Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

PACEMAKER XTDR AZURE SURESCAN

Facility

IP

$27,175.00

Service Code	HCPCS C1785
Hospital Charge Code	270681677S
Hospital Revenue Code	275
Min. Negotiated Rate	$4,076.25
Max. Negotiated Rate	$6,576.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,576.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,978.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,076.25

PACEMAKER XT SR AZURE SURESCAN

Facility

IP

$21,725.00

Service Code	HCPCS C1785
Hospital Charge Code	270681678C
Hospital Revenue Code	278
Min. Negotiated Rate	$3,258.75
Max. Negotiated Rate	$5,257.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,257.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,779.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,258.75

PACEMAKER XT SR AZURE SURESCAN

Facility

IP

$27,125.00

Service Code	HCPCS C1786
Hospital Charge Code	270681678N
Hospital Revenue Code	278
Min. Negotiated Rate	$4,068.75
Max. Negotiated Rate	$6,564.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,564.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,967.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,068.75

PACEMAKER XT SR AZURE SURESCAN

Facility

OP

$27,125.00

Service Code	HCPCS C1786
Hospital Charge Code	270681678N
Hospital Revenue Code	278
Min. Negotiated Rate	$653.71
Max. Negotiated Rate	$13,562.50
Rate for Payer: Aetna Commercial	$10,307.50
Rate for Payer: Aetna Medicare Advantage	$8,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,916.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,916.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,916.88
Rate for Payer: Cigna Commercial	$13,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,564.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,967.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,068.75
Rate for Payer: UnitedHealthcare Community & State	$653.71
Rate for Payer: Wellpoint Medicaid Managed Care	$718.81

PACEMAKER XT SR AZURE SURESCAN

Facility

IP

$18,683.50

Service Code	HCPCS C1785
Hospital Charge Code	270681678
Hospital Revenue Code	278
Min. Negotiated Rate	$2,802.53
Max. Negotiated Rate	$4,521.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,110.37
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53

PACEMAKER XT SR AZURE SURESCAN

Facility

OP

$21,725.00

Service Code	HCPCS C1785
Hospital Charge Code	270681678C
Hospital Revenue Code	278
Min. Negotiated Rate	$523.57
Max. Negotiated Rate	$10,862.50
Rate for Payer: Aetna Commercial	$8,255.50
Rate for Payer: Aetna Medicare Advantage	$6,517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,539.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,539.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,539.88
Rate for Payer: Cigna Commercial	$10,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,257.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,779.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,258.75
Rate for Payer: UnitedHealthcare Community & State	$523.57
Rate for Payer: Wellpoint Medicaid Managed Care	$575.71

PACEMAKER XT SR AZURE SURESCAN

Facility

OP

$18,683.50

Service Code	HCPCS C1785
Hospital Charge Code	270681678
Hospital Revenue Code	278
Min. Negotiated Rate	$450.27
Max. Negotiated Rate	$9,341.75
Rate for Payer: Aetna Commercial	$7,099.73
Rate for Payer: Aetna Medicare Advantage	$5,605.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,764.29
Rate for Payer: Cigna Commercial	$9,341.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,110.37
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53
Rate for Payer: UnitedHealthcare Community & State	$450.27
Rate for Payer: Wellpoint Medicaid Managed Care	$495.11

PACEMAKER ZEPHYR SR SSIR 5620

Facility

IP

$28,475.00

Hospital Charge Code	270642137
Hospital Revenue Code	275
Min. Negotiated Rate	$4,271.25
Max. Negotiated Rate	$6,890.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,890.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,264.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,271.25

PACEMAKER ZEPHYR SR SSIR 5620

Facility

OP

$28,475.00

Hospital Charge Code	270642137
Hospital Revenue Code	275
Min. Negotiated Rate	$686.25
Max. Negotiated Rate	$14,237.50
Rate for Payer: Aetna Commercial	$10,820.50
Rate for Payer: Aetna Medicare Advantage	$8,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,261.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,261.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,261.12
Rate for Payer: Cigna Commercial	$14,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,890.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,264.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,271.25
Rate for Payer: UnitedHealthcare Community & State	$686.25
Rate for Payer: Wellpoint Medicaid Managed Care	$754.59

PACEMAKER ZEPHYR XLSR SIR 5626

Facility

OP

$30,210.00

Service Code	HCPCS C1786
Hospital Charge Code	270645677N
Hospital Revenue Code	275
Min. Negotiated Rate	$728.06
Max. Negotiated Rate	$15,105.00
Rate for Payer: Aetna Commercial	$11,479.80
Rate for Payer: Aetna Medicare Advantage	$9,063.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,703.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,703.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,042.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,703.55
Rate for Payer: Cigna Commercial	$15,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,310.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,646.20
Rate for Payer: Qualcare PPO/HMO/WC	$4,531.50
Rate for Payer: UnitedHealthcare Community & State	$728.06
Rate for Payer: Wellpoint Medicaid Managed Care	$800.57

PACEMAKER ZEPHYR XLSR SIR 5626

Facility

IP

$30,210.00

Service Code	HCPCS C1786
Hospital Charge Code	270645677N
Hospital Revenue Code	275
Min. Negotiated Rate	$4,531.50
Max. Negotiated Rate	$7,310.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,042.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,310.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,646.20
Rate for Payer: Qualcare PPO/HMO/WC	$4,531.50

PACEMAKER ZEPHYR XLSR SIR 5626

Facility

IP

$25,175.00

Service Code	HCPCS C1786
Hospital Charge Code	270645677C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,776.25
Max. Negotiated Rate	$6,092.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,035.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,092.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,538.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,776.25

PACEMAKER ZEPHYR XLSR SIR 5626

Facility

OP

$25,175.00

Service Code	HCPCS C1786
Hospital Charge Code	270645677C
Hospital Revenue Code	275
Min. Negotiated Rate	$606.72
Max. Negotiated Rate	$12,587.50
Rate for Payer: Aetna Commercial	$9,566.50
Rate for Payer: Aetna Medicare Advantage	$7,552.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,419.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,419.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,035.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,419.62
Rate for Payer: Cigna Commercial	$12,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,092.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,538.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,776.25
Rate for Payer: UnitedHealthcare Community & State	$606.72
Rate for Payer: Wellpoint Medicaid Managed Care	$667.14

PACEMKR ALTRA 60SSIR IS-1 S601

Facility

IP

$22,500.00

Hospital Charge Code	270644194
Hospital Revenue Code	275
Min. Negotiated Rate	$3,375.00
Max. Negotiated Rate	$5,445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,445.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,375.00

PACEMKR ALTRA 60SSIR IS-1 S601

Facility

OP

$22,500.00

Hospital Charge Code	270644194
Hospital Revenue Code	275
Min. Negotiated Rate	$542.25
Max. Negotiated Rate	$11,250.00
Rate for Payer: Aetna Commercial	$8,550.00
Rate for Payer: Aetna Medicare Advantage	$6,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,737.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,737.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,737.50
Rate for Payer: Cigna Commercial	$11,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,445.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,375.00
Rate for Payer: UnitedHealthcare Community & State	$542.25
Rate for Payer: Wellpoint Medicaid Managed Care	$596.25

PACEMKR ENPUL DUL CHAMB E2DRO3

Facility

IP

$30,504.00

Hospital Charge Code	270633746
Hospital Revenue Code	275
Min. Negotiated Rate	$4,575.60
Max. Negotiated Rate	$7,381.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,710.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.60

PACEMKR ENPUL DUL CHAMB E2DRO3

Facility

OP

$30,504.00

Hospital Charge Code	270633746C
Hospital Revenue Code	275
Min. Negotiated Rate	$735.15
Max. Negotiated Rate	$15,252.00
Rate for Payer: Aetna Commercial	$11,591.52
Rate for Payer: Aetna Medicare Advantage	$9,151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,778.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,778.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,778.52
Rate for Payer: Cigna Commercial	$15,252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,710.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.60
Rate for Payer: UnitedHealthcare Community & State	$735.15
Rate for Payer: Wellpoint Medicaid Managed Care	$808.36

PACEMKR ENPUL DUL CHAMB E2DRO3

Facility

OP

$30,504.00

Hospital Charge Code	270633746
Hospital Revenue Code	275
Min. Negotiated Rate	$735.15
Max. Negotiated Rate	$15,252.00
Rate for Payer: Aetna Commercial	$11,591.52
Rate for Payer: Aetna Medicare Advantage	$9,151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,778.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,778.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,778.52
Rate for Payer: Cigna Commercial	$15,252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,710.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.60
Rate for Payer: UnitedHealthcare Community & State	$735.15
Rate for Payer: Wellpoint Medicaid Managed Care	$808.36

PACEMKR ENPUL DUL CHAMB E2DRO3

Facility

IP

$30,504.00

Hospital Charge Code	270633746C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,575.60
Max. Negotiated Rate	$7,381.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,710.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.60

PACEMKR IDENTY ADX XL DR 5386

Facility

OP

$31,223.25

Hospital Charge Code	270633049
Hospital Revenue Code	275
Min. Negotiated Rate	$752.48
Max. Negotiated Rate	$15,611.62
Rate for Payer: Aetna Commercial	$11,864.83
Rate for Payer: Aetna Medicare Advantage	$9,366.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,961.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,961.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,244.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,961.93
Rate for Payer: Cigna Commercial	$15,611.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,556.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,869.11
Rate for Payer: Qualcare PPO/HMO/WC	$4,683.49
Rate for Payer: UnitedHealthcare Community & State	$752.48
Rate for Payer: Wellpoint Medicaid Managed Care	$827.42

PACEMKR IDENTY ADX XL DR 5386

Facility

IP

$31,223.25

Hospital Charge Code	270633049
Hospital Revenue Code	275
Min. Negotiated Rate	$4,683.49
Max. Negotiated Rate	$7,556.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,244.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,556.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,869.11
Rate for Payer: Qualcare PPO/HMO/WC	$4,683.49

PACEMKR KPA S RATE RESP KSR906

Facility

OP

$26,536.00

Hospital Charge Code	270633461C
Hospital Revenue Code	275
Min. Negotiated Rate	$639.52
Max. Negotiated Rate	$13,268.00
Rate for Payer: Aetna Commercial	$10,083.68
Rate for Payer: Aetna Medicare Advantage	$7,960.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,766.68
Rate for Payer: Cigna Commercial	$13,268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,837.92
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40
Rate for Payer: UnitedHealthcare Community & State	$639.52
Rate for Payer: Wellpoint Medicaid Managed Care	$703.20

PACEMKR KPA S RATE RESP KSR906

Facility

OP

$26,536.00

Hospital Charge Code	270633461
Hospital Revenue Code	275
Min. Negotiated Rate	$639.52
Max. Negotiated Rate	$13,268.00
Rate for Payer: Aetna Commercial	$10,083.68
Rate for Payer: Aetna Medicare Advantage	$7,960.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,766.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,766.68
Rate for Payer: Cigna Commercial	$13,268.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,837.92
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40
Rate for Payer: UnitedHealthcare Community & State	$639.52
Rate for Payer: Wellpoint Medicaid Managed Care	$703.20

PACEMKR KPA S RATE RESP KSR906

Facility

IP

$26,536.00

Hospital Charge Code	270633461C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,980.40
Max. Negotiated Rate	$6,421.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,837.92
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40

PACEMKR KPA S RATE RESP KSR906

Facility

IP

$26,536.00

Hospital Charge Code	270633461
Hospital Revenue Code	275
Min. Negotiated Rate	$3,980.40
Max. Negotiated Rate	$6,421.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,307.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,421.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,837.92
Rate for Payer: Qualcare PPO/HMO/WC	$3,980.40