Do you find supply item charge stickers in shocking places in nursing units? Capturing supply item charges to increase net revenue or achieve break-even are based on efficiency. To determine practical efficiency for a hospital in supply charge capture, the authors examined the quantity of supply charge capture items, volume, and relative size of the hospital in 10 hospitals in the midwestern and southeastern United States. What differences in supply charge capture information can determine if a hospital can break even? Results show that hospital size and number of supply charge capture items to manage are important factors.