Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER EGIA 60MM CRVD TIP MED

Facility

$1,454.88

Hospital Charge Code	270675159
Hospital Revenue Code	272
Min. Negotiated Rate	$189.13
Max. Negotiated Rate	$727.44
Rate for Payer: Aetna Commercial	$436.46
Rate for Payer: Aetna Medicare Advantage	$436.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.99
Rate for Payer: Cigna Commercial	$727.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.13
Rate for Payer: Oxford Commercial	$727.44
Rate for Payer: Qualcare PPO/HMO/WC	$218.23
Rate for Payer: UnitedHealthcare Commercial	$727.44

STAPLER EGIA RADIAL MED THK

Facility

$1,876.90

Hospital Charge Code	270664883
Hospital Revenue Code	272
Min. Negotiated Rate	$244.00
Max. Negotiated Rate	$938.45
Rate for Payer: Aetna Commercial	$563.07
Rate for Payer: Aetna Medicare Advantage	$563.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.61
Rate for Payer: Cigna Commercial	$938.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.00
Rate for Payer: Oxford Commercial	$938.45
Rate for Payer: Qualcare PPO/HMO/WC	$281.54
Rate for Payer: UnitedHealthcare Commercial	$938.45

STAPLER EGIA RADIAL MED THK

Facility

$1,876.90

Hospital Charge Code	270664883
Hospital Revenue Code	272
Min. Negotiated Rate	$281.54
Max. Negotiated Rate	$281.54
Rate for Payer: Qualcare PPO/HMO/WC	$281.54

STAPLER EGIA RADIAL XTR THK

Facility

$2,158.43

Hospital Charge Code	270664884
Hospital Revenue Code	272
Min. Negotiated Rate	$280.60
Max. Negotiated Rate	$1,079.21
Rate for Payer: Aetna Commercial	$647.53
Rate for Payer: Aetna Medicare Advantage	$647.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.40
Rate for Payer: Cigna Commercial	$1,079.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.60
Rate for Payer: Oxford Commercial	$1,079.21
Rate for Payer: Qualcare PPO/HMO/WC	$323.76
Rate for Payer: UnitedHealthcare Commercial	$1,079.21

STAPLER EGIA RADIAL XTR THK

Facility

$2,158.43

Hospital Charge Code	270664884
Hospital Revenue Code	272
Min. Negotiated Rate	$323.76
Max. Negotiated Rate	$323.76
Rate for Payer: Qualcare PPO/HMO/WC	$323.76

STAPLER EGIA TRS 60 AMT ARTI

Facility

$1,995.38

Hospital Charge Code	270671371
Hospital Revenue Code	272
Min. Negotiated Rate	$259.40
Max. Negotiated Rate	$997.69
Rate for Payer: Aetna Commercial	$598.61
Rate for Payer: Aetna Medicare Advantage	$598.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.82
Rate for Payer: Cigna Commercial	$997.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.40
Rate for Payer: Oxford Commercial	$997.69
Rate for Payer: Qualcare PPO/HMO/WC	$299.31
Rate for Payer: UnitedHealthcare Commercial	$997.69

STAPLER EGIA TRS 60 AMT ARTI

Facility

$1,995.38

Hospital Charge Code	270671371
Hospital Revenue Code	272
Min. Negotiated Rate	$299.31
Max. Negotiated Rate	$299.31
Rate for Payer: Qualcare PPO/HMO/WC	$299.31

STAPLER EGIA TRS 60 ARTICULAT

Facility

$2,035.72

Hospital Charge Code	270675466
Hospital Revenue Code	272
Min. Negotiated Rate	$264.64
Max. Negotiated Rate	$1,017.86
Rate for Payer: Aetna Commercial	$610.72
Rate for Payer: Aetna Medicare Advantage	$610.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$519.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$519.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$519.11
Rate for Payer: Cigna Commercial	$1,017.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.64
Rate for Payer: Oxford Commercial	$1,017.86
Rate for Payer: Qualcare PPO/HMO/WC	$305.36
Rate for Payer: UnitedHealthcare Commercial	$1,017.86

STAPLER EGIA TRS 60 ARTICULAT

Facility

$2,035.72

Hospital Charge Code	270675466
Hospital Revenue Code	272
Min. Negotiated Rate	$305.36
Max. Negotiated Rate	$305.36
Rate for Payer: Qualcare PPO/HMO/WC	$305.36

STAPLE RELOAD GIA ENDO 45MM

Facility

$3,389.65

Service Code	HCPCS A4649
Hospital Charge Code	270693676
Hospital Revenue Code	272
Min. Negotiated Rate	$440.65
Max. Negotiated Rate	$1,694.83
Rate for Payer: Aetna Commercial	$1,016.89
Rate for Payer: Aetna Medicare Advantage	$1,016.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.36
Rate for Payer: Cigna Commercial	$1,694.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.65
Rate for Payer: Oxford Commercial	$1,694.83
Rate for Payer: Qualcare PPO/HMO/WC	$508.45
Rate for Payer: UnitedHealthcare Commercial	$1,694.83

STAPLE RELOAD GIA ENDO 45MM

Facility

$3,389.65

Service Code	HCPCS A4649
Hospital Charge Code	270693676
Hospital Revenue Code	272
Min. Negotiated Rate	$508.45
Max. Negotiated Rate	$508.45
Rate for Payer: Qualcare PPO/HMO/WC	$508.45

STAPLE RELOAD TI TRI 2.0 45MM

Facility

$3,265.83

Service Code	HCPCS C1713
Hospital Charge Code	270691808
Hospital Revenue Code	272
Min. Negotiated Rate	$489.87
Max. Negotiated Rate	$489.87
Rate for Payer: Qualcare PPO/HMO/WC	$489.87

STAPLE RELOAD TI TRI 2.0 45MM

Facility

$3,265.83

Service Code	HCPCS C1713
Hospital Charge Code	270691808
Hospital Revenue Code	272
Min. Negotiated Rate	$424.56
Max. Negotiated Rate	$1,632.91
Rate for Payer: Aetna Commercial	$979.75
Rate for Payer: Aetna Medicare Advantage	$979.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$832.79
Rate for Payer: Cigna Commercial	$1,632.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.56
Rate for Payer: Oxford Commercial	$1,632.91
Rate for Payer: Qualcare PPO/HMO/WC	$489.87
Rate for Payer: UnitedHealthcare Commercial	$1,632.91

STAPLER ENDO GIA 30 2.5 030811

Facility

$1,508.00

Hospital Charge Code	270600118
Hospital Revenue Code	272
Min. Negotiated Rate	$226.20
Max. Negotiated Rate	$226.20
Rate for Payer: Qualcare PPO/HMO/WC	$226.20

STAPLER ENDO GIA 30 2.5 030811

Facility

$1,508.00

Hospital Charge Code	270600118
Hospital Revenue Code	272
Min. Negotiated Rate	$196.04
Max. Negotiated Rate	$754.00
Rate for Payer: Aetna Commercial	$452.40
Rate for Payer: Aetna Medicare Advantage	$452.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$384.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$384.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$384.54
Rate for Payer: Cigna Commercial	$754.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.04
Rate for Payer: Oxford Commercial	$754.00
Rate for Payer: Qualcare PPO/HMO/WC	$226.20
Rate for Payer: UnitedHealthcare Commercial	$754.00

STAPLER ENDO GIA 30 3.5 030813

Facility

$1,508.00

Hospital Charge Code	270600120
Hospital Revenue Code	272
Min. Negotiated Rate	$196.04
Max. Negotiated Rate	$754.00
Rate for Payer: Aetna Commercial	$452.40
Rate for Payer: Aetna Medicare Advantage	$452.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$384.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$384.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$384.54
Rate for Payer: Cigna Commercial	$754.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.04
Rate for Payer: Oxford Commercial	$754.00
Rate for Payer: Qualcare PPO/HMO/WC	$226.20
Rate for Payer: UnitedHealthcare Commercial	$754.00

STAPLER ENDO GIA 30 3.5 030813

Facility

$1,508.00

Hospital Charge Code	270600120
Hospital Revenue Code	272
Min. Negotiated Rate	$226.20
Max. Negotiated Rate	$226.20
Rate for Payer: Qualcare PPO/HMO/WC	$226.20

STAPLER ENDO GIA 30-3.5 BLUE

Facility

$683.60

Hospital Charge Code	270675452
Hospital Revenue Code	272
Min. Negotiated Rate	$88.87
Max. Negotiated Rate	$341.80
Rate for Payer: Aetna Commercial	$205.08
Rate for Payer: Aetna Medicare Advantage	$205.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.32
Rate for Payer: Cigna Commercial	$341.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.87
Rate for Payer: Oxford Commercial	$341.80
Rate for Payer: Qualcare PPO/HMO/WC	$102.54
Rate for Payer: UnitedHealthcare Commercial	$341.80

STAPLER ENDO GIA 30-3.5 BLUE

Facility

$683.60

Hospital Charge Code	270675452
Hospital Revenue Code	272
Min. Negotiated Rate	$102.54
Max. Negotiated Rate	$102.54
Rate for Payer: Qualcare PPO/HMO/WC	$102.54

STAPLER ENDO GIA 45MM SRTI MED

Facility

$855.58

Hospital Charge Code	270675746
Hospital Revenue Code	272
Min. Negotiated Rate	$128.34
Max. Negotiated Rate	$128.34
Rate for Payer: Qualcare PPO/HMO/WC	$128.34

STAPLER ENDO GIA 45MM SRTI MED

Facility

$855.58

Hospital Charge Code	270675746
Hospital Revenue Code	272
Min. Negotiated Rate	$111.23
Max. Negotiated Rate	$427.79
Rate for Payer: Aetna Commercial	$256.67
Rate for Payer: Aetna Medicare Advantage	$256.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.17
Rate for Payer: Cigna Commercial	$427.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.23
Rate for Payer: Oxford Commercial	$427.79
Rate for Payer: Qualcare PPO/HMO/WC	$128.34
Rate for Payer: UnitedHealthcare Commercial	$427.79

STAPLER ENDO GIA 60 2.5 030304

Facility

$2,202.45

Hospital Charge Code	270600124
Hospital Revenue Code	272
Min. Negotiated Rate	$330.37
Max. Negotiated Rate	$330.37
Rate for Payer: Qualcare PPO/HMO/WC	$330.37

STAPLER ENDO GIA 60 2.5 030304

Facility

$2,202.45

Hospital Charge Code	270600124
Hospital Revenue Code	272
Min. Negotiated Rate	$286.32
Max. Negotiated Rate	$1,101.22
Rate for Payer: Aetna Commercial	$660.74
Rate for Payer: Aetna Medicare Advantage	$660.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.62
Rate for Payer: Cigna Commercial	$1,101.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.32
Rate for Payer: Oxford Commercial	$1,101.22
Rate for Payer: Qualcare PPO/HMO/WC	$330.37
Rate for Payer: UnitedHealthcare Commercial	$1,101.22

STAPLER ENDO GIA 60 3.5 030302

Facility

$2,557.65

Hospital Charge Code	270600122
Hospital Revenue Code	272
Min. Negotiated Rate	$383.65
Max. Negotiated Rate	$383.65
Rate for Payer: Qualcare PPO/HMO/WC	$383.65

STAPLER ENDO GIA 60 3.5 030302

Facility

$2,557.65

Hospital Charge Code	270600122
Hospital Revenue Code	272
Min. Negotiated Rate	$332.49
Max. Negotiated Rate	$1,278.83
Rate for Payer: Aetna Commercial	$767.29
Rate for Payer: Aetna Medicare Advantage	$767.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$652.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$652.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$652.20
Rate for Payer: Cigna Commercial	$1,278.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.49
Rate for Payer: Oxford Commercial	$1,278.83
Rate for Payer: Qualcare PPO/HMO/WC	$383.65
Rate for Payer: UnitedHealthcare Commercial	$1,278.83

Know your out-of-pocket cost for care.

All Charges