Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER PHILOS SR-B 331599

Facility

$29,975.00

Hospital Charge Code	270639474C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,496.25
Max. Negotiated Rate	$7,253.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,253.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,594.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,496.25

PACEMAKER PHILOS SR-B 331599

Facility

$29,975.00

Hospital Charge Code	270639474C
Hospital Revenue Code	275
Min. Negotiated Rate	$722.40
Max. Negotiated Rate	$14,987.50
Rate for Payer: Aetna Commercial	$11,390.50
Rate for Payer: Aetna Medicare Advantage	$8,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,643.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,643.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,643.62
Rate for Payer: Cigna Commercial	$14,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,253.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,594.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,496.25
Rate for Payer: UnitedHealthcare Community & State	$722.40
Rate for Payer: Wellpoint Medicaid Managed Care	$794.34

Pacemaker Pocket Revision

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	5100221
Hospital Revenue Code	481
Min. Negotiated Rate	$221.61
Max. Negotiated Rate	$8,848.20
Rate for Payer: Aetna Commercial	$6,667.35
Rate for Payer: Aetna Medicare Advantage	$7,941.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,848.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,848.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,451.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,848.20
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: Cigna Medicare Advantage	$2,451.23
Rate for Payer: Clover Medicare Advantage	$2,328.67
Rate for Payer: EmblemHealth Commercial	$7,353.69
Rate for Payer: Humana Medicare Advantage	$2,524.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,451.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,758.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$221.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,451.23
Rate for Payer: Wellcare Medicare Advantage	$2,451.23
Rate for Payer: Wellpoint Medicaid Managed Care	$243.68

Pacemaker Pocket Revision

Facility

$9,195.40

Service Code	HCPCS 33222
Hospital Charge Code	5100221
Hospital Revenue Code	481
Min. Negotiated Rate	$1,379.31
Max. Negotiated Rate	$1,379.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,379.31

PACEMAKER QDT 1176

Facility

$19,333.65

Hospital Charge Code	270617227
Hospital Revenue Code	275
Min. Negotiated Rate	$465.94
Max. Negotiated Rate	$9,666.83
Rate for Payer: Aetna Commercial	$7,346.79
Rate for Payer: Aetna Medicare Advantage	$5,800.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,930.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,930.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,866.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,930.08
Rate for Payer: Cigna Commercial	$9,666.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,678.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,253.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,900.05
Rate for Payer: UnitedHealthcare Community & State	$465.94
Rate for Payer: Wellpoint Medicaid Managed Care	$512.34

PACEMAKER QDT 1176

Facility

$19,333.65

Hospital Charge Code	270617227
Hospital Revenue Code	275
Min. Negotiated Rate	$2,900.05
Max. Negotiated Rate	$4,678.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,866.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,678.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,253.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,900.05

PACEMAKER QUADPOLAR VALITUDE

Facility

$51,250.00

Service Code	HCPCS C2621
Hospital Charge Code	270680910
Hospital Revenue Code	275
Min. Negotiated Rate	$7,687.50
Max. Negotiated Rate	$12,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,402.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,687.50

PACEMAKER QUADPOLAR VALITUDE

Facility

$51,250.00

Service Code	HCPCS C2621
Hospital Charge Code	270680910
Hospital Revenue Code	275
Min. Negotiated Rate	$1,235.12
Max. Negotiated Rate	$25,625.00
Rate for Payer: Aetna Commercial	$19,475.00
Rate for Payer: Aetna Medicare Advantage	$15,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,068.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,068.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,068.75
Rate for Payer: Cigna Commercial	$25,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,402.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11,275.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,687.50
Rate for Payer: UnitedHealthcare Community & State	$1,235.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1,358.12

PACEMAKER RELY DR

Facility

$31,000.00

Hospital Charge Code	270656328
Hospital Revenue Code	275
Min. Negotiated Rate	$4,650.00
Max. Negotiated Rate	$7,502.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,820.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00

PACEMAKER RELY DR

Facility

$31,000.00

Hospital Charge Code	270656328
Hospital Revenue Code	275
Min. Negotiated Rate	$747.10
Max. Negotiated Rate	$15,500.00
Rate for Payer: Aetna Commercial	$11,780.00
Rate for Payer: Aetna Medicare Advantage	$9,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,905.00
Rate for Payer: Cigna Commercial	$15,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,502.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,820.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,650.00
Rate for Payer: UnitedHealthcare Community & State	$747.10
Rate for Payer: Wellpoint Medicaid Managed Care	$821.50

PACEMAKER REMOVAL****

Facility

$1,263.60

Service Code	HCPCS 33234
Hospital Charge Code	5100196
Hospital Revenue Code	481
Min. Negotiated Rate	$189.54
Max. Negotiated Rate	$189.54
Rate for Payer: Qualcare PPO/HMO/WC	$189.54

PACEMAKER REMOVAL****

Facility

$1,263.60

Service Code	HCPCS 33234
Hospital Charge Code	5100196
Hospital Revenue Code	481
Min. Negotiated Rate	$30.45
Max. Negotiated Rate	$16,025.66
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,025.66
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.54
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$30.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$33.49

PACEMAKER REMOVAL PULSE GEN***

Facility

$1,424.10

Service Code	HCPCS 33235
Hospital Charge Code	5100195
Hospital Revenue Code	489
Min. Negotiated Rate	$213.62
Max. Negotiated Rate	$213.62
Rate for Payer: Qualcare PPO/HMO/WC	$213.62

PACEMAKER REMOVAL PULSE GEN***

Facility

$1,424.10

Service Code	HCPCS 33235
Hospital Charge Code	5100195
Hospital Revenue Code	489
Min. Negotiated Rate	$34.32
Max. Negotiated Rate	$16,025.66
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$396.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,025.66
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.23
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.62
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$34.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$37.74

PACEMAKER REMOV DUAL LD SYS

Facility

$20,101.20

Service Code	HCPCS 33235
Hospital Charge Code	411033235
Hospital Revenue Code	481
Min. Negotiated Rate	$484.44
Max. Negotiated Rate	$16,025.66
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,025.66
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,030.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$484.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$532.68

PACEMAKER REMOV DUAL LD SYS

Facility

$20,101.20

Service Code	HCPCS 33235
Hospital Charge Code	411033235
Hospital Revenue Code	481
Min. Negotiated Rate	$3,015.18
Max. Negotiated Rate	$3,015.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,015.18

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	74110023
Hospital Revenue Code	361
Min. Negotiated Rate	$285.30
Max. Negotiated Rate	$16,025.66
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
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	$16,025.66
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,551.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$285.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$313.71

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	74110023
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	5100215
Hospital Revenue Code	361
Min. Negotiated Rate	$285.30
Max. Negotiated Rate	$16,025.66
Rate for Payer: Aetna Commercial	$12,075.74
Rate for Payer: Aetna Medicare Advantage	$14,384.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,025.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,439.61
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	$16,025.66
Rate for Payer: Cigna Commercial	$8,899.18
Rate for Payer: Cigna Medicare Advantage	$4,439.61
Rate for Payer: Clover Medicare Advantage	$4,217.63
Rate for Payer: EmblemHealth Commercial	$13,318.83
Rate for Payer: Humana Medicare Advantage	$4,572.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,439.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,551.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$285.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,439.61
Rate for Payer: Wellcare Medicare Advantage	$4,439.61
Rate for Payer: Wellpoint Medicaid Managed Care	$313.71

PACEMAKER REMOV ELECTRODE SNGL

Facility

$11,838.15

Service Code	HCPCS 33234
Hospital Charge Code	5100215
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	74110024
Hospital Revenue Code	361
Min. Negotiated Rate	$285.30
Max. Negotiated Rate	$35,488.33
Rate for Payer: Aetna Commercial	$26,741.35
Rate for Payer: Aetna Medicare Advantage	$31,853.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,488.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,488.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,831.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,488.33
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: Cigna Medicare Advantage	$9,831.38
Rate for Payer: Clover Medicare Advantage	$9,339.81
Rate for Payer: EmblemHealth Commercial	$29,494.14
Rate for Payer: Humana Medicare Advantage	$10,126.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,831.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,551.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$285.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,831.38
Rate for Payer: Wellcare Medicare Advantage	$9,831.38
Rate for Payer: Wellpoint Medicaid Managed Care	$313.71

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	74110024
Hospital Revenue Code	361
Min. Negotiated Rate	$1,775.72
Max. Negotiated Rate	$1,775.72
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72

PACEMAKER REMOV PUL GEN DUAL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100220
Hospital Revenue Code	361
Min. Negotiated Rate	$285.30
Max. Negotiated Rate	$35,488.33
Rate for Payer: Aetna Commercial	$26,741.35
Rate for Payer: Aetna Medicare Advantage	$31,853.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,488.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,488.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,831.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,488.33
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: Cigna Medicare Advantage	$9,831.38
Rate for Payer: Clover Medicare Advantage	$9,339.81
Rate for Payer: EmblemHealth Commercial	$29,494.14
Rate for Payer: Humana Medicare Advantage	$10,126.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,831.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,551.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$285.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,831.38
Rate for Payer: Wellcare Medicare Advantage	$9,831.38
Rate for Payer: Wellpoint Medicaid Managed Care	$313.71

PACEMAKER REMOV PUL GEN SNGL

Facility

$11,838.15

Service Code	HCPCS 33233
Hospital Charge Code	5100210
Hospital Revenue Code	361
Min. Negotiated Rate	$285.30
Max. Negotiated Rate	$35,488.33
Rate for Payer: Aetna Commercial	$26,741.35
Rate for Payer: Aetna Medicare Advantage	$31,853.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,488.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,488.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,831.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,488.33
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: Cigna Medicare Advantage	$9,831.38
Rate for Payer: Clover Medicare Advantage	$9,339.81
Rate for Payer: EmblemHealth Commercial	$29,494.14
Rate for Payer: Humana Medicare Advantage	$10,126.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,831.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,551.45
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,775.72
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$285.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,831.38
Rate for Payer: Wellcare Medicare Advantage	$9,831.38
Rate for Payer: Wellpoint Medicaid Managed Care	$313.71

Know your out-of-pocket cost for care.

All Charges