Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$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 ADPATA

Facility

$32,585.00

Hospital Charge Code	270638389
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 ADPATA

Facility

$32,585.00

Hospital Charge Code	270638389
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 ADVISA DR MRI

Facility

$26,425.00

Service Code	HCPCS C1785
Hospital Charge Code	270663723
Hospital Revenue Code	275
Min. Negotiated Rate	$3,963.75
Max. Negotiated Rate	$6,394.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,285.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,394.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,963.75

PACEMAKER ADVISA DR MRI

Facility

$26,425.00

Service Code	HCPCS C1785
Hospital Charge Code	270663723
Hospital Revenue Code	275
Min. Negotiated Rate	$3,963.75
Max. Negotiated Rate	$13,212.50
Rate for Payer: Aetna Commercial	$7,927.50
Rate for Payer: Aetna Medicare Advantage	$7,927.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,738.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,738.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,738.38
Rate for Payer: Cigna Commercial	$13,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,394.85
Rate for Payer: Qualcare PPO/HMO/WC	$3,963.75

PACEMAKER ADVISA SR

Facility

$20,975.00

Service Code	HCPCS C1786
Hospital Charge Code	270676130
Hospital Revenue Code	275
Min. Negotiated Rate	$3,146.25
Max. Negotiated Rate	$10,487.50
Rate for Payer: Aetna Commercial	$6,292.50
Rate for Payer: Aetna Medicare Advantage	$6,292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,348.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,348.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,348.62
Rate for Payer: Cigna Commercial	$10,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,075.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,146.25

PACEMAKER ADVISA SR

Facility

$20,975.00

Service Code	HCPCS C1786
Hospital Charge Code	270676130
Hospital Revenue Code	275
Min. Negotiated Rate	$3,146.25
Max. Negotiated Rate	$5,075.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,075.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,146.25

PACEMAKER AFFINITY DR PUL 5330

Facility

$26,759.25

Hospital Charge Code	270630598
Hospital Revenue Code	275
Min. Negotiated Rate	$4,013.89
Max. Negotiated Rate	$13,379.62
Rate for Payer: Aetna Commercial	$8,027.77
Rate for Payer: Aetna Medicare Advantage	$8,027.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,823.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,823.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,351.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,823.61
Rate for Payer: Cigna Commercial	$13,379.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,475.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,013.89

PACEMAKER AFFINITY DR PUL 5330

Facility

$26,759.25

Hospital Charge Code	270630598
Hospital Revenue Code	275
Min. Negotiated Rate	$4,013.89
Max. Negotiated Rate	$6,475.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,351.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,475.74
Rate for Payer: Qualcare PPO/HMO/WC	$4,013.89

PACEMAKER AFFIN SR SSIR 5113MS

Facility

$24,056.00

Hospital Charge Code	270623693C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,608.40
Max. Negotiated Rate	$12,028.00
Rate for Payer: Aetna Commercial	$7,216.80
Rate for Payer: Aetna Medicare Advantage	$7,216.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,811.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,134.28
Rate for Payer: Cigna Commercial	$12,028.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,821.55
Rate for Payer: Qualcare PPO/HMO/WC	$3,608.40

PACEMAKER AFFIN SR SSIR 5113MS

Facility

$24,056.00

Hospital Charge Code	270623693C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,608.40
Max. Negotiated Rate	$5,821.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,811.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,821.55
Rate for Payer: Qualcare PPO/HMO/WC	$3,608.40

PACEMAKER AFFIN SR SSIR 5113MS

Facility

$24,056.00

Hospital Charge Code	270623693
Hospital Revenue Code	275
Min. Negotiated Rate	$3,608.40
Max. Negotiated Rate	$12,028.00
Rate for Payer: Aetna Commercial	$7,216.80
Rate for Payer: Aetna Medicare Advantage	$7,216.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,811.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,134.28
Rate for Payer: Cigna Commercial	$12,028.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,821.55
Rate for Payer: Qualcare PPO/HMO/WC	$3,608.40

PACEMAKER AFFIN SR SSIR 5113MS

Facility

$24,056.00

Hospital Charge Code	270623693
Hospital Revenue Code	275
Min. Negotiated Rate	$3,608.40
Max. Negotiated Rate	$5,821.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,811.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,821.55
Rate for Payer: Qualcare PPO/HMO/WC	$3,608.40

PACEMAKER ALT60 SSIR IS-1 S601

Facility

$22,500.00

Hospital Charge Code	270644194C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,375.00
Max. Negotiated Rate	$5,445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,375.00

PACEMAKER ALT60 SSIR IS-1 S601

Facility

$22,500.00

Hospital Charge Code	270644194C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,375.00
Max. Negotiated Rate	$11,250.00
Rate for Payer: Aetna Commercial	$6,750.00
Rate for Payer: Aetna Medicare Advantage	$6,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,737.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,737.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,737.50
Rate for Payer: Cigna Commercial	$11,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,375.00

PACEMAKER ALTRUA 60 DUAL

Facility

$25,000.00

Hospital Charge Code	270645424C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$7,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

PACEMAKER ALTRUA 60 DUAL

Facility

$25,000.00

Hospital Charge Code	270645424C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

PACEMAKER ALTRUA 60 S601 SR

Facility

$22,500.00

Hospital Charge Code	270646788
Hospital Revenue Code	278
Min. Negotiated Rate	$3,375.00
Max. Negotiated Rate	$5,445.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,375.00

PACEMAKER ALTRUA 60 S601 SR

Facility

$22,500.00

Hospital Charge Code	270646788
Hospital Revenue Code	278
Min. Negotiated Rate	$3,375.00
Max. Negotiated Rate	$11,250.00
Rate for Payer: Aetna Commercial	$6,750.00
Rate for Payer: Aetna Medicare Advantage	$6,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,737.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,737.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,737.50
Rate for Payer: Cigna Commercial	$11,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,375.00

PACEMAKER ALTURA 60DDDR S603DR

Facility

$32,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270661811
Hospital Revenue Code	275
Min. Negotiated Rate	$4,800.00
Max. Negotiated Rate	$7,744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,744.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,800.00

PACEMAKER ALTURA 60DDDR S603DR

Facility

$32,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270661811
Hospital Revenue Code	275
Min. Negotiated Rate	$4,800.00
Max. Negotiated Rate	$16,000.00
Rate for Payer: Aetna Commercial	$9,600.00
Rate for Payer: Aetna Medicare Advantage	$9,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,160.00
Rate for Payer: Cigna Commercial	$16,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,744.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,800.00

PACEMAKER ANALYSIS TELETRACE

Facility

$968.00

Hospital Charge Code	270331423
Hospital Revenue Code	272
Min. Negotiated Rate	$145.20
Max. Negotiated Rate	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$145.20

PACEMAKER ANALYSIS TELETRACE

Facility

$968.00

Hospital Charge Code	270331423
Hospital Revenue Code	272
Min. Negotiated Rate	$125.84
Max. Negotiated Rate	$484.00
Rate for Payer: Aetna Commercial	$290.40
Rate for Payer: Aetna Medicare Advantage	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.84
Rate for Payer: Cigna Commercial	$484.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$125.84
Rate for Payer: Oxford Commercial	$484.00
Rate for Payer: Qualcare PPO/HMO/WC	$145.20
Rate for Payer: UnitedHealthcare Commercial	$484.00

PACEMAKER ANTHEM RF PM3210

Facility

$47,380.00

Hospital Charge Code	270644768C
Hospital Revenue Code	275
Min. Negotiated Rate	$7,107.00
Max. Negotiated Rate	$23,690.00
Rate for Payer: Aetna Commercial	$14,214.00
Rate for Payer: Aetna Medicare Advantage	$14,214.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,081.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,081.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,476.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,081.90
Rate for Payer: Cigna Commercial	$23,690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,465.96
Rate for Payer: Qualcare PPO/HMO/WC	$7,107.00

PACEMAKER ANTHEM RF PM3210

Facility

$47,380.00

Hospital Charge Code	270644768C
Hospital Revenue Code	275
Min. Negotiated Rate	$7,107.00
Max. Negotiated Rate	$11,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,476.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,465.96
Rate for Payer: Qualcare PPO/HMO/WC	$7,107.00

Know your out-of-pocket cost for care.

All Charges