Heights University Hospital

All Charges

Charge

Type

Setting

Price

LEAD PACEMAKER CAPSURE 85CM

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270681437
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 85CM

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270681437
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	$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 ATRIAL

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270623756S
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 ATRIAL

Facility

$3,000.00

Service Code	HCPCS C1779
Hospital Charge Code	270620989
Hospital Revenue Code	278
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 PACEMAKER CAPSURE ATRIAL

Facility

$3,000.00

Service Code	HCPCS C1779
Hospital Charge Code	270620989
Hospital Revenue Code	278
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 PACEMAKER CAPSURE ATRIAL

Facility

$2,795.00

Service Code	HCPCS C1779
Hospital Charge Code	270623756S
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 SP

Facility

$2,940.00

Hospital Charge Code	270624061
Hospital Revenue Code	278
Min. Negotiated Rate	$441.00
Max. Negotiated Rate	$711.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.48
Rate for Payer: Qualcare PPO/HMO/WC	$441.00

LEAD PACEMAKER CAPSURE SP

Facility

$3,185.00

Hospital Charge Code	270611035C
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 CAPSURE SP

Facility

$3,185.00

Hospital Charge Code	270611035C
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 SP

Facility

$2,940.00

Hospital Charge Code	270624061
Hospital Revenue Code	278
Min. Negotiated Rate	$441.00
Max. Negotiated Rate	$1,470.00
Rate for Payer: Aetna Commercial	$882.00
Rate for Payer: Aetna Medicare Advantage	$882.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.70
Rate for Payer: Cigna Commercial	$1,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.48
Rate for Payer: Qualcare PPO/HMO/WC	$441.00

LEAD PACEMAKER CAP VENT 509258

Facility

$3,250.00

Hospital Charge Code	270911035C
Hospital Revenue Code	275
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$975.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

LEAD PACEMAKER CAP VENT 509258

Facility

$3,250.00

Hospital Charge Code	270911035C
Hospital Revenue Code	275
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$786.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

LEAD PACEMAKER TRANSV 52CM

Facility

$3,175.00

Hospital Charge Code	270676906
Hospital Revenue Code	278
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$1,587.50
Rate for Payer: Aetna Commercial	$952.50
Rate for Payer: Aetna Medicare Advantage	$952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.62
Rate for Payer: Cigna Commercial	$1,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.35
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LEAD PACEMAKER TRANSV 52CM

Facility

$3,175.00

Hospital Charge Code	270676906
Hospital Revenue Code	278
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$768.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.35
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LEAD PACEMAKER TRANSV 58CM

Facility

$3,175.00

Service Code	HCPCS C1779
Hospital Charge Code	270677275
Hospital Revenue Code	278
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$768.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.35
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LEAD PACEMAKER TRANSV 58CM

Facility

$3,175.00

Service Code	HCPCS C1779
Hospital Charge Code	270677275
Hospital Revenue Code	278
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$1,587.50
Rate for Payer: Aetna Commercial	$952.50
Rate for Payer: Aetna Medicare Advantage	$952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.62
Rate for Payer: Cigna Commercial	$1,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.35
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LEAD PACEMAKER TRANSV 58CM

Facility

$3,175.00

Service Code	HCPCS C1779
Hospital Charge Code	270677275S
Hospital Revenue Code	278
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$768.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.35
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LEAD PACEMAKER TRANSV 58CM

Facility

$3,175.00

Service Code	HCPCS C1779
Hospital Charge Code	270677275S
Hospital Revenue Code	278
Min. Negotiated Rate	$476.25
Max. Negotiated Rate	$1,587.50
Rate for Payer: Aetna Commercial	$952.50
Rate for Payer: Aetna Medicare Advantage	$952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$635.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.62
Rate for Payer: Cigna Commercial	$1,587.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.35
Rate for Payer: Qualcare PPO/HMO/WC	$476.25

LEAD PACEMAKER VENTRL 407652

Facility

$3,625.00

Hospital Charge Code	270633874C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

LEAD PACEMAKER VENTRL 407652

Facility

$3,625.00

Hospital Charge Code	270633874C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,087.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

LEAD PACEMAKER VENTRL 407652

Facility

$3,224.00

Hospital Charge Code	270633874
Hospital Revenue Code	275
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$1,612.00
Rate for Payer: Aetna Commercial	$967.20
Rate for Payer: Aetna Medicare Advantage	$967.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.12
Rate for Payer: Cigna Commercial	$1,612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

LEAD PACEMAKER VENTRL 407652

Facility

$3,224.00

Hospital Charge Code	270633874
Hospital Revenue Code	275
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$780.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

LEAD PACEMR CAP Z NOVUS 555453

Facility

$3,224.00

Hospital Charge Code	270634852
Hospital Revenue Code	275
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$780.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

LEAD PACEMR CAP Z NOVUS 555453

Facility

$3,224.00

Hospital Charge Code	270634852
Hospital Revenue Code	275
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$1,612.00
Rate for Payer: Aetna Commercial	$967.20
Rate for Payer: Aetna Medicare Advantage	$967.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.12
Rate for Payer: Cigna Commercial	$1,612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

Know your out-of-pocket cost for care.

All Charges