Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER LINEAR GREEN 60MM

Facility

$225.47

Hospital Charge Code	270671555
Hospital Revenue Code	272
Min. Negotiated Rate	$6.40
Max. Negotiated Rate	$112.73
Rate for Payer: Aetna Commercial	$85.68
Rate for Payer: Aetna Medicare Advantage	$67.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.49
Rate for Payer: Cigna Commercial	$112.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.62
Rate for Payer: Oxford Commercial	$45.09
Rate for Payer: Qualcare PPO/HMO/WC	$33.82
Rate for Payer: UnitedHealthcare Commercial	$45.09
Rate for Payer: UnitedHealthcare Community & State	$7.12
Rate for Payer: Wellpoint Medicaid Managed Care	$6.40

STAPLER LINEAR GREEN 60MM

Facility

$225.47

Hospital Charge Code	270671555
Hospital Revenue Code	272
Min. Negotiated Rate	$33.82
Max. Negotiated Rate	$33.82
Rate for Payer: Qualcare PPO/HMO/WC	$33.82

STAPLER LINEAR RELOAD 60MM 4.8

Facility

$441.60

Hospital Charge Code	270671554
Hospital Revenue Code	272
Min. Negotiated Rate	$12.54
Max. Negotiated Rate	$220.80
Rate for Payer: Aetna Commercial	$167.81
Rate for Payer: Aetna Medicare Advantage	$132.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.61
Rate for Payer: Cigna Commercial	$220.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.82
Rate for Payer: Oxford Commercial	$88.32
Rate for Payer: Qualcare PPO/HMO/WC	$66.24
Rate for Payer: UnitedHealthcare Commercial	$88.32
Rate for Payer: UnitedHealthcare Community & State	$13.95
Rate for Payer: Wellpoint Medicaid Managed Care	$12.54

STAPLER LINEAR RELOAD 60MM 4.8

Facility

$441.60

Hospital Charge Code	270671554
Hospital Revenue Code	272
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$66.24
Rate for Payer: Qualcare PPO/HMO/WC	$66.24

STAPLER LINER RELOAD VASC 30MM

Facility

$397.10

Hospital Charge Code	270671553
Hospital Revenue Code	272
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$198.55
Rate for Payer: Aetna Commercial	$150.90
Rate for Payer: Aetna Medicare Advantage	$119.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.26
Rate for Payer: Cigna Commercial	$198.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.25
Rate for Payer: Oxford Commercial	$79.42
Rate for Payer: Qualcare PPO/HMO/WC	$59.56
Rate for Payer: UnitedHealthcare Commercial	$79.42
Rate for Payer: UnitedHealthcare Community & State	$12.55
Rate for Payer: Wellpoint Medicaid Managed Care	$11.28

STAPLER LINER RELOAD VASC 30MM

Facility

$397.10

Hospital Charge Code	270671553
Hospital Revenue Code	272
Min. Negotiated Rate	$59.56
Max. Negotiated Rate	$59.56
Rate for Payer: Qualcare PPO/HMO/WC	$59.56

STAPLER M/F TA 30-V3

Facility

$573.50

Hospital Charge Code	270658645
Hospital Revenue Code	272
Min. Negotiated Rate	$86.03
Max. Negotiated Rate	$86.03
Rate for Payer: Qualcare PPO/HMO/WC	$86.03

STAPLER M/F TA 30-V3

Facility

$573.50

Hospital Charge Code	270658645
Hospital Revenue Code	272
Min. Negotiated Rate	$16.29
Max. Negotiated Rate	$286.75
Rate for Payer: Aetna Commercial	$217.93
Rate for Payer: Aetna Medicare Advantage	$172.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.24
Rate for Payer: Cigna Commercial	$286.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.11
Rate for Payer: Oxford Commercial	$114.70
Rate for Payer: Qualcare PPO/HMO/WC	$86.03
Rate for Payer: UnitedHealthcare Commercial	$114.70
Rate for Payer: UnitedHealthcare Community & State	$18.12
Rate for Payer: Wellpoint Medicaid Managed Care	$16.29

STAPLER MULTI VERSA BLU 10 4MM

Facility

$656.27

Hospital Charge Code	270660964
Hospital Revenue Code	272
Min. Negotiated Rate	$18.64
Max. Negotiated Rate	$328.13
Rate for Payer: Aetna Commercial	$249.38
Rate for Payer: Aetna Medicare Advantage	$196.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.35
Rate for Payer: Cigna Commercial	$328.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.63
Rate for Payer: Oxford Commercial	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$98.44
Rate for Payer: UnitedHealthcare Commercial	$131.25
Rate for Payer: UnitedHealthcare Community & State	$20.74
Rate for Payer: Wellpoint Medicaid Managed Care	$18.64

STAPLER MULTI VERSA BLU 10 4MM

Facility

$656.27

Hospital Charge Code	270660964
Hospital Revenue Code	272
Min. Negotiated Rate	$98.44
Max. Negotiated Rate	$98.44
Rate for Payer: Qualcare PPO/HMO/WC	$98.44

STAPLER PERMIUM PLUS CEEA 21

Facility

$1,678.87

Hospital Charge Code	270600131
Hospital Revenue Code	272
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$839.43
Rate for Payer: Aetna Commercial	$637.97
Rate for Payer: Aetna Medicare Advantage	$503.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.11
Rate for Payer: Cigna Commercial	$839.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.51
Rate for Payer: Oxford Commercial	$335.77
Rate for Payer: Qualcare PPO/HMO/WC	$251.83
Rate for Payer: UnitedHealthcare Commercial	$335.77
Rate for Payer: UnitedHealthcare Community & State	$53.05
Rate for Payer: Wellpoint Medicaid Managed Care	$47.68

STAPLER PERMIUM PLUS CEEA 21

Facility

$1,678.87

Hospital Charge Code	270600131
Hospital Revenue Code	272
Min. Negotiated Rate	$251.83
Max. Negotiated Rate	$251.83
Rate for Payer: Qualcare PPO/HMO/WC	$251.83

STAPLER PERMIUM PLUS CEEA 25

Facility

$9,866.40

Hospital Charge Code	270600132
Hospital Revenue Code	272
Min. Negotiated Rate	$1,479.96
Max. Negotiated Rate	$1,479.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.96

STAPLER PERMIUM PLUS CEEA 25

Facility

$9,866.40

Hospital Charge Code	270600132
Hospital Revenue Code	272
Min. Negotiated Rate	$280.21
Max. Negotiated Rate	$4,933.20
Rate for Payer: Aetna Commercial	$3,749.23
Rate for Payer: Aetna Medicare Advantage	$2,959.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,515.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,515.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,515.93
Rate for Payer: Cigna Commercial	$4,933.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,565.26
Rate for Payer: Oxford Commercial	$1,973.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,479.96
Rate for Payer: UnitedHealthcare Commercial	$1,973.28
Rate for Payer: UnitedHealthcare Community & State	$311.78
Rate for Payer: Wellpoint Medicaid Managed Care	$280.21

STAPLER PERMIUM PLUS CEEA 28

Facility

$5,319.67

Hospital Charge Code	270600133
Hospital Revenue Code	272
Min. Negotiated Rate	$797.95
Max. Negotiated Rate	$797.95
Rate for Payer: Qualcare PPO/HMO/WC	$797.95

STAPLER PERMIUM PLUS CEEA 28

Facility

$5,319.67

Hospital Charge Code	270600133
Hospital Revenue Code	272
Min. Negotiated Rate	$151.08
Max. Negotiated Rate	$2,659.84
Rate for Payer: Aetna Commercial	$2,021.47
Rate for Payer: Aetna Medicare Advantage	$1,595.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,356.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,356.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,356.52
Rate for Payer: Cigna Commercial	$2,659.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,383.11
Rate for Payer: Oxford Commercial	$1,063.93
Rate for Payer: Qualcare PPO/HMO/WC	$797.95
Rate for Payer: UnitedHealthcare Commercial	$1,063.93
Rate for Payer: UnitedHealthcare Community & State	$168.10
Rate for Payer: Wellpoint Medicaid Managed Care	$151.08

STAPLER PERMIUM PLUS CEEA 31

Facility

$447.70

Hospital Charge Code	270600134
Hospital Revenue Code	272
Min. Negotiated Rate	$67.16
Max. Negotiated Rate	$67.16
Rate for Payer: Qualcare PPO/HMO/WC	$67.16

STAPLER PERMIUM PLUS CEEA 31

Facility

$447.70

Hospital Charge Code	270600134
Hospital Revenue Code	272
Min. Negotiated Rate	$12.71
Max. Negotiated Rate	$223.85
Rate for Payer: Aetna Commercial	$170.13
Rate for Payer: Aetna Medicare Advantage	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.16
Rate for Payer: Cigna Commercial	$223.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.40
Rate for Payer: Oxford Commercial	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$67.16
Rate for Payer: UnitedHealthcare Commercial	$89.54
Rate for Payer: UnitedHealthcare Community & State	$14.15
Rate for Payer: Wellpoint Medicaid Managed Care	$12.71

STAPLER PERMIUM PLUS CEEA 34

Facility

$1,678.87

Hospital Charge Code	270611150
Hospital Revenue Code	272
Min. Negotiated Rate	$251.83
Max. Negotiated Rate	$251.83
Rate for Payer: Qualcare PPO/HMO/WC	$251.83

STAPLER PERMIUM PLUS CEEA 34

Facility

$1,678.87

Hospital Charge Code	270611150
Hospital Revenue Code	272
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$839.43
Rate for Payer: Aetna Commercial	$637.97
Rate for Payer: Aetna Medicare Advantage	$503.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.11
Rate for Payer: Cigna Commercial	$839.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.51
Rate for Payer: Oxford Commercial	$335.77
Rate for Payer: Qualcare PPO/HMO/WC	$251.83
Rate for Payer: UnitedHealthcare Commercial	$335.77
Rate for Payer: UnitedHealthcare Community & State	$53.05
Rate for Payer: Wellpoint Medicaid Managed Care	$47.68

STAPLER POWER 23MM

Facility

$2,145.00

Hospital Charge Code	270687759
Hospital Revenue Code	272
Min. Negotiated Rate	$60.92
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.70
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$67.78
Rate for Payer: Wellpoint Medicaid Managed Care	$60.92

STAPLER POWER 23MM

Facility

$2,145.00

Hospital Charge Code	270687759
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWER 25MM

Facility

$2,145.00

Hospital Charge Code	270687760
Hospital Revenue Code	272
Min. Negotiated Rate	$60.92
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.70
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$67.78
Rate for Payer: Wellpoint Medicaid Managed Care	$60.92

STAPLER POWER 25MM

Facility

$2,145.00

Hospital Charge Code	270687760
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWER 31MM

Facility

$2,145.00

Hospital Charge Code	270687761
Hospital Revenue Code	272
Min. Negotiated Rate	$60.92
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$557.70
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$67.78
Rate for Payer: Wellpoint Medicaid Managed Care	$60.92

Know your out-of-pocket cost for care.

All Charges