Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

STAPLER SHEH 29m ENDOSIC ECS29

Facility

$1,422.65

Hospital Charge Code	270630329
Hospital Revenue Code	272
Min. Negotiated Rate	$213.40
Max. Negotiated Rate	$213.40
Rate for Payer: Qualcare PPO/HMO/WC	$213.40

STAPLER SKIN ROTATING 35WIDE

Facility

$1,664.17

Hospital Charge Code	270662787
Hospital Revenue Code	272
Min. Negotiated Rate	$47.26
Max. Negotiated Rate	$832.09
Rate for Payer: Aetna Commercial	$632.38
Rate for Payer: Aetna Medicare Advantage	$499.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.36
Rate for Payer: Cigna Commercial	$832.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.68
Rate for Payer: Oxford Commercial	$332.83
Rate for Payer: Qualcare PPO/HMO/WC	$249.63
Rate for Payer: UnitedHealthcare Commercial	$332.83
Rate for Payer: UnitedHealthcare Community & State	$52.59
Rate for Payer: Wellpoint Medicaid Managed Care	$47.26

STAPLER SKIN ROTATING 35WIDE

Facility

$1,664.17

Hospital Charge Code	270662787
Hospital Revenue Code	272
Min. Negotiated Rate	$249.63
Max. Negotiated Rate	$249.63
Rate for Payer: Qualcare PPO/HMO/WC	$249.63

STAPLER SKIN SIGNET 35W SINGLE

Facility

$231.18

Hospital Charge Code	270014126
Hospital Revenue Code	272
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$115.59
Rate for Payer: Aetna Commercial	$87.85
Rate for Payer: Aetna Medicare Advantage	$69.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.95
Rate for Payer: Cigna Commercial	$115.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.11
Rate for Payer: Oxford Commercial	$46.24
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$46.24
Rate for Payer: UnitedHealthcare Community & State	$7.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

STAPLER SKIN SIGNET 35W SINGLE

Facility

$395.95

Hospital Charge Code	270014126N
Hospital Revenue Code	272
Min. Negotiated Rate	$59.39
Max. Negotiated Rate	$59.39
Rate for Payer: Qualcare PPO/HMO/WC	$59.39

STAPLER SKIN SIGNET 35W SINGLE

Facility

$395.95

Hospital Charge Code	270014126N
Hospital Revenue Code	272
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$197.97
Rate for Payer: Aetna Commercial	$150.46
Rate for Payer: Aetna Medicare Advantage	$118.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.97
Rate for Payer: Cigna Commercial	$197.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.95
Rate for Payer: Oxford Commercial	$79.19
Rate for Payer: Qualcare PPO/HMO/WC	$59.39
Rate for Payer: UnitedHealthcare Commercial	$79.19
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$11.24

STAPLER SKIN SIGNET 35W SINGLE

Facility

$231.18

Hospital Charge Code	270014126
Hospital Revenue Code	272
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

STAPLER SKIN ULC 35 REG

Facility

$148.71

Hospital Charge Code	270656239
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$74.36
Rate for Payer: Aetna Commercial	$56.51
Rate for Payer: Aetna Medicare Advantage	$44.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.92
Rate for Payer: Cigna Commercial	$74.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.66
Rate for Payer: Oxford Commercial	$29.74
Rate for Payer: Qualcare PPO/HMO/WC	$22.31
Rate for Payer: UnitedHealthcare Commercial	$29.74
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

STAPLER SKIN ULC 35 REG

Facility

$148.71

Hospital Charge Code	270656239
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.31

STAPLER SKIN ULC 35 WIDE

Facility

$122.46

Hospital Charge Code	270649770
Hospital Revenue Code	272
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$61.23
Rate for Payer: Aetna Commercial	$46.53
Rate for Payer: Aetna Medicare Advantage	$36.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.23
Rate for Payer: Cigna Commercial	$61.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.84
Rate for Payer: Oxford Commercial	$24.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.37
Rate for Payer: UnitedHealthcare Commercial	$24.49
Rate for Payer: UnitedHealthcare Community & State	$3.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.48

STAPLER SKIN ULC 35 WIDE

Facility

$122.46

Hospital Charge Code	270649770
Hospital Revenue Code	272
Min. Negotiated Rate	$18.37
Max. Negotiated Rate	$18.37
Rate for Payer: Qualcare PPO/HMO/WC	$18.37

STAPLER SPEED TITAN 20X20X20MM

Facility

$7,500.00

Hospital Charge Code	270681818
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

STAPLER SPEED TITAN 20X20X20MM

Facility

$7,500.00

Hospital Charge Code	270681818
Hospital Revenue Code	272
Min. Negotiated Rate	$213.00
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,950.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$237.00
Rate for Payer: Wellpoint Medicaid Managed Care	$213.00

STAPLER SUREFORM 60

Facility

$2,650.00

Hospital Charge Code	270687008
Hospital Revenue Code	272
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$397.50
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

STAPLER SUREFORM 60

Facility

$2,650.00

Hospital Charge Code	270687008
Hospital Revenue Code	272
Min. Negotiated Rate	$75.26
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$1,007.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.00
Rate for Payer: Oxford Commercial	$530.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Commercial	$530.00
Rate for Payer: UnitedHealthcare Community & State	$83.74
Rate for Payer: Wellpoint Medicaid Managed Care	$75.26

STAPLER SURG TA LONG 30-3.5

Facility

$407.00

Hospital Charge Code	270334717
Hospital Revenue Code	272
Min. Negotiated Rate	$61.05
Max. Negotiated Rate	$61.05
Rate for Payer: Qualcare PPO/HMO/WC	$61.05

STAPLER SURG TA LONG 30-3.5

Facility

$407.00

Hospital Charge Code	270334717
Hospital Revenue Code	272
Min. Negotiated Rate	$11.56
Max. Negotiated Rate	$203.50
Rate for Payer: Aetna Commercial	$154.66
Rate for Payer: Aetna Medicare Advantage	$122.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.78
Rate for Payer: Cigna Commercial	$203.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.82
Rate for Payer: Oxford Commercial	$81.40
Rate for Payer: Qualcare PPO/HMO/WC	$61.05
Rate for Payer: UnitedHealthcare Commercial	$81.40
Rate for Payer: UnitedHealthcare Community & State	$12.86
Rate for Payer: Wellpoint Medicaid Managed Care	$11.56

STAPLER TA 30-3.5

Facility

$413.92

Hospital Charge Code	270600141
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 TA 30-3.5

Facility

$413.92

Hospital Charge Code	270600141
Hospital Revenue Code	272
Min. Negotiated Rate	$62.09
Max. Negotiated Rate	$62.09
Rate for Payer: Qualcare PPO/HMO/WC	$62.09

STAPLER TA 90 3.5 LONG 015082

Facility

$1,272.85

Hospital Charge Code	270600041
Hospital Revenue Code	272
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$636.42
Rate for Payer: Aetna Commercial	$483.68
Rate for Payer: Aetna Medicare Advantage	$381.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$324.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$324.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$324.58
Rate for Payer: Cigna Commercial	$636.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.94
Rate for Payer: Oxford Commercial	$254.57
Rate for Payer: Qualcare PPO/HMO/WC	$190.93
Rate for Payer: UnitedHealthcare Commercial	$254.57
Rate for Payer: UnitedHealthcare Community & State	$40.22
Rate for Payer: Wellpoint Medicaid Managed Care	$36.15

STAPLER TA 90 3.5 LONG 015082

Facility

$1,272.85

Hospital Charge Code	270600041
Hospital Revenue Code	272
Min. Negotiated Rate	$190.93
Max. Negotiated Rate	$190.93
Rate for Payer: Qualcare PPO/HMO/WC	$190.93

STAPLER UNIT MULTIFIRE 35W

Facility

$466.96

Hospital Charge Code	270014016
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$233.48
Rate for Payer: Aetna Commercial	$177.44
Rate for Payer: Aetna Medicare Advantage	$140.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.07
Rate for Payer: Cigna Commercial	$233.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.41
Rate for Payer: Oxford Commercial	$93.39
Rate for Payer: Qualcare PPO/HMO/WC	$70.04
Rate for Payer: UnitedHealthcare Commercial	$93.39
Rate for Payer: UnitedHealthcare Community & State	$14.76
Rate for Payer: Wellpoint Medicaid Managed Care	$13.26

STAPLER UNIT MULTIFIRE 35W

Facility

$538.85

Hospital Charge Code	270014016N
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$269.43
Rate for Payer: Aetna Commercial	$204.76
Rate for Payer: Aetna Medicare Advantage	$161.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.41
Rate for Payer: Cigna Commercial	$269.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.10
Rate for Payer: Oxford Commercial	$107.77
Rate for Payer: Qualcare PPO/HMO/WC	$80.83
Rate for Payer: UnitedHealthcare Commercial	$107.77
Rate for Payer: UnitedHealthcare Community & State	$17.03
Rate for Payer: Wellpoint Medicaid Managed Care	$15.30

STAPLER UNIT MULTIFIRE 35W

Facility

$538.85

Hospital Charge Code	270014016N
Hospital Revenue Code	272
Min. Negotiated Rate	$80.83
Max. Negotiated Rate	$80.83
Rate for Payer: Qualcare PPO/HMO/WC	$80.83

STAPLER UNIT MULTIFIRE 35W

Facility

$466.96

Hospital Charge Code	270014016
Hospital Revenue Code	272
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$70.04
Rate for Payer: Qualcare PPO/HMO/WC	$70.04

Know your out-of-pocket cost for care.

All Charges