Heights University Hospital

All Charges

Charge

Type

Setting

Price

INSERT SUBQ CARD RHYTHM MON

Facility

$43,408.82

Service Code	HCPCS 33285
Hospital Charge Code	703033285
Hospital Revenue Code	481
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$13,022.65
Rate for Payer: Aetna Medicare Advantage	$13,022.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,069.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,069.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,069.25
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,643.15
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,511.32
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

INSERT SUBQ CARD RHYTHM MON

Facility

$43,408.82

Service Code	HCPCS 33285
Hospital Charge Code	411033285
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$19,706.96
Rate for Payer: Aetna Commercial	$13,022.65
Rate for Payer: Aetna Medicare Advantage	$13,022.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,069.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,069.25
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	$11,069.25
Rate for Payer: Cigna Commercial	$19,706.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,643.15
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,511.32
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

INSERT SWAN GANZ CATH

Facility

$9,759.90

Service Code	HCPCS 93503
Hospital Charge Code	5100048
Hospital Revenue Code	481
Min. Negotiated Rate	$1,268.79
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$2,927.97
Rate for Payer: Aetna Medicare Advantage	$2,927.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,488.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,488.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,488.77
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,268.79
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,463.98
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INSERT SWAN GANZ CATH

Facility

$9,759.90

Service Code	HCPCS 93503
Hospital Charge Code	74110010
Hospital Revenue Code	481
Min. Negotiated Rate	$1,463.98
Max. Negotiated Rate	$1,463.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,463.98

INSERT SWAN GANZ CATH

Facility

$9,759.90

Service Code	HCPCS 93503
Hospital Charge Code	5100048
Hospital Revenue Code	481
Min. Negotiated Rate	$1,463.98
Max. Negotiated Rate	$1,463.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,463.98

INSERT SWAN GANZ CATH

Facility

$9,759.90

Service Code	HCPCS 93503
Hospital Charge Code	74110010
Hospital Revenue Code	481
Min. Negotiated Rate	$1,268.79
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$2,927.97
Rate for Payer: Aetna Medicare Advantage	$2,927.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,488.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,488.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,488.77
Rate for Payer: Cigna Commercial	$3,748.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,268.79
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,463.98
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

INSERT SZ 3 LEFT 20MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677841
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 3 LEFT 20MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677841
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 4 LEFT 17MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677860
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 4 LEFT 17MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677860
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 4 RIGHT

Facility

$2,143.90

Service Code	HCPCS C1776
Hospital Charge Code	270678418
Hospital Revenue Code	278
Min. Negotiated Rate	$321.58
Max. Negotiated Rate	$1,071.95
Rate for Payer: Aetna Commercial	$643.17
Rate for Payer: Aetna Medicare Advantage	$643.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.69
Rate for Payer: Cigna Commercial	$1,071.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$518.82
Rate for Payer: Qualcare PPO/HMO/WC	$321.58

INSERT SZ 4 RIGHT

Facility

$2,143.90

Service Code	HCPCS C1776
Hospital Charge Code	270678418
Hospital Revenue Code	278
Min. Negotiated Rate	$321.58
Max. Negotiated Rate	$518.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$428.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$518.82
Rate for Payer: Qualcare PPO/HMO/WC	$321.58

INSERT SZ 5 LEFT 10MM

Facility

$4,500.00

Hospital Charge Code	270678258
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 5 LEFT 10MM

Facility

$4,500.00

Hospital Charge Code	270678258
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 5 LEFT 17MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677946
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 5 LEFT 17MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677946
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 7 10MM EMPOWER

Facility

$3,150.00

Service Code	HCPCS C1776
Hospital Charge Code	270692527
Hospital Revenue Code	278
Min. Negotiated Rate	$472.50
Max. Negotiated Rate	$762.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$762.30
Rate for Payer: Qualcare PPO/HMO/WC	$472.50

INSERT SZ 7 10MM EMPOWER

Facility

$3,150.00

Service Code	HCPCS C1776
Hospital Charge Code	270692527
Hospital Revenue Code	278
Min. Negotiated Rate	$472.50
Max. Negotiated Rate	$1,575.00
Rate for Payer: Aetna Commercial	$945.00
Rate for Payer: Aetna Medicare Advantage	$945.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$803.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$803.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$803.25
Rate for Payer: Cigna Commercial	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$762.30
Rate for Payer: Qualcare PPO/HMO/WC	$472.50

INSERT SZ 7 LEFT 10MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677819
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 7 LEFT 10MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677819
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 7 RIGHT 12MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270678495
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 7 RIGHT 12MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270678495
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 7 RIGHT 17MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677869
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT SZ 7 RIGHT 17MM

Facility

$4,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270677869
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,350.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

INSERT TBI TRIATHLON X3 CS 9MM

Facility

$5,082.40

Service Code	HCPCS C1776
Hospital Charge Code	270700102
Hospital Revenue Code	278
Min. Negotiated Rate	$762.36
Max. Negotiated Rate	$2,541.20
Rate for Payer: Aetna Commercial	$1,524.72
Rate for Payer: Aetna Medicare Advantage	$1,524.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,296.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,296.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,296.01
Rate for Payer: Cigna Commercial	$2,541.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,229.94
Rate for Payer: Qualcare PPO/HMO/WC	$762.36

Know your out-of-pocket cost for care.

All Charges