Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER GRAY RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270661390
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$348.48
Rate for Payer: Aetna Commercial	$264.84
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	$181.21
Rate for Payer: Oxford Commercial	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$104.54
Rate for Payer: UnitedHealthcare Commercial	$139.39
Rate for Payer: UnitedHealthcare Community & State	$22.02
Rate for Payer: Wellpoint Medicaid Managed Care	$19.79

STAPLER GREEN RELOAD ECH 60

Facility

$696.95

Hospital Charge Code	270661388
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

STAPLER GREEN RELOAD ECH 60

Facility

$696.95

Hospital Charge Code	270661388
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$348.48
Rate for Payer: Aetna Commercial	$264.84
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	$181.21
Rate for Payer: Oxford Commercial	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$104.54
Rate for Payer: UnitedHealthcare Commercial	$139.39
Rate for Payer: UnitedHealthcare Community & State	$22.02
Rate for Payer: Wellpoint Medicaid Managed Care	$19.79

STAPLER GUN ENDO GIA 30 MULTI

Facility

$1,296.00

Hospital Charge Code	270334754
Hospital Revenue Code	272
Min. Negotiated Rate	$194.40
Max. Negotiated Rate	$194.40
Rate for Payer: Qualcare PPO/HMO/WC	$194.40

STAPLER GUN ENDO GIA 30 MULTI

Facility

$1,296.00

Hospital Charge Code	270334754
Hospital Revenue Code	272
Min. Negotiated Rate	$36.81
Max. Negotiated Rate	$648.00
Rate for Payer: Aetna Commercial	$492.48
Rate for Payer: Aetna Medicare Advantage	$388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.48
Rate for Payer: Cigna Commercial	$648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.96
Rate for Payer: Oxford Commercial	$259.20
Rate for Payer: Qualcare PPO/HMO/WC	$194.40
Rate for Payer: UnitedHealthcare Commercial	$259.20
Rate for Payer: UnitedHealthcare Community & State	$40.95
Rate for Payer: Wellpoint Medicaid Managed Care	$36.81

STAPLER HEMORRHOID EEA 33MM

Facility

$1,833.75

Hospital Charge Code	270648448
Hospital Revenue Code	272
Min. Negotiated Rate	$52.08
Max. Negotiated Rate	$916.88
Rate for Payer: Aetna Commercial	$696.83
Rate for Payer: Aetna Medicare Advantage	$550.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$467.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$467.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$467.61
Rate for Payer: Cigna Commercial	$916.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$476.77
Rate for Payer: Oxford Commercial	$366.75
Rate for Payer: Qualcare PPO/HMO/WC	$275.06
Rate for Payer: UnitedHealthcare Commercial	$366.75
Rate for Payer: UnitedHealthcare Community & State	$57.95
Rate for Payer: Wellpoint Medicaid Managed Care	$52.08

STAPLER HEMORRHOID EEA 33MM

Facility

$1,833.75

Hospital Charge Code	270648448
Hospital Revenue Code	272
Min. Negotiated Rate	$275.06
Max. Negotiated Rate	$275.06
Rate for Payer: Qualcare PPO/HMO/WC	$275.06

STAPLER ILS 21MM INTALUMINAL

Facility

$1,535.80

Hospital Charge Code	270671544
Hospital Revenue Code	272
Min. Negotiated Rate	$43.62
Max. Negotiated Rate	$767.90
Rate for Payer: Aetna Commercial	$583.60
Rate for Payer: Aetna Medicare Advantage	$460.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.63
Rate for Payer: Cigna Commercial	$767.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.31
Rate for Payer: Oxford Commercial	$307.16
Rate for Payer: Qualcare PPO/HMO/WC	$230.37
Rate for Payer: UnitedHealthcare Commercial	$307.16
Rate for Payer: UnitedHealthcare Community & State	$48.53
Rate for Payer: Wellpoint Medicaid Managed Care	$43.62

STAPLER ILS 21MM INTALUMINAL

Facility

$1,535.80

Hospital Charge Code	270671544
Hospital Revenue Code	272
Min. Negotiated Rate	$230.37
Max. Negotiated Rate	$230.37
Rate for Payer: Qualcare PPO/HMO/WC	$230.37

STAPLER INSORB 30 SKIN

Facility

$500.25

Hospital Charge Code	270662528
Hospital Revenue Code	272
Min. Negotiated Rate	$75.04
Max. Negotiated Rate	$75.04
Rate for Payer: Qualcare PPO/HMO/WC	$75.04

STAPLER INSORB 30 SKIN

Facility

$500.25

Hospital Charge Code	270662528
Hospital Revenue Code	272
Min. Negotiated Rate	$14.21
Max. Negotiated Rate	$250.12
Rate for Payer: Aetna Commercial	$190.09
Rate for Payer: Aetna Medicare Advantage	$150.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.56
Rate for Payer: Cigna Commercial	$250.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.06
Rate for Payer: Oxford Commercial	$100.05
Rate for Payer: Qualcare PPO/HMO/WC	$75.04
Rate for Payer: UnitedHealthcare Commercial	$100.05
Rate for Payer: UnitedHealthcare Community & State	$15.81
Rate for Payer: Wellpoint Medicaid Managed Care	$14.21

STAPLER JAW 18X18X18 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701398
Hospital Revenue Code	278
Min. Negotiated Rate	$233.87
Max. Negotiated Rate	$4,117.50
Rate for Payer: Aetna Commercial	$3,129.30
Rate for Payer: Aetna Medicare Advantage	$2,470.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,099.93
Rate for Payer: Cigna Commercial	$4,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25
Rate for Payer: UnitedHealthcare Community & State	$260.23
Rate for Payer: Wellpoint Medicaid Managed Care	$233.87

STAPLER JAW 18X18X18 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701398
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.25
Max. Negotiated Rate	$1,992.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25

STAPLER JAW 20X20X20 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701397
Hospital Revenue Code	278
Min. Negotiated Rate	$233.87
Max. Negotiated Rate	$4,117.50
Rate for Payer: Aetna Commercial	$3,129.30
Rate for Payer: Aetna Medicare Advantage	$2,470.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,099.93
Rate for Payer: Cigna Commercial	$4,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25
Rate for Payer: UnitedHealthcare Community & State	$260.23
Rate for Payer: Wellpoint Medicaid Managed Care	$233.87

STAPLER JAW 20X20X20 MM

Facility

$8,235.00

Service Code	HCPCS C1713
Hospital Charge Code	270701397
Hospital Revenue Code	278
Min. Negotiated Rate	$1,235.25
Max. Negotiated Rate	$1,992.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,992.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,235.25

STAPLER LINEAR 3.5X30MM BLUE

Facility

$407.22

Hospital Charge Code	270658413
Hospital Revenue Code	272
Min. Negotiated Rate	$61.08
Max. Negotiated Rate	$61.08
Rate for Payer: Qualcare PPO/HMO/WC	$61.08

STAPLER LINEAR 3.5X30MM BLUE

Facility

$407.22

Hospital Charge Code	270658413
Hospital Revenue Code	272
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$203.61
Rate for Payer: Aetna Commercial	$154.74
Rate for Payer: Aetna Medicare Advantage	$122.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.84
Rate for Payer: Cigna Commercial	$203.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.88
Rate for Payer: Oxford Commercial	$81.44
Rate for Payer: Qualcare PPO/HMO/WC	$61.08
Rate for Payer: UnitedHealthcare Commercial	$81.44
Rate for Payer: UnitedHealthcare Community & State	$12.87
Rate for Payer: Wellpoint Medicaid Managed Care	$11.57

STAPLER LINEAR 3.8X60MM BLUE

Facility

$1,206.90

Hospital Charge Code	270608737
Hospital Revenue Code	272
Min. Negotiated Rate	$34.28
Max. Negotiated Rate	$603.45
Rate for Payer: Aetna Commercial	$458.62
Rate for Payer: Aetna Medicare Advantage	$362.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.76
Rate for Payer: Cigna Commercial	$603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.79
Rate for Payer: Oxford Commercial	$241.38
Rate for Payer: Qualcare PPO/HMO/WC	$181.03
Rate for Payer: UnitedHealthcare Commercial	$241.38
Rate for Payer: UnitedHealthcare Community & State	$38.14
Rate for Payer: Wellpoint Medicaid Managed Care	$34.28

STAPLER LINEAR 3.8X60MM BLUE

Facility

$1,206.90

Hospital Charge Code	270608737
Hospital Revenue Code	272
Min. Negotiated Rate	$181.03
Max. Negotiated Rate	$181.03
Rate for Payer: Qualcare PPO/HMO/WC	$181.03

STAPLER LINEAR 4.8X30MM GRN

Facility

$421.13

Hospital Charge Code	270608641
Hospital Revenue Code	272
Min. Negotiated Rate	$11.96
Max. Negotiated Rate	$210.56
Rate for Payer: Aetna Commercial	$160.03
Rate for Payer: Aetna Medicare Advantage	$126.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.39
Rate for Payer: Cigna Commercial	$210.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.49
Rate for Payer: Oxford Commercial	$84.23
Rate for Payer: Qualcare PPO/HMO/WC	$63.17
Rate for Payer: UnitedHealthcare Commercial	$84.23
Rate for Payer: UnitedHealthcare Community & State	$13.31
Rate for Payer: Wellpoint Medicaid Managed Care	$11.96

STAPLER LINEAR 4.8X30MM GRN

Facility

$421.13

Hospital Charge Code	270608641
Hospital Revenue Code	272
Min. Negotiated Rate	$63.17
Max. Negotiated Rate	$63.17
Rate for Payer: Qualcare PPO/HMO/WC	$63.17

STAPLER LINEAR 90MM DAIL DOWN

Facility

$2,310.77

Hospital Charge Code	270608643
Hospital Revenue Code	272
Min. Negotiated Rate	$65.63
Max. Negotiated Rate	$1,155.38
Rate for Payer: Aetna Commercial	$878.09
Rate for Payer: Aetna Medicare Advantage	$693.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$589.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$589.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$589.25
Rate for Payer: Cigna Commercial	$1,155.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.80
Rate for Payer: Oxford Commercial	$462.15
Rate for Payer: Qualcare PPO/HMO/WC	$346.62
Rate for Payer: UnitedHealthcare Commercial	$462.15
Rate for Payer: UnitedHealthcare Community & State	$73.02
Rate for Payer: Wellpoint Medicaid Managed Care	$65.63

STAPLER LINEAR 90MM DAIL DOWN

Facility

$2,310.77

Hospital Charge Code	270608643
Hospital Revenue Code	272
Min. Negotiated Rate	$346.62
Max. Negotiated Rate	$346.62
Rate for Payer: Qualcare PPO/HMO/WC	$346.62

STAPLER LINEAR 90mm DIAL DOWN

Facility

$460.87

Hospital Charge Code	270608731
Hospital Revenue Code	272
Min. Negotiated Rate	$13.09
Max. Negotiated Rate	$230.44
Rate for Payer: Aetna Commercial	$175.13
Rate for Payer: Aetna Medicare Advantage	$138.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.83
Rate for Payer: Oxford Commercial	$92.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Commercial	$92.17
Rate for Payer: UnitedHealthcare Community & State	$14.56
Rate for Payer: Wellpoint Medicaid Managed Care	$13.09

STAPLER LINEAR 90mm DIAL DOWN

Facility

$460.87

Hospital Charge Code	270608731
Hospital Revenue Code	272
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$69.13
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

Know your out-of-pocket cost for care.

All Charges