The method that is currently working for us is that we have a charge for using the breastpump which includes the cost of the kit. Breast shells and Lansinoh have a per item price. All other breastfeeding related supplies are included in the cost of the consult. We use a levels system. Weight checks have a courtesy charge number (no fee). Level 1 is a noncomplicated visit, or brief in terms of time spent with me, requiring inexpensive or limited use of supplies; Level 2 is a higher fee based on amount of time spent (usually more than one hour) or use of complicated or expensive supplies which require more instruction on my part. It works for us, we're a small community hospital with just one LC position.(though are fortunate to have another working labor/delivery on the night shift) Katherine Abdun-Nur RN IBCLC Grants Pass, OR *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html