Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER RELOADABLE SIG TA3035S

Facility

$443.15

Hospital Charge Code	270630377
Hospital Revenue Code	272
Min. Negotiated Rate	$57.61
Max. Negotiated Rate	$221.57
Rate for Payer: Aetna Commercial	$132.94
Rate for Payer: Aetna Medicare Advantage	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.00
Rate for Payer: Cigna Commercial	$221.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.61
Rate for Payer: Oxford Commercial	$221.57
Rate for Payer: Qualcare PPO/HMO/WC	$66.47
Rate for Payer: UnitedHealthcare Commercial	$221.57

STAPLER RELOADABLE SL TA45485S

Facility

$730.73

Hospital Charge Code	270630384
Hospital Revenue Code	272
Min. Negotiated Rate	$94.99
Max. Negotiated Rate	$365.37
Rate for Payer: Aetna Commercial	$219.22
Rate for Payer: Aetna Medicare Advantage	$219.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.34
Rate for Payer: Cigna Commercial	$365.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.99
Rate for Payer: Oxford Commercial	$365.37
Rate for Payer: Qualcare PPO/HMO/WC	$109.61
Rate for Payer: UnitedHealthcare Commercial	$365.37

STAPLER RELOADABLE SL TA45485S

Facility

$730.73

Hospital Charge Code	270630384
Hospital Revenue Code	272
Min. Negotiated Rate	$109.61
Max. Negotiated Rate	$109.61
Rate for Payer: Qualcare PPO/HMO/WC	$109.61

STAPLER RELOADABLE TA 45-3.5

Facility

$613.32

Hospital Charge Code	270630382
Hospital Revenue Code	272
Min. Negotiated Rate	$92.00
Max. Negotiated Rate	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.00

STAPLER RELOADABLE TA 45-3.5

Facility

$613.32

Hospital Charge Code	270630382
Hospital Revenue Code	272
Min. Negotiated Rate	$79.73
Max. Negotiated Rate	$306.66
Rate for Payer: Aetna Commercial	$184.00
Rate for Payer: Aetna Medicare Advantage	$184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.40
Rate for Payer: Cigna Commercial	$306.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.73
Rate for Payer: Oxford Commercial	$306.66
Rate for Payer: Qualcare PPO/HMO/WC	$92.00
Rate for Payer: UnitedHealthcare Commercial	$306.66

STAPLER RELOADABLE TA 60-3.5

Facility

$428.10

Hospital Charge Code	270630408
Hospital Revenue Code	272
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$64.22
Rate for Payer: Qualcare PPO/HMO/WC	$64.22

STAPLER RELOADABLE TA 60-3.5

Facility

$428.10

Hospital Charge Code	270630408
Hospital Revenue Code	272
Min. Negotiated Rate	$55.65
Max. Negotiated Rate	$214.05
Rate for Payer: Aetna Commercial	$128.43
Rate for Payer: Aetna Medicare Advantage	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.17
Rate for Payer: Cigna Commercial	$214.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.65
Rate for Payer: Oxford Commercial	$214.05
Rate for Payer: Qualcare PPO/HMO/WC	$64.22
Rate for Payer: UnitedHealthcare Commercial	$214.05

STAPLER RELOADABLE TA* 60-4.8

Facility

$459.40

Hospital Charge Code	270630378
Hospital Revenue Code	272
Min. Negotiated Rate	$68.91
Max. Negotiated Rate	$68.91
Rate for Payer: Qualcare PPO/HMO/WC	$68.91

STAPLER RELOADABLE TA* 60-4.8

Facility

$459.40

Hospital Charge Code	270630378
Hospital Revenue Code	272
Min. Negotiated Rate	$59.72
Max. Negotiated Rate	$229.70
Rate for Payer: Aetna Commercial	$137.82
Rate for Payer: Aetna Medicare Advantage	$137.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.15
Rate for Payer: Cigna Commercial	$229.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.72
Rate for Payer: Oxford Commercial	$229.70
Rate for Payer: Qualcare PPO/HMO/WC	$68.91
Rate for Payer: UnitedHealthcare Commercial	$229.70

STAPLER RELOADABLE TA 90-3.5

Facility

$1,695.43

Hospital Charge Code	270630411
Hospital Revenue Code	272
Min. Negotiated Rate	$220.41
Max. Negotiated Rate	$847.72
Rate for Payer: Aetna Commercial	$508.63
Rate for Payer: Aetna Medicare Advantage	$508.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.33
Rate for Payer: Cigna Commercial	$847.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.41
Rate for Payer: Oxford Commercial	$847.72
Rate for Payer: Qualcare PPO/HMO/WC	$254.31
Rate for Payer: UnitedHealthcare Commercial	$847.72

STAPLER RELOADABLE TA 90-3.5

Facility

$1,695.43

Hospital Charge Code	270630411
Hospital Revenue Code	272
Min. Negotiated Rate	$254.31
Max. Negotiated Rate	$254.31
Rate for Payer: Qualcare PPO/HMO/WC	$254.31

STAPLER RELOADABLE TA 90-4.8

Facility

$519.73

Hospital Charge Code	270630413
Hospital Revenue Code	272
Min. Negotiated Rate	$77.96
Max. Negotiated Rate	$77.96
Rate for Payer: Qualcare PPO/HMO/WC	$77.96

STAPLER RELOADABLE TA 90-4.8

Facility

$495.05

Hospital Charge Code	270631413
Hospital Revenue Code	272
Min. Negotiated Rate	$64.36
Max. Negotiated Rate	$247.53
Rate for Payer: Aetna Commercial	$148.51
Rate for Payer: Aetna Medicare Advantage	$148.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.24
Rate for Payer: Cigna Commercial	$247.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.36
Rate for Payer: Oxford Commercial	$247.53
Rate for Payer: Qualcare PPO/HMO/WC	$74.26
Rate for Payer: UnitedHealthcare Commercial	$247.53

STAPLER RELOADABLE TA 90-4.8

Facility

$519.73

Hospital Charge Code	270630413
Hospital Revenue Code	272
Min. Negotiated Rate	$67.56
Max. Negotiated Rate	$259.87
Rate for Payer: Aetna Commercial	$155.92
Rate for Payer: Aetna Medicare Advantage	$155.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.53
Rate for Payer: Cigna Commercial	$259.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.56
Rate for Payer: Oxford Commercial	$259.87
Rate for Payer: Qualcare PPO/HMO/WC	$77.96
Rate for Payer: UnitedHealthcare Commercial	$259.87

STAPLER RELOADABLE TA 90-4.8

Facility

$495.05

Hospital Charge Code	270631413
Hospital Revenue Code	272
Min. Negotiated Rate	$74.26
Max. Negotiated Rate	$74.26
Rate for Payer: Qualcare PPO/HMO/WC	$74.26

STAPLER RELOAD CUTTER BLUE

Facility

$1,265.50

Hospital Charge Code	270672160
Hospital Revenue Code	272
Min. Negotiated Rate	$164.51
Max. Negotiated Rate	$632.75
Rate for Payer: Aetna Commercial	$379.65
Rate for Payer: Aetna Medicare Advantage	$379.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.70
Rate for Payer: Cigna Commercial	$632.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.51
Rate for Payer: Oxford Commercial	$632.75
Rate for Payer: Qualcare PPO/HMO/WC	$189.82
Rate for Payer: UnitedHealthcare Commercial	$632.75

STAPLER RELOAD CUTTER BLUE

Facility

$1,265.50

Hospital Charge Code	270672160
Hospital Revenue Code	272
Min. Negotiated Rate	$189.82
Max. Negotiated Rate	$189.82
Rate for Payer: Qualcare PPO/HMO/WC	$189.82

STAPLER RELOAD CUTTER GREEN

Facility

$1,265.50

Hospital Charge Code	270672161
Hospital Revenue Code	272
Min. Negotiated Rate	$164.51
Max. Negotiated Rate	$632.75
Rate for Payer: Aetna Commercial	$379.65
Rate for Payer: Aetna Medicare Advantage	$379.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.70
Rate for Payer: Cigna Commercial	$632.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.51
Rate for Payer: Oxford Commercial	$632.75
Rate for Payer: Qualcare PPO/HMO/WC	$189.82
Rate for Payer: UnitedHealthcare Commercial	$632.75

STAPLER RELOAD CUTTER GREEN

Facility

$1,265.50

Hospital Charge Code	270672161
Hospital Revenue Code	272
Min. Negotiated Rate	$189.82
Max. Negotiated Rate	$189.82
Rate for Payer: Qualcare PPO/HMO/WC	$189.82

STAPLER RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270662819
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

STAPLER RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270662819
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 RELOAD SGL USE TA3048S

Facility

$444.25

Hospital Charge Code	270630403
Hospital Revenue Code	272
Min. Negotiated Rate	$66.64
Max. Negotiated Rate	$66.64
Rate for Payer: Qualcare PPO/HMO/WC	$66.64

STAPLER RELOAD SGL USE TA3048S

Facility

$444.25

Hospital Charge Code	270630403
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$222.12
Rate for Payer: Aetna Commercial	$133.28
Rate for Payer: Aetna Medicare Advantage	$133.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.28
Rate for Payer: Cigna Commercial	$222.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.75
Rate for Payer: Oxford Commercial	$222.12
Rate for Payer: Qualcare PPO/HMO/WC	$66.64
Rate for Payer: UnitedHealthcare Commercial	$222.12

STAPLER RELOAD TA6048S

Facility

$428.10

Hospital Charge Code	270666221
Hospital Revenue Code	272
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$64.22
Rate for Payer: Qualcare PPO/HMO/WC	$64.22

STAPLER RELOAD TA6048S

Facility

$428.10

Hospital Charge Code	270666221
Hospital Revenue Code	272
Min. Negotiated Rate	$55.65
Max. Negotiated Rate	$214.05
Rate for Payer: Aetna Commercial	$128.43
Rate for Payer: Aetna Medicare Advantage	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.17
Rate for Payer: Cigna Commercial	$214.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.65
Rate for Payer: Oxford Commercial	$214.05
Rate for Payer: Qualcare PPO/HMO/WC	$64.22
Rate for Payer: UnitedHealthcare Commercial	$214.05

Know your out-of-pocket cost for care.

All Charges