Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER 45 BLUE RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674977
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$450.00

STAPLER 45 BLUE RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674977
Hospital Revenue Code	272
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

STAPLER 45 GREEN RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674976
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$270.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$450.00

STAPLER 45 GREEN RELOAD ENDO

Facility

$900.00

Hospital Charge Code	270674976
Hospital Revenue Code	272
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

STAPLER 45 INSTRUMENT ENDO

Facility

$35,000.00

Hospital Charge Code	270674974
Hospital Revenue Code	272
Min. Negotiated Rate	$5,250.00
Max. Negotiated Rate	$5,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,250.00

STAPLER 45 INSTRUMENT ENDO

Facility

$35,000.00

Hospital Charge Code	270674974
Hospital Revenue Code	272
Min. Negotiated Rate	$4,550.00
Max. Negotiated Rate	$17,500.00
Rate for Payer: Aetna Commercial	$10,500.00
Rate for Payer: Aetna Medicare Advantage	$10,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,925.00
Rate for Payer: Cigna Commercial	$17,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,550.00
Rate for Payer: Oxford Commercial	$17,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,250.00
Rate for Payer: UnitedHealthcare Commercial	$17,500.00

STAPLER 45 MM BLACK ENDO GIA

Facility

$3,776.81

Hospital Charge Code	270691807
Hospital Revenue Code	272
Min. Negotiated Rate	$490.99
Max. Negotiated Rate	$1,888.40
Rate for Payer: Aetna Commercial	$1,133.04
Rate for Payer: Aetna Medicare Advantage	$1,133.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$963.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$963.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$963.09
Rate for Payer: Cigna Commercial	$1,888.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.99
Rate for Payer: Oxford Commercial	$1,888.40
Rate for Payer: Qualcare PPO/HMO/WC	$566.52
Rate for Payer: UnitedHealthcare Commercial	$1,888.40

STAPLER 45 MM BLACK ENDO GIA

Facility

$3,776.81

Hospital Charge Code	270691807
Hospital Revenue Code	272
Min. Negotiated Rate	$566.52
Max. Negotiated Rate	$566.52
Rate for Payer: Qualcare PPO/HMO/WC	$566.52

STAPLER 60 MM PUPLE

Facility

$3,471.52

Hospital Charge Code	270691806
Hospital Revenue Code	272
Min. Negotiated Rate	$451.30
Max. Negotiated Rate	$1,735.76
Rate for Payer: Aetna Commercial	$1,041.46
Rate for Payer: Aetna Medicare Advantage	$1,041.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$885.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$885.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$885.24
Rate for Payer: Cigna Commercial	$1,735.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.30
Rate for Payer: Oxford Commercial	$1,735.76
Rate for Payer: Qualcare PPO/HMO/WC	$520.73
Rate for Payer: UnitedHealthcare Commercial	$1,735.76

STAPLER 60 MM PUPLE

Facility

$3,471.52

Hospital Charge Code	270691806
Hospital Revenue Code	272
Min. Negotiated Rate	$520.73
Max. Negotiated Rate	$520.73
Rate for Payer: Qualcare PPO/HMO/WC	$520.73

STAPLER APPOSE ULC SKIN 35MM

Facility

$35.56

Hospital Charge Code	270698006
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

STAPLER APPOSE ULC SKIN 35MM

Facility

$35.56

Hospital Charge Code	270698006
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$17.78
Rate for Payer: Aetna Commercial	$10.67
Rate for Payer: Aetna Medicare Advantage	$10.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.07
Rate for Payer: Cigna Commercial	$17.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.62
Rate for Payer: Oxford Commercial	$17.78
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$17.78

STAPLER ARTICULATING 60 MM END

Facility

$2,886.96

Hospital Charge Code	270691809
Hospital Revenue Code	272
Min. Negotiated Rate	$375.30
Max. Negotiated Rate	$1,443.48
Rate for Payer: Aetna Commercial	$866.09
Rate for Payer: Aetna Medicare Advantage	$866.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$736.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$736.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$736.17
Rate for Payer: Cigna Commercial	$1,443.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.30
Rate for Payer: Oxford Commercial	$1,443.48
Rate for Payer: Qualcare PPO/HMO/WC	$433.04
Rate for Payer: UnitedHealthcare Commercial	$1,443.48

STAPLER ARTICULATING 60 MM END

Facility

$2,886.96

Hospital Charge Code	270691809
Hospital Revenue Code	272
Min. Negotiated Rate	$433.04
Max. Negotiated Rate	$433.04
Rate for Payer: Qualcare PPO/HMO/WC	$433.04

STAPLER ATC ENDO35 3.5BL ATB35

Facility

$1,206.90

Hospital Charge Code	270608735
Hospital Revenue Code	272
Min. Negotiated Rate	$156.90
Max. Negotiated Rate	$603.45
Rate for Payer: Aetna Commercial	$362.07
Rate for Payer: Aetna Medicare Advantage	$362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.76
Rate for Payer: Cigna Commercial	$603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.90
Rate for Payer: Oxford Commercial	$603.45
Rate for Payer: Qualcare PPO/HMO/WC	$181.03
Rate for Payer: UnitedHealthcare Commercial	$603.45

STAPLER ATC ENDO35 3.5BL ATB35

Facility

$1,206.90

Hospital Charge Code	270608735
Hospital Revenue Code	272
Min. Negotiated Rate	$181.03
Max. Negotiated Rate	$181.03
Rate for Payer: Qualcare PPO/HMO/WC	$181.03

STAPLER ATC ENDO ATW35

Facility

$2,436.00

Hospital Charge Code	270608382
Hospital Revenue Code	272
Min. Negotiated Rate	$365.40
Max. Negotiated Rate	$365.40
Rate for Payer: Qualcare PPO/HMO/WC	$365.40

STAPLER ATC ENDO ATW35

Facility

$2,436.00

Hospital Charge Code	270608382
Hospital Revenue Code	272
Min. Negotiated Rate	$316.68
Max. Negotiated Rate	$1,218.00
Rate for Payer: Aetna Commercial	$730.80
Rate for Payer: Aetna Medicare Advantage	$730.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$621.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$621.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$621.18
Rate for Payer: Cigna Commercial	$1,218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.68
Rate for Payer: Oxford Commercial	$1,218.00
Rate for Payer: Qualcare PPO/HMO/WC	$365.40
Rate for Payer: UnitedHealthcare Commercial	$1,218.00

STAPLER AUTOSUTURE EEA 21 XL

Facility

$1,874.45

Hospital Charge Code	270665494
Hospital Revenue Code	272
Min. Negotiated Rate	$281.17
Max. Negotiated Rate	$281.17
Rate for Payer: Qualcare PPO/HMO/WC	$281.17

STAPLER AUTOSUTURE EEA 21 XL

Facility

$1,874.45

Hospital Charge Code	270665494
Hospital Revenue Code	272
Min. Negotiated Rate	$243.68
Max. Negotiated Rate	$937.23
Rate for Payer: Aetna Commercial	$562.34
Rate for Payer: Aetna Medicare Advantage	$562.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.98
Rate for Payer: Cigna Commercial	$937.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.68
Rate for Payer: Oxford Commercial	$937.23
Rate for Payer: Qualcare PPO/HMO/WC	$281.17
Rate for Payer: UnitedHealthcare Commercial	$937.23

STAPLER AUTOSUTURE EEA 25 XL

Facility

$1,874.45

Hospital Charge Code	270665490
Hospital Revenue Code	272
Min. Negotiated Rate	$243.68
Max. Negotiated Rate	$937.23
Rate for Payer: Aetna Commercial	$562.34
Rate for Payer: Aetna Medicare Advantage	$562.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.98
Rate for Payer: Cigna Commercial	$937.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.68
Rate for Payer: Oxford Commercial	$937.23
Rate for Payer: Qualcare PPO/HMO/WC	$281.17
Rate for Payer: UnitedHealthcare Commercial	$937.23

STAPLER AUTOSUTURE EEA 25 XL

Facility

$1,874.45

Hospital Charge Code	270665490
Hospital Revenue Code	272
Min. Negotiated Rate	$281.17
Max. Negotiated Rate	$281.17
Rate for Payer: Qualcare PPO/HMO/WC	$281.17

STAPLER BLUE RELOAD FOR ECH 60

Facility

$711.74

Hospital Charge Code	270661372
Hospital Revenue Code	272
Min. Negotiated Rate	$92.53
Max. Negotiated Rate	$355.87
Rate for Payer: Aetna Commercial	$213.52
Rate for Payer: Aetna Medicare Advantage	$213.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.49
Rate for Payer: Cigna Commercial	$355.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.53
Rate for Payer: Oxford Commercial	$355.87
Rate for Payer: Qualcare PPO/HMO/WC	$106.76
Rate for Payer: UnitedHealthcare Commercial	$355.87

STAPLER BLUE RELOAD FOR ECH 60

Facility

$711.74

Hospital Charge Code	270661372
Hospital Revenue Code	272
Min. Negotiated Rate	$106.76
Max. Negotiated Rate	$106.76
Rate for Payer: Qualcare PPO/HMO/WC	$106.76

STAPLER CANNULA KIT

Facility

$10,150.00

Hospital Charge Code	270674975
Hospital Revenue Code	272
Min. Negotiated Rate	$1,522.50
Max. Negotiated Rate	$1,522.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,522.50

Know your out-of-pocket cost for care.

All Charges