Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

PACE INTERROGATION W/PROG DUAL

Facility

IP

$214.68

Service Code	HCPCS 93280
Hospital Charge Code	74116017
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACE INTERROGATION W/PROG DUAL

Facility

IP

$500.00

Service Code	HCPCS 93280
Hospital Charge Code	5100279
Hospital Revenue Code	480
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PACE INTERROGATION W/PROG DUAL

Facility

OP

$214.68

Service Code	HCPCS 93280
Hospital Charge Code	74116017
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	$38.15
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

PACE INTERROGATION W/PROG DUAL

Facility

IP

$214.68

Service Code	HCPCS 93280
Hospital Charge Code	74117017
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACE INTERROGATION W/PROG DUAL

Facility

IP

$500.00

Service Code	HCPCS 93280
Hospital Charge Code	94053065
Hospital Revenue Code	480
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PACE INTERROGATION W/PROG S

Facility

IP

$214.68

Service Code	HCPCS 93279
Hospital Charge Code	74116016
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACE INTERROGATION W/PROG S

Facility

OP

$214.68

Service Code	HCPCS 93279
Hospital Charge Code	74115016
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	$32.67
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

PACE INTERROGATION W/PROG S

Facility

OP

$214.68

Service Code	HCPCS 93279
Hospital Charge Code	74117016
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	$32.67
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

PACE INTERROGATION W/PROG S

Facility

OP

$500.00

Service Code	HCPCS 93279
Hospital Charge Code	5100278
Hospital Revenue Code	480
Min. Negotiated Rate	$32.67
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PACE INTERROGATION W/PROG S

Facility

OP

$214.68

Service Code	HCPCS 93279
Hospital Charge Code	74116016
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	$32.67
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

PACE INTERROGATION W/PROG S

Facility

IP

$500.00

Service Code	HCPCS 93279
Hospital Charge Code	94053060
Hospital Revenue Code	480
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PACE INTERROGATION W/PROG S

Facility

OP

$500.00

Service Code	HCPCS 93279
Hospital Charge Code	94053060
Hospital Revenue Code	480
Min. Negotiated Rate	$32.67
Max. Negotiated Rate	$1,793.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$88.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$1,793.00

PACE INTERROGATION W/PROG S

Facility

IP

$500.00

Service Code	HCPCS 93279
Hospital Charge Code	5100278
Hospital Revenue Code	480
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

PACE INTERROGATION W/PROG S

Facility

IP

$214.68

Service Code	HCPCS 93279
Hospital Charge Code	74117016
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACE INTERROGATION W/PROG S

Facility

IP

$214.68

Service Code	HCPCS 93279
Hospital Charge Code	74115016
Hospital Revenue Code	480
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.20

PACEMAKER ACCENT DR PM2110

Facility

IP

$38,304.00

Hospital Charge Code	270648446C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,745.60
Max. Negotiated Rate	$9,269.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,660.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,269.57
Rate for Payer: Qualcare PPO/HMO/WC	$5,745.60

PACEMAKER ACCENT DR PM2110

Facility

OP

$38,304.00

Hospital Charge Code	270648446C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,745.60
Max. Negotiated Rate	$19,152.00
Rate for Payer: Aetna Commercial	$11,491.20
Rate for Payer: Aetna Medicare Advantage	$11,491.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,767.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,767.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,660.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,767.52
Rate for Payer: Cigna Commercial	$19,152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,269.57
Rate for Payer: Qualcare PPO/HMO/WC	$5,745.60

PACEMAKER ACCENT DR U PR

Facility

IP

$31,920.00

Service Code	HCPCS C1785
Hospital Charge Code	270648446
Hospital Revenue Code	275
Min. Negotiated Rate	$4,788.00
Max. Negotiated Rate	$7,724.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,788.00

PACEMAKER ACCENT DR U PR

Facility

OP

$31,920.00

Hospital Charge Code	27648446C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,788.00
Max. Negotiated Rate	$15,960.00
Rate for Payer: Aetna Commercial	$9,576.00
Rate for Payer: Aetna Medicare Advantage	$9,576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,139.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,139.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,139.60
Rate for Payer: Cigna Commercial	$15,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,788.00

PACEMAKER ACCENT DR U PR

Facility

OP

$31,920.00

Service Code	HCPCS C1785
Hospital Charge Code	270648446
Hospital Revenue Code	275
Min. Negotiated Rate	$4,788.00
Max. Negotiated Rate	$15,960.00
Rate for Payer: Aetna Commercial	$9,576.00
Rate for Payer: Aetna Medicare Advantage	$9,576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,139.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,139.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,139.60
Rate for Payer: Cigna Commercial	$15,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,788.00

PACEMAKER ACCENT DR U PR

Facility

IP

$31,920.00

Hospital Charge Code	27648446C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,788.00
Max. Negotiated Rate	$7,724.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,788.00

PACEMAKER ACCENT RF DR PM2210

Facility

IP

$31,920.00

Hospital Charge Code	270642570
Hospital Revenue Code	275
Min. Negotiated Rate	$4,788.00
Max. Negotiated Rate	$7,724.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,788.00

PACEMAKER ACCENT RF DR PM2210

Facility

OP

$33,600.00

Hospital Charge Code	270642570C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,040.00
Max. Negotiated Rate	$16,800.00
Rate for Payer: Aetna Commercial	$10,080.00
Rate for Payer: Aetna Medicare Advantage	$10,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,568.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,568.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,568.00
Rate for Payer: Cigna Commercial	$16,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,131.20
Rate for Payer: Qualcare PPO/HMO/WC	$5,040.00

PACEMAKER ACCENT RF DR PM2210

Facility

OP

$31,920.00

Hospital Charge Code	270642570
Hospital Revenue Code	275
Min. Negotiated Rate	$4,788.00
Max. Negotiated Rate	$15,960.00
Rate for Payer: Aetna Commercial	$9,576.00
Rate for Payer: Aetna Medicare Advantage	$9,576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,139.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,139.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,384.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,139.60
Rate for Payer: Cigna Commercial	$15,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,724.64
Rate for Payer: Qualcare PPO/HMO/WC	$4,788.00

PACEMAKER ACCENT RF DR PM2210

Facility

IP

$33,600.00

Hospital Charge Code	270642570C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,040.00
Max. Negotiated Rate	$8,131.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,131.20
Rate for Payer: Qualcare PPO/HMO/WC	$5,040.00