Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER CANNULA KIT

Facility

$10,150.00

Hospital Charge Code	270674975
Hospital Revenue Code	272
Min. Negotiated Rate	$1,319.50
Max. Negotiated Rate	$5,075.00
Rate for Payer: Aetna Commercial	$3,045.00
Rate for Payer: Aetna Medicare Advantage	$3,045.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,588.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,588.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,588.25
Rate for Payer: Cigna Commercial	$5,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,319.50
Rate for Payer: Oxford Commercial	$5,075.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,522.50
Rate for Payer: UnitedHealthcare Commercial	$5,075.00

STAPLER CANNULA REDUCER 12-8MM

Facility

$750.00

Hospital Charge Code	270675204
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

STAPLER CANNULA REDUCER 12-8MM

Facility

$750.00

Hospital Charge Code	270675204
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

STAPLER CANNULA SEAL ENDO

Facility

$1,000.00

Hospital Charge Code	270674978
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

STAPLER CANNULA SEAL ENDO

Facility

$1,000.00

Hospital Charge Code	270674978
Hospital Revenue Code	272
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

STAPLER CEEA 21

Facility

$972.68

Hospital Charge Code	2700600131
Hospital Revenue Code	272
Min. Negotiated Rate	$126.45
Max. Negotiated Rate	$486.34
Rate for Payer: Aetna Commercial	$291.80
Rate for Payer: Aetna Medicare Advantage	$291.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.03
Rate for Payer: Cigna Commercial	$486.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.45
Rate for Payer: Oxford Commercial	$486.34
Rate for Payer: Qualcare PPO/HMO/WC	$145.90
Rate for Payer: UnitedHealthcare Commercial	$486.34

STAPLER CEEA 21

Facility

$972.68

Hospital Charge Code	2700600131
Hospital Revenue Code	272
Min. Negotiated Rate	$145.90
Max. Negotiated Rate	$145.90
Rate for Payer: Qualcare PPO/HMO/WC	$145.90

STAPLER CEEA PREMIUM 25 WHITE

Facility

$1,709.30

Hospital Charge Code	270658674
Hospital Revenue Code	272
Min. Negotiated Rate	$256.39
Max. Negotiated Rate	$256.39
Rate for Payer: Qualcare PPO/HMO/WC	$256.39

STAPLER CEEA PREMIUM 25 WHITE

Facility

$1,709.30

Hospital Charge Code	270658674
Hospital Revenue Code	272
Min. Negotiated Rate	$222.21
Max. Negotiated Rate	$854.65
Rate for Payer: Aetna Commercial	$512.79
Rate for Payer: Aetna Medicare Advantage	$512.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.87
Rate for Payer: Cigna Commercial	$854.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.21
Rate for Payer: Oxford Commercial	$854.65
Rate for Payer: Qualcare PPO/HMO/WC	$256.39
Rate for Payer: UnitedHealthcare Commercial	$854.65

STAPLER CEEA PREMIUM 28 BLUE

Facility

$1,709.35

Hospital Charge Code	270658675
Hospital Revenue Code	272
Min. Negotiated Rate	$256.40
Max. Negotiated Rate	$256.40
Rate for Payer: Qualcare PPO/HMO/WC	$256.40

STAPLER CEEA PREMIUM 28 BLUE

Facility

$1,709.35

Hospital Charge Code	270658675
Hospital Revenue Code	272
Min. Negotiated Rate	$222.22
Max. Negotiated Rate	$854.67
Rate for Payer: Aetna Commercial	$512.80
Rate for Payer: Aetna Medicare Advantage	$512.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.88
Rate for Payer: Cigna Commercial	$854.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.22
Rate for Payer: Oxford Commercial	$854.67
Rate for Payer: Qualcare PPO/HMO/WC	$256.40
Rate for Payer: UnitedHealthcare Commercial	$854.67

STAPLER CIRC 25 3.5 EEAXL2535

Facility

$1,825.00

Hospital Charge Code	270641794C
Hospital Revenue Code	272
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$273.75
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

STAPLER CIRC 25 3.5 EEAXL2535

Facility

$1,825.00

Hospital Charge Code	270641794C
Hospital Revenue Code	272
Min. Negotiated Rate	$237.25
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$547.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.25
Rate for Payer: Oxford Commercial	$912.50
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Commercial	$912.50

STAPLER CIRCULAR 21 CDH21

Facility

$4,179.25

Hospital Charge Code	270608741
Hospital Revenue Code	272
Min. Negotiated Rate	$543.30
Max. Negotiated Rate	$2,089.62
Rate for Payer: Aetna Commercial	$1,253.78
Rate for Payer: Aetna Medicare Advantage	$1,253.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.71
Rate for Payer: Cigna Commercial	$2,089.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$543.30
Rate for Payer: Oxford Commercial	$2,089.62
Rate for Payer: Qualcare PPO/HMO/WC	$626.89
Rate for Payer: UnitedHealthcare Commercial	$2,089.62

STAPLER CIRCULAR 21 CDH21

Facility

$4,179.25

Hospital Charge Code	270608741
Hospital Revenue Code	272
Min. Negotiated Rate	$626.89
Max. Negotiated Rate	$626.89
Rate for Payer: Qualcare PPO/HMO/WC	$626.89

STAPLER CIRCULAR 25 CDH25

Facility

$4,179.25

Hospital Charge Code	270608742
Hospital Revenue Code	272
Min. Negotiated Rate	$626.89
Max. Negotiated Rate	$626.89
Rate for Payer: Qualcare PPO/HMO/WC	$626.89

STAPLER CIRCULAR 25 CDH25

Facility

$4,179.25

Hospital Charge Code	270608742
Hospital Revenue Code	272
Min. Negotiated Rate	$543.30
Max. Negotiated Rate	$2,089.62
Rate for Payer: Aetna Commercial	$1,253.78
Rate for Payer: Aetna Medicare Advantage	$1,253.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.71
Rate for Payer: Cigna Commercial	$2,089.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$543.30
Rate for Payer: Oxford Commercial	$2,089.62
Rate for Payer: Qualcare PPO/HMO/WC	$626.89
Rate for Payer: UnitedHealthcare Commercial	$2,089.62

STAPLER CIRCULAR 33 CDH33

Facility

$4,179.25

Hospital Charge Code	270608744
Hospital Revenue Code	272
Min. Negotiated Rate	$543.30
Max. Negotiated Rate	$2,089.62
Rate for Payer: Aetna Commercial	$1,253.78
Rate for Payer: Aetna Medicare Advantage	$1,253.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.71
Rate for Payer: Cigna Commercial	$2,089.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$543.30
Rate for Payer: Oxford Commercial	$2,089.62
Rate for Payer: Qualcare PPO/HMO/WC	$626.89
Rate for Payer: UnitedHealthcare Commercial	$2,089.62

STAPLER CIRCULAR 33 CDH33

Facility

$4,179.25

Hospital Charge Code	270608744
Hospital Revenue Code	272
Min. Negotiated Rate	$626.89
Max. Negotiated Rate	$626.89
Rate for Payer: Qualcare PPO/HMO/WC	$626.89

STAPLER CIRCULAR CRVD 25MM

Facility

$2,834.28

Hospital Charge Code	270641757
Hospital Revenue Code	272
Min. Negotiated Rate	$368.46
Max. Negotiated Rate	$1,417.14
Rate for Payer: Aetna Commercial	$850.28
Rate for Payer: Aetna Medicare Advantage	$850.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$722.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$722.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$722.74
Rate for Payer: Cigna Commercial	$1,417.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$368.46
Rate for Payer: Oxford Commercial	$1,417.14
Rate for Payer: Qualcare PPO/HMO/WC	$425.14
Rate for Payer: UnitedHealthcare Commercial	$1,417.14

STAPLER CIRCULAR CRVD 25MM

Facility

$2,834.28

Hospital Charge Code	270641757
Hospital Revenue Code	272
Min. Negotiated Rate	$425.14
Max. Negotiated Rate	$425.14
Rate for Payer: Qualcare PPO/HMO/WC	$425.14

STAPLER CIRCULAR CRVD 29MM

Facility

$1,302.35

Hospital Charge Code	270608743
Hospital Revenue Code	272
Min. Negotiated Rate	$195.35
Max. Negotiated Rate	$195.35
Rate for Payer: Qualcare PPO/HMO/WC	$195.35

STAPLER CIRCULAR CRVD 29MM

Facility

$1,302.35

Hospital Charge Code	270608743
Hospital Revenue Code	272
Min. Negotiated Rate	$169.31
Max. Negotiated Rate	$651.17
Rate for Payer: Aetna Commercial	$390.70
Rate for Payer: Aetna Medicare Advantage	$390.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.10
Rate for Payer: Cigna Commercial	$651.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.31
Rate for Payer: Oxford Commercial	$651.17
Rate for Payer: Qualcare PPO/HMO/WC	$195.35
Rate for Payer: UnitedHealthcare Commercial	$651.17

STAPLER CONTOUR CVD CUTTER GRN

Facility

$879.45

Hospital Charge Code	270662920
Hospital Revenue Code	272
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$131.92
Rate for Payer: Qualcare PPO/HMO/WC	$131.92

STAPLER CONTOUR CVD CUTTER GRN

Facility

$879.45

Hospital Charge Code	270662920
Hospital Revenue Code	272
Min. Negotiated Rate	$114.33
Max. Negotiated Rate	$439.73
Rate for Payer: Aetna Commercial	$263.83
Rate for Payer: Aetna Medicare Advantage	$263.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.26
Rate for Payer: Cigna Commercial	$439.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.33
Rate for Payer: Oxford Commercial	$439.73
Rate for Payer: Qualcare PPO/HMO/WC	$131.92
Rate for Payer: UnitedHealthcare Commercial	$439.73

Know your out-of-pocket cost for care.

All Charges