Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER HEMORRHOID EEA 33MM

Facility

$1,833.75

Hospital Charge Code	270648448
Hospital Revenue Code	272
Min. Negotiated Rate	$238.39
Max. Negotiated Rate	$916.88
Rate for Payer: Aetna Commercial	$550.12
Rate for Payer: Aetna Medicare Advantage	$550.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.61
Rate for Payer: Cigna Commercial	$916.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.39
Rate for Payer: Oxford Commercial	$916.88
Rate for Payer: Qualcare PPO/HMO/WC	$275.06
Rate for Payer: UnitedHealthcare Commercial	$916.88

STAPLER HEMORRHOID EEA 33MM

Facility

$1,833.75

Hospital Charge Code	270648448
Hospital Revenue Code	272
Min. Negotiated Rate	$275.06
Max. Negotiated Rate	$275.06
Rate for Payer: Qualcare PPO/HMO/WC	$275.06

STAPLER ILS 21MM INTALUMINAL

Facility

$1,535.80

Hospital Charge Code	270671544
Hospital Revenue Code	272
Min. Negotiated Rate	$199.65
Max. Negotiated Rate	$767.90
Rate for Payer: Aetna Commercial	$460.74
Rate for Payer: Aetna Medicare Advantage	$460.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.63
Rate for Payer: Cigna Commercial	$767.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.65
Rate for Payer: Oxford Commercial	$767.90
Rate for Payer: Qualcare PPO/HMO/WC	$230.37
Rate for Payer: UnitedHealthcare Commercial	$767.90

STAPLER ILS 21MM INTALUMINAL

Facility

$1,535.80

Hospital Charge Code	270671544
Hospital Revenue Code	272
Min. Negotiated Rate	$230.37
Max. Negotiated Rate	$230.37
Rate for Payer: Qualcare PPO/HMO/WC	$230.37

STAPLER INSORB 30 SKIN

Facility

$500.25

Hospital Charge Code	270662528
Hospital Revenue Code	272
Min. Negotiated Rate	$75.04
Max. Negotiated Rate	$75.04
Rate for Payer: Qualcare PPO/HMO/WC	$75.04

STAPLER INSORB 30 SKIN

Facility

$500.25

Hospital Charge Code	270662528
Hospital Revenue Code	272
Min. Negotiated Rate	$65.03
Max. Negotiated Rate	$250.12
Rate for Payer: Aetna Commercial	$150.07
Rate for Payer: Aetna Medicare Advantage	$150.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.56
Rate for Payer: Cigna Commercial	$250.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.03
Rate for Payer: Oxford Commercial	$250.12
Rate for Payer: Qualcare PPO/HMO/WC	$75.04
Rate for Payer: UnitedHealthcare Commercial	$250.12

STAPLER INSORB SUBCUTICUL 1020

Facility

$210.00

Hospital Charge Code	270639060
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

STAPLER INSORB SUBCUTICUL 1020

Facility

$210.00

Hospital Charge Code	270639060
Hospital Revenue Code	272
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$105.00

STAPLER JAW 18X18X18 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701398
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.25
Max. Negotiated Rate	$4,117.50
Rate for Payer: Aetna Commercial	$2,470.50
Rate for Payer: Aetna Medicare Advantage	$2,470.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,099.93
Rate for Payer: Cigna Commercial	$4,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25

STAPLER JAW 18X18X18 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701398
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.25
Max. Negotiated Rate	$1,992.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25

STAPLER JAW 20X20X20 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701397
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.25
Max. Negotiated Rate	$1,992.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25

STAPLER JAW 20X20X20 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701397
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.25
Max. Negotiated Rate	$4,117.50
Rate for Payer: Aetna Commercial	$2,470.50
Rate for Payer: Aetna Medicare Advantage	$2,470.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,099.93
Rate for Payer: Cigna Commercial	$4,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25

STAPLER LINEAR 30 4.5 GN TX30G

Facility

$1,932.00

Hospital Charge Code	270608649
Hospital Revenue Code	272
Min. Negotiated Rate	$251.16
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$579.60
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.16
Rate for Payer: Oxford Commercial	$966.00
Rate for Payer: Qualcare PPO/HMO/WC	$289.80
Rate for Payer: UnitedHealthcare Commercial	$966.00

STAPLER LINEAR 30 4.5 GN TX30G

Facility

$1,932.00

Hospital Charge Code	270608649
Hospital Revenue Code	272
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$289.80
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

STAPLER LINEAR 3.5X30MM BLUE

Facility

$407.22

Hospital Charge Code	270658413
Hospital Revenue Code	272
Min. Negotiated Rate	$61.08
Max. Negotiated Rate	$61.08
Rate for Payer: Qualcare PPO/HMO/WC	$61.08

STAPLER LINEAR 3.5X30MM BLUE

Facility

$407.22

Hospital Charge Code	270658413
Hospital Revenue Code	272
Min. Negotiated Rate	$52.94
Max. Negotiated Rate	$203.61
Rate for Payer: Aetna Commercial	$122.17
Rate for Payer: Aetna Medicare Advantage	$122.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.84
Rate for Payer: Cigna Commercial	$203.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.94
Rate for Payer: Oxford Commercial	$203.61
Rate for Payer: Qualcare PPO/HMO/WC	$61.08
Rate for Payer: UnitedHealthcare Commercial	$203.61

STAPLER LINEAR 3.8X60MM BLUE

Facility

$1,206.90

Hospital Charge Code	270608737
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 LINEAR 3.8X60MM BLUE

Facility

$1,206.90

Hospital Charge Code	270608737
Hospital Revenue Code	272
Min. Negotiated Rate	$181.03
Max. Negotiated Rate	$181.03
Rate for Payer: Qualcare PPO/HMO/WC	$181.03

STAPLER LINEAR 4.8X30MM GRN

Facility

$421.13

Hospital Charge Code	270608641
Hospital Revenue Code	272
Min. Negotiated Rate	$63.17
Max. Negotiated Rate	$63.17
Rate for Payer: Qualcare PPO/HMO/WC	$63.17

STAPLER LINEAR 4.8X30MM GRN

Facility

$421.13

Hospital Charge Code	270608641
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$210.56
Rate for Payer: Aetna Commercial	$126.34
Rate for Payer: Aetna Medicare Advantage	$126.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.39
Rate for Payer: Cigna Commercial	$210.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.75
Rate for Payer: Oxford Commercial	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$63.17
Rate for Payer: UnitedHealthcare Commercial	$210.56

STAPLER LINEAR 90 HVY TLH90

Facility

$2,068.00

Hospital Charge Code	270608645
Hospital Revenue Code	272
Min. Negotiated Rate	$268.84
Max. Negotiated Rate	$1,034.00
Rate for Payer: Aetna Commercial	$620.40
Rate for Payer: Aetna Medicare Advantage	$620.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$527.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$527.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$527.34
Rate for Payer: Cigna Commercial	$1,034.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.84
Rate for Payer: Oxford Commercial	$1,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$310.20
Rate for Payer: UnitedHealthcare Commercial	$1,034.00

STAPLER LINEAR 90 HVY TLH90

Facility

$2,068.00

Hospital Charge Code	270608645
Hospital Revenue Code	272
Min. Negotiated Rate	$310.20
Max. Negotiated Rate	$310.20
Rate for Payer: Qualcare PPO/HMO/WC	$310.20

STAPLER LINEAR 90MM DAIL DOWN

Facility

$2,310.77

Hospital Charge Code	270608643
Hospital Revenue Code	272
Min. Negotiated Rate	$300.40
Max. Negotiated Rate	$1,155.38
Rate for Payer: Aetna Commercial	$693.23
Rate for Payer: Aetna Medicare Advantage	$693.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$589.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$589.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$589.25
Rate for Payer: Cigna Commercial	$1,155.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.40
Rate for Payer: Oxford Commercial	$1,155.38
Rate for Payer: Qualcare PPO/HMO/WC	$346.62
Rate for Payer: UnitedHealthcare Commercial	$1,155.38

STAPLER LINEAR 90MM DAIL DOWN

Facility

$2,310.77

Hospital Charge Code	270608643
Hospital Revenue Code	272
Min. Negotiated Rate	$346.62
Max. Negotiated Rate	$346.62
Rate for Payer: Qualcare PPO/HMO/WC	$346.62

STAPLER LINEAR 90mm DIAL DOWN

Facility

$460.87

Hospital Charge Code	270608731
Hospital Revenue Code	272
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$69.13
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

Know your out-of-pocket cost for care.

All Charges