Heights University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER TA 90 4.8 LONG 015084

Facility

$1,454.45

Hospital Charge Code	270600043
Hospital Revenue Code	272
Min. Negotiated Rate	$189.08
Max. Negotiated Rate	$727.23
Rate for Payer: Aetna Commercial	$436.33
Rate for Payer: Aetna Medicare Advantage	$436.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.88
Rate for Payer: Cigna Commercial	$727.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.08
Rate for Payer: Oxford Commercial	$727.23
Rate for Payer: Qualcare PPO/HMO/WC	$218.17
Rate for Payer: UnitedHealthcare Commercial	$727.23

STAPLER TA 90 4.8 LONG 015084

Facility

$1,454.45

Hospital Charge Code	270600043
Hospital Revenue Code	272
Min. Negotiated Rate	$218.17
Max. Negotiated Rate	$218.17
Rate for Payer: Qualcare PPO/HMO/WC	$218.17

STAPLER UNIT MULTIFIRE 35W

Facility

$538.85

Hospital Charge Code	270014016N
Hospital Revenue Code	272
Min. Negotiated Rate	$70.05
Max. Negotiated Rate	$269.43
Rate for Payer: Aetna Commercial	$161.66
Rate for Payer: Aetna Medicare Advantage	$161.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.41
Rate for Payer: Cigna Commercial	$269.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.05
Rate for Payer: Oxford Commercial	$269.43
Rate for Payer: Qualcare PPO/HMO/WC	$80.83
Rate for Payer: UnitedHealthcare Commercial	$269.43

STAPLER UNIT MULTIFIRE 35W

Facility

$538.85

Hospital Charge Code	270014016N
Hospital Revenue Code	272
Min. Negotiated Rate	$80.83
Max. Negotiated Rate	$80.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.83

STAPLER UNIT MULTIFIRE 35W

Facility

$466.96

Hospital Charge Code	270014016
Hospital Revenue Code	272
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$70.04
Rate for Payer: Qualcare PPO/HMO/WC	$70.04

STAPLER UNIT MULTIFIRE 35W

Facility

$466.96

Hospital Charge Code	270014016
Hospital Revenue Code	272
Min. Negotiated Rate	$60.70
Max. Negotiated Rate	$233.48
Rate for Payer: Aetna Commercial	$140.09
Rate for Payer: Aetna Medicare Advantage	$140.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.07
Rate for Payer: Cigna Commercial	$233.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.70
Rate for Payer: Oxford Commercial	$233.48
Rate for Payer: Qualcare PPO/HMO/WC	$70.04
Rate for Payer: UnitedHealthcare Commercial	$233.48

STAPLER UNIVERSAL ENDO GIA XL

Facility

$2,189.48

Hospital Charge Code	270691810
Hospital Revenue Code	272
Min. Negotiated Rate	$328.42
Max. Negotiated Rate	$328.42
Rate for Payer: Qualcare PPO/HMO/WC	$328.42

STAPLER UNIVERSAL ENDO GIA XL

Facility

$2,189.48

Hospital Charge Code	270691810
Hospital Revenue Code	272
Min. Negotiated Rate	$284.63
Max. Negotiated Rate	$1,094.74
Rate for Payer: Aetna Commercial	$656.84
Rate for Payer: Aetna Medicare Advantage	$656.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$558.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$558.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$558.32
Rate for Payer: Cigna Commercial	$1,094.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.63
Rate for Payer: Oxford Commercial	$1,094.74
Rate for Payer: Qualcare PPO/HMO/WC	$328.42
Rate for Payer: UnitedHealthcare Commercial	$1,094.74

STAPLER UNIVERS GIA SHORT 12MM

Facility

$1,880.13

Hospital Charge Code	270687314
Hospital Revenue Code	272
Min. Negotiated Rate	$244.42
Max. Negotiated Rate	$940.07
Rate for Payer: Aetna Commercial	$564.04
Rate for Payer: Aetna Medicare Advantage	$564.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.43
Rate for Payer: Cigna Commercial	$940.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.42
Rate for Payer: Oxford Commercial	$940.07
Rate for Payer: Qualcare PPO/HMO/WC	$282.02
Rate for Payer: UnitedHealthcare Commercial	$940.07

STAPLER UNIVERS GIA SHORT 12MM

Facility

$1,880.13

Hospital Charge Code	270687314
Hospital Revenue Code	272
Min. Negotiated Rate	$282.02
Max. Negotiated Rate	$282.02
Rate for Payer: Qualcare PPO/HMO/WC	$282.02

STAPLER UNT RELOAD 60MM PROXIM

Facility

$226.15

Hospital Charge Code	270671552
Hospital Revenue Code	272
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$113.08
Rate for Payer: Aetna Commercial	$67.84
Rate for Payer: Aetna Medicare Advantage	$67.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.67
Rate for Payer: Cigna Commercial	$113.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.40
Rate for Payer: Oxford Commercial	$113.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.92
Rate for Payer: UnitedHealthcare Commercial	$113.08

STAPLER UNT RELOAD 60MM PROXIM

Facility

$226.15

Hospital Charge Code	270671552
Hospital Revenue Code	272
Min. Negotiated Rate	$33.92
Max. Negotiated Rate	$33.92
Rate for Payer: Qualcare PPO/HMO/WC	$33.92

STAPLER VERSATACK MF 4.8MM

Facility

$394.45

Hospital Charge Code	270658742
Hospital Revenue Code	270
Min. Negotiated Rate	$51.28
Max. Negotiated Rate	$197.22
Rate for Payer: Aetna Commercial	$118.33
Rate for Payer: Aetna Medicare Advantage	$118.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.58
Rate for Payer: Cigna Commercial	$197.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.28
Rate for Payer: Oxford Commercial	$197.22
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Commercial	$197.22

STAPLER VERSATACK MF 4.8MM

Facility

$394.45

Hospital Charge Code	270658742
Hospital Revenue Code	270
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$59.17
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

STAPLER WHITE RELOAD ECHE 60

Facility

$696.95

Hospital Charge Code	270661392
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 WHITE RELOAD ECHE 60

Facility

$696.95

Hospital Charge Code	270661392
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

STAPLER Z 8MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696297
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

STAPLER Z 8MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270696297
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$1,650.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

STAPLES 8X8 ARCUS

Facility

$4,840.00

Hospital Charge Code	270691322
Hospital Revenue Code	272
Min. Negotiated Rate	$726.00
Max. Negotiated Rate	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$726.00

STAPLES 8X8 ARCUS

Facility

$4,840.00

Hospital Charge Code	270691322
Hospital Revenue Code	272
Min. Negotiated Rate	$629.20
Max. Negotiated Rate	$2,420.00
Rate for Payer: Aetna Commercial	$1,452.00
Rate for Payer: Aetna Medicare Advantage	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,234.20
Rate for Payer: Cigna Commercial	$2,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.20
Rate for Payer: Oxford Commercial	$2,420.00
Rate for Payer: Qualcare PPO/HMO/WC	$726.00
Rate for Payer: UnitedHealthcare Commercial	$2,420.00

STAPLES FX

Facility

$171.00

Hospital Charge Code	270335162
Hospital Revenue Code	272
Min. Negotiated Rate	$25.65
Max. Negotiated Rate	$25.65
Rate for Payer: Qualcare PPO/HMO/WC	$25.65

STAPLES FX

Facility

$171.00

Hospital Charge Code	270335162
Hospital Revenue Code	272
Min. Negotiated Rate	$22.23
Max. Negotiated Rate	$85.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$51.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.60
Rate for Payer: Cigna Commercial	$85.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.23
Rate for Payer: Oxford Commercial	$85.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.65
Rate for Payer: UnitedHealthcare Commercial	$85.50

STAPLE SKIN EXTRACTOR

Facility

$8.66

Hospital Charge Code	270649984
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$4.33
Rate for Payer: Aetna Commercial	$2.60
Rate for Payer: Aetna Medicare Advantage	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.21
Rate for Payer: Cigna Commercial	$4.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.13
Rate for Payer: Oxford Commercial	$4.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$4.33

STAPLE SKIN EXTRACTOR

Facility

$8.66

Hospital Charge Code	270649984
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

STAPLES SINGLE N

Facility

$1,647.85

Hospital Charge Code	270670928
Hospital Revenue Code	272
Min. Negotiated Rate	$214.22
Max. Negotiated Rate	$823.92
Rate for Payer: Aetna Commercial	$494.36
Rate for Payer: Aetna Medicare Advantage	$494.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.20
Rate for Payer: Cigna Commercial	$823.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.22
Rate for Payer: Oxford Commercial	$823.92
Rate for Payer: Qualcare PPO/HMO/WC	$247.18
Rate for Payer: UnitedHealthcare Commercial	$823.92

Know your out-of-pocket cost for care.

All Charges