Portable breast pump with 3 adapters (car, 9 volt, and battery pack) with additional pumping kit set. Also comes with full box of pump & save breast milk bags for fridge and freezer storage and extra membranes for valves. Also available and included if desired, medela calma nipple for bottle (used once) and steam bottle sanitizer which works great! Purchased in 2011. Cost new for pump only is $379, extras approx. $65