Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER ROTIC 55 3.8 BL AX55B

Facility

$3,165.65

Hospital Charge Code	270608651
Hospital Revenue Code	272
Min. Negotiated Rate	$411.53
Max. Negotiated Rate	$1,582.83
Rate for Payer: Aetna Commercial	$949.70
Rate for Payer: Aetna Medicare Advantage	$949.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$807.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$807.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$807.24
Rate for Payer: Cigna Commercial	$1,582.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.53
Rate for Payer: Oxford Commercial	$1,582.83
Rate for Payer: Qualcare PPO/HMO/WC	$474.85
Rate for Payer: UnitedHealthcare Commercial	$1,582.83

STAPLER ROTIC 55 3.8 BL AX55B

Facility

$3,165.65

Hospital Charge Code	270608651
Hospital Revenue Code	272
Min. Negotiated Rate	$474.85
Max. Negotiated Rate	$474.85
Rate for Payer: Qualcare PPO/HMO/WC	$474.85

STAPLER ROTIC 55 4.5 GN AX55G

Facility

$3,165.65

Hospital Charge Code	270608652
Hospital Revenue Code	272
Min. Negotiated Rate	$474.85
Max. Negotiated Rate	$474.85
Rate for Payer: Qualcare PPO/HMO/WC	$474.85

STAPLER ROTIC 55 4.5 GN AX55G

Facility

$3,165.65

Hospital Charge Code	270608652
Hospital Revenue Code	272
Min. Negotiated Rate	$411.53
Max. Negotiated Rate	$1,582.83
Rate for Payer: Aetna Commercial	$949.70
Rate for Payer: Aetna Medicare Advantage	$949.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$807.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$807.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$807.24
Rate for Payer: Cigna Commercial	$1,582.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.53
Rate for Payer: Oxford Commercial	$1,582.83
Rate for Payer: Qualcare PPO/HMO/WC	$474.85
Rate for Payer: UnitedHealthcare Commercial	$1,582.83

STAPLER ROTICULATOR 30-3.5 BLU

Facility

$1,057.78

Hospital Charge Code	270652232
Hospital Revenue Code	272
Min. Negotiated Rate	$158.67
Max. Negotiated Rate	$158.67
Rate for Payer: Qualcare PPO/HMO/WC	$158.67

STAPLER ROTICULATOR 30-3.5 BLU

Facility

$1,057.78

Hospital Charge Code	270652232
Hospital Revenue Code	272
Min. Negotiated Rate	$137.51
Max. Negotiated Rate	$528.89
Rate for Payer: Aetna Commercial	$317.33
Rate for Payer: Aetna Medicare Advantage	$317.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.73
Rate for Payer: Cigna Commercial	$528.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.51
Rate for Payer: Oxford Commercial	$528.89
Rate for Payer: Qualcare PPO/HMO/WC	$158.67
Rate for Payer: UnitedHealthcare Commercial	$528.89

STAPLER ROTICULATOR 30-V3 WHI

Facility

$1,138.22

Hospital Charge Code	270600138
Hospital Revenue Code	272
Min. Negotiated Rate	$170.73
Max. Negotiated Rate	$170.73
Rate for Payer: Qualcare PPO/HMO/WC	$170.73

STAPLER ROTICULATOR 30-V3 WHI

Facility

$1,138.22

Hospital Charge Code	270600138
Hospital Revenue Code	272
Min. Negotiated Rate	$147.97
Max. Negotiated Rate	$569.11
Rate for Payer: Aetna Commercial	$341.47
Rate for Payer: Aetna Medicare Advantage	$341.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.25
Rate for Payer: Cigna Commercial	$569.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.97
Rate for Payer: Oxford Commercial	$569.11
Rate for Payer: Qualcare PPO/HMO/WC	$170.73
Rate for Payer: UnitedHealthcare Commercial	$569.11

STAPLER ROTICULATOR 55-3.5 BLU

Facility

$1,010.37

Hospital Charge Code	270600115
Hospital Revenue Code	272
Min. Negotiated Rate	$151.56
Max. Negotiated Rate	$151.56
Rate for Payer: Qualcare PPO/HMO/WC	$151.56

STAPLER ROTICULATOR 55-3.5 BLU

Facility

$1,010.37

Hospital Charge Code	270600115
Hospital Revenue Code	272
Min. Negotiated Rate	$131.35
Max. Negotiated Rate	$505.19
Rate for Payer: Aetna Commercial	$303.11
Rate for Payer: Aetna Medicare Advantage	$303.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.64
Rate for Payer: Cigna Commercial	$505.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.35
Rate for Payer: Oxford Commercial	$505.19
Rate for Payer: Qualcare PPO/HMO/WC	$151.56
Rate for Payer: UnitedHealthcare Commercial	$505.19

STAPLER ROTICULATOR 55-4.8 GRN

Facility

$6,219.40

Hospital Charge Code	270600116
Hospital Revenue Code	272
Min. Negotiated Rate	$808.52
Max. Negotiated Rate	$3,109.70
Rate for Payer: Aetna Commercial	$1,865.82
Rate for Payer: Aetna Medicare Advantage	$1,865.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,585.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,585.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,585.95
Rate for Payer: Cigna Commercial	$3,109.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$808.52
Rate for Payer: Oxford Commercial	$3,109.70
Rate for Payer: Qualcare PPO/HMO/WC	$932.91
Rate for Payer: UnitedHealthcare Commercial	$3,109.70

STAPLER ROTICULATOR 55-4.8 GRN

Facility

$6,219.40

Hospital Charge Code	270600116
Hospital Revenue Code	272
Min. Negotiated Rate	$932.91
Max. Negotiated Rate	$932.91
Rate for Payer: Qualcare PPO/HMO/WC	$932.91

STAPLER SHEH 29m ENDOSIC ECS29

Facility

$1,422.65

Hospital Charge Code	270630329
Hospital Revenue Code	272
Min. Negotiated Rate	$213.40
Max. Negotiated Rate	$213.40
Rate for Payer: Qualcare PPO/HMO/WC	$213.40

STAPLER SHEH 29m ENDOSIC ECS29

Facility

$1,422.65

Hospital Charge Code	270630329
Hospital Revenue Code	272
Min. Negotiated Rate	$184.94
Max. Negotiated Rate	$711.33
Rate for Payer: Aetna Commercial	$426.80
Rate for Payer: Aetna Medicare Advantage	$426.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.78
Rate for Payer: Cigna Commercial	$711.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.94
Rate for Payer: Oxford Commercial	$711.33
Rate for Payer: Qualcare PPO/HMO/WC	$213.40
Rate for Payer: UnitedHealthcare Commercial	$711.33

STAPLER SKIN ***********

Facility

$149.00

Hospital Charge Code	1800127
Hospital Revenue Code	279
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

STAPLER SKIN ***********

Facility

$149.00

Hospital Charge Code	1800127
Hospital Revenue Code	279
Min. Negotiated Rate	$19.37
Max. Negotiated Rate	$74.50
Rate for Payer: Aetna Commercial	$44.70
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$74.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.37
Rate for Payer: Oxford Commercial	$74.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$74.50

STAPLER SKIN 12W ********

Facility

$76.00

Hospital Charge Code	1600923
Hospital Revenue Code	272
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.88
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$38.00

STAPLER SKIN 12W ********

Facility

$76.00

Hospital Charge Code	1600923
Hospital Revenue Code	272
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

STAPLER SKIN 35W *******

Facility

$91.00

Hospital Charge Code	1600931
Hospital Revenue Code	272
Min. Negotiated Rate	$11.83
Max. Negotiated Rate	$45.50
Rate for Payer: Aetna Commercial	$27.30
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.83
Rate for Payer: Oxford Commercial	$45.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.65
Rate for Payer: UnitedHealthcare Commercial	$45.50

STAPLER SKIN 35W *******

Facility

$91.00

Hospital Charge Code	1600931
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$13.65
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

STAPLER SKIN RELOAD *******

Facility

$77.00

Hospital Charge Code	1603570
Hospital Revenue Code	272
Min. Negotiated Rate	$10.01
Max. Negotiated Rate	$38.50
Rate for Payer: Aetna Commercial	$23.10
Rate for Payer: Aetna Medicare Advantage	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.64
Rate for Payer: Cigna Commercial	$38.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.01
Rate for Payer: Oxford Commercial	$38.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.55
Rate for Payer: UnitedHealthcare Commercial	$38.50

STAPLER SKIN RELOAD *******

Facility

$77.00

Hospital Charge Code	1603570
Hospital Revenue Code	272
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$11.55

STAPLER SKIN ROTATING 35WIDE

Facility

$1,664.17

Hospital Charge Code	270662787
Hospital Revenue Code	272
Min. Negotiated Rate	$249.63
Max. Negotiated Rate	$249.63
Rate for Payer: Qualcare PPO/HMO/WC	$249.63

STAPLER SKIN ROTATING 35WIDE

Facility

$1,664.17

Hospital Charge Code	270662787
Hospital Revenue Code	272
Min. Negotiated Rate	$216.34
Max. Negotiated Rate	$832.09
Rate for Payer: Aetna Commercial	$499.25
Rate for Payer: Aetna Medicare Advantage	$499.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.36
Rate for Payer: Cigna Commercial	$832.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.34
Rate for Payer: Oxford Commercial	$832.09
Rate for Payer: Qualcare PPO/HMO/WC	$249.63
Rate for Payer: UnitedHealthcare Commercial	$832.09

STAPLER SKIN SIGNET 35W SINGLE

Facility

$395.95

Hospital Charge Code	270014126N
Hospital Revenue Code	272
Min. Negotiated Rate	$51.47
Max. Negotiated Rate	$197.97
Rate for Payer: Aetna Commercial	$118.78
Rate for Payer: Aetna Medicare Advantage	$118.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.97
Rate for Payer: Cigna Commercial	$197.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.47
Rate for Payer: Oxford Commercial	$197.97
Rate for Payer: Qualcare PPO/HMO/WC	$59.39
Rate for Payer: UnitedHealthcare Commercial	$197.97

Know your out-of-pocket cost for care.

All Charges