Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER SKIN SIGNET 35W SINGLE

Facility

$231.18

Hospital Charge Code	270014126
Hospital Revenue Code	272
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

STAPLER SKIN SIGNET 35W SINGLE

Facility

$395.95

Hospital Charge Code	270014126N
Hospital Revenue Code	272
Min. Negotiated Rate	$59.39
Max. Negotiated Rate	$59.39
Rate for Payer: Qualcare PPO/HMO/WC	$59.39

STAPLER SKIN SIGNET 35W SINGLE

Facility

$231.18

Hospital Charge Code	270014126
Hospital Revenue Code	272
Min. Negotiated Rate	$30.05
Max. Negotiated Rate	$115.59
Rate for Payer: Aetna Commercial	$69.35
Rate for Payer: Aetna Medicare Advantage	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.95
Rate for Payer: Cigna Commercial	$115.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.05
Rate for Payer: Oxford Commercial	$115.59
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$115.59

STAPLER SKIN ULC 35 REG

Facility

$148.71

Hospital Charge Code	270656239
Hospital Revenue Code	272
Min. Negotiated Rate	$19.33
Max. Negotiated Rate	$74.36
Rate for Payer: Aetna Commercial	$44.61
Rate for Payer: Aetna Medicare Advantage	$44.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.92
Rate for Payer: Cigna Commercial	$74.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.33
Rate for Payer: Oxford Commercial	$74.36
Rate for Payer: Qualcare PPO/HMO/WC	$22.31
Rate for Payer: UnitedHealthcare Commercial	$74.36

STAPLER SKIN ULC 35 REG

Facility

$148.71

Hospital Charge Code	270656239
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.31

STAPLER SKIN ULC 35 WIDE

Facility

$122.46

Hospital Charge Code	270649770
Hospital Revenue Code	272
Min. Negotiated Rate	$15.92
Max. Negotiated Rate	$61.23
Rate for Payer: Aetna Commercial	$36.74
Rate for Payer: Aetna Medicare Advantage	$36.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.23
Rate for Payer: Cigna Commercial	$61.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.92
Rate for Payer: Oxford Commercial	$61.23
Rate for Payer: Qualcare PPO/HMO/WC	$18.37
Rate for Payer: UnitedHealthcare Commercial	$61.23

STAPLER SKIN ULC 35 WIDE

Facility

$122.46

Hospital Charge Code	270649770
Hospital Revenue Code	272
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$18.37
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

STAPLER SPEED TITAN 20X20X20MM

Facility

$7,500.00

Hospital Charge Code	270681818
Hospital Revenue Code	272
Min. Negotiated Rate	$975.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,250.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$3,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$3,750.00

STAPLER SPEED TITAN 20X20X20MM

Facility

$7,500.00

Hospital Charge Code	270681818
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

STAPLER SUREFORM 60

Facility

$2,650.00

Hospital Charge Code	270687008
Hospital Revenue Code	272
Min. Negotiated Rate	$344.50
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$795.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.50
Rate for Payer: Oxford Commercial	$1,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Commercial	$1,325.00

STAPLER SUREFORM 60

Facility

$2,650.00

Hospital Charge Code	270687008
Hospital Revenue Code	272
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$397.50
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

STAPLER SURG TA LONG 30-3.5

Facility

$407.00

Hospital Charge Code	270334717
Hospital Revenue Code	272
Min. Negotiated Rate	$61.05
Max. Negotiated Rate	$61.05
Rate for Payer: Qualcare PPO/HMO/WC	$61.05

STAPLER SURG TA LONG 30-3.5

Facility

$407.00

Hospital Charge Code	270334717
Hospital Revenue Code	272
Min. Negotiated Rate	$52.91
Max. Negotiated Rate	$203.50
Rate for Payer: Aetna Commercial	$122.10
Rate for Payer: Aetna Medicare Advantage	$122.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.78
Rate for Payer: Cigna Commercial	$203.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.91
Rate for Payer: Oxford Commercial	$203.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.05
Rate for Payer: UnitedHealthcare Commercial	$203.50

STAPLER SYSTEM KIT

Facility

$29,175.00

Hospital Charge Code	270666134
Hospital Revenue Code	270
Min. Negotiated Rate	$3,792.75
Max. Negotiated Rate	$14,587.50
Rate for Payer: Aetna Commercial	$8,752.50
Rate for Payer: Aetna Medicare Advantage	$8,752.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,439.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,439.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,439.62
Rate for Payer: Cigna Commercial	$14,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,792.75
Rate for Payer: Oxford Commercial	$14,587.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,376.25
Rate for Payer: UnitedHealthcare Commercial	$14,587.50

STAPLER SYSTEM KIT

Facility

$29,175.00

Hospital Charge Code	270666134
Hospital Revenue Code	270
Min. Negotiated Rate	$4,376.25
Max. Negotiated Rate	$4,376.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,376.25

STAPLER TA 30 2.5 010315

Facility

$1,220.00

Hospital Charge Code	270605720
Hospital Revenue Code	272
Min. Negotiated Rate	$183.00
Max. Negotiated Rate	$183.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.00

STAPLER TA 30 2.5 010315

Facility

$1,220.00

Hospital Charge Code	270605720
Hospital Revenue Code	272
Min. Negotiated Rate	$158.60
Max. Negotiated Rate	$610.00
Rate for Payer: Aetna Commercial	$366.00
Rate for Payer: Aetna Medicare Advantage	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.10
Rate for Payer: Cigna Commercial	$610.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.60
Rate for Payer: Oxford Commercial	$610.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.00
Rate for Payer: UnitedHealthcare Commercial	$610.00

STAPLER TA 30-3.5

Facility

$413.92

Hospital Charge Code	270600141
Hospital Revenue Code	272
Min. Negotiated Rate	$62.09
Max. Negotiated Rate	$62.09
Rate for Payer: Qualcare PPO/HMO/WC	$62.09

STAPLER TA 30-3.5

Facility

$413.92

Hospital Charge Code	270600141
Hospital Revenue Code	272
Min. Negotiated Rate	$53.81
Max. Negotiated Rate	$206.96
Rate for Payer: Aetna Commercial	$124.18
Rate for Payer: Aetna Medicare Advantage	$124.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.55
Rate for Payer: Cigna Commercial	$206.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.81
Rate for Payer: Oxford Commercial	$206.96
Rate for Payer: Qualcare PPO/HMO/WC	$62.09
Rate for Payer: UnitedHealthcare Commercial	$206.96

STAPLER TA 30 4.8 015703

Facility

$1,232.00

Hospital Charge Code	270600044
Hospital Revenue Code	272
Min. Negotiated Rate	$184.80
Max. Negotiated Rate	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$184.80

STAPLER TA 30 4.8 015703

Facility

$1,232.00

Hospital Charge Code	270600044
Hospital Revenue Code	272
Min. Negotiated Rate	$160.16
Max. Negotiated Rate	$616.00
Rate for Payer: Aetna Commercial	$369.60
Rate for Payer: Aetna Medicare Advantage	$369.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.16
Rate for Payer: Cigna Commercial	$616.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.16
Rate for Payer: Oxford Commercial	$616.00
Rate for Payer: Qualcare PPO/HMO/WC	$184.80
Rate for Payer: UnitedHealthcare Commercial	$616.00

STAPLER TA 60 3.5 010317

Facility

$1,242.45

Hospital Charge Code	270600038
Hospital Revenue Code	272
Min. Negotiated Rate	$186.37
Max. Negotiated Rate	$186.37
Rate for Payer: Qualcare PPO/HMO/WC	$186.37

STAPLER TA 60 3.5 010317

Facility

$1,242.45

Hospital Charge Code	270600038
Hospital Revenue Code	272
Min. Negotiated Rate	$161.52
Max. Negotiated Rate	$621.23
Rate for Payer: Aetna Commercial	$372.74
Rate for Payer: Aetna Medicare Advantage	$372.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.82
Rate for Payer: Cigna Commercial	$621.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.52
Rate for Payer: Oxford Commercial	$621.23
Rate for Payer: Qualcare PPO/HMO/WC	$186.37
Rate for Payer: UnitedHealthcare Commercial	$621.23

STAPLER TA 90 3.5 LONG 015082

Facility

$1,272.85

Hospital Charge Code	270600041
Hospital Revenue Code	272
Min. Negotiated Rate	$190.93
Max. Negotiated Rate	$190.93
Rate for Payer: Qualcare PPO/HMO/WC	$190.93

STAPLER TA 90 3.5 LONG 015082

Facility

$1,272.85

Hospital Charge Code	270600041
Hospital Revenue Code	272
Min. Negotiated Rate	$165.47
Max. Negotiated Rate	$636.42
Rate for Payer: Aetna Commercial	$381.86
Rate for Payer: Aetna Medicare Advantage	$381.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.58
Rate for Payer: Cigna Commercial	$636.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.47
Rate for Payer: Oxford Commercial	$636.42
Rate for Payer: Qualcare PPO/HMO/WC	$190.93
Rate for Payer: UnitedHealthcare Commercial	$636.42

Know your out-of-pocket cost for care.

All Charges