Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER RELOADABLE TA 45-3.5

Facility

$613.32

Hospital Charge Code	270630382
Hospital Revenue Code	272
Min. Negotiated Rate	$17.42
Max. Negotiated Rate	$306.66
Rate for Payer: Aetna Commercial	$233.06
Rate for Payer: Aetna Medicare Advantage	$184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.40
Rate for Payer: Cigna Commercial	$306.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.46
Rate for Payer: Oxford Commercial	$122.66
Rate for Payer: Qualcare PPO/HMO/WC	$92.00
Rate for Payer: UnitedHealthcare Commercial	$122.66
Rate for Payer: UnitedHealthcare Community & State	$19.38
Rate for Payer: Wellpoint Medicaid Managed Care	$17.42

STAPLER RELOADABLE TA 45-3.5

Facility

$613.32

Hospital Charge Code	270630382
Hospital Revenue Code	272
Min. Negotiated Rate	$92.00
Max. Negotiated Rate	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.00

STAPLER RELOADABLE TA 60-3.5

Facility

$428.10

Hospital Charge Code	270630408
Hospital Revenue Code	272
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$64.22
Rate for Payer: Qualcare PPO/HMO/WC	$64.22

STAPLER RELOADABLE TA 60-3.5

Facility

$428.10

Hospital Charge Code	270630408
Hospital Revenue Code	272
Min. Negotiated Rate	$12.16
Max. Negotiated Rate	$214.05
Rate for Payer: Aetna Commercial	$162.68
Rate for Payer: Aetna Medicare Advantage	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.17
Rate for Payer: Cigna Commercial	$214.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.31
Rate for Payer: Oxford Commercial	$85.62
Rate for Payer: Qualcare PPO/HMO/WC	$64.22
Rate for Payer: UnitedHealthcare Commercial	$85.62
Rate for Payer: UnitedHealthcare Community & State	$13.53
Rate for Payer: Wellpoint Medicaid Managed Care	$12.16

STAPLER RELOADABLE TA 90-3.5

Facility

$1,695.43

Hospital Charge Code	270630411
Hospital Revenue Code	272
Min. Negotiated Rate	$254.31
Max. Negotiated Rate	$254.31
Rate for Payer: Qualcare PPO/HMO/WC	$254.31

STAPLER RELOADABLE TA 90-3.5

Facility

$1,695.43

Hospital Charge Code	270630411
Hospital Revenue Code	272
Min. Negotiated Rate	$48.15
Max. Negotiated Rate	$847.72
Rate for Payer: Aetna Commercial	$644.26
Rate for Payer: Aetna Medicare Advantage	$508.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$432.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$432.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$432.33
Rate for Payer: Cigna Commercial	$847.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.81
Rate for Payer: Oxford Commercial	$339.09
Rate for Payer: Qualcare PPO/HMO/WC	$254.31
Rate for Payer: UnitedHealthcare Commercial	$339.09
Rate for Payer: UnitedHealthcare Community & State	$53.58
Rate for Payer: Wellpoint Medicaid Managed Care	$48.15

STAPLER RELOADABLE TA 90-4.8

Facility

$519.73

Hospital Charge Code	270630413
Hospital Revenue Code	272
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$259.87
Rate for Payer: Aetna Commercial	$197.50
Rate for Payer: Aetna Medicare Advantage	$155.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.53
Rate for Payer: Cigna Commercial	$259.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.13
Rate for Payer: Oxford Commercial	$103.95
Rate for Payer: Qualcare PPO/HMO/WC	$77.96
Rate for Payer: UnitedHealthcare Commercial	$103.95
Rate for Payer: UnitedHealthcare Community & State	$16.42
Rate for Payer: Wellpoint Medicaid Managed Care	$14.76

STAPLER RELOADABLE TA 90-4.8

Facility

$519.73

Hospital Charge Code	270630413
Hospital Revenue Code	272
Min. Negotiated Rate	$77.96
Max. Negotiated Rate	$77.96
Rate for Payer: Qualcare PPO/HMO/WC	$77.96

STAPLER RELOAD CUTTER BLUE

Facility

$1,265.50

Hospital Charge Code	270672160
Hospital Revenue Code	272
Min. Negotiated Rate	$189.82
Max. Negotiated Rate	$189.82
Rate for Payer: Qualcare PPO/HMO/WC	$189.82

STAPLER RELOAD CUTTER BLUE

Facility

$1,265.50

Hospital Charge Code	270672160
Hospital Revenue Code	272
Min. Negotiated Rate	$35.94
Max. Negotiated Rate	$632.75
Rate for Payer: Aetna Commercial	$480.89
Rate for Payer: Aetna Medicare Advantage	$379.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.70
Rate for Payer: Cigna Commercial	$632.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.03
Rate for Payer: Oxford Commercial	$253.10
Rate for Payer: Qualcare PPO/HMO/WC	$189.82
Rate for Payer: UnitedHealthcare Commercial	$253.10
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$35.94

STAPLER RELOAD CUTTER GREEN

Facility

$1,265.50

Hospital Charge Code	270672161
Hospital Revenue Code	272
Min. Negotiated Rate	$189.82
Max. Negotiated Rate	$189.82
Rate for Payer: Qualcare PPO/HMO/WC	$189.82

STAPLER RELOAD CUTTER GREEN

Facility

$1,265.50

Hospital Charge Code	270672161
Hospital Revenue Code	272
Min. Negotiated Rate	$35.94
Max. Negotiated Rate	$632.75
Rate for Payer: Aetna Commercial	$480.89
Rate for Payer: Aetna Medicare Advantage	$379.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.70
Rate for Payer: Cigna Commercial	$632.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.03
Rate for Payer: Oxford Commercial	$253.10
Rate for Payer: Qualcare PPO/HMO/WC	$189.82
Rate for Payer: UnitedHealthcare Commercial	$253.10
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$35.94

STAPLER RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270662819
Hospital Revenue Code	272
Min. Negotiated Rate	$104.54
Max. Negotiated Rate	$104.54
Rate for Payer: Qualcare PPO/HMO/WC	$104.54

STAPLER RELOAD FOR ECH 60

Facility

$696.95

Hospital Charge Code	270662819
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 RELOAD TA6048S

Facility

$428.10

Hospital Charge Code	270666221
Hospital Revenue Code	272
Min. Negotiated Rate	$12.16
Max. Negotiated Rate	$214.05
Rate for Payer: Aetna Commercial	$162.68
Rate for Payer: Aetna Medicare Advantage	$128.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.17
Rate for Payer: Cigna Commercial	$214.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.31
Rate for Payer: Oxford Commercial	$85.62
Rate for Payer: Qualcare PPO/HMO/WC	$64.22
Rate for Payer: UnitedHealthcare Commercial	$85.62
Rate for Payer: UnitedHealthcare Community & State	$13.53
Rate for Payer: Wellpoint Medicaid Managed Care	$12.16

STAPLER RELOAD TA6048S

Facility

$428.10

Hospital Charge Code	270666221
Hospital Revenue Code	272
Min. Negotiated Rate	$64.22
Max. Negotiated Rate	$64.22
Rate for Payer: Qualcare PPO/HMO/WC	$64.22

STAPLER ROTICULATOR 30-3.5 BLU

Facility

$1,057.78

Hospital Charge Code	270652232
Hospital Revenue Code	272
Min. Negotiated Rate	$158.67
Max. Negotiated Rate	$158.67
Rate for Payer: Qualcare PPO/HMO/WC	$158.67

STAPLER ROTICULATOR 30-3.5 BLU

Facility

$1,057.78

Hospital Charge Code	270652232
Hospital Revenue Code	272
Min. Negotiated Rate	$30.04
Max. Negotiated Rate	$528.89
Rate for Payer: Aetna Commercial	$401.96
Rate for Payer: Aetna Medicare Advantage	$317.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.73
Rate for Payer: Cigna Commercial	$528.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.02
Rate for Payer: Oxford Commercial	$211.56
Rate for Payer: Qualcare PPO/HMO/WC	$158.67
Rate for Payer: UnitedHealthcare Commercial	$211.56
Rate for Payer: UnitedHealthcare Community & State	$33.43
Rate for Payer: Wellpoint Medicaid Managed Care	$30.04

STAPLER ROTICULATOR 30-V3 WHI

Facility

$1,138.22

Hospital Charge Code	270600138
Hospital Revenue Code	272
Min. Negotiated Rate	$170.73
Max. Negotiated Rate	$170.73
Rate for Payer: Qualcare PPO/HMO/WC	$170.73

STAPLER ROTICULATOR 30-V3 WHI

Facility

$1,138.22

Hospital Charge Code	270600138
Hospital Revenue Code	272
Min. Negotiated Rate	$32.33
Max. Negotiated Rate	$569.11
Rate for Payer: Aetna Commercial	$432.52
Rate for Payer: Aetna Medicare Advantage	$341.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.25
Rate for Payer: Cigna Commercial	$569.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$295.94
Rate for Payer: Oxford Commercial	$227.64
Rate for Payer: Qualcare PPO/HMO/WC	$170.73
Rate for Payer: UnitedHealthcare Commercial	$227.64
Rate for Payer: UnitedHealthcare Community & State	$35.97
Rate for Payer: Wellpoint Medicaid Managed Care	$32.33

STAPLER ROTICULATOR 55-3.5 BLU

Facility

$1,010.37

Hospital Charge Code	270600115
Hospital Revenue Code	272
Min. Negotiated Rate	$28.69
Max. Negotiated Rate	$505.19
Rate for Payer: Aetna Commercial	$383.94
Rate for Payer: Aetna Medicare Advantage	$303.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.64
Rate for Payer: Cigna Commercial	$505.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.70
Rate for Payer: Oxford Commercial	$202.07
Rate for Payer: Qualcare PPO/HMO/WC	$151.56
Rate for Payer: UnitedHealthcare Commercial	$202.07
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$28.69

STAPLER ROTICULATOR 55-3.5 BLU

Facility

$1,010.37

Hospital Charge Code	270600115
Hospital Revenue Code	272
Min. Negotiated Rate	$151.56
Max. Negotiated Rate	$151.56
Rate for Payer: Qualcare PPO/HMO/WC	$151.56

STAPLER ROTICULATOR 55-4.8 GRN

Facility

$6,219.40

Hospital Charge Code	270600116
Hospital Revenue Code	272
Min. Negotiated Rate	$932.91
Max. Negotiated Rate	$932.91
Rate for Payer: Qualcare PPO/HMO/WC	$932.91

STAPLER ROTICULATOR 55-4.8 GRN

Facility

$6,219.40

Hospital Charge Code	270600116
Hospital Revenue Code	272
Min. Negotiated Rate	$176.63
Max. Negotiated Rate	$3,109.70
Rate for Payer: Aetna Commercial	$2,363.37
Rate for Payer: Aetna Medicare Advantage	$1,865.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,585.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,585.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,585.95
Rate for Payer: Cigna Commercial	$3,109.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,617.04
Rate for Payer: Oxford Commercial	$1,243.88
Rate for Payer: Qualcare PPO/HMO/WC	$932.91
Rate for Payer: UnitedHealthcare Commercial	$1,243.88
Rate for Payer: UnitedHealthcare Community & State	$196.53
Rate for Payer: Wellpoint Medicaid Managed Care	$176.63

STAPLER SHEH 29m ENDOSIC ECS29

Facility

$1,422.65

Hospital Charge Code	270630329
Hospital Revenue Code	272
Min. Negotiated Rate	$40.40
Max. Negotiated Rate	$711.33
Rate for Payer: Aetna Commercial	$540.61
Rate for Payer: Aetna Medicare Advantage	$426.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.78
Rate for Payer: Cigna Commercial	$711.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.89
Rate for Payer: Oxford Commercial	$284.53
Rate for Payer: Qualcare PPO/HMO/WC	$213.40
Rate for Payer: UnitedHealthcare Commercial	$284.53
Rate for Payer: UnitedHealthcare Community & State	$44.96
Rate for Payer: Wellpoint Medicaid Managed Care	$40.40

Know your out-of-pocket cost for care.

All Charges