CVSHealth Sprague STETHOSCOPE Complete Kit Includes: 3 sets of eartips - Large & small diaphragm Diaphragm Removal Tool- Adult, pediatric & infant bells- Dual tubing that transmits faint sounds- Not made with natural rubber latex. Amplifies Heart & Lung Sounds- (U.S.P.S. Priority Mail, Free Shipping). Method of payment PayPal Only. All Major Credit Cards and Bank Debit Cards accepted through secure payment processor PayPal.