Heights University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER ASSURITY DR-RF

Facility

$29,750.00

Service Code	HCPCS C1785
Hospital Charge Code	270675969
Hospital Revenue Code	275
Min. Negotiated Rate	$4,462.50
Max. Negotiated Rate	$14,875.00
Rate for Payer: Aetna Commercial	$8,925.00
Rate for Payer: Aetna Medicare Advantage	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,586.25
Rate for Payer: Cigna Commercial	$14,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50

PACEMAKER ASSURITY DR-RF

Facility

$29,750.00

Service Code	HCPCS C1785
Hospital Charge Code	270675969
Hospital Revenue Code	275
Min. Negotiated Rate	$4,462.50
Max. Negotiated Rate	$7,199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728N
Hospital Revenue Code	275
Min. Negotiated Rate	$4,121.25
Max. Negotiated Rate	$6,648.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728S
Hospital Revenue Code	275
Min. Negotiated Rate	$4,121.25
Max. Negotiated Rate	$13,737.50
Rate for Payer: Aetna Commercial	$8,242.50
Rate for Payer: Aetna Medicare Advantage	$8,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,006.12
Rate for Payer: Cigna Commercial	$13,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25

PACEMAKER ASSURITY MRI

Facility

$17,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$5,100.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

PACEMAKER ASSURITY MRI

Facility

$17,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728N
Hospital Revenue Code	275
Min. Negotiated Rate	$4,121.25
Max. Negotiated Rate	$13,737.50
Rate for Payer: Aetna Commercial	$8,242.50
Rate for Payer: Aetna Medicare Advantage	$8,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,006.12
Rate for Payer: Cigna Commercial	$13,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728S
Hospital Revenue Code	275
Min. Negotiated Rate	$4,121.25
Max. Negotiated Rate	$6,648.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25

PACEMAKER ASSURITY SNG CHAMBER

Facility

$22,475.00

Service Code	HCPCS C1786
Hospital Charge Code	270675853
Hospital Revenue Code	275
Min. Negotiated Rate	$3,371.25
Max. Negotiated Rate	$11,237.50
Rate for Payer: Aetna Commercial	$6,742.50
Rate for Payer: Aetna Medicare Advantage	$6,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,731.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,731.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,731.12
Rate for Payer: Cigna Commercial	$11,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,438.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,371.25

PACEMAKER ASSURITY SNG CHAMBER

Facility

$22,475.00

Service Code	HCPCS C1786
Hospital Charge Code	270675853
Hospital Revenue Code	275
Min. Negotiated Rate	$3,371.25
Max. Negotiated Rate	$5,438.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,438.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,371.25

PACEMAKER AZURE S SR MRI IPG

Facility

$18,683.50

Service Code	HCPCS C1786
Hospital Charge Code	270686726
Hospital Revenue Code	275
Min. Negotiated Rate	$2,802.53
Max. Negotiated Rate	$9,341.75
Rate for Payer: Aetna Commercial	$5,605.05
Rate for Payer: Aetna Medicare Advantage	$5,605.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,764.29
Rate for Payer: Cigna Commercial	$9,341.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53

PACEMAKER AZURE S SR MRI IPG

Facility

$18,683.50

Service Code	HCPCS C1786
Hospital Charge Code	270686726
Hospital Revenue Code	275
Min. Negotiated Rate	$2,802.53
Max. Negotiated Rate	$4,521.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53

PACEMAKER CRTP QUADRA ALLURE

Facility

$39,500.00

Service Code	HCPCS C2621
Hospital Charge Code	270699082S
Hospital Revenue Code	275
Min. Negotiated Rate	$5,925.00
Max. Negotiated Rate	$9,559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,925.00

PACEMAKER CRTP QUADRA ALLURE

Facility

$39,500.00

Service Code	HCPCS C2621
Hospital Charge Code	270699082S
Hospital Revenue Code	275
Min. Negotiated Rate	$5,925.00
Max. Negotiated Rate	$19,750.00
Rate for Payer: Aetna Commercial	$11,850.00
Rate for Payer: Aetna Medicare Advantage	$11,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,072.50
Rate for Payer: Cigna Commercial	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,925.00

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662
Hospital Revenue Code	275
Min. Negotiated Rate	$12,717.75
Max. Negotiated Rate	$20,517.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662N
Hospital Revenue Code	275
Min. Negotiated Rate	$12,717.75
Max. Negotiated Rate	$42,392.50
Rate for Payer: Aetna Commercial	$25,435.50
Rate for Payer: Aetna Medicare Advantage	$25,435.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,620.17
Rate for Payer: Cigna Commercial	$42,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662
Hospital Revenue Code	275
Min. Negotiated Rate	$12,717.75
Max. Negotiated Rate	$42,392.50
Rate for Payer: Aetna Commercial	$25,435.50
Rate for Payer: Aetna Medicare Advantage	$25,435.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,620.17
Rate for Payer: Cigna Commercial	$42,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662N
Hospital Revenue Code	275
Min. Negotiated Rate	$12,717.75
Max. Negotiated Rate	$20,517.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75

PACEMAKER DR CHAM ICV1122

Facility

$23,213.25

Service Code	HCPCS C1785
Hospital Charge Code	270660759
Hospital Revenue Code	275
Min. Negotiated Rate	$3,481.99
Max. Negotiated Rate	$11,606.62
Rate for Payer: Aetna Commercial	$6,963.98
Rate for Payer: Aetna Medicare Advantage	$6,963.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,919.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,919.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,642.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,919.38
Rate for Payer: Cigna Commercial	$11,606.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,617.61
Rate for Payer: Qualcare PPO/HMO/WC	$3,481.99

PACEMAKER DR CHAM ICV1122

Facility

$23,213.25

Service Code	HCPCS C1785
Hospital Charge Code	270660759
Hospital Revenue Code	275
Min. Negotiated Rate	$3,481.99
Max. Negotiated Rate	$5,617.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,642.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,617.61
Rate for Payer: Qualcare PPO/HMO/WC	$3,481.99

PACEMAKER DUAL CHAMBER E2DR01

Facility

$32,488.00

Hospital Charge Code	270633460C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,873.20
Max. Negotiated Rate	$16,244.00
Rate for Payer: Aetna Commercial	$9,746.40
Rate for Payer: Aetna Medicare Advantage	$9,746.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,284.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,284.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,497.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,284.44
Rate for Payer: Cigna Commercial	$16,244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,862.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,873.20

PACEMAKER DUAL CHAMBER E2DR01

Facility

$25,990.40

Hospital Charge Code	270633460
Hospital Revenue Code	275
Min. Negotiated Rate	$3,898.56
Max. Negotiated Rate	$12,995.20
Rate for Payer: Aetna Commercial	$7,797.12
Rate for Payer: Aetna Medicare Advantage	$7,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,627.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,627.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,198.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,627.55
Rate for Payer: Cigna Commercial	$12,995.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,289.68
Rate for Payer: Qualcare PPO/HMO/WC	$3,898.56

PACEMAKER DUAL CHAMBER E2DR01

Facility

$25,990.40

Hospital Charge Code	270633460
Hospital Revenue Code	275
Min. Negotiated Rate	$3,898.56
Max. Negotiated Rate	$6,289.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,198.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,289.68
Rate for Payer: Qualcare PPO/HMO/WC	$3,898.56

PACEMAKER DUAL CHAMBER E2DR01

Facility

$32,488.00

Hospital Charge Code	270633460C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,873.20
Max. Negotiated Rate	$7,862.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,497.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,862.10
Rate for Payer: Qualcare PPO/HMO/WC	$4,873.20

PACEMAKER DUAL CHAMBER KDR903

Facility

$30,692.85

Hospital Charge Code	270625757C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,603.93
Max. Negotiated Rate	$15,346.42
Rate for Payer: Aetna Commercial	$9,207.85
Rate for Payer: Aetna Medicare Advantage	$9,207.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,138.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,826.68
Rate for Payer: Cigna Commercial	$15,346.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,427.67
Rate for Payer: Qualcare PPO/HMO/WC	$4,603.93

Know your out-of-pocket cost for care.

All Charges