Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER INSERT ATRIAL SNGL

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	5100230
Hospital Revenue Code	361
Min. Negotiated Rate	$8,677.87
Max. Negotiated Rate	$8,677.87
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87

PACEMAKER INSERT ATRIAL SNGL

Facility

$53,474.25

Service Code	HCPCS 33206
Hospital Charge Code	74110028
Hospital Revenue Code	361
Min. Negotiated Rate	$1,288.73
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,042.27
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,288.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$46,790.24

PACEMAKER INSERT ATRIAL SNGL

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	5100230
Hospital Revenue Code	361
Min. Negotiated Rate	$1,394.24
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,355.74
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,394.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$46,790.24

PACEMAKER INSERT ATRIAL SNGL

Facility

$53,474.25

Service Code	HCPCS 33206
Hospital Charge Code	74110028
Hospital Revenue Code	361
Min. Negotiated Rate	$8,021.14
Max. Negotiated Rate	$8,021.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	5100240
Hospital Revenue Code	361
Min. Negotiated Rate	$9,809.47
Max. Negotiated Rate	$9,809.47
Rate for Payer: Qualcare PPO/HMO/WC	$9,809.47

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	74110029
Hospital Revenue Code	361
Min. Negotiated Rate	$9,809.47
Max. Negotiated Rate	$9,809.47
Rate for Payer: Qualcare PPO/HMO/WC	$9,809.47

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	74110029
Hospital Revenue Code	361
Min. Negotiated Rate	$1,576.05
Max. Negotiated Rate	$44,822.55
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,618.94
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,809.47
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$1,576.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INSERT DUAL

Facility

$65,396.45

Service Code	HCPCS 33208
Hospital Charge Code	5100240
Hospital Revenue Code	361
Min. Negotiated Rate	$1,576.05
Max. Negotiated Rate	$44,822.55
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,618.94
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,809.47
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$1,576.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INSERT SNGL CHAM****

Facility

$2,104.00

Service Code	HCPCS 33206
Hospital Charge Code	5100194
Hospital Revenue Code	361
Min. Negotiated Rate	$315.60
Max. Negotiated Rate	$315.60
Rate for Payer: Qualcare PPO/HMO/WC	$315.60

PACEMAKER INSERT SNGL CHAM****

Facility

$2,104.00

Service Code	HCPCS 33206
Hospital Charge Code	5100194
Hospital Revenue Code	361
Min. Negotiated Rate	$50.71
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.20
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$315.60
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$50.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04
Rate for Payer: Wellpoint Medicaid Managed Care	$46,790.24

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	5100250
Hospital Revenue Code	361
Min. Negotiated Rate	$1,288.73
Max. Negotiated Rate	$44,822.55
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,042.27
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,288.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	5100250
Hospital Revenue Code	361
Min. Negotiated Rate	$8,021.14
Max. Negotiated Rate	$8,021.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	74110030
Hospital Revenue Code	361
Min. Negotiated Rate	$8,021.14
Max. Negotiated Rate	$8,021.14
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14

PACEMAKER INSERT VENT SNGL

Facility

$53,474.25

Service Code	HCPCS 33207
Hospital Charge Code	74110030
Hospital Revenue Code	361
Min. Negotiated Rate	$1,288.73
Max. Negotiated Rate	$44,822.55
Rate for Payer: Aetna Commercial	$33,774.92
Rate for Payer: Aetna Medicare Advantage	$40,231.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,822.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,417.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,822.55
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: Cigna Medicare Advantage	$12,417.25
Rate for Payer: Clover Medicare Advantage	$11,796.39
Rate for Payer: EmblemHealth Commercial	$37,251.75
Rate for Payer: Humana Medicare Advantage	$12,789.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,417.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16,042.27
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,021.14
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,288.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare Medicare Advantage	$12,417.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,126.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16,790.24

PACEMAKER INSIG I ULTRA 1290

Facility

$25,000.00

Hospital Charge Code	270640190
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

PACEMAKER INSIG I ULTRA 1290

Facility

$25,000.00

Hospital Charge Code	270640190
Hospital Revenue Code	278
Min. Negotiated Rate	$602.50
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$9,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00
Rate for Payer: UnitedHealthcare Community & State	$602.50
Rate for Payer: Wellpoint Medicaid Managed Care	$662.50

PACEMAKER INSIGNIA ENTRA 1295

Facility

$33,207.25

Hospital Charge Code	270631912
Hospital Revenue Code	275
Min. Negotiated Rate	$4,981.09
Max. Negotiated Rate	$8,036.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,641.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,036.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,305.60
Rate for Payer: Qualcare PPO/HMO/WC	$4,981.09

PACEMAKER INSIGNIA ENTRA 1295

Facility

$33,207.25

Hospital Charge Code	270631912
Hospital Revenue Code	275
Min. Negotiated Rate	$800.29
Max. Negotiated Rate	$16,603.62
Rate for Payer: Aetna Commercial	$12,618.75
Rate for Payer: Aetna Medicare Advantage	$9,962.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,467.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,467.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,641.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,467.85
Rate for Payer: Cigna Commercial	$16,603.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,036.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,305.60
Rate for Payer: Qualcare PPO/HMO/WC	$4,981.09
Rate for Payer: UnitedHealthcare Community & State	$800.29
Rate for Payer: Wellpoint Medicaid Managed Care	$879.99

PACEMAKER INSIGNIA PLUS DR1298

Facility

$35,687.25

Hospital Charge Code	270628379
Hospital Revenue Code	275
Min. Negotiated Rate	$860.06
Max. Negotiated Rate	$17,843.62
Rate for Payer: Aetna Commercial	$13,561.16
Rate for Payer: Aetna Medicare Advantage	$10,706.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,100.25
Rate for Payer: Cigna Commercial	$17,843.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,851.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09
Rate for Payer: UnitedHealthcare Community & State	$860.06
Rate for Payer: Wellpoint Medicaid Managed Care	$945.71

PACEMAKER INSIGNIA PLUS DR1298

Facility

$35,687.25

Hospital Charge Code	270628379
Hospital Revenue Code	275
Min. Negotiated Rate	$5,353.09
Max. Negotiated Rate	$8,636.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,851.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09

PACEMAKER INSIGN PLUS DR 1297

Facility

$35,687.25

Hospital Charge Code	270627633
Hospital Revenue Code	275
Min. Negotiated Rate	$5,353.09
Max. Negotiated Rate	$8,636.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,851.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09

PACEMAKER INSIGN PLUS DR 1297

Facility

$35,687.25

Hospital Charge Code	270627633
Hospital Revenue Code	275
Min. Negotiated Rate	$860.06
Max. Negotiated Rate	$17,843.62
Rate for Payer: Aetna Commercial	$13,561.16
Rate for Payer: Aetna Medicare Advantage	$10,706.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,100.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,137.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,100.25
Rate for Payer: Cigna Commercial	$17,843.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,636.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,851.19
Rate for Payer: Qualcare PPO/HMO/WC	$5,353.09
Rate for Payer: UnitedHealthcare Community & State	$860.06
Rate for Payer: Wellpoint Medicaid Managed Care	$945.71

PACEMAKER INSIGN ULTRA DR 1291

Facility

$38,475.00

Hospital Charge Code	270633909
Hospital Revenue Code	275
Min. Negotiated Rate	$927.25
Max. Negotiated Rate	$19,237.50
Rate for Payer: Aetna Commercial	$14,620.50
Rate for Payer: Aetna Medicare Advantage	$11,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,811.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,811.12
Rate for Payer: Cigna Commercial	$19,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,310.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,464.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.25
Rate for Payer: UnitedHealthcare Community & State	$927.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1,019.59

PACEMAKER INSIGN ULTRA DR 1291

Facility

$38,475.00

Hospital Charge Code	270633909
Hospital Revenue Code	275
Min. Negotiated Rate	$5,771.25
Max. Negotiated Rate	$9,310.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,310.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,464.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.25

PACEMAKER INTERR DUAL

Facility

$332.85

Service Code	HCPCS 93731
Hospital Charge Code	5100199
Hospital Revenue Code	921
Min. Negotiated Rate	$8.02
Max. Negotiated Rate	$6,760.00
Rate for Payer: Aetna Commercial	$126.48
Rate for Payer: Aetna Medicare Advantage	$99.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.88
Rate for Payer: Cigna Commercial	$166.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.86
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.93
Rate for Payer: UnitedHealthcare Commercial	$6,760.00
Rate for Payer: UnitedHealthcare Community & State	$8.02
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

Know your out-of-pocket cost for care.

All Charges