Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER ENDO UNIVERSAL 65 DEG

Facility

$774.59

Hospital Charge Code	270655604
Hospital Revenue Code	272
Min. Negotiated Rate	$100.70
Max. Negotiated Rate	$387.30
Rate for Payer: Aetna Commercial	$232.38
Rate for Payer: Aetna Medicare Advantage	$232.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.52
Rate for Payer: Cigna Commercial	$387.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.70
Rate for Payer: Oxford Commercial	$387.30
Rate for Payer: Qualcare PPO/HMO/WC	$116.19
Rate for Payer: UnitedHealthcare Commercial	$387.30

STAPLER ENDOWRIST 12 MM

Facility

$3,900.00

Hospital Charge Code	270677733
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$1,950.00
Rate for Payer: Aetna Commercial	$1,170.00
Rate for Payer: Aetna Medicare Advantage	$1,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.50
Rate for Payer: Cigna Commercial	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

STAPLER ENDOWRIST 12 MM

Facility

$3,900.00

Hospital Charge Code	270677733
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$943.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

STAPLER ENDOWRIST XI 45 KIT

Facility

$89,975.00

Hospital Charge Code	270678164
Hospital Revenue Code	272
Min. Negotiated Rate	$11,696.75
Max. Negotiated Rate	$44,987.50
Rate for Payer: Aetna Commercial	$26,992.50
Rate for Payer: Aetna Medicare Advantage	$26,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,943.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,943.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,943.62
Rate for Payer: Cigna Commercial	$44,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,696.75
Rate for Payer: Oxford Commercial	$44,987.50
Rate for Payer: Qualcare PPO/HMO/WC	$13,496.25
Rate for Payer: UnitedHealthcare Commercial	$44,987.50

STAPLER ENDOWRIST XI 45 KIT

Facility

$89,975.00

Hospital Charge Code	270678164
Hospital Revenue Code	272
Min. Negotiated Rate	$13,496.25
Max. Negotiated Rate	$13,496.25
Rate for Payer: Qualcare PPO/HMO/WC	$13,496.25

STAPLER GIA 60 3.8 MLTF ******

Facility

$538.66

Hospital Charge Code	27060046
Hospital Revenue Code	272
Min. Negotiated Rate	$80.80
Max. Negotiated Rate	$80.80
Rate for Payer: Qualcare PPO/HMO/WC	$80.80

STAPLER GIA 60 3.8 MLTF ******

Facility

$538.66

Hospital Charge Code	27060046
Hospital Revenue Code	272
Min. Negotiated Rate	$70.03
Max. Negotiated Rate	$269.33
Rate for Payer: Aetna Commercial	$161.60
Rate for Payer: Aetna Medicare Advantage	$161.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.36
Rate for Payer: Cigna Commercial	$269.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.03
Rate for Payer: Oxford Commercial	$269.33
Rate for Payer: Qualcare PPO/HMO/WC	$80.80
Rate for Payer: UnitedHealthcare Commercial	$269.33

STAPLER GIA 60-3.8 SINGLE RELO

Facility

$450.02

Hospital Charge Code	270600046
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

STAPLER GIA 60-3.8 SINGLE RELO

Facility

$450.02

Hospital Charge Code	270600046
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.01
Rate for Payer: Aetna Commercial	$135.01
Rate for Payer: Aetna Medicare Advantage	$135.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.76
Rate for Payer: Cigna Commercial	$225.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.01
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.01

STAPLER GIA 60-4.8 SINGLE

Facility

$450.02

Hospital Charge Code	270676236
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

STAPLER GIA 60-4.8 SINGLE

Facility

$450.02

Hospital Charge Code	270676236
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$225.01
Rate for Payer: Aetna Commercial	$135.01
Rate for Payer: Aetna Medicare Advantage	$135.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.76
Rate for Payer: Cigna Commercial	$225.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.50
Rate for Payer: Oxford Commercial	$225.01
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$225.01

STAPLER GIA 80-3.8 SINGLE RELO

Facility

$663.15

Hospital Charge Code	270651817
Hospital Revenue Code	272
Min. Negotiated Rate	$99.47
Max. Negotiated Rate	$99.47
Rate for Payer: Qualcare PPO/HMO/WC	$99.47

STAPLER GIA 80-3.8 SINGLE RELO

Facility

$663.15

Hospital Charge Code	270651817
Hospital Revenue Code	272
Min. Negotiated Rate	$86.21
Max. Negotiated Rate	$331.57
Rate for Payer: Aetna Commercial	$198.94
Rate for Payer: Aetna Medicare Advantage	$198.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.10
Rate for Payer: Cigna Commercial	$331.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.21
Rate for Payer: Oxford Commercial	$331.57
Rate for Payer: Qualcare PPO/HMO/WC	$99.47
Rate for Payer: UnitedHealthcare Commercial	$331.57

STAPLER GIA 80 SINGLE RELOAD

Facility

$663.15

Hospital Charge Code	270630397
Hospital Revenue Code	272
Min. Negotiated Rate	$86.21
Max. Negotiated Rate	$331.57
Rate for Payer: Aetna Commercial	$198.94
Rate for Payer: Aetna Medicare Advantage	$198.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.10
Rate for Payer: Cigna Commercial	$331.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.21
Rate for Payer: Oxford Commercial	$331.57
Rate for Payer: Qualcare PPO/HMO/WC	$99.47
Rate for Payer: UnitedHealthcare Commercial	$331.57

STAPLER GIA 80 SINGLE RELOAD

Facility

$663.15

Hospital Charge Code	270630397
Hospital Revenue Code	272
Min. Negotiated Rate	$99.47
Max. Negotiated Rate	$99.47
Rate for Payer: Qualcare PPO/HMO/WC	$99.47

STAPLER GIA ENDO 12MM

Facility

$439.47

Hospital Charge Code	270661153
Hospital Revenue Code	272
Min. Negotiated Rate	$65.92
Max. Negotiated Rate	$65.92
Rate for Payer: Qualcare PPO/HMO/WC	$65.92

STAPLER GIA ENDO 12MM

Facility

$439.47

Hospital Charge Code	270661153
Hospital Revenue Code	272
Min. Negotiated Rate	$57.13
Max. Negotiated Rate	$219.74
Rate for Payer: Aetna Commercial	$131.84
Rate for Payer: Aetna Medicare Advantage	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.06
Rate for Payer: Cigna Commercial	$219.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.13
Rate for Payer: Oxford Commercial	$219.74
Rate for Payer: Qualcare PPO/HMO/WC	$65.92
Rate for Payer: UnitedHealthcare Commercial	$219.74

STAPLER GIA UNIVERSAL 12MM

Facility

$478.93

Hospital Charge Code	270619586
Hospital Revenue Code	272
Min. Negotiated Rate	$71.84
Max. Negotiated Rate	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$71.84

STAPLER GIA UNIVERSAL 12MM

Facility

$478.93

Hospital Charge Code	270619586
Hospital Revenue Code	272
Min. Negotiated Rate	$62.26
Max. Negotiated Rate	$239.47
Rate for Payer: Aetna Commercial	$143.68
Rate for Payer: Aetna Medicare Advantage	$143.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.13
Rate for Payer: Cigna Commercial	$239.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.26
Rate for Payer: Oxford Commercial	$239.47
Rate for Payer: Qualcare PPO/HMO/WC	$71.84
Rate for Payer: UnitedHealthcare Commercial	$239.47

STAPLER GOLD RELOAD FOR ECH 60

Facility

$732.86

Hospital Charge Code	270661384
Hospital Revenue Code	272
Min. Negotiated Rate	$95.27
Max. Negotiated Rate	$366.43
Rate for Payer: Aetna Commercial	$219.86
Rate for Payer: Aetna Medicare Advantage	$219.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.88
Rate for Payer: Cigna Commercial	$366.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.27
Rate for Payer: Oxford Commercial	$366.43
Rate for Payer: Qualcare PPO/HMO/WC	$109.93
Rate for Payer: UnitedHealthcare Commercial	$366.43

STAPLER GOLD RELOAD FOR ECH 60

Facility

$732.86

Hospital Charge Code	270661384
Hospital Revenue Code	272
Min. Negotiated Rate	$109.93
Max. Negotiated Rate	$109.93
Rate for Payer: Qualcare PPO/HMO/WC	$109.93

STAPLER GRAY RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270661390
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

STAPLER GRAY RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270661390
Hospital Revenue Code	272
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$348.48
Rate for Payer: Aetna Commercial	$209.09
Rate for Payer: Aetna Medicare Advantage	$209.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.72
Rate for Payer: Cigna Commercial	$348.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.60
Rate for Payer: Oxford Commercial	$348.48
Rate for Payer: Qualcare PPO/HMO/WC	$104.54
Rate for Payer: UnitedHealthcare Commercial	$348.48

STAPLER GREEN RELOAD ECH 60

Facility

$696.95

Hospital Charge Code	270661388
Hospital Revenue Code	272
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$348.48
Rate for Payer: Aetna Commercial	$209.09
Rate for Payer: Aetna Medicare Advantage	$209.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.72
Rate for Payer: Cigna Commercial	$348.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.60
Rate for Payer: Oxford Commercial	$348.48
Rate for Payer: Qualcare PPO/HMO/WC	$104.54
Rate for Payer: UnitedHealthcare Commercial	$348.48

STAPLER GREEN RELOAD ECH 60

Facility

$696.95

Hospital Charge Code	270661388
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

Know your out-of-pocket cost for care.

All Charges