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Owner
Neurosurgery
Description
Ventriculo Peritoneal Shunt Package
Items in Package (Cost Center → Category) GRAND TOTAL: 0.00
Anesthesia
Common Supplies
Name Quantity Unit Cost Total Amount
Coverall, Surgical Disposable, size L 297.00 594.00
ET Tube Uncuffed 37.95 75.90
N95 mask 270.00 540.00
Nasal Airway 438.00 438.00
Oral Airway 29.54 29.54
Drugs
Name Quantity Unit Cost Total Amount
Atropine SO4 500mcg/ml 52.00 52.00
Fentanyl 117.00 117.00
Midazolam / Thiopental 268.00 268.00
Nalbuphine 78.00 78.00
Propofol 300.50 300.50
Rocuronium / Atracurium 390.00 390.00
Sevoflurane 46.50 11,625.00
Sugammadex 6,835.00 6,835.00
Equipment Use
Name Quantity Unit Cost Total Amount
Use of Anesthesia Machine 1,870.00 1,870.00
Use of Blood Warmer 330.00 330.00
Use of Capnograph Machine 500.00 500.00
Use of Cardiac Monitor 500.00 500.00
Use of Transport Ventillator 200.00 200.00
Use of Video Laryngoscope 1,000.00 1,000.00
Use of Warmer Machine 815.00 815.00
Central Sterile Supply
Common Supplies
Name Quantity Unit Cost Total Amount
IV Cath g24 70.00 140.00
IV Cath g26 70.00 140.00
SASS 21.00 42.00
Laboratory
Laboratory
Name Quantity Unit Cost Total Amount
ABG 491.00 491.00
Blood Cross matching 1,095.00 1,095.00
Blood typing 1,055.00 1,055.00
BUN 354.00 354.00
CBC 578.00 1,156.00
Crea 365.00 730.00
Cross matching 739.50 739.50
CSF Culture 3,721.00 3,721.00
CSF Latex Agglutination 2,734.00 2,734.00
Electrolytes Package 880.00 1,760.00
Glucose 314.00 314.00
Magnesium 435.00 435.00
PT 769.00 769.00
PTT 749.00 749.00
Urinalysis 528.00 528.00
Operating Room
Common Supplies
Name Quantity Unit Cost Total Amount
Alcohol 50cc 15.00 15.00
Blade surgical #10 5.00 5.00
BLADE surgical #11 5.00 10.00
BLADE SURGICAL #15 7.21 14.42
COTTON BALLS 5pcs 6.18 12.36
Electrode ECG 6.75 20.25
Garbage bag, yellow 17.00 34.00
N95 mask 300.00 1,500.00
Needle g18 1.51 1.51
Plaster micropore 1" 104.19 104.19
Shoe cover 10.70 64.20
Shoe cover - REMOVE 7.50 7.50
SPECIMEN VIAL 6.50 6.50
Sterile Gloves 55.00 550.00
Stopcock 3way 31.25 31.25
SUCTION CATHETER FR 8 12.23 12.23
Syringe 10cc 7.45 149.00
SYRINGE 1CC 10.25 51.25
Syringe 20cc 17.15 343.00
Syringe 3cc 10.25 51.25
Syringe 5cc 5.75 115.00
Underpad 13.75 13.75
Direct Supplies
Name Quantity Unit Cost Total Amount
Betadine antiseptic / scrub 150.00 150.00
Bipolar Cord 1,215.00 1,215.00
Bone wax 200.00 200.00
CAP AND MASK 4.45 44.50
Cautery Pad 1,350.00 1,350.00
Cautery Pen (Monopolar) 570.00 570.00
CUTASEPT 910.00 910.00
Disposable Razor 17.55 35.10
Dressing, transparent 70.00 280.00
GAUZE STERILE, 23X3 WITH RADIOPAGUE - 10/pack 100.00 200.00
Gauze, cherries 11.00 132.00
Gelfoam 100sqcm 1,248.75 1,248.75
Gloves examination 5.00 50.00
Ioban 943.58 943.58
Neuropack 4,556.25 4,556.25
Nylon 4O polyamide monogilament 175.00 350.00
OR scrub brush 33.59 167.95
Plaster, cloth Leukoplast 380.16 380.16
Silk 4O ATR 150.00 300.00
Skin Stapler 607.50 607.50
Skin stapler 675.00 675.00
Sterilium use per case 130.00 130.00
Sterilization Towel disposable 8.00 24.00
Suction Tubing (Non conductive) 135.00 135.00
Surgical Clipper 500.00 500.00
SURGICEL 1x2 2,362.50 2,362.50
VICRYL 40 RB1 469.80 939.60
Drugs
Name Quantity Unit Cost Total Amount
Gentamycin amp 40mg 54.60 109.20
Equipment Use
Name Quantity Unit Cost Total Amount
Use od Suction Machine 790.00 790.00
Use of Cautery Machine 665.00 665.00
Use of Pulse Oximeter 660.00 660.00
Implants
Name Quantity Unit Cost Total Amount
Shunt 12mm burrhole medium pressure 21,000.00 21,000.00
Laboratory
Name Quantity Unit Cost Total Amount
CSF cell count diff count 543.00 543.00
CSF protein sugar 552.00 552.00
Medical Gas
Name Quantity Unit Cost Total Amount
O2 @3LPM - 2hrs 108.00 216.00
O2 @5LPM 1hr 45.00 45.00
Recovery Room
Name Quantity Unit Cost Total Amount
HUMIDIFIER 120.00 120.00
O2 mask 21.80 21.80
Room Charges
Name Quantity Unit Cost Total Amount
OR Fee Major 3,600.00 3,600.00
RR (2HRS) 440.00 440.00
Sterilization
Name Quantity Unit Cost Total Amount
Autoclave set 1,500.00 1,500.00
Brown wrapper 10.00 100.00
Gusseted Wrapper 600.00 600.00
Plasma sterilization Large 750.00 1,500.00
PLASMA STERILIZER MEDIUM 320.00 1,600.00
Plasma Sterilizer small 80.00 160.00
Pharmacy
Common Supplies
Name Quantity Unit Cost Total Amount
PNSS 1L 43.30 216.50
PNSS 500cc 26.10 261.00
PNSS 50ml 50.00 50.00
Drugs
Name Quantity Unit Cost Total Amount
Cefazoline 29.75 446.25
Epinephrine amp 108.60 108.60
Hypertonic Saline Totilac 1,131.15 5,655.75
Ketorolac 55.00 55.00
Lactulose 118.55 237.10
Lidocaine 2% 23.55 23.55
Mannitol 137.00 685.00
Naloxone 507.00 507.00
Paracetamol IV 375.00 3,000.00
Paracetamol rectal suppository 18.00 18.00
Radiology
Radiology
Name Quantity Unit Cost Total Amount
Cranial CT with contrast 7,950.00 15,900.00
MRI cranial contrast 11,790.00 11,790.00
TCD Cranial / Carotid 2,800.00 2,800.00
Ultrasound, Cranial 1,800.00 3,600.00
Xray Chest, Pedia 557.00 1,114.00
Ward
Room Charges
Name Quantity Unit Cost Total Amount
ER 24 hrs 700.00 700.00
WARD 24HRS 900.00 6,300.00
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Common Supplies
Direct Supplies
Drugs
Equipment Use
Implants
Laboratory
Medical Gas
Radiology
Recovery Room
Room Charges
Sterilization
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