Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER EGIA 60MM CRVD TIP MED

Facility

$1,454.88

Hospital Charge Code	270675159
Hospital Revenue Code	272
Min. Negotiated Rate	$41.32
Max. Negotiated Rate	$727.44
Rate for Payer: Aetna Commercial	$552.85
Rate for Payer: Aetna Medicare Advantage	$436.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.99
Rate for Payer: Cigna Commercial	$727.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.27
Rate for Payer: Oxford Commercial	$290.98
Rate for Payer: Qualcare PPO/HMO/WC	$218.23
Rate for Payer: UnitedHealthcare Commercial	$290.98
Rate for Payer: UnitedHealthcare Community & State	$45.97
Rate for Payer: Wellpoint Medicaid Managed Care	$41.32

STAPLER EGIA RADIAL MED THK

Facility

$1,876.90

Hospital Charge Code	270664883
Hospital Revenue Code	272
Min. Negotiated Rate	$281.54
Max. Negotiated Rate	$281.54
Rate for Payer: Qualcare PPO/HMO/WC	$281.54

STAPLER EGIA RADIAL MED THK

Facility

$1,876.90

Hospital Charge Code	270664883
Hospital Revenue Code	272
Min. Negotiated Rate	$53.30
Max. Negotiated Rate	$938.45
Rate for Payer: Aetna Commercial	$713.22
Rate for Payer: Aetna Medicare Advantage	$563.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.61
Rate for Payer: Cigna Commercial	$938.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.99
Rate for Payer: Oxford Commercial	$375.38
Rate for Payer: Qualcare PPO/HMO/WC	$281.54
Rate for Payer: UnitedHealthcare Commercial	$375.38
Rate for Payer: UnitedHealthcare Community & State	$59.31
Rate for Payer: Wellpoint Medicaid Managed Care	$53.30

STAPLER EGIA RADIAL XTR THK

Facility

$2,158.43

Hospital Charge Code	270664884
Hospital Revenue Code	272
Min. Negotiated Rate	$61.30
Max. Negotiated Rate	$1,079.21
Rate for Payer: Aetna Commercial	$820.20
Rate for Payer: Aetna Medicare Advantage	$647.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.40
Rate for Payer: Cigna Commercial	$1,079.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.19
Rate for Payer: Oxford Commercial	$431.69
Rate for Payer: Qualcare PPO/HMO/WC	$323.76
Rate for Payer: UnitedHealthcare Commercial	$431.69
Rate for Payer: UnitedHealthcare Community & State	$68.21
Rate for Payer: Wellpoint Medicaid Managed Care	$61.30

STAPLER EGIA RADIAL XTR THK

Facility

$2,158.43

Hospital Charge Code	270664884
Hospital Revenue Code	272
Min. Negotiated Rate	$323.76
Max. Negotiated Rate	$323.76
Rate for Payer: Qualcare PPO/HMO/WC	$323.76

STAPLER EGIA TRS 60 AMT ARTI

Facility

$1,995.38

Hospital Charge Code	270671371
Hospital Revenue Code	272
Min. Negotiated Rate	$56.67
Max. Negotiated Rate	$997.69
Rate for Payer: Aetna Commercial	$758.24
Rate for Payer: Aetna Medicare Advantage	$598.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.82
Rate for Payer: Cigna Commercial	$997.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$518.80
Rate for Payer: Oxford Commercial	$399.08
Rate for Payer: Qualcare PPO/HMO/WC	$299.31
Rate for Payer: UnitedHealthcare Commercial	$399.08
Rate for Payer: UnitedHealthcare Community & State	$63.05
Rate for Payer: Wellpoint Medicaid Managed Care	$56.67

STAPLER EGIA TRS 60 AMT ARTI

Facility

$1,995.38

Hospital Charge Code	270671371
Hospital Revenue Code	272
Min. Negotiated Rate	$299.31
Max. Negotiated Rate	$299.31
Rate for Payer: Qualcare PPO/HMO/WC	$299.31

STAPLER EGIA TRS 60 ARTICULAT

Facility

$2,035.72

Hospital Charge Code	270675466
Hospital Revenue Code	272
Min. Negotiated Rate	$57.81
Max. Negotiated Rate	$1,017.86
Rate for Payer: Aetna Commercial	$773.57
Rate for Payer: Aetna Medicare Advantage	$610.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$519.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$519.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$519.11
Rate for Payer: Cigna Commercial	$1,017.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.29
Rate for Payer: Oxford Commercial	$407.14
Rate for Payer: Qualcare PPO/HMO/WC	$305.36
Rate for Payer: UnitedHealthcare Commercial	$407.14
Rate for Payer: UnitedHealthcare Community & State	$64.33
Rate for Payer: Wellpoint Medicaid Managed Care	$57.81

STAPLER EGIA TRS 60 ARTICULAT

Facility

$2,035.72

Hospital Charge Code	270675466
Hospital Revenue Code	272
Min. Negotiated Rate	$305.36
Max. Negotiated Rate	$305.36
Rate for Payer: Qualcare PPO/HMO/WC	$305.36

STAPLE RELOAD GIA ENDO 45MM

Facility

$3,389.65

Service Code	HCPCS A4649
Hospital Charge Code	270693676
Hospital Revenue Code	272
Min. Negotiated Rate	$96.27
Max. Negotiated Rate	$1,694.83
Rate for Payer: Aetna Commercial	$1,288.07
Rate for Payer: Aetna Medicare Advantage	$1,016.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.36
Rate for Payer: Cigna Commercial	$1,694.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$881.31
Rate for Payer: Oxford Commercial	$677.93
Rate for Payer: Qualcare PPO/HMO/WC	$508.45
Rate for Payer: UnitedHealthcare Commercial	$677.93
Rate for Payer: UnitedHealthcare Community & State	$107.11
Rate for Payer: Wellpoint Medicaid Managed Care	$96.27

STAPLE RELOAD GIA ENDO 45MM

Facility

$3,389.65

Service Code	HCPCS A4649
Hospital Charge Code	270693676
Hospital Revenue Code	272
Min. Negotiated Rate	$508.45
Max. Negotiated Rate	$508.45
Rate for Payer: Qualcare PPO/HMO/WC	$508.45

STAPLE RELOAD TI TRI 2.0 45MM

Facility

$3,265.83

Service Code	HCPCS C1713
Hospital Charge Code	270691808
Hospital Revenue Code	272
Min. Negotiated Rate	$489.87
Max. Negotiated Rate	$489.87
Rate for Payer: Qualcare PPO/HMO/WC	$489.87

STAPLE RELOAD TI TRI 2.0 45MM

Facility

$3,265.83

Service Code	HCPCS C1713
Hospital Charge Code	270691808
Hospital Revenue Code	272
Min. Negotiated Rate	$92.75
Max. Negotiated Rate	$1,632.91
Rate for Payer: Aetna Commercial	$1,241.02
Rate for Payer: Aetna Medicare Advantage	$979.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$832.79
Rate for Payer: Cigna Commercial	$1,632.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$849.12
Rate for Payer: Oxford Commercial	$653.17
Rate for Payer: Qualcare PPO/HMO/WC	$489.87
Rate for Payer: UnitedHealthcare Commercial	$653.17
Rate for Payer: UnitedHealthcare Community & State	$103.20
Rate for Payer: Wellpoint Medicaid Managed Care	$92.75

STAPLER ENDO GIA 30-3.5 BLUE

Facility

$683.60

Hospital Charge Code	270675452
Hospital Revenue Code	272
Min. Negotiated Rate	$19.41
Max. Negotiated Rate	$341.80
Rate for Payer: Aetna Commercial	$259.77
Rate for Payer: Aetna Medicare Advantage	$205.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.32
Rate for Payer: Cigna Commercial	$341.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.74
Rate for Payer: Oxford Commercial	$136.72
Rate for Payer: Qualcare PPO/HMO/WC	$102.54
Rate for Payer: UnitedHealthcare Commercial	$136.72
Rate for Payer: UnitedHealthcare Community & State	$21.60
Rate for Payer: Wellpoint Medicaid Managed Care	$19.41

STAPLER ENDO GIA 30-3.5 BLUE

Facility

$683.60

Hospital Charge Code	270675452
Hospital Revenue Code	272
Min. Negotiated Rate	$102.54
Max. Negotiated Rate	$102.54
Rate for Payer: Qualcare PPO/HMO/WC	$102.54

STAPLER ENDO GIA 45MM SRTI MED

Facility

$855.58

Hospital Charge Code	270675746
Hospital Revenue Code	272
Min. Negotiated Rate	$128.34
Max. Negotiated Rate	$128.34
Rate for Payer: Qualcare PPO/HMO/WC	$128.34

STAPLER ENDO GIA 45MM SRTI MED

Facility

$855.58

Hospital Charge Code	270675746
Hospital Revenue Code	272
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$427.79
Rate for Payer: Aetna Commercial	$325.12
Rate for Payer: Aetna Medicare Advantage	$256.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.17
Rate for Payer: Cigna Commercial	$427.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.45
Rate for Payer: Oxford Commercial	$171.12
Rate for Payer: Qualcare PPO/HMO/WC	$128.34
Rate for Payer: UnitedHealthcare Commercial	$171.12
Rate for Payer: UnitedHealthcare Community & State	$27.04
Rate for Payer: Wellpoint Medicaid Managed Care	$24.30

STAPLER ENDO GIA 60MM ARTI MED

Facility

$2,530.99

Hospital Charge Code	270652107
Hospital Revenue Code	272
Min. Negotiated Rate	$379.65
Max. Negotiated Rate	$379.65
Rate for Payer: Qualcare PPO/HMO/WC	$379.65

STAPLER ENDO GIA 60MM ARTI MED

Facility

$2,530.99

Hospital Charge Code	270652107
Hospital Revenue Code	272
Min. Negotiated Rate	$71.88
Max. Negotiated Rate	$1,265.49
Rate for Payer: Aetna Commercial	$961.78
Rate for Payer: Aetna Medicare Advantage	$759.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$645.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$645.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$645.40
Rate for Payer: Cigna Commercial	$1,265.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.06
Rate for Payer: Oxford Commercial	$506.20
Rate for Payer: Qualcare PPO/HMO/WC	$379.65
Rate for Payer: UnitedHealthcare Commercial	$506.20
Rate for Payer: UnitedHealthcare Community & State	$79.98
Rate for Payer: Wellpoint Medicaid Managed Care	$71.88

STAPLER ENDO GIA 60MM ARTI VAS

Facility

$1,119.05

Hospital Charge Code	270655978
Hospital Revenue Code	272
Min. Negotiated Rate	$31.78
Max. Negotiated Rate	$559.52
Rate for Payer: Aetna Commercial	$425.24
Rate for Payer: Aetna Medicare Advantage	$335.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.36
Rate for Payer: Cigna Commercial	$559.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.95
Rate for Payer: Oxford Commercial	$223.81
Rate for Payer: Qualcare PPO/HMO/WC	$167.86
Rate for Payer: UnitedHealthcare Commercial	$223.81
Rate for Payer: UnitedHealthcare Community & State	$35.36
Rate for Payer: Wellpoint Medicaid Managed Care	$31.78

STAPLER ENDO GIA 60MM ARTI VAS

Facility

$1,119.05

Hospital Charge Code	270655978
Hospital Revenue Code	272
Min. Negotiated Rate	$167.86
Max. Negotiated Rate	$167.86
Rate for Payer: Qualcare PPO/HMO/WC	$167.86

STAPLER ENDO GIA ARTI MED 45MM

Facility

$2,187.03

Service Code	HCPCS C1713
Hospital Charge Code	270665644
Hospital Revenue Code	278
Min. Negotiated Rate	$62.11
Max. Negotiated Rate	$1,093.52
Rate for Payer: Aetna Commercial	$831.07
Rate for Payer: Aetna Medicare Advantage	$656.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$557.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$557.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$557.69
Rate for Payer: Cigna Commercial	$1,093.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.26
Rate for Payer: Qualcare PPO/HMO/WC	$328.05
Rate for Payer: UnitedHealthcare Community & State	$69.11
Rate for Payer: Wellpoint Medicaid Managed Care	$62.11

STAPLER ENDO GIA ARTI MED 45MM

Facility

$2,187.03

Service Code	HCPCS C1713
Hospital Charge Code	270665644
Hospital Revenue Code	278
Min. Negotiated Rate	$328.05
Max. Negotiated Rate	$529.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$437.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$529.26
Rate for Payer: Qualcare PPO/HMO/WC	$328.05

STAPLER ENDO GIA STANDARD

Facility

$529.50

Hospital Charge Code	270691962
Hospital Revenue Code	272
Min. Negotiated Rate	$79.42
Max. Negotiated Rate	$79.42
Rate for Payer: Qualcare PPO/HMO/WC	$79.42

STAPLER ENDO GIA STANDARD

Facility

$529.50

Hospital Charge Code	270691962
Hospital Revenue Code	272
Min. Negotiated Rate	$15.04
Max. Negotiated Rate	$264.75
Rate for Payer: Aetna Commercial	$201.21
Rate for Payer: Aetna Medicare Advantage	$158.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.02
Rate for Payer: Cigna Commercial	$264.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.67
Rate for Payer: Oxford Commercial	$105.90
Rate for Payer: Qualcare PPO/HMO/WC	$79.42
Rate for Payer: UnitedHealthcare Commercial	$105.90
Rate for Payer: UnitedHealthcare Community & State	$16.73
Rate for Payer: Wellpoint Medicaid Managed Care	$15.04

Know your out-of-pocket cost for care.

All Charges