Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER DISP ENDOSCOPIC MULTI

Facility

$894.00

Hospital Charge Code	270334744
Hospital Revenue Code	272
Min. Negotiated Rate	$134.10
Max. Negotiated Rate	$134.10
Rate for Payer: Qualcare PPO/HMO/WC	$134.10

STAPLER DISP ENDOSCOPIC MULTI

Facility

$894.00

Hospital Charge Code	270334744
Hospital Revenue Code	272
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$447.00
Rate for Payer: Aetna Commercial	$268.20
Rate for Payer: Aetna Medicare Advantage	$268.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.97
Rate for Payer: Cigna Commercial	$447.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.22
Rate for Payer: Oxford Commercial	$447.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.10
Rate for Payer: UnitedHealthcare Commercial	$447.00

STAPLER DUET TRS 45 4.8mm

Facility

$1,914.17

Hospital Charge Code	270644817
Hospital Revenue Code	270
Min. Negotiated Rate	$287.13
Max. Negotiated Rate	$287.13
Rate for Payer: Qualcare PPO/HMO/WC	$287.13

STAPLER DUET TRS 45 4.8mm

Facility

$1,914.17

Hospital Charge Code	270644817
Hospital Revenue Code	270
Min. Negotiated Rate	$248.84
Max. Negotiated Rate	$957.09
Rate for Payer: Aetna Commercial	$574.25
Rate for Payer: Aetna Medicare Advantage	$574.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.11
Rate for Payer: Cigna Commercial	$957.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.84
Rate for Payer: Oxford Commercial	$957.09
Rate for Payer: Qualcare PPO/HMO/WC	$287.13
Rate for Payer: UnitedHealthcare Commercial	$957.09

STAPLER ECHELON 45 ENDOPATH

Facility

$968.37

Hospital Charge Code	270662919
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$484.19
Rate for Payer: Aetna Commercial	$290.51
Rate for Payer: Aetna Medicare Advantage	$290.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.93
Rate for Payer: Cigna Commercial	$484.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.89
Rate for Payer: Oxford Commercial	$484.19
Rate for Payer: Qualcare PPO/HMO/WC	$145.26
Rate for Payer: UnitedHealthcare Commercial	$484.19

STAPLER ECHELON 45 ENDOPATH

Facility

$968.37

Hospital Charge Code	270662919
Hospital Revenue Code	272
Min. Negotiated Rate	$145.26
Max. Negotiated Rate	$145.26
Rate for Payer: Qualcare PPO/HMO/WC	$145.26

STAPLER ECHELON FLEX VASC

Facility

$1,662.68

Hospital Charge Code	270676634
Hospital Revenue Code	272
Min. Negotiated Rate	$216.15
Max. Negotiated Rate	$831.34
Rate for Payer: Aetna Commercial	$498.80
Rate for Payer: Aetna Medicare Advantage	$498.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.98
Rate for Payer: Cigna Commercial	$831.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.15
Rate for Payer: Oxford Commercial	$831.34
Rate for Payer: Qualcare PPO/HMO/WC	$249.40
Rate for Payer: UnitedHealthcare Commercial	$831.34

STAPLER ECHELON FLEX VASC

Facility

$1,662.68

Hospital Charge Code	270676634
Hospital Revenue Code	272
Min. Negotiated Rate	$249.40
Max. Negotiated Rate	$249.40
Rate for Payer: Qualcare PPO/HMO/WC	$249.40

STAPLER ECHELON LONG 440MM

Facility

$3,482.98

Hospital Charge Code	270670864
Hospital Revenue Code	272
Min. Negotiated Rate	$522.45
Max. Negotiated Rate	$522.45
Rate for Payer: Qualcare PPO/HMO/WC	$522.45

STAPLER ECHELON LONG 440MM

Facility

$3,482.98

Hospital Charge Code	270670864
Hospital Revenue Code	272
Min. Negotiated Rate	$452.79
Max. Negotiated Rate	$1,741.49
Rate for Payer: Aetna Commercial	$1,044.89
Rate for Payer: Aetna Medicare Advantage	$1,044.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$888.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$888.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$888.16
Rate for Payer: Cigna Commercial	$1,741.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$452.79
Rate for Payer: Oxford Commercial	$1,741.49
Rate for Payer: Qualcare PPO/HMO/WC	$522.45
Rate for Payer: UnitedHealthcare Commercial	$1,741.49

STAPLER EEA 28MM

Facility

$4,436.65

Service Code	HCPCS A4649
Hospital Charge Code	270693142
Hospital Revenue Code	272
Min. Negotiated Rate	$665.50
Max. Negotiated Rate	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$665.50

STAPLER EEA 28MM

Facility

$4,436.65

Service Code	HCPCS A4649
Hospital Charge Code	270693142
Hospital Revenue Code	272
Min. Negotiated Rate	$576.76
Max. Negotiated Rate	$2,218.32
Rate for Payer: Aetna Commercial	$1,330.99
Rate for Payer: Aetna Medicare Advantage	$1,330.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,131.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,131.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,131.35
Rate for Payer: Cigna Commercial	$2,218.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$576.76
Rate for Payer: Oxford Commercial	$2,218.32
Rate for Payer: Qualcare PPO/HMO/WC	$665.50
Rate for Payer: UnitedHealthcare Commercial	$2,218.32

STAPLER EEA 31

Facility

$3,959.97

Hospital Charge Code	270641831
Hospital Revenue Code	272
Min. Negotiated Rate	$514.80
Max. Negotiated Rate	$1,979.98
Rate for Payer: Aetna Commercial	$1,187.99
Rate for Payer: Aetna Medicare Advantage	$1,187.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,009.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,009.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,009.79
Rate for Payer: Cigna Commercial	$1,979.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.80
Rate for Payer: Oxford Commercial	$1,979.98
Rate for Payer: Qualcare PPO/HMO/WC	$594.00
Rate for Payer: UnitedHealthcare Commercial	$1,979.98

STAPLER EEA 31

Facility

$3,959.97

Hospital Charge Code	270641831
Hospital Revenue Code	272
Min. Negotiated Rate	$594.00
Max. Negotiated Rate	$594.00
Rate for Payer: Qualcare PPO/HMO/WC	$594.00

STAPLER EEA33MM

Facility

$4,344.25

Hospital Charge Code	270656235
Hospital Revenue Code	272
Min. Negotiated Rate	$651.64
Max. Negotiated Rate	$651.64
Rate for Payer: Qualcare PPO/HMO/WC	$651.64

STAPLER EEA33MM

Facility

$4,344.25

Hospital Charge Code	270656235
Hospital Revenue Code	272
Min. Negotiated Rate	$564.75
Max. Negotiated Rate	$2,172.12
Rate for Payer: Aetna Commercial	$1,303.28
Rate for Payer: Aetna Medicare Advantage	$1,303.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,107.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,107.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,107.78
Rate for Payer: Cigna Commercial	$2,172.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$564.75
Rate for Payer: Oxford Commercial	$2,172.12
Rate for Payer: Qualcare PPO/HMO/WC	$651.64
Rate for Payer: UnitedHealthcare Commercial	$2,172.12

STAPLER EGIA45 AR XTRTHN VSCLR

Facility

$1,023.27

Hospital Charge Code	270660354
Hospital Revenue Code	272
Min. Negotiated Rate	$133.03
Max. Negotiated Rate	$511.63
Rate for Payer: Aetna Commercial	$306.98
Rate for Payer: Aetna Medicare Advantage	$306.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.93
Rate for Payer: Cigna Commercial	$511.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.03
Rate for Payer: Oxford Commercial	$511.63
Rate for Payer: Qualcare PPO/HMO/WC	$153.49
Rate for Payer: UnitedHealthcare Commercial	$511.63

STAPLER EGIA45 AR XTRTHN VSCLR

Facility

$1,023.27

Hospital Charge Code	270660354
Hospital Revenue Code	272
Min. Negotiated Rate	$153.49
Max. Negotiated Rate	$153.49
Rate for Payer: Qualcare PPO/HMO/WC	$153.49

STAPLER EGIA 45 CRVD VASC MED

Facility

$2,755.05

Hospital Charge Code	270660567
Hospital Revenue Code	272
Min. Negotiated Rate	$413.26
Max. Negotiated Rate	$413.26
Rate for Payer: Qualcare PPO/HMO/WC	$413.26

STAPLER EGIA 45 CRVD VASC MED

Facility

$2,755.05

Hospital Charge Code	270660567
Hospital Revenue Code	272
Min. Negotiated Rate	$358.16
Max. Negotiated Rate	$1,377.53
Rate for Payer: Aetna Commercial	$826.51
Rate for Payer: Aetna Medicare Advantage	$826.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$702.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$702.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$702.54
Rate for Payer: Cigna Commercial	$1,377.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$358.16
Rate for Payer: Oxford Commercial	$1,377.53
Rate for Payer: Qualcare PPO/HMO/WC	$413.26
Rate for Payer: UnitedHealthcare Commercial	$1,377.53

STAPLER EGIA 45MM CT AR MD THK

Facility

$1,074.83

Hospital Charge Code	270675160
Hospital Revenue Code	272
Min. Negotiated Rate	$139.73
Max. Negotiated Rate	$537.41
Rate for Payer: Aetna Commercial	$322.45
Rate for Payer: Aetna Medicare Advantage	$322.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.08
Rate for Payer: Cigna Commercial	$537.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.73
Rate for Payer: Oxford Commercial	$537.41
Rate for Payer: Qualcare PPO/HMO/WC	$161.22
Rate for Payer: UnitedHealthcare Commercial	$537.41

STAPLER EGIA 45MM CT AR MD THK

Facility

$1,074.83

Hospital Charge Code	270675160
Hospital Revenue Code	272
Min. Negotiated Rate	$161.22
Max. Negotiated Rate	$161.22
Rate for Payer: Qualcare PPO/HMO/WC	$161.22

STAPLER EGIA 60 ARTICULAT EXTR

Facility

$1,484.64

Hospital Charge Code	270664882
Hospital Revenue Code	272
Min. Negotiated Rate	$222.70
Max. Negotiated Rate	$222.70
Rate for Payer: Qualcare PPO/HMO/WC	$222.70

STAPLER EGIA 60 ARTICULAT EXTR

Facility

$1,484.64

Hospital Charge Code	270664882
Hospital Revenue Code	272
Min. Negotiated Rate	$193.00
Max. Negotiated Rate	$742.32
Rate for Payer: Aetna Commercial	$445.39
Rate for Payer: Aetna Medicare Advantage	$445.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.58
Rate for Payer: Cigna Commercial	$742.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.00
Rate for Payer: Oxford Commercial	$742.32
Rate for Payer: Qualcare PPO/HMO/WC	$222.70
Rate for Payer: UnitedHealthcare Commercial	$742.32

STAPLER EGIA 60MM CRVD TIP MED

Facility

$1,454.88

Hospital Charge Code	270675159
Hospital Revenue Code	272
Min. Negotiated Rate	$218.23
Max. Negotiated Rate	$218.23
Rate for Payer: Qualcare PPO/HMO/WC	$218.23

Know your out-of-pocket cost for care.

All Charges