Heights University Hospital

All Charges

Charge

Type

Setting

Price

LEAD CAPSUREZ NOVUS

Facility

$3,276.00

Hospital Charge Code	270640301
Hospital Revenue Code	275
Min. Negotiated Rate	$491.40
Max. Negotiated Rate	$792.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$655.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.79
Rate for Payer: Qualcare PPO/HMO/WC	$491.40

LEAD CAPSUREZ NOVUS

Facility

$3,276.00

Hospital Charge Code	270640301
Hospital Revenue Code	275
Min. Negotiated Rate	$491.40
Max. Negotiated Rate	$1,638.00
Rate for Payer: Aetna Commercial	$982.80
Rate for Payer: Aetna Medicare Advantage	$982.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$835.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$835.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$655.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$835.38
Rate for Payer: Cigna Commercial	$1,638.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.79
Rate for Payer: Qualcare PPO/HMO/WC	$491.40

LEAD CORO VENTR QUARTET 86MM

Facility

$16,475.00

Service Code	HCPCS C1900
Hospital Charge Code	270699083S
Hospital Revenue Code	275
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

LEAD CORO VENTR QUARTET 86MM

Facility

$16,475.00

Service Code	HCPCS C1900
Hospital Charge Code	270699083S
Hospital Revenue Code	275
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$4,942.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

LEAD CYB BIPOLAR 1000027700**

Facility

$7,308.00

Service Code	HCPCS C1778
Hospital Charge Code	270618233
Hospital Revenue Code	275
Min. Negotiated Rate	$1,096.20
Max. Negotiated Rate	$1,768.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,461.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,768.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,096.20

LEAD CYB BIPOLAR 1000027700**

Facility

$7,308.00

Service Code	HCPCS C1778
Hospital Charge Code	270618233
Hospital Revenue Code	275
Min. Negotiated Rate	$1,096.20
Max. Negotiated Rate	$3,654.00
Rate for Payer: Aetna Commercial	$2,192.40
Rate for Payer: Aetna Medicare Advantage	$2,192.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,863.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,863.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,461.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,863.54
Rate for Payer: Cigna Commercial	$3,654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,768.54
Rate for Payer: Qualcare PPO/HMO/WC	$1,096.20

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	2709007249
Hospital Revenue Code	272
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$3,918.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	2709007249
Hospital Revenue Code	272
Min. Negotiated Rate	$3,396.25
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$7,837.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,396.25
Rate for Payer: Oxford Commercial	$13,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75
Rate for Payer: UnitedHealthcare Commercial	$13,062.50

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	270CH0111
Hospital Revenue Code	275
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$7,837.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	270CH0111
Hospital Revenue Code	275
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$6,322.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	2709007250
Hospital Revenue Code	272
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$3,918.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	2709007250
Hospital Revenue Code	272
Min. Negotiated Rate	$3,396.25
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$7,837.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,396.25
Rate for Payer: Oxford Commercial	$13,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75
Rate for Payer: UnitedHealthcare Commercial	$13,062.50

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	270CH0112
Hospital Revenue Code	275
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$7,837.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	270CH0112
Hospital Revenue Code	275
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$6,322.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA with DF4 Connecto

Facility

$27,430.00

Hospital Charge Code	270CH0113
Hospital Revenue Code	275
Min. Negotiated Rate	$4,114.50
Max. Negotiated Rate	$6,638.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,486.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,638.06
Rate for Payer: Qualcare PPO/HMO/WC	$4,114.50

LEAD DURATA with DF4 Connecto

Facility

$27,430.00

Hospital Charge Code	270CH0113
Hospital Revenue Code	275
Min. Negotiated Rate	$4,114.50
Max. Negotiated Rate	$13,715.00
Rate for Payer: Aetna Commercial	$8,229.00
Rate for Payer: Aetna Medicare Advantage	$8,229.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,994.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,994.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,994.65
Rate for Payer: Cigna Commercial	$13,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,638.06
Rate for Payer: Qualcare PPO/HMO/WC	$4,114.50

Lead Envirolite .5mm PVK-2pc f

Facility

$3,635.00

Hospital Charge Code	270667068
Hospital Revenue Code	270
Min. Negotiated Rate	$472.55
Max. Negotiated Rate	$1,817.50
Rate for Payer: Aetna Commercial	$1,090.50
Rate for Payer: Aetna Medicare Advantage	$1,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$926.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$926.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$926.92
Rate for Payer: Cigna Commercial	$1,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$472.55
Rate for Payer: Oxford Commercial	$1,817.50
Rate for Payer: Qualcare PPO/HMO/WC	$545.25
Rate for Payer: UnitedHealthcare Commercial	$1,817.50

Lead Envirolite .5mm PVK-2pc f

Facility

$3,635.00

Hospital Charge Code	270667068
Hospital Revenue Code	270
Min. Negotiated Rate	$545.25
Max. Negotiated Rate	$545.25
Rate for Payer: Qualcare PPO/HMO/WC	$545.25

LEAD EON 60cm

Facility

$16,075.00

Service Code	HCPCS C1778
Hospital Charge Code	270642323
Hospital Revenue Code	278
Min. Negotiated Rate	$2,411.25
Max. Negotiated Rate	$3,890.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,890.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,411.25

LEAD EON 60cm

Facility

$16,075.00

Service Code	HCPCS C1778
Hospital Charge Code	270642323
Hospital Revenue Code	278
Min. Negotiated Rate	$2,411.25
Max. Negotiated Rate	$8,037.50
Rate for Payer: Aetna Commercial	$4,822.50
Rate for Payer: Aetna Medicare Advantage	$4,822.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,099.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,099.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,099.12
Rate for Payer: Cigna Commercial	$8,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,890.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,411.25

LEAD FINELINE EZ ST PACEMKR

Facility

$4,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270696940S
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

LEAD FINELINE EZ ST PACEMKR

Facility

$4,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270696940S
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
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) NJ Health	$800.00
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	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

LEAD FINELINE II EZ POSIT 4469

Facility

$3,000.00

Hospital Charge Code	270640191
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD FINELINE II EZ POSIT 4469

Facility

$3,000.00

Hospital Charge Code	270640191
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$900.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD FINELINE II PASSIVE 53

Facility

$5,325.00

Hospital Charge Code	270666558
Hospital Revenue Code	275
Min. Negotiated Rate	$798.75
Max. Negotiated Rate	$1,288.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,065.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,288.65
Rate for Payer: Qualcare PPO/HMO/WC	$798.75

Know your out-of-pocket cost for care.

All Charges