Heights University Hospital

All Charges

Charge

Type

Setting

Price

LEADNEUROSTIMAVISTAMR56CM8MM

Facility

$14,500.00

Service Code	HCPCS C1778
Hospital Charge Code	270698495
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

LEADNEUROSTIMAVISTAMR56CM8MM

Facility

$14,500.00

Service Code	HCPCS C1778
Hospital Charge Code	270698495
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$7,250.00
Rate for Payer: Aetna Commercial	$4,350.00
Rate for Payer: Aetna Medicare Advantage	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,697.50
Rate for Payer: Cigna Commercial	$7,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

LEAD NON PLUSE OXIMETER W/9FT

Facility

$610.00

Hospital Charge Code	270674512
Hospital Revenue Code	272
Min. Negotiated Rate	$79.30
Max. Negotiated Rate	$305.00
Rate for Payer: Aetna Commercial	$183.00
Rate for Payer: Aetna Medicare Advantage	$183.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.55
Rate for Payer: Cigna Commercial	$305.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.30
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.50
Rate for Payer: UnitedHealthcare Commercial	$305.00

LEAD NON PLUSE OXIMETER W/9FT

Facility

$610.00

Hospital Charge Code	270674512
Hospital Revenue Code	272
Min. Negotiated Rate	$91.50
Max. Negotiated Rate	$91.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.50

LEAD PACEMAKER 5068-52

Facility

$3,720.00

Hospital Charge Code	270620202
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$1,860.00
Rate for Payer: Aetna Commercial	$1,116.00
Rate for Payer: Aetna Medicare Advantage	$1,116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$948.60
Rate for Payer: Cigna Commercial	$1,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD PACEMAKER 5068-52

Facility

$3,720.00

Hospital Charge Code	270620202
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$900.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD PACEMAKER 5068-58

Facility

$3,720.00

Hospital Charge Code	270608184
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$1,860.00
Rate for Payer: Aetna Commercial	$1,116.00
Rate for Payer: Aetna Medicare Advantage	$1,116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$948.60
Rate for Payer: Cigna Commercial	$1,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD PACEMAKER 5068-58

Facility

$3,720.00

Hospital Charge Code	270608184
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$900.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD PACEMAKER ATRIAL CAPSURE

Facility

$3,185.00

Hospital Charge Code	270609354C
Hospital Revenue Code	275
Min. Negotiated Rate	$477.75
Max. Negotiated Rate	$1,592.50
Rate for Payer: Aetna Commercial	$955.50
Rate for Payer: Aetna Medicare Advantage	$955.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$812.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$812.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$637.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$812.17
Rate for Payer: Cigna Commercial	$1,592.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$770.77
Rate for Payer: Qualcare PPO/HMO/WC	$477.75

LEAD PACEMAKER ATRIAL CAPSURE

Facility

$3,185.00

Hospital Charge Code	270609354C
Hospital Revenue Code	275
Min. Negotiated Rate	$477.75
Max. Negotiated Rate	$770.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$637.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$770.77
Rate for Payer: Qualcare PPO/HMO/WC	$477.75

LEAD PACEMAKER CAPSURE 4568-45

Facility

$3,720.00

Hospital Charge Code	270615846
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$1,860.00
Rate for Payer: Aetna Commercial	$1,116.00
Rate for Payer: Aetna Medicare Advantage	$1,116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$948.60
Rate for Payer: Cigna Commercial	$1,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD PACEMAKER CAPSURE 4568-45

Facility

$3,720.00

Hospital Charge Code	270615846
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$900.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD PACEMAKER CAPSURE 45 CM

Facility

$3,844.00

Service Code	HCPCS C1779
Hospital Charge Code	270623756N
Hospital Revenue Code	275
Min. Negotiated Rate	$576.60
Max. Negotiated Rate	$930.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$768.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$930.25
Rate for Payer: Qualcare PPO/HMO/WC	$576.60

LEAD PACEMAKER CAPSURE 45 CM

Facility

$3,844.00

Service Code	HCPCS C1779
Hospital Charge Code	270623756N
Hospital Revenue Code	275
Min. Negotiated Rate	$576.60
Max. Negotiated Rate	$1,922.00
Rate for Payer: Aetna Commercial	$1,153.20
Rate for Payer: Aetna Medicare Advantage	$1,153.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$980.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$980.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$768.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$980.22
Rate for Payer: Cigna Commercial	$1,922.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$930.25
Rate for Payer: Qualcare PPO/HMO/WC	$576.60

LEAD PACEMAKER CAPSURE 52 CM

Facility

$4,324.85

Service Code	HCPCS C1779
Hospital Charge Code	270623124S
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$2,162.43
Rate for Payer: Aetna Commercial	$1,297.45
Rate for Payer: Aetna Medicare Advantage	$1,297.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.84
Rate for Payer: Cigna Commercial	$2,162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD PACEMAKER CAPSURE 52 CM

Facility

$4,324.85

Service Code	HCPCS C1779
Hospital Charge Code	270623124S
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$1,046.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD PACEMAKER CAPSURE 52 CM

Facility

$4,324.85

Service Code	HCPCS C1779
Hospital Charge Code	270623124N
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$1,046.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD PACEMAKER CAPSURE 52 CM

Facility

$4,324.85

Service Code	HCPCS C1779
Hospital Charge Code	270623124N
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$2,162.43
Rate for Payer: Aetna Commercial	$1,297.45
Rate for Payer: Aetna Medicare Advantage	$1,297.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.84
Rate for Payer: Cigna Commercial	$2,162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD PACEMAKER CAPSURE 58CM

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270622952S
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$1,397.50
Rate for Payer: Aetna Commercial	$838.50
Rate for Payer: Aetna Medicare Advantage	$838.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$712.73
Rate for Payer: Cigna Commercial	$1,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD PACEMAKER CAPSURE 58CM

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270622952S
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD PACEMAKER CAPSURE 58CM

Facility

$3,125.00

Service Code	HCPCS C1898
Hospital Charge Code	270622952N
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

LEAD PACEMAKER CAPSURE 58CM

Facility

$3,125.00

Service Code	HCPCS C1898
Hospital Charge Code	270622952N
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

LEAD PACEMAKER CAPSURE 58CM

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270622952
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD PACEMAKER CAPSURE 58CM

Facility

$2,795.00

Service Code	HCPCS C1898
Hospital Charge Code	270622952
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$1,397.50
Rate for Payer: Aetna Commercial	$838.50
Rate for Payer: Aetna Medicare Advantage	$838.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$712.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$712.73
Rate for Payer: Cigna Commercial	$1,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

LEAD PACEMAKER CAPSURE 85CM

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270681437N
Hospital Revenue Code	278
Min. Negotiated Rate	$419.25
Max. Negotiated Rate	$676.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$676.39
Rate for Payer: Qualcare PPO/HMO/WC	$419.25

Know your out-of-pocket cost for care.

All Charges