Heights University Hospital

All Charges

Charge

Type

Setting

Price

DEFIBRILLATION CRT-DEFIB

Facility

$126,820.00

Service Code	HCPCS C1882
Hospital Charge Code	270674919
Hospital Revenue Code	275
Min. Negotiated Rate	$19,023.00
Max. Negotiated Rate	$30,690.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,364.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,690.44
Rate for Payer: Qualcare PPO/HMO/WC	$19,023.00

DEFIBRILLATION CRT-DEFIB

Facility

$126,820.00

Service Code	HCPCS C1882
Hospital Charge Code	270674919
Hospital Revenue Code	275
Min. Negotiated Rate	$19,023.00
Max. Negotiated Rate	$63,410.00
Rate for Payer: Aetna Commercial	$38,046.00
Rate for Payer: Aetna Medicare Advantage	$38,046.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,339.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,339.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,364.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,339.10
Rate for Payer: Cigna Commercial	$63,410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,690.44
Rate for Payer: Qualcare PPO/HMO/WC	$19,023.00

DEFIBRILLATOR ANALYSIS

Facility

$128.00

Service Code	HCPCS 93741
Hospital Charge Code	5300136
Hospital Revenue Code	921
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$5,061.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$4,459.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$5,061.00

DEFIBRILLATOR ANALYSIS

Facility

$128.00

Service Code	HCPCS 93741
Hospital Charge Code	5300136
Hospital Revenue Code	921
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

DEFIBRILLATOR CLARIA QUAD DF4

Facility

$130,740.00

Service Code	HCPCS C1882
Hospital Charge Code	270700885
Hospital Revenue Code	275
Min. Negotiated Rate	$19,611.00
Max. Negotiated Rate	$65,370.00
Rate for Payer: Aetna Commercial	$39,222.00
Rate for Payer: Aetna Medicare Advantage	$39,222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,338.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,338.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,148.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,338.70
Rate for Payer: Cigna Commercial	$65,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,639.08
Rate for Payer: Qualcare PPO/HMO/WC	$19,611.00

DEFIBRILLATOR CLARIA QUAD DF4

Facility

$130,740.00

Service Code	HCPCS C1882
Hospital Charge Code	270700885
Hospital Revenue Code	275
Min. Negotiated Rate	$19,611.00
Max. Negotiated Rate	$31,639.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,148.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,639.08
Rate for Payer: Qualcare PPO/HMO/WC	$19,611.00

DEFIBRILLATOR EVERA XT

Facility

$94,205.00

Hospital Charge Code	270670818
Hospital Revenue Code	275
Min. Negotiated Rate	$14,130.75
Max. Negotiated Rate	$47,102.50
Rate for Payer: Aetna Commercial	$28,261.50
Rate for Payer: Aetna Medicare Advantage	$28,261.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,022.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,022.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18,841.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,022.28
Rate for Payer: Cigna Commercial	$47,102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22,797.61
Rate for Payer: Qualcare PPO/HMO/WC	$14,130.75

DEFIBRILLATOR EVERA XT

Facility

$94,205.00

Hospital Charge Code	270670818
Hospital Revenue Code	275
Min. Negotiated Rate	$14,130.75
Max. Negotiated Rate	$22,797.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18,841.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22,797.61
Rate for Payer: Qualcare PPO/HMO/WC	$14,130.75

DEFIBRILLATOR IMPLANTS

Facility

$91,078.33

Service Code	APR-DRG 1794
Min. Negotiated Rate	$89,292.48
Max. Negotiated Rate	$91,078.33
Rate for Payer: Aetna Better Health Medicaid	$89,292.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$91,078.33

DEFIBRILLATOR IMPLANTS

Facility

$63,567.91

Service Code	APR-DRG 1793
Min. Negotiated Rate	$62,321.48
Max. Negotiated Rate	$63,567.91
Rate for Payer: Aetna Better Health Medicaid	$62,321.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,567.91

DEFIBRILLATOR IMPLANTS

Facility

$52,324.41

Service Code	APR-DRG 1792
Min. Negotiated Rate	$51,298.44
Max. Negotiated Rate	$52,324.41
Rate for Payer: Aetna Better Health Medicaid	$51,298.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,324.41

DEFIBRILLATOR IMPLANTS

Facility

$46,298.21

Service Code	APR-DRG 1791
Min. Negotiated Rate	$45,390.40
Max. Negotiated Rate	$46,298.21
Rate for Payer: Aetna Better Health Medicaid	$45,390.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,298.21

DEFIBRILLATOR REPROGRAM

Facility

$128.00

Service Code	HCPCS 93742
Hospital Charge Code	5300137
Hospital Revenue Code	480
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

DEFIBRILLATOR REPROGRAM

Facility

$128.00

Service Code	HCPCS 93742
Hospital Charge Code	5300137
Hospital Revenue Code	480
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

DEFINITIVE ID, AEROBIC

Facility

$154.00

Service Code	HCPCS 87077
Hospital Charge Code	38475116
Hospital Revenue Code	309
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

DEFINITIVE ID, AEROBIC

Facility

$154.00

Service Code	HCPCS 87077
Hospital Charge Code	38475116
Hospital Revenue Code	309
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.18
Rate for Payer: Aetna Medicare Advantage	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.61
Rate for Payer: Cigna Commercial	$8.08
Rate for Payer: Cigna Medicare Advantage	$4.04
Rate for Payer: Clover Medicare Advantage	$7.68
Rate for Payer: EmblemHealth Commercial	$24.24
Rate for Payer: Humana Medicare Advantage	$8.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.02
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.56
Rate for Payer: Wellcare Medicare Advantage	$8.08

DEFINITIVE ID, ANAEROBIC

Facility

$390.00

Service Code	HCPCS 87076
Hospital Charge Code	38475115
Hospital Revenue Code	309
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DEFINITIVE ID, ANAEROBIC

Facility

$390.00

Service Code	HCPCS 87076
Hospital Charge Code	38475115
Hospital Revenue Code	309
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$26.18
Rate for Payer: Aetna Medicare Advantage	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.61
Rate for Payer: Cigna Commercial	$8.08
Rate for Payer: Cigna Medicare Advantage	$4.04
Rate for Payer: Clover Medicare Advantage	$7.68
Rate for Payer: EmblemHealth Commercial	$24.24
Rate for Payer: Humana Medicare Advantage	$8.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8.56
Rate for Payer: Wellcare Medicare Advantage	$8.08

DEFOGGER

Facility

$7.60

Hospital Charge Code	270666796
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$3.80
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.99
Rate for Payer: Oxford Commercial	$3.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$3.80

DEFOGGER

Facility

$7.60

Hospital Charge Code	270666796
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

DEFRIBILATOR BURDICK COR-GEL

Facility

$19.10

Hospital Charge Code	270649682
Hospital Revenue Code	270
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

DEFRIBILATOR BURDICK COR-GEL

Facility

$19.10

Hospital Charge Code	270649682
Hospital Revenue Code	270
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$9.55
Rate for Payer: Aetna Commercial	$5.73
Rate for Payer: Aetna Medicare Advantage	$5.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.87
Rate for Payer: Cigna Commercial	$9.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$9.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$9.55

DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$9,027.37

Service Code	APR-DRG 0421
Min. Negotiated Rate	$5,820.41
Max. Negotiated Rate	$9,027.37
Rate for Payer: Aetna Better Health Medicaid	$8,850.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,027.37
Rate for Payer: Wellpoint Medicaid Managed Care	$5,820.41

DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$15,646.20

Service Code	APR-DRG 0423
Min. Negotiated Rate	$11,295.92
Max. Negotiated Rate	$15,646.20
Rate for Payer: Aetna Better Health Medicaid	$15,339.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,646.20
Rate for Payer: Wellpoint Medicaid Managed Care	$11,295.92

DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$11,497.69

Service Code	APR-DRG 0422
Min. Negotiated Rate	$7,244.24
Max. Negotiated Rate	$11,497.69
Rate for Payer: Aetna Better Health Medicaid	$11,272.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,497.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7,244.24

Know your out-of-pocket cost for care.

All Charges