Heights University Hospital

All Charges

Charge

Type

Setting

Price

GENERATOR PULSE INTERNAL

Facility

$125,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270683890
Hospital Revenue Code	278
Min. Negotiated Rate	$18,896.25
Max. Negotiated Rate	$62,987.50
Rate for Payer: Aetna Commercial	$37,792.50
Rate for Payer: Aetna Medicare Advantage	$37,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,123.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,123.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,123.62
Rate for Payer: Cigna Commercial	$62,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,485.95
Rate for Payer: Qualcare PPO/HMO/WC	$18,896.25

GENERATOR PULSE INTERNAL

Facility

$125,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270683890
Hospital Revenue Code	278
Min. Negotiated Rate	$18,896.25
Max. Negotiated Rate	$30,485.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,485.95
Rate for Payer: Qualcare PPO/HMO/WC	$18,896.25

GENERATOR PULSE PGRM 292-05

Facility

$12,364.85

Hospital Charge Code	270606424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.73
Max. Negotiated Rate	$6,182.43
Rate for Payer: Aetna Commercial	$3,709.45
Rate for Payer: Aetna Medicare Advantage	$3,709.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,153.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,153.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,472.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,153.04
Rate for Payer: Cigna Commercial	$6,182.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,992.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,854.73

GENERATOR PULSE PGRM 292-05

Facility

$12,364.85

Hospital Charge Code	270606424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.73
Max. Negotiated Rate	$2,992.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,472.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,992.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,854.73

GENERATOR PULSE WAVE WRITER

Facility

$102,500.00

Hospital Charge Code	270701878
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR PULSE WAVE WRITER

Facility

$102,500.00

Hospital Charge Code	270701878
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$30,750.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR SENSIA DR

Facility

$27,200.00

Hospital Charge Code	2709007530
Hospital Revenue Code	272
Min. Negotiated Rate	$3,536.00
Max. Negotiated Rate	$13,600.00
Rate for Payer: Aetna Commercial	$8,160.00
Rate for Payer: Aetna Medicare Advantage	$8,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,936.00
Rate for Payer: Cigna Commercial	$13,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,536.00
Rate for Payer: Oxford Commercial	$13,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,080.00
Rate for Payer: UnitedHealthcare Commercial	$13,600.00

GENERATOR SENSIA DR

Facility

$27,200.00

Hospital Charge Code	2709007530
Hospital Revenue Code	272
Min. Negotiated Rate	$4,080.00
Max. Negotiated Rate	$4,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,080.00

GENERATOR SINGLE CHAMBER RATE

Facility

$28,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270657514
Hospital Revenue Code	278
Min. Negotiated Rate	$4,346.25
Max. Negotiated Rate	$7,011.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,011.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,346.25

GENERATOR SINGLE CHAMBER RATE

Facility

$28,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270657514
Hospital Revenue Code	278
Min. Negotiated Rate	$4,346.25
Max. Negotiated Rate	$14,487.50
Rate for Payer: Aetna Commercial	$8,692.50
Rate for Payer: Aetna Medicare Advantage	$8,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,388.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,388.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,388.62
Rate for Payer: Cigna Commercial	$14,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,011.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,346.25

GENERATOR SPINAL CORD ETERNA

Facility

$130,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270701508
Hospital Revenue Code	278
Min. Negotiated Rate	$19,641.00
Max. Negotiated Rate	$31,687.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,687.48
Rate for Payer: Qualcare PPO/HMO/WC	$19,641.00

GENERATOR SPINAL CORD ETERNA

Facility

$130,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270701508
Hospital Revenue Code	278
Min. Negotiated Rate	$19,641.00
Max. Negotiated Rate	$65,470.00
Rate for Payer: Aetna Commercial	$39,282.00
Rate for Payer: Aetna Medicare Advantage	$39,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,389.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,389.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,389.70
Rate for Payer: Cigna Commercial	$65,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,687.48
Rate for Payer: Qualcare PPO/HMO/WC	$19,641.00

GENERATOR SYN IPG-PAIN 7427

Facility

$58,800.85

Hospital Charge Code	270632005
Hospital Revenue Code	278
Min. Negotiated Rate	$8,820.13
Max. Negotiated Rate	$14,229.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,760.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,229.81
Rate for Payer: Qualcare PPO/HMO/WC	$8,820.13

GENERATOR SYN IPG-PAIN 7427

Facility

$58,800.85

Hospital Charge Code	270632005
Hospital Revenue Code	278
Min. Negotiated Rate	$8,820.13
Max. Negotiated Rate	$29,400.42
Rate for Payer: Aetna Commercial	$17,640.26
Rate for Payer: Aetna Medicare Advantage	$17,640.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,994.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,994.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,760.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,994.22
Rate for Payer: Cigna Commercial	$29,400.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,229.81
Rate for Payer: Qualcare PPO/HMO/WC	$8,820.13

GENESYS 1 LEVEL PLATE

Facility

$6,000.00

Hospital Charge Code	270667750
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

GENESYS 1 LEVEL PLATE

Facility

$6,000.00

Hospital Charge Code	270667750
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

GENETIC EXAMINIATION

Facility

$111.00

Hospital Charge Code	3004168E
Hospital Revenue Code	301
Min. Negotiated Rate	$14.43
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$33.30
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$114.00

GENETIC EXAMINIATION

Facility

$111.00

Hospital Charge Code	3004168E
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

GENITAL SURGERY PROCEDURE

Facility

$1,310.60

Service Code	HCPCS 55899
Hospital Charge Code	16000758
Hospital Revenue Code	360
Min. Negotiated Rate	$196.59
Max. Negotiated Rate	$196.59
Rate for Payer: Qualcare PPO/HMO/WC	$196.59

GENITAL SURGERY PROCEDURE

Facility

$1,310.60

Service Code	HCPCS 55899
Hospital Charge Code	16000758
Hospital Revenue Code	360
Min. Negotiated Rate	$170.38
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$393.18
Rate for Payer: Aetna Medicare Advantage	$393.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.20
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.38
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.59
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

GENIUS PRP SYSTEM

Facility

$4,000.00

Hospital Charge Code	270679233
Hospital Revenue Code	272
Min. Negotiated Rate	$520.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.00
Rate for Payer: Oxford Commercial	$2,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$2,000.00

GENIUS PRP SYSTEM

Facility

$4,000.00

Hospital Charge Code	270679233
Hospital Revenue Code	272
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

GENIUS PRP SYSTEM 60ML

Facility

$1,975.00

Hospital Charge Code	270685399
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

GENIUS PRP SYSTEM 60ML

Facility

$1,975.00

Hospital Charge Code	270685399
Hospital Revenue Code	272
Min. Negotiated Rate	$256.75
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$592.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.75
Rate for Payer: Oxford Commercial	$987.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$987.50

GEN LAP KIT

Facility

$352.00

Hospital Charge Code	270338736
Hospital Revenue Code	272
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$105.60
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.76
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$176.00

Know your out-of-pocket cost for care.

All Charges