Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLE JAWS STR 10X10MM

Facility

$6,585.00

Service Code	HCPCS C1713
Hospital Charge Code	270700682
Hospital Revenue Code	278
Min. Negotiated Rate	$987.75
Max. Negotiated Rate	$3,292.50
Rate for Payer: Aetna Medicare Advantage	$1,975.50
Rate for Payer: Aetna Commercial	$1,975.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,679.17
Rate for Payer: Cigna Commercial	$3,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,593.57
Rate for Payer: Qualcare PPO/HMO/WC	$987.75

STAPLE KIT ANGLED 8X8MM

Facility

$6,585.00

Hospital Charge Code	270701873
Hospital Revenue Code	273
Min. Negotiated Rate	$856.05
Max. Negotiated Rate	$3,292.50
Rate for Payer: Aetna Commercial	$1,975.50
Rate for Payer: Aetna Medicare Advantage	$1,975.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,679.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,679.17
Rate for Payer: Cigna Commercial	$3,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$856.05
Rate for Payer: Qualcare PPO/HMO/WC	$987.75

STAPLE KIT ANGLED 8X8MM

Facility

$6,585.00

Hospital Charge Code	270701873
Hospital Revenue Code	273
Min. Negotiated Rate	$987.75
Max. Negotiated Rate	$987.75
Rate for Payer: Qualcare PPO/HMO/WC	$987.75

STAPLE MEMOFIX 25x22x22MM

Facility

$7,980.00

Hospital Charge Code	270674853
Hospital Revenue Code	272
Min. Negotiated Rate	$1,197.00
Max. Negotiated Rate	$1,197.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,197.00

STAPLE MEMOFIX 25x22x22MM

Facility

$7,980.00

Hospital Charge Code	270674853
Hospital Revenue Code	272
Min. Negotiated Rate	$1,037.40
Max. Negotiated Rate	$3,990.00
Rate for Payer: Aetna Commercial	$2,394.00
Rate for Payer: Aetna Medicare Advantage	$2,394.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,034.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,034.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,034.90
Rate for Payer: Cigna Commercial	$3,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,037.40
Rate for Payer: Oxford Commercial	$3,990.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,197.00
Rate for Payer: UnitedHealthcare Commercial	$3,990.00

STAPLE MEMOSTEP 2MM OFFSET

Facility

$10,605.00

Hospital Charge Code	270671587
Hospital Revenue Code	272
Min. Negotiated Rate	$1,590.75
Max. Negotiated Rate	$1,590.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,590.75

STAPLE MEMOSTEP 2MM OFFSET

Facility

$10,605.00

Hospital Charge Code	270671587
Hospital Revenue Code	272
Min. Negotiated Rate	$1,378.65
Max. Negotiated Rate	$5,302.50
Rate for Payer: Aetna Commercial	$3,181.50
Rate for Payer: Aetna Medicare Advantage	$3,181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,704.28
Rate for Payer: Cigna Commercial	$5,302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,378.65
Rate for Payer: Oxford Commercial	$5,302.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,590.75
Rate for Payer: UnitedHealthcare Commercial	$5,302.50

STAPLEMOTOCLIPMAXFIX9X9X9MM

Facility

$10,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270687543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,570.50
Max. Negotiated Rate	$2,533.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,094.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,533.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,570.50

STAPLEMOTOCLIPMAXFIX9X9X9MM

Facility

$10,470.00

Service Code	HCPCS C1713
Hospital Charge Code	270687543
Hospital Revenue Code	278
Min. Negotiated Rate	$1,570.50
Max. Negotiated Rate	$5,235.00
Rate for Payer: Aetna Commercial	$3,141.00
Rate for Payer: Aetna Medicare Advantage	$3,141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,669.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,669.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,094.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,669.85
Rate for Payer: Cigna Commercial	$5,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,533.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,570.50

STAPLE NITINOL FUSEFORCE 8X8MM

Facility

$6,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270698995
Hospital Revenue Code	278
Min. Negotiated Rate	$983.25
Max. Negotiated Rate	$1,586.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,311.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,586.31
Rate for Payer: Qualcare PPO/HMO/WC	$983.25

STAPLE NITINOL FUSEFORCE 8X8MM

Facility

$6,555.00

Service Code	HCPCS C1713
Hospital Charge Code	270698995
Hospital Revenue Code	278
Min. Negotiated Rate	$983.25
Max. Negotiated Rate	$3,277.50
Rate for Payer: Aetna Commercial	$1,966.50
Rate for Payer: Aetna Medicare Advantage	$1,966.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,671.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,671.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,671.53
Rate for Payer: Cigna Commercial	$3,277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,586.31
Rate for Payer: Qualcare PPO/HMO/WC	$983.25

STAPLE OS 9X7

Facility

$4,475.00

Hospital Charge Code	270659064
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLE OS 9X7

Facility

$4,475.00

Hospital Charge Code	270659064
Hospital Revenue Code	272
Min. Negotiated Rate	$581.75
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.75
Rate for Payer: Oxford Commercial	$2,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$2,237.50

STAPLER

Facility

$4,475.00

Hospital Charge Code	270656975
Hospital Revenue Code	272
Min. Negotiated Rate	$581.75
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.75
Rate for Payer: Oxford Commercial	$2,237.50
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$2,237.50

STAPLER

Facility

$4,475.00

Hospital Charge Code	270656975
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

STAPLER 106MM H 3.8MM

Facility

$1,250.30

Hospital Charge Code	270697918
Hospital Revenue Code	272
Min. Negotiated Rate	$162.54
Max. Negotiated Rate	$625.15
Rate for Payer: Aetna Commercial	$375.09
Rate for Payer: Aetna Medicare Advantage	$375.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.83
Rate for Payer: Cigna Commercial	$625.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.54
Rate for Payer: Oxford Commercial	$625.15
Rate for Payer: Qualcare PPO/HMO/WC	$187.54
Rate for Payer: UnitedHealthcare Commercial	$625.15

STAPLER 106MM H 3.8MM

Facility

$1,250.30

Hospital Charge Code	270697918
Hospital Revenue Code	272
Min. Negotiated Rate	$187.54
Max. Negotiated Rate	$187.54
Rate for Payer: Qualcare PPO/HMO/WC	$187.54

STAPLER 25MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270658622
Hospital Revenue Code	272
Min. Negotiated Rate	$215.10
Max. Negotiated Rate	$215.10
Rate for Payer: Qualcare PPO/HMO/WC	$215.10

STAPLER 25MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270658622
Hospital Revenue Code	272
Min. Negotiated Rate	$186.42
Max. Negotiated Rate	$717.01
Rate for Payer: Aetna Commercial	$430.21
Rate for Payer: Aetna Medicare Advantage	$430.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.68
Rate for Payer: Cigna Commercial	$717.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.42
Rate for Payer: Oxford Commercial	$717.01
Rate for Payer: Qualcare PPO/HMO/WC	$215.10
Rate for Payer: UnitedHealthcare Commercial	$717.01

STAPLER 25MM USE W/3.5MM SNGL

Facility

$1,829.63

Hospital Charge Code	270641794
Hospital Revenue Code	272
Min. Negotiated Rate	$237.85
Max. Negotiated Rate	$914.82
Rate for Payer: Aetna Commercial	$548.89
Rate for Payer: Aetna Medicare Advantage	$548.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.56
Rate for Payer: Cigna Commercial	$914.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.85
Rate for Payer: Oxford Commercial	$914.82
Rate for Payer: Qualcare PPO/HMO/WC	$274.44
Rate for Payer: UnitedHealthcare Commercial	$914.82

STAPLER 25MM USE W/3.5MM SNGL

Facility

$1,829.63

Hospital Charge Code	270641794
Hospital Revenue Code	272
Min. Negotiated Rate	$274.44
Max. Negotiated Rate	$274.44
Rate for Payer: Qualcare PPO/HMO/WC	$274.44

STAPLER 28MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270641888
Hospital Revenue Code	272
Min. Negotiated Rate	$215.10
Max. Negotiated Rate	$215.10
Rate for Payer: Qualcare PPO/HMO/WC	$215.10

STAPLER 28MM SINGLE USE

Facility

$1,434.02

Hospital Charge Code	270641888
Hospital Revenue Code	272
Min. Negotiated Rate	$186.42
Max. Negotiated Rate	$717.01
Rate for Payer: Aetna Commercial	$430.21
Rate for Payer: Aetna Medicare Advantage	$430.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.68
Rate for Payer: Cigna Commercial	$717.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.42
Rate for Payer: Oxford Commercial	$717.01
Rate for Payer: Qualcare PPO/HMO/WC	$215.10
Rate for Payer: UnitedHealthcare Commercial	$717.01

STAPLER 33MM SINGLE USE

Facility

$1,577.43

Hospital Charge Code	270668368
Hospital Revenue Code	272
Min. Negotiated Rate	$205.07
Max. Negotiated Rate	$788.72
Rate for Payer: Aetna Commercial	$473.23
Rate for Payer: Aetna Medicare Advantage	$473.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.24
Rate for Payer: Cigna Commercial	$788.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.07
Rate for Payer: Oxford Commercial	$788.72
Rate for Payer: Qualcare PPO/HMO/WC	$236.61
Rate for Payer: UnitedHealthcare Commercial	$788.72

STAPLER 33MM SINGLE USE

Facility

$1,577.43

Hospital Charge Code	270668368
Hospital Revenue Code	272
Min. Negotiated Rate	$236.61
Max. Negotiated Rate	$236.61
Rate for Payer: Qualcare PPO/HMO/WC	$236.61

Know your out-of-pocket cost for care.

All Charges