Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER ACCENT SR RFPGD/STER

Facility

$26,435.00

Hospital Charge Code	270660050
Hospital Revenue Code	275
Min. Negotiated Rate	$3,965.25
Max. Negotiated Rate	$6,397.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,397.27
Rate for Payer: Qualcare PPO/HMO/WC	$3,965.25

PACEMAKER ACCENT SR RFPGD/STER

Facility

$26,435.00

Hospital Charge Code	270660050
Hospital Revenue Code	275
Min. Negotiated Rate	$3,965.25
Max. Negotiated Rate	$13,217.50
Rate for Payer: Aetna Commercial	$7,930.50
Rate for Payer: Aetna Medicare Advantage	$7,930.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,740.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,740.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,287.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,740.93
Rate for Payer: Cigna Commercial	$13,217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,397.27
Rate for Payer: Qualcare PPO/HMO/WC	$3,965.25

PACEMAKER ACCOLADE MRI DR

Facility

$36,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270678215N
Hospital Revenue Code	275
Min. Negotiated Rate	$5,475.00
Max. Negotiated Rate	$18,250.00
Rate for Payer: Aetna Commercial	$10,950.00
Rate for Payer: Aetna Medicare Advantage	$10,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,307.50
Rate for Payer: Cigna Commercial	$18,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,833.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,475.00

PACEMAKER ACCOLADE MRI DR

Facility

$40,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270678215
Hospital Revenue Code	275
Min. Negotiated Rate	$6,000.00
Max. Negotiated Rate	$20,000.00
Rate for Payer: Aetna Commercial	$12,000.00
Rate for Payer: Aetna Medicare Advantage	$12,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,200.00
Rate for Payer: Cigna Commercial	$20,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,000.00

PACEMAKER ACCOLADE MRI DR

Facility

$40,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270678215
Hospital Revenue Code	275
Min. Negotiated Rate	$6,000.00
Max. Negotiated Rate	$9,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,000.00

PACEMAKER ACCOLADE MRI DR

Facility

$36,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270678215N
Hospital Revenue Code	275
Min. Negotiated Rate	$5,475.00
Max. Negotiated Rate	$8,833.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,833.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,475.00

PACEMAKER ACCOLADE MRI DR IS-1

Facility

$38,000.00

Hospital Charge Code	270677287
Hospital Revenue Code	278
Min. Negotiated Rate	$5,700.00
Max. Negotiated Rate	$19,000.00
Rate for Payer: Aetna Commercial	$11,400.00
Rate for Payer: Aetna Medicare Advantage	$11,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,690.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,690.00
Rate for Payer: Cigna Commercial	$19,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,196.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,700.00

PACEMAKER ACCOLADE MRI DR IS-1

Facility

$38,000.00

Hospital Charge Code	270677287
Hospital Revenue Code	278
Min. Negotiated Rate	$5,700.00
Max. Negotiated Rate	$9,196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,196.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,700.00

PACEMAKER ACCOLADE MRI VR

Facility

$33,500.00

Service Code	HCPCS C1786
Hospital Charge Code	270678188
Hospital Revenue Code	275
Min. Negotiated Rate	$5,025.00
Max. Negotiated Rate	$16,750.00
Rate for Payer: Aetna Commercial	$10,050.00
Rate for Payer: Aetna Medicare Advantage	$10,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,542.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,542.50
Rate for Payer: Cigna Commercial	$16,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,107.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,025.00

PACEMAKER ACCOLADE MRI VR

Facility

$33,500.00

Service Code	HCPCS C1786
Hospital Charge Code	270678188
Hospital Revenue Code	275
Min. Negotiated Rate	$5,025.00
Max. Negotiated Rate	$8,107.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,107.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,025.00

PACEMAKER ACOLADE DR

Facility

$40,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270675535
Hospital Revenue Code	275
Min. Negotiated Rate	$6,075.00
Max. Negotiated Rate	$9,801.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,801.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,075.00

PACEMAKER ACOLADE DR

Facility

$40,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270675535
Hospital Revenue Code	275
Min. Negotiated Rate	$6,075.00
Max. Negotiated Rate	$20,250.00
Rate for Payer: Aetna Commercial	$12,150.00
Rate for Payer: Aetna Medicare Advantage	$12,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,327.50
Rate for Payer: Cigna Commercial	$20,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,801.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,075.00

PACEMAKER ADAPTA ADDR06

Facility

$32,585.00

Hospital Charge Code	270638389C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,887.75
Max. Negotiated Rate	$16,292.50
Rate for Payer: Aetna Commercial	$9,775.50
Rate for Payer: Aetna Medicare Advantage	$9,775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,309.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,309.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,309.17
Rate for Payer: Cigna Commercial	$16,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,885.57
Rate for Payer: Qualcare PPO/HMO/WC	$4,887.75

PACEMAKER ADAPTA ADDR06

Facility

$32,585.00

Hospital Charge Code	270638389C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,887.75
Max. Negotiated Rate	$7,885.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,885.57
Rate for Payer: Qualcare PPO/HMO/WC	$4,887.75

PACEMAKER ADAPTA ADSR03

Facility

$25,945.00

Hospital Charge Code	270639227C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,891.75
Max. Negotiated Rate	$12,972.50
Rate for Payer: Aetna Commercial	$7,783.50
Rate for Payer: Aetna Medicare Advantage	$7,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,615.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,615.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,615.98
Rate for Payer: Cigna Commercial	$12,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,278.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,891.75

PACEMAKER ADAPTA ADSR03

Facility

$25,945.00

Hospital Charge Code	270639227C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,891.75
Max. Negotiated Rate	$6,278.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,278.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,891.75

PACEMAKER ADAPTA DR ADDR01

Facility

$32,585.00

Hospital Charge Code	270637950C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,887.75
Max. Negotiated Rate	$16,292.50
Rate for Payer: Aetna Commercial	$9,775.50
Rate for Payer: Aetna Medicare Advantage	$9,775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,309.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,309.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,309.17
Rate for Payer: Cigna Commercial	$16,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,885.57
Rate for Payer: Qualcare PPO/HMO/WC	$4,887.75

PACEMAKER ADAPTA DR ADDR01

Facility

$32,585.00

Hospital Charge Code	270637950C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,887.75
Max. Negotiated Rate	$7,885.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,885.57
Rate for Payer: Qualcare PPO/HMO/WC	$4,887.75

PACEMAKER ADAPTA DR ADDR01

Facility

$22,020.00

Service Code	HCPCS C1785
Hospital Charge Code	270637950
Hospital Revenue Code	275
Min. Negotiated Rate	$3,303.00
Max. Negotiated Rate	$5,328.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,404.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,328.84
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.00

PACEMAKER ADAPTA DR ADDR01

Facility

$22,020.00

Service Code	HCPCS C1785
Hospital Charge Code	270637950
Hospital Revenue Code	275
Min. Negotiated Rate	$3,303.00
Max. Negotiated Rate	$11,010.00
Rate for Payer: Aetna Commercial	$6,606.00
Rate for Payer: Aetna Medicare Advantage	$6,606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,615.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,615.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,404.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,615.10
Rate for Payer: Cigna Commercial	$11,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,328.84
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.00

PACEMAKER ADAPTA SR ADSR01

Facility

$25,945.00

Service Code	HCPCS C1786
Hospital Charge Code	270638414N
Hospital Revenue Code	275
Min. Negotiated Rate	$3,891.75
Max. Negotiated Rate	$12,972.50
Rate for Payer: Aetna Commercial	$7,783.50
Rate for Payer: Aetna Medicare Advantage	$7,783.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,615.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,615.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,615.98
Rate for Payer: Cigna Commercial	$12,972.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,278.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,891.75

PACEMAKER ADAPTA SR ADSR01

Facility

$25,945.00

Service Code	HCPCS C1786
Hospital Charge Code	270638414N
Hospital Revenue Code	275
Min. Negotiated Rate	$3,891.75
Max. Negotiated Rate	$6,278.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,278.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,891.75

PACEMAKER ADAPTA SR ADSR01

Facility

$16,795.00

Service Code	HCPCS C1786
Hospital Charge Code	270638414C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,519.25
Max. Negotiated Rate	$8,397.50
Rate for Payer: Aetna Commercial	$5,038.50
Rate for Payer: Aetna Medicare Advantage	$5,038.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,282.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,282.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,359.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,282.73
Rate for Payer: Cigna Commercial	$8,397.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,064.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,519.25

PACEMAKER ADAPTA SR ADSR01

Facility

$16,795.00

Service Code	HCPCS C1786
Hospital Charge Code	270638414C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,519.25
Max. Negotiated Rate	$4,064.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,359.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,064.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,519.25

PACEMAKER ADAPTER SR ADSR06

Facility

$25,945.00

Hospital Charge Code	270638428C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,891.75
Max. Negotiated Rate	$6,278.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,278.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,891.75

Know your out-of-pocket cost for care.

All Charges