Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER LINEAR 90mm DIAL DOWN

Facility

$460.87

Hospital Charge Code	270608731
Hospital Revenue Code	272
Min. Negotiated Rate	$59.91
Max. Negotiated Rate	$230.44
Rate for Payer: Aetna Commercial	$138.26
Rate for Payer: Aetna Medicare Advantage	$138.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.91
Rate for Payer: Oxford Commercial	$230.44
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Commercial	$230.44

STAPLER LINEAR GREEN 60MM

Facility

$225.47

Hospital Charge Code	270671555
Hospital Revenue Code	272
Min. Negotiated Rate	$33.82
Max. Negotiated Rate	$33.82
Rate for Payer: Qualcare PPO/HMO/WC	$33.82

STAPLER LINEAR GREEN 60MM

Facility

$225.47

Hospital Charge Code	270671555
Hospital Revenue Code	272
Min. Negotiated Rate	$29.31
Max. Negotiated Rate	$112.73
Rate for Payer: Aetna Commercial	$67.64
Rate for Payer: Aetna Medicare Advantage	$67.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.49
Rate for Payer: Cigna Commercial	$112.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.31
Rate for Payer: Oxford Commercial	$112.73
Rate for Payer: Qualcare PPO/HMO/WC	$33.82
Rate for Payer: UnitedHealthcare Commercial	$112.73

STAPLER LINEAR RELOAD 60MM 4.8

Facility

$441.60

Hospital Charge Code	270671554
Hospital Revenue Code	272
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$66.24
Rate for Payer: Qualcare PPO/HMO/WC	$66.24

STAPLER LINEAR RELOAD 60MM 4.8

Facility

$441.60

Hospital Charge Code	270671554
Hospital Revenue Code	272
Min. Negotiated Rate	$57.41
Max. Negotiated Rate	$220.80
Rate for Payer: Aetna Commercial	$132.48
Rate for Payer: Aetna Medicare Advantage	$132.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.61
Rate for Payer: Cigna Commercial	$220.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.41
Rate for Payer: Oxford Commercial	$220.80
Rate for Payer: Qualcare PPO/HMO/WC	$66.24
Rate for Payer: UnitedHealthcare Commercial	$220.80

STAPLER LINER RELOAD VASC 30MM

Facility

$397.10

Hospital Charge Code	270671553
Hospital Revenue Code	272
Min. Negotiated Rate	$59.56
Max. Negotiated Rate	$59.56
Rate for Payer: Qualcare PPO/HMO/WC	$59.56

STAPLER LINER RELOAD VASC 30MM

Facility

$397.10

Hospital Charge Code	270671553
Hospital Revenue Code	272
Min. Negotiated Rate	$51.62
Max. Negotiated Rate	$198.55
Rate for Payer: Aetna Commercial	$119.13
Rate for Payer: Aetna Medicare Advantage	$119.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.26
Rate for Payer: Cigna Commercial	$198.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.62
Rate for Payer: Oxford Commercial	$198.55
Rate for Payer: Qualcare PPO/HMO/WC	$59.56
Rate for Payer: UnitedHealthcare Commercial	$198.55

STAPLER MF GIA 80 3 8 GIA8038S

Facility

$781.90

Hospital Charge Code	270630396
Hospital Revenue Code	272
Min. Negotiated Rate	$101.65
Max. Negotiated Rate	$390.95
Rate for Payer: Aetna Commercial	$234.57
Rate for Payer: Aetna Medicare Advantage	$234.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.38
Rate for Payer: Cigna Commercial	$390.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.65
Rate for Payer: Oxford Commercial	$390.95
Rate for Payer: Qualcare PPO/HMO/WC	$117.28
Rate for Payer: UnitedHealthcare Commercial	$390.95

STAPLER MF GIA 80 3 8 GIA8038S

Facility

$781.90

Hospital Charge Code	270630396
Hospital Revenue Code	272
Min. Negotiated Rate	$117.28
Max. Negotiated Rate	$117.28
Rate for Payer: Qualcare PPO/HMO/WC	$117.28

STAPLER M/F TA 30-V3

Facility

$573.50

Hospital Charge Code	270658645
Hospital Revenue Code	272
Min. Negotiated Rate	$86.03
Max. Negotiated Rate	$86.03
Rate for Payer: Qualcare PPO/HMO/WC	$86.03

STAPLER M/F TA 30-V3

Facility

$573.50

Hospital Charge Code	270658645
Hospital Revenue Code	272
Min. Negotiated Rate	$74.56
Max. Negotiated Rate	$286.75
Rate for Payer: Aetna Commercial	$172.05
Rate for Payer: Aetna Medicare Advantage	$172.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.24
Rate for Payer: Cigna Commercial	$286.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.56
Rate for Payer: Oxford Commercial	$286.75
Rate for Payer: Qualcare PPO/HMO/WC	$86.03
Rate for Payer: UnitedHealthcare Commercial	$286.75

STAPLER MULTI VERSA BLU 10 4MM

Facility

$656.27

Hospital Charge Code	270660964
Hospital Revenue Code	272
Min. Negotiated Rate	$85.32
Max. Negotiated Rate	$328.13
Rate for Payer: Aetna Commercial	$196.88
Rate for Payer: Aetna Medicare Advantage	$196.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.35
Rate for Payer: Cigna Commercial	$328.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.32
Rate for Payer: Oxford Commercial	$328.13
Rate for Payer: Qualcare PPO/HMO/WC	$98.44
Rate for Payer: UnitedHealthcare Commercial	$328.13

STAPLER MULTI VERSA BLU 10 4MM

Facility

$656.27

Hospital Charge Code	270660964
Hospital Revenue Code	272
Min. Negotiated Rate	$98.44
Max. Negotiated Rate	$98.44
Rate for Payer: Qualcare PPO/HMO/WC	$98.44

STAPLER PERMIUM PLUS CEEA 21

Facility

$1,678.87

Hospital Charge Code	270600131
Hospital Revenue Code	272
Min. Negotiated Rate	$218.25
Max. Negotiated Rate	$839.43
Rate for Payer: Aetna Commercial	$503.66
Rate for Payer: Aetna Medicare Advantage	$503.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.11
Rate for Payer: Cigna Commercial	$839.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.25
Rate for Payer: Oxford Commercial	$839.43
Rate for Payer: Qualcare PPO/HMO/WC	$251.83
Rate for Payer: UnitedHealthcare Commercial	$839.43

STAPLER PERMIUM PLUS CEEA 21

Facility

$1,678.87

Hospital Charge Code	270600131
Hospital Revenue Code	272
Min. Negotiated Rate	$251.83
Max. Negotiated Rate	$251.83
Rate for Payer: Qualcare PPO/HMO/WC	$251.83

STAPLER PERMIUM PLUS CEEA 25

Facility

$9,866.40

Hospital Charge Code	270600132
Hospital Revenue Code	272
Min. Negotiated Rate	$1,479.96
Max. Negotiated Rate	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.96

STAPLER PERMIUM PLUS CEEA 25

Facility

$9,866.40

Hospital Charge Code	270600132
Hospital Revenue Code	272
Min. Negotiated Rate	$1,282.63
Max. Negotiated Rate	$4,933.20
Rate for Payer: Aetna Commercial	$2,959.92
Rate for Payer: Aetna Medicare Advantage	$2,959.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,515.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,515.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,515.93
Rate for Payer: Cigna Commercial	$4,933.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,282.63
Rate for Payer: Oxford Commercial	$4,933.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.96
Rate for Payer: UnitedHealthcare Commercial	$4,933.20

STAPLER PERMIUM PLUS CEEA 28

Facility

$5,319.67

Hospital Charge Code	270600133
Hospital Revenue Code	272
Min. Negotiated Rate	$797.95
Max. Negotiated Rate	$797.95
Rate for Payer: Qualcare PPO/HMO/WC	$797.95

STAPLER PERMIUM PLUS CEEA 28

Facility

$5,319.67

Hospital Charge Code	270600133
Hospital Revenue Code	272
Min. Negotiated Rate	$691.56
Max. Negotiated Rate	$2,659.84
Rate for Payer: Aetna Commercial	$1,595.90
Rate for Payer: Aetna Medicare Advantage	$1,595.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,356.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,356.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,356.52
Rate for Payer: Cigna Commercial	$2,659.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$691.56
Rate for Payer: Oxford Commercial	$2,659.84
Rate for Payer: Qualcare PPO/HMO/WC	$797.95
Rate for Payer: UnitedHealthcare Commercial	$2,659.84

STAPLER PERMIUM PLUS CEEA 31

Facility

$447.70

Hospital Charge Code	270600134
Hospital Revenue Code	272
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$223.85
Rate for Payer: Aetna Commercial	$134.31
Rate for Payer: Aetna Medicare Advantage	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.16
Rate for Payer: Cigna Commercial	$223.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.20
Rate for Payer: Oxford Commercial	$223.85
Rate for Payer: Qualcare PPO/HMO/WC	$67.16
Rate for Payer: UnitedHealthcare Commercial	$223.85

STAPLER PERMIUM PLUS CEEA 31

Facility

$447.70

Hospital Charge Code	270600134
Hospital Revenue Code	272
Min. Negotiated Rate	$67.16
Max. Negotiated Rate	$67.16
Rate for Payer: Qualcare PPO/HMO/WC	$67.16

STAPLER PERMIUM PLUS CEEA 34

Facility

$1,678.87

Hospital Charge Code	270611150
Hospital Revenue Code	272
Min. Negotiated Rate	$251.83
Max. Negotiated Rate	$251.83
Rate for Payer: Qualcare PPO/HMO/WC	$251.83

STAPLER PERMIUM PLUS CEEA 34

Facility

$1,678.87

Hospital Charge Code	270611150
Hospital Revenue Code	272
Min. Negotiated Rate	$218.25
Max. Negotiated Rate	$839.43
Rate for Payer: Aetna Commercial	$503.66
Rate for Payer: Aetna Medicare Advantage	$503.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.11
Rate for Payer: Cigna Commercial	$839.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.25
Rate for Payer: Oxford Commercial	$839.43
Rate for Payer: Qualcare PPO/HMO/WC	$251.83
Rate for Payer: UnitedHealthcare Commercial	$839.43

STAPLER POWER 23MM

Facility

$2,145.00

Hospital Charge Code	270687759
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWER 23MM

Facility

$2,145.00

Hospital Charge Code	270687759
Hospital Revenue Code	272
Min. Negotiated Rate	$278.85
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$643.50
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.85
Rate for Payer: Oxford Commercial	$1,072.50
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$1,072.50

Know your out-of-pocket cost for care.

All Charges