Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER ENDOPATH ECHELON FX 60

Facility

$859.17

Hospital Charge Code	270669515
Hospital Revenue Code	272
Min. Negotiated Rate	$128.88
Max. Negotiated Rate	$128.88
Rate for Payer: Qualcare PPO/HMO/WC	$128.88

STAPLER ENDOPATH ECHELON FX 60

Facility

$859.17

Hospital Charge Code	270669515
Hospital Revenue Code	272
Min. Negotiated Rate	$24.40
Max. Negotiated Rate	$429.58
Rate for Payer: Aetna Commercial	$326.48
Rate for Payer: Aetna Medicare Advantage	$257.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.09
Rate for Payer: Cigna Commercial	$429.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$223.38
Rate for Payer: Oxford Commercial	$171.83
Rate for Payer: Qualcare PPO/HMO/WC	$128.88
Rate for Payer: UnitedHealthcare Commercial	$171.83
Rate for Payer: UnitedHealthcare Community & State	$27.15
Rate for Payer: Wellpoint Medicaid Managed Care	$24.40

STAPLER ENDO TA-30 2.5 MF WHT

Facility

$425.87

Hospital Charge Code	270658617
Hospital Revenue Code	272
Min. Negotiated Rate	$63.88
Max. Negotiated Rate	$63.88
Rate for Payer: Qualcare PPO/HMO/WC	$63.88

STAPLER ENDO TA-30 2.5 MF WHT

Facility

$425.87

Hospital Charge Code	270658617
Hospital Revenue Code	272
Min. Negotiated Rate	$12.09
Max. Negotiated Rate	$212.94
Rate for Payer: Aetna Commercial	$161.83
Rate for Payer: Aetna Medicare Advantage	$127.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.60
Rate for Payer: Cigna Commercial	$212.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.73
Rate for Payer: Oxford Commercial	$85.17
Rate for Payer: Qualcare PPO/HMO/WC	$63.88
Rate for Payer: UnitedHealthcare Commercial	$85.17
Rate for Payer: UnitedHealthcare Community & State	$13.46
Rate for Payer: Wellpoint Medicaid Managed Care	$12.09

STAPLER ENDO UNIVERSAL 65 DEG

Facility

$774.59

Hospital Charge Code	270655604
Hospital Revenue Code	272
Min. Negotiated Rate	$116.19
Max. Negotiated Rate	$116.19
Rate for Payer: Qualcare PPO/HMO/WC	$116.19

STAPLER ENDO UNIVERSAL 65 DEG

Facility

$774.59

Hospital Charge Code	270655604
Hospital Revenue Code	272
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$387.30
Rate for Payer: Aetna Commercial	$294.34
Rate for Payer: Aetna Medicare Advantage	$232.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.52
Rate for Payer: Cigna Commercial	$387.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.39
Rate for Payer: Oxford Commercial	$154.92
Rate for Payer: Qualcare PPO/HMO/WC	$116.19
Rate for Payer: UnitedHealthcare Commercial	$154.92
Rate for Payer: UnitedHealthcare Community & State	$24.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

STAPLER ENDOWRIST 12 MM

Facility

$3,900.00

Hospital Charge Code	270677733
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$943.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

STAPLER ENDOWRIST 12 MM

Facility

$3,900.00

Hospital Charge Code	270677733
Hospital Revenue Code	278
Min. Negotiated Rate	$110.76
Max. Negotiated Rate	$1,950.00
Rate for Payer: Aetna Commercial	$1,482.00
Rate for Payer: Aetna Medicare Advantage	$1,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.50
Rate for Payer: Cigna Commercial	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: Qualcare PPO/HMO/WC	$585.00
Rate for Payer: UnitedHealthcare Community & State	$123.24
Rate for Payer: Wellpoint Medicaid Managed Care	$110.76

STAPLER ENDOWRIST XI 45 KIT

Facility

$89,975.00

Hospital Charge Code	270678164
Hospital Revenue Code	272
Min. Negotiated Rate	$2,555.29
Max. Negotiated Rate	$44,987.50
Rate for Payer: Aetna Commercial	$34,190.50
Rate for Payer: Aetna Medicare Advantage	$26,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,943.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,943.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,943.62
Rate for Payer: Cigna Commercial	$44,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,393.50
Rate for Payer: Oxford Commercial	$17,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$13,496.25
Rate for Payer: UnitedHealthcare Commercial	$17,995.00
Rate for Payer: UnitedHealthcare Community & State	$2,843.21
Rate for Payer: Wellpoint Medicaid Managed Care	$2,555.29

STAPLER ENDOWRIST XI 45 KIT

Facility

$89,975.00

Hospital Charge Code	270678164
Hospital Revenue Code	272
Min. Negotiated Rate	$13,496.25
Max. Negotiated Rate	$13,496.25
Rate for Payer: Qualcare PPO/HMO/WC	$13,496.25

STAPLER GIA 60-3.8 SINGLE RELO

Facility

$450.02

Hospital Charge Code	270600046
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

STAPLER GIA 60-3.8 SINGLE RELO

Facility

$450.02

Hospital Charge Code	270600046
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.01
Rate for Payer: Aetna Commercial	$171.01
Rate for Payer: Aetna Medicare Advantage	$135.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.76
Rate for Payer: Cigna Commercial	$225.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.01
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

STAPLER GIA 60-4.8 SINGLE

Facility

$450.02

Hospital Charge Code	270676236
Hospital Revenue Code	272
Min. Negotiated Rate	$12.78
Max. Negotiated Rate	$225.01
Rate for Payer: Aetna Commercial	$171.01
Rate for Payer: Aetna Medicare Advantage	$135.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.76
Rate for Payer: Cigna Commercial	$225.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.01
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.78

STAPLER GIA 60-4.8 SINGLE

Facility

$450.02

Hospital Charge Code	270676236
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

STAPLER GIA 80-3.8 SINGLE RELO

Facility

$663.15

Hospital Charge Code	270651817
Hospital Revenue Code	272
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$331.57
Rate for Payer: Aetna Commercial	$252.00
Rate for Payer: Aetna Medicare Advantage	$198.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.10
Rate for Payer: Cigna Commercial	$331.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.42
Rate for Payer: Oxford Commercial	$132.63
Rate for Payer: Qualcare PPO/HMO/WC	$99.47
Rate for Payer: UnitedHealthcare Commercial	$132.63
Rate for Payer: UnitedHealthcare Community & State	$20.96
Rate for Payer: Wellpoint Medicaid Managed Care	$18.83

STAPLER GIA 80-3.8 SINGLE RELO

Facility

$663.15

Hospital Charge Code	270651817
Hospital Revenue Code	272
Min. Negotiated Rate	$99.47
Max. Negotiated Rate	$99.47
Rate for Payer: Qualcare PPO/HMO/WC	$99.47

STAPLER GIA 80 SINGLE RELOAD

Facility

$663.15

Hospital Charge Code	270630397
Hospital Revenue Code	272
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$331.57
Rate for Payer: Aetna Commercial	$252.00
Rate for Payer: Aetna Medicare Advantage	$198.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.10
Rate for Payer: Cigna Commercial	$331.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.42
Rate for Payer: Oxford Commercial	$132.63
Rate for Payer: Qualcare PPO/HMO/WC	$99.47
Rate for Payer: UnitedHealthcare Commercial	$132.63
Rate for Payer: UnitedHealthcare Community & State	$20.96
Rate for Payer: Wellpoint Medicaid Managed Care	$18.83

STAPLER GIA 80 SINGLE RELOAD

Facility

$663.15

Hospital Charge Code	270630397
Hospital Revenue Code	272
Min. Negotiated Rate	$99.47
Max. Negotiated Rate	$99.47
Rate for Payer: Qualcare PPO/HMO/WC	$99.47

STAPLER GIA ENDO 12MM

Facility

$439.47

Hospital Charge Code	270661153
Hospital Revenue Code	272
Min. Negotiated Rate	$65.92
Max. Negotiated Rate	$65.92
Rate for Payer: Qualcare PPO/HMO/WC	$65.92

STAPLER GIA ENDO 12MM

Facility

$439.47

Hospital Charge Code	270661153
Hospital Revenue Code	272
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$219.74
Rate for Payer: Aetna Commercial	$167.00
Rate for Payer: Aetna Medicare Advantage	$131.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.06
Rate for Payer: Cigna Commercial	$219.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.26
Rate for Payer: Oxford Commercial	$87.89
Rate for Payer: Qualcare PPO/HMO/WC	$65.92
Rate for Payer: UnitedHealthcare Commercial	$87.89
Rate for Payer: UnitedHealthcare Community & State	$13.89
Rate for Payer: Wellpoint Medicaid Managed Care	$12.48

STAPLER GIA UNIVERSAL 12MM

Facility

$478.93

Hospital Charge Code	270619586
Hospital Revenue Code	272
Min. Negotiated Rate	$71.84
Max. Negotiated Rate	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$71.84

STAPLER GIA UNIVERSAL 12MM

Facility

$478.93

Hospital Charge Code	270619586
Hospital Revenue Code	272
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$239.47
Rate for Payer: Aetna Commercial	$181.99
Rate for Payer: Aetna Medicare Advantage	$143.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.13
Rate for Payer: Cigna Commercial	$239.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.52
Rate for Payer: Oxford Commercial	$95.79
Rate for Payer: Qualcare PPO/HMO/WC	$71.84
Rate for Payer: UnitedHealthcare Commercial	$95.79
Rate for Payer: UnitedHealthcare Community & State	$15.13
Rate for Payer: Wellpoint Medicaid Managed Care	$13.60

STAPLER GOLD RELOAD FOR ECH 60

Facility

$732.86

Hospital Charge Code	270661384
Hospital Revenue Code	272
Min. Negotiated Rate	$109.93
Max. Negotiated Rate	$109.93
Rate for Payer: Qualcare PPO/HMO/WC	$109.93

STAPLER GOLD RELOAD FOR ECH 60

Facility

$732.86

Hospital Charge Code	270661384
Hospital Revenue Code	272
Min. Negotiated Rate	$20.81
Max. Negotiated Rate	$366.43
Rate for Payer: Aetna Commercial	$278.49
Rate for Payer: Aetna Medicare Advantage	$219.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.88
Rate for Payer: Cigna Commercial	$366.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.54
Rate for Payer: Oxford Commercial	$146.57
Rate for Payer: Qualcare PPO/HMO/WC	$109.93
Rate for Payer: UnitedHealthcare Commercial	$146.57
Rate for Payer: UnitedHealthcare Community & State	$23.16
Rate for Payer: Wellpoint Medicaid Managed Care	$20.81

STAPLER GRAY RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270661390
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

Know your out-of-pocket cost for care.

All Charges