PATIENT FILE # 9913104

ADMITTED FOR DIABETIC KETO - ACIDOSIS

9 DAYS IN ICU, 5 DAYS ON THE FLOOR

TOTAL HOSPITAL CHARGES: $126,271.17 US

CHARGES FOR DRUGS/PHARMACY: $50,100.00 US

DRUG ITEM: DIPRIVAN

DRUGS ISSUED TO PATIENT: 20 ML AMPS: 130 AND 50 ML AMPS: 26

LIST PRICE FOR 20ML: $8US

LIST PRICE FOR 50ML: $20US

NOTE: THE USUAL CONTRACTED BULK PRICE FOR HOSPITAL: 50% OFF LIST PRICE

HOSPITAL IS CHARGING:

$132.72US FOR 20 ML (ACTUAL COST: $4US)

$292.97US FOR 50 ML (ACTUAL COST: $10US)

TOTAL HOSPITAL CHARGES TO PATIENT FOR DIPRIVAN $24,870.82

ACTUAL HOSPITAL COST FOR DIPRIVAN $780.00

FRAUD FRAUD FRAUD