRAST     $1,589.00
       4712000852 DENTAL SCAN/MANDIBLE                $651.00
       4712000854 DENTAL SCAN/MAXILLA                 $651.00
       4712000856 DENTAL SCAN MANDIBLE & MAXILLA      $851.00
       4712000870 SCANOGRAM                           $442.00
       4712000880 GUIDE FOR RADIATION FIELDS          $796.00
       4712000895 MAXILLOFACIAL WO/CONTRAST           $651.00
       4712000897 MAXILLOFACIAL W/WO CONTRAST       $1,447.00
       4712000900 MAXILLOFACIAL W/CONTRAST            $780.00
       4712000901 BIOPSY ASP RENAL - LEFT           $1,137.00
       4712000902 BIOPSY ASP MEDIAST LUNG - LEFT    $1,137.00
       4712000903 BIOPSY ASP PLEURA - LEFT          $1,137.00
       4712000904 GUIDE ABSCESS RENAL - LEFT          $434.00
       4712000905 GUIDE CHEST EMPYEMA - LEFT          $434.00
       4712000906 GUIDE CYST ASPIR BREAST - LEFT    $1,137.00
       4712000907 MAXILLOFACIAL LIMITED               $442.00
       4712000908 GUIDE CYST ASPIR KIDNEY - LEFT    $1,137.00
       4712000909 GUIDE CYST ASPIR LUNG - LEFT      $1,137.00
       4712000920 BIOPSY TRAY                         $220.00
       4712000930 BIOPSY NEEDLE                       $150.00
       4712000931 OSTYCUT BONE BX NEEDLE              $106.00
       4712000935 MONOPTY BIOPSY NEEDLE               $154.00
       4712000939 AMPLATZ GUIDE WIRE                  $131.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          162
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4712000940 PERCUTANEOUS DRAINAGE             $1,111.00
       4712000941 GEREMIA BIOPSY NEEDLE SET           $643.00
       4712000945 SUMP DRAINAGE KIT                 $1,227.00
       4712000946 DRAINAGE BAG                         $63.00
       4712000947 AMPLATZ DRAIN                       $215.00
       4712000948 AMEDIC BIO GUN 18G                  $131.00
       4712000950 PNEUMOTHORAX SUPPLY SET             $508.00
       4712000960 DILATOR VASCULAR FASCIAL 10 FR      $291.00
       4712000965 DILATOR VASCULAR FASCIAL 12 FR      $291.00
       4712000971 PULSE OXIMETRY                       $51.00
       4712000972 CARDIAC MONITORING                   $51.00
       4712000975 DILATOR VASCULAR FASCIAL 8 FR       $291.00
       4712001001 BIOPSY ABDOMEN-PERC NEEDLE          $273.00
       4712001002 CT BIOPSY BONE TROCAR NEEDLE        $273.00
       4712001003 BIOPSY BONE DEEP FEM VERT           $163.00
       4712001004 BIOPSY PLEURA PERC NEEDLE           $261.00
       4712001005 BIOPSY LUNG MEDIA PERC NEEDLE       $273.00
       4712001006 BIOPSY LIVER PERC NEEDLE            $273.00
       4712001007 BIOPSY PANCREAS PERC NEEDLE         $273.00
       4712001009 BIOPSY RETROPERITONEAL MASS         $273.00
       4712001010 BIOPSY LYMPH NODE DEEP              $261.00
       4712001011 BIOPSY MUSCLE PERC NEEDLE           $273.00
       4712001012 BIOPSY ST PELVIS HIP DEEP           $273.00
       4712001013 BIOPSY ST PELVIS HIP SUPERF         $261.00
       4712001014 BIOPSY MUSCLE DEEP PERC             $273.00
       4712001015 BIOPSY RENAL PERC NEEDLE -LEFT      $273.00
       4712001016 BIOPSY ASP SALIVARY               $1,137.00
       4712001017 BX LUNG MEDIA PERC NEEDLE-LEFT      $273.00
       4712001018 BIOPSY ASP THYROID                $1,137.00
       4712001019 BIOPSY PLEURA PERC NEEDLE-LEFT      $261.00
       4712001020 BIOPSY RENAL PERC NEEDLE-RIGHT      $273.00
       4712001021 BX LUNG MEDIA PERC NEEDLE - RT      $273.00
       4712001022 BIOPSY PLEURA PERC NEEDLE - RT      $261.00
       4712001023 DRAINAGE RENAL ABSCESS - RIGHT      $720.00
       4712001024 DRAINAGE CHEST/PLEURA - RIGHT       $751.00
       4712001025 PUNCTURE/ASPIRATION BREAST -RT      $261.00
       4712001026 ASP AND/OR INJ RENAL CYST - RT      $261.00
       4712001027 PNEUMOCENTESIS LUNG ASP -RIGHT      $261.00
       4712001030 DRAINAGE RENAL ABSCESS - LEFT       $720.00
       4712001031 GUIDE ABSCESS SUBDIAPHRAGM          $434.00
       4712001032 DRAIN SUBDIAPHRAGMATIC ABSCESS      $451.00
       4712001033 GUIDE ABSCESS LIVER                 $434.00
       4712001034 DRAINAGE LIVER ABSCESS              $751.00
       4712001035 GUIDE ABSCESS RETROPERITONEAL       $434.00
       4712001036 DRAINAGE RETROPERITONEAL ABS        $720.00
       4712001037 GUIDE ABSCESS RENAL                 $434.00
       4712001038 DRAINAGE RENAL ABSCESS              $720.00
       4712001039 GUIDE CHEST EMPYEMA                 $434.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          163
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4712001040 DRAINAGE CHEST/PLEURA               $720.00
       4712001041 GUIDE ABSCESS PERITONEAL            $434.00
       4712001042 DRAINAGE PERITONEAL                 $720.00
       4712001043 GUIDE CYST ASPIRATION BONE        $1,137.00
       4712001044 CYST ASPIRATION INJ                 $261.00
       4712001045 GUIDE CYST ASPIRATION BREAST      $1,137.00
       4712001047 GUIDE CYST ASPIRATION KIDNEY      $1,137.00
       4712001049 GUIDE CYST ASPIRATION LIVER       $1,137.00
       4712001050 DRAINAGE ABSCESS OR CYST            $261.00
       4712001051 GUIDE CYST ASPIRATION LUNG        $1,137.00
       4712001052 PNEUMOCENTESIS LUNG ASPIRATION      $261.00
       4712001053 GUIDE CYST ASPIRATION PANCREAS    $1,137.00
       4712001054 DRAINAGE PSEUDOCYST PAN             $273.00
       4712001055 GUIDE CYST ASPIRATION THYROID     $1,137.00
       4712001056 CYST ASPIRATION THYROID             $261.00
       4712001057 BILIARY DRAINAGE PERC CATH          $751.00
       4712001058 INTRO PERC HEPATIC CATH             $542.00
       4712001060 DRAINAGE CHEST/PLEURA - LEFT        $720.00
       4712001061 PUNCTURE/ASPIR BREAST - LEFT        $261.00
       4712001062 ASP AND/OR INJ RENAL CYST-LEFT      $261.00
       4712001063 PNEUMOCENTESIS LUNG ASPIR-LEFT      $261.00
       4712001064 GUIDE ABSCESS RENAL - RIGHT         $434.00
       4712001065 GUIDE CHEST EMPYEMA - RIGHT         $434.00
       4712001066 GUIDE CYST ASPIR BREAST -RIGHT    $1,137.00
       4712001067 GUIDE CYST ASPIR KIDNEY -RIGHT    $1,137.00
       4712001068 GUIDE CYST ASPIR LUNG - RIGHT       $683.00
       4712001072 SINUSES CORONAL                     $480.00
       4712001074 SINUSES WO/CONTRAST                 $935.00
       4712001076 SINUS MAXILLA                       $651.00
       4712001078 SINUSES W/CONTRAST                  $980.00
       4712001083 SHOULDER ARTHROGRAM - LEFT          $812.00
       4712001084 SIALOGRAM                         $1,208.00
       4712001085 SIALOGRAM - LEFT                  $1,208.00
       4712001086 GUIDE STEREOTACTIC                $1,493.00
       4712001087 SHOULDER ARTHROGRAM - RIGHT         $812.00
       4712001088 SIALOGRAM - RIGHT                 $1,208.00
       4712001090 TEMNO BIOPSY NEEDLE                 $202.00
       4712001092 SONOPSY ASPIR BIOPSY NEEDLE          $82.00
       4712002000 CHEST CORONARY CALCIUM SCREEN       $395.00
       4712002001 LUNG SCREENING                      $395.00
       4712002002 ANGIOGRAPHY HEAD W/WO             $2,391.00
       4712002003 ANGIOGRAPHY NECK W/WO             $2,491.00
       4712002004 ANGIOGRAPHY CHEST W/WO            $2,491.00
       4712002005 ANGIOGRAPHY PELVIS W/WO           $2,491.00
       4712002006 ANGIO UPPER EXTREMITY RT WWO      $2,391.00
       4712002007 ANGIO UPPER EXTREMITY LT WWO      $2,391.00
       4712002008 ANGIO LOWER EXTREMITY LT W/WO     $2,391.00
       4712002009 ANGIO LOWER EXTREMITY RT W/WO     $2,391.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          164
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4712002010 ANGIOGRAPHY ABDOMEN W/WO          $2,491.00
       4712002011 ANGIO ABDOMEN W/RUNOFF W/WO       $3,188.00
       4712002020 GUIDED BREAST NEEDLE PLACE LT     $1,137.00
       4712002021 GUIDED BREAST NEEDLE PLACE RT     $1,137.00
       4712002022 PERCUTANEOUS NEEDLE CORE            $256.00
       4712002023 UPPER EXTREMITY LEFT LTD            $731.00
       4712002024 UPPER EXTREMITY RIGHT LTD           $731.00
       4712002065 FOREARM LEFT WITHOUT              $1,415.00
       4712002066 FOREARM RIGHT WITHOUT             $1,415.00
       4712002067 FOREARM RIGHT WITH CONTRAST       $1,900.00
       4712002068 FOREARM LEFT WITH CONTRAST        $1,900.00
       4712002100 LUNG HEART SCREENING                $684.00
       4712002200 WHOLE BODY SCREENING                $795.00
       4712002210 VIRTUAL COLONOSCOPY SCREENING     $2,122.00
       4712002215 VIRTUAL COLONOSCOPY DIAGNOSTIC    $2,122.00
       4712002250 AORTA RECON PLANNING VASC SURG      $850.00
       4712002251 PERCUTANEOUS PERITONEAL DRAIN       $348.00
       4712008000 OPTIRAY 320 100 ML VIAL             $489.00
       4712008001 OPTIRAY 320 150 ML VIAL             $660.00
       4712008002 OPTIRAY 320 200 ML VIAL             $859.00
       4712008003 OPTIRAY 320 50 ML VIAL              $357.00
       4712008004 OPTIRAY 320 50 ML SYRINGE           $386.00
       4712100460 BIOPSY ASPIRATION LIVER           $1,137.00
       4712100461 BIOPSY ASP LYMPH NODE             $1,137.00
       4712100462 BIOPSY ASP MUSCLE DEEP            $1,137.00
       4712100463 BIOPSY ASP MUSCLE SUPERFICAL      $1,137.00
       4712100464 BIOPSY ASP PANCREAS               $1,137.00
       4712100465 BIOPSY ASP RENAL                  $1,137.00
       4712100466 BIOPSY ASP RETROPERITONEAL        $1,137.00
       4712100467 BIOPSY ASP RENAL - RIGHT          $1,137.00
       4712100531 BIOPSY ASP ABDOMEN                $1,137.00
       4712100611 BIOPSY ASP MEDIAST LUNG           $1,137.00
       4712100612 BIOPSY ASP PLEURA                 $1,137.00
       4712100613 BIOPSY ASP MEDIAST LUNG -RIGHT    $1,137.00
       4712100614 BIOPSY ASP PLEURA - RIGHT         $1,137.00
       4712100654 SACROILIAC JOINT UNILAT -RIGHT      $938.00
       4712100658 SACROILIAC JOINT UNILATERAL         $938.00
       4712100659 SACROILIAC JOINT BILATERAL          $938.00
       4712100661 BIOPSY ASP BONE DEEP              $1,137.00
       4712100663 BIOPSY/ASP/BONE/ SUPERFICAL       $1,137.00
       4712100665 SACROILIAC JOINT UNILATERAL-LT      $938.00
       4712100901 BIOPSY ASP RENAL - LEFT           $1,137.00
       4712100902 BIOPSY ASP MEDIAST LUNG - LEFT    $1,137.00
       4712100903 BIOPSY ASP PLEURA - LEFT          $1,137.00
       4712100904 GUIDE ABSCESS RENAL - LEFT          $434.00
       4712100905 GUIDE CHEST EMPYEMA - LEFT          $434.00
       4712100906 GUIDE CYST ASPIR BREAST - LEFT    $1,137.00
       4712100908 GUIDE CYST ASPIR KIDNEY - LEFT    $1,137.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          165
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4712100909 GUIDE CYST ASPIR LUNG - LEFT      $1,137.00
       4712101016 BIOPSY ASP SALIVARY               $1,137.00
       4712101018 BIOPSY ASP THYROID                $1,137.00
       4712101031 GUIDE ABSCESS SUBDIAPHRAGM          $434.00
       4712101033 GUIDE ABSCESS LIVER                 $434.00
       4712101035 GUIDE ABSCESS RETROPERITONEAL       $434.00
       4712101037 GUIDE ABSCESS RENAL                 $434.00
       4712101039 GUIDE CHEST EMPYEMA                 $434.00
       4712101041 GUIDE ABSCESS PERITONEAL            $434.00
       4712101043 GUIDE CYST ASPIRATION BONE        $1,137.00
       4712101045 GUIDE CYST ASPIRATION BREAST      $1,137.00
       4712101047 GUIDE CYST ASPIRATION KIDNEY      $1,137.00
       4712101049 GUIDE CYST ASPIRATION LIVER       $1,137.00
       4712101051 GUIDE CYST ASPIRATION LUNG        $1,137.00
       4712101053 GUIDE CYST ASPIRATION PANCREAS    $1,137.00
       4712101055 GUIDE CYST ASPIRATION THYROID     $1,137.00
       4712101057 BILIARY DRAINAGE PERC CATH          $751.00
       4712101064 GUIDE ABSCESS RENAL - RIGHT         $434.00
       4712101065 GUIDE CHEST EMPYEMA - RIGHT         $434.00
       4712101066 GUIDE CYST ASPIR BREAST -RIGHT    $1,137.00
       4712101067 GUIDE CYST ASPIR KIDNEY -RIGHT    $1,137.00
       4712101068 GUIDE CYST ASPIR LUNG - RIGHT     $1,137.00
       4714000460 BIOPSY ASPIRATION LIVER           $1,137.00
       4714000461 BIOPSY ASP LYMPH NODE             $1,137.00
       4714000462 BIOPSY ASP MUSCLE DEEP            $1,137.00
       4714000463 BIOPSY ASP MUSCLE SUPERFICIAL     $1,137.00
       4714000464 BIOPSY ASP PANCREAS               $1,137.00
       4714000465 BIOPSY ASP RENAL                  $1,137.00
       4714000466 BIOPSY ASP RETROPERITONEAL        $1,137.00
       4714000467 BIOPSY ASP RENAL - RIGHT          $1,137.00
       4714000470 BIOPSY SALIVARY PERC NEEDLE         $261.00
       4714000472 BIOPSY THYROID PERC NEEDLE          $261.00
       4714000500 ABDOMEN W/WO CONTRAST             $2,372.00
       4714000510 ABDOMEN W/CONTRAST                $1,950.00
       4714000520 ABDOMEN W/O CONTRAST              $1,492.00
       4714000530 ABDOMEN LIMITED                     $751.00
       4714000531 BIOPSY ASP ABDOMEN                $1,137.00
       4714000550 VTI INSTATRAK                       $276.00
       4714000560 UNLISTED CT PROCEDURE             $1,259.00
       4714000589 MULTIPLANAR/3D RECON COMPLEX        $630.00
       4714000590 MULTIPLANAR/3D RECONSTRUCTION       $480.00
       4714000600 BODY-TWO ADDITIONAL SLICES           $70.00
       4714000610 LUNG/CHEST LIMITED                  $765.00
       4714000611 BIOPSY ASP MEDIAST LUNG           $1,137.00
       4714000612 BIOPSY ASP PLEURA                 $1,137.00
       4714000613 BIOPSY ASP MEDIAST LUNG -RIGHT    $1,137.00
       4714000614 BIOPSY ASP PLEURA - RIGHT         $1,137.00
       4714000620 BODY-DYNAMIC SERIES                 $939.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          166
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4714000630 LOWER EXTREMITY W/CONTRAST        $1,900.00
       4714000631 LOWER EXTREMITY W/CONTRAST-LT     $1,900.00
       4714000632 LOWER EXTREM W/CONTRAST -RIGHT    $1,900.00
       4714000640 LOWER EXTREMITY WO/CONTRAST       $1,474.00
       4714000641 LOWER EXTREMITY WO/CONT - LEFT    $1,474.00
       4714000642 LOWER EXTREM WO/CONTRAST-RIGHT    $1,474.00
       4714000650 PELVIS WITH CONTRAST              $1,802.00
       4714000654 SACROILIAC JOINT UNILAT -RIGHT      $938.00
       4714000655 PELVIS LIMITED                      $812.00
       4714000656 INJ/ANESTHESIA/JOINT UNILATERA      $555.00
       4714000657 INJ/ANESTHESIA/JOINT BILATERAL    $1,107.00
       4714000658 SACROILIAC JOINT UNILATERAL         $938.00
       4714000659 SACROILIAC JOINT BILATERAL          $938.00
       4714000660 PELVIS WITHOUT CONTRAST           $1,632.00
       4714000661 BIOPSY ASP BONE DEEP              $1,137.00
       4714000663 BIOPSY/ASP/BONE SUPERFICIAL       $1,137.00
       4714000664 THORACIC SPINE W/INTRATHECAL      $2,238.00
       4714000665 SACROILIAC JOINT UNILATERAL-LT      $938.00
       4714000666 THORACIC SPINE LIMITED              $830.00
       4714000668 THORACIC SPINE W/IV CONTRAST      $2,148.00
       4714000670 CERVICAL SPINE WO/CONTRAST        $2,037.00
       4714000671 THORACIC SPINE WO/CONTRAST        $1,815.00
       4714000672 LUMBAR SPINE WO/CONTRAST          $2,087.00
       4714000674 LUMBAR SPINE W/INTRATHECAL        $2,092.00
       4714000676 LUMBAR SPINE W/IV CONTRAST        $2,092.00
       4714000678 LUMBAR SPINE LIMITED                $883.00
       4714000680 CERVICAL SPINE LIMITED              $903.00
       4714000681 CERVICAL SPINE W/INTRATHECAL      $2,044.00
       4714000683 CERVICAL SPINE W/IV CONTRAST      $2,044.00
       4714000685 DISCOGRAM LUMBAR SPINE              $883.00
       4714000687 DISCOGRAM CERVICAL SPINE            $848.00
       4714000690 LUNG/CHEST W/CONTRAST             $2,237.00
       4714000700 LUNG/CHEST WO/CONTRAST            $1,462.00
       4714000711 UPPER EXTREMITY W/CONTRAST -LT    $1,900.00
       4714000712 LUNG/CHEST W/WO CONTRAST          $2,824.00
       4714000714 LUNG/CHEST HIGH RES W/WO/CONTR    $2,942.00
       4714000715 UPPER EXTREM W/CONTRAST -RIGHT    $1,900.00
       4714000716 LUNG/CHEST HIGH RES WO/CONTRAS    $2,180.00
       4714000721 UPPER EXTREMITY WO/CONT - LEFT    $1,474.00
       4714000722 UPPER EXTREM WO/CONTRAST-RIGHT    $1,474.00
       4714000725 BONE DENSITY                        $485.00
       4714000730 HEAD-HR ADDITIONAL RECONSTRUCT      $480.00
       4714000740 BRAIN/HEAD W/WO CONTRAST          $2,290.00
       4714000760 BRAIN/HEAD W/CONTRAST             $1,541.00
       4714000770 BRAIN/HEAD W/O CONTRAST           $1,360.00
       4714000778 PITUITARY/SELLA W/O CONTRAST      $2,199.00
       4714000780 PITUITARY/SELLA W/WO CONTRAST     $2,243.00
       4714000790 IAC W/WO CONTRAST                 $2,298.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          167
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4714000792 IAC WO/CONTRAST                   $2,252.00
       4714000810 SOFT TISSUE NECK W/CONTRAST       $2,237.00
       4714000820 SOFT TISSUE NECK WO/CONTRAST      $2,095.00
       4714000830 ORBIT W/WO CONTRAST               $2,487.00
       4714000831 ORBIT WITH CONTRAST               $1,687.00
       4714000832 ORBIT WO/CONTRAST                 $1,258.00
       4714000834 ORBIT LIMITED                       $442.00
       4714000840 HEAD-PARASELLAR W/WO CONTRAST     $1,623.00
       4714000850 HEAD-POST FOSSA W/WO CONTRAST     $1,589.00
       4714000852 DENTAL SCAN/MANDIBLE                $651.00
       4714000854 DENTAL SCAN/MAXILLA                 $651.00
       4714000856 DENTAL SCAN MANDIBLE & MAXILLA      $851.00
       4714000870 SCANOGRAM                           $442.00
       4714000880 GUIDE FOR RADIATION FIELDS          $796.00
       4714000895 MAXILLOFACIAL WO/CONTRAST           $651.00
       4714000897 MAXILLOFACIAL W/WO CONTRAST       $1,447.00
       4714000900 MAXILLOFACIAL W/CONTRAST            $780.00
       4714000901 BIOPSY ASP RENAL - LEFT           $1,137.00
       4714000902 BIOPSY ASP MEDIAST LUNG - LEFT    $1,137.00
       4714000903 BIOPSY ASP PLEURA - LEFT          $1,137.00
       4714000904 GUIDE ABSCESS RENAL - LEFT          $434.00
       4714000905 GUIDE CHEST EMPYEMA - LEFT          $434.00
       4714000906 GUIDE CYST ASPIR BREAST - LEFT    $1,137.00
       4714000907 MAXILLOFACIAL LIMITED               $442.00
       4714000908 GUIDE CYST ASPIR KIDNEY - LEFT    $1,137.00
       4714000909 GUIDE CYST ASPIR LUNG - LEFT      $1,137.00
       4714000920 BIOPSY TRAY                         $220.00
       4714000930 BIOPSY NEEDLE                       $150.00
       4714000931 OSTYCUT BONE BX NEEDLE              $106.00
       4714000935 MONOPTY BIOPSY NEEDLE               $154.00
       4714000939 AMPLATZ GUIDE WIRE                  $131.00
       4714000940 PERCUTANEOUS DRAINAGE             $1,111.00
       4714000941 GEREMIA BIOPSY NEEDLE SET           $643.00
       4714000945 SUMP DRAINAGE KIT                 $1,227.00
       4714000946 DRAINAGE BAG                         $63.00
       4714000947 AMPLATZ DRAIN                       $215.00
       4714000948 AMEDIC BIO GUN 18G                  $131.00
       4714000950 PNEUMOTHORAX SUPPLY SET             $508.00
       4714000960 DILATOR VASCULAR FASCIAL 10 FR      $291.00
       4714000965 DILATOR VASCULAR FASCIAL 12 FR      $291.00
       4714000971 PULSE OXIMETRY                       $51.00
       4714000972 CARDIAC MONITORING                   $51.00
       4714000975 DILATOR VASCULAR FASCIAL 8 FR       $291.00
       4714001001 BIOPSY ABDOMEN-PERC NEEDLE          $273.00
       4714001002 CT BIOPSY BONE TROCAR NEEDLE        $273.00
       4714001003 BIOPSY BONE DEEP FEM VERT           $163.00
       4714001004 BIOPSY PLEURA PERC NEEDLE           $261.00
       4714001005 BIOPSY LUNG MEDIA PERC NEEDLE       $273.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          168
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4714001006 BIOPSY LIVER PERC NEEDLE            $273.00
       4714001007 BIOPSY PANCREAS PERC NEEDLE         $273.00
       4714001009 BIOPSY RETROPERITONEAL MASS         $273.00
       4714001010 BIOPSY LYMPH NODE DEEP              $261.00
       4714001011 BIOPSY MUSCLE PERC NEEDLE           $273.00
       4714001012 BIOPSY ST PELVIS HIP DEEP           $273.00
       4714001013 BIOPSY ST PELVIS HIP SUPERF         $261.00
       4714001014 BIOPSY MUSCLE DEEP PERC             $273.00
       4714001015 BIOPSY RENAL PERC NEEDLE -LEFT      $273.00
       4714001016 BIOPSY ASP SALIVARY               $1,137.00
       4714001017 BX LUNG MEDIA PERC NEEDLE-LEFT      $273.00
       4714001018 BIOPSY ASP THYROID                $1,137.00
       4714001019 BIOPSY PLEURA PERC NEEDLE-LEFT      $261.00
       4714001020 BIOPSY RENAL PERC NEEDLE-RIGHT      $273.00
       4714001021 BX LUNG MEDIA PERC NEEDLE - RT      $273.00
       4714001022 BIOPSY PLEURA PERC NEEDLE - RT      $261.00
       4714001023 DRAINAGE RENAL ABSCESS - RIGHT      $720.00
       4714001024 DRAINAGE CHEST/PLEURA - RIGHT       $751.00
       4714001025 PUNCTURE/ASPIRATION BREAST -RT      $261.00
       4714001026 ASP AND/OR INJ RENAL CYST - RT      $261.00
       4714001027 PNEUMOCENTESIS LUNG ASP -RIGHT      $261.00
       4714001030 DRAINAGE RENAL ABSCESS - LEFT       $720.00
       4714001031 GUIDE ABSCESS SUBDIAPHRAGM          $434.00
       4714001032 DRAIN SUBDIAPHRAGMATIC ABSCESS      $451.00
       4714001033 GUIDE ABSCESS LIVER                 $434.00
       4714001034 DRAINAGE LIVER ABSCESS              $751.00
       4714001035 GUIDE ABSCESS RETROPERITONEAL       $434.00
       4714001036 DRAINAGE RETROPERITONEAL ABS        $720.00
       4714001037 GUIDE ABSCESS RENAL                 $434.00
       4714001038 DRAINAGE RENAL ABSCESS              $720.00
       4714001039 GUIDE CHEST EMPYEMA                 $434.00
       4714001040 DRAINAGE CHEST/PLEURA               $720.00
       4714001041 GUIDE ABSCESS PERITONEAL            $434.00
       4714001042 DRAINAGE PERITONEAL                 $720.00
       4714001043 GUIDE CYST ASPIRATION BONE        $1,137.00
       4714001044 CYST ASPIRATION INJ                 $261.00
       4714001045 GUIDE CYST ASPIRATION BREAST      $1,137.00
       4714001047 GUIDE CYST ASPIRATION KIDNEY      $1,137.00
       4714001049 GUIDE CYST ASPIRATION LIVER       $1,137.00
       4714001050 DRAINAGE ABSCESS OR CYST            $261.00
       4714001051 GUIDE CYST ASPIRATION LUNG        $1,137.00
       4714001052 PNEUMOCENTESIS LUNG ASPIRATION      $261.00
       4714001053 GUIDE CYST ASPIRATION PANCREAS    $1,137.00
       4714001054 DRAINAGE PSEUDOCYST PAN             $273.00
       4714001055 GUIDE CYST ASPIRATION THYROID     $1,137.00
       4714001056 CYST ASPIRATION THYROID             $261.00
       4714001057 BILIARY DRAINAGE PERC CATH          $751.00
       4714001058 INTRO PERC HEPATIC CATH             $542.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          169
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4714001060 DRAINAGE CHEST/PLEURA - LEFT        $720.00
       4714001061 PUNCTURE/ASPIR BREAST - LEFT        $261.00
       4714001062 ASP AND/OR INJ RENAL CYST-LEFT      $261.00
       4714001063 PNEUMOCENTESIS LUNG ASPIR-LEFT      $261.00
       4714001064 GUIDE ABSCESS RENAL - RIGHT         $434.00
       4714001065 GUIDE CHEST EMPYEMA - RIGHT         $434.00
       4714001066 GUIDE CYST ASPIR BREAST -RIGHT    $1,137.00
       4714001067 GUIDE CYST ASPIR KIDNEY -RIGHT    $1,137.00
       4714001068 GUIDE CYST ASPIR LUNG - RIGHT       $683.00
       4714001072 SINUSES CORONAL                     $480.00
       4714001074 SINUSES WO/CONTRAST                 $935.00
       4714001076 SINUS MAXILLA                       $651.00
       4714001078 SINUSES W/CONTRAST                  $980.00
       4714001083 SHOULDER ARTHROGRAM - LEFT          $812.00
       4714001084 SIALOGRAM                         $1,208.00
       4714001085 SIALOGRAM - LEFT                  $1,208.00
       4714001086 GUIDE STEREOTACTIC                $1,493.00
       4714001087 SHOULDER ARTHROGRAM - RIGHT         $812.00
       4714001088 SIALOGRAM - RIGHT                 $1,208.00
       4714001090 TEMNO BIOPSY NEEDLE                 $202.00
       4714001092 SONOPSY ASPIR BIOPSY NEEDLE          $82.00
       4714002000 CHEST CORONARY CALCIUM SCREEN       $395.00
       4714002001 LUNG SCREENING                      $395.00
       4714002002 ANGIOGRAPHY HEAD W/WO             $2,391.00
       4714002003 ANGIOGRAPHY NECK W/WO             $2,491.00
       4714002004 ANGIOGRAPHY CHEST W/WO            $2,491.00
       4714002005 ANGIOGRAPHY PELVIS W/WO           $2,491.00
       4714002006 ANGIO UPPER EXTREMITY RT WWO      $2,391.00
       4714002007 ANGIO UPPER EXTREMITY LT WWO      $2,391.00
       4714002008 ANGIO LOWER EXTREMITY LT W/WO     $2,391.00
       4714002009 ANGIO LOWER EXTREMITY RT W/WO     $2,391.00
       4714002010 ANGIOGRAPHY ABDOMEN W/WO          $2,491.00
       4714002011 ANGIO ABDOMEN W/RUNOFF W/WO       $3,188.00
       4714002020 GUIDED BREAST NEEDLE PLACE LT     $1,137.00
       4714002021 GUIDED BREAST NEEDLE PLACE RT     $1,137.00
       4714002022 PERCUTANEOUS NEEDLE CORE            $256.00
       4714002023 UPPER EXTREMITY LEFT LTD            $731.00
       4714002024 UPPER EXTREMITY RIGHT LTD           $731.00
       4714002065 FOREARM LEFT WITHOUT              $1,415.00
       4714002066 FOREARM RIGHT WITHOUT             $1,415.00
       4714002067 FOREARM RIGHT WITH CONTRAST       $1,900.00
       4714002068 FOREARM LEFT WITH CONTRAST        $1,900.00
       4714002100 LUNG HEART SCREENING                $684.00
       4714002200 WHOLE BODY SCREENING                $795.00
       4714002210 VIRTUAL COLONOSCOPY SCREENING     $2,122.00
       4714002215 VIRTUAL COLONOSCOPY DIAGNOSTIC    $2,122.00
       4714002250 AORTA RECON PLANNING VASC SURG      $850.00
       4714002251 PERCUTANEOUS PERITONEAL DRAIN       $348.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          170
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4714008000 OPTIRAY 320 100 ML VIAL             $489.00
       4714008001 OPTIRAY 320 150 ML VIAL             $660.00
       4714008002 OPTIRAY 320 200 ML VIAL             $859.00
       4714008003 OPTIRAY 320 50 ML VIAL              $357.00
       4714008004 OPTIRAY 320 50 ML SYRINGE           $386.00
       4714100460 BIOPSY ASPIRATION LIVER           $1,137.00
       4714100461 BIOPSY ASP LYMPH NODE             $1,137.00
       4714100462 BIOPSY ASP MUSCLE DEEP            $1,137.00
       4714100463 BIOPSY ASP MUSCLE SUPERFICAL      $1,137.00
       4714100464 BIOPSY ASP PANCREAS               $1,137.00
       4714100465 BIOPSY ASP RENAL                  $1,137.00
       4714100466 BIOPSY ASP RETROPERITONEAL        $1,137.00
       4714100467 BIOPSY ASP RENAL - RIGHT          $1,137.00
       4714100531 BIOPSY ASP ABDOMEN                $1,137.00
       4714100611 BIOPSY ASP MEDIAST LUNG           $1,137.00
       4714100612 BIOPSY ASP PLEURA                 $1,137.00
       4714100613 BIOPSY ASP MEDIAST LUNG -RIGHT    $1,137.00
       4714100614 BIOPSY ASP PLEURA - RIGHT         $1,137.00
       4714100654 SACROILIAC JOINT UNILAT -RIGHT      $938.00
       4714100658 SACROILIAC JOINT UNILATERAL         $938.00
       4714100659 SACROILIAC JOINT BILATERAL          $938.00
       4714100661 BIOPSY ASP BONE DEEP              $1,137.00
       4714100663 BIOPSY/ASP/BONE/ SUPERFICAL       $1,137.00
       4714100665 SACROILIAC JOINT UNILATERAL-LT      $938.00
       4714100901 BIOPSY ASP RENAL - LEFT           $1,137.00
       4714100902 BIOPSY ASP MEDIAST LUNG - LEFT    $1,137.00
       4714100903 BIOPSY ASP PLEURA - LEFT          $1,137.00
       4714100904 GUIDE ABSCESS RENAL - LEFT          $434.00
       4714100905 GUIDE CHEST EMPYEMA - LEFT          $434.00
       4714100906 GUIDE CYST ASPIR BREAST - LEFT    $1,137.00
       4714100908 GUIDE CYST ASPIR KIDNEY - LEFT    $1,137.00
       4714100909 GUIDE CYST ASPIR LUNG - LEFT      $1,137.00
       4714101016 BIOPSY ASP SALIVARY               $1,137.00
       4714101018 BIOPSY ASP THYROID                $1,137.00
       4714101031 GUIDE ABSCESS SUBDIAPHRAGM          $434.00
       4714101033 GUIDE ABSCESS LIVER                 $434.00
       4714101035 GUIDE ABSCESS RETROPERITONEAL       $434.00
       4714101037 GUIDE ABSCESS RENAL                 $434.00
       4714101039 GUIDE CHEST EMPYEMA                 $434.00
       4714101041 GUIDE ABSCESS PERITONEAL            $434.00
       4714101043 GUIDE CYST ASPIRATION BONE        $1,137.00
       4714101045 GUIDE CYST ASPIRATION BREAST      $1,137.00
       4714101047 GUIDE CYST ASPIRATION KIDNEY      $1,137.00
       4714101049 GUIDE CYST ASPIRATION LIVER       $1,137.00
       4714101051 GUIDE CYST ASPIRATION LUNG        $1,137.00
       4714101053 GUIDE CYST ASPIRATION PANCREAS    $1,137.00
       4714101055 GUIDE CYST ASPIRATION THYROID     $1,137.00
       4714101057 BILIARY DRAINAGE PERC CATH          $751.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          171
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4714101064 GUIDE ABSCESS RENAL - RIGHT         $434.00
       4714101065 GUIDE CHEST EMPYEMA - RIGHT         $434.00
       4714101066 GUIDE CYST ASPIR BREAST -RIGHT    $1,137.00
       4714101067 GUIDE CYST ASPIR KIDNEY -RIGHT    $1,137.00
       4714101068 GUIDE CYST ASPIR LUNG - RIGHT     $1,137.00
       4811000180 PTCA EA ADDL - RIGHT CORONARY     $1,117.00
       4811000195 IABP PERC INSERTION               $1,454.00
       4811000200 INJ AORTIC ANGIO                    $510.00
       4811000252 DILITATION OVER GUIDWIRE            $961.00
       4811000253 DILATION SPV AND INTERP             $473.00
       4811000275 COMBO RTHRT & RETRO LTHRT CATH    $7,187.00
       4811000279 S/I VENTRICULAR OR ATRIAL           $954.00
       4811000280 LEFT HEART CATH RETRO PERC        $5,789.00
       4811000283 INJ ART CONDUITS ANGIO              $784.00
       4811000284 INJ VENOUS BYPASS GRAFTS ANGIO      $846.00
       4811000290 FRACTIONAL FLOW RESERVE ADDL        $993.00
       4811000292 IVUS INTERVENTIONAL                 $259.00
       4811000293 STENT WITH PTCA RT CORONARY      $13,096.00
       4811000294 STENT WITH PTCA LT CIRCUMFLEX    $13,096.00
       4811000295 STENT WITH PTCA - LAD            $13,096.00
       4811000299 IVUS INTERVENTIONAL EACH ADDL.      $384.00
       4811000300 FRACTIONAL FLOW RESERVE           $1,242.00
       4811000309 S/I AORTOGRAPHY                   $1,453.00
       4811000310 INJ SELECTIVE CORONARY ANGIO        $909.00
       4811000342 THROMBOLYSIS INTRACORONARY        $2,025.00
       4811000343 THROMBOLYSIS IV                   $1,046.00
       4811000355 PULSE OXIMETRY                      $141.00
       4811000361 STENT PLACE (COR) VESSEL RIGHT    $4,746.00
       4811000362 STENT PLACE (COR) VESSEL-LT CX    $4,746.00
       4811000366 PTCA SINGLE VESSEL-RT CORONARY    $7,735.00
       4811000367 ATHERECTOMY COR SING - RT COR     $8,938.00
       4811000368 ATHERECTOMY COR EA ADDL-RT COR    $1,117.00
       4811000369 VASCULARBRACHYTHERAPYBETARTCOR   $10,755.00
       4811000370 HIS BUNDLE RECORDING              $1,733.00
       4811000371 ATHERECTOMY COR EA ADDL -LT CX    $1,117.00
       4811000376 VASCULARBRACHYTHERAPYBETA LTCX   $10,755.00
       4811000377 VASCULARBRACHYTHERAPYBETA LAD    $10,755.00
       4811000400 ATHERECTOMY COR EA ADDL - LAD     $1,117.00
       4811000401 STENT PLACE (COR) VESSEL - LAD    $4,746.00
       4811000402 ANG SEL 1ST ORD THOR/BRACH LT     $1,246.00
       4811000403 ANG SEL 2ND ORD THOR/BRACH LT     $1,388.00
       4811000405 ANG SEL 3RD ORD THOR/BRACH LT     $1,598.00
       4811000409 ANG SEL 1ST ORD THOR/BRACH RT     $1,246.00
       4811000410 ANG SEL 2ND ORD THOR/BRACH RT     $1,388.00
       4811000411 ANG SEL 3RD ORD THOR/BRACH RT     $1,598.00
       4811000415 TRANSLUMINAL ATHRECTOMY-PERIPH    $3,163.00
       4811000509 STENT ADDL PLACE - MARGINAL       $4,746.00
       4811000521 INTRAPERITONEAL INSERT OF CATH      $968.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          172
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811000563 PACER TEMP INSERT/REPLACE         $1,087.00
       4811000564 PACER INSERTION S/I                 $298.00
       4811000567 PACER GEN SGL INS/REP WO LDS      $2,656.00
       4811000568 PACER ELECTRODE SGL INS/REPLAC    $3,575.00
       4811000571 FLUOROSCOPY BRIEF LESS 15 MIN       $395.00
       4811000572 PACER DUAL CHAMBER INS/REPLACE    $5,727.00
       4811000573 PACER VENTRICULAR INS/REPLACE     $4,626.00
       4811000575 INSERT CARDIOVERT/DEFIB           $8,500.00
       4811000576 REPLACE CARDIOVERT/DEFIB          $3,074.00
       4811000585 INSERT VENOUS ACCESS PORT         $2,111.00
       4811000590 SWAN-GANZ CATHETER INSRT/REP        $620.00
       4811000600 RIGHT HEART CATH                  $3,077.00
       4811000610 ROOM CARE LESS THAN 24 HOURS        $584.00
       4811000690 INJ LT VENTRICLE ANGIO              $523.00
       4811000733 SINGLE FACET BLOCK                  $544.00
       4811000735 MULTI FACET BLOCK                   $704.00
       4811000742 REPOSIT OF CENTRAL VENOUS CATH      $813.00
       4811000900 ANG SEL ADD THOR/BRACH - LEFT       $128.00
       4811000901 ANG SEL ADD THOR/BRACH - RIGHT      $128.00
       4811001000 ANG SEL 1ST ORD ABD/PEL/EXT LT    $1,298.00
       4811001001 ANG SEL 1ST ORD ABD/PEL/EXT RT    $1,298.00
       4811001100 ANG SEL 2ND ORD ABD/PEL/EXT LT    $1,388.00
       4811001101 ANG SEL 2ND ORD ABD/PEL/EXT RT    $1,228.00
       4811001118 INTRONEEDLE RETRO BRACH ART-RT    $1,307.00
       4811001119 INTRONEEDLE RETRO BRACH ART-LT    $1,307.00
       4811001120 INTRO NEEDLE RETRO BRACH ART      $1,307.00
       4811001121 INT NEEDLE RETRO BRACH ART -LT    $1,307.00
       4811001122 INT NEEDLE RETRO BRACH ART -RT    $1,307.00
       4811001139 INTRONEEDLE EXTREM ART BILAT      $1,121.00
       4811001141 INTRO NEEDLE EXTREM ART UNI-LT    $1,330.00
       4811001142 INTRO NEEDLE EXTREM ART UNI-RT    $1,330.00
       4811001144 INTRO NEEDLE FOR AV SHUNT-BILA      $775.00
       4811001145 INTRO NEEDLE FOR AV SHUNT           $775.00
       4811001146 INTRO NEEDLE FOR AV SHUNT - LT      $526.00
       4811001147 INTRO NEEDLE FOR AV SHUNT - RT      $841.00
       4811001160 INTRO NEEDLE TRANS LUMB AORTA       $921.00
       4811001200 INTRO CATHETER AORTA              $1,638.00
       4811001201 ANG SEL 3RD ORD ABD/PEL/EXT LT    $1,414.00
       4811001202 ANG SEL 3RD ORD ABD/PEL/EXT RT    $1,474.00
       4811001215 ANG SEL 1ST ORDER THOR/BRACH      $1,101.00
       4811001216 ANG SEL 2ND ORDER THOR/BRACH      $1,228.00
       4811001217 ANG SEL 3RD ORDER THOR/BRACH      $1,535.00
       4811001218 ANG SEL ADD THOR/BRACH              $204.00
       4811001245 ANG SEL 1ST ORDER ABD/PEL/EXT     $1,298.00
       4811001246 ANG SEL 2ND ORDER ABD/PEL/EXT     $1,388.00
       4811001247 ANG SEL 3RD ORDER ABD/PEL/EXT     $1,598.00
       4811001248 ANG SEL ADD ABD/PEL/EXT             $178.00
       4811001249 ANG SEL ADD ABD/PEL/EXT - RT        $284.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          173
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811001250 ANG SEL ADD ABD/PEL/EXT - LEFT      $284.00
       4811001299 UNLISTED ANGIO PROCEDURE            $841.00
       4811001300 VEN SEL 1ST ORDER VENOUS -LEFT    $1,511.00
       4811001301 VEN SEL 2ND ORDER VENOUS - LT     $1,493.00
       4811001302 VEN CATH PULM SEG/SUBSEG - LT       $811.00
       4811001303 ANGIO BRACHIAL RETROGRADE - LT    $1,903.00
       4811001304 ANGIO CAROTID EXTERNAL - LEFT     $1,903.00
       4811001305 ANGIO CAROTID CEREBRAL - LEFT     $1,892.00
       4811001306 ANGIO CAROTID CERVICAL - LEFT     $1,903.00
       4811001307 ANGIO VERT CER/CRE/SEL - LT       $1,903.00
       4811001308 ANGIO EXTREMITY UNILAT - LEFT     $1,892.00
       4811001309 ANGIO ADRENAL SELECT UNILAT-LT    $1,892.00
       4811001310 ANGIO RENAL UNILAT W/AORTA LT     $1,892.00
       4811001311 ANGIO PULMONARY SELECT LEFT       $1,892.00
       4811001312 ANGIO ARTERIOVEN SHUNT LEFT         $266.00
       4811001313 VENOGRAPHY EXTREMITY - LEFT         $143.00
       4811001314 VENOGRAPHY RENAL UNILAT - LEFT      $989.00
       4811001315 VENOGRAPHY ADRENAL SEL LEFT       $1,903.00
       4811001316 PT ANGIOPLASTY/PERIPHERAL - LT    $2,364.00
       4811001317 PT ANGIOPLASTY ADD PERIPH-LEFT    $1,268.00
       4811001318 PTA VENOUS LEFT                   $2,364.00
       4811001319 WRIST ARTHROGRAM LEFT               $353.00
       4811001320 PTCA SINGLE VESS LT CIRCUMFLEX    $7,735.00
       4811001321 ATHERECTOMY COR SING LT CIRCUM    $8,938.00
       4811001322 PTCA EA ADDL LEFT CIRCUMFLEX      $1,117.00
       4811001323 ATHERECTOMY COR EA ADD LT CIRC      $989.00
       4811001324 STENT PLACE(COR) LT CIRCUMFLEX    $4,746.00
       4811001325 PTCA SINGLE VESS LT ANT DESCEN    $7,735.00
       4811001326 ATHERECTOMY COR SINGLE LAD        $8,938.00
       4811001327 PTCA EA ADDL LT ANT DESCENDING    $1,117.00
       4811001328 PTA RENAL OR VISCERAL ART LEFT    $4,574.00
       4811001329 PTA PERIPHERAL ILIAC LEFT         $1,465.00
       4811001330 PTA PERIPHERAL FEM POP LEFT       $2,677.00
       4811001331 PTA BRACHIOCEPHALIC LEFT          $2,379.00
       4811001332 PTA VENOUS (SURG COMP) - LEFT     $1,204.00
       4811001333 ATHERECTOMY ILIAC PROC LEFT       $2,807.00
       4811001334 ATHERECTOMY RENAL RIGHT           $3,881.00
       4811001335 ATHERECTOMY RENAL LEFT            $3,881.00
       4811001336 PT ANGIOPLASTY/RENAL RIGHT        $2,364.00
       4811001337 PT ANGIOPLASTY/RENAL ADD RIGHT    $1,260.00
       4811001338 PT ANGIOPLASTY/RENAL LEFT         $2,364.00
       4811001339 PT ANGIOPLASTY/RENAL ADD LEFT     $1,260.00
       4811001340 TLA PERIPHERAL S/I LEFT           $2,364.00
       4811001341 TLA RENAL S/I LEFT                $2,364.00
       4811001342 CATH PLAC RENAL PELVIS LEFT         $625.00
       4811001343 GU DILAT RENAL PEL URETER LEFT    $1,137.00
       4811001344 GU CHANGE OF NEPH TUBE LEFT         $574.00
       4811001345 PT ANGIOPLASTY ADD PERIPH - RT    $1,268.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          174
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811001346 PT ANGIOPLASTY ADD PERIPH-BILA    $1,268.00
       4811001347 REPLACE GTUBE W SINOGRAM            $173.00
       4811001348 PERC DIL STRICT WITH STENT        $1,542.00
       4811001349 CANNULA HEMODIALYSIS              $4,323.00
       4811001350 VEN SEL 1ST ORDER VENOUS-RIGHT    $1,511.00
       4811001351 VEN SEL 2ND ORDER VENOUS - RT     $1,493.00
       4811001352 VEN CATH PULM SEG/SUBSEG - RT       $811.00
       4811001353 ANGIO BRACHIAL RETROGRADE - RT    $1,903.00
       4811001354 ANGIO CAROTID EXTERNAL - RIGHT    $1,903.00
       4811001355 ANGIO CAROTID CEREBRAL - RIGHT    $1,892.00
       4811001356 ANGIO CAROTID CERVICAL - RIGHT    $1,903.00
       4811001357 ANGIO VERT CER/CRE/SEL - RT       $1,903.00
       4811001358 ANGIO EXTREMITY UNILAT - RIGHT    $1,892.00
       4811001359 ANGIO ADRENAL SELECT UNILAT-RT    $1,892.00
       4811001360 ANGIO RENAL UNILAT W/AORTA RT     $1,892.00
       4811001361 ANGIO PULMONARY SELECT RIGHT      $1,892.00
       4811001363 VENOGRAPHY EXTREMITY - RIGHT        $143.00
       4811001364 VENOGRAPHY RENAL UNILAT -RIGHT      $989.00
       4811001365 VENOGRAPHY ADRENAL SEL RIGHT      $1,903.00
       4811001366 PT ANGIOPLASTY/PERIPHERAL - RT    $2,364.00
       4811001368 PTA VENOUS RIGHT                  $2,364.00
       4811001369 WRIST ARTHROGRAM RIGHT              $353.00
       4811001370 PTA RENAL OR VISCERAL ART RT      $4,216.00
       4811001371 PTA PERIPHERAL FEM POP RIGHT      $2,905.00
       4811001372 PTA BRACHIOCEPHALIC RIGHT         $2,379.00
       4811001373 CATH PLAC RENAL PELVIS RIGHT        $625.00
       4811001374 GU DILAT RENAL PEL URETER RT      $1,137.00
       4811001375 GU CHANGE OF NEPH TUBE RIGHT        $600.00
       4811001376 TLA RENAL S/I RIGHT               $2,364.00
       4811001377 TLA PERIPHERAL S/I RIGHT          $2,364.00
       4811001378 PTA PERIPHERAL ILIAC - RIGHT      $2,342.00
       4811001382 PTA VENOUS (SURG COMP) RIGHT      $1,111.00
       4811001383 ANGIO ARTERIOVEN SHUNT RIGHT        $266.00
       4811001384 PTCA -FAILED ATTEMPT              $7,735.00
       4811001385 STENT ADDL PLACE -RT CORONARY     $5,364.00
       4811001386 STENT ADDL PLACE-LT CIRCUMFLEX    $5,364.00
       4811001387 STENT ADDL PLACE-LAD              $5,364.00
       4811002005 VEN INJECT PROCEDURE                $298.00
       4811002006 VEN INJECT PROCEDURE - LEFT         $298.00
       4811002007 VEN INJECT PROCEDURE - RIGHT        $298.00
       4811002010 VEN CATH IVC/SVC                    $499.00
       4811002011 VEN SEL 1ST ORDER VENOUS          $1,336.00
       4811002012 VEN SEL 2ND ORDER VENOUS          $1,493.00
       4811002013 VEN CATH MAIN PULM/RT HEART         $543.00
       4811002014 VEN SEL CATH RT/LT PULMONARY        $695.00
       4811002015 VEN CATH PULMONARY SEG/SUBSEG       $717.00
       4811002500 VENSC-VENOUS CATH FOR SAMPLE      $1,143.00
       4811002501 ARTERIAL PRESSURE MONITORING      $3,304.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          175
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811003605 THORACIC AORTOGRAM                $1,892.00
       4811003625 ANGIO AORTOGRAM ABDOMINAL         $1,892.00
       4811003630 ANGIO AORTOGRAM ABDOM W/RUNOFF    $1,972.00
       4811003650 ANGIO ARCH CERVICOCEREBRAL        $1,892.00
       4811003658 ANGIO BRACHIAL RETROGRADE         $1,903.00
       4811003660 ANGIO CAROTID EXTERNAL UNILAT     $1,903.00
       4811003662 ANGIO CAROTID EXTERNAL BILAT      $1,903.00
       4811003665 ANGIO CAROTID CEREBRAL UNILAT     $1,892.00
       4811003671 ANGIO CAROTID CEREBRAL BILATER    $1,903.00
       4811003680 ANGIO CAROTID CERVICAL BILAT      $1,903.00
       4811003686 ANGIO VERT CER/CRE/SEL/U -BILA    $1,903.00
       4811003705 ANGIO SPINAL SELECTIVE            $1,903.00
       4811003716 ANGIO EXTREMITY BILATERAL         $1,903.00
       4811003722 ANGIO RENAL UNILAT W/AORTA        $1,892.00
       4811003724 ANGIO RENAL BILAT W AORTA         $1,903.00
       4811003726 ANGIO VISCERAL SEL W/WO AORTA     $1,892.00
       4811003727 ANGIO VISCER SEL W/WO AORTA-RT    $1,892.00
       4811003728 ANGIO VISCER SEL W/WO AORTA-LT    $1,892.00
       4811003731 ANGIO ADRENAL SELECT UNILAT       $1,892.00
       4811003733 ANGIO ADRENAL SELECT BILAT        $1,903.00
       4811003736 ANGIO PELVIC SELECT               $1,903.00
       4811003737 ANGIO PELVIC SELECT - RIGHT       $1,903.00
       4811003738 ANGIO PELVIC SELECT - LEFT        $1,903.00
       4811003743 ANGIO PULMONARY SELECT BILAT      $1,903.00
       4811003746 ANGIO PULMONARY NON SELECT        $1,903.00
       4811003770 PULMONARY PRESSURE MEASUREMENT       $25.00
       4811003774 ANGIO ADD VESSEL SELECTIVE        $1,892.00
       4811003775 ANGIO ADD VESSEL SELECTIVE -RT    $1,892.00
       4811003776 ANGIO ADD VESSEL SELECTIVE -LT    $1,892.00
       4811003790 ANGIO ARTERIOVENOUS SHUNT           $266.00
       4811004820 VENOGRAPHY EXTREMITY UNILAT         $143.00
       4811004822 VENOGRAPHY EXTREMITY BILAT          $222.00
       4811004825 VENOGRAPHY CAVAL INFERIOR         $1,892.00
       4811004827 VENOGRAPHY CAVAL SUPERIOR         $1,892.00
       4811004831 VENOGRAPHY RENAL UNILAT/SEL         $989.00
       4811004833 VENOGRAPHY RENAL BILATERAL/SEL    $1,903.00
       4811004840 VENOGRAPHY ADRENAL SEL UNILAT     $1,903.00
       4811004842 VENOGRAPHY ADRENAL SEL BILAT      $1,903.00
       4811004860 JUGULAR VENOGRAM                  $1,903.00
       4811004861 JUGULAR VENOGRAM - RIGHT          $1,903.00
       4811004862 JUGULAR VENOGRAM - LEFT           $1,903.00
       4811004885 GI PERC TRANS HEP PORTO W HEMO    $1,903.00
       4811004889 VENOGRAPHY HEPA W/HEMO/EVAL       $1,903.00
       4811004893 VENOUS SAMPLE VIA CATH            $1,892.00
       4811005201 TRANSCATH INF THROMBOLYSIS        $2,824.00
       4811005202 TRANSCATH INF NON-THROMBOLYTIC    $1,152.00
       4811005203 TRANSCATH RETRIEVAL OF FB         $2,069.00
       4811005204 TRANSCATH EMBOL/OCCLU NON H/N     $5,542.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          176
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811005205 TRANSCATH PLACE INTRAVAS STENT    $3,066.00
       4811005206 TRANSCATH STENT PLACE EA ADDL       $995.00
       4811005207 TRNSCATH PLACE INTVAS STENT-RT    $2,713.00
       4811005208 TRNSCATH PLACE INTVAS STENT-LT    $2,713.00
       4811005468 PTA RENAL OR VISCERAL ART - RT    $4,216.00
       4811005471 PTA RENAL OR VISCERAL ARTERY      $4,216.00
       4811005472 PTA AORTA                         $1,215.00
       4811005473 PTA PERIPHERAL ILIAC              $2,342.00
       4811005474 PTA PERIPHERAL FEM POP            $2,571.00
       4811005475 PTA PERIPHERAL BRACHIO/CEPH       $2,379.00
       4811005476 PTA VENOUS (SURG COMP)            $1,065.00
       4811005489 PERC CENTRAL VENOUS CATHETER      $2,111.00
       4811005490 ATHER VISCERAL PROC               $3,881.00
       4811005491 PERC CENTRAL VENOUS CATH -LEFT    $2,111.00
       4811005492 ATHER ILIAC PROC                  $2,807.00
       4811005493 PERC CENTRAL VENOUS CATH-RIGHT    $2,111.00
       4811005495 ATHER ILIAC PROC - RIGHT          $2,807.00
       4811005496 ATHER ILIAC PROC - BILATERAL      $2,807.00
       4811005497 ATHER VISCERAL PROC -RIGHT        $3,881.00
       4811005498 ATHER VISCERAL PROC - LEFT        $3,881.00
       4811005499 ATHER VISCERAL PROC -BILATERAL    $3,881.00
       4811005533 INSERTION IMPLANT VENOUS PORT     $2,111.00
       4811005534 REVISION IMPLANT VEN.ACCS.PORT    $2,111.00
       4811005535 REMOVAL OF IMPLANT VENOUS PORT    $1,370.00
       4811005620 TRANSCATH PLACE IVC FILTER        $3,778.00
       4811005624 TRANSCATH EMBOLIZATION CNS        $4,090.00
       4811005626 TRANSCATH EMBOLIZATION NON CNS    $3,376.00
       4811006500 VENOUS CATH-ORGAN BLOOD SAMP      $1,557.00
       4811006894 TRANS CATH EMBOLIZATION TEMP      $3,624.00
       4811006896 TRANS CATH INFUS THROMBOLYSIS     $3,169.00
       4811006898 **ANGIO THRU EX ST CATH S/I         $420.00
       4811006900 TRANSCATH EXCHANGE CATHETER       $3,151.00
       4811006905 ANGIO THRU EX ST CATH S/I -RT       $403.00
       4811006906 ANGIO THRU EX ST CATH S/I - LT      $403.00
       4811006907 ANGIO THRU EX ST CATH S/I-BILA      $403.00
       4811006940 TRANS CATH PERC PLACE IVC FILT    $1,903.00
       4811006958 TRANS CATH/VAS STENT PLAC - RT    $2,237.00
       4811006959 TRANS CATH/VAS STENT PLAC - LT    $2,237.00
       4811006960 TRANS CATH/VASCULAR STENT PLAC    $2,237.00
       4811006961 TRANS CATH FOREIGN BODY REMOVE    $1,585.00
       4811006962 PT ANGIOPLASTY/PERIPHERAL         $2,364.00
       4811006964 PT ANGIOPLASTY/ADD/PERIP/ART      $1,268.00
       4811006965 PT ANGIO/RENAL/VIS/ART - RIGHT    $2,364.00
       4811006966 PT ANGIOPLASTY/RENAL/VIS/ART      $2,364.00
       4811006967 PT ANGIO/RENAL/VIS/ART - LEFT     $2,364.00
       4811006968 PT ANGIOPLASTY/ADD/VISCERAL       $1,260.00
       4811006978 PTA VENOUS (PROCEDURE)            $2,364.00
       4811006992 TLA PERIPHERAL S/I                $2,364.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          177
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811006994 TLA RENAL S/I                     $2,364.00
       4811007015 JEJUNOSTOMY PERC PROC               $716.00
       4811007225 BIOPSY BONE DEEP FEM VERT           $241.00
       4811007246 WRIST ARTHROGRAM PROC               $313.00
       4811007290 INJ PROC LUMBAR                   $1,220.00
       4811007291 INJ PROC CERVICAL                 $1,040.00
       4811007390 INJ PROC PYELOGRAPHY ANTEGRADE      $461.00
       4811007392 GU CATH PLACEMENT RENAL PELVIS      $625.00
       4811007393 GU URETERAL CATH STENT            $1,225.00
       4811007394 INJECTION PROC/NEPHROSTOGRAM        $339.00
       4811007396 INJ PROC/NEPHROSTOGRAM - RIGHT      $339.00
       4811007397 INJ PROC/NEPHROSTOGRAM - LEFT       $339.00
       4811007398 GU CHANGE OF NEPH TUBE              $529.00
       4811007399 GU CHANGE OF NEPH TUBE - BILAT      $529.00
       4811007400 GU DILATION RENAL PELV/URETER     $1,185.00
       4811007401 GU DILATION RENAL PELV/URETER     $1,137.00
       4811007402 GU DILAT RENAL PELV/URET-BILAT    $1,137.00
       4811007403 GU URETERAL CATH STENT - RIGHT    $1,083.00
       4811007404 GU URETERAL CATH STENT - LEFT     $1,083.00
       4811007405 GU URETERAL CATH STENT - BILAT    $1,176.00
       4811007406 INJ PROC/NEPHROSTOGRAM - BILAT      $312.00
       4811007442 INJ PARAVERT FACET JNT LUMBAR       $405.00
       4811007443 INJ PARAVERT FACET INJ EA ADDL      $382.00
       4811007500 INJ PROC TRANS/HEPATIC/CHOL         $694.00
       4811007501 INTRODUCTION LONG GI TUBE           $312.00
       4811007505 INJECTION PROCEDURE T-TUBE          $450.00
       4811007510 INTRO/PERC/HEPATIC/DRAIN          $1,727.00
       4811007511 INTRO/PERC/HEPATIC/STENT          $1,892.00
       4811007525 CHANGE PERC DRAIN TUBE            $1,037.00
       4811007630 GI BILIARY STONE EXTRACTION       $1,657.00
       4811007750 PERC PLACE/GASTROSTOMY TUBE       $1,413.00
       4811007760 CHANGE GASTROSCOPY TUBE             $414.00
       4811007761 GASTROSTOMY REPOSITION PROC         $404.00
       4811008000 FLUOROSCOPY UP TO 1 HOUR            $172.00
       4811008001 FLUOROSCOPY MORE THAN 1 HOUR        $396.00
       4811008003 FLUOROSCOPIC GUIDANCE S/I           $254.00
       4811008120 CINE INDEPENDENT S/I                $159.00
       4811008125 CINE W/PROCEDURE                    $146.00
       4811008230 CINE ESOPHAGRAM S/I                 $252.00
       4811008285 DISCOGRAM CERVICAL EACH LEVEL     $1,259.00
       4811008295 DISCOGRAM LUMBAR EACH LEVEL       $1,179.00
       4811008305 GI CHOLANGIOGRAM T-TUBE             $119.00
       4811008320 GI CHOLANGIOGRAM TRANSHEPATIC       $473.00
       4811008327 GI POST OP BILIARY STONE REMVL      $265.00
       4811008340 GI INTRO LONG GI TUBE               $396.00
       4811008350 GI PERC PLACE GI TUBE               $473.00
       4811008355 GI PERC/PLACE/ENTEROCLYS TUBE       $396.00
       4811008363 GI DILAT/BILE DUCTS W/WO STENT      $917.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          178
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811008425 GU NEPHROSTOGRAM                    $275.00
       4811008426 GU NEPHROSTOGRAM - BILATERAL        $287.00
       4811008475 GU PERC NEPH TUBE PLACEMENT         $613.00
       4811008476 GU PERC NEPH TUBE PLACEMENT-RT      $613.00
       4811008477 GU PERC NEPH TUBE PLACEMENT-LT      $613.00
       4811008478 GU PERC NEPH TUBE PLACE-BILAT       $613.00
       4811008480 GU URETERAL CATH/STENT              $616.00
       4811008485 GU DIL/NEPH/URETER/URETHRA          $475.00
       4811008980 GI BILIARY DRAINAGE W CONTRAST      $819.00
       4811008982 GI BILIARY DRAIN INT/EXT STENT      $917.00
       4811008984 DRAIN CHANGE PERC TUBE W/CONT       $295.00
       4811008989 DRAIN ABSCESS/SPECIMEN COLLECT    $1,802.00
       4811009000 GU NEPHROSTOGRAM - RIGHT            $287.00
       4811009001 GU NEPHROSTOGRAM - LEFT             $287.00
       4811009002 GU DIL/NEPH/URETER/URETHRA-RT       $475.00
       4811009003 GU DIL/NEPH/URETER/URETHRA-LT       $475.00
       4811009005 WRIST ARTHROGRAM S/I - RIGHT        $238.00
       4811009006 WRIST ARTHROGRAM S/I - LEFT         $238.00
       4811009007 ANGIO ADD VESSEL SELECTIVE LT     $1,892.00
       4811009008 ANGIO ADD VESSEL SELECTIVE -RT    $1,892.00
       4811009010 US GUIDANCE                         $211.00
       4811009045 CONTRAST STUDY RENAL CYST           $495.75
       4811009059 ABSCESSOGRAM S&I                    $369.00
       4811009060 ABSCESSOGRAM                        $377.00
       4811018255 PULSE OXIMETER PROBE                $174.00
       4811018256 THROMBECTOMY CORONARY               $772.50
       4811100275 RT & LT HEART CATH                $7,798.00
       4811100280 LEFT HEART CATH RETRO PERC        $5,789.00
       4811100310 INJ SELECTIVE CORONARY ANGIO        $986.00
       4811101303 ANGIO BRACHIAL RETROGRADE - LT    $1,903.00
       4811101312 ANGIO ARTERIOVEN SHUNT LEFT         $205.00
       4811101313 VENOGRAPHY EXTREMITY - LEFT         $143.00
       4811101318 PTA VENOUS LEFT                   $2,364.00
       4811101336 PT ANGIOPLASTY/RENAL RIGHT        $2,364.00
       4811101337 PT ANGIOPLASTY/RENAL ADD RIGHT    $1,260.00
       4811101338 PT ANGIOPLASTY/RENAL LEFT         $2,364.00
       4811101339 PT ANGIOPLASTY/RENAL ADD LEFT     $1,260.00
       4811101353 ANGIO BRACHIAL RETROGRADE - RT    $1,903.00
       4811101363 VENOGRAPHY EXTREMITY - RIGHT        $143.00
       4811101368 PTA VENOUS RIGHT                  $2,364.00
       4811101383 ANGIO ARTERIOVEN SHUNT RIGHT        $266.00
       4811103658 ANGIO BRACHIAL RETROGRADE         $1,903.00
       4811103743 ANGIO PULMONARY SELECT BILAT      $1,903.00
       4811103770 PULMONARY PRESSURE MEASUREMENT       $25.00
       4811103790 ANGIO ARTERIOVENOUS SHUNT           $266.00
       4811104822 VENOGRAPHY EXTREMITY BILAT          $222.00
       4811104825 VENOGRAPHY CAVAL INFERIOR         $1,892.00
       4811104827 VENOGRAPHY CAVAL SUPERIOR         $1,892.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          179
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811106894 TRANS CATH EMBOLIZATION TEMP      $3,624.00
       4811106896 TRANS CATH INFUS THROMBOLYSIS     $3,169.00
       4811106900 TRANSCATH EXCHANGE CATHETER       $3,151.00
       4811106940 TRANS CATH PERC PLACE IVC FILT    $1,903.00
       4811106958 TRANS CATH/VAS STENT PLAC - RT    $2,237.00
       4811106959 TRANS CATH/VAS STENT PLAC - LT    $2,237.00
       4811106960 TRANS CATH/VASCULAR STENT PLAC    $2,237.00
       4811106961 TRANS CATH FOREIGN BODY REMOVE    $1,585.00
       4811106965 PT ANGIO/RENAL/VIS/ART - RIGHT    $2,364.00
       4811106966 PT ANGIOPLASTY/RENAL/VIS/ART      $2,364.00
       4811106967 PT ANGIO/RENAL/VIS/ART - LEFT     $2,364.00
       4811106968 PT ANGIOPLASTY/ADD/VISCERAL       $1,260.00
       4811106978 PTA VENOUS (PROCEDURE)            $2,364.00
       4811108285 DISCOGRAM CERVICAL EACH LEVEL     $1,259.00
       4811108295 DISCOGRAM LUMBAR EACH LEVEL       $1,179.00
       4811108305 GI CHOLANGIOGRAM T-TUBE             $119.00
       4811108320 GI CHOLANGIOGRAM TRANSHEPATIC       $473.00
       4811108327 GI POST OP BILIARY STONE REMVL      $265.00
       4811108340 GI INTRO LONG GI TUBE               $396.00
       4811108350 GI PERC PLACE GI TUBE               $473.00
       4811108355 GI PERC/PLACE/ENTEROCLYS TUBE       $396.00
       4811108363 GI DILAT/BILE DUCTS W/WO STENT      $917.00
       4811108425 GU NEPHROSTOGRAM                    $275.00
       4811108426 GU NEPHROSTOGRAM - BILATERAL        $287.00
       4811108475 GU PERC NEPH TUBE PLACEMENT         $613.00
       4811108476 GU PERC NEPH TUBE PLACEMENT-RT      $613.00
       4811108477 GU PERC NEPH TUBE PLACEMENT-LT      $613.00
       4811108478 GU PERC NEPH TUBE PLACE-BILAT       $613.00
       4811108485 GU DIL/NEPH/URETER/URETHRA          $475.00
       4811108980 GI BILIARY DRAINAGE W CONTRAST      $819.00
       4811108982 GI BILIARY DRAIN INT/EXT STENT      $917.00
       4811108984 DRAIN CHANGE PERC TUBE W/CONT       $295.00
       4811108985 STRIPPING S&I                       $495.00
       4811108986 STRIPPING CVC SEP VENOUS ACC        $841.00
       4811109000 GU NEPHROSTOGRAM - RIGHT            $311.00
       4811109001 GU NEPHROSTOGRAM - LEFT             $311.00
       4811109002 GU DIL/NEPH/URETER/URETHRA-RT       $475.00
       4811109003 GU DIL/NEPH/URETER/URETHRA-LT       $475.00
       4811109005 WRIST ARTHROGRAM S/I - RIGHT        $238.00
       4811109006 WRIST ARTHROGRAM S/I - LEFT         $238.00
       4811109007 LUMEND CTO PROCEDURE              $8,238.00
       4811109008 EP COMPREHENSIVE                 $13,350.00
       4811109009 HIS BUNDLE RECORDING              $6,070.00
       4811109010 RIGHT VENTRICULAR RECORDING       $5,083.00
       4811109011 MAPPING TACH VENTRICULARATRIAL   $12,708.00
       4811109012 EP WITH ARRYTHMIA INDUCTION      $13,407.00
       4811109013 EP EVAL W LEFT ATRIAL REC COMP   $13,940.00
       4811109014 EP WITH LEFT VENT REC COMPLETE   $13,407.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          180
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811109015 EP FOLLOW UP STUDY                $5,199.00
       4811109016 NIPS ICD THRESHOLD EVAL           $5,031.00
       4811109017 FOCUS SVT ABLATION               $17,042.00
       4811109018 VTACH ABLATION                   $17,042.00
       4811109019 TILT TABLE TESTING                $1,533.00
       4811109020 STIMULATION POST IV DRUG          $1,733.00
       4811109021 ELEC ANAL DUAL PACER WO REPROG       $81.00
       4811109022 ELEC ANAL ICS CK WO REPROG           $84.00
       4811109023 ELEC ANAL ICS CK AND REPROG         $114.00
       4811109024 ELEC ANAL SGL PACE W REPROG          $83.00
       4811109025 INTERNAL CARDIOVERSION            $1,628.00
       4811109026 EXTERNAL CARDIOVERSION            $1,628.00
       4811109027 CARDIOPULMONARY RESUSCITATION       $244.00
       4811109028 AV ABLATION WITHWITHOUT PACER    $15,731.00
       4811109029 TEMP EXTERNAL PACING                $244.00
       4811109030 BIOPSY OF HEART LINING              $714.00
       4811109031 MAPPING OF TACHYCARDIA            $1,276.00
       4811109032 INTRA OP ICD GENERATOR EVAL       $5,488.00
       4811109033 ELEC ANAL SGL PACE WO REPROG         $69.00
       4811109034 SUPRAPUBIC DRAINAGE CATHETER      $1,604.00
       4811109035 PLACEMENT DES LAD                $13,750.00
       4811109036 PLACEMENT DES LAD ADDL.           $6,875.00
       4811109037 PLACEMENT DRUG STENT CX          $13,750.00
       4811109038 PLACEENT DRUG STENT CX ADDL.      $6,875.00
       4811109039 PLACEMENT DRUG STENT RCA         $13,750.00
       4811109040 PLACEMENT DRUG STENT RCA ADDL.    $6,875.00
       4811109041 LEAD INSERT REPO W GENERATOR      $3,266.00
       4811109042 PLACE LEFT VENTRICULAR LEAD         $591.00
       4811109043 REVISION TRANSHEPATIC TUBE          $365.00
       4811109044 PACEMAKER INSERT FLUORO S&I         $234.00
       4811109045 VENOGRAPHY SINUS JUBULAR S&I      $2,160.00
       4811109046 LEAD EXTRACTION TRANSVENOUS       $3,266.00
       4811109047 CYSTOSTOMY TUBE CHANGE              $366.00
       4811109048 CYSTOGRAPHY S&I                     $222.00
       4811109049 BILIARY TRACT UNLISTED PROC         $440.00
       4811109050 THROMBOLYSIS OF VASC ACCESS         $464.00
       4811109051 THROMBECTOMY OF AV FISTULA        $5,273.00
       4811109052 DEFIB PADS EXTERNAL                 $131.00
       4811109053 DEFIBRILLATOR IMP ACTIVATR        $3,792.00
       4811109054 DEFIBRILLATOR IMP CABLE             $203.00
       4811109055 US GUIDANCE VASC ACCESS             $609.00
       4811109056 CENTRAL LINE SVC JUGULAR          $2,111.00
       4811109057 PICC LINE REPAIR                    $813.00
       4811109058 PICC REPLACEMENT SAME ACCESS      $2,111.00
       4811109059 FLUORO FOR VAD                      $199.00
       4811109060 DEFIBRILLATOR IMP LEAD           $11,869.00
       4811109061 DEFIBRILLATOR IMP LEAD           $12,285.00
       4811109062 DEFIBRILLATOR IMP LEAD           $12,314.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          181
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                       PRICING
       4811109063 DEFIBRILLATOR IMP LEAD      $12,559.00
       4811109064 DEFIBRILLATOR IMP LEAD      $16,895.00
       4811109065 DEFIBRILLATOR IMP LEAD      $17,713.00
       4811109066 DEFIBRILLATOR IMP LEAD      $18,530.00
       4811109067 DEFIBRILLATOR IMP LEAD       $4,386.00
       4811109068 DEFIBRILLATOR IMP LEAD      $24,460.00
       4811109069 DEFIBRILLATOR IMP SLEEVE       $155.00
       4811109070 DEFIBRILLATOR IMPLANT       $37,605.00
       4811109071 DEFIBRILLATOR IMPLANT       $41,420.00
       4811109072 DEFIBRILLATOR IMPLANT       $43,600.00
       4811109073 DEFIBRILLATOR IMPLANT       $42,510.00
       4811109074 DEFIBRILLATOR IMPLANT       $45,780.00
       4811109075 DEFIBRILLATOR IMPLANT       $44,690.00
       4811109076 DEFIBRILLATOR IMPLANT       $47,960.00
       4811109077 DEFIBRILLATOR IMPLANT       $46,870.00
       4811109078 DEFIBRILLATOR IMPLANT       $49,050.00
       4811109079 DEFIBRILLATOR IMPLANT       $52,320.00
       4811109080 DEFIBRILLATOR IMPLANT       $53,410.00
       4811109081 DEFIBRILLATOR IMPLANT       $56,680.00
       4811109082 DEFIBRILLATOR IMPLANT       $55,590.00
       4811109083 DEFIBRILLATOR IMPLANT       $58,860.00
       4811109084 DEFIBRILLATOR IMPLANT       $63,220.00
       4811109085 DEFIBRILLATOR IMPLANT       $65,400.00
       4811109086 DEFIBRILLATOR IMPLANT       $64,310.00
       4811109087 DEFIBRILLATOR IMPLANT       $73,030.00
       4811109089 DEFIBRILLATOR SERVICE KIT      $327.00
       4811109090 PACEMAKER LEAD              $10,090.00
       4811109091 PACEMAKER LEAD               $2,522.00
       4811109092 PACEMAKER LEAD ADAPTOR      $10,090.00
       4811109093 PACEMAKER LEAD EXTENDER      $1,283.00
       4811109094 PACEMAKER LEAD ADAPTOR      $11,869.00
       4811109095 PACEMAKER LEAD              $11,869.00
       4811109096 PACEMAKER PACING CABLE         $203.00
       4811109097 PACEMAKER PACING CABLE         $155.00
       4811109098 PACEMAKER LEAD CAP             $282.00
       4811109099 PACEMAKER LEAD REPAIR          $623.00
       4811109100 PACEMAKER GENERATOR         $12,285.00
       4811109101 PACEMAKER GENERATOR         $10,090.00
       4811109102 PACEMAKER GENERATOR         $17,713.00
       4811109103 PACEMAKER GENERATOR         $13,783.00
       4811109104 PACEMAKER GENERATOR         $12,314.00
       4811109105 PACEMAKER GENERATOR         $12,559.00
       4811109106 PACEMAKER GENERATOR         $16,895.00
       4811109107 PACEMAKER GENERATOR         $13,066.00
       4811109108 PACEMAKER GENERATOR         $14,217.00
       4811109109 PACEMAKER GENERATOR         $11,869.00
       4811109110 PACEMAKER LEAD TEMP          $1,283.00
       4811109111 PACEMAKER LEAD               $4,386.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                     182
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4811109112 PACEMAKER LEAD                    $3,792.00
       4811109113 PACEMAKER PACING CATH               $623.00
       4811109114 PACEMAKER PACING CATH             $1,283.00
       4811109115 PACEMAKER GENERATOR              $18,530.00
       4811109116 PACEMAKER LEAD                    $5,851.00
       4811109117 PACEMAKER LEAD ADAPTOR            $2,522.00
       4811109118 PACEMAKER PINCH-ON TOOL             $190.00
       4811109119 PACEMAKER LEAD STYLET               $282.00
       4811109120 PACEMAKER LEAD INTRODUCER           $501.00
       4811109121 GASTROSTOMY TUBE CHANGE             $388.00
       4811109122 REPLACE CVC SAME ACCESS           $1,937.00
       4811109123 PARACENTESIS                        $503.00
       4811109124 NASOGASRTIC TUBE INSERTION          $357.00
       4811109125 CATH EXCHANGE TPN FOLLOW UP       $1,959.00
       4811109126 ATHRECTOMY FEMORAL LFT            $5,905.00
       4811109127 ATHRECTOMY FEMORAL RT             $5,905.00
       4812000365 HEMACRON-ACT                        $135.00
       4812015000 BILIARY DRAINAGE SET                $739.00
       4812015001 RADI PRESSURE WIRE                $1,830.00
       4812015002 ANGIOSCOPE-DISPOSABLE             $3,953.00
       4812015003 DRAINAGE BAG-TC600                  $173.00
       4812015004 SUCTION DRAINAGE SYSTEM             $154.00
       4812015005 WALLSTENT ENDO PROSTHESIS         $5,770.00
       4812015006 CATHETER THERMODILUTION             $546.00
       4812015008 BALLOON-EXPANDABLE STENT          $4,309.00
       4812015009 TIPS KIT                          $1,481.00
       4812015010 BIOPSY NEEDLE                       $173.00
       4812015015 BIPOLAR PACING PROBE                $546.00
       4812015020 CATHETER PTA BALLOON              $1,682.00
       4812015030 CATHETER BALLOON-CORONARY         $4,489.00
       4812015040 CATHETER DILATING SYSTEM            $105.00
       4812015050 CATHETER DILATATION BALLOON       $4,309.00
       4812015060 CATHETER DRAINAGE KIT               $639.00
       4812015070 CATHETER PNEUMOTHORAX               $482.00
       4812015080 CATHETER SHEATH INTRODUCTION        $328.00
       4812015100 CATHETER SUMP DRAIN KIT-CINC        $639.00
       4812015110 CATHETER AORTIC FLUSHING            $225.00
       4812015120 CATHETER CORONARY SELECTIVE         $173.00
       4812015130 CATHETER COURNAND                   $244.00
       4812015140 CATHETER FLUSHING - PIGTAIL         $173.00
       4812015160 CATHETER PROCEDURE TRAY             $168.00
       4812015170 CATHETER SHEATH SET                 $173.00
       4812015180 CATHETER VISCERAL FLUSHING          $173.00
       4812015190 CATHETER VISCERAL SELECTIVE         $173.00
       4812015210 CATHETER INFUSION - PICC            $546.00
       4812015220 CATHETER V/C FILTER JUG/FEM IN    $2,693.00
       4812015230 GUIDING CATHETER                    $727.00
       4812015235 CATHETER GUIDE - ATHRECTOMY       $1,117.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          183
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4812015240 ACCESSORY KIT - PTCA                $254.00
       4812015250 GUIDEWIRE-HIGH-TORQUE               $328.00
       4812015255 GUIDEWIRE-TERUMO                    $338.00
       4812015260 CATHETER GUIDEWIRE                  $173.00
       4812015270 GUIDEWIRE PTCA HT/F EXCHANGE      $1,269.00
       4812015275 GUIDEWIRE INTRODUCER SET - LS       $203.00
       4812015280 GUIDEWIRE/PTCA                    $1,269.00
       4812015285 STENT WIRE ECHANGE                $1,009.00
       4812015290 KIT LEFT HEART DIAGNOSTIC           $338.00
       4812015300 KIT MONITORING                      $254.00
       4812015310 KIT RT & LT HEART DIAGNOSTIC        $420.00
       4812015320 NEPHROSTOMY SET                   $1,139.00
       4812015325 NEPHROSTOMY CONNECTING TUBE          $71.00
       4812015330 PRESSURE GAUGE                      $727.00
       4812015351 DISCOGRAPHY TRAY                    $405.00
       4812015370 VALVE ROTATING                      $254.00
       4812015380 VENA CAVA FILTER                  $5,770.00
       4812015390 ANGIO-PAK PROCEDURE TRAY            $420.00
       4812015400 STENT-NEPHRO COPE                   $639.00
       4812015405 STENT-URETERAL                      $816.00
       4812015410 NEEDLE-TRANSLUMBAR AORTIC           $244.00
       4812015420 CATHETER-BIL/RENAL STONE REMOV    $1,481.00
       4812015430 RETRIEVAL CATHETER                $1,009.00
       4812015440 CATHETER-COPE INTRO SYSTEM          $328.00
       4812015445 ANGIOSCALE CATHETER                 $623.00
       4812015450 CATHETER INFUSION - CORONARY      $1,481.00
       4812015460 KIT-CATHETER CUFF                    $96.00
       4812015465 CATHETER-TRACKER VASCULAR SYS     $2,724.00
       4812015470 GUIDEWIRE-REG EXCHANGE              $254.00
       4812015480 CATHETER-TRACKER HI-FLOW            $926.00
       4812015485 TEG BALLOON WIRE                  $2,724.00
       4812015486 BxVELOCITY WITH HEPACOAT          $9,181.00
       4812015487 ULTRASOUND CATHETER               $2,693.00
       4812015488 CORONARY STENT                    $8,345.00
       4812015489 CATHETER CORONARY ATHEROCATH      $8,345.00
       4812015490 ATHEROCATHETER-LG SIZES           $3,953.00
       4812015491 ATHEROCATHETER-SM VESSEL          $5,082.00
       4812015492 MOTOR DRIVE UNIT                    $727.00
       4812015493 NOSECONE FOR ATHEROCATH             $370.00
       4812015494 WIRE TIP GUARD                       $54.00
       4812015495 GASTROJEJUNOSTOMY SET             $1,614.00
       4812015496 IVT CUTTING BALLOON               $2,669.00
       4812015497 BETADELIVERYCATHETER 30MM 40MM    $9,914.00
       4812015500 VASCULAR SEALING DEVICE           $1,682.00
       4812015501 PERCLOSE ART CLOSURE DEVICE       $1,682.00
       4812015510 IMPLANT VENOUS PORT - PASSPORT    $1,769.00
       4812015511 LUMEND FRONTRUNNER CATHETER       $4,599.00
       4812015512 MICROPUNCTURE INTRO SET             $134.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          184
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4812015513 MICROPUNCTURE WITH SHEATH           $150.00
       4812015514 EMBOLIZATION COIL TRACKER           $268.00
       4812015515 EMBOLIZATION COIL PUSHER            $601.00
       4812015516 QUAD CATHETERS                      $479.00
       4812015517 DECAPOLAR CATHETER                $1,363.00
       4812015518 STEERABLE DECAPOLAR               $1,857.00
       4812015519 ABLATION CATHETER                 $2,687.00
       4812015520 TRANSEPTAL NEEDLE                   $759.00
       4812015521 SWARTZ SHEATH                       $547.00
       4812015522 QUAD CONNECTOR                      $284.00
       4812015523 DECA CONNECTOR                      $353.00
       4812015524 ABL CONNECTOR                       $600.00
       4812015525 DUO DECAPOLAR CATHETER            $3,272.00
       4812015526 PERCUSURGE DISTAL PROTECTION      $7,776.00
       4812015527 CYPHER DRUG ELUTING STENT        $12,285.00
       4812015528 HEMOSTASIS CLOSURE PAD              $501.00
       4812015529 MULTIPACK CATHETERS                 $374.00
       4812015530 TAXUS DRUG ELUTING STENT         $11,869.00
       4812015531 ANGIOJET THROMBECTOMY CATH        $7,134.00
       4812015532 ANGIOJET PUMP SET                 $1,177.00
       4812015533 BALLOON EXP PV STENT LONG         $7,134.00
       4812015534 COONS DILATOR                       $142.00
       4812015535 RENAL DILATOR SET                 $1,177.00
       4812015536 GI SUTURE ANCHOR SET                $460.00
       4812018255 PULSE OXIMETER PROBE                $174.00
       4812018775 NEPHROSTOMY-KIT-MTI               $1,682.00
       4812018776 DEFIBRILLATOR IMPLANT            $62,392.00
       4812018777 EP SPLIT SHEATH SET                 $282.00
       4812018778 TRIO FASTCATH SHEATH                $282.00
       4812109055 DEFIBRILLATOR IMP END CAP           $203.00
       4812109057 DEFIBRILLATOR IMP LEAD            $5,851.00
       4812109058 DEFIBRILLATOR IMP LEAD            $7,776.00
       4812109059 DEFIBRILLATOR IMP LEAD           $10,090.00
       4913000100 GESTATIONAL 30 MIN FOLLOW-UP         $69.00
       4913000101 DIABETES                            $170.00
       4913000102 INSULIN THERAPY 60 MIN              $170.00
       4913000103 GLUCOSE MONITORING METER            $170.00
       4913000105 GESTATIONAL DIABETES-60MIN          $170.00
       4913000107 FOOT CARE 60MIN                     $135.00
       4913000111 INSULIN INJECTION F/U 30MIN          $68.00
       4916000104 NUTR COUNS INDIVIDUAL- 60 MIN       $137.00
       4916000113 NUTR COUNS INDIVIDUAL- 30 MIN        $69.00
       4916000115 NUTR COUNS GRP/PREV- 30 MIN          $69.00
       4916000116 **MODIFIED DIET-DAILY                $33.00
       4916000118 LMTD NUTR CONSULT - NEW 20 MIN       $63.00
       4916000119 EXTD NUTR CONSULT- NEW 40 MIN       $118.00
       4916000120 COMPLX NUTR CONSULT- NEW 55MIN      $157.00
       4916000121 COMPLX NUTR CONSULT- NEW 80MIN      $182.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          185
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       4916000122 COMPLX NUTR CONSULT-NEW 110MIN      $252.00
       4916000123 BRIEF NUTR CONS- RE-EVAL 10MIN       $37.00
       4916000124 LMTD NUTR CONS- RE-EVAL 20MIN        $74.00
       4916000125 COMPLX NUTR CONS- RE-EVAL30MIN      $108.00
       4916000126 CONFIRM NUTR CONSULT- BRIEF          $32.00
       4916000127 CONFIRM NUTR CONSULT- LMTD           $59.00
       4916000128 CONFIRM NUTR CONSULT- EXTD          $116.00
       4916000129 CONFIRM NUTR CONSULT- COMPLEX       $228.00
       4916000130 CONFIRM NUTR CONSULT- COMPRE        $289.00
       4916000140 NUTRITION EDUCATION SUPPLIES          $8.00
       4916000141 NUTR COUNS GRP/SYMPTOM- 60MIN       $137.00
       4916000142 BRIEF NUTR CONS RE-EVAL- 10MIN       $36.00
       4916000143 LMTD NUTR CONS RE-EVAL- 15 MIN       $69.00
       4916000144 INTERM NUTR CONS RE-EVAL-25MIN      $101.00
       4916000145 COMPLX NUTR CONS RE-EVAL-40MIN      $137.00
       4916000146 LMTD NUTR CONSULT- NEW 20MIN         $69.00
       4916000147 EXTND NUTR CONSULT- NEW 30 MIN      $101.00
       4916000148 COMPLX NUTR CONSULT- NEW 40MIN      $137.00
       4916000149 COMPLX NUTR CONS-NEW/MOD 60MIN      $170.00
       4916000150 COMPLX NUTR CONS-NEW/HIGH 80MI      $238.00
       4916000151 NUTR COUNS INDIVIDUAL- 15 MIN        $36.00
       4916000153 NUTR COUNS INDIVIDUAL- 45 MIN       $101.00
       4916000156 NUTR COUNS GRP/PREV- 60 MIN         $137.00
       5111000100 COMPREHENSIVE EXAM INITIAL          $201.00
       5111000110 COMPREHENSIVE EXAM ESTABLISHED      $177.00
       5111000120 INTERMEDIATE EXAM INITIAL            $73.00
       5111000130 INTERMEDIATE EXAM ESTABLISHED        $53.00
       5111000140 LIMITED EXAM INITIAL                 $61.00
       5111000150 LIMITED EXAM ESTABLISHED             $43.00
       5111000160 BRIEF EXAM INITIAL                   $53.00
       5111000170 BRIEF EXAM ESTABLISHED               $32.00
       5111000180 SCHOOL PHYSICAL INITIAL              $73.00
       5111000190 SCHOOL PHYSICAL ESTABLISHED          $53.00
       5111000200 SPORTS PHYSICAL INITIAL              $73.00
       5111000210 SPORTS PHYSICAL ESTABLISHED          $73.00
       5111000220 WIC PHYSICAL INITIAL                 $61.00
       5111000230 WIC PHYSICAL ESTABLISHED             $53.00
       5111000240 WELL BABY INITIAL                    $56.00
       5111000250 WELL BABY ESTABLISHED                $43.00
       5111000260 AUDIOLOGY EXAM INITIAL               $56.00
       5111000270 AUDIOLOGY EXAM ESTABLISHED           $56.00
       5111000280 VISUAL ACUITY INITIAL                $26.00
       5111000290 VISUAL ACUITY ESTABLISHED            $19.00
       5111000360 VACCINATION (INJECTION)              $35.00
       5211000100 INITIAL VISIT EARLY < 16 WEEKS      $243.00
       5211000110 INITIAL VISIT >16 WEEKS             $243.00
       5211000120 ANTEPARTUM VISIT 1                   $82.00
       5211000130 ANTEPARTUM 10TH VISIT               $175.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          186
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5211000140 COMP ASSESS NUT PSYCH HLTH          $221.00
       5211000150 INIT NUTRITION ASSESS 30 MINS        $75.00
       5211000170 INDIV FU NUTRITION EA 15MIN          $38.00
       5211000180 GROUP FU NUTRITION EA 15MIN          $24.00
       5211000190 INIT PSYCHOSOC ASSESS 30MINS         $75.00
       5211000210 INDIV FU PSYCHOSOC EA 15MIN          $38.00
       5211000220 GRP FU PSYCHOSOC EA 15MIN            $24.00
       5211000230 INDIV CLIENT ORIENTATION 15MIN       $38.00
       5211000240 INIT HLTH ED ASSESS 30MIN            $75.00
       5211000260 INDIV FU HLTH ED EA 15 MIN           $38.00
       5211000270 GRP FU HLTH ED EA 15MIN              $24.00
       5211000280 INDIV PERINATAL ED EA 15 MIN         $38.00
       5211000290 GRP PERINATAL ED EA 15MIN            $24.00
       5211000300 POSTPARTUM VISIT                     $82.00
       5211000310 PPARTUM NUTRITION ASSESS 15MIN       $38.00
       5211000320 PPARTUM PSYCHOSOC 15MIN              $38.00
       5211000330 PPARTUM HEALTH ED 15MIN              $38.00
       5211000340 MANTOUX TESTING                      $17.00
       5211000350 PRENATAL VITAMINS                    $38.00
       5211000360 COLLECTION HANDLING BLD SPEC         $21.00
       5211000380 FASTING GLUCOSE                       $9.00
       5211000390 HEMOGLOBIN                            $9.00
       5211000410 ULTRASOUND FETAL                     $98.00
       5211000420 URINE PREGNANCY TEST                  $9.00
       5211000430 US FETAL MULTI GEST>3 MOS            $98.00
       5211000440 ULTRASOUND FETAL FOLLOW UP           $98.00
       5211000450 PREG TEST URINE                      $11.00
       5211000460 TREATMENT ROOM                       $53.00
       5211000480 GLUCOSE TOLERANCE TEST 1HR           $32.00
       5211000500 GLUCOSE TOLERANCE TEST 3HR           $32.00
       5211000520 ADD INITIAL ASSESS HEALTH ED         $32.00
       5211000540 ADD INITIAL ASSESS PSYCHOSOC         $32.00
       5211000550 ADD INITIAL ASSESS NUTRITION         $32.00
       5611000110 UNLISTED MRI PROCEDURE            $1,413.00
       5611000120 ABDOMEN                           $2,121.00
       5611000121 MR ANGIOGRAPHY ABDOMEN            $2,121.00
       5611000122 ABDOMEN W ADD SEQ                 $2,376.00
       5611000160 BRAIN/HEAD WO/CONTRAST            $2,345.00
       5611000161 MR ANGIOGRAPHY BRAIN W/WO         $3,101.00
       5611000162 BRAIN/HEAD W ADD SEQ              $2,591.00
       5611000163 MR PITUITARY W/O CONTRAST         $2,345.00
       5611000164 MR IAC W/O CONTRAST               $2,249.00
       5611000170 BRAIN/HEAD W/CONTRAST             $2,447.00
       5611000180 BRAIN/HEAD W/WO CONTRAST          $3,020.00
       5611000181 MR PITUITARY W/WO CONTRAST        $3,020.00
       5611000182 MR IAC W/WO CONTRAST              $3,020.00
       5611000185 MR ADDITIONAL SEQUENCE              $344.00
       5611000190 CARDIAC MRI MORPHOLOGY WO         $2,036.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          187
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5611000200 PELVIS (MRI) W/O                  $2,121.00
       5611000201 MR ANGIOGRAPHY PELVIS             $3,467.00
       5611000202 PELVIS W ADD SEQ                  $2,376.00
       5611000204 PELVIS W/CONTRAST                 $2,121.00
       5611000210 CHEST                             $2,345.00
       5611000211 MR ANGIOGRAPHY CHEST              $2,174.00
       5611000215 BREAST BILATERAL                  $2,264.00
       5611000220 BONE MARROW                       $2,036.00
       5611000239 LOWER EXTREMITY - LEFT W/O        $1,559.00
       5611000240 LOWER EXTREMITY                   $1,534.00
       5611000241 MR ANGIOGRAPHY LOWER EXTREMITY    $1,536.00
       5611000242 MR ANGIO LOWER EXTREMITY -LEFT    $1,536.00
       5611000243 LOWER EXTREMITY W ADD SEQ         $1,866.00
       5611000244 LOWER EXTREMITY W ADDL SEQ-LT     $1,866.00
       5611000245 LOWER EXTREMITY JOINT - LEFT      $1,528.00
       5611000246 LOWER EXTREMITY JOINT             $1,528.00
       5611000247 LOWER EXTREMITY JOINT WADD SEQ    $1,866.00
       5611000248 LOWER EXTREM JT W/ADD SEQ-LEFT    $1,866.00
       5611000250 LOWER EXTREMITY - RIGHT W/O       $1,559.00
       5611000251 MR ANGIO LOWER EXTREMITY-RIGHT    $1,536.00
       5611000253 LOWER EXTREMITY W ADD SEQ - RT    $1,866.00
       5611000255 LOWER EXTREMITY JOINT - RIGHT     $1,528.00
       5611000257 LOWER EXTREM JT WADD SEQ-RIGHT    $1,866.00
       5611000269 UPPER EXTREMITY - LEFT W/O        $1,559.00
       5611000270 UPPER EXTREMITY                   $1,534.00
       5611000271 MR ANGIO UPPER EXTREMITY          $1,536.00
       5611000272 MR ANGIO UPPER EXTREMITY -LEFT    $1,536.00
       5611000273 UPPER EXTREMITY W ADD SEQ         $1,866.00
       5611000274 UPPER EXTREMITY W ADD SEQ-LEFT    $1,866.00
       5611000275 UPPER EXTREMITY JOINT - LEFT      $1,528.00
       5611000276 UPPER EXTREMITY JOINT             $1,528.00
       5611000277 UPPER EXTREMITY JOINT WADD SEQ    $1,866.00
       5611000278 UPPER EXTREM JT W/ADD SEQ-LEFT    $1,866.00
       5611000280 UPPER EXTREMITY - RIGHT W/O       $1,559.00
       5611000285 MR ANGIO UPPER EXTREMITY-RIGHT    $1,536.00
       5611000286 UPPER EXTREMITY W ADD SEQ - RT    $1,866.00
       5611000287 UPPER EXTREMITY JOINT - RIGHT     $1,528.00
       5611000288 UPPER EXTREM JT WADD SEQ-RIGHT    $1,866.00
       5611000330 ORBIT/FACE/NECK                   $2,121.00
       5611000331 ORBIT/FACE/NECK W ADD SEQ         $2,376.00
       5611000335 MR ANGIOGRAPHY NECK W/WO          $3,101.00
       5611000340 CERVICAL SPINE WO/CONTRAST        $2,547.00
       5611000341 CERVICAL SPINE W ADD SEQ          $2,786.00
       5611000350 CERVICAL SPINE W/CONTRAST         $2,482.00
       5611000360 CERVICAL SPINE W/WO CONTRAST      $3,019.00
       5611000370 LUMBAR SPINE                      $2,023.00
       5611000371 MR ANGIOGRAPHY SPINE              $2,243.00
       5611000372 LUMBAR SPINE W ADD SEQ            $2,777.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          188
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5611000390 LUMBAR SPINE W/CONTRAST           $2,437.00
       5611000395 LUMBAR SPINE W/WO CONTRAST        $3,020.00
       5611000400 THORACIC SPINE                    $2,538.00
       5611000401 THORACIC SPINE W ADD SEQ          $2,777.00
       5611000410 THORACIC SPINE W/CONTRAST         $2,482.00
       5611000420 THORACIC SPINE W/WO CONTRAST      $3,019.00
       5611000450 TEMPOROMANDIBULAR JOINT           $2,036.00
       5611000451 TEMPOROMANDIBULAR JOINT BILAT     $2,390.00
       5611000452 TEMPOROMANDIBULAR JOINT -RIGHT    $2,036.00
       5611000453 TEMPOROMANDIBULAR JOINT - LEFT    $2,036.00
       5611000500 ANESTHESIA FOR CT/MRI IMAGING       $192.00
       5611000501 PULSE OXIMETRY                       $51.00
       5611000502 IV INF/INJ FOR DIAGNOSTIC EXAM       $51.00
       5611000503 CARDIAC MONITORING                   $51.00
       5611000600 ANGIO HEAD W/CONTRAST             $2,174.00
       5611000602 ANGIOGRAPHY NECK W/CONTRAST       $2,174.00
       5611000605 ANGIOGRAPHY ABDOMEN W/CONTRAST    $2,174.00
       5611000606 ABDOMEN W/WO CONTRAST             $3,467.00
       5611000607 ANGIOGRAPHY CHEST W/CONTRAST      $2,174.00
       5611000609 CHEST W/CONTRAST                  $2,249.00
       5611000610 CHEST W/WO CONTRAST               $3,446.00
       5611000611 UPPER EXTREMITY JT LEFT W/CON     $1,869.00
       5611000612 UPPER EXTREMITY JT RIGHT W/CON    $1,869.00
       5611000613 UPPER EXTREMITY LEFT W/WO         $1,534.00
       5611000614 UPPER EXTREMITY RIGHT W/WO        $1,534.00
       5611000615 UPPER EXTREMITY RIGHT W/CON       $1,879.00
       5611000616 UPPER EXTREMITY LEFT W/CON        $1,879.00
       5611000617 UPPER EXTREMITY JT LEFT W/WO      $3,460.00
       5611000618 UPPER EXTREMITY JT RIGHT W/WO     $3,460.00
       5611000621 LOWER EXTREMITY LEFT W/CON        $1,869.00
       5611000622 LOWER EXTREMITY RIGHT W/CON       $1,869.00
       5611000623 LOWER EXTREMITY RIGHT W/WO        $1,534.00
       5611000624 LOWER EXTREMITY LEFT W/WO         $1,534.00
       5611000625 LOWER EXTREMITY JT LEFT W/CON     $1,869.00
       5611000626 LOWER EXTREMITY JT RIGHT W/CON    $1,869.00
       5611000627 LOWER EXTREMITY JT RIGHT W/WO     $3,460.00
       5611000628 LOWER EXTREMITY JT LEFT W/WO      $3,460.00
       5611000640 MR ANGIO HEAD W/O CONTRAST        $2,174.00
       5611000650 MR ANGIO NECK W/O CONTRAST        $2,264.00
       5611000651 MRA ANGIOGRAPHY HEAD/BRAIN W/O    $2,264.00
       5611000670 ORBIT/FACE/NECK W/WO CONTRAST     $3,460.00
       5611000900 PELVIS W/WO CONTRAST              $3,467.00
       5611000910 BRAIN VENOGRAPHY WITHOUT CON      $2,264.00
       5611008000 OPTIMARK                            $888.00
       5611008001 MAGNEVIST 20 ML VIAL                $888.00
       5613000110 UNLISTED MRI PROCEDURE            $1,413.00
       5613000120 ABDOMEN                           $2,121.00
       5613000121 MR ANGIOGRAPHY ABDOMEN            $2,121.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          189
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5613000122 ABDOMEN W ADD SEQ                 $2,376.00
       5613000160 BRAIN/HEAD WO/CONTRAST            $2,345.00
       5613000161 MR ANGIOGRAPHY BRAIN W/WO         $3,101.00
       5613000162 BRAIN/HEAD W ADD SEQ              $2,591.00
       5613000163 MR PITUITARY W/O CONTRAST         $2,345.00
       5613000164 MR IAC W/O CONTRAST               $2,249.00
       5613000170 BRAIN/HEAD W/CONTRAST             $2,447.00
       5613000180 BRAIN/HEAD W/WO CONTRAST          $3,020.00
       5613000181 MR PITUITARY W/WO CONTRAST        $3,020.00
       5613000182 MR IAC W/WO CONTRAST              $3,020.00
       5613000185 MR ADDITIONAL SEQUENCE              $344.00
       5613000190 CARDIAC MRI MORPHOLOGY WO         $2,036.00
       5613000200 PELVIS (MRI) W/O                  $2,121.00
       5613000201 MR ANGIOGRAPHY PELVIS             $3,467.00
       5613000202 PELVIS W ADD SEQ                  $2,376.00
       5613000204 PELVIS W/CONTRAST                 $2,121.00
       5613000210 CHEST                             $2,345.00
       5613000211 MR ANGIOGRAPHY CHEST              $2,174.00
       5613000215 BREAST BILATERAL                  $2,264.00
       5613000220 BONE MARROW                       $2,036.00
       5613000239 LOWER EXTREMITY - LEFT W/O        $1,559.00
       5613000240 LOWER EXTREMITY                   $1,534.00
       5613000241 MR ANGIOGRAPHY LOWER EXTREMITY    $1,536.00
       5613000242 MR ANGIO LOWER EXTREMITY -LEFT    $1,536.00
       5613000243 LOWER EXTREMITY W ADD SEQ         $1,866.00
       5613000244 LOWER EXTREMITY W ADDL SEQ-LT     $1,866.00
       5613000245 LOWER EXTREMITY JOINT - LEFT      $1,528.00
       5613000246 LOWER EXTREMITY JOINT             $1,528.00
       5613000247 LOWER EXTREMITY JOINT WADD SEQ    $1,866.00
       5613000248 LOWER EXTREM JT W/ADD SEQ-LEFT    $1,866.00
       5613000250 LOWER EXTREMITY - RIGHT W/O       $1,559.00
       5613000251 MR ANGIO LOWER EXTREMITY-RIGHT    $1,536.00
       5613000253 LOWER EXTREMITY W ADD SEQ - RT    $1,866.00
       5613000255 LOWER EXTREMITY JOINT - RIGHT     $1,528.00
       5613000257 LOWER EXTREM JT WADD SEQ-RIGHT    $1,866.00
       5613000269 UPPER EXTREMITY - LEFT W/O        $1,559.00
       5613000270 UPPER EXTREMITY                   $1,534.00
       5613000271 MR ANGIO UPPER EXTREMITY          $1,536.00
       5613000272 MR ANGIO UPPER EXTREMITY -LEFT    $1,536.00
       5613000273 UPPER EXTREMITY W ADD SEQ         $1,866.00
       5613000274 UPPER EXTREMITY W ADD SEQ-LEFT    $1,866.00
       5613000275 UPPER EXTREMITY JOINT - LEFT      $1,528.00
       5613000276 UPPER EXTREMITY JOINT             $1,528.00
       5613000277 UPPER EXTREMITY JOINT WADD SEQ    $1,866.00
       5613000278 UPPER EXTREM JT W/ADD SEQ-LEFT    $1,866.00
       5613000280 UPPER EXTREMITY - RIGHT W/O       $1,559.00
       5613000285 MR ANGIO UPPER EXTREMITY-RIGHT    $1,536.00
       5613000286 UPPER EXTREMITY W ADD SEQ - RT    $1,866.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          190
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5613000287 UPPER EXTREMITY JOINT - RIGHT     $1,528.00
       5613000288 UPPER EXTREM JT WADD SEQ-RIGHT    $1,866.00
       5613000330 ORBIT/FACE/NECK                   $2,121.00
       5613000331 ORBIT/FACE/NECK W ADD SEQ         $2,376.00
       5613000335 MR ANGIOGRAPHY NECK W/WO          $3,101.00
       5613000340 CERVICAL SPINE WO/CONTRAST        $2,547.00
       5613000341 CERVICAL SPINE W ADD SEQ          $2,786.00
       5613000350 CERVICAL SPINE W/CONTRAST         $2,482.00
       5613000360 CERVICAL SPINE W/WO CONTRAST      $3,019.00
       5613000370 LUMBAR SPINE                      $2,023.00
       5613000371 MR ANGIOGRAPHY SPINE              $2,243.00
       5613000372 LUMBAR SPINE W ADD SEQ            $2,777.00
       5613000390 LUMBAR SPINE W/CONTRAST           $2,437.00
       5613000395 LUMBAR SPINE W/WO CONTRAST        $3,020.00
       5613000400 THORACIC SPINE                    $2,538.00
       5613000401 THORACIC SPINE W ADD SEQ          $2,777.00
       5613000410 THORACIC SPINE W/CONTRAST         $2,482.00
       5613000420 THORACIC SPINE W/WO CONTRAST      $3,019.00
       5613000450 TEMPOROMANDIBULAR JOINT           $2,036.00
       5613000451 TEMPOROMANDIBULAR JOINT BILAT     $2,390.00
       5613000452 TEMPOROMANDIBULAR JOINT -RIGHT    $2,036.00
       5613000453 TEMPOROMANDIBULAR JOINT - LEFT    $2,036.00
       5613000500 ANESTHESIA FOR CT/MRI IMAGING       $192.00
       5613000501 PULSE OXIMETRY                       $51.00
       5613000502 IV INF/INJ FOR DIAGNOSTIC EXAM       $51.00
       5613000503 CARDIAC MONITORING                   $51.00
       5613000600 ANGIO HEAD W/CONTRAST             $2,174.00
       5613000602 ANGIOGRAPHY NECK W/CONTRAST       $2,174.00
       5613000605 ANGIOGRAPHY ABDOMEN W/CONTRAST    $2,174.00
       5613000606 ABDOMEN W/WO CONTRAST             $3,467.00
       5613000607 ANGIOGRAPHY CHEST W/CONTRAST      $2,174.00
       5613000609 CHEST W/CONTRAST                  $2,249.00
       5613000610 CHEST W/WO CONTRAST               $3,446.00
       5613000611 UPPER EXTREMITY JT LEFT W/CON     $1,869.00
       5613000612 UPPER EXTREMITY JT RIGHT W/CON    $1,869.00
       5613000613 UPPER EXTREMITY LEFT W/WO         $1,534.00
       5613000614 UPPER EXTREMITY RIGHT W/WO        $1,534.00
       5613000615 UPPER EXTREMITY RIGHT W/CON       $1,879.00
       5613000616 UPPER EXTREMITY LEFT W/CON        $1,879.00
       5613000617 UPPER EXTREMITY JT LEFT W/WO      $3,460.00
       5613000618 UPPER EXTREMITY JT RIGHT W/WO     $3,460.00
       5613000621 LOWER EXTREMITY LEFT W/CON        $1,869.00
       5613000622 LOWER EXTREMITY RIGHT W/CON       $1,869.00
       5613000623 LOWER EXTREMITY RIGHT W/WO        $1,534.00
       5613000624 LOWER EXTREMITY LEFT W/WO         $1,534.00
       5613000625 LOWER EXTREMITY JT LEFT W/CON     $1,869.00
       5613000626 LOWER EXTREMITY JT RIGHT W/CON    $1,869.00
       5613000627 LOWER EXTREMITY JT RIGHT W/WO     $3,460.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          191
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5613000628 LOWER EXTREMITY JT LEFT W/WO      $3,460.00
       5613000640 MR ANGIO HEAD W/O CONTRAST        $2,174.00
       5613000650 MR ANGIO NECK W/O CONTRAST        $2,264.00
       5613000651 MRA ANGIOGRAPHY HEAD/BRAIN W/O    $2,264.00
       5613000670 ORBIT/FACE/NECK W/WO CONTRAST     $3,460.00
       5613000900 PELVIS W/WO CONTRAST              $3,467.00
       5613008000 OPTIMARK                            $888.00
       5613008001 MAGNEVIST 20 ML VIAL                $888.00
       5615000110 UNLISTED MRI PROCEDURE            $1,413.00
       5615000120 ABDOMEN                           $2,121.00
       5615000121 MR ANGIOGRAPHY ABDOMEN            $2,121.00
       5615000122 ABDOMEN W ADD SEQ                 $2,376.00
       5615000160 BRAIN/HEAD WO/CONTRAST            $2,345.00
       5615000161 MR ANGIOGRAPHY BRAIN W/WO         $3,101.00
       5615000162 BRAIN/HEAD W ADD SEQ              $2,591.00
       5615000163 MR PITUITARY W/O CONTRAST         $2,345.00
       5615000164 MR IAC W/O CONTRAST               $2,249.00
       5615000170 BRAIN/HEAD W/CONTRAST             $2,447.00
       5615000180 BRAIN/HEAD W/WO CONTRAST          $3,020.00
       5615000181 MR PITUITARY W/WO CONTRAST        $3,020.00
       5615000182 MR IAC W/WO CONTRAST              $3,020.00
       5615000185 MR ADDITIONAL SEQUENCE              $344.00
       5615000190 CARDIAC MRI MORPHOLOGY WO         $2,036.00
       5615000200 PELVIS (MRI) W/O                  $2,121.00
       5615000201 MR ANGIOGRAPHY PELVIS             $3,467.00
       5615000202 PELVIS W ADD SEQ                  $2,376.00
       5615000204 PELVIS W/CONTRAST                 $2,121.00
       5615000210 CHEST                             $2,345.00
       5615000211 MR ANGIOGRAPHY CHEST              $2,174.00
       5615000215 BREAST BILATERAL                  $2,264.00
       5615000220 BONE MARROW                       $2,036.00
       5615000239 LOWER EXTREMITY - LEFT W/O        $1,559.00
       5615000240 LOWER EXTREMITY                   $1,534.00
       5615000241 MR ANGIOGRAPHY LOWER EXTREMITY    $1,536.00
       5615000242 MR ANGIO LOWER EXTREMITY -LEFT    $1,536.00
       5615000243 LOWER EXTREMITY W ADD SEQ         $1,866.00
       5615000244 LOWER EXTREMITY W ADDL SEQ-LT     $1,866.00
       5615000245 LOWER EXTREMITY JOINT - LEFT      $1,528.00
       5615000246 LOWER EXTREMITY JOINT             $1,528.00
       5615000247 LOWER EXTREMITY JOINT WADD SEQ    $1,866.00
       5615000248 LOWER EXTREM JT W/ADD SEQ-LEFT    $1,866.00
       5615000250 LOWER EXTREMITY - RIGHT W/O       $1,559.00
       5615000251 MR ANGIO LOWER EXTREMITY-RIGHT    $1,536.00
       5615000253 LOWER EXTREMITY W ADD SEQ - RT    $1,866.00
       5615000255 LOWER EXTREMITY JOINT - RIGHT     $1,528.00
       5615000257 LOWER EXTREM JT WADD SEQ-RIGHT    $1,866.00
       5615000269 UPPER EXTREMITY - LEFT W/O        $1,559.00
       5615000270 UPPER EXTREMITY                   $1,534.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          192
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5615000271 MR ANGIO UPPER EXTREMITY          $1,536.00
       5615000272 MR ANGIO UPPER EXTREMITY -LEFT    $1,536.00
       5615000273 UPPER EXTREMITY W ADD SEQ         $1,866.00
       5615000274 UPPER EXTREMITY W ADD SEQ-LEFT    $1,866.00
       5615000275 UPPER EXTREMITY JOINT - LEFT      $1,528.00
       5615000276 UPPER EXTREMITY JOINT             $1,528.00
       5615000277 UPPER EXTREMITY JOINT WADD SEQ    $1,866.00
       5615000278 UPPER EXTREM JT W/ADD SEQ-LEFT    $1,866.00
       5615000280 UPPER EXTREMITY - RIGHT W/O       $1,559.00
       5615000285 MR ANGIO UPPER EXTREMITY-RIGHT    $1,536.00
       5615000286 UPPER EXTREMITY W ADD SEQ - RT    $1,866.00
       5615000287 UPPER EXTREMITY JOINT - RIGHT     $1,528.00
       5615000288 UPPER EXTREM JT WADD SEQ-RIGHT    $1,866.00
       5615000330 ORBIT/FACE/NECK                   $2,121.00
       5615000331 ORBIT/FACE/NECK W ADD SEQ         $2,376.00
       5615000335 MR ANGIOGRAPHY NECK W/WO          $3,101.00
       5615000340 CERVICAL SPINE WO/CONTRAST        $2,547.00
       5615000341 CERVICAL SPINE W ADD SEQ          $2,786.00
       5615000350 CERVICAL SPINE W/CONTRAST         $2,482.00
       5615000360 CERVICAL SPINE W/WO CONTRAST      $3,019.00
       5615000370 LUMBAR SPINE                      $2,023.00
       5615000371 MR ANGIOGRAPHY SPINE              $2,243.00
       5615000372 LUMBAR SPINE W ADD SEQ            $2,777.00
       5615000390 LUMBAR SPINE W/CONTRAST           $2,437.00
       5615000395 LUMBAR SPINE W/WO CONTRAST        $3,020.00
       5615000400 THORACIC SPINE                    $2,538.00
       5615000401 THORACIC SPINE W ADD SEQ          $2,777.00
       5615000410 THORACIC SPINE W/CONTRAST         $2,482.00
       5615000420 THORACIC SPINE W/WO CONTRAST      $3,019.00
       5615000450 TEMPOROMANDIBULAR JOINT           $2,036.00
       5615000451 TEMPOROMANDIBULAR JOINT BILAT     $2,390.00
       5615000452 TEMPOROMANDIBULAR JOINT -RIGHT    $2,036.00
       5615000453 TEMPOROMANDIBULAR JOINT - LEFT    $2,036.00
       5615000500 ANESTHESIA FOR CT/MRI IMAGING       $192.00
       5615000501 PULSE OXIMETRY                       $51.00
       5615000502 IV INF/INJ FOR DIAGNOSTIC EXAM       $51.00
       5615000503 CARDIAC MONITORING                   $51.00
       5615000600 ANGIO HEAD W/CONTRAST             $2,174.00
       5615000602 ANGIOGRAPHY NECK W/CONTRAST       $2,174.00
       5615000605 ANGIOGRAPHY ABDOMEN W/CONTRAST    $2,174.00
       5615000606 ABDOMEN W/WO CONTRAST             $3,467.00
       5615000607 ANGIOGRAPHY CHEST W/CONTRAST      $2,174.00
       5615000609 CHEST W/CONTRAST                  $2,249.00
       5615000610 CHEST W/WO CONTRAST               $3,446.00
       5615000611 UPPER EXTREMITY JT LEFT W/CON     $1,869.00
       5615000612 UPPER EXTREMITY JT RIGHT W/CON    $1,869.00
       5615000613 UPPER EXTREMITY LEFT W/WO         $1,534.00
       5615000614 UPPER EXTREMITY RIGHT W/WO        $1,534.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          193
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       5615000615 UPPER EXTREMITY RIGHT W/CON       $1,879.00
       5615000616 UPPER EXTREMITY LEFT W/CON        $1,879.00
       5615000617 UPPER EXTREMITY JT LEFT W/WO      $3,460.00
       5615000618 UPPER EXTREMITY JT RIGHT W/WO     $3,460.00
       5615000621 LOWER EXTREMITY LEFT W/CON        $1,869.00
       5615000622 LOWER EXTREMITY RIGHT W/CON       $1,869.00
       5615000623 LOWER EXTREMITY RIGHT W/WO        $1,534.00
       5615000624 LOWER EXTREMITY LEFT W/WO         $1,534.00
       5615000625 LOWER EXTREMITY JT LEFT W/CON     $1,869.00
       5615000626 LOWER EXTREMITY JT RIGHT W/CON    $1,869.00
       5615000627 LOWER EXTREMITY JT RIGHT W/WO     $3,460.00
       5615000628 LOWER EXTREMITY JT LEFT W/WO      $3,460.00
       5615000640 MR ANGIO HEAD W/O CONTRAST        $2,174.00
       5615000650 MR ANGIO NECK W/O CONTRAST        $2,264.00
       5615000651 MRA ANGIOGRAPHY HEAD/BRAIN W/O    $2,264.00
       5615000670 ORBIT/FACE/NECK W/WO CONTRAST     $3,460.00
       5615000900 PELVIS W/WO CONTRAST              $3,467.00
       5615008000 OPTIMARK                            $888.00
       5615008001 MAGNEVIST 20 ML VIAL                $888.00
       6011000300 CHEST 1 VIEW                        $179.00
       6011000308 CHEST W APICAL LORDOTIC             $277.00
       6011000310 CHEST W OBLIQUES                    $299.00
       6011000320 CHEST TWO VIEWS AP/PA & LAT         $252.00
       6012042011 VENIPUNCTURE                         $37.00
       6013000110 EKG 12 LEAD COMPLETE                $324.00
       6013000111 EKG TECH ONLY                       $259.00
       7113001444 SELECTIVE DEBRIDEMENT < 20CM        $245.00
       7113001455 SELECTIVE DEBRIDEMENT >= 20CM       $300.00
       7113001466 NEGATIVE PRESSURE THER 50CM         $325.00
       7113001477 NEGATIVE PRESSURE THER >= 50CM      $375.00
       7113010010 BIOFEEDBACK                          $49.00
       7113010012 PT EVAL                             $218.00
       7113010013 PHYS MODALITY HOTORCOLD PACK         $36.00
       7113010014 TRACTION MEDHANICAL                  $49.00
       7113010016 VASOPNEUMATIC COMPRESSION            $49.00
       7113010018 WHIRLPOOL                            $62.00
       7113010028 GAIT TRAINING                        $49.00
       7113010040 REASSESSMENT                        $136.00
       7113010044 CONTRAST BATH                        $66.00
       7113010045 ULTRASOUND                           $49.00
       7113010046 PROCEDURE UNLISTED                   $49.00
       7113010051 ADVANCED ERGONOMICS TEST             $38.00
       7113010052 POOL THERAPY                         $57.00
       7113010055 MANUAL THERAPY                       $49.00
       7113010056 MANUAL THERAPY EA ADD'L AREA         $49.00
       7113010063 ADL SELF CARE SKILLS                 $49.00
       7113010065 WORK HARDENING COND INIT 2 HR       $193.00
       7113010066 WORK HARDENING COND ADDL HOURS       $98.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          194
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7113010073 GROUP TREATMENT                      $32.00
       7113010079 STANDARDIZED TEST OF PHYS PERF       $60.00
       7113010086 UNLISTED PHY MED/REHAB SER           $52.00
       7113010115 ELECTRICAL STIM UNATTENDED           $59.00
       7113010117 PARAFFIN BATH                        $39.00
       7113010119 MODALITY UNLISTED                    $64.00
       7113010121 EVALUATION ESTAB EXTENDED           $218.00
       7113010122 EVAL NEW EXTENDED                   $314.00
       7113010124 THERAPEUTIC EXERCISES                $49.00
       7113010125 NEUROMUSCULAR REEDUCATION            $49.00
       7113010127 FUNCTIONAL ACTIVITIES                $49.00
       7113010131 ELEC STIM MANUAL                     $59.00
       7113010132 IONTOPHORESIS                        $77.00
       7113010133 TRACTION MANUAL                      $49.00
       7113010134 MASSAGE                              $49.00
       7113010147 PHY MED PROC ONE AREA ADD'L 15       $49.00
       7113010153 POOL ADDL 15 MIN                     $56.00
       7113010157 ORTHOTIC TRAIN FIT                   $49.00
       7113010158 ORTHOTIC TRAINING ADD 15 MIN         $49.00
       7113010159 PROSTHETIC TRAINING                  $49.00
       7113010160 PROTHETIC TRAINING ADD 15 MIN        $49.00
       7113010161 THERAPEUTIC ACTIVITIES               $49.00
       7113010162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       7113010164 ADL ADDITIONAL 15 MIN                $49.00
       7113010167 SOFT TISSUE MOBILIZATION             $49.00
       7113010168 INDIVIDUAL INSTRUCTION               $49.00
       7113010169 ORTHOTIC FABRICATION                 $49.00
       7113010170 JOINT MOBILIZATION                   $49.00
       7113010171 TAPING THERAPEUTIC                   $56.00
       7113010174 GROUP TREATMENT ADDL 15              $32.00
       7113010176 WORK TOLERANCE TESTING              $472.00
       7113010178 JOB SITE ASSESSMENT                 $343.00
       7113010180 STND TEST OF PHYS PERF ADDL 15       $60.00
       7113010181 VISIT ORTHOTIC CHECKOUT              $60.00
       7113010182 VISIT ORTHOTIC CHECK ADDL 15         $56.00
       7113010183 EXTREMITY TESTING                   $124.00
       7113010184 EXTREMITY TESTING ADDL 15            $57.00
       7113010185 COMPUTERIZED TEST                    $66.00
       7113010187 EVAL NEW BRIEF                      $105.00
       7113010188 EVAL NEW LIMITED                    $157.00
       7113010189 EVAL NEW INTERMEDIATE               $276.00
       7113010190 EVAL NEW COMPREHENSIVE              $419.00
       7113010191 EVALUATION ESTAB LIMITED            $105.00
       7113010192 EVAL ESTAB INTERMEDIATE             $157.00
       7113010193 EVAL ESTABLISH COMPREHENSIVE        $314.00
       7113010277 FUNCTIONAL CAPICTITY MEASURE         $30.00
       7113010377 FUNCTIONAL CAPACITY MEASURE          $30.00
       7113010800 EVALUATION                          $218.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          195
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7113010802 CPM INITIAL SETUP                    $49.00
       7113010807 PRE EMPLOYMENT SCREEN                $38.00
       7113010820 COMPRESSION GARMENT MEASURE          $49.00
       7113010835 DEVELOPMENTAL THERAPY                $49.00
       7113011124 THERAPEUTIC EXERCISES                $98.00
       7113011125 NEUROMUSCULAR REEDUCATION            $98.00
       7113011127 FUNCTIONAL ACTIVITIES                $98.00
       7113011128 GAIT TRAINING                        $98.00
       7113011131 ELEC STIM MANUAL                    $124.00
       7113011132 IONTOPHORESIS                       $155.00
       7113011133 TRACTION MANUAL                      $98.00
       7113011134 MASSAGE                              $98.00
       7113011145 ULTRASOUND                           $98.00
       7113011146 PROCEDURE UNLISTED                  $129.00
       7113011148 HUBBARD TANK                        $170.00
       7113011152 POOL THERAPY                        $111.00
       7113011157 ORTHOTIC TRAIN/FIT                   $98.00
       7113011159 PROSTHETIC TRAINING                  $98.00
       7113011161 THERAPEUTIC ACTIVITIES               $98.00
       7113011163 ADL SELF CARE SKILLS                 $98.00
       7113011165 MANUAL THERAPY                       $98.00
       7113011167 SOFT TISSUE MOBILIZATION             $98.00
       7113011168 INDIVIDUAL INSTRUCTION               $98.00
       7113011170 JOINT MOBILIZATION                   $98.00
       7113011173 GROUP THERAPY                        $63.00
       7113011179 STANDARIZED TEST PHYS PERF          $120.00
       7113011181 VISIT ORTHOTIC CHECKOUT             $120.00
       7113020199 DEBRIDEMENT NON SELECTING           $209.00
       7113030301 PRELIMINARY EVALUATION              $218.00
       7113434343 EXTREMITY TESTING WORKERS COMP      $119.00
       7113999901 ELECTRODES                           $23.00
       7113999903 EXERCISE BAND                        $10.00
       7113999904 PUTTY                                $17.00
       7113999905 CPM PADS                             $49.00
       7113999907 TUBIFAST GREEN                       $16.00
       7113999908 TUBIGRIP FULL LEG                    $40.00
       7113999909 SETOPRESS                            $29.00
       7113999910 BANDNET SIZES 6 & 7 & 8              $14.00
       7113999911 BANDNET SIZES 4 & 5                  $10.00
       7113999912 BANDNET SIZES 2 & 3                   $5.00
       7113999913 STOCKINETTE                           $4.00
       7113999914 FOOT ORTHOTIC COMPONENTS              $7.00
       7113999915 LEG LOOPS/LADDERS                    $23.00
       7113999921 LUMBAR SUPPORTS                      $31.00
       7113999923 PRE FAB WRIST SPLINT                $177.00
       7113999924 PRE FAB THUMB SPLINT                 $46.00
       7113999925 PULSEVAC UNIT                        $95.00
       7113999926 SPLINT SUPPLY                         $4.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          196
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7113999928 PRE FAB WRIST SUPPORTS ECONOMY       $27.00
       7113999929 PRE FAB WRIST SUPPORT LUXURY         $46.00
       7113999930 FABRICATED WRIST SPLINT              $86.00
       7113999931 FABRICATED THUMB/FINGER SPLINT       $58.00
       7113999932 DYCEM                                 $8.00
       7113999934 COBAN                                 $8.00
       7115013205 EDEMA GLOVE                          $46.00
       7115016110 JAR LID OPENER                       $26.00
       7115016138 MASSAGE TOOL                         $11.00
       7115016170 PUTTY                                $17.00
       7115016270 SPLINT FINGER SINGLE                 $87.00
       7115016280 FABRICATED HAND SPLINT              $210.00
       7115016290 FABRICATED WRIST SPLINT             $177.00
       7115016330 HAND EXERCISER--RUBBER BAND          $28.00
       7115016360 AIRSPLINT                            $71.00
       7115016430 WRIST SUPPORT                        $46.00
       7115016470 MINI VIBRATOR                        $46.00
       7115016507 GLOVE FINGER FLEXION                 $46.00
       7115016523 WRIST SUPPORT ECONOMY                $27.00
       7115100177 FUNCTIONAL CAPACITY MEASURE          $30.00
       7115100377 FUNCTIONAL CAPACITY MEASURE          $30.00
       7115310015 ELECTRICAL STIM UNATTENDED           $59.00
       7115310024 THERAPEUTIC EXERCISES                $49.00
       7115310040 REASSESSMENT                        $136.00
       7115310061 THERAPEUTIC KINETIC ACTIVITIES       $49.00
       7115310078 JOB SITE ASSESSMENT                 $343.00
       7115310079 STANDARDIZED TEST OF PHYS PERF       $60.00
       7115310117 PARAFFIN BATH                        $39.00
       7115310132 IONTOPHORESIS                        $77.00
       7115310134 MASSAGE                              $49.00
       7115310144 CONTRAST BATH                        $66.00
       7115310145 ULTRASOUND                           $49.00
       7115310146 PROCEDURE UNLISTED                   $49.00
       7115310147 PHYS MED ONE AREA ADD'L 15 MIN       $49.00
       7115310158 ORTHOTIC TRAINING ADDL 15            $40.00
       7115310159 PROSTHETIC TRAIN FIT                 $50.00
       7115310160 PROSTHETIC TRAINING ADDL 15          $44.00
       7115310162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       7115310163 ADL SELF CARE HOME MANAGEMENT        $49.00
       7115310164 ADL ADDL 15 MIN                      $49.00
       7115310165 WORK HARDENING INITIAL 2 HOURS      $193.00
       7115310166 WORK HARDENING ADDL HOUR             $98.00
       7115310167 SOFT TISSUE MOBILIZATION             $49.00
       7115310173 GROUP TREATMENT                      $32.00
       7115310174 GROUP EXERCISES ADDL 15              $32.00
       7115310176 WORK TOLERANCE TESTING              $472.00
       7115310180 STND TEST OF PHY PERF ADDL 15        $60.00
       7115310181 VISIT ORTHOTIC CHECK OUT             $60.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          197
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7115310182 VISIT ORTHOTIC CHECK OUT ADD15       $60.00
       7115310183 EXTREMITY TESTING                   $119.00
       7115310184 EXTREMITY TESTING ADDL 15            $56.00
       7115310186 UNLISTED PHYS MED REHAB SERVIC       $52.00
       7115310189 PRELIMINARY EVALUATION              $218.00
       7115310190 ULTRA SOUND WORKERS COMP             $98.00
       7115310192 VISION SCREENING                     $97.00
       7115311124 THERAPEUTIC EXERCISES                $98.00
       7115311125 NEUROMUSCULAR REEDUCATION            $98.00
       7115311127 FUNCTIONAL ACTIVITIES                $98.00
       7115311132 IONTOPHORESIS                       $155.00
       7115311134 MASSAGE                              $98.00
       7115311146 PROCEDURE UNLISTED                   $98.00
       7115311159 PROSTHETIC TRAIN/FIT                 $98.00
       7115311161 THERAPEUTIC KINETIC ACTIVITIES       $98.00
       7115311163 ADL SELF CARE SKILLS                 $98.00
       7115311167 MANUAL THERAPY                       $98.00
       7115311169 ORTHOTIC FABRICATION                 $98.00
       7115311173 GROUP TREATMENT                      $63.00
       7115311179 STANDARDIZED TEST PHY PERF          $120.00
       7115311181 VISIT ORTHOTIC CHECK OUT            $120.00
       7115317234 COMPUTER ASSISTED TRN W C           $143.00
       7115320057 ORTHOTIC TRAIN FIT                   $49.00
       7115320490 WORK HARDENING EACH 1 HR             $98.00
       7115321127 ORTHOTIC TRAIN/FIT                   $98.00
       7115321168 INDIVIDUALIZED INST                  $98.00
       7115350900 EVALUATION                          $218.00
       7115374855 ELECTRICAL STIMULATION WC            $59.00
       7115434343 EXTREMITY TESTING WORKERS COMP      $119.00
       7115520119 MODALITY UNLISTED                    $64.00
       7115777777 DEBRIDEMENT NON SELECTIVE           $245.00
       7115916526 HAND HELD 2 EXERCISER                $41.00
       7115999901 PRE FABRICATED HAND SPLINT           $81.00
       7115999902 FABRICATED THUMB/FINGER SPLINT       $58.00
       7115999903 LAPTRAY--HALF                        $69.00
       7115999904 EXERCISE BAND                        $10.00
       7115999905 SPLINT SUPPLY                         $4.00
       7115999906 PREFABRICATED THUMB SPLINT           $46.00
       7115999907 LEG LOOPS                            $23.00
       7115999908 LONG HANDLED SPONGE                   $4.00
       7115999909 EATING UTENSIL                        $8.00
       7115999930 REV KNUCKLE BEND FINGER SPLINT       $33.00
       7115999931 SAFETY PIN SPLINT                    $28.00
       7115999932 LMB FINGER EXTENSION SPLINT          $39.00
       7115999933 LMB FINGER FLEXION SPLINT            $39.00
       7115999934 MURPHY RING                          $56.00
       7115999936 CICA GEL                              $4.00
       7115999939 DYCEM                                 $8.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          198
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7115999944 IROM ELBOW BRACE                    $149.00
       7210000107 ABDOMEN COMPLETE-FLAT/UPRIGHT       $271.00
       7210000110 ABDOMEN/OBLIQUE/CONE                $260.00
       7210000120 ABDOMEN COMPLETE W PA CHEST         $352.00
       7210000130 ABDOMEN 1 VIEW                      $183.00
       7210000141 AC JOINTS - LEFT                    $302.00
       7210000142 AC JOINTS - RIGHT                   $302.00
       7210000171 ANKLE COMPLETE MIN 3 VIEW-LEFT      $263.00
       7210000172 ANKLE COMPLETE MIN 3 VIEWS -RT      $263.00
       7210000181 ANKLE AP & LAT - LEFT               $197.00
       7210000182 ANKLE AP & LAT - RIGHT              $197.00
       7210000190 BONE AGE STUDIES                    $271.00
       7210000200 BONE SCANOGRAM LENGTH STUDIES       $319.00
       7210000205 BONE SURVEY METABOLIC               $386.00
       7210000210 BONE SURVEY                         $624.00
       7210000211 BONE SURVEY INFANT                  $546.00
       7210000245 SPINE SINGLE PROJECTION             $209.00
       7210000250 CERVICAL SPINE AP & LAT             $277.00
       7210000255 CERVICAL SPINE FLEX & EXT ONLY      $270.00
       7210000260 CERVICAL SPINE COMPLETE             $449.00
       7210000270 CERVICAL SPINE W FLEX/EXT           $550.00
       7210000280 CHEST COMPLETE 4 VIEWS              $306.00
       7210000300 CHEST 1 VIEW                        $179.00
       7210000306 CHEST DECUBITUS 1 VIEW              $183.00
       7210000307 CHEST DECUBITUS BILATERAL           $253.00
       7210000308 CHEST W APICAL LORDOTIC             $277.00
       7210000310 CHEST W OBLIQUES                    $299.00
       7210000320 CHEST TWO VIEWS AP/PA & LAT         $252.00
       7210000410 CLAVICLE                            $228.00
       7210000411 CLAVICLE - LEFT                     $238.00
       7210000412 CLAVICLE - RIGHT                    $238.00
       7210000481 ELBOW COMPLETE MIN 3 VIEW-LEFT      $277.00
       7210000482 ELBOW COMPLETE MIN 3 VIEWS -RT      $277.00
       7210000491 ELBOW 2 VIEWS - LEFT                $209.00
       7210000492 ELBOW 2 VIEWS - RIGHT               $209.00
       7210000560 FACIAL BONES COMPLETE               $429.00
       7210000570 FACIAL BONES LIMITED                $315.00
       7210000580 NASAL BONES COMPLETE                $271.00
       7210000591 FEMUR - LEFT                        $261.00
       7210000592 FEMUR - RIGHT                       $273.00
       7210000601 FINGER MIN 2 VIEW - LEFT THUMB      $173.00
       7210000602 FINGER MIN 2 VIEW-LEFT SECOND       $173.00
       7210000603 FINGER MIN 2 VIEW - LEFT THIRD      $173.00
       7210000604 FINGER MIN 2 VIEW-LEFT FOURTH       $173.00
       7210000605 FINGER MIN 2 VIEW - LEFT FIFTH      $173.00
       7210000606 FINGER MIN 2 VIEW-RIGHT SECOND      $173.00
       7210000607 FINGER MIN 2 VIEW-RIGHT THIRD       $173.00
       7210000608 FINGER MIN 2 VIEW-RIGHT FOURTH      $173.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          199
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7210000609 FINGER MIN 2 VIEW-RIGHT FIFTH       $173.00
       7210000612 FINGER MIN 2 VIEW -RIGHT THUMB      $173.00
       7210000667 FACET INJECTION FLUORO              $158.00
       7210000681 FOOT COMPLETE MIN 3 VIEWS-LEFT      $251.00
       7210000682 FOOT COMPLETE MIN 3 VIEWS - RT      $251.00
       7210000691 FOOT LIMITED 2 VIEWS - LEFT         $187.00
       7210000692 FOOT LIMITED 2 VIEWS - RIGHT        $187.00
       7210000701 FOREARM - LEFT                      $220.00
       7210000702 FOREARM - RIGHT                     $220.00
       7210000711 HAND-COMPLETE MIN 3 VIEWS-LEFT      $261.00
       7210000712 HAND-COMPLETE MIN 3 VIEWS - RT      $261.00
       7210000721 HAND-LIMITED 2 VIEWS-LEFT           $187.00
       7210000722 HAND-LIMITED 2 VIEWS - RIGHT        $187.00
       7210000751 HIP COMP-INC AP PELVIS - LEFT       $315.00
       7210000752 HIP COMP-INCL AP PELVIS -RIGHT      $315.00
       7210000771 HIP IN SURGERY - LEFT               $504.00
       7210000772 HIP IN SURGERY - RIGHT              $504.00
       7210000779 HIP UNILATERAL 2 VIEWS - LEFT       $243.00
       7210000782 HIP UNILAT 1 VIEW - LEFT            $155.00
       7210000783 HIP UNILATERAL 2 VIEWS - RIGHT      $233.00
       7210000784 HIP UNILAT 1 VIEW - RIGHT           $155.00
       7210000790 HIPS BILAT COMPLETE INC PELVIS      $415.00
       7210000800 HIP BILAT INFANT OR CHILD           $194.00
       7210000811 HUMERUS - LEFT                      $220.00
       7210000812 HUMERUS - RIGHT                     $220.00
       7210000851 KNEE MIN 4 VIEWS - LEFT             $266.00
       7210000852 KNEE MIN 4 VIEWS - RIGHT            $266.00
       7210000861 KNEE 2 VIEWS - LEFT                 $194.00
       7210000862 KNEE 2 VIEWS - RIGHT                $194.00
       7210000863 KNEES AP STANDING ONLY              $162.00
       7210000880 LUMBAR SPINE AP/LAT                 $315.00
       7210000885 LUMBAR SPINE-BEND ONLY 4 VIEWS      $403.00
       7210000890 LUMBAR SPINE W BENDING VIEWS        $662.00
       7210000900 LUMBAR SPINE W OBLIQUES             $483.00
       7210000930 MANDIBLE COMPLETE MIN 4 VIEWS       $424.00
       7210000940 MANDIBLE LESS THAN 4 VIEWS          $277.00
       7210000950 MASTOIDS COMPLETE MIN 3 VIEWS       $506.00
       7210000960 MASTOIDS LESS THAN 3 VIEWS          $252.00
       7210001020 NECK SOFT TISSUES                   $194.00
       7210001040 OPTIC FORAMEN                       $162.00
       7210001041 ORBITS                              $429.00
       7210001061 HEEL OS CALCIS/CALCANEUS-LEFT       $194.00
       7210001062 HEEL OS CALCIS/CALCANEUS-RIGHT      $194.00
       7210001070 SINUS SERIES MIN 3 VIEWS            $460.00
       7210001080 SINUS SERIES LESS THAN 3 VIEWS      $220.00
       7210001100 PELVIS COMPLETE                     $352.00
       7210001110 PELVIS AP                           $220.00
       7210001160 RETROGRADE UROGRAPHY                $610.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          200
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7210001170 RIBS BILAT 3 VIEWS                  $391.00
       7210001180 RIBS UNILATERAL 2 VIEWS             $309.00
       7210001181 RIBS UNILATERAL 2 VIEWS - LEFT      $322.00
       7210001182 RIBS UNILATERAL 2 VIEWS -RIGHT      $322.00
       7210001190 SACROILIAC JOINTS MIN 3 VIEWS       $337.00
       7210001200 SACRUM/COCCYX                       $297.00
       7210001210 SALIVARY GLANDS FOR CALCULUS        $167.00
       7210001221 SCAPULA - LEFT                      $277.00
       7210001222 SCAPULA - RIGHT                     $277.00
       7210001240 SELLA TURCICA                       $155.00
       7210001256 SHOULDER COMP MIN 2 VIEWS-LEFT      $273.00
       7210001257 SHOULDER COMP MIN 2 VIEWS - RT      $273.00
       7210001261 SHOULDER 1 VIEW - LEFT              $197.00
       7210001262 SHOULDER 1 VIEW - RIGHT             $197.00
       7210001280 SKULL COMPLETE MIN 4 VIEWS          $365.00
       7210001290 SKULL LESS THAN 3 VIEWS             $263.00
       7210001321 STERNOCLAVICULAR JTS-MIN 3 -LT      $190.00
       7210001322 STERNOCLAVICULAR JTS MIN 3 -RT      $190.00
       7210001330 STERNUM                             $273.00
       7210001340 SURGICAL SPECIMEN                   $340.00
       7210001350 TEMPOROMANDIBULAR JOINT BILAT       $397.00
       7210001360 THORACIC AP/LAT INC SWIM VIEW       $315.00
       7210001370 THORACIC-LUMBAR SPINE AP/LAT        $315.00
       7210001381 TIBIA/FIBULA - LEFT                 $228.00
       7210001382 TIBIA/FIBULA - RIGHT                $228.00
       7210001392 TOE - LEFT GREAT                    $173.00
       7210001393 TOE - LEFT SECOND                   $173.00
       7210001394 TOE - LEFT THIRD                    $173.00
       7210001395 TOE - LEFT FOURTH                   $173.00
       7210001396 TOE - LEFT FIFTH                    $173.00
       7210001397 TOE - RIGHT SECOND                  $173.00
       7210001398 TOE - RIGHT THIRD                   $173.00
       7210001399 TOE - RIGHT FOURTH                  $173.00
       7210001401 TOE - RIGHT FIFTH                   $173.00
       7210001402 TOES - GREAT RIGHT                  $173.00
       7210001440 URETHROCYSTOGRAM RETROGRAM          $201.00
       7210001441 INJ PROC URETHROCYSTOGRAPHY         $374.00
       7210001515 SINUS WATERS VIEW                   $150.00
       7210001531 WRIST COMPLETE MIN 3 VIEWS-LT       $277.00
       7210001533 NAVICULAR SERIES - LEFT             $271.00
       7210001534 WRIST COMPLETE MIN 3 VIEWS -RT      $277.00
       7210001535 NAVICULAR SERIES - RIGHT            $271.00
       7210001541 WRIST 2 VIEWS - LEFT                $187.00
       7210001542 WRIST 2 VIEWS - RIGHT               $187.00
       7210001903 THORACIC EPIDURAL INJ (FLUORO)      $178.00
       7210002000 NEPHROSTOGRAM LEFT                  $287.00
       7210002001 NEPHROSTOGRAM RIGHT                 $287.00
       7210101440 URETHROCYSTOGRAM RETROGRAM          $201.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          201
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7210101668 LUMBAR EPIDURAL INJ (FLUORO)        $178.00
       7210101669 CERVICAL EPIDURAL INJ (FLUORO)      $178.00
       7212008009 OMNIPAQUE 240                       $466.00
       7213000100 MAMMOGRAM UNILATERAL - RIGHT        $136.00
       7213000102 MAMMOGRAM UNILATERAL                $136.00
       7213000114 BREAST SURGICAL SPECIMEN-RIGHT      $238.00
       7213000115 BREAST SURGICAL SPECIMEN            $228.00
       7213000134 BREAST SURGICAL SPECIMEN- LEFT      $238.00
       7213000135 MAMMOGRAM UNILATERAL - LEFT         $136.00
       7213000209 INCOMPLETE BREAST LOCALIZATION      $404.00
       7213000224 PREOP NEEDLE PLACEMENT ADDL-RT      $133.00
       7213000225 PREOP NEEDLE PLACE SINGLE - RT      $133.00
       7213000228 PREOP NEEDLE PLACE SINGLE-LEFT      $133.00
       7213000229 PREOP NEEDLE PLACE ADDL - LEFT      $133.00
       7213007100 BASIC HOOKWIRE                       $55.00
       7213007205 BREAST NEEDLE LOCAL MULTI - RT      $580.00
       7213007206 BREAST NEEDLE LOCAL SINGLE -RT      $388.00
       7213007207 BREAST NEEDLE LOCAL SINGLE          $388.00
       7213007208 BREAST NEEDLE LOCAL MULTI SITE      $580.00
       7213007311 BREAST NEEDLE LOCAL SING LEFT       $388.00
       7213007312 BREAST NEEDLE LOCAL MULTI LEFT      $580.00
       7213107205 BREAST NEEDLE LOCAL MULTI - RT      $580.00
       7213107206 BREAST NEEDLE LOCAL SINGLE -RT      $404.00
       7213107207 BREAST NEEDLE LOCAL SINGLE          $388.00
       7213107208 BREAST NEEDLE LOCAL MULTI SITE      $580.00
       7213107311 BREAST NEEDLE LOCAL SING LEFT       $404.00
       7213107312 BREAST NEEDLE LOCAL MULTI LEFT      $605.00
       7215000200 ADENOIDECTOMY                     $2,086.00
       7215000201 ADENOIDECTOMY OVER AGE 12         $2,086.00
       7215000202 CALDWELL LUC                      $3,477.00
       7215000203 CAUTERIZATION TURBINATES          $1,684.00
       7215000204 CLOSED REDUCTION NASAL FX         $2,522.00
       7215000205 OPEN REDUCTION NASAL FX           $3,144.00
       7215000206 ENDOSCOPIC NASAL W BX OR POLY     $3,752.00
       7215000207 ENDO NASAL FX W ANT ETHMOID       $3,752.00
       7215000208 ENDO NASAL W TOTAL ETHMOID        $3,908.00
       7215000209 ENDO NASAL MAX ANTROSTOMY         $3,908.00
       7215000210 EXC LESION MUCOSA MOUTH           $2,219.00
       7215000211 EXC BIOPSY OF TONGUE              $2,219.00
       7215000212 EXC UVULA                         $2,312.00
       7215000213 FRENULECTOMY                      $2,446.00
       7215000215 MASTOIDECTOMY                     $3,335.00
       7215000216 LARYNGOSCOPY                      $2,607.00
       7215000217 LARYNGOSCOPY W BIOPSY             $2,858.00
       7215000218 MYRINGOTOMY W TUBES               $1,778.00
       7215000219 EXC NASAL POLYP                   $2,618.00
       7215000220 EAR CANAL RECONSTRUCTION EXT      $3,425.00
       7215000221 REMOVAL FOREIGN BODY EAR          $1,684.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          202
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000222 REMOVAL VENTILATION TUBE          $1,505.00
       7215000223 RHINOPLASTY FUNCTIONAL            $3,315.00
       7215000224 SEPTOPLASTY                       $3,477.00
       7215000225 SUBMUCOUS RESECTION TURBINATE     $3,227.00
       7215000226 TONSILLECTOMY UNDER AGE 12        $2,728.00
       7215000227 TONSILLECTOMY OVER AGE 12         $2,728.00
       7215000228 T AND A UNDER AGE 12              $2,728.00
       7215000229 T AND A OVER AGE 12               $2,728.00
       7215000230 EXC THYROGLOSSAL DUCT CYST        $3,425.00
       7215000231 TURBINECTOMY                      $2,105.00
       7215000232 TYMPANOPLASTY                     $3,429.00
       7215000233 TYMPANOPLASTY W MASTOIDECTOMY     $4,345.00
       7215000234 TYMPANOPLASTY W PROSTHESIS        $3,609.00
       7215000235 EXC NASAL LESION VIA LASER        $2,618.00
       7215000236 EXC CYST TRACT OF EAR             $2,618.00
       7215000237 GLOSSECTOMY PARTIAL               $2,618.00
       7215000240 MYRINGOPLASTY                     $3,429.00
       7215000241 EXC LESION PHARYNX                $2,312.00
       7215000242 REM EMB FOREIGN BODY BONE MAND    $2,618.00
       7215000243 CONTROL NASAL HEMORRHAGE COMPL    $1,684.00
       7215000245 RHINOPLASTY COSMETIC              $1,817.00
       7215000246 EXC DENTOALVEOLAR STRUCTURE       $2,618.00
       7215000247 ETHMOIDECTOMY INTRANASAL          $2,182.00
       7215000248 ENDOSC NASAL W SPHENOIDECTOMY     $3,752.00
       7215000249 SEPTAL INTRANASAL DERMATOPLASY    $3,338.00
       7215000250 TYMPANO MASTOID OSSIC RECONST     $5,507.00
       7215000251 ESOPHAGOSCOPY RIGID OR FLEX       $2,103.00
       7215000252 LAVAGE SINUS                      $2,176.00
       7215000253 LARYNGOSCOPY W POLYPECTOMY        $2,858.00
       7215000254 PALATOPHARYNGOPLASTY              $2,382.00
       7215000255 MYRINGOTOMY                       $1,086.00
       7215000256 EAR TUBES, SHEEHY ACT                $75.00
       7215000257 EAR TUBE, SHEEHY                     $49.00
       7215000258 CONTROL OF BLEEDING, THROAT       $1,551.00
       7215000259 EAR TUBE, SHEPARD                    $56.00
       7215000260 EAR TUBE, T                         $138.00
       7215000261 EPIFILM                           $1,306.00
       7215000262 EAR IMPLANT-POP                   $1,306.00
       7215000263 PROSTHESIS PARTIAL OSSICULAR      $1,306.00
       7215000264 VOCAL CORD FAT AUGMENTATION       $3,431.00
       7215000265 IMPLANT EAR $                       $259.00
       7215000267 JONES LACRIMAL TUBE                 $282.00
       7215000300 SIGMOIDOSCOPY FLEX                $1,346.00
       7215000301 FLEX SIGMOID W BIOPSY             $1,161.00
       7215000302 FLEX SIGMOID W POLYPECTOMY        $1,533.00
       7215000303 COLONOSCOPY                       $2,103.00
       7215000304 COLONOSCOPY W BIOPSY              $2,389.00
       7215000305 COLONOSCOPY W POLYPECTOMY         $2,389.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          203
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000306 EGD                               $1,816.00
       7215000307 EGD W POLYPECTOMY                 $2,103.00
       7215000308 EGD W BIOPSY                      $2,103.00
       7215000309 EGD W SCLEROTHERAPY               $2,123.00
       7215000310 EGD W DILATION                    $2,103.00
       7215000311 PEG                               $1,974.00
       7215000312 LIVER BIOPSY                      $1,639.00
       7215000313 COLON W CONTROL OF BLEED BICAP    $3,450.00
       7215000314 PARACENTESIS                      $1,606.00
       7215000315 ESOPHAGOSCOPY WITH DILATION       $2,019.00
       7215000316 CHANGE GASTROSTOMY TUBE             $189.00
       7215000317 REPROGRAM IMPLANTED PUMP            $413.00
       7215000319 REPROGRAM AND REFILL PUMP           $928.00
       7215000400 AXILLARY NODE DISSECTION          $3,316.00
       7215000401 TEMPORAL ARTERY BIOPSY            $2,274.00
       7215000402 EXC BREAST BIOPSY WO LOCAL        $2,727.00
       7215000403 EXC BREAST BX W LOCAL             $2,728.00
       7215000404 EXC BREAST BX X2                  $3,063.00
       7215000405 REVISION COLOSTOMY                $2,930.00
       7215000406 EXC ANAL TAGS                     $2,086.00
       7215000407 EXC GYNECOMASTIA                  $3,144.00
       7215000408 EXC SOFT TISSUE MASS              $2,728.00
       7215000409 EXC SURFACE LESION BIOPSY         $2,274.00
       7215000411 EXC VARICOSE VEINS UNILAT         $2,728.00
       7215000412 EXC VARICOSE VEINS BILAT          $3,566.00
       7215000413 I AND D HEMATOMA                  $2,182.00
       7215000414 FISTULECTOMY                      $2,522.00
       7215000415 FISTULOTOMY                       $2,522.00
       7215000416 FISSURECTOMY                      $2,522.00
       7215000417 HEMORRHOIDECTOMY                  $2,728.00
       7215000418 INGUINAL HERNIA UNILATERAL        $3,566.00
       7215000419 INGUINAL HERNIA BILATERAL         $4,601.00
       7215000420 INGUINAL HERNIA UNILAT CHILD      $3,144.00
       7215000421 INGUINAL HERNIA BILAT CHILD       $4,235.00
       7215000422 EPIGASTRIC HERNIA                 $3,566.00
       7215000423 INCISIONAL HERNIA                 $3,566.00
       7215000424 VENTRAL HERNIA                    $3,566.00
       7215000425 RECURRENT INGUINAL HERNIA         $3,566.00
       7215000426 UMBILICAL HERNIA                  $3,144.00
       7215000427 FEMORAL HERNIA                    $3,566.00
       7215000428 INSERT INFUSION PUMP              $2,618.00
       7215000429 INSERT VENOUS PORT                $2,728.00
       7215000430 WEDGE SECTION                     $3,566.00
       7215000432 MODIFIED RADICAL MASTECTOMY       $4,667.00
       7215000433 MASTECTOMY SUBCUTANEOUS           $4,146.00
       7215000435 NERVE BIOPSY                      $2,182.00
       7215000436 PILONIDAL CYSTECTOMY              $2,617.00
       7215000437 RECTAL POLYPECTOMY                $2,003.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          204
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000438 REMOVAL HICKMAN BROVIAC           $2,244.00
       7215000439 SCALENE NODE BIOPSY               $2,618.00
       7215000441 SPHINCTEROTOMY W FISSURECTOMY     $2,824.00
       7215000442 SUBMAXILLARY GLAND EXCISION       $3,018.00
       7215000443 I AND D PERIRECTAL ABSCESS        $2,274.00
       7215000444 LAPAROSCOPIC CHOLECYSTECTOMY      $8,909.00
       7215000445 LAP CHOLE W CHOLANGIOGRAPHY       $9,357.00
       7215000446 CLOTTING AND REVISION W GRAFT     $4,667.00
       7215000447 VARIX ABDOMEN UMBILICUS           $3,018.00
       7215000448 LAPAROSCOPIC INGUINAL HERNIA      $5,942.00
       7215000449 RECURRENT LAP INGUINAL HERNIA     $5,942.00
       7215000450 LASER HEMORRHOIDECTOMY            $2,618.00
       7215000453 EKG REGULAR                         $148.00
       7215000454 REPAIR PSEUDOANEURYSM             $4,417.00
       7215000455 REMOVAL FOREIGN BODY              $1,585.00
       7215000456 EXC TUMOR THORAX DEEP IM          $2,618.00
       7215000457 EXC TUMOR DEEP SHOULDER           $2,929.00
       7215000458 EXCISION MELANOMA                 $2,728.00
       7215000459 BX RECTAL MASS                    $1,868.00
       7215000460 EKG 12 LEAD COMPLETE                $324.00
       7215000461 EXP RETROPERITONEAL AREA          $3,018.00
       7215000462 REMOVAL AND REINSERT BRST IMP     $2,728.00
       7215000463 LYMPH NODE BIOPSY                 $2,728.00
       7215000464 LASER/CO2                         $2,668.00
       7215000465 PROCTOSIGMOIDOSCOPY                 $729.00
       7215000466 REPAIR SPIGELIAN HERNIA           $3,566.00
       7215000467 MAST PARTIAL W AXLY NODE DISS     $4,928.00
       7215000468 LYMPHADENECTOMY INGUINOFEMORAL    $2,567.00
       7215000469 REMOVAL INTRAPERITONEAL CATH      $2,154.00
       7215000470 EXC INTRA ABD RETROPERI MASS      $3,144.00
       7215000471 DR MORANS LAP HERNIA BILATERAL    $2,698.00
       7215000472 HEMORRHOIDECTOMY FISSURECTOMY     $3,144.00
       7215000474 EXC OF UMBILICUS                  $2,618.00
       7215000475 I AND D ABSCESS                   $2,274.00
       7215000476 REMOVAL BREAST IMPLANTS, BIL      $2,618.00
       7215000477 ASPIRATION CYST(S)                $1,286.00
       7215000478 PREOP CARE, CANCELLED SURGERY       $415.00
       7215000479 REMOVAL BREAST IMPLANT UNI        $2,274.00
       7215000480 BREAST LOCAL CONSCIOUSSEDATION      $374.00
       7215000482 EXPLORATION, SOFT TISSUE          $2,481.00
       7215000483 IMPLANT, URETERAL STENT           $1,306.00
       7215000485 MESH, EPACK                         $590.00
       7215000486 MESH, MARLEX 2X4                    $444.00
       7215000487 MESH, PLUG                        $1,360.00
       7215000488 MESH, MARLEX 1X4                    $273.00
       7215000489 MESH, PROLENE 1X4                   $206.00
       7215000490 OR SETUP, CASE CX                   $635.00
       7215000491 CLOSURE SURGICAL WOUND            $2,617.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          205
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000492 WOUND REPAIR, COMPLEX             $2,668.00
       7215000493 MESH, PROLENE 3X5                   $273.00
       7215000494 MESH, KEYHOLE                       $426.00
       7215000495 APPENDECTOMY                      $2,728.00
       7215000496 MESH,GORTEX DUAL                  $4,408.00
       7215000497 PORTACATH,BARD SINGLE             $1,360.00
       7215000498 REPAIR LARGE BOWEL                $2,688.00
       7215000499 MESH,PROLENE 6X6                    $559.00
       7215000500 BARTHOLIN CYSTECTOMY              $2,728.00
       7215000501 BIOPSY OF CERVIX                  $2,003.00
       7215000502 BIOPSY ENDOMETRIUM                $2,003.00
       7215000503 BIOPSY VAGINAL MUCOSA             $2,003.00
       7215000504 CAUTERIZATION CERVIX              $2,003.00
       7215000505 COLPOCENTESIS                     $2,348.00
       7215000506 D AND C                           $2,086.00
       7215000507 D AND C POLYPECTOMY               $2,348.00
       7215000508 D AND C W COLD CONE               $2,348.00
       7215000509 EXCISION CERVICAL POLYP           $2,003.00
       7215000510 EXC VAGINAL CYST                  $2,086.00
       7215000511 EXC VULVAR VARICOSITIES           $2,522.00
       7215000512 FULGERATION CERVIX                $2,003.00
       7215000513 FULGERATION CONDYLOMA             $2,450.00
       7215000514 HYMENECTOMY                       $2,003.00
       7215000515 HYSTEROSCOPY                      $3,061.00
       7215000516 I AND D BARTHOLIN CYST            $2,421.00
       7215000517 LAPAROSCOPY                       $5,064.00
       7215000518 LAPAROSCOPY W D AND C             $4,928.00
       7215000519 LAPAROSCOPY W BIOPSY              $4,928.00
       7215000520 LAPAROSCOPY W TUBAL DYE STUDY     $5,057.00
       7215000521 PELVIC EXAM W ANESTHESIA          $1,136.00
       7215000522 PERINEOPLASTY                     $2,421.00
       7215000523 REMOVAL IUD                       $2,003.00
       7215000524 OPERATIVE LAPAROSCOPY             $5,942.00
       7215000525 REVISION LABIA                    $2,274.00
       7215000526 VAGINOPLASTY                      $2,182.00
       7215000527 LEEP                              $1,630.00
       7215000528 LEEP W D AND C                    $1,843.00
       7215000529 LAP VAGINAL HYSTERECTOMY          $5,938.00
       7215000530 CERCLAGE CERVIX DURING PREGNAN    $2,542.00
       7215000532 CONIZATION OF CERVIX              $2,348.00
       7215000533 D AND C MAB                       $2,086.00
       7215000534 MINI BURCH PROCEDURE                 $75.00
       7215000535 LAPAROSC W FULG OR EXC LESION     $5,123.00
       7215000536 HYSTEROSCOPY W D AND C            $3,566.00
       7215000537 HYSTEROSCOPY W ENDOMETRIAL ABL    $4,601.00
       7215000538 LAPAROSCOPY WITH OOPHORECTOMY     $5,206.00
       7215000539 LAPAROSCOPY WITH LYSISADHESION    $5,268.00
       7215000540 CONTROL BLEEDING                  $2,059.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          206
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000602 BLEPHAROPTOSIS 4 LIDS             $3,768.00
       7215000603 CATARACT EXT WO LENS IMPLANT      $2,834.00
       7215000604 CATARACT EXT W IOL IMPLANT        $3,541.00
       7215000605 ECTROPIAN REPAIR                  $2,650.00
       7215000606 ENTROPIAN REPAIR                  $2,650.00
       7215000607 ENUCLEATION OF EYE                $2,182.00
       7215000608 ENUCLEATION WITH IMPLANT          $2,421.00
       7215000609 EXCISION CHALAZON                 $1,684.00
       7215000610 FILTERING FOR GLAUCOMA            $4,013.00
       7215000611 IRIS REPAIR                       $2,618.00
       7215000612 LACRIMAL DUCT PROBE UNILATERAL    $1,540.00
       7215000613 PINGUECULA                        $2,003.00
       7215000614 EXCISION PTERYGIUM                $2,086.00
       7215000615 BLEPHAROPTOSIS REPAIR ONE LID     $2,086.00
       7215000616 BLEPHAROPTOSIS REPAIR TWO LIDS    $3,144.00
       7215000618 RECESSION RESECTION UNILATERAL    $3,316.00
       7215000619 RECESSION RESECTION BILATERAL     $3,983.00
       7215000620 EXCISION IOL SECONDARY            $3,541.00
       7215000621 REPOSITIONING OF IOL              $3,316.00
       7215000622 RESUTURE INCISION                 $2,618.00
       7215000624 LACRIMAL DUCT PROBE W TUBE BIL    $1,896.00
       7215000625 TRABECULECTOMY                    $3,139.00
       7215000626 VITRECTOMY                        $3,316.00
       7215000627 CORNEAL TRANSPLANT                $4,013.00
       7215000628 CORNEA CHARGE                     $2,740.00
       7215000629 DACRYOCYSTORHINOPLASTY            $3,477.00
       7215000630 REMOVAL OF IOL                    $2,834.00
       7215000631 INTRA OCCULAR LENS                  $460.00
       7215000633 EXC LESION CONJUNCTIVA            $3,050.00
       7215000634 EXC PTERYGIUM W GRAFT             $2,926.00
       7215000635 EXCISION LESION EYELID            $2,274.00
       7215000636 UNLISTED PROCEDURE ANT SEG EYE    $1,618.00
       7215000637 CANTHOPLASTY                      $2,312.00
       7215000638 REM SILI TUBE OR FB LAC PASSGE    $1,563.00
       7215000639 REPAIR OPERATIVE WOUND EYE        $2,728.00
       7215000640 CORRECTION LID RETRACTION         $2,003.00
       7215000641 IMPLANT, GOLD                     $2,668.00
       7215000642 ASPIRATION LENS MATERIAL          $2,542.00
       7215000643 EYE EXAM UNDER ANESTHESIA         $1,136.00
       7215000644 REPAIR CORNEAL LACERATION PERF    $2,542.00
       7215000645 ORBITOTOMY                        $3,050.00
       7215000646 TARSORRHAPHY                      $2,312.00
       7215000647 CORRECTION SURG ASTIGMATISM       $1,042.00
       7215000648 CHELATIN THERAPY, EYE             $2,834.00
       7215000649 EXCHANGE INTRAOCULAR LENS         $3,316.00
       7215000650 LACRIMAL TUBE                       $444.00
       7215000651 OCULAR IMPLANT, 18MM              $4,408.00
       7215000652 INTRAOCULAR LENS, TORIC             $602.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          207
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000653 CORNEAL SCRAPING                  $1,624.00
       7215000654 ENDOSCOPIC DCR                    $3,981.00
       7215000655 EYE REMOVAL SCLERAL BUCKLE        $2,097.00
       7215000656 AMNIO GRAFT-CONJUNCTION           $2,957.00
       7215000658 IMPLANT OCULAR $                  $1,177.00
       7215000660 MINIMONOKA                          $532.00
       7215000661 REMOVAL MEMBRANE PUPIL            $1,906.00
       7215000662 TISSEEL FIBRIN SEALANT BAXTER       $572.00
       7215000700 ABDOMINOPLASTY                    $2,519.00
       7215000701 MINI ABDOMINOPLASTY               $1,655.00
       7215000702 ABDOMINOPLASTY W LIPOSUCTION T    $2,542.00
       7215000703 AUGMENTATION MAMMOPLASTY UNI      $1,214.00
       7215000704 AUGMENTATION MAMMOPLASTY BIL      $1,431.00
       7215000705 CAPSULECTOMY UNILATERAL           $1,103.00
       7215000706 CAPSULECTOMY BILATERAL            $1,328.00
       7215000707 CAPSULECTOMY W IMPLANT EXC UNI    $1,153.00
       7215000708 CAPSULECTOMY W IMPLANT EXC BIL    $1,370.00
       7215000709 CAPSULOTOMY W IMP EXC UNI           $982.00
       7215000710 CAPSULOTOMY W IMP EXC BIL         $1,214.00
       7215000711 REMOVAL SILICONE                    $410.00
       7215000712 NIPPLE RECONSTRUCTION BIL         $1,383.00
       7215000713 BREAST RECONSTRUCTION BIL         $1,957.00
       7215000714 NIPPLE RECONSTRUCTION UNI         $1,226.00
       7215000715 BREAST RECONSTRUCTION UNI         $1,491.00
       7215000716 MASTOPEXY                         $1,957.00
       7215000717 MASTOPEXY W IMPLANTS              $1,991.00
       7215000719 BLEPH BIL UPPER AND LOWER         $1,600.00
       7215000720 REDUCTION MAMMOPLASTY             $2,753.00
       7215000721 OTOPLASTY UNILATERAL              $1,328.00
       7215000722 OTOPLASTY BILATERAL               $1,767.00
       7215000723 OTOPLASTY REVISION                  $870.00
       7215000724 SUCTION LIPECTOMY 1ST HOUR        $1,265.00
       7215000725 SUCTION LIPECTOMY ADDL 15 MIN        $83.00
       7215000727 TIP REVISION                        $870.00
       7215000728 DERM AND CHEM PEEL                  $870.00
       7215000729 RHYTIDECTOMY                      $2,643.00
       7215000730 RHYTIDECTOMY W BROW LIFT          $3,092.00
       7215000731 RHYTID W UPPER OR LOWER BLEPH     $2,942.00
       7215000732 RHYTID W UPPER AND LOWER BLEPH    $3,316.00
       7215000733 RHY W UP LOW BLEPH BROW LIFT      $3,743.00
       7215000734 REVISION RHINOPLASTY              $2,569.00
       7215000735 ENDOSCOPIC RHYTID FOREHEAD        $1,693.00
       7215000736 RHYTIDECTOMY CHEEK CHIN NECK      $3,316.00
       7215000737 BLEPH BIL UPPER OR LOWER          $1,384.00
       7215000739 INSRT BREAST PROSTHESIS, BIL        $705.00
       7215000740 INSRT OF BREAST PROSTHESIS,UNI      $435.00
       7215000741 MASTOPEXY,PERIAREOLAR             $1,328.00
       7215000742 REV ORBITOCRANIAL/FACIAL RECON    $1,328.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          208
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000743 COSMETIC EXC BENIGN, 2 OR MORE    $1,600.00
       7215000800 CYSTO                             $1,990.00
       7215000801 CYSTO W BLADDER BIOPSY            $2,274.00
       7215000802 CYSTO W PROSTATE BIOPSY           $2,182.00
       7215000803 CYSTO W DILATION                  $2,274.00
       7215000804 CYSTO W FULGERATION SM TUMOR      $2,522.00
       7215000807 CIRCUMCISION                      $2,322.00
       7215000808 EPIDIDYECTOMY UNILATERAL          $2,274.00
       7215000809 EPIDIDYECTOMY BILATERAL           $2,360.00
       7215000810 EXC SPERMATOCELE                  $2,675.00
       7215000811 EXC VARICOSITIES SCROTUM          $2,618.00
       7215000812 FULGERATION CONDYLOMA             $2,182.00
       7215000813 HYDROCELECTOMY UNILATERAL         $2,942.00
       7215000814 HYDROCELECTOMY BILATERAL          $3,018.00
       7215000815 INSERTION TESTICULAR PROSTHES     $3,183.00
       7215000816 LAPAROSCOPIC VARIOCELECTOMY       $5,091.00
       7215000817 MEATOTOMY                         $1,825.00
       7215000818 NEEDLE BIOPSY PROSTATE            $1,589.00
       7215000819 ORCHIECTOMY UNILATERAL            $2,942.00
       7215000820 ORCHIECTOMY BILATERAL             $3,113.00
       7215000821 ORCHIOPEXY UNILATERAL             $2,459.00
       7215000822 ORCHIOPEXY BILATERAL              $2,761.00
       7215000823 TESTICULAR BIOPSY                 $2,618.00
       7215000824 URETHRAL POLYPECTOMY              $2,182.00
       7215000825 VASOVASOSTOMY                     $3,183.00
       7215000829 NESBIT PROCEDURE                  $3,425.00
       7215000830 EXC SKENE DUCT CYST               $3,425.00
       7215000831 CYSTO W REMOVAL STENT             $2,182.00
       7215000832 CORRECTION OF CHORDEE             $2,182.00
       7215000833 CYSTO FOR TX FEM URE SYNDROME     $2,421.00
       7215000834 UROLUME IMPLANT                   $6,659.00
       7215000835 DESTRUCTION PENILE LESION         $2,182.00
       7215000836 CYSTO W INSERTION STENT           $2,808.00
       7215000837 CYSTO W FULG BLADDER NECK         $2,421.00
       7215000838 EXCISION LESION TESTES            $2,618.00
       7215000839 CYSTO DIR VIS INTRNL URETHROT     $2,522.00
       7215000840 EXC URETHRAL DIVERTIC FEMALE      $2,003.00
       7215000841 INJ IMPLANT MATERIAL BLADDER      $2,312.00
       7215000842 LIGATION/EXC SPERMATIC VEIN       $2,274.00
       7215000843 CYSTO WITH LITHROTRIPSY           $4,598.00
       7215000844 URETERAL STENT, DOUBLE J          $1,306.00
       7215000845 COLLAGEN IMPLANT                  $2,522.00
       7215000846 REPAIR TESTIS TORSION             $1,917.00
       7215000847 TISSUE PATCH, GORTEX              $1,306.00
       7215000848 CYSTO C FULG SM LESION            $2,522.00
       7215000849 REPAIR URETHRAL PROLAPSE          $2,182.00
       7215000850 PROSTATE BIOPSY, INCISIONAL       $2,618.00
       7215000851 DURASPHERE IMPLANT SYRING         $1,295.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          209
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215000852 IMPLANT UROLOGICAL $              $3,479.00
       7215000853 PORTABLE LITHOTRIPSY UNILATERA    $7,085.00
       7215000854 PORTABLE LITHOTRIPSY BILATERAL    $9,265.00
       7215000855 CYSTO C STONE MANIPULATION        $1,668.00
       7215000900 REDUCTION FACIAL FRACTURE         $3,417.00
       7215000901 SCAR REVISION                     $3,144.00
       7215000902 SKIN FLAP GRAFT                   $3,018.00
       7215000903 RECON SURG FIRST HOUR             $3,518.00
       7215000904 RECON SURG ADDL QUARTER HOUR        $467.00
       7215000905 RECON SURG ADDL HOUR              $1,930.00
       7215000906 INTERMEDIATE LAYER CLOSURE        $2,929.00
       7215000907 REPAIR EXTERNAL EAR BIL           $3,325.00
       7215000908 REPAIR EXTERNAL EAR               $2,542.00
       7215000909 ALLODERM GRAFT                      $790.00
       7215000911 BREAST IMPLANT SALINE FILLED      $5,048.00
       7215000912 REP CLOS EYE FACE EAR NOSE LIP    $2,929.00
       7215000913 GRAFT FULL THICKNESS              $3,144.00
       7215000915 EXC EXTERNAL EAR SIMPLE REPAIR    $2,229.00
       7215000916 DEBRIDEMENT                       $2,675.00
       7215000917 BREAST IMPLANT, SILICONE          $4,593.00
       7215000918 EXCISION SOFT TISSUE                $907.00
       7215000919 TISSUE EXPANDER BIODIMENSIONAL    $5,007.00
       7215000920 INSERTION TISSUE EXPANDER         $1,143.00
       7215000921 EXPANDER-MAMMARY PROSTHESIS       $4,360.00
       7215001000 HAMMER TOE CORR ONE TOE           $2,593.00
       7215001001 HAMMER TOE CORR MORE THAN ONE     $3,144.00
       7215001002 LIGAMENT REPAIR                   $3,144.00
       7215001003 NERVE REPAIR                      $3,316.00
       7215001004 MATRIXECTOMY                      $1,575.00
       7215001005 MUSCLE BIOPSY                     $2,728.00
       7215001007 NERVE TRANSPOSITION               $3,144.00
       7215001008 ORIF SMALL BONE                   $2,885.00
       7215001009 ORIF SMALL BONE W GRAFT           $3,144.00
       7215001010 ORIF LARGE BONE                   $3,144.00
       7215001011 OSTEOTOMY                         $2,728.00
       7215001012 OSTEOTOMY CALCANEOUS              $2,618.00
       7215001014 REMOVE ORTHO HARDWARE             $2,430.00
       7215001015 REMOVAL NERVE STIMULATOR          $2,229.00
       7215001016 TARSAL TUNNEL RELEASE             $2,728.00
       7215001017 TENOTOMY                          $2,488.00
       7215001018 TENDON REPAIR LENGTHENING         $3,144.00
       7215001019 TRIGGER FINGER RELEASE            $2,446.00
       7215001020 ENDOSCOPIC PLANTAR FASCIO         $3,570.00
       7215001021 EXC CALC SPUR W PLANTAR FACIOT    $3,144.00
       7215001023 ANT CRUCIATE LIG REC W GRAFT      $3,339.00
       7215001024 REPAIR SYNDACTYLY                 $2,569.00
       7215001025 CARPECTOMY                        $2,676.00
       7215002000 ARTHRODESIS                       $2,728.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          210
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215002001 AMPUTATION SMALL BONE             $2,728.00
       7215002002 AMPUTATION LARGE BONE             $2,920.00
       7215002003 ARTHROPLASTY                      $2,867.00
       7215002004 ARTHROPLASTY W IMPLANT            $5,507.00
       7215002005 ARTHROSCOPY NO REPAIR             $4,582.00
       7215002006 ARTHROSCOPY W REPAIR UNI          $4,861.00
       7215002007 ARTHROSCOPY W REPAIR BILATERAL    $7,293.00
       7215002008 ARTHROSCOPY W LATERAL RELEASE     $5,254.00
       7215002009 ARTHROTOMY                        $3,952.00
       7215002010 BIOPSY OF BONE                    $2,728.00
       7215002012 BUNIONECTOMY                      $3,144.00
       7215002015 BUNIONECTOMY BIL                  $3,983.00
       7215002018 BUNIONECTOMY W IMPLANT UNILAT     $3,731.00
       7215002019 BUNIONECTOMY W IMPLANT BILAT      $4,616.00
       7215002023 CAPSULOTOMY ECTOMY                $2,728.00
       7215002024 CARPAL TUNNEL RELEASE             $3,144.00
       7215002025 CARPAL TUNNEL RELEASE BILAT       $3,501.00
       7215002026 CARPAL TUNNEL REL ENDO            $4,338.00
       7215002027 CARPAL TUNNEL REL ENDO BIL        $5,853.00
       7215002028 CONDYLECTOMY ONE TOE              $2,607.00
       7215002029 CONDYLECTOMY ADDL TOE EACH          $928.00
       7215002030 DEQUERVAINS RELEASE               $3,144.00
       7215002031 DUPUTRENS CONTRACTURE RELEASE     $3,144.00
       7215002032 EXC BONE SPUR                     $2,728.00
       7215002033 EXC GANGLION                      $2,870.00
       7215002036 EXC NEUROMA                       $2,727.00
       7215002037 EXC TUMOR LESION                  $2,870.00
       7215002052 PLANTAR FASCIOTOMY                $2,650.00
       7215002053 EXC BURSA                         $3,050.00
       7215002054 REMOVAL FOREIGN BODY ORTHO        $2,618.00
       7215002058 EBI FIXATOR                       $6,009.00
       7215002059 KNEE IMMOBILIZER                    $251.00
       7215002060 TENDON GRAFT HUMAN FROZEN         $8,802.00
       7215002061 REPAIR MEDIAL EPICONDYLE          $3,050.00
       7215002062 CAPSULORRHAPHY SHOULDER           $4,146.00
       7215002063 RADICAL STYLOIDECTOMY WRIST       $3,144.00
       7215002064 SESAMOIDECTOMY                    $3,144.00
       7215002065 OSTECTOMY                         $2,728.00
       7215002066 OSTECTOMY 2 BONES                 $3,144.00
       7215002067 OSTEC COMP EXC METATA HEAD        $3,018.00
       7215002068 EXC TENDON W IMPLANT              $4,601.00
       7215002069 RELEASE ADHESIONS                 $2,618.00
       7215002070 SYNOVECTOMY                       $3,144.00
       7215002071 CAPSULODESIS WRIST                $3,018.00
       7215002072 LATERAL RELEASE                   $3,050.00
       7215002073 I AND D WOUND BONE                $2,618.00
       7215002075 REPAIR NON OR MALUNION BONE       $2,929.00
       7215002079 OPEN REDUCT MANDIBULAR FX FIX     $3,018.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          211
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215002080 OPEN REDUCT ZYGOMATIC ARCH FX     $3,018.00
       7215002081 RELEASE PRONATOR FOREARM          $3,018.00
       7215002090 CLOSED REDUCTION FRACTURE         $2,086.00
       7215002092 ARTHROSCOPIC ACL REPAIR           $7,735.00
       7215002094 PATELLAR TENDON PROSTHESIS        $3,730.00
       7215002098 REP NON MALUNION BONE W GRAFT     $4,861.00
       7215002099 EXC RADIAL HEAD ELBOW             $2,618.00
       7215002102 RECON COLL LIG INTERPHAL JOINT    $3,183.00
       7215002106 TENOSYNOVECTOMY                   $3,144.00
       7215002108 CLAVULECTOMY PARTIAL              $3,018.00
       7215002112 EXPLORATION BX SOFT TISSUE LEG    $2,618.00
       7215002115 CUBITAL TUNNEL RELEASE            $3,018.00
       7215002116 TENDON REPAIR W GRAFT             $3,325.00
       7215002119 ROTATOR CUFF REPAIR SHOULDER      $5,042.00
       7215002120 INJ ASP THERAPEUTIC                 $310.00
       7215002122 OSTEOPLASTY SHORTEN ULNA RAD      $3,582.00
       7215002123 ASPIRATION INJECTION BONE CYST    $2,618.00
       7215002124 ARTHROSCOPY W REP THERM PROBE     $6,106.00
       7215002200 EPIDURAL CERVICAL, LEVEL 1          $845.00
       7215002201 EPIDURAL CERVICAL ,LEVEL 2        $1,194.00
       7215002202 BLOOD PATCH INJECTION               $920.00
       7215002203 NERVE BLOCK, PERIPHERAL             $826.00
       7215002204 NERVE BLOCK,LEVEL2                $1,194.00
       7215002205 OUTPT. VISIT, LEVEL1                $231.00
       7215002206 OUTPT. VISIT, LEVEL2                $352.00
       7215002207 DECOMPRESSION NERVE               $2,618.00
       7215002208 ARTHROCENTESIS                    $2,181.00
       7215002209 REVISION OF EXTERNAL FIXATION       $735.00
       7215002210 IMPLANT, SUBTALAR                 $4,408.00
       7215002211 SCREW, 18                            $69.00
       7215002212 SCREW, 14                            $56.00
       7215002213 MENISCUS ARROW                    $1,306.00
       7215002214 SCREW, 16                            $56.00
       7215002215 K-WIRE                               $21.00
       7215002216 EPIDURAL, LUMBAR, LEVEL 1           $845.00
       7215002217 EPIDURAL, LUMBAR, LEVEL 2         $1,194.00
       7215002218 ANCHOR                            $1,360.00
       7215002219 SCREW, 22                            $56.00
       7215002220 SCREW, 12                            $56.00
       7215002221 ABSORABLE KWIRE                     $590.00
       7215002222 BONE STAPLES                      $1,306.00
       7215002223 TOE IMPLANT, SILASTIC             $2,408.00
       7215002224 GENZYME TISSUE REPAIR KIT         $2,408.00
       7215002225 SCREW, 45MM                          $59.00
       7215002226 SCREW, 50 MM                         $59.00
       7215002227 SCREW, 40MM                          $63.00
       7215002228 SCREW, 24 MM                         $61.00
       7215002229 SCREW, 35MM                          $61.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          212
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215002230 SCREW, 10MM                          $56.00
       7215002231 SCREW, 30MM                          $61.00
       7215002232 SCREW, 20MM                          $61.00
       7215002233 EPIDURAL, THORACIC, LEVEL 1         $845.00
       7215002234 EPIDURAL, THORACIC, LEVEL 2       $1,194.00
       7215002235 TOE IMPLANT, FLEX HINGE GRMMTS    $2,508.00
       7215002236 APPLIGRAFT                        $6,260.00
       7215002237 TOE IMPLANT, TITANIUM             $4,593.00
       7215002238 IMPLANT, PLATE 5-HOLE               $262.00
       7215002239 IMPLANT, PIN                         $21.00
       7215002240 REMOVAL NERVE STIMULATOR LEADS      $185.00
       7215002241 SCREW, 30 MM ACUTRAK              $2,508.00
       7215002242 BONE GRAFT                        $3,144.00
       7215002243 SILASTIC ROD                      $2,408.00
       7215002244 CANNULATED SCREW 3&4              $1,360.00
       7215002245 SCREW,6MM                            $59.00
       7215002246 WASHER, 7.0                         $132.00
       7215002247 INTERPORE BONE GRAFT              $1,295.00
       7215002248 IMPLANT, FINGER                   $2,387.00
       7215002249 TENOLYSIS                         $2,593.00
       7215002250 ACHILLES TENDON GRAFT             $2,291.00
       7215002251 IMPLANT, PLATE 7-HOLE               $559.00
       7215002253 REVISION NAILBED                  $2,384.00
       7215002254 SPIDER SCREW 10MM                   $196.00
       7215002255 SPIDER SCREW 12MM                   $196.00
       7215002256 SPIDER SCREW 14MM                   $196.00
       7215002257 FINGER PERCUTANEOUS PINNING       $2,384.00
       7215002258 BIOFIX SCREW IMPLANT              $2,406.00
       7215002259 IMPLANT PLATE 6 HOLE              $1,306.00
       7215002260 SMART SCREW                       $1,306.00
       7215002261 SURGERY USE 1A ADDL 15 MINS         $344.00
       7215002262 SMART PIN                         $1,306.00
       7215002263 SHAW IMPLANT SET                  $2,408.00
       7215002264 SEMITENDINOSUS TENDON 26CM        $4,408.00
       7215002265 HUMAN ALLOGRAFT BONE 10MM         $2,406.00
       7215002266 CORKSCREW BIO ANCHOR              $1,089.00
       7215002267 IMPL ZIRCONIA SPHERE              $5,007.00
       7215002268 SCREW STAY FUSE 3.3MM             $1,089.00
       7215002269 IMPLANT GRAFTON GEL               $1,306.00
       7215002270 SCREW STAY FUSE 2.8MM             $1,089.00
       7215002271 SCREW STAY FUSE 4.3MM             $1,089.00
       7215002272 SCREW STAY FUSE 5.0MM             $1,089.00
       7215002273 SCREW LAG 16MM                      $354.00
       7215002274 SCREW LAG 14MM                      $354.00
       7215002275 DRILL PILOT 1.8MM                   $470.00
       7215002276 SCREW COUNTERSINK                $10,879.00
       7215002278 SCREW FIXATION COMPONENT $          $766.56
       7215002279 PLATE FIXATION COMPONENT $        $1,641.50
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          213
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215002281 PIN FIXATION COMPONENT $            $572.00
       7215002282 WIRE FIXATION COMPONENT $           $186.00
       7215002283 EXTERNAL FIXATION COMPONENT $     $3,841.00
       7215002284 STAPLE FIXATION COMPONENT $         $572.00
       7215002285 IMPLANT BONE GRAFT $              $2,173.00
       7215002287 IMPLANT TENDON GRAFT $            $7,134.00
       7215002288 IMPLANT ARTHRO SUTURE ANCHOR $      $954.38
       7215002295 BONE FIXATION KIT                 $1,306.00
       7215002302 PERC LUMB DISC PROBE              $3,782.10
       7215002303 SCREW HERBERT 47-1157-24          $1,360.00
       7215002304 SCREW HERBERT 47-1157-22          $1,360.00
       7215002305 HERBERT GUIDE-K-WIRE                $661.00
       7215002306 FIBULA SHAFT BONE GRAFT 6CM       $2,674.00
       7215002307 BONE CHIPS CANCELLOUS 1.7-10MM    $2,674.00
       7215002308 BREAK-AWAY COMPRESSION SCREW      $1,283.00
       7215002309 NEWDEAL SPIN SCREW                $1,283.00
       7215002310 NEWDEAL INTERAXIS STAPLE          $3,792.00
       7215002311 BONE-LOK SLX THREAD-K WIRE          $282.00
       7215002312 EVOLVE MODULAR RADIAL HEAD DOW    $5,851.00
       7215002313 EVOLVE MODULAR RADIAL STEM DOW    $7,776.00
       7215002314 BONE-LOK SLX COMPRESS-DEVICE      $1,283.00
       7215002315 MINIMALLY INVASIVE INJ GRAFT      $5,851.00
       7215002316 MANIPULATION SHOULDER W/INJ         $826.00
       7215002317 MANIPULATION KNEE W/INJECTION       $826.00
       7215002318 ARTHROSCOPY SHOULDER W/DEBRIDE    $5,886.00
       7215002319 TRIGGER POINT INJECTION             $826.00
       7215002320 FACET INJECTION LEVEL 2           $1,194.00
       7215002321 FACET INJECTION LEVEL 1             $920.00
       7215002322 GORETEX SOFT TISSUE PATCH         $1,283.00
       7215002323 IMPLANT TISSUE MEND MATRIX        $7,776.00
       7215002324 PERCUTANEOUS DISCECTOMY           $2,460.35
       7215002325 SCREW LIEBINGER TWINFIX COMPR     $2,522.00
       7215002326 SCREW ARTHREX TENODESIS           $1,177.00
       7215002327 MITEK MICROFIX QUICKANCHOR        $2,314.00
       7215002328 SCREW BIOABSORBABLE DELTA         $1,177.00
       7215002329 SCREW THREADED PEG HAND INNOV       $572.00
       7215002330 CORTICAL SCREW HAND INNOVATION      $572.00
       7215002331 SCREW SMOOTH PEG HAND INNOV         $572.00
       7215002332 PUTTY BONE INJ ALLOMATRIX 1CC     $1,177.00
       7215002333 PUTTY BONE INJ ALLOMATRIX 5CC     $3,479.00
       7215002334 PUTTY BONE INJ ALLOMATRIX 10CC    $4,024.00
       7215002335 PLATE DISTAL VOLAR HAND INNOV     $3,479.00
       7215002336 IMPLANT GREAT TOE LPT WRIGHT      $5,368.00
       7215002337 SCREW MODULAR HAND 1,1.3,2.4        $460.00
       7215002338 SCREW MODULAR HANDI 1.5,2.0         $259.00
       7215002339 IMP-PL-VOLAR PEG 3-5HOLE TRIMD    $4,024.00
       7215002340 IMP-WASHER-SM CLAMP TRIMED          $460.00
       7215002341 SCREW-3.2MMCORTICL 10-32 TRMD       $572.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          214
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7215002342 CLAMP SMALL FRAG-OUT 20-32TRI     $1,177.00
       7215002343 SCREW 2.3MM CORTICL 10-32 TRMD      $460.00
       7215002344 IMP-PLATE-RADIAL 3-7HOLE TRIMD    $3,479.00
       7215002345 SCREW-VOLAR PEG 14-28MM TRIMED      $572.00
       7215002346 ALLOGRAFT PASTE EXACTECH OPT      $2,314.00
       7215004001 ANOPLASTY                         $2,421.00
       7215004002 BARD KUGEL HERNIA PATCH           $1,295.00
       7215004003 PREPROCEDURE CARE, CX               $231.00
       7215004005 IMPLANT MESH $                    $2,605.25
       7215004006 MESH MATRIX 8X13CM                $1,360.00
       7215004007 HEMODIALYSIS CATHETER-ASH 32CM    $2,522.00
       7215004009 VENTRALEX MESH                    $2,314.00
       7217000107 ABDOMEN COMPLETE-FLAT/UPRIGHT       $271.00
       7217000110 ABDOMEN/OBLIQUE/CONE                $260.00
       7217000120 ABDOMEN COMPLETE W PA CHEST         $352.00
       7217000130 ABDOMEN 1 VIEW                      $183.00
       7217000141 AC JOINTS - LEFT                    $302.00
       7217000142 AC JOINTS - RIGHT                   $302.00
       7217000171 ANKLE COMPLETE MIN 3 VIEW-LEFT      $263.00
       7217000172 ANKLE COMPLETE MIN 3 VIEWS -RT      $263.00
       7217000181 ANKLE AP & LAT - LEFT               $197.00
       7217000182 ANKLE AP & LAT - RIGHT              $197.00
       7217000190 BONE AGE STUDIES                    $271.00
       7217000200 BONE SCANOGRAM LENGTH STUDIES       $319.00
       7217000205 BONE SURVEY METABOLIC               $386.00
       7217000209 INCOMPLETE BREAST LOCALIZATION      $404.00
       7217000210 BONE SURVEY                         $624.00
       7217000211 BONE SURVEY INFANT                  $546.00
       7217000245 SPINE SINGLE PROJECTION             $209.00
       7217000250 CERVICAL SPINE AP & LAT             $277.00
       7217000255 CERVICAL SPINE FLEX & EXT ONLY      $270.00
       7217000260 CERVICAL SPINE COMPLETE             $449.00
       7217000270 CERVICAL SPINE W FLEX/EXT           $550.00
       7217000280 CHEST COMPLETE 4 VIEWS              $306.00
       7217000300 CHEST 1 VIEW                        $179.00
       7217000306 CHEST DECUBITUS 1 VIEW              $183.00
       7217000307 CHEST DECUBITUS BILATERAL           $253.00
       7217000308 CHEST W APICAL LORDOTIC             $277.00
       7217000310 CHEST W OBLIQUES                    $299.00
       7217000320 CHEST TWO VIEWS AP/PA & LAT         $252.00
       7217000411 CLAVICLE - LEFT                     $238.00
       7217000412 CLAVICLE - RIGHT                    $238.00
       7217000481 ELBOW COMPLETE MIN 3 VIEW-LEFT      $277.00
       7217000482 ELBOW COMPLETE MIN 3 VIEWS -RT      $277.00
       7217000491 ELBOW 2 VIEWS - LEFT                $209.00
       7217000492 ELBOW 2 VIEWS - RIGHT               $209.00
       7217000560 FACIAL BONES COMPLETE               $412.00
       7217000570 FACIAL BONES LIMITED                $315.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          215
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7217000580 NASAL BONES COMPLETE                $271.00
       7217000591 FEMUR - LEFT                        $261.00
       7217000592 FEMUR - RIGHT                       $273.00
       7217000601 FINGER MIN 2 VIEW - LEFT THUMB      $173.00
       7217000602 FINGER MIN 2 VIEW-LEFT SECOND       $173.00
       7217000603 FINGER MIN 2 VIEW - LEFT THIRD      $173.00
       7217000604 FINGER MIN 2 VIEW-LEFT FOURTH       $173.00
       7217000605 FINGER MIN 2 VIEW - LEFT FIFTH      $173.00
       7217000606 FINGER MIN 2 VIEW-RIGHT SECOND      $173.00
       7217000607 FINGER MIN 2 VIEW-RIGHT THIRD       $173.00
       7217000608 FINGER MIN 2 VIEW-RIGHT FOURTH      $173.00
       7217000609 FINGER MIN 2 VIEW-RIGHT FIFTH       $173.00
       7217000612 FINGER MIN 2 VIEW -RIGHT THUMB      $173.00
       7217000681 FOOT COMPLETE MIN 3 VIEWS-LEFT      $251.00
       7217000682 FOOT COMPLETE MIN 3 VIEWS - RT      $251.00
       7217000691 FOOT LIMITED 2 VIEWS - LEFT         $187.00
       7217000692 FOOT LIMITED 2 VIEWS - RIGHT        $187.00
       7217000701 FOREARM - LEFT                      $220.00
       7217000702 FOREARM - RIGHT                     $220.00
       7217000711 HAND-COMPLETE MIN 3 VIEWS-LEFT      $261.00
       7217000712 HAND-COMPLETE MIN 3 VIEWS - RT      $261.00
       7217000720 HAND-LIMITED 2 VIEWS                $181.00
       7217000721 HAND-LIMITED 2 VIEWS - LEFT         $187.00
       7217000722 HAND-LIMITED 2 VIEWS - RIGHT        $187.00
       7217000751 HIP COMP-INC AP PELVIS - LEFT       $315.00
       7217000752 HIP COMP-INCL AP PELVIS -RIGHT      $315.00
       7217000779 HIP UNILATERAL 2 VIEWS - LEFT       $243.00
       7217000782 HIP UNILAT 1 VIEW - LEFT            $155.00
       7217000783 HIP UNILATERAL 2 VIEWS - RIGHT      $233.00
       7217000784 HIP UNILAT 1 VIEW - RIGHT           $155.00
       7217000790 HIPS BILAT COMPLETE INC PELVIS      $415.00
       7217000800 HIP BILAT INFANT OR CHILD           $194.00
       7217000811 HUMERUS - LEFT                      $220.00
       7217000812 HUMERUS - RIGHT                     $220.00
       7217000851 KNEE MIN 4 VIEWS - LEFT             $277.00
       7217000852 KNEE MIN 4 VIEWS - RIGHT            $277.00
       7217000861 KNEE 2 VIEWS - LEFT                 $194.00
       7217000862 KNEE 2 VIEWS - RIGHT                $194.00
       7217000863 KNEES AP STANDING ONLY              $162.00
       7217000880 LUMBAR SPINE AP/LAT                 $315.00
       7217000885 LUMBAR SPINE-BEND ONLY 4 VIEWS      $403.00
       7217000890 LUMBAR SPINE W BENDING VIEWS        $662.00
       7217000900 LUMBAR SPINE W OBLIQUES             $483.00
       7217000930 MANDIBLE COMPLETE MIN 4 VIEWS       $424.00
       7217000940 MANDIBLE LESS THAN 4 VIEWS          $277.00
       7217000950 MASTOIDS COMPLETE MIN 3 VIEWS       $506.00
       7217000960 MASTOIDS LESS THAN 3 VIEWS          $252.00
       7217001020 NECK SOFT TISSUES                   $194.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          216
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7217001040 OPTIC FORAMEN                       $162.00
       7217001041 ORBITS                              $429.00
       7217001061 HEEL OS CALCIS/CALCANEUS-LEFT       $194.00
       7217001062 HEEL OS CALCIS/CALCANEUS-RIGHT      $194.00
       7217001070 SINUS SERIES MIN 3 VIEWS            $460.00
       7217001080 SINUS SERIES LESS THAN 3 VIEWS      $220.00
       7217001100 PELVIS COMPLETE                     $337.00
       7217001110 PELVIS AP                           $220.00
       7217001170 RIBS BILAT 3 VIEWS                  $391.00
       7217001181 RIBS UNILATERAL 2 VIEWS - LEFT      $322.00
       7217001182 RIBS UNILATERAL 2 VIEWS -RIGHT      $322.00
       7217001190 SACROILIAC JOINTS MIN 3 VIEWS       $337.00
       7217001200 SACRUM/COCCYX                       $297.00
       7217001210 SALIVARY GLANDS FOR CALCULUS        $167.00
       7217001220 SCAPULA                             $266.00
       7217001221 SCAPULA - LEFT                      $277.00
       7217001222 SCAPULA - RIGHT                     $277.00
       7217001240 SELLA TURCICA                       $155.00
       7217001256 SHOULDER COMP MIN 2 VIEWS-LEFT      $273.00
       7217001257 SHOULDER COMP MIN 2 VIEWS - RT      $273.00
       7217001261 SHOULDER 1 VIEW - LEFT              $197.00
       7217001262 SHOULDER 1 VIEW - RIGHT             $197.00
       7217001280 SKULL COMPLETE MIN 4 VIEWS          $365.00
       7217001290 SKULL LESS THAN 3 VIEWS             $263.00
       7217001321 STERNOCLAVICULAR JTS-MIN 3 -LT      $190.00
       7217001322 STERNOCLAVICULAR JTS MIN 3 -RT      $190.00
       7217001330 STERNUM                             $273.00
       7217001340 SURGICAL SPECIMEN                   $340.00
       7217001350 TEMPOROMANDIBULAR JOINT BILAT       $397.00
       7217001360 THORACIC AP/LAT INC SWIM VIEW       $315.00
       7217001370 THORACIC-LUMBAR SPINE AP/LAT        $315.00
       7217001381 TIBIA/FIBULA - LEFT                 $228.00
       7217001382 TIBIA/FIBULA - RIGHT                $228.00
       7217001392 TOE - LEFT GREAT                    $173.00
       7217001393 TOE - LEFT SECOND                   $173.00
       7217001394 TOE - LEFT THIRD                    $173.00
       7217001395 TOE - LEFT FOURTH                   $173.00
       7217001396 TOE - LEFT FIFTH                    $173.00
       7217001397 TOE - RIGHT SECOND                  $173.00
       7217001398 TOE - RIGHT THIRD                   $173.00
       7217001399 TOE - RIGHT FOURTH                  $173.00
       7217001401 TOE - RIGHT FIFTH                   $173.00
       7217001402 TOES - GREAT RIGHT                  $173.00
       7217001515 SINUS WATERS VIEW                   $150.00
       7217001531 WRIST COMPLETE MIN 3 VIEWS-LT       $277.00
       7217001533 NAVICULAR SERIES - LEFT             $271.00
       7217001534 WRIST COMPLETE MIN 3 VIEWS -RT      $277.00
       7217001535 NAVICULAR SERIES - RIGHT            $271.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          217
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7217001541 WRIST 2 VIEWS - LEFT                $187.00
       7217001542 WRIST 2 VIEWS - RIGHT               $187.00
       7217001810 EMPLOYEE CHEST X-RAY                $101.00
       7311000225 STEREOTACTIC BIOPSY INCISION        $993.00
       7413001444 SELECTIVE DEBRIDEMENT < 20CM        $245.00
       7413001455 SELECTIVE DEBRIDEMENT >= 20CM       $300.00
       7413001466 NEGATIVE PRESSURE THER 50CM         $325.00
       7413001477 NEGATIVE PRESSURE THER >= 50CM      $375.00
       7413010012 PT EVAL                             $290.00
       7413010028 GAIT TRAINING                        $61.00
       7413010040 REASSESSMENT                        $183.00
       7413010043 COGNITIVE RETRAINING                 $64.00
       7413010044 CONTRAST BATH                        $83.00
       7413010045 ULTRASOUND                           $61.00
       7413010046 PROCEDURE UNLISTED                   $80.00
       7413010052 POOL THERAPY                         $71.00
       7413010055 MANUAL THERAPY                       $61.00
       7413010056 MANUAL THERAPY EA ADD'L AREA         $61.00
       7413010063 ADL SELF CARE SKILLS                 $66.00
       7413010073 GROUP TREATMENT                      $41.00
       7413010079 STANDARDIZED TEST OF PHYS PERF       $74.00
       7413010086 UNLISTED PHY MED/REHAB SER           $61.00
       7413010115 ELECTRICAL STIM UNATTENDED           $73.00
       7413010119 MODALITY UNLISTED                    $80.00
       7413010121 EVALUATION ESTAB EXTENDED           $266.00
       7413010122 EVAL NEW EXTENDED                   $385.00
       7413010124 THERAPEUTIC EXERCISES                $66.00
       7413010125 NEUROMUSCULAR REEDUCATION            $61.00
       7413010127 FUNCTIONAL ACTIVITIES                $61.00
       7413010131 ELEC STIM MANUAL                     $73.00
       7413010133 TRACTION MANUAL                      $61.00
       7413010134 MASSAGE                              $61.00
       7413010141 SPLINTING CASTING                    $73.00
       7413010147 PHY MED PROC ONE AREA ADD'L 15       $61.00
       7413010148 HUBBARD TANK                        $105.00
       7413010149 HUBBARD TANK ADDL 15 MIN            $105.00
       7413010153 POOL ADDL 15 MIN                     $70.00
       7413010157 ORTHOTIC TRAIN FIT                   $66.00
       7413010158 ORTHOTIC TRAINING ADD 15 MIN         $66.00
       7413010159 PROSTHETIC TRAINING                  $61.00
       7413010160 PROTHETIC TRAINING ADD 15 MIN        $61.00
       7413010161 THERAPEUTIC ATIVITIES                $66.00
       7413010162 THERAPEUTIC ACTIVITIES ADDL 15       $66.00
       7413010164 ADL ADDITIONAL 15 MIN                $61.00
       7413010167 SOFT TISSUE MOBILIZATION             $61.00
       7413010168 INDIVIDUAL INSTRUCTION               $61.00
       7413010174 GROUP TREATMENT ADDL 15              $41.00
       7413010175 PATIENT EDUCATION GROUP              $86.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          218
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7413010180 STND TEST OF PHYS PERF ADDL 15       $69.00
       7413010181 VISIT ORTHOTIC CHECKOUT              $74.00
       7413010182 VISIT ORTHOTIC CHECK ADDL 15         $69.00
       7413010183 EXTREMITY TESTING                    $69.00
       7413010184 EXTREMITY TESTING ADDL 15            $69.00
       7413010187 EVAL NEW BRIEF                      $129.00
       7413010188 EVAL NEW LIMITED                    $194.00
       7413010189 EVAL NEW INTERMEDIATE               $290.00
       7413010190 EVAL NEW COMPREHENSIVE              $512.00
       7413010191 EVALUATION ESTAB LIMITED            $141.00
       7413010192 EVAL ESTAB INTERMEDIATE             $194.00
       7413010193 EVAL ESTABLISH COMPREHENSIVE        $419.00
       7413010198 TNS INITIAL SETUP 1                  $61.00
       7413010277 FUNCTIONAL CAPICTITY MEASURE         $30.00
       7413010311 HOME EVALUATION                     $290.00
       7413010377 FUNCTIONAL CAPACITY MEASURE          $30.00
       7413010800 EVALUATION                          $290.00
       7413010802 CPM INITIAL SETUP                    $61.00
       7413010835 DEVELOPMENTAL THERAPY                $61.00
       7413011124 THERAPEUTIC EXERCISES               $132.00
       7413011125 NEUROMUSCULAR REEDUCATION           $121.00
       7413011127 FUNCTIONAL ACTIVITIES               $121.00
       7413011128 GAIT TRAINING                       $121.00
       7413011131 ELEC STIM MANUAL                    $180.00
       7413011132 IONTOPHORESIS                       $190.00
       7413011133 TRACTION MANUAL                     $121.00
       7413011134 MASSAGE                             $121.00
       7413011145 ULTRASOUND                          $121.00
       7413011146 PROCEDURE UNLISTED                  $132.00
       7413011148 HUBBARD TANK                        $208.00
       7413011152 POOL THERAPY                        $137.00
       7413011157 ORTHOTIC TRAIN/FIT                  $121.00
       7413011159 PROSTHETIC TRAINING                 $121.00
       7413011161 THERAPEUTIC ACTIVITIES              $132.00
       7413011163 ADL SELF CARE SKILLS                $132.00
       7413011165 MANUAL THERAPY                      $121.00
       7413011167 SOFT TISSUE MOBILIZATION            $121.00
       7413011168 INDIVIDUAL INSTRUCTION              $121.00
       7413011170 JOINT MOBILIZATION                  $121.00
       7413011173 GROUP THERAPY                        $85.00
       7413011179 STANDARIZED TEST PHYS PERF          $147.00
       7413011181 VISIT ORTHOTIC CHECKOUT             $147.00
       7413020199 DEBRIDEMENT NON SELECTING           $244.00
       7413030301 PRELIMINARY EVALUATION 60 MIN       $266.00
       7413346273 SHOE SLIDERS                         $27.00
       7413434343 EXTREMITY TESTING WORKERS COMP      $146.00
       7413999903 EXERCISE BAND                        $12.00
       7413999904 PUTTY                                $21.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          219
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7413999905 CPM PADS                             $58.00
       7413999907 TUBIFAST GREEN                       $20.00
       7413999908 TUBIGRIP FULL LEG                    $47.00
       7413999909 SETOPRESS                            $35.00
       7413999910 BANDNET SIZES 6 & 7 & 8              $17.00
       7413999911 BANDNET SIZES 4 & 5                  $12.00
       7413999912 BANDNET SIZES 2 & 3                   $7.00
       7413999913 STOCKINETTE                           $4.00
       7413999914 FOOT ORTHOTIC COMPONENTS              $8.00
       7413999915 LEG LOOPS/LADDERS                    $27.00
       7413999925 PULSEVAC UNIT                       $110.00
       7413999926 SPLINT SUPPLY                         $5.00
       7413999932 DYCEM                                 $9.00
       7413999934 COBAN                                 $9.00
       7414000680 HEARING THERAPY                     $174.00
       7414107104 VOICE THERAPY                       $174.00
       7414110103 SWALLOWING EVALUATION               $300.00
       7414110104 SPEECH LANGUAGE TREATMENT           $174.00
       7414110105 SPEECH LANGUAGE GROUP                $74.00
       7414110110 TRACH SPEAKING VALVE EVAL           $266.00
       7414110111 TRACH SPEAKING VALVE TREATMENT      $174.00
       7414110113 SWALLOW FEED TREATMENT              $174.00
       7414110401 PEDIATRIC EVALUATION                $396.00
       7414110402 PEDIATRIC TREATMENT                 $126.00
       7414110414 SWALLOW MODIFIED BARIUM             $398.00
       7414110501 PEDIATRIC GROUP TREATMENT            $74.00
       7414111015 AUGMENTATIVE EVALUATION             $266.00
       7414111018 COGNITIVE RETRAINING                $174.00
       7414111019 COMA STIMULATION                    $174.00
       7414120100 SPEECH LANGUAGE EVALUATION          $266.00
       7414897898 VITAL STIM APPLICATION               $44.00
       7414998877 SWALLOWING FEEDING GROUP             $74.00
       7415013205 EDEMA GLOVE                          $55.00
       7415016030 BRUSH SUCTION                        $55.00
       7415016040 BUTTON AID RUBBER HANDLE             $13.00
       7415016055 CARD HOLDER                          $12.00
       7415016060 DENTURE BRUSH SUCTION                $20.00
       7415016080 FOOD GUARD PLASTIC                   $15.00
       7415016100 HAND CONE                            $32.00
       7415016104 HOLDER DRINKING STRAW                $13.00
       7415016106 HOLDER SANDWICH QUAD QUIP            $32.00
       7415016110 JAR LID OPENER                       $32.00
       7415016120 KNIFE ROCKER                         $29.00
       7415016130 KNIFE QUAD QUIP                      $24.00
       7415016135 LAP BOARD                            $44.00
       7415016138 MASSAGE TOOL                         $13.00
       7415016140 MIRROR PARA INSPECTION               $34.00
       7415016150 MIRROR QUAD INSPECTION               $60.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          220
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7415016155 MITT WASH QUAD QUIP                  $27.00
       7415016160 PARING BOARD                         $75.00
       7415016170 PUTTY                                $21.00
       7415016180 DRESSING STICK                       $12.00
       7415016190 REACHER                              $36.00
       7415016200 SCRUB SPONGE LONG                    $11.00
       7415016220 SHOE HORN 24 IN STAINLESS            $25.00
       7415016230 SOCK AID                             $25.00
       7415016245 TOILET AID                           $55.00
       7415016250 UTENSIL HOLDER                       $12.00
       7415016260 SPLINT FINGER MULTIPLE              $149.00
       7415016270 SPLINT FINGER SINGLE                $101.00
       7415016280 FABRICATED HAND SPLINT              $134.00
       7415016290 FABRICATED WRIST SPLINT             $100.00
       7415016320 DELUX POWER GRIP HAND EXERCISE       $53.00
       7415016330 HAND EXERCISER--RUBBER BAND          $34.00
       7415016340 LONG REACHER                         $59.00
       7415016350 HEMI ARM SLING                       $65.00
       7415016360 AIRSPLINT ELBOW                      $83.00
       7415016380 REGULAR BUTTON AID                    $9.00
       7415016430 WRIST SUPPORT                        $55.00
       7415016460 ARM TROUGH                          $131.00
       7415016501 BAG ECONOMY WALKER                   $34.00
       7415016502 BASKET ADAPTABLE WALKER              $53.00
       7415016503 DEVICE LOADING INSULIN SYRINGE       $49.00
       7415016504 AIRSPLINT-FULL ARM                  $101.00
       7415016505 FLOSS AID                            $12.00
       7415016506 ELEVATOR FOAM REPLACEMENT            $27.00
       7415016507 GLOVE FINGER FLEXION                 $55.00
       7415016508 TRIANGULAR GRIPS                      $5.00
       7415016509 HOLDER ELECTRIC RAZOR                $43.00
       7415016510 HOLDER FONE                          $85.00
       7415016511 HOLDER INSULIN TABLE STAND           $95.00
       7415016512 HOLDER INSULIN WALL MOUNTED          $70.00
       7415016514 DOOR KNOB STEEL EXTENSION            $21.00
       7415016515 MUG T HANDLE                         $15.00
       7415016516 MUG CARING                           $25.00
       7415016517 SUPPASERT AND DIGISERT COMBO         $98.00
       7415016518 SHOE BUTTON EACH                      $9.00
       7415016520 SHOE HORN PLASTIC                     $8.00
       7415016521 SHOE LACES ELASTIC PR                 $8.00
       7415016522 SPONGE QUAD FLEX                     $83.00
       7415016523 WRIST SUPPORT ECONOMY                $29.00
       7415016524 TOILET AID TONGS                     $20.00
       7415016525 WRIST WANCHICKS                      $60.00
       7415100177 FUNCTIONAL CAPACITY MEASURE          $30.00
       7415100377 FUNCTIONAL CAPACITY MEASURE          $30.00
       7415310024 THERAPEUTIC EXERCISES                $66.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          221
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7415310040 REASSESSMENT                        $168.00
       7415310061 THERAPEUTIC KINETIC ACTIVITIES       $66.00
       7415310079 STANDARDIZED TEST OF PHYS PERF       $74.00
       7415310121 COGNITIVE RE-TRAINING                $64.00
       7415310125 NEURO MUSCULAR REEDUCATION           $66.00
       7415310126 COMMUNITY WORK REINTEGRATION         $64.00
       7415310134 MASSAGE                              $61.00
       7415310144 CONTRAST BATH                        $83.00
       7415310146 PROCEDURE UNLISTED                   $61.00
       7415310147 PHYS MED ONE AREA ADD'L 15 MIN       $61.00
       7415310153 EVALUATION REHAB COMPLETE           $266.00
       7415310158 ORTHOTIC TRAINING ADDL 15            $59.00
       7415310159 PROSTHETIC TRAIN FIT                 $61.00
       7415310160 PROSTHETIC TRAINING ADDL 15          $44.00
       7415310162 THERAPEUTIC ACTIVITIES ADDL 15       $66.00
       7415310163 ADL SELF CARE HOME MANAGEMENT        $66.00
       7415310164 ADL ADDL 15 MIN                      $66.00
       7415310167 SOFT TISSUE MOBILIZATION             $61.00
       7415310173 GROUP TREATMENT                      $41.00
       7415310174 GROUP EXERCISES ADDL 15              $44.00
       7415310180 STND TEST OF PHY PERF ADDL 15        $69.00
       7415310181 VISIT ORTHOTIC CHECK OUT             $60.00
       7415310183 EXTREMITY TESTING                    $99.00
       7415310184 EXTREMITY TESTING ADDL 15            $69.00
       7415310186 UNLISTED PHYS MED REHAB SERVIC      $120.00
       7415310192 VISION SCREENING                     $97.00
       7415310195 SUPPLIES                            $212.10
       7415310410 HOME EVALUATION                     $290.00
       7415311124 THERAPEUTIC EXERCISES               $132.00
       7415311125 NEUROMUSCULAR REEDUCATION           $132.00
       7415311127 FUNCTIONAL ACTIVITIES                $98.00
       7415311146 PROCEDURE UNLISTED                  $132.00
       7415311159 PROSTHETIC TRAIN/FIT                 $98.00
       7415311161 THERAPEUTIC KINETIC ACTIVITIES      $132.00
       7415311163 ADL SELF CARE SKILLS                $132.00
       7415311167 MANUAL THERAPY                      $121.00
       7415311169 ORTHOTIC FABRICATION                $132.00
       7415311173 GROUP TREATMENT                      $85.00
       7415311179 STANDARDIZED TEST PHY PERF          $147.00
       7415311181 VISIT ORTHOTIC CHECK OUT            $147.00
       7415320057 ORTHOTIC TRAIN FIT                   $66.00
       7415321127 ORTHOTIC TRAIN/FIT                  $132.00
       7415321168 INDIVIDUALIZED INST                 $132.00
       7415350900 EVALUATION                          $290.00
       7415374855 ELECTRICAL STIMULATION WC            $59.00
       7415400751 EDUCATION PATIENT/FAMILY             $61.00
       7415777777 DEBRIDEMENT NON SELECTIVE           $244.00
       7415916526 HAND EXERCISER--DELUXE               $48.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          222
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7415999901 PRE FABRICATED HAND SPLINT           $95.00
       7415999902 FABRICATED THUMB/FINGER SPLINT       $68.00
       7415999903 LAPTRAY--HALF                        $81.00
       7415999904 EXERCISE BAND                        $12.00
       7415999905 SPLINT SUPPLY                         $5.00
       7415999906 PREFABRICATED THUMB SPLINT           $55.00
       7415999907 LEG LOOPS                            $27.00
       7415999908 LONG HANDLED SPONGE                   $5.00
       7415999909 EATING UTENSIL                        $9.00
       7415999939 DYCEM                                 $9.00
       7415999944 IROM ELBOW BRACE                    $174.00
       7418000309 PHARMACY EVALUATION PRIVATE         $206.00
       7418003302 MEDICAL CONFERENCE                  $245.00
       7418010004 PHARMACY TREATMENT INDUSTRIAL        $66.00
       7418100004 PHARMACY TREATMENT PRIVATE           $73.00
       7419210105 PSYCH TESTING BDI                   $120.00
       7419210106 BIOFEEDBACK TRAINING                $154.00
       7419210108 BIOFEEDBACK EVAL                    $281.00
       7419210114 FAMILY THERAPY WITHOUT PATIENT      $284.00
       7419210115 FAMILY THERAPY WITH PATIENT         $284.00
       7419210116 GROUP TREATMENT                     $106.00
       7419210121 PSYCH TESTING MBHI                  $462.00
       7419210122 PSYCH TESTING MMPI2                 $462.00
       7419210123 MED PSYCHOANALYSIS                  $245.00
       7419210124 PSYCH TESTING MPI                   $462.00
       7419210125 MED PSYCH THERAPY 20-30 MIN         $121.00
       7419210126 MED PSYCH THERAPY 45-50 MIN         $181.00
       7419210127 MED PSYCH THERAPY 75-80 MIN         $240.00
       7419210129 NEUOPSYCH CONSULT PHD               $305.00
       7419210130 PSYCH DIAGNOSTIC INTERVIEW          $312.00
       7419210132 PSYCH REPORT                        $124.00
       7419210133 RECORD REVIEW                       $281.00
       7419210135 PSYCH TESTING STAI                  $462.00
       7419210138 PSYCH EVAL RECORDS                  $237.00
       7419210139 PSYCH TESTING OTHER                 $462.00
       7419210148 PSYCH THERAPY CONJOINT              $232.00
       7419210150 DEVELOPMENTAL TESTING               $261.00
       7419210152 ASSESSMENT OF APHASIA               $305.00
       7419210200 IP IND PSYCH TX 20-30 MIN           $132.00
       7419210201 IP IND PSYCH TX 45-50 MIN           $197.00
       7419210202 IP IND PSYCH 75-80 MIN              $261.00
       7419210257 NEUROBEHAVIORAL STATUS EXAM         $290.00
       7421000021 RECREATIONAL EVALUATION             $266.00
       7421310061 THERAPEUTIC ACTIVITIES               $61.00
       7421310127 FUNCTIONAL ACTIVITIES                $61.00
       7421310147 PHYSICAL MEDICINE ADD'L 15 MIN       $48.00
       7421310162 THERAPEUTIC ACTIVITIES ADDL 15       $66.00
       7421310163 ACTIVITIES OF DAILY LIVING           $66.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          223
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7421310164 ADL ADD'L 15 MIN                     $55.00
       7421310174 GROUP ACTIVITIES ADD'L 15 MIN        $44.00
       7421310409 COOKING GROUP                       $158.00
       7421310903 COMMUNITY WORK RE INTEGRATION        $64.00
       7421310907 SUPERVISED TREATMENT                 $73.00
       7421310909 GROUP TREATMENT                      $41.00
       7421310916 COGNITIVE STIMULATION IND            $64.00
       7421311109 GROUP TREATMENT                      $85.00
       7421311127 FUNCTIONAL ACTIVITIES               $113.00
       7421311161 THERAPEUTIC ACTIVITIES              $132.00
       7421311163 ADL SELF CARE SKILLS                $121.00
       7421320075 LEISURE EDUCATION GROUP              $55.00
       7421320410 COGNITIVE STIMULATION GROUP          $59.00
       7421320906 PET FACILITATION THERAPY             $59.00
       7421330409 COMMUNITY WORK RE INTEG GROUP        $55.00
       7421330906 COMPUTER FACILITATED TREATMENT      $143.00
       7421340409 PET FACILITATION GROUP               $55.00
       7421340906 AQUATIC ACTIVITIES                  $134.00
       7513010010 BIOFEEDBACK                          $49.00
       7513010012 PT EVAL                             $218.00
       7513010014 TRACTION MECHANICAL                  $52.00
       7513010026 COMMUNITY WORK RE INTEGRATION        $49.00
       7513010028 GAIT TRAINING                        $49.00
       7513010040 REASSESSMENT                        $136.00
       7513010045 ULTRASOUND                           $49.00
       7513010046 PROCEDURE UNLISTED                   $49.00
       7513010052 POOL THERAPY                         $57.00
       7513010055 MANUAL THERAPY                       $49.00
       7513010056 MANUAL THERAPY EA ADD'L AREA         $49.00
       7513010063 ADL SELF CARE SKILLS                 $49.00
       7513010073 GROUP TREATMENT                      $32.00
       7513010079 STANDARDIZED TEST OF PHYS PERF       $60.00
       7513010086 UNLISTED PHY MED/REHAB SER           $49.00
       7513010115 ELECTRICAL STIM UNATTENDED           $59.00
       7513010121 EVALUATION ESTAB EXTENDED           $218.00
       7513010122 EVAL NEW EXTENDED                   $314.00
       7513010124 THERAPEUTIC EXERCISES                $49.00
       7513010125 NEUROMUSCULAR REEDUCATION            $49.00
       7513010127 FUNCTIONAL ACTIVITIES                $49.00
       7513010131 ELEC STIM MANUAL                     $59.00
       7513010132 IONTOPHORESIS                        $77.00
       7513010133 TRACTION MANUAL                      $49.00
       7513010134 MASSAGE                              $49.00
       7513010141 SPLINTING CASTING                    $59.00
       7513010147 PHY MED PROC ONE AREA ADD'L 15       $49.00
       7513010153 POOL ADDL 15 MIN                     $56.00
       7513010157 ORTHOTIC TRAIN FIT                   $49.00
       7513010158 ORTHOTIC TRAINING ADD 15 MIN         $49.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          224
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7513010159 PROSTHETIC TRAINING                  $49.00
       7513010160 PROTHETIC TRAINING ADD 15 MIN        $49.00
       7513010161 THERAPEUTIC ACTIVITIES               $49.00
       7513010162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       7513010164 ADL ADDITIONAL 15 MIN                $49.00
       7513010169 ORTHOTIC FABRICATION                 $49.00
       7513010170 JOINT MOBILIZATION                   $49.00
       7513010174 GROUP TREATMENT ADDL 15              $32.00
       7513010180 STND TEST OF PHYS PERF ADDL 15       $56.00
       7513010181 VISIT ORTHOTIC CHECKOUT              $60.00
       7513010182 VISIT ORTHOTIC CHECK ADDL 15         $56.00
       7513010183 EXTREMITY TESTING                   $124.00
       7513010184 EXTREMITY TESTING ADDL 15            $56.00
       7513010187 EVAL NEW BRIEF                      $105.00
       7513010188 EVAL NEW LIMITED                    $157.00
       7513010189 EVAL NEW INTERMEDIATE               $276.00
       7513010190 EVAL NEW COMPREHENSIVE              $419.00
       7513010191 EVALUATION ESTAB LIMITED            $105.00
       7513010192 EVAL ESTAB INTERMEDIATE             $157.00
       7513010193 EVAL ESTABLISH COMPREHENSIVE        $314.00
       7513010198 TNS INITIAL SETUP 1                  $49.00
       7513010277 FUNCTIONAL CAPICTITY MEASURE         $30.00
       7513010311 HOME EVALUATION                     $218.00
       7513010377 FUNCTIONAL CAPACITY MEASURE          $30.00
       7513010800 EVALUATION                          $218.00
       7513010820 COMPRESSION GARMENT MEASURE          $49.00
       7513010829 EDEMA CONTROL                        $49.00
       7513010835 DEVELOPMENTAL THERAPY                $49.00
       7513011124 THERAPEUTIC EXERCISES                $98.00
       7513011125 NEUROMUSCULAR REEDUCATION            $98.00
       7513011127 FUNCTIONAL ACTIVITIES                $98.00
       7513011128 GAIT TRAINING                        $98.00
       7513011152 POOL THERAPY                        $111.00
       7513011157 ORTHOTIC TRAIN/FIT                   $98.00
       7513011159 PROSTHETIC TRAINING                  $98.00
       7513011161 THERAPEUTIC ACTIVITIES               $98.00
       7513011163 ADL SELF CARE SKILLS                 $98.00
       7513011165 MANUAL THERAPY                       $98.00
       7513011167 SOFT TISSUE MOBILIZATION             $98.00
       7513011168 INDIVIDUAL INSTRUCTION               $98.00
       7513011170 JOINT MOBILIZATION                   $98.00
       7513011173 GROUP THERAPY                        $63.00
       7513011179 STANDARIZED TEST PHYS PERF          $120.00
       7513011181 VISIT ORTHOTIC CHECKOUT             $120.00
       7513020030 COMMUNITY EXERCISE GROUP             $49.00
       7513020199 DEBRIDEMENT NON SELECTING           $209.00
       7513434343 EXTREMITY TESTING WORKERS COMP      $119.00
       7513999901 ELECTRODES                           $23.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          225
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7513999903 EXERCISE BAND                        $10.00
       7513999904 PUTTY                                $17.00
       7513999905 CPM PADS                             $49.00
       7513999907 TUBIFAST GREEN                       $16.00
       7513999908 TUBIGRIP FULL LEG                    $40.00
       7513999909 SETOPRESS                            $29.00
       7513999910 BANDNET SIZES 6 & 7 & 8              $14.00
       7513999911 BANDNET SIZES 4 & 5                  $10.00
       7513999912 BANDNET SIZES 2 & 3                   $5.00
       7513999913 STOCKINETTE                           $4.00
       7513999914 FOOT ORTHOTIC COMPONENTS              $7.00
       7513999915 LEG LOOPS/LADDERS                    $23.00
       7513999925 PULSEVAC UNIT                        $95.00
       7513999926 SPLINT SUPPLY                         $4.00
       7513999932 DYCEM                                 $8.00
       7514000680 HEARING THERAPY                     $174.00
       7514107104 VOICE THERAPY                       $174.00
       7514110103 SWALLOWING EVALUATION               $300.00
       7514110104 SPEECH LANGUAGE TREATMENT           $174.00
       7514110105 SPEECH LANGUAGE GROUP                $74.00
       7514110110 TRACH SPEAKING VALVE EVAL           $218.00
       7514110111 TRACH SPEAKING VALVE TREATMENT      $174.00
       7514110113 SWALLOW FEED TREATMENT              $174.00
       7514110308 EVAL FOR VOICE PROSTHETIC           $218.00
       7514110401 PEDIATRIC EVALUATION                $324.00
       7514110402 PEDIATRIC TREATMENT                 $126.00
       7514110412 COGNITIVE SIMULATION GROUP           $74.00
       7514110414 SWALLOW MODIFIED BARIUM             $349.00
       7514110501 PEDIATRIC GROUP TREATMENT            $74.00
       7514111015 AUGMENTATIVE EVALUATION             $218.00
       7514111018 COGNITIVE RETRAINING                $174.00
       7514111019 COMA STIMULATION                    $174.00
       7514120100 SPEECH LANGUAGE EVALUATION          $218.00
       7514140308 VOICE GROUP                          $74.00
       7514897898 VITAL STIM APPLICATION               $44.00
       7514998877 SWALLOWING FEEDING GROUP             $68.00
       7515013205 EDEMA GLOVE                          $46.00
       7515016030 BRUSH SUCTION                        $46.00
       7515016040 BUTTON AID RUBBER HANDLE             $11.00
       7515016055 CARD HOLDER                          $10.00
       7515016060 DENTURE BRUSH SUCTION                $16.00
       7515016080 FOOD GUARD PLASTIC                   $12.00
       7515016100 HAND CONE                            $26.00
       7515016104 HOLDER DRINKING STRAW                $11.00
       7515016106 HOLDER SANDWICH QUAD QUIP            $26.00
       7515016110 JAR LID OPENER                       $26.00
       7515016120 KNIFE ROCKER                         $25.00
       7515016130 KNIFE QUAD QUIP                      $21.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          226
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7515016135 LAP BOARD                            $37.00
       7515016138 MASSAGE TOOL                         $11.00
       7515016140 MIRROR PARA INSPECTION               $28.00
       7515016150 MIRROR QUAD INSPECTION               $51.00
       7515016155 MITT WASH QUAD QUIP                  $23.00
       7515016160 PARING BOARD                         $64.00
       7515016170 PUTTY                                $17.00
       7515016180 DRESSING STICK                       $10.00
       7515016190 REACHER                              $31.00
       7515016200 SCRUB SPONGE LONG                     $9.00
       7515016220 SHOE HORN 24 IN STAINLESS            $22.00
       7515016230 SOCK AID                             $22.00
       7515016270 SPLINT FINGER SINGLE                 $87.00
       7515016280 FABRICATED HAND SPLINT              $114.00
       7515016290 FABRICATED WRIST SPLINT              $86.00
       7515016320 DELUX POWER GRIP HAND EXERCISE       $45.00
       7515016330 HAND EXERCISER--RUBBER BAND          $28.00
       7515016340 LONG REACHER                         $50.00
       7515016350 HEMI ARM SLING                       $56.00
       7515016360 AIRSPLINT ELBOW                      $71.00
       7515016380 REGULAR BUTTON AID                    $8.00
       7515016430 WRIST SUPPORT                        $46.00
       7515100177 FUNCTIONAL CAPACITY MEASURE          $30.00
       7515100377 FUNCTIONAL CAPACITY MEASURE          $30.00
       7515310024 THERAPEUTIC EXERCISES                $49.00
       7515310040 REASSESSMENT                        $135.00
       7515310061 THERAPEUTIC KINETIC ACTIVITIES       $49.00
       7515310079 STANDARDIZED TEST OF PHYS PERF       $60.00
       7515310117 PARAFFIN BATH                        $39.00
       7515310121 COGNITIVE RE-TRAINING                $47.00
       7515310125 NEURO MUSCULAR REEDUCATION           $49.00
       7515310126 COMMUNITY WORK REINTEGRATION         $47.00
       7515310134 MASSAGE                              $49.00
       7515310144 CONTRAST BATH                        $66.00
       7515310147 PHYS MED ONE AREA ADD'L 15 MIN       $39.00
       7515310158 ORTHOTIC TRAINING ADDL 15            $44.00
       7515310159 PROSTHETIC TRAIN FIT                 $49.00
       7515310160 PROSTHETIC TRAINING ADDL 15          $44.00
       7515310162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       7515310163 ADL SELF CARE HOME MANAGEMENT        $49.00
       7515310164 ADL ADDL 15 MIN                      $44.00
       7515310167 SOFT TISSUE MOBILIZATION             $49.00
       7515310173 GROUP TREATMENT                      $74.00
       7515310174 GROUP EXERCISES ADDL 15              $32.00
       7515310180 STND TEST OF PHY PERF ADDL 15        $56.00
       7515310181 VISIT ORTHOTIC CHECK OUT             $60.00
       7515310183 EXTREMITY TESTING                    $99.00
       7515310184 EXTREMITY TESTING ADDL 15            $56.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          227
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7515310186 UNLISTED PHYS MED REHAB SERVIC       $52.00
       7515310192 VISION SCREENING                     $97.00
       7515310410 HOME EVALUATION                     $218.00
       7515311124 THERAPEUTIC EXERCISES                $98.00
       7515311159 PROSTHETIC TRAIN/FIT                 $98.00
       7515311161 THERAPEUTIC KINETIC ACTIVITIES       $98.00
       7515311163 ADL SELF CARE SKILLS                 $98.00
       7515311179 STANDARDIZED TEST PHY PERF          $120.00
       7515320057 ORTHOTIC TRAIN FIT                   $49.00
       7515320490 WORK HARDENING EACH 1 HR             $98.00
       7515350900 EVALUATION                          $218.00
       7515374855 ELECTRICAL STIMULATION WC            $59.00
       7515434343 EXTREMITY TESTING WORKERS COMP      $119.00
       7515777777 DEBRIDEMENT NON SELECTIVE           $209.00
       7515999901 PRE FABRICATED HAND SPLINT           $81.00
       7515999902 FABRICATED THUMB/FINGER SPLINT       $58.00
       7515999903 LAPTRAY--HALF                        $69.00
       7515999904 EXERCISE BAND                        $10.00
       7515999905 SPLINT SUPPLY                         $4.00
       7515999906 PREFABRICATED THUMB SPLINT           $46.00
       7515999907 LEG LOOPS                            $23.00
       7515999908 LONG HANDLED SPONGE                   $4.00
       7515999909 EATING UTENSIL                        $8.00
       7515999934 MURPHY RING                          $56.00
       7515999939 DYCEM                                 $8.00
       7515999940 WALKER SPLINT                        $68.00
       7515999944 IROM ELBOW BRACE                    $149.00
       7517000058 HALF DAY DAY TREATMENT              $461.00
       7517001058 FOLEY CHANGE                         $59.00
       7517888810 OTHER LOW FUNCTION CASE RATE      $4,905.00
       7517888811 FRONTAL LOBE DYS. PER DIEM          $436.00
       7517888812 CVA LEFT HEMI PER DIEM RATE         $218.00
       7517888813 CVA RIGHT HEMI PER DIEM RATE        $218.00
       7517888814 QUADRIPLEGIA PER DIEM RATE          $327.00
       7517888815 TRAUMATIC BRAIN INJ PER DIEM        $436.00
       7517888816 NON TRAUMATIC BI PER DIEM RATE      $436.00
       7517888817 ANOXIA PER DIEM RATE                $436.00
       7517888818 OTHER LOW FUNCTION PER DIEM         $273.00
       7517888819 OTHER HIGH FUNCTION PER DIEM        $273.00
       7517888820 PARAPLEGIA PER DIEM RATE            $545.00
       7517888881 CVA LEFT HEMI CASE RATE           $3,161.00
       7517888882 CVA RIGHT HEMI CASE RATE          $2,725.00
       7517888883 QUADRIPLEGIA CASE RATE            $4,360.00
       7517888884 PARAPLEGIA CASE RATE              $3,052.00
       7517888885 TRAUMATIC BRAIN INJ CASE RATE     $7,576.00
       7517888886 NON TRAUMATIC BI CASE RATE        $7,576.00
       7517888887 FRONTAL LOBE DYSF. CASE RATE      $9,265.00
       7517888888 ANOXIA CASE RATE                  $9,265.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          228
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7517888889 OTHER HIGH FUNCTION CASE RATE     $3,161.00
       7519030002 RELAXATION GROUP                     $63.00
       7519210001 TELEPHONE CONSULT BRIEF              $49.00
       7519210002 TELEPHONE CONSULT INTERMEDIATE       $98.00
       7519210003 TELEPHONE CONSULT COMPLEX           $147.00
       7519210105 PSYCH TESTING BDI                   $120.00
       7519210106 BIOFEEDBACK TRAINING                $114.00
       7519210108 BIOFEEDBACK EVAL                    $229.00
       7519210114 FAMILY THERAPY WITHOUT PATIENT      $214.00
       7519210115 FAMILY THERAPY WITH PATIENT         $214.00
       7519210116 GROUP TREATMENT                      $86.00
       7519210121 PSYCH TESTING MBHI                  $462.00
       7519210122 PSYCH TESTING MMPI2                 $462.00
       7519210124 PSYCH TESTING MPI                   $462.00
       7519210125 MED PSYCH THERAPY 20-30 MIN          $98.00
       7519210126 MED PSYCH THERAPY 45-50 MIN         $147.00
       7519210127 MED PSYCH THERAPY 75-80 MIN         $196.00
       7519210129 NEUROPSYCH CONSULT PHD              $305.00
       7519210130 PSYCH DIAGNOSTIC INTERVIEW          $298.00
       7519210132 PSYCH REPORT                        $101.00
       7519210133 RECORD REVIEW                       $229.00
       7519210135 PSYCH TESTING STAI                  $462.00
       7519210138 PSYCH EVAL RECORDS                  $193.00
       7519210139 PSYCH TESTING OTHER                 $462.00
       7519210148 PSYCH THERAPY CONJOINT              $190.00
       7519210150 DEVELOPMENTAL TESTING               $261.00
       7519210152 ASSESSMENT OF APHASIA               $305.00
       7519210200 IP IND PSYCH TX 20-30 MIN           $104.00
       7519210201 IP IND PSYCH TX 45-50 MIN           $155.00
       7519210202 IP IND PSYCH 75-80 MIN              $206.00
       7519210257 NEUROBEHAVIORAL STATUS EXAM         $218.00
       7520000020 DAY TREATMENT                       $653.00
       7520000021 LATE CHARGE EACH 15 MIN              $22.00
       7520000024 AUGMENTATIVE THERAPY                 $22.00
       7520000025 HALF DAY TREATMENT                  $419.00
       7520000099 DETERMINATION EVALUATION            $213.00
       7521310409 COOKING GROUP                       $129.00
       7521310903 COMMUNITY WORK RE INTEGRATION        $47.00
       7610000150 MAMMOTONE CLIP                      $196.00
       7610000151 MAMMOTOME PROBE 11 GAUGE            $550.00
       7610000152 MAMMOTOME PROBE 14 GAUGE            $347.00
       7610000153 MANAN NEEDLE                         $51.00
       7610000154 SEEDMARKER                          $120.00
       7610000155 BIOPSYTRAY                          $159.00
       7611000100 MAMMOGRAM SCREENING                 $145.00
       7611000150 MAMMOTOME CLIP                      $187.00
       7611000151 11 G MAMMOTOME PROBE                $527.00
       7611000152 14 G MAMMOTOME PROBE                $334.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          229
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7611000153 MANAN NEEDLE                         $48.00
       7611000205 CONSULTING RPT OUTSIDE FILMS         $79.00
       7611000207 FINE NEEDLE ASPIRATION              $567.00
       7611000225 STEREOTACTIC BIOPSY INCISION        $993.00
       7611000228 MAMMOGRAM SCREENING IMPLANT         $190.00
       7615007205 BREAST NEEDLE LOCAL MULTI - RT      $552.00
       7615007206 BREAST NEEDLE LOCAL SINGLE -RT      $367.00
       7615007207 BREAST NEEDLE LOCAL SINGLE          $367.00
       7615007208 BREAST NEEDLE LOCAL MULTI SITE      $552.00
       7615007311 BREAST NEEDLE LOCAL SING LEFT       $367.00
       7615007312 BREAST NEEDLE LOCAL MULTI LEFT      $552.00
       7615107205 BREAST NEEDLE LOCAL MULTI - RT      $552.00
       7615107206 BREAST NEEDLE LOCAL SINGLE -RT      $384.00
       7615107207 BREAST NEEDLE LOCAL SINGLE          $367.00
       7615107208 BREAST NEEDLE LOCAL MULTI SITE      $552.00
       7615107311 BREAST NEEDLE LOCAL SING LEFT       $367.00
       7615107312 BREAST NEEDLE LOCAL MULTI LEFT      $552.00
       7620000100 MAMMOGRAM UNILATERAL - RIGHT        $136.00
       7620000101 MAMMOGRAM BILATERAL                 $221.00
       7620000102 MAMMOGRAM UNILATERAL - RIGHT        $136.00
       7620000108 ADD VIEWS UNILATERAL - RIGHT        $136.00
       7620000121 MAMMO SCREEN CONVERT DIAG           $221.00
       7620000135 MAMMOGRAM UNILATERAL - LEFT         $136.00
       7620000136 ADD VIEWS UNILATERAL - LEFT         $136.00
       7630000108 BREAST PUNCTURE CYST MULTIPLE       $211.00
       7630000109 BREAST ULTRASOUND UNILAT - RT       $351.00
       7630000110 BREAST PUNCT CYST MULTI -RIGHT      $211.00
       7630000111 PUNCTURE ASPIRATION CYST -LEFT      $689.00
       7630000115 PUNCTURE ASPIR CYST ADDL-RIGHT      $208.00
       7630000116 PUNCTURE ASPIRATION CYST-RIGHT      $689.00
       7630000118 BREAST ULTRASOUND BILATERAL         $398.00
       7630000132 BREAST PUNCT CYST SINGLE -LEFT      $211.00
       7630000133 BREAST PUNCT CYST MULTI - LEFT      $211.00
       7630000137 PUNCTURE ASPIR CYST ADDL- LEFT      $208.00
       7630000140 BREAST ULTRASOUND UNILAT- LEFT      $366.00
       7630000142 BIOPSY BREAST CORE - LEFT           $211.00
       7630000200 BREAST PUNCTURE CYST SINGLE         $211.00
       7630000202 BREAST PUNCT CYST SINGLE-RIGHT      $211.00
       7630000205 BIOPSY BREAST CORE                  $211.00
       7630000206 BIOPSY BREAST CORE - RIGHT          $211.00
       7630000221 NEOADJ BRST TUM MARKER US-LT        $455.00
       7630000226 PREOP NEEDLE PLACEMENT ADDL-RT      $133.00
       7630000228 PREOP NEEDLE PLACE ADDL - LEFT      $133.00
       7630000229 NEOADJ BRST TUM MARKER US-RT        $455.00
       7630000301 BREAST ULTRASOUND UNILAT - RT       $366.00
       7630000302 BREAST PUNCT CYST MULTI -RIGHT      $211.00
       7630000303 PUNCTURE ASPIR CYST ADDL-RIGHT      $208.00
       7630100132 BREAST PUNCT CYST SINGLE -LEFT      $211.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          230
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7630100142 BIOPSY BREAST CORE - LEFT           $211.00
       7630100200 BREAST PUNCTURE CYST SINGLE         $185.00
       7630100202 BREAST PUNCT CYST SINGLE-RIGHT      $211.00
       7630100205 BIOPSY BREAST CORE                  $211.00
       7630100206 BIOPSY BREAST CORE - RIGHT          $211.00
       7630100221 NEOADJ BRST TUM MARKER US-LT        $455.00
       7630100229 NEOADJ BRST TUM MARKER US-RT        $455.00
       7640000111 DUCTOGRAM MAMMARY MULTIPLE          $507.00
       7640000112 DUCTOGRAM MAMMARY SINGLE-RIGHT      $365.00
       7640000113 DUCTOGRAM MAMMARY MULTIPLE -RT      $507.00
       7640000114 CORE NEEDLE                       $1,058.00
       7640000115 CORE NEEDLE - LEFT                $1,058.00
       7640000116 CORE NEEDLE -RIGHT                $1,058.00
       7640000130 DUCTOGRAM MAMMARY SINGLE- LEFT      $365.00
       7640000131 DUCTOGRAM MAMMARY MULTI - LEFT      $507.00
       7640000139 STEREOTACTIC BX INCISION -LEFT      $993.00
       7640000216 INJ PROCEDURE DUCTOGRAM - LEFT      $269.00
       7640000217 INJECTION PROC DUCTOGRAM-RIGHT      $269.00
       7640000220 NEOADJ BRST TUM MARK STEREO-LT      $455.00
       7640000223 NEOADJ BRST TUM MARK STEREO-RT      $455.00
       7640000224 STEREOTACTIC BX INCISION-RIGHT      $993.00
       7640000225 STEREOTACTIC BIOPSY INCISION        $993.00
       7640000227 PREOP NEEDLE PLACE SINGLE - RT      $133.00
       7640000228 PREOP NEEDLE PLACE SINGLE-LEFT      $133.00
       7640000230 INCISIONAL                        $1,227.00
       7640000231 MAMMOTOME - LEFT                  $1,227.00
       7640000232 MAMMOTOME - RIGHT                 $1,227.00
       7640000304 DUCTOGRAM MAMMARY SINGLE-RIGHT      $365.00
       7640000305 DUCTOGRAM MAMMARY MULTIPLE -RT      $507.00
       7640100110 DUCTOGRAM MAMMARY SINGLE            $365.00
       7640100111 DUCTOGRAM MAMMARY MULTIPLE          $507.00
       7640100112 DUCTOGRAM MAMMARY SINGLE - RT       $365.00
       7640100113 DUCTOGRAM MAMMARY MULTIPLE -RT      $507.00
       7640100130 DUCTOGRAM MAMMARY SINGLE- LEFT      $365.00
       7640100131 DUCTOGRAM MAMMARY MULTI - LEFT      $507.00
       7640100139 STEREOTACTIC BX INCISION -LEFT      $993.00
       7640100220 NEOADJ BRST TUM MARK STEREO-LT      $455.00
       7640100223 NEOADJ BRST TUM MARK STEREO-RT      $455.00
       7640100224 STEREOTACTIC BX INCISION-RIGHT      $993.00
       7640100225 STEREOTACTIC BIOPSY INCISION        $993.00
       7650000110 STEREOTACTIC CORE BIOPSY-RIGHT    $1,650.00
       7650000114 BREAST SURGICAL SPECIMEN-RIGHT      $215.00
       7650000115 BREAST SURGICAL SPECIMEN            $215.00
       7650000116 STEREOTACTIC BIOPSY ADDITIONAL      $868.00
       7650000134 BREAST SURGICAL SPECIMEN- LEFT      $225.00
       7650000138 STEREOTACTIC CORE BIOPSY -LEFT    $1,650.00
       7650000225 STEREOTAXIC BIOPSY INCISIONAL       $993.00
       7650000307 BREAST SURGICAL SPECIMEN-RIGHT      $225.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          231
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7650100109 STEREOTACTIC BIOPSY CORE            $993.00
       7650100110 STEREOTACTIC BIOPSY CORE-RIGHT      $993.00
       7650100138 STEREOTACTIC BIOPSY CORE -LEFT      $993.00
       7650100225 STEREOTACTIC BIOPSY INCISIONAL      $993.00
       7713010010 BIOFEEDBACK                          $49.00
       7713010012 PT EVAL                             $218.00
       7713010014 TRACTION MECHANICAL                  $52.00
       7713010016 VASOPNEUMATIC COMPRESSION            $39.00
       7713010018 WHIRLPOOL                            $62.00
       7713010026 COMMUNITY WORK RE INTEGRATION        $49.00
       7713010028 GAIT TRAINING                        $49.00
       7713010040 REASSESSMENT                        $136.00
       7713010043 COGNITIVE RETRAINING                 $47.00
       7713010044 CONTRAST BATH                        $66.00
       7713010045 ULTRASOUND                           $49.00
       7713010046 PROCEDURE UNLISTED                   $49.00
       7713010052 POOL THERAPY                         $57.00
       7713010055 MANUAL THERAPY                       $49.00
       7713010056 MANUAL THERAPY EA ADD'L AREA         $49.00
       7713010063 ADL SELF CARE SKILLS                 $49.00
       7713010073 GROUP TREATMENT                      $32.00
       7713010079 STANDARDIZED TEST OF PHYS PERF       $60.00
       7713010086 UNLISTED PHY MED/REHAB SER           $48.00
       7713010115 ELECTRICAL STIM UNATTENDED           $59.00
       7713010117 PARAFFIN BATH                        $39.00
       7713010119 MODALITY UNLISTED                    $64.00
       7713010121 EVALUATION ESTAB EXTENDED           $218.00
       7713010122 EVAL NEW EXTENDED                   $314.00
       7713010124 THERAPEUTIC EXERCISES                $49.00
       7713010125 NEUROMUSCULAR REEDUCATION            $49.00
       7713010127 FUNCTIONAL ACTIVITIES                $49.00
       7713010131 ELEC STIM MANUAL                     $62.00
       7713010132 IONTOPHORESIS                        $77.00
       7713010133 TRACTION MANUAL                      $49.00
       7713010134 MASSAGE                              $49.00
       7713010141 SPLINTING CASTING                    $59.00
       7713010147 PHY MED PROC ONE AREA ADD'L 15       $49.00
       7713010153 POOL ADDL 15 MIN                     $56.00
       7713010157 ORTHOTIC TRAIN FIT                   $49.00
       7713010158 ORTHOTIC TRAINING ADD 15 MIN         $49.00
       7713010159 PROSTHETIC TRAINING                  $49.00
       7713010160 PROTHETIC TRAINING ADD 15 MIN        $49.00
       7713010161 THERAPEUTIC ACTIVITIES               $49.00
       7713010162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       7713010164 ADL ADDITIONAL 15 MIN                $49.00
       7713010169 ORTHOTIC FABRICATION                 $49.00
       7713010170 JOINT MOBILIZATION                   $49.00
       7713010171 TAPING THERAPEUTIC                   $56.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          232
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7713010172 COMPUTER ASSISTED TRAINING          $116.00
       7713010174 GROUP TREATMENT ADDL 15              $32.00
       7713010175 PATIENT EDUCATION GROUP              $64.00
       7713010176 WORK TOLERANCE TESTING              $472.00
       7713010178 JOB SITE ASSESSMENT                 $343.00
       7713010180 STND TEST OF PHYS PERF ADDL 15       $56.00
       7713010181 VISIT ORTHOTIC CHECKOUT              $60.00
       7713010182 VISIT ORTHOTIC CHECK ADDL 15         $56.00
       7713010183 EXTREMITY TESTING                   $124.00
       7713010184 EXTREMITY TESTING ADDL 15            $56.00
       7713010187 EVAL NEW BRIEF                      $105.00
       7713010188 EVAL NEW LIMITED                    $157.00
       7713010189 EVAL NEW INTERMEDIATE               $218.00
       7713010190 EVAL NEW COMPREHENSIVE              $419.00
       7713010191 EVALUATION ESTAB LIMITED            $105.00
       7713010192 EVAL ESTAB INTERMEDIATE             $157.00
       7713010193 EVAL ESTABLISH COMPREHENSIVE        $314.00
       7713010311 HOME EVALUATION                     $218.00
       7713010800 EVALUATION                          $218.00
       7713010835 DEVELOPMENTAL THERAPY                $49.00
       7713011124 THERAPEUTIC EXERCISES                $98.00
       7713011125 NEUROMUSCULAR REEDUCATION            $98.00
       7713011128 GAIT TRAINING                        $98.00
       7713011131 ELEC STIM MANUAL                    $124.00
       7713011132 IONTOPHORESIS                       $155.00
       7713011133 TRACTION MANUAL                      $98.00
       7713011134 MASSAGE                              $98.00
       7713011145 ULTRASOUND                           $98.00
       7713011146 PROCEDURE UNLISTED                   $98.00
       7713011152 POOL THERAPY                        $111.00
       7713011157 ORTHOTIC TRAIN/FIT                   $98.00
       7713011159 PROSTHETIC TRAINING                  $98.00
       7713011161 THERAPEUTIC ACTIVITIES               $98.00
       7713011163 ADL SELF CARE SKILLS                 $98.00
       7713011165 MANUAL THERAPY                       $98.00
       7713011167 SOFT TISSUE MOBILIZATION             $98.00
       7713011168 INDIVIDUAL INSTRUCTION               $98.00
       7713011170 JOINT MOBILIZATION                   $98.00
       7713011173 GROUP THERAPY                        $63.00
       7713011179 STANDARIZED TEST PHYS PERF          $120.00
       7713011181 VISIT ORTHOTIC CHECKOUT             $120.00
       7713020030 COMMUNITY EXERCISE GROUP             $49.00
       7713020199 DEBRIDEMENT NON SELECTING           $209.00
       7713434343 EXTREMITY TESTING WORKERS COMP      $119.00
       7713999903 EXERCISE BAND                         $9.00
       7713999904 PUTTY                                $16.00
       7713999905 CPM PADS                             $46.00
       7713999907 TUBIFAST GREEN                       $16.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          233
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7713999908 TUBIGRIP FULL LEG                    $40.00
       7713999909 SETOPRESS                            $29.00
       7713999910 BANDNET SIZES 6 & 7 & 8              $14.00
       7713999911 BANDNET SIZES 4 & 5                  $10.00
       7713999912 BANDNET SIZES 2 & 3                   $5.00
       7713999913 STOCKINETTE                           $4.00
       7713999914 FOOT ORTHOTIC COMPONENTS              $7.00
       7713999915 LEG LOOPS/LADDERS                    $23.00
       7713999925 PULSEVAC UNIT                        $95.00
       7713999926 SPLINT SUPPLY                         $4.00
       7713999932 DYCEM                                 $8.00
       7713999934 COBAN                                 $8.00
       7714000680 HEARING THERAPY                     $174.00
       7714107104 VOICE THERAPY                       $174.00
       7714110103 SWALLOWING EVALUATION               $300.00
       7714110104 SPEECH LANGUAGE TREATMENT           $174.00
       7714110105 SPEECH LANGUAGE GROUP                $74.00
       7714110110 TRACH SPEAKING VALVE EVAL           $218.00
       7714110111 TRACH SPEAKING VALVE TREATMENT      $174.00
       7714110113 SWALLOW FEED TREATMENT              $174.00
       7714110308 EVAL FOR VOICE PROSTHETIC           $218.00
       7714110401 PEDIATRIC EVALUATION                $324.00
       7714110402 PEDIATRIC TREATMENT                 $126.00
       7714110412 COGNITIVE SIMULATION GROUP           $74.00
       7714110414 SWALLOW MODIFIED BARIUM             $325.00
       7714110501 PEDIATRIC GROUP TREATMENT            $74.00
       7714111015 AUGMENTATIVE EVALUATION             $218.00
       7714111018 COGNITIVE RETRAINING                $174.00
       7714111019 COMA STIMULATION                    $174.00
       7714111021 COMMUNITY WORK REINTEGRATION        $174.00
       7714111029 PALATAL LIFT PROSTHESIS EVAL        $218.00
       7714111035 SPEECH AID PROSTHESIS EVAL          $218.00
       7714111039 VELOPHARYNGEAL EVAL VIDEO           $325.00
       7714120100 SPEECH LANGUAGE EVALUATION          $218.00
       7714140308 VOICE GROUP                          $74.00
       7714897898 VITAL STIM APPLICATION               $44.00
       7714998877 SWALLOWING FEEDING GROUP             $74.00
       7715013205 EDEMA GLOVE                          $46.00
       7715016030 BRUSH SUCTION                        $46.00
       7715016040 BUTTON AID RUBBER HANDLE             $11.00
       7715016055 CARD HOLDER                          $10.00
       7715016060 DENTURE BRUSH SUCTION                $16.00
       7715016080 FOOD GUARD PLASTIC                   $12.00
       7715016100 HAND CONE                            $26.00
       7715016104 HOLDER DRINKING STRAW                $11.00
       7715016110 JAR LID OPENER                       $26.00
       7715016120 KNIFE ROCKER                         $25.00
       7715016130 KNIFE QUAD QUIP                      $21.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          234
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7715016135 LAP BOARD                            $37.00
       7715016138 MASSAGE TOOL                         $11.00
       7715016140 MIRROR PARA INSPECTION               $28.00
       7715016155 MITT WASH QUAD QUIP                  $23.00
       7715016160 PARING BOARD                         $64.00
       7715016170 PUTTY                                $17.00
       7715016180 DRESSING STICK                       $10.00
       7715016190 REACHER                              $31.00
       7715016200 SCRUB SPONGE LONG                     $9.00
       7715016220 SHOE HORN 24 IN STAINLESS            $22.00
       7715016230 SOCK AID                             $22.00
       7715016245 TOILET AID                           $46.00
       7715016250 UTENSIL HOLDER                       $10.00
       7715016260 SPLINT FINGER MULTIPLE              $129.00
       7715016270 SPLINT FINGER SINGLE                 $87.00
       7715016280 FABRICATED HAND SPLINT              $114.00
       7715016290 FABRICATED WRIST SPLINT              $86.00
       7715016320 DELUX POWER GRIP HAND EXERCISE       $45.00
       7715016330 HAND EXERCISER--RUBBER BAND          $28.00
       7715016340 LONG REACHEER                        $50.00
       7715016350 HEMI ARM SLING                       $56.00
       7715016360 AIRSPLINT ELBOW                      $71.00
       7715016380 REGULAR BUTTON AID                    $8.00
       7715016430 WRIST SUPPORT                        $46.00
       7715016460 ARM TROUGH                          $112.00
       7715016501 BAG ECONOMY WALKER                   $28.00
       7715016502 BASKET ADAPTABLE WALKER              $45.00
       7715016503 DEVICE LOADING INSULIN SYRINGE       $43.00
       7715016504 AIRSPLINT-FULL ARM                   $87.00
       7715016505 FLOSS AID                            $10.00
       7715016506 ELEVATOR FOAM REPLACEMENT            $23.00
       7715016507 GLOVE FINGER FLEXION                 $46.00
       7715016508 TRIANGULAR GRIPS                      $4.00
       7715016509 HOLDER ELECTRIC RAZOR                $36.00
       7715016510 HOLDER FONE                          $73.00
       7715016511 HOLDER INSULIN TABLE STAND           $81.00
       7715016512 HOLDER INSULIN WALL MOUNTED          $60.00
       7715016513 HOLDER QUAD PHONE                    $21.00
       7715016514 DOOR KNOB STEEL EXTENSION            $17.00
       7715016515 MUG T HANDLE                         $12.00
       7715016516 MUG CARING                           $22.00
       7715016518 SHOE BUTTON EACH                      $8.00
       7715016520 SHOE HORN PLASTIC                     $7.00
       7715016521 SHOE LACES ELASTIC PR                 $7.00
       7715016522 SPONGE QUAD FLEX                     $71.00
       7715016523 WRIST SUPPORT ECONOMY                $27.00
       7715016524 TOILET AID TONGS                     $16.00
       7715016525 WRIST WANCHICKS                      $51.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          235
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7715310024 THERAPEUTIC EXERCISES                $49.00
       7715310040 REASSESSMENT                        $136.00
       7715310061 THERAPEUTIC KINETIC ACTIVITIES       $49.00
       7715310079 STANDARDIZED TEST OF PHYS PERF       $60.00
       7715310117 PARAFFIN BATH                        $39.00
       7715310121 COGNITIVE RE-TRAINING                $47.00
       7715310125 NEURO MUSCULAR REEDUCATION           $49.00
       7715310126 COMMUNITY WORK REINTEGRATION         $47.00
       7715310134 MASSAGE                              $49.00
       7715310144 CONTRAST BATH                        $66.00
       7715310146 PROCEDURE UNLISTED                   $49.00
       7715310147 PHYS MED ONE AREA ADD'L 15 MIN       $39.00
       7715310158 ORTHOTIC TRAINING ADDL 15            $44.00
       7715310159 PROSTHETIC TRAIN FIT                 $49.00
       7715310160 PROSTHETIC TRAINING ADDL 15          $44.00
       7715310162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       7715310163 ADL SELF CARE HOME MANAGEMENT        $49.00
       7715310164 ADL ADDL 15 MIN                      $44.00
       7715310165 WORK HARDENING INITIAL 2 HOURS      $193.00
       7715310166 WORK HARDENING ADDL HOUR             $98.00
       7715310167 SOFT TISSUE MOBILIZATION             $49.00
       7715310173 GROUP TREATMENT                      $74.00
       7715310174 GROUP EXERCISES ADDL 15              $32.00
       7715310180 STND TEST OF PHY PERF ADDL 15        $56.00
       7715310181 VISIT ORTHOTIC CHECK OUT             $60.00
       7715310182 VISIT ORTHOTIC CHECK OUT ADD15       $60.00
       7715310183 EXTREMITY TESTING                   $119.00
       7715310184 EXTREMITY TESTING ADDL 15            $56.00
       7715310186 UNLISTED PHYS MED REHAB SERVIC       $49.00
       7715310192 VISION SCREENING                     $97.00
       7715310410 HOME EVALUATION                     $218.00
       7715311124 THERAPEUTIC EXERCISES                $98.00
       7715311125 NEUROMUSCULAR REEDUCATION            $98.00
       7715311127 FUNCTIONAL ACTIVITIES                $98.00
       7715311132 IONTOPHORESIS                       $155.00
       7715311134 MASSAGE                              $98.00
       7715311146 PROCEDURE UNLISTED                   $98.00
       7715311159 PROSTHETIC TRAIN/FIT                 $98.00
       7715311161 THERAPEUTIC KINETIC ACTIVITIES       $98.00
       7715311163 ADL SELF CARE SKILLS                 $98.00
       7715311167 MANUAL THERAPY                       $98.00
       7715311169 ORTHOTIC FABRICATION                 $98.00
       7715311173 GROUP TREATMENT                      $63.00
       7715311179 STANDARDIZED TEST PHY PERF          $120.00
       7715311181 VISIT ORTHOTIC CHECK OUT            $120.00
       7715320057 ORTHOTIC TRAIN FIT                   $49.00
       7715321127 ORTHOTIC TRAIN/FIT                   $98.00
       7715321168 INDIVIDUALIZED INST                  $98.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          236
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7715340412 DRIVER ASSESSMENT LIMITED           $327.00
       7715340413 DRIVER INSTRUCTION                   $43.00
       7715340802 DRIVER EVALUATION CAR               $540.00
       7715340814 DRIVER EVALUATION VAN               $616.00
       7715350900 EVALUATION                          $218.00
       7715400751 EDUCATION PATIENT/FAMILY             $56.00
       7715434343 EXTREMITY TESTING WORKERS COMP      $119.00
       7715520110 BIOFEEDBACK                          $97.00
       7715520119 MODALITY UNLISTED                    $39.00
       7715777777 DEBRIDEMENT NON SELECTIVE           $209.00
       7715916526 HAND EXERCISER--DELUXE               $41.00
       7715999901 PRE FABRICATED HAND SPLINT           $81.00
       7715999902 FABRICATED THUMB/FINGER SPLINT       $58.00
       7715999903 LAPTRAY--HALF                        $69.00
       7715999904 EXERCISE BAND                        $10.00
       7715999905 SPLINT SUPPLY                         $4.00
       7715999906 PREFABRICATED THUMB SPLINT           $46.00
       7715999907 LEG LOOPS                            $23.00
       7715999908 LONG HANDLED SPONGE                   $4.00
       7715999909 EATING UTENSIL                        $8.00
       7715999939 DYCEM                                 $8.00
       7715999944 IROM ELBOW BRACE                    $149.00
       7717001000 BRIEF CONSULT REHAB CLINIC           $99.00
       7717001028 P AND O CLINIC                      $117.00
       7717001030 CASE CONFERENCE                      $69.00
       7717001040 REHAB CLINIC                         $66.00
       7717001050 REHAB EVALUATION                    $265.00
       7717001051 INTERMIT SELF CATH ED/TRAIN         $174.00
       7717001052 FOLLOW UP INTERM SELF CATH           $59.00
       7717001053 HOME EVAL                           $232.00
       7717001054 BOWEL/BLADDER MGMT INITIAL          $232.00
       7717001055 BOWEL/BLADDER MGMT FOLLOWUP         $117.00
       7717001056 SKIN EVAL INITIAL                   $174.00
       7717001057 SKIN MANAGEMENT FOLLOW UP            $59.00
       7717001058 FOLEY CHANGE                         $59.00
       7717888810 OTHER LOW FUNCTION CASE RATE      $4,905.00
       7717888811 FRONTAL LOBE DYS. PER DIEM          $436.00
       7717888812 CVA LEFT HEMI PER DIEM RATE         $218.00
       7717888813 CVA RIGHT HEMI PER DIEM RATE        $218.00
       7717888814 QUADRIPLEGIA PER DIEM RATE          $327.00
       7717888815 TRAUMATIC BRAIN INJ PER DIEM        $436.00
       7717888816 NON TRAUMATIC BI PER DIEM RATE      $436.00
       7717888817 ANOXIA PER DIEM RATE                $436.00
       7717888818 OTHER LOW FUNCTION PER DIEM         $273.00
       7717888819 OTHER HIGH FUNCTION PER DIEM        $273.00
       7717888820 PARAPLEGIA PER DIEM RATE            $218.00
       7717888881 CVA LEFT HEMI CASE RATE           $3,161.00
       7717888882 CVA RIGHT HEMI CASE RATE          $2,725.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          237
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7717888883 QUADRIPLEGIA CASE RATE            $4,360.00
       7717888884 PARAPLEGIA CASE RATE              $3,052.00
       7717888885 TRAUMATIC BRAIN INJ CASE RATE     $7,576.00
       7717888886 NON TRAUMATIC BI CASE RATE        $7,576.00
       7717888887 FRONTAL LOBE DYSF. CASE RATE      $9,265.00
       7717888888 ANOXIA CASE RATE                  $9,265.00
       7717888889 OTHER HIGH FUNCTION CASE RATE     $3,161.00
       7717999999 CONSULTATION                        $109.00
       7719030002 RELAXATION GROUP                     $63.00
       7719030006 PAIN GROUP                           $86.00
       7719210001 TELEPHONE CONSULT BRIEF              $49.00
       7719210002 TELEPHONE CONSULT INTERMEDIATE       $98.00
       7719210003 TELEPHONE CONSULT COMPLEX           $147.00
       7719210105 PSYCH TESTING BDI                   $120.00
       7719210108 BIOFEEDBACK EVAL                    $229.00
       7719210111 EEG BIOFEEDBACK                      $86.00
       7719210112 EMG BIOFEEDBACK                      $86.00
       7719210113 BLOOD PRESSURE BIOFEEDBACK           $86.00
       7719210114 FAMILY THERAPY WITHOUT PATIENT      $214.00
       7719210115 FAMILY THERAPY WITH PATIENT         $214.00
       7719210116 GROUP TREATMENT                      $86.00
       7719210121 PSYCH TESTING MBHI                  $462.00
       7719210122 PSYCH TESTING MMPI2                 $462.00
       7719210123 MED PSYCHDANALYSIS                  $199.00
       7719210124 PSYCH TESTING MPI                   $462.00
       7719210125 MED PSYCH THERAPY 20-30 MIN          $98.00
       7719210126 MED PSYCH THERAPY 45-50 MIN         $147.00
       7719210127 MED PSYCH THERAPY 75-80 MIN         $196.00
       7719210129 MEUROPSYCH CONSULT PHD              $305.00
       7719210130 PSYCH DIAGNOSTIC INTERVIEW          $234.00
       7719210132 PSYCH REPORT                        $101.00
       7719210133 RECORD REVIEW                       $229.00
       7719210135 PSYCH TESTING STAI                  $462.00
       7719210138 PSYCH EVAL RECORDS                  $193.00
       7719210139 PSYCH TESTING OTHER                 $462.00
       7719210148 PSYCH THERAPY CONJOINT              $190.00
       7719210150 DEVELOPMENTAL TESTING               $261.00
       7719210152 ASSESSMENT OF APHASIA               $305.00
       7719210200 IP IND PSYCH TX 20-30 MIN           $104.00
       7719210201 IP IND PSYCH TX 45-50 MIN           $155.00
       7719210202 IP IND PSYCH 75-80 MIN              $206.00
       7719210257 NEUROBEHAVIORAL STATUS EXAM         $218.00
       7720000020 DAY TREATMENT                       $653.00
       7720000021 LATE CHARGE EACH 15 MIN              $22.00
       7720000024 AUGMENTATIVE THERAPY                 $22.00
       7720000025 HALF DAY DAY TREATMENT              $419.00
       7720000026 DAY TREATMENT PROGRAM ONLY           $40.00
       7720000099 DETERMINATION EVALUATION            $232.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          238
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       7721000021 RECREATIONAL EVALUATION             $232.00
       7721310906 RECREATION THERAPY                   $97.00
       7721310909 GROUP TREATMENT                      $25.00
       7721311109 GROUP TREATMENT                      $63.00
       7721320075 LEISURE EDUCATION GROUP              $44.00
       7721350409 RECREATIONAL THERAPY GROUP           $44.00
       7812010001 SEATING EVAL CUSHION                $253.00
       7812010002 SEATING EVAL CUSTOM CUSHION         $370.00
       7812010003 SEATING EVAL MANUAL WHEELCHAIR      $314.00
       7812010004 SEAT EVAL MANUAL WC POSITION        $633.00
       7812010005 SEAT EVAL--POWER WHEELCHAIR         $584.00
       7812010006 SEAT EVAL SPECIAL POWER WHEELC      $922.00
       7812010007 ADD'L WHEELCHAIR ASSESS TIME        $117.00
       7812010008 CUSHION FITTING                      $59.00
       7812010009 CUSTOM CUSHION FITTING              $123.00
       7812010010 MANUAL WHEELCHAIR FITTING           $123.00
       7812010011 MANUAL POSITIONING FITTING          $184.00
       7812010012 POWER WHEELCHAIR FITTING            $123.00
       7812010013 SPECIAL POWER FITTING               $370.00
       7812010014 ADDITIONAL FITTING TIME             $123.00
       7812666664 TRAVEL TIME2                        $138.00
       7812666665 TRAVEL TIME3                        $208.00
       7812666666 TRAVEL TIME                          $70.00
       7812666667 TRAVEL TIME4                        $277.00
       7813010012 PT EVAL                             $231.00
       8011000417 CHF CLINIC INITIAL ASSESSMENT       $279.00
       8011000418 CHF CLINIC FU VISIT 25M             $170.00
       8011000420 CHF CLINIC VISIT NEW PT 15M          $74.00
       8011000421 CHF CLINIC VISIT NEW PT 20M         $132.00
       8011000422 CHF CLINIC VISIT NEW PT 30M         $197.00
       8011000423 CHF CLINIC VISIT NEW PT 60M         $354.00
       8011000424 CHF CLINIC FU VISIT 10M              $79.00
       8011000425 CHF CLINIC FU VISIT 15M             $109.00
       8011000426 CHF CLINIC FU VISIT 40M             $248.00
       8011000427 CHF CONSULTATION 60 MINS            $351.00
       8113000001 AQUATIC ACTIVITIES                   $56.00
       8113000003 COMPUTER FACILITATED TREAT          $116.00
       8113000004 COGNITIVE STIMULATION GROUP          $60.00
       8113000005 COMMUNITY WORK REINTEGRATION         $47.00
       8113000010 LEISURE EDUCATION GROUP              $44.00
       8113000012 TELEPHONE CONSULT                    $24.00
       8113000020 GROUP INSTRUCTION                    $60.00
       8113000021 COMMUNITY REC PROGRAM                $52.00
       8113000023 PHYSICAL FITNESS GROUP               $52.00
       8216000000 VISUAL REINFORCE AUDIOMETRY         $398.00
       8216000001 ELECTROCHLEOGRAPHY                  $666.00
       8216000600 AUDIOLOGICAL EVAL COMPLETE          $227.00
       8216000630 BRAINSTEM EVOKE RESP LESION         $666.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          239
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8216000631 BSER NEONATAL                       $401.00
       8216000660 ACOUSTIC REFLEX TESTING              $74.00
       8216000670 HEARING AID EVALUATION BINAURA      $240.00
       8216000680 HEARING THERAPY PER HOUR            $114.00
       8216000700 LOUDNESS BALANCE TEST                $76.00
       8216000720 PEDIATRIC EVALUATION                $296.00
       8216000730 PEDIATRIC EVALUATION FOLLOW UP      $173.00
       8216000750 AUDIO SCREEN PURE TONE THRESHO      $159.00
       8216000751 OTOACOUTIC EMISSION EVALUATION      $214.00
       8216000752 OTOACOUSTIC EMISSION SCREEN         $145.00
       8216000760 SHORT INCREMENT SENSITIVITY          $76.00
       8216000790 TONE DECAY TESTING                   $93.00
       8216000800 TYMPANOGRAM                          $93.00
       8216000811 ASSISTIVE LISTENING DEVICE        $1,982.44
       8216000815 EAR MOLD                             $81.00
       8216000821 HEARING AID                       $1,557.00
       8216000822 CANAL HEARING AID                 $1,417.00
       8216000823 ITE HEARING AID                   $1,152.00
       8216000824 BTE HEARING AID                   $1,064.00
       8216000830 HEARING AID REPAIR                  $225.00
       8216000835 HEARING AID BATTERIES                $11.00
       8216000900 VERTCAL ELECTRODES                   $74.00
       8216000902 POSITIONAL NYSTAGMUS TEST           $114.00
       8216000903 CALORIC VESTIBULAR TEST             $267.00
       8216000904 OPTOKINETIC NYSTAGMUS TEST          $100.00
       8216000905 OSCILLATING TRACKING TEST           $109.00
       8216000906 TOTAL ENG EVALUATION                $124.00
       8216000910 IMPEDENCE EVAL COMPLETE              $38.00
       8216000911 ACOUSTIC REFLEX DECAY TESTING        $35.00
       8216100906 TOTAL ENG EVALUATION                $114.00
       8216100910 IMPEDENCE EVAL COMPLETE              $35.00
       8216111222 OP RESCREEN HEARING EVAL            $126.00
       8216222333 INITIAL INFANT HEARING SCREEN        $89.00
       8216333222 OP INITIAL INFANT HEAR SCREEN        $89.00
       8319030002 RELAXATION GROUP                     $81.00
       8319030006 PAIN GROUP                          $109.00
       8319210001 TELEPHONE CONSULT BRIEF              $63.00
       8319210002 TELEPHONE CONSULT INTERMEDIATE      $124.00
       8319210003 TELEPHONE CONSULT COMPLEX           $186.00
       8319210105 PSYCH TESTING BDI                   $120.00
       8319210106 BIOFEEDBACK TRAINING                $145.00
       8319210108 BIOFEEDBACK EVAL                    $290.00
       8319210111 EEG BIOFEEDBACK                     $109.00
       8319210112 EMG BIOFEEDBACK                     $109.00
       8319210113 BLOOD PRESSURE BIOFEEDBACK          $109.00
       8319210114 FAMILY THERAPY WITHOUT PATIENT      $270.00
       8319210115 FAMILY THERAPY WITH PATIENT         $270.00
       8319210116 GROUP TREATMENT                     $109.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          240
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                          PRICING
       8319210121 PSYCH TESTING MBHI                $462.00
       8319210122 PSYCH TESTING MMPI2               $462.00
       8319210124 PSYCH TESTING MPI                 $462.00
       8319210125 MED PSYCH THERAPY 20-30 MIN       $124.00
       8319210126 MED PSYCH THERAPY 45-50 MIN       $147.00
       8319210127 MED PSYCH THERAPY 75-80 MIN       $249.00
       8319210129 NEUROPSYCH CONSULT PHD            $305.00
       8319210130 PSYCH DIAGNOSTIC INTERVIEW        $298.00
       8319210132 PSYCH REPORT                      $129.00
       8319210133 RECORD REVIEW                     $290.00
       8319210135 PSYCH TESTING STAI                $462.00
       8319210138 PSYCH EVAL RECORDS                $244.00
       8319210139 PSYCH TESTING OTHER               $462.00
       8319210148 PSYCH THERAPY CONJOINT            $241.00
       8319210150 DEVELOPMENTAL TESTING             $261.00
       8319210152 ASSESSMENT OF APHASIA             $305.00
       8319210200 IP IND PSYCH TX 20-30 MIN         $124.00
       8319210201 IP IND PSYCH TX 45-50 MIN         $155.00
       8319210202 IP IND PSYCH 75-80 MIN            $249.00
       8319210257 NEUROBEHAVIORAL STATUS EXAM       $276.00
       8417001000 BRIEF CONSULT REHAB CLINIC        $110.00
       8417001030 CASE CONFERENCE                    $76.00
       8417001040 REHAB CLINIC                       $74.00
       8417001050 REHAB EVALUATION                  $292.00
       8417001053 HOME EVAL                         $256.00
       8417001054 BOWEL/BLADDER MGMT INITIAL        $256.00
       8417001055 BOWEL/BLADDER MGMT FOLLOWUP       $129.00
       8417001056 SKIN EVAL INITIAL                 $192.00
       8417001057 SKIN MANAGEMENT FOLLOW UP          $65.00
       8417999999 CONSULTATION                      $120.00
       8420000020 DAY TREATMENT                     $718.00
       8420000021 LATE CHARGE EACH 15 MIN            $24.00
       8420000022 REHAB CLINIC EVAL                  $76.00
       8420000024 AUGMENTATIVE THERAPY               $22.00
       8420000025 HALF DAY TREATMENT                $461.00
       8420000099 DETERMINATION EVALUATION          $256.00
       8613010012 PT EVAL                           $218.00
       8613010014 TRACTION MECHANICAL                $49.00
       8613010040 REASSESSMENT                      $136.00
       8613010045 ULTRASOUND                         $49.00
       8613010046 PROCEDURE UNLISTED                 $49.00
       8613010055 MANUAL THERAPY                     $49.00
       8613010056 MANUAL THERAPY EA ADD'L AREA       $49.00
       8613010063 ADL SELF CARE SKILLS               $49.00
       8613010086 UNLISTED PHY MED/REHAB SER         $48.00
       8613010115 ELECTRICAL STIM UNATTENDED         $59.00
       8613010117 PARAFFIN BATH                      $39.00
       8613010121 EVALUATION ESTAB EXTENDED         $218.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                        241
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8613010122 EVAL NEW EXTENDED                   $314.00
       8613010124 THERAPEUTIC EXERCISES                $49.00
       8613010125 NEUROMUSCULAR REEDUCATION            $49.00
       8613010127 FUNCTIONAL ACTIVITIES                $49.00
       8613010131 ELEC STIM MANUAL                     $62.00
       8613010132 IONTOPHORESIS                        $77.00
       8613010133 TRACTION MANUAL                      $49.00
       8613010147 PHY MED PROC ONE AREA ADD'L 15       $49.00
       8613010161 THERAPEUTIC ACTIVITIES               $49.00
       8613010162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       8613010164 ADL ADDITIONAL 15 MIN                $49.00
       8613010167 SOFT TISSUE MOBILIZATION             $49.00
       8613010168 INDIVIDUAL INSTRUCTION               $49.00
       8613010169 ORTHOTIC FABRICATION                 $49.00
       8613010170 JOINT MOBILIZATION                   $49.00
       8613010171 TAPING THERAPEUTIC                   $56.00
       8613010178 JOB SITE ASSESSMENT                 $343.00
       8613010180 STND TEST OF PHYS PERF ADDL 15       $56.00
       8613010181 VISIT ORTHOTIC CHECKOUT              $60.00
       8613010183 EXTREMITY TESTING                   $124.00
       8613010184 EXTREMITY TESTING ADDL 15            $56.00
       8613010187 EVAL NEW BRIEF                      $105.00
       8613010188 EVAL NEW LIMITED                    $157.00
       8613010189 EVAL NEW INTERMEDIATE               $218.00
       8613010190 EVAL NEW COMPREHENSIVE              $419.00
       8613010191 EVALUATION ESTAB LIMITED            $105.00
       8613010192 EVAL ESTAB INTERMEDIATE             $157.00
       8613010193 EVAL ESTABLISH COMPREHENSIVE        $314.00
       8613010800 EVALUATION                          $218.00
       8613011124 THERAPEUTIC EXERCISES                $98.00
       8613011125 NEUROMUSCULAR REEDUCATION            $98.00
       8613011127 FUNCTIONAL ACTIVITIES                $98.00
       8613011128 GAIT TRAINING                        $98.00
       8613011131 ELEC STIM MANUAL                    $124.00
       8613011132 IONTOPHORESIS                       $155.00
       8613011133 TRACTION MANUAL                      $98.00
       8613011134 MASSAGE                              $98.00
       8613011145 ULTRASOUND                           $98.00
       8613011146 PROCEDURE UNLISTED                  $129.00
       8613011157 ORTHOTIC TRAIN/FIT                   $98.00
       8613011159 PROSTHETIC TRAINING                  $98.00
       8613011161 THERAPEUTIC ACTIVITIES               $98.00
       8613011163 ADL SELF CARE SKILLS                 $98.00
       8613011165 MANUAL THERAPY                       $98.00
       8613011167 SOFT TISSUE MOBILIZATION             $98.00
       8613011168 INDIVIDUAL INSTRUCTION               $98.00
       8613011170 JOINT MOBILIZATION                   $98.00
       8613011179 STANDARIZED TEST PHYS PERF          $120.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          242
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8613011181 VISIT ORTHOTIC CHECKOUT             $120.00
       8813010014 TRACTION MECHANICAL                  $52.00
       8813010028 GAIT TRAINING                        $61.00
       8813010040 REASSESSMENT                        $145.00
       8813010045 ULTRASOUND                           $52.00
       8813010046 PROCEDURE UNLISTED                   $52.00
       8813010055 MANUAL THERAPY                       $49.00
       8813010056 MANUAL THERAPY EA ADD'L AREA         $52.00
       8813010073 GROUP TREATMENT                      $34.00
       8813010115 ELECTRICAL STIM UNATTENDED           $59.00
       8813010117 PARAFFIN BATH                        $41.00
       8813010119 MODALITY UNLISTED                    $69.00
       8813010121 EVALUATION ESTAB EXTENDED           $231.00
       8813010122 EVAL NEW EXTENDED                   $332.00
       8813010124 THERAPEUTIC EXERCISES                $52.00
       8813010125 NEUROMUSCULAR REEDUCATION            $52.00
       8813010131 ELEC STIM MANUAL                     $66.00
       8813010132 IONTOPHORESIS                        $82.00
       8813010133 TRACTION MANUAL                      $52.00
       8813010134 MASSAGE                              $52.00
       8813010147 PHY MED PROC ONE AREA ADD'L 15       $49.00
       8813010161 THERAPEUTIC ACTIVITIES               $52.00
       8813010162 THERAPEUTIC ACTIVITIES ADDL 15       $52.00
       8813010164 ADL ADDITIONAL 15 MIN                $52.00
       8813010167 SOFT TISSUE MOBILIZATION             $52.00
       8813010168 INDIVIDUAL INSTRUCTION               $52.00
       8813010169 ORTHOTIC FABRICATION                 $52.00
       8813010170 JOINT MOBILIZATION                   $52.00
       8813010171 TAPING THERAPEUTIC                   $59.00
       8813010174 GROUP TREATMENT ADDL 15              $34.00
       8813010178 JOB SITE ASSESSMENT                 $364.00
       8813010182 VISIT ORTHOTIC CHECK ADDL 15         $59.00
       8813010183 EXTREMITY TESTING                   $132.00
       8813010184 EXTREMITY TESTING ADDL 15            $59.00
       8813010187 EVAL NEW BRIEF                      $105.00
       8813010188 EVAL NEW LIMITED                    $157.00
       8813010189 EVAL NEW INTERMEDIATE               $251.00
       8813010190 EVAL NEW COMPREHENSIVE              $444.00
       8813010191 EVALUATION ESTAB LIMITED            $105.00
       8813010192 EVAL ESTAB INTERMEDIATE             $167.00
       8813010193 EVAL ESTABLISH COMPREHENSIVE        $332.00
       8813010800 EVALUATION                          $251.00
       8813011124 THERAPEUTIC EXERCISES                $98.00
       8813011125 NEUROMUSCULAR REEDUCATION           $104.00
       8813011127 FUNCTIONAL ACTIVITIES                $98.00
       8813011128 GAIT TRAINING                       $104.00
       8813011132 IONTOPHORESIS                       $164.00
       8813011133 TRACTION MANUAL                     $104.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          243
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8813011134 MASSAGE                             $104.00
       8813011145 ULTRASOUND                           $98.00
       8813011146 PROCEDURE UNLISTED                  $104.00
       8813011157 ORTHOTIC TRAIN/FIT                  $104.00
       8813011159 PROSTHETIC TRAINING                 $104.00
       8813011161 THERAPEUTIC ACTIVITIES               $98.00
       8813011163 ADL SELF CARE SKILLS                $104.00
       8813011165 MANUAL THERAPY                       $98.00
       8813011167 SOFT TISSUE MOBILIZATION             $98.00
       8813011168 INDIVIDUAL INSTRUCTION               $98.00
       8813011170 JOINT MOBILIZATION                   $98.00
       8813011173 GROUP THERAPY                        $66.00
       8813011179 STANDARIZED TEST PHYS PERF          $128.00
       8813011181 VISIT ORTHOTIC CHECKOUT             $128.00
       8913010010 BIOFEEDBACK                          $58.00
       8913010012 PT EVAL                             $276.00
       8913010014 TRACTION MECHANICAL                  $61.00
       8913010026 COMMUNITY WORK RE INTEGRATION        $58.00
       8913010028 GAIT TRAINING                        $58.00
       8913010040 REASSESSMENT                        $173.00
       8913010044 CONTRAST BATH                        $78.00
       8913010045 ULTRASOUND                           $58.00
       8913010046 PROCEDURE UNLISTED                   $75.00
       8913010052 POOL THERAPY                         $57.00
       8913010055 MANUAL THERAPY                       $58.00
       8913010063 ADL SELF CARE SKILLS                 $58.00
       8913010065 WORK HARDENING COND INIT 2 HR       $225.00
       8913010066 WORK HARDENING COND ADDL HOURS      $114.00
       8913010073 GROUP TREATMENT                      $32.00
       8913010079 STANDARDIZED TEST OF PHYS PERF       $71.00
       8913010086 UNLISTED PHY MED/REHAB SER           $56.00
       8913010115 ELECTRICAL STIM UNATTENDED           $61.00
       8913010117 PARAFFIN BATH                        $46.00
       8913010119 MODALITY UNLISTED                    $75.00
       8913010121 EVALUATION ESTAB EXTENDED           $254.00
       8913010122 EVAL NEW EXTENDED                   $366.00
       8913010124 THERAPEUTIC EXERCISES                $49.00
       8913010125 NEUROMUSCULAR REEDUCATION            $58.00
       8913010127 FUNCTIONAL ACTIVITIES                $58.00
       8913010131 ELEC STIM MANUAL                     $73.00
       8913010132 IONTOPHORESIS                        $85.00
       8913010133 TRACTION MANUAL                      $58.00
       8913010134 MASSAGE                              $58.00
       8913010147 PHY MED PROC ONE AREA ADD'L 15       $58.00
       8913010148 HUBBARD TANK                         $99.00
       8913010149 HUBBARD TANK ADDL 15 MIN             $99.00
       8913010153 POOL ADDL 15 MIN                     $71.00
       8913010157 ORTHOTIC TRAIN FIT                   $58.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          244
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8913010158 ORTHOTIC TRAINING ADD 15 MIN         $58.00
       8913010159 PROSTHETIC TRAINING                  $58.00
       8913010160 PROTHETIC TRAINING ADD 15 MIN        $58.00
       8913010161 THERAPEUTIC ACTIVITIES               $49.00
       8913010162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       8913010164 ADL ADDITIONAL 15 MIN                $49.00
       8913010167 SOFT TISSUE MOBILIZATION             $58.00
       8913010168 INDIVIDUAL INSTRUCTION               $45.00
       8913010170 JOINT MOBILIZATION                   $58.00
       8913010171 TAPING THERAPEUTIC                   $65.00
       8913010172 COMPUTER ASSISTED TRAINING          $135.00
       8913010174 GROUP TREATMENT ADDL 15              $32.00
       8913010175 PATIENT EDUCATION GROUP              $75.00
       8913010176 WORK TOLERANCE TESTING              $552.00
       8913010180 STND TEST OF PHYS PERF ADDL 15       $65.00
       8913010181 VISIT ORTHOTIC CHECKOUT              $71.00
       8913010182 VISIT ORTHOTIC CHECK ADDL 15         $65.00
       8913010183 EXTREMITY TESTING                   $146.00
       8913010184 EXTREMITY TESTING ADDL 15            $65.00
       8913010187 EVAL NEW BRIEF                      $122.00
       8913010188 EVAL NEW LIMITED                    $157.00
       8913010189 EVAL NEW INTERMEDIATE               $276.00
       8913010190 EVAL NEW COMPREHENSIVE              $488.00
       8913010191 EVALUATION ESTAB LIMITED            $122.00
       8913010192 EVAL ESTAB INTERMEDIATE             $157.00
       8913010193 EVAL ESTABLISH COMPREHENSIVE        $366.00
       8913010198 TNS INITIAL SETUP 1                  $58.00
       8913010277 FUNCTIONAL CAPICTITY MEASURE         $30.00
       8913010377 FUNCTIONAL CAPACITY MEASURE          $30.00
       8913010800 EVALUATION                          $218.00
       8913011124 THERAPEUTIC EXERCISES               $114.00
       8913011125 NEUROMUSCULAR REEDUCATION           $114.00
       8913011127 FUNCTIONAL ACTIVITIES               $114.00
       8913011128 GAIT TRAINING                       $114.00
       8913011131 ELEC STIM MANUAL                    $146.00
       8913011132 IONTOPHORESIS                       $181.00
       8913011133 TRACTION MANUAL                     $114.00
       8913011134 MASSAGE                             $114.00
       8913011145 ULTRASOUND                          $114.00
       8913011146 PROCEDURE UNLISTED                  $114.00
       8913011152 POOL THERAPY                        $111.00
       8913011157 ORTHOTIC TRAIN/FIT                  $114.00
       8913011159 PROSTHETIC TRAINING                 $114.00
       8913011161 THERAPEUTIC ACTIVITIES               $98.00
       8913011163 ADL SELF CARE SKILLS                 $98.00
       8913011165 MANUAL THERAPY                      $114.00
       8913011167 SOFT TISSUE MOBILIZATION            $114.00
       8913011168 INDIVIDUAL INSTRUCTION              $114.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          245
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8913011170 JOINT MOBILIZATION                  $114.00
       8913011173 GROUP THERAPY                        $63.00
       8913011179 STANDARIZED TEST PHYS PERF          $140.00
       8913999903 EXERCISE BAND                        $12.00
       8913999904 PUTTY                                $21.00
       8913999905 CPM PADS                             $58.00
       8913999907 TUBIFAST GREEN                       $20.00
       8913999908 TUBIGRIP FULL LEG                    $47.00
       8913999909 SETOPRESS                            $35.00
       8913999910 BANDNET SIZES 6 & 7 & 8              $17.00
       8913999911 BANDNET SIZES 4 & 5                  $12.00
       8913999912 BANDNET SIZES 2 & 3                   $7.00
       8913999913 STOCKINETTE                           $5.00
       8913999914 FOOT ORTHOTIC COMPONENTS              $8.00
       8913999915 LEG LOOPS/LADDERS                    $27.00
       8913999925 PULSEVAC UNIT                       $111.00
       8913999926 SPLINT SUPPLY                         $5.00
       8913999932 DYCEM                                 $9.00
       8913999934 COBAN                                 $9.00
       8914897898 VITAL STIM APPLICATION               $44.00
       8915013205 EDEMA GLOVE                          $55.00
       8915016030 BRUSH SUCTION                        $55.00
       8915016040 BUTTON AID RUBBER HANDLE             $13.00
       8915016055 CARD HOLDER                          $12.00
       8915016060 DENTURE BRUSH SUCTION                $20.00
       8915016080 FOOD GUARD PLASTIC                   $15.00
       8915016100 HAND CONE                            $32.00
       8915016110 JAR LID OPENER                       $32.00
       8915016138 MASSAGE TOOL                         $13.00
       8915016155 MITT WASH QUAD QUIP                  $27.00
       8915016160 PARING BOARD                         $75.00
       8915016170 PUTTY                                $21.00
       8915016180 DRESSING STICK                       $12.00
       8915016190 REACHER                              $36.00
       8915016200 SCRUB SPONGE LONG                    $11.00
       8915016220 SHOE HORN 24 IN STAINLESS            $25.00
       8915016230 SOCK AID                             $25.00
       8915016245 TOILET AID                           $55.00
       8915016260 SPLINT FINGER MULTIPLE              $150.00
       8915016270 SPLINT FINGER SPLINT                $101.00
       8915016280 FABRICATED HAND SPLINT              $134.00
       8915016290 FABRICATED WRIST SPLINT             $100.00
       8915016320 DELUX POWER GRIP HAND EXERCISE       $53.00
       8915016330 HAND EXERCISER--RUBBER BAND          $34.00
       8915016340 LONG REACHER                         $59.00
       8915016350 HEMI ARM SLING                       $65.00
       8915016360 AIRSPLINT ELBOW                      $83.00
       8915016380 REGULAR BUTTON AID                    $9.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          246
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8915016430 WRIST SUPPORT                        $55.00
       8915016501 BAG ECONOMY WALKER                   $34.00
       8915016502 BASKET ADAPTABLE WALKER              $53.00
       8915016508 TRIANGULAR GRIPS                      $5.00
       8915016518 SHOE BUTTON EACH                      $9.00
       8915016520 SHOE HORN PLASTIC                     $8.00
       8915016521 SHOE LACES ELASTIC PR                 $8.00
       8915016522 SPONGE QUAD FLEX                     $83.00
       8915016523 WRIST SUPPORT ECONOMY                $33.00
       8915016524 TOILET AID TONGS                     $20.00
       8915016525 WRIST WANCHICKS                      $60.00
       8915100177 FUNCTIONAL CAPACITY MEASURE          $30.00
       8915100377 FUNCTIONAL CAPACITY MEASURE          $30.00
       8915310024 THERAPEUTIC EXERCISES                $49.00
       8915310040 REASSESSMENT                        $136.00
       8915310061 THERAPEUTIC KINETIC ACTIVITIES       $49.00
       8915310079 STANDARDIZED TEST OF PHYS PERF       $60.00
       8915310117 PARAFFIN BATH                        $50.00
       8915310126 COMMUNITY WORK REINTEGRATION         $56.00
       8915310134 MASSAGE                              $49.00
       8915310144 CONTRAST BATH                        $66.00
       8915310146 PROCEDURE UNLISTED                   $58.00
       8915310147 PHYS MED ONE AREA ADD'L 15 MIN       $49.00
       8915310158 ORTHOTIC TRAINING ADDL 15            $51.00
       8915310159 PROSTHETIC TRAIN FIT                 $58.00
       8915310160 PROSTHETIC TRAINING ADDL 15          $51.00
       8915310162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       8915310163 ADL SELF CARE HOME MANAGEMENT        $49.00
       8915310164 ADL ADDL 15 MIN                      $49.00
       8915310165 WORK HARDENING INITIAL 2 HOURS      $226.00
       8915310166 WORK HARDENING ADDL HOUR            $124.00
       8915310167 SOFT TISSUE MOBILIZATION             $58.00
       8915310173 GROUP TREATMENT                      $32.00
       8915310174 GROUP EXERCISES ADDL 15              $32.00
       8915310176 WORK TOLERANCE TESTING              $552.00
       8915310180 STND TEST OF PHY PERF ADDL 15        $65.00
       8915310181 VISIT ORTHOTIC CHECK OUT             $71.00
       8915310182 VISIT ORTHOTIC CHECK OUT ADD15       $71.00
       8915310183 EXTREMITY TESTING                   $138.00
       8915310184 EXTREMITY TESTING ADDL 15            $65.00
       8915310186 UNLISTED PHYS MED REHAB SERVIC       $58.00
       8915310189 PRELIMINARY EVALUATION              $254.00
       8915310190 ULTRA SOUND WORKERS COMP            $114.00
       8915310192 VISION SCREENING                    $113.00
       8915310195 SUPPLIES                             $56.33
       8915311124 THERAPEUTIC EXERCISES               $124.00
       8915311125 NEUROMUSCULAR REEDUCATION           $114.00
       8915311127 FUNCTIONAL ACTIVITIES                $98.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          247
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8915311132 IONTOPHORESIS                       $181.00
       8915311134 MASSAGE                             $114.00
       8915311146 PROCEDURE UNLISTED                  $114.00
       8915311159 PROSTHETIC TRAIN/FIT                $114.00
       8915311161 THERAPEUTIC KINETIC ACTIVITIES       $98.00
       8915311163 ADL SELF CARE SKILLS                 $98.00
       8915311167 MANUAL THERAPY                      $114.00
       8915311169 ORTHOTIC FABRICATION                $114.00
       8915311173 GROUP TREATMENT                      $63.00
       8915311179 STANDARDIZED TEST PHY PERF          $120.00
       8915311181 VISIT ORTHOTIC CHECK OUT            $140.00
       8915317234 COMPUTER ASSISTED TRN W C           $143.00
       8915320057 ORTHOTIC TRAIN FIT                   $58.00
       8915321127 ORTHOTIC TRAIN/FIT                  $114.00
       8915321168 INDIVIDUALIZED INST                 $114.00
       8915350900 EVALUATION                          $218.00
       8918000309 PHARMACY EVALUATION PRIVATE         $214.00
       8918003302 MEDICAL CONFERENCE                  $233.00
       8918003307 MEDICAL CONFERENCE EXTENDED         $427.00
       8918010004 PHARMACY TREATMENT INDUSTRIAL        $62.00
       8918030002 RELAXATION GROUP                     $74.00
       8918040003 DIET AND NUTRITION GROUP             $27.00
       8918040004 ALL INCLUSIVE CHARGE                $826.00
       8918100004 PHARMACY TREATMENT PRIVATE           $68.00
       8919030006 PAIN GROUP                          $100.00
       8919030112 RELAXATION GROUP                     $81.00
       8919210001 TELEPHONE CONSULT BRIEF              $58.00
       8919210002 TELEPHONE CONSULT INTERMEDIATE      $114.00
       8919210003 TELEPHONE CONSULT COMPLEX           $172.00
       8919210105 PSYCH TESTING BDI                   $120.00
       8919210106 BIOFEEDBACK TRAINING                $145.00
       8919210108 BIOFEEDBACK EVAL                    $267.00
       8919210111 EEG BIOFEEDBACK                     $100.00
       8919210112 EMG BIOFEEDBACK                     $100.00
       8919210113 BLOOD PRESSURE BIOFEEDBACK          $100.00
       8919210114 FAMILY THERAPY WITHOUT PATIENT      $270.00
       8919210115 FAMILY THERAPY WITH PATIENT         $270.00
       8919210116 GROUP TREATMENT                     $109.00
       8919210121 PSYCH TESTING MBHI                  $462.00
       8919210122 PSYCH TESTING MMPI2                 $462.00
       8919210123 MED PSYCHOANALYSIS                  $233.00
       8919210124 PSYCH TESTING MPI                   $462.00
       8919210125 MED PSYCH THERAPY 20-30 MIN         $124.00
       8919210126 MED PSYCH THERAPY 45-50 MIN         $147.00
       8919210127 MED PSYCH THERAPY 75-8- MIN         $249.00
       8919210129 NEUROPSYCH CONSULT PHD              $305.00
       8919210130 PSYCH DIAGNOSTIC INTERVIEW          $298.00
       8919210132 PSYCH REPORT                        $101.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          248
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       8919210133 RECORD REVIEW                       $267.00
       8919210135 PSYCH TESTING STAI                  $462.00
       8919210138 PSYCH EVAL RECORDS                  $244.00
       8919210139 PSYCH TESTING OTHER                 $462.00
       8919210148 PSYCH THERAPY CONJOINT              $222.00
       8919210150 DEVELOPMENTAL TESTING               $261.00
       8919210152 ASSESSMENT OF APHASIA               $305.00
       8919210200 IP IND PSYCH TX 20-30 MIN           $124.00
       8919210201 IP IND PSYCH TX 45-50 MIN           $155.00
       8919210202 IP IND PSYCH 75-80 MIN              $239.00
       8919210257 NEUROBEHAVIORAL STATUS EXAM         $254.00
       8921310174 GROUP ACTIVITIES ADD'L 15 MIN        $36.00
       8921310903 COMMUNTIY WORK RE INTEGRATION        $47.00
       8921310909 GROUP TREATMENT                      $31.00
       8921311109 GROUP TREATMENT                      $62.00
       9011009000 CRITICAL CARE ASSESSMENT 0-6        $883.00
       9011009010 CRITICAL CARE ASSESSMENT 6-12     $1,763.00
       9011009020 CRITICAL CARE ASSESSMENT 12-18    $2,647.00
       9011009030 CRITICAL CARE ASSESSMENT 18-23    $3,382.00
       9013000015 SEMI PRIVATE ONCOLOGY             $1,395.00
       9013000020 MED SUR GYN/PVT                   $1,627.00
       9013000024 2 NORTH REHABILITATION RO7        $1,818.00
       9013000025 ATTENDANT                         $1,877.00
       9013000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9013000030 CCU/INTERMEDIATE/TELE             $2,127.00
       9013000031 WARD MED/SUR/GYN                  $1,253.00
       9013000032 MEDICALLY JUSTIFIED PRIVATE       $1,790.00
       9013000036 INTENSIVE CARE                    $3,528.00
       9013000037 INTERMEDIATE INTENSIVE CARE       $3,987.00
       9013000038 ADVANCED INTENSIVE CARE           $4,505.00
       9013000039 ICU/INTERMEDIATE                  $3,073.00
       9013000041 SKILLED NURSING SEMI PRIVATE        $606.00
       9014000020 MED SUR GYN/PVT                   $1,627.00
       9014000025 ATTENDANT                         $1,877.00
       9014000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9014000030 CCU/INTERMEDIATE/TELE             $2,127.00
       9014000032 MEDICALLY JUSTIFIED PRIVATE       $1,790.00
       9015000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9015000030 SEMI PRIVATE OB                   $1,550.00
       9015000036 INTENSIVE CARE                    $3,528.00
       9015000037 CRITICAL CARE INTERMEDIATE        $3,987.00
       9015000039 ICU/INTERMEDIATE                  $3,073.00
       9015000040 ANTEPARTUM/TELE                   $2,127.00
       9016000020 PRIVATE MED SURG/GYN              $1,627.00
       9016000025 ATTENDANT                         $1,877.00
       9016000029 SEMI PRIVATE MED SUR/GYN          $1,550.00
       9016000030 CCU/INTERMEDIATE/TELE             $2,127.00
       9016000031 WARD MED/SUR/GYN                  $1,253.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          249
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       9016000032 MEDICAL JUSTIFIED PRIVATE         $1,790.00
       9016000039 ICU/INTERMEDIATE                  $3,073.00
       9017000020 MED SUR GYN/PVT                   $1,627.00
       9017000024 2 MAIN REHABILITATION RO7         $1,818.00
       9017000025 ATTENDANT                         $1,877.00
       9017000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9017000030 CCU/INTERMEDIATE/TELE             $2,127.00
       9017000032 MEDICALLY JUSTIFIED PRIVATE       $1,790.00
       9018000016 SEMI PRIVATE PEDIATRIC            $1,550.00
       9018000018 MEDSURG PEDS                      $1,627.00
       9018000020 MED SUR GYN/PVT                   $1,627.00
       9018000021 OB/PVT                            $1,627.00
       9018000024 3 W REHABILITATION RO7            $1,818.00
       9018000025 ATTENDANT                         $1,877.00
       9018000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9018000030 SEMI PRIVATE OB                   $1,550.00
       9018000032 MEDICALLY JUSTIFIED PRIVATE       $1,790.00
       9018000039 ICU/INTERMEDIATE                  $3,073.00
       9018000040 ANTEPARTUM/TELE                   $2,127.00
       9021000011 NURSERY/LEVEL 1                   $1,213.00
       9021000035 NURSERY TRANSITIONAL CARE         $2,157.00
       9024000003 DIABETIC METABOLIC UNIT/INTERM    $2,426.00
       9024000020 PRIVATE MED/SUR/GYN               $1,627.00
       9024000025 ATTENDANT                         $1,877.00
       9024000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9024000030 CCU/INTERMEDIATE/TELE             $2,127.00
       9024000032 MEDICAL JUSTIFIED PRIVATE         $1,790.00
       9024000039 ICU/INTERMEDIATE                  $3,073.00
       9025000020 MED SUR GYN/PVT                   $1,627.00
       9025000021 2 NORTH REHABILITATION RO4        $1,018.00
       9025000022 2 NORTH REHABILITATION RO5        $1,550.00
       9025000023 2 NORTH REHABILITATION RO6        $1,602.00
       9025000024 2 NORTH REHABILITATION RO7        $1,818.00
       9025000025 2 NORTH REHABILITATION RO8        $1,877.00
       9025000026 2 NORTH LOA THERAPEUTIC             $914.00
       9025000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9025000032 MEDICALLY JUSTIFIED PRIVATE       $1,790.00
       9025000041 SKILLED NURSING SEMI PRIV TCC       $828.00
       9025000042 SKILLED NURSING PRIVATE             $983.00
       9026000015 SEMI PRIVATE ONCOLOGY             $1,715.00
       9026000017 ONCOLOGY PRIVATE                  $1,801.00
       9026000020 PRIVATE MED/SUR/GYN               $1,627.00
       9026000025 ATTENDANT                         $1,877.00
       9026000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9026000030 CCU/INTERMEDIATE/TELE             $2,127.00
       9026000032 MEDICALLY JUSTIFIED PRIVATE       $1,790.00
       9028000012 NEONATAL INTENSIVE CARE L II      $3,528.00
       9028000033 NEONATAL INTENSIVE CARE L IV      $6,295.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          250
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE DESCRIPTION                            PRICING
       9028000038 NEONATAL INTENSIVE CARE L III     $3,987.00
       9031000041 SKILLED NURSING SEMI PRIVATE        $828.00
       9031000042 SKILLED NURSING PRIVATE             $983.00
       9033000020 MED SUR GYN/PVT                   $1,627.00
       9033000021 OB/PVT                            $1,627.00
       9033000029 SEMI PRIVATE MED/SUR/GYN          $1,550.00
       9033000030 SEMI PRIVATE OB                   $1,550.00
       9033000031 WARD OB                           $1,253.00
       9033000032 MEDICALLY JUSTIFIED PRIVATE       $1,627.00
       9033000039 ICU/INTERMEDIATE                  $3,073.00
       9033000040 ANTEPARTUM/TELE                   $2,127.00
       9035000036 INTENSIVE CARE                    $3,528.00
       9035000037 INTERMEDIATE INTENSIVE CARE       $3,987.00
       9035000038 ADVANCED INTENSIVE CARE           $4,505.00
       9213001444 SELECTIVE DEBRIDEMENT < 20CM        $245.00
       9213001455 SELECTIVE DEBRIDEMENT >= 20CM       $300.00
       9213001466 NEGATIVE PRESSURE THER 50CM         $325.00
       9213001477 NEGATIVE PRESSURE THER >= 50CM      $375.00
       9213010012 PT EVAL                             $218.00
       9213010018 WHIRLPOOL                            $76.00
       9213010040 REASSESSMENT                        $173.00
       9213010046 PROCEDURE UNLISTED                   $49.00
       9213010121 EVALUATION ESTAB EXTENDED           $276.00
       9213010122 EVAL NEW EXTENDED                   $398.00
       9213010148 HUBBARD TANK                        $108.00
       9213010149 HUBBARD TANK ADDL 15 MIN            $108.00
       9213010161 THERAPEUTIC ACTIVITIES               $49.00
       9213010162 THERAPEUTIC ACTIVITIES ADDL 15       $49.00
       9213010187 EVAL NEW BRIEF                      $133.00
       9213010188 EVAL NEW LIMITED                    $157.00
       9213010189 EVAL NEW INTERMEDIATE               $276.00
       9213010190 EVAL NEW COMPREHENSIVE              $530.00
       9213010191 EVALUATION ESTAB LIMITED            $133.00
       9213010192 EVAL ESTAB INTERMEDIATE             $199.00
       9213010193 EVAL ESTABLISH COMPREHENSIVE        $398.00
       9213010800 EVALUATION                          $218.00
       9213020199 DEBRIDEMENT NON SELECTING           $245.00
       9213999907 TUBIFAST GREEN                       $20.00
       9213999908 TUBIGRIP FULL LEG                    $49.00
       9213999909 SETOPRESS                            $35.00
       9213999910 BANDNET SIZES 6 & 7 & 8              $17.00
       9213999911 BANDNET SIZES 4 & 5                  $11.00
       9213999912 BANDNET SIZES 2 & 3                   $7.00
       9213999913 STOCKINETTE                           $5.00
       9213999925 PULSEVAC UNIT                       $114.00
       9217001040 REHAB CLINIC                         $68.00
       9217001400 ENTEROSTOMAL THERAPY (OTHER)         $87.00
       9217001413 EDUCATIONAL BOOKLET MATERIAL         $21.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          251
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE       DESCRIPTION                      PRICING
   9217001429     ABI TESTING                         $383.00
   9217001432     APPLICATION COMPRESSION WRAP        $110.00
   9217001434     TCPO2 TESTING                       $440.00
   9217001436     NON SELECTIVE DEBRIDEMENT           $245.00
   9217001437     WOUND CARE EVAL                     $276.00
   9217001444     SELECTIVE DEBRIDEMENT < 20CM        $245.00
   9217001455     SELECTIVE DEBRIDEMENT > 20CM        $300.00
   9217001466     NEGATIVE PRESSURE THERAPY 50CM      $325.00
   9217001477     NEGATIVE PRESSURE THER > 50CM       $375.00




Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.993.3000 extension 2587
gripslin@sjf.stjoe.org                                          252
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3314100237    1/2 NS + KCL 20MEQ 1000ML BAG                       $0.00              $114.02
   3314100004    10% DEXTROSE/NS 250ML BAG                           $0.00              $103.00
   3314100012    12.5% DEXTROSE/0.25NS 250ML                         $0.00              $103.00
   3314100013    12.5% DEXTROSE/0.5NS 250ML                          $0.00              $103.00
   3314100014    12.5% DEXTROSE/NS 250ML                             $0.00              $103.00
   3311210003    ABCIXIMAB 10 MG/5 ML VIAL                         $975.41            $1,712.14
   3311010002    ACARBOSE 100 MG TAB                                $10.57                $0.00
   3311010000    ACARBOSE 25 MG TAB                                 $10.48                $0.00
   3311010001    ACARBOSE 50 MG TAB                                 $11.42                $0.00
   3311130150    ACCUZYME OINT 30 GM                               $173.70                $0.00
   3311010005    ACEBUTOLOL 200 MG CAP                              $10.44                $0.00
   3311010010    ACEBUTOLOL 400 MG CAP                              $12.65                $0.00
   3311200005    ACETAMINOPHEN 120 MG SUPP                           $0.65                $0.00
   3311200025    ACETAMINOPHEN 325 MG SUPP                           $0.64                $0.00
   3311200020    ACETAMINOPHEN 325 MG TAB                            $0.50                $0.00
   3311200035    ACETAMINOPHEN 500 MG TAB                            $0.50                $0.00
   3311200045    ACETAMINOPHEN 650 MG SUPP                           $0.82                $0.00
   3311200050    ACETAMINOPHEN 80 MG CHEW                            $0.50                $0.00
   3311200000    ACETAMINOPHEN DROPS 100 MG/ML                       $0.70                $0.00
   3311200010    ACETAMINOPHEN ELIXER 160 MG/5                       $1.11                $0.00
   3311200009    ACETAMINOPHEN SOL 160MG/5ML                         $0.62                $0.00
   3311200015    ACETAMINOPHEN SUSPENSION 160 M                      $0.70                $0.00
   3311010025    ACETAZOLAMIDE 250 MG TAB                            $7.91                $0.00
   3311050000    ACETAZOLAMIDE 500 MG VIAL                         $196.95              $256.78
   3311010030    ACETAZOLAMIDE SR 500 MG CAP                        $17.29                $0.00
   3311160015    ACETIC ACID 0.25% IRRIG 1000 M                     $33.71                $0.00
   3311160013    ACETIC ACID 2% OT SOLN 15 ML                       $43.62                $0.00
   3311010035    ACETOHEXAMIDE 250 MG TAB                            $9.97                $0.00
   3311010043    ACETOHEXAMIDE 500 MG TAB                           $12.65                $0.00
   3311010050    ACETOHYDROXAMIC ACID 250 MG TA                     $10.57                $0.00
   3312200142    ACETONE 4OZ BTL                                     $7.25                $0.00
   3311160020    ACETYLCHOLINE OP SOL 1:100 2 M                    $232.43                $0.00
   3311010060    ACETYLCYSTEINE 10% 4 ML VIAL                       $29.62               $71.95
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                253
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311010065    ACETYLCYSTEINE 20% 30 ML VIAL                     $134.22             $472.07
   3311010070    ACETYLCYSTEINE 20% 4 ML VIAL                       $35.73               $0.00
   3311160023    ACLOVATE OINT. 0.05% 15GM                         $139.94               $0.00
   3311010015    ACTEAZOLAMIDE 125 MG TAB                            $7.91               $0.00
   3311017430    ACTIFED SYRUP 120 ML BTL                            $7.91               $0.00
   3311017435    ACTIFED TABLET                                      $7.91               $0.00
   3311130090    ACTIFOAM 1 SPONGE                                  $72.44               $0.00
   3311011140    ACTIVATED CHARCOAL/SORBITOL 25                     $42.54               $0.00
   3311011145    ACTIVATED CHARCOAL/SORBITOL 50                     $60.23               $0.00
   3311010075    ACYCLOVIR 200 MG CAP                               $17.83               $0.00
   3311010077    ACYCLOVIR 400MG TAB                                $16.69               $0.00
   3311160030    ACYCLOVIR 5% OINT 15 GM                           $281.82               $0.00
   3311160028    ACYCLOVIR 5% OINT 3 GM                            $116.77               $0.00
   3311052000    ACYCLOVIR 500 MG VIAL                             $357.83             $510.54
   3311010085    ACYCLOVIR 800 MG TAB                               $31.98               $0.00
   3311050012    ADDERALL 10 MG TAB                                 $23.09               $0.00
   3311050010    ADDERALL 5 MG TAB                                  $23.09               $0.00
   3311050015    ADENOSINE 3MG/ML                                  $320.87               $0.00
   3311050016    ADENOSINE 60MG/20ML                               $659.47             $873.30
   3311050017    ADENOSINE 90 MG/30ML                              $812.49             $785.02
   3311161016    ADVAIR 100/50 MCG 28DOSE INH                      $273.10               $0.00
   3311161018    ADVAIR 500/50MCG 28DOSE INH                       $470.80               $0.00
   3311161017    ADVAIR R 250/50MCG 28DOSE INH                     $335.29               $0.00
   3311190003    AEROCHAMBER SPACER                                $148.58               $0.00
   3311010092    ALATROFLOXACIN 200 MG VIAL                          $0.00             $443.13
   3311010093    ALATROFLOXACIN 300 MG VIAL                          $0.00             $424.50
   3314070000    ALBUMIN 25% 12.5 GM/50 ML                         $316.46             $342.96
   3314070005    ALBUMIN 25% 25 GM/100 ML                          $354.39             $429.88
   3314070015    ALBUMIN 5% 250 ML                                 $401.86             $448.96
   3314070010    ALBUMIN 5% 50 ML                                  $396.48             $442.28
   3311160035    ALBUTEROL 0.5% INH SOLN 20 ML                     $103.85               $0.00
   3311010095    ALBUTEROL 2 MG TAB                                  $7.91               $0.00
   3311010120    ALBUTEROL 4 MG REPETAB                             $10.97               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               254
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311010110    ALBUTEROL 4 MG TAB                                   $9.39               $0.00
   3311160044    ALBUTEROL HFA INHALER 6.7 GM                       $172.76               $0.00
   3311160036    ALBUTEROL INHALER 17GM                             $181.59               $0.00
   3311160043    ALBUTEROL INHALER 6.8 GM                           $114.64               $0.00
   3311160040    ALBUTEROL NEB 0.083% 3 ML VIAL                      $17.09               $0.00
   3311160041    ALBUTEROL NEB SOL 0.63MG/3ML                        $22.09               $0.00
   3311160042    ALBUTEROL NEB SOL 1.25MG/3ML                        $15.28               $0.00
   3311010105    ALBUTEROL SYRUP 2 MG/5 ML 120                        $8.30               $0.00
   3314000095    ALCOHOL 10% / 1000 ML D5W BTL                        $0.00             $197.95
   3314000094    ALCOHOL 5%/1000ML D5W                              $134.19             $115.10
   3312200140    ALCOHOL IS 70% 16OZ BTL                              $1.46               $0.00
   3311010123    ALDACTAZIDE 25-25 TAB                                $9.27               $0.00
   3311010124    ALDACTAZIDE ORAL SUSP                                $9.27               $0.00
   3311010121    ALENDRONATE 10 MG TAB                               $22.94               $0.00
   3311010122    ALENDRONATE 40 MG TAB                               $35.29               $0.00
   3311010130    ALENDRONATE 5 MG TAB                                $22.94               $0.00
   3311010131    ALENDRONATE 70MG TABLET                             $64.92               $0.00
   3311060002    ALFENTANIL 1000 MCG/2 ML AMP                        $78.51               $0.00
   3311060001    ALFENTANIL 2500 MCG/5 ML AMP                       $103.18               $0.00
   3311010125    ALLOPURINOL 100 MG TAB                               $7.91               $0.00
   3311010140    ALLOPURINOL 300 MG TAB                               $8.86               $0.00
   3311080011    ALLOPURINOL INJ 500MG/30ML                           $0.00           $1,652.29
   3311020015    ALPRAZOLAM 0.25 MG TAB                              $16.54               $0.00
   3311020020    ALPRAZOLAM 0.5 MG TAB                               $17.82               $0.00
   3311020025    ALPRAZOLAM 1 MG TAB                                 $18.20               $0.00
   3311070020    ALPROSTADIL 500 MCG/ML AMP                       $1,420.69           $1,436.82
   3311210001    ALTEPLASE 1 MG/1 ML SYR                            $203.08             $309.78
   3311210005    ALTEPLASE 100 MG VIAL                            $5,193.55           $4,716.88
   3311210000    ALTEPLASE 50 MG VIAL                             $2,605.91           $2,895.32
   3311010160    ALU-CAP 475 MG CAP                                   $7.91               $0.00
   3311010145    ALUMINUM AMMONIUM SULF. 113 GM                       $0.00             $116.81
   3311010185    AMANTADINE 100 MG CAP                                $9.46               $0.00
   3311010180    AMANTADINE SYRUP 50 MG/5 ML 12                       $9.15               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                255
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311052010    AMICAR 5 GM/20 ML VIAL                             $72.38               $78.69
   3311010205    AMICAR 500 MG TAB                                  $20.85                $0.00
   3311010200    AMICAR SYRUP 250 MG/ML 120 ML                      $16.39                $0.00
   3311050003    AMIFOSTINE 500 MG VIAL                            $934.69            $1,433.22
   3311052005    AMIKACIN 500 MG/2 ML VIAL                         $275.98              $381.44
   3311200550    AMILORIDE 5 MG TAB                                  $8.60                $0.00
   3314110010    AMINO ACID (NOVAMINE) 15% 500                     $374.99              $439.97
   3314110000    AMINO ACID 10% 1000 ML                            $509.16              $411.76
   3314110005    AMINO ACID 15% 2000 ML                             $90.75              $106.59
   3314110020    AMINO ACID HEPATIC 8% 500 ML                      $383.06              $449.91
   3314110015    AMINO ACID RENAL FORMULA 5.2%                     $222.78              $177.85
   3311210210    AMINOGLUTETHIMIDE 250 MG TAB                       $14.94                $0.00
   3311010215    AMINOPHYLLINE 100 MG TAB                            $7.91                $0.00
   3311010230    AMINOPHYLLINE 200 MG TAB                            $7.91                $0.00
   3311052020    AMINOPHYLLINE 250 MG/10 ML VIA                     $67.48               $81.01
   3311052015    AMINOPHYLLINE 500 MG/20 ML VIA                      $0.00               $81.01
   3311010220    AMINOPHYLLINE SOLN 105 MG/5 ML                      $7.91                $0.00
   3311050005    AMIODARONE 150 MG/3 ML AMP                        $416.79              $535.20
   3311010245    AMIODARONE 200 MG TAB                              $30.87                $0.00
   3311010250    AMITRIPTYLINE 10 MG TAB                             $7.91                $0.00
   3311010295    AMITRIPTYLINE 100 MG TAB                           $11.11                $0.00
   3311010300    AMITRIPTYLINE 150 MG TAB                           $11.58                $0.00
   3311010260    AMITRIPTYLINE 25 MG TAB                             $8.17                $0.00
   3311010270    AMITRIPTYLINE 50 MG TAB                             $9.20                $0.00
   3311010280    AMITRIPTYLINE 75 MG TAB                            $11.34                $0.00
   3311010349    AMLODIPINE 10 MG TAB                               $19.64                $0.00
   3311010347    AMLODIPINE 2.5 MG TAB                              $15.28                $0.00
   3311010348    AMLODIPINE 5 MG TAB                                $15.28                $0.00
   3311160046    AMMONIA INHALANT 0.33 ML 1 AMP                     $17.40                $0.00
   3311050025    AMMONIUM CHLORIDE 100MEQ/20ML                      $93.14              $125.80
   3311060000    AMOBARBITAL INJ 500 MG                             $85.03                $0.00
   3311010400    AMOXICILLIN 250 MG CAP                              $7.91                $0.00
   3311010395    AMOXICILLIN 250 MG CHEW                             $9.14                $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                256
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311010420    AMOXICILLIN 500 MG CAP                               $9.63               $0.00
   3311010425    AMOXICILLIN PED DROPS 50 MG/ML                       $8.66               $0.00
   3311010390    AMOXICILLIN SUSP 125 MG/5 ML 1                       $7.91               $0.00
   3311010405    AMOXICILLIN SUSP 250 MG/5 ML 1                       $7.91               $0.00
   3311010410    AMOXICILLIN SUSP 250 MG/5 ML 1                       $7.91               $0.00
   3311010388    AMOXICILLIN SUSP 250 MG/5 ML U                      $10.71               $0.00
   3311010175    AMPHOJEL BTL 320MG/5ML 360 ML                        $0.70               $0.00
   3311080020    AMPHOTERICIN B (LIPID COMPLEX)                     $738.88           $1,191.88
   3311080022    AMPHOTERICIN B (LIPOSOMAL)                           $0.00             $977.94
   3311080030    AMPHOTERICIN B 50 MG VIAL                          $301.65               $0.00
   3311052040    AMPICILLIN 1 GM VIAL                               $135.35             $218.56
   3311052045    AMPICILLIN 2 GM VIAL                               $158.31             $195.83
   3311010485    AMPICILLIN 250 MG CAP                                $7.91               $0.00
   3311052030    AMPICILLIN 250 MG VIAL                             $112.16             $168.95
   3311010505    AMPICILLIN 500 MG CAP                                $8.53               $0.00
   3311052035    AMPICILLIN 500 MG VIAL                             $115.65             $176.86
   3311080057    AMPICILLIN COMPONENT OF UNASYN                     $139.70             $228.29
   3311010470    AMPICILLIN SUSP 125 MG/5 ML 10                       $7.93               $0.00
   3311010475    AMPICILLIN SUSP 125 MG/5 ML 20                       $7.93               $0.00
   3311010490    AMPICILLIN SUSP 250 MG/5 ML 10                       $8.30               $0.00
   3311010495    AMPICILLIN SUSP 250 MG/5 ML 20                       $8.30               $0.00
   3311160065    AMYL NITRITE 0.3ML AMP                              $25.08               $0.00
   3311010500    ANAGRELIDE 0.5 MG CAP                               $35.48               $0.00
   3311160066    ANASTROZOLE 1 MG TAB                                $45.70               $0.00
   3311010510    ANISINDIONE 50 MG TAB                                $8.35               $0.00
   3311070035    ANTIHEMOPHILIC FACTOR (RECOMB)                     $710.38           $1,142.98
   3311070025    ANTIHEMOPHILIC FACTOR (RECOMB)                   $2,023.68           $1,987.08
   3311070015    ANTIHEMOPHILIC FACTOR 500 IU V                   $1,315.28           $1,421.28
   3311070000    ANTITHROMBIN III (HUMAN) 500IU                   $1,835.51           $1,867.66
   3311050035    ANTIVENIN BLACK WIDOW SPIDER 2                     $331.58             $361.72
   3311030008    ANUSERT SUPP                                         $7.91               $0.00
   3311020337    APAP/HYDROCODONE 7.5/500MG UDC                      $27.98               $0.00
   3311160071    APRACLONIDINE 0.5% OP SOLN 10                      $241.59               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                257
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311160070    APRACLONIDINE 1% OP SOLN O.2 M                      $57.37               $0.00
   3311050038    APROTININ 10000 KIU/ML 100 ML                      $933.57             $906.10
   3311050018    APROTININ 10000 KIU/ML 200 ML                    $1,002.31           $1,540.85
   3311160075    AQUAPHOR 480 GM JAR                                 $18.62               $0.00
   3311210002    ARGATROBAN 250MG/2.5ML                           $1,583.41           $2,211.52
   3311161385    ARTIFICIAL TEARS 15 ML BTL                          $44.73               $0.00
   3311161345    ARTIFICIAL TEARS OP OINT 0.7 G                      $20.12               $0.00
   3311161340    ARTIFICIAL TEARS OP OINT 3.5 G                      $40.46               $0.00
   3311010091    ASA&DIPYRIDAMOLE ER 25MG/200MG                      $19.71               $0.00
   3311200270    ASCORBIC ACID 1000 MG/2 ML AMP                      $62.65              $81.01
   3311200260    ASCORBIC ACID 250 MG TAB                             $0.50               $0.00
   3311200265    ASCORBIC ACID 500 MG TAB                             $0.50               $0.00
   3311010520    ASCRIPTIN 325 MG TAB                                 $7.91               $0.00
   3311170000    ASPARAGINASE 10000 U VIAL                            $0.00             $310.78
   3311200060    ASPIRIN 300 MG SUPP                                  $0.66               $0.00
   3311200065    ASPIRIN 600 MG SUPP                                  $0.50               $0.00
   3311200095    ASPIRIN 81 MG CHEW                                   $0.50               $0.00
   3311200085    ASPIRIN BUFFERED 325 MG TAB                          $0.50               $0.00
   3311010518    ASPIRIN CR 800 MG TABCR                             $11.45               $0.00
   3311200100    ASPIRIN EC 325 MG TAB                                $0.50               $0.00
   3311010517    ASPIRIN EC 81 MG TAB                                 $0.50               $0.00
   3311010515    ASPIRIN EC 975 MG TAB                                $7.91               $0.00
   3311010545    ATENOLOL 100 MG TAB                                 $13.66               $0.00
   3311010530    ATENOLOL 25 MG TAB                                  $10.48               $0.00
   3311050040    ATENOLOL 5 MG/10 ML AMP                            $113.29               $0.00
   3311010535    ATENOLOL 50 MG TAB                                  $11.25               $0.00
   3311010548    ATORVASTATIN 10 MG TAB                              $20.99               $0.00
   3311220460    ATORVASTATIN 20 MG TAB                              $30.13               $0.00
   3311220470    ATORVASTATIN 40 MG TAB                              $30.13               $0.00
   3311010550    ATOVAQUONE SUSP 750 MG/5 ML 12                      $26.17               $0.00
   3311050045    ATRACURIUM 50MG/5ML VIAL                           $150.78             $183.96
   3311050050    ATROPINE SULFATE 0.1 MG/ML 10                       $83.63               $0.00
   3311050055    ATROPINE SULFATE 0.4 MG/ML 20                       $82.36               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                258
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311050060    ATROPINE SULFATE 0.4 MG/ML VIA                      $68.56               $0.00
   3311050065    ATROPINE SULFATE 1 MG/ML VIAL                       $77.13               $0.00
   3311160095    ATROPINE SULFATE 1% OP OINT 3.                      $31.92               $0.00
   3311160105    ATROPINE SULFATE 1% OP SOLN 1                       $30.21               $0.00
   3311160100    ATROPINE SULFATE 1% OP SOLN 15                      $36.01               $0.00
   3311160115    ATROPINE SULFATE 1% OP SOLN 2                       $48.83               $0.00
   3311160110    ATROPINE SULFATE 1% OP SOLN 5                       $32.43               $0.00
   3311010436    AUGMENTIN 200MG/5ML 50ML BTL                        $13.06               $0.00
   3311010460    AUGMENTIN 250 MG TAB                                $26.03               $0.00
   3311010478    AUGMENTIN 400MG/5ML 50ML BTL                        $14.92               $0.00
   3311010465    AUGMENTIN 500 MG TAB                                $36.58               $0.00
   3311010468    AUGMENTIN 875 MG TAB                                $35.63               $0.00
   3311010435    AUGMENTIN SUSP 125 MG/5 ML 150                      $11.23               $0.00
   3311010430    AUGMENTIN SUSP 125 MG/5 ML 75                       $11.23               $0.00
   3311010442    AUGMENTIN SUSP 250 MG/5 ML 100                      $12.53               $0.00
   3311010440    AUGMENTIN SUSP 250 MG/5 ML 150                       $1.52               $0.00
   3311010445    AUGMENTIN SUSP 250 MG/5 ML 75                       $12.53               $0.00
   3311010480    AUGMENTIN SUSP 400 MG/5 ML 100                      $14.75               $0.00
   3311160205    AURALGAN OTIC SOLN 15 ML                            $26.11               $0.00
   3311010553    AURANOFIN 3 MG CAP                                  $31.54               $0.00
   3311200193    AVEENO LOTION 240 ML TUBE                            $6.55               $0.00
   3311200192    AVEENOL BATH POWDER PKT                              $1.28               $0.00
   3311050080    AZATHIOPRINE 100 MG VIAL                           $380.65             $589.48
   3311010555    AZATHIOPRINE 50 MG TAB                              $13.33               $0.00
   3311170002    AZECITIDINE 100MG VIAL                           $1,498.31           $1,128.93
   3311010560    AZITHROMYCIN 250 MG CAP                             $45.95               $0.00
   3311010559    AZITHROMYCIN 500 MG VIAL                           $251.99             $343.59
   3311010563    AZITHROMYCIN 600 MB TAB                             $66.97               $0.00
   3311010556    AZITHROMYCIN SUSP 100 MG/5 ML                       $23.72               $0.00
   3311010562    AZITHROMYCIN SUSP 200 MG/5 ML                       $15.52               $0.00
   3311010561    AZITHROMYCIN SUSP 200 MG/5 ML                       $18.27               $0.00
   3311010558    AZITHROMYCIN SUSP 200 MG/5 ML                       $23.72               $0.00
   3311052065    AZTREONAM 1 GM VIAL                                $208.91             $275.65
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                259
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311052066    AZTREONAM 2 GM VIAL                                $371.40            $531.96
   3311030060    B & O SUPPRETTES NO.16A SUPP                        $29.84              $0.00
   3312200130    BABY SHAMPOO                                         $0.70              $0.00
   3311013885    BACID CAP                                            $7.91              $0.00
   3311050085    BACITACIN 50000 U VIAL                             $125.58            $144.21
   3311160130    BACITRACIN OINT 0.9 GM PKT                           $7.91              $0.00
   3311160135    BACITRACIN OINT 15 GM                               $20.13              $0.00
   3311160125    BACITRACIN OINT 30 GM                               $45.66              $0.00
   3311160128    BACITRACIN OP OINT 3.5 GM                           $38.41              $0.00
   3311010565    BACLOFEN 10 MG TAB                                   $8.66              $0.00
   3311010575    BACLOFEN 20 MG TAB                                   $9.88              $0.00
   3311016615    BACTRIM DS TAB                                      $11.31              $0.00
   3311080560    BACTRIM IV 16-80 MG/ML VIAL                          $0.00            $222.44
   3311080565    BACTRIM IV 5 ML VIAL                                 $0.00            $145.22
   3311016590    BACTRIM PEDIATRIC SUSP 100 ML                        $8.91              $0.00
   3311016605    BACTRIM TAB                                          $9.63              $0.00
   3311160143    BALANCED SALT OP SOLN 500 ML                       $149.18              $0.00
   3311160140    BALANCED SALT SOLN OP 15 ML                         $60.27              $0.00
   3311500030    BARD MINI-INFUSER                                   $14.55              $0.00
   3311160121    BECAPLERMIN GEL 0.01% 15GM                       $1,205.31              $0.00
   3311160159    BECLOMETHASONE 40MCG INH 7.3GM                     $180.87              $0.00
   3311160155    BECLOMETHASONE 42MCG/PUFF 16.8                     $181.48              $0.00
   3311160165    BECLOMETHASONE 84MCG/PUFF 12.2                     $226.01              $0.00
   3311160150    BECLOMETHASONE AQ 42MCG/SPRAY                      $253.73              $0.00
   3311160153    BECLOMETHASONE AQ 84MCG/SPRAY                      $183.37              $0.00
   3311010615    BELLERGAL-S TAB                                      $8.78              $0.00
   3311161388    BEN GAY GREASELESS CREAM 120 G                       $4.72              $0.00
   3311161386    BEN GAY ULTRA STRENGTH CREAM 1                       $4.86              $0.00
   3311010635    BENAZEPRIL 10 MG TAB                                $10.71              $0.00
   3311010645    BENAZEPRIL 20 MG TAB                                $11.51              $0.00
   3311010647    BENAZEPRIL 40 MG TAB                                $12.12              $0.00
   3311010625    BENAZEPRIL 5 MG TAB                                 $11.51              $0.00
   3311160175    BENAZLKONIUM CHLORIDE 1:750 TO                     $117.42              $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               260
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311161383    BEN-GAY GREASELESS CREAM 60 GM                      $4.68               $0.00
   3311160830    BENZAMYCIN GEL 23.3GM                             $205.08               $0.00
   3311160185    BENZOCAINE 20% AER SPR 60 GM C                     $36.87               $0.00
   3311160195    BENZOCAINE 20% DENTAL GEL 30 G                     $72.18               $0.00
   3311160190    BENZOCAINE 20% OINT 30 GM TUBE                    $132.69               $0.00
   3311161682    BENZOCAINE TOPICAL GEL (ORAL)                      $37.38               $0.00
   3311161681    BENZOCAINE TOPICAL LIQUID ORAL                     $28.84               $0.00
   3311160210    BENZOIN COMPOUND SPRAY 105 ML                      $59.05               $0.00
   3311010620    BENZONATATE 100 MG CAP                             $10.14               $0.00
   3311160220    BENZOYL PEROXIDE 10% GEL 45 GM                     $70.50               $0.00
   3311160245    BENZOYL PEROXIDE 5% 120 ML BTL                    $110.81               $0.00
   3311160235    BENZOYL PEROXIDE 5% GEL 45 GM                      $65.94               $0.00
   3311160240    BENZOYL PEROXIDE 5% GEL 90 GM                     $151.11               $0.00
   3311160225    BENZOYL PEROXIDE GEL 2.5% 60 G                    $130.52               $0.00
   3311160215    BENZOYL PEROXIDE-W GEL 10% 60                     $138.95               $0.00
   3311160230    BENZOYL PEROXIDE-W GEL 5% 60 G                    $133.45               $0.00
   3311010630    BENZTROPINE 0.5 MG TAB                              $7.91               $0.00
   3311010640    BENZTROPINE 1 MG TAB                                $7.91               $0.00
   3311050095    BENZTROPINE 1 MG/ML 2 ML AMP                      $130.99               $0.00
   3311010650    BENZTROPINE 2 MG TAB                                $7.91               $0.00
   3311161915    BETADINE 10% DOUCHE SOLN 180ML                     $35.50               $0.00
   3311161925    BETADINE 10% OINT 30 GM TUBE                       $22.27               $0.00
   3311161920    BETADINE 10% SOLN 480 ML BTL                       $33.28               $0.00
   3311161935    BETADINE 5% SPRAY 90 ML                            $72.33               $0.00
   3311161913    BETADINE SKIN CLEANSER 7.5% 30                     $22.18               $0.00
   3311161930    BETADINE SURGICAL SCRUB 7.5% 3                    $111.36               $0.00
   3311160198    BETADINE/SALINE OPHTH 30ML                         $11.07               $0.00
   3311160260    BETAMETHASONE DIP 0.05% CR 15                      $66.83               $0.00
   3311160265    BETAMETHASONE DIP 0.05% LOT 20                    $218.74               $0.00
   3311160270    BETAMETHASONE DIP 0.05% OINT 1                     $79.04               $0.00
   3311160275    BETAMETHASONE DIP 0.1% AER SOL                    $159.24               $0.00
   3311160285    BETAMETHASONE VAL 0.1% CR 15 G                     $53.56               $0.00
   3311160290    BETAMETHASONE VAL 0.1% CR 45 G                     $75.68               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               261
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311160295    BETAMETHASONE VAL 0.1% LOT 60                       $84.13               $0.00
   3311160300    BETAMETHASONE VAL 0.1% OINT 15                      $55.47               $0.00
   3311160305    BETAMETHASONE VAL 0.1% OINT 45                      $81.94               $0.00
   3311160311    BETAMETHICLOTRIM LOTION 30GM                       $202.95               $0.00
   3311160330    BETAXOLOL 0.25% OP SUSP 2.5 ML                     $145.15               $0.00
   3311160333    BETAXOLOL 10 MG TAB                                 $11.85               $0.00
   3311160334    BETAXOLOL 20 MG TAB                                 $15.95               $0.00
   3311010700    BETHANECHOL 10 MG TAB                               $12.65               $0.00
   3311010710    BETHANECHOL 25 MG TAB                               $15.61               $0.00
   3311010690    BETHANECHOL 5 MG TAB                                 $9.71               $0.00
   3311170106    BEVACIZUMAB 100MG/4ML VIAL                           $0.00           $1,271.63
   3311170107    BEVACIZUMAB 400MG/16ML VIAL                          $0.00           $3,904.75
   3311050118    BICALUTAMIDE 50 MG TAB                              $52.51               $0.00
   3311051368    BICILLIN C-R 1.2 MU/2 ML INJ                       $275.10               $0.00
   3311051373    BICILLIN C-R 600000 U/ML SYR                       $162.61               $0.00
   3311016485    BICITRA LIQ 120 ML BTL                              $26.47               $0.00
   3311016484    BICITRA LIQ 15ML CUP                                 $8.35               $0.00
   3311016483    BICITRA LIQ 30ML CUP                                 $8.86               $0.00
   3311030015    BISACODYL 10 MG SUPP                                 $7.91               $0.00
   3311010720    BISACODYL 5 MG TABEC                                 $7.91               $0.00
   3311220665    BIVALIRUDIN 250MG VIAL                             $916.10           $1,403.63
   3311170005    BLEOMYCIN SULFATE 15 U VIAL                        $937.63             $735.53
   3311162075    BLEPH-10 OP SOLN 15 ML BTL                          $46.08               $0.00
   3311162100    BLEPHAMIDE 10-0.2% OP OINT 3.5                     $278.12               $0.00
   3311162108    BLEPHAMIDE 10-0.2% OP SUSP 5 M                     $284.08               $0.00
   3311220450    BLISTEX 1 TUBE                                      $16.48               $0.00
   3311170108    BORTEZOMIB 3.5MG VIAL                                $0.00           $2,576.65
   3311200795    BOTULINUM TOXIN TYPE A 100 U                     $1,030.18               $0.00
   3311052070    BRETYLIUM 0.5 GM/10 ML AMP                         $308.64             $432.95
   3311080085    BRETYLIUM 500 MG/10 ML AMP                         $196.55             $256.14
   3311052075    BRETYLIUM 500 MG/10 ML SYR                         $138.56             $225.74
   3311220410    BRIMONIDINE 0.2% OPHTH SOLN 10                     $228.41               $0.00
   3311220415    BRINZOLAMIDE 1% OPHT. SOL. 5ML                     $225.99               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                262
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311010740    BROMFED-PD CAPCR                                    $9.27               $0.00
   3311010725    BROMOCRIPTINE 2.5 MG TAB                           $28.18               $0.00
   3311010730    BROMOCRIPTINE 5 MG CAP                             $30.94               $0.00
   3311160145    BSS PLUS 500 ML BTL                               $211.30             $353.70
   3311010757    BUDESONIDE 0.25MG/2ML UD EACH                      $43.58               $0.00
   3311010754    BUDESONIDE NASAL SPRAY 7GM                        $261.26               $0.00
   3311010758    BUDESONIDE TURBUHALER                             $532.38               $0.00
   3311010760    BUMETANIDE 0.5 GM TAB                               $8.17               $0.00
   3311010765    BUMETANIDE 1 MG TAB                                 $9.76               $0.00
   3311050120    BUMETANIDE 1 MG/4 ML VIAL                          $73.17              $80.49
   3311010770    BUMETANIDE 2 MG TAB                                $10.99               $0.00
   3311200295    BUNNELS SOLUTION 1000 ML                          $115.72               $0.00
   3311050135    BUPIVACAINE 0.25% 10 ML AMP                       $112.64               $0.00
   3311050130    BUPIVACAINE 0.25% 30 ML VIAL                      $106.52             $232.00
   3311050145    BUPIVACAINE 0.5% 30 ML AMP                        $111.50               $0.00
   3311050140    BUPIVACAINE 0.5% 50 ML VIAL                       $121.89               $0.00
   3311050155    BUPIVACAINE 0.75% 10 ML AMP                       $121.83               $0.00
   3311050150    BUPIVACAINE 0.75% 30 ML AMP                       $128.71             $203.72
   3311050125    BUPIVACAINE MPF 0.25% 50 ML VI                    $114.23               $0.00
   3311050178    BUPIVACAINE/DEXTROSE 2ML AMP                       $83.63               $0.00
   3311050170    BUPIVACAINE/EPINEPHRINE 0.25%                     $126.53               $0.00
   3311050165    BUPIVACAINE/EPINEPHRINE 0.5% 3                    $132.75               $0.00
   3311050160    BUPIVACAINE/EPINEPHRINE 0.5% 5                    $135.53               $0.00
   3311050175    BUPIVACAINE/EPINEPHRINE 0.75%                     $142.81               $0.00
   3311010773    BUPROPION 100 MG TAB                               $15.34               $0.00
   3311200300    BUPROPION 100 MG TABCR                             $17.83               $0.00
   3311200305    BUPROPION 150 MG TABCR                             $18.84               $0.00
   3311010772    BUPROPION 75 MG TAB                                $12.39               $0.00
   3311200307    BUPROPION XL 300MG TABLET                          $32.14               $0.00
   3311010780    BUSPIRONE 10 MG TAB                                $12.72               $0.00
   3311010785    BUSPIRONE 15 MG TAB                                $19.51               $0.00
   3311010775    BUSPIRONE 5 MG TAB                                 $10.23               $0.00
   3311010795    BUSULFAN 2 MG TAB                                  $20.25               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               263
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311160336    BUTOCONAZOLE 2% VAG CR 5GM                         $67.77               $0.00
   3311010695    BUTORPHANOL 2 MG/ML VIAL                          $136.80               $0.00
   3311130155    CADEXOMER IODINE GEL 40GM TUBE                    $173.06               $0.00
   3311030025    CAFERGOT SUPP                                      $33.29               $0.00
   3311012430    CAFERGOT TAB                                       $12.72               $0.00
   3311010808    CAFFEINE 100 MG TAB                                 $7.91               $0.00
   3311010809    CAFFEINE 200 MG TAB                                 $7.91               $0.00
   3311050182    CAFFEINE CITRATE 60MG INJ                         $373.89             $535.88
   3311050180    CAFFEINE INJ 500 MG/2 ML AMP                      $171.75               $0.00
   3311010807    CAFFEINE ORAL SOLUTION 10MG/ML                     $53.27               $0.00
   3311160735    CALADRYL LOTN 180 ML BTL                           $41.99               $0.00
   3311160338    CALAMINE LOTION 120 ML BTL                         $18.51               $0.00
   3311160337    CALCITONIN SALMON 200 IU/SPR 2                    $271.85               $0.00
   3311050185    CALCITONIN,SALMON 400 IU/2 ML                     $351.17               $0.00
   3311010820    CALCITRIOL 0.25 MCG CAP                            $13.06               $0.00
   3311010825    CALCITRIOL 0.5 MCG CAP                             $18.70               $0.00
   3311050190    CALCITRIOL 1 MCG/ML AMP                           $148.63               $0.00
   3311050195    CALCITRIOL 2 MCG/ML AMP                           $221.68               $0.00
   3311010828    CALCIUM ACETATE 667 MG TAB                          $7.91               $0.00
   3311010829    CALCIUM ACETATE 667MG GELCAP                        $7.91               $0.00
   3311010835    CALCIUM CARBONATE 500 MG CHEW                       $7.91               $0.00
   3311050200    CALCIUM CHLORIDE 10% 1 GM/10 M                     $71.11              $75.82
   3311050202    CALCIUM CHLORIDE 10% 10 ML AMP                     $90.61             $120.05
   3311050201    CALCIUM CHLORIDE 13.6 MEQ/10 M                     $71.11              $75.82
   3311010842    CALCIUM CITRATE 950 MG TAB                          $7.91               $0.00
   3311010843    CALCIUM CITRATE 950 MG TABEF                        $7.91               $0.00
   3311010845    CALCIUM GLUBIONATE SYRUP 1.8 G                      $7.93               $0.00
   3311050205    CALCIUM GLUCONATE 10% 1 GM/10                      $67.31              $67.19
   3311050210    CALCIUM GLUCONATE 10% 50 ML VI                    $109.78             $163.56
   3311050208    CALCIUM GLUCONATE 4.65 MEQ/10                      $69.63              $81.01
   3311010848    CALCIUM GLUCONATE 500 MG TAB                        $7.91               $0.00
   3311010850    CALCIUM LACTATE 650 MG TAB                          $7.91               $0.00
   3311160588    CALMOSEPTINE OINT                                  $47.84               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               264
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311010841    CALTRATE & D 600MG TAB                              $7.91                $0.00
   3311010839    CALTRATE 600MG                                      $7.91                $0.00
   3311160340    CAMPHO-PHENIQUE LIQUID 22.5 ML                      $7.80                $0.00
   3311160393    CANDESARTAN 16MG TAB                               $15.41                $0.00
   3311160394    CANDESARTAN 32MG TAB                               $19.58                $0.00
   3311160391    CANDESARTAN 4MG TAB                                $15.41                $0.00
   3311160392    CANDESARTAN 8MG TAB                                $15.41                $0.00
   3311050213    CANDIDA ALBICANS 1:100 1 ML VI                    $414.30                $0.00
   3311052080    CAPREOMYCIN SULFATE 1 GM VIAL                     $224.50                $0.00
   3311160342    CAPSAICIN 0.025% 20 GM TUBE                        $49.29                $0.00
   3311160343    CAPSAICIN 0.075% 60 GM TUBE                       $111.98                $0.00
   3311010870    CAPTOPRIL 100 MG TAB                               $12.39                $0.00
   3311010855    CAPTOPRIL 12.5 MG TAB                               $9.88                $0.00
   3311010860    CAPTOPRIL 25 MG TAB                                $10.31                $0.00
   3311010865    CAPTOPRIL 50 MG TAB                                $21.53                $0.00
   3311160360    CARBACHAL 3% OP SOLN 15 ML                        $261.44                $0.00
   3311160365    CARBACHOL 0.01% OP SOLN 1.5 ML                    $186.51                $0.00
   3311160345    CARBACHOL 0.75% OP SOLN 15 ML                     $166.03                $0.00
   3311160350    CARBACHOL 1.5% OP SOLN 15 ML                      $229.97                $0.00
   3311160355    CARBACHOL 2.25% OP SOLN 15 ML                     $181.36                $0.00
   3311010915    CARBAMAZEPINE 100 MG TAB                            $7.91                $0.00
   3311010900    CARBAMAZEPINE 200 MG TAB                            $9.14                $0.00
   3311010910    CARBAMAZEPINE SUSP 100 MG/5 ML                      $8.42                $0.00
   3311010905    CARBAMAZEPINE XR 200 MG TABCR                       $9.29                $0.00
   3311161065    CARBAMIDE PEROXIDE 10% SOLN 15                      $5.24                $0.00
   3311160370    CARBAMIDE PEROXIDE 6.5% OTIC S                      $5.25                $0.00
   3311010904    CARBANAZEPINE CR TABLET 100MG                       $7.91                $0.00
   3311010925    CARBENICILLIN 382 MG TAB                           $21.32                $0.00
   3311170010    CARBOPLATIN 150 MG VIAL                             $0.00              $975.88
   3311170015    CARBOPLATIN 450 MG VIAL                             $0.00            $2,229.78
   3311170020    CARBOPLATIN 50 MG VIAL                              $0.00              $476.23
   3311070040    CARBOPROST 250 MCG/ML AMP                         $360.06                $0.00
   3311500100    CARDIAC RESUSITATION RESPONSE                     $516.14                $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                265
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311010965    CARISOPRODOL 350 MG TAB                             $8.77                $0.00
   3311170025    CARMUSTINE 100 MG VIAL                              $0.00              $474.19
   3311160373    CARRASYN V WOUND DRSG GEL 15GM                     $58.82                $0.00
   3311200320    CARVEDILOL 12.5 MG TAB                             $16.49                $0.00
   3311200325    CARVEDILOL 25 MG TAB                               $16.49                $0.00
   3311200310    CARVEDILOL 3.125 MG TAB                            $16.49                $0.00
   3311200315    CARVEDILOL 6.25 MG TAB                             $16.49                $0.00
   3311010985    CASCARA SAGRADA FLUID EXTR 325                     $11.68                $0.00
   3311080323    CASPOFUNGIN 50MG INJ                                $0.00            $1,274.39
   3311080324    CASPOFUNGIN 70MG INJ                                $0.00            $1,445.46
   3311011005    CASTOR OIL 120 ML BTL                               $8.05                $0.00
   3311210026    CATHFLO ALTIVASE 2MG VIAL                         $489.53              $563.34
   3311011010    CEFACLOR 250 MG CAP                                $17.02                $0.00
   3311011015    CEFACLOR 500 MG CAP                                $29.86                $0.00
   3311011025    CEFACLOR SUSP 125 MG/5 ML 150                       $9.88                $0.00
   3311011020    CEFACLOR SUSP 125 MG/5 ML 75 M                      $9.64                $0.00
   3311011035    CEFACLOR SUSP 187 MG/5 ML 100                      $11.11                $0.00
   3311011045    CEFACLOR SUSP 250 MG/5 ML 75 M                     $12.08                $0.00
   3311011060    CEFACLOR SUSP 375 MG/5 ML 100                      $12.10                $0.00
   3311011055    CEFACLOR SUSP 375 MG/5 ML 50 M                     $12.10                $0.00
   3311052100    CEFAZOLIN 1000 MG VIAL                            $106.73              $154.58
   3311052102    CEFEPIME 1GM VIAL                                   $0.00              $241.94
   3311052103    CEFEPIME 2GM VIAL                                   $0.00              $453.94
   3311011070    CEFIXIME 400 MG TAB                                $44.97                $0.00
   3311011065    CEFIXIME SUSP 100 MG/5 ML 50 M                     $13.98                $0.00
   3311011068    CEFODOXIME 200MG TAB                               $30.55                $0.00
   3311052110    CEFOTAXIME 1 GM VIAL                              $116.98              $130.64
   3311052105    CEFOTAXIME 1000 MG VIAL                           $116.98              $130.64
   3311052115    CEFOTETAN 1 GM VIAL                               $144.06              $173.36
   3311080133    CEFOTETAN 10 GM VIAL                                $0.00              $712.90
   3311052113    CEFOTETAN 1000 MG VIAL                            $144.06              $173.36
   3311052112    CEFOTETAN 29M VIAL                                $249.57              $339.78
   3311052116    CEFOXITIN 1 GM VIAL                               $126.26              $145.27
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                266
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311052117    CEFOXITIN 2 GM VIAL                               $206.16             $271.30
   3311011067    CEFPODOXIME 100MG TAB                              $36.58               $0.00
   3311200336    CEFPROZIL 250 MG TAB                               $36.38               $0.00
   3311200337    CEFPROZIL 500 MG TAB                               $52.11               $0.00
   3311200330    CEFPROZIL SUSP 125 MG/5 ML 100                     $13.06               $0.00
   3311200335    CEFPROZIL SUSP 250 MG/5 ML 100                     $14.49               $0.00
   3311052120    CEFTAZIDIME 1 GM VIAL                             $141.38             $169.12
   3311052118    CEFTAZIDIME 1000 MG VIAL                          $141.38             $169.12
   3311052121    CEFTAZIDIME 1GM ADD VIAL                          $144.60             $174.21
   3311052125    CEFTAZIDIME 2 GM VIAL                             $236.93             $319.85
   3311080140    CEFTAZIDIME 6 GM VIAL                             $371.98             $574.70
   3311052130    CEFTIZOXIME 1 GM VIAL                             $122.29             $139.01
   3311080150    CEFTIZOXIME 10 GM VIAL                              $0.00             $550.31
   3311052128    CEFTIZOXIME 1000 MG VIAL                          $122.29             $139.01
   3311052135    CEFTIZOXIME 2 GM VIAL                             $187.81             $242.36
   3311052124    CEFTRAZIDIME 2GM ADDV VIAL                        $240.16             $324.94
   3311052145    CEFTRIAXONE 1 GM VIAL                             $247.12             $361.74
   3311052155    CEFTRIAXONE 1000 MG VIAL                          $247.12             $361.74
   3311052146    CEFTRIAXONE 1GM ADDV VIAL                         $253.66             $372.89
   3311052150    CEFTRIAXONE 250 MG VIAL                           $156.50             $192.97
   3311052147    CEFTRIAXONE 2GM ADDV VIAL                         $411.53             $527.87
   3311052165    CEFUROXIME 0.750 GM VIAL                          $115.85             $174.98
   3311011075    CEFUROXIME 250 MG TAB                              $33.22               $0.00
   3311011085    CEFUROXIME 500 MG TAB                              $35.07               $0.00
   3311052160    CEFUROXIME 750 MG VIAL                            $115.85             $174.98
   3311011080    CEFUROXIME SUSP 125MG/5ML 100M                     $13.30               $0.00
   3311011082    CEFUROXIME SUSP 250MG/5ML 100M                     $14.41               $0.00
   3311011092    CEFUROXIME SUSP 250MG/5ML 50ML                     $13.55               $0.00
   3311011093    CELECOXIB 100 MG CAP                               $17.02               $0.00
   3311011094    CELECOXIB 200 MG CAP                               $25.62               $0.00
   3311050105    CELESTONE PHOSPHATE 4 MG/ML 5M                    $156.90               $0.00
   3311050110    CELESTONE SOLUSPAN 6 MG/ML 5 M                    $108.80               $0.00
   3311200110    CEPACOL LOZENGES 1 EA LOZG                          $0.70               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               267
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311200105    CEPACOL SORE THROAT SPRAY 120                       $3.60                $0.00
   3311011120    CEPAHLEXIN SUSP 250 MG/5 ML 20                      $9.27                $0.00
   3311200103    CEPASTAT LOZENGES                                   $9.27                $0.00
   3311011110    CEPHALEXIN 250 MG CAP                               $9.54                $0.00
   3311011125    CEPHALEXIN 500 MG CAP                              $13.73                $0.00
   3311011105    CEPHALEXIN SUSP 125 MG/5 ML 10                      $8.42                $0.00
   3311011100    CEPHALEXIN SUSP 125 MG/5 ML 20                      $8.30                $0.00
   3311011095    CEPHALEXIN SUSP 250 MG/5 ML 10                      $9.64                $0.00
   3311162350    CERUMENEX OTIC 6 ML BTL                           $131.11                $0.00
   3311160880    CETACAINE SPRAY 56 SPRAYS CAN                     $248.27                $0.00
   3311162085    CETAMIDE 10% OP OINT 3.5 GM TU                     $69.12                $0.00
   3311162103    CETAPRED OP OINT 3.5 GM                           $178.78                $0.00
   3311011129    CETIRIZINE HCL 10 MG TAB                           $19.17                $0.00
   3311170027    CETUXIMAB 100MG/50ML VIAL                           $0.00            $1,123.75
   3311200123    CETYLPYRIDINIUM LIQ 120 ML BTL                      $0.89                $0.00
   3311220440    CHAPSTICK 4.5 GM STICK                             $18.80                $0.00
   3311011130    CHARCOAL ACTIVATED (AQUA) 25 M                     $42.54                $0.00
   3311011135    CHARCOAL ACTIVATED (AQUA) 50 G                     $60.23                $0.00
   3311190174    CHEMO ADMINSTRATION SET                            $27.72                $0.00
   3311200340    CHERRY SYRUP 120 ML                                 $7.91                $0.00
   3311020075    CHLORAL HYDRATE SYRP 500MG/5ML                     $17.53                $0.00
   3311011155    CHLORAMBUCIL 2 MG TAB                              $18.03                $0.00
   3311160375    CHLORAMPHENICOL 0.5% OP 7.5 ML                    $109.29                $0.00
   3311052175    CHLORAMPHENICOL 1 GM VIAL                           $0.00              $259.43
   3311200115    CHLORASEPTIC SPRAY 180 ML BTL                       $3.73                $0.00
   3311020090    CHLORDIAZEPOXIDE 10 MG CAP                         $14.30                $0.00
   3311060005    CHLORDIAZEPOXIDE 100 MG AMP                       $119.14                $0.00
   3311020100    CHLORDIAZEPOXIDE 25 MG CAP                         $14.37                $0.00
   3311020080    CHLORDIAZEPOXIDE 5 MG CAP                          $14.10                $0.00
   3311160395    CHLORHEXADINE GLUCONATE 0.12%                      $71.20                $0.00
   3311160400    CHLORHEXIDINE 4% 960 ML BTL                        $45.84                $0.00
   3311050220    CHLOROPROCAINE MPF 2% 30 ML VI                    $112.74              $168.02
   3311050225    CHLOROPROCAINE MPF 3% 30 ML VI                    $129.64              $205.81
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                268
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011190    CHLOROQUINE 500 MG TAB                              $33.19               $0.00
   3311050226    CHLOROTHIAZIDE 500MG VIAL                          $119.94             $135.30
   3311011193    CHLORPHENIRAMINE 4 MG TAB                            $0.50               $0.00
   3311011215    CHLORPHENIRAMINE 8 MG CAPCR                          $7.91               $0.00
   3311011220    CHLORPROMAZINE 10 MG TAB                             $7.92               $0.00
   3311011255    CHLORPROMAZINE 100 MG TAB                            $8.66               $0.00
   3311011265    CHLORPROMAZINE 200 MG TAB                            $9.20               $0.00
   3311011235    CHLORPROMAZINE 25 MG TAB                             $7.91               $0.00
   3311011245    CHLORPROMAZINE 50 MG TAB                             $7.91               $0.00
   3311050230    CHLORPROMAZINE 50 MG/2 ML AMP                      $119.29               $0.00
   3311011280    CHLORPROMAZINE CONC 100 MG/ML                        $8.42               $0.00
   3311011275    CHLORPROMAZINE CONC 30 MG/ML B                       $7.93               $0.00
   3311011230    CHLORPROMAZINE SYRUP 10 MG/5 M                      $10.37               $0.00
   3311011285    CHLORPROPAMIDE 100 MG TAB                            $7.91               $0.00
   3311011295    CHLORPROPAMIDE 250 MG TAB                            $9.54               $0.00
   3311011320    CHLORTHALIDONE 100 MG TAB                           $10.44               $0.00
   3311011303    CHLORTHALIDONE 25 MG TAB                             $7.91               $0.00
   3311011310    CHLORTHALIDONE 50 MG TAB                             $7.91               $0.00
   3311011335    CHLORZOXAZONE 500 MG TAB                             $9.63               $0.00
   3311210090    CHOLERA VACCINE INJ 1.5 ML VIA                      $22.87               $0.00
   3311011345    CHOLESTYRAMINE 4 GM PKT                             $22.40               $0.00
   3311011340    CHOLESTYRAMINE SF 4 GM PKT                          $17.83               $0.00
   3311011370    CHOLINE SALICYLATE 870 MG/5 ML                       $8.54               $0.00
   3311052541    CHROMIC CHLORIDE 40MCG/10ML                         $85.22             $107.82
   3311160406    CICLOPIROX 0.77% CR 15GM                           $161.64               $0.00
   3311160407    CICLOPIROX 0.77% CR 30GM                           $283.03               $0.00
   3311160408    CICLOPIROX 0.77% CR 90GM                           $467.26               $0.00
   3311050240    CIDOFOVIR 75 MG/ML VIAL                          $1,546.47           $1,918.60
   3311017101    CILOSTAZOL 100MG TAB                                $17.49               $0.00
   3311011395    CIMETIDINE 200 MG TAB                               $11.08               $0.00
   3311011375    CIMETIDINE 300 MG TAB                               $10.57               $0.00
   3311052180    CIMETIDINE 300 MG/2 ML VIAL                         $97.42             $135.51
   3311011385    CIMETIDINE 400 MG TAB                               $12.99               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                269
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011390    CIMETIDINE 800 MG TAB                              $23.21                $0.00
   3311011380    CIMETIDINE SOLN 300 MG/5 ML UD                     $20.58                $0.00
   3311160421    CIPRO HC OTIC DROPS BTL                           $292.89                $0.00
   3311160422    CIPRODEX OTIC SUSP 7.5ML BTL                       $78.60                $0.00
   3311160418    CIPROFLOXACIN 0.3% OP SOLN 2.5                    $170.01                $0.00
   3311160420    CIPROFLOXACIN 0.3% OP SOLN 5 M                    $176.23                $0.00
   3311050238    CIPROFLOXACIN 200 MG VIAL                         $142.59              $171.03
   3311080205    CIPROFLOXACIN 200MG/100ML DSW                       $0.00              $183.75
   3311011410    CIPROFLOXACIN 250 MG TAB                           $29.52                $0.00
   3311011415    CIPROFLOXACIN 500 MG TAB                           $29.91                $0.00
   3311011420    CIPROFLOXACIN 750 MG TAB                           $35.29                $0.00
   3311080210    CIPROFLOXACIN IN D5W 400MG/200                      $0.00              $336.39
   3311051345    CISATRACURIUM 2MG/ML 5ML                          $125.31                $0.00
   3311170038    CISPLATIN AQ 50 MG VIAL                             $0.00              $376.63
   3311200345    CITALOPRAM 20 MG TAB                               $23.14                $0.00
   3311014565    CITRUCEL PKT                                        $8.41                $0.00
   3311170037    CLADRIBINE 10 MG/10 ML VIAL                         $0.00            $1,368.26
   3311011425    CLARITHROMYCIN 250 MG TAB                          $29.62                $0.00
   3311011430    CLARITHROMYCIN 500 MG TAB                          $29.62                $0.00
   3311011427    CLARITHROMYCIN SUSP 125/5 100M                     $12.57                $0.00
   3311011426    CLARITHROMYCIN SUSP 125/5 50ML                     $13.06                $0.00
   3311011428    CLARITHROMYCIN SUSP 250/5 100M                     $14.41                $0.00
   3311011440    CLEMASTINE 1.34 MG TAB                              $8.66                $0.00
   3311011445    CLEMASTINE 2.68 MG TAB                             $10.99                $0.00
   3311011435    CLEMASTINE SYRUP 0.67 MG/5 ML                       $9.52                $0.00
   3311160435    CLINDAMYCIN 1% GEL 30 GM                          $292.51                $0.00
   3311160425    CLINDAMYCIN 1% TOP SOLN 30 ML                      $78.05                $0.00
   3311160430    CLINDAMYCIN 1% TOP SOLN 60 ML                     $148.60                $0.00
   3311011455    CLINDAMYCIN 150 MG CAP                             $11.65                $0.00
   3311160436    CLINDAMYCIN 2% VAG CR 40 GM TU                    $181.05                $0.00
   3311011460    CLINDAMYCIN 300 MG CAP                             $32.75                $0.00
   3311080213    CLINDAMYCIN 600 MG/4 ML VIAL                      $113.75              $172.55
   3311052195    CLINDAMYCIN 900 MG/6 ML VIAL                      $134.00              $215.54
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                270
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011468    CLINDAMYCIN SUSP 75 MG/5 ML 10                     $10.86               $0.00
   3311160440    CLOBETASOL 0.05% CR 15 GM                         $147.60               $0.00
   3311160445    CLOBETASOL 0.05% CR 30 GM                         $217.10               $0.00
   3311160455    CLOBETASOL 0.05% OINT 15 GM                       $147.60               $0.00
   3311160460    CLOBETASOL 0.05% OINT 30 GM                       $217.10               $0.00
   3311160450    CLOBETASOL 0.05% TOP SOLN 25 M                    $127.54               $0.00
   3311011475    CLOFAZIMINE 50 MG CAP                               $7.91               $0.00
   3311011480    CLOMIPHENE 50 MG TAB                               $37.20               $0.00
   3311011490    CLOMIPRAMINE 25 MG CAP                             $29.12               $0.00
   3311011500    CLOMIPRAMINE 50 MG CAP                             $28.49               $0.00
   3311011510    CLOMIPRAMINE 75 MG CAP                             $13.53               $0.00
   3311020110    CLONAZEPAM 0.5 MG TAB                              $17.47               $0.00
   3311020115    CLONAZEPAM 1 MG TAB                                $18.11               $0.00
   3311020120    CLONAZEPAM 2 MG TAB                                $18.88               $0.00
   3311011515    CLONIDINE 0.1 MG TAB                                $7.91               $0.00
   3311160465    CLONIDINE 0.1 MG/24 HR PATCH                      $290.61               $0.00
   3311011525    CLONIDINE 0.2 MG TAB                                $7.91               $0.00
   3311160470    CLONIDINE 0.2 MG/24 HR PATCH                      $170.18               $0.00
   3311011535    CLONIDINE 0.3 MG TAB                                $9.51               $0.00
   3311160475    CLONIDINE 0.3 MG/24 HR PATCH                      $233.31               $0.00
   3311020130    CLOPIDOGREL 75 MG TAB                              $35.10               $0.00
   3311011477    CLORAZEPATE 3.75 MG TAB                            $19.08               $0.00
   3311160485    CLOTRIMAZOLE 1% CR 15 GM                           $52.26               $0.00
   3311160490    CLOTRIMAZOLE 1% CR 30 GM                           $72.79               $0.00
   3311160495    CLOTRIMAZOLE 1% CR 45 GM                          $117.01               $0.00
   3311160500    CLOTRIMAZOLE 1% LOT 30 ML                          $98.11               $0.00
   3311160505    CLOTRIMAZOLE 1% SOLN 10 ML                         $63.78               $0.00
   3311160506    CLOTRIMAZOLE 1% SOLN 30ML                          $98.11               $0.00
   3311160515    CLOTRIMAZOLE 1% VAG CR 45 GM                       $77.52               $0.00
   3311011545    CLOTRIMAZOLE 10 MG TROCHE                          $17.22               $0.00
   3311160520    CLOVE OIL 3.5 ML BTL                                $3.86               $0.00
   3311011560    CLOZAPINE 100 MG TAB                               $34.29               $0.00
   3311011565    CLOZAPINE 25 MG TAB                                 $8.90               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               271
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011478    CLROAZEPATE 7.5 MG TAB                              $20.64              $0.00
   3311160530    COAL TAR 0.5% SHAMPOO 120 ML                         $5.37              $0.00
   3311160525    COAL TAR 1% SHAMPOO 180 ML                          $18.81              $0.00
   3311020145    COCAINE 10% TOP SOLN 4 ML VIAL                     $144.00              $0.00
   3311020140    COCAINE 4% TOP SOLN 4 ML VIAL                       $89.62              $0.00
   3311050245    COCCIDIOIDIN SKIN TEST 1100                        $280.95              $0.00
   3311060011    CODEINE PHOS CPJ 15MG/ML 2ML                        $59.96              $0.00
   3311060012    CODEINE PHOSPHATE 30 MG/ML VIA                      $58.75              $0.00
   3311020150    CODEINE SULFATE 15 MG TAB                           $15.71              $0.00
   3311020155    CODEINE SULFATE 30 MG TAB                           $15.84              $0.00
   3311020160    CODEINE SULFATE 60 MG TAB                           $17.82              $0.00
   3311015945    COLBENEMID TAB                                      $10.82              $0.00
   3311011590    COLCHICINE 0.6 MG TAB                                $7.91              $0.00
   3311050250    COLCHICINE 1 MG/2 ML AMP                           $126.12              $0.00
   3311011595    COLESTIPOL 5 GM PKT                                 $17.76              $0.00
   3311160532    COLLAGENASE OINT 15 GM                             $185.92              $0.00
   3311160533    COLLAGENASE OINT 30GM                              $205.30              $0.00
   3311160535    COLLYRIUM OP SOLN 120 ML                            $34.82              $0.00
   3311012335    COLYTE (FLAVORED) 4000 ML                           $79.67              $0.00
   3311160527    COMBIVENT INHALER 14.7 GM MDI                      $245.16              $0.00
   3311200350    COMBIVIR TAB                                        $41.90              $0.00
   3311050270    CORTICOTROPIN GEL 400 U/5 ML V                   $1,922.95              $0.00
   3311011610    CORTISONE ACETATE 25 MG TAB                          $9.27              $0.00
   3311160534    CORTISPORIN OINT 15 GM TUBE                        $182.36              $0.00
   3311160536    CORTISPORIN OP OINT 3.5 GM TUB                     $102.85              $0.00
   3311160538    CORTISPORIN OP SOLN 10 ML                          $187.50              $0.00
   3311160537    CORTISPORIN OP SUSP 7.5 ML                         $197.76              $0.00
   3311160539    CORTISPORIN OT SUSP 10 ML                          $187.50              $0.00
   3311200366    COSOPT OPTH. SOL. 5ML                              $263.84              $0.00
   3311050280    COSYNTROPIN 0.25 MG/ML VIAL                        $174.77            $221.80
   3311200346    COTALOPRAM 40MG TAB                                 $24.01              $0.00
   3311080068    CPD SOLN BAG                                       $105.66            $162.59
   3311011621    CREON 10 CAPSULE                                    $10.44              $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               272
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011622    CREON 20 CAPSULE                                    $16.75               $0.00
   3314121070    CRITICARE HN 240 ML                                 $34.56               $0.00
   3311160540    CROMOLYN 20 MG/2 ML AMP                             $12.08               $0.00
   3311160555    CROMOLYN INHALER 8.1 GM MDI                        $211.24               $0.00
   3311160550    CROMOLYN NA SOLN 13 ML NASPR                        $71.34               $0.00
   3311050030    CROTALIDAE ANTIVENIN, POLYVAL                    $1,951.91           $2,409.21
   3311160560    CROTAMITON 10% CR 60 GM                             $85.48               $0.00
   3311160565    CROTAMITON 10% LOT 60 ML                            $90.62               $0.00
   3311050285    CYANIDE ANTIDOTE KIT                               $883.16               $0.00
   3311017603    CYANOCOBALAMIN 100 MCG TAB                           $0.50               $0.00
   3311017610    CYANOCOBALAMIN 1000 MCG TAB                          $0.50               $0.00
   3311051770    CYANOCOBALAMIN 1000 MCG/ML VIA                      $62.92              $81.01
   3311017600    CYANOCOBALAMIN 250 MCG TAB                           $0.50               $0.00
   3311017605    CYANOCOBALAMIN 500 MCG TAB                           $0.50               $0.00
   3311011645    CYCLOBENZAPRINE 10 MG TAB                           $11.93               $0.00
   3311160571    CYCLOMYDRIL OP SOLN 2 ML                            $98.00               $0.00
   3311160572    CYCLOMYDRIL OP SOLN 5 ML                           $166.38               $0.00
   3311160570    CYCLOPENTOLATE 0.5% OP SOLN 2                       $74.08               $0.00
   3311160575    CYCLOPENTOLATE 1% OP SOLN 2 ML                      $93.96               $0.00
   3311160568    CYCLOPENTOLATE 2% OP SOLN 2 ML                     $120.69               $0.00
   3311170040    CYCLOPHOSPHAMIDE 1 GM VIAL                           $0.00             $262.71
   3311170048    CYCLOPHOSPHAMIDE 100 MG VIAL                         $0.00             $152.02
   3311170045    CYCLOPHOSPHAMIDE 200 MG VIAL                         $0.00             $156.79
   3311170053    CYCLOPHOSPHAMIDE 25 MG TAB                          $18.84               $0.00
   3311170043    CYCLOPHOSPHAMIDE 50 MG TAB                          $31.47               $0.00
   3311170050    CYCLOPHOSPHAMIDE 500 MG VIAL                         $0.00             $172.36
   3311011650    CYCLOSERINE 250 MG CAP                              $31.81               $0.00
   3311050290    CYCLOSPORINE 250 MG/5 ML AMP                       $241.71             $327.38
   3311011653    CYCLOSPORINE SOLN 100 MG/ML 50                      $40.23               $0.00
   3311011655    CYPROHEPTADINE 2 MG/5 ML 120 M                       $8.66               $0.00
   3311011665    CYPROHEPTADINE 4 MG TAB                              $8.90               $0.00
   3311170055    CYTARABINE 100 MG VIAL                               $0.00             $143.36
   3311170063    CYTARABINE 2 GM VIAL                                 $0.00             $393.47
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                273
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311170060    CYTARABINE 500 MG VIAL                               $0.00             $250.17
   3314100140    D5W + KCL 40MEQ 1000 ML BAG                          $0.00             $135.98
   3314100114    D5W/0.225% NS + KCL 10MEQ 1000                       $0.00             $135.98
   3314100115    D5W/0.225% NS + KCL 20MEQ 1000                       $0.00             $135.98
   3314100120    D5W/0.225% NS + KCL 30MEQ 1000                       $0.00             $135.98
   3314100125    D5W/0.45% NS + KCL 20 MEQ 1000                       $0.00             $172.08
   3314100130    D5W/0.45% NS + KCL 30 MEQ 1000                       $0.00             $172.08
   3314100135    D5W/0.45% NS + KCL 40MEQ 1000                        $0.00             $172.08
   3314100123    D5W/0.45% NS +KCL 10MEQ 1000ML                       $0.00             $172.08
   3311170065    DACARBAZINE 100 MG VIAL                              $0.00             $156.28
   3311170068    DACARBAZINE 200 MG VIAL                              $0.00             $219.01
   3311160585    DACRIOSE OPHTH IRRIG 120 ML                         $39.69               $0.00
   3311170070    DACTINOMYCIN 0.5 MG VIAL                             $0.00             $167.27
   3311011680    DANAZOL 100 MG CAP                                  $22.87               $0.00
   3311011685    DANAZOL 200 MG CAP                                  $30.10               $0.00
   3311011690    DANAZOL 50 MG CAP                                   $16.49               $0.00
   3311011700    DANTROLENE 100 MG CAP                               $18.57               $0.00
   3311052200    DANTROLENE 20 MG VIAL                              $418.91               $0.00
   3311011710    DANTROLENE 25 MG CAP                                $11.65               $0.00
   3311011715    DANTROLENE 50 MG CAP                                $15.61               $0.00
   3311011720    DAPSONE 100 MG TAB                                   $7.91               $0.00
   3311011725    DAPSONE 25 MG TAB                                    $7.91               $0.00
   3311052492    DAPTOMYCIN 500MG INJECTION                         $671.23             $889.68
   3311210103    DARBEPOETIN ALFA 100MCG VIAL                       $846.30           $1,483.65
   3311210106    DARBEPOETIN ALFA 150MCG INJ                      $1,260.32           $2,216.35
   3311210104    DARBEPOETIN ALFA 200MCG VIAL                     $1,674.32           $2,349.80
   3311210100    DARBEPOETIN ALFA 25MCG VIAL                     $10,984.35         $10,984.34
   3311210105    DARBEPOETIN ALFA 300MCG INJ                      $2,502.34               $0.00
   3311210101    DARBEPOETIN ALFA 40MCG VIAL                        $981.57           $1,084.00
   3311210102    DARBEPOETIN ALFA 60MCG VIAL                      $1,305.91           $1,305.90
   3311020740    DARVOCET-N 100 TAB                                  $16.07               $0.00
   3311020735    DARVOCET-N 50 TAB                                   $16.42               $0.00
   3311020730    DARVON COMPUOND-65 CAP                              $15.44               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                                274
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311170075    DAUNORUBICIN 20 MG VIAL                             $0.00             $488.27
   3311016240    DECONAMINE SR CAPCR                                $18.97               $0.00
   3311052205    DEFEROXAMINE 500 MG VIAL                          $181.09             $231.76
   3311011730    DEMECLOCYCLINE 150 MG TAB                          $39.49               $0.00
   3311011733    DEMECLOCYCLINE 300 MG TAB                          $62.33               $0.00
   3312200138    DENTURE ADHESIVE CREAM                              $3.62               $0.00
   3312200137    DENTURE ADHESIVE POWDER                             $3.63               $0.00
   3311200285    DEODORANT (ARRID) 2.5 OZ                            $2.57               $0.00
   3311050298    DEPO-TESTADIOL 50 MG/ML 10 ML                     $374.02               $0.00
   3311130007    DESFLURANE (SUPRANE) 1 HR                         $246.52               $0.00
   3311130008    DESFLURANE (SUPRANE) 15 MIN                        $36.01               $0.00
   3311130006    DESFLURANE 240 ML BTL                             $164.22               $0.00
   3311011735    DESIPRAMINE 10 MG TAB                               $8.53               $0.00
   3311011770    DESIPRAMINE 100 MG TAB                             $13.73               $0.00
   3311011775    DESIPRAMINE 150 MG TAB                             $18.30               $0.00
   3311011745    DESIPRAMINE 25 MG TAB                               $9.63               $0.00
   3311011750    DESIPRAMINE 50 MG TAB                              $11.51               $0.00
   3311011760    DESIPRAMINE 75 MG TAB                              $11.38               $0.00
   3311160590    DESITIN 60 GM TUBE                                  $3.79               $0.00
   3311160595    DESMOPRESSIN 0.01% NA SOLN 2.5                    $281.91               $0.00
   3311160598    DESMOPRESSIN 0.01% NA SOLN 5 M                    $537.50               $0.00
   3311052210    DESMOPRESSIN 40 MCG/10 ML VIAL                    $143.32             $172.19
   3311052209    DESMOPRESSIN 4MCG/ML ML AMP                       $132.34             $211.83
   3311160600    DESONIDE 0.05% CR 15 GM                            $80.15               $0.00
   3311160605    DESONIDE 0.05% CR 60 GM                           $216.17               $0.00
   3311160610    DESONIDE 0.05% OINT 60 GM                         $216.17               $0.00
   3311160615    DESOXIMETASONE 0.05% CR 15 GM                     $117.30               $0.00
   3311160620    DESOXIMETASONE 0.05% CR 60 GM                     $160.28               $0.00
   3311160625    DESOXIMETASONE 0.25% CR 15 GM                      $93.61               $0.00
   3311160630    DESOXIMETASONE 0.25% CR 60 GM                     $216.46               $0.00
   3311160635    DESOXIMETASONE 0.25% OINT 15 G                    $158.60               $0.00
   3311160675    DEXAMETHASONE 0.1% OP SOLN 5 M                    $103.90               $0.00
   3311160665    DEXAMETHASONE 0.1% OP SUSP 5 M                    $242.43               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               275
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011780    DEXAMETHASONE 0.5 MG TAB                            $7.91               $0.00
   3311011790    DEXAMETHASONE 0.75 MG TAB                           $7.91               $0.00
   3311011800    DEXAMETHASONE 1 MG TAB                              $7.91               $0.00
   3311011810    DEXAMETHASONE 1.5 MG TAB                            $8.41               $0.00
   3311050304    DEXAMETHASONE 10MG/ML 1ML VIAL                     $82.84               $0.00
   3311011820    DEXAMETHASONE 2 MG TAB                              $9.20               $0.00
   3311011830    DEXAMETHASONE 4 MG TAB                              $8.94               $0.00
   3311080245    DEXAMETHASONE 4 MG/ML 5 ML VIA                     $97.26               $0.00
   3311050300    DEXAMETHASONE 4 MG/ML VIAL                         $67.62               $0.00
   3311011831    DEXAMETHASONE 6MG TAB                              $11.93               $0.00
   3311050305    DEXAMETHASONE INJ 10 MG/ML                         $59.70               $0.00
   3311011840    DEXAMETHASONE SOLN 0.5 MG/5 ML                      $7.93               $0.00
   3311170280    DEXRAZOXANE 250MG VIAL                              $0.00             $411.73
   3311170285    DEXRAZOXANE 500 MG VIAL                             $0.00             $713.64
   3311100005    DEXTRAN-40 10% IN NS 500 ML BT                      $0.00             $204.67
   3311012120    DEXTROMETHORPHAN SYRUP 15 MG/5                      $7.91               $0.00
   3314100007    DEXTROSE 10% /NACL 0.225% 250                       $0.00              $70.42
   3314100000    DEXTROSE 10% /NACL 0/45% 250 M                      $0.00             $103.00
   3314100015    DEXTROSE 10% 1000 ML BAG                            $0.00             $100.02
   3314100010    DEXTROSE 10% 250 ML BAG                             $0.00              $98.58
   3314100011    DEXTROSE 12.5% 250 ML BAG                           $0.00              $96.14
   3314100018    DEXTROSE 15% 250 ML BAG                             $0.00             $103.00
   3311050307    DEXTROSE 25% 10MLS SYR                            $100.92               $0.00
   3314100020    DEXTROSE 5% (GLASS) 250 ML BTL                      $0.00              $69.31
   3314100075    DEXTROSE 5% /LACTATED RINGERS                       $0.00              $96.42
   3314100070    DEXTROSE 5% /LACTATED RINGERS                       $0.00              $99.30
   3314100090    DEXTROSE 5% /NACL 0.225% 1000                       $0.00              $89.59
   3314100080    DEXTROSE 5% /NACL 0.225% 250 M                      $0.00              $91.39
   3314100085    DEXTROSE 5% /NACL 0.225% 500 M                      $0.00              $91.39
   3314100100    DEXTROSE 5% /NACL 0.45% 1000 M                      $0.00              $94.26
   3314100093    DEXTROSE 5% /NACL 0.45% 250 ML                      $0.00              $60.03
   3314100095    DEXTROSE 5% /NACL 0.45% 500 ML                      $0.00              $91.39
   3314100110    DEXTROSE 5% /NACL 0.9% 1000 ML                      $0.00              $94.98
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               276
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3314100105    DEXTROSE 5% /NACL 0.9% 500 ML                       $0.00              $91.39
   3314100045    DEXTROSE 5% 100 ML BAG                              $0.00             $103.61
   3314100060    DEXTROSE 5% 1000 ML BAG                             $0.00              $96.78
   3314100025    DEXTROSE 5% 150 ML BAG                              $0.00              $74.85
   3314100050    DEXTROSE 5% 250 ML BAG                              $0.00              $80.60
   3314100030    DEXTROSE 5% 50 ML BAG                               $0.00             $103.61
   3314100055    DEXTROSE 5% 500 ML BAG                              $0.00              $81.68
   3311050308    DEXTROSE 50% 25 GM/50 ML SYR                      $111.37               $0.00
   3311080248    DEXTROSE 50% 25 GM/50 ML VIAL                      $63.82              $59.27
   3314100065    DEXTROSE 70% INJ                                    $0.00              $63.97
   3311200128    DIAPARENE BABY POWDER 120 GM B                      $1.93               $0.00
   3311180005    DIATRIZOATE SODIUM 50% 50 MG V                    $105.88               $0.00
   3311020250    DIAZEPAM 10 MG TAB                                 $15.71               $0.00
   3311060020    DIAZEPAM 10 MG/2 ML SYR                            $46.13               $0.00
   3311020220    DIAZEPAM 2 MG TAB                                  $14.43               $0.00
   3311020235    DIAZEPAM 5 MG TAB                                  $14.97               $0.00
   3311050310    DIAZOXIDE 300 MG/20 ML AMP                        $500.01               $0.00
   3311160685    DIBUCAINE 1% OINT 30 GM                            $38.49               $0.00
   3311011870    DICLOFENAC 100 MG TABEC                            $28.69               $0.00
   3311011855    DICLOFENAC 25 MG TABEC                              $9.39               $0.00
   3311011865    DICLOFENAC 50 MG TABEC                             $11.51               $0.00
   3311111873    DICLOFENAC 75 MG TABEC                             $11.18               $0.00
   3311160688    DICLOFENAC SOD 0.1% 5 ML BTL                      $213.53               $0.00
   3311011880    DICLOXACILLIN 250 MG CAP                            $9.29               $0.00
   3311011885    DICLOXACILLIN 500 MG CAP                            $5.85               $0.00
   3311011890    DICLOXACILLIN SUSP 62.5 MG/5 M                      $8.66               $0.00
   3311011905    DICYCLOMINE 10 MG CAP                               $7.91               $0.00
   3311011920    DICYCLOMINE 20 MG TAB                               $7.91               $0.00
   3311050315    DICYCLOMINE 20 MG VIAL                            $165.90               $0.00
   3311011915    DICYCLOMINE SYRUP 10 MG/5 ML 1                      $8.54               $0.00
   3311011930    DIDANOSINE 100 MG CHEW                             $20.85               $0.00
   3311011935    DIDANOSINE 150 MG CHEW                             $29.45               $0.00
   3311011950    DIDANOSINE 50 MG CHEW                              $12.25               $0.00
Contact Person -
Virginia Ripslinger RN, MBA
Chief Knowledge Officer
714.992.3000 extension 2587
gripslin@stjoe.org                                                                               277
St. Jude Medical Center
101 East Valencia Mesa
Fullerton, CA 92835
June 1, 2005
CHARGE CODE      DESCRIPTION                      ORAL/INJECTION PRICING INTRAVENOUS PRICING
   3311011