Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER POWER 31MM

Facility

$2,145.00

Hospital Charge Code	270687761
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

STAPLER POWERED LDS 15W DISP

Facility

$2,468.36

Hospital Charge Code	270600145
Hospital Revenue Code	272
Min. Negotiated Rate	$70.10
Max. Negotiated Rate	$1,234.18
Rate for Payer: Aetna Commercial	$937.98
Rate for Payer: Aetna Medicare Advantage	$740.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$629.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$629.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$629.43
Rate for Payer: Cigna Commercial	$1,234.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.77
Rate for Payer: Oxford Commercial	$493.67
Rate for Payer: Qualcare PPO/HMO/WC	$370.25
Rate for Payer: UnitedHealthcare Commercial	$493.67
Rate for Payer: UnitedHealthcare Community & State	$78.00
Rate for Payer: Wellpoint Medicaid Managed Care	$70.10

STAPLER POWERED LDS 15W DISP

Facility

$2,468.36

Hospital Charge Code	270600145
Hospital Revenue Code	272
Min. Negotiated Rate	$370.25
Max. Negotiated Rate	$370.25
Rate for Payer: Qualcare PPO/HMO/WC	$370.25

STAPLER PROXIMATE DISP 35 WIDE

Facility

$60.90

Hospital Charge Code	270656000
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$30.45
Rate for Payer: Aetna Commercial	$23.14
Rate for Payer: Aetna Medicare Advantage	$18.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.53
Rate for Payer: Cigna Commercial	$30.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.83
Rate for Payer: Oxford Commercial	$12.18
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$12.18
Rate for Payer: UnitedHealthcare Community & State	$1.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

STAPLER PROXIMATE DISP 35 WIDE

Facility

$60.90

Hospital Charge Code	270656000
Hospital Revenue Code	272
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

STAPLER PROXIMATE SKIN REG 35

Facility

$25.00

Hospital Charge Code	270671550
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

STAPLER PROXIMATE SKIN REG 35

Facility

$25.00

Hospital Charge Code	270671550
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

STAPLER PROXIMATE SKIN WIDE 35

Facility

$35.00

Hospital Charge Code	270671551N
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

STAPLER PROXIMATE SKIN WIDE 35

Facility

$35.00

Hospital Charge Code	270671551N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$15.48
Rate for Payer: Aetna Commercial	$11.76
Rate for Payer: Aetna Medicare Advantage	$9.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.89
Rate for Payer: Cigna Commercial	$15.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.05
Rate for Payer: Oxford Commercial	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.64
Rate for Payer: UnitedHealthcare Commercial	$6.19
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551
Hospital Revenue Code	272
Min. Negotiated Rate	$4.64
Max. Negotiated Rate	$4.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.64

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$15.48
Rate for Payer: Aetna Commercial	$11.76
Rate for Payer: Aetna Medicare Advantage	$9.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.89
Rate for Payer: Cigna Commercial	$15.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.05
Rate for Payer: Oxford Commercial	$6.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.64
Rate for Payer: UnitedHealthcare Commercial	$6.19
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

STAPLER PROXIMATE SKIN WIDE 35

Facility

$30.96

Hospital Charge Code	270671551S
Hospital Revenue Code	272
Min. Negotiated Rate	$4.64
Max. Negotiated Rate	$4.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.64

STAPLER PURSTRING 65 INST

Facility

$837.47

Hospital Charge Code	270600130
Hospital Revenue Code	272
Min. Negotiated Rate	$23.78
Max. Negotiated Rate	$418.74
Rate for Payer: Aetna Commercial	$318.24
Rate for Payer: Aetna Medicare Advantage	$251.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.55
Rate for Payer: Cigna Commercial	$418.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.74
Rate for Payer: Oxford Commercial	$167.49
Rate for Payer: Qualcare PPO/HMO/WC	$125.62
Rate for Payer: UnitedHealthcare Commercial	$167.49
Rate for Payer: UnitedHealthcare Community & State	$26.46
Rate for Payer: Wellpoint Medicaid Managed Care	$23.78

STAPLER PURSTRING 65 INST

Facility

$837.47

Hospital Charge Code	270600130
Hospital Revenue Code	272
Min. Negotiated Rate	$125.62
Max. Negotiated Rate	$125.62
Rate for Payer: Qualcare PPO/HMO/WC	$125.62

STAPLER RELOAD

Facility

$413.92

Hospital Charge Code	270667075
Hospital Revenue Code	272
Min. Negotiated Rate	$11.76
Max. Negotiated Rate	$206.96
Rate for Payer: Aetna Commercial	$157.29
Rate for Payer: Aetna Medicare Advantage	$124.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.55
Rate for Payer: Cigna Commercial	$206.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.62
Rate for Payer: Oxford Commercial	$82.78
Rate for Payer: Qualcare PPO/HMO/WC	$62.09
Rate for Payer: UnitedHealthcare Commercial	$82.78
Rate for Payer: UnitedHealthcare Community & State	$13.08
Rate for Payer: Wellpoint Medicaid Managed Care	$11.76

STAPLER RELOAD

Facility

$413.92

Hospital Charge Code	270667075
Hospital Revenue Code	272
Min. Negotiated Rate	$62.09
Max. Negotiated Rate	$62.09
Rate for Payer: Qualcare PPO/HMO/WC	$62.09

STAPLER RELOAD 60 MM BLACK

Facility

$3,943.32

Hospital Charge Code	270691805
Hospital Revenue Code	272
Min. Negotiated Rate	$111.99
Max. Negotiated Rate	$1,971.66
Rate for Payer: Aetna Commercial	$1,498.46
Rate for Payer: Aetna Medicare Advantage	$1,183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,005.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,005.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,005.55
Rate for Payer: Cigna Commercial	$1,971.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,025.26
Rate for Payer: Oxford Commercial	$788.66
Rate for Payer: Qualcare PPO/HMO/WC	$591.50
Rate for Payer: UnitedHealthcare Commercial	$788.66
Rate for Payer: UnitedHealthcare Community & State	$124.61
Rate for Payer: Wellpoint Medicaid Managed Care	$111.99

STAPLER RELOAD 60 MM BLACK

Facility

$3,943.32

Hospital Charge Code	270691805
Hospital Revenue Code	272
Min. Negotiated Rate	$591.50
Max. Negotiated Rate	$591.50
Rate for Payer: Qualcare PPO/HMO/WC	$591.50

STAPLER RELOADABLE LINEAR 30MM

Facility

$454.00

Hospital Charge Code	270334721
Hospital Revenue Code	272
Min. Negotiated Rate	$12.89
Max. Negotiated Rate	$227.00
Rate for Payer: Aetna Commercial	$172.52
Rate for Payer: Aetna Medicare Advantage	$136.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.77
Rate for Payer: Cigna Commercial	$227.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.04
Rate for Payer: Oxford Commercial	$90.80
Rate for Payer: Qualcare PPO/HMO/WC	$68.10
Rate for Payer: UnitedHealthcare Commercial	$90.80
Rate for Payer: UnitedHealthcare Community & State	$14.35
Rate for Payer: Wellpoint Medicaid Managed Care	$12.89

STAPLER RELOADABLE LINEAR 30MM

Facility

$454.00

Hospital Charge Code	270334721
Hospital Revenue Code	272
Min. Negotiated Rate	$68.10
Max. Negotiated Rate	$68.10
Rate for Payer: Qualcare PPO/HMO/WC	$68.10

STAPLER RELOADABLE SIG TA3035S

Facility

$443.15

Hospital Charge Code	270630377
Hospital Revenue Code	272
Min. Negotiated Rate	$66.47
Max. Negotiated Rate	$66.47
Rate for Payer: Qualcare PPO/HMO/WC	$66.47

STAPLER RELOADABLE SIG TA3035S

Facility

$443.15

Hospital Charge Code	270630377
Hospital Revenue Code	272
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$221.57
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.00
Rate for Payer: Cigna Commercial	$221.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.22
Rate for Payer: Oxford Commercial	$88.63
Rate for Payer: Qualcare PPO/HMO/WC	$66.47
Rate for Payer: UnitedHealthcare Commercial	$88.63
Rate for Payer: UnitedHealthcare Community & State	$14.00
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

STAPLER RELOADABLE SL TA45485S

Facility

$730.73

Hospital Charge Code	270630384
Hospital Revenue Code	272
Min. Negotiated Rate	$109.61
Max. Negotiated Rate	$109.61
Rate for Payer: Qualcare PPO/HMO/WC	$109.61

STAPLER RELOADABLE SL TA45485S

Facility

$730.73

Hospital Charge Code	270630384
Hospital Revenue Code	272
Min. Negotiated Rate	$20.75
Max. Negotiated Rate	$365.37
Rate for Payer: Aetna Commercial	$277.68
Rate for Payer: Aetna Medicare Advantage	$219.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.34
Rate for Payer: Cigna Commercial	$365.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.99
Rate for Payer: Oxford Commercial	$146.15
Rate for Payer: Qualcare PPO/HMO/WC	$109.61
Rate for Payer: UnitedHealthcare Commercial	$146.15
Rate for Payer: UnitedHealthcare Community & State	$23.09
Rate for Payer: Wellpoint Medicaid Managed Care	$20.75

Know your out-of-pocket cost for care.

All Charges