Heights University Hospital

All Charges

Charge

Type

Setting

Price

ICD DEFIB INTERROGATION

Facility

$214.68

Service Code	HCPCS 93289
Hospital Charge Code	74115023
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INTERROGATION

Facility

$231.20

Service Code	HCPCS 93289
Hospital Charge Code	5300160
Hospital Revenue Code	480
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$69.36
Rate for Payer: Aetna Medicare Advantage	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.96
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INTERROGATION

Facility

$214.68

Service Code	HCPCS 93289
Hospital Charge Code	74117023
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG DUAL

Facility

$231.20

Service Code	HCPCS 93283
Hospital Charge Code	94053075
Hospital Revenue Code	480
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

ICD DEFIB INT W/PROG DUAL

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74116019
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG DUAL

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74117019
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG DUAL

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74117019
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG DUAL

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74116019
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG DUAL

Facility

$231.20

Service Code	HCPCS 93283
Hospital Charge Code	94053075
Hospital Revenue Code	480
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$69.36
Rate for Payer: Aetna Medicare Advantage	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.96
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG DUAL

Facility

$231.20

Service Code	HCPCS 93283
Hospital Charge Code	5300162
Hospital Revenue Code	480
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$69.36
Rate for Payer: Aetna Medicare Advantage	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.96
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG DUAL

Facility

$231.20

Service Code	HCPCS 93283
Hospital Charge Code	5300162
Hospital Revenue Code	480
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

ICD DEFIB INT W/PROG DUAL

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74115019
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG DUAL

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74115019
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG MULTIPLE

Facility

$214.68

Service Code	HCPCS 93284
Hospital Charge Code	74117020
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG MULTIPLE

Facility

$214.68

Service Code	HCPCS 93284
Hospital Charge Code	74115020
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG MULTIPLE

Facility

$231.20

Service Code	HCPCS 93284
Hospital Charge Code	94053080
Hospital Revenue Code	480
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

ICD DEFIB INT W/PROG MULTIPLE

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74116020
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG MULTIPLE

Facility

$231.20

Service Code	HCPCS 93284
Hospital Charge Code	5300163
Hospital Revenue Code	480
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$69.36
Rate for Payer: Aetna Medicare Advantage	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.96
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG MULTIPLE

Facility

$214.68

Service Code	HCPCS 93283
Hospital Charge Code	74116020
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

ICD DEFIB INT W/PROG MULTIPLE

Facility

$214.68

Service Code	HCPCS 93284
Hospital Charge Code	74115020
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG MULTIPLE

Facility

$214.68

Service Code	HCPCS 93284
Hospital Charge Code	74117020
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG MULTIPLE

Facility

$231.20

Service Code	HCPCS 93284
Hospital Charge Code	94053080
Hospital Revenue Code	480
Min. Negotiated Rate	$30.06
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$69.36
Rate for Payer: Aetna Medicare Advantage	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.96
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.06
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.68
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG MULTIPLE

Facility

$231.20

Service Code	HCPCS 93284
Hospital Charge Code	5300163
Hospital Revenue Code	480
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$34.68
Rate for Payer: Qualcare PPO/HMO/WC	$34.68

ICD DEFIB INT W/PROG SINGLE

Facility

$214.68

Service Code	HCPCS 93282
Hospital Charge Code	74115018
Hospital Revenue Code	480
Min. Negotiated Rate	$27.91
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$64.40
Rate for Payer: Aetna Medicare Advantage	$64.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.74
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.20
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

ICD DEFIB INT W/PROG SINGLE

Facility

$214.68

Service Code	HCPCS 93282
Hospital Charge Code	74115018
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

Know your out-of-pocket cost for care.

All Charges